95-10155555- to/bsS
CITY OF FEDERAL WAY PERMIT NO: BLD95--05211
33530 First Way South L. �.�,M:'�„: N"'lG �' �:;.N"°$.�'"i! .,N„: "N” ISSUED: 10/02/9-54)
Federal Way, WA 98003 Building Inspection Requests 661--4140 BY: FC2
661.-4000 EXPIRES: 03/30/96
ADDRESS:408 S 331ST PL
NO.: 1.321.40--0540
PROJECT DESCRIPTION:NSF - W/PLUMBING & MECHANICAL **REVIEWED AS BASIC #95-1018-V94**
CAMPUS GLEN, LOT #54.
F= OWNER _ ______.._______________ .._______-___:_________=====s= CONTRACTOR ___..______ ___. ______..__._--_____... __ ______-= LENDER
CAMPUS GLEN LTD PARTNERSHIP POLYGON NW COMPANY SEATTLE MORTGAGE -
4030 LAKE WASH BLVD WE #201 4030 LK WASH BLVD WE 229 QUEEN ANNE AVE N
1 KIRKLAND WA 98033 KIRKLAND WA 98033 SEATTLE WA 98109
822-7700
822-7700
POLYGNC051D4
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY Of FEDERAL WAY. TAX RATE -- 8.2% ***
BLD?:X MEC?:X PLM?:X
TYPE OF WORKAEW USE:RES
CENSUS CATEGORY ..... :101
OCCUPANCY GROUP ----------
:R3 :U1 :? :?
TYPE OF CONSTRUCTION -----
:5N :5N :? :?
OCCUPANT LOAD ------------
0: 0: 0: 0:
FUEL TYPES.:GAS ELE
GAS PIPING.: 38 ft
FURN<100K..: 1
GAS HWT....: 1
CONY BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE....... 1
GAS LOGS...: 0
FLR--EXIST--PROP---
1ST.:
0:
658:sf
2ND.:
0:
666:sf
3RD.:
0:
O:sf
OTHR:
0:
O:sf
BSMT:
0:
O:sf
DECK:
0:
O:sf
GAR.:
0:
572:sf
TOTL:
0:
1896:sf
FANS........... 4
HOOD........... 1
DUCT WORK.....: 0
WOOD STOVES...: 0
FURN>10OK.....: 0
MISC........... 0
AIR HANDLING UNITS
<:10,000 CFM: 0
> 10,000 CFM: O
DWELLING UNITS: 1
STORIES......... 2
HEIGHT.....: 0.00 ft
VALUATION ----------
EXIST..$: 0
PROP ... $: 100627
RECEIVED.:07/12/95
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........... 20.0O:ft
SPRINKLERS?......:?
HAZARD CLASS...:?
FIRE FLOW....: 0 qpm
WATER SERVICE,.:FED
SEWER SERVICE..:FED
IMPERV SURFACE: 2454 sf SENSITIVE AREAS?.:N
FEES:
PLAN CHECK FEE $ 417.95
PUB WKS PLCK(SF)..93 $ 40.00
FINAL PLAN CHECK...* $ 0.00
BUILDING PERMIT....* $ 643.00
SBCC SURCHARGE.....* $ 4.50
MEC APPLIANCE FEES.* $ 50.50
PLUMBING FIXT.... 93* $ 91.00
WATER CLOSETS......:
3
URINALS........:
0
I TOTAL FEES $ 1246.95
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.:
0
LAUN WSHR OUTLTS...:
1
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 INFORMATION 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 .__L--`�? DATE
FILE COPY
«�� G City of Federal WayPlan.,S,iz.
DIVED
w � APPLICATION FOR BUILDING PERMI
P"R���
AUG 31 1995 ilEVIEt�ED UN
PLEASE PR/NT (;►TY OF F �DEDEPT. AY � , 'SER 1 X94 U��
D APPLICATION /1:aw C)
Address LITT
�� 3. -�J
Tonont (if known)
Building Owner Name
Campus Glen Limited Partnershi
city Kirkland state WA
Nature of Work t--,, —
Name (F,M,L)
Campus Glen Limited Partnership
Address
4030 Lake Washington Blvd NE #201
CityK '
rkland
Contact Person Day Phone
Lori Perkins 1206-822-7700
Lot 8
Address
4030 Lake Washin
Zip 98033
State- WA
Other Phone
's Tex X
L1n--
ton Blvd NE #201
Phone 206-822-77
zip 98033
Fox '
206-827-4098
Company Name
Polygon Northwest Company
Address
4030 Lake Washington Blvd NE #201
cityKirkland State WAzip 98033
Contact Person Phone Fax
Lori Perkins 206-822-7700 206-827-4098
Contractor's A (card must be presented) Expiration Date Verified ❑ Yes ❑ No
POLYGNC051D4 03/09/96
Name '
