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BLD20110399.pdf6 STATUS: ISSUED 12/2/2011 Expiration Date: 12/2/2012 Parcel No: 00434401500700 CITY OF EDMONDS 121 5TH AVENUE NORTH - EDMONDS, WA 98020 PHONE: (425) 771-0220 - FAX: (425) 771-0221 Perm Project Address: 402 MAIN ST; ED IIII�III 1P:ZII 11 tTrY/]1Th911: \, 11 [MA►`I KIh'1 tAl'rll: PARTNERS THE BEESON AT & T MOBILITY ROSH CONSTRUCTION LLC C/O D L FOOTH RON MECKLER PO BOX 7227 2003 WESTERN AVE #555 1701 121st STREET SE, H-201 BONNEY LAKE, WA 98391 SEATTLE, WA 98121 EVERETT, WA 98208 (206)384-2454 (503)569-183 LICENSE #: ROSHCCL97109 EXP:9/29/2013 JOB DESCRIPTION MODIFY EXISTING CELLULAR FACILITY WITH ADDITION OF (3) NEW PANEL ANTENNAS, (6) REMOTE RADIO HEADS AND (3) SURGE PROTETORS. (1) EQUIPMENT CABINET IN EQUIPMENT ROOM. VALUATION: $15,000.00 ° PERMIT TYPE: Commercial PERMIT GROUP: 61 -Satellite Antenna/Radio Tower GRADING: N CYDS: 0 TYPE OF CONSTRUCTION: RETAINING WALL ROCKERY: N OCCUPANTGROUP: FENCE: N ( 0 X 0 FT.) OTHER: N ------ OTHER DESC: NUMBER OF STORIES: 0 OCCUPANT LOAD: CODE: 09 ZONE: 1 VESTED DATE: NUMBER OF DWELLING UNITS: 0 1 LOT #: EXISTING AREA BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0 PROPOSED AREA BASEMENT: 0 1ST FLOOR: 0 2ND FLOOR: 0 3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0 13RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0 FRONTSETBACK SIDE SETBACK' SETBACK REQUIRED PROPOSED REQUIRED: PROPOSED: REQUIRED: PROPOSED: HEIGHTALLOWED:O PROPOSED:O RFQUIRED: PROPOSED: SETBACK NOTES: I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27. THIS ARPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. AA -11 I L 2 11 � � Jam- — 1z Sianature Print Name Date Released By Date ATTENTION ITIS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL. INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC 109/ 1BC110/ IRCI 10. ONLINE APPLICANT ASSESSOR IM OTHER STATUS: ISSUED BLD20110399 CONDITIONS • 1. All antennas, cables, mounting posts on brackets, and hardware visiable on the face of the building must be painted to match the facade of the building. • 2. All roof -top equipment to be mounted on the parapet must be completely concealed behind the parapet. No portion of the equipment may extend above the parapet. • Obtain Electrical Permit from State Department of Labor & Industries. 425-290-1309 • Final approval on a project or final occupancy approval must be granted by the Building Official prior to use or occupancy of the building or structure. Check the job card for all required City inspections including final project approval and final occupancy inspections. • Any request for alternate design, modification, variance or other administrative deviation (hereinafter "variance") from adopted codes, ordinances or policies must be specifically requested in writing and be called out and identified. Processing fees for such request shall be established by Council and shall be paid upon submittal and are non-refundable. • Approval of any plat or plan containing provisions which do not comply with city code and for which a variance has not been specifically identified, requested and considered by the appropriate city official in accordance with the appropriate provision of city code or state law does not approve any items not to code specification. • Sound/Noise originating from temporary construction sites as a result of construction activity are exempt from the noise limits of ECC Chapter 5.30 only during the hours of 7:00am to 6:00pm on weekdays and 10:00am and 6:00pm on Saturdays, excluding Sundays and Federal Holidays. At all other times the noise originating from construction sites/activities must comply with the noise limits of Chapter 5.30, unless a variance has been granted pursuant to ECC 5.30.120. • Applicant, on behalf of his or her spouse, heirs, assigns, and successors in