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CommunityDeveopmeof FederalntServices Buildin - Commercial Permit #:16-102385-00-CO
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: CINGULAR @ MILITARY TANK SC1832 (WA876)
Project Address: 28405 MILITARY RD S Parcel Number: 332204 9141
Project Description: NEW-Construct a new 11' X 16'wood shelter for v reless equipment. No plumbing or
mechanical.
Owner Applicant Contractor Lender
LAKEHAVEN UTILITY DISTRIC NEW CINGULAR WIRELESS,LLC WREN CONSTRUCTION NEW CINGULAR WIRELESS,LLC
FEDERAL WAY WA 16221 NE 72ND WAY WRENCI013B6 (01/26/08) 16221 NE 72ND WAY
98063-4249 REDMOND WA 98052 2720 OAKES ST REDMOND WA 98052
EVERETT WA 98201
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 Area(sq. ft.) _ 168 0 0 0
_ Adtlttonal Permit Infontatiori
New/Additional Sq.Feet-1st Floor.. .,168 Mechanical to be Included? No
Number of Stories 1 Permit for Building Shell Only? Yes
Plumbing to be Included? No New/Additional Sq.Feet-Total 168
Occupancy#1 -Use Storage-Low Zoning Designation RS 9.6
Hazard
Building Pre-con.Meeting Required? Yes Existing Sprinkler System in Building? No
No Fixtures Associated With This Permit!!
PERMIT EXPIRES Saturday, July 26, 2008
Permit Issued on Wednesday, July 26, 2006
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 ashington
nd the City of Federal Way.
Owner or agent: Date: ��
V
THIS CARD I TO REIN/AIr ONSITE
CITY OF • Community Develo meat Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-102385-00-CO
Owner:
Address: 28405 MILITARY RD S
FEDERAL WAY, WA 98003-3327
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) 0 Foundation Wall(4115) 0 Drainage/Downspout(4040)
Approved to place concrete Approved to place concrete Approved to backfill
By Date By Date By Date
❑ Re-steel(4215) 0 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
•
❑ Floor Sheathing(4105) El Shear Walls(4245) .LI Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
` By Date By G.. L ) Dates. 7 r. c9 4 By ` Date 9 7/' 7
O Fire/Draft Stops(4095) NOTE: Prior to scheduling a Framing(4120)' ❑ 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 4By C.. Dates ./c . 0
❑ Insulation (4150) 0 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(4070) It Final-Public Works(4080)
Approved Approved Approved
By Date By Date By Date
gl Final-Building(4050)
S. Approved
By,%I Date `l It t ka
RECEIVE( 16- S
nS-
Federal Way MAY j 2966 PERMIT �— — — —
COMMUNITY DEVELOPMENT SERVICES
SF MF 0 E EL PL DE EN FP
33325 5 FEDERAL
UE SOUTH•14-110 PO BOX PLI CATI ON
FEDERAL WAY,FAX
98�OF FEDERA '°
253-835-'1607•FAX 253 6
iyww.•ituoikderalwmt.cam UILDING DEPT.
The ollowi r is r •wired ' ormation-an incom•lete • • •lication will not be acce•ted. Please •rint le•ibl_ (in ink)or _ •
PROPERTY INFORMATION
SITE ADDRESS 2.S"to t - M ( SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 3 3 a Z 0 4 C r 4 r LOT SIZE(sJ
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) S 5/1-CCT-
(Attach
/1-CCT(Attach separate page for lengthy legal descnptbN
MI PROJECT INFORMATION
TYPE OF PERMIT UILDING 0 PLUMBING 0 MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PRA.TFI:T T1PCf:RTPTTAN(Prot drip rivtnilnrl dperrintinn nFtmrk inrhtdnd nn thic nvrmit nnlu)
•
- --- - • . - ..- i•- . • - _ _ - - i. .. . . -T
•
. ." •- u.•• _: •• • • -: _•- - - ' - .. . - as ••• • - •- • - • .•" !" :
•
1110 -• • . .• - • ;; ; • •.f : - _ - .. :: - • • '!' •
•
. •. c - _ _ - - - . • • - -' - - • • - •1•. . _.: ._ . • •- -. . -• • . _lo • -• - _ _ - - -• -• -• •••• • a new 11' x 16' wood shelter adjacent to the tank.
PROJECT NAME(Name of Business or Owner Last Name) Cf A.)6't'.-AAes. u ja- - i1 ' M 1 L I-A-R'1 —T-Ah
IN PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER LA-KE44vE/AJ LC 7 L11-41, D L (- 1C.:"(-- (Z.53)9 At, -544-c
MAILING ADDRESS CITY,STATE,ZIP
oK 42,49' tkoikt Wfr 9 G 3
CONTRACTOR COMPANY NAME( w -
PLICANT NAME OFFICE PHONE)
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
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
A1C'uLA . wi t cc 303 1�YE� (z06 )490 -, Or
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
(6zZI Ne 7ZAJD UJ,4Y OA- acz ( )
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect ❑Tenant (�?ill (Agent O Other(Describe) O6 ) 4q0 -,3g,�7
CONTACT E PRIMARY PHONE E-11AIL ADDRESS
3 Y6e- (zW)4.?0 - . Jc, btiyersd.,c4elig .catvt
LENDER Per RCW 19.27.095: Lender information is NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY.STATE,ZIP PHONE
( )
• DETAILED BUILDING INFORMATION
EXISTING USE 2'lJ,S f- PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $_ /V(4 VALUE OF PROPOSED WORK $ 2-2_I00(J
SPRINKLERED BUILDING? ❑YES 1(S/0 FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES �'Fi0
WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN o HIGHLINE ❑ PRIVATE(SEPTIC)
• •
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND N (A- �� IC.a
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT 0
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL F.mTuus SF TOTAL PROPOSED SP TOTAL 1F
**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 $ O. b d
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
DUCm GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSEab(Toner) M1SC(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. .A ,� . n l
NAME/TITLE L4Nb /"` I A-' DATE S/Q/0 G
(S tore (Title)
RELATIONSHIP TO PROJE T 0 Owner Agent ❑ Contractor ❑Architect 0 Other
FOR OFFICE USE ONLY
o NEW o ADDITION o ALTERATION c REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES ❑NO BASIC PLAN? o YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES o NO
NEW ADDRESS REQUIRED? o YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES o NO DEMO PERMIT REQUIRED? o YES a NO
Bulletin#100—January 1,2006 Page 2 of 4 k\Handouts\Permit Application