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95-1022109,5' /D )6 CITY OF FEDERAL WAY" PERMIT NO: BLD95--0703 33530 F i rs t Way South '"��,,,,.,� ......", .,�,,,;h .,:��,. 1�"''�'i?:;,:..,%..."�.,. ISSUED: 10/02/95 Federal Way, WA 98009 Building Inspection Requests 661-41.40 BY: FC2 661--4000 EXPIRES: 03/30/96 ADDRESS:412'S 331ST PL NO.: 132140-0530 PROJECT DESCRIPTION: NSF - W/ PLUMBING AND MECHANICAL. **REVIEWED AS BASIC #95-1019-V94** CAMPUS GLEN, LOT #53. = OWNER ___________ ___ ______=_________==___=________=====Y= CONTRACTOR CAMPUS GLEN LTD PARTNERSHIP POLYGON NW COMPANY j 4030 LK WASH BLVD NE, #201 4030 LK WASH BLVD HE L KIRKLAND WA 98033 KIRKLAND WA 98033 822-7700 822-7700 POLYGNCO51D4 LENDER SEATTLE MORTGAGE 229 QUEEN ANNE AVE N SEATTLE WA 98109 *** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE : 8.2% *** BLD?:X MEC?:X PLM?:X TYPE OF WORK AEW USE:RES CENSUS CATEGORY ..... :101 OCCUPANCY GROUP ---------- :R3 :U1 :? :? TYPE OF CONSTRUCTION ----- :5N :5N :? :? OCCUPANT LOAD ------------ 0: 0: 0: 0: kEL TYPES.:GAS ELE S PIPING.: 38 ft FURN<100K..: 1 GAS HWT....: 1 CONV BURNER: 0 BBQ......... 0 GAS DRYER..: 0 RANGE....... 1 GAS LOGS...: 0 FLR--EXIST--PROP--- 1ST.: 0: 967:sf 2ND.: 0: 744:sf 3RD.: 0: O:sf OTHR: 0: O:sf BSMT: 0: O:sf DECK: 0: O:sf GAR.: 0: 497:sf TOIL: 0: 2208:sf FANS........... 4 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..$: 0 PROP...$: 125862 RECEIVED.:08/31/95 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 Spm WATER SERVICE..:FED SEWER SERVICE..:FED IMPERV SURFACE: 2905 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 FEES: PLAN CHECK FEE $ 100.00 PUB WKS PLCK(SF)..93 $ 40.00 FINAL PLAN CHECK...* $ 0.00 BUILDING PERMIT....* $ 730.50 SBCC SURCHARGE.....* $ 4.50 MEC APPLIANCE FEES.* $ 50.50 PLUMBING FIXT.... 93* $ 91.00 TOTAL FEES $ 1016.50 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO NOR( IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE I ORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY Of FEDERAL NAY REQUIREMENTS WILL BE NET. OW'R OR AGENT GOY`L �,_�-14-a DATEq6 FILE COPY Tenant (if known) Building Owner Name Cam us Glen Limited Partnershi city Kirkland Istate WA Neuro of Work Cons trust q i nrrl c r, Name (F,M,L) Campus Glen Limited Partnership Address 4030 Lake Washington Blvd NE #201 Lot # Address 4030 Lake Wash Zip 98033 state Contact Person Day Phone Other Phone Dori Perkins 1206-822-7700 CompanyName Poygon Northwest Company Address 4030 Lake Washington I Blvd NE #201 cityKirkland Contact Person Lori Perkins Contractor's # (card must be presented) POLYGNC051D4 As eseor'e T� x ton Blvd NE #201 Phone 206-822-770 State WA Phone ?06-822-7700 Expiration Date 03/09/96 Zip 98033 Fax 206-827-4098 Fax 206-827-4098 Verified ❑ Yes ❑ No Name ' Jay Middleton Design Group Addrp6s30 Lake Washington Blvd. NE #210 City Kirkland state WA zip 98033 Contact Person Jay Middleton PhFax 827-4991 827-6405 LEGAL DESCRIPTION Campus Glen Lot# Please Complete Reverse Side CD0492 (Rev 4/931 `r.