Jay Middleton Design Group
Addr
T6-9
30 Lake Washington Blvd. NE #210
City Kirkland state WA zip 98033
Contact Person Phone Fax
Jay Middleton 827-4991 827-6405
LEGAL DESCRIPTION
Campus Glen Lot#
P/ease Comvlefe Reverse Side
CD04e2 (Rev 41931
# Exiatin Use
2XiC g Vaca
Permit Includes: Building
Type of Work: I$ Residential W New
❑ Commercial ❑ Addition
Enter 1 at Floor sq ft 2nd Floor UAL aq ft
Area Basement eq ft Docks aq ft
Water Availability Sewer Availability %] On -Site Septic
Zoning Ir SR) P= i ,.. z I Lot Size 1,71
0 Plumbing
❑ Remodel
❑ Garage
3rd Floor sq f
Garage sq f
stem Availability ❑
t
I Proposed Use S. F,
Dwe l l in
X] Mechanical
❑ Other
ElNumbar of Units _
0 Dock
❑ Shad
n-Other
Existing Floor Area
I
eq ft
t Proposed Total Area
sq ft
Name
Seattle Mortgage
Address
229 Queen Anne Ave. N.
City. Seattle
state WA Zip 98109
Bidding
Contractor Name Address
City State Zip
Contact Phone Fax
Ucanae # I Expiration Date I Verified ❑ Yes ❑ No
:a;3:Y.•,:.)j..,';f•::`:;:i.j::;::`•'•::::a`isi:::::iifi::;:::::i!:
PLVMBj +C(1'1'RAC'�Q Bidding
Contractor Name
Address
City
State
Zip
Contact
Phone
Fax
Uoense M
Expiration Date
Verified ❑ You ❑ No
Water Closets
Sinks
I Urinals
Lawn Sprinklers
Bathtubs
Dish Washers
Drinking Fountains
Other
Showers
Electric Water Heaters
Sumps
50+ Tons
Lavatories
Washing Machine
Drains
Dr
Tofu(>..iztire<C.oirit<> ><>:< >?»# ..
...:. .; .
Fuel Type (electric/other) C-1 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 <IOOK BTUs
Gas Log
Unit Heater
50+ Tons
Furn > 100 BTUs
Fans
/ / Miscellaneous
Fuel Tanka
Gas Hwt
Hood
Bollsr6
Above Ground
Conv Burner
Duct Work
0-3 Tons
Underground
BBn's
Wood Stoves
3-15 Tons
�O :.:i::<'ii:'i>; <^;:'::•::.' iS'S?: is
f o falsU,il{t..,,,,4r►;;;;,.,.,. ;., .,., .;;;;,,.,,,,,.::
DISCLAIMERt 1 certify under penalty of perjury 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 pe dt 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 n` Investigation;nd dela ss of such claim), which may be made by any person, Including lire undersigned, and Nod against ilia City of Federal Way.
but only when woh claim risks out of the ratio of the City, Including Its officers and employees, upon the accuracy of the Information supplied to the City as a part of tris
application.
Owner/Agent: edoc
2.---''� Data:
Y CITY CSF.. f.E:DE'RAI.. l,AY PE1011.0 ( w: . LI>i45:..C.l5 `?
530 F i r t. Way c3out.h :C��S.� I t,.., ) I M3 P E �: T T�StJTbI): 1.t"IIC32���"ti
ede ra3. Way, WA 9800'1 I3ui 1.di rix 1,rcw..pc{ c.tion Re -quests 661-4140 0 RY : F C2
AT3DRESS:408 S 3 3IS'T P1.:
NO.: 132140-0540
PROJECT DESt: R I PT 10: 1: HSf WIPLUMBING b MECHANICAL **REVIEWED AS BASIC #95-1018490*
CAMPUS GLFH, LOT 154.
