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14-103547uilding Comnmtercial City of Federal Way Community & Econ. Dev. Services Permit #: 14-103547-00-00 33325 8th Ave S Federal Way, WA 98003 Inspection Request Line: 2 Ph: (253) 835-2607 Fax: (253) 835-2609 p q (53) 835-3050 Project Name: AT&T 2C WA921 0111MCITO Project Address: 27201 PACIFIC HWY S Parcel Number: 332204 9055 Project Description: ALT - Modify an existing cell tower by replacing (6) antennas and adding RRH units. Owner TOM SAWYER ENTERPRISES INC Aplid cant AT&T MOBILITY Contractor WESTOWER COMMUNICATIONS lender 2016 38TH ST NW 16221 NE 72ND RTC 3 INC (GENERAL) GIG HARBOR WA 98335 REDMOND WA 98052 WESTOCI975J8 (12/14/14) 9961 SIDNEY HAYES RD ORLANDO FL 32824 10 Census Category: 437 - Commercial alt / add / conversion Includes: # 1 #2 #3 #4 Occupancy Class: Construction Type: Occupancy Load:- Floor oadFloor Areas . ft. 0 1 0 1 0 1 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 It PERMIT EXPIRES Wednesday, January 21, 2015 Permit Issued on Friday, July 25, 2014 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 and the City of Federal Way. y Owner or agent: Date: t CITY OF 4$�& Federal Way PERMIT #: Project: THIS CARD IS TO MAIN ON-SITE Construction Inection Record INSPECTION REQUE TS: (253) 835-3050 14 -103547 -00 -CO Address: 27201 PACIFIC HWY S TOM SAWYER ENTERPRISES INC FEDERAL WAY, WA 98003 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. Final - Building (4050) Approved By Date SWM Precon Site Mtg (4400) Prior to scheduling a Framing inspection; Initial Erosion Control (43 5) Drainage/Downspout (4040) Footings/Setback ( 110) Approved Approved By To be done prior to breaking ground By Approved to place concrete By Date By Date By Date Final - Building (4050) Approved By Date Foundation Wall (4115) Prior to scheduling a Framing inspection; Approved to place concrete Drainage/Downspout (4040) Date Approved Re -steel (4215) By Approved to place concrete By Approved to install siding Approved to backfill Date Date Approved to place concrete or grout By Date By Date By Date Final - Building (4050) Approved By Date Slab/Concrete Floor (4255) Prior to scheduling a Framing inspection; Approved to place concrete By Date Approved Electrical, Plumbing & Mechanical Rougb-in and By Shear Walls (4245) By Approved to install siding By Date Final - Building (4050) Approved By Date Underfloor Framing (4285) Prior to scheduling a Framing inspection; Approved to sheath floor By Date Approved Electrical, Plumbing & Mechanical Rougb-in and By Roof Sheathing (4220) By Approved to install roofing By Date Final - Building (4050) Approved By Date Floor Sheathing (4105) Prior to scheduling a Framing inspection; Approved to install flooring By Date Approved Electrical, Plumbing & Mechanical Rougb-in and By Fire/Draft Stops (4095) By Approved By Date Final - Building (4050) Approved By Date Interim Erosion Control (4370) Prior to scheduling a Framing inspection; Framing 4120 (ulate ) Approved Electrical, Plumbing & Mechanical Rougb-in and By Approved togi By Date Fire/Draft Stop inspections must be signed -off and By Date Date approved. IBC 1093.4 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 Erosion Control (4375) Approved Approved Approved By Date By Date By Date Final - Building (4050) Approved By Date Rough Electrical Approved Final Electrical Approved Right of Way Approved By Date By Date By Date 17 2014 JUL Federal Way CITY OF FEDERAL WAY CDS 0 WA921 Woodmont PERMIT APPLICATION PERMIT NUMBER _1Y- / -6 S 1 7 - C,0 TARGET DATE L") -J'11 q BITE ADDRESS SUITE/UNIT N 27203 PACIFIC HIGHWAY SOUTH, FEDERAL WAY, WA 98032 PROJECT VALUATION ZONING ASSESSOR'S TAR/PARCEL B $ 40,000.00 BC 3322049055 TYPE OF PERMIT BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT