06-102384City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
y
Bull it ing - Commercial Perm #: 06- 102384 -'00 -CCU►
Inspection Request Line: (253) 835 -3050
Project Name: CINGULAR @ ENCHANTED PARKWAY SC1808 (WA109)
Project Address: 1741 S 356TH ST
Project Description: NEW - New 13'X 16' wood shelter for wireless equipment
Parcel Number: 282104 9178
Owner
Applicant
Contractor
Lender
RUSSEL R LLOYD
NEW CINGULAR WIRELESS LLC
WREN CONSTRUCTION
1741 S 356TH ST
16221 NE 72ND WAY BOX 97061
WRENCI013136 (01/26/08)
FEDERAL WAY WA 98063 -4203
REDMOND WA 98052
2720 OAKES ST
98063
268
EVERETT WA 98201
0 0
Census Category: 328 - New Other Non - Residential Building
Includes:
#1
#2
#3 #4
Occupancy Class:
S -2
nstruction Type:
Type V - B
�W ,"'ftu an cy Load:
,Areas . ft.)
268
0
0 0
No Fixtures Associated With This Permit 11
PERMIT EXPIRES Saturday, July 26, 2008
Permit Issued on Wednesday, July 26, 2006
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the us ill be ' cor ce with the laws, rules and regulations of the St to of W ington
and the f Federal Way.
Owner or agent: Date: ? G'�
THIS CARD IS TO REMAIN ON -SITE
CITY of Itommuni tY Develo nt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 06- 102384 -00 -CO
Owner: RUSSEL R LLOYD
Address: 1741 S 356TH ST
FEDERAL WAY, WA 98003 -8304
This card is part of your required inspection documents Scheduled inspections may be failed if this card is not on -site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order
as possible (read left to right, top to bottom). Please schedule
inspections as appropriate. Work must not
be covered until it is approved. Check with your
inspector if you are unsure about any of the inspections or the inspection sequence On -going inspections
are logged on the back of this card.
❑
Footings /Setback (4110)
❑ Foundation Wall (4115)
❑
Drainage/Downspout (4040)
Approved to place concrete
Approved to place concrete
Approved to backfill
By
Date
By Date
By
Date
❑ Slab /Concrete Floor (4255)
❑
Re -steel (4215)
❑
Underfloor Framing (4285)
Approved to place concrete or grout
Approved to place concrete
Approved to sheath floor
By
Date
By Date
By
Date
❑
Floor Sheathing (4105)
❑ Shear Walls (4245)
❑
Roof Sheathing (4220)
Approved to install flooring
Approved to install siding
Approved to install roofing
By
Date
By Date
By
Date
NOTE: Prior to scheduling a Framing (4120)
❑
Fire/Draft Stops (4095)
❑
Framing (4120)
Approved
inspection; Electrical, Plumbing & Mechanical
Approved to insulate
Rough -in and Fire/Draft Stop inspections must be
By
Date
signed -off and approved. IBC 109.3.4/UBC 108.5.4
By
Date
❑
Insulation (4150)
❑ Gypsum Wallboard Nailing (4130)
❑
Suspended Ceiling Grid (4265)
Approved to install wallboard
Approved to install mud & tape
Approved to drop tile
By
Date
By Date
By
Date
❑
Final - Fire Department (4060)
❑ Final - Planning (4070)
❑
Final - Public Works (4080)
Approved
Approved
Approved
By
Date
By Date
By
Date
Final - Building (4050)
Approved
By Date Z
RECEIVER .�
Federal way MAY 1 1 2006 PERMIT
COMMUNITY DEVELOPMENT SERVICES
33325 61tt AVENUE SOUTH • PO BOX 97161 p LI CATI O N
FEDERAL WAY, WA 980? �/ C
253 - 635- 1607•PAX253-b fl OF FEDERA
W U'- citWffederolunW-- BUILDING DEPT,
SF CO E EL PL DE EN P
The ollowilgisreguirediuforination-anincomriletea Ification will not be acce ted, Please dint le ibi (in in Or
PROPERTY •. •
SITE ADDRESS 1741 5 5-r SUITE /UNIT #
ASSESSOR'S TAX /PARCEL # Z Z Q 4 - 9 1 g LOT SIZE (sfl ,S %} �T
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) - 27T,+C HAD S �4 EE"J-
(Attach separate page) lengthy legal description)
maw ' • • •
TYPE OF PERMIT ><BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this Permit on
pifteing tit, 6 existing panet antennas with 9 irew unes--mcii
e> ee
ee
f new 13' x 16' wood shelter adjacent to the tower.
