95-101135CITY OF FEDERAL WAYPERMIT NO: BLD95-0403
33530 F i rs t Way South I N, P E "� �111 . ISSUED: 06 14 95
Federal Way, WA 980103 Building Inspection Requests 661-41.40 BY: FC2
661-4000 EXPIRES: 06/14/96
ADDRESS:528 S 331ST PL
NO.: 132140-0470
PROJECT DESCRIPTION: NSF W/PLUMBING AND MECHANICAL
CAMPUS GLEN, LOT #47.
F= OWNER asssassssxaaxsssxxccxxa scsssxssssasasccaaxasasa=sass
CAMPUS GLEN LTD PARTNERSHIP
L
030 LK WASHINGTON BLVD NE 201 i
IRKLAND WA 98033
822-7700
APPROVED BASIC #95-1009-V91
CONTRACTOR
POLYGON NW COMPANY
4030 LK WASH BLVD HE
KIRKLAND WA 98033
822-7700
POLYGNC088DP
LENDER
SEATTLE MORTGAGE
229 QUEEN ANNE AVE N
SEATTLE WA 98109
ex_aaasccsssxcsxacsxx-�sxxxscxxaxsxsxsxsasassxssssscssxsssxsssscssxxxsxsxxxxxxcasxssxcscaccssaxssassssxsssxssxaasccccxcsamccs=.scccc.-,ccscas__=xcwcssszsccccc....-____-�__s.r::_3_=.�`:��
St* CONTRACTORS,
PLEASE USE LOCATION
CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS
WITHIN THE CITY OF FEDERAL WAY.
TAX RATE = 8.2% tss
Fsaassaacssssxxssxccscssscsasssscsascsscsxxsssaccxacsssxaxxxxssscs------
_s=cx______ _--caxcxxxxsxxaaxxxcxcsaccxxxsoxxs--xssssss_sxxxxcxxxxacsxxxxassssssaxsssssssxxxxxsxx
-COMP
BLD?:X MEC?:X PLM?:X
FLR--EXIST--PROP---
DWELLING UNITS: 1
PLAN..... .SR
FEES:
TYPE OF WORK:NEW USE:RES
1ST.: 0: 967:sf
STORIES........: 2
REQUIRED PARKING..: 2
SPRINKLERS?......:?
PLAN CHECK FEE
$
100.00
CENSUS CATEGORY ..... :101
2ND.: 0: 740:sf
HEIGHT.....: 0.00 ft
HAZARD CLASS...:?
PUB WKS PLCK(SF)..93
$
40.00
OCCUPANCY GROUP----------
3RD.: 0: O:sf
VALUATION----------
REQUIRED SETBACKS-------
FIRE FLOW....: 0 9P1
FINAL PLAN CHECK...*
$
0.00
:R3 :M1 :? :?
OTHR: 0: O:sf
EXIST..$: 0
FRONT.........: 20.00
ft
BUILDING PERMIT....*
$
730.50
TYPE OF CONSTRUCTION-----
BSMT: 0: O:sf
PROP ... $: 125588
SIDE..........: 5.00
ft WATER SERVICE..:FED
SBCC SURCHARGE.....*
$
4.50
:5N :? :? :?
DECK: 0: O:Sf
REAR..........: 20.00:ft
SEWER SERVICE..:FED
MEC APPLIANCE FEES.*
$
61.50
OCCUPANT LOAD------------
GAR.: 0: 497:sf
RECEIVED.:05/31/95
PLUMBING FIXT.... 93$
$
98.00
0: 0: 0: 0:
TOTI: 0: 2204:sf
IMPERV SURFACE: 2745
sf SENSITIVE AREAS?.:N
RADON KIT ......... 93
$
20.00
s xxsssacccxcscs=scccccxsscss=:assaaaasxaxasscasxsscccxcxxscassxssac---------
EL TYPES.:GAS ?
