95-100252r 1
is
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
BUILDING PERMIT
Building Inspection Requests 661-4140
ADDRESS:506 S 330TH PL
NO.: 132140-0230
PROJECT DESCRIPTION: PLUMBING - SPRINKLER BACKFLON DEVICE (COMBRACO, 40-105-A2, i')
CAMPUS GLEN, LOT #23
OWNER CONTRACTOR --
CAMPUS GLEN LTD PARTNERSHIP POLYGON NN COMPANY
4030 LK WASHINGTON BLVD HE 201 4030 LK WASH BLVD HE
KIRKLAND NA 98033 KIRKLAND WA 98033
822-7700 E22-7700
POL" ;NCOBBDP
LENDER
PERMIT NO: BLD95-0088
ISSUED: 01/30/95
BY: FC
EXPIRES: 07/29/95
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 INFORMATION FURNISED BY ME 15 TRUE AND CORRECT TO THE BEST Of MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET.
OWNER 0, AGENT -B ----- _�-'®ti''-------- -------------- --- GATE ---`- "'�c� �C-)�
FILE COPY
�
BLD?: NEC?:
PLM?:X
;aR--EXIST--PRDP---
DNELLIXG NITS: 0
COMP PLAN .........
;SR
FEES:
TYPE OF WORK:NEN
USE:RES
1ST:0-
O:sf
;;TORIFS........ : 0
i R70UIRI' D PARKING..:'
0
SPRINKLERS?......:?
PLM PRMT ISSUANCE.. $
20.00
CENSUS CATEGORY ..... :800
2I9D.: 0:
0:Sf
HFTGTI� ....: 0.00 ft
"` °�
HAZARD CLASS ..:?
}�LE#I4I§ NG FIXT.... 93 t
7.00
OCCUPANCY GROUP---------
3RD.: 0:
0:.:,f
VALUATION----------
REWIRED SETBACKS-------
FIRE FLOW....:
0 gpil
:? :? :?
:?
rTHR: 0:
0:'-
FXIS1 0
FRONT..........
0.00 ft
TYPE OF CONSTRUCTION------
BS*?: 0:
0sf
PROp- $ : 0
SIDE..........:
0.00 ft
WATER SERVICE...?
-? :?
:?
DECK: 1:
O:sf
REAR..........:
0.00:ft
SEWER SERVICE..:?
OCCUPANT LOAD------------
GAR.: 0:
O:sf
RECEIVED.:01/27/95
0: 0:
0: 0:
TOIL: 0:
O:sf
IMPERV SURFACE:
0 sf
SENSITIVE AREAS?.:?
TOTAL FEES
27.00
FUEL TYPES.:? ? FANS..........: 0 BOILERS/COMPRESSORS
WATER CLOSETS......: 0 URINALS........: 0
GAS PIPING.: 0
ft
HOOD..........:
0
0-3 HP......: 0
BATH TUBS..........:
0
DRINKING FOUNT.:
0
FURN<100K..: 0
DUCT WORK.....:
0
3-15 HP.....: 0
SHOWERS ............:
0
SUMPS..........:
0
GAS HNT....: 0
MOOD STOVES...:
0
15-30 HP....: 0
LAVATORIES.........:
0
YAC BREAKERS...:
0
CONV BURNER: 0
FURN>100K..... :
0
30-50 HP....: 0
SINKS ..............:
0
DRAINS.........:
0
BBQ........: 0
MISC..........:
0
5+ HP.......: 0
DISH WASHERS.......:
0
LAWN SPRINKLERS:
1
GAS DRYER..: 0
AIR HANDLING UNITS
FUEL TANKS---------
ELEC NTR HEATERS...:
0
OTHER FIXTURES.:
0
RANGE......: 0
(:10,000 CFM:
0
ABOVE GROUND: 0
LAUN WSHR OUTLTS...
: 0
GAS LOGS...: 0
> 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 INFORMATION FURNISED BY ME 15 TRUE AND CORRECT TO THE BEST Of MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET.
