04-103207 f
111111 111IF 411.111W
• ilk •t l
City of Federal Way t
Community Development Services Building — Commercial Permit #: 04 - 103207 - 01 - CO
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: CINGULAR @ SOUTH 288TH STREET
Project Address: 28405 MILITARY RD S Parcel Number:332204 9141
Project Description: ADD- Construction of an unstaffed radio telecom facility consisting of a 3-sector antenna array
mounted on the existing water tank&concealed behind a screen wall painted to match the tank,with
radio equipment on a concrete slab within a 6-foot high,
Owner Applicant Contractor Lender
LAKEHAVEN UTILITY DISTRIC CINGULAR WIRELESS LLC RTB CONTRACTING,INC CINGULAR WIRELESS LLC
PO Box 4249 CINGULAR WIRELESS LLC RTBCOI"032R9(10/13/06) CINGULAR WIRELESS LLC
2445 140TH AVE N UNIT 202 309 S CLOVERDALE ST B-22 2445 140TH AVE N UNIT 202
PO Box 4249 !Federal Way,WA 98( BELLEVUE WA 98005 FEDERAL WAY WA BELLEVUE WA 98005
Includes:
Census category: 329-New st #1 ! #2 #3 #4
Occupancy Groin: T--
Construction T f
1 1
Occupancy Load:F _
Floor Area(Sq.FL): -�
Census Category 329-New structure other that Mechanical No
Permit for Building Shell Only No Plumbing No
Will Certificate of Occupancy be Issued? No Sensitive Areas? No
PERMIT EXPIRES June 4,2005.
Permit issued on December 6,2004
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. -
Owner or agent: ii i--)
Date:
J ?j11O
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City of Federal Way Building - Commercial Permit#: 04 - 103207 - 00 - CO
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: CINj�ULAR @ SOUTH 288TH STREET
Project Address: 2840 MARY RD S Parcel Number:332204 9141
Project Description: ADD- Construction of an unstaffed radio telecom facility consisting of a 3-sector antenna array
mounted on the existing water tank&concealed behind a screen wall painted to match the tank,with
radio equipment on a concrete slab within a 6-foot high,
Owner Applicant Contractor Lender
LAKEHAVEN UTILITY DISTRIC CINGULAR WIRELESS LLC RTB CONTRACTING,INC CINGULAR WIRELESS LLC
PO Box 4249 CINGULAR WIRELESS LLC RTBCOI*032R9(10/13/06) CINGULAR WIRELESS LLC
2445 140TH AVE N UNIT 202 309 S CLOVERDALE ST B-22 2445 140TH AVE N UNIT 202
PO Box 4249 !Federal Way,WA 98( BELLEVUE WA 98005 FEDERAL WAY WA BELLEVUE WA 98005
Includes:
Census category: 329-New st #1 #2 ' #3 7 #4
Occupancy Group: I
LConstruction Type: __ ___ 1 J
Occupancy Load: --
Floor Area(Sq.Ft.): — —— — �,.__-
Census Category 329-New structure other that Mechanical No
Permit for Building Shell Only No Plumbing... No
Will Certificate of Occupancy be Issued? No Sensitive Areas? No
PERMIT EXPIRES April 6,2005.
Permit issued on October 8,2004
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. Iii
Owner or agent: 4. : / Date: ! $ — 0 y
. THIS CARD IS T,O•MAIN ON-SITE
CITY OF tommunity Development Inspection ecord
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-103207-00-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.
rBy_‘__.
Footings/Setback(4110) ❑ Foundation Wall(4115) ❑ Drainage/Downspout(4040)
Approv d to place concrete Approved to place concrete Approved to backfill
Date/v. Z 8_a f l By Date By Date
•
❑ Re-steel(4215) 0 Plumbing Groundwork(4190) 0 Slab/Concrete Floor(4255)
Approved to place concrete or grout Approved to cover Approved to place concrete
By Date By Date By Date
•
O Underfloor Framing(4285) ❑ Floor Sheathing(4105) s '❑ Shear Walls(4245) —I
Approved to sheath floor Approved to install flooring Approved to install siding
By Date By Date By Date
O Roof Sheathing(4220) 0 Fire/Draft Stops(4095) NOTE: Prior to scheduling a Framing(4120)
Approved to install roofing Approved inspection;Electrical,Plumbing&Mechanical
Rough-in and Fire/Draft Stop inspections must be
By Date By Date signed-off and approved. IBC 1093.4/UBC 108.5.4
•
❑ Framing(4120) 0 Insulation(4150) 0 Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date By Date By Date
❑ Suspended Ceiling Grid(4265) 0 Final-Fire Department(4060) 0 Final-Planning(4070)
Approved to drop tile Approved Approved
By Date By Date By Date
O Final-Public Works(4080) (❑ Final-Building(4050) .
