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95-101184CITY OF F=EDERAL WAY 33530 First Way South Federal Way, WA 98003 661-4000 ADDRESS:619 S 331ST PL NO.: 132140-0340 PROJECT DESCRIPTION:ADD - DECK (192) CAMPUS GLEN, LOT #34. -- muco ------ ------------- ------------------ I CAMPUS GLEN LTD PARTNERSHIP L4030 LK WASHINGTON BLVD HE 201 KIRKLAND WA 98033 822-7700 BUILDING P ... I Building Inspection Requests 661-4140 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 PERMIT NO: BLD95-0423 ISSUED: 06/21/95 BY: FC EXPIRES: 06/21/96 sxssssssssssssssssss¢ssssxssssssssssssssxssssss¢xsssccsx¢x¢ssssxsxccsssssssssa¢xc¢xccsacxsxssassssasssaaaaaaxasassssaa=sssssscssssscsssss tst CONTRACTORS, PLEASE USE LOCATION CODE 1132 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE : 8.2% t�= sssxs¢accasaasaaaaaaaaasassscsscacsssxscscaaxxaxaxaaxasssssascsscsss=ssssaxxssxsxasxscaaassssascsssssccsccaxscaaxax_ saaaaaaassa __cccsssacxxsaassacacacxaaaaaa=aasssaaaas� BLD?:X MEC?: PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN ......... :SR FEES: TYPE OF WORK:ADD USE:RES 1ST.: 0: O:sf STORIES........: 2 REQUIRED PARKING..: 2 SPRINKLERS?......:? FINAL PLAN CHECK...* $ 25.35 CENSUS CATEGORY ..... :434 2ND.: 0: O:sf HEIGHT.....: 0.00 ft HAZARD CLASS...:? BUILDING PERMIT....* $ 39.00 OCCUPANCY GROUP---------- 3RD.: 0: O:sf VALUATION---------- REQUIRED SETBACKS------- FIRE FLOW....: 0 Spa SBCC SURCHARGE.....* $ 4.50 :? :? :? :? OTHR: 0: O:sf EXIST..$: 0 FRONT.......... 20.00 ft TYPE OF CONSTRUCTION----- BSMT: 0: O:sf PROP ... $: 1690 SIDE..........: 5.00 ft WATER SEP,VICE..:FED :? :? :? :? DECK: 0: 192:sf REAR........... 5.00:ft SEWER SERVICE..:FED OCCUPANT LOAD------------ GAR.: 0: O:sf RECEIVED.:06/05/95 0: 0: 0: 0: TOIL: 0: 192:sf IMPERV SURFACE: 2711 sf SENSITIVE AREAS?.:N xsaasss_ s scsssssasa¢aaaxxssaxxsx¢aasxxxaa=ceeaasssss �ss¢sassaxaasasxx=xx=s NUEL TYPES.: FANS..........: 0 BOILERS/COMPRESSORS sx=aassa=-smxxsssasas-xxs-a_____-_____s-_- _ssssaass WATER CLOSETS......: 0 URINALS........: 0 TOTAL FEES $ 68.85 AS PIPING.: 0 ft HOOD..........: 0 0-3 HP......: 0 BATH TUBS..........: 0 DRINKING FOUNT.: 0 FURN<100K..: 0 DUCT WORK...... 0 3-15 HP...... 0 SHOWERS ............. 0 SUMPS........... 0 J GAS NMT....: 0 WOOD STOVES...: 0 15-30 HP....: 0 LAVATORIES.........: 0 VAC BREAKERS...: 0 CONV BURNER: 0 FURN>100K...... 0 30-50 HP..... 0 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: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0 GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 xassxaxxa¢a¢cccacscssxssccxcxcscacscaasaxxassasxacaaxxaaac¢cxaxx¢aacsaaaasasa_asaasssxasaxsssxsasxsaasaaaaaaas,-ssssassssasssss¢sasa=cssssssscsssssccccsssscs=sss_:ssssssssssss� 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 lJ�ii�� _------------------- DATE rte' FILE COPY Name (F,M,L) Address Company Name P-6 / Address V-1 City State ovlf Contact P rson Ptione Contractor's # (card meyxst be presented) Expiration Date i El �.UC tr)kR Zip Fax g�7-4dyU Verified M-4'es ❑ No LEGAL DESCRIPTION 4,4 Please Complete Reverse Side CD0492 (Rev 4/93) • • IRECEIVEI5 C" OF G City of Federal Way SUN �'� 1995 � 0-A APPLICATION FOR BUILDING PERMIT OF FEDERAL WAY I l j� s CITY BUILDING DEPT. PLEASE PR/NT APPLICATION #: - SITE LOCATION Address ` I Tenant (if known) Lot # Assessor's Tax # Buildin Owner Name Addr s� City Stated ' Zip �� Phone a� -- i1 C% Nature of Work i o� / . A - /.,/o n C -L— Name (F,M,L) Address Company Name P-6 / Address V-1 City State ovlf Contact P rson Ptione Contractor's # (card meyxst be presented) Expiration Date i El �.UC tr)kR