95-101751CITY OF FEDE=RAL WAY
00.530 First Way South
Federal Way, WA 93003
661-4000
ADDRE=SS:6O8 S 331ST"PL
NO.: 132140--0460
PROJECT DESCRIPTION: INSTALL DECK
�- OWNER
CAMPUS GLEN LIMITED PARTNERSHP
608 S. 331ST PL
If 4030 LAKE WASH BLVD NE, #201
1 KIRKLAND WA 98033
X2-7700
Building Inspection Requests 661•-4140
CONTRACTOR =________
POLYGON NW COMPANY
4030 LK WASH BLVD HE
KIRKLAND WA 98033
822-7700
POLYGNC051D4
LENDER=________
S#; CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY
95- /OJ 75/
PERMIT NO: .8LU95-0.`)87
ISSUE=D: 03/01/95
BY: KLC
EXPIRES: 00/01/96
TAX ~RATE : 8.21 sts
FEES:
PLAN CHECK FEE $ 33.80
BUILDING PERMIT....* $ 52.00
SBCC SURCHARGE.....* $ 4.50
FINAL PLAN CHECK...* $ 0.00
TOTAL FEES
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 FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE NET.
OWNER OR AGENT DATE
FILE COPY
$ 90.30
BLD?:X MEC?:?
PLM?:?
FLR--EXIST--PROP---
DWELLING UNITS: 1
COMP PLANT..-. ...
.?-
TYPE OF WORK:ADD
USE:RES
1ST.: 0:
O:sf
STORIES..,.....: 2
REQUIRED PARKING..:
0
SPRINKLERS?......:?
CENSUS CATEGORY .....
:434
2ND.: 0:
O:sf
HEIGHT.....: 0.00 ft
HAZARD CLASS—:?
OCCUPANCY GROUP----------
3RD.: 0:
O:sf
VALUATION----------
REQUIRED SETBACKS-------
FIRE FLOW,...:
0 qpm
:U2 :? :?
:?
OTHR: 0:
O:Sf
EXT ST..$: 0
g FRONT...,..
O.00 ft
TYPE OF CONSTRUCTION-----
BSMT: 0:
O:sf
PROP ...$: 1950
z SIDE.... .:
0.00 ft
WATER SERVICE..:?
�
:5N :? :?
:? :
DECK: 0:
156:sf
REAR..., ..:
O.00:ft
SEWER SERVICE..:?
r OCCUPANT LOAD------------
GAR.: 0:
O:sf
RECEIVED,:07/31/95
s
5
: 0: 0:
0: 0:
TOIL: 0:
156:sf
IMPERV SURFACE:
0 sf
SENSITIVE AREAS?.:?
I FUEL TYPES.:?
?
FANS .......•
0
BOILERS/COMPRESSORS
WATER CLOSETS......:
0
URINALS...,....:
0
GAS PIPING.: 0
ft
HOOD.......,..:
0
0-3 HP......: 0
BATH TUBS,.........:
0
DRINKING FOUNT,:
0 �
N<100K..: 0
HWT.... : 0
DUCT WORK.....:
WOOD STOVES...:
0
0
3-15 HP.....: 0
15-30 HP....: 0
3 SHOWERS ............:
f LAVATORIES.........:
0
0
SUMPS..........:
VAC BREAKERS..,:
0
0
CONV BURNER: 0
FURN>100K... ..:
0
30-50 HP..... 0
f SINKS.- ...........
0
DRAINS.........:
0
BBQ.......,: 0
MISC.....,....:
0
5+ HP.......: 0
DISH WASHERS.......:
0
LAWN SPRINKLERS:
0
GAS DRYER..: 0
AIR HANDLING UNITS
FUEL TANKS---------
ELEC WTR HEATERS...:
0
OTHER FIXTURES.:
0
RANGE......: 0
<:10,000 CFM:
O
ABOVE GROUND: 0
LAUN WSHR OUTLTS...:
0
I
j GAS LOGS...: 0
> 10,000 CFM:
0
UNDERGROUND.: 0
95- /OJ 75/
PERMIT NO: .8LU95-0.`)87
ISSUE=D: 03/01/95
BY: KLC
EXPIRES: 00/01/96
TAX ~RATE : 8.21 sts
FEES:
PLAN CHECK FEE $ 33.80
BUILDING PERMIT....* $ 52.00
SBCC SURCHARGE.....* $ 4.50
FINAL PLAN CHECK...* $ 0.00
TOTAL FEES
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 FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE NET.
