95-101230CITY OF FEDERAL WAYPERMIT NO: BLD95-0441
33530 First Way South p U tel., L. -DI NG PERMIT ISSUED: 06/28/95
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC2
661-4000 EXPIRES: 06/28/96
ADDRESS:405 S 331ST PL
NO.: 132140-0930
PROJECT DESCRIPTION:NSF W/PLUMBING AND MECHANCAL
CAMPUS GLEN, LOT #93.
= OWNER
CAMPUS GLEN LTD PARTNERSHIP
4030 LK WASH BLVD NE, #201
KIRKLAND WA 98033
-7700
APPROVED BASIC #95-1009-V91
CONTRACTOR===aaxxxa
POLYGON NW COMPANY
4030 LK WASH BLVD NE
KIRKLAND WA 98033
822-7700
POLYGNC088DP
LENDER
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% sst
----------------- — — -------- ------ - ----- -------- - -------------------___ _______--------------- ---- ----------------------------------------
-------------------- - -------------------------------------------------- - - -
BLD?:X MEC?:X PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN ......... :SR FEES:
TYPE OF WORKAEW USE:RES 1ST.: 0: 967:sf STORIES........: 2 REQUIRED PARKING..: 2 SPRINKLERS?......:? PLAN CHECK FEE $ 100.00
CENSUS CATEGORY ..... :101 2ND.: 0: 740:sf HEIGHT.....: 0.00 ft HAZARD CLASS...:? PUB WKS PLCK(SF)..93 $ 40.00
OCCUPANCY GROUP---------- 3RD.: 0: O:sf VALUATION---------- REQUIRED SETBACKS------- FIRE FLOW....: 0 gpn FINAL PLAN CHECK...* $ 0.00
:R3 Al :? :? OTHR: 0: O:sf EXIST..$: 0 FRONT.........: 20.00 ft BUILDING PERMIT....* $ 730.50
TYPE OF CONSTRUCTION----- BSMT: 0: O:sf PROP ... $: 125588 SIDE..........: 5.00 ft WATER SERVICE..:FED SBCC SURCHARGE ..... # $ 4.50
:5N :? •? :? : DECK: 0: O:sf REAR..........: 5.00:ft SEWER SERVICE..:FED MEC APPLIANCE FEES.* $ 61.50
OCCUPANT LOAD------------ GAR.: 0: 497:sf RECEIVED.:06/08/95 PLUMBING FIXT.... 93* $ 98.00
0: 0: 0: 0: TOTL: 0: 2204:sf IMPERV SURFACE: 1905 sf SENSITIVE AREAS?.:N
aaaxaaxaaaazaaaxzxcxcsxxxaaaaccacazcxaaxxax_aaxxaca=aaaazxxxxaaxxaazaazaaxxxT.axacx---xc--
UEL TYPES.:GAS ? FANS..........: 5 BOILERS/COMPRESSORS WATER CLOSETS......: 3 URINALS........: 0 TOTAL FEES $ 1034.50
S PIPING.: 38 ft HOOD..........: 1 0-3 HP......: 0 BATH TUBS..........: 1 DRINKING FOUNT.: 0
FURN<100K... 1 DUCT WORK...... 0 3-15 HP...... 0 SHOWERS ............. 2 SUMPS........... 0
j GAS HWT....: 1 WOOD STOVES...: 0 15-30 HP....: 0 LAVATORIES.........: 4 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K...... 0 30-50 HP..... 0 SINKS ............... 1 DRAINS.......... 0
BBQ........: 0 MISC..........: 0 5+ HP.......: 0 DISH WASHERS.......: 1 LAWN SPRINKLERS: 0
GAS DRYER..: 1 AIR HANDLING UNITS FUEL TANKS--------- ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 1
RANGE......: 1 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS... : 1
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
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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 ORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS HILL BE MET.
OWNER OR AGENT t�(�-'i �!�l-_ �' DATE'
FILE COPY
APPI.ANT
...........
Name (F,M,L)
0
0
Flan3qO
•«�� G
City
of Federal Way
(x D 15-•6
city K rand
R't"ON
FOR BUILDING PERMIT
ZiP 9 8 0 3 3
JUN ® 11995
Day Phone
206-822-7700
Other Phone
PLEASE PR/NT
Phone
APPLICATION #
�!
