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HomeMy WebLinkAboutPermit MI02-049 - VOICESTREAM WIRELESS - ANTENNA• VOICESTREAM ANTENNA 12201 TIB M102-049 • . t1.1;x49:, City of rilkil a Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 MISCELLANEOUS PERMIT Parcel No.: 0923049367 Address: 12301 TUKWILA INTERNATIONAL BL TUKW Suite No: Permit Number: Issue Date: Permit Expires On: Tenants Name: VOICESTREAM WIRELESS Address: 12301 TUKWILA INTERNATIONAL BL, TUKWILA, WA Owner: Name: Address: Contact Person: Name: Address: SABEY DAVID A & SANDRA L 101 ELLIOTT AV W #330, SEATTLE WA PAUL WOZNIAK ODELIA PACIFIC, 208 WESTLAKE AVE N Contractor: Name: LEBLANC BROADCAST INC Address: 1390 OVERLOOK DRIVE, LAFAYETTE, CO Contractor License No: LEBLABI011M0 M102-049 07/15/2002 01/11/2003 Phone: 206 281 -8700 Phone: 206-793-1077 Phone: Expiration Date: 12/06/2003 DESCRIPTION OF WORK: ATTACH TELECOMMUNICATION ANTENNA TO EXISTING ROOFTOP SCREEN WALL AND PAINT TO MATCH SCREEN WALL. Value of Construction: Type of Fire Protection: Type of Construction: $50,000,00 Fees Collected: Uniform Building Code Edition: Occupancy per UBC: $1,066,69 1997 0016 Public Works Activities: Curb Cut/Access/Sldewaik/CSS: Fire Loop Hydrant: Flood Control Zone: Hauling: Land Altering: Landscape Irrigation: Moving Oversize Load: Sanitary Side Sewer: Sewer Main Extension: Storm Drainage: Street Use: Water Main Extension: Water Meter: Channelization / Striping: N N N N N N N N N N N Number: 0 Start Time: Volumes: Cut 0 c.y. Start Time: Private: Private: ** Continued Next Page ** Size (Inches): 0 End Time: Fill 0 c,y. End Time: Public: Public: doc: Miscperm M102 -049 Printed: 07- 15.2002 1§ mai City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (208) 431 -3670 Permit Center Authorized Signature:,__, Date: 7"Arl "L. I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating const . ipn or the perfo . ance of work. I am authorized to sign and obtain this mechanical permit. Signature: Print Name: Date: This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work Is suspended or abandoned for a period of 180 days from the last inspection, doc: Mlscperm M102.049 Printed: 07- 15.2002 .E Ir -•4) City of Tukwila Department of Community Development / 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 PERMIT CONDITIONS Parcel No,: 0923049367 Address: 12301 TUKWILA INTERNATIONAL BL TUKW Suite No: Tenant: VOICESTREAM WIRELESS Permit Number: Status: Applied Date: Issue Date: M 102 -049 ISSUED 04/17/2002 07/15 /2002 1: ** *BUILDING DEPARTMENT* ** 2: No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division. 3: Electrical permits shall be obtained through the Washington State Division of Labor and Industries and all electrical work will be inspected by that agency (206. 835.1111). 4: All permits, inspection records, and approved plans shall be available at the job site prior to the start of any construction. These documents are to be maintained and available until final inspection approval is granted. 5: All structural welding shall be done by W.A.B.O. certified welders and special Inspected (UBC - Sec. 306(a)5). 6: When special Inspection is required either the owner, architect or engineer shall notify the Tukwila Building Division of appointment of the inspection agencies prior to the first building Inspection, Copies of all special inspection reports shall be submitted to the Building Division In a timely manner. Reports shall contain address, project name, permit number and type of inspection being performed. 7: The special Inspector shall submit a final signed report stating whether the work requiring special Inspection was, to the best of the Inspector's knowledge, In conformance with approved plans and specifications and the applicable workmanship provisions of the UBC, 8: All construction to be done in conformance with approved plans and requirements of the Uniform Building Code (1997 Edition) as amended, Uniform Mechanical Code (1997 Edition), and Washington State Energy Code (1997 Edition). 9: Validity of Permit. The issuance of a permit or approval of plans, specifications, and computations shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the building code or of any other ordinance of the jurisdiction. No permit presuming to give authority to violate or cancel the provisions of this code shall be valid. 