AT&T 2C WA921 Woodmont PROJECT DESCRIPTION Detailed description of work to Modify an existing WCF by replacing 6 existing antennas with 6 LTE antennas 0 net increase); install 9 RRH units, and 1 surge suppression unit, mounted near existing antennas to existing mounting frame; and install be included on this permit only new LTE cabinet within existing shelter. NAME Tom Sawyer Enterprises, Inc., PRIMARY PHONE PROPERTY OWNER managed b ' Chamberlain Properties 206 588-0192 MAILING ADDRESS 2505 Third Avenue Suite 140 E-MAIL CITY Seattle STATE I WA ZIP 98121 NAME PHONE WesTower Communications 425 941-5941 MAILING ADDRESS 7525 SE 24th Street, Suite 500 E-MAIL a rett westower.com CONTRACTOR CITY Mercer Island STATE I WA ZIP 98005 FAX WA STATE CONTRACTOR'S LICENSE M WESTOC1975J8 EXPIRATION DATE 12/14/14 FEDERAL WAY BUSINESS LICENSE 6 NAME AT&T bV its Agent PTS PRIMARY PHONE MAILING ADDRESS RTC Building,16221 NE 72nd Way E-MAIL APPLICANT CITY Redmond STATE WA 1 ZIP 98052 FAX PROJECT CONTACT NAME Kelly Lester, Site Acquisition Specialist PRIMARY PHONE 425 289-9230 MAILING ADDRESS c/o: PTS, 506 Second Avenue, Suite 210 E-MAIL klester@ptswa.com (The individual to receive and respond to all correspondence CITY Seattle STATE ZIP WA 1 98104 FAX concerning this application) PROJECT FINANCING AME ® OWNER -FINANCED Required value of $5, 000 or more (RCW 19.27.095) MAILING ADDRESS, CITY, STATE, ZIP PHONE I cert(fy 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 apart of this application. SIGNATURE: WQtA Af&LeA DATE 4 PRINT NAME: Kelly LesQ, Site Acquisition Specialist, PTS Bulletin #100 -January 1, 2013 Page 1 of 3 k: flandouts\Pelmit Application WA921 Woodmont VALUE OF MECAANI MECHANICAL PERMIT N/A Indicate how many of each type offixture to be installed or relocated as art o ect. Do not include existing tures to remain. AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe) AIR CONDITIONER FIREPI RTS HOODS (commercial) BOILERS URNACES HOT WATER TANKS (Gas( COMPRESSOR GAS LOG SETS REFRIGERATION SYST GAS PIPING WOODSTOVES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR VALUE OF PLUMB PLUMBING PERMIT N/A N/A N/A Indicate how many of each type offixture to be installed or relocated aspar ro'ect. Do not include existing ixtures to remain. BATHTUBS (or Tub/Shower combo LAVS (Hand Sinks) TOILETS WATER PIPING DISHWASHERS SYSTEMS URINALS OTHER (Describe) DRAINS SHOWERS VACUUM BREAKERS Occupancy Group(s) DRINKING S SINKS (Kitchen/Utdiryi WATER HEATERS (Electric( DECK E BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS N/A N/A N/A $ EXISTING/ PREVIOUS USE LOT SIZE (In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? Unmanned Wireless 65,267 sq ft ❑ Yes rN No ❑ Yes N No Telecom Facility COMMERCIAL — REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION RESIDENTIAL -NEW OR ADDITION N/A AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE BASEMENT NEW BUILDING FIRST FLOOR (or Mobile Home) ADDITION SECOND FLOOR COMMERCIAL — REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION COVERED ENTRY Occupancy Group(s) Construction a # of Stories Additional Information DECK GARAGE ❑ CARPORT ❑ TENANT AREA ONLY 250 AT&T 11B OTHER (describe) PROJECT AREA ONLY 250 AT&T Area Totals EXISTING PROPOSED TOTAL **NEW HOMES ONLY** IMATED SELLING PRICE $ 1 # OF BEDROOMS COMMERCIAL — NEW/ADDITION AREA DESCRIPTION Area in Square Feet Occupancy Group(s) Construction a # of Stories Additional Information NEW BUILDING ADDITION COMMERCIAL — REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area in Square Feet Occupancy Group(s) Construction a # of Stories Additional Information TOTAL BUILDING TENANT AREA ONLY 250 AT&T 11B N/A PROJECT AREA ONLY 250 AT&T 1 1 B N/A Bulletin #100 -January 1, 2013 Page 2 of 3 k:\Handouts\Permit Application