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94-102172ADDRESS:619 S 331ST PL NO.: 132140-0340 PROJECT DESCRIPTION: NSF - N/ PLUM 6 MECH. APPROVED BASIC 194-1030-V91, CAMPUS GLEN, LOT 134. PLAN 35A3. r OWNER CONTRACTOR - LENDER - CAMPUS GLEN LTD PARTNERSHIP POLYGON NN COMPANY SEATTLE MORTGAGE 4030 LK WASHINGTON BLVD NE 201 4030 LK GASH BLVD NE 229 QUEEN ANNE AVE N KIRKLAND NA 98033 KIRKLAND WA 98033 SEATTLE NA 98109 822-7700 822-1700 POLYGNCOBBOP BLD?:X MEC?:X PLN?:X TYPE OF NORK:NEV USE:RES CENSUS CATEGORY .... .:102 OCCUPANCY GROUP ---------- :R3 :MI . TYPE OF CONSTRUCTION ----- :5N :5N . OCCUPANT LOAD ------------ 0: 0: 0: 0: FUEL TYPES.:GAS GAS GAS PIPING.: 50 ft FURN<100K..: i GAS HNT....: 1 CONV BURNER: 0 BBQ......... 0 GAS DRYER..: 1 RANGE......: 1 GAS LOGS...: 1 PERMITS EXPIRE 180 DAYS AFTER I CERTIFY THAT THE INFORMATI01 OWNER OR AGENT 51- FLR--EXIST--PROP--- IST.: 9V-/6ar7a 1187:sf CITY RAL WAYPERISSUED: 0EWay BUILDING P MIT NO: 3RD.: 3353OFirst South O:sf OTHR: 12/07/9476 Federal Way, WA 98003 Building Inspection Requests 661-4140 E;Y: FC 661-4000 0: EXPIRES:. O6/OS/95 ADDRESS:619 S 331ST PL NO.: 132140-0340 PROJECT DESCRIPTION: NSF - N/ PLUM 6 MECH. APPROVED BASIC 194-1030-V91, CAMPUS GLEN, LOT 134. PLAN 35A3. r OWNER CONTRACTOR - LENDER - CAMPUS GLEN LTD PARTNERSHIP POLYGON NN COMPANY SEATTLE MORTGAGE 4030 LK WASHINGTON BLVD NE 201 4030 LK GASH BLVD NE 229 QUEEN ANNE AVE N KIRKLAND NA 98033 KIRKLAND WA 98033 SEATTLE NA 98109 822-7700 822-1700 POLYGNCOBBOP BLD?:X MEC?:X PLN?:X TYPE OF NORK:NEV USE:RES CENSUS CATEGORY .... .:102 OCCUPANCY GROUP ---------- :R3 :MI . TYPE OF CONSTRUCTION ----- :5N :5N . OCCUPANT LOAD ------------ 0: 0: 0: 0: FUEL TYPES.:GAS GAS GAS PIPING.: 50 ft FURN<100K..: i GAS HNT....: 1 CONV BURNER: 0 BBQ......... 0 GAS DRYER..: 1 RANGE......: 1 GAS LOGS...: 1 PERMITS EXPIRE 180 DAYS AFTER I CERTIFY THAT THE INFORMATI01 OWNER OR AGENT 51- FLR--EXIST--PROP--- IST.: 0: 1187:sf 2ND.: 0: 814:sf 3RD.: 0: O:sf OTHR: 0: O:Sf BSMT: 0: O:sf DECK: 0: O:Sf GAR.: 0: 690:sf TOIL: 0: 2691:sf FANS........... 6 HOOD........... 1 DUCT WORK.....: 0 WOOD STOVES...: 0 FURN>100K.....: 0 MISC........... 0 AIR HANDLING UNITS <=10,000 CFM: 0 > 10,000 CFM: 0 DWELLING UNITS: I STORIES......... 2 HEIGHT.....: 0:0+0 ft VALUAfION---------- EXIST..$: 0 PROP ... $: 143270 RECEIVED.:11/10/94 BOILERS/COMPRESSORS 0-3 HP....... 0 3-15 HP.....: 0 15-30 HP....: 0 30-50 HP....: 0 5+ HP.......: 0 FUEL TANKS --------- ABOVE GROUND: 0 UNDERGROUND.: 0 COMP PLAN,.."...".:SR REQUIRED -PARKING..: 2 REQUIRED SETBACKS ------- FRONT... .... 20.00 ft SIDE........... 5.00 fit REAR........... S.00:ft SPRIRKLERS?...... :? HAZARD CLASS...:? FIRE FLOW....: 0 gpe WATER SERVICE..:FED SEVER SERVICE..:FED IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N WATER CLOSETS......: BATH TUBS........... SHOVERS ............. LAVATORIES.........: SINKS ............... DISH WASHERS.......: ELEC NTR HEATERS...: LAUN VSHR OUTLTS... : 3 URINALS........: 0 2 DRINKING FOUNT.: 0 3 SUMPS........... 0 4 YAC BREAKERS...: 0 1 DRAINS.......... 0 1 LAWN SPRINKLERS: 0 0 OTHER FIXTURES.: 0 1 FEES: PLAN CHECK DEPOSIT.