FANS..........: 5
BOILERS/COMPRESSORS
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WATER CLOSETS......: 3 URINALS........: 0
TOTAL FEES
$
1054.50
S PIPING.: 38 ft
HOOD..........: 1
0-3 HP......: 0
BATH TUBS..........: 1
DRINKING FOUNT.: 0
FURN<100K..: 1
DUCT WORK.....: 0
3-15 HP.....: 0
SHOWERS ............: 2
SUMPS..........: 0
GAS HWT.... : 1
WOOD STOVES...: 0
15-30 HP....: 0
LAVATORIES.........: 4
YAC BREAKERS...: 0
CONV BURNER: 0
FURN>100K...... 0
30-50 HP..... 0
SINKS ............... 1
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...: O
OTHER FIXTURES.: 1
RANGE......: 1
<=10,000 CFM: 0
ABOVE GROUND: 0
LAUN WSHR OUTLTS... : 1
GAS LOGS...: 0
> 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 19E..INFORMATION
FURNISHED BY ME IS TRUE
AND CORRECT TO THE BEST
OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT _ L s�J A
DATE
-,
_= --- ----7-----
FILE COPY
fPPEvu b 4?56S�C 4 qui ID09 - Ua 1
«..� 0 Cit of Federal Wa
���=�ECEIVED y y
APPLICATION FOR BUILDING PERMIT
MAY 3 11995
PLEASE PR/NT C BUILDINGOF FEDERAL
DEPT. WAY,
1�25
d nna' inn rinnr ##. N I VA N 111
.....................
APPLICANT
...........
Name (F,M,L)
LOCATJQN
Campus Glen Limited
Address.::::
..- __j
f
.. ..v
4030 Lake Washington
Tenant (if known)
CityKirkland
4030 Lake Washington Blvd NE #201
Lot #LAssess\)or's
zip 98033
X
Day Phone
206-822-7700
Other Phone
Fax
Phone
Fax
--
%Tax
206-827-4098
Building Owner Name
Expiration Date
Address
POLYGNC051D4
03/09/96
Campus Glen Limited
Partnership
4030 Lake
Washington Blvd NE #201
city Kirkland
state WA
zip 98033
Phone 206_822-7700
Nature of Work Construct
Single Family
.....................
APPLICANT
...........
Name (F,M,L)
Add r �Vs 30 Lake Washington Blvd. NE #210
Campus Glen Limited
Partnership
Address
Contact Person
4030 Lake Washington
Blvd NE #201
CityKirkland
4030 Lake Washington Blvd NE #201
state
zip 98033
Contact Person
Lori Perkins
Day Phone
206-822-7700
Other Phone
Fax
Phone
Fax
--
206-827-4098
BUi! i ,q CON'
....................................:::::::::::::::
Company Name
Add r �Vs 30 Lake Washington Blvd. NE #210
city Kirkland
Polygon Northwest Company
zip 98033
Contact Person
Address
Fax
Jay Middleton
4030 Lake Washington Blvd NE #201
827-6405
CityKirkland
state WA
zip 98033
Contact Person
Lori Perkins
Phone
Fax
206-822-7700
206-827-4098
Contractor's # (card must be presented)
Expiration Date
Verified ❑ Yes ❑ No
POLYGNC051D4
03/09/96
AR,C��.ITECT_
Name '
Jay Middleton Design Group
Add r �Vs 30 Lake Washington Blvd. NE #210
city Kirkland
State WA
zip 98033
Contact Person
Phone
Fax
Jay Middleton
827-4991
827-6405
LEGAL DESCRIPTION
Campus Glen Lot# 'I
Please Complete Reverse Side
CD0492 IRev 4/931
ng Use
Permit includes: N Building M Plumbing
Type of Work: I$ Residential N New ❑ Remodel
❑ Commercial ❑ Addition ❑ Garage
Enter 1st Floor sq ft 2nd Floor � sq ft 3rd Floor, sq ft
Area Basement aq ft Decks sq ft Garage sq ft
Water Availability IV Sewer Availability i( On -Site Septic System Availability ❑
Zoning SR I Lot Size , /�40
.............................................................
.............................
...::.:.......:..:..
......... ....
Proposed Use S.F. Dwe l l in
10 Mechanical O Other
❑ Number of Units _ ❑ Deck
❑ Shed ❑ Other
Existing Floor Area sq ft
Proposed Total Area sq ft
Name
Seattle Mortgage
Address
229 Queen Anne Ave. N.
City Seattle
state WA JZip 98109
11�+TIAIIYAY CQ1VitATOit . Bidding
............:.....::...:......::.......::.:.:.....................:.......................
Contractor Name
Address
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
PLCJMBING CQNTRA�TQR
Biddina
Contractor Name
Address
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
Water Closets
Sinks
Urinals Lawn Sprinkler
Bathtubs
Dish Washers
Drinking Fountains Other
Showers
2 Electric Water Heaters
Sumps
Lavatories
Washing Machine
Drains TotafFJkturo :Codnt...
