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05-102722 1 ., - is • City of Federal Way Building - Commercial Permit#: 05 - 102722 - 00 - CO Community Development Services P.O.Box 9718 Federal Way,WA 98063-9718 Ph:(253)835-7000 Fax (253)835-2609 Inspection request line: (253) 835-3050 Project Name: NEXTEL/TETRA TECH @ LAKOTA Project Address: 3203 SW DASH POINT RD Parcel Number: 122103 9105 Project Description: NEW-Installing three 4 foot panel antennas and one future antenna per sector-mounted onto frame on rooftop(total of 2 sectors). Coax cable runs to equipment shelter on grade adjacent to building. Antennas and fram screened fromview to match building Owner Applicant Contractor Lender LAKEHAVEN UTILITY DISTRIC NEXTEL/TETRA TECH*KEVIN FO HIGH MARK COMMUNICATIONS 1 NEXTEL/TETRA TECH*KEVIN FO PO Box 4249 10545 WILLOWS RD NE SUITE 110 HIGHMCL990DO 03/15/06 10545 WILLOWS RD NE SUITE 110 REDMOND WA 98052 PO BOX 1896 REDMOND WA 98052 PO Box 4249 !Federal Way,WA 98( FEDERAL WAY WA Includes: Census category: 437-Comm #I #2 #3 #4 Occupancy Gt�*: �. Construction = ., Occupan Floor Area(S ' �� Ea a Census Cates , 43 Commercial a dd Mechanical Number of Stort , ��,,.r„ 1rmit for Building Shell Plumbing No Special inspection Required ........ Yes Zoning Designation RS 15.0 PERMIT EXPIRES February 6,2006. Permit issued on August 10,2005 I hereby certify that the above information is correct an d that the construction on the above described property and the occupancy an d the use will be in accordance with the laws,rules an d regulations of the State of Washington an d the.City of Federal Way. Owner or agent: !'�'' '� Date: —lC1 —!'1 /,_ e. THIS CARD IS TO MAIN ON-SITE CI OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 05-102722-00-CO Owner: Address: 3203 SW DASH POINT RD FEDERAL WAY, WA 98023-2340 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 ❑ Re-steel (4215) ❑ Plumbing Groundwork(4190) ❑ Slab/Concrete Floor(4255) Approved to place concrete or grout Approved to cover Approved to place concrete By Date By Date By Date ❑ Underfloor Framing(4285) ❑ Floor Sheathing(4105) ❑ Shear Walls(4245) Approved to sheath floor Approved to install flooring Approved to install siding By Date By Date By Date ❑ Roof Sheathing(4220) ❑ Fire/Draft Stops(4095) NOTE: Prior to scheduling a Framing(4120) Approved to install roofing Approved inspection;Electrical,Plumbing&Mechanical Rough-in and Fire/Draft Stop inspections must be signed off and approved 3 IBC 109 4/UBC 108.5.4' By Date By Date a.a.z ❑ Framing(4120) ❑ Insulation(4150) ❑Gypsum Wallboard Nailing(4130) Approved to insulate Approved to install wallboard Approved to install mud&tape By Date By Date By Date • • ❑ Suspended Ceiling Grid (4265) ❑ Final-Fire Department(4060) ❑ Final-Planning(4070) Approved to drop tile Approved Approved By Date y Date By Date ❑ Final Public Works(4080) w Final-Buildin g(4050) Approved + Approved By Date By \1 J Date Cg 3 • 1 .AR NE) I 05 - t 0 (9 7 c Federal Wray zoos PERMIT COMMUNITYDEVELOPME } SF MF ME EL PL DE EN FP 3332E 877, FEDERAL A , A7'H•Po BOX 9n6 G pEL 'YAPPLI CATI O N N/A / FEDERAL WAY,WA 98063-97jB FEpERAL WA 'D 253-835-2607•F� r 5 9 www.citloffedeer__ oup_p�N S The oilowin, is'Qr`-•wired in or-motion-an incom■lete a•,lication will not be acce,ted. Please rin'1l, ' I(ink)or - ,-. �` PROPERTY INFORMATION SITE ADDRESS 3 ZO3 5 W D4S0- )jJT RD SUITE/UNIT# ASSESSOR'S TAX/PARCEL# I Z 2 l 0 3 - 9 I C L5 LOT SIZE(s� I',Z55O LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) -5&E- /ft-TA-04E> 514 EST (Attach separate page for lengthy legal description/ • PROJECT INFORMATION TYPE OF PERMIT )(BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu) 74 41 pA,Nc-d AurcuNA-s A.AJ b c e Furv,RE. A,r»irgA- 5 r McklArr oNTO FeAr►E Dti) 'f'a* 7-0 1:' (T©TAB ©F a S IQs) . C 4X <A L& /gums TO Ecufp ..5,+E-L7 a& Ge,4 5 AgATA-cN T Ta 8 u I L D PV G . AArreuNA-S A4-Alb F?AME- 3c EE S Fr--Cikk O9.) To M4-1-c.14 B t_ E-X -4 Cif. PROJECT NAME(Name of Business or Owner Last Name) !NE TE L AT L.A T- 11 PEOPLE INFORMATION PROPERTY NAME PRIMARY PHONE OWNER (-4/ 1-64•160 (A 1 L'T`? -1)lsTr1a- (Z53) 946 -5446 MAILING ADDRESS CITY,STATE,ZIP Pn Sox 1.249 FEDERAL W.4` WA- 980(3 CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE ( ) - Tv) R oVl D � tQD A-T..r...5 w41UCE, MAILING ADDRESS CfY,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 / / APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE '� VAiglCri-- % Tom,- - Tom+ I505 .D'fE (2.06)25-5- -g-(o I LING ADDRESS ITY,STATE,ZIP CELL PHONE (a s 4 s u11l l�u�$ a N�#I I O .E.,I,MO1■1 WA 9865'2_ (Zo6)2_5- -4-gol RELATIONSHIP TO PROJECT FAX NUMBER ❑Architect ❑ Tenant 0 Agent ❑ Other(Describe) (42 5)+97 - 90Z-1 CONTACT N PRIMARY PHONE ,E-}lvL ADDRESS D3 �Y� (21 6)Z 3 ¢6D ,,bc yer-®&{Wlreless.cow, LENDER Per RCW 19.27.095: Lender information is NAME a required I f project value exceeds$5,000 •M ' N t( F)ALA,J C- ��' MAILING ADDRESS CITY,STATE,ZIP >,ret ` A�'''" 1 • DETAILED BUILDING INFORMATION Lti-� EXISTING USE .614-AN 1) 1 (LS) f.- j PROPOSED USE ?P2---5°A)44"L Lt-3 11�- s 5110 f+ EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 30, O 0 0 SPRINKLERED BUILDING? ❑ YES R NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES R NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC) PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ.FT. SQ.FT. SQ.FT. BASEMENT FIRST SECOND THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE ❑ CARPORT❑ NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTING Sr TOTAL PROPOSED Sr TOTAL SF **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ FIXTURES Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing factures to remain. MECHANICAL Value of Mechanical Work $ AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS(commercial) WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(Collet) MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS DISCLAIMER/SIGNATURE BLOCK 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. I 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 of such claim),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 the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of this application. NAME/TITLE 501:s t E# Z o NI/1 ft 1 AAJA-4.E‹ DATE O 9 Zuw& OS (Signature) (Tide) RELATIONSHIP TO PR ❑ Owner R Agent ❑ Contractor ❑Architect ❑ Other FOR OFFICE USE ONLY ❑NEW a ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES ❑NO BASIC PLAN? o YES o NO ZONING DESIGNATION CHANGE OF USE? o YES o NO NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? ❑YES ❑NO Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application