OWNER 0, AGENT -B ----- _�-'®ti''-------- -------------- --- GATE ---`- "'�c� �C-)�
FILE COPY
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492 (Rev 4/93)
•
C" OF G
City
of Federal Way
APPLICATION
FOR BUILDING PERMIT '
PLEASE PR/NT
��3L1 APPL/CAT/ON #: V
,6LDC(�-00 g9
SITE LOCATION
Address
Tenant (if known)
Lot #
L
Assessor's Tax #
Building Owner Name
Address
City
State
Zip Phone
Nature of Work I ►JS 1A-tt AI;C-3 LF h r- V'A c vJ
.............. .
APPLICANT
Name (F,M,L)
Address
A -Y- 'N. . LvD.
City ►
State VIA
Zip 9 o-615
Contact Person
Day Phone
Other Phone
Fax
I+
2
- 7 -loo
l 821- IBJ ,
U LD YG CONTRACTQR
Company Name
Address
O
City
t?�
State VJA .
Zip Q 1
Contact Person
Phone
Fax
Contractor's # (card must be presented)
Expiration Date
Verified ❑ Yes ❑ No
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492 (Rev 4/93)
TUC T[IR
ting Use
❑ Mechanical
Permit includes:
Other
❑ Building
❑ Plumbing
r Type of Work: ❑
Residential
❑ New
❑ Remodel
❑
Commercial
❑ Addition
❑ Garage
Enter 1st Floor
sq ft
2nd Floor
sq ft 3rd Floor sq ft
Area Basement
sq ft
Decks
sq ft Garage sq ft
Water Availability ❑
Sewer Availability ❑ On -Site Septic System Availability ❑
Zoning
City
Lot Size
State
roposed Use
Address
❑ Mechanical
❑
Other
❑ Number of Units
❑
Deck
❑ Shed
❑
Other
Existing Floor Area
sq ft
Proposed Total Area
sq ft
Project Valuation
$
Existing Bldg Valuation
I $
Name
Address
City
State
Zip
ECHANICAL CONTRACTOR
... ...............
Contractor Name
Address
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
UMO�M+G CONTRACTOR;
Contractor Name
Address
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
117115—
UMBING FIXTURE COi31� T .
Water Closets
Bathtubs
Showers
Lavatories
Fuel Type (electric/other)
Length of Gas Piping
Furn < 100K BTUs
Furn > 100 BTUs
Gas Hwt
Conv Burner
BBQ's
Sinks
Dish Washers
Electric Water Heaters
Washing Machine
Gas Dryer
Range
Gas Log
Fans
Hood
Duct Work
Wood Stoves
Urinals
Drinking Fountains
Sumps
Drains
Air Handling < = 10,000 CFM
Air Handling > = 10,000 CFM
Unit Heater
Miscellaneous
Boilers
0-3 Tons
3-15 Tons
Lawn Sprinklers
Other ( DC VA
15-30 Tons
30-50 Tons
50+ Tons
Fuel Tanks
Above Ground
Underground
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true and correct to the best 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 filed against the City of Federal Way,
but only where such claim arises out of the reliance of the City, including its officers and employees, upon the accuracy of the information supplied to the City as a part of this
application. I ,
r
Owner/Agent: - ` e�/� Date:
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661--4000
BUILDING PERMIT
Buildihg Inspection AeOuests 661-4140
ADDRESS:506 S 330TH FIL
NO.: 132140-0230
PROJECT DESCRIPTION -PIUNBf#G -- SPRINKLER WKFL01 DEVICE (CONBRACO. 40-105-A2, I*)
CAMPUS GLEN, 101 123
OWNER CONTRACTOR
CAMPUS GLEN LID PARTNERSHIP POLYGON NN C(OP69Y
4030 LK WASHINGTON 8tVO HE 201 4030 LK 1454 BIVO WE
KIRKLAND VA 98033 a,,URKIAWo #A q8033
922-1700
_77-7
77
BLO? - NEC?: PLM?:X #L i t ON
TYPE Of VORKAEN USE -REIT'"-" fST
5,
"R
CENSUS CATEGORY....k HE
OCCUPANCY GROUP ---------
V
. .... ....
:? Oft
Af
4,
.... . .. .... 4
TYPE Of CONSTRUCTION----- P...;:
:? :? f
. .....