Fuel Type (electric/other) - i k
Gas Dryer
f Air Handling < = 10,000 CFM
15-30 Tons
Length of Gas Piping
Range
Air Handling > — 10,000 CFM
30-50 Tons
Furn <100K BTUs
Gas Log
Unit Heater
50+ Tons
Furn >11 00 BTUs
Fens
Miscellaneous
Fuel Tanks
Gas Hwt
Hood
I Boilers
Above Ground
Conv Burner
Duct Work
0-3 Tons
Underground
BBQ's
Wood Stoves
3-15 Tons
>TdtA ..UniE:Cdunt<>
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true and correct to the beet of my knowledge and further that I am authorized by the owner
of the above premises to perform the work for which permit application Is made. I further agree to save harmless the City of Federal Way as to any claim (including costs, expenses,
and attorneys' fees Incurred In 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 arieas 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.
Owner/Agent:l/ l ,X Date:
. `
CITY OF FEDERAL
WAY
'
'
3S590 First Way
South
bUILDING
PERMIT
Federal Way, WA
98003
Building Inspection
Requests 661-4140
6-6I-4OOO
ADDRESS: 528 S 331ST PL
°NO.: 13214[)~0470
PROJECT DESCRIPTI0N:NSFW/PLUMB8G AND MECHANICAL APPROVED BASIC 115'100Y -VY
CAMPUS GLEN, 0T U47.
OWNER~~.===.==.... ~ {ONTK0(TVM ===='=~~==='~=~~~=
CAMPUS GLEN LTD PARTNERSHIP POLYGON NW COMPANY
4030 LK WASHINGTON BLVD HE 201 4030 LK WASH BLVD NF
KlKKiAHD WA 98033 � KlkKLAN8 WA 98033
822-7700
822-7700
115"�~n�
m^
' PERMIT NO: BLD95-0403
- ISSUED: 06/14/95
| BY: FC2
EXPIRES: 06/14/96
i[ND[K
SEATTLE MORTGAGE
229 WEEK ANNE AVE N
SEATTLE WA 98109
ns CONTRACTORS, PLEASE OSE LOCATION cw !IV MEN R041ING
SALES TAX FOR PROJECTS VITNIN THE CITY OF FEDERAL VAY. TAX RATE : 8.2% tts
BLD?:X MEC?:X
PLM?:X FLR---EXIST--PROP---
WLtl#G UNITS- I
COMP PLAN .. ...... :SR
FEES:
TYPE OF WORX:NEW
USEAES 1ST.: 0:
967:sf
STORIES..... 2
AMIRED
-A-M
PLAN CHECK FEE
100.00
OCCUPANCY GROUP ---------
F I f n*
FINAL PLAN CHECK—*
M.m ft
TYPE OF CONSTRUCTION -------
5.00 ft
WATER SERVICE..:FED
SBCC SURCHARGE ..... t
4.50
REAR .......... 20.00:ft
SEWER SERVICE..:FED
MEC APPLIANCE FEES.*
61.50
IMPERV SURFACE: 2745 sf
SENSITIVE AREAS?.:N
RADON KIT ......... 93
20.00
EL TYPES
.:GAS !
r� PIPING': 38 ft
F8KN 1OUK.,: 1
GAS HWR...: 1
CVNV BURNER: U
BBQ ........ : 0
GAG DRYER..: 1
RANGE ...... : 1
GAS LOGS ... : U
pANS........'.9
H8OD'..~...'; 1
00l WUKX'....U
WOOD Sl0Y[S~.O
[UAN 100K.. -. U
MISC..-'.....U
AIR HANDLING UNITS
/r10,000 CFM: 0
> 10.000 CFM: U
BOILERS
0-3 N9'..'.': U
3-15 HP,...': D
15-30 HP'...U
30'50 HP....U
5+ HP..... ; 0
FUEL TANKS---------
ABOVE0R8UW0 U
UNDERGROUND.: 0
WATER CLOSETS ..-- 3
BATH TVDS'.....,.: 1
SUOWEKS...........: 3
LAVATORIES '........: 4
SlNKS...........: 1
DISH WASHERS ....... : 1
[LEC WTK HEATBRS.,.: U
LAUM NGHR OUTLlS.'.: 1
URINALS ........ : U TOTAL FEES
DRINKING FOUNT.: O
SUMPS .~^-.....: 0
VAC BREAKERS ... : U
DRAINS ....'—.; U
LAWN SPRINKLERS: O
OTHER FIXTURES.: % �
$ 054.0
=
r 1 *1 "r -IN
SETBACKS::* FOOTINGS
CDO193