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95-102214load /y CITY OF' FEDERAL WAYPERMIT NO: BLD95r.07O5 03500 F i rs t Way South .��,.,.,N :.,�,: �...,,,..M,�;w ..": �° ,;;ii �. li""'h,;:..�., ISSUED: 10/02/95 Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC2 661-4000 EXPIRES: 03/30/96 ADDRESS:402 S 331ST PL NO.: 132140--0550 PROJECT DESCRIPTION: NSF W/PLUMBING AND MECHANICAL CAMPUS GLEN, LOT #55. g= OWNER CAMPUS GLEN LTD PARTNERSHIP 4030 LK WASH BLVD NE, #201 j KIRKLAND WA 98033 822-7700 #REVIEWED AS BASIC #95-10161940 CONTRACTOR LENDER w _-_-=�w�t•� POLYGON NW COMPANY SEATTLE MORTGAGE 4030 LK WASH BLVD NE 229 QUEEN ANNE AVE.N KIRKLAND WA 98033 SEATTLE WA 98109 822-7700 POLYGNC051D4 US CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.2% x:x BLD?:X MEC?:X ALM?: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: FUEL TYPES.:GAS GAS PIPING.: 22 FURN<100K..: 1 GAS HWT.... : 1 CONV BURNER: 0 BBQ......... 0 GAS DRYER..: 0 RANGE......: 1 GAS LOGS...: 0 FLR--EXIST--PROP--- 1ST.: 0: 1187:sf 2ND.: 0: 992:sf 3RD.: 0: O:sf OTHR: 0: O:sf BSMT: 0: O:sf DECK: 0: O:Sf GAR.: 0: 524:sf TOTL: 0: 2703:sf ELE FANS........... 4 ft 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 ... $: 158410 RECEIVED.:08/31/95 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: 3232 sf SENSITIVE AREAS?.:N FEES: PLAN CHECK FEE $ 100.00 PUB WKS PLCK(SF)..93 $ 40.00 FINAL PLAN CHECK...* $ 0.00 BUILDING PERMIT....* $ 846.00 SBCC SURCHARGE ..... $ $ 4.50 MEC APPLIANCE FEES.* $ 50.50 PLUMBING FIXT.... 93$ $ 105.00 BOILERS/COMPRESSORS ) WATER CLOSETS......: 3 URINALS........: 0 TOTAL FEES $ 1146. 0-3 HP......: 0 BATH TUBS..........: 2 DRINKING FOUNT.: 0 3-15 HP...... 0 SHOWERS ............. 3 SUMPS........... 0 15-30 HP....: 0 LAVATORIES.........: 4 VAC BREAKERS...: 0 30-50 HP..... 0 SINKS ............... 1 DRAINS.......... 0 5+ HP.......: 0 DISH WASHERS.......: 1 LAWN SPRINKLERS: 0 FUEL TANKS--------- ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 1 UNDERGROUND.: 0 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERNITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE IIIF NATION FURNISHED 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 AGENT DATE = � ; - cl FILE COPY X31 c G City of Federal Way etyPLICATION FOR BUILDING PERMIT 4 PLEASE PR/NT $� ,,t""111995 ADD///-AT/AAI llaG =°i ;��1'��., AddTV30 Lake Washington Blvd. NE #210 Address L f S 3 c Tenant (if known) 61 ltt,Q)Tq 4030 Lake Washington LotX f �_-/� cilyKirkland Assessor's Tax # L 0.�(�� Building Owner Name Campus Glen Limited Partnershi Address 4030 Lake Washington Blvd NB #201 city Kirkland state WA Z; 98033 P Phone 206-822_7700 Nature of Work Construct Single Fa mily Residence Contractor's A (card must be presented) Expiration Date At'PCICANI" Name (F,M,L) AddTV30 Lake Washington Blvd. NE #210 Campus Glen Limited Partnership Address Fax 1 827-6405„_. 