95-102082CITY OF FEDERAL WAY
W First Way South
Federal Way, WA 98003
661--4000
I"" E1"101, l.. T
Building Inspection Requests 661--4140
ADDRESS:51O S 331ST PL
NO.: 132140--0500
PROJECT DESCRIPTION: NSF - W/PLUMBING AND MECHANICAL. **REVIEWED BASIC #95-1018-V94$
CAMPUS GLEN, LOT #50.
= OWNER --- »_..__» __a»axnoon=noxa»=a»aaannnaaxa»===xaxaTx CONTRACTOR--.--..-nnaaaanaanzaaaanaxaaaaa=xaax
CAMPUSGLENLTD PARTNERSHIP POLYGON NW COMPANY
4030 LK WASH BLVD NE, #201 4030 LK WASH BLVD NE
0 KIRKLAND WA 98033 KIRKLAND WA 98033
2-7700
822-7700
POLYGNC051D4
95- fbaog�
PERMIT NO: BLD95--0668
ISSUED: 09/22/95
BY: FC
EXPIRES: 09/22/96
*b
LENDER --•____ »_»»
SEATTLE MORTGAGE
229 QUEEN ANNE AVE N
SEATTLE WA 98109
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:x: CONTRACTORS,
PLEASE USE LOCATION
CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN
THE CITY OF FEDERAL WAY.
TAX RATE : 8.2%
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-PLAN
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BLD?:X MEC?:X PLM?:X
FLR--EXIST --PROP---
DWELLING UNITS=:
: 1
COMP ......... :SR
FEES:
TYPE OF WORK:NEW USE:RES
1ST.: 0: 658:sf
STORIES........: 2
REQUIRED PARKING..: 2
SPRINKLERS?......:?
PLAN CHECK FEE
$ 100.00 I
CENSUS CATEGORY ..... :101
2ND.: 0: 666:sf
HEIGHT.....: 0.00 ft
HAZARD CLASS...:?
PUB WKS PLCK(SF)..93
$ 40.00
OCCUPANCY GROUP----------
3RD.: O: O:sf
VALUATION----------
REQUIRED SETBACKS-------
FIRE FLOW....: 0 gpm
BUILDING PERMIT....*
$ 643.00 {
:R3 :U1 :? :?
OTHR: 0: O:sf
EXIST..$: 0
FRONT.........: 20.00 ft
SBCC SURCHARGE.....*
$ 4.50
TYPE OF CONSTRUCTION-----
BSMT: 0: O:sf
PROP ... $: 100196
SIDE..........: 5.00 ft
WATER SERVICE..:FED
MEC APPLIANCE FEES.*
$ 68.00
:5N :? :? :?
DECK: 0: O:sf
REAR..........: 20.00:ft
SEWER SERVICE..:FED
PLUMBING FIXT.... 93*
$ 91.00
OCCUPANT LOAD------------
GAR.: 0: 547:sf
RECEIVED.:08/25/95
FINAL PLAN CHECK...
