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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