4030 Lake Washington Blvd NE #201 cilyKirkland 4030 Lake Washington Blvd NE #201 state ZIP 98033 Contact Person Day Phone Other Phone Fax Lori Perkins 206-822-7700 -- 1206-827-4098 �3Ull,Ul.[VG CUN'1'�t;A,CTO� ..................................... Company Name AddTV30 Lake Washington Blvd. NE #210 City Kirkland State WA Polygon Northwest Company Contact Person Phone Jay Middleton 827-4991 Fax 1 827-6405„_. Address 4030 Lake Washington Blvd NE #201 cityKirkland state WA zip 98033 Contact Person Phone Fax Lori Perkins 206--822-7700 206-827-4098 Contractor's A (card must be presented) Expiration Date Verified C) yea O No POLYGNC051D4 03/09/96 Name ' Jay Middleton Design Group AddTV30 Lake Washington Blvd. NE #210 City Kirkland State WA izip 98033 Contact Person Phone Jay Middleton 827-4991 Fax 1 827-6405„_. LEGAL DESCRIPTION Campus Glen Lot# 6 Please Complete Reverse Side C00492 inev 4/931 �.SlL i ............................................................................................ .......................................................................................... Name Seattle Mortgage Address 229 Queen Anne Ave. N. City Seattle state WA Zip 98109 Biddina Contractor Name Address City State Zip Contact Phone Fax License # Expiration Date Verified ❑ Yes ❑ No ... Water Closets 13 Sinks ( Urinals Lawn Sprinklers Bathtubs Dish Washers Drinking Fountains Othor Showers Electric Water Heaters Sumps Lavatories Washin g Machine Drains falai'Eixtilre>..aunt'i;`:'.<::;'` Fuel Type (electric/other) Qkj Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons Length of Gas Piping Range Air Handling > = 10,000 CFM 30-50 Tons Furn <11OOK BTUs Gas Log Unit Heater 50+ Tons Furn >11 00 BTUs Fane Lq Miecallanoous Fuel Tanks Gas Hwt Hood Hollers Abovo Ground Conv Burner Duct Work 0-3 Tons Underground BBQ's Wood Stoves 3-15 Tons ►ofel' UpIEC,a4t1> DISCLAIMER: I certify under penalty of perjury that the Information furnished by me Is true and correct to the best 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 coats, expenses, and attorneys' lees Incurre Investlgatlon ntt fens. of such ciaim), which may be made by any person, including the undersigned, and filed against the City of Federal Way. but only where auoh oldm arb s out of th . rel(ano of the City, Including Its officers and employees, upon the accuracy of the infumralion suppllod to the City as a pert of this application. Owner/Agent: ate: �� L �✓ V D _ _ — • C ,(,Yf ITY ' FEDFRAt- WAY :13-)30 First Wa,,o South Flederal Way, Wri 98003 641-4000 IJERM11' NO: BLD95-0105 B(Jildir)q IMPE)Ction ke-qW!st;; 66't, --4:L4(") BY: F(,'2 E*xplf<l"'3'" 03/'30/96 ADDRESS:402 S 331SI" Irl. NO.: -1:3214&-0550 IjROJECT DSCIS I PT J-Ot4,:NSF W/PLUNDIRGAHD NE(HMI(,AL. **REVIEWED AS BASIC 195-10164194ts CAMPUS GLEN, LOT 1155. I. OWNER