Zip Fax g�7-4dyU Verified M-4'es ❑ No LEGAL DESCRIPTION 4,4 Please Complete Reverse Side CD0492 (Rev 4/93) 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 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 arises 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: Date: r ............................... STRUCTURE isting Use roposed Use Permit includes: P'CBuilding ❑ Plumbing ❑ Mechanical ❑ Other Type of Work: §6 esidential ❑ Commercial 1,TS--New ❑ Addition ❑ Remodel ❑ Number of Units K Deck ❑ Garage ❑ Shed ❑ Other Enter 1st Floor sq ft Area Basement sq ft 2nd Floor sq ft Decks sq ft 3rd Floor sq ft Existing Floor Area sq ft Garage sq ft Proposed Total Area sq ft Water Availability—Er— Sewer AvailabiliW ❑ On -Site Septic System Availability ❑ Project Valuation $ Zoning/v) Z Sri'_ Lot Size Existing Bldg Valuation $ LENDER Name Address City State Zip MECHANICAL CONTRACTOR Contractor Name Address City State Zip Contact Phone Fax License # Expiration Date Verified ❑ Yes ❑ No PLUMBING CONTRACTOR Contractor Name /; Address City State Zip Contact / Phone Fax License # Expiration Date Verified ❑ Yes ❑ No PLUMBING FI�TI +CONT j / Water Closets Sinks Urinals Lawn Sprinklers Bathtubs Dish Washers Drinking Fountains Other Showers Electric Water Heaters Sumps Lavatories Washing Machine Drains Total Fixture Count MECHANICAL UNIT: OUNT Fuel Type (electric/o-ther) 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 Unit 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 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 arises 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: Date: � CITY OF FEDERAL WAY �3530 First Way South Federal Way, WA 98003 661-4O00 ADDRESSz619 S 331ST PL NO.: 132140-0340 PROJECT DESCRIPTIQN:AD@'DECK (192) CAMPUS GLEN, 07O34' _ AULIED ________________________________------ CAMPUS GLEN ilV PARTNERSHIP 4030 LK WASHINGTON BLVD HE 201 � K0KLQH0 NA 98033 sn CONTRACTORS, wo USE LOC TYPE OF WORK:ADD USEAES 1ST.: 0: 0: TYPE OF CONSTRUCTION-- K.: FANS .......... 0 SPIPING.: U ft HOOD .~......: 0 FU8N 1O8K..: U DUCT WORK ~..,: 0 GAS HWK.... : 0 WOOD STVVES.''0 CONY DVKN[0: U FUAN>1UOK...'.U BBW........ : 0 MlSC..'..'.-.0 AAS DRYER..: D A0 HANDLING UNITS RANGE .... U <:10,000 CFM: O GAS LOGS ...; O > 10,00 CFM: 0 BUILDING PERwIT Building Inspection Requests 661-4140 CONTRACTOR ==== POLYGON MWCOMPANY 4030 LK WASH BLVD HE K[KKLAND WA 98038 822-7700 8.: BOILERS 0-3H9 ...... : U 3-15 NP.....: 0 15'30 HP....0 30-50 8P''.,: O 5+ Hp..'...: D FUEL TANKS --------- ABOVE GROUND: 0 UHD[RGROVND.: 0 PERMIT NO: 8LD95-0423 ZS5UED: 06/21/95 BY: F[ EXPIRES: 06/21/96 LENDER=~=~.~~==~=a= SBRYL[ MORTGAGE 229 QUEEN ANNE AVE 0 SEATTLE WA 90109 SALES TAX FOR PROJECTS VITNIN TME CITY OF FEDERAL MY' TAX RATE : 8.2% *9* PLAN ......... :S9 ..~.....: 5.80 ft WATER SEKYICE..J@0 ....'....: 5,80:ft SEWER S[RYl[[''/B8 lMP[RY SURFACE: 2711 sf SENSITIVE AR[AS?.:N WATER CLOSETS ..'... 0 8AlH T0DS.....~..: D SH0WE8S-..........: O LAVATORIES ..''....: O S{NKS.'...'........: 8 DISH WASHERS .......: U fLEC W0 HEATERS ..; 0 iAUN WSHR 0UlLlS-': 0 URINALS ........ : O DRINKING FOUNT.: D SUMPS.....,,..: O VAC BREAKERS ... : 0 DRAINS ......... : O LAWN SPRINKLERS: 0 OTHER FIXTURES.: U [[ES: FINAL PLAN CHECK ... * $ 25.35 BUILDING PERMIT .... * $ 39.00 TOTAL FEES 68.85 PERMITS EXPIRE 189 DAYS AFTER ISSUANCE If N WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE' yCERTKFY TRAT TNE INFORMATION FURNISNED BY ME IS UK AND CORRECT TO THE BEST OF NY KNONME AND TRE APPLICABLE CITY Of FEDERAL MAY REQUIREMENTS VILL BE NET. ' 4HER OR AGENT DATE FIELD COPY