1 hereby certify that I have read these conditions and will comply with them as outlined, All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provision of any other work or local laws regulating construction or the performance of work. Signature: Print Name: ../97/h 6 Date: .<//i5/ecvl doc: Conditions M102-049 Printed: 07.15.2002 1§ CITY OF T' -I KWI LA Permit Center 6300 Soutlicenter Boulevard, Suite 100 Tukwila, WA 98188 (206) 431 -3670 Miscellaneous Permit Application Application and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or facsimile. Project Name/Tenant: itoic.G�.�trea.rn. SE. 354.5A Value of onstruction: of 060 Site Address :' _1 2 oLlaize acejl City State /Zip: S. K. 1 9'I6 Tax Parcel Number: 9a3c' 0 Pr erty Owner: -- - -rte, ., *-cam -A.,-) G e... .fllb Phone: ( ) VIMIIMI Street Address: . a01 -- ', Cit State/Zip: Fax #: ( ) Phone: ( ) i (.14 gPiiii Contractor: rid o 0 Sewer 0 Metro Street Address: City State /Zip: Fax #: ( ) Architect: / Phone: 4as ) aid - O /l6 Co "r Street Address: ��� a� A tre. N ��7 Cit �' 5tate/Zi K 1..4A.i„",,.,� G/4 1 '5' 643 Fax #: ( ) Engineer: / ��, Phone: ,1�.� 5 `d - f7 rig' Street Address: City State/Z' : Fax #: ( ) C tact Person: f t Ur e. et C.. I Phone: (V06) -7 e. -7 0 Street Address: City State/Zip: c� Fax #: (lv� ) - MISCELLANEOUS PERMIT REVIEW AND APPROVAL RE UESTED: (TO BE FILLED OUT ilYAPPLICANT) Description of work to be done (please be 5pet:ific): a2 ,r h • e /yV -A "ria Q e∎ to+✓ � wt -try t......ot...tg `.ca..4 u alt... 0ir►,".„.. .....s ' t ie..4 .y .s �.. •. ✓ s e- 14.0✓ . (Jo- /%.4.- , ..ea .✓<, �/- - - -.i:%1. !� Y� ! y A 4 _, + Will there be storage of flammable/combustible hazardous material in the building? ❑ yes no Attach list of materials and store: e location on se prate 8 1/2 X 11 ,n ier indiction : r uantltles & Material Snfet Data Sheets Phone: ■ Above Ground Tanks ►� Antennas/Satellite dishes 1 Bulkhead /Docks • Commercial Reroof ❑ Demolition ❑ Fence ❑ Manufactured Housin •Replacement only ❑ Parkin; Lots ❑ Retainin, Will ❑ Tem iora Facilities LID Tree Cuttln, VIMIIMI Address: ChannullzatIon /Striping ❑ Flood Control Zone ❑ Landscape Irrigation ❑ Storm Drainage ❑ Water Motor /Exempt # ❑ Water Meter /Permanent # ❑ Water Motor Temp # Curb cut/Access/Sldewalk ■ Fire Loop /Hydrant (main to vault)#; Sizels): ❑ Lund Altering: 0 Cut cubic yards 0 Fill _cubic yards 0 sq, ft,grading/clearing ❑ Sanitary Side Sewer It: ❑ Sewer Main Extension Private 0 Public ❑ Street Use ❑ Water Main Extension 0 Private 0 Public Size(s): - 0 Deduct 0 Water Only Sizo(s): Slzo(s); Est, quantity: gal Schedule: Miscellaneous ❑ Having Oversized Load /Hauling MONTHLY SERVICE BILLINGS TO: Name: Phone: VIMIIMI Address: City /Sta c/Zlp: 0 Water 0 Sewer 0 Metro 0 Standby WATER METER DEPOSIT/REFUND BILLING: Value of Construction • In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed possible revision by the Permit Center to comply with current fee schedules, Expiration of Plan Review • Applications for which no permit is issued within 180 days following the date of application shall expire building official may extend the time for action by the applicant for a period not exceeding 180 days upon written request by the in Section 107,4 of the Uniform Building Code (current edition). No application shall be extended more than once. and is subject to by limitation. The applicant as defined Date application accepted: 9/9/99 miscpmf.doc Date application expires: /017 -0-- Application, taken by: (initials) ALL MISCELLANEOUS P IT APPLICATIONS MUST BE SUBMI WITH THE FOLLOWING: rt ' AIL DRAWINGS SHALL BE AT A LEGIBLE SCALE AND NEATLY DRAWN the .•4I , Iitl1LDIId`6 SITE OLANg AND UTILITY PLANS ARE TO BE COMBINED > ARCHITECTURAL DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED ARCHITECT > STRUCTURAL CALCULATIONS AND DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED STRUCTURAL ENGINEER > CIVIL/SITE PLAN DRAWINGS REQUIRE STAMP BY WASHINGTON LICENSED CIVIL ENGINEER (P.E.) Current copy of Washington State Department of Labor and Industries Vaiid •Contractor'' License. If not available at the time of application, a copy of this license will be required before the permit is issued, unless the homeowner will be the builder OR submit Form H•4, "Affidavit in Lieu of Contractor Registration ". ,Building Owner /Authorized Agent If the applicant is other than the owner, registered archltoctengineer, or contractor licensed by the State of Washington, n notarized letter from the, property owner authorizing the agent to submit this _permit application and obtain the . ormit will be re ulrod as • art of this submittal, I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PER JURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING • V/ij:r•L i! i, • IZED AGENT: AIIA MiliN1I1 AI PI I( A11ON AND 121 QUIRE() ( 11E( KIM'S 1OR PERMIT REVIEW Submit checklist No: M -9 Above Ground Tanks /Water Tanks - Supported directly upon grade exceeding 5,000 gallons and a ratio of height to diameter or width which exceeds 2:1: 0 Antennas /Satellite Dishes • Submit checklist No: M -1 ci Bulkhead /Dock Submit checklist No: • M -10 0 _ Commercial Reroof Submit checklist No: M -6 0 Demolition Submit checklist No: M -3 0 Fences - Over 6'feet in Height Submit checklist No: M -9 , ' a Land Altering/Grading/Preloads Submit checklist No: M -2 Miscellaneous Public Works Permits Submit checklist No: H -9.. Manufactured Housing (RED INSIGNIA ONLY) Submit checklist No: M -5 Moving Oversized Load /Hauling Submit checklist No: M -5 c3 :Parking•Ldts :' 1 • Submit checklist No: M-4 o Retaining Walls - Over 4 feet in height Submit checklist No :. M -1 c Temporary Facilities Submit checklist No: M -7 Tree Cutting Submit checklist No: M -2 Current copy of Washington State Department of Labor and Industries Vaiid •Contractor'' License. If not available at the time of application, a copy of this license will be required before the permit is issued, unless the homeowner will be the builder OR submit Form H•4, "Affidavit in Lieu of Contractor Registration ". ,Building Owner /Authorized Agent If the applicant is other than the owner, registered archltoctengineer, or contractor licensed by the State of Washington, n notarized letter from the, property owner authorizing the agent to submit this _permit application and obtain the . ormit will be re ulrod as • art of this submittal, I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PER JURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING • V/ij:r•L i! i, • IZED AGENT: AIIA pale: Signature: 4 .I 4,.. Print name: 17 '�%a 1 . IA Phone: (9,06) _ o )4 49 -3g Addres . ..s•Y� .E.ka2 /lye, ill City /State/2 i e , . # i, f/ 1 e`i e, 9/9/99 mircpnadoc City of 7 ukwila 6300 Southcenter BL, Suite 100 / Tukwila, WA 98188 / (206) 431 -3670 RECEIPT Parcel No,: 0923049120 Address: 12201 TUKWILA INTERNATIONAL 81 TUKW Suite No: Applicant: VOICESTREAM SE3545A Permit Number: M102 -049 Status: PENDING Applied Date: 04/17/2002 Issue Date: Receipt No,: R020000576 Initials: SKS User ID: 1165 Payment Amount: 1,066469 Payment Date: 05/01/2002 12:13 PM Balance: $0.00 Payee: VOICESTREAM TRANSACTION LIST: Amount Typo Method Description Payment Check 010052 1,066, 69 ACCOUNT ITEM LIST: Description Account Code Currant Pmt BUILDING - NONRES PLAN CHECK - NONRES STATE BUILDING SURCHARGE 000/322.100 000/345.830 000/386,904 643.75 418.44 4.50 Total: 1,066.69 . :,i : v 0%. '+,2 171.6 TOTAL AL 1.066 69 doc Receipt d"iteerer,,f✓>zMtes:A:vsrlro:: a. >,.�..�,gr._; f:Ja,,;,`,wxk [s::'ki•, -. Fh- px:y»x, Printed: 05.01 -2002 INSPECTION RECORD Retain a copy with permit ITY OF TUKWILA BUILDING DIVISION 6300 Southcenter BIvd,, #100, Tukwila, WA 98188 ype o,i nspecdon: Date a e : ate TTante (206)431.3670 R (qualm': Tchrflict- 670 coq roved poi applIeabla codes. CorrectIons required prior to approval, .I REINSPECII • FEE REQUIRED. Pr or to Inspection, fee must be d at b300 Southce er Blvd., Suite 100 CaII to schedule reinspection. Date; Kec� pt No.: „.a INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431.3670 ro ect: 11 . _. i( no t \JI ype o nspectt . �r n: FDate Ca le • : pecla nstruct ons: = TT equest r 1C (o' 1 - 0Approved per applicable codes. Corrections required prior to approval. ctor: Date: 10 4 .00 REINSPECTION EE REQUIRED. Prio to inspection, fee must be p. d at 6300 Southcenter Blvd., Suite 100. all to schedule reinspection, Receipt No.: Date: (3§ it 04/02/2002 17:48 FAX 20e28299b1 shb�i t.uni 03/27/02 MED 10:28 1AX 4268887,6 " "T1 WW /PC5 Seattle 7 /22/2002 Flk1 011:02 FAi 208 4tio , s obELla PACIV!C CORP CITY OF TVKWILA bepmtwrost oretup,m iiity Dcnllpsv$1 moo seutheertterJwlevard, Ord QI Q 7'ot/sphone: (20d) 131 -3670 P4% polo 43I4665 Emma; ; jj pinelt.mitwil AZIIDAVJI' OY OWNVR 1W AND HOLD HARMLESS 'PERMISSION TO EL4TZA ? (OPPMTY STATE UP WAININUV MINTY are KENO TN* undarNSprl holes duly a*+nt one open emit IMAM el Mews: 1. 