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HomeMy WebLinkAboutPermit D16-0251 - T-MOBILE - WIRELESS FACILITY AND ANTENNAST -MOBILE 15215 52 AVE S EXPIRED 02/11 /18 D16-0251 Parcel No: Address: City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Inspection Request Line: 206-438-9350 Web site: http://www.TukwilaWA.gov 1157200017 15215 52ND AVE S Project Name: T -MOBILE DEVELOPMENT PERMIT Permit Number: Issue Date: Permit Expires On: D16-0251 4/17/2017 10/14/2017 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: ANTEZANA INVESTMENTS LLC 901 POWELL AVE SW #101 C/0 JSH PROPERTIES INC, RENTON, WA, 98057 RICK STOCKMANN 8218 154TH AVE NE, STE 120 , REDMOND, WA, 98052 BLUESTREAM PROFESSNL SRVCS LLC 3305 HWY 60 W , FARIBAULT, MN, 55021 BLUESPS847CE Lender: Name: T -MOBILE Address: 15215 52ND AVE S, TUKWILA, WA, 98188 Phone: (425) 890-1437 Phone: (507) 334-2268 Expiration Date: 2/4/2018 DESCRIPTION OF WORK: MINOR 6409(a) MODIFICATION TO EXISTING WIRELESS FACILITY. SWAP 3 EXISTING ANTENNAS FOR 3 NEW ANTENNAS, ADDITION OF 3 RRU'S Project Valuation: $20,000.00 Type of Fire Protection: Sprinklers: NO Fire Alarm: NO Type of Construction: Electrical Service Provided by: TUKWILA Fees Collected: $824.42 Occupancy per IBC: Water District: 125 Sewer District: TUKWILA Current Codes adopted by the City of Tukwila: International Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: International Fuel Gas Code: 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2014 2014 2014 2015 Public Works Activities: Channelization/Striping: Curb Cut/Access/Sidewalk: Fire Loop Hydrant: Flood Control Zone: Hauling/Oversize Load: Land Altering: Volumes: Cut: 0 Fill: 0 Landscape Irrigation: Sanitary Side Sewer: Number: 0 Sewer Main Extension: Storm Drainage: Street Use: Water Main Extension: Water Meter: No (k1C-B Permit Center Authorized Signature: Date: 4--17--9 I hearby 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 construction or the performance of work. I am authorized to sign and obtain this development permit and a ree to the conditions attached to this permit. i1 Signature: /al- ✓ Print Name: / ✓i S /-10 eyi 5' (1.14 Date: 1j/ T 7 This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. PERMIT CONDITIONS: 1: ***BUILDING PERMIT CONDITIONS*** 2: Work shall be installed in accordance with the approved construction documents, and any changes made during construction that are not in accordance with the approved construction documents shall be resubmitted for approval. 3: All permits, inspection record card and approved construction documents shall be kept at the site of work and shall be open to inspection by the Building Inspector until final inspection approval is granted. 4: Readily accessible access to roof mounted equipment is required. 5: All construction shall be done in conformance with the Washington State Building Code and the Washington State Energy Code. 6: Remove all demolition rubble and loose miscellaneous material from lot or parcel of ground, properly cap the sanitary sewer connections, and properly fill or otherwise protect all basements, cellars, septic tanks, wells, and other excavations. Final inspection approval will be determined by the building inspector based on satisfactory completion of this requirement. 7: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Permit Center. 8: VALIDITY OF PERMIT: The issuance or granting of a permit 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 ordinances of the City of Tukwila. Permits presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the Building Official from requiring the correction of errors in the construction documents and other data. 12: Verify installation of a clearly labeled, accessible emergency power off switch that de -energizes all power including battery backup power. 9: Contact The Tukwila Fire Prevention Bureau to witness all required inspections and tests. (City Ordinances #2436 and #2437) 10: Any overlooked hazardous condition and/or violation of the adopted Fire or Building Codes does not imply approval of such condition or violation. 11: These plans were reviewed by Inspector 511. If you have any questions, please call Tukwila Fire Prevention Bureau at (206)575-4407. PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 1700 BUILDING FINAL** 1400 FIRE FINAL ti CITY OF TUKWILA Community Development Department Public Works Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Building Permit No. Project No. Date Application Accepted: Date Application Expires: ;1 al (For office use only) CONSTRUCTION PERMIT APPLICATION Applications and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or by fax. **Please Print** SITE LOCATION King Co Assessor's Tax No.: 1157200017 Site Address: 15215 52nd Ave S Suite Number: N/A Floor: Roof Tenant Name: T -Mobile New Tenant: ❑ Yes ❑ ..No PROPERTY OWNER Name: Rick Stockmann, Centerline Solutions Name: Antezana Investments LLC City: Redmond State: WA Zip: 98052 Address: 5200 Southcenter Blvd Email: rstockmann@centerlinesolutions.com City: Tukwila State: WA Zip: 98188 CONTACT PERSON — person receiving all project communication Name: Rick Stockmann, Centerline Solutions Address: 8218 154th Ave NE, Ste 120 City: Redmond State: WA Zip: 98052 Phone: (425) 890-1437 Fax: Email: rstockmann@centerlinesolutions.com GENERAL CONTRACTOR INFORMATION Company Name: TBD Company Name: Monica Striker Architect Name: Centerline Solutions Address: Address: 6623 NE 78th Court, Suite B-1 City: City: Portland State: OR City: State: Zip: Phone: Fax: Contr Reg No.: Exp Date: Tukwila Business License No.: H:\Applications\Fomts-Applications On Line \2011 Applications\Permit Application Revised - 8-9-11.docx Revised: August 2011 bh ARCHITECT OF RECORD Name: Company Name: Monica Striker Architect Name: Centerline Solutions Address: 6623 NE 78th Court, Suite B-1 City: City: Portland State: OR Zip: 97218 Phone: (971) 270-1930 Fax: Email: ENGINEER OF RECORD Name: Company Name: Centerline Solutions Engineer Name: Khristopher Scott Address: 16360 Table Mountain Pkwy City: City: Golden State: CO Zip: 80403 Phone: (303) 993-3293 Fax: Email: LENDER/BOND ISSUED (required for projects $5,000 or greater per RCW 19.27.095) Name: ` ,, / I/ il/� 6 IV �° \ I Address: City: State: Zip: Page 1 of 4 BUILDING PERMIT INFORMATION'— 206-431-3670 Valuation of Project (contractor's bid price): $ 20,000 Describe the scope of work (please provide detailed information): Minor 6409(a) modification to existing wireless facility. Swap 3 existing antennas for 3 new antennas, addition of 3 RRUs. Existing Building Valuation: $ Will there be new rack storage? ❑ Yes m.. No If yes, a separate permit and plan submittal will be required. Provide All Building Areas in Square Footage Below PLANNING DIVISION: Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) *For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: Floor area of accessory dwelling: *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Compact: Handicap: Will there be a change in use? ❑ Yes 0 No If "yes", explain: 0 FIRE PROTECTION/HAZARDOUS MATERIALS: 0 Sprinklers ❑ Automatic Fire Alarm IZI None ❑ Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? 0 Yes ❑ No If "yes', attach list of materials and storage locations on a separate 8-1/2"x 11" paper including quantities and Material Safety Data Sheets. SEPTIC SYSTEM ❑ On-site Septic System — For on-site septic system, provide 2 copies of a current septic design approved by King County Health Department. H:Wpplications\Fonns-Applications On Line \2011 Applications\Permit Application Revised - 8-9-11.docx Revised: August 2011 bh Page 2 of Existing Interior Remodel Addition to Existing Structure New Type of Construction per IBC Type of Occupancy per IBC 1st Floor 2nd Floor 3`d Floor Floors thru Basement Accessory Structure* Attached Garage Detached Garage Attached Carport Detached Carport Covered Deck Uncovered Deck PLANNING DIVISION: Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches) *For an Accessory dwelling, provide the following: Lot Area (sq ft): Floor area of principal dwelling: Floor area of accessory dwelling: *Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence. Number of Parking Stalls Provided: Standard: Compact: Handicap: Will there be a change in use? ❑ Yes 0 No If "yes", explain: 0 FIRE PROTECTION/HAZARDOUS MATERIALS: 0 Sprinklers ❑ Automatic Fire Alarm IZI None ❑ Other (specify) Will there be storage or use of flammable, combustible or hazardous materials in the building? 