95-103345iC FEDERAL WAY
3" Fi rst Way South
Federal Way, WA 98003
661--4000
Building Inspection Requests 661--4140
ADDRESS:318 S 391ST PL
NO.: 132140--05€30
PROJECT DESCRIPTION -NSF - W/ PLUMBING & MECHANICAL MAPPROVED BASIC NO. 95-1019-V94***
CAMPUS GLEN, LOT #58.
�- OWNER CONTRACTOR
CAMPUS GLEN LTD PARTNERSHIP POLYGON NW COMPANY
4030 LAKE WASHINGTON BLVD #201 4030 LK WASH BLVD NE
a KIRKLAND WA 98033 KIRKLAND WA 98033
2-7700
822-7700
POLYGNCO51D4
LENDER
SEATTLE MORTGAGE
229 QUEEN ANNE AVE N
SEATTLE WA 98109
�j5-lOg3y5
PERMIT NO: bLD95--1002
ISSUED: 12/19/95
BY: KLC
EXPIRES: 12/19/96
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.2% ***
BLD?:X MEC?:X PLM?:X
TYPE OF WORK:NEW USE:RES
CENSUS CATEGORY ..... :101
OCCUPANCY GROUP ----------
:R3 :U1 :? :?
TYPE OF CONSTRUCTION -----
:5N :5N :? :?
OCCUPANT LOAD ------------
0: 0: 0: 0:
.DUEL TYPES.:GAS ELE
S PIPING.: 38 ft
FURN<100K..: 1
GAS HWT.... : 1
CONV BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE....... 1
GAS LOGS...; 0
PERMITS EXPIRE 180 DAYS
I CERTIFY THAT THE INFO
OWNER OR AGENT
FLR--EXIST--PROP---
1ST.:
0:
967:sf
2ND.:
0:
744:sf
3RD.:
0:
O:sf
OTHR:
0:
O:sf
BSMT:
0:
O:sf
DECK:
0:
O:sf
GAR.:
0:
705:sf
TOTL:
0:
2416:sf
FANS........... 4
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: 1
STORIES......... 2
HEIGHT.....: 0.00 ft
VALUATION ----------
EXIST..$: 0
PROP ... $: 125862
RECEIVED.:12/06/95
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 ft
REAR........... 20.00:ft
SPRINKLERS?.....,:?
HAZARD CLASS...:?
FIRE FLOW....: 0 gpm
WATER SERVICE..:FED
SEWER SERVICE..:FED
IMPERV SURFACE: 2425 sf SENSITIVE AREAS?.:N
FEES:
PLAN CHECK FEE $ 100.00
PUB WKS PLCK(SF)..93 $ 40.00
BUILDING PERMIT....* $ 730.50
SBCC SURCHARGE.....* $ 4.50
MEC APPLIANCE FEES.* $ 50.50
PLUMBING FIXT.... 93* $ 91.00
WATER CLOSETS......:
3
URINALS.........
0 TOTAL FEES $ 1016.50
BATH TUBS..........:
1
DRINKING FOUNT.:
0
SHOWERS .............
2
SUMPS...........
0
LAVATORIES.........:
4
VAC BREAKERS—:
0
SINKS ...............
1
DRAINS..........
0
DISH WASHERS.......:
1
LAWN SPRINKLERS:
0
ELEC WTR HEATERS...:
0
OTHER FIXTURES.:
D
LAUN WSHR OUTLTS...:
1
NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE NET.