1 ate current Ai nawol%. ppprty +N+tah II the subjeur of this opplbatlen, All etr tan.nu sentelner le the , _ . • - been . et • nu stet err we end neuter t 3. no yplltetlen le hems submitted Veldt "''"` - so and cement. 4. chow snob the ON au 'yaw, 1sim • onslot!erm, euhettmers or *duet reptost000dvoo d t1Aht+e hour upon Owttnr's rtrol oneneny, lamed u t . , ; : attic), Washington. ar duo Inurpesr *ran twiwa, r the tbtttreed me MOON w somplsi drm , •.ee, 1, Owner sR•eo to MW dr. City bunion lbr+nr Ion or tiotos!►o to MANN in Wiiy.nr eeettrins ell the pttvm a property dudes die Chris tenth/ uime dm pr•norri. wiles' the tau erdump is +M SIM I eid+r "IS nopllp►ot0 olds C►ty, d. The alt F shin, it W dlmtation. ortruml the Imeedn.i whlmwflMuud or dim Truro soplitant dote tot retpund to so.eifls Iequals rhr home in the "C nslero Anfdluatetn Cb Pllit" '. nlMb Cop d os, 1, )ielt.no Mlvenasm to sett, Inflow/idol Mak ibr ninmti (Ito) or mom tfeys. shell ti.arw w algid as App11r4t.ute) wldttsrt ,dire/ ernes, IIMICUTI!Oit Saartla tO. hs..aGnte)..a MI1 b. 2-7 2O0 ..1.11._,.,m.,,.11, At ahit deny pon idly ttcfein do 19am tateorred too sends ins sera And Amirns*lediped purp.men mantlefwl *mini deffelff.11MTIMICKIJ i4t oN'rNlii 'STATE OF WASHINGTON NOTARY -•••- PUBLIC IIY CO$ Ia ID$ EKI'ltIE612 -18.06 I)O02 LLC INTERNATIONAL GATEWAY WEST , Sy Sally porat on, anagor 1? pl Tukwila 1t rem atj�ticsta E vd„. Pa ru ,th Pl., Vra•mofSealatCial<, WA 98168-5121 (rh•n...•• =ah talgr.,ln) hJ : , ea ' . arson, . 0 ; 0 . ay ar nailer of International. Gateway •, t v art juM+wr to be the Individual who • Isms'rEWtndMtory set end dema RN At was rood N. Na 27th DAY or wadding at Mtr Coniddrilm m$pifur on I O —i - 0 S- CITYROFETUE, pWILA PERMIT CENTER MIOa- 049 est LLC iI(razan & ASSOCIATES, INC. RECEIVED OCT 0 9 2002 GEOTECHNiCAL ENGINEERING) • ENVIRONMENTAL ENOINEERiNsMMUNIEY CONSTRUCTION TESTING & INSPECTION ELOPMENT October 3, 2002 Mr. Meriland Dillard LNI -LAN NETWORK SERVICES 98 Union Street, Suite 314 Seattle, Washington 98101 RE: Final Letter Pacific Highway Enter Gate — Cell Tower 12201 Pacific Highway Tukwila, Washington Dear Mr. Dillard, KA No. 096.02251 Permit No, M102-049 • In accordance with your request and authorization, we have performed periodic special testing and inspection services for the above referenced project. The special inspections for this project were: • Steel Fabrication • Structural Welding To the best of our knowiedge, the above referenced items have been found to be in general accordance with the approved plans and specifications, If you have any questions or if we can be of further assistance, please do not hesitate to contact our office at (425) 485.5519, Respectfully submitted, KRAZAN & ASSOCIATES, INC. Sean Caraway, P.E. Project Engineer Pacific Northwest Division scrod cc: CITY OF TUKWIL S Offices Serving The Western United States 19501 -144`h Avenue NE # F.300 • Woodinville, Washington 98072 • (425) 485.5519 • Fax (425) 485.6837 09602231 finalktt «.dos 1I(raZan & ASSOCIATES, INC, GEOTECHNICAL ENGINEERING • ENVIRONMENTAL ENGINEERING CONSTRUCTION TESTING & INSPECTION September 30, 2002 Mr, Merlland Dillard LNI -LAN NETWORK SERVICES 98 Union Street, Suite 314 Seattle, Washington 98101 RECEIVED OCT 0 4 2002i COMMUNITY PEVELOPMENT RE: Construction Testing and Inspection Pacific Highway Enter Gate -- Cell Tower 12305 Pacific Highway Tukwila, Washington KA No. 094.02251 Perrnit No. M102.049 Dear Mr. Dillard, In accordance with your request and authorization, our firm performed construction testing and inspection for the above - referenced project, The inspections were performed by our inspectors on September 25, 2002. The following report is attached: • Report 17801 dated September 25, 2002 If you have any questions or if we can be of further assistance, please do not hesitate to contact our office, Respectfully submitted, ZAN & ASSOCIATES, INC. Sean Caraway, P.1;, Project Engineer Pacific Northwest Division SCibk Cos CITY OF TUKWILA Offices Serving The Western United States 19501 -- 140 Avenue NE i1 F -300 • Woodinville, Washington 98072 • (425) 485 -5519 • Fax (425) 485.6837 09602251 dft.doc FI 44111KraZan & '-elsociates, nc. NELJ FIEF.,,AT NO.: 17801 GEOTECHNICAL ENGINEERING • ENVIRONMENTAL ENGINEERING CONSTRUCTION TESTING AND INSPECTION DATE: q '° 25 •-• LIZ PROJECTS: ,___QA 6 _02.2‘51 PROJECT: r_4___C-Ar irnkAw...?