06-103142 t
City of Federal Way Bu inQ - Commercial Perm$Pti: 06-103142-00-CO
Community Development Services b •
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: T-MOBILE KITTS CORNER TOWER EXTENSION
Project Address: 2041 S 324TH ST Parcel Number: 162104 9037
Project Description: Extend existing 100' tall monopole structure to a height of 120'.Re-locate existing Verizon
antennas to top,and add 6 T-Mobile antennas at 99' level,and install ground-based
equipment within existing equipment.
Owner Applicant Contractor Lender
BELMOR HOLDINGS LTD MADELINE CHANEY ANDREW SYSTEMS INC AMERICAN TOWER CORP
1571 BELLEVUE AVE SUITE 210 T-MOBILE WEST CORPORATION ANDRESI140D8 1/8/08 651 CORP CIR
WEST VANCOUVER BC 208 WESTLAKE AVE N 829 PICKENS INDUSTRIAL DRIVE GOLDEN CO 80401
CANADA SEATTLE WA 98109 MARIETTA GA 30062
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 0
Permit for Building Shell Only? No Plumbing to be Included? No
Special Inspection(s)Required9 Yes New/Additional Sq.Feet-Total 0
Occupancy#1 -Use Towers Sensitive Areas?(Wetlands/Slopes,etc) No
No Fixtures Associated With This Permit!!
PERMIT EXPIRES Saturday, January 17, 2009
Permit Issued on Wednesday, January 17, 2007
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 -,•ordance with the laws, rules and regulations of the State of Washington
_. �� ���r and the City of Federal Way.
��Owner or agent: 49 Date: f (7/
/0/4-6-6-,„( /yr c..,1,1 F1)47/141'81 Le' bliec-elir
4
Qm �� - - `-7 C. �9�.....
• 411‘.. ' THIS CARD IS TO AIN ON-SITE '
CITY OF '--- ommunityitDevelop nt Inspection Record
p p
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-103142-00-CO
Owner:
Address: 2041 S 324TH ST
FEDERAL WAY, WA 98014-5915
This card is part of your required inspection documents. 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 Footings/Setback(4110) ❑ Foundation Wall (4115) ❑ Drainage/Downspout(4040)
Approved to place concrete Approved to place concrete Approved to backfill
By Date By Date By Date
•
O Re-steel(4215) ❑ Slab/Concrete Floor(4255) ❑ Underfloor Framing (4285)
Approved to place concrete or grout Approved to place concrete Approved to sheath floor
By Date By Date By . Date
O Floor Sheathing(4105) ❑ Shear Walls (4245) ❑ Roof Sheathing (4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By Date
•
❑ Fire/Draft Stops (4095) NOTE: Prior to scheduling a Framing(4120) I ❑ Framing(4120)
Approved inspection;Electrical,Plumbing&Mechanical Approved to insulate
Rough-in and Fire/Draft Stop inspections must be
signed-off and approved. IBC 109.3.4/UBC 108.5.4
` By Date By Date
•❑ 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
❑ Final-Fire Department(4060) ❑ Final-Planning (4070) ❑ Final-Building (4050)
Approved Approved Approved
`By •Date - By Date By e.,,\ J Date 1D_ -.1.7
-y RECEr D
..sr ._ 0Federal
2 3 2000 ..-- (0 C - '7`" d�
Federal way PERMIT
COMMUNITY DEVELOPMENTSERVI��.y�.��.r�Y OF FEDERALV� SF M ME EL PL DE EN FP
332E DER LW A ,WA9•6397) 9718 BUILDING ` ,PLICATION `
FEDERAL WAY,WA 98063-9718
253-835-2607•FAX 253-835-2609
TD
(ti.,
www.cttuoffedemiwau.mm C'L'I^-.,(�\. l./
The ollowin• is re•uired information-an incom•fete a••lication will not be acce•ted. Please •rint le•ibl (in ink)or •-.