` r'is:1:1`:>`»>s>3?»»»::>;>:^»»»3<«s»» Existing Use Proposed Usa 9W :> Vacant - S.F. Dwelling Permit Includes: Address 229 Queen Anne Ave. N. N Building g Plumbing R7 Mechanical ❑ Other Type of Work: (X Residential N New ❑ Remodel ❑ Number of Units _ ❑ Dock Miscellaneous ❑ Commercial ❑ Addition ❑ Garage ❑ Shad ❑ Other Enter 1 at Floor aq It 2nd Floor --741 sq It 3rd Floor sq it Existing Floor Area 3-15 Tons sq It Area Basement aq it Docks aq It Garage !�= aq it Proposed Total Area aq It Water Availability Sewer Availability On -Site Septic System Availability ❑ .. :. ,,..PrQje�,.t:Y@.uet�4n.. $...,.:.. ................:.. Zoningt SR' �s % �� Lo Size z % . �_C�O u E7s1>itip :did `Yt�t..alt4n .:.:,... a :::,,�......:....:.:.:.....:.. 9....::>.'>:::::;E:`•3E>: <:><>>: .,. _ iXX Seattle,Mortgage rcity Address 229 Queen Anne Ave. N. Seattle state WA Zip 98109 +tY41iA1''1f'tC:A>><„ Bidding Contractor Name Address City State I Zip Contact I Phone I Fax - jl License * I Expiration Date I Verified ❑ Yes ❑ No Bidding Contractor Name Address City State Zip Contact Phone Fax Expiration Date Verified ❑ Yes ❑ No X. License Water Closets Sinks Urinals Lawn Sprinklers Bathtubs Dish Washers Drinking Fountains Other Showers Electric Water Heaters Sumps Lavatories Washing Machine !Tota ( Drains„.„.:.;l::Fi::.:., Fuel Type (aleotrlo/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons Length of Gas Piping Range Air Handling > - 10,000 CFM 30-50 Tons Furn <IOOK BTUs Gas Log Unit Heater 50+ Tons Furn > 100 BTUs Fans Miscellaneous Fuel Tanks Gas Hwt Hood Boilers Above Ground Conv Burner Duct Work 0-3 Tons Underground BBQ's Wood Stoves 3-15 Tons TX.:alUijl>:Coij tl'', DISCLAIMER: I certify under penalty of perjury that the Information famished by me Is true and correct to the beat of my knowledge and further that I em 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, exponsas, and attorneys' 7suchalsirn curred In I estigatlon an elan of such claim), which maybe made by any person, Including the undersigned, and filed against the City of Federal Way, but only when ad s out of the.r lana o the Gly, Including Its officers and employees, upon the accuracy of the inlonnatlon supplied to the City sea part of this application. Owner/Agent: `, , X� r— "� Date; i-ITY OF' FET)F-_.RAL WAY 133530 First, Way "outh f'eder-al Way, WA 9800'-4 �661 -4000 DUILDIAIG PER,11.11' 8uilcll3nq I nspecfion Requests 661-41,40 PERMIT NO: DL.1)95070'A ISS'UED: 10/02/95 BY: FCC EXPLRES: 03/30/96 ISI F�f 412 4, 3,S T" pl. NO., : 1.32140-(.,1530 PROJECT DESCRIPTION: NSF W/ PLI)MB16 AND MECHANICAL. ISREVIEWED AS BASIC 195-1019-V94** (AMNS GLEN, LOT 153. OWNER CONTRACTOR ............... .................. LENDER — ........... CAMPUS GLEN LID PARTNERSHIP POLYGON ow COMPANY SEATTLE MORTGAGE 4030 Lt WASH BLVD N1, 11201 4030 LY WASH BLVD HE 229 QUEEN ANNE AVE R KIRKLAND WA 9803 KIRKLAND WA 98013 SEATTLE #A 98109 1822-7700 822-7700 FEDERAL MAY. A) RAIL 7: 82us I t sit CONINACTUS AE OF MA NG SALES TAX FOR PRWOf ECIS NITNIN IR CITY BL D?: X ME(?: X PLM?:X fLR--O 09fOIP PLAN ......... :SR FEES: TYPE OF WORK -HER USf:R[S IST.: 967 f,`,2' ORIF 40,190 P0,34k, - 4 PLAN CHIC[ FEE a m CENSUS CATEGORY.....; 101 2W SS PUB WKS PL(X(Sf),,93 A, tk tIN01. PLAN CHECK... :ALU as OCCUPANCY GROUP ------ 'Iff0 10 -------- IN. :R3 :Ul 4U.VU I S PERMIT.... TYPE of CONSTRUCTION . ....... If' 5.00 ft WATER SERVICE -J0 SB(C SURCHARGE..... . .. .. ... . . . .. ... AR. ME( APPLIANCE fEES.