_\14 9.G P! LOCATION: _WC, V ritbc.SVA KRAZAN PROJECT MANAGER: 41-- CONTRACTOR: PERMIT NO: INSPECTOR: JURISDICTION: TUKAL tte WEATHER: TEMP, LsuaL SIN.cck414 os-c• ‘1k6 w•-• \atk.7 3 . • .111•111MAIMOIIMMIIIIMIIIMIIMIN10/161(11111110/.1•11111.0=7.11.11=1/W iPLE:C=.1412‘22:1Z1-1■:. V”' szlracarratzses.riess. . - - • • .101■111.0111Illir- aintrIMMICSAL-11.1•S= "VIIIIS.1=1.1611•1.2V101:MMYSSMIT,••SC ,...e•astarllearamertertarar:mr 19....n...........r.•■•■■•••••■•■• •=tr.-- — To the beat of my knowledge, the abov Superintendent/Representative: WAS NOT performed In accordance with the approved s, s cifications, Technician; ?15 Wet Dakota Avenue, Clovis, Ca 93612 • (559) 348-240 4231 Foster Ave., Oakerslield, CA 93308 • (661) 633-2200 1025 Lone Palm Ave. Ste. a, Aforlosto. CA 95351 • (209) 572-2200 545 Parrott St., San Jose, CA 95112 • (408) 271-2200 123 Conunerce Circle, Sacramento, CA 95815 • (916) 564-2200 egulatery r eirernente. 226 N. Sherman, Ste. A, Corona, CA 92882 1501 15th Street NW, #106, Auburn, WA 98002 20714 State Hwy 305 N.E., Ste. 3C, Poulsbo, WA 98370 19501 144th Avenue NE # F-300, Woodinville, WA 98072 12816 N. E. 95th St., Ste. 8-100, Vancouver, WA 98682 • (909)549•1188 • (253) 939-2500 • (360) 598-2126 • (425)485-5579 • (360) 254-3200 OCT- 032002 02:05PM FRCM-KRAlAN AND ASSOC +425 - 485 -6837 T -050 P.002/002 F -083 41411Krazan &ASSOCIATES, INC. GEOTECNNICAL ENGINEERING • ENVIRONMENTAL ENGINEERING CONSTRUCTION TESTING & INSPECTION October 3, 2002 Mr. Meriland Dillard LN1 LAN NETW01uC Sat1VIC£5 98 Union Street, Suite 314 Seattle, Washington 98101 RE: Final Letter Pacific Highway Enter (into •- Cell Tower 12201 Pacific Highway 'Tukwila, Washington Dear Mr, Dillard, KA No. 096.02251 Permit No. M102.049 • In accordance with your request and authorization, we have performed periodic special testing and inspection services for the above referenced project, The special inspections for this project were or Steal Fabrication • Structural Welding To tho beat of our knowledge, the above referenced items have been found to be in general accordance with the approved plans and specifications, If you have any questions or it we can be of (Unbar assistance, please do not hesitate to contact our office et (425) 485.5519. Respectttiily submitted, KRAZAN k ASSOCIATES, INC. Sean Caraway, P,E, Project Engineer Pacific Northwest Division 6Gbd co; Care or TUKWuA Offices Serving The Western Visited States 19501 w 144 Avenua NE N F•300 • Wo4dinvlllr, Wot}tington 98072 • (425) 4854514 • Fax (425) 485.6837 v ;251 fig) r,nw da iKLraza &ASSOCIATES, INC. GEOTECHNICAL ENGINEERING • ENVIRONMENTAL ENGINEERING CONSTRUCTION TESTING & INSPECTION September 25, 2002 Mr. Meriland Dillard LNI -LAN NETWORK SERVICES 98 Union Street, Suite 314 Seattle, Washington 98101 RE: Construction Testing and Inspection Pacific Highway Enter Gate — Cell Tower 12305 Pacific Highway Tukwila, Washington RECEIVED OCT 0 2 2002' COMMUNITY DEVELOPMENT KA No. 096-02251 Dear Mr. Dillard, In accordance with your request and authorization, our firm performed construction testing and inspection for the above - referenced project. The inspections were performed by our inspectors on September 19, 2002. The following report is attached: • Report 1070 dated September 19, 2002 If you have any questions or if we can be of f trthcr assistance, please do not hesitate to contact our office, RespcotMly submitted, KRAZAN & ASSOCIATES, INC, Sean co ay, P. Project Engineer Pacific Northwest Division SC/bk co: CITY OF TUKWILA Offices Serving The Western United States 19501 — 144'b Avenue NE # F -300 • Woodinville, Washington 98072 • (425) 485 -5519 • Fax (425) 485.6837 09602231 dit.doc rf DATE: Kraz & Associates, Inc. GEOTECHNICAL ENGINEERING • ENVIRONMENTAL ENGINEERING CONSTRUCTION TESTING AND INSPECTION PROJECT It: PROJECT: LOCATION: KRAZAN PROJECT MANAGER' WELP'NG REPC.ISTNO.: 1070 CONTRACTOR: Li�'►v PERMIT NO: INSPECTOR: JURISDICTION: 7, � WEATHER: NQ • Cl FIELD Item(o needed: LHOP WELDING