$ 0.00 j
: 0: 0: 0: 0:
TOTL: 0: 1871:sf
IMPERV SURFACE: 2565 sf
SENSITIVE AREAS?.:N
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FUEL TYPES.:GAS ? FANS..........: 5 BOILERS/COMPRESSORS
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WATER CLOSETS......: 3
URINALS........: 0
TOTAL FEES
$ 946.50
RS PIPING.: 38 ft
HOOD..........: 1
0-3 HP......: 0
BATH TUBS..........: 1
DRINKING FOUNT.: 0
RN<100K... 1
DUCT WORK...... 0
3-15 HP...... 0
SHOWERS ............. 2
SUMPS........... 0
AS 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 I
GAS DRYER..: 1
AIR HANDLING UNITS
FUEL TANKS---------
ELEC WTR HEATERS...: 0
OTHER FIXTURES.: 0
RANGE......: 1
<:10,000 CFM: 0
ABOVE GROUND: 0
LAUN WSHR OUTLTS...: 1
GAS LOGS...: 1
> 10,000 CFM: 0
UNDERGROUND.: 0
t»axana=aaxaanaaaaxxxa»xxaaxa--•---_._..___..________________._..______.---__---- _ -___-________. __-_..-____________
_-_--__-_-____-_-•-------___.._.._______._-.___-_--
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 TINE FORMATION
FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST
OF MY KNOWLEDGE AND THE APPLICABLE
CITY OF FEDERAL NAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT
?! ---_
- DATE
FILE COPY
w5i (4q5 101 ^Vqu � P1 tin .:�I Gc
«•� � City of Federal Way 61-M6
CATION FOR BUILDING PERMIT`
PLEASE PRINT `I.t1V, `t V3 ASSS
Tenant (if known)
Building Owner Name
Campus Glen Limited Partnershi
city Kirkland state WA
Nature of Work Construct qi nnl o to nm;
Name (F,M,L)
Campus Glen Limited Partnership
Address
4030 Lake Washington Blvd NE #201
APPLICATION #:
/,
Lot # ��� Assessor's Tex #
2 14OGon
Address
4030 Lake Washington Blvd NE #201
Zip 98033 Phone 206-822-7700
CilyKirkland state Zip 98033
Contact Person Day Phone Other Phone Fax
Lori Perkins 1206-822-7700 -- 206-827-4098
ZCliL�NG CONTitACT01
......................:.....:.::::.:::::::.:::::::
Company Name
AddTV30 Lake Washington Blvd, NE #210
City Kirkland
Polygon Northwest Company
zip 98033
Contact Person
Jay Middleton
Address
Fax
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)
POLYGNC051D4
Expiration Date
Verified ❑ Yes ❑ No
03/09/96
MGWEC..:
Name '
Jay Middleton Design Group
AddTV30 Lake Washington Blvd, NE #210
City Kirkland
state WA
zip 98033
Contact Person
Jay Middleton
Phone
h827-4991
Fax
LEGAL DESCRIPTION
Campus Glen Lot# 51
Please Complete Reverse Side
A
CD04e2 Wev 4/831
..........................................................................................
j Proposed Use S. F. Dwe l l in
V Mechanical ❑ Other
❑ Number of Units _ ❑ Deck
❑ Shed ❑ Other
sq ft Existing Floor Area sq ft
sq ft Proposed Total Area sq ft
:..
❑ __ _ .ProleatUaluatt4n I$ <<:;`::`.:;:::::'.:
Name
Seattle Mortgage
Address
229 Queen Anne Ave. N.
Existing Use Vacant
Permit Includes:
Zip
Building Plumbing
Type of Work:
I$ Residential
❑ Commercial
® Now ❑ Remodel
❑ Addition ❑ Garage
Enter 1st Floor
Area Basement
sq ft
sq ft
2nd Floor Li&sq ft 3rd Floor
Decks sq ft Garage �J
Water Availability
X Sewer Availability X1 On Site Septic System Availab
Zoning
SR
Lot Size —7 ,� C) 0
..........................................................................................
j Proposed Use S. F. Dwe l l in
V Mechanical ❑ Other
❑ Number of Units _ ❑ Deck
❑ Shed ❑ Other
sq ft Existing Floor Area sq ft
sq ft Proposed Total Area sq ft
:..
❑ __ _ .ProleatUaluatt4n I$ <<:;`::`.:;:::::'.:
Name
Seattle Mortgage
Address
229 Queen Anne Ave. N.
City Seattle
State WA Zip 98109
YAlif^A GO1V'Y'Y2ATpYt..::::::.::.. Bidding
Contractor Name
Address
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
PLUMIli " QNT tAC' QOR.. <><
Bidding
Contractor Name
Address
City
State
Zip
Contact
Phone
Fax
License N
Expiration Date
Verified ❑ Yes ❑ No
Water Closets
Sinks
I Urinals Lawn Sprinklers
Bathtubs
Dish Washers
Drinking Fountains Other
Showers
Electric Water Heaters
Sumps
Lavatories
Washing Machine
DrainsTotttljFiztture: Count
11rCAI.UIY'. �.
