94-102474 1
94frh1`l7y
CITY OF FEDERAL WAY L tJ I L D I N G P E R M I T PERMIT NO:
02/24/9541
33530 First Way South
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 02/24/96
ADDRESS:32806 6TH PL S
NO. : 132140-0300
PROJECT DESCRIPTION:NSF M/PLUMBING I MECHANICAL. **REVIEWED AS BASIC PLAN #95-1003-V91**
CAMPUS GLEN, LOT #30.
OWNER -- CONTRACTOR __illrLENDER
CAMPUS GLEN LTD PARTNERSHIP POLYGON NW COMPANY SEATTLE MORTGAGE
4030 LK WASH. BLVD NE, 1201 4030 LK WASH BLVD NE 229 QUEEN ANNE AVE N
KIRKLAND WA 98033 KIRKLAND WA 98033 SEATTLE WA 98109
822-7100 822-7700
POLYGNC088DP
BLD?:X MEC?:X PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN •SR FEES:
TYPE OF WORK:NEW USE:RES 1ST.: 0: 1181:sf STORIES • 2 REQUIRED PARKING..: 2 SPRINKLERS? .? SBCC SURCHARGE * $ 4.50
CENSUS CATEGORY •101 2ND.: 0: 992:sf HEIGHT • 0.00 ft HAZARD CLASS .? MEC APPLIANCE FEES.* $ 72.50
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm PLUMBING FIXT....93* $ 105.00
:R3 :M1 :? :? OTHR: 0: 0:sf EXIST..$: 0 FRONT • 20.00 ft RADON KIT 93 $ 20.00
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 158410 SIDE • 5.00 ft WATER SERVICE..:FED FINAL PLAN CHECK...* $ 556.73
:5N :? :? :? DECK: 0: 0:sf REAR • 5.O0:ft SEWER SERVICE..:FED BUILDING PERMIT....* $ 856.50
OCCUPANT LOAD GAR.: 0: 524:sf RECEIVED.:12/30/94 PUB WKS PLCK(SF)..93 $ 40.00
0: 0: 0: 0: TOTL: 0: 2703:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N
• FUEL TYPES.:GAS ? FANS • 6 BOILERS/COMPRESSORS WATER CLOSETS • 3 URINALS • 0 TOTAL FEES $ 1655.23
GAS PIPING.: 50 ft HOOD • 1 0-3 HP • 0 BATH TUBS • 2 DRINKING FOUNT.: 0
FURN<100K..: 1 DUCT WORK • 0 3-15 HP • 0 SHOWERS • 3 SUMPS • 0
GAS HWT • 1 WOOD STOVES...: 0 15-30 HP • '0 LAVATORIES • 4 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0 SINKS • 2 DRAINS • 0
BBQ • 0 MISC • 0 5+ HP • 0 DISH WASHERS • 1 LAWN SPRINKLERS: 0
GAS DRYER..: 1 AIR HANDLING UNITS FUEL TANKS ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE • 1 <_10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 1
GAS LOGS...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE IMftRMATIO 4119NISED BY ME IS TRUE k>tD. CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT __ ID _‘i . /t DATE :2:4" -,
FILE COPY
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•
CITY OF FEDERAL WAY BU
I LD I NG
' PERMIT41
,33530 First Way South ISSUED: 03/03/95
Federal Way, WA 98003 Building Inspection Requests 661 -4140 BY: JTH
661-4000 EXPIRES: 08/30/95
1ADDRESS: 32806 6TH PL S
NO. : 132140-0300
PROJECT DESCRIPTON:NSF II/PLUMBING i MECHANICAL. **REVIEWED AS BASIC PLAN 695-1003-V91*e
CAMPUS GLEN, LOT #30.
