95-100277CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
BUILDING PERMIT
Building Inspection Requests 661-4140
ADDRESS:525 S 331ST PL
NO.: 132140-0900
PROJECT DESCRIPTION : NSF W/PLUMBING 5 MECHANICAL
CAMPUS GLEN, LOT #90.
OWNER
NPUS GLEN LTD PARTNERSHIP
30 LAKE WA BLVD NE, #201
KIRKLAND WA 98033
822-1100
$$REVIEWED AS BASIC PLAN #95-1004-V91$*
CONTRACTOR
POLYGON NW COMPANY
4030 LK WASH BLVD NE
KIRKLAND WA 98033
822-1100
POLYGKC088DP
PERMIT NO: BLD95-0101
ISSUED: 02/24/95
BY: FC
EXPIRES: 02/24/96
LENDER
SEATTLE MORTGAGE
229 QUEEN ANNE AVE N
SEATTLE WA 98109
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?......:?
PLAN CHECK DEPOSIT.$
$
100.00
CENSUS CATEGORY ..... :101
2ND.: 0: 992: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 9Pe
BUILDING PERMIT....*
$
846.00
:R3 :M1 :? :?
OTHR: 0: O:sf
EXIST..$: 0
FRONT.........:
20.00 ft
SBCC SURCHARGE.....;
$
4.50
TYPE OF CONSTRUCTION-----
BSMT: 0: O:sf
PROP ... $: 158410
SIDE..........:
5.00 ft
WATER SERVICE..:FED
NEC APPLIANCE FEES.$
$
12.50
:5N :? :? :?
DECK: 0: O:sf
REAR..........:
5.00:ft
SEWER SERVICE..:FED
PLUMBING FIXT.... 93t
$
119.00
OCCUPANT LOAD------------
GAR.: 0: 524:sf
RECEIVED.:02/01/95
RADON KIT ......... 93
$
20.00
0: 0: 0: 0:
Adik
TOTL: 0: 2103:sf
IMPERV SURFACE:
2151 sf
SENSITIVE AREAS?.:N
TOTAL FEES
$
1202.00
IWLL TYPES.:GAS ? FANS..........: 6 BOILERS/COMPRESSORS
WATER CLOSETS......: 3 URINALS........: 0
GAS PIPING.: 50 ft
HOOD..........: 1
0-3 HP......: 0
BATH TUBS..........: 2
DRINKING FOUNT.:
0
FURN0 00K..: i
DUCT WORK.....: 0
3-15 HP.....: 0
SHOWERS ............: 3
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 ..............: 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.:
1
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 DAY AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE 1 NFj?MATION FUR" BY NE IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT
FILE COPY
DATE`��
I
. oVql
A F D City of Federal Way
'rlLuv Y zs-�� !'PLICATION FOR BUILDING PERMIT
4013,
PLEASE PR/NT s��
�I1B�i�Itih'I gw SOr 3' 31 1f460—APPL ICA T/ON #. � _ E 75— 01_0
All
Norne (F,M,L)
�'QGA7I0. Address
Address
I onont (it known)
Lot M
Aeeoesor's Tex #
zip 98033
Building Owner Name
Campus Glen Limited Partnership
city Kirkland istale WA
Address
4030 Lake Washington Blvd. NE #201
Zip 98033 Phono 822-7700
Other Phone
1
Nnturoorwork Construct Single Family IIouse
All
Norne (F,M,L)
Campus Glen Limited Partnership
Address
4030 Lake Washington Blvd
city Kirkland
state WA
zip 98033
Contact Person
Day Phone
Other Phone
1
Fax
Lori Perkins
822-7700
Fax
827-4098
...:
i3Ul MG CON'I'lt/*CX OIt
Company Nnmo
Jay Middleton Design Croup
Polygon Northwest Company
4030 Lake WasliinULun
Address
state WA
4030 Lake Washington Blvd. NL #201
Contact Poison
city Kirkland
state WA
zip 98033
Contuct Person
Lori Perkins
Phone
Fax
822-7700
827-4098
Contractor's p (card must be presented)
Expiration Date
Verified ❑ Yes ❑ No
POLYGNCO88DP
03/09/95
Norne
Jay Middleton Design Croup
Addross
4030 Lake WasliinULun
city Kirkland
state WA
zip 98033
Contact Poison
Phone
Fox
Jay Middleton
827-4991
827-6405
LEGAL DESCRIPTION
Campus Glen Lot #[Ll
Please Complete Reverse Side
C00492 inev 4/031
Zoning qp I Lot Siza
'.r��Gr�Arir�AY, Ct�NrrR�Cxo�>r
Gas Dryer
Contractor Name
w.,
City
State
Zip
Contact
S
Fax
'�'YIP91r
Expiration Date
Verified ❑ Yae O No
Lioonse N
rytYlC7aClYtr i
Fuel Tertke
Gas llwt (
Existing Use
Vacant
License #
Proposed Uses I?Dwelling
Duct Work
Pormit Includes:
Underground
XX Building
NX Plunthing
XtX Mochnnicul
1-1
Other
Type of Work: XI
Residential
XY, New
❑ Remodel
j ❑ Number of Units _
1-1
Dock
1-1
Commercial
l7 Addition ❑ Garage l
t f F] Shod
CI
Other
Enter 1 at Floor ��_�_ eq ft
2nd Floor
Z4= sq tt 3rd Floor r% _T
sq It
Existing Floor Area
sq (t
-!