0 Yes ❑ No If "yes', attach list of materials and storage locations on a separate 8-1/2"x 11" paper including quantities and Material Safety Data Sheets. SEPTIC SYSTEM ❑ On-site Septic System — For on-site septic system, provide 2 copies of a current septic design approved by King County Health Department. H:Wpplications\Fonns-Applications On Line \2011 Applications\Permit Application Revised - 8-9-11.docx Revised: August 2011 bh Page 2 of PUBLIC WORKS PERMIT INFORMATION — 206-433-0179 Scope of Work (please provide detailed information): N/A Call before you Dig: 811 Please refer to Public Works Bulletin #1 for fees and estimate sheet. Water District ❑ ...Tukwila ❑ ...Water District #125 0 ...Water Availability Provided Sewer District ❑ ...Tukwila ❑ ...Sewer Use Certificate 0 .. Highline ❑ ...Valley View 0 .. Renton ❑ ... Sewer Availability Provided ❑ .. Renton ❑ .. Seattle Septic System: 0 On-site Septic System — For on-site septic system, provide 2 copies of a current septic design approved by King County Health Department. Submitted with Application (mark boxes which apply): ❑ ...Civil Plans (Maximum Paper Size — 22" x 34") ❑ ...Technical Information Report (Storm Drainage) ❑ ...Bond ❑ .. Insurance ❑ .. Easement(s) Proposed Activities (mark boxes that apply): 0 ...Right-of-way Use - Nonprofit for less than 72 hours ❑ ...Right-of-way Use - No Disturbance ❑ ...Construction/Excavation/Fill - Right-of-way 0 Non Right-of-way 0 ❑ ...Total Cut ❑ ...Total Fill cubic yards cubic yards ❑ ...Sanitary Side Sewer ❑ ...Cap or Remove Utilities 0 ...Frontage Improvements ❑ ...Traffic Control ❑ ...Backflow Prevention - Fire Protection Irrigation Domestic Water ❑ .. Geotechnical Report ❑ .. Maintenance Agreement(s) ❑ ...Traffic Impact Analysis ❑ ... Hold Harmless — (SAO) 0... Hold Harmless — (ROW) ❑ .. Right-of-way Use - Profit for less than 72 hours ❑ .. Right-of-way Use — Potential Disturbance ❑ .. Work in Flood Zone ❑ .. Storm Drainage ❑ .. Abandon Septic Tank ❑ .. Curb Cut ❑ .. Pavement Cut ❑ .. Looped Fire Line ❑ ...Permanent Water Meter Size... WO # WO# WO # ❑ ... Deduct Water Meter Size ❑ ...Temporary Water Meter Size.. ❑ ...Water Only Meter Size ❑ ...Sewer Main Extension Public 0 Private 0 ❑ ...Water Main Extension Public 0 Private 0 ❑ .. Grease Interceptor ❑ .. Channelization 0 .. Trench Excavation ❑ .. Utility Undergrounding FINANCE INFORMATION Fire Line Size at Property Line Number of Public Fire Hydrant(s) ❑ ...Water 0 ...Sewer Monthly Service Billing to: Name: 0 ...Sewage Treatment Day Telephone: Mailing Address: City State Zip Water Meter Refund/Billing: Name: Mailing Address: Day Telephone: City State Zip H:\Applications\Forms-Applications On Line \2011 Applications\Permit Application Revised - 8-9-11.docx Revised: August 2011 bh Page 3 of 4 PERMIT APPLICATION NOTES — Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to 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 by limitation. The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition). I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAW _SF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING 0 Signature: Print Name: Rick Stockmann Day Telephone: (425) 890-1437 Date: 08/25/2016 Mailing Address: 8218 154th Ave NE, Ste 120 H:Wpplications\Fonns-Applications On Line \2011 Applications\pennit Application Revised - 8-9-11.doca Revised: August 2011 bh Redmond WA 98052 City State Zip Page 4 of 4 PermitTRAK DESCRIPTIONS ACCOUNT QUANTITY PAID $510.92 D16-0251 Address: 15215 52ND AVE 5 Apn: 1157200017 $510.92 DEVELOPMENT PERMIT FEE WASHINGTON STATE SURCHARGE R000.322.100.00.00 B640.237.114 0.00 0.00 $486.80 $482.30 $4.50 TECHNOLOGY FEE $24.12 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R000.322.900.04.00 0.00 $24.12 1053 510.92 Date Paid: Thursday, March 09, 2017 Paid By: T -MOBILE Pay Method: CHECK 3480445 Printed: Thursday, March 09, 2017 3:58 PM 1 of 1 SYSTEMS Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $313.50 D16-0251 Address: 15215 52ND AVE 5 Apn: 1157200017 $313.50 DEVELOPMENT PLAN CHECK FEE TOTAL FEES PAID BY RECEIPT: R9384 R000.345.830.00.00 0.00 $313.50 $313.50 $313.50 Date Paid: Friday, September 09, 2016 Paid By: T -MOBILE Pay Method: CHECK 3354003 Printed: Friday, September 09, 2016 2:42 PM 1 of 1 lir k' S Y57EM S INSPECTION NO. INSPECTION RECORD Retain a copy with permit bac- oZc j PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: /' ` c �� 1 ' Tyjp,e of Inspection: �� 0) cL_bi - d' s A Address: S Date Called: Special Instructions: Date Wa e : 0/S" !l a:m: Request : Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: \wO ?4V\t1 ; At- Inspector: Oate: -//7 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. i INSPECTION NUMBER INSPECTION RECORD Retain a copy with permit PERMIT NUMBERS CITY OF TUKWILA FIRE DEPARTMENT 206-575-4407 Project! fnA U 6( t,e' Sprinklers: Type of Inspection: Hood & Duct: Address: `C— cZ14° Suite #: (-----ivIC— ` 5 Contact Person: wit G Special Instructions: Phone No.: 3 (0 0 W( (44 Approved per applicable codes. Corrections required prior to approval. COMMENTS: f 5-T742L, E S co>`'0-ic cwt T 1-6 ft - Needs Shift Inspection: Sprinklers: Fire Alarm: Hood & Duct: Monitor:Pre-Fire: Hrs.:/ Permits: Occupancy Type: Inspector: i 4 Date: q -(31/1q- Hrs.:/ $100.00 REINSPECTION FEE REQUIRED. You will receive an invoice from the City of Tukwila Finance Department. Call to schedule a reinspection. Billing Address Attn: Company Name: Address: City: State: Zip: Word/Inspection Record Form.Doc 3/14/14 T.F.D. Form F.P. 113 REVISIONS 1� changes snag no made to the scope of work without prior approval of Tu'ct,./,!a Building Division. NOTE: Fav;.sinn3 w II require ..mow plan su and may in, -,:u e ��itio ;� • n review fee EELE 0 SETA .TE PERMIT :0U11 -,ED FOR: C:�chanical OT. ctrica! I3-6'mbing s Piping City of Tukwila E. MLr?+�'. 3 DIVISIO PARKRI DG E-15215 15215 52ND AVE S TUKWILA, WA 98188 SITE ID: SE03999A ONSTRUCTION DRAWINGS PROJECT SUMMARY THIS PROJECT INCLUDES THE FOLLOWING SCOPE OF WORK: 1. PROPOSED MODIFICATION OF AN EXISTING UNMANNED TELECOMMUNICATIONS FACILITY. MODIFICATIONS TO STRUCTURE INCLUDE: • REMOVAL OF (3) EXISTING PANEL ANTENNAS • ADDITION OF (3) NEW PANEL ANTENNAS • ADDITION OF (3) NEW FRBG (REMOTE RADIO UNITS & CABLING) MODIFICATIONS TO GROUND EQUIPMENT INCLUDE: • ADDITION OF (1) NEW FBBC (BASEBAND MODULE) • ADDITION OF (1) NEW FBBA (BASEBAND MODULE) PROJECT VICINITY & AERIAL MAPS SITE INFORMATION SITE NAME: SITE ID: SITE ADDRESS: ALPHA LATITUDE: ALPHA LONGITUDE: BETA LATITUDE: BETA LONGITUDE: GAMMA LATITUDE: GAMMA LONGITUDE: SOURCE: PARCEL NUMBER: ZONING CLASSIFICATION: JURISDICTION: TOP OF (E) PARAPET: (E) HIGHEST FIXED STRUCTURE: OCCUPANCY GROUP: CONSTRUCTION TYPE: PARKRIDGE-15215 SE03999A 15215 52ND AVE S TUKWILA, WA 98188 47.466389° N (47° 27' 59" N) -122.269556' W (122° 16' 10.4" W) 47.466111° N (47' 27' 58" N) -122.269638" W (122' 16' 10.7" W) 47.466111' N (47.27' 50" N) -122.269694' W (122' 16' 10.9" W) 1-A CERTIFICATION 1157200017 0 CITY OF TUKWILA 27.1' AGL 40.2' AGL U II -B 15.9. DRIVING DIRECTIONS FROM T -MOBILE BOTHELL OFFICE: 1. GET ON 1-405 S FROM NORTH CREEK PKWY AND NE 195TH ST (0.8 MI) 2. MERGE ONTO 1-405 S (12.6 MI) 3. KEEP LEFT TO STAY ON 1-405 S (11.2 MI) 4. KEEP LEFT AT THE FORK TO CONTINUE TOWARD SOUTHCENTER BLVD (269 FT) 5. TURN LEFT ONTO SOUTHCENTER BLVD (0.2 MI) 6. TURN RIGHT ONTO 52ND AVE S (407 FT) 7. DESTINATION WILL BE ON THE LEFT ESTIMATED DISTANCE: ESTIMATED TIME: 25.3 MILES 33 MINUTES GOVERNING CODES IBC -2012, INTERNATIONAL BUILDING CODE W/ LOCAL AMENDMENTS NEC -2008, NATIONAL ELECTRICAL CODE ADA COMPLIANCE INSTALLATION IS UNMANNED AND NOT FOR HUMAN HABITATION. HANDICAP ACCESS IS NOT REQUIRED PER A.D.A. PLANNING APPROVES' • No changes can be madeto these plans without approval from the Planning Division of DCD Approved Ry Date: �PY PROJECT CONTACTS APPLICANT T -MOBILE 19807 NORTH CREEK PKWY N BOTHELL, WA 98011 PROPERTY OWNER ANTEZANA INVESTMENTS LLC 5200 SOUTHCENTER BLVD TUKWILA, WA 98188 PROGRAM MANAGER CENTERLINE SOLUTIONS 8218 154TH AVE NE REDMOND, WA 98052 RICK YOUNG PH: 425.954.8613 DRAWING INDEX SHEET DESCRIPTION T1.0 TITLE SHEET GN1.0 GENERAL NOTES A1.0 OVERALL SITE PLAN A2.0 ENLARGED EQUIPMENT PLAN A3.0 ELEVATIONS 1411AILS & PLANS 1 71 A B.EQU PMENTT DETAILS A6.0 Pa,�^� (� rryU4t R: U eao SITE ACQUISITIONCONSULTANPIan revial:r arKirovF1 is subject to errors and omissions. CENTERLINE SOLUTIONS 8210 154TH AVENUE NE, SUITE 1 e REDMOND, WA 98052 pprovaI of co SOU L�ii)on docurnaants �Joaas not authorize RICK STOCKMANN PH: 425.412.7435 EXT. #2005 the violation or any adopted code or ordinance. Recs:A ZONING & PERMITTING CONS proved Field Copy and conditions is acknow!ed; 3d CENTERLINE SOLUTIONSo 8210 154TH AVENUE NE, SUITE 120 7' REDMOND, WA 98052 RICK STOCKMANN PH: 425.412.7435 EXT. 82005 CONSTRUCTION MANAGER CENTERLINE SOLUTIONS 8210 154TH AVENUE NE, SUITE 120 REDMOND, WA 98052 TODD GERRISH PH: 425.533.2668 RF ENGINEER T -MOBILE 19807 NORTH CREEK PKWY N BOTHELL, WA 98011 DARRYL SALK PH: 425.770.0006 ENGINEER OF RECORD CENTERLINE SOLUTIONS 16360 TABLE MOUNTAIN PARKWAY GOLDEN, CO 80403 KHRISTOPHER SCOTT, P.E., LEED AP PH: 303.993.3293 REVIEWED FOR CODE COMPLIANCE AczVROVE.D JAN 3 0 2011 City of Tukwila BUILDING DIVISION Date: y City of f EUtLD'1 V' Know what's below. J CaII before you dig: 1 OF TU KT./ IL THE INFORMATION CONTAINED IN THIS SET OF DOCUMENTS IS PROPRIETARY BY NATURE. ANY USE OR DISCLOSURE OTHER THAN THAT WHICH RELATES TO T -MOBILE, SERVICES IS STRICTLY PROHIBITEQ. 1z H 1 \ rye ,••. L4 .J iIT CENTER SIGN OFF OF FINAL CONSTRUCTION DRAWINGS REVIEWERS SHALL CLEARLY PLACE INITIALS ADJACENT TO EACH REDLINE NOTE AS DRAWINGS ARE BEING REVIEWED CONSULTANT SIGNATURE DATE SITE ACQUISITION PERMITTING CONSULTANT RF ENGINEER: CONST. MNGR. OPS MNGR. PROJECT MNGR. REGULATORY REV. I� -Mobile.. *CENTERLINE SOLITIOUS Mandy Sinks �V 4liA. moo' 1. .'f7 WAsyc fp Yt.. ys`1OONALENAG . 08/18/2016 CP PROJECT NO.: TMO-15-0022-362 PREUMINARY NO. DATE D/C DESCRIPTION 0 06-08-16 CUCL 90% CD REVIEW 1 06-28-16 MS/MS CLIENT COMMENT SUBMITTAL NO. DATE D/C DESCRIPTION 0 08-18-16 MS/MS BP SUBMITTAL SITE NAME: PARKRIDGE-15215 SITE ID: SE03999A SITE ADDRESS: 15215 52ND AVE S TUKWILA, WA 98188 SHEET TITLE TITLE SHEET SHEET NO. T1.0 GENERAL NOTES 1. THE FACILITY IS AN UNOCCUPIED SPECIALIZED MOBILE RADIO FACILITY. 2. PLANS ARE NOT TO BE SCALED AND ARE INTENDED TO BE A GRAPHIC REPRESENTATION OF THE FINAL INSTALLATION. THE WORK SHALL INCLUDE FURNISHING MATERIALS, EQUIPMENT, APPURTENANCES AND LABOR NECESSARY TO COMPLETE ALL INSTALLATIONS AS INDICATED ON THE DRAWINGS. 