94-102159 014 ,0 ; J
CITY
335300Firstt Way South F FEDERAL WAY BUILDING P PERMIT ISSUED: 111/28/9479
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 05/27/95
ADDRESS:614 S 331ST PL
NO. : 132140-0450
PROJECT DESCRIPTION:NSF - W/PLUMBING & MECHANICAL. APPROVED BASIC 194-1029-V91. CAMPUS GLEN, LOT 145. PLAN 34A3.
4OWNER - CONTRACTOR - LENDER
CAMPUS GLEN LTD PARTNERSHIP POLYGON NW COMPANY SEATTLE MORTGAGE
4030 LK WASHINGTON BLVD NE 201 4030 LK WASH BLVD NE 229 QUEEN ANNE AVE N
KIRKLAND WA 98033 KIRKLAND WA 98033 SEATTLE WA 98109
822-7700 822-1700
POLYGNC088DP
BLD?:X MEC?:X PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN -SR FEES:
TYPE OF WORK:NEN USE:RES 1ST.: 0: 967:sf STORIES • 2 REQUIRED PARKING..: 2 SPRINKLERS"' .9 PLAN CHECK DEPOSIT.* $ 100.00
CENSUS CATEGORY •101 2ND.: 0: 740:sf HEIGHT • 000 ft HAZARD CLASS •9 PUB WKS PLCK(SF)..93 $ 40.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW=...: 0 gp' BUILDING PERMIT....* $ 720.00
-R3 -MI OTHR: 0: 0:sf EXIST..$: 0 FRONT • 20.00 ft SBCC SURCHARGE * $ 4.50
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 122668 SIDE • 5.00 ft WATER SERVICE..:FED RADON KIT 93 $ 20.00
•5$ •5N • DECK: 0: 0:sf REAR 20.O0:ft SEWER SERVICE..:FED MEC APPLIANCE FEES.* $ 68.00
OCCUPANT LOAD GAR.: 0: 703:sf RECEIVED.:11/10/94 PLUMBING FIXT....93* $ 91.00
0: 0: 0: 0: TOIL: 0: 2410:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N
FUEL TYPES.:GAS ELE FANS • 5 BOILERS/COMPRESSORS WATER CLOSETS • 3 URINALS • 0 TOTAL FEES $ 1043.50
illi' ----- -
GAS 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 • I DRAINS . 0
BBQ - 0 MISC - 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 AF ' !;CE IF NU MORK ,STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFOR . 1 FURNISED\BY M TRUE\AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET.
BWNER OR AGENT -i• ftm._ y„i- ,- DATE \ -AL{
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FOUNDATION WALLS
Date / '3, 1 -0(1 B y)
11)
PLUMBING GROUNDWORK
Date By
UNDERFLOOR FRAMING 0/ r N� OW
Date /1,(9 cl S B l" ionc:.S`npvi Tu pg, spivs ivme0 L� S . .L�lsd L�
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Date By 13043--zs X' + - 1.644,-204- .-a ej c1f- 4-)409.� /4ira J.,,,U- 4/70,704pce az
PLUMBING ROUGH-IN .<,,v71 e � u-- 37,41/49.-",--//15 C7, -,/off-/,,, 0 .yam
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Date -6.-"Tr
Datej-/serif B4? 27/074/0" e!/L,/a'?V S/0"''5"v d"T'LS
7 MECHANICAL ROUGH-IN
Date'Zrrc- 1 By f
MECHANICAL (OTHER)
Date By
FRAMING
Date By
7,7777---
Date By
GWB - 1ST LAYER
Date -/q-gs- By ;
GWB - 2ND LAYER'
Date By
SUSPENDED CEILING
Date By
PLANNING FINAL
Date By
ENGINEERING FINAL
Date By
—
FIRE FINAL
Date By
rBUILDING FINAL y 4(Kr C
Date By (`` //
OTHER
Date By
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Date By l
CD0193
1160
RECEIVED
�..a • City of Federal Way 110
4 " TZ-17-1 " `- NOV 0 3 1994
M ►'vN APPLICATION FOR BUILDING PERMIT
P)ar 3443
CITI BUILDING DEPT.