OWNER-1 tOMIRACTORLENDER :�'�:W-a�,el�9,a5, ��1�:.�;���..>�T'1.a.:��5w2:.<:fi�•:��5�..�u.:..�;..�?Y:ax-F"1
CAMPUS GLEN LTD PARTNERSHIP POLYGON MW COMPANY SEATTLE MORTGAGE
j 4030 LAKE NASH BLVD HI #201 4030 LK WASH BLVD HE 229 OUEkH ANNE AVE 11
KIRKLAND NA 98033 KIRI.LAND NA 98033 SEATTLE WA 98109
2? -7100 822-7700
Iaa::Tuixeasi.ec YS%Yl11{%YGb:kn:ltll'".'. C::14'[:at.%A.sim.,. ]9. T,.P a'� •.,. .• '.$jp,-:ID•.. fL _.'T. X:WI$�}ij�'.. ..,.•::. � ��.. .s ..: �NCaRi%'R'tG'fiy ".'S4 W:G 23 w:!".•Tt�wex. „1S Yt YtP.`bSPXi%}WG11'uBPK::..4" 9.:.tA.:-.MJ-'r'^', R: v:1 ;6e Ct 4... «.:.:S:c•...x,�aa rd.S ae::K•.;:r:?C3x`IWrg;1?4:r•CYSXIIcxa E:..c.: zklmP:rx71i?:2m«c;a�S13..uE}:C.'.44 }',::: F9!_'c.'es Yt�
sit CONI I £ L ! � L AT ai x 1T ' b SATS TAX 1:09 l�R JF(tS MIININ flit CI fY Of FEDERAL. WAY, IAX RATE = 8.2% IM
xzuae^r_-.aexsa:,C.^ssaaesxes:a�ea!:rae�5x:xa.rac: axrrwxxw.. ;..;: rxx .xr. , ;:.:'.r �.. .-_,�'+�i:`Y.*:�'s`^!"�'-a�°"a�: sig '�^-:'_;-srvx•;as:�r e smx•.:.:.wr rz.xw:aa...e:.cz sr.;asrr-n..»z.:nx gra u. ax.:a,.m.. aK.:.,ea x...u..van....a..e...�:.�:.xaneatc�tnxcnr:.¢:r:r ctaet'asmsvx'azas¢tes+xsaczzcarsazra.
e
BLD?:X NEC?:X PLN?:X FLR E UIT�400P p_*FITI "I#TTS-' CTNIP PLAN. .. SR FEES:
m
TYPE Of WORK:HEN USE:RES 1ST ��• e58 s �ORIIS. ��II? P� PLAH {:NECK FEE $ 417.95
r �.. v� ��� PLCK(Sf).,93 Z 40.00
CENSUS CATEGtlRY..... :101 �..� �sT IbsT COO TT HA, S ` PUB WKS
OC(UPwY GROUP ---- °9Pi .� 0 s �,LU T-0 R OUIf BACTS sFIR f NA PLAN CHECK.., 3 0.00
:R3
:U1 :? :'? �ItT' 0: `��.� TMST '$ tT ,: x ��,�� .� � PERNIT....443.00
TYPE Of CONSTRUCTION -O Xf IOP SIDE .......... 5.00 ft. WATER SLRVICE..:fED SB(( SURCNARGE..... $ 4.50
qm
:SN :SH :? ►NIAid.........., 20,00:ft SEWER IERVICE..:FE4 NEC APPLIANCE FEES. $ 50.50
OCCUPANT LOAD ------------- G z>. 5 ¢ f RlED 07 95 PLUMBING FIkT....93+ $ 91.00
0; 0: 0: 0 TOT���h'z� 6 INPERV SURFACE: 2454 sf SERITIVE AREAS?.:H
��
•.......:wtaa,:rsc.......»s:o..:.:.r a~;a„a sxsw»r�e:er�mxsra::rzss.are+---eca:xGna �m5a a:.r;eam...ria>aaa::�+,xr. •x�:ror....... x,...n �
5
L TYPES.:GAS ” IIE FANS..........: 4 BOILERS%COORRESSORS WATER CLOSETS......; 3 URINALS........: 0 TOTAL FEES
PIPING.. 38 fit HOOD.... ..., 1 0-3 HP.,.,...' 0 BATH TUBS........... 1 ORIHKING FOUNT.: 0
Fi*"/ IOOK... 1 DUCT WORK...... 0 3-15 HP...... 0 SHOWERS ............. 2 SUMPS........... 0
GAS NWT....: I WOOD STOVES.. 0 15-30 HP....: 0 LAVATORIES....,. .,: 4 VAC BREAKERS...: 0
#` CONV BURNER: 0 FURH>100K..... , 0 30-50 HP...., 0 SINKS.— .... ...... 1 DRAINS.........: 0 I
1„660........: 0 NISI:.........: 0 5+ HP.......: 0 DISH WASHERS—'-.: I LAWN SPRINKLERS: 0
GAS DRYER.,: 0 AIR HANDLING UNIT$ FUEL TANKS -- ------ (LE( WIR HEATERS...: 0 OTHER fIXTURES.: 0
j RANGE......: 1 1.10,000 CFO: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS... : 1
GAS LO65...: 0 > 10,000 QN: 0 UNDERGROUND 0
11c"ITS EXPIRE 180 DAYS AFIE:R ISSUANCL IF NO LLORK IS STARTED. RESIDERIIAL AND GRADING"PWITS F0111' Q#t !FAR AIIER BATE Of hIAIRNCE.
1 CEIt1Ifyk,49011 Iof, INFORMATION IUNNISHED DY OL,1S low AND Ctmcl TOS ILII. REST NY ENOMtLOGE 1199 INI APPI061,E CITY Of it.KNoL WAY REORRINkNIS MILL. 1N; r(:
WHIR OR AGENTt_ --'- Jit
..
� _. - �-k'�.� DAT(
5
FIELD COPY