3. PRIOR TO THE SUBMISSION OF BIDS, THE CONTRACTOR SHALL VISIT THE JOB SITE AND BE RESPONSIBLE FOR ALL CONTRACT DOCUMENTS, FIELD CONDITIONS, AND DIMENSIONS AND CONFIRMING THAT THE WORK MAY BE ACCOMPLISHED AS SHOWN PRIOR TO PROCEEDING WITH CONSTRUCTION. ANY DISCREPANCIES ARE TO BE BROUGHT TO THE ATTENTION OF THE PROJECT MANAGER. 4. THE CONTRACTOR SHALL RECEIVE, IN WRITING, AUTHORIZATION TO PROCEED BEFORE STARTING WORK. 5. THE CONTRACTOR SHALL INSTALL ALL EQUIPMENT AND MATERIALS IN ACCORDANCE WITH MANUFACTURERS RECOMMENDATIONS UNLESS SPECIFICALLY OTHERWISE INDICATED OR WHERE LOCAL CODES OR REGULATIONS TAKE PRECEDENCE. 6. ALL WORK PERFORMED AND MATERIALS INSTALLED SHALL BE IN STRICT ACCORDANCE WITH APPLICABLE CODES, REGULATIONS, AND ORDINANCES. CONTRACTOR SHALL GIVE ALL NOTICES AND COMPLY WITH ALL LAWS, ORDINANCES, RULES, REGULATIONS, AND LAWFUL ORDERS OF ANY PUBLIC AUTHORITY BEARING ON THE PERFORMANCE OF THE WORK MECHANICAL AND ELECTRICAL SYSTEMS SHALL BE INSTALLED IN ACCORDANCE WITH ALL APPLICABLE MUNICIPAL AND UTILITY COMPANY SPECIFICATIONS AND LOCAL AND STATE JURISDICTIONAL CODES, ORDINANCES, AND APPLICABLE REGULATIONS. 7. THE CONTRACTOR SHALL SUPERVISE AND DIRECT THE WORK USING BEST SKILLS AND ATTENTION. THE CONTRACTOR SHALL BE SOLELY RESPONSIBLE FOR ALL CONSTRUCTION MEANS, METHODS, TECHNIQUES, SEQUENCES, AND PROCEDURES AND FOR COORDINATING ALL PORTIONS OF THE WORK UNDER THE CONTRACT INCLUDING CONTACT AND COORDINATION WITH THE PROJECT MANAGER AND WITH LANDLORD'S AUTHORIZED REPRESENTATIVE. 8. PROVIDE A PORTABLE FIRE EXTINGUISHER WITH A RATING OF NOT LESS THAN 2-A OR 2-A1OBC WITHIN 5 FEET OF TRAVEL DISTANCE TO ALL PORTIONS OF THE PROJECT AREA DURING CONSTRUCTION. 9. THE CONTRACTOR SHALL PROVIDE SITE FOREMAN WITH A CELLULAR PHONE, AND KEEP SAME ON SITE WHENEVER ANY PERSONNEL ARE ON SITE. 10. DETAILS ARE INTENDED TO SHOW END RESULT OF DESIGN. MINOR MODIFICATIONS MAY BE REQUIRED TO SUIT JOB DIMENSIONS OR CONDITIONS, AND SUCH MODIFICATIONS SHALL BE INCLUDED AS PART OF THE WORK. 11. THE CONTRACTOR SHALL MAKE NECESSARY PROVISIONS TO PROTECT EXISTING IMPROVEMENTS, PAVING, CURBS, GALVANIZED SURFACES, ETC., AND UPON COMPLETION OF WORK REPAIR ANY DAMAGE THAT OCCURRED DURING CONSTRUCTION TO THE SATISFACTION OF THE PROJECT MANAGER AND/OR LANDLORD. 12. ON A DAILY BASIS: KEEP GENERAL AREA CLEAN, HAZARD FREE, AND DISPOSE OF ALL DIRT, DEBRIS, RUBBISH, AND REMOVE EQUIPMENT NOT SPECIFIED AS REMAINING ON THE PROPERTY. LEAVE PREMISES IN CLEAN CONDITION AND FREE FROM PAINT SPOTS, DUST OR SMUDGES OF ANY NATURE. 13. CONTRACTOR TO PROVIDE COMPLETE SET OF AS -BUILT DRAWINGS WITHIN 10 WORKING DAYS OF PROJECT COMPLETION. 14 WHERE A CONSTRUCTION DETAIL IS NOT SHOWN OR NOTED, THE DETAIL SHALL BE THE SAME AS FOR OTHER SIMILAR WORK. 15. ASTM SPECIFICATIONS NOTED ON THE DRAWINGS SHALL BE OF THE LATEST REVISION. 16 IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO LOCATE ALL EXISTING UTILITIES WHETHER SHOWN HEREON OR NOT AND TO PROTECT THEM FROM DAMAGE. THE CONTRACTOR SHALL BEAR ALL EXPENSE OF REPAIR OR REPLACEMENT IN CONJUNCTION WITH THE EXECUTION OF THIS WORK. 17. ALL ITEMS REMOVED OR DAMAGED DURING CONSTRUCTION WORK WILL BE REPLACED OR REPAIRED TO MATCH EXISTING. 18. ALL ELEMENTS OF EXISITNG STRUCTURE TO REMAIN INDISTURBED, UNO. EXISTING STRUCTURE IS ASSUMED TO BE IN GOOD CONDITION, FREE OF DAMAGE OR DETEREORATION. CONTRACTOR TO VERIFY ALL ELEMENTS OF EXISTING STRUCTURE AFFECTED BY THIS MODIFICATION AND NOTIFY EOR IF ANY DAMAGE, DETEREORATION, OR DISCREPANCIES BETWEEN THE EXISTING CONDITIONS AND THOSE DEPICTED ON THESE CONSTRUCTION DRAWINGS ARE FOUND. SPECIAL INSPECTION 1. IF REQUIRED, SPECIAL INSPECTIONS SHALL BE PERFORMED BY AN INDEPENDENT SPECIAL INSPECTOR. 2. THE SPECIAL INSPECTOR SHALL PROVIDE A COPY OF THEIR REPORT TO THE OWNER, ARCHITECT, STRUCTURAL ENGINEER, CONTRACTOR, AND BUILDING OFFICIAL AS EACH TEST IS COMPLETED. 3. ANY MATERIAL WHICH FAILS TO MEET THE PROJECT SPECIFICATIONS SHALL IMMEDIATELY BE BROUGHT TO THE ATTENTION OF THE ARCHITECT AND THE STRUCTURAL ENGINEER. SPECIAL INSPECTION TESTING REQUIREMENTS APPLY EQUALLY TO ALL BIDDER DESIGNED COMPONENTS. 4. INSPECTION FOR PREFABRICATED CONSTRUCTION SHALL BE THE SAME AS FOR THE MATERIAL USED IF THE CONSTRUCTION TOOK PLACE ON SITE. CONTINUOUS INSPECTION WILL NOT BE REQUIRED DURING PREFABRICATION IF THE APPROVED AGENCY CERTIFIES THE CONSTRUCTION AND FURNISHES EVIDENCE OF COMPLIANCE. 5. THE SPECIAL INSPECTOR SHALL SUBMIT A FINAL REPORT CERTIFYING THAT ALL WORK REQUIRING SPECIAL INSPECTION WAS, TO THE BEST OF THE SPECIAL INSPECTOR'S KNOWLEDGE IN CONFORMANCE WITH THE APPROVED PERMIT PLANS AND SPECIFICATIONS AND THE APPLICABLE WORKMANSHIP PROVISIONS. STRUCTURAL NOTES GENERAL STRUCTURAL NOTES: 1. WHERE A CONSTRUCTION DETAIL IS NOT SHOWN OR NOTED, THE DETAIL SHALL BE THE SAME AS FOR OTHER SIMILAR WORK 2. NOTES AND DETAILS ON DRAWINGS SHALL TAKE PRECEDENCE OVER GENERAL NOTES. 3. NO PIPES, DUCTS, SLEEVES, CHASES, ETC., SHALL BE PLACED IN SLABS, BEAMS, OR WALLS UNLESS SPECIFICALLY SHOWN OR NOTED, NOR SHALL ANY STRUCTURAL MEMBER BE CUT FOR PIPES, DUCTS, ETC., UNLESS OTHERWISE NOTED. CONTRACTOR SHALL OBTAIN PRIOR APPROVAL FOR INSTALLATION OF ANY ADDITIONAL PIPES, DUCTS, ETC. 4. CONTRACTOR AGREES THAT HE SHALL ASSUME SOLE AND COMPLETE RESPONSIBILITY FOR JOB SITE CONDITIONS DURING THE COURSE OF CONSTRUCTION OF THIS PROJECT INCLUDING SAFETY OF ALL PERSONS AND PROPERTY; THAT THIS REQUIREMENT SHALL APPLY CONTINUOUSLY AND NOT BE LIMITED TO NORMAL WORKING HOURS; AND THAT THE CONTRACTOR SHALL DEFEND, INDEMNIFY AND HOLD T -MOBILE AND THE ARCHITECT/ENGINEER HARMLESS FROM ANY AND ALL LIABILITY, REAL OR ALLEGED, IN CONNECTION WITH THE PERFORMANCE OF WORK ON THIS PROJECT, EXCEPTING FOR LIABILITY ARISING FROM THE SOLE NEGLIGENCE OF T -MOBILE OR THE ARCHITECT/ENGINEER. 5. THE CONTRACT DRAWINGS AND SPECIFICATIONS REPRESENT THE FINISHED STRUCTURE. THEY DO NOT INDICATE THE METHOD OF CONSTRUCTION. THE CONTRACTOR SHALL PROVIDE ALL MEASURES NECESSARY TO PROTECT THE STRUCTURE, WORKERS, AND PEDESTRIANS DURING CONSTRUCTION. SUCH MEASURES SHALL INCLUDE, BUT NOT BE LIMITED TO BRACING, SHORING FOR LOADS DUE TO CONSTRUCTION EQUIPMENT, TEMPORARY STRUCTURES, AND PARTIALLY COMPLETED WORK, ETC. OBSERVATION VISITS TO THE SITE BY THE ARCHITECT/ENGINEER SHALL NOT INCLUDE INSPECTION OF SUCH ITEMS. 6. ASTM SPECIFICATIONS NOTED ON THE DRAWINGS SHALL BE OF THE LATEST REVISION. 7. CONSTRUCTION MATERIALS SHALL BE SPREAD OUT IF PLACED ON FRAMED FLOOR OR ROOF. LOAD SHALL NOT EXCEED THE DESIGN LIVE LOAD PER SQUARE FOOT. PROVIDE ADEQUATE SHORING/BRACING WHERE STRUCTURE HAS NOT ATTAINED DESIGN STRENGTH. 8. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO LOCATE ALL EXISTING UTILITIES WHETHER SHOWN HEREON OR NOT AND TO PROTECT THEM FROM DAMAGE. THE CONTRACTOR SHALL BEAR ALL EXPENSE OF REPAIR OR REPLACEMENT IN CONJUNCTION WITH THE PROSECUTION OF THIS WORK 9. DIMENSIONS SHALL TAKE PRECEDENCE OVER SCALES SHOWN ON DRAWINGS. 10. THESE NOTES SHALL BE CONSIDERED A PART OF THE WRITTEN SPECIFICATIONS. 11. ALL ITEMS REMOVED DURING CONSTRUCTION WORK (I.E., DRYWALL, PLYWOOD, CEILING PANELS, ETC.) SHALL BE REPLACED TO MATCH EXISTING. THE FOLLOWING REQUIREMENTS SHALL BE MET FOR SPECIAL INSPECTION: A. THE SPECIAL INSPECTOR SHALL BE UNDER THE SUPERVISION OF A REGISTERED PROFESSIONAL ENGINEER. B. THE SPECIAL INSPECTOR SHALL FURNISH INSPECTION REPORTS TO THE ARCHITECT/ENGINEER, AND OTHER DESIGNATED PERSONS. ALL DISCREPANCIES SHALL BE BROUGHT TO THE IMMEDIATE ATTENTION OF THE CONTRACTOR FOR CORRECTION; THEN, IF UNCORRECTED, TO THE PROPER DESIGN AUTHORITY AND THE BUILDING OFFICIAL. C. THE SPECIAL INSPECTOR SHALL SUBMIT A FINAL REPORT SIGNED BY BOTH HE AND HIS SUPERVISOR STATING WHETHER THE WORK REQUIRING SPECIAL INSPECTION WAS IN CONFORMANCE WITH THE APPROVED PLANS AND SPECIFICATIONS AND THE APPLICABLE WORKMANSHIP PROVISIONS OF THE CODE. D. COMPLY WITH ALL CITY SPECIAL INSPECTION REQUIREMENTS. STANDARD STRUCTURAL STEEL NOTES: 1. ALL METAL WORK SHALL BE IN ACCORDANCE WITH THE SPECIFICATION GALVANIZED ASTM A123-A123M-02 UNLESS NOTED OTHERWISE. 2. STRUCTURAL TUBING MEMBERS SHALL CONFORM TO ASTM A500, GRADE B. 3. ALL WELDING SHALL BE DONE USING E70XX ELECTRODES AND WELDING SHALL CONFORM TO AISC AND AWS D1.1 WHERE FILLET WELD SIZES ARE NOT SHOWN, PROVIDE THE MINIMUM SIZE PER TABLE J2.4 IN THE AISC "MANUAL OF STEEL CONSTRUCTION", 14TH EDITION. 4. BOLTED CONNECTIONS SHALL USE BEARING TYPE GALV. ASTM A325 BOLTS (5/8" DIA. UNO) AND SHALL HAVE A MINIMUM OF TWO BOLTS U.N.O AND SHALL INCLUDE HEAVY -HEX NUTS AND STANDARD CUT WASHERS. 