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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 aaaxxaaaxaamaaaxaaamxxaamaaaaxxaaaasamaaaaaaxaasaaaaxxxamaamaaaaea:assasaxsxxx 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