02-102239 •
City of Federal Way Building - Commercial Permit #:02 - 102239 - 00 - CO
Community Development Services
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: CINGULAR WIRELESS AT SAGHALIE PARK 64.` + 40 2 3-: , vl t4,4
Project Address: 33914 19TH SW Parcel Number: 242103 9088
Project Description: NEW COMM-Remove&replace existing stadium light w/new monopole w/lighting and attached \,gal
wireless antennas; construct equipment room building for radio equipment,per plans.
Owner Applicant Contractor Lender
CITY OF FEDERAL WAY-PARKS WIRELESS FACILITIES INC STEELHEAD COMMUNICATIONS: WIRELESS FACILITIES INC
33530 1ST WAY S 575 ANDOVER PARK W STEELCL003D1 3/16/04 575 ANDOVER PARK W
FEDERAL WAY WA 98003 TUKWILA WA 98188 11022 197TH AVE E TUKWILA WA 98188
SUMNER WA 98390
Includes:
Census category: 437-Comm #1 #2 #3 #4
Occupancy Group: U-1
Construction Type: Type V-N
'—
Occupancy(`q )
Load: —--
Floor Area S Ft. : 236
1st Floor Proposed Sq.Feet 236 Building Pre-con.Meeting Required No
Census Category 437-Commercial alt/add Mechanical No
Number of Stories 1 Permit for Building Shell Only No
Plumbing No Special Inspection Required Yes
Will Certificate of Occupancy be Issued? Yes Zoning Designation RS 7.2
CONDITIONS:
1) APPLICANT MUST OBTAIN A SEPARATE RIGHT-OF-WAY PERMIT FOR TELCO HOOKUP,IF ANY WORK
TO BE PERFORMED IS LOCATED IN THE PUBLIC R.O.W. CONTACT KATHLEEN MESSINGER AT 253-661-4127
FOR PERMIT INFORMATION.
2)PLEASE CONTACT JANE GAMBLE AT 253-661-4120 FOR FINAL LANDSCAPE INSPECTION.
PERMIT EXPIRES April 13,2003,IF NO WORK IS STARTED.
Permit issued on October 15,2002
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be i• ..cordan - with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
•
Owner or agent: - Date: ¶b
( v
I
City of Federal Way
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 109 of the Uniform Building Code certifying that at
the time of issuance,this structure was in compliance with the various ordinances of the City regulating building
construction or use. This certificate is valid ONLY when endorsed by City staff.
Tenant Name: CINGULAR WIRELESS AT SAGHAI Permit number: 02- 102239-00
Address: 33914 19TH SW
#1 #2 j #3 #4
Occupancy Group: U-1 _ l
Construction Type: Type V-N
Occupancy Load:
Floor Area(Sq.Ft.): 236
Owner CITY OF FEDERAL WAY-PARKS
Name: 33530 1ST WAY S
Address: FEDERAL WAY WA 98003
Building Official Date
The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which experience has shown most severely
affect the health and safety of the general public. Although the City has made as complete a review and inspection as is reasonably possible(within budgetary time
and personnel limitations),the City neither guarantees nor warrants to the owner/occupant or to any other person that this Certificate evidences strict compliance
with each and every ordinance or regulation of the City or the State of Washington affecting the construction or use of said structure or the land upon which it is
situated. Such compliance is the responsibility of the owner and/or occupant of the premises.
1
POHIS CARD ON THE FRONT OF BUILD
FE.DBU�ING DIVISION
uvFTY�' L INSPECTION RECORD
INSPECTION REQUEST PHONE#: 253-835-3050
PERMIT #: 02-102239-00-CO
OWNER'S NAME: CITY OF FEDERAL WAY-PARKS
SITE ADDRESS: 33914 19TH SW
() FOOTINGS/SETBACKS f, 2. �3— O ZG () FOUNDATION WALL/p
a k ,O NOT POUR CU CRETE U tffHE ABOVE I PROVED•4'
( ) DRAINAGE: Line ( ) Connection
a i 'DO NO`)('POUR,LA UNTIL T E ABOVE IS OED S F it A
( ) UNDERFLOOR FRAMING
( ) ROUGH PLUMBING: DWV Water piping
() ROUGH MECHANICAL Gas piping_
() SHEATHING Roof Floor
( ) SHEAR WALLS
() ELECTRICAL ROUGH-IN Ditch Cover
( ) FIRE/DRAFTSTOPS
( ) FRAMING/FIRESTOPPING ////3/2 55
�O�E,MUST,BF APPROVED 'R RRO INS` TI ATIN:0Id :0IW O KING . F af` *I
( ) INSULATION: Floors Walls Attic
v '1 :0151 MST BE APPROTIATIIR OINEWLS,T F,ETLKWI „ TR _a.,, „...