5. NON-STRUCTURAL CONNECTIONS FOR HANDRAIL, LADDERS AND STEEL GRATING MAY USE 5/8" DIA GALVANIZED ASTM A307 BOLTS U.N.O. 6. ALL STRUCTURAL PIPE ASTM A53, TYPE E OR S, GRADE B. SPECIAL INSPECTION: 1. A. B. IF REQUIRED, SPECIAL INSPECTIONS SHALL BE PERFORMED BY AN INDEPENDENT SPECIAL INSPECTOR PER CODE FOR THE FOLLOWING ITEMS: CONTINUOUS DURING THE INSTALLATION OF EXPANSION AND/OR ADHESIVE ANCHORS: INSPECT HOLE SIZE, DEPTH, CLEANLINESS, AND INSTALLATION PER ICC REPORT. PERIODIC FOR HIGH STRENGTH BOLT INSTALLATIONS (A325). DRAWING ABBREVIATIONS AFF ABOVE FINISH FLOOR LF LINEAR FEET AGL ABOVE GRADE LEVEL MAX MAXIMUM AWG AMERICAN WIRE GAUGE MECH MECHANICAL AC AIR CONDITIONING MFR MANUFACTURER ADJ ADJUSTABLE MGR MANAGER APPROX APPROXIMATELY MIN MINIMUM AZ AZIMUTH MISC MISCELLANEOUS BLDG BUILDING MTL METAL CM CONSTRUCTION MANAGER MTZL METALIZE(D) CAB CABINET MW MICROWAVE CL CENTERLINE NEC NATIONAL ELECTRICAL CODE CLG CEILING NIC NOT IN CONTRACT CLR CLEAR NTS NOT TO SCALE CO COPPER N/A NOT APPLICABLE CONC CONCRETE OC ON CENTER COND CONDUIT OD OUTSIDE DIAMETER CONST CONSTRUCTION OP OVERHEAD POWER CONT CONTINUOUS OT OVERHEAD FIBER CPM CASCADIA PM OPP , OPPOSITE D/C DRAFTER/CHECKER PL PROPERTY LINE DEMO DEMOLISH PLYWD PLYWOOD DIA DIAMETER PM PROJECT MANAGER DIM DIMENSION PROJ PROJECT DN DOWN PROP PROPERTY DTL DETAIL PT PRESSURE TREATED DWG DRAWING RO ROUGH OPENING EA EACH ROW RIGHT OF WAY ELECT ELECTRICAL RRU REMOTE RADIO UNIT ELEV ELEVATION REQ REQUIRED EQ EQUAL SBTC SOLID BARE TINNED COPPER EQUIP EQUIPMENT SF SQUARE FEET EXT EXTERIOR SHT SHEET FIN FINISH SPEC SPECIFICATION FLR FLOOR SO SQUARE FT FOOT, FEET SS STAINLESS STEEL GA GAUGE STL STEEL GALV GALVANIZED STRUCT STRUCTURE, STRUCTURAL GC GENERAL CONTRACTOR TOC TOP OF CONCRETE' I ^- L. GWB GYPSUM WALL BOARD TOM TOP OF MASONRY Y u 1' GR GRADE THRU THROUGH GRND GROUND TNND TINNED S+»41 HVAC HEATING, VENTING & AIR CONDITIONING UBC UNIFORMBUILDING CODE Fs_ Eivii i HORIZ HORIZONTAL REVIEVV!i r0 77 IJJDERCROUN D HT HEIGHT I CODE COM-J.IAN�` NOTED OTHERWISE IBC INTERNATIONAL UILDING CAAIITI�P�, , UNDER< ROUND POWER ID INSIDE DIAMETE UFV{� UNDER( ROUND FIBER IN INCH IAN Q ( V� tJ VI )O17 9 7 VERIFY N FIELD INSUL INSULATION VERTU VERTIC L INT INTERIOR WP WATER ROOF JBOX JUNCTION BOX City of Tukwila WITH LB(S) POUND(S) I BUILDING D'I`MS t4 Tl. CE T • -Mobile *CENTERLINE SOLUTIONS Mandy Mobs Nam& ( CP PROJECT NO.: TMO-15-0022-362 PRELIMINARY NO. DATE D/C DESCRIPTION 0 06-08-16 CL/CL 90% CD REVIEW 1 06-28-16 MS/MS CLIENT COMMENT SUBMITTAL NO. DATE D/C DESCRIPTION 0 08-18-16 MS/MS BP SUBMITTAL i SITE NAME: PARKRIDGE-15215 Q SITE ID: WI LASE03999A SITE ADDRESS: �IJ 1521552NDAVES TUKWILA, WA 98188 � TL=l1 SHEET TTTLE GENERAL NOTES SHEET NO. GN1.0 •10 INT (E) ADJACENT PROPERTY LINE (TYP) PARCEL #: 1157200017 ZONING: 0 (E) SUBJECT PROPERTY LINE (TYP) \ OM OM 00 OM 00000000 OM OM assol.m.o. 00 OM OIMOP. OM OM OOMOMMONO 00 00 4010000.0 00 OM (E) BUILDING (TYP) T -MOBILE PROJECT AREA SEE SHEET A4.0 (E) ROOFTOP EQUIP. (TYP) T -MOBILE PROJECT AREA SEE SHEETA4.0 T -MOBILE PROJECT AREA SEE SHEET A2.0 n (E) ROOF HATCH 0 E • INGRESS/EGRESS FROM 52ND AVE S (E) OTHER CARRIER EQUIP. (TYP) DRAWING LEGEND — OM ....... SUBJECT PROPERTY LINE ADJACENT PROPERTY LINE — — COAX COAX ROUTE HYBRID HYBRID CABLE ROUTE FENCE EXISTING ® ELEVATION MARKER DETAIL REFERENCE ® SECTION MARKER COMMON ABBREVIATIONS (E) EXISTING (N) NEW ABBREVIATIONS CONTINUED (TYP) TYPICAL ON SHEET GN1.0 NOTE: SITE PLAN DERIVED FROM; EXISTING DRAWINGS, GIS, AERIAL IMAGES AND SITE PHOTOS. REVIEWED FOR C DE COMPLIANCE APPROVED JAN 3 0 2011 City of Tukwila UILDING DIVISION - 52ND AVE S RECEIVED CITY OF TUKWILA S ? 0 9 2016 PERMIT CENTER 15.9. N TN MN W E S 1 OVERALL SITE PLAN SCALE: 1" = 30'-0" (11X17) SCALE: 1" = 15-0" (22X34) 0' 15' 30' 60' ■i EF *CENTERLINE SOLUTIONS AdwiaNg NieitcsNewds CP PROJECT NO.: TMO-15-0022-362 pREUMINARY NO. DATE D/C DESCRIPTION 0 06-08-16 CUCL 90% CD REVIEW 06-28-16 MS/MS CLIENT COMMENT SUBMITTAL NO. DATE D/C DESCRIPTION 0 08-18-16 MS/MS BP SUBMITTAL SITE NAME: PARKRIDGE-15215 SITE ID: SE03999A SITE ADDRESS: 15215 52ND AVE S TUKWILA, WA 98188 SHEET TITLE OVERALL SITE PLAN SHEET NO. A1.0 „ (E) T -MOBILE COVP AT EQUIP. TO REMAIN T m -Mobile-le *CENTERLINE SOLUTIONS *Manch' % (E) T -MOBILE PURCELL CABINET TO REMAIN /(E)TOBILESTACKTOREIN f�� (E) T -MOBILE ULTRASITE CABINET (TYP. OF 2) TO REMAIN � r T -MOBILE EQUIPMENT WITHIN CABINET: (E) SEE 1/A4.0 C _r u / / \ MEM IP n F. - a.; I f• 4' 1; 15 p 513y O,c�IS[6R) TN N MN W (E) T -MOBILE UTILITY CABINET TO REMAIN E s SCALE: 3/8"= 1'-0" (11X17) 0' 1' 3' 5' `')4fONAL' 08/18/2016 1 (E) ENLARGED EQUIPMENT PLAN SCALE: 3/4"=1'-0"(22X34) •���fi I CP PROJECT NO.: TMO-15-0022-362 I PRELIMINARY (E) T -MOBILE COVP AT EQUIP. TO REMAIN REVIEWED FOR CODE COMPLIANCE V APPROVED ROVPPRED JAN 3 0 2011 NO. DATE D/C CRIPTION 0 06-08-16 CL/CL 90%CD REVIEW 1 06-28-16 MS/MS CLIENT COMMENT SUBMITTAL NO. DATE D/C DESCRIPTION 0 08-18-16'4S/MS BP SUBMITTAL (E) T -MOBILE PURCELL CABINET TO REMAIN City of Tukwila - S(TE NAME: PARKRIDGE-15215 SITE gyp; BUILDING DIVISION (E) T -MOBILE ULTRASITE f (E) T -MOBILE STACK TO REMAIN RECEIVED CABINET (TYP. OF 2) TO REMAIN CITY OF T U KW I L A SE03999A SITE ADDRESS (E) T -MOBILE EQUIPMENT WITHIN CABINET: SEE 1/A4.0 • • • Si? a 9 2016 (N) T -MOBILE EQUIPMENT TO BE ADDED TO CABINET: 15215 52ND AVE S TUKWILA,WA98188 (1) FBBC (1) FBBA r 73ERMIT CENTER • .. _=r‘r _ i6.151.01.,96.1.6.1.0÷ TRLE � / / / ,SHEET •"• ENLARGED EQUIPMENT PLAN // // / 15,9. N TN MN (E) T -MOBILE UTILITY CABINET TO REMAIN w E S SHEET NO. A2.0 SCALE: 3/8"= 1'-0" (11X17) 0' 1' 3' 5' 2 (N) ENLARGED EQUIPMENT PLAN SCALE: 3/4"=,'-0"(22X34) • �� (E) T-MOBILE PANEL ANTENNA (TYP OF 6) TO REMAIN (E) T-MOBILE PANEL ANTENNA (TYP OF 3) TO BE REMOVED (E) T-MOBILE ANTENNA TIP HEIGHT f� j !� aa ■ -Mobile. , ■bi I e o* 111 ll AAAJJJ 111\./ (E) T-MOBILE TMA (TYP OF 6) - , 1 _ 1 ■l _ Jtl 1 , 35.7' mlj 1 TO REMAIN i (E) T-MOBILE FXFB (RRU) TO •• 14., r1 I •.9 •• I (E) T MOBILE FRIG (RRU) TO REMAIN (TYP OF 3) *CENTERLINE g ut s Winoks Nasals REMAIN (TYP OF 3) - , r if j� j- (E) T OO 2) LE COVP 2,0- � %CEJ % (TYP OF 2) TO REMAIN C.,a T (E) TOP OF PARAPET 6 HYBRID / HYBRIDI- 27.1' (E) LOW-CAP T-MOBILE HIGH-CAP (100 LF) HYBRID (175 LF) & FIBER _ ROUTED W/ (E) COAX REVIEWED FOR COMPLIANCE CODE APPROVED JAN 3 0 2017 Li �t . .._ ' City of Tukwila /y `13 ��$8. A. . 4: i O i 3' �0 '��rsA° (E) GI/ADB" G DIVISION (E) T-MOBILE EQUIPMENT AREA; GROUND LEVEL ,� _ 145 HYBRID SCALE: ,"=,0'0"(„X,7) 0 10 20'rotvnl, tIA 08/18/2016 1 EXISTING SOUTH ELEVATION SCALE: 1" = 5'-0" (22X34) •• is NI N — (E) T-MOBILE PANEL ANTENNA (TYP OF 6) TO REMAIN (N) T-MOBILE PER FRBG (RRU) (TYP OF 1 SECTOR, TOTAL OF 3) (N) T-MOBILE ANTENNA TIP HEIGHT ICP PROJECT NO TMO-15-0022-362 (N) T-MOBILE PANEL ANTENNA (TYP OF 3) (N) T-MOBILE FRBG (RRU) (TYP OF 1 - I '�I,I_ I 38.T Wr (E) T-MOBILE ANTENNA TIP HEIGHT PRELIMINARY N0. DATE D/C DESCRIPTION PER SECTOR, TOTAL OF 3) T-MOBILE TMA OF 6) TO REMAIN 1E y - - T 35.T A 0 06-08-16 CULL 90% CD REVIEW (E) (TYP (E) T-MOBILE FXFB (RRU) TO REMAIN (TYP OF 3) i li 1 1 if w (E) T-MOBILE FRIG (RRU) TO REMAIN (TYP OF 3) — (E) T MOBILE COVP (TYP OF 2) TO REMAIN 1 06-28-16 MS/MS CLIENT COMMENT SUBMITTAL m� = 1 _ \ i_\ter ■I 11 14 _ ,__ �' ` it (E) T-MOBILE FXFB (RRU) TO NO. DATE D/C DESCRIPTION (N) T-MOBILE FRBG (RRU) (TYP OF 1 PER SECTOR, TOTAL OF 3) 11 —.. +�3) �, / /� REMAIN (TYP OF 0 08-18-16 MS/MS, BP SUBMITTAL T y (E) TOP OF PARAPET 27.1' di SITE NAME: PARKRIDGE-15215 SITE ID: (E) T-MOBILE HIGH-CAP (175 LF) & NOTES: LOW-CAP (100 ROUTED LF) HYBRID W/ (E) FIBER COAX • IF REQUIRED, PAINT TO MATCH ANTENNAS AND ANCILLARY EQUIPMENT TO MATCH THE EXISTING STRUCTURE WITH NON-REFLECTIVE PAINT AS REQ'D. CONTRACTOR S E03999A SITE ADDRESS: TO VERIFY COLOR AND FINISH WITH LANDLORD AND/OR JURISDICTION. • PRIOR TO MATERIALS PROCUREMENT CONTRACTOR SHALL FIELD VERIFY CONDITION OF STRUCTURE AT PROPOSED MOUNTING LOCATION TO ENSURE 15215 52ND AVE S TUKWILA, WA 98188 EXISTING CONDITIONS ARE SUITABLE AT SPECIFIED ELEVATION. • NEW ANTENNAS SHALL NOT EXCEED EXISTING TIP HEIGHT U.N.O. • RETURN ALL USED EQUIPMENT AND HARDWARE TO T-MOBILE WAREHOUSE. • ALL CLIMBING PATHS ON TOWER/MONOPOLE TO & CLEAR OF C. SHEETTRLE MOUNTS, EQUIPMENT, ETC. VIVREMAIN-FREE r P�� �� � ! ELEVATIONS 03 I MO = SZ? 920e3 d _ (E) GRADE 0'-0" AGLiio (E) T-MOBILE EQUIPMENT (\\ // AREA; GROUND LEVEL ` J (`EN TEF CENTER R SHEET NO. A3 • 0 HYBRID SCALE: 1" = 10'-0" (11X17) 0' 5' 10' 20' 2 FINAL SOUTH ELEVATIONSCALE1"=5'-0"(22X34) I E (E) T MOBILE PANEL ANTENNA (TYP d OF 6) TO REMAIN h N (E) T -MOBILE COVP ��V/ °j `S (TYP OF 2) TO REMAIN Z Q ��� ZQ o �`` 1� �"� (E) T MOBILE FRIG (RRU) TO : � ��� 4 \iu Q REMAIN (TYP OF 3) IlV."...„....,_----,..... (E) T -MOBILE FXFB (RRU) TO \� REMAIN (TYP OF 3) (E) T -MOBILE PANEL ANTENNA (TYP OF 3) TO BE REMOVED (E) T -MOBILE SECTOR FRAME TO REMAIN (TYP) (E) T -MOBILE TMA (TYP OF 6) TO REMAIN 1 ■ -Mo (•j • i le .F �jj ANTENNA SCHEDULE - FINAL CONFIGURATION SECTOR POS. EXIST. / NEW MNFR. ANTENNA MODEL PORT DIMENSIONS (L x Wx D) WEIGHT (LBS) Al EXISTING ANDREW TMZXX-6516-R2M QUAD 59.6" x 12.0" x 6.5" 36.2 *CENTERLINE aOi JUONS Mrdp*idncAMratr A2 EXISTING ANDREW TMZXX-6516-R2M QUAD 59.6" x 12.0" x 6.5" 36.2 ALPHA A3 NEW COMMSCOPE SBNH-1D65C QUAD 96.0" x 11.9" x 7.1" 49.6 B1 EXISTING ANDREW TMZXX 6516 R2M QUAD 59.6" x 12.0" x 6.5" 36.2 82 EXISTING ANDREW TMZXX-6516-R2M QUAD 59.6" x 12.0" x 6.5" 36.2 BETA 63 NEW COMMSCOPE SBNH-1D65C QUAD 96.0" x 11.9" x 7.1" 49.6 C1 EXISTING ANDREW TMZXX-6516-R2M QUAD 59.6" x 12.0" x 6.5" 36.2 C2 EXISTING ANDREW TMZXX-6516-R2M QUAD 59.6" x 12.0" x 6.5" 36.2 GAMMA C3 NEW COMMSCOPE SBNH-1D65C QUAD 96.0" x 11.9" x 7.1" 49.6 44/1 g "- E:�� py� yv�o (�P ,` � Gpt1 py `l!.��/ p Qy GP ..,45§D�1 V I <9 T� I �V ' 1� 1ycs ,� .9A, TA_ 7S7s I �o �� 15.9^ \, � N Bc�j1 TN MN ql'6's. s`7 jW *TOWER - FINAL EQUIPMENT INVENTORY �, w 0 ,_ Ni., ti�J �� : ' • . �+� N el 'fit y� F� �x O /:t ," � 5� y At �,A ��ifs`( � SCOPE QTY. TECHNOLOGY MNFR. MODEL DIMENSIONS (LXWXD) WEIGHT (LBS) (E) TO REMAIN (6) ANTENNA ANDREW TMZXX-6516 R2M 59.6" x 12.0" x 6.5" 36.2V:Aill (E) TO REMAIN (2) COVP RAYCAP CR100 1076R06 20.2" x 19.0" x 7.0" 15.0 (E) TO REMAIN (3) RRU NOKIA FRIG 23.8" x 17.2" x 7.5" 59.9 E �� Gpts,4 och �� S (E) TO REMAIN (3) RRU NOKIA FXFB 19.3" x 22.0" x 5.2" 55.0 08/18/2016 ,.j C) '0111AL VI (E) TO REMAIN (6) TMA COMMSCOPE ETW190VS12UB (TWIN PCS) 10.2" x 6.7" x 3.7" 14.6 SCALE: NTS (11X17) (E) (3) ANTENNA ANDREW TMZXX-6516-R2M 59.6" x 12.0" x 6.5" (36.2) 2 EXISTING ANTENNA PLAN SCALE: NTS (22X34) ADD (N) (3) ANTENNA COMMSCOPE SBNH-1D65C 96.0" x 11.9" x 7.1' 49.6 Z (E) T -MOBILE PANEL ANTENNA (TYP', 4' OF 6) TO REMAIN y, ry a `P O (TYP OF oREMAILE iN"�Q ,./, '� ��g AZ... OWN h a. (N) T -MOBILE PANEL ANTENNAS (TYP 4 Z P � W OF 1 PER SECTOR, TOTAL OF 3) Q 2� MOUNTED ON (N) ANTENNA PIPE (E) T -MOBILE FRIG (RRU) TO .