14-106206 ay 'FILE •3uilding - Commercial
Community&Econ.City of rDeal vv Services Permit it: 1�'!-106206-00-CO
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)
Ph:(253)835-2607 Fax:(253)835-2609 P q835-3050
Project Name: AT&T SS19 MIRROR LAKE
Project Address: 31627 1ST AVE 5,, Parcel Number: 072104 9210
Project Description: ALT-Modification to existing site by upgrading(8)antennas and adding(1)ancillary
equipment
/ wn r Applicant Contractor Lender
SOUTH KING FIRE&RESCUE ZACH PHILLIPS WESTOWER COMMUNICATIONS
31617 1ST AVE S AT&T INC(GENERAL)
FEDERAL WAY WA 98003 1001 SE WATER AVE SUITE 180 WESTOCI975J8(12/14/16)
PORTLAND OR 97214 7525 SE 24TH ST SUITE 500
MERCER ISLAND WA 98040
Census Category: 437 -Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load
Floor Area(sq.ft.) 0 0 0 0
Additional Permit Information
Mechanical to be Included? No Plumbing Work Valuation? 0
Number of Stories 1 Permit for Building Shell Only? No
Plumbing to be Included? No New/Additional Sq.Feet-Total 0
Sensitive Areas?(Wetlands/Slopes,etc) No Zoning Designation RS 9.6
No Fixtures Associated With This Permit!!
PERMIT EXPIRES Sunday, June 28, 2015
Permit Issued on Tuesday, December 30, 2014
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 b- accordance with the aws, rules and regulations of the State of Washington
f - d the City o ederal Way.
Owner or agent / % .- �, Date: ir7//Oil
THIS CARD IS TO MAIN ON-SITE
CITY OF • Construction In ection Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 14-106206-00-CO Address: 31627 1ST AVE S
Project: SOUTH KING FIRE & RESCUE FEDERAL WAY, WA 98003-5201
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
. . .
0 Foundation Wall(4115) ❑ Drainage/Downspout(4040) 0 Re-steel(4215)
Approved to place concrete Approved to backfill Approved to place concrete or grout
By Date By Date By Date
'❑ Slab/Concrete Floor(4255) '❑ Underfloor Framing(4285) ❑ Floor Sheathing(4105)
Approved to place concrete Approved to sheath floor Approved to install flooring
By Date By Date By Date
•
❑ Shear Walls(4245) El Roof Sheathing(4220) Fire/Draft Stops(4095)
Approved to install siding Approved to install roofing Approved
By Date By Date By Date
111 Interim Erosion Control(4370) Prior to scheduling a Framing inspection; ❑ Framing(4120)
Approved Approved to insulate
Electrical,Plumbing&Mechanical Rough-in and
Fire/Draft Stop inspections must be signed-off and
By Date approved. IBC 109.3.4 By Date
El Insulation(4150) '❑Gypsum Wallboard Nailing(4130) El 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) El Final-Planning ❑ Final-Public Works(4080)
Approved Approved Approved
By Date By Date By Date
o Final Erosion Control(4375) ❑ Final-Building(4050)
Approved Approved
By Date By ttV4 Date 3(16{1s-
D Rough ElectricalEl Final Electrical CI Right of Way
Approved Approved Approved
By Date By Date By Date
• • SS19 Mirror Lake
..A PERMIT A LICATION
Federal Way L
RECEIVED
4
PERMIT NUMBER 1 k _ l 0 (0 ° ( t�0 DEC a 2U1
TARGET DATE
SITE ADDRESS sUIT> r
31617 FIRST AVENUE SOUTH, FEDERAL WAY,WA 98003
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL•
$40,000.00 RS9.6 0721049210
TYPE OF PERMIT (X BuiwtsG 0 PLUMBINO 0 MECHANICAL 0 DEMOLITION ❑.ENGINEERING 13 FIRE PREVENTION
NAME OF PROJECT AT&T 2C SS19 Mirror Lake
PROJECT DESCRIPTION Modify an existing WCF by removing (8) existing antennas and adding (9)
Detailed description of work to LTE antennas (1 per sector), (6) RRH units, and (1)surge suppression unit
be included on this permit only mounted near existing antennas to existing mounting frame. Install new
LTE equipment in existing equipment rack within existing shelter.