Fuel Type (electric/other)
Cas
Gas Dryer
Air Handling < = 10,000 CFM
15-30 Tons
Length of Gas Piping
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 Tanke
Gas Hwt
Hood
Boilers
Above Ground
Conv Burner
Duct Work
0-3 Tons
Underground
BBQ's
Wood Stoves
3-15 Tons
Q
To{aJ Un1t G„411
DISCLAIMER: I certify under penalty of perjury that the Information furnished by me is true and correct to the beat 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 costs, expenses,
and attorneys' fees Incurred In investigation and defense of such claim), which may be made by any person, Including the undersigned, and tiled against the City of Federal Way,
but only where such claim aria out of the red ce 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: Dater ,
Ir
W 1:j 1, 1 f1k
.33530 First Way South
f Federal Way, WA 9f -,,'0U3 fw�' 'it: -'ora I:.<.> t f.)
-'orl 14, k�"' cl� t. j H
f.
661-4000
g,'DI)RE4S:510 S :331ST NI_
40. : 1-32140–U-900
PROJECT DESCRIPT.ION:NSF WIPLUhBING AND MECHANICAL. **REVIk.W1D AS BASIC 1i95 -1018-V9
CAMPUS GLEN LOT 150.
OWNER CONTRACTOR --------
CAMPUS GLEN ITD PARTNERSHIP POLYGON RN COMPANY
4030 LK WASH BLVD HE, 111201 4030 1-K WASH BLVD HE
KIRKLAND WA 98033 KIRKLAND WA 98033
822-7700
US CONTRACTORS, PLEASE USE LOCATION
OL D?: Y ME(?: X PLN?: X fIX-4c-E1 IST- -PROP f -S Wt I
TYPE Of WORK:RFN USf:R[S IST.: 0: 658:sr�;
.: -'i'Pxx,,-�
CENSUS (AliGORY ..... :101 2ND 6
OCCUPANCY GROUP-----_---- 3RD.: 0: S11,§ f,Lo
,,,atqia,
:R3 :U1 :? :? Os is
TYPE OF CONSTRUCTION— 0 S -Op
*?
OCCUPANT TOAD--__.__..
Z-5 o'n ST 4, CFS
0: 0: 0: 0:
822-7700
LENDER
SEATTLE MORTGAGE
229 QUEEN ANNE AVE N
SEATTLE WA 98109
ING SALES lax FOR PROJECTS 1111HIN Iff (fly OF FIKIK NAY.
CORP PLAN....... ':SR
REQUIRED PARKING...: 2
SPRINKLERS? ........ ;)
HAZARD CLASS...:?
rTar cinu Ti
WATD
SEWER S
SURFACE: 2565 sf SENSITIVE ARIAS?.1
TAX Not : 6.2t
FEES:
PLAN CHECK FEE 190.00
PUB WKS PLCK(Sf)..93 40-00
BUILDING PERMIT .... t 643.00
SRCC SURCHARGE..,..* $ 4.50
ME( APPLIANCE FEES.t S 68,.00
FIXT.-93* 91.00
FINAL PLAN (RECt—t 0.00
i --- t " 11111111 1, - ..
0•
47
FUEL TYPES.:GAS FAN S 5 g"i", WATER (LOSEIS ...... 3 URINALS...
BORRSICOMPi so 0 TOTAL f[ES,
D Vlf
GAS PIPING.: 38 ft 000 0-3 HP....... 0 BATH TUBS.....,....: I DRINKING FOUNT.: 0
URN<100K..: I DUCT WORK...... 0 3-15 HP...... 0 SHOWERS ............ 2 9m-ps........ 0
S HWT.... : I WOOD STOVES...: 0 15-30 HP....: 0 LAVATORIES.........: 4 VAC BREAKERS...: 0
(ORY BURNER: -0 f"RN)lOOK ..... : 0 30-50 HP..... 0 SINKS ............... I DRAINS.......... 0
ti BBQ........, 0 RISC........,., 0 5f HP........ . DISH WASHERS ....... : I LAWN SPRINKLERS: 0
GAS DRYER-: I AIR HANDLING UNITS FUEL TAHKc.- . ELF( WIR HEATERS...: 0 OTHER FIXTVRES.: 0
RANGE......: 1 1!10,000 (fm: 0 ABOVE GROUND: 0 LAUN WSHR OUILTS...: I
GAS INS ... 1 s 10,000 (FH: 0
PERNITS EXPIRE 180 DAYS AWR ISSOWE If NO WgtK is SIARTED. AtsfollorlAt AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE Of ISSUANCE.
