97-10094497./ooygY
CITY OF FEDERAL- WAY PERMIT NO: BLD97-0159
:33530 First Way south :BOA.": L. D 1. NCni F1El"44H:1. 7 ISSUED: 03/24/97
Federal Way, WA 98009 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 09/20/97
ADDRESS:.506 S 330TH PL
NO.: 132140-0230
PROJECT DESCRIPTION. CAMPUS GLEN, LOT #23
REMODEL OFFICE TO GARAGE.
�= OWNER
CAMPUS GLEN LTD PARTNERSHIP
4030 LK WASHINGTON BLVD WE 201
KIRKLAND WA 98033
-7700
CONTRACTOR ==___==_=
POLYGON NW COMPANY
4030 LK WASH BLVD NE
SUITE #201
KIRKLAND WA 98033
822-7700
P0LYGNCO51D4
LENDER
CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.2% #;3
j BLD?:X WMEC?:? PLM?:? FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN...... ...
:SR FEES:
TYPE OF WORK:ALT USE:RES 1ST.: 0: O:sf STORIES........: 2 REQUIRED PARKING..: 0 SPRINKLERS?......:? PLAN CHECK FEE $ 35.10
CENSUS CATEGORY ..... :434 2ND.: 0: O:sf HEIGHT.....: 0.00 ft HAZARD CLASS...:? BUILDING PERMIT....* $ 54.00
OCCUPANCY GROUP---------- 3RD.: 0: O:sf VALUATION---------- REQUIRED SETBACKS------- FIRE FLOW....: 0 gpi SBCC SURCHARGE.....* $ 4.50
:U1 :? :? :? OTHR: 0: O:sf EXIST..$: 0 FRONT.......... 0.00 ft
TYPE OF CONSTRUCTION----- BSMT: 0: O:sf PROP ...$: 2716 SIDE..........: 0.00 ft WATER SERVICE..:?
:5N :? :? :? DECK: 0: O:sf REAR........... O.00:ft SEWER SERVICE..:?
OCCUPANT LOAD------------ GAR,: 734: O:sf RECEIVED.:03/18/97
0: 0: 0: 0: TOTL: 734: O:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
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FUEL TYPES.:? ? FANS..........: 0 BOILERS/COMPRESSORS WATER CLOSETS......: 0 URINALS........: 0 TOTAL FEES $ 93.60
GAS PIPING.: 0 ft HOOD..........: 0 0-3 HP......: 0 BATH TUBS..........; 0 DRINKING FOUNT.: 0
I<100K..: 0 DUCT WORK.....; 0 3-15 HP.....: 0 SHOWERS ............: 0 SUMPS...,......: 0
NWT....: 0 WOOD 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
f BBQ...,..... 0 MISC........... 0 5+ HP........ 0 DISH WASHERS........ 0 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS--------- ELEC WTR 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 FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT-------- - ---J- ------___------------ DATE
----------------------- --------------------
FILE
-- --- `- ------f
—
FILE COPY
RECEIVED BY
Enter RECEIVED COMMUNITY DEVELOPMENT DEPARTMENT
uv �v M
MAR 18 1997 AR 12 1997
CITY OF FEDENAL WAY
BUILDING DEPT,.
APPLICATION FOR BUILDING PERMIT
PLEASE PR/NT APPLICATION # S
Address •/��/w �,l�c�-�
Tenant (if known) Lot # Asse:
3
Building Owner's Name Address
rN�at.r.of.Work
Tj State " Zi c i
' cy `� Phom
ReMCde-
]BUILDING DIVISION
33530 First Way South
Federal Way, WA 98003
(206) 661-4000
Fax (206) 661-4129c
2?—
Name (F,M,L) r
Address _ �,
0 T
CityL s i StateZ7p q? -,7,03
Contact Person Day Phone, Other Phone ---fFax
4�(
State lw tg_ Zi eo
Phone Fax
-7700
Expiration Date Verified ❑ Yes ❑ No
Name
Address
Citv
State
Zip
Contact Person
Phone
Fax
LEGAL DESCRIPTION
Please CQmp/ete Reverse Side
Name
W-1
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Address
State
Contractor Name
Address
City
State
Z
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
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Contractor Name
Address
Cit
State
Z
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
Water Closets Sinks Urinals Lawn
Bathtubs Dish Washer Drinking Fountains Other
Showers Electric Watir Heaters Sumps
Lavatories Washina Machine DrainsTori.►:
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
attomeys' 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.
