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STATUS: ISSUED 9/9/2011
Expiration Date: 9/9/2012
Parcel No: 00451900201504
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
Permit #:: BLD20.11060
Proiect Address: 23931, HIGHWAY 99..
AT&T MOBILITY
AT&T MOBILITY
BARAN TELECOM INC
SAMIR MEDAWAR
STACEY SMITH
2355 Industrial Park Blvd
1155 N 130TH ST
568 IST AVE S
Cumming, GA 30041
SEATTLE, WA 98138
SEATTLE, WA 98104
ZONE: CG
( ) - EXT:
(206) 342-6386 EXT:
(678) 513-1501 EXT:
LOT #:
BASEMENT: 0 1ST FLOOR: 0 2ND FLOOR: 0
LICENSE #: BARANT1942L8 EXPA/5/2013
MODIFY EXISTING FACILITY BY ADDING 3 NEW LTE ANTENNAS AND ANCILLARY EQUIPMENT TO EXISTING
FACILITY. NO HEIGHT INCREASE.
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
OCCUPANT GROUP:
OCCUPANT LOAD: Aft AIL Pe m
FENCE: N ( 0 X 0 FT.)
CODE: 09 Iflefirl
OTHER: N -----OTHER DESC:
ZONE: CG
NUMBER OF STORIES: 0
VESTED DATE:
NUMBER OF DWELLING UNITS: 0
LOT #:
BASEMENT: 0 1ST FLOOR: 0 2ND FLOOR: 0
IMMMMMM
BASEMENT. 0 1 ST FLOOR. 0 2ND FLOOR: 0
3RD FLOOR- 0 GARAGE 0 DECK- 0 OTHER 0
13RD FLOOR: 0 GARAGE 0 DECK: 0 OTHER: 0
FRONTSETBACK
REQUIRED: PROPOSED:I REQUIRED: PROPOSED: I REQUIRED: PROPOSED:
HEIGHT ALLOWED:O PROPOSED:O I REQUIRED: PROPOSED:
SETBACK NOTES: ECDC 20.50.080.A.a
1 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 APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY�AND ALL FEES ARE PAID.
Signature
Date
ATTENTION
IT IS 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. UBC109/ IBC I 10/ IRCI 10.
= ONLINE = APPLICANT = ASSESSOR MM OTHER
STATUS: ISSUED BLD20110604
• 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 ENGINEERING 425) 771-0220 EXT. 1326 FIRE 425 775-7720
PUBLIC WORKS 425) 771-0235 PRE-TREATMENT 425) 672-5755 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
of EnM Inspection Comments
0
BLD20110604 61 - Satellite Antenna/Radio Tower
Applied: 07/29/2011 Issued: 09/09/2011 Expires: 09/09/2012
Address: 23931 HIGHWAY 99, EDMONDS
[INSPECTION DATE INSPECTOR ACTION
1158 - B-Building Final 05/22/2012 LAWLER CMP
Comment: Approved pending fire final
1985 - F-Fire Final 05/23/2012 SMITHM CMP
Comment: APPROVED
5/23/2012 12:06:24 PM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 1 of 1
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