O M.T. D P.T. O V.T. ee: VERITCAL FCAW C.P. HORIZONTAL GMAW P.P, 8/15' TITLE 21 DoWeld BIN 3/18" �t� ,od.e: AW8 AIBC OVERHEAD 8AW PLUG 3/8" TITLE 24 Filler Motel -11 ® Other: 0 Other: O Other: UBC MIME To the best of my knowledge, the abo SuperintendenVRepresenlative: / WAS NOT performed In accordance with the approved pl s, specification Technician: • • 215 West Oakota Avenue, Clovis, Ca 93612 • (559) 348.2200 4231 Foster Ave., Bakersfield, CA 93308 • (661) 633.2200 1025 Lone Pam Ave. Ste. 2E, Modesto, CA 95351 • (209) 572.2200 545 Parrott St., San Jose, CA 95112 • (408) 271.2200 123 Commerce Circle, Sacramento, CA 95815 • (916) 564 -2200 nd regul: tory requirements. 226 N. Sherman, Ste. A, Corona, CA 92882 1501 15th Street NW, #106, Auburn, WA 98002 20714 State Hwy 305 N.E., Ste. 3C, Poulsbo, WA 98370 19501 144th Avenue NE # F -300, Woodinville, WA 98072 12816 N. E. 95th St., Ste. 8-100, Vancouver, WA 98682 • (909)549.1188 • (253) 939-2500 • (360) 598.2126 • (425)485.5519 • (360) 254.3200 et ea OCT -03 -2002 THU 05:47 PM CARTER BURGESS Carteraurgess October 3, 2002 FAX NO, 4258227246 P. 02/02 James Dunaway City of'Cukwila w 13uilding Division 6300 SouthCentcr Blvd #100 Tukwila, WA 98188 RN Voice Stream Wireless Site - S135451'acific Hwy & 116th 8525 120th Ave. NP Salle 200 Kirkland, Washington 98033 Phone: 425.822./096 raw 42S.822.7246 Emiil: www.c•b.com Mr, Dunaway, Ploasc accept this letter as a correction to our construction drawings for the proposed VoiceStrenni site, Si,3545 Pacific 14wy & 116th located at 12201 Pacific Highway South in Tukwila, WA. Our construction drawings stated that the construction address is at 12301 Pacific Highway South in Tukwila, WA. We received this address in crror from VoiceStream Wireless, Upon verification with VoiceStream Wireless this afternoon, the correct address is indeed 12201 Pacific Highway South in Tukwila, WA. 1 apologize for the inconvenience. Thank you for your kind consideration. If you have any questions, please feel free to call me nt (425) 471-3106. Sinceroly, oy Proj Cal rote Winger Burgess, Inc. 0 c,n,Icr 1 1luryotis, lur, Crnu:r n tsurJnss Consuttun'4 Inc. Nixon 8, laird ArchlIncts /Endincor,. P.C. Nixon & laird Archilocls /Enpinenrs, Inc. CU Nevado, Inc i!s PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: , PROJECT NAME: M102-049 Voicestream SE 3545A DATE: 04 -17 -02 SITE ADDRESS: 12201 International BI _.Original Plan Submittal Response to Incomplete Letter # Response to Correction Letter # Revision # After Permit Is Issued PEPARtMENI : BullciA vision er Public World _ �� Structurra G�k X11 DETERMINATION OF COMPLETENESS: (Tues., Thurs.) 611 Fire Prevention 2r • 'eft Plantrg C3ivis Permit Coordinator Complete d Comments: Incomplete DUE DATE: .iglatiL 2 Not Applicable ❑ Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:, Departments determined Incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES/THURS ROUTING: Please Route t Structural Review Required REVIEWER'S INITIALS: ❑ No further Review Required DATE: &P RQy,,,,ALS O„R CO CTIONS: Approved ❑ Notation: REVIEWER'S INITIALS: Approved with Conditions DUE DATE :_ 05- Not Approved (attach comments) ❑ DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg Q Fire ❑ Ping ❑ PW ❑ Staff Initials: Pocumentshouting slip.doc 2.28.02 PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: MI02 -049 DATE: 04- 1.7 -02 PROJECT NAME: Voicestream SE 3545A SITE ADDRESS: 12201 Jukwila_InternationalB.I. _, Original Plan Submittal _ _Response to Incomplete Letter #— ______ Response to Correction Letter #_ __revision # After Permit Is Issued 1EPAR MENTS: Building Division X Public Works ❑ Fire Prevention ❑ Structural Planning Division ❑ Permit Coordinator ❑ DETERMINATION OF COMPLETENESS: (Tues,, Thurs.) DUE DATE: Complete Comments: Incomplete ❑ Not Applicable ❑ Permit Center Use Only INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED: Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials;, TUES /THURS ROUTING: Please Route ❑ Structural R view Required 0 No further Review Required REVIEWER'S INITIALS: DATE: h,'RO /, ,LOR CORRECTION A: Approved ❑ Approved with Conditions Notation: REVIEWER'S INITIALS: DUE DATE: 054102 Not Approved (attach comments) ❑ DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire 0 Ping ❑ PW ❑ Staff Initials: t)ocumenlstroutina stip.doc 2.26 -02 PERMIT NO.: O4C BUILDING PERMITS IiNSMICTIONS o 2 3 4 5 6 50 60 70 71 90 95 100 200 250 300 350 400 450 500 525 550 600 10 700 750 800 802 803 815 900 000 001 110 115 120 140 400 700 900 3100 001 4001 4003 4004 4005 4006 4007 4008 4009 4010 4011 4012 4013 4014 0 4015 Progress Inspection Status Pre-construction Investigation OK to Occupy Remove Stop Work Order Follow -up Pre -Move Inspection WSEC Residential WA Ventilation/Indoor AQC NLEA Inspection/Modular Struct Mobile Home Tie Down Imp Marriage Lines Resteel Footing Drew Foundation Footings Foundation Walls Foundation insulation Concrete Slab/Slab insulation Crawl Space Sher Wall Nailing Plywood Well Sheathing Roof Sheathing Nailing Plywood Deck Nailing Exterior Wall Sheathing Masonry Chimney Chimney Installation/All Types Framing Roof/Celling Insulation Floor Insulation Wall insulation Exterior Roof Insulation Gluing Inspection Lighting and Controls Suspended Ceiling Interior Wallboard Fastening Exterior Wallboard Fastening Pre-Move Inspection Motor Inspection Pre-Demo Pre•reroof Final-FIN Final Building Final Read Site Visit Special•Conaete Special Bolts in Concrete Special•Mom/Rale Cone Frame Special Rent Steel Prestress Special-Welding Special-High-Strength Bolting Special - Structural Masonry Special•Reinf Gypsum Concrete Special•Inauleting Cone Fill Special-Spray Fireproofing Special-Piling, Piers, Caissons Spectal•Shotcrete Special- Grading, Excav/Fill Special- Retaining Wall Special-Panels Special-Smoke Control System TENANT NAME: v' - 1"fL(tvh CONDITIONS 10001 ❑ 10002 10003 ›CEj10006 10005 10007 ❑ 10008 O 10009 � 10010 •/ 10011 10012 ❑ 10013 10014 10015 10016 0 10017 © 10018 10019 No changes will be made to the plans unless approved by the Engineer and the Tukwila Building Division Plumbing permits shall be obtained through King Co Electrical permits obtained through L & 1 All mechanical work shall be under separate permit All permits, snap records & approved plans available All structural concrete shall be special inspected All structural welding shall be done by WABO certified inspector All high- strength bolting shall be special inspected Bolts installed in concrete shall be special inspected When special inspection is required...notify Tukwila Building Division The special Inspector shall submit a final signed report Any new ceiling grid and light fixture installation Partition wane attached to ceiling grid Readily accessible access to roof mounted equipment Engineered taws drawings & calcs shall be on site Any exposed insulation backing material shall have Subgrade preparation including drainage, excavation A statement from the roofing contractor verifying fire retardant class of roof All construction to be done in conformance w /approved plans I10020 Structural observation shall be provided for this protect 10021 All food preparation establishments must have King Co 10022 Fire retardant treated wood shall have flame spread of 10023 Notify Building Division prior to placing any concrete 10024 All spray applied fireproofing shall be special Inspected 10025 All wood to remain in placed concrete shill be treated 10026 All structural masonry shall be special inspected 10027 Validity of Permit 10028 Rack storage requires separate permit 10030 No occupancy of building until final insp by Bldg Div 10031 Comply with requirements of TMC 16.04 10032 Remove all weeds, concrete, stone foundations, flat concrete ❑ 10034 Removal of septic tanks require approval and compliance with King Co Health Dept. ❑ 10035 Contact PW Div to obtain snap for water /sewer connect ❑ 10036 Manufacturers installation instructions squired on site ❑ 10038 A C of 0 will be required for this permit ❑ 10039 Final approval for all TI w /in the limits oftho SC Mall ❑ 10040 All construction noise to be In compliance with 8,2 TMC ❑ 10041 Ventilation is required for all new rooms & spaces ❑ 10042 Fuel burning appliances ❑ 10043 ,Appliances, which generate ❑ 10044 Water heater shall be anchored ❑ 10045 Rcroof 0 "Anchoring — All new construct and substantial improvement shall be anchored to prevent flotation" Pfau Reviewer Permit Tech: Date: -5 .4 Date: PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: M102 -049 DATE: 04-17-02 PROJECT NAME: _Voicestream SE .3545A SITE ADDRESS: 1.220.1. Tukwila International 