Approved Approved
By Date By 2j `�1- Date //16
� y- - ( O 3 a D 3-
Federal ay1-1EcEipERMIT
• MF( ME EL PL DE EN FP
COMMIlM1Y DEVELOPMENT SERVICES
33530 FIRST WAY SOUTH•PO BOX 9718 10 OA P P L I C AT I O N TD / /
I S3-6E� 5•FAX 253-661-4129'1
www.dtt offederahoaq.com
The oilowin. -•iitlC• ° RA,-Yrt-an inco •Tete a•.lication will not be acce•ted. Please •rint le•ibl
_(E ' :t•;,�r (in ink)or v
e2 PROPERTY INFORMATION
SITE ADDRESS Z 8 4 .C1't(r4g y RD�7 a SUITE/UNIT#
ASSESSOR'S TAX/PARC 3 3 2- a4 4 - J z- e) 7 LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) 6Or 3, FS go . 107(o°35.---y.ev,Sr'oti , Qec. ,-6. 781z121657
(Attach separate page for lengthy legal descnpeon)
- PROJECT INFORMATION
TYPE OF PERMIT j9(BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
61•4 604.A-4 WeeeLE5 , 1..44 PieoPo5e.*, 7v Coa0Tie uC.T AK UAf',TAtcF,..n ,P,4p(0
TOLE Corr/-i v,((44)—(ONs ,=4C IL(rr CoA( 5t57?At& o,= A 71f—' Et 7je.
,4,ce -6/4,'c14 44,eAY flouKTEv CA( 74S(E Ex(S77, '(, G('447 ,€ 7',4"1,e AAfp COAG 4L,c'-P
,SNigp 4 C.P6 ./.( 40444 P4-/K7-iA.* to 114reel rbia 7'4 Nk/ (4/TN /e4p(O ,EIQV/?rroAr
o�c( A coNC.E74 SCA j3 c)/77./,N 4 AsAz e. . Got no '/ .
PROJECT NAME(Name of Business or Owner Last Name) C//t(e,o4,4 £ six/7w zeeri-/ •7-04-.6-7-- W4 -s76,-DI
PEOPLE INFORMATION
PROPERTY NAMEPRIMARY PHONE
OWNER LAIL,EM4YEA( 077z-try Z 7- (cr (253 ) 94( -5444
MAILIA ADDRESS CITY,STATE,ZIP
.O, >ox 4249 /cez,e,4L WAY, WA 9SD63
« CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
7-6.? ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
- B L / / ( ) -
CONTRACTOR'S REGISTRAI JMBER(copy of cud required with each application( EXPIRATION DATE
/ I
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
C4/AI1..-vLA,Ip I/s7/le• 1.ELLc 6 u5,tcnc ,eif-1$Qootos? ( 20(0) 5S/ - 4032
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
7'
244s- /40 '/ A . NN *t'oz ipJ� G c, E vUaa 7 WA 9$0DS ( )4/4/ e -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 'Tenant 0 Agent 0 Other(Describe) (2o(p ) 3ZZ - /75-3
CONTACT NAME ,--5PRIMARY PHONE E-MAIL ADDRESS
p c/ /`'IEGK[.aie_ (Zo(r,) 3g 4 - 2 4 S4 rut eek(er Ikearlar:svr»�P,cert'
LENDER Per RCW 19.27.095: Lender information is NAME
required if project value exceeds$5,000 'JJ�/r�r
MAILING ADDRESS CITY,STATE,ZIP
/, DETAILED BUILDING INFORMATION .
EXISTING USE I 774-17"7"- e,',4roe 47-ViE46E 774N< PROPOSED USE P *V1/44- Meal ESj '646` Vie.6- I5iLJTY
EXISTING ASSESSED/APPRAISED VALUE $ 45" Ofib VALUE OF PROPOSED WORK $ S'S, "-"z)O
SPRINKLERED BUILDING? ❑ YES ,(NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES X NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) /0
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) NA-
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOS 'D SQ.FT. TOTAL
BASEMENT
FIRST 2/290 dos- Z I'!, 9c
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRI1- OF T��,_ 5,3 5-3
DECK(COVERED?) J
GARAGE/CARPORT
TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
HOW MANY FLOORS?
PARK /5 89.7 M40-I 2, 290 4(5$ Z )74 g
"'NEW HOMES ONLY"` NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
- - FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL D
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commercial) W OODSTOV ES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower combo) SHOWERS WATER CLOSETS iroaeq MISC(Descnbe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS il►
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 �j / '
NAME/TITLE G4/ P44/4/s!E/. DATE . ///Zv'O 4-
(Signature)
/ (Title) [!!
RELATIONSHIP TO PROJECT 0 Owner 0 Agent 0 Contractor 0 Architect o Other
FOR OFFICE USE ONLY
a NEW ❑ADDITION a ALTERATION a REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? ❑YES a NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? ❑YES a NO UP/SEPA/SU? a YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Revised\Permit Application