12-104951 • • r Y'EIctrical
City of FederalWay Permit #: 12-104951-00-EL.
Community Econ.& D ev.Services
33325 8th Ave S c x
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: AT&T MOBILITY-SS62 FEDERAL WAY BUENNA $p DaW
Project Address: 31001 8TH AVE S Parcel Number: 082104 9029
Project Description: Install 0-100 amp service to replace(3)existing antennas with(3)LTE panel antennas
Owner Applicant Contractor
LAKEHAVEN UTILITY DISTRICT AT&T WESTOWER COMMUNICATIONS INC
PO BOX 4249 16221 NE 72ND WAY WESTOCI964C6(8/31/13)
FEDERAL WAY WA 98063 REDMOND WA 98052 19500 SW CIPOLE RD
TUALATIN OR 97602
•
Additional Permit Information
Is Use Educational or Institutional? No Service greater than 999 Amps? No
Electrical Fixtures
New Service:0- 100 amps(Comm 1
PERMIT EXPIRES Sunday, April 28, 2013
Permit Issued on Tuesday, October 30, 2012
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 laws, rules and regulations of the State of Washington
See A f5131`Vdtrb al Way.
Owner or agent: Date:
OCT $0 2012
111/
(ita/1
THIS CARD IS TO MAIN ON-SITE
CITY OF Construction In ection Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 12-104951-00-EL Address: 31001 8TH AVE S
Project: LAKEHAVEN UTILITY DISTRICT FEDERAL WAY, WA 98003-4703
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.
0 UFER Ground (4295) 0 Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
❑ Pool Bonding(4195) ' .0 Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
'0 Feeders/Sub-panels(4045) ' Ei Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
. .
'0 Final-Electrical(4055) '
Approved 1
Date ' 3— ''7._____.,
El Rough ElectricalEl Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED • •
CITY OF 3 0 2812 ( Z - I O '- 9 5-1
Fede WyRAL WAY ELECTRICAL
CDS
-PERMIT APPLICATION
**Most electrical ermits may be obtained on-line at www.ci .o ederalw .cam**
SITE ADDRESS: 31001 8th Avenue S Federal Way, WA 98003
SUITE/UNIT/SPACE t ASSESSOR'S TAX/PARCEL t CURRENT/PROPOSED USE
0821049029 Cell Tower
PROJECT NAME AT&T MOBILITY - SS62 FEDERAL WAY BUENNA
(Tenant or Homeowner Last Name)
Add (3) LTE Panel Antennas at existing flush mounts at water tank, (6) RRH
PROJECT DESCRIPTION Units (2) per antenna, (1) FC12 fiber/power junction box, (3) surge protectors
Detailed description of work to
be included on this permit only (1) GPS antenna at existing equip shelter, and LTE equip mounted at
existing rack inside existing AT&T equipment shelter.
NAME PRIMARY PHONE
PROPERTY OWNER Lakehaven Utility District ( 253 ) 946 - 5410
MAILING ADDRESS E-MAIL
31627 First Avenue South Stan French
CITY STATE ZIP FAX
Federal Way WA 98063 ( ) -
NAME PRIMARY PHONE
Westower Communications INC ( ) -
MAILING ADDRESS E-MAIL
ELECTRICAL 19500 SW Cipole Rd
CONTRACTOR CITY STATE ZIP FAX
Tualatin OR 97062 ( ) -
WA STATE CONTRACTOR'S LICENSES EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE B
WESTOCI964C6 8 /31 /13
NAME PRIMARY PHONE
APPLICANT AT&T Mobility ( ) -
MAILING ADDRESS E-MAIL
RTC Building 3 16221 NE 72nd Wa
CITY STATE ZIP FAX
Redmond WA 98052 ( ) -
NAME PRIMARY PHONE
PROJECT CONTACT Chuck Meyer
( 206 ) 612 - 3611
I certify 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 Wag 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 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 of this app • 'on.
SIGNATURE: DATE 10 /26 /12
PRINT NAME: Chuck Meyer
33325 8th Avenue South♦Federal Way 1 WA♦98003-6325•253-835-2607♦fax:253-835-2609•www.cityoffederalway.com
Bulletin#160—January 1,2011 Page 1 of 2 k:\Handouts\Electrical Permit Application
v • •
RESIDENTIAL COMMERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet
la!Senrice/Feeder _ Additional Feeders
_.(mcludin attached garage):
100 amp A x$132.50 x$ 80.50
FEES: First 1300 ft2-$122,00;
Each additional 500 ft2-$39.40 101 200 amp x$164.00 x$103.50
NEW MULTIFAMILY (3 units or more) 201- 400 amp . x$307.00'',' x$1 i,g4)0
401- 600 amp x$358.00 x$143.50
Iat Service/Feeder Additional Feeders
0- 200 amp x $132.50 x $:'39.00 601-:800 . «;""„%"2.-. x$463.00: _#. x;$196.00
201 -400 amp x $164.00 x $ 80,50 801-1000 amp x$565.00 x$236.50
401x .600 amp x $224.00 x% ,311x50
Over 1000;amp ;; `` x$616.00` .x x"$328.50
601-800 amp x $287.00 x $153.50
Over 8804113212 x $410:50= x., $307;;00
Over 600 volts surcharge x$103.50
ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL
1st Service/Feeder la,Service/Feeder Additional Feeders
0- 200 amp x $101.00 0- 200amp. i$132.50 x$103.50
201 -600 amp x $164,00 201 600 amp x$307.00 x$121.00
Over 600 amp x $246.50 601-1000 amp x$463.00 . x$196.00
Over 1000 amp x$515.50 x$328.50
Added or Altered Circuits
1-4 circuits$80.50;each additional$8.00
Added or Altered Circuits
Mast or meter repair $60.50 1-5 circuits$103.50;each additional$8.00
Mast or meter repair $111.50
MANUFACTURED HOMES PLAN REVIEW FEES
Service or feeder only x $ 80.50 Plan Review required only for:
Service and feeder x $132.50 • New,or alteration to,service of 1,000 amps or greater
• Medical/Educational/Institutional Facility
$103.50 plus 35%of Permit Fee
(Permit Fee x 35%= +$103.50=Plan Review Fee)
Plan review for modified submittals $105.50/hour
MISCELLANEOUS SERVICE/EQUIPMENT
LOW VOLTAGE TEMPORARY SERVICE
❑ Fire Alarm System I�Service/Feeder Additional Feeders
Security Alarm System
❑ Voice/Data Cabling 0r- 60 amp x $ 71.00 x$ 32.00
❑ Other 61-100 amp - - x $ 80.50x $ 39.00
Area to be served by system:
l.t 2,500 ft2-$71.00;each addition 101-200 amp a $103.50 x $ 51.00
201-400 amp x $121.00 x $ 60.50
#of Thermostats 401-.600:amp w< x $164,00 x $ 80.50
First$60.50;each additional$18.50
Over 600 amp x $184.50 x $ 92.00
FEE CALCULATIONS
Yard Pole/meter loops/pedestal x$ 80.50 • Fees are determined by the scope of work as indicated.
Portable Generator(transfer equipment) x$101.00 • A$6.00 Automation Fee will be added to all permits.
Ditch cover/inspection only x$121.00 • For assistance in calculating fees or completing the
application form,contact the Permit Center at
253-835-2607 Total: $138.50
33325 8'"Avenue South•Federal Way♦WA•98003-6325•253-835-2607♦fax:253-835-2609♦www.cityoffederalway.com
Bulletin#160-January 1,2011 Page 2 of 2 k:\Handouts\Electrical Permit Application