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Appellant's Exhibit 90 (as referenced in June 30, 2017 Appellant WPDC Cleveland LLC's Witness and Exhibit List) ---PAGE BREAK--- m of Occupancy TVPF OF work: Office Use Only 2016'-09a02 natet 12/9/2016 BLOG-, □ AccesEOi t structure □ Addition □ Exterior □ Garage II Modular □ New □ Portable \ □ Remodel □ Residential Remodel □ Wireless Comm. Facility □ Awning r_l Dock □ Fence □ Rack Storage □ Re-roof □ Retainini Wall □ Stormwater Vault □ Pool □ Tank_____^ 201.6 — 02092 AcceotedfavrCii {PCHi HTA Green Certification Level LEED: □ Silver □ Gold □ Platinum N/A Lender Information Lender name;__ Mailing address; VtLUt Of CousmucirjN 8. King CouNir As.sF.ssoRs V/iiiif* 25,100 Zip: State; Value of S. KC Aiseisot; Improvement Value: i vnlue $250,000 Fax: Site Location E-mail; Appuc ANT. Information Project narje: T / f jfP Tenant: Property osjmer: Mailing4'D-^AV^.^ .Stale;. \A/A 7.p:^ Tax parcel number; SeTin Miller Contact person; Company name: Mailing address: Andorra Ventures 3061 E Lake SammniTiisli NE SonipyiPinl'i^ aty; State: wa phone: zosss 11309 Crty:^CrXl/g_______ Phone: II-06 Fax: [EMAIL REDACTED] E-mail: I PEtAiLED Description of work Change of Occupancy - Origins - Construction incItirJes Tl to divide the building into multiple retail suites, storage and offices, including the construction of a new 2nd story (459 sq ft) mezzanine. Total area of construction = 3268 sq ft. a □ Design Professional O Owner Applicant Who is paying for the permit? Please enter information below if different. □ Contractor „Addres^ Name Architect □ Engineer Designed By GENERAI CtONIRACTOR INFORMATION TWl _ Moms AWMrt^.^ IHCl Mailing address:. ^ gV'fTg L Ig . - ^ Contact person;. Company name: IP ■ Mailing add Company name: Zip:, State: aty: City: Fax; Phone: Zip: State;. State contractor's license phone; Expiration _ aty of Redmond business license REDOOQ. E-mail: Fax: E-matl; ;.i.i6 [PHONE REDACTED] Development Services Center, 15670 NE 85th St, Redmond, WA 98052 Appellant WPDC Cleveland's Exhibit 90 - Page 1 of 12 ---PAGE BREAK--- Building Information ^ Yes □ No □ Yes ^ No Alarm □ Yes ^ No Hazardous Materials □ Yes No Basement □ Yesj^No Change of Occupancy Certificate of Otcupancy Required Smoke Control** If Yes, design and construction documents shall be submitted as a separate Fire Installation permit in conjunction M/itb Building Permit Application. Automalic Sprinkler Required Automatic Sprinkler Provided Quick Response Throughout Quick Response per Occupant Number of Stories Special Conditions* ’If Yes, pi ease explain_________ n Yes W No QYcs ^No VJ Yes □ No TlZ^Yes □ No □ Yes ^ □ Yes [3^-No No Building Information for Proposed Work Per IBC Type of Construction Proposed Occupancy Non-separated Interior Remodel New/Added # of occupants Locatior use? (SF) (SF) A m mk M. X mfioye^ /4-3> I'Z- m i /f y L zhn. L i£l B 3 v y A-IO Ik n M Le. B, S-1, E, M, etc.) and by floor or suite number. ’Enter locapon by occupancy type Existing Building Information Locate the sulkling history and enter the information below. Form can be found at http://gi5.rodmond.gov/pv/ft/MapVlew. If one Is no available the Information will be venfied during plan review. Code Year Square Footage Occupancy GISff Construction Type Ik Additional Applicants Please add additional applicants below that need access to the plans via the online portal Company: Name: Company: s must already be a contSa Tn dtir permitting system. If not provide separate contact r^tstration lomt per ap^iwntr Name: ’•Appitcah •Value of Co Tlie value of constniction shall be based on the value of the work (hat is perfom^ The total wplue of work shall include ma^rials and labor for which the permit is being sought for. For the construction of new buildings, the building valuation data table located on w ww.redmond.gov/permitfees shall be used for new square footage based off of type of construction and occupancy. •King County Assessor Value can be found at htto://www5.kttigcountv.KQv/parceJyLe.wer/vie>^r/kinBcQu.n.ty/yig^.3^. Search by address or \ larcel. View the property report, and Input the Appraised Improvements (Imps) Value for the current year. Expiration ol Plan Hevfew; AppUcations for which no permit is issued within 180 days following the date irfapplic^on shall expire ai^ all ^d shall be forfeited. Upon written request of the applicant, the Building Official may grants IM-day^jwlan to Plan timeas «>ec- ^ed in ScHU n 105.3.2 oF^e IBC. No plication shall be extended for a period of more than 180 days. See the Fee Schedule (or extension fee Information. Building Owner or Authorized Agent to be true and correct, and I am authorized to apply for this I hereby certf ythatt have read and examined this and know the permit. Print Nofne^ Signafurs: same Dat6ri2.8-i6 Sean Miller 7.1.16 Appellant WPDC Cleveland's Exhibit 90 - Page 2 of 12 ---PAGE BREAK--- « r\ ■ * 0M h xr • iX ? •Tk j' AI m "Ci 4 :r if. Tr' m i WB CityofRedmond WAB HtKOTOh PROJECT Information Office Use Only BUILDING f ERMir NUMBER:______ SITE ■.v7T.Tm-i illi Applicrdtion rsAuIn"KupiUv lI Mixed Use D Change of Occupancy a Type of Work: Office Use Only BLDG; DDte:_____ Accepted by; □ Accessory Structure □ Addition □ Exterior Alteration □ Garage □ Modular □ New □ Portable DTI □ Remodel □ Residential Remodel □ Wireless Comm. Facility □ Awning □ Dock □ Fence □ Rack Storage □ Re-roof □ Retaining Watl □ Stormwater Vault D Pool □ Tank______ Green Certification Level lEED: O Silver □ Gold □ Platinum ■ N/A Lender Information Lender name:_ Mailing address: Value oe Construction 8, King County Assessors Improvement Value* Value of Construction: KC Assessors Improvement Value: 1 Zip: State: Fax: _ E-mail: Site Location Site address:. Applicant Information Tax parcel number; Project name:____ Contact person: Company name; Mailing address: Property owner:.