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04-104871 • • # '. * City ofFty Dedeeveral Wlopay Services Building - Commercial Permit #: 04 - 104871 - 00 - CO Communiment P.O.Box 9718 Federal Way,WA 98063-9718 Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050 Project Name: WEB MD Project Address: 33400 9TH AVE S Suite204 Parcel Number:926501 0060 Project Description: TI-Office build out; demising walls; no plumbing/mechanical Owner Applicant Contractor Lender GOLDENSTONE LLC SOUND VENTURES INC*LAURA I KELLY THOMAS INC HOME STREET CAPITAL 320 106TH AVE NE SUITE 100 320 106TH AVE NE SUITE 100 KELLYTI148CR 1/29/06 601 UNION ST SUITE 2400 FEDERAL WAY WA 98004 BELLEVUE WA 98004 26318 ENTWHISTLE RD E SEATTLE WA 98101 BUCKLEY WA 98321 Includes: Census category: 437-Comm #1 #2 #3 #4 Occupancy Group: B Construction Type: --IFType II-N Occupancy Load; Floor Area(Sq.Ft.):, Building Pre-con.Meeting Required .No Census Category 4437-Commercial alt/add oi ., Fire Sprinklers Yes MEt tical,.,,. Number of Stories.......; -.... 1 Permit for Budin Shell Onl .....J ..•No Permit for Foundation Only...... .................�No � Plumbing.. ...,..... �....... -No Special Inspection Required:.....: No Will Certificate of fancy beIssued?.......,,..Yes Zoning Designation OP PERMIT EXPIRES July 4,2005. Permit issued on January 5,2005 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 State o Washington and the City of Federal Maly / Owner or agent: ,_� 1 A� _'/E j �, , .,i'/i Date: S (J� ©� 1 � R • City of Federal Way Certificate of Occupancy This Certificate issued pursuant to the requirements of Section 110.2 of the Uniform 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: WEB MD Permit number: 04- 104871 -00 Address: 33400 9TH S Suite204 #1 #2 #3 #4 Occupancy Group: B - Construction Type: Type II-N Occupancy Load: Floor Area(Sq.Ft.): Owner GOLDENSTONE LLC Name: 320 106TH AVE NE SUITE 100 Address: FEDERAL WAY WA 98004 MK. rytai.at, coo Building 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 severely 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 it is situated. Such compliance is the responsibility of the owner and/or occupant of the premises. a , , S 0 DATE INSPECTOR AREA AND TYPE OF INSPECTION /�f ,;z�. i / `'ldsot.l47 q are./417e4(t,JC1Y' Gzrt�O[ ,D � f 77. 5--- �C Cr^c 'e-r-.3 /0'. .rAr-- • A. - • THIS CARD IS TO *LAIN ON-SITE y CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 04-104871-00-CO Owner: GOLDENSTONE LLC Address: 33400 9TH AVE S Suite 204 FEDERAL WAY, WA This card is part of your required inspection documents. 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. 0 Footings/Setback(4110) 0 Foundation Wall(4115) 0 Drainage/Downspout(4040) Approved to place concrete Approved to place concrete Approved to backfill By Date By Date By Date ❑ Re-steel(4215) 0 Plumbing Groundwork(4190) ❑ Slab/Concrete Floor(4255) Approved to place concrete or grout Approved to cover Approved to place concrete By Date By Date By Date ❑ Underfloor Framing(4285) 0 Floor Sheathing(4105) 0 Shear Walls(4245) Approved to sheath floor Approved to install flooring Approved to install siding By Date By Date By Date O Roof Sheathing(4220) ❑ Fire/Draft Stops(4095) NOTE: Prior to scheduling a Framing(4120) Approved to install roofing Approved inspection;Electrical,Plumbing&Mechanical Rough-in and Fire/Draft Stop inspections must be B JBy Date Date signed-off and approved. IBC 109.3.4/UBC 108.5.4 O Framing(4120) ❑ Insulation(4150) #❑Gypsum Wallboard Nailing(4130) Approved to insulate Approved to install wallboard Approved to install mud&tape By Date By Date By, / Date 1,.2 7..42*--- , ❑ Suspended Ceiling Grid (4265) 0 Final-Fire Department(4060) igiFinal-Planning(4070) Approved to drop tile Approved Approved By Date By Date By Date O Final-Public Works (4080) ►'a Final-Building(4050) Approved Approved By Date By ,��,�1 Date :06. 