.____-.--_-.__..__________-______ DATE
.. _f
FILE COPY
REVIEWFED UNDER 1994 UBC #- ctl-14q- ,! qy
PlanCity of Federal Way
APPLICATIO�FOR BUILDING PERMIT
CEpVF—=C
PLEASE PR/NT DEC ® 5 1995 APPLICATION #4310 q,5
APPLICANT
Name (F,M,L)
AddTV30 Lake Washington Blvd. NE #210
Address
Partnership
Address
Tenant (if known)
4030 Lake Washington
Blvd NE #201
Lo XP-
4030 Lake Washington Blvd NE #201
Assessor's Tax #
zip 98033
Contact Person
Lori Perkins
Day Phone
206-822-7700
Other Phone
Fax
Phone
Building Owner Name
--
206-827-4098
Address
Contractor's # (card must be presented)
Campus Glen Limited
Partnership
POLYGNC051D4
4030 Lake
Washington Blvd NE #201
City Kirkland
Istate WA
Zip 98033
lPhone 206-822-7700
Nature of Work Construct
qi nrrl A Vnm; 1 <,
APPLICANT
Name (F,M,L)
AddTV30 Lake Washington Blvd. NE #210
Campus Glen Limited
Partnership
Address
Contact Person
4030 Lake Washington
Blvd NE #201
cityKirklandstate
4030 Lake Washington Blvd NE #201
WA
zip 98033
Contact Person
Lori Perkins
Day Phone
206-822-7700
Other Phone
Fax
Phone
Fax
--
206-827-4098
......................... .
13Uii[?TNG CONTKACTOR
......................................::.:
CompanyName
AddTV30 Lake Washington Blvd. NE #210
CityKirkland
Poygon Northwest Company
zip 98033
Contact Person
Address
Fax
Jay Middleton
4030 Lake Washington Blvd NE #201
827-6405
citvKirkland
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
Name '
Jay Middleton Design Group
AddTV30 Lake Washington Blvd. NE #210
CityKirkland
state WA
zip 98033
Contact Person
Phone
Fax
Jay Middleton
827-4991
827-6405
LEGAL DESCRIPTION
Campus Glen Lot#
Please Complete Reverse Side
C00492 (Rev 41931
aYJGTCJ E .
Dwe l l in
xisting Use
rmit includes:
❑ Number of Units _
Building
ape of Work:
IX Residential
W New
aq ft
❑ Commercial
❑ Addition
Enter 1 at Floor
sq ft
2nd Floor sq ft
Area Basement
sq ft
Docks sq ft
Water Availability Kf Sewer Availability On -Site Septic
Zoning
(SR) (e S ' ] y
Lot Size
..........................................................................................
............................................................................................
...........................................................................................
g Plumbing
❑ Remodel
❑ Garage
3rd Floor sq ft
Garage sq ft
stem Availability ❑
Proposed Use S.F.
Dwe l l in
V Mechanical
❑ Other
❑ Number of Units _
❑ Deck
❑ Shed
❑ Other
Existing Floor Area
aq ft
Proposed Total Area
sq ft
Name
Seattle Mortgage
Address
229 Queen Anne Ave. N.
City Seattle
State WA I Zip 98109
............................................................................................
...........................................................................................
............................................................................................
...........................................................................................
+iAITAT�lN'T'tATOYZ:..... Bidding
........... .......:... .........:............::..:.......::......::.....::.................
Contractor Name
Address
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
PL�JM$Il�T�G:.;C(INTRA�TQR:'><'>>«<
............................................................................................
...........................................................................................
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
Washin Machine
9
Drains Total<Fiztiro Cain[»>>`';;:.....
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 I
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
BBt1's
Wood Stoves
3-15 Tons
To..t.,I :Ur jt. � , _ r),.,,.
DISCLAIMER: 1 certify under penalty of perjury that the information furnished by me is true and correct to the beat 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 Inc u d 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 wah cl Im/ sdses t�2he. reliance of the City, Including Its officers and employees, upon the accuracy of the Information supplied to the City as a pert of this
application. -- r
/ 'f
Owner/Agent: V �� IC'/ r-" Date: Z �j ` _
-0
,!:ITY OF FEDERAL- WAY
A�vt-530 Fimt Way South
meral Way, WA 9,8003
•661-4000
BUILDHIG PERMIT
13ui1 it :.a Inspection Reque'ii::t,r; 661-4140
Al5PR'ESq-.-'418 S 331ST Pl.