interests, agrees to indemnify defend and hold harmless the City of Edmonds, Washington, its officials, employees, and agents from any and all claims for damages of whatever nature, arising directly or indirectly from the issuance for this permit. Issuance of this permit shall not be deemed to modify, waive or reduce any requirements of any City ordinance nor limit in any way the City ""s ability to enforce any ordinance provision. THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT TIME LIMIT: SEE ECDC 19.00.005(A)(6) CALL FOR INSPECTIONS BUILDING (425) 771-0220 EXT. 1333 1 ENGINEERING (425) 771-0220 EXT. 1326 FIRE 425) 775-7720 PUBLIC WORKS (425) 771-0235 1 PRE-TREATMENT (425) 672-5755 1 RECYCLING 425) 275-4801 When calling for an inspection please leave the following information: Permit Number, Job Site Address, Type of Inspection being requested, Contact Name and Phone Number, Date Prefereed, and whether you prefer morning or afternoon. • B -Building Final F -Fire Final • P -Planning Final OV E°Mai Inspection Comments a U N BLD20110399 61 - Satellite Antenna/Radio Tower Applied: 05/27/2011 Issued: 12/02/2011 Expires: 12/02/2012 ��c. 1R90 Address: 402 MAIN ST, EDMONDS _ INSPECTION --- - ---- DATE INSPECTOR' ACTION 1158 - B -Building Final 09/07/2012 LAWLER CMP Comment: Pending planning and fire approvals 1985 - F -Fire Final 09/07/2012 WESTFALL CMP Comment: No changes to backup power battery storage system. Work approved. 2000 - P -Planning Final 06/06/2011 LIEN COM Comment: Make sure equipment painted to match the facade of the building and no equipment extends above the parapet. 2000 - P -Planning Final 09/10/2012 LIEN CMP Comment: Planning signs off. a 9/10/2012 8:47:15 AM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 1 of 1 C.) -P8J9A!18(1 -ppom inok 0 gs C-3 5 2 2 OZ sli poog zo N �.j wa 82 C/) A 6i CQ 11111 R uj 0 �z a- s3nN3AYNIS / _ ;!JA ld o. P S 6;o LLI HO� u. V < L] z C) LU L J u 13- c 3 0- "o 6D •.0. wo /' d f ' \w'' o. s3nAGAVH.LP ......... 0 C) 4 0 N LETTER OF AUTHORIZATION TO THE CITY OF EDMONDS, WASHINGTON APPLICATION FOR ZONING/DESIGN REVIEW[USE/BUILDING PERMIT As owner of the below described property, I do hereby appoint Telco Pacific, Inc., on behalf of AT&T Mobility agent for the purpose of consummating any application necessary to ensure their ability to use and/or construct improvements to the property leased, or licensed, to them for the purpose of modification of a an existing communications facility site. I hereby authorize the employees of City of Everett, AT&T Mobility, and Telco Pacific and/or affiliates and contractors of each, to enter upon the subject property during normal business hours as necessary to inspect the property for the purpose of processing this application. Site Location: 406 Main Street Edmonds WA 98020 Site Name/or Number: SN19 EDMONDS Signature of Property Owner: ` Owner's Name: The Beeson Partners, a Washington general artnershi Date Executed: �01 MICROFILM LOA a t & t Good ma n Networks -. ':v+,;<i .. * •1� Do! lt#.. o0• April 4, 2011 To: Douglas L. Footh, Manager The Beeson Partners, a Washington general partnership From: Robert Walker, Consultant to ATT (robert.walker.realestate@gmail.com) RE: AT&T Cell Site Modification Site Number: SN19 Edmonds Site Address: 406 Main St., Edmonds, WA 98020 Mr. Footh: Reference is made to the original Site Lease Agreement ("Agreement") dated May 2, 1996, between The Beeson Partners, a Washington general partnership, and Interstate Mobilephone Company, dba AT&T Wireless Services. AT&T will be modifying its existing equipment by adding 3 panel antennas and associated equipment. Asper the second amendment dated September 91h, 2002, AT&T has the right to add the additional antennas and is requesting your written consent. We anticipate the work being performed within the next 90-120 days and the installation