11 • Alk, RECEiED Federal Wayq - Q —F �� -C 0 2 2004 PERMIT R M IT SF M` CO E EL PL DE EN FP COMMUNI77'DEVELOPMENT SERVICES 33325 F 8''AVENUE SOUTH.Po BOX 97 8 P LI CATION EDERAL WAY,WA 98063-9718 ,,,,Ty Q F E()(= TO / / 253-835-2607•FAX 253-835-2609 BUILDING uru u,,atuofederaluau com The following is required information-an incomplete ap.lication will not be acce.ted. Please .rint legibly(in ink)or type. PROPERTY INFORMATION SITE ADDRESS . 0AG� C) 49 V L-Nl-m '( 1�� TE/UNIT# 2 4 ASSESSOR'S TAX/PARCEL# L (0 G o ' - L,/ /�,, — _iL.�0 LOT SIZE(s.fl LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1) 1,01 (0 W. .p� ©R-. ?krzx., v.. 2 R . 1 N„ O V.upor0._ ft...lengthy 1-.a1 d J t i� v I - Ni GD. w IN PROJECT INFORMATION TYPE OF PERMIT )4UILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit only) R 1 ,ST A,I6'1-1°�t 0EA.T A\IT s P Pcc25 PROJECT NAME(Name of Business or Owner Last Name) ar'r-r` '"'"--'"W�• " `�"���IU :_- • PEOPLE INFORMATION PROPERTY NAME PRIMARY PHONE OWNER '®.)9S'tC)'S- 1A-iC- (206)223 -C1 RnO MAILING ADDRESS CITY,STATE,ZIP , L • CONTRACTOR COMPAANYYJNAME APPLICANT NAME OFFICE PHONE .K� C liiorlacs k...c. PKC K,0-1-Y (253735 -3928 _ MAILING ADDRESS CITY,STATE,ZIP - CELL PHONE 2- 3 ,-o 1511- ' 11' W - ' v2-1 (20010(0- _ CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER AI 7 �l� • • DATE FAX NUMBER 412)8 colv‘ -O -f D a Sd S- - �i / b S� ( - _ CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE / / APPLICANT COMPANY A P1AUYOFFICE PHONE ,` 't) V - -►` �tA11c. 9r ;g� Ak )2.2-3 -9 loO MAILING ADDRESS CITY, TA CELL PHONE 320-\0 174- u ta0 Fel,tirVUE, WPB cls' ( ) - RELATIONSHIP TO PROJECT -., FAX NUMBER ,r 0 Architect ❑ Tenant 0 Agent 0 Other(Describe) C >ot 1•.'G.�+12..., 0425) 492- -e)q 2Z CONTACT NA� Y/'`rfe_. 4� � V�, qY E,Z, 5}0 J ; IL ADDRESS LENDER Per RCW 19.2705: Lendersinformation is NAME required( project value exceeds$5 000i-ite titS TR- C `` c r L MAILING ADDRESS CITY,STATE,ZIP C ` 1 WA- - `�r `` A- • - ■ DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE y� �y EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ '70) 000 SPRINKLERED BUILDING? (E ❑S 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES NO ' WATER SERVICE PROVIDER 0 LAKEHAVEN ❑IUGHLINE ❑ TACOMA ❑PRIVATE(WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC) • PROJECT FLOOR AREAS • ' AREA DESCRIPTION EXISTING SQ.FT. PR• •SED SQ.FT. TOTAL BASEMENT FIRST SECOND THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) • DECK(COVERED?) - GARAGE/CARPORT HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL.EXISTING AND PROPOSED **NEW HOMES ONLY`* NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ FIXTURES`: Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. ' MECHANICAL Value of Mechanical ^.' $ AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS •` HOODS(co.... WOODSTOVES BOILERS FIREPLAC ' MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS or Tub/ShoaerCombo) S •-•.'ERS WATER CLOSETS MISC(Describe) DISHWASHERS INKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAYS(Bathroomsu,ks) VACUUM BREAKERS ELECTRIC WATER HEATERS =sDISCLAID'tERISIGNATUREBLOCK - - I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way,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. ,,/ 1& DATE v , NAME/TITLE �}"�,w1.2�L .•••=1w,,n Ar (Title) RELATIONSHIP TO PROJ T11i► ' Owner `4/Agent o Contractor 0 Architect ❑ Other S# 1� E ( FOR OFFICE USE ONLY a NEW ❑ADDITION ❑ALTE TION ❑REPAIR ENANT IMPROVEMENT t BUILDING SHELL ONLY? ❑ BASIC P AN? ❑YES 0 f ZONING DESIGNATION D )4. CHANGE OFUSE? ❑YE.S my- % O tNEW ADDRESS REQUIRED? ❑YESO UP/SEPA/SU?. ❑YES • k_O PLATTED LOT? • _ ■ NO DEMO PERMIT REQUIRED? ❑YES VO r Bulletin#100-March 30,2004 - Page 2 of 4 k\Handouts-Revised\Permit Application L 1