09-102443 Building - Coii�`nzercial
City of Federal Way
Community Development Services Permit #: 09-102443-00-CO
P.O.Box 9718 - ^ .
Federal-260, F Inspection Request Line: (253) 835-3050 98063-9718 e
Ph:(253)835-2607 Fax (253)835-2609 ---
Project Name: CLEARWIRE STAR LAKE (WA-TAC 163-D)
Project Address: 2649 S STAR LAKE RD Parcel Number: 720480 0041
Project Description: ALT- upgrade technology of existing wireless broadband facility by replacing the(3)
existing antennas and adding(3)RRU units and(12)diplexers on the existing mounts of the
watertank.A new conduit is proposed from the cabinet to the new RRU's
Owner Applicant Contractor Lender
HIGHLINE WATER DISTRICT JUSTIN ABBOTT CLEARWIRE LLC CLEARWIRE LLC
23828 30TH AVE S CLEARWIRE LLC 4400 CARILLON POINT 4400 CARILLON POINT
KENT WA 4400 CARILLON POINT KIRKLAND WA 98033 KIRKLAND WA 98033
98032-2821 KIRKLAND WA 98033
Census Category: 437 - Commercial alt/add/conversion
Includes: #1 #2 #3 #4
cupancy Class:
Construction Type:
OactrAily Load: r„
Floor (sq ft.) t 0 - 0 = 017:-
Mri„' s
...
Mechanical to be Included? No Number of Stories 1 PLO
Permit for Building Shell Only? No Plumbing to be Included? No
Sensitive Areas?(Wetlands/Slopes,etc) No Zoning Designation RS 7.2
No--‘*'-i':ii,:kPAlfrixtures Associated it AT tis=Permit II
PERMIT EXPIRES Sunday, January 10, 2010
Permit Issued on Tuesday, July 14, 2009
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
C� and the City of Federal Way.
Owner or agent: `GD Date: '7 ) t'i I 01
9j).
F/M101•8 ) Mo
THIS CARD IS TO MAIN ON-SITE
•
CITY OF • Construction I ection Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 09-102443-00-CO Address: 2649 S STAR LAKE RD
Owner: FEDERAL WAY,WA 98003-6919
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.
�. Footings/Setback(4110) El 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) El 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) Shear Walls(4245) Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By Date
•
0 Fire/Draft Stops(4095) Prior to scheduling a Framing inspection; • Framing(4120)
• Approved Electrical,Plumbing&Mechanical Rough-in and Approved to insulate
Fire/Draft Stop inspections must be signed-off and
By Date approved. IBC 1093.4 By Date
C Insulation (4150) J Gypsum Wallboard Nailing(4130) 0 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) Final-Public Works(4080) ;
Approved Approved Approved
By Date By Date By Date
0 Final-Building(4050)
Approved
By (i*Z..,,/ Date f*,
•
•
•
•
For inspector reference only
0 Rough Electrical ❑ FINAL-Electrical
Approved Approved •
By Date By Date
.,..A RECEI D
• eaerai Way PERMIT ��
COMMUMTYDEVELOPMENT SERVICES
JUN 2 9 20i'9 SF MF CO ME EL PL DE EN FP
33325 MN AVENUEASOUTH•PO BOX 9718 �D AT I O N
FEDERAL 2 WAY,WA 98063A718 O F FE D�E LI ,ATIC r
/ / ?�
+ 253-8352607•AAX 253 dtgreluxt.
following CDS
The
f wing required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS 2- (a 1-4•9 S . S+a e Lex 4c t RD ad SUITE/UNIT It
ASSESSOR'S TAX/PARCEL# —12 0 1{ 8 o - 0 0 4- 1 LOT SIZE(sf
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) '- a do v, d o N e i 7 k`FS '.4 a+e r' Y£5 t✓✓o j V
//• PROJECT INFORMATION
TYPE OF PERMIT B'BUTLDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITIO I 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION description o o i included
«)
(Provide detailed des teon work vlcdeded on this permit onlu) % � y
Upgi te. #ectilr,oto, Li o4 wireieSS broaotbitttd -Faci (i+I I t
rep lac i h +k.e 3 e.x,s-1;K et4t+c nn as t•-)ii-IN 3 a--t-k Ye i►,
� PAKc.�l
aIn +e.hn.p gild ct.dp1 3 izRtK u�;+S 4.4 1. 1 - dtpluzerS oIt
4- e X S`}i h ss Wl D t.&vt1'S Owl '*Lt eJet+{ ✓4-* t Imo,, 4 0L e....) c o mA.ra.4 (3 II)
i s proposed -F‘ro.r, 44.e_, c4..; a.c,-I-, +o +fie n t J R e.U t s ,
PROJECT NAME(Name of Business or Owner Last Name) G t e",to tee!t r R., TA-C. ►(e 3
II PEOPLE INFORMATION
PROPERTY NAME
PRIMARY PHONE
OWNER Weiis%;in C ‘,.),..-#t.r Di S+r i LA- (2.06 ) 5 4 2 - 8904
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
23928 30*n A-ve. S. Ktr,+ j i.J14 98031.
CONTRACTOR COMPANY NAME APPLICANT,LAME OFFICE PHONE
•
-i-b d C.:t E C._t'K.:e L. 0-..,.S 4,h fkb bo i4 ( ) -
eMAILING ADDRESS Crn STATE,ZIP CELL PHONE
iss.. •n4.e clteC x... :, 110,, P+. . I.c;✓�cl�v.cl `i9C 3 ( zcL) -Tlo - �6SS'
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
( ) -
coHTRACTDR's RRalSTRATION NUMBER SRPIRATION DATE E-MAIL ADDRESS
APPLICANT COMPANY NAME , APPLICANT NAME QK ^ 1- ,� OFFICE PHONE !
� QrtSZ +ivg ettc.ri1ive 3u.s# v. moilett---\ (2.0♦ ) 790 - 4-GSS
MAILING ADDRESS 1 l CITY,STATE,ZIP CELL PHONE
5702 01iv8. In1e. SE l-i�bµyr tilt 9-8017- (zolD ) 190 -M S'S
RELATIONSHIP TO PROJECT �/. FAX NUMBER
0 Architect o Tenant W gent o Other ( ) -
PROJECT NAME PRIMARY PHONE E-MAIL
ADDRESS
CONTACT ( ) _
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE M.)a,.+tr1Z-CS L r VOi V /( Nr►t+eS S �
ac►1y PROPOSED USE (1 O c_�4iv)acL ..% u-S ('.,
EXISTING ASSESSED/APPRAISED VALUE$ r) /A VALUE OF PROPOSED WORK $ 4, 1000
SPR NKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC) `
NJ A-
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS marc P110101110 TOTAL TOTAL ATITIMMISer TOTAL rsoroe=er mrecer •
"NEW HOMES ONLY"" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FLXTURES
) t'. Indicate number of each type of fixture to be installed or relocated as part of this project Do not include existing fixtures to remain.
MECBA11IICAL
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(comma_
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
•
BATHTUBS(or n,s/sm.acomcq • LAVE m Shiba URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS Iroee
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
•
SIGNATURE
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 certi .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 Wag as to any claim(including costs, expanses, 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 cityincluding its officers and employees,upon the accuracy of the information supplied to
the city as apart of this
rn.SIGNATURE: DATE (p 12.to 10
Property Owner and/or Authorized Agent
a NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES a.NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES a NO
- PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—January 1,2009 Page 2 of 4 k\Handouts\Permit Application