OCCUPANT LOAD------------ GAR 0: 0: sf UCEIVED.:01/27/95
0: 0: 0: 0: fOTL- 0: 0:Sf
UNDER
:?
WIRED SETBACKS-_--_-_ FIRE FLON .... 0 9pe
FRONT.........: 0.00 ft
SIDE..........: 0.00 ft WATER SERVICE..:?
REAR..........: 0.00:ft SEVER SERVICE..:?
IMPERV SURFACE-. 0 sf SENSITIVE ARFAS?.:?
FUEL TYPES.:?
?
FANS.,........:
0
BOILERS/COMPRESSORS
WATER CLOSETS......:
0
URINALS........: 0
GAS PIPING.:
0 ft
m__ .......
0
0-3 HP.......
()
BATH TORS ...........
0
DRINKING FOUNT.: 0
FURN4100K..:
0
DUCT WORK.....:
0
3-15
0
3MONERS ............ :
0
SUMPS..........: 0
GAS HNT., _:
0
NOOD STOVES...:
0
15-30 NP....:
0
LAVATORIES......,..:
0
VAC BREAKERS...: 0
COW BURNER:
0
FURN)IOOK ..... :
0
30-50 HP....:
0
SINKS..
* ......•
0
DRAINS. 0
BBQ........:
0
NISC .......... :
0
54 HP... .. :
0
DISH WASHERS.......:
0
I -All SPRINKLERS: t
GAS DRYER_:
0
AIR HANDLING UNITS
FUEL TANKS---------
ELEC NIP #EATERS ...
0
OTHER FIXTURFS.: 0
RANGE......:
0
(:10,000 CFM:
0
ABOVE GROUND-
0
LAU# NSHR OUTLTS ...
0
GAS LOGS_:
0
> 10,000 CFM:
0
UNDERGROUND.:
0
PERMIT NO:
ISSUED:
BY:
EXPIRE s:
FEES:
TOTAL FEES
BLD95-0088
01/30/95
FC
07/29/95
"T ISSUANCE_ 11 20.00
NG FIXT .... 93S 1 7.00
1 27.00
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
v ' 1 CERTIFY THAT THE INFORMATION FURNISED BY ME IS TRUE AND CORRECT TO THE REST OF MY KNOWLEDGE AND THE APPLICABLE CITY Of FERERAL NAY REQUIREMENTS *1 �f
vt
OWNER Oft."!A6wl E
FIELD COPY
LJ
SETRACKS.:.&TOOTINGS
CDO193
Date
By
F . 0 . UNDATION.WALLS
Date
By
................ - ...
...................
.......... -
...................
PLUMBING GROUNDWORK
. .. ..... .. .. . ...
Date i
By
-fS 4AI &r
1IS1ID1ERFLOOIRfRAMINGM-........... ..... .... ............
................ .. ...... ...............
Date
By
:SHEAR... WAL
..........
. .. ..... ........
Date
By
PLUMBING ROOG.H.-I.N.
Date
By
.................... ..
..................
............ ..
GAS PIPING
.... ........... ..
Date
By
7MECHANlCAL.ROuG".-IN:::-.
...........
............................ .......... ......
-.- ........ ........ - .... .......... I--
I -
Date
By
MECHANI.C.A.L. (.OTHER
Date
By
... ........ .......
....... ........... ........
............ ......
FRAMING: ...... .. ..........
........ .
.........
. ........ .......
Date
By
.
INSULATION
.. ......... .....
. ........ ..........
...... . .......
Date
By
GWB::w1ST 11AYER
....... .......
Date
By
7
. ..........
GW—B, - 2ND LAYER
Date
By
SUSPENDED .CEILING
Date
By
. . . ........ .. . ...... ........
........... . ...... . ...
PLANNING FINAL,. ..........
...................
. ... .. .....
..
Date
By
. .................... .........
*l INIAL
ENGINEERINGf
Date
By
.................
......
. .....
FIRE .TINA. . .... .......
— ........
. ..........
. ...... ......
....... ......
Date
By
........ ...
. ........... ... ..... .
BUILDING: FINAL
Date
By
.. ........ .......
OTHER
Date
By
.... .....
OTHER
........
Date
By
CDO193