OWNER OR AGENT DATE
FILE COPY
$ 90.30
,0 «nom • City of Federal Way
APPLICATION FOR BUILDING PERMIT
PLEASE PR/NT APPL/CATION #: �LT?qy L 05-�
Address ---
Tenant (if known) Lot # Assessor's Tax #
CIL(
'Iding Owner NAddress
7� l-1 t r v 30 LIQ c,V015�N 01 Uol .SUE � Zoo I
City �f YNO State - zip Phone
Nature of Work r' /`cin c I I --, ,
Name (F,MI C-)
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State y
zip
nta'ct,Pereoi� 6 � �
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Day Phone Phone � ,7 G _
Other Phone
Fax
BUih7� NG COKTRAcT::;
Cop ray Name
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State
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State
zip
Co tact Person
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by
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Cor for/'s #cardm`u11st be pr anted)
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Verified ❑ Yes ❑ No
Name—
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City K, i
State
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LEGAL DESCRIPTION
Please Complete Reverse Side
U1 Mug
CI1 B� DING DEPT. RAL AY
CD0492 (Rev 4/93)
STRi[JCTCing
Address (11
*('-2, - a A
CityState
Zip
Use
Contact
posed Use
Fax
License #
Expiration Date
Permit includes:
Drains Total;Fixiure.;daunt:;.:..:`;;.:3.
❑ Building
ElPlumbing❑
Mechanical
❑
Other '
Hood
Typo of Work: ❑
Residential
❑ Now
❑ Remodel
❑ Numbor of Units _
' k
Dock
Wood Stoves
❑
Commercial
❑ Addition
❑ Garage
❑ Shed
❑
Other
Enter 1 st Floor 4 -' `�
sq ft
2nd Floor
q ft 3rd Floor sq ft
Existing Floor Area
sq ft
Area Basement
sq ft
Decks
q ft Garage 7sq ft
Proposed Total Area
sq ft
Water Availability E7
Sewer Availability i] On -Site Septic System Availability ❑Profeet
Veluagot
$
Zoning
Lot Size
Exfsttn Bld Valuailon
...........................................................................................
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...,.__............................................................................:.
...........................................................................................
............................................................................................
Name 1---
flk—
Address (11
*('-2, - a A
CityState
Zip
......................................................................................................................................................................................................................................................................
...................................................................
MEC NICAYC�ACTQ.........t...................>........:...........................................
.............A...................R....................................
...
Contractor Name
Address
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
D UMBING +CONTRACTOR> <:...
Contractor Name
Address
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
�LUMIiING �IXTTIRE CQp.VT .........
........................................................................... .
Water Closets
Sinks
Urinals Lawn Sprinklers
Bathtubs
Dish Washers
Drinking Fountains Other
Showers
Electric Water Heaters
Sumps
Lavatories
Washing Machine
Drains Total;Fixiure.;daunt:;.:..:`;;.:3.
......... v�cAx,�ar
............................................................................................
...............................................................................
Fuel Type (electric/other)
Gas Dryer
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 > 100 BTUs
Fans
Miscellaneous
Fuel Tanks
Gas Hwt
Hood
Boilers
Above Ground
Conv Burner
Duct Work
0-3 Tons
Underground
BBQ's
Wood Stoves
3-15 Tons
Total';llnit Count
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true and correct to the best 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 incurre n investigati end nee
of ouch claim), which may be made by any person, including the undersigned, and filed against the City of Federal Way,
but only where such clai arise out of the reli nce of the City, Including its officers and employees, upon the accuracy of the inform ion supplied to the City as a part of this
application. _ % /l
Owner/Agent: C Date: /V\�/ (/(/
(,'J'TY OF FFDEP�At- Wf,iYf)041t
I NO.,
0-1)915-054,31
,3353o rirst, W<iY SOLIth
LAY1 L. D1 MCI 1 1, r
-
I %;,—: u c. D:
08/01/95
Federa.1 Way, WA 9800l
FfuiLdiiw fn,poct.ion Requesi;s 6,61-4140
BY:
Kt -,(--
661-4000
I.X111RES:
08/01/96
ADDRE: I&
NO. : jqXP1---+0o00460
PP,OJECT DF SCRIP,rION:IRSTALt DECK
OWNER — ------
CAMPVS GLEN LIMITED PARINERSHP
608 S. 331ST PL
4030 LAKE WASH BLVD NI, #201
rIRKLAND WA 98033
112- 7?00
Its CONTRACTORS, PLEASE USE LOCATION
OLD?:X PLO?:? "41111SC-P
TYPE Of WORK:ADD USE:RES IST.:
� & -s
CENSUS (ATEGORY.,...:434 20 O
01
OCCUPANCY 3RD. - O:s
:U1
4
TYPE Of CONSTRUCTION
:s
:? :?
