14-104600City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2807 Fax: (253) 835-2809
FILE
Project Name: T -MOBILE SE04653A LAKOTA PARK
Project Address: 31334 SW DASA POINT RD
a 0 dingf- Cammercial
Permit #: 14 -104600 -00 -CO
Inspection Request tine: (253) 835-3050
Parcel Number: 122103 9016
Project Description: ALT - Modification to :existing site by upgrading antennas and adding ancillary equipment
Owner
ApRilcant
Contractor
Lender
CITY OF FEDERAL WAY
MICHAEL CADY
MYCOM NORTH AMERICA INC
33325 8TH AVE S
TELCOPACIFIC LLC
MYCOMNA882PB (10/2/14)
FEDERAL WAY WA 98063-9718
19807 N CREEK PKWY N
15340 NE 92ND ST BLDG D
BOTHELL WA 98011
REDMOND WA 98052
Census Category: 437 - Commercial alt / add / conversion
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load
Floor Areas . 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
New / Additional Sq. Feet - Total .......................... 0
No Fixtures Associated With This Permit It
PERMIT EXPIRES Monday, April 6, 2015
Permit Issued on Wednesday, October 8, 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 W shington
and the City of Federal Way.
Owner or agent: '��'— Date:
THIS CARD IS TOMAIN ON-SITE
CITY OF Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 14 -104600 -00 -CO Address: 31334 SW DASH POINT RD
Project: CITY OF FEDERAL WAY FEDERAL WAY, WA 98023
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 Erosion Control (4375) Final - Building (4050)
Approved Approved
By Date By V16 Date (Z yu6f
Foundation Wall (4115)
Drainage/Downspout (4040)
Final Electrical
Approved
Re -steel (4215)
1:1Approved
Approved to place concrete
By
Approved to backfill
Approved to place concrete or grout
By
Date
By
Date
By
Date
Slab/Concrete Floor (4255)
Underfloor Framing (4285)
❑
Floor Sheathing (4105)
Approved to place concrete
Approved to sheath floor
Approved to install flooring
By
Date
By
Date
By
Date
Shear Walls (4245)
Roof Sheathing (4220)
Fire/Draft Stops (4095)
Approved to install siding
Approved to install roofing
Approved
By
Date
By
Date
By
Date
Interim Erosion Control (4370)
Framing 4120
Prior to scheduling a Framing inspection;
Approved
Electrical, Plumbing & Mechanical Rough -in and
Approved toinsulate
By
Date
Fire/Dra[t Stop inspections must be signed -off and
By
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 - Public Works (4080)
Approved
Approved
Approved
By
Date
By
Date
By
Date
❑ Final Erosion Control (4375) Final - Building (4050)
Approved Approved
By Date By V16 Date (Z yu6f
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date
13 V"'
w�
�m� • PER MI1iAPPLICATION
Federal Way
PERMIT NUMBER _ l 4� 00 - 00 / 0 7
— `— TARGET DATE
SITE ADDRESS
SUITE/UNIT N
31 Sb SLO 'X-aA 99b. -L3
PROJECT VALUATION
ZONING
ASSESS OR'S TAX/PARCEL N
$d-oI avo'0-0
5e-
i 0 3- 2 0
TYPE OF PERMIT
BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
-r o b'S O 4 (, S Lc -iso
PROJECT DESCRIPTION
ds� 7 -HAA
Detailed description of work to
be included on this permit only
4' -Wt. -et %y' L� r ;�•
NAME
PRIMARY PHONE
PROPERTY OWNER
G o \"c d.
S 3 0 3 S-- t10
MAHdNG ADD
S gt` vGv-,�R- So -Ai..
33 -39Z
E-
_3
CITY
STATE
ZD'
NAME
T is L7 &. r
PHONE
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE M
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE k
NAME 'TMob�Ico {M�IC��
PRIMARY�GYE
`11 2'06
APPLICANT
MAILING ADDRESS l A f
4MAIL V
CITY
STATE I
WA
ZIP
9 '?0 11
FAX L
PROJECT CONTACT
AME" ,J
NAY v Vl C V� �` ZT l 6
a c.' / l
!/
PRIMARY PHONE
MAILING ADD
n
1" 1 0
E-MAIL n �n
6�F l' • )@ ht
rIhe individual to receive and
respond to all correspondence
o 1
1
1 ^A�E
A
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME M o b r' Q
OWNER -FINANCED
Required value of $5.000 or more
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
/790-y- ^ -te-�- Ple-wtMt W
PHONE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certVy 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 oj6icers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
C
SIGNATURE: `� " v I C%V W C I
" " �` DATE `
PRINTNAME: G
M
Bulletin #100 - January 1, 2013 Page 1 of 3 k:\Handouts\Permit Application
IV
MECHANICAL PERMIT $
Indicate how many of each type offixture to be installed or relocated as part of this project Do not include existing7vc es to remail.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (comma` W
BOILERS FURNACES HOT WATER TANKS (Gss)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF PLUMBING WORK
PLUMBING PERMIT
Construction
Type
# of
Stories
Additional Information
NSW BUHMING
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
$
Indicate how many of each type o
uchwe to be installed or relocated as
part of this project. Do not include existingfimtures
to remain.
BATHTUBS (o -r b/Shower combo)
LAVS (Hand Sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS Wtchen/Utwty)
WATER HEATERS (Electric)
TENANT AREA ONLY
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
Construction
Type
# of
Stories
Additional Information
NSW BUHMING
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
ADDITION
❑ Yes ❑ No
❑ Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR (or Mobile Home)
...............................................................................................................................................................................................
SECOND FLOOR
COVERED ENTRY
...............................................................................................................................................................................................
DECK
..._.._............._.................................................................................._..............................._..................._....._......................
GARAGE ❑ CARPORT ❑
............................................ .............. ............. .............................................................._..............................._._..........._.......
OTHER (desagx)
...............................................................................................................................................................................................
Area Totals eMSTM raorosm Toms.
•crawHojm Or&x*=
ESTIMATED SELLING PRICE $ 1 # OF BEDROOMS
COMMERCIAL- NEW/ADDITION
AREA DESCRIPTION
Area
in Square Feet
Occupancy Group(s)
Construction
Type
# of
Stories
Additional Information
NSW BUHMING
ADDITION
COMMERCIAL - REMODEUTENANT IMPROVEMENTS
AREA DESCRIPTION
Area
is Square Feet
Occupancy Groups)
Construction
a
# of
Stories
Additional Information
TOTAL Bunam
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin #100 - January 1, 2013 Page 2 of 3 k:\Handouts\Permit Application