O WALLBOARD NAILING O SUSPENDED CEILING
5 / A.BOV ST BE APPRmOVED P 'IOC O PING OR N TALLING CE ING TIL"3L"iE
O ELECTRICAL FINAL
() PLANNING FINAL
() PUBLIC WORKS FINAL
() FIRE FINAL
_ . ; HE O VEFMUST BE APPROVED PPRIOR TO BUILDIN **ENT FINAL01.
( ) BUILDING FINAL /2A,42_ 7 l Scott "4-7/J 4`L! Z-C--(
OCCUPY THIS BUILDINGGUNTIL BUILDING>FINAL IS APPROVED
411PErIVED
CONSTR C;1 lON PERMIT APPLICATION
N).\> MAX U 2002 APPLICATION NUMBER: 0 2. - I O z z 3 9 - op
APPLICATION NUMBER: -
c \(OF FEDEREp
DEPTAL APPLICATION NUMBER: — —
T -
UILDING — — — - -
- - - -
**The following is required information—Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application. 1 ��7"
. ■ PROPERTY INFORMATION !
192104905000
SITE ADDRESS: 33914 19th Ave SW ASSESSOR'S TAX/PARCEL#: .1921049c)3300 -
*242103908800 — — — —
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
(sec, attached)
`PRO3ECTINFORMATION
TYPE OF PROJECT(This application): fl BUILDING ❑ PLUMBING ❑ MECHANICAL 0 DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): Construct an unstaffed radio telecommunications
fa 'il;ty ronsisting of a three sector array mounted on a new monopole. New pole will replac
exisitnq light standard. Radio equipment will be installed at ground level in new brick
veneer building.
PROJECT NAME: WA696-0'3 NE Tacoma / Cingular Wireless
. ■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
y
1p� MAILING ADDRESSRESS Cl TY,STAIZIP): 253) 661-4043
T6!sV'klivs 33530 1st Way SW, Federal Way, WA 98063
CONTRACTOR: NAME:
DAYTIME PHONE:
1 )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): `' �� /��� EVENING PHONE:
,/E' oaf/�' )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: —�� F/AX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) / /
APPLICANT: NAME:
DAYTIME PHONE:
Todd T. VoIhi s (on behalf of Cingular Wireless)
Cingular Wireless / WFI ( 206 ) 574-61-11
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
2445 140th Ave NE, Bell. 575 Andover Park W ( ) -
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT a OTHER(DESCRIBE): Agent (2D6 )5h - r63 S 3
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER 10 APPLICANT ❑ CONTRACTOR 4oad.1/01., ;25 a Wf;AetCow
■ DETAILED BUILDING INFORMATION •
EXISTING USE: N/A Park EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ 0.00
PROPOSED USE: Wireless Facility PROPOSED VALUATION FOR IMPROVEMENTS: $ $62,500.00
SPRINKLERED BUILDING? ❑ YES ® NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES El NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA Cl PRIVATE(WELL) N f A.
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC) P/ R
y
**NEW RESIDENTIAL CONSTRUCTION•Y** II s
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PRO3ECT FLOOR AREAS '
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT -
FIRST `/ Z3(/ . Z36
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS? _ —7
TOTAL: G 3C. 0 36
b
_ _:_ «:.',.,,.r:.�a. . , •0 «Y,. e x".t=FI) URES',�c ate. »>.;_. ,9 m
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
_ _ 'D 1 u ;/ ► : 1 • •
I certify under penalty of perjury that the information furnished by me is true and correto the best of my knowledge,and
further,that I am authorized by the owner of the above premises to perform the work for which correctto
permit application is made. I
further agree to hold harmless the City of Federal Way as to any daim(induding costs,expenses,and attorneys'fees incurred in the
investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only where such daim arises out of the reliance of the dty,induding its officers and employees,upon the accuracy
of the information supplied to the�dty a part of this application.
NAME/TITLE: --p `�( DATE: 5/) (C)?
i ❑ PROPERTY OWNER X APPLICANT ❑ CONTRACTOR
t >: 'AOR OFFICE sE ONLY
C C . ❑ 1DITOn� � LERATION��� aREPIiIR .�ENA;
NT�MPRO�EMENT.� �:
;__ V „�� A
ZON NG •FSIGNATYON °` g LDING HELI-ONLY? 1YES,-,13'NO -s .-,=
. COMP il,P., IGNATi)N t1,----Z-7-Z7.':::21.
7 ---�{ *'cBASIC '''''''.:041-94'. `• -A`
PLAN?� fESO
SECTION - .. D S R
_ _ !TUIIVNSHIP RANGE ,,. NEW+ADDRESSILEQUIRED? ``` �(ES .•* O
N
PUATTED LOT? ❑ YES IVO_ = _ XtIANGE OF USE?....-_,,....__._ D YES ,, O_A.-.„-•„_.
Wit.;
03Mt'4UNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL.WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
- www.dtvoffedefalway.cofm
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