SITELCCA•T
206-827-4098
Contractor's # (card must be presented)
WfT
POLYGNC051D4
03/09/96
Tenant (if known)
Lot #Assessor's
`9 -3
Tex #
[ 33 I L4
Building Owner Name
Address
Campus Glen
Limited Partnership
4030 Lake Washington Blvd NE #201
city Kirkland
state WA
Zip 98033
Phone 206-822-7700
Nature of Work Construct Si ncil P Rami 1 ,
APPI.ANT
...........
Name (F,M,L)
AddTV30 Lake Washington Blvd. NE #210
Campus Glen Limited
Partnership
Address
Contact Person
4030 Lake Washington
Blvd NE #201
city K rand
state
ZiP 9 8 0 3 3
Contact Person
Lori Perkins
Day Phone
206-822-7700
Other Phone
Fax
1206-827-4098
Phone
Fax
--
206-822-7700
.,
i3UIL�SxNG CON'�RA•CTQIt
.....................................:....::..:.::,.::
Company Name
AddTV30 Lake Washington Blvd. NE #210
cityKirklandstate
Polygon Northwest Company
zip 98033
Contact Person
Address
Fax
Jay Middleton
4030 Lake Washington Blvd NE #201
827-6405
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 ❑ Yes ❑ No
POLYGNC051D4
03/09/96
AXiCi�TEGT
Name '
Jay Middleton Design Group
AddTV30 Lake Washington Blvd. NE #210
cityKirklandstate
WA
zip 98033
Contact Person
Phone
Fax
Jay Middleton
827-4991
827-6405
LEGAL DESCRIPTION
Campus Glen Lot#
Please Complete Reverse Side
CD0492 (Rev 4/93)
.
..................
............. ..........
Existing Use
Vacant
0 Other
Permit includes:
0 Dock
M Building1
Plumbing
Type of Work:
IX Residential
El Commercial
N Now
0 Addition
0 Remodel
0 Garage
Enter 1st Floor . la:7
Area Basement --
sq ft
-- - -- sq ft
2nd Floor -7,q(?
Docks
sq ft 3rd Floor sq ft
sq ft Garage sq ft
Water Availability
N Sewer Availability k On -Site Septic System Availability [I
Zoning
SR
I Lot Size (_p.
U C4 'Z—
. .
.... .......... - ....................
...........
.......................
...................................
.............. . .
........... . .. .........
I.. , . � ............
Proposed Use S.F.
Dwellin
V Mechanical
0 Other
0 Number of Units
0 Dock
El Shad
El Other
Existing Floor Area
—sq ft
Proposed Total Area
sq ft
I I
Seattle Mortgage
Address
229 Queen Anne Ave. N.
city Seattle
State WA I Zip 98109
Bidding
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified El Yes El No
.......
. .........
.......... ................
Biddina
Contractor Name
Address
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified 0 Yes 0 No
...........
Water Closets
Gas Dryer
Sinks
Urinals Lawn Sprinklers
Bathtubs
Range
Dish Washers
Drinking Fountains Other
Showers
Gas Log
Electric Water Heaters
Sumps
Lavatories
Fans
Washing Machine
.................... . .....
X;
Drains 0: ... ... .. ..
TotalAxt ..iff --.0 "n
......... .....
Fuel Type (electric/other)
Gas Dryer
Air Handling < = 10,000 CFM
15-30 Tons
Length of Gas Piping D
Range
Air Handling > — 10,000 CFM
30-50 Tons
Furn <100K BTUs
Gas Log
Unit Heater
50+ Tons
Furn > 100 BTUs
Fans
V) Miscellaneous
Fuel Tanks
Gas Hwt
Hood I
Boilers
Above Ground
Conv Burner
Duct Work
0-3 Tons
Underground
BBQ's
Wood Stoves
3-15 Tons
TO : 6,1A. nIt::,6un
a.,
DISCLAIMER: I certify under penalty of perjury that the information furnished by me Is true and correct to the bast of my knowledge and further that I am authorized by the owner
of the above I t p rl n the wo* for which permit application is made. I further agree to save harmless the City of Federal Way as to any claim (including costs, expenses,
r7m"a' IQ p
m "o
and attomeya��r*f...:,aln.urn � Invest*atIon.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 arises out of 6 a part of this
reliance of the City, including its officers and employees, upon the accuracy of the Information supplied to the City a
application. ) —
Owner/AgentL---( 6/L'L L2Z J�' Date:
` 0F FEDERAL WAY
~'33530 First Way South
. Federal Way" WA 98003
661-4OOO _
`
BUILDING PERMIT
.
