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11-102716City of Federal Way Community & Econ. Dev. Services 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax: (253) 835-2609 Project Name: AT&T @ S 288TH ST (WA876) Project Address: 28405 MILITARY RD S Building' CoInmercial Permit #: 11 -102716 -00 -CO Inspection Request Line: (253) 835-3050 Parcel Number: 332204 9141 Project Description: ADD - Add to existing wireless facility (3) antennas, (6) remote radio head units, surge protection device, junction box and DC & fiber lines. Owner Applicant Contractor Lender AT&T MOBILITY AT&T MOBILITY OWNER IS CONTRACTOR AT&T MOBILITY 16221 NE 72ND BLDG 3 16221 NE 72ND BLDG 3 16221 NE 72ND BLDG 3 REDMOND WA 98052 REDMOND WA 98052 REDMOND WA 98052 Census Category: 328 - New Other Non -Residential Building Includes: #1 #2 #3 #4 Occupancy Class: S-1 Construction Type: Type V - B Occupancy Load: Floor Areas . R. 168 0 1 0 1 0 Building Pre -con. Meeting Required?....................Yes Existing Sprinkler System in Building? ................. No Mechanical to be Included?....................................No Number of Stories ... :.............................................. 1 Permit for Building Shell Only?.............................Yes Plumbing to be Included? ....................................... No. Occupancy 41 - Use ............................................... Storage - Low Zoning Designation .............................................. :.RS 9.6 Hazard u, e�Ikurescx 9 .,ll �� ka# a7s F as PERMIT EXPIRES Tuesday, July 10, 2012 Permit Issued on Thursday, January 12, 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 the laws, rules and regulations of the State of Washington an the City of Federal Way. Owner or agent Date: % � % ' THIS CARD IS TO REMAIN ON-SITE CITY OF THIS Inspection Record Federal Way INSPECTION REQUESTS: (253) 835-3050 PERMIT #: 11 -102716 -00 -CO Address: 28405 MILITARY RD S Project: LAKEHAVEN UTILITY DISTRICT FEDERAL WAY, WA 98003-3327 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 Footings/Setback (4110) E] Foundation Wall (4115)Drainage/Downspout E] (4040) Approved to place concrete By Approved to place concrete Approved to backfill By Date By Date By Date 0 Re -steel (4215) Slab/Concrete Floor (4255) E] Underfloor Framing (4285) Approved to place concrete or grout By Approved to place concrete Approved to sheath floor By Date By By Date By Date 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) Framing 4120 g ( ) Prior to scheduling a Framing inspection; Approved Electrical, Plumbing & Mechanical Rough -in and Approved to insulate By Date Fire/Draft Stop inspections must be signed -off and By Date approved. IBC 109.3.4 Insulation (4150) E:] 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) Approved By Date Final - Building (4050) Approved By Date El Final - Public Works (4080) Approved By Date Final - Planning Approved By Date El Final - Public Works (4080) Approved By Date Rough Electrical Approved Final Electrical Approved Right of Way Approved By Date By Date By Date 'a - A Federal Way COMMUNITY DEVELOPMENT SERVICES 253-835-2607• FAX 253-835-2609 www. ( uoffederalwau.mm 2 84v5 0 401 6 PERMIT SF MF P APPLICATION JUL 08 LU'1 ) VO© CITY OF FEDERAL WAY SITE ADDRESS 28�2T Military Road South S E # ` PROJECT VALUATION $15,000.00 ZONING RS 9 .6 public utility ASSESSOR'S TAX/PARCEL # 3 3 2 2 0 4 9 1 1 _ 4 TYPE OF PE3MT CTBUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT 1TenantName/HomeoumerLast Name) / WA876 S. 288th / AT&T ( Cl/ �(Q wwy To existing wireless facility, add three antennas, six remote radio head PROJECT DESCRIPTION Detailed description of work to (RRH) units, surge protection device, junction box, and DC & fiber lines. Within existing equipment building, add equipment to existing cabinet. be included on this permit only PROPERTY OWNER NAME Lakehaven Utility District / John Bowman PRIMARY PRONE 253-927-2922 N1AH NG ADDRESS D RES PO EMAIL Way STATE 8063 xFAed�eral TBD - info ro nce PHONE CONTRACTOR MAMG ADDRESS (_ i E -MAD. CITY STATE ZIP I FAX WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE # AT&T Mobility PHONE APPLICANT W iF3, "16221 NE 72nd Way E-MAIL Redmond 74-ATE '98052 FAX PROJECT CONTACT NAM Acky Todd, PTS 206-310-1793 (The individual to receive and 568�mFADDRESSst Ave S . , #650 E-MAIL Capt swa . com respond to all correspondence concerning this application) Seattle WAS S 104 FAX ALTERNATE CONTACT NAME: Katie Kenney PRONE E-MAIL kkenney@ptswa.com PROJECT FINANCING NAM AT&T Mobility (self -financed by tenant) 4pffffAhF1ANCED Required value of $5,000 or more MAILING ADDRESS. CITY. STATE, ZIP PRONE (RCW 19.27.095) I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I cert(fy 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 �� L PRINT NAMEO Bulletin #100 —January 1, 2011 Page 1 of 3 k:\Handouts\Permit Application VALUE of MECHAN WAL WORK $ (a copy of bid or estimate must be provided) 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 Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing futures 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 (Eiectrio HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTORBS Bulletin #100 - January 1, 2011 Page 2 of 3 k: flandoutsTermit Application