OWNER ...__._ __ _.._ __...-_ _.__ v_ .. ._ ________ _ _ CONTPACTOR .... __.-..._..-.-, -_....W_,_—__.:—..,..� :,: LENDER ill
CAMPUS GLEN LTD PARTNERSHIP POLYGON NW COMPANY SEATTLE MORTGAGE
4030 IN WASH. BLVD NE, #201 4030 LK WASH BLVD NE 229 QUEEN ANNE AVE N
KIRKLAND WA 98033 KIRKLAND WA 98033 SEATTLE WA 98109
822-7700 --44-44.;-:'�� ,_'
_-
17.1 - : 0','.Y:1441111‘44 .-trr.477,7,, =,........_______,..._,= _____ ..,=.„. ,,_,_ _ r__ _____ _ _
,...._. ,..,.._.,,,...=-1.11=X= . . ....
BLD?:X MEC?:X PLM?:X FIRv 0 PROP °►. COMP pia.... FEES
TYPE OF WORK:NEW USE:RES iST '4. O. 1184 st ST RIES .�,�. "' � ., .- ,,„-4'-';.--. S SBCC SURCHARGE * 8 4.50
CENSUS CATEGORY.... I0 . " : 9 : f H a T 0 ft E Y fl C T. -4; ,"�' MEC APPLIANCE FEES * $ 72.50
OCCUPANCY GROUP- „r„ I!' , ,1 d_ T3f V T=om'• - 444 ' ., 1 t .. e !,,,,,,,,-,,.4„., ING FIXT....93* $ 105.00
" NT • 2000 ft
:R3 :M1 :? :? T » I „ E1 0 IGE...... 00 RADON KIT 93 70.00
TYPE Of CONSTRUCTION T. sA" � . ft WATER SERVICE.:FED ' FINAL PLAN CHECK...* $ 556.13
? „ } . 0 : HEAR • 5.00:ft SEWER SERVICE..:FED BUILDING PERMIT....* $ 856.50
OCCUPANT LOAD -- EIVED. i/31 riPUB WKS PLCKISFI..93 8 40.00
: 0: 0: 0: 0: Ti 0. . sf IMPERY SURFACE: 0 st SENSITIVE AREAS?.:N
-
FUEL TYPES.:GAS ? FANS 6 BOILERS/COMPRESSORS WATER CLOSETS - 3 URINALS • 0 TOTAL FEES $ 1655.23
GAS PIPING.: 50 ft HOOD • 1 0-3 HP......: 0 BATH TUBS • 2 DRINKING FOUNT.: 0
FIIRN<1OOK..: 1 DUCT WORK • 0 3-15 HP • 0 SHOWERS . 3 SUMPS • 0
GAS WIT • 1 WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES • 4 VAC BREAKERS...: 0
CONY BURNER: 0 FURN>IOOK • 0 30-50 HP • 0 SINKS - 2 DRAINS : 0
RN : 0 RISC • 0 5+ HP 0 DISH WASHERS • 1 LAWN SPRINKLERS: 0
GAS DRYER..: 1 AIR HANDLING UNITS FUEL TANKS ELEC VTR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE • 1 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN ERR OUTLTS...: 1
GAS LOGS. 1 > 10,000 CFM: 0 UNDERGROUND.: 0
au+.<+..-._.a.s...v-w..._.s.,.......:9x'.61P]/1T CC__...fS� .
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISFD BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REOUIREMFtYe l u S
. - OWNER O1< AGEH DATE ((,0 „r
FIELD COPY j
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v CITY OF FEDERAL WAY BUILDING P PERMIT NO: 02/24/9541
33530 First Way South
'Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661 -4000 EXPIRES: 02/24/96
ADDRESS: 32806 6TH PL S
`NO. : 132140-0300
PROJECT DESCRIPTION:NSF 1/PLUMBING 6 MECHANICAL. **REVIEWED AS BASIC PLAN 195-1003-V91"f
CAMPUS GLEN, LOT #30.
