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03-102219 • City of Federal Way Community Development Services Building - Commercial Permit #:03 — 102219 — 00 — CO 33530 1st Way S Federal Way,WA 98003-6210 Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050 Project Name: SIMPLEX GRINNELL Project Address: 32001 32ND AVE S Suite301 Parcel Number: 162104 9001 Project Description: TI-Construction of 5765 sqft new office space in previously unoccupied area,including partitions& acoustical ceiling tiles. No plumbing or mechanical. Owner Applicant Contractor Lender FOSS REDEVELOPMENT FOSS REDEVELOPMENT SELLEN CONSTRUCTION FOSS REDEVELOPMENT PO BOX 94449 PO BOX 94449 SELLEC*372ND 6/1/05 PO BOX 94449 SEATTLE WA 98124 SEATTLE WA 98124 PO BOX 9970 SEATTLE WA 98124 SEATTLE WA 98109 Includes: Census category: 437-Comm #1 #2 #3 #4 Occupancy Group: B Construction Type: Type II-FR Occupancy Load: 85 Floor Area(Sq.Ft.): 5765 1stFloor Proposed Sq.Feet 5765 Building Pre-con.Meeting Required Census Category......,.:... .... 437-Commercial altiadd Fire Sprinklers Yes Mechanical No Number of Stories.. ,.......1 Permit for Building Shell Only No Permit for Foundation Only.. .No Plumbing No Special Inspection Required No Will Certificate of Occupancy be Issued? Yes Zoning Designation OP-4 CONDITIONS: All new and refaced signs require a separate sign application and review.(FWCC,Sec.22-335(g)(6)) This decision shall not waive compliance with future City of Federal Way codes,policies,or standards relating to the subject proposal. PERMIT EXPIRES December 14,2003. Permit issued on June 17,2003 I hereby certify that the above information is correct and that the construction onthe above described property and the occupancy and the use will be in accordance with the laws,rules and regulations of the State of Washington and the City of Federal Owner or agent: o Date: t56 ( '7 • • City of Federal Way Certificate of Occupancy This Certificate issued pursuant to the requirements of Section 109 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: SIMPLEX GRINNELL Permit number: 03 - 102219-00 Address: 32001 32ND S Suite301 #1 #2 #3 #4 Occupancy Group: B Construction Type: Type II-FR Occupancy Load: 85 Floor Area(Sq.Ft.): 5765 Owner FOSS REDEVELOPMENT Name: PO BOX 94449 Address: SEATTLE WA 98124 MK. )240.6.%, coo 9-L2 - 03 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. • 0 , INSPECTION LOG DATE INSPECT R' OK CORR/REJ AREA AND TYFE QF INSPECTION / rra)ff'I.hart ��fihran�n�/P 9iLr7?( (14(4_f 9F 6ft5i--3— W / .1/1)10 OPtt4-3) -, F43.-7- L-P of (s'.�2 p 0` 'AI. L ? K A1'L l T, 744f-03 ep ../ tate : -1—s-s . s)12k- lls POS HIS CARD ON THE FRONT OF BUILDIfj� --*5"10,041,00,70111; 1 Feder FWa BUILDING DIVISION � _ . INSPECTION RECORD INSPECTION REQUEST PHONE#: 253-835-3050 PERMIT #: 03-102219-00-CO OWNER'S NAME: FOSS REDEVELOPMENT SITE ADDRESS: 32001 32ND S () FOOTINGS/SETBACKS () FOUNDATION WALL 1 NM `I) CONCREUN`II , OVEIS APP' 11111111 . ? �. y , ( ) DRAINAGE: Line ( ) Connection DIMENAMEROIMINIMMOWSOMMOUtiltiMAKOMMEISEEFIEVERISt ( ) UNDERFLOOR FRAMING () ROUGH PLUMBING: DWV Water piping () ROUGH MECHANICAL Gas piping ( ) SHEATHING Roof Floor ( ) SHEAR\VALLS () ELECTRICAL RC JGH-IN Ditch Coy () FIR /DRAFTSTOPS, 7403 3 g = ' x AL L,THE A13PWMUST B iPPROVED PiioR I Q FR MING INSPEC MfOPI„ -__ ,. <y ( ) FRAM:1\NG/FIRESTOPPING _ BOMg B 1,AI' b IIt P DQ TO N,SJ!LATING;Q ITR CgI G t F. . ( ) INSULATION: Floors Walls Attic e 911 THE . iOYgiO3I 3AP1 W E,DAR1b12 f O,APPLYWG,SHEETRPAnE,y` , () WALLBOARD NAILING Z S” C� �, () SUSPENDED CEILING ,Ej "` 2 O�G ,w A fi...HE'ABOVE M TST BE A' 'OVED,PNT'UAING OR,WLIIrG',GE UN:0?T.ILE <ky.: () ELECTRICAL FINAL () PLANNING FINAL () PUBLIC WORKS FINAL ( ) FIRE FINAL .,, ,.. ,., STI IBOVIE MJ BE W1?P,R9 ,T' ?K*11 t L1W G;DEP tTfi11VA , ,`. , ..,. () BUILDING FINAL SDC TOj ott TTP S fi i� l' BthLjjII G`tIN L ' rorWED _,., ,,i, ,. „a�TS,✓,xa, ..: .n „. ,�, t�av3.R ,»,:� n� S , • • •is co viii\iev g 2� �' CONSTRUCTION PERMIT APPLICATION CITY OF E, MP `s APPLICATION •NUMBER: Q. - ,I, 1 - e; Federal Way 0k_ OFF a�DE?1 APPLICATION NUMBER: _ - — E� ALW APPLICATION NUMBER: _ — — — — — atTPg P911°1 quired information—Please print(in ink)or type** Le Please note: Electricar,FirePreventionSystems and Engineering permits may require a separate application. • PROPERTY INFORMATION SITE ADDRESS: 32001 32nd Avenue South Federal Way ASSESSOR'S TAX/PARCEL#: 162104 - 9001 LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): LOT A OF "EAST CAMPUS CORPORATE PARK PARCEL "1", AS DESCRIBED IN CITY OF FEDERAL WAY SITE PLAN (CITY FILE NO. BSP 98-0003) RECORDED SEPTEMBER 16, 1999 UNDER RECORDING NO. 19990916001397, IN KING COUNTY, WASHINGTON. LOT B OF"EAST CAMPUS CORPORATE PARK PARCEL"1", AS DESCRIBED IN CITY OF FEDERAL WAY SITE PLAN (CITY FILE NO. BSP 98-0003) RECORDED SEPTEMBER 16, 1999 UNDER RECORDING NO. 19990916001397, IN KING COUNTY, WASHINGTON. • PROJECT INFORMATION TYPE OF PROJECT(This application): X BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION o ELECTRICAL o ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): Construction of approximately 6,000 SF of new office space in previously unoccupied area, including: office partitions, carpet, and acoustical ceiling tile. PROJECT NAME: Simplex Grinnell,Third floor office TI. • PROJECT INFORMATION PROPERTY OWNER: NAME: DAYTIME PHONE: FRC Federal Way LLC ( 206 ) 262— 1400 x 6 MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): PO Box 94449 Seattle, WA 98124 CONTRACTOR: NAME: DAYTIME PHONE: LC-7,S C010 ST. ( 425 ) 425 - 8877 MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: 100 116th Ave SE Bellevue, WA 98008 TBD CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: 20-00-101644-00-BL(copy attached) ( 425 ) 453 - 5680 CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: GLYCOI * 01809 (copy attached) 09/ 30/ 2004 APPLICANT: NAME: DAYTIME PHONE: Foss Redevelopment—Adrian Brown ( 206 ) 262— 1400 x 6 MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: PO Box 94449 Seattle, WA 98124 ( 206 ) 396—7936 RELATIONSHIP TO PROJECT: FAX NUMBER: o ARCHITECT o TENANT X OTHER(DESCRIBE):Owner ( 206 ) 381 —8301 E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER X APPLICANT ❑ CONTRACTOR adrian@fossbuild.com • PROJECT INFORMATION EXISTING USE: Unoccupied new construction EXISTING BUILDING ASSESSED/APPRAISED VALUATION$Unknown PROPOSED USE: Office PROPOSED VALUATION FOR IMPROVEMENTS: $ $300,000 SPRINKLERED BUILDING? X YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: o YES X NO WATER SERVICE PROVIDER: X LAKEHAVEN ❑ HIGHLINE o TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: X LAKEHAVEN o HIGHLINE o PRIVATE(SEPTIC) •y ' **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: NA ESTIMATED SELLING PRICE: $NA • PROJECT FLOOR AREAS FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL BASEMENT FIRST 27,000 0 27,000 SECOND 27,000 0 27,000 THIRD 27,000 27,000 FOURTH 27,000 0 27,000 OTHER FLOORS(DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: 108,000 0 108,000 ■ FIXTURES Indicate number of each type of fixtu - MECHAN CAL AIR HANDLING UNIT(S) EVA '•RATIVE COOL'••(S A GAS LOG(S) REFRIG.SYSTEM(S) BBQ(S) FAN( ' a HOOD(S) WOODSTOVE(S) BOILER(S) FIREPLA E INSERT(' !fa RANGE(S) MISC.