-..: .1 ♦ REMAIN (TYP OF 3) \�i � �► 2 MOUNT (REPLACE (E) PIPE MOUNT W/ � LONGER PIPE TO ACCOMMODATE (N) ANTENNA /ANCILLARY INSTALLATION (E) T -MOBILE FXFB (RRU) TO \ `-. �: AS REQUIRED ) REMAIN (TYP OF 3) , �` (E) T -MOBILE SECTOR FRAME TO REMAIN (TYP) (E) T -MOBILE TMA (TYP OF 6) TO REMAIN 1 1 (N) T -MOBILE FRBG (RRU) MOUNTED,-• I CP PROJECT NO.: TMO-15-0022-362 I ADD (N) (3) RRU NOKIA FRBG 25.1" x 12.6" x 7.8" 59.5 PRELIMINARY NO DATE D/C DESCRIPTION 0 06-08-16 'NM/MS CL/CL 90% CD REVIEW *GROUND - FINAL EQUIPMENT INVENTORY 1 06-28-16 CLIENT COMMENT SUBMITTAL SCOPE QTY. TECHNOLOGY MNFR. MODEL DIMENSIONS (LXWXD) WEIGHT (LBS) NO. DATE D/C DESCRIPTION 0 08-18-16 MS/MS BP SUBMITTAL (E) TO REMAIN (3) RRU NOKIA FRIA 19.3" x 22.0" x 5.2" 55.0 (E) TO REMAIN (2) COVP RAYCAP RNSNDC-7771-PF-48 18.85" x 16.08" x 5.83" 19.0 SITE NAME: (E) TO REMAIN (1) BASEBAND NOKIA FSMF PARKRIDGE-15215 SITE ID: (E)TOREMAIN (1) BASEBAND NOKIA ESMB - - (E) TO REMAIN (2) BASEBAND NOKIA FSME - SE03999A SITE ADDRESS: ADD (N) (1) BASEBAND NOKIA FBBC - - ADD (N) (1) BASEBAND NOKIA FBBA - - ON (N) PIPE MOUNT.(TYP `� ---- _'' / OF -3) • �- T `>• O i T U K W I L A 15215 52ND AVE S TUKWILA, WA 98188 ���\"' �65G50 ` 5 •?, N4 P G P� •• •(1` p-- °... V** 4 Q�� 654`ry5d G 1.- 41\ " 4 P$ G I �T I � 6 %.1_::\10664;70,.<1.1,,9 I/ � ,. �6 ' �� II. goo / �yj ��`'4 9 �S I FTIetiy� �. �s �_ _ _ _, REVIEWED FOR CODE r COMPLIANCE . I APPROVED JAN 3 O 2011 Cit+ of Tukwila BUILDING DIVISION L> (.; r -'" ,. _. a L 1 �'�i _ =�R lci lT C E i ! T>; R 15.b, N TN MN W E I SA4.0 THE 'IOWER" AND "GROUND" REFERENCES REFER TO NOMENCLATURE REFLECTED IN THE PLUMBING DIAGRAM ON THE RF1.0 SHEET AND DO NOT NECESSARILY REFER TO ACTUAL LOCATION OF EQUIPMENT. GROUND EQUIPMENT NOTE: SHEET TRLE ANTENNA DETAILS &PLANS • NEW FBBC TO BE INSTALLED IN EXISTING FCOA CABINET (QUANTITIES MAY VARY). ALL OTHER BASEBAND MODULES ARE ASSUMED TO BE EXISTING. ANTENNA NOTES: • REFERENCE OWNERS MANUAL FOR CONNECTION AND MOUNTING INFORMATION FOR AMPLIFIER IF REQUIRED. • CONTRACTOR SHALL VERIFY FINAL ANTENNA AZIMUTHS W/ CLIENT REPRESENTATIVE PRIOR TO COMMENCING INSTALLATION. • PRIOR TO MATERIALS PROCUREMENT CONTRACTOR SHALL FIELD VERIFY SUITABILITY OF ANTENNA MOUNT AT SPECIFIED ELEVATION. • IF REQUIRED, PAINT TO MATCH ANTENNAS AND ANCILLARY EQUIPMENT TO MATCH THE EXISTING STRUCTURE WITH NON -REFLECTIVE PAINT AS REQ'D. CONTRACTOR TO VERIFY COLOR AND FINISH WITH LANDLORD AND/OR JURISDICTION. • RETURN ALL UNUSED EQUIPMENT TO T -MOBILE WAREHOUSE. SHEET NO. EQUIPMENT SCALE: NTS (11X17) PLAN-�` SCALE: NTS (11X17) 1 ANTENNA AND ANCILLARY SCALE: NTS (22X34) 3 FINAL ANTENNA SCALE: NTS (22X34) TOP 11111 TOP ■II.Mobile .." 1 WIDTH I 1 WIDTH *CENTERLINE Athrindng,„ EP DEPTH RInn HEIGHT .. HEIGHT L - I 1 L. FRONT — : HIDE - _ Ns - FRONT SIDE - mi - 1 11 1 1( I _ .. 0 0 0 0 0 ��' : ' .y , L'�, N VI ,(4 Qi 0 ' y; /� f 1 /� i• ° +�, 7O 4FCI1 MN FRBG 700 Wiz RF MODULE (REMOTE RADIO UNITS ANTENNA DATA MECHANICAL SPECIFICATIONS - HEIGHT: 25.1" ' MANUFACTURER HEIGHT WIDTH DEPTH WEIGHT WIDTH: 12.6" DEPTH 7.8" COMMSCOPE 96.0 IN 11.9 IN 7.1 IN 49.6 LBS WEIGHT: 59.5 LBS PART# CONNECTORS STANDARD MOUNTING HARDWARE SBNH-1 D65C (4) 7-16 DIN FEMALE INCLUDED 08h8/2016 SCALE: NTS (11X17) SCALE: NTS (11X17) SCALE: NTS (11X17) 1 ANTENNA DETAIL SCALE: NTS (22X34) 2 FRBG (RRU) DETAIL SALE: NTS (22X 4) 3 NOT USED SALE: NTS (22)( 4) REVIEWED FOR CODE PCPORMOPV COMPLIANCE AN 3 0 2017 • City of Tukwila BUILDING DIVISION RECEIVED CIT\' OF TUKWILP SE? ' 9 2016 1 PERMIT CENER I CP PROJECT NO.: TMO-15-0022-362 I PRELIMINARY NO. DATE D/C DESCRIPTION 006-08-16 CUCL 90% CD REVIEW 1 06-28-16 MS/MS CLIENT COMMENT SUBMITTAL O. N0 DATE D/C DESCRIPTION 08-18-116 MS/MS BP SUBMITTAL SITE NAME: PARKRIDGE-15215 SITE ID: SE03999A SITE ADDRESS: 15215 52ND AVE S TUK1MLA, WA 98188 SHEET TILE ANTENNA AND EQUIPMENT DETAILS SHEET NO. A5 ■ 0 SCALE: NTS (11X17) SCALE: NTS (11X17) SCALE: USED SCALE: NTS (11X17) t`F SCALE: NTS (11X17) 4 NOT USED SCALE: NTS (22X34) 5 NOT USED NTS (22X34) 6 NOT SCALE: NTS (22X34) 7 NOT USED 1 SCALE: NTS (22X34) FPKA MOUNTING BRACKET (E) MOUNTING PIPE (E) FPKA MOUNTING (E) FMFA MOUNTING s, M8X120MM BOLT (TYP. OF 2) BRACKET (TYP. OF 2) ®® id T. ■ ® ®,�j J� /� • obile Ip NOTES: - SUITABILITY OF PLATFORM / MOUNT(S) FOR FINAL LOADING CONFIGURATION VERIFIED BY CENTERLINE SOLUTIONS IN REPORT DATED 08-16-16. - NO WORK SHALL COMMENCE WITHOUT THE APPROVED STRUCTURAL TOWER / ANTENNA / MOUNT ANALYSIS REPORT (SIGNED AND SEALED) TO BE PROVIDED UNDER SEPARATE COVER. CONTRACTOR PRIOR TO CONSTRUCTION SHALL REVIEW THE APPROVED TOWER/ANTENNA/MOUNT ANALYSIS1 REPORT SUPPLIED BY T -MOBILE AND MODIFY, IF REQUIRED, ALL APPLICABLE MEMBERS AS INDICATED IN CERTIFIED STRUCTURAL REPORT PRIOR TO INSTALLATION ON STRUCTURE. a C E N T E R L I N E soivnorvs o - ' , PLINTH (N) FRGB (RRU) :` � M10X120X150MM BOLT (TYP. OF 2) (E) 2-3/8" O.D. MIN. ANTENNA PIPE MOUNT (REPLACE (E) PIPE MOUNT W/ LONGER I - i PFPKA/J-BOLT FMFA FIXING POINTS U -BOLT MOUNT LOCATION (TYP. OF 2) MOUNT LOCATION (TYP. OF 2) o .__ .1 0 4 % O O :©: i�- 'fO51 08/18/2016 -000 �LO y -►` 6-i Q� .�. 0 q R�9 '�1`sfoN�G 000 0 0 000 D. DD �a o 0 o Q Q OO 0 ( 0 PIPE TO ACCOMMODATE (N) ANTENNA / ANCILLARY INSTALLATION AS REQUIRED ) D .I ro o FLOOR MOUNT LOCATION OF 6) SIDE FRONT 1 CP PROJECT NO.: TMO-15-0022-362 co 0 — (N) ANTENNA MOUNT WITH(TYP. MECHANICAL DOWN TILT PRELIMINARY NO. DATE D/C , DESCRIPTION co -J a Z o (E) T -MOBILE FRIG (RRU), TYP OF 3 (N) T -MOBILE ANTENNA (MODEL # SBNH-1D65C) - SEE 1/A4.0 SCALE: NTS (11X17) 0 06-08-16 CULL 90% CD REVIEW 1 06-28-16 MS/MS CLIENT COMMENT 2 ANCILLARY EQUIPMENT MOUNTING DETAIL SCALE: NTS (22X34) REVIEWED FOR COMPLIANCE c i , CODEli ���SO�/�® R E C E I V E LJ �( V CITY OF TUK4�/iLA • �p,N302011 4� SE?��'u city of Tukwila 'ERMIT CENTER BUILDING DIVISION SUBMITTAL 0 ^ N _ Z i LI re Lci 0. z O �rJ�� - — _ _ 0 •. ... e (N) T -MOBILE FRGB (RRU), TYP OF 3, ON PIPE MOUNT; MOUNT PER MANUF. N0. DATE D/C DESCRIPTION 0 08-18-16 MS/MS BP SUBMITTAL ..-. - SITE NAME: PARKRI DGE-15215 SITE ID: w �� (E) RECOMMENDATIONS SE03999A SITE ADDRESS: r` - — (E) T -MOBILE TMA, TYP OF 6 (E) T -MOBILE COVP, TYP OF 2 15215 52ND AVE S TUKWILA,WA98188 SHEET TITLE �+ /� CONSTRUCTION DETAILS \ Tom' (E) STEEL SECTOR FRAME; VERIFY DIMENSIONS PRIOR TO INSTALLATION (E)6X6PTHF#1 SLEEPER, TYP OF (2) ATTACHED TO (E) ROOF JOIST BLOCKING W/ 3/4" 0 BOLT SHEET NO. A6.0 SCALE: NTS (11X17) SCALE: NTS (11X17) 3 NOT USED SCALE: NTS (22X34) 1 ANTENNA MOUNTING DETAIL SCALE: NTS (22X34) RFDS V. 1.1 L700 Configuration 702A_RUSq — 2015 r:—. -;ii Gf ern `�.�.=S"' +4r far c.'.'ty. CI= upsrsded codixnerrt aotanf,N,ted N $ Pevsrri Prt-x h'1 Cm/AM- /A.2 CI P.1 P m/AM--/A.2CIP.1DP ICYP ..111171 NOTES: 1. ALL COAXIAL CABLE CONNECTIONS TO BE WEATHERPROOFED. 2. CONTRACTOR TO DIP CABLES AND JUMPERS WHERE NECESSARY. 3. TAGGING: • ALL COAXIAL CABLES TO BE MARKED WITH COLOR CODED TAPE TO INDICATE THE ANTENNA SECTOR. COLORED ELECTRICAL TAPE SHALL MARK EACH END OF CABLE AND EACH END OF JUMPERS AS CLOSE TO EACH END AS POSSIBLE. (NOT TO INTERFERE WITH WATERPROOFING.) 4. COAXIAL CABLE SPECIFICATIONS REQUIRE CABLE SUPPORT EVERY 3'-0" ON CENTER. CONTRACTOR SHALL SUPPLY SUPPORTS AS REQUIRED TO MEET THIS REQUIREMENT. 5. VERTICAL CONNECTIONS SHALL BE TAPED FROM THE BOTTOM UP SO OVERLAP MOVES WATER AWAY FROM CONNECTION (SEE STEP 4). 6. PROVIDE HEAT SHRINK IN PLACE OF TAPE FOR QUAD POLES & TMAS. 7. ALL ANTENNAS & COAXIAL ANTENNA CABLE TO BE FURNISHED BY T -MOBILE AND INSTALLED BY CONTRACTOR. 8. COAX SHALL BE TAGGED WITH COLOR CODING AT (2) PLACES USING 1" WIDE WEATHERPROOF COLORED VINYL TAPE AT THE FOLLOWING LOCATIONS: #1 - AT ANTENNA CONNECTION #2 - AT ENTRY TO EQUIPMENT CABINET 9. RUN COAXIAL CABLE WITH MINIMUM 12" SLACK & 12" FROM EDGE OF EQUIPMENT CABINETS, ACROSS WAVE GUIDE BRIDGE (IF APPLICABLE), UP TO TOWER LEG (IF APPLICABLE), AND DISTRIBUTE TO EACH ANTENNA DEVICE. FURNISH AND INSTALL A MINIMUM OF (3) GROUND KITS PER COAXIAL CABLE. VERIFY NUMBER OF ANTENNAS, CABLE, AND CABLE DIAMETER WITH T -MOBILE CONSTRUCTION MANAGER. REVIEWED FOR ZODE COMPLIANCE JAN 3 0 2017 City of Tukwila BUILDING DIVISION vD :ITV OF TUKWiLP ,... .I 21)) -_RivIIT CENTER 1 RF DETAILS - ANTENNA & ANCILLARY EQUIPMENT PLUMBING DIAGRAM • • • •Mobile *CENTERLINE SOIVT-.ONS Mandy *MsWoorb CP PROJECT NO.: TMO-15-0022-362 PRELIMINARY NO. DATE D/C DESCRIPTION 0 06-08-16 CUCL 90% CD REVIEW 06-28-16 MS/MS CLIENT COMMENT SUBMITTAL NO. DATE D/C DESCRIPTION 0 08-18-16 MS/MS BP SUBMITTAL SIE NAME: PARKRIDGE-15215 SITE ID: SE03999A SITE ADDRESS: 15215 52ND AVE S TUKWILA, WA 98188 SHEET TIRE RF DETAILS SHEET NO. RF1.0 1/2/2018 City of Tukwila Department of Community Development RICK STOCKMANN 8218 154TH AVE NE, STE 120 REDMOND, WA 98052 RE: Permit No. D16-0251 T -MOBILE 15215 52ND AVE S Dear Permit Holder: Allan Ekberg, Mayor Jack Pace, Director In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 2/11/2018. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206-438-9350 to schedule for the next or final inspection. Each inspection creates a new 180 day period, provided the inspection shows progress. -or- 2) Submit a written request for permit extension to the Permit Center at least seven(7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and/or receive an extension prior to 2/11/2018, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, Bill Rambo Permit Technician File No: D16-0251 6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 DocuSign Envelope ID: FFFB7C8C-9AA7-47A6 3-96B3A057323D T -Mobile USA, Inc. 12920 SE 38th Street iMiobile Bellevue, WA 98006 Attn: Lease Compliance/SE03999A & SE04000B October 13 , 2017 City of Tukwila 6300 Southcenter Boulevard, Suite #100 Tukwila, WA 98188 Re: Wireless Telecommunication Facilities Permit: L15-0059 Address: 16400 Southcenter Parkway, Tukwila, WA 98188 ("South Center Place") Wireless Telecommunication Facilities Permit: L16-0053 Address: 15215 52' Avenue South, Tukwila, WA 98188 ("Parkridge") Dear City of Tukwila, RECEIVED OCT 14 2(111 Community Development This letter is in reference to two wireless permits obtained by Centerline Solutions ("Centerline") on behalf of T -Mobile West LLC ("T -Mobile"). Centerline applied for wireless telecommunication facilities permits ("Wireless Permits") to modify existing cell sites at South Center Place and Parkridge. A Type II Wireless Telecommunications Facilities Permit was approved by the Department of Community Development (the "Department") on January 21, 2016 under the project number L 15-0059 for South Center Place. The corresponding building permit number, D15-0308, was issued on May 26, 2016. A Type 1 Wireless Telecommunications Facilities Permit was approved by the Department on November 22, 2016 under the project number L 16-0053 for Parkridge. The corresponding building permit number, D16-0251, was issued on April 17, 2017. The Wireless Permits and the building permit for South Center Place contained a condition that an emergency power off("EPO") switch must be installed at the site. The Wireless Permit for Parkridge also indicated that "an emergency power shut down switch is required for antennae system for fire department use in event of a building fire." The initial interpretation of the requirement of an EPO switch by the Department and Tukwila Fire Department (collectively, "Tukwila") was the ability to sever the local AC commercial power to prevent electrical hazards in the event of a fire. After completion of the modification to South Center Place, T -Mobile contractors scheduled an inspection with the City of Tukwila to close D15-0308. When the Tukwila Fire Department inspected the site on October 24, 2016, the inspection failed because an EPO switch was not installed. At that time, the contractors and Centerline learned that the Tukwila Fire Department requires the installation of a "readily visible, labeled, accessible" EPO switch shutting down all power and communication at a cell site, and not solely AC commercial power, due to concerns over emergency responder exposure to radiofrequency electromagnetic radiation ("RF Exposure"). The Federal Communications Commission ("FCC") established guidelines for RF exposure and published OET Bulletin No. 65 ("OET-65") which provides guidance on evaluating compliance with FCC policies and guidelines related to RF Exposure. The FCC's guidelines for RF exposure incorporate two tiers of limits, one for general public exposure and one for situations usually involving workers, termed "occupational/controlled" exposure. Antenna installations on building rooftops fall into the latter limit when members outside the general DocuSign Envelope ID: FFFB7C8C-9AA7-47A6 5-96B3A057323D public enter the rooftop space. T -Mobile regularly conducts testing and takes measurements to ensure compliance with FCC guidelines as described in OET-65. T -Mobile, along with other communications providers, play an essential role in the delivery of public safety services, particularly 911 services, and that role is especially prominent during emergencies that lead to power outages. 80 Fed. Reg. 62470. Pursuant to federal regulations promulgated by the FCC, certain communications providers, such as T -Mobile, must reliably provide 911 callers the ability to connect to a Public Safety Answering Point ("PSAP") or appropriate local emergency authority. 47 C.F.R. §20.18. Furthermore, providers of 911 services must have the ability to provide the location of the caller. id. T -Mobile's South Center Place and Parkridge sites are equipped with enhanced 911 capabilities. The reliability of this public safety service is dependent on the ability of these sites to transmit and receive information from mobile devices at all times, including commercial power outages. T -Mobile, being a covered 911 service provider, is required to "certify whether it ... provisions backup power through fixed generators, portable generators, batteries [emphasis added], fuel cells, or a combination of these or other such sources to maintain full-service functionality, including network monitoring capabilities, for at least 24 hours at full office load...," 47 C.F.R. §12.4. T -Mobile has installed batteries at these sites to ensure its compliance with federal regulations. Furthermore, providers of "facilities -based, fixed voice service" are required to offer new voice subscribers the option to purchase standby backup power solutions. 47 C.F.R. § 12.5. Collectively, these federal regulations underscore the importance of an uninterruptible power supply to ensure 911 services will continue to operate during power outages. Tukwila's requirement to install an EPO switch enables the Tukwila Fire Department, or any other person having access to the EPO switch, to power down T -Mobile's equipment, including its antennas, thereby compromising T -Mobile's ability to ensure delivery of reliable 911 services in emergencies, as required by federal regulation. Additionally, a more immediate need exists to connect individuals to a ASAP during emergencies, including building fires, and shutting down T -Mobile's equipment would undoubtedly impair T -Mobile's ability to meet the need of the Tukwila community during such emergencies. T -Mobile has reviewed the Tukwila Zoning Ordinance, Tukwila's Fire Code (adopted from the International Fire Code), the Washington State Building Code, and the Washington State Energy Code, and T - Mobile is unable to locate a section that requires an EPO switch be installed at wireless communication facilities. Therefore, it does not appear that State or local law require the installation of an EPO switch for wireless communications equipment. It is T -Mobile's position that Tukwila's requirement to install an EPO switch in order to power down T - Mobile's antennas and associated equipment during building fires is inconsistent with federal laws and regulations governing covered 911 service providers. T -Mobile, as a covered 911 service provider, respectfully requests the removal of this requirement from the Wireless Permits and/or building permits for the South Center Place and Parkridge cell sites. The safety of the members of Tukwila's Fire Department and the public are important to T - Mobile, as are T -Mobile's compliance with federal laws/regulations and its role in maintaining network reliability and public safety communications. T -Mobile welcomes the opportunity to further discuss this requirement and its prevalence on all Tukwila Wireless Permits and building permits for these facilities. T -Mobile appreciates the continued dialogue on finding a resolution to this permit condition. Please utilize the below contact information to further discuss this matter. Respectfully, ,—Docu$igned by: '—BDOACDA3402249E... Print Name: Maria Emig Title: Development Manager , T -Mobile West LLC Email: mari a. emi g(9t-mobi 1 e. com Phone Number: 425-398-7614 Digitally signed by Tara L Schmidt ON: cn=Tara L Schmidt. o=Pennington Law Firm, ouwOutside Counsel forT-Mobile, emait=tarascbmidtppenniawfinn<o m,c=US Date: 2017.10. 7 2 08.3656 City of Tukwila Allan Ekberg, Mayor Department of Community Development - Jack Pace, Director March 14, 2017 Charles Li 8218 154th Ave NE, Ste 120 Redmond, WA 98052 RE: Request for Application Extension #1 Permit Number D16-0251 Dear Mr. Li, This letter is in response to your written request for an extension to Application Number D16-0251. The Building Official, Jerry Hight, has reviewed your letter and considered your request to extend the above referenced permit. It has been determined that the City of Tukwila Building Division will be granting an extension to the permit through September 9, 2017. If you should have any questions, please contact our office at (206) 431-3670. Sincerely, Rachelle Ripley Permit Technician File: Permit No. D16-0251 Tukwila City Hall • 6200 Southcenter Boulevard • Tukwila, WA 98188 • 206-433-1800 • Website: TukwilaWA.gov •CENTERLI N E SOLUTIONS March 6, 2017 City of Tukwila Community Development — Permit Center 6300 Southcenter Blvd, Ste 100 Tukwila, WA 98188 RE: BP Application: T -Mobile SE03999A Parkridge Permit Number: D16-0251 Site Address: 15215 52' Ave S Tukwila, WA 98188 Parcel Number: 1157200017 Dear Tukwila, On behalf of T -Mobile, Centerline Solutions presented a Building Permit Application for a minor modification to an existing wireless communication facility at the above referenced location. The permit is approved and enclosed is a check for the outstanding fees. Can you also please let me know if the permit can be extended? We will be picking up the permit momentarily, but not by the expiration date of 3/9/17. Enclosed Documents: • Email dated 2/17/17 • Check 3480445 for Five Hundred Ten Dollars and 92/100 ($510.92) Best regards, Charles Li Project Coordinator 425-765-6220 cli@centerlinesolutions.com 8218 154th Avenue NE, Suite 120 Redmond, WA 98052 RECEIVED CITY OF TUKWILA cAR0J2017 PERMIT CENTER Request for Extension # / Current Expiration Date: 3/ 9// Extension Request: Approved for Denied (provide explanation) days 5jrirgivel/ Signature/Initials 2/1/2017 City of Tukwila Department of Community Development RICK STOCKMANN 8218 154TH AVE NE, STE 120 REDMOND, WA 98052 RE: Permit Application No. D16-0251 T -MOBILE 15215 52ND AVE S Dear RICK STOCKMANN, Allan Ekberg, Mayor Jack Pace, Director In reviewing our current application files, it appears that your permit applied for on 9/9/2016, has not been issued by the City of Tukwila Permit Center. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or National Electrical Code every permit application not issued within 180 days from the date of application shall expire and become null and void. Currently your application has a status of UNDER REVIEW and is due to expire on 3/9/2017. If you still plan to pursue your .project, you are hereby advised to do one of the following: 1) If the plan review is complete for the project and your application is approved, you may pick up the application before the date of expiration. At the time of permit issuance the expiration date will automatically be extended 180 days. -or- 2) If the plan review is not completed submit a written request for application extension (7) seven days in advance of the expiration date. Address your extension request to the Building Official and state your reason(s) for the need to extend your application. The Building Code does allow the Building Official to approve one extension of up to 90 days. If it is determined that your extension request is granted, you will be notified by mail. In the event that we do not receive your written request for extension or request is denied, your permit application will expire and your project will require a new permit application, plans and specifications, and associated fees. Thank you for your cooperation in this matter. Sincerely, achelle Ripley Permit Technician File No: D16-0251 6300 Southcenter Boulevard Suite #100 • Tukwila Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 City of Tukwila Allan Ekberg, Mayor Department of Community Development - Jack Pace, Director December 7, 2016 NOTICE OF DECISION TO: Rick Stockman, Applicant Antezana Investments, Owner King County Assessor, Accounting Division This letter serves as a notice of decision and is issued pursuant to TMC 18.104.170 on the following project and permit approval. Project File Number: Applicant: Type of Permit Applied for: Project Description: Location: I. PROJECT INFORMATION L16-0053, PL 16-0044 Rick Stockmann, C/O Centerline Solutions. (obo T -Mobile) Type 1 Wireless Facilities Permit Approval of a Type 1 Telecommunications Facilities Permit to replace 3 panel antennas on an existing rooftop base station wireless facility. The applicant also proposes to add 3 RRUS (one per sector), and 2 baseband modules to be located within an existing cabinet. The project is categorically exempt from SEPA [WAC197-11-800(25)]. No ground disturbance or expansion of the existing compound is proposed. Parcel # 1157200017. This facility is located at 15215 52nd Ave S, Tukwila, WA 98188. Associated Files: D16-0251 Building Permit Comprehensive Plan Designation/Zoning District: CORREC�TIOfV LTR#._.J-- Office (0) Page 1 of 3 RECEIVED CITY OF TUKWILA JAN 20 2017 PERMIT CENTER bUoO25' II. DECISION SEPA Determination: The City SEPA Responsible Official has previously determined that this application does not require a SEPA threshold determination because it is categorically exempt. Decision on Substantive Permit: The City Community Development Director has determined that the application for a Type 1 Wireless Communication Facilities Permit does comply with applicable City and state code requirements and has approved that application. III. YOUR APPEAL RIGHTS The Decision on this Permit Application is a Type 1 Wireless Communication Facilities permit decision pursuant to Tukwila Municipal Code § 18.104.010. Other land use applications related to this project may still be pending. No administrative appeal of a DNS or an EIS is permitted. One administrative appeal to the City Hearing Examiner of the Decision on the Permit itself is permitted. If an MDNS was issued, any person wishing to challenge either the conditions which were imposed by the MDNS decision or the failure of the Department to impose additional conditions in the MDNS must raise such issues as part of the appeal to the Hearing Examiner. A party who is not satisfied with the outcome of the Hearing Examiner appeal process may file an appeal in King County Superior Court from the Hearing Examiner's decision. IV. PROCEDURES AND TIME FOR APPEALING In order to appeal the Community Development Director decision on the Permit Application, a written notice of appeal must be filed with the Department of Community Development within 14 days of the issuance of this Decision, that is by December 20, 2016. The requirements for such appeals are set forth in Tukwila Municipal Code Ch. 18.116. All appeal materials shall be submitted to the Department of Community Development. Appeal materials MUST include: 1. The name of the appealing party. 2. The address and phone number of the appealing party; and if the appealing party is a corporation, association or other group, the address and phone number of a contact person authorized to receive notices on the appealing party's behalf. 3. A statement identifying the decision being appealed and the alleged errors in the decision, including any specific challenge to an MDNS. 4. The Notice of Appeal shall identify (a) the specific errors of fact or errors in application of the law in the decision being appealed; (b) the harm suffered or anticipated by the appellant, and (c) the relief sought. The scope of an appeal shall be limited to matters or issues raised in the Notice of Appeal. Page 2 5. Appeal fee per the current fee schedule, additional hourly charges may apply. In addition, all hearing examiner costs will be passed through to the appellant. V. APPEAL HEARINGS PROCESS Any administrative appeal regarding the Permit shall be conducted as a closed record hearing before the Hearing Examiner based on the information presented to the Community Development Director, who made the original decision. No new evidence or testimony will be permitted during the appeal hearing. Parties will be allowed to present oral argument based on the information presented to the Community Development Director before their decision was issued. The Hearing Examiner's decision on the appeal is the City's final decision. Any party wishing to challenge the Hearing Examiner's decision on this application must file an appeal pursuant to the procedures and time limitations set forth in RCW Ch. 36.70C. An appeal challenging a DNS, an MDNS or an EIS may be included in such an appeal. If no appeal of the Hearing Examiner's decision is properly filed in Superior Court within such time limit, the Decision on this permit will be final. The City's decision to issue a DNS, an MDNS or an EIS is final for this permit and any other pending permit applications for the development of the subject property. VI. INSPECTION OF INFORMATION ON THE APPLICATION Project materials including the application, any staff reports, and other studies related to the permits are available for inspection at the Tukwila Department of Community Development, 6300 Southcenter Blvd., Suite 100, Tukwila, Washington 98188 from Monday through Friday between 8:30 a.m. and 5:00 p.m. The project planner is Lindsay Brown, who may be contacted at 206.433.7166 for further information. Property owners affected by this decision may request a change in valuation for their property tax purposes. Contact the King County Assessor's Office for further information regarding property tax valuation changes. ))twal Department of Community Development City of Tukwila Page 3 City of Tukwila Department of Community Development September 27, 2016 RICK STOCKMANN 8218 154TH AVE NE, STE 120 REDMOND, WA 98052 RE: Correction Letter # 1 DEVELOPMENT Permit Application Number D16-0251 T -MOBILE - 15215 52ND AVE S Dear RICK STOCKMANN, Allan Ekberg, Mayor Jack Pace, Director This letter is to inform you of corrections that must be addressed before your development permit can be approved. All correction requests from each department must be addressed at the same time and reflected on your drawings. I have enclosed comments from the following departments: PLANNING DEPARTMENT: MAX BAKER at if you have questions regarding these comments. • Applicant will need to apply for a Type 1 Wireless Communication Facilities (WCF) permit as outlined in TMC 18.58. Project qualifies as an Eligible Facilities Modification under § 6409 of the FCC's Spectrum Act, which triggers a Type 1 WCF permit (18.58.050). Please address the comments above in an itemized format with applicable revised plans, specifications, and/or other documentation. The City requires that two (2) sets of revised plan pages, specifications and/or other documentation be resubmitted with the appropriate revision block. In order to better expedite your resubmittal, a 'Revision Submittal Sheet' must accompany every resubmittal. I have enclosed one for your convenience. Corrections/revisions must be made in person and will not be accepted through the mail or by a messenger service. If you have any questions, I can be reached at (206)433-7165. Sincerely, lot/r1 Rachelle Ripley Permit Technician File No. D16-0251 6300 Southcenter Boulevard Suite #100 • Tukwila Washin.cton 98188 • Phone 206-431-3670 • Fax 206-431-.3665 *CENTERLINE 16360 Table Mountain Pkwy. Golden, CO 80403 P: 303-993-3293 / F: 303-993-3019 September 2, 2016 City of Tukwila Community Development — Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 Subject: BP Application: T -Mobile SE03999A Parkridge 15215 52' Ave S; Parcel No. 115720017 Dear City of Tukwila Community Development: Centerline Solutions is representing T -Mobile for a proposed Rule 6409(a) minor modification of an existing wireless telecommunication facility located on the roof of the building located at 15215 52nd Ave S. The proposal includes the swap of 3 existing antennas for 3 new antennas, and the addition of 3 RRU's. The project valuation is $20,000. We have included the following materials in this application package: - Building permit application fee check #3354003 in the amount of $313.50 Signed building permit application and wireless application - Construction drawings/elevations Structural letter - NIER Report - Site photos - City of Tukwila Affidavit of Ownership form still pending from property owner Project Description and Rule 6409(a) applicability: The proposal involves the swap of 3 existing antennas for 3 new antennas, and the addition of 3 RRU's. This project should be land use exempt and administratively approved under Rule 6409(a). 