* $ 100.00 PUB WKS PLCK(SF)..93 $ 40.00 BUILDING PERMIT....* $ 793.50 SBCC SURCHARGE ..... # $ 4.50 NEC APPLIANCE FEES.* $ 72.50 PLUMBING FIXT.... 93* $ 105.00 RADON KIT ......... 93 $ 20.00 TOTAL FEES $ 1135.50 E IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. ED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS WILL BE MET. DATE ___/ /_ -9--?-L-y-- C-r„a pn:.rzn� PLEASE PR/NT .SIC 0 City ol, federal Way 0 AP13LICAI"ION FOR BUILDING PERMIT �� 7�► v 3 54,5 RECEIVED NOV 0 31994 CITYUILDING DEPT AY a2� irl1�U _.� 52r7%n �GLOCt1,IyON Addross ....... ...... n. ._s:./ — 4.1 L 1 v v r .. Tonnnt (if known) Lot p � � Assessor's Tax +M Building Owner gamo Addross Camrjus Glen Lim.i.Led ParC.nershi.p 4030 Take Blvd NE, #201 City Kirkland state WA zip 98033 Phone 822-7700 Nature of Work Construct Single Family House Name (F,M,L) Campus Glen Limited Partnership Address 4030 Lake Washington Blvd. NE, Suite 201 city Kirkland Contact Person Day Phone Lori Perkins 822-7700 Company Name Polygon Northwest Company Address 4030 Lake Washington Blvd. NE, Suite 201 City Kirkland Contact Person Contractor's k (card must be presented) POLYGNCO88DP Name Jay Middleton Design Group Address 4030 Lake Washington Blvd NE, Suite 210 City Kirkland Contact Person Jay Middleton LEGAL DESCRIPTION Camous Gl Pn T.nt- Please Complete Reverse Side Stnto WA zip 980 Other Phone Fox __ N/11 1 827-4 State WA zip Phone Fax 822-7700 227-4nQR Ex iration Date Verified 0 Yes O No 3/09/95 State WA zip 98033 Phone Fox 827-4991 827-6405 C004e2 (Rev 4/831 L�NU�It Name Address Seattle MorLigage 229 Queen Anne Ave. N. city Seattle State WA lziP 98109 S'L`IiYJC i1�iL fisting usilV License q n - &i'roposnd Use Drains Totel,Fiz[tlres CotlnC... ...;. .. ..:....... P.orrincludes: Building Boilers Above Ground X Plumbing Mochnnical U Other Typo of Work: rX Ronidontiol Now 3-15 Tons Total tCourj; I I nomodol 1-1 Numhor of Uniln L.I Dock U Commercial 1_1 Addition l.J Gnrngo U Shod U Other p Enter lot Floor I p-? sq It 2nd Floor _&)A_sq ft 3rd Floor sq It Existing Floor Aron sq It Aron Basement sq It Docks sq ft Garage = sq ft _ Proposed Total Area sq It Water Availability &I --Sewer Availability f;'' On -Site Septic System Availability ❑ Pro/oet:Valuation S.. . , Zoning Lot Size rifuntinn3 . ..... ..:.... ....:.: L�NU�It Name Address Seattle MorLigage 229 Queen Anne Ave. N. city Seattle State WA lziP 98109 11��C1IANCCAL: C())V 1`1tAC'1'Ult Contractor Name Address City State Zip Contact Phone Fax License q Expiration Date Verified ❑ Yes ❑ No I'GUM11111NG C0NTRA CT0.R : 1 Contractor Name Address City State Zip Contact Phone Fax License # Expiration Data Verified U Yes ❑ No ............................:.:..... Water Closets Sinks ( Urinals Lawn Sprinklers Bathtubs z Dish Washers Drinking Fountains Other Showers Electric Water Hontors Sumps Lavatories 1, "t Washing Machine Drains Totel,Fiz[tlres CotlnC... ...;. .. ..:....... Ilal CIl�AN1lC�1.'UNI>1 C UUV'll. ....................................... Fuel Typo (cloctric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons Length of Gas Piping l Range, g � Air Handling > = 10,000 CFM 30-50 Tons Furn <100K BTUs Gas Log