I. PROPERTY INFORMATION
SITE ADDRESS ) 5.32-,4-iii rr NW"
,�
SUITE/UNIT# Jp
ASSESSOR'S TAX/PARCEL# i b Z I (0 L - ' 0 3 3 LOT SIZE(sf) Nl f
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy Legal description)
• PROJECT INFORMATION
TYPE OF PERMIT ig BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work inciuwled on this permit only)
EXTE km ,AJ , t cr r M Dia z.& PAu cTVL 70 4 (lb t-fr 0E- (2.6', k-
L8Z E- FXI w Ak, vck-( A) Aftrt /UAD45 fa r of j 1140 67 j/3iC$Z L-F VV7FA44)4 S/fit
11' L{vet--j /44j 1 k)al7414--- /it-6✓t5f46 0 i'077-1710 it 1 S'ti ill-G. 42.0AN2f0
C.DIr,-4 tt4 N!) `/� r �/� /� c�,, /� ^ ,�-1
PROJECT NAME(Name of Business or Owner Last Name) T'Mc&i t k(1 15 C-pi -A -`(c_1 t G�- EkTE/°SCS I(J�
• PEOPLE INFORMATION
PROPERTY NAME ^ �.����//{{ PRIMARY PHONE , /
OWNER /i 2.(C A&) -MAX K- CNA —e-DATr�4'C.1 LIQ0g44 (NF j tiE Xl,ri ( 142c) 6,43 01 1a Z7
MAILING ADDRESS CITY,STATE,ZIP
LI P-2- FACrcJLA 61-vo. 5E1 ifi1125 df tiJVLk vvl qct
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
T M) ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
- B L / / ( )
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
/ /
ICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
1'"1* (Ak ri C--00 ( )4AYE 04,41/0V7 ( 2a.) 9/,0 -3,A7-2-3
MAILING ADDRESS COY,STATE,ZIP CELL PHONE
Zo.3 c-t -s ,./qi' Ave- • ,vat-/ sE - ? 'ro5 ( ttzs") 3/( - or
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑Tenant 4 Agent ❑ Other(Describe) ( ZD(o ) CM 0 - 3,W
NAME PRIMARY PHONE E-MAIL ADDRESS
✓w4at 1- A rAAAi1r (q 2S) 3L/fr - 0(2-8' al l-�44K ITO 040-A•cal
Per RCW 19.27.095: Lender information is NAME
required if project value exceeds$5,000Secv" tAk:fr,
AILING ADDRESS jiL�1�//,�yT (,,,ZIP (/1 PHONE
�R "V 1.. ') 'c ( )
• DETAILED BUILDING INFORMATION �c
VG USE (OC7 F1' Thu— Pvvs F- PROPOSED USE ILO F( • _ A(AZ r�
JG ASSESSED/ApPRNISED VALUE $ • 2' 0I �JCD VALUE OF PROPOSED WORK $ It,U) (/Nl/
•LERED BUILDING') ❑ YES `ANO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES 1.,NO
SERVICE PRoIIDER n LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) /OM
t SEIWICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE o PRIVATE(SEPTIC) /1.1/14
0 •
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT Y:1(1
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE) /
DECK(COVERED?)
GARAGE ❑ CARPORT❑
1
EXISTING i PROPOSED TOTAL TOTAL EXISTING 8F TOTAL PROPOSED SF TOTAL SF
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $ 1 01 4
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
¢
PLUMBING A)(A
BATHTUBS(orrub/shower combo) SHOWERS WATER CLOSETS(Toilet) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way,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 application. 1/1. 1.),V..: r /t,,�(y p p
NAME/TITLE h Fa_ ("/iireaCF ix�� ` C-L c DATE Cs.(Zi/Ory
(Signature) V (Title)
RELATIONSHIP TO PROJECT 0 Owner "I Agent o Contractor ❑ Architect ❑ Other
FOR OFFICE USE ONLY
n NEW n ADDITION ❑ALTERATION n REPAIR n TENANT IMPROVEMENT
BUILDING SHELL ONLY? u YES ❑NO BASIC PLAN? c YES ❑NO
ZONING DESIGNATION CHANGE OF USE? ❑YES ❑NO
NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? ❑YES ❑NO
PLATTED LOT? o YES ❑NO DEMO PERMIT REQUIRED? ❑YES ❑NO
Bulletin#100—January 1,2006 Page 2 of 4 k\Handouts\Permit Application