95-10119755-)O))97
CITY OF FEDERAL WAY PERMIT NO: BLD95-0431
33530 First Way South . k..) ..II... LDI NG PERMIT ISSUED: 06/21/95
Federal Way, WA 98003 Building Inspection Requests 661-41.40 BY: FC
661.-4000 EXPIRES: 06/21./96
ADDRESS:630 S 931ST PL
NO.: 132140-0420
PROJECT DESCRIPTION: NSF - w/ PLUMBING AND MECHANICAL. APPROVED
BASIC #95-1010-V91.
CAMPUS GLEN, LOT #42.
- OWNERF_ CONTRACTOR LENDER xaxsxxxxxxxxxxxxxsxxxxxxxxssxxxsxxxxxxxxxxxxxxx
j CAMPUS GLEN LTD PARTNERSHIP POLYGON NW COMPANY
SEATTLE MORTGAGE
4030 LK WASH BLVD NE, #201 4030 LK WASH BLVD
NE
229 QUEEN ANNE AVE N
IRKLAND WA 98033 KIRKLAND WA 98033
SEATTLE WA 98109
822-7700 822-7700
POLYGNC088DP
�xaxxxxxxxxxxsxsxax_ sxxxssaxxsxxxsxsxaxxxxxmxsaaxsxxxaxxxss_xx---- - asxasasxxxxxsxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
xxxxaxxxxxxxsxxxxxsxxsxxxxx-�xxxxxxxs _axsssxxxaxxxxxxxx
t CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING
SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = BA :s:
._____-_ -._ xxxmxssxxsxsxxxsxxxsxxxssssxsxxasxsxxaxxxxxxssxxsssxxsxxxaxsxxx� ----- __.- ___-_.,. ___--________.,... _-_ _-.- _ xsxxs _x_x
BLD?:X MEC?:X PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 1
COMP PLAN ......... :SR
FEES:
TYPE OF WORK:NEW USE:RES 1ST.: 0: 658:sf STORIES........: 2
REQUIRED PARKING..: 2
SPRINKLERS?......:? PLAN CHECK FEE
$ 100.00
CENSUS CATEGORY ..... :101 2ND.: 0: 666:sf HEIGHT.....: 0.00 ft
HAIARD CLASS...:? FINAL PLAN CHECK...*
$ 0.00
OCCUPANCY GROUP---------- 3RD.: 0: O:sf VALUATION----------
REQUIRED SETBACKS-------
FIRE FLOW....: 0 9PN BUILDING PERMIT....*
$ 643.00
:R3 :M1 : OTHR: 0: O:sf EXIST..$: 0
FRONT.........: 20.00 ft
SBCC SURCHARGE ..... $
$ 4.50
TYPE OF CONSTRUCTION----- BSMT: 0: O:sf PROP... $: 100627
SIDE..........: 5.00 ft
WATER SERVICE..:FED MEC APPLIANCE FEES.*
$ 57.00
:5N :5N : DECK: 0: O:sf
REAR..........: 20.00:ft
SEWER SERVICE..:FED PLUMBING FIXT.... 93*
$ 91.00
OCCUPANT LOAD------------ GAR.: 0: 572:sf RECEIVED.:06/06/95
PUB WKS PLCK(SF)..93
$ 40.00
0: 0: 0: 0: TOTL: 0: 1896:sf
IMPERV SURFACE: 2441 sf
SENSITIVE AREAS?.:N
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L TYPES.:GAS ELE FANS..........: 4 BOILERS/COMPRESSORS
xsxsxxaxxxxaxxxxxxxsxaaxxxxxxxxxxxxxxxsasxaxaaxxxxaxx
WATER CLOSETS......: 3 URINALS........: 0 TOTAL FEES
$ 935.50
AS 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
VAC 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...: 0
OTHER FIXTURES.: 0
RANGE......: 1 <=10,000 CFM: 0 ABOVE GROUND: 0
LAUN WSHR OUTLTS...: 1
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
-_---_sxx-_aa-_--_axx-_"_"axa_____-__,.-----__sxs_______________xxsxx = .-_---_x__""_-_-_ -=sx----•-s-----_x-=---sxxxs---ax-s-x-'�sas__---_^_-a____xxxxxxsxxrxxxxxx-'-_____
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 TNE-WOR NATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST
OF MY KNOWLEDGE AND THE APPLICABLE
CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
i
OWNER OR AGENT � �/�`���,�„_--i;-`~-/ ��
___-_---_ DATE
FILE COPY
qmv*S1C 5- JDID--Val
it of Federal Wa � Plan
RECE1VE� y y
JuNP0P�11VATION FOR BUILDING PERMIT
CITY OF
DEPT. AY MPi _%l) ) Z 1
PLEASE PR/NT AOn/1/lATi�w. u_
�E
)f�OCAT1<ON
Address
Partnership
Tenant (if known)
Lot A
Assessor's Tax #
Blvd NE #201
cityKirkland
4030 Lake Washington Blvd NE #201
state UTA
zip 98033
Building Owner Name
Address
Other Phone
Campus Glen Limited Partnership
4030 Lake Washington Blvd NE #201
Fax
city Kirkland Istate WA
Zip 98033Phone 206-822-7700
206-827-4098
Nature of Work Construct Sin le Family
'APP)t1CAIyT _
............