will take approximately 2 to 3 days. By executing below, you acknowledge your consent to the proposed modification. Your timely consent would be appreciated. I would appreciate it if you would sign and send back to me via regular mail or email (scanned copy sufficient) at the addresses noted below. Should you want or require additional information, please contact me at 360-888-0044 or robert.waIker.realestate@gmail.com. We thank you for your cooperation in this matter. I Min Sincerely, RECEI Tj la Robert A. Walker Cffy COPY MAY 27 2011 1 DEVE CITY CTR OF EDMONDS MICROFILM Robert Walker TelcoPacific/Goodman Networks 6511 N. Hale St., Tacoma WA 98407 Landlord Consent Provided By: Name: Douglas L. Footh Title: -Managing Partner Signature: Date: / LETTER OF AUTHORIZATION TO THE CITY OF EDMONDS, WASHINGTON APPLICATION FOR ZONING/DESIGN REVIEW/USEBUILDING PERMIT As owner of the below described property, I do hereby appoint Telco Pacific, Inc., on behalf of AT&T Mobility agent for the purpose of consummating any application necessary to ensure their ability to use and/or construct improvements to the property leased, or licensed, to them for the purpose of modification of a an existing communications facility site. I hereby authorize the employees of City of Everett, AT&T Mobility, and Telco Pacific and/or affiliates and contractors of each, to enter upon the subject property during normal business hours as necessary to inspect the property for the purpose of processing this application. Site Location: 406 Main Street, Edmonds, WA 98020 Site Name/or Number: SN 19 EDMONDS Signature of Property Owner: A` Owner's Name: The Beeson Partners, a Washington general partnership Date Executed: LOA '"qWMCNr MN "R-E-C-E�WED A-T,2i-T, SECOND AMENDMENT TO AUG 2 9 2002 COMMUNICATIONS SITE LEASE AGREEMENT BUILDING DEPT, THIS SECOND AMENDMENT TO COMMUNICATIONS SITE LEASE AGREEMENT (this "Amendment") is entered into as of the day of , 20_ by and between The Beeson Partners, a Washington general partnership ("Lessor") and AT&T Wireless Services of Washington, LLC, an Oregon limited liability company, d/b/a AT&T Wireless, by AT&T Wireless Services, Inc. a Delaware corporation, its member, successor in interest to Interstate Mobilephone Company ("Lessee"). WHEREAS, Lessor and Lessee entered into a "Communications Site Lease Agreement" on May 2, 1996, and amended April 2, 1997 (collectively the "Lease"), conveying unto Lessee certain interests, rights and duties relating to the property owned by the Lessor, and, as more particularly described in the Lease; and WHEREAS, said Lease property is located in Snohomish County, State of Washington, at 406 Main street, Edmonds, Washington; and WHEREAS, Lessee now desires to expand the portion of the leased Premises to add additional antennas. WHEREAS, Lessor is willing to grant Lessee the right to expand the portion of the leased Premises to add additional antennas upon payment of additional rent in place of the previous compensation, the parties hereto desire to enter into this Amendment. WHEREAS, Lessor and Lessee wish to amend, correct or modify the Lease to reflect the current understanding, intent and agreement of the parties. . NOW, THEREFORE, in consideration of the mutual covenants and agreements set forth herein, and for other good and valuable consideration Lessor and Lessee hereby agree as follows: To Lease, Paragraph 5. "Rent", section "(a)" insert at end of paragraph: "Commencing on August 15, 2002, Lessee shall pay Lessor as rent, the sum of Five Thousand Dollars ($5,000.00) per year ("Rent"). Pro -rata rent will be paid from August 15, 2002 to the commencement of the next Lease year on February 1, 2003." 1 2. That certain Exhibit 1 attached hereto and incorporated herein by this reference hereby completely replaces and supersedes Exhibit `B" of the Lease and Exhibit "A" of the First Lease Amendment dated April 2, 1997. 