DINER ...., CONTRACTOR ---------------------------- -- LENDER LENDER
CAMPUS GLEN LTD PARTNERSHIP POLYGON NW COMPANY SEATTLE MORTGAGE
. 4030 LK WASH. BLVD NE, 1201 4030 LK WASH BLVD NE 229 QUEEN ANNE AVE N
KIRKLAND WA 98033 KIRKLAND WA 98033 SEATTLE WA 98109
822-1700 4; A
BLD?:X MEC?:X PLN?:X FLR--EX I--PPOP---- D- 1 T' ' '!.AN. •SR FEES:
TYPE OF WORK:NEM USE RES 1ST.' 0: 11813f 'T'JP TF`'+. 1 :+ .3 s is :a'1 Nr: f ? k 5 z.,_ `". SBCC SURCHARGE $ 4.50
CENSUS CATEGORY 10 r.: 0: 9l2:sf r,�,:IGHI> ..,� :0' "' C ". MEC APPLIANCE FEES.* $ 12.50
OCCUPANCY GROUP r ;* 0: ,..; 0 sf Vii° --__.. . I ri .I tO 4t1014,447 —_: I I' .: 1::, ; ~ . ING FIXT....93* $ 105.00
:R3 :M1 :? :? NWRIOAL9 Ei 1i, NT • 20.00 ft RADON KIT 93 $ 20.00
TYPE OF�CONSTRUCTION- T ck :sf . 2. :' 1 'DIOL ' 5.00 ft WATER SERVICE..:FED FINAL PLAN CHECK...* $ 556.13
:51 :2 :? • 4 k'� _ : , w,- REAR ' 5.00:ft SEWER SERVICE..:FED BUILDING PERMIT....' $ 856.50
OCCUPANT LOAD . ` ?4:if 4"` CEIVED.�/32= PUB WKS PLCK(SF)..93 $ 40.00
: 0: 0: 0: 0: 1 ,“� a � :sf IMPERY SURFACE: 0 sf SENSITIVE AREAS?.:N
o
FUEL TYPES.:GAS ? FANS • 6 BOILERS/COMPRESSORS WATER CLOSETS • 3 URINALS - • 0 TOTAL FEES $ 1655.23
GAS PIPING.: 50 ft HOOD • 1 0-3 HP • 0 BATH TUBS - 2 DRINKING FOUNT.: 0
FURN<100K..: 1 DUCT WORK • 0 3-15 HP : 0 SHOWERS • 3 SUMPS • 0
GAS HIT - I WOOD STOVES...: 0 15-30 HP ' 0 LAVATORIES • 4 VAC BREAKERS...: 0
CONY BURNER: 0 FURN>100K.....: 0 30-50 HP • 0 SINKS ' 2 DRAINS ' 0
BBQ • 0 MISC ' 0 5+ HP • 0 DISH WASHERS • 1 LAWN SPRINKLERS: 0
GAS DRYER..: 1 AIR HANDLING UNITS FUEL TANKS - ELEC VTR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE • I <:10,000 CFM: 0 ABOVE GROUND: 0 LAUN NSHR GUMS.... 1
GAS LOGS...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0 -
'PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE tlf!DRMATION-c1 N1SED BY ME IS TRUE A CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL OF. MET.
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RECEIVED City of Federal Way
LJAN PLICATION FOR BUILDING PERMIT
CITY OF FEDERAL WAY
BUILDING DEPT.
PLEASE PRINT APPLICATION II: PLL1gy"1 O
Address - -57</
Tenant (if known) Lot ft Assessor's Tex N
! 7 i4( '> - O>? C%
Building Owner Name Address
Campus Glen Limited Partnership 4030 Lake Washington Blvd. NE #201
city Kirkland state WA
Zip 98033 Phone 822-7700
Nature of Work Construct Single Family House
nI'I'LICANr
Name (F,M,L)
Campus Glen Limited Partnership
Address
4030 Lake Washington Blvd. NE #201 _
City Kirkland state WA Zip
--. 98033
Contact Person Day Phone Other Phone Fax
Lori Perkins 822-7700 _ 827-4098
BUILDING CON'IRAG'IOR; I
Company Name
Polygon Northwest Company
Address
4030 Lake Washington Blvd. NE #201
city Kirkland state WA Zip 98033
Contact Person Phone •Fax
Lori Perkins 822-7700 827-4098
Contractor's II (card must he presented) Expiration Date Verified 0 Yee 0 No
POLYGNC088DP 03/09/95
[A1C1UIECT..
