95-102208CITY OF FEDERAL WAY�,,.. PERMI T NO: BLD95-0701
33530 F i rs t Way South N:' �,,,.,� ., ,.: N.,.�..�I,,,,,r .. ,,. k -i �;"� I",;� E�,,,, ". �..... ISSUED: 10/02/95
F=ederal Way, WA 98003 Building Inspection Requests 661.--41-4.0 BY: FC2
661-4000 EXPIRES: 03/30/96
ADDRESS:418 S 331ST PL
NO.: 132140-0520
PROJECT DESCRIPTION:NSF W/PLUMBING AND MECHANICAL. **REVIEWED AS BASIC #95-1018-V94**
CAMPUS GLEN, LOT #52.
�= OWNER=___________________________===w-::M=====-_____===_=T= CONTRACTOR
CAMPUS GLEN LTD PARTNERSHIP POLYGON NW COMPANY
M 4030 LK WASH BLVD NE, #201 4030 LK WASH BLVD NE
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 WAY. TAX RATE : 8.2% sts
--------------- .---------------- --- -_-»-----_
BLD?:X MEC?:X PLM?:X
TYPE OF WORK:NEW USE:RES
CENSUS CATEGORY ..... :101
OCCUPANCY GROUP----------
:R3 :U1 :? :?
f TYPE OF CONSTRUCTION-----
:5N :5N :? :?
OCCUPANT LOAD ------------
: . 0: 0: 0: 0:
EL TYPES.:GAS ?
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:
658:sf
2ND.:
0:
666:sf
3RD.:
0:
O:sf
OTHR:
0:
O:sf
BSMT:
0:
O:sf
DECK:
0:
O:sf
GAR.:
0:
512:sf
TOTL:
0:
1896: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 ... $: 100627
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 gpn
WATER SERVICE..:FED
SEWER SERVICE..:FED
IMPERV SURFACE: 2485 sf SENSITIVE AREAS?.:?
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....* $ 643.00
SBCC SURCHARGE.....* $ 4.50
MEC APPLIANCE FEES.* $ 50.50
PLUMBING FIXT.... 93* $ 91.00
TOTAL FEES $ 929.00
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�RMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL NAY REQUIREMENTS WILL BE NET.
OWNER OR AGENT- ----�1L±----------------- DATE
FILE COPY
a.� Cit of Federal
Y a Way
xgi ICATION FOR BUILDING PERIVI14?��_
AUG 3 11995
CITYpF FEDf:RAL
PLEASE PR/NT BU)LDING
Name
D
APPLICATION
#:�,(
Address
St -
Tenant (if known)
Lot #
Assessor's Tex x
Building owner Name
Address
Campus Glen Limited
Partnership
4030 Lake Washington
Blvd NE #201
city Kirkland
state WA
Zip 98033
lPhone 206-822-7700
Nature of Work Construct
q i nfl o Fam; l ..
-4. ----
D-4.4----
Name (F,M,L)
Campus Glen Limited Partnership
Address
4030 Lake Washington Blvd NE #201
CityKirklandstate WA zip 98033
Contact Person Day Phone Other Phone Fax
Lori Perkins 1206-822-7700 -- 12n6-827-4098
Company Name
Polygon Northwest Company
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 # (card must be presented) Expiration Date Verified O Yes O No
POLYGNC051D4 03/09/96
Name '
Jay Middleton Design Group
Add
TNs30 Lake Washington Blvd. NE #210
city Kirkland State WA izip 98033
Contact Person Phone Fax
Jay Middleton 827-4991 1 827-6405
LEGAL DESCRIPTION
Campus Glen Lot#
Please Comnlefe Reverse Side
CD04e2 May 41031
:,:......................................................................................:
Address
229 Queen Anne Ave. N.
City. Seattle
Existing Use V
VF,
Permit Includes:
Contact
�I Building
Type of Work:
IX Residential
® New
❑
❑ Commercial
❑ Addition
Enter 1 st Floor
sq It
2nd Floor Ii'➢ipI0
Area Basement
eq It
Decks
Water Availability
Sewer Availability �1 On -Sita y n Sita S
Zoning
SR
Lot Size
Name
Seattle Mortgage
Address
229 Queen Anne Ave. N.
City. Seattle
State WA Zip 98109
Contact
Proposed Use S F
Dwellinq
P Plumbing
fl Mechanical
❑
Other
❑ Remodel
❑ Number of Units
❑
Dock
❑ Garage
_
❑ Shed
❑
Other
aq It 3rd Floor
sq It Existing Floor Area
Hood
aq it
eq It Garage.— sq It Proposed Total Area
Conv Burner
aq It
stem Availability
< PrQfaet'V.a uQOpticS
Dn
s?
