07-101494 �i , •
Git of Federal Way
Community Development Services Bulling it- Commercial Perm ''#: 07-101494-00-Ca
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: T-MOBILE BROOK LAKE
Project Address: 329 S 348TH ST Parcel Number: 202104 9014
Project Description: NEW- 100' wireless tower & associated 10'x30' ground space to contain up to 4 base
station cabinets.
Owner Applicant Contractor Lender
PUGET SOUND ENERGY(790503) T MOBILE LEGACY
PO BOX 90868 T-MOBILE TELECOMMUNICATIONS INC
BELLEVUE WA 98009-0868 19807 NORTH CREEK PARKWAY I\ LEGACTI005KD(5/16/2009)
BOTHELL WA 98011 PO BOX 360
BURLEY WA 98322
Census Category: 328 -New Other Non-Residential Building
Includes: #1 #2 #3 #4
Occupancy Class:
w
Construction Type: Type V-B
Occupancy Load:
FluorArea(sq. ft.)
AdditionalAddit*alltirOtitifOirtiatiOn
Mechanical to be Included? No Number of Stories 1
Permit for Building Shell Only? No Plumbing to be Included? No
New/Additional Sq.Feet-Total 0 Occupancy#1 -Use Towers
Zoning Designation OP
No Fixtures Associated With This Permit !!
PERMIT EXPIRES Wednesday, November 26, 2008
Permit Issued on Friday, May 30, 2008
I hereby certify that the above inform-:tion is correctarid that the construction on the above described property and
the occupancy and the use • .r'"a in accord a with the laws, rules and re.ulations of the State of Washington
nd the C of Federal W. � 3 0 �l
Owner or agent: Date: -- • L/
THIS CARD IS TO REMAIN ON-SITE
.4111ki .410.14,
city of ,r •ommunity Developnhit Inspection Ret 4'd
Federal Y IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-101494-00-CO
Owner: PUGET SOUND ENERGY (790503)
Address: 329 S 348TH ST
FEDERAL WAY, WA 98003-7013
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 ' Lam- .10 /i {J By C:—'6, ..3 Date ...`.6z^._0.2 Bp-- Date./ •-•1 Z ----0g
I
—
0 Re-steel(4215) ❑ Slab/Concrete Floor(4255) ❑ Underfloor Framing(4285)
Approved to place concrete or grout Approved to place concrete Approved to sheath floor
By Date Byj 5 Date((fit 5/. 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 G (J Date// ?_O (f+, By G- Date/% /a
❑ Fire/Draft Stops(4095) f NOTE: Prior to scheduling a Framing(4120) 1 ❑ Framing (4120)
Approved 1 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
i
•
❑ Insulation (4150) ❑Gypsum Wallboard Nailing(4130) 0 Suspended Ceiling Grid (4265)
Approved to install wallboard Approved to install mud&tape Approved to drop the
By Date By Date By' Date
❑ Final-Fire Department(4060) ❑ Final-Planning(4070) ❑ Final-Public Works(4080)
Approved Approved Approved
��' il/•
By Y Date a,0'...d, By , Date 12(Z c By Date
❑ Final Building(4050)
Approved
By &GV Date(2,a ...e,es
For inspector reference only _
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
cRECEIV0
`` _ La - _L ( ( & i-4
m oc �
Federal Way mAR 2 1 2007 PERMIT g31\
COMMUNITY DEVELOPMENT SERVICES SF MF ME EL PL DE EN FP
333258*+rAVENUE SOUTH•! BOX97I6 APPLICATION
FEDERALWAY,WA 98 , QED SAL T. / /
253-835-2607•eder&w-8°t-93, )�DING DE
www.ciwoffedernlwau.com
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS - g 1 y $ , .v c / SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 2 02 L C) y - cl 6 I 4 LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) -,
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT )(BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT/ DFSCRIPTION/ (Provide} detailed de�(scription of work included on this permit only) r / y/-
'7 M'L:& pyres 1� �d11 14- .0- Gh ff �4� -fo44.00,..-Cei lva]s 7K."L•iy 6IM5-..4.1•,r -J
0. C 7 See+se awl'eh.-c sr,. t..•Ssde. °- Iot J'�l./!"` /lr.4-c.'is/e ...'-f-L .an /211..17,.-.a.,f s101
l6 Cc4at a+ -..,ra S.w-e- YL.clr't>�7e /
PROJECT NAME(Name of Business or Owner Last Name) /f/p a ik L. G A e l si �.L5+-4.-1-:.,,
• PEOPLE INFORMATION /
PROPERTY NAME ��''jj%%,,((``�� PRIMARY PHONE
OWNER MAILINGAD9RESS s'G` ✓n��7 CITY,STATE.ZIP E-MAIL� SAD 16 6 -L 2?