3. Except as herein expressly modified or provided for, all of the provisions, terms and conditions of the Lease, -as amended, are hereby ratified and confirmed. This Second Amendment to Communications Site Lease Agreement shall be binding upon and inure to the benefit of the successors and assigns of the respective parties. . IN WITNESS WHEREOF, this Second Amendment to Communications Site Lease Agreement has been duly executed by the parties Hereto the date and year first written above. MICROFILM LESSOR: The Beeson Partners a Washington general partnership By Na Its: LESSEE: AT&T Wireless Services of Washington, LLC, an Oregon limited liability company, d/b/a AT&T Wireless By: AT&T Wireless Services, Inc., a Delaware corporation, its member By: Name: Its: ACKNOWLEDGMENT STATE OF ) ) ss COUNTY OF h ) I CERTIFY that on , 2002, Douglas L. Footh personally came before me and acknowledged under oath to 6y satisfaction, that he: (a) is the Manager of The Beeson Partners, a Washington general partnership, the general partnership named in this document, (b) was authorized to execute this document on behalf of the general partnership and (c) executed the document as the act of the general partnership STATE OF ) ss COUNTY OF ) 4164 Notary Public 7 My Commission Expires: I CERTIFY that on , 20_, came before me and this person acknowledged under oath to my satisfaction, that: personally (a) this person signed, sealed and delivered the attached document as of AT&T Wireless Services, Inc. a corporation of the State of Delaware, which is the member of AT&T Wireless Services of Washington, LLC, _ the limited liability company named in this document; (b) this document was signed and delivered by the corporation as*its voluntary act and deed, as the member of the limited liability company, on behalf of said limited liability company. Notary Public My Commission Expires: EXHIBIT 1 Page 1 of 3 To the Second Amendment to Site Lease Agreement dated , 2002 between The Beeson Partners as Lessor and AT&T Wireless Services of Washington LLC, d/b/a AT&T Wireless, as Lessee The location of the Premises within the Property is more particularly described or depicted as follows: M *xr M PROPOSED CAI PAW ' EX COX EX MUM OEi ACCESS W M EX VUWV t EC FENAYF- UUM IMSES 10 . 4TH AVENUE SOUTH PROPOSED MU PANEL ANIENMS PER A1RIID8L) 8t YNA (UP TO ONESEE TYP. WN Q1 ® SECf0I6 A MMIS /, , u z Q I PFX)POSFD aSL PANEL PROPOSED MU PANM MOM h UNA RII )M 3 MPA (UP TO ONE (MP M ONE " PER GSH ANTENNA) II IMPER GSM AMEN A) 1YP. TYP. SEE©R1. SEE II @ 4 PANELS PER SCCR)R, 7 SECMRS 4 PANELS PER SECTOR, 7 TOOT' FOR ANTENNA AMCM SEE(& TOTAL FOR ANTENNA ``��/l ¢ / I ASECTORS LM6 MSEE ll� e Q IIIE EX FA EK;LOW W M MENf OF SEEFXRMC ROOFTOP, ENG ill ---------- --�\ EX. AWNNO Ban I rtm Rao X11 Itil FX WIN FMRY� nll (�� LE TRAY. ) MRCN 1111 Illi lt CONOW �� _ K (ROOF UDOER) I� I EX COX ON ! SLEEPERS RUN l . ACROSS ROOF (4) OL OM ANEENNAS MUM _ ON EUUASEED MOUNTED FRA10 DL re CM -M F£CV -I=! y4 E L ATE L'-CFRICN. U -a / MW M EM _ ML W:N 06COMIER ' DDLM0 MMF U.qa/UM u z Q EXHIBIT 1 Page 2 of 3 To the Second Amendment to Site Lease Agreement dated , 2002 between The Beeson Partners as Lessor and AT&T Wireless Services of Washington LLC, d/b/a AT&T Wireless, as Lessee The location of the Premises within the Property is more particularly described or depicted as follows: EXHIBIT 1 Page 3 of 3 To the Second Amendment to Site Lease Agreement dated . 2002 between The Beeson Partners as Lessor and AT&T Wireless Services of Washington LLC, d/b/a AT&T Wireless, as Lessee The location of the Premises within the Property is more particularly described or depicted as follows: Oye ameAT (eP. e' m 9ID :mono 0 • r.611a RCroL �i wRlrgr y' ' . mlY. NlP lWrO>ID M gVe . 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