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10-103309City of Federal Way Community Development Services P.O. Box 9718 Federal Way, WA 98063-9718 Ph: (253) 835-2607 Fax: (253) 835-2609 Project Name: PUGET SOUND HEALTH PARTNERS Project Address: 32129 WEYERHAEUSER WAY S Suite 202 V Building - Commercid�l Permit #: 10 -103309 -00 -CO Inspection Request Line: (253) 835-3050 Parcel Number: 215484 0020 Project Description: TI - Intial tenant improvement work to install new partition walls, furred walls, acoustical ceiling, and interior finishes. NO plumbing or mechanical. wne Applican Contractor Lender BART BRYNESTAD RANDY BROWN SCHAFER CONSTRUCTION BART BRYNESTAD PANATTONI DEVELOPMENT CO SYNTHESIS PLLC SCHAFCL938DO (3/20/11) PANATTONI DEVELOPMENT CO 6840 FORT DENT WAY SUITE 350 12503 BEL -RED RD SUITE 101 PO BOX 724 6840 FORT DENT WAY SUITE 350 SEATTLE WA 98188 BELLEVUE WA 98005 BELLEVUE WA 98009 SEATTLE WA 98188 Census Category: 437 - Commercial alt / add / conversion Includes: #1 #2 #3 #4 Occupancy Class: B Construction Type: Type III - B Occu anc Load: Floor Areas . ft. 4,928 0 0 1 0 Existing Sprinkler System in Building? ...... .........Yes Mechanical to be Included?....................................No Number of Stories..................................................2 Permit for Building Shell Only? ............................. No Plumbing to be Included?.......................................No New / Additional Sq. Feet - Total.......................... 0 Occupancy # 1 -Use ............................................... Professional Zoning Designation ................................................ OP Services/Offices PERMIT EXPIRES Tuesday, March 1, 2011 Permit Issued on Thursday, September 2, 2010 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the use will be in accordance with the laws, rules and regulations of the St 7 to of Washington - ���nd City of Federal Way. Owner or agent: Date. �t (n LED C 6" I� � City of Federal Way Certificate of • Occupancy • This Certificate issued pursuant to the requirements of Section 110.2 of the International Building Code certifying that at the time of issuance, this structure was in compliance with the various ordinances of the City regulating building construction or use. This certificate is valid ONLY when endorsed by City staff. Tenant Name: PUGET SOUND HEALTH PARTNERS Permit #: 10 -103309 -00 -CO Address: 32129 WEYERHAEUSER WAYS Suite202 Includes: #1 #2 #3 #4 Occupancy Class: B Construction Type: Type III - B Occupancy Load: Floor Area (sq. ft.) 1 4,928 1 0 0 0 Owner Name: BART BRYNESTAD BART BRYNESTAD Owner Name: PANATTONI DEVELOPMENT CO Owner Address: 6840 FORT DENT WAY SUITE 350 SEATTLE WA 98188 Buildlina Official Date The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which experience has shown most severly affect the health and safety of the general public. Although the City has made as complete a review and inspection as is reasonably possible (within budgetary time and personnel limitations), the City neither guarantees nor warrants to the owner / occupant or to any other person that this Certificate evidences strict compliance with each and every ordinance or regulation of the City or the State of Washington affecting the construction or use of said structure or the land upon which itis situated. Such compliance is the responsibility of the owner and / or occupant of the; premises. CITY OF Federal Way PERMIT #: Owner: • THIS CARD IS TOAIN ON-SITE Construction Ins ction Record INSPECTION REQUE TS: (253) 835-3050 10 -103309 -00 -CO Address: 32129 WEYERHAEUSER WAY S Suit BART BRYNESTAD FEDERAL WAY, WA 98003 Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as possible (read left to right, top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card. Re -steel (4215) Approved to place concrete or grout By Date El Slab/Concrete Floor (4255) Approved to place concrete By Date Underfloor Framing (4285) Approved to sheath floor By Date SWM Precon Site Mtg (4400) El Initial Erosion Control (4365) E] Footings/Setback (4110) Approved By To be done prior to breaking ground Approved to place concrete By Date By Date By Date Re -steel (4215) Approved to place concrete or grout By Date El Slab/Concrete Floor (4255) Approved to place concrete By Date Underfloor Framing (4285) Approved to sheath floor By Date EirZ/Drca scheduling a Framing inspection; Framing (4120) umbing &Mechanical Rough -in and Approved to insulate op inspections must be signed -off and approved. IBC 109.3.4 B S Date to ? (� Gypsum Wallboard Nailing (4130) Approved to install mud & tape By Date Final - Planning (4070) Approved By Date Insulation (4150) Approved to install wallboard By ,'^ Date y#/� Final - Fire Department (4060) Approved By Date Final - Building (4050) Approved B .. , It Date,/,_ Floor Sheathing (4105) Fire/Draft Stops (4095) Interim Erosion Control (4370) By Approved to install flooring By Approved By Approved By Date By Date By Date EirZ/Drca scheduling a Framing inspection; Framing (4120) umbing &Mechanical Rough -in and Approved to insulate op inspections must be signed -off and approved. IBC 109.3.4 B S Date to ? (� Gypsum Wallboard Nailing (4130) Approved to install mud & tape By Date Final - Planning (4070) Approved By Date Insulation (4150) Approved to install wallboard By ,'^ Date y#/� Final - Fire Department (4060) Approved By Date Final - Building (4050) Approved B .. , It Date,/,_ Rough Electrical Approved Final Electrical Approved Right of Way Approved By Date By Date By Date FMY OF ederal Way Way � 3 2TERMIT Fe COMMUNITY DEVELOPMENT SERVICES 1►LW AT I O N 253-835-2607• FAX 253-835-�f1�"' , OIMUNW ILAF t - / 0 3—,3 o!l SF ML CO E EL PL _DZ EN FP AM -711 wuxu.cituoffederalmau.co SITE ADDRESS 32129 Weyerhaeuser Way South SUITE/UNIT # ZONING ASSESSOR'S TAX/PARCEL # 2 1 5 4 0 0 } Z 0 20*?o OP -1 - 0 NAME PROJECT Puget Sound Health Partners Tenant Improvement g p or (Tenant or Homeowner Name) ■ BUILDING ❑ PLUMBING ❑ MECHANICAL TYPE OF PERMIT ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION �,{, tenant improvement to an existing building shell. Scope of work shall include PROJECT DESCRIPTIONU y new partitions, furred walls, acoustical ceiling and finishes. HVAC, Fire, and Electrical Detailed description of work to be included on this permit only works will be under separate permits. NAME PRIMARY PHONE PROPERTY OWNER Panattoni Development company ( 206 ) 838 - 3848 MAILING ADDRESS, CITY, STATE, ZIP E-MAIL 6840 Fort Dent Way Suite 350, Seattle WA 98188 OWNER IS ALSO: Q CONTRACTOR E] APPLICANT ❑ PROJECT CONTACT NA PRIMARY PHONE 7-r 57 FAX CONTRACTOR ING ADDRESS, CITY, STATE, ZIP -1 RAe.JIeVV-C, 1J'a67 ,; P a ?- LA%4 tom' tl?oWA STATE CONTRACTOR'S LIC 8 EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE # NAME PRIMARY PHONE Randy Brown- SynThesisPLLC ( 425) 646 _ 1818 APPLICANT FAX 646 4141 MAILING ADDRESS, CITY, STATE, ZIP 12503 Bel -Red Road, Suite 101, Bellevuw WA 98005 (425 ) - PROJECT CONTACT NAME PRI31ARY PHONE (The individual to receive and Randy Brown ( ) - FAX respond to all correspondence MAILING ADDRESS, CITY, STATE, ZIP concerning this application) 12503 Bel -Red Road, Suite 101, Bellevuw WA 98005 ALTERNATE CONTACT NAME: PRIMARY PHONE t ) - E-MAIL PROJECT FINANCING NAME OWNER -FINANCED Requiredfor projects with PRIMARY PHONE value of $5,000 or more SLING ADDRESS, CITY, STATE, ZIP (RCW 19.27.095) ( 1 _ \owner. I certify under penalty of perjury that I am the property owner or authorized agent of the property I certify that to the best of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating construction or environmental laws. I further agree hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in the invest y-1— d ense of such claim), which may be made by any person, including the undersigned, and filed against the city, but only w h laim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information sup to t ci apart of this application. ` n y� O� 072 Zo 1 SIGNATURE: DATE PRINT NAME: Rnlletin #100 - 4/21/2009 Page 1 of 4 kAHandouts\Permit Application 0 Value of Mechanical Work $ (A COPY OF BID ORE UST BE PROVIDED) Indicate number of each type of facture to be installed or relocated as part of this proj not include existing fixtures to remain.. AIR HANDLING UNITS FANS 8,111PE OUTLETS OTHER (Describe) AIR CONDITIONER FIREPLAC SERTS HOODS (commercial) BOILERS FURNAC--- HOT WATER TANKS,,----+�� COMPRESSORS GAS LOG OFRIG�4T SYSN T \ DUCTING GAS PIPIN \ Indicate number of each type %fteawe to be installed or relocated part of this "not include ting_f Utwes to remain. BATHTUBS (or Tub/Shower bo) LAVS (Hand Sinks) WATER PIPING DISHWASHERS RAINWATER SYSTEMS (�N OTHER (Describe) DRAINS SHOWERS HERS LOT SIZE (In Square Feet) D NG FOUNTAINS SINKS (Kitchen/utdny) WATER HEATERS (Electric) 142,574 SF HOSE BIBBS SUMPS WASHING MACHINES TOTAL F KTUP" GENERAL INFORMATION PROJECT VALUATION WATER SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS 1d) VPURVEYOR EXI8 /PREVIOUS USE LOT SIZE (In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYS11DM? 142,574 SF v6s ❑ No ❑ Yes ❑ No TENANT AREA ONLY Bulletin #100 - 4/21/2009 Page 2 of 4 k:\Handouts\Permit Application F _ V Federal Way Fe PERMIT SF MF CO ME EL PL DE EN FP COMMUNITY VELA SERVICES Ar 253-835-2607• FAX 253-835-2609 APPLICATION www.c!tuoffederalwau.com - - x ,.��z� �„ v,n,,. �': J.,�c%.3L -x.,: .. aX ,�..'.i., � 3-, � �...�)�3. ..., oe, � T,k','" ��.:.f/.�k�3 �Z<.,�,l��s`y ��-Yy` � �i' r'~•" d' x 3�w.:iS SITE ADDRESS SUITE/UNIT # ZONING ASSESSOR'S TAB/PARCEL # RAL W _2-/ 5 �_ 2 NAME OF PROJECT, (Tenant or Homeowner Name) "` s, w° .....[<s �' .N s?mvmp.,,, I Cj�) j ]� �j- �� FV CFjT --/V Ab ' 1' 13BUILDING C1PLUMBING ❑ MECHANICAL P TYPE OF PERMIT ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING FIRE PREVENTION PROJECT DESCRIPTION Detailed description of work to be included on this permit only 4 w'."s NAME - PRIMARY PHONE PROPERTY OWNER Qnn • py $ _ MAILING ADDRESS, CITY, STATE, ZIP Y #3S E-MAIL ❑ CONTRACTOR ICANT ❑ PROJECT CONTACT OWNER IS ALSO: NAME ' a y PRIMARY PHONE (z187 - 7& MAILING ADDRESS, CITY, STATE, ZIP F� 2 A Cv-e 0$2 FAX (ZS qSI - NTRACTOR WA STATE CONTRACTOR'S LICENSE 04-7 DATE FEDERAL WAY BUSINESS LICENSEE ## C - �� J 2 If - APPLICANT NAME r©Wy-1 11W ��� puTMrnr+Y PHONE ( ) - 7 G DRESS, CITY, STATE, ZIP iC FAX L - PROJECT CONTACTPRIMARY (The individual to receive and S ( PHONE ( ) ��- respond to all correspondence concerning this application) MAIIJNG ADDRESS, CITY, STATE, ZIP FAX ) Q/ ALTERNATE CONTACT NAME: PRIMARY PHONE r E-MAIL ( ) - eC- PROJECT FINANCING Requiredfor projects with NAME OWNER -FINANCED MAILING ADDRESS, CITY, STATE, ZIP PRIMARY PHONE value of $5,000 or more (RCW 19.27.095) l ) - I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating construction or environmental laws. I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the city, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the city as a part of this application. - 2 f QD SIGNATURE: DATE o c7C/ ( c ^ �, PRINT NAME: J UfJ Bulletin #100 -January 1, 2010 Page 1 of 4 k:\HandoutslPennit Application