15-104123 r 4 ..
Building -"Commercial
City of Federal Way Permit •
#• 15-104123000-CO
Community 8 Econ.Dev.Services : •
33325 8th Ave SF 1 i
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-30550
Project Name: VERIZON WIRELESS-SEA CELEBRATION
Project Address: 33301 9TH AVE S Parcel Number: 926501 0130
Project Description: NEW-Construction and co-location of rooftop wireless facility to include antennas,
screening walls,ancillary equipment,cabinets and hybrid cables
Owner Applicant Contractor Lender
SHELBY COMPANY do K TRAVIS GRIFFITH STEELHEAD COMMUNICATIONS
MATHEWS ODELIA PACIFIC INC
1201 PACIFIC AVE UNIT 1400 1215 4TH AVE S SUITE 1900 STEELCI972BS(1/18/17)
TACOMA WA 98402 SEATTLE WA 98161 28120 SR 410 E SUITE A3
BUCKLEY WA 98321
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. 3
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 Saturday, May 28, 2016
Permit Issued on Monday, November 30, 2015
I hereby certify that the above infor ation is correct and that the construction on the above described property and
the occupancy and li
e use ill b:x n accordance with the laws, rules and regulations of the State of Washington
! and..the City of Federal Way.
Owner or agent iDate: ) 1 ?CJ
f;
{ ���‘
THIS CARD IS TO REMAIN ON-SITE , - •
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 15-104123-00-CO Address: 33301 9TH AVE S
Project: SHELBY COMPANY C/O K MATHE' FEDERAL WAY, WA 98003-2602
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 itis 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 Footings/Setback(4110) 0 Foundation Wall(4115) 0 Drainage/Downspout(4040)
Approved to place concrete Approved to place concrete Approved to backfill
By Date By Date By Date
O Re-steel(4215) EI Slab/Concrete Floor(4255) 0 Underfloor Framing(4285)
Approved to place concrete or grout Approved to place concrete Approved to sheath floor
By Date By Date By Date
13 Floor Sheathing(4105) Shear Walls(4245) 0 Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By Date
O Fire/Draft Stops(4095) Prior to scheduling a Framing inspection; 0 Framing(4120)
Approved Electrical,Plumbing&Mechanical Rough-in and Approved to insulate
Fire/Draft Stop inspections must be signed-off and
By Dateapproved. inc 1093.4 By Date
El Insulation(4150) El Wallboard Nailing(4130) 0Suspended Ceiling Grid (4265)
Approved to install wallboard Approved to install mud&tape Approved to drop tile
By Date By Date By Date
Final-SKF&R(4060) Finai-Planning �LI Final-Building(4050)
Approved Approved Approved
By Date By DateBy C.- ,...S. `L.-)c `Lyl
•
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
ilk
c,rroF AUG 1#015 PERMIIAPPLICATION
Federal Way tidt" P,/,/,,,er>
CITY OF FEDERAL WAY
CDS U PI
n Li--
PERMIT NUMBER 15 _ ` V ( Z3 _ CO
- - - - TARGET DATE
SITE ADDRESS SUITE/UNIT#
' 73D ( ii-L s
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
/20 000
TYPE OF PERMIT XBUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT q-�:.4- ea
PROJECT DESCRIPTION 1 P5T t -` t rzt-� O T A 12 -�tiit p 1--).71. Iry 12 cu
Detailed description of work to 'i'Y>°t'C (I-i(( 04..)Te) prv.N F--X, -9-1)--)c, 6 Tqd
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER i-tC(.13"t' C f4htA C//0 Ip7irZ TflfrifillAJ 253-722 -)1/6
MAILING ADDRESS E-MAIL
CITY STATE ZIP
Ac4,1, - \/ /p- �01( n2
l
NA114E PHONE
5'"fC6 1-l4.L AD '3 c,U i3 V,-) -
MAILING ADDRESS ii rr /nE-MAIL
CONTRACTOR 1 Li I b 20 I-1,1 S'C S 1,J , A
CITY STATE ZIP FAX
CVna Crr )A 9 203
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
`-T-CC LC.I't72-ZS / / 02-- 1out SZ `7
NAME PRIMARY PHONE
1-9 AVIS GPF-�Fill6,2tF i; i 1 ) pc--i307-6/ ` 9?-
APPLICANT MAILING ADDR, S E-MAIL
12.(C ifili th/- 5 j 'U0 17;a-1PF1TH C "Z►A.cer,
CITY G fi Z / I STATEZIP 18 1 6 1 FAX
NAME / 1�-� PRIMARY PHONE
PROJECT CONTACT C Ac frFPZ t(z 1
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING 5171:- L It 0 OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,J .STTATE,ZIP )�J!,�1 ( - �� /y�/ (����,✓ (,+PHONE �1 j
(RCW 19.27.095) 1 21Sr L1 ✓I / I►'e 1 g rc ! / Lsce 1 L('LWI7 l T/(C/ WJ "vo /�L1
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 arise out the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied the citycityri a p of this application.
SIGNATURE: f�° I DATE /i /
PRINT NAME: LA '[,MIS 6,g T`)H`
Bulletin#100-January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
ill 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(Ges)
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(Handsnks) 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 PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$
EXISTING REVIOUS USE LOT SIZE(Ia Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
8 ` S
13 �� /7 Yes ❑ No ❑Yes `�No
t(tom
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
sf 'sY l ,
, mss
s ,,..
FIRST FLOOR(or Mobile Home)
COVERED ENTRY
r
GARAGE ❑ CARPORT ❑
0,THER(describe
r
EXISTING PROPOSED TOTAL
Area Totals
,* ; 't.lY.1ES;OI11!. g,, ' /)%1.,"%/ %„i,--z-i .
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
Construction #of
AREA DESCRIPTION Area Occupancy Group(s) Additional Information
in Square Feet Type Stories
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
Construction #of
AREA DESCRIPTION Area Occupancy Group(s) Additional Information
in Square Feet Type Stories
TOT Reis , 2 ' "`,/.., 1'✓vi ,' '/-v/,...5.
TENANT AREA ONLY
PROJECAREA-ONLY -` 1/
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application