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