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96-102662CITY OF' FEDERAL WAY 33530 first Way S n u t ti ,1�°. 1,...,M ".1" 1.- :1.> f"41, 'E": 111, NA .,I,, T" Federal Way, WA 98003 13uildinta, Inspectiot) Roquests 661--4140 6614000 ADDRESS:319 S 331ST PL NO.: 1321.40-0620 PROJECT DESCRIPTION :NSF - W/ PLUMBING AND MECHANICAL. **BASIC PLAN 95-1018-V94** CAMPUS GLEN, LOT #62. �= OWNERCONTRACTOR CAMPUS GLEN LTD PARTNERSHIP POLYGON NW COMPANY 4030 LK WASH BLVD NE, STE. 201 4030 LK WASH BLVD HE KIRKLAND WA 98033 SUITE #201 822-7700 KIRKLAND WA 98033 822-7700 POLYGNCO51D4 9 - 16-246-� PERMIT NO: BLD96-0330 ISSUED: 08/30/96 BY: KLC EXPIRES: 08/30/97 LENDER-..____,:ap-� Y-����w�- ���.•: -��.M- -_���� SEATTLE MORTGAGE 229 QUEEN ANNE AVE N SEATTLE WA 98109 US CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE : 8.2% s** BLD?:X MEC?:X PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 1 TYPE OF WORK:NEW USE:RES 1ST.: 0: 658:sf STORIES........: 2 CENSUS CATEGORY ..... :101 2ND.: 0: 666:sf HEIGHT.....: 0.00 ft OCCUPANCY GROUP---------- 3RD.: 0: O:sf VALUATION---------- :R3 :U1 :? :? OTHR: 0: O:sf EXIST..$: 0 TYPE OF CONSTRUCTION----- BSMT: 0: O:sf PROP ... $: 100627 :5N :5N :? :? DECK: 0: O:sf OCCUPANT LOAD------------ GAR.: 0: 572 sf RECEIVED.:08/09/96 0: 0: 0: 0: TOTL: 0: 1896:sf FUEL TYPES.:GAS FANS..........: 4 BOILERS/COMPRESSORS GAS PIPING.: 38 ft HOOD..........: 1 0-3 HP......: 0 1 DUCT WORK.....: 0 3-15 HP.....: 0 W<100K..: HWT....: 1 WOOD STOVES...: 0 15-30 HP....: 0 CONV BURNER: 0 FURN>100K.....: 0 30-50 HP....: 0 BBQ......... 0 MISC........... 0 5+ HP........ 0 j GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS --------- RANGE......: 1 <:10,000 CFM: 0 ABOVE GROUND: 0 COMP PLAN ......... :SR REQUIRED PARKING..: 2 REQUIRED SETBACKS ------- FRONT ......... . 20.00 ft SIDE........... 5.00 ft REAR.........., 15.00:ft SPRINKLERS?......:? HAZARD CLASS...:? FIRE FLOW....: 0 gpm WATER SERVICE..:FED SEWER SERVICE..:FED IMPERV SURFACE: 1801 sf SENSITIVE AREAS?.:Y WATER CLOSETS......: 3 URINALS........: 0 BATH TUBS..........: 2 DRINKING FOUNT.: 0 SHOWERS ............: 1 SUMPS..........: 0 LAVATORIES.,.......: 4 VAC BREAKERS...: 0 SINKS ............... 1 DRAINS.......... 0 DISH WASHERS.......: 1 LAWN SPRINKLERS: 0 ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0 LAUN WSHR OUTLTS...: 1 FEES: PLAN CHECK FEE $ 100.00 PUB WKS PLCK(SF)..93 $ 40.00 BUILDING PERMIT....* $ 643.00 Mechanical Permit* $ 90.00 SBCC SURCHARGE.....* $ 4.50 SCH IMPACT (SFR) $ 1707.00 PLUMBING FIXT.... 93* $ 91.00 TOTAL FEES GAS LOGS...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0 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 THE IMF NATION FUR N SHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF /FEDERAL WAY REQUIREMENTS WILL BE NET. OWNER OR AGENIC A1C.'.. ��._._____"`�.._..._ __________ _____------------------------ DATE_ t7 FILE COPY $ 2675.50 ants G 4- AY PLEASE PR/NT • City of Federal Way � flan 3 1,13 APPLICATION FOR BUILDING PERMIT SITE LO .ION City Kirkland Address3 (G S Contact Person Jay Middleton 4030 Lake Washington Blvd NE #201 Tenant (if known) Lot # Assessor's Tax # zip 98033 Contact Person Lori Perkins Phone Fax 206-822-7700 Building Owner Name Contractor's # (card must be presented) POLYGNC051D4 Address Verified ❑ Yes ❑ No Cam us Glen Limited Partnership 4030 Lake Washington Blvd NE #201 city Kirkland state WA Zip 98033 Phone 