Area Basement
eq it
Docks
sq 1t Garagg ' aq It
Proposed Total Area
eq It
WAter A,:,d bllily
$awor Availability ❑ On -Silo
Septio System Availability
U
Projaof V4151P114n
@
`:
) `% h n.
Farieunn Bldiz Vnluritloit
A...:
....... ..
Zoning qp I Lot Siza
'.r��Gr�Arir�AY, Ct�NrrR�Cxo�>r
'FI:T:IIti'(13iNG CQN1'RACI'(�R
Gas Dryer
Contractor Name
Address
City
State
Zip
Contact
Phone
Fax
Unit Floater
Expiration Date
Verified ❑ Yae O No
Lioonse N
Mlseollanoous
Fuel Tertke
'FI:T:IIti'(13iNG CQN1'RACI'(�R
Water Closets
Bathtubs
Showers
Lavatories
A1I CX�t��ilC'AI,'TJN!T CQU>V�;
3 Sinks
Z Dish Washers
Electric Water Floaters
`1' Washing Machine
Urinals
Drinking Fountains
Sumps
Drains
Lown Sprinklers
Othor
Fuel Type (electric/other) C
Gas Dryer
Contractor Name
Address
Length of Gas Piping O F
State
Zip
City
Furst <100K BTUs
Gas Lop
Unit Floater
Phone
Fox
Contact
Mlseollanoous
Fuel Tertke
Gas llwt (
Expiration Data
Verified ❑ Yea ❑ No
License #
Conv Darner
Duct Work
Water Closets
Bathtubs
Showers
Lavatories
A1I CX�t��ilC'AI,'TJN!T CQU>V�;
3 Sinks
Z Dish Washers
Electric Water Floaters
`1' Washing Machine
Urinals
Drinking Fountains
Sumps
Drains
Lown Sprinklers
Othor
Fuel Type (electric/other) C
Gas Dryer
Air Handling < = 10,000 CFM
15-30 Tons
Length of Gas Piping O F
Range
Air Ilandling > — 10,000 CFM
30-50 Tons
Furst <100K BTUs
Gas Lop
Unit Floater
50-t Tons
Fran > 100 BTt)s
Funs f
Mlseollanoous
Fuel Tertke
Gas llwt (
Hood C
Bollors
Ahovo Ground
Conv Darner
Duct Work
0-3 Tons
Underground
BBQ'e
Wood Stoves
3-15 Tons
To(nl Uttlt';Count .i
DISCLAIMER: I codify under ponally of penury that rho Inlormelion fumishad by mo Is lire end corroct to the haat of my knowhodoo and lurlhor that I onr aulhodzod by the ownor
of the above prendsoa to perlonrt lha work for which permit applicallonla made. I further aurae to Savo hounlass the City of Federal Way as to any claim (including costa, expanses,
and attorneys' loos Incurr*da,Inv*allu.thon end dal*ns* of such clalnll, whlcll may he made by any person. Includlno lh* andnrslgnoJ, and filed against the City of F*d*ral W -Y,
but only whore such claim / ee out of •' = -�u•,rce of Ilia City, Including Its officals and 01-14-Y-6, upon Ill* ..curacy of the Infonvallon sunpliod to the Clty as a pmt of lhlr
application. I
Dale:
Owner/Agro ------
ive OF FEDERAL- WAY
3�3�'�30 First Way South
Federal Way, WA 98003
6(,el -4000
BUILDING PERMIT
Building Inspection Requests 661-4140
ADDRESS:525 S 331ST PL,
NO.: 1 32 1 40-0900
PROJECT DESCRIPTION : NSF W/PtURRING I MECHANICAL,
CAMPUS GLEN, LOT 190.