::::. :............
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
License # Expiration Date Verified ❑ Yes ❑ No
PL�TMBIl�rQNTitAQk<<>' Bidding
Contractor Name
Address
City
State
Zip
Contact
Phone
Fax
License *
Expiration Date
Verified ❑ Yes ❑ No
Water Closets
Sinks
Urinals
Lawn Sprinklers
Bathtubs
Dish Washers
j Drinking Fountains
Other
Showers
Electric Water Heaters
Sumps
(
Lavatories
--Fw—..hing Machine
Drains
Furn >11 00 BTUs
Fuel Type (electric/other)
Clas
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 <1OOK BTUs
(
Gas Log
Unit Heater
50+ Tons
Furn >11 00 BTUs
Fans
T Miscellaneous
Fuel Tanks
Gas Hwt
Hood
Boilers
Above Ground
Conv Burner
Duct Work
0-3 Tons
Underground
BBQ's
Wood Stoves
3-15 Tons
TofalUq�t;C,o4gi .
DISCLAIMERt 1 certify under penalty of perjury that the Information furnished by me Is true and correct to the beat of my knowledge and furthor 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 attomeys' fees Incurred i,tvestigotlop.an defense of such claim), which maybe made by any person, Including the undersigned, and filed against the City of Federal Way,
but only where such .1
atm tis s out of thojell oa of t e City, Including its officers and employees, upon the accuraoy of the Information supplied to the City of a part of this
application.
Owner/AgenC t/ X �/ Date: c �
`CITY Of F F I7E Rt2 [, W0Y � Pi:p.fi1 T F No." T3L_
!335.30 F i rst Way South � �z�� � �. �, �;�t ��� P : �` 10/02/95
'cies . Way, Wf) 9f1,00-4 t'ui 1 (:,i, I I itk r:t jt:rri P�f�gquosts 6(�1--4�1.40 8Y FC2
`,c 61--4000 EXIJIPE1�: 0'3/,30/96
\)PT)RESS:418 S 341S T Int.
x
.140—, 132140-0520
20
1)R0JF(-'J DES(-RIIJ T :LOM.-NSF W/PLUMBING AND ME(HANI(AL.1 t*REVI[WED AS BASIC 195-1018-V9ox
CAMPUS GLEN, LOT 152,
OWNER CORIPAf TOR LENDER ........:���i.�nu.6,t'J�H.
CAMPUS 6LLN LTD PARTNERSHIP POLYGON ON COMPANY SEATTLE MORTGAGE
4030 LK WASH BLVD WE, 4201 4030 LK WASH BLVD ME 229 QUELN ANNE AW N
KIRKLAND WA 98033 KIRKL.AND WN 98033 SEATTLE NA 98109
?1822.7700 822-7700
4
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ttal CONT1tACT P E E S W. SALES TAX FOR PRWEQS YIININ THE. CITY OF 4-PERAL MAY. TAX NATE = 8 7� its
�wmecuer-zttveiesrwtxecarzir:rax.nwmz«za^: rffiawcaavtarsemc� ra>t «aaxrs a.mscs:.aii�. : ,� .,.�. .. �.�
-------------------
BLP?: MEC?:X PLM?:X FLR E - 0, PROP--
I PIAN......,...SR FEES:
TY0E OF WORK :NEW (IS[: 1ST % +58 s � I P AN CHECK FEE $ 100.00
CENSUS CATEGORY.....:101 r �_ IGNO
NEW
SS PUB WKS PLCK!SF l ..93 40.00
OCCUPANCY GROUP-------'�" O's, ILU RE I FIR �� FINAL PLAN CHECK ... s
:R3 ;U1 ;. ``s �IST�POP
PERMIT.... 643.00
��
��.
M TYPE OF CONSTRUCTION-- ;, � ;� 0 �, ���f � � 0 �� w� S .......... 5,00 ft WATER SERVI�f..:FED SRCC SURCHARGE S 4.50
.'1 a'v.�x`2`*a .mow x3, g'e�+'v�.
