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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 acssaasssascssscccxcsscsa _--ssz=cccx. .xsssccxxcccssas 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