PROJECT NAME (Name of Business or Oumer Last Name) G yJ 6 U LAf- w I R--- LESS A 1 AJ c RAxr --tom a i�
PEOPLE •R
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
NAME PRIMARY PHONE
F,L (2-5!s) (6 f - ' 9 6 -7 MAILING ADDRESS CITY, STATE, ZIP
� 0� 3 41 -'S FEaE okL
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
FAX NUMBER
-B
(
L
CONTRACTOR'S REGISTRATION NUMBER (copy of card required with each application) EXPIRATION DATE
(206) 49v lbcer ode l;a .moo
Per RCW 19.27.095: Lender iTiforntation is
required (f project value exceeds $5,000
NAME
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING USE PS W 1-' PROPOSED USE P:5 W )-
EXISTING ASSESSED /APPRAISED VALUE $ / V ! +`+ VALUE OF PROPOSED WORK
SPRINKLERED BUILDING? ❑ YES /yNNO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES XNO
WATER SERVICE PROVIDER [I LAKEHA VEN ❑ HIGHLINE ❑ TACOMA o PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLM ❑ PRIVATE
IPROJECT FLOOR AREAS
9
AREA DESCRIPTION
EXISTING
S . FT.
PROPOSED
S . FT.
TOTAL
S . FT.
BASEMENT
EVAPORATIVE COOLERS
BBQS
FANS
FIRST
A
COMPRESSORS
FURNACES
SECOND
GAS PIPE OUTLETS
ZONING DESIGNATION
THIRD
CHANGE OF USE?
D YES
D NO
FOURTH
UP /SEPA/SU?
❑ YES
ADDITIONAL FLOORS (DESCRIBE)
PLATTED LOT? D YES D NO
DEMO PERMIT REQUIRED?
DECK (COVERED ?)
D NO
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
cx�srnra
reoros®
TOTAL
TMALEXWMW
TOTAL PSOPOMW
ToMALW
"NEW HOMES ONLY"" NUMBER OF BEDROOMS ''-- ESTIMATED SELLING PRICE $ '"—
number of each type of fixture to be installed or relocated as part of this project. Do not include existing
MECHANICAL
Q U
-
Value of Mechanical Work $ •
SINKS
AIR HANDLING UNITS
EVAPORATIVE COOLERS
BBQS
FANS
BOILERS
FIREPLACE INSERTS
COMPRESSORS
FURNACES
DUCTS
GAS PIPE OUTLETS
BATHTUBS (or'Nb /Shower Combo)
SHOWERS
DISHWASHERS
SINKS
GAS PIPE OUTLETS
SUMPS
WASHING MACHINES
URINALS
LAVS (Bathroom Sinks)
VACUUM BREAKERS
GAS LOGS
HOODS icommeretail
RANGES
GAS WATER HEATERS
WATER CLOSETS Crone[)
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
/ixtures to remain.
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. 1 further agree to hold
harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in the investigation and defense 4f
such clairN, which may be made by any person, including the undersigned, and filed against the City of Federal Way, but only where such claim
arises out of the reliance of tRt city, including its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application. J n
NAME /TITLE U"g MA-t
(Sign e) (ride)
RELATIONSHIP TO PROJECT ❑ Owner Agent ❑ Contractor ❑ Architect
❑ Other
to P10( 0
FOR OFFICE USE ONLY
0 NEW D ADDITION
D ALTERATION
D REPAIR D TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑ YES ❑ NO
BASIC PLAN?
o YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE?
D YES
D NO
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
UP /SEPA/SU?
❑ YES
D NO
PLATTED LOT? D YES D NO
DEMO PERMIT REQUIRED?
D YES
D NO
Bulletin #100 —January 1, 2006 Page 2 of 4 k\Handouts\Permit Application