OWNER
,,,PUS GLEN LTD PARTNERSHIP
030 LAKE VA BLVD NE, 1201
ILAND VA 98033
822-1100
m
g,N
BLD?:X MEC?:X PLM?:X FLR EX
TYPE OF WORKAEW USE -RES I St S IE
CENSUS CATWY.. ..:101
OCCUPANCY GROUP___------_ V AT
TYPE OF CONSTRUCTION----- P4
:?
OCCUPANT LOAD------------ CIA
0: 0: O: 0: To
INL TYPES.:GAS ?
PIPING.: 50 ft
FURN000K..: I
GAS OWT.... : I
CONY BURNER: 0
880... ... : 0
GAS ORfER..: I
RANGE....... I
GAS LOGS...: I
0k,
Hoot
DUCT
WOOD S10ft...: 0
FUR0100C....: 0
MISC .......... : 0
AIR HAND11% UNITS
<=10,000 CFM* 0
> 10,00, CFN: 0
$$REVIEWED AS BASIC PLAN 195-10044914t
CONTRACTOR -
POLYGON AV COMPANY
4030 LK WASH BLVD NE
KIRKLAND VA 98033
D.:02/
PERMIT NO: BLD95-0101
ISSUED: 02/24/95
BY: FC
EXPIRES: 02/24/96
LENOIR —
SEATTLE MORTGAGE
229 QUEEN ANNE AVE N
SEATTLE VA 98109
!"r"112M PLAN ......... AR I FEES:
BOILERS/COMPRESSORS
0-3 HP.......
3-15 HP.....:
15-30 HP....:
30-50 NP..... 0
St HP........ 0
FUEL TANKS ---------
ABOVE GROUND: 0
UNDERGROUND.: 0
RE rt.00 0
20.00 ft
91 -.v— .rtft
.......... : 5.00:ft SEWER SERVICE..:FED
IMPERV SURFACE: 2151 sf SENSITIVE ARtAS?.:N
WATER CLOSETS......: 3
RAT# TUBS........... 2
SHOWERS .............. 3
LAVATORIES_ ....... 4
SINKS..............
DISH WASHERS.....,.:
FLEC WTR HEATERS...:
LAUN WSHR OUTLTS... : I
URINALS........: 0
DRINKING FOUNT.: 0
SKIMPS........... 0
BREAKERS...: 0
AS.......... 0
SPRINKLERS: 0
IXTURES.: I
zPLAN
DEPOSIT.4 1 100-00
CK(SF)..93 # 40.00
19MIT .... 846.00
SBCC SURCHARGE.....x 4.50
NEC APPLIANCE FEES.' # 12.50
PLUMBING FIXT .... 934 119.00
RADON 1R,........93 # 20.00
TOTAL FEES
P� NITS EXPIRE 180 DAY AFTER ISSUANCE If NO VC IS STARTED. RESIDENTIAL AND GRADING P1 AITS EXPIRE ONE YEAR AFTER DATE Or ISSUANCE.
.1 .M.TIFY THAT TOE IMF NATION fUR" BY 91 IS !Ul AND CORRECT TO THE BEST Of MY KNOW1116GE APP.Jff-APPLICABLE CITY OF FfRFRAL WAY REQUIREMENTS WILI.'Pr VfT
R 0 P
FWAb OOPY
1 1?02.00
Date
FOUNDATION;'.
...............................:.
.................................
.................................
Date v
PLUMBINGO1#
.................................
.................................
.................................
Date.
UNDERFLGOR
Date
SHEAR WALLS
Date ✓ �i1
PLUMBING R i
Date
GAS PI ING
Date"
.................................
.................................
.................................
.................................
MECHANICAL;'
..............................
................................
.............................
Date `t
MECHANICAL
.................................:
.................................
Date
FRAMING
Date Z
INSULATIO
Date
GWB - 1ST LA
Date
GWS - 2ND
Date
SUSPENDED C
Date
PLANNING:: FIN
Date
.................................
................................
.................................
...............................
................................
ENGINEERING
Date
FIRE FINAL
Date
.............................
LAYER
/
Date
B
YER
Date
By
OTHER
Date
By
EIL.ING
By
AL
By
........................
FINAL
By
By
BUILDI V FINAL
/
Date
y
OTHER
Date
By
OTHER
Date
By
,ZXu /7
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