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95-101112Woolf 9�5--1 b /I a CITY OF FEDERAL WAY a� PERMIT NO: BLD95-0402 33530 First Way South ��,� . . �..... h PER11 ISSUED: 06/14/95 Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC2 661--4000 EXPIRES: 06/14/96 ADDRESS:516 S 331ST PL NO.: 132140-0490 PROJECT DESCRIPTION: NSF W/PLUMBING AND MECHANICAL CAMPUS GLEN, LOT #49 OWNER=smmaxsxaaxaccxs==xcsc= =xaacmmaaaaacccacaxacmmca= CAMPUS GLEN LTD PARTNERSHIP ;IRKLAND 030 LK WASHINGTON BLVD NE 201 WA 98033 APPROVED BASIC #95-1006-V91 CONTRACTOR ========= POLYGON NW COMPANY 4030 LK WASH BLVD HE KIRKLAND WA 98033 LENDER SEATTLE MORTGAGE 229 QUEEN ANNE AVE N SEATTLE WA 98109 822-1100 822-7700 POLYGNC088DP ssccxxxsxsxsssxx=aaxx_-c==aaxcammmmxaaaxsxaxxsaacameaxxrsaaaxlccaaxcammmm�===xxxxaaxsccacccccca==c==xxscxxxxxxxsxaxxxaca�cxxmmc=sasaxsxxxaammcccacasxxcx=xxacxxcaxx=c=mm=c=xxxxa=aac CONTRACTORS, PLEASE USE LOCATION CODE 1132 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.2t sts fxxxcxccxca--= acaxxccc=ac=accaaxccxxmmsxcxxxxxxxxccxaxxxccccccccccsacaxacx=x=cxc.�xs=xaxsxxxxasxxxxmxxcaaammcsa=caxaaxxaxaxxaaxxacxaaxxx.�.caaammmmasx=csxsxxxx _xxxaxxxxxxaaxxxxx _x=x� BLD?:X MEC?:X PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN ......... :SR FEES: TYPE OF WORK:NEW USE:RES 1ST.: 0: 967:sf STORIES........: 2 REQUIRED PARKING,.: 2 SPRINKLERS?......:? PLAN CHECK FEE $ 100.00 CENSUS CATEGORY ..... :101 2ND.: 0: 744: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 9Pm 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 ... $: 125862 SIDE..........: 5.00 ft WATER SERVICE,.:FED SBCC SURCHARGE.....* $ 4.50 :5N :? :? :? DECK: 0: O:Sf REAR..........: 20.00:ft SEWER SERVICE..:FED MEC APPLIANCE FEES.* $ 68.00 OCCUPANT LOAD------------ GAR.: 0: 497:sf RECEIVED.:05/31/95 PLUMBING FIXT.... 93* $ 91.00 0: 0: 0: 0: TOTL: 0: 2208:sf IMPERV SURFACE: 2756 sf SENSITIVE AREAS?.:? RADON KIT ......... 93 $ 20,00 OEScc---------=____YPES.:GAS ? FANS..........: 5 BOILERS/COMPRESSORS WATER CLOSETS......: 3 URINALS........: 0 TOTAL FEES $ 1054.00 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 GAS HWT.... : 1 WOOD STOVES...: 0 15-30 HP....: 0 LAVATORIES.........: 4 VAC BREAKERS...: 0 CONY BURNER: 0 FURN>100K...... 0 30-50 HP..... 0 SINKS ............... 1 DRAINS.......... 0 BBQ......... 0 RISC........... 0 5+ HP........ 0 DISH WASHERS........ 1 LAWN SPRINKLERS: 0 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 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 11F.ORNATION 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 DATE FILE COPY A PFMt=-D E-AS4'ji q6- t DD� - Vq 1 • P'lan 3�4,*' «•a G City of Federal Way *u RECEIVEIAPPLICATION FOR BUILDING PERMIT MAY 311995 PLEASE PR/NT ,tea APPLICATION #: — �- 5IT�'. +0CA.TI(tli Al WAY Address Name,1 Add r �Vs 30 Lake Washington Blvd. NE #210 Tenant (if known) Lot Assessor's px� Address Building Owner Nem" Address Blvd NE #201 Campus Glen Limited Partnership 4030 Lake Washington Blvd NE #201 stat" city Kirkland --stet" WA zip 98033 Phone 206-822-7700 Day Phone 1206-822-7700 Nature of Work Construct q i n(il P Fami l — n., 4,1 ---- ---- Name (F,M,L) Add r �Vs 30 Lake Washington Blvd. NE #210 Campus Glen Limited Partnership Address ntect Person r 4030 Lake Washington Blvd NE #201 city 4030 Lake Washington Blvd NE #201 stat" zip 98033 Contact Person Day Phone 1206-822-7700 Other Phone Fax Lori Perkins Fax -- 206-827-4098 3UILUING CONRACTOR Company Name Add r �Vs 30 Lake Washington Blvd. NE #210 city Kirkland Polygon Northwest Company zip 98033 ntect Person r 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 A,RCl-UTEG'� Name ' Jay Middleton Design Group Add r �Vs 30 Lake Washington Blvd. NE #210 city Kirkland state WA zip 98033 ntect Person r Phone Fax Jay Middleton 827-4991 827-6405 LEGAL DESCRIPTION Campus Glen Lot.# q,-77 Please Complete Reverse Side CD0492 (Rev 41931 2YJCTrtJR Dwel l in TExisting Use ❑ Other ❑ Number of Units _ ❑ Deck ❑ Shed Vacant Permit includes: eq ft N Building Plumbing Type of Work: I$ Residential N New ❑ Remodel Gas Hwt ❑ Commercial ❑ Addition ❑ Garage Enter 1st Floor aq ft 2nd Floor2 sq ft 3rd Floor sq ft Area Basement sq ft Decks sq ft Garage = aq It Water Availability ta' Sewer Availability On -Site Septic System Availability ❑ Zoning SR Lot Size Proposed Use S.F. Dwel l in R] Mechanical ❑ Other ❑ Number of Units _ ❑ Deck ❑ Shed ❑ Other Existing Floor Area eq ft Proposed Total Area sq ft Name Seattle. Mortgage Address 229 Queen Anne Ave. N. City Seattle State WA Zip 98109 1YiATIA G�1VT�tATQY2 Bidding Contractor Name Address City State Zip Contact Phone Fax License # Expiration Date Verified ❑ Yes ❑ No 'PLVMBIN!G +CQt�1TRAGTOR `: ;><' Biddina Contractor Name Address City State Zip Contact Phone Fax License # Expiration Date Verified ❑ Yes ❑ No far` Water Closets Sinks Urinals Lawn Sprinklers Bathtubs Dish Washers Drinking Fountains Other Showers 2 Electric Water Heaters Sumps 50t Tons Lavatories Washin Machine Drains a'a'i .`z``" ..';,u,;. <. .A Fuel Type (electric/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 <1OOK BTUs Gas Log Unit Heater 50t 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 'Total>!Un'ta`ounC»s 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 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, expenses, and attomeys' tees Incurred in Investl o and 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 clef rises out of the. ellencs of the City, Including Its officer and employees, upon the accuracy of the Information supplied to the City as s pert of this application. (11" Owner/Agent: Alc� Date: '/ 1 CITY OF FEDERAL. WAY -o F rpt way SouthDU I L. DING PERMIT 4.ederal. way, WA 98003 Buil.di�g Inspection F?cagUests 661-43.40 66,,1--4000 ADDRESS:516 S 331ST PL. NO.: 132140-0490 PROJECT DESCRTPTION:NSF W/PLUMBING AND MECHANICAL CAMPUS GLEN, LOT 149 OWNERmxmumse5aaacscmmaammcxcstacamwemrtxaa-xmemmmcmaaAxmRa«m s CAMPUS GLEN LTD PARTNERSHIP 4030 LK WASHINGTON BLVD HE 201 LKIRKLAND WA 98033 822-7700 APPROVED BASIC 195-1006491 CONTRACTOR mramnamcmm PO'YGON NW COMPANY 4030 LK WASH BLVD NE KIRKLAND kA 98033 822-7700 PERMIT NO: ISSUED: BY: EXPIRES: LENDER mmamcxummmmsm SEATTLE MORTGAGE 229 QUEEN ANNE AVE N SEATTLE WA 98109 BL..D95 -0402 0,/14/95 FC2 06/14/96 EmC:aymy'9m1R]Fmlb'^.iCmaaStRmm b6C:'tQt:n9�ST 1iRi mb NiW.P.mimmpmm9:RmimB.Z:9.....Feemmm;mRSmmCiRxm¢a;.ss:iYitP....ma------------------------------------------------------------------------------- us CONTRACTORS, PLEASE USE LOCATION CODE 1732 LSH REPORTING SALES TAX FOR PROJECTS MITNIN THE CITY OF FEDERAL MAY. TAX RATE : 8.2% Us mffimmmmmremz+ma,„+mm:YFWL"'xamCRARai'A."