Owner/Agent: _ / �-� Date: -'? _ 1-21– 7 7
Bunoiwo.Aw
REVZEO 12/11M
MECHANICAL EVALUATION ONLY $
Fuel Type (electric/other)
Gas Dryer
Air Handlin < = 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
Miscellaneous
Fuel Tanks
Gas Hwt
Hood
Boilers
Above Ground
Conv Burner
Duct Work
0-3 Tons
Underground
BBQ's
Wood Stoves
3-15 Tons
-T a(:::.0 :C06"t1t>
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
attomeys' 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.
Owner/Agent: _ / �-� Date: -'? _ 1-21– 7 7
Bunoiwo.Aw
REVZEO 12/11M
.As f61 ,I I i
1 4 (Af R.)
,.-:<
...........
MIM:',
PIPING,:
0
? FANS,.........:
ft HOOD...........
0
0
BOILERSI/COMPRESSORS
0-3 UP ...... :
0
WATER CLOSETS......:
IfATH TUBS...........
0
0
URINALS........:
DRINtING FOUNT.:
0
0
TOTAL fr(s
FURN11OOK–:
0
1#I( f WORK .....
0
3 -15 HP,.....
0
SHOWERS ............
0
SUMPS...........
0
GAS Hc ... :
0
WOOD STOVES...:
0
15-30. HP—.:
0
LAVATORIES.......,.:
0
VAC BREAKER"..,:
0
(0mv BURNER:
0
fURM>1OOK .....
0
30-50 HP.....
0
SINKS...,. . ......:
tj
DRAINS......,..,
0
PRO.........
9
"Ica( ..........
0
51 HP........
0
DISH WASHERS........
0
LAWN SPRINKLERS:
0
GAS DRYER–:
0
AIR HANDLING I.IHITS
FUEL TARKS– -------
LLE( WTR HEATERS...;-
0
OTHER FIXTURES.:
0
RANGE......:
0
�--10.000 (Fh:
0
ABOVI. GROUND:
0
LAUR WSHR OUTI.TS...-
0
CAS loGS ....
0
> 10,000 CFH;
0
UNDERGROUND.:
0.
p[AN11h txp[Rf 1110 DAYS AFTER ISSUAN(L It NO K*K IS STARTED. RMOLMIM ANP GRI&IR PIRMIS EXPIRE ONE YEAR MEN Mlt Of ISSUAKE.
I MlIfy Iml THE INIORNAll I FURNIS11to gy "t Is TRUE AND (ORRM 10 lot 111SI a NY [W*tfKf AND 1111 APPLIMLI CITY Of FIDERAt WAY RiQUIRININIS VILL K NET
FIELD COPY
t 91.+0
CDO193
SET . ACKS .FOOTINGiS
Date
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F,OUNOATII-N WALLS
Date
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PLUMBING GROUNDWORK
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UNDERFLOQR FI#AMJING
................................................................................
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SHEAR WALLS
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PLUMBING :ROUGH -IN
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GAS PIPING
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MECHANICAL ROUGH -IN
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MECHANICAL(,OTHER)„
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FRAMiN G
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7
INSULATION
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GWB '15Ti:LAYER
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GWR - 2ND: LAYER
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SUSPENDED CEILING
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7
PLANNING FINAL
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ENGINUMI1tG FINAL
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FIRE FINAL
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BUILDING FINAL
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y
QTHRR
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OTHER
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CDO193