1. For towers other than towers in the public rights-of-way, does it increase the height of the tower by more than 10% or by the height of one additional antenna array with separation from the nearest existing antenna not to exceed twenty feet, whichever is greater; for other eligible support structures, does it increase the height of the structure by more than 10% or more than ten feet, whichever is greater. Applicant Response: The existing tip height of the antennas is 35.7 feet. The proposed antennas are slightly longer and have a proposed tip height of 38.7 feet. This minor change in antenna tip height increases the height of the structure by Tess than 10% and by less than 10ft. Additionally, matching the existing toe height of the antennas is necessary to prevent RF interference caused by the rooftop parapet. 2. For towers other than towers in the public rights-of-way, does it involve adding an appurtenance to the body of the tower that would protrude from the edge of the tower more than twenty feet, or more than the width of the Tower structure at the level of the appurtenance, whichever is greater; for other OCENTERLINE 16360 Table Mountain Pkwy. Golden, CO 80403 P: 303-993-3293 / F: 303-993-3019 eligible support structures, does it involve adding an appurtenance to the body of the structure that would protrude from the edge of the structure by more than six feet; Applicant Response: No outward expansion of the tower is proposed. 3. For any eligible support structure, does it involve installation of more than the standard number of new equipment cabinets for the technology involved, but not to exceed four cabinets; or, for towers in the public rights-of-way and base stations, does it involve installation of any new equipment cabinets on the ground if there are no pre-existing ground cabinets associated with the structure, or else involves installation of ground cabinets that are more than 10% larger in height or overall volume than any other ground cabinets associated with the structure; Applicant Response: No additional equipment cabinets are proposed. 4. Does the proposal entail any excavation or deployment outside the current site; Applicant Response: No excavation or expansion outside of the current facility is proposed. 5. Does the proposal defeat the concealment elements of the eligible support structure; or Applicant Response: The proposed modification will not defeat any concealment elements of the existing site. 6. Does the proposal comply with conditions associated with the siting approval of the construction or modification of the eligible support structure or base station equipment, provided however that this limitation does not apply to any modification that is non-compliant only in a manner that would not exceed the thresholds identified for a substantial change. Applicant Response: Proposal complies with original conditions of approval. Centerline Solutions respectfully request approval for the proposed modification. If you have any questions, please do not hesitate to contact us. Respectfully, Rick Stockmann Site Acquisition Manager �CENTERLINE SOLUTIONS 8218 154`h Avenue NE, Suite 120 Redmond WA 98052 Phone: 425.828.1008 Mobile: 425.890.1437 Web: www.centerlinesolutions.com PERMIT COORD COPY,. PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: D16-0251 PROJECT NAME: T -MOBILE SITE ADDRESS: 15215 52 AVE S Original Plan Submittal X Response to Correction Letter # 1 DATE: 01/20/17 Revision # before Permit Issued Revision # after Permit Issued DEPARTMENTS: Building Division Public Works Fire Prevention Structural 137-17 Planning Division ❑ Permit Coordinator IIII PRELIMINARY REVIEW: Not Applicable (no approval/review required) DATE: 01/24/17 Structural Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved DUE DATE: 02/21/17 Approved with Conditions Corrections Required Denied (corrections entered in Reviews) (ie: Zoning Issues) n Notation: REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire 0 Ping 0 PW ❑ Staff Initials: 12/18/2013 PERMIT COORD COPY PLAN REVIEW/ROUTING SLIP PERMIT NUMBER: D16-0251 DATE: 09/14/16 PROJECT NAME: T -MOBILE SITE ADDRESS: 15215 52ND AVE S X Original Plan Submittal Response to Correction Letter # Revision # before Permit Issued Revision # after Permit Issued DEPARTMENTS: AWC a-va-cr Building Division I» s(S iv/A- G`lS- 9 Public Works Fire Prevention Structural MAZ Cow q -P-1 0 Planning Division Permit Coordinator PRELIMINARY REVIEW: Not Applicable n (no approval/review required) DATE: 09/15/16 Structural Review Required REVIEWER'S INITIALS: DATE: APPROVALS OR CORRECTIONS: Approved DUE DATE: 10/13/16 ❑ Approved with Conditions Corrections Required (corrections entered in. Reviews) Notation: Denied (ie: Zoning Issues) REVIEWER'S INITIALS: DATE: Permit Center Use Only CORRECTION LETTER MAILED: Departments issued corrections: Bldg ❑ Fire ❑ Ping T PW ❑ Staff Initials: i2/isnm3 Date: l 0 ►:! City of Tukwila REVISION SUBMITTAL Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Web site: httn://www.TukwilaWA.gnv Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. ( Plan Check/Permit Number: D16-0251 Response to Incomplete Letter # Response to Correction Letter # 1. Revision # after Permit is Issued Revision requested by a City Building Inspector or Plans Examiner Deferred Submittal # Project Name: T -MOBILE Project Address: 15215 52"AVE S Contact Person:' Fick_ is (L 412.k.A m" Phone Number: f Summary of Revision: Cee ' L \ ., -- C 3 3 Cr -r\ `i fww:,ttc RECEIVED JAN 2 0 2017 CENTER Sheet Number(s): / "Cloud" or highlight I areas of revision including date of revision Received at the City of Tukwila Permit Center by: ---Entered in TRAKiT on C:�U rARuchcllc-RUDsktop\Rcvisinn Submittal Form.tlac Reds ,d: Augur! 11lI5 1-o-17 BLUESTREAM PROFESSNL SRVCLLC Home Espanol Contact: Search L&I Page 1 of 2 A -Z Index help My L&1 Safety & Health Claims & Insurance Workplace Rights Trades & Licensing IIWashington State Department of Labor & Industries BLUESTREAM PROFESSNL SRVCS LLC Owner or tradesperson Principals VONRUDEN, MEGAN RENEE, PARTNER/MEMBER PUTRAH, KATHLEEN GAYE, PARTNER/MEMBER PUTRAH, RICHARD ERVIN, PARTNER/MEMBER PUTRAH, TIMOTHY JAMES, PARTNER/MEMBER PUTRAH, TREVOR ANTHONY, PARTNER/MEMBER Doing business as BLUESTREAM PROFESSNL SRVCS LLC WA UBI No. 603 209 450 3305 HWY 60 W FARIBAULT, MN 55021 507-334-2268 Business type Limited Liability Company Governing persons KATHLEEN G PUTRAH TREVOR PUTRAH; MEGAN VONRUDEN; RICHARD PUTRAH; TIMOTHY PUTRAH; License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Construction Contractor Active. ............_..........._.............................................. Meets current requirements. License specialties GENERAL License no. BLUESPS847CE Effective — expiration 02/04/2016— 02/04/2018 Bond .......... Travelers Cas and Surety Co of America Bond account no. 106451914 $12,000.00 Received by L&I Effective date 02/04/2016 01/27/2016 Expiration date Until Canceled Insurance Help us improve ............................ https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603209450&LIC=BLUESPS847CE&SAW= 4/17/2017 BLUESTREAM PROFESSNL SRVCS LLC Liberty Mutual Fire Insurance $1,000,000.00 Policy no. TB2641444459036 Received by L&I Effective date 10/04/2016 10/01/2016 Expiration date 10/01/2017 Insurance history Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts ......................................... No L&I tax debts are recorded for this contractor license during the previous 6 year period, but some debts may be recorded by other agencies. License Violations No license violations during the previous 6 year period. Workers' comp Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums. L&I Account ID 220,775-01 ................................. Doing business as BLUESTREAM PROFESSIONAL SERVIC Estimated workers reported Quarter 4 of Year 2016 "21 to 30 Workers" L&I account representative T2 / LINDA ALGUIRE (360)902-4678 - Email: POTH235@Ini.wa.gov Account is current. Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Page 2 of 2 © Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603209450&LIC=BLUESPS847CE&SAW= 4/17/2017