206-822-7700 Nature of Work Construct Single Family Name (F,M,L) Campus Glen Limited Partnership Address 4030 Lake Washington Blvd NE #201 CityKirkland stateWA zip 98033 Contact Person Day Phone Other Phone Fax Lori Perkins 1206-822-7700 -- 206-827-4098 BUILDLNG CQI�'T.i2AGTOR... ..............................,:,::::::.::::..::::::::; Company Name Polygon Northwest Company AddTV30 Lake Washington Blvd. NE #210 City Kirkland Address Zip 98033 Contact Person Jay Middleton 4030 Lake Washington Blvd NE #201 Fax cityKirkland state WA zip 98033 Contact Person Lori Perkins Phone Fax 206-822-7700 206-827-4098 Contractor's # (card must be presented) POLYGNC051D4 Expiration Date Verified ❑ Yes ❑ No 03/09/96 RCi[TECT ` Name ' Jay Middleton Design Group AddTV30 Lake Washington Blvd. NE #210 City Kirkland scare WA Zip 98033 Contact Person Jay Middleton Phone e991 Fax LEGAL DESCRIPTION Campus Glen Lot# Please CornDlete Reverse Side CD0492 (Rev 4/931 2UCTURE Dwe l l in I Emting Use Vacant ❑ Other Permit includes: ❑ Deck Building g Plumbing Type of Work: I$ Residential ❑ Commercial N New ❑ Addition ❑ Remodel ❑ Garage Enter 1 at Floor sq ft Area Basement aq ft 2nd Floor ln�& sq ft Decks sq ft 3rd Floor sq ft Garage T aq ft Water Availability Sewer Availability �D On -Site Septic System Availability ❑ Zoning SR I Lot Size tpCj ­�_ posed Use S.F. Dwe l l in JZI Mechanical ❑ Other ❑ Number of Units _ ❑ Deck ❑ Shed ❑ Other Existing Floor Area sq ft Proposed Total Area sq ft Name Address Seattle Mortgage 229 Queen Anne Ave. N. City Seattle I State WA Tip 98109 ,: . 1VECHANTCAL,COTV'Y"RACTOYt Bidding Contractor Name Address City State Zip Contact Phone Fax License # Expiration Date Verified ❑ Yes ❑ No ............................................................................................ ........................................................................................... ............................................................................................ _............................................................. PI (JMBll1 .:: :QNTRACTQR.:':>:> ............. .............................................................................. ........................................................................................... Biddina Contractor Name Address City State Zip Contact Phone Fax License # Expiration Date Verified ❑ Yes ❑ No ............................................................................................ ......:.................:::.;:.:.;;: Ptum"1 1 Y�':MIXT€J�E....QUu1T...........:::.. ........................................................................................... Water Closets Sinks Urinals Lawn Sprinklers Bathtubs Dish Washers Drinking Fountains Other Showers Electric Water Heaters Sumps Lavatories Washing Machine Drains Tote1 Fii tura .;.:. exa caz.: x ie. ou�vT .......... . _...................................... ........................................................................................... Fuel Type (electric/other) C7Cts Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons Length of Gas Piping �jg 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 BBOe Stoves oves 3-15 Tons DISCLAIMER: I certify under penalty of perjury that the information fumished by me is true and correct to the best of my knowledge and furtherthat 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 inves tion 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 auc cls arises ut of he, reliance of the City, including its officers and employees, upon the accuracy of the information supplied to the City as s part of this application. Owner/Agents, Data: , )�CoLr/7��� T.