Name (F,M,L)
Add r �Vs 30 Lake Washington Blvd. NE #210
Campus Glen Limited
Partnership
Address
Contact Person
Jay Middleton
4030 Lake Washington
Blvd NE #201
cityKirkland
4030 Lake Washington Blvd NE #201
state UTA
zip 98033
Contact Person
Lori Perkins
Day Phone
1206-822-7700
Other Phone
Fax
1206-827-4098
Phone
Fax
--
206-822-7700
But-
.... 1O1�TitA CTQR
.... ..................::::::.....:::::
Compan Name
�ygon
Add r �Vs 30 Lake Washington Blvd. NE #210
City Kirkland
PoNorthwest Company
zip 98033
Contact Person
Jay Middleton
Address
Fax
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
�RC�TEGT...
Name
Jay Middleton Design Group
Add r �Vs 30 Lake Washington Blvd. NE #210
City Kirkland
State WA
zip 98033
Contact Person
Jay Middleton
Phone
Fax
827-4991
827-6405
LEGAL DESCRIPTION
Campus Glen Lot# t' Z
Please Complete Reverse Side
CD0492 (Rev 4/831
'RYJC'T(J��i'i
Address
229 Queen Anne Ave. N.
Existing Use
Vacant
Proposed Use
S.F.
Dwelling
Permit includes:
Phone
RI Building Plumbing
Mechanical
❑
Other
Type of Work:
[X Residential
0 New ❑ Remodel
❑ Number of Units _
❑
Deck
Hood
❑ Commercial
❑ Addition ❑ Garage
❑ Shed
❑
Other
Enter 1 at Floor
sq ft
2nd Floor Z( -L sq ft 3rd Floor sq ft
Existing Floor Area
Toal'a)n1C
sq ft
Area Basement
sq ft
Decks aq ft Garage < sq ft
Proposed Total Area
sq ft
Water Availability
Sewer Availability )J On -Site Septic System Availability ❑
Rrofac# Vel(teiJan
>)
;;;; .; ;4;>•;a> <>;..>. .;
Zoning
SR� $ 7�L
Lot Size 1 D . �7 �'afF
X�9ilI?fJ Bldg, /Bltl t14t1
$.
.. :..
Seattle Mortgage
Ecity
Address
229 Queen Anne Ave. N.
Seattle
I state WA lZip 98109
1CiA21TAI. CO1V'T'ATbY2 Bidding
Contractor Name
Address
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
,PLUMBINi� �ONTRAGTOR :`` .;
Bidding
Contractor Name
Address
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
Water Closets
Sinks
Urinals Lawn Sprinklers
Bathtubs
Dish Washers
Drinking Fountains Other
Showers
Electric Water Heaters
Sumps
Lavatories
Z Washing Machine
Drains TotikzCure'Cout;<>
11CA UNC` ;C�7►UN'f'
Fuel Type (electric/other) Clas
Gas Dryer
I` Air Handling < = 10,000 CFM
15-30 Tons
Length of Gas Piping 3g
Range
Air Handling > = 10,000 CFM
30-50 Tons
Furn <100K BTUs
Gas Log
Unit Heater
50+ Tons
Furn > 100 BTUs
Fans
Z4 Miscellaneous
Fuel Tanks
Gas Hwt
Hood
Boilers
Above Ground
Conv Burner
Duct Work
0-3 Tons
Underground
BBQ's
Wood Stoves
3-15 Tons
Toal'a)n1C
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, arises out oft e,rell nce of the City, including Its officers and employees, upon the accuracy of the Information supplied to the City as a part of this
application. �j
Owner/Agent ( \_'/�/""tel Date:/2 ( J
l' ,_.
Y OF FEDERAL WAY
10 First Way South
Aeral Way, WA 98003
1-4000
PERMIT NO: BLD95-0431
BUILDING PERMIT ISSUED: 06/21/95
Building Inspecti'On'Requests 661-4140 BY- FC
EXPIRES: 06/21/96
,�iDDRESS:630 S 331ST PL
NO.: 132140-0420
PROJECT DESCRIPTION:HSF - Yj PLUMBING AND MECHANICAL. APPROVED BASIC 895-1010-V91.
CAMPUS GLEN, LOT 842.
1`1 OWNER .... --- ... = ....... CONTRACTOR
CAMPUS GLEN LTD PARTNERSHIP POLYGON MW COMPANY
4030 LK WASH BLVD HE, 8201 4030 LK WASH BLVD HE
KIRKLAND WA 98033 KIRKLAND WA 98033
822-7700
822-7700
LENDER
SEATTLE MORTGAGE
229 QUEEN ANNE AVE H
SEATTLE WA 98109
. .....
. I-- --- 11 ---- 11-1-1-1-1 --- I -------------------
------ -1 ---- 11------
------
CONTRACTORS, PLEASE ME LOCATIVIN
CODE1732 REPORTING
SALES TAX FOR PROJECTS VITNIN THE CITY OF FEDERAL MAY.
TAX RATE = 8.2% n*
BLD?:X MEC?:X
PLM?:X FLR--EXIST--PROP---
ONEWWONTIS: A,
(OHP PLAN.........: SR
FEES:
TYPE OF WORK AEN
USE:RES IST.: 0* 658:sf-
STORIES...., ..:-2 -
-2
REQUIRED P 10- -
PLAN CHECK FEE
$
100.00
CENSUS CATEGORY ..... :101 M.: 4(A:sf
AS5,,*
FINAL PLAN CHECK...*
0.00
OCCUPANCY GROUP--- 0*' 0: sf,
J, St #446-7,'
'QUIPf 3 77-77'-,'
FIRE,
PERMIT....
6 43.00
A3 :M1
Z_ - . -
-
-0 StA.
A
CHARGE .....
4.50
-
TYPE OF CONSTRUCTION 0""'' f
0
sibt .......... 5.00 ft
WATER SERVICE..:FED
HN APPLIANCE FEES.$
$
57.00
:5N :5N
ck-
1
"REAR........... 20.00:ft
SEWER SERVICE..:FED
PLUMBING FIXT .... 93*
$
91.00
7, q-,
OCCUPANT LOAD ---------_- 0"m
RtVEDsx" /95 "'I 0A
w
777-
PUB WKS PLCK(SF)..93
$
40.00
0: 0:
A
0: 0: TOTL--`�*':,'-,1 l
IMPERV SURFACE: 2441 sf
SENSITIVE AREAS?.:N
UEL IYPES.:GAS
ELI FANS..........: 4
BOILERS/COMPRESSORS
WATER CLOSETS......: 3
URINALS........: 0
TOTAL FEES
935.50
uAS PIPING.: 38
ft HOOD..........: 1
0-3 HP......: 0
BATH TUBS..........: 1
DRINKING FOUNT.: 0
FURN<IODK..: I
DUCT WORK.....: 0
3-15 Hp. .... : 0
SHOWERS ............ 2
SUMPS..........: 0
GAS NWT....: I
WOOD STOVES—: 0
15-30 HP....: 0
LAVATORIES.........: 4
VAC BREAKERS...: 0
CORV BURNER: 0
FURN)IOOK.....: 0
30-50 HP....: 0
SINKS .............. I
DRAINS.........: 0
BBQ........: 0
MISC..........: 0
5+ HP.......: 0
DISH WASHERS ....... I
LAWN SPRINKLERS: 0
GAS DRYER..: I
AIR HANDLING UNITS
FUEL TANKS---------
FLEC HIP HEATERS...: 0
OTHER FIXTURES.: 0
RANGE......: 1
<:10,000 CFM: 0
ABOVE GROUND: 0
LAON WSHR OUTLTS ... I
GAS LOGS...: 0
> 10,000 CFM: 0
UNDERGROUND.: 0
VERNITS EXPIRE 190 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERNITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT TPE INfORNA]ION FURNISRED BY NE IS TRUE 'AD CORRECT TO THE REST OF BY KNOWLEDGE AND THE AMILICARE CITY OF FEDERAL MAY REQUIRENENTS VILL BE NET.
DATE (0
OOHER OR AGENT
---
L
FIELD COPY
i
Date
ByeW
FOUNVATI W 4LL$
Date
By
PLUMBING GROUNDWORK
Date
By
UNDERFLOOR fRAMING
Date f'
By _
SHEAR WALLS
....
Date
By gA
PLUMBING OUGWIN
ro
Date /
By
GAS PIPING
Date —
By
MECHANICAL ROU GWIN
Date ��
By
MECHANICAL IOTHERJ
Date
By
FRAMING
Date q j f
By c,iF7 v !ev tcf ?a
INS..ULATION
LtG �"lZ cis G• ^� '
Date
B
GWB - 1ST LAYER
Date
By 1�
GWB -.2ND LAYER
Date
By
SUSPENDED VEILING
Date
By
PLANNING FINAL:
Date
By
ENGINEERING FINAL
Date
By
FIRE FINAL
Date
By
BUILDIN FIN .
Date 7
By
OTHER
Date
By
OTHER
Date
By
CDO193