Name
Jay Middleton Design Group
Address
4030 Lake Washington Blvd. NE #210
cityKirkland state WA zip 98033
Contact Person Phone Fax
Jay Middleton 827-4991 827-6405
LEGAL DESCRIPTION
Campus Glen Lot # 73(:, _
Please Complete Reverse Side
C00492(Rev 5193)
N.
% •t
d S �,
STR CT i ? Existing Use Proposed Use r
. Vacant l S.F. Dwelling
Permit Includes: Building XIX Plumbing XIX Mechanical ❑ Other
Type of Work: Xi Residential XY New ❑ Remodel ❑ Number of Units CI Dock
C] Commercial ❑ Addition /Qa ❑ Garage ,‘,,,, tt iCI Shod n Other
g.
Enter l st Floor 1,25 7 eq ft 2nd Floor sq ft 3rd Floor a Existing Floor Area sq ft
Area 6asemogt • . eq ft Decks _sq ft Garag sq Proposed Total Area eq ft
Water Availa ility TJ ' •Sewer Availability 0 On-Sita optic System Availability ClProjeot Vttltiefion $
Zoning SR ILot Size 7f 3( *xi>:ting 0l lg Valuation 8
T,gNY71 gg.
Name Address
Seattle Mortgage 229 Queen Anne Ave. N.
City Seattle state WA Zip 98109
MECTI NICAY. CGNTIZACTOYt Biddinq
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified LI Yes LI No
PLUMBING CONTRACTOR Biddinq
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified 0 Yes ❑ No
•
PPIMP. NO,FIIf PTS.T OQuNT
Water Closets 3 Sinks ( Urinals Lawn Sprinklers
Bathtubs Z, Dish Washers ( Drinking Fountains Other
Showers 3 Electric Water Heaters Sumps
Lavatories 44 Washing Machine Drains Total:Fixture Count
X.UNE
MECITANICACOUNT
Fuel Type (electric/other) Gia r Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping I Range I Air Handling > = 10,000 CFM 30-50 Tons
Furn <IOOK BTUs ( Gas Log Unit Heater 50+ Tons
Furn >100 BTUs Fans 1.4 Miscellaneous Fuel Tanks
Gas Hwt I. Hood I Boilers Above Ground
Cony Burner Duct Work 0-3 Tons Underground
BBQ's • . Wood Stoves 3-15 Tons Total Unit Cqunt .
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge end further that I am authorized by the owner
of the above promises to perform the work for which permit application Is made.I further agree to save harmless the City of Federal Way as to arty claim(including costs,expenses,
and attorneys'foes Incurred lit investigation and defense of such claim),which may be made by any person,Including the undersigned,end filed against the City of Federal Way,
but only where such claire arises out of theplan.. of the City,Including Its officers and employees,upon tire accuracy Of the Information supplied to the City as a part of this
application. 1/1/
dl
Owner/AganL' 1' _Date: _--
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k
SITE PLAN APPROVAL
Permit Number: , ► ' /a f
Approved By: - _-��111.1"
Date: ' 41711..--
Comments:
17 -Comments: ms A C.0 b t i-I W
FAID*11 I D L) I
SITE PLAN
SCALE: 1" = 20'
LOT 30, PLAT OF CAMPUS GLEN
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�6 I �" �q/ C29 101"08'13 :JAI 30 1§9t3
POLYGON NORTHWEST PROW CITY OF FEDERAL WAY
BUILDING DEPT,
4040 LAKE WASHING I- NI BOULEVARD N.E., SUITE 201 LOT NO. 30 PLAN NO.
KIRKLAND, WASHI \JG1 ON 98009 (206) 822-7700 BASIC NO.
CONT. :G NO. POLYGNCO88DF ADDRESS
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