131 AX___.Original Plan Submittal J Response to incomplete Letter Response to Correction Letter # # After Permit Is Issued DEPARTMENTS: Building Division ❑ Public Works ❑ Fire Prevention Structural Planning Division ❑ Permit Coordinator ❑ DETERMINATION OF COMPLETENESS: (Tues., Thurs.) Complete ❑ Comments: DUE DATE: • Incomplete ❑ Not Applicable ❑ Permit Center Use Only INCOMPLETE LETTER MAILED :_ LETTER OF COMPLETENESS MAILED: Departments determined Incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES/THURS ROUTING: Please Route ❑ Stru turn) Review Required ❑ No further Review Required Pt( REVIEWER'S INITIALS: 1111 DATE: 'S �� (/-C) APPRQVALS OR CO,R,RECTIONS: Approved ❑ Approved with Conditions ❑ Notation: REVIEWER'S INITIALS: DUE DATE: O2.- *02 Not Approved (attach comments) ❑ DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents/routing siip.doc 2.28 -02 PLAN REVIEW /ROUTING SLIP ACTIVITY NUMBER: PROJECT NAME: M IO2 -049 DATE: 04 -17 -02 Voicestream SE 3545A SITE ADDRESS: 12201 Tukwila International BI Original Plan Submittal Response to Correction Letter # # After Permit Is Issued Response to Incomplete Letter #_,� DEPARTMENTS: Building Division ❑ Public Works ❑ Fire Prevention Structural Planning Division git Permit Coordinator Complete Comments: 1 } e.n tt,i44tre (Tues., Thurs.) Incomplete Se 2 DUE DATE:'•02 Not Applicable ❑ Permit Center Use Only INCOMPLETE LETTER MAILED: Departments determined Incomplete: Bldg ❑ LETTER OF COMPLETENESS MAILED: Fire ❑ Ping ❑ PW ❑ Staff Initials: TUES /THURS ROUT G: Please lease R u � t REVIEWER'S INITIALS: Structural Review Required APPRO /,LS OR CORRECTIONS: Approved Notation: REVIEWER'S INITIALS: Approved with Conditions ❑ No further Review Required DATE: 1 DUE DATE: 05- Not Approved (attach comments) ❑ DATE: 1-t10-z. Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents/routing slip.doc 2.19 -02 PLAN REVIEW /ROUTING SUP ACTIVITY NUMBER: MI02 -049 DATE: 04 -17 -02 PROJECT NAME: Voicestream SE 3545A SITE ADDRESS: 12201 Tukwila International, BI ,Original Plan Submittal Response to Correction Letter # # After Permit Is Issued Response to Incomplete Letter # DEPARTMENTS: Building Division ❑ Public Works Fire Prevention Structural Planning Division ❑ Permit Coordinator ❑ DETERMINATION OF COMPLETES: (Tues., Thurs.) Complete ❑ Comments: Incomplete ❑ DUE DATE: 9 -U2 Not Applicable ❑ Permit Center Use Only INCOMPLETE LETTER MAILED: Departments determined Incomplete: Bldg © Fire ❑ Ping ❑ PW ❑ Staff Initials: LETTER OF COMPLETENESS MAILED: TUES /THURS ROUTING: Please Route Structural Review Required ❑ No further Review Required ❑ REVIEWER'S INITIALS: ot -#"Yyn DATE: APERQV.Li OR ORRICJ,lONS: DUE DATE: 0544_., Approved IN Approved with Conditions ❑ Not Approved (attach comments) ❑ Notation; i PW ,4C1/o1'' ?S soc/aled tibtet..f.:s 'eg' REVIEWER'S INITIALS; DATE Permit Center Use Only CORRECTION LETTER MAILED; Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials: Documents/routing slip.doc 24847 gti City of Tukwila Department of Community Development - Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 (206)431-3670 VISION SUBMITTAL 1 • Revtvlon submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: Plan Check/Permit Number:- O Response to Incomplete Letter 11 O Response to Correction Letter # O Revision # after Permit is Issued Project Name: Project Address: Contact Person: Summary of Revision: 4 Phone Number: CI-) e(e_e_14 VIlmoomm.M. RECETVEIT' CITY OF TUKWI Sheet Number(s): "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Center by: O Entered in Sierra on 08/30/00 , u^ •"16✓ V.JV GJVV Pa2i4 2.000 4197) 1%3$411.400 (W MM i reu 1.5 Ui iU:lu N.02 ,•....? •. • •. •.:..:.• •r.:•.:.a.:,. DEPARTMENT OF LABOR AND INDUSTRIES REGISTERED AS PROVIDED BY LAW AS CONST CONT GENERAL REG1< T. # EXP. DATE eefi .'r,�, UB .' IOSift 12/06/2003 E PPE Ct Ai `OTE0,, Q7/20/1999 PuRi'1'11C BZO CIMi. iV LEBLANC BROADCAST INC IgW0111131 .01130R %."1: I;AFAYET'E7 •CO ' • 80026 Detach And Display CenIficste •--- -� REGISTERED AS PROVIDED BY LAW A6 CONST CONT GENERAL CC01 MOIST. BAX011M0 12/06/2003 EFFECTIVE DATE , ' 07/20/1999 LEBLANC BROADCAST INC 1390 OVERLOOK.DR LAFAYETTE CO 80026 , . • Sagnetuce lssucd by DBFARTMBNT OF LABOR AND 1NDUSTRIBS Please Remove And Sign Identification Card Before Placing In Billfold 1 t !t 1: