95-103334the--- ys- �D333 y
CITY OF FEDERAL WAY PERMIT NO: BLD95-0991
38530 First way South: ;° ,�,,� ..N..: fi,.,.,..; ::`r:;;M �M�N �;;;:;;� 1�:;;� ; !', (�" :;;►C;:.,�.,. ISSUED: 12/19/95
Federal Way, WA 98003 llui 1.ding Inspection Requests 661-4140 BY: KLC
661-4000 EXPIRES: 12/19/96
ADDRESS:824 S 391ST
NO.: 1821+0-0570
PROJECT DESCRIPTION
CAMPUS GLEN, LOT #57.
g= OWNER
CAMPUS GLEN LTD PARTNERSHIP
4030 LK WASH BLVD NE, #201
KIRKLAND WA 98033
-7700
PL
NSF - W/ PLUMBING AND MECHANICAL WREVIEWED AS BASIC #95-1018494M
CONTRACTOR ==____-_=
POLYGON NW COMPANY
4030 LK WASH BLVD NE
KIRKLAND WA 98033
822-7700
POLYGNC051D4
LENDER
SEATTLE MORTGAGE
229 QUEEN ANNE AVE N
SEATTLE WA 98109
if; CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.21 ta:
BLD?:X MEC?:X PLM?:X
TYPE OF WORK:NEW USE:RES
CENSUS CATEGORY ..... :101
OCCUPANCY GROUP ----------
:R3 :Ul :? :?
TYPE OF CONSTRUCTION -----
:5N :5N :? :?
OCCUPANT LOAD ------------
0: 0: 0: 0:
SEL TYPES.:GAS ELE
�y 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 AFTER
I CERTIFY THAT THE INFOIIATI01
OWNER OR AGENT
FLR--EXIST--PROP---
1ST.:
0:
658:sf
2ND.:
0:
666:sf
3RD.:
0:
O:sf
OTHR:
0:
O:sf
BSMT:
0:
O:sf
DECK:
0:
O:sf
GAR.:
0:
572:sf
TOTL:
0:
1896:sf
FANS........... 4
HOOD........... 1
DUCT WORK.....: 0
WOOD STOVES...; 0
FURN>100K.....: 0
MISC........... 0
AIR RANDLING UNITS
<:10,000 CFM: 0
> 10,000 CFM: 0
DWELLING UNITS: 1
STORIES......... 2
HEIGHT.....: 0.00 ft
VALUATION ----------
EXIST..$: 0
PROP ... $: 100627
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 gpo
WATER SERVICE..:FED
SEWER SERVICE..:FED
IMPERV SURFACE: 1706 sf SENSITIVE AREAS?.:N
WATER CLOSETS......:
BATH TUBS...........
SHOWERS .............
LAVATORIES..........
SINKS ...............
DISH WASHERS.......:
ELEC WTR HEATERS...:
LAUN WSHR OUTLTS...:
3 URINALS........: 0
1 DRINKING FOUNT.: 0
2 SUMPS......,.... 0
4 VAC BREAKERS...: 0
1 DRAINS.......... 0
1 LAWN SPRINKLERS: 0
0 OTHER FIXTURES.: 0
1
FE
PLAN CHECK FEE $ 100.00
PUB WKS PLCK(SF),.93 $ 40.00
BUILDING PERMIT....* $ 643.00
SBCC SURCHARGE.....* $ 4.50
MEC APPLIANCE FEES.* $ 50.50
PLUMBING FIXT....93* $ 91.00
TOTAL FEES
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 MAY REQUIREMENTS WILL BE MET.
J-14/k—DATE
I C�
_ l_ � ��.__ 1.
FILE COPY
$ 929.00
PLEASE PR/NT
Tenant (if known)
Building Owner Name
Campus Gler
City Kirkland
Nature of Work r•.
-4 a g -101 IFY -"
4FI/Irvirn an
City, of Federal Way
APPLICATI(WR R Y DING PERMIT
DEC 0 51995
CITY OF FEDERAL WA
of III lawn n1ZP3: Y APPLICATION #:
Address / ' L 3,3( -1+
Lot # 5 Assessor's Tax # 5-7
Address
d Partnership 4030 Lake Washington Blvd NE #201
7-1 stat- WA Zip 98033
Phone 206-822-7700
_.
St".,P.
....:.....
Name (F,M,L)
Add TUs3 0 Lake Washington Blvd. NE #210
Campus Glen Limited
Partnership
Address
Contact Person
Jay Middleton
4030 Lake Washington
Blvd NE #201
city K
4030 Lake Washington Blvd NE #201
state A
zip 98033
Contact Person
Day Phone
Other Phone
Fax
Lori Perkins
206-822-7700
--
206-827-4098
I3Uu:DlIVGr COLI RA,CTOR
Company Name
Add TUs3 0 Lake Washington Blvd. NE #210
city Kirkland
Polygon Northwest Company
ip 98033
Contact Person
Jay Middleton
Address
rFax
827-6405
4030 Lake Washington Blvd NE #201
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 O Yes O No
POLYGNC051D4
03/09/96
Oka
.......: ................. .
Name '
Jay Middleton Design Group
Add TUs3 0 Lake Washington Blvd. NE #210
city Kirkland
state WA
ip 98033
Contact Person
Jay Middleton
Phone
827-4991
rFax
827-6405
LEGAL DESCRIPTION
Campus Glen Lot# >
Please Complete Reverse Side
CD0492 (Rev 4/93)
2UCTUT2E Misting Use
Vaca
Permit includes: Building
Type of Work: I$ Residential DO Now
❑ Commercial ❑ Addition
Enter 1 st Floor sq ft 2nd Floor jQ & sq ft
Area Basement sq ft Decks sq ft
Water Availability Sewer Availability On Sita Septic
Zoning ,,SR) t`Z5- %, '2 Lot Size A?_1
L .
i t
wProposea use S. F,
Dwe l l it
P Plumbing
P Mechanical
❑
Other
❑ Remodel
❑ Garage
❑ Number of Units _
❑ Shed
❑
❑
Dock
Other
3rd Floor sq ft
Garage J eq ft
Existing Floor Area
Proposed Total Area
Unit Heater
sq ft
eq ft
System Availability
tam
Fans
L_% Miscellaneous
Fuel Tanks
ciafafig eld ya(u 4:
$
Hood
Boilers
Above Ground
Conv Burner
Name
Seattle Mortgage
Address
229 Queen Anne Ave. N.
City Seattle
State WA Tip 98109
ANrA C4'Y'ATQR Bidding
Contractor Name
Address
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
PLUMBII� iGQNTRACT.0
Biddina
Contractor Name
Address
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
G:FVff CSU
Water Closets
Sinks
I Urinals Lawn Sprinklers
Bathtubs
Dish Washers
Drinking Fountains Other
Showers
Electric Water Heaters
Sumps
Lavatories
Washing Machine
Drains Totil<FiitiY':Co(irit<`<»:
Fuel Type (electric/other)
C as
Gas Dryer
Air Handling < = 10,000 CFM
15-30 Tons
Length of Gas Piping
38
Range
Air Handling > = 10,000 CFM
30-50 Tons
Furn <100K BTUs
(
Gas Log
Unit Heater
50+ Tons
Furn > 100 BTUs
Fans
L_% Miscellaneous
Fuel Tanks
Gas Hwt
Hood
Boilers
Above Ground
Conv Burner
Duct Work
0-3 Tons
Underground
BBQ's
Wood Stoves
3- o
15 Tons
f dtiif:L1......:L*du 't>»
DISCLAIMER: 1 certify under penalty of pedury 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 lincluding costs, expenses,
and attorneys' fees Incurred in lnvestly on 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 suc c "Im arises out/of th .reliance of the City, including its officers and employees, upon the accuracy of the information supplied to the City as a part of this
application. '
Owner/Agent: X t! V� � Date: l
CITY OF FEDERAL WAY
t,33530 Fi Int Way South 'DO,.) I L,b 1-ING f" C. R N I
F doral Way. WA 98003 PLIJ-I(Aln�-'I Jns'pec.tion PeqUe�stS 661-4140
4DDRESS:324 S 3.41ST 01.
NO'
: 132140-0570
PROJ ECT DFSCR I PT I QN: NSF W11 PtUMB186 AND MECHARI(At MREVILWID AS BASIC 05-1018494*0
CAMPUS GLEN, LOT 157.
OWNER CONTRACTOR,
CAMPUS GLEN LTD PARTNERSHIP POLYGON MW COMPANY
4030 U WASH BLVD HE, 1201 4030 Li WASH BLVD HE
KIRKLAND WA 98033 KIRKLAND WA 18033
PERMIT NO., BLD95-0991
ISSUED: 12/19/95
BY: PLL
EXPIRES: 12/19/96
LENDER -1-1-1.�==—.1
SEATTLE MORTGAGE
229 QUEEN ANNE AVE M
SEATTLE WA 9810
2-7700 822-7700
iii C0AtRKT#ft,'lPtEAR VA L*A1100 OWL-* 4WAK006 BALLS TAX FOR PROJECTS V11111 TK City OF F(DER14 NAY.
BL D?: X ME(?: X PLM?: X FIR - -ExIlt 4ROP - - -as
Wtl,'IIK W" I" "TtW PLAN......... !SR
TYPE Of WORKAFW USE:RES IST6w-s.: f":_1 STOP I ES,. "Awint
N,
-'4
I
�A
CENSUS CATEGORY--: 101 -a f
OCCUPANCY CROUP ------ -s LUA k FEU jFIREQv I, R 4,
..........
:R3 :Ul is
IYPE Of CONSTRUCTION- -P-41"11*44-1-1 "ARING ....... 5.00 ft WATER SERVI(E..:FED
?
20.00:tt SEWER SERVICE-JED
OCCUPANT LOAD
------------ To At
-'-
0: 0: 0: 0: 1LSURFACE: 1701 sf SENSITIVE AREAS?.:N
TAX RATE -- 8.2t Its
----------
PLAN CHECK FEE $ 100.00
PUB WKS PL(K(SF).A3 40.00
PERMIT—,i 643.00
Vell 4-HARGE ..... * 4.50
ME( APPLIANCE FEES.* 50.50
PLUMBING f 1XI .... 934 91.00
FUEL TYPES.:CAS ELF
FANS--
4
BOILERS/CONPRESSORS
WATER CLOSETS......:
3
URINALS....
0
14TAL FEES
GAS PIPING.:
38 ft
NOD ..........
1
0-3 HP......:
0
BATH TUBS,.........:
I
DRINKING FOUNT.:
0
NAOOK..:
I
DUCT WORK.....:
0
3-15 HP.....:
0
SHOWERS— .....
2
SUMPS..........:
0
NWT....:
1
WOOD STOVES...:
0
15-30 HP....:
0
LAVATORIES.........:
4
VAC BREAKERS—:
0
COXV BURNER:
0
f0RH>l00x .....
0
30-50 HP....:
A
SINKS........ —:
I
DRAINS..........
0
BBQ.......,:
0
MIS(..........:
0
5f HP.......:
0
DISH WASHERS.......:
I
LAWN SPRINKLERS:
0
GAS DRYER-:
0
AIR HANDLING UNITS
FULL TANKS ---------
ELEC WTR HEATERS...:
0
OTHER FIXTURES.:
.0
RANGE........
1
(-10,000 Cfh:
0
ABOVE GROUND:
0
LAUN WSHR OUTITS ...
I
GAS LOGS...:
0
J 10,000 CFM:
0
UNDERGROUND.:
0
ARMITS EXPIRE 160 DAYS Af 119 ISM#([ It' NO WK IS STARIED. AUSIVENTIA1, AND GRADIK PERMITS Iffiff ONE TFIV Af 119 DATE Of ISSPANCt..
i CIATify TIAT TK INt"milov fuqlslkl BY RE is IN% AND (OCRt(l 10 THE USI Of MY KNOWLEDGE AND Illt APPtI(AlLf CITY Of fLD[RAt PAY PloullffivS VILL K Nit,
OWNER OF AGEHI
FIELD COPY
$ g29.00
CDO193
- ,
ANk
..:.....................................................................:.......
...:.............................................................................
SETBACKS & FOOTINGS
Date
...............................................................................
...................................................................................
.................................................................................
FOUN TION WALLS
Dat
By
PLUMBING GROUNDWORK
.. ..........
Date
By
UNDERFLOOR FRAMING'
Date G
By
... _ .......
..............
SHEAR :.::ACLS
_ _.. _.
Date
By
PLUMBING ROUGFI IN
_�
Date �� (_ 6
By
7.1
.............................................................................................._...._..............._...._................................_.._...
............
.................. ......
GAS PIPING ..
.....
............
_............_
.
Date
By
._....... _.. ...... _
MECHANICAL OUGH-IN
_ .......
Date
By
MECHANICAL {OTHER)
Date
By
7
FRAMING
Date / —
By
INSULATION
Date
By
GWB - 1ST LAYER
Date !Z, — 1By
GWB - 2ND LAYER
Date
By
SUSPENDELI CEILING
Date
By
PLANNING FINAL
Date
By
............ER........I
Date
By
FIRE FINAL
Date
By
...........................................
BUILDING :FINAL
Date 1 -'
By
OTHER
Date
By
70THER
Date
By
CDO193