^ Mailing address:. Phone; m Zip:. State:. Detailed Description of work □ Contractor □ Applicant □ Owner □ Design Professional Who is paying for the permit? Please enter information below if different. ^Address. Name E-mail, Designed By □architeci □ Engineer General Contractor Information Contact person:. Company name: Mailing address: Company name; Mailing address: Zip;, State: City: City: Phone: Fax: Zip: State;, State contractor's license Phone: Expiration City of Redmond business license REDOOO, Fax: E-mail: 7.1.16 Development Services Center, 15670 NE 85th St, Redmond, WA 98052 [PHONE REDACTED] Appellant WPDC Cleveland's Exhibit 90 - Page 10 of 12 ---PAGE BREAK--- Building Information □ Yes □ No □ Yes □ No □ Yes □ No □ Yes □ No □ Yes □ No D Yes □ No Alarm Hazardous Materials Basement Change of Occupancy Certificate of Occupancy Required Smoke Control If Yes, design and construction documents shall be submitted as a separate Fire Installation permit in conjunction with Building Permit Application. □ Yes D No CH Yes D No U Yes □ No □ Yes □ No Automatic Sprinkler Required Automatic Sprinkler Provided Quick Response Throughout Quick Response per Occupant Number of Stories Special Conditions* *lf Yes, please explain__________ □ Yes □ No PER IBC Building Information for Proposed Work Non-separated use? Proposed Occupancy Type of Construction New/Added Interior Remodel # of occupants Location* (SF) (SF) Total i.e. B, S-1, E, M, etc.) and by floor or suite number. ♦Enter location by occupancy type Existing Building Information Locate the building history and enter the information below. Form can be found at http;//gis-redriTond.jtov/pv/ff/tviapVigw. If one is not available the information will be verified during plan review. Code Year Square Footage Occupancy Construction Type GISft Please add additional applicants below that need access to the plans via the online portal Additional Applicants Company; Name: : Company; ♦’Applicants must already be a contact in our permitting system, it not provide separate contact registration form per appiicanf.” •Value of Construction; The value of construcb'on shall be based on the value of the work that is being performed. The total value of work shall Include materials and labor for which the permit is being sought for. For the construction of new buildings, the building valuation data table located on www.redmond.gov/permitfees shall be used for new square footage based off of type of construcbon and occupancy. ♦King County Assessor Value can be found at 11 hj~> ■ www ITi n ly o 11 n r v. a n v/t i .n-cr i v i r ■ we r/vi e w i / M n e.c o u n t v/v r i ■ w e r, a a ft- Search by address or parcel. View the property report, and input the Appraised Improvements (Imps) Value for the current year. Expiration of Plan Review Applications for which no permit is issued within 180 days following the date of applieabon shall expire and all fees paid shall be forfeited. Upon written request of the applicant, the Building Official may grant a ISO-day extension to the Plan Review tinie as spec ified in Secbon 105.3.Z of the IBC. No application shall be extended fora period of more than 130 days. See the Fee Schedule for extension tee inform abon. Name: Building Owner or Authorized Agent I hereby certify that I have read ar)d examined this application and know the same to be true and correct, and I am authorized to apply for this permit. Date: Print Name: Signature: 7.1.16 Appellant WPDC Cleveland's Exhibit 90 - Page 11 of 12 ---PAGE BREAK--- RCW 64,55 Moisture Protection Law for Multi-Unit Residential Buildings ■ New requirements for new multi-unit residential buildings with more than two units and most multi-unit residential buildings being rehabilitated will apply to building permits issued on or after August 1,2005: ■ Plans, details and specifications for the construction of the building enclosure shall be stamped by a licensed engineer or architect and shall be submitted prior to issuance of the building permit. ■ The design professional of record shall submit a statement affirming that the building enclosure documents satisfy the requirements of RCW 64.55 which shall be submitted prior to issuance of the building permit. ■ A third-party, qualified inspector shall inspect the building enclosure during the course of construction for compliance with the building enclosure design. ■ The third-party inspector shall submit a signed letter of certification prior to building final regarding the inspection and substantial compliance of the building with the building envelope enclosure design documents. Please note that City of Redmond staff will not: m Review or approve the building enclosure details during plan review or field inspection. ■ Review the qualifications of the third-party inspector. ■ Issue permits without the documentation noted above or perform a final building inspection without the letter of certification. To obtain more information, visit the Washington State website at http://www.access.wa.gov 19of 19 Updated 02/15 Appellant WPDC Cleveland's Exhibit 90 - Page 12 of 12