RESS
P4). gbX Id sc g §elle kb; t rA'&099 Aga
CONTRACTOR OMPANY NAME// rl ( )/ AP�dCANT NAM y OFF( ,PHO(N/E ///�f
17'1-C--SS I eC,,,•,1,<.�7 W.tr :DX C 1 rAA;?L e., (15-) ) K_ - .1 s
,N^' "`tttttt / TIC,ZIP /� y 7.i 1 CELL PHONE
-a. ✓'<3t/ i'4a, ;' /' fo/ A 16,7� ( )
C ,�c^O;F FEDERAL WAY,/ BUSINESS LICENSE NUMBER IRATIO? DAFAX NUMBER
6 !f,D rt(-t�f� ?,Corr of cud requimaCONTRACTOR'S REGISTRATION NUMBER RA/ i/
E-MAIL ADDRESS
with�c oppllrsr[ao b V C c, c. C-._T 1 Do S to-L -/ b - 0 9
APPLICANT COMPAIO IAME, {� APPLIC NAME OFFICE PHONE
/ /1c / �. a.. /1/(��/.r (t.�v ) 7/9 -/637
ONE
MAILING
ADDRESS Av c -6GS.c) CITY,
.ff , i,A, ft/.3 (L.,4Z; CELL H) 7/9 - iC3`9
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant XAgent 0 Other (/.4 )qd 9 -8.513
PROJECT NAME / PRIMARY PHONEE-MAILj/ [} E-MAIL DDRESS
CONTACT 1. ' "^/ Mc-C/1--5 (i, ) 7// - ((� 3/ -tn.ed.,() ptswa.c,iitil
LENDER NAME t ! Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
P
Si, • DETAILED BUILDING INFORMATION
EXISTING USE S L' . s-1-0.+-:i)n�f PROPOSED USE W:r e-l e S C -F.�c1 :4-,
EXISTING ASSESSED/APPRAISED VALUE $ C� 0 C ,a O C� VALUE OF PROPOSED WORK $ 7 4 0 a
SPRINKLERED BUILDING? o YES yNO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 1kNO
WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 TACOMA ❑ PRIVATE(WELL) IA/1-
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) itA/c
s It ,.
U PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
S•.FT. S•.FT. •.FT.
BASEMENT
FIRST /� ,3 a v C- O.1 a•' o• S o 4+C.S6 d 3 co'V 3 o '
SECOND , A
THIRD
)1/4)..'c 11.11=11111M111=11111111111
ADDITIONAL FLOORS(DESCRIBE) k A)R
DECK(0 COVERED OR 0 UNCOVERED?) lEiriMMIM N r
GARAGE 0 CARPORT ❑ ,1 N A
V�—
NUMBER OF FLOORS EXISTINGlifigii.MIM TOTAL O SF TOTAL PROPOSED SF
TOTAL sF
**NEW HOMES ONLY** NUMBER OF BEDROOMS M,V ESTIMATED SELLING PRICE $ MA
• FIXTURES
Indicate number of each type offixture ixture to be instnilvd or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $ PA (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(commercial
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(Toilet)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
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,includin• 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 .r,-- and employees,upon the accuracy of the information supplied to the city as a part of
this application.
, "3/zNAME/TITLE _ DATE C 7
i (Signature) l ' (Title)
RELATIONSHIP TO PROJECT 0 Owner XAgent 0 Contractor 0 Architect 0 Other
FOR OFFICES USE ONLY" .A.,,24";'- ‘:
o NEW o ADDITION o ALTERATION ❑REPAIR ❑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? o YES o NO DEMO PERMIT REQUIRED? ❑YES o NO
Bulletin#100—January 1,2007 Page 2 of 4 k\Handouts\Permit Application