Building Inspection Requests 681-4140
�
ADDRESS:405 S 331ST PL
NO.: 132140-0930
PROJECT DESCRIPTION: NSF NSAND MECMAN[Ai
CAMPUS GLEN, i07 193'
=
OWNER
CAMPUS GLEN LTD PARTNERSHIP
4030 [K WASH BLVD NE, 0201
� K0KLAHU WA 98033 �
/
APPROVED BASIC #95-1009-Y91
CONTRACTOR =====
POLYGON NW COMPANY
4030 LK WASH DKV8 N[
K0KLAND WA 90033
822-70U
P0LYGMCO88Uy
PERMIT NO: BLD95-044I
IGS D 08/28/95
F[2
EXPIRES,; O6�2�9/9�� '
, .
`
\`
`
\
\
\ �
LENDER
SEATTLE MORTGAGE
229 QUEEN ANNE AVE
SEATTLE WA98109
CONTRAcTORS"Pim 141 CODE 1132 OREN REPORTING SAt[S TAX FOR PROJECTS VITHIN IRE CITY OF FEDERAL WAY. TAX RATE : 8.2% M
BLD?:X MEC?:X PLM?:X FLA - -EXIST- -PROP--- CONP PLAN ......... :SR FEES:
TYPE OF NOMMEW USE:RES IST.: 0: 967:s, '.4 1 AIQUIRED PARKING—: 2 SPRINKLERS? ...... :? PLAN CHECK FEE 100.00
00
'Srt"Sn AR 4.50
Iw
TYPE OF CONSTRUCTION
REAR .......... 5.00:ft SEWER SERVICE..:FED NEC APPLIANCE FEES.* $ 61.50
FUEL TYPES.:GAS ? FANS ' BOILERS/COMPRESSORS WATER CLOSETS ...... : 3 URINALS ........ : 0 TOTAL FBS 1034.50
PIPING.: 38 ft HOOD ~......: 1 0-3 HP.....: O BATH TUBS .......... , & 08B*I80 FOUNT.: O
pR�N 10UK,.: 1 DUCT WORK.....: V 3'15 HP.,...: 0 SHOWERS ............ : 2 SUMPS .......... : 0 y
GAS HWR....:
1
08VD STOVES ... :
O
15-30 NP,...:
0
LAVATORIES '.,'..,,,:
4
VAC BREAKERS ... :
U
CONY BURNER:
0
FUKw>1U0K..... :
U
30-50 Hn.... :
O
SINKS .............. :
1
DRAINS ......... :
0
BBQ......':
U
MIS[....,..,:
O
5f HP...~.:
Q
Ul3H WASHERS ....... :
I
LAWN SPRINKLERS:
O
GAS DRYER..:
1
A0 HANDLING UNITS
FUEL TANKS---------EiEC
WTH HEATERS ... :
0
OTHER FIXTURES.:
1
KAN8L....,
1
<:10.000 [FM:
U
ABOVE GH0N0'
O
LA8W WSN8 QUILTS ... :
1
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND MINS PERMITS EXPIRE ONE,YEAR AFTER "I[ OF ISSUANCE'
'I0ERTIFY THAT IRE INFORNATION FURNISNED 1Y HE IS TRUE AND CORRECT TO THE BEST Of NYQNOULM AND THE APKICWE CITY OF FEDM NAY
OWNER VK AGENT ` / ` L--�- ^ DATE
/ . *
FIELD COPY
CDO193
t
SETt�AC1C & FFit�TINGS
Date
By
FOUNDATION WALLS
........................................................................
Date
By
PLUMBING GROUNDWORK
Date.
By
UNDERFLOOR FRAMINGt
Date
By
SHEAR WALLS
Date
By
7
PLUMBING OUGH IN
Date n
By
7
.................................. .
GAS PIPIN;
Date
By
7MIECHAN194L
ROUGH-IN
Date Cj
By
7
MECHANICAL (OTHER) I,
Date
By
FRAMING
Date g
By
z -.
�,
INSULATION
Date o.- f(- S
BY A
GWB - 1 ST LAYER
Date l� � ��
BY
GB B - 2N:D LAYER
Date
By
7
SUSPENDED CEILING
Date
By
PLANNINGFINAL::
Date
By
ENGINEERING FINAL
Date
By
7FIRE:..FINAL
Date
By
BUILDING FINAL
Date
By
7oTHER
Date
By
OTHER
Date
By
CDO193