Unit Heater 50+ Tons Furn >I 00 BTUs Fans Miscellaneous Fuel Tanks Gas Hwt Hood` 1 Boilers Above Ground Conv Burner Duct Work 0-3 Tons Underground 680's Wood Stoves 3-15 Tons Total tCourj; 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 1 em authorized by the owner of the above premises to perforin the work for which permit application is made. I further agree to save harmless tfre City of Federal Way as to any claim (including costs, expenses, and attorneys' fees Incurred In Investigation fense of such claim), which may be made by any person, including the undersigned, and filed against the City of Federal Way, but only where sucI claim es out of titreliau a 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: ITY OF FEDERAL. WAY 33530 First Way South Federal Way, WA 98003 6,61-4000 t BUILDING PERMIT Building Inspection Requests 661-4140 ADDRESS:619 S 331ST PL NO.: 132140-0340 PROJECT DESCRIPTION. -,NSF I/ PLON i NCR. APPROVFD BASIC 194-030-V91, CAMPUS GLEN, LOT 134. PLAN 35A3, ONNER ___ __ I-- =- CONIRACIOR CAMPUS GLEN LTD PARTNERSHIP POLYGON NN COMPANY 4030 LK VASHINGTDN BLVD RE 201 4030 LK *ASH BLVD HE KIRKLAND *A 19011� A 98031 822-7700 m. a . . ..... W_71"IfW"F"A< PERMIT NO: BL,D94-0876 ISSUED: 12/07/94 BY: FC EXPIRES: 06/05/95 LENDER -- SEATTLE MORTGAGE 221 WEEN ANNE AVF` N SEATTLE VA 98109 T 77 7=41 77 7 77 W,:� , ftf9: �wft COM04tonof 8LD?:X REC?:x PLIm vn fie; HECK DEPOSIT.$ 100.00 'Ai dua TYPE Of NORKAEN USF:RES CENSUS CATEGORY..... RE ft HAZARD CLASS... :? PUB OKS PtCK(SF)..93 40.00 OCCUPANCY GROUP--------__ k*01HO SEIWXS ------- FIRE IPLON .... 0 9pe BUILDIK PERMIT.... t 793.50 44 :R3 :01 FRONT.. � ...... 20.00 ft SRCC SURCHARGE—_$ 430 n.F TYPE Of CONSTRUCTION----~ 4 3 SIEGE..........: 5.00 ft NATER SERVICL..:ffD RFC APPLIANCE fFFS,* 7?, SO :SR :511 REAR..........: 5.00:ft SENER SERVICE..:FED PLUMBING I6jxT_.931 105.00 DE 1 -11, 0 Sf _' I OCCUPANT LOAD ------------ GAR.' 0: 190'sf RECEIV It I 10/9i-,,� RADON X.IT ......... 93 $ 20.00 0: 0: 0: 0: TOTL'. 0: 2691:sf )IMPERV SURFACE : 0 sf SENSITIVE AREAS .:N FUEL TYPES.:GAS GAS FANS..........: k BOILERS/COMPRESSORS NATER CLOSETS......: 3 URINALS...,....: 0 TOTAL FEES GAS PIPiNG,: 50 ft ROOD........... 1 0-3 OF....... 0 HATH TUIRS .......... : 7 DRINKING FOUNT., 0 '4KT NORX ..... : 0 SIMPS ............ 0 FURNOOOK-: 1 $ 3-15 HP...... 0 SHOVERS''.. 3 GAS HRT....: I NOD STOVES_: 0 15-30 PP....: 0 LAVATORIES.........: 4 VAC BREAKERS...: 0 CONV BURNER: 0 f9RN)I00K,....: 0 30-50 HP..... 0 SINKS ..... I DRAIN'........., 0 BBQ.......,.. 0 "ISC .......... 0 5+ HP......... 0 DISK VASSERS ....... I IANN SPRINKLERS: 0 GAS DRYER..: I AIR HANDLING UNITS FUEL TANKS--------- ELEC ITR HEATERS...: 0 OTHER FIXTURES.: 0 RANGE......: .: 1 (40,000 CFN: 0 ABOVE GROUND- 0 JAUN lr,#R OUILTS ... I GAS LOGS...: I > 10,000 Cf": 0 UNDERGROUND.: 0 PERMITS EXPIRE 130 DAYS AFTER ISSOi#CF IF 00 NORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AfTER'DATE Of Isswcu. 1 CERTIFY THAI THE INFORMATION FURNISFO BY ME IS TRUE AND CORRECT TO THE Of"T OF MY K#WLEDGt AM IMF APPLICABLE CITY OF fER[RAt MY REQUIREMENTS #ILL BE "ft, . 'OWNER 9 AWN1 7) j T FIELD COPY CDO193