* T P00 CA n. e301 1'Y_.1 , o'. I I ri e, c t c, ("I ues tQ[It 111 E 1 01_*,�"(,T)1.1' 1 .1011;: HSF W/ PtUMBIfK, AND NtCHARI(fii., S1C PLAN I)LRMI 1 1,10. 8L Is 0, :? f.MIT'; GLEN, LOI 162. 00of P ­­­­­ '-' 1 '­­ -.._ a CONTRACTOR LLMDEP CAMPUS fLIN 1.11) PARTNERSHIP POLYGON HN (OMPA-Ifli StAlILL MORTGAGE 4030 Lr WASH BLVD HE, Sit. 1101 4030 Lk WASH 91.9 HE ?24 QUEEN ANNE AVE H I(IRELAND WA 90031 SUITE 1201 SEATT[C VA 9e]09 KIWAND Wk 98013 v",-1"100 822-11700 POLY005104 I, V., T., I-V Jr`l­V Itz, `11-1. =1 CorliClus, FLEGE VA torAlIft TIME SALES TAX 101 PWIECIS 111111111 liff (11Y OF IFICKNO. 111111T. TAX ItAll = 8.2% M OLD?:X h L C 'Y� PLM?:X I`AA#=s COMP PLAN ..... _.:tF TYPE Of WoRr:H[W USE RES ISI.: 658:st ....... MIRED PARkIHr1_: 4 ,,pp 1111, t PLAN (OL(K I'Ll 1011.E10 CENSUS (ATEGOw .... :101 20D.: 666:sf WKS 40.00 3 D (xcopmcf GROUP-, JR D. BUILDING PLPH11 .... 1 643.00 O:sf 1,18 1 to m- g, 011 ow, .0 f S1 V,011 MR f :P3 I I Mit M_ R :sl P. ff ".-d*. Wb- P . t AT fit, 'INER SEP FED 4,4WO I (St R 1 1.10).00 0 C 11 P A N I 10 A D -1 %g, RV SURFACE 1801 sf SLOS111VE AREAS"`.:'1 IN, ........... FUEL IYPES.:uej I, ANS1"9, WILIPS/011PRESSOP, WATER CLOSEIS.l .... I UPINAts.... 0 rolAt I I L, -fAS PIPING.: 38 t! HOOD. HP ...... 0 PAT" IDBS..,..,..... DRINrIKii 0 I MCI WORK...... 0 3-15 HP... . o SHOVLPS... I SUMP....... o IVES.— 0 -30 HP....: 0 LAVATOPIES., 4 VAC BflEArLRS_: 0 "WT. WOOD SIC 15 4 coo PURIIEP: o rUp­HIOoK_ ... 0 30-50 Hp_.: 0 SIHrS............... I DRAIN:.......... 0 gh. ........ 1� mISC_ ....... 11 54 HP ....... : 0 DISH WASHERS ....... 1 IAVH 1,5PRI#KIERS: 0 GAS (*Ylk. . : 0 AIR HANDLING UNITS IUEL LLEC WTR HEATEP$_.: 0 OTHER FIXTURES.: 0 RANGE... .. I I- 10.Ooo (IN: 0 ABOVE GROUND: 0 LAUR WSW, OUTLIS'... : I GAS [ OGS. . 1 10,000 cim: 0 9HURGROURD. : 0 Ft0M;1S EXPIRE 160 GAYS A1112 IS51JA#11, It NO UK IS SIMI0. RESIKIIIAt AN GRADING PilMlIS EXPIRI OK YEAR AFTER IAIE * ISSIIJAKI. I CERTIFY 11M) IHL imf hAlt(IN fl IRK, MID (ftP10 TO THE IIES4,0 MY 11WkbGt AND Ifit APPLI(ABLI CITY (if ffk-M MY REQUIREMINIS WILL K, "LT. �iT WHEr or WILY! DATE -3 FIELD COPY SE't°BACKS . &.FOOTINGS CDO193 Date By ..... ........ _ __ _ _ ................................................................................. ................................................................................. ................................................................................ FOUNDATION WALLS ... _ ...... Date .:.:. ...... B PLl1.IVIBING GROUN DWO RK ................................................................................... Date. By UNDERFLOOR FRAMING `. Date .- - By 41� /--) Z SHEAR WALLS 7 , L(J Date - PLUMBING ROUPH-IN Date.__2_- ---I '? By ti _. ...... GAS PIPING _ _. Date l By MECHANICAL ROUGH -IN .:..:::..::......:: . Date' By -7 <, /2 M M ECHANICAV.IOTHERj >>. Date By FRAMING ;` ..................... Date By .._ .. ... _ __ INSULATION Date By GWB - 1 ST LAYER Date - "`% BY G O - 2NU LAYER Date By SUSPENDED CEILING Date By PLANNING FINAL' Date By ENGINEERING:*, Date _ ( — C " B FIRS FINAL Date By ......... ... ............... BUILDI GFINAL Date 2 B OTHER Date By OTHER Date By CDO193