14-102284 ■
•
wilding - Commercial
City Federal Way Permit #: 14 102284-00-CO
Communi Econ.Dev.ServicesF I LE
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: 253 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p Q
Project Name: VERIZON WIRELESS-SEA MIRROR LAKE
Project Address: 33414 21ST AVE SW Parcel Number: 132103 9062
Project Description: Modifications to existing unmanned telecommunication facility with the addition(2)omni
antennas and(2)diplexers on existing structure.
Owner Applicant Contractor Lender
SOUTH KING FIRE&RESCUE VERIZON WIRELESS WREN CONSTRUCTION INC
316171ST AVE S 3245 158TH AVE SE WRENCI*013B6(1/26/16)
FEDERAL WAY WA 98003 BELLEVUE WA 98008 1410 80TH ST SW SUITE A
EVERETT WA 98201
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 Number of Stories. 1
Permit for Building Shell Only? No Plumbing to be Included? No
New/Additional Sq.Feet-Total 0
No Fixtures Associated With This Permit!!
PERMIT EXPIRES Tuesday, November 25, 2014
Permit Issued on Thursday, May 29, 2014
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the se will be in accordance with the laws, rules and regulations of the State of Washington
an the City of Federal Way.
Owner or agent: v'— / Date: 3" f
(�� sFc)-//,t)
Fil'kJA' ED
V
4A.f . THIS CARD IS TO ,MAIN ON-SITE r
CITY OF • Construction In ection Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 14-102284-00-CO Address: 33414 21ST AVE SW
Project: SOUTH KING FIRE & RESCUE FEDERAL WAY, WA 98023-7761
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.
O SWM Precon Site Mtg(4400) ❑ Initial Erosion Control(4365) ElFootings/Setback(4110)
Approved To be done prior to breaking ground Approved to place concrete
By Date By Date By Date
® Foundation Wall(4115) ❑ Drainage/Downspout(4040) ElRe-steel(4215)
Approved to place concrete Approved to backfill Approved to place concrete or grout
By Date By Date By Date
O Slab/Concrete Floor(4255) ❑ 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
El Shear Walls(4245) ❑ Roof Sheathing(4220) Fire/Draft Stops(4095)
Approved to install siding Approved to install roofing Approved
By Date By Date By Date
O Interim Erosion Control(4370) Prior to scheduling a Framing inspection; 0 Framing(4120)
Approved Electrical,Plumbing&Mechanical Rough-in and Approved to insulate
By Date Fire/Draft Stop inspections must be signed-off and
approved. IBC 109.3.4 By Date
❑ Insulation(4150) ❑Gypsum Wallboard Nailing(4130) ❑ 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) ❑ Final-Planning ❑ Final-Public Works(4080)
Approved Approved Approved
By Date By Date By Date
❑ Final Erosion Control(4375) Final-Building(4050)
Approved Approved
By Date Date L_ft._l
❑ Rough Electrical ❑ Final Electrical Right of Way
Approved Approved ❑ Approved
By Date By Date By Date
S
arrOF PER PPLICATION
Federal Way
I MAY 16 2014
PERMIT NUMBER 14 - ( 0 Z COCITY OF F. ,SAY (°/ 0/(1---
CDS
SITE ADDRESS SUITE/UNIT#
.33i/JLmac. � ti►/
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
rj 1 1% ,, - kS 6.0 7 3 DI tri - — —
TYPE OF PERMIT •/ BUILDING El PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
rQ Zv
NAME OF PROJECT '�/ i 70 v f Ck �� ?Kee(' LG"ze_,
#1
PROJECT DESCRIPTION Vad OPM 6.l ,VI /r/sr1A Gy-ta tn'p
Detailed description of work to Q' e kj s-‘hJ 3: )vi r �] . M,i
be included on this permit only IYI(Ye/rc 1/). 4
,ekI Yi t , rL/JS
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NAME PRIMARY
PHONE
PROPERTY OWNER K- -, 4'39
Ave-MAILING ADDRESS
3 IL/ 1/ I So EMAIL
CITYft'd1, M- S Z; wet
NAME , AUL)
_ PHONE
MAILING ADDRE
E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME, ! rtitS PRIMARY PHONE l
\�j/ 1111‘ 1425 /41 ?614
MAILING ADDRES E-MAIL
APPLICANT
?t!5 i5 Ave 0,5 d-31
cmy, �✓ STATE ZIP ,j oq(� FAX
� Q `OV
NAME leers�- //,�`` tip*. l PRIMARY PHONE
PROJECT CONTACT KJ, ?l i 11' 0� �? a- 13��
(The individual to receive and LING ADDRESS UUUf E-MAIL ALS vti s7
respond to all correspondence
MAILING ADDRESS
13S n� A-16(r 1+��0 i hen
concerning this application) �E}l jl„W►�V'! s,TACE zl irAx
/y�.s 3,5v1 3?'7 7-
�/�}
NAME
PROJECT FINANCING OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in
the investigation and defense of such claim),which may be made by any person,including the undersigned,and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied o the city as a part of this application.
SIGNATURE: ttfl— DATE �5' / 1.1 -Jo)Li
PRINT NAME: I V
p( u I) 4 p -h4t..L t%►I. 14 - 16J5$i -W-uP 4<4) a t2
Bulletin#100-January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
• S
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many of each type of fixture 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
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LAVS(Hand sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility( WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER VEYOR VALUE OF EXISTING IMPROVEMENTS
Na N / A I .A $
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
rD^r46 P /�f El Yes ❑ No ❑Yes t No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE D CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY**'
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square FeetType Stories
NEW BUILDING
ADDITION / O' r/
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
Ardd L2°'
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square FeetType Stories
TOTAL BUILDING
TENANT AREA ONLY AIDO!O1
PROJECT AREA ONLY �
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application