12-104410 r
MEP wilding - Corfimercial
City of FeWay Permit #: 12-104410-00-CO
Community&Econ.Dev.Services 3
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835 2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: T-MOBILE WIRELESS AT JUNG COUNTY HOUSING
Project Address: 30838 14TH AVE S Parcel Number: 082104 9231
Project Description: ALT-Upgrade& replacement of (9)existing antennas to an existing rooftop wireless
facility -,..
/ Owner Applicant Contractor Lender
KC HOUSING AUTHORITY T-MOBILE MYCOM NORTH AMERICA INC
600 ANDOVER PARK W 19807 NORTH CREEK PKWY N MYCOMNA882PB(10/2/14)
TUKWILA WA 98188 BOTHELL WA 98011 1227 120TH AVE NE SUITE A
BELLEVUE WA 98005
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
Zoning Designation RM 1800
No FixturesAssociated With This Permit!!
PERMIT EXPIRES Tuesday, March 18, 2014
Permit Issued on Thursday, September 19, 2013
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use wil,be in accordance with the laws, rules and regulations of the State of Washington
:.`1• the City of Federal Way.
ami
Owner or agent `'yii�i q Date: / -/q— T
\c\4)7.1 )"
-' THIS CARD IS TO',MAIN ON-SITE
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 12-104410-00-CO Address: 30838 14TH AVE S
Project: KC HOUSING AUTHORITY FEDERAL WAY, WA 98003-4763
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) 0 Initial Erosion Control(4365) ❑ Footings/Setback(4110)
Approved To be done prior to breaking ground Approved to place concrete
By Date By Date By Date
El Foundation Wall(4115) 0 Drainage/Downspout(4040) El Re-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) .0 Fire/Draft Stops(4095).
Approved to install siding Approved to install roofing Approved
By Date By Date By Date
❑ Interim Erosion Control(4370) � Prior to scheduling a Framing inspection; El
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
o Insulation(4150) •❑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 .❑ Final Erosion Control(4375)
Approved Approved Approved
By Date By Date By Date
'
El Final-Building(4050)
Approved
By Date 10 (IS 113
•
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
N 1112 _ 1041 ( 0
CITY OF RECEIVED PERMIT
Federal Way SF MF CO ME PL DE EN FP
COMMUN253835-2607•FRX 2ITYDEVEWPM53-835-2 r vENTSEZEp 2 6 ZOiAPPLICATION
wuw.d!yotlederalway.com
CITY OF FEDERAL WAY
SITE ADDRESS CDS SUITE/UNIT#
30838 14th Avenue South
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$20,000 RM 1800 0821049231
TYPE OF PERMIT a BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT T—Mobile SE04036 King County Housing
(Tenant Name/Homeowner Last Name/
PROJECT DESCRIPTION T-Mobile proposes to replace/upgrade nine (9) panel antennas at an
Detailed description of work to existing rooftop wireless facility.
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER King County Housing Authority
MAILING ADDRESS E-MAIL
- -__-_-- CITY - I STATE I ZIP
To4LiCdQl P7/C9 -6120 4
CONTRACTORMAIL7 ��r�� •" � L
CI'fS`/{ 1)Pt n
STATE,/ ZIP p'ot's
FAR
tiff f q
WA ST E CONTBA
CTOR'S LICENSE# ttATION DATE FEDERAL WAY BUSINESS LICENSE#
IQ C9 °60 1
--_ ---- NAME PHONE
T-Mobile (425)398-7600
APPLICANT MAILING ADDRESS E-MAIL
19807 North Creek Parkway
CITY STATE ZIP FAX
Bothell WA 98011
PROJECT CONTACT NAME
PHONE
(The individual to receive and RealCom Associates-Allison Zike (425)274-4444 x112
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application) 14432 SE Eastgate Way,Ste.260 azike@realcomassoc.com
CITY STATE ZIP FAX
Bellevue WA 98007 (425)274-4449
ALTERNATE CONTACT NAME: PHONE E-MAIL
Sarah Telschow (425)274-4444 x114 stelschow@realcomassoc.com
PROJECT FINANCING NAMEEl OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27.095) MAILING ADDRESS.CITY,STATE,ZIP PHONE
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 to the city as a part of this application. /�
SIGNATURE: --- DATE 6 .2,4•a
PRINT NAME: Allison e
Bulletin#100—January 1,2011 Page 1 of 3 k:U3andouts\Permit Application