* . . . . . . . .. . . . I""',", AT . . ...: 20.00:ft SEWER S[RVI(E..:rlD :5H :so :? :? C OCCUPANT LOAD------------ G .... . .. ....4 <f on Ek:0 /9 PLUMBING fIXT .... 934 0: 0., 0: 0. IMPERV SURFACE: 2905 sf SENSITIVE AREAS?.:N UEL TYPES.:GAS ELF FANS .....4 BOILERS /COMPRESSORS WATER CLOSETS....,.: 3 URINALS ...... _: 0 TOTAL FEES S PIPING.: 38 It HOOD..........: 1 0-3 HP......: 0 RAIN TUBS..........: I DRINVING FOUNT.: 0 fumlook..: I Dii(I 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 (00V BIONER: 0 fURH>IOOt ..... 0 30-50 HP..... 0 SIHKS......... ..... : I DRAINS.........: 0 M.- ..... : 0 HIS(........... 0 sf HP........ 0 DISH HASHERS........ 1 LAWN SPRINKLERS: 0 GAS DRYER-: 0 AIR HANDLING UNITS FUEL TANKS--------- ELEC HTR HEATERS...: 0 OINEP FIXTURIS.: 0 RANGE......: I <:10,000 CFH: 0 ABOVE GROUND: 0 LAUR WSHR OURTS ... : I GAS LOGS—: 0 > 10,000 (fH: 0 UNDERGROUND.: 0 730.50 4.50 50,50 $ 91.00 $ 1016.50 ,-PERMITS EXPIRE 180 OAYS Affll ISSUANCE If NO VORK IS STARTED. RLSIKAflAt AND GRADING PlRNIfS EXPIRE ONE YEAR AFTER DATE of ISSM1. I (FRIIFY (NAT lift ImfoRmlift fojplmlsotD By Mt: IS IM AND CORRECT 10 THI NES] Of NY KNOWLEDGE AND 104, APPLICABLE CITY Of FEDERAL WAY RIQUIRLHINTS MILL K Nil. k17 t0fR OR AGENT J�.Al FIELD COPY ....................................................... ....................................................... ....................................................... SET6AcK A P174TINGS CDO193 Date 5 By FOUNDATIO WALLS Date I 1.7 By ...................................................................................... ................................................................................. ........................................._1 1....1...11....1.................... ..................................................1.......1..1............1...... ptUMBIND IaIiOIJNDWOEtK Date By UNDERFLOOR L ...............RAMING . Date '...........By ................................................................................ ................................................................................ ................................................................................. SHF:A►1i 1MALLS ... ... . . Date — l By 7...... PLUMBING ROUGH -IN Date �, By GAS P1P1NG Date ,� G By 7�................................................................................ ....... MEGtfiAN1GAL ROUGH -IN Date L Gl /- By M ECHAN' 1 C'A' LiR0THI~R) Date By FRAMING :: ......... ........ Date 1A. By .............................................................................. INSULATION Date — BY GWB 1St Ld , Date B GWB 2ND LAYS Date By _. ... ..... ......... 1111 LL SUSPENI):EQ:.I tVWNG Date By PLANNING FINAL Date By 7 ENGINEERING FINAL Date By FIR. E FINAL Date By 1111 1111 BUILDING FINAL:"' Date ' By OTHER Date By 7Q.T.H.E.0 Date By CDO193