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
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CONTRACTORS, PLEASE USE LOCATION
CODE 1132 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY.
TAX RATE = 8.2t sts
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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
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us CONTRACTORS, PLEASE USE LOCATION CODE 1732 LSH REPORTING SALES TAX FOR PROJECTS MITNIN THE CITY OF FEDERAL MAY. TAX RATE : 8.2% Us
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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
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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