:5H :5H '? W iN k kr z r SEAR.....,....: 20.00:ft SEWER SERVICE..:FED ME?: APPLIANCE FEE5. $ 50:50
{ OCCUPANT LOAD- ----- --- 6 �5 R EU :01/95 ,` PLUMBING FIXT.... 93# S 91.00mg M
j
0: 0; 0: 0: TOT V b �` TMPERV SURFACE: 2485 sf SENSITIVE AREAS?.:?
v 1
�::amxu::Rxaezteois SRcex3xs:SLx'uca.Rc.rcs'xeR: r,a,�xwrs^nassr.�r:.:Gmse:r:�ea,.u=nz:srsssmxmnsxfRhtxraoxx ,t�..,rr:p^x.�casa��.saewdxs�xe;_xz.r::x:xit7:r ac.s- .x.�: a+i er>:zxxxm.:...:. zx •:as: T -
L TYPES.:GAS ? FARS........... 4 BOILERS/COMPRESSORS.ar,. WATER CLOSETS......: 3 URINALS,........ 0 IOIAL FEES �29,m
" PIPING.: 38 ft HOOD......,.... 1 0.3 HP....... 0 BATH TUBS.....,.,... 1 DRINKING FOUNT.: 0 N
FURN<100K... I DUCT WORK...... 0 3-15 NP.,.,.: 0 SHOWERS............. 2 SUMPS,.......... 0
GAS $WT....: 1 WOOD STOVES.... 0 15-30 HE....: 0 LAVATORIES.......... 4 VAC BREAKER:,.... 0
CONV BURNER: 0 FURN�100K.,..., 0 30.50 HP..... 0 SINKS.,. ......... 1 URAINS.....�.... 0
f,890 .........0 MIS(........... 0 5+ HP,....... 0 DISH WASHERS,....... I CANN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS----..--- ELI( WIR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE......: 1' :10,000 (FM: 0 ABOVE GROUND: 0 LAUN W5HR OUTLTS'...: 1
-� GAS LOGS...: 0 y 10,000 (FM. 0 UNDERGROUND 0 j
1
L':.rrer;rt i-^u utatimm:atm."'.:n#:xr_;�:sr. xaG. .x�. .. a.. ...]sr....':..._..s-...rvrr......Y..nca.Cr.x^.MA:'•.s..s..::,.......;.,,..:e. tt.,...a..,'tes_...>:-:n. . rt.., ,,: r.'X�r_:.:'..as.ursr:'xre:„a.._,,.�.:;:.r,.c..Flc 9ac:xi:.r..sr�sxss4 b„x. Ji..,,,._tr., es ir;. iaaasash:asY x+msonwzcss k'r.m7m&?4:S'e;:+eclixB:r.R°:sircr,;:bS<;%a,wusrwa^xan�:7
(OFERNITS EXPIRE 180 DA's AFT£R 1105OAKE IF No vw IS STARTED. R1SI1FNTIA1 AND 4RADING PERNITS EXPIRE ANT YEAR At1ER DATE OF ISF ANCF.
I CERTIfY I 1 THE IN NATION 1URNISHto BY At 1)` TRUE AND (ORgm TO TNI BEST OF MY I"Lf 1VLEDGI AND INE. APPLI(ADLE CITY Of 4tKPAL TINY RtOUIRLMINIS WILL W.
OWNtR OR ACINI _t. Ia” 41TL
FIELD COPY
a
"I'lI, ' ,9lok i V"
CD0793
SEi'BACK & FOOTINGS
•� �
Date B
FOUNDATION WALLS
Date ./ By
PLUMBING GROONDWORK _.
Date By
UNUERFLOGR IFRAMtN
Date 1-2 By
SHFAR WALL$
Z
Date B
N ZZ
PLUMBING [TGWIN
Z
Date By
GAS PI N
Date By
7
MECHANICAiL RQUGH-IN;
Date
Mw..... IC441 tOTHEAI
Date By
FRAMING:-
RAMING
Date
DateBy
........................................................................
...
..............................................................................
INSU TIaN
Date By
...........................................................
GWB TAT Mtk
Date _ / By
7.GWB
- 2ND LAYER
__1-1.111
Date By
SUSPENDED CEILING
Date By
PLANNING FINAL
-11
Date By
I*NGINEF .:T.
Date By
FIRt` FINAL;
Date By
BUILDINq FINIAL
Date all By
7
OTHER
Date By
OTHER
Date By
CD0793