15-102913 • OBuilcing - Commercial
City&Federal S LE
Permit #: 15 102913-00=CO
Community�Econ.Dev.Services � �
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (2
53)835-3050
Project Name: T-MOBILE-SE04753A TWIN LAKES BPA
Project Address: 1429 SW 349TH ST Parcel Number: 542242 0010
Project Description: ADD-Modifications to existing PWSF site by upgrading with LTE antennas and adding
ancillary equipment per plans.
Owner Applicant Contractor Lender
T-MOBILE USA INC AMANDA NATIONS LEGACY
12920 SE 38TH ST TA E C(TECHNOLOGY TELECOMMUNICATIONS INC
BELLEVUE WA 98006 ASSOCIATES E C) (ELECTRICAL)
4122 FACTORIA BLVD SE LEGACTI892J9(5/10/17)
BELLEVUE WA 98006 15051 KAY GRESETH AVE SE
OLALLA WA 98359 J
Census Category: 437-Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load •
Floor Area(sq.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!!
PERMIT EXPIRES Tuesday, February 9, 2016
Permit Issued on Thursday,August 13, 2015
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. / 3 /
Owner or agent / i (1164/6(4 Date:"(%/( / 15
F:vt akGoll
0 THIS CARD IS TO grAlisT
ON-SITE .4 _
CITY OF � � Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 15-102913-00-CO Address: 1429 SW 349TH ST
Project: T-MOBILE USA INC FEDERAL WAY, WA 98023-7025
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 SWM Precon Site Mtg(4400) ' ❑ Initial Erosion Control(4365) CI Footings/Setback(4110)
Approved To be done prior to breaking ground Approved to place concrete
By Date By Date By Date
O Foundation Wall(4115) 0 Drainage/Downspout(4040) 0Re-steel(4215)
Approved to place concrete Approved to backfill Approved to place concrete or grout
By Date By Date By Date
O Slab/Concrete Floor(4255) ❑ Underfloor Framing(4285) 0 Floor Sheathing(4105)
Approved to place concrete Approved to sheath floor Approved to install flooring
By Date By Date By Date
0 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
O Interim Erosion Control(4370)
Prior to scheduling a Framing inspection; , 0 Framing(4120)
ApprovedApproved to insulate
Electrical,Plumbing&Mechanical Rough-in and
Fire/Draft Stop inspections must be signed-off and
By Date approved. IBC 1093.4 By Date
1
O 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
,
O Final-S K F&R(4060) 0 Final-Planning ❑ Final Erosion Control(4375)
Approved Approved Approved
By Date By Date By Date
❑ Final-Building(4050)
Approved
By ,91,„\ Date 2I 3)1(.1
O Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
•
REED110
CITV� JUN 16 2015 PERMIT APPLICATION
Federal Way
CITY OF FEDERAL WAY /174
PERMIT NUMBER 1 O CDS 2 q I -3 C o
TARGET DATE
SITE ADDRESS SUITE/UNIT S
1425 SW 349th Street
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL S
$ 55,000 RS7.2 5 5 2 2 4 2 _ 0 9 0 0
TYPE OF PERMIT (BUILDING ❑ PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT T-Mobile Twin Lakes
Replacement of T-Mobile panel antennas and associated equipment attached to
PROJECT DESCRIPTION
Detailed description of work to a BPA tower
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER Madrona Meadows Home Owners Assoc. 253-815-1838
35202 ADDRESS
PI SW
Federal Way WATE 8023
NAME TBD PHONE
MAILING ADDRESS E-MAD.
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME ONE
Amanda Nations/TAEC for T-Mobile 206-778-1548
APPLICANT MAILING ADDRESS E-MAIL
4122 Factoria Blvd SE amanda.nations@taec.net
CITY Bellevue STATE ZIP FAX
WA 98006
PROJECT CONTACT NAME Amanda Nations/TAEC for T-Mobile PRIMARY PHONE
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
PROJECT FINANCING NAME 0 OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorised 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 authorised 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 / 1 application.�
SIGNATURE: I i //V/L��/V DATE
PRINT NAME: Amanda Nations
Bulletin#100-January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
w IP
Al:
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT k i (` $
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(Commeromeq
BOILERS FURNACES HOT WATER TANKS p..)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT f $
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.
BATHTUBS(or Tub/shower Combo) LAVS(Mend smke( TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(1vtehen/Util t WATER HEATERS(Eleotno(
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
P 0 N( (', P \ P- $ , oo d
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPtES ON SYSTEM?
A ,G f. ❑YesyNo ❑Yes o
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 0 CARPORT 0
OTHER(describe)
1:nsrn0 PROPOINIZ1 TOTAL
Area Totals
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Groups) Construction #of Additional Information
in Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Groupls) Construction #of Additional Information
in Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100-January 1,2013 Page 2 of 3 k:\Handouts\Permit Application