NAME PRIMARY PRONE
PROPERTY OWNER King County Fire District#39 (253)839-6234
MAILING ADDRESS E-MAIL
31617 First Avenue South
IP STATE
Federal Way WA E98003
NAME PROW
WesTower Communications (425) 941-5941
MAILING ADDRESS EMAIL
CONTRACTOR 7525 SE 24th Street, Suite 500 apretty@westower.com
Mercer Island WA 98005 CITY STATE ZIP =
AX
WA STATE CONTRACTOR'S LICENSE I EXPIRATION DATE FEDERAL WAY EUSINE'S LICENSE S
WESTOCI975.18 12/14114
NAME MORE
PTS PRIMARYo /7o$3-/U0
MAMMA Amuse &MAL
APPLICANT /�
CITY I STATE I ZIP PAX
P0�'4'ia� Ole JT c-71. (9
PHONE
PROJECT CONTACT ALM) -�."1 '11( �i5 01,1 b'is • i e a .7v3-quo
(The individual to receive and ' tog I S wfiwI"QT_ 18� NUM.
to all oorespondence . ... . . , 6uti, 1i , iA• w,
concerning this application) Para-LA. Il f72 /tir
`(---". FAX
NAME
PROJECT FINANCING N/A 1M OWNER`FMAxCED
Required ualue of$5,000 or more NAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.?T.095)
I certify under penalty of perjury that I am the property owner or authorised agent of the property owner.I certify that to the best
of my knowledge,the in formation submitted in support of this permit application is true and correct I cert that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorised 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 f urther agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'Dees incurred in
4" the investigation and defense of such claim),which may 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 of this application.
SIGNATURE: / DATE
ii/ 4
-. -f Ariel"
PRINT NAME: A. A s t , !
Bulletin#100-January 1,2013 Page 1 of 3 k:tEtandouts\Pennit Application
• • SS19 Mirror Lake
VALUE OP MEC ,.
MECHANICAL PERMIT N/A
Indicate how man a each 1•e o- -to be installed or relocated as•art o - • ct. Do not include axis tures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIRE' - • S HOODS(comme hi
BOILERS 'URNACES HOT WATER TANKS tang
COMPRESSO'' GAS LOG SETS REFRIGERATION SYST
. r' GAS PIPING WOODSTOVES
VALUE OF PLUMB I.
PLUMBING PERMIT N/A
Indicate how man, o each i•e o • --to be installed or relocated as •• + ,..j.ro'-ct. Do not include axis,` • • res to remain.
BATHTUBS ta,Tub/Shower combo I.AVS Wad Sin TOILETS WATER PIPING
DISHWASHERS '. -YSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKIN I a* •`3 SINKS Skitchea/vaap4 WATER HEATERS)Ekko ai
a'' BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTINO.IMPROVEMENTS
N/A N/A N/A $
EXISTING/PREVIOUS USE LOT SIZE(in Sga.r.;at) EXISTING PIRG SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
Unmanned Wireless 87,120 sq ft 0 Yes aI No 0 Yes le No
Telecom Facility
RESIDENTIAL - NEW OR ADDITION N/A
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE
. ` IZ
FIRST FLOOR(or Mobile Home)
COVERED ENTRY
DEOW G` v 3 cg a a ;
GARAGE 0 CARPORT 0
Area Totals g� ° rarer
., i ' i.;4`. >.*,ayti a?x,.,.*w4r4,*i,•4NEW,HOJ ,.:04 _-y�.A O.,r,` ,* a y't. '`W 'tte$0
!MATED SELLING PRICE$ I #OF BEDROOMS
COMMERCIAL NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Contraction #of Additional Information
in Square Feet Type Stories
itfimA tai €, 4' i• x- +t 1 a,,.k-�- z -" s. &4 -t �'ti `a." �- [ a
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
Area Construction Si of
AREA DESCRIPTIONin Sga Feet Occupancy Group(*) Type Stories Additional Information
t k
TENAIT AREA ONLY 198E AT&T IIB N/A
PRO ECT AREA OLY
Ni 1 $ GCT 1!6 iN/A
Bulletin#100-January I,2013 Page 2 of 3 k:Handouts Permit Application