NO.. 1321,40-0580
PROJECT 17)ESCRIPP ION :WSF W1 PLUMBING & MECHANICAL *$*APPROVED BASIC NO. 95-1019-V94M
CAMPUS GtIN, LOT 458.
OWNER CONTRACTOR
CAMPUS GLEN LTD PARTNERSHIP POLYGON RN COMPANY
4030 LAVE WASHINGTON BLVD 4201 4030 LK WASH BLVD HE
KIRKLAND WA 98033 KIRKLAND WA 98033
822-7700 822-7700
e� wl' . W.,
PERNfT NO: BLL,95---1002
ISSOED: 12/19/95
BY: KI -C
EXPIRES: 12/19/96
LENDER
SEATTLE MORTGAGE
229 QUEEN ANNE AVE H
SEATTLE WA 98109
Witi"N SALES TAX FOR PROJECTS WITNIN 111 CITY Of FEDERAL VAY. TAX RATE 8.2%
BLD?:X MEC?:X PLM?: X f L R - - I X,1*84`4" OP 4 P,-iCW PLAN...... —:SR
FEES:
0" LAN CHI
TYPE Of WORKAEW USE:REc IST'. 967- IE o
S rp" CK FEE 100.0e
"wa 4-44-4' -
Wil.- PAW, R---"'� 4 -A-ttiv
CENSUS CATEGORY ..... :101 2W.� *301 G CTAS PUB WKS PLCK(Sf)-93 40.00
BUILDING PERM
U RE( IRE FIF PERMIT.... 730.50
OCCUPANCY GROUP-------- CR AW 0 ------
qv
HARGE ..... 1 4.50
am
A3 :Ul :? :? IS1
TYPE OF CONSTRUCTION ------ OP S . ............ 5.00 ft WATER SERVI(E..:FED ME( APPLIANCE FEES.* t 50.50
:50 :511 :? :? ......... 20.00:ft SEWER SERVICE -111) PLUMBING FIXT....93* 91.01)
OCCUPANT LOAD------------ G7 I ED. 124W
0: 0: 0: 0: TOTE., k IMPERY SURFACE: 2425 sf SENSITIVE AREAS?.:N
EL TYPES.:GAS ELE
v
FANS.. . .........
4
BOILERS/COMPRESSORS
WATER CLOSETS......:
3
URINALS........:
0
TOTAL FEES
S PIPING.:
38 ft
HOOD..........:
1
0-3 HP......: 0
BATH TUBS..........:
I
DRINKING FOUNT.:
0
FURWI00K..:
I
DUCT
0
3-15 HP.....: 0
SHOWERS ............ :
2
SUMPS..........:
0
GAS OWT.... :
I
WOOD STOVES...:
0
15-30 HP....: 0
LAVATORIES.........:
4
VAC BREAKERS...:
0
CONY BURNER:
0
FURN>10OK .....
0
30-50 HP.. 0
SINKS ...............
I
DRAINS.........:
0
880.........
0
MISC ..........
0
54 HP........ 0
DISH WASHERS........
I
LAWN SPRINKLERS:
0
GAS DRYER..:
0
AIR HANDLING UNITS
FUEL TANKS-_-------
ILE( WTR HEATERS...:
0
OTHER FIXTURES.,
0
RANGE......:
I
<:10,000 CFM:
0
ABOVE GROUND:
LAUN WSHR QUILTS...:
I
GAS LOGS—:
0
> 10,000 (f":
0
UNDERGROUND.: 0
,"UNITS EXPIRE 180 DAYS AFTER ISSMI It NO WORK IS
STARTED. RESIDENTIAL AND 4RADING PERMITS EXPIRE ONE YEAR AFTER DATE Of
ISSUAKE.
I CERTIFY INAT
INE I-WORNAlIft FURNISHID, NY #1
IS TRUL AND CORRECT TO 01 KSI
OF MY KNORLIKL AND 101 APP1109LI CITY Of FIDIRAI MAY 91003IRLKNIS MILL
eako OR AGENT
DATE
FIELD COPY
$ 1016.50