13-101830 •
•uilding - Commercial
Citof FeWay Permit #: 13-101830-00-CO
Community&Econ.Dev.Services
33325 8th Ave S
Federal way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p
Project Name: AT&T WA696 SAGHALIE PARK
Project Address: 33914 19TH AVE SW Parcel Number: 192104 9050
Project Description: ADD-Replace 95' light pole with a 103'light pole.Relocate existing antennae and add
LTE4G antennae to new pole.
Owner Applicant Contractor Lender
CITY OF FEDERAL WAY-PARKS AT&T MOBILITY WESTOWER COMMUNICATIONS
33325 8TH AVE S 16221 NE 72ND RTC 3 INC(GENERAL)
FEDERAL WAY WA 98003-6325 REDMOND WA 98052 WESTOCI975J8(12/14/12)
9961 SIDNEY HAYES RD
ORLANDO FL 32824
Census Category:999-Unknown
Includes: #1 #2 #3 #4
Occupancy Class: U
Construction Type:
, Occupancy Load:
Floor Area(sq.ft.) 0 0 0 0
Additional Permit Information
Mechanical to be Included? No Number of Stories. 1
Permit for Building Shell Only? No Plumbing to be Included? No
Special Inspection(s)Required? Yes New/Additional Sq.Feet-Total 0
Occupancy#1-Use Towers
No Fixtures Associated With This Permit!!
CONDITIONS:
Field lights from existing pole to be placed on new pole at same height and orientation toward field.
PERMIT EXPIRES Tuesday, November 12, 2013
Permit Issued on Thursday, May 16, 2013
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 in accordance with the laws, rules and regulations of the State of Washington
an the City of Federal Way.
Owner or agent: .�yI ��ii Date: J /(e',-1.,.3
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t THIS CARD IS TO MAIN ON-SITE . .
CITY OF061 ,
• Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 13-101830-00-CO Address: 33914 19TH AVE SW
Project: CITY OF FEDERAL WAY - PARKS FEDERAL WAY, WA 98023
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.
❑ SWM Precon Site Mtg(4400) ❑ Initial Erosion Control(4365) 0 Footings/Setback(4110)
Approved To be done prior to breaking ground Approved to place concrete
By Date By Date By Date
O Foundation Wall(4115) 0 Drainage/Downspout(4040) Re-steel(4215)
Approved to place concrete Approved to backfill Approved to place concrete or grout
By Date By Date ByL*.-__ Date -i to-1,3
0 Slab/Concrete Floor(4255) 0 Underfloor Framing(4285) El Floor Sheathing(4105)
Approved to place concrete Approved to sheath floor Approved to install flooring
By Date By Date By Date
O Shear Walls(4245) 0 Roof Sheathing(4220) ❑ Fire/Draft Stops(4095)
Approved to install siding Approved to install roofing Approved
By Date By Date By Date
❑ Interim Erosion Control(4370) 0Framin (4120)
Approved Prior to scheduling a Framing inspection; gApproved toi Mate
Electrical,Plumbing&Mechanical Rough-in and
Fire/Draft Stop inspections must be signed-off and
By Date approved. IBC 109.3.4 By Date
O Insulation(4150) 0 Gypsum Wallboard Nailing(4130) 0 Suspended Ceiling Grid(4265)
Approved to install wallboard Approved to install mud&tape Approved to drop tile
By Date By Date By Date
'
O Final-Fire Department(4060) 0 Final-Planning 0 Final-Public Works(4080)
Approved Approved Approved
By Date By Date By Date
•
0 Final Erosion Control(4375) �❑ Final-Building(4050)
Approved Approved
By Date B a-ZrjDate-- (-//7
•
O Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
I. WA696
-° Sr - 0 / 5_3°
CITY OFA PERMIT SF MF CO ME PL DE EN FP
Federal Way RECEIVED
COMMUNITY DEVELOPMENT SERVICES APPLICATION
253-835-2607•FAX 253-835-2609
www.cituoffederalwau.com
APR 2 4 2013
SITE ADDRESS VITWOF FEDERAL WAV
33914 19th Avenue SW Federal Way, WA 98063 N/A CDS
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 2 3 c 600 City Park 1 9 2 1 0 4 - 9 0 5 0
TYPE OF PERMIT a BUILDING ❑ PLUMBING CIMECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) AT&T Mobility WA696 LTE
AT&T proposes to replace the existing field light pole
PROJECT DESCRIPTION
Detailed description ofwork to with a new pole and add additional equipment .
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER City of Federal Way 253-835-2710
MAILING ADDRESS E-MAIL
33325 8th Avenue S. cary.roe@cityoffederway.com
CITY STATE ZIP
Federal Way WA 98063
NAME PHONE
Westower Communications 206-236-4118
MAILING ADDRESS E-MAIL
CONTRACTOR 7525 SE 24th St revenson@westower.com
CITY STATE ZIP FAX
Mercer Island WA 98040 N/A
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY B SINESS LICENSE#
WESTOC1973J8 12 14 / 13 0 3 70 1 y i /
NAME PHONE
AT&T Mobility Corporation 425-580-8795
APPLICANT MAILING ADDRESS E-MAIL
RTC Bldg 3 16221 NE 72nd Way N/A
CITY STATEIP FAX
Redmond WA 98052 N/A
PROJECT CONTACT NAME PHONE
George Pierce 206-523-1941
(The individual to receive and
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application) 918 South Horton ST gpierce@rykaconsulting.com
CITY STATE ZIP FAX
Seattle WA 98134 206-260-7930
ALTERNATE CONTACT NAME: PHONE E-MAIL
Jessica Pierce 206-523-1941-ipierce®rykaconsulting.com
PROJECT FINANCING NAME N/A 0 OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP PHONE
I cert{fg under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
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,
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 o is application.
SIGNATURE: •-- DATE 'g Y. 3
PRINT NAME: George Pierce
Bulletin#100-January 1,2011 Page 1 of 3 k:\Handouts\Permit Application
MECHANICAL.MIXTURES
VALUE OF MECHANICAL WORK $ N/A (a copy of bid or estimate must be provided)
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING FIXTURES
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fbctures to remain.
BATHTUBS(ormb/Shower combo) LAVS(Hand sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS)Kachen/Utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES
N/A TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? ` WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
N/A N/A N/A $ N/A
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
N/A N/A IDYes X No ❑Yes X No
RESIDENTIAL - NEW Olt ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT N/A
FIRST FLOOR(or Mobile Home) N/A
SECOND FLOOR N/A
COVERED ENTRY N/A
DECK N/A
GARAGE ❑ CARPORT ❑ N/A
OTHER(describe) N/A
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ N/A #OF BEDROOMS N/A
CMCIAL=-$EV/ADDITIQ i r
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
NEW BUILDING
ADDITION
pVIERCK .. MO 'NANT
AREA DESCRIPTION Area Occupancy Group(a) Construction #of Additional Information
in Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY 222 9 U & S-2 N/A N/A
PROJECT AREA ONLY Existing U & S-2
Bulletin#100-January 1,2011 Page 2 of 3 k:\Handouts\Permit Application