I CERTIFY IRA] INE INFORMATION RpAkh"ato By a is TRUE AND (ORRI(I 10 THE NISI OF NY twobt AND fml: APPLI(Avu. (fly OF fEbERAI. WAY RIQUIRLflum gill Df w
'AER OR 4crwf
FIELD COPY
$ Q46.50
77'
11-11,10111 f NO.,
BI -V95-0668
LSSLIL'ID:
09/212/95
BY:
FC
EXPIRES:
09/22/96
LENDER
SEATTLE MORTGAGE
229 QUEEN ANNE AVE N
SEATTLE WA 98109
ING SALES lax FOR PROJECTS 1111HIN Iff (fly OF FIKIK NAY.
CORP PLAN....... ':SR
REQUIRED PARKING...: 2
SPRINKLERS? ........ ;)
HAZARD CLASS...:?
rTar cinu Ti
WATD
SEWER S
SURFACE: 2565 sf SENSITIVE ARIAS?.1
TAX Not : 6.2t
FEES:
PLAN CHECK FEE 190.00
PUB WKS PLCK(Sf)..93 40-00
BUILDING PERMIT .... t 643.00
SRCC SURCHARGE..,..* $ 4.50
ME( APPLIANCE FEES.t S 68,.00
FIXT.-93* 91.00
FINAL PLAN (RECt—t 0.00
i --- t " 11111111 1, - ..
0•
47
FUEL TYPES.:GAS FAN S 5 g"i", WATER (LOSEIS ...... 3 URINALS...
BORRSICOMPi so 0 TOTAL f[ES,
D Vlf
GAS PIPING.: 38 ft 000 0-3 HP....... 0 BATH TUBS.....,....: I DRINKING FOUNT.: 0
URN<100K..: I DUCT WORK...... 0 3-15 HP...... 0 SHOWERS ............ 2 9m-ps........ 0
S HWT.... : I WOOD STOVES...: 0 15-30 HP....: 0 LAVATORIES.........: 4 VAC BREAKERS...: 0
(ORY BURNER: -0 f"RN)lOOK ..... : 0 30-50 HP..... 0 SINKS ............... I DRAINS.......... 0
ti BBQ........, 0 RISC........,., 0 5f HP........ . DISH WASHERS ....... : I LAWN SPRINKLERS: 0
GAS DRYER-: I AIR HANDLING UNITS FUEL TAHKc.- . ELF( WIR HEATERS...: 0 OTHER FIXTVRES.: 0
RANGE......: 1 1!10,000 (fm: 0 ABOVE GROUND: 0 LAUN WSHR OUILTS...: I
GAS INS ... 1 s 10,000 (FH: 0
PERNITS EXPIRE 180 DAYS AWR ISSOWE If NO WgtK is SIARTED. AtsfollorlAt AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE Of ISSUANCE.
I CERTIFY IRA] INE INFORMATION RpAkh"ato By a is TRUE AND (ORRI(I 10 THE NISI OF NY twobt AND fml: APPLI(Avu. (fly OF fEbERAI. WAY RIQUIRLflum gill Df w
'AER OR 4crwf
FIELD COPY
$ Q46.50
CDO193
AdL
SETACIfS & FOfJTINGS
low
D'�'
Date I By
FOUNDATION WA[,LS o `�
_
n......
Date Q_�Z� -1S By
PLUIfASPit# GROUN L31NfRK
Date By
UNDERFLOOR FI AMlING
...
Date jig By
..............................................................................
..............................................................................
..............................................................................
SHEA 1111 tL9 .. :
Date By
PLUMBING: ROUGWIN
/Zzzq
Date By
71.
P1N
GAS PI.......... - . ....
Date l �D By
MEGHANi01r►71 ROUGH4N'
Date ' �:.:cn �l..By
7
MECHANICAL (OTHER)
Date By
FRAMING
Date - By
7
INSULATION
Date %- X) I-- �? By
GWB - 1 ST LAYER
Date By
GWB - 2ND LAYER
Date By
SUSPENDED CEILING
Date By
7PLANNING
FINAL
Date By
ENGINEERING FINAL
Date By
FIRE FINAL
Date By
7BUILDING
FAL
A[Cr f/ ��Jp1
Date By
OT.
Date By
70THER
Date By
CDO193