..m«^CR3mCT:S!tmR:'t::=:mZC:�Dffi�m5G3Si�aS"e1'mG"'94%1'm`A`mAC7°J��5LL"1','EOCRL"`=';:Tm«.i^.mSmmaC�ffi`Sammmaa4AlRimaCSYmffiaC�t6T:'.�EYffim::Tk'&m9lmar:#mma,T.0 SmmmmmmmmsBe:L:CmSmmmmam�amammmmamamm'::amSC&mml BLD?:X MEC?:X PLM?:X FLR--EXIST-PROP--- DOR LING UNITS: 1 COMP PLAN ......... :SR FEES: TYK OF WORK:MEW USE:RES 1ST.: 0: 967:sf STORIES........: 2 REQUIRED j��LS .,.? PLAN CHECK FEE $ 100.00 CENSUS CATEGORY ..... :101 2ND.: 0: 744:sf $EIGHT.....; 0.00 ft � ��,HA ALAS �.�' � PUB WKS PLCK(SF)..93 S 40.00 OCCUPANCY GROUP-'----- "v.: 0: 0:sf VALUATION"-- REQUIRED SET�CI FIRE ..� 9IHA PLAN CHECK... $ 0.00 �� FINAL -PLAN •? �. 0 0 Gf E IST .S: 0' FROfFI..`.,....:: ft'� � � �'LDil4� PERMIT.... � 730.50 ;R3 :Ml �; TYPE OF CONSTRUCTION-- I�, 0f 10 12582 SIIR.........: 5.00 ft NATER SERVICE .:FED SK( SURfHARGE..... 4.50 :5H :? :? :? azG, I o&VED..00/nIA DEAR..........: 20.00:ft SfkfR SERVICf..:FED MEC APPLIANCE FEES. T 68.00 OCCUPANT LOAD------------ PLUMBING FIXT.... 93* $ 91.00 • 0: 0: 0: 0: TOTIMPERV SURFACE: 2756 sf SENSITIVE AREAS?.:? RADON KIT ......... 93 $ 20.00 saaammmnmamxcmmmam-amascammmm�m:ummma�r�mmsmmzmmmmmmmmammmmcmmmasffimsrsex;mmmmsamm:zmmm:ammcamizmmrmsammcsmmmmmacaammmamxx UEL TYPES.:GAS ? FANS..........: 5 BOILERS/COMPRESSORS WATER CLOSETS......: 3 URINALS........: 0 TOTAL FEES $ 1054.00 AS PIPING.: 38 ft HOOD..........: 1 0-3 HP......: 0 BATN TUBS..........: I DRINKING FOUNT.: 0 FURN<100K..: 1 DUCT WORK.....: 0 3-15 HP...».: 0 SHOWERS............: 2 SUMPS..........: 0 GAS NWT....: 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 MIS(..........: 0 5+ HP.......: 0 DISH WASHERS.......: ,l' LAWN SPRINKLERS: 0 GAS DRYER..: 1 AIR HANDLING UNITS FUEL TANKS--------- ELEC WTR HEATERS.—:`�0 OTHER FIXTURES.: 0 RANGE......: 1 <:10,000 CFM: 0 ABOVE GROUND: 0 IAUN WSHR OUTLTS.:.: 1 GAS LOGS...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0 dmsmmmammmameuamxammam+a:scmasmmmammmxammmmmmmmsxasmaammmmawmxs:�mmmcaemmmm:x«rearcmaamm/cammast�.mmmacam� �ammsmmc�cm::.axsaamcxxxmmamms:maxmaemmncmrmasixmamxmmmamasaa+m.ttxmmmacsamwmaessmmma 4ERHITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL. AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. 4I CERTIFY THAT THE IW TION FURNISNED BY NE IS TRUE AND CORRECT TO TRE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL MAY REQUIRENENTS PILL BE MET, OWNER OR AGENT rt -_1 �'._ ATE FIELD COPY S �oCKy & F00TINGS Date By FOUND TON LLS Date By PLUMBING GROUNDWORK Date By UNDERFLOOR FRAMING.... . . . ...> Date By 7 SHEAR WALLS .11�1�1.1-.� Date By PLUMBIN ROUGH IN Date ByCj� GAS PI LNG Date By 7 MECHANI E l ROUGH -IN - Date By 7 MECHANICAL (OTHER) Date By 7 FRAMING Date By INSU TION Date C - By 147AJ GWB - 1 ST LAYER aJ Date By 7GWI3 - 2ND LAYER Date By ....... SUSPENDEQ CEILING Date By 7 PLANNING FINAL' Date By ENGINEERING FINAL. Date By FIRES FINAL Date By 7 BUILDINY FINAL7 1 Date By OTHER Date By 70THER Date By