( ) COMPRESSOR(S) FURNACE DUCT(S) GAS PIPE 0 ET - HEAT SOURCE: o ELECTRIC ❑ GAS • UMBING BATHTUB(S) LAVAT• •Y(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAI ATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS DRINKING FOUNTAIN(S) S •WER(S) H MACHINE OUTLET GAS PIPE OUTLET(S) - NK(S) WAT • - OSET(S) MISC.( ) INTERCEPTOR(S) SUMP(S) • DISCLAIMER/SIGNATURE BLOCK 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 informal n upplied t 'ty as a part of this application. NAME/TITLE: v PR O5 CT t4 AtJMACK DATE: M PN C)0a X PROPERTY OWNER ❑APPLICANT ❑ CONTRACTOR FOR OFFICE USE ONLY: ❑ NEW o ADDITION o ALTERATION o REPAIR ❑TENANT IMPROVEMENT CENSUS CODE: LOT SIZE: ZONING DESIGNATION: BUILDING SHELL ONLY? ❑YES o NO COMP PLAN DESIGNATION BASIC PLAN? 0 YES 0 NO SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? o YES 0 NO PLATTED LOT? 0 YES ❑';NO CHANGE OF USE? o YES o NO COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129 www.ciNoffedera Iway.com • Construction Permit Fee Calculation Sheet *******PLEASE NOTE: ALL FEES MUST BE VERIFIED BY CITY STAFF PRIOR TO ACCEPTANCE OF PAYMENT. CHECKS FOR INCORRECT AMOUNTS WILL NOT BEACCEPTED!******* Building,mechanical,and fire prevention system fees are based on the following schedule. TABLE A TOTAL VALUATION FEE FACTOR (1)$1.00 to$500.00 (1)$30.00 (2)$501.00 to$2,000.00 (2)$30.00 for the first$500.00 plus$4.00 for each additional$100,00 or fraction thereof,to and including $2,000.00 (3)$2,001.00 to$25,000.00 (3)$90.00 for the first$2,000.00 plus 518.00 for each additional$1,000.00 or fraction thereof,to and including$25,000.00 (4)$25,001.00 to$50,000.00 (4)$504.00 for the first$25,000.00 plus$13.00 for each additional$1,000.00 or fraction thereof,to and including$50,000.00 (5)$50,001.00 to$100,000.00 (5)$829.00 for the first$50,000.00 plus$9.00 for each additional$1,000.00 or fraction thereof,to and including$100,000.00 (6)$100,001.00 to$500,000.00 (6)$1,279.00 for the first$100,000.00 plus$7.00 for each additional$1,000.00 or fraction thereof,to and including$500,000.00 (7)$500,001.00 to$1,000,000.00 (7)$4,079.00 for the fist$500,000.00 plus$6.00 for each additional$1,000.00 or fraction thereof,to and including$1,000,000.00 (8)$1,000,001.00 and up (8)$7,079.00 for the first$1,000,000.00 plus$4.50 for each additional$1,000.00 or fraction thereof. Bold number is the base fee for the specified increment Italicized,underlined number is the fee Der additional specified increment PLUS: Add 65 percent of the base building permit fee for plan review fee. Add 25 percent of the base mechanical permit fee for mechanical plan review fee. Add 15 percent of the base building permit fee for Fire District#39 surcharge,commercial only. Add$4.50 for WA State Building Code Council,plus$2.00 per unit for duplex&above. **Electrical .lumbin. and mechanical fees are calculated se.aratel ** • BUILDING PROPOSED VALUATION: $171,400.00 FEE FACTOR FROM TABLE A: Number: 6 (a)Base Fee: $1,279.00 (b)Additional Increment Fee: $504.00 Estimated Permit Fee: (1) $1,783.00 Estimated Plan Review Fee: (2)$831.35 Estimated FW Fire Department Surcharge: (3) $319.75 • MECHANICAL PROPOSED VA • ON: $35,320.00 FEE FACT'• FROM TABLE A: Number: 4 (a)Base --e: $504.00 (b) .diti anal Increment Fee: $143.00 Estim ted Permit Fee: (1) $647.00 Estima -d Plan Review Fee: 1 1 FIRE PREVENTION SYSTEM PROPOSED VA aATION: $11,148.00 I • FEE FACTOR ROM TABLE A: Number: 3 (a)Base ee: $90.00 I , (b) •'I itional Increment Fee: ' :0.00 d Estimated Pe it Fee: • Estimated • • • PLUMEING Ba--Fee Number of Fixtures $.6.00+{ 1 X$9.00/fixture}= '.35.00 (8)Estimated Permit Fee Estimated Permit Fee 35.00 X.65= $22.75 (9)Estimated Plan Review Fee Miscell• •eous Fixture Charge:(10) Sub Total (Page One): Line +(2)+(3)+(4)+(5)+(6)+ 8)+(9)+(10)= (11) $2,934.10— Building only(MEP will be separate)