CONTRACTOR CAMPUS GLEN LTD PARTNERSHIP POLYGON RW COMPANY 4030 Lf WASH BLVD HE, 11201 4030 LK WASH BLVD 01 KIRYLAND WA 98033 KIR4AND RA 9"33 822-7700 m (ONTRAC fag ItExt WE" t"Ill" W'' IOU, BID?:X Mt(?:X PLM?:X fLR--E-49 , 1-fROP TYPE Of WORK:NEW USE:RES 1ST N--" JJORI CENSUS (ATEGORY.... <:Iol -i""" ' OCCUPANCY GROUP- OS*PLUS -------- :R3 :UI�iOi Isi 11 TYPE Of CONSTRUCTION-- --- Al :5N: ? ? Zu"W'. s' Sh OCCUPANT LOAD--_---. __.A_ l . . . . . . . . . . . 822-7700 D.: LENDLP, SEATTLE WJRTQG[ 229 QUEEN ANNE AVE 9 SEATTLE WA 98109 SALES TAX IL)R PN0J[(fS VIIfffN 101 (IIY Qf FEDERAL NAY. TAX RATE : 0.26 SO PLAN ......... :SR 202211=1 .......... ..... .......... 5.00 ft WATER SERVI(E..:FED .......... 20.00:ft SEWER SERVICE -:FED FEES: PLAN (NICK FEE S 100.00 PUB WKS PLCK(SF)..93 40.00 6 HAL AN CHECK...* 0.00 PERMIT....* 3 846,00 SKC SURCHARGE.....t 4.50 ME( APPLIANCE FEES.* 50.50 PLUMBING FIXT .... 931 $ 105,00 0: 0: 0: ... . ...... 0- TOTtv4' IMPERV SURFACE: 3232 St SENSITIVE AREAS?.:N Un rYPES.:GAS ELI FANS..........: 4 BOILERS/COMPRESSORS WATER CLOSETS....... 3 URINALS........: 0 TOTAL FEES $ 1146.00 "It, PIPING.: 22 ft HOOD..........: 1 0-3 HP......: 0 BAIN TUBS ............ 2 DRINKING FOUNT.: 0 -U;H<IO0K-: I DlICT WORK--: 0 3-15 HP...... 0 SHOWERS ............. 3 SUMPS........... 0 GAS HWI ..... I WOOD STOVES...: 0 15-30 0 LAVATORIES.......... 4 VAC BREAKERS—: 0 CONV BURNER: 0 PIRH>100t ..... 0 30-50 HP....: 0 SINKS...... ..... I DRAINS.......... 0 0 HIS(..........; 0 51 NP..,..,.: 0 DISH WASHERS.......: I LAWN SPRINKLERS: 0 GAS DRYER-: 0 AIR HANDLING UNITS FUEL TANKS --------- ELEC WIR HEATERS...: 0 OTHER FIXTURES.: 0 I -RANGE ...... : 1 (40,000 CPN: 0 ABOVE GROUND: 0 tAUH WSHR OUTLTS...: I I -GW LOGS...' 0 > 10,000 Cf": 0 UNDERGROUND,: 0 P(Iml is Explor 18D DAYS AFTER lsq)mo(.f it W) 11104 Is sliffllo. RESIDENTIAL AND GRADING PENT Is EXPIRE ORF YEN Af Ilk DATE Of ISS E. I CERTIFY INAI IN[ INfONMAIION FWNiSNLD BY ME IS IRUI AND (ORRECT TO IK BEST, Of NY,KNOVL1b';l AND ]ME APPITCABLE CITY Of FEDERAL VAT MOMENTS WILL if INET. DOWNER OR AGENT PAT[ Kx 110 FIELD COPY CDO193 SETBADICS & FOOi'M1Q ..... Date !t By ................................................................................ FQUNdATt > VISI► $ . Date By 7 PLUMBING I,ROU MORK Date. By UN©MFLOtiR I=F#AM1N0: ..; Date i By SHEAR. WAEL& Date 1Z.1 172 By 7fVQMBlN,G�APUGH-IN _. Date / By GA$ PI.O .................. Date By _................._......._....... __ M CHANIGAi.1iQUGH IM ...... _.__.......... Date 6 met. NICAt {OTHER)... Date By FRAMING : Y L' L1,4 Date B 71NsuLATi6 Date z By .............................................. GWB - 1ST LAYER ........... Date ' B GWB - 2ND LAYER Date By 7SVS. CEILING Date By PLANNINGr FINAL> Date By ENGINEERING FINAL Date By 7F FINAL Date By BUILDI GFINAk, Date By OTHER Date By OTHER Date By CDO193