OCCUPARI LOAD- ._
,OAD------
0: 0: 0: 0: 1
(ON IRA( TOR LENDER
POLYGON RW COMPANY
4030 LK: WASH BLVD HE
KIR91AND WA 98033
841'-1700
P0LYGHC051D4
-uTINGSUES TAX foR PROJECTS VITNIN IN( city or F[Km MAY. TAX RATE : 8.2%
------------- - -- ------------ --
CORP PLAN........:? FEES:
EQUIRED PARKING..: 0 SPRINKLERS?....,..?PLAN CHECK FEE
W& HAZARD CLASS.... BUILDING PERMIT ...
am
SKC SUR(HARGE ..... 4OP 5;
- �-- FINAL PLAN CHECK ...
,vp, mmo,"m
........... �.. �.Slwlp SIMTw�:?
SURFACE: 0 sf SENSITIVE AREAS?.:'-'
--W
FANS. R'P' R WATER CLOSETS.... 0 URINALS.... 0 TOTAL. FEES X0.30
1 05 -
GAS PIPING.: 0 ft HOOD..
AR A, BOILERS/(
FUEL TYPES.:? ?
0 -3 HP. BAIN TUBS........... 0 DRINKING FOUNT.: 0
...... 0 3-15 op'—': 0 SHOWERS .........»..: 0 SUMPS........,.; 0
Wlook..: 0 D00 WORK'
owl . ... : 0 WOOD STOVES.... 0 15-30 OP.... 0 LAVATORIES.......... 0 VAC BREAKERS.... 0
CONY "'uRNER: o FURN100K ..... 0 30-50 14P.. -: 0 SINKS.... — ... ... 0 DRAINS.......... 0
BOO........: 0 RISC.........,: 0 Sf HP.......: 0 DISH WASHERS.......: 0 LAWN SPRINKLERS: 0
GAS DRYER-: 0 AIR HANDLING UNITS 1`011. TANKS__-_-_--. ELI( WIR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE......; 0
.10,000 CFH: 0 ABOVL GROUND: 0 LAUN WSHR OUTLTS...: 0
GAS LOGS...: 0 > 10,000 (IM: 0 UNDERGROUND.: 0
PFRNIIS EXPIRE 180 DAYS AFTER ISSUANCE If NU VAqtK is STIARI(o. R(SINE111141 w GRADING PERMITS EXPIRE ONE YEAR AfTtA #Alt of ISSUANCE.
I CERTIFY THAI 101 INFORNAJiON FURNISHED BY ME IS IPRAND CORRECT 10 INt. BEST Of MY KNORLIDGE AND I& APPLI(AILL CITY Of 11DI-RAIL RAY REQUIRLMINIS ViLt OF Oil.
OWN0 OF AGENT P
01 .Aff
1
FIELD COPY
CD0193
Date
By
FOUNDA U WALLS
Date
By
PLUII 9ItNC _ Grid 11WWORK
Date.
By
UNl)ERF .R FRAMING
..................................................................................
Date
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$HEAR WALL$
Date
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PLUMBING ROUGFHM
Date
By
GAS PIPiNOs
Date
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ME1±HiAN10AiL ROUGH -IN
Date
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7
-
MECHANICAL, ;OTHER)
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FRAMING
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INSULATIO..M
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GWB 1ST:LAYER
Date
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GWB - 2ND LAYER
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SUSPENDED CEILING
Date
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71.1-1110
PLANNING FINAL
Date
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ENG:INEERILYG FINAL
Date
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FIRE i FINAL
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BUILDING FINAL
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o
OTHER
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CD0193