PLEASE PRINT APPLICATION #: V L D (C1 - 0S771
SITE LO ATION Address C I LI 5 7 '--71-5.4" Pi
Tenant (if known) Lot # � Assessor's Tax #
--t
432-/Y0 cies()
Building Owner Namo Address
Campus Glen Limited Partnership 4030 Lake Washington Blvd NE, #201
City Kirkland stats WA Zip 98033 Phone 822-7700
Nature of Work Construct Single Family House
Name (F,M,L)
Campus Glen Limited Partnership
Address
4030 Lake Washington Blvd. NE, Suite 201
City Kirkland state W71 Zip 98033
Contact Person Day Phone Other Phone Fax
Lori Perkins 822-7700 N/A 827-4098
I3UILUXNG CONTRACTOR
. ............. ......:.........:.:::...:..:...:.:.:::
Company Name
Polygon Northwest Company
Address
4030 Lake Washington Blvd. NE, Suite 201
City Kirkland state WA zip
98031
Contact Person Phone Fax
Lori Perkins or Greg Arms 822-7700 877-4n811
Contractor's #(cord must be presented) Ex iration Dote Verified 0 Yes 0 No
POLYGNC088DP 03/09/95
EA#0,0121110011tiMiniii
Name
Jay Middleton Design Group
Address
4030 Lake Washington Blvd NE, Suite 210
City Kirkland state WA Zip 98033
Contact Person
one Fax
Jay Middleton P827-4991 827-6405
LEGAL DESCRIPTION
Campus Glen Lot# 46
Please Complete Reverse Side
CD0492 1Rev 4/93)
STItUel'Ult '• tiny useOposed Use
Vacant S.F. Dwelling
Permit includes: _ Building K Plumbing •4 Mochanicnl O Other
Typo of Work: IQ Itonidmhlinl 1I New I I Iianlurlol I.) Numhor of Unite _____ 11 Dock
—
• U Conunorcial 1_1 Addition 1_1 Garage LI Shod LI Other
Enter let Floor 9(p7 eq ft 2nd Floor 71-I0 sq ft 3rd Floor eq ft Existing Floor Area sq ft
Area Basement sq ft Docks sq ft Garage 703 sq ft Proposed Total Area sq ft
Water Availability tj Sewer Availability - On-Sita Septic System Availability O '.Project Voluetian:;: 9
Zoning �1Ja /I5 7, -_ Lot Size 7 O S �' Existing Bldg Valuotion:' $
(3:4:2) *2—
C/1/z
LF,NDElt
Name Address
Seattle Mortgage 229 Queen Anne Ave. N.
City Seattle State WA Zip 98109
M(r CytANICA L,.CON IltAC Ol 1 .1(.1d,k ni
Contractor Name Address
City State Zip
Contact Phone Fax
License N Expiration Date Verified 0 Yes 0 No
YLUAl131NG CoN',1'RAC7'OR _. Q I d(..l`I1(1
Contractor Name _) Address
City State Zip
Contact Phone Fax
License I Expiration Date Verified 0 Yee 0 No
LIJSMJJING FurruRC COU1V'`
X :
.............................
Water Closets Sinks 1 Urinals Lawn Sprinklers
Bathtubs Dish Washers I Drinking Fountains Other
Showers '2. Electric Water Heaters Sumps
Lavatories 4 Washing Machine I Drains .
TO.tal. lxtlfrb CoUht
MECIIANICAL UNIT COUN 1l
...............................
Fuel Type (electric/other) 6aS Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping 38 1 Range 1 Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs I Gas Log Unit Heater 50+ Tone
Furn >100 BTUs Fans y Miscellaneous Fuel Tanks
Gas Hwt I Hood I Boilers Above Ground
Cony Burner Duct Work 0-3 Tons
Underground
BBQ'e - Wood Stoves 3-15 Tons Total.Unit CQUnt
DISCLAIMER: I certify under penalty of perjury that the Information furnished by me Is true end correct to the best 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,
end attorneys'fees incurred in Investigation end 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 dabs lies out of lh on of the City,Including Its officers and nmploynn s,upon thn ncCllr acy of the bdonnnl ion supplied to the City as a part of this
application. `�/ r
Owner/Agent: l/vl,, / Date: /7/Z/97