94-102180 5Y , )0 -18-6
CITY OF Fee s E t r FEDERAL
98003 T �i7-J I t Inspection Requests e6RPERMITM NO:BY: T t'f 'Ig-0886
C
661-4000 EXPIRES: 05/27/95
ADDRESS:620 S 331ST PL
NO. : 132140-0440
PROJECT DESCRIPTION:NSF - N/ PLUMBING & MECHANICAL. APPROVED BASIC t94-1029-V91
CAMPUS GLEN, LOT 144. PLAN 3463
i= OWNER - CONTRACTOR LENDER —
CAMPUS GLEN LTD PARTNERSHIP POLYGON NN COMPANY SEATTLE MORTGAGE
4030 LK WASHINGTON BLVD NE 201 4030 LK WASH BLVD NE 229 QUEEN ANNE AVE N.
KIRKLAND NA 98033 KIRKLAND NA 98033 SEATTLE NA 98109
411111 622-7700 822-7700
I POLYGNC088DP '
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? ~9 PLAN CHECK DEPOSIT.* $ 100.00
CENSUS CATEGORY -102 2ND.: 0: 740:sf HEIGHT • 0.00 ft HAZARD CLASS •? PUB WKS PLCK(SF)..93 $ 40.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW 0 gps BUILDING PERMIT....* $ 720.00
•R3 •M1 - 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 NEC APPLIANCE FEES.* $ 68.00
•5N •5N DECK: 0: 0:sf REAR • 20.00:ft SEWER SERVICE..:FED PLUMBING FIXT....93* $ 91.00
OCCUPANT LOAD GAR.: 0: 703:sf RECEIVED.:11/14/94 RADON KIT 93 $ 20.00
0: 0: 0: 0: TOIL: 0: 2410:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N
FUEL TYPES.:GAS GAS FANS 5 BOILERS/COMPRESSORS WATER CLOSETS . 3 URINALS - 0 TOTAL FEES $ 1043.50
Ilk 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 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 MISC • 0 5+ HP • 0 DISH WASHERS • 1 LAWN SPRINKLERS: 0
GAS DRYER..: 1 AIR HANDLING UNITS FUEL TANKS ELEC NTR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE - 1 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN NSHR OUTLTS...: 1
GAS LOGS...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0
PERMITS EXPIRE 180 D: SUANCE i IRK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE I -:'..TION F 'NISED • TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET.
Aagi .4
OWNER OR AGENT mg«w _ DATE it _
FILE COPY
i r 1 •
M00 0-1318
-,.n__ ��.-- 7----------. --------
.._-_- ---... -____---
7INV 31""7".
13i 38 Imo S!N353H1fN1?H AVN 101131131 JO A113 3190311ddV MI O 390/11001 1411 30 1539 311 01 1)381103 OW 3041 vI 3$ A4\03201014 0011,',,: 1341 1041 AJ1I$I3
"335VIISSI 10 3100 1131.10 VIM INC 311Id1(.3 S1IWH3d 9N14V119 ONV 1VII$301538 '03111V!S 51 BOA ON II 141011S51`-IF#140 VO 081 3HidX) SI.
j0 :"(11(1085$30110 0 :$33 000`01 < 1 :-'5501 SV9
Il
T :-""S11100 dNSM NOV1 0 :ONf 0119 3AO8V 0 :513 000`01:. I • 39+5011
0 :'S3b11XIJ 83010 0 :"'S11310)11 SIM 3311 --- SIM 130J S1INO 914I1ON0N HIV 1 :';H3ASOO S
0 :51131)011185 5401 I • SH3HSVN 4SIO 0 - d4 IS 0 : MIN 0 : -'088
0 - SNIVHO I - S11I5 0 dN 05-02 0 - 1001<0101 0 11310018 ANO)
0 r:'S831V338 3VA t • 531110!VAV1 0 - d5 01-S1 0 : "S3A015 00011 1 • INN SV9
0 • SMNOS Z • SWOONS 0 • dN SI-2 0 • 11100 13140 f :"'1001)181)!
0 :`15001 90115180 I - S84il HMI 0 • dN 2-0 1 - 00101 11 82 :'9$1d1d SV9
0S-2501 I 5334 10101 0 - S1VNI110 I - 5135013 i93IVM Sd055311d503/9131I08 S • - SNVJ SV9 SV9:'S3d)1 1103
N ',SV3HV 3AIIISNIS Is 0 :1301105 f113d$1 I5=01,4' :'7 '1101 :0 :0 :0 :,:? •
0i3"OZ I £6 111 NOOVd ;3 /,IfU:'03AI13311 104yoi :0 . -V') -----0001 150811330
00'16 $ s26'-"1XIJ 91118110ld 033:"331AH35 H3M3s 11:00.02 - H930 is:0 :13':) : N4: 5S:
0089 $ $'5331 330V11ddV 335 033:`•33IA1135 113101 1I 00'S - 3Ol;z- 899Lc1 4 --fid 15 0 :0 19tSS8 ". - - 50113118!5003 JO 3441
0;'5 $ t J9H0N3Hf1i.= . . ,l 00'04 15083 2 :8 '1 IY3 04 1 :94'10 IN: 111:
00'OZL $ * •`•1I51138 90 4 i J 0 1 J - Yvills 01105'; --. Nr 1 #1-A, .s u - ,3., - 80089 A3NV811330
00'05 I 16'(JS)131d IN 8118 tri • 13 " 6 f1 , C 'h 1 ig 3s:ott v J$44 401• A11093103 1603300001 $ t'1151)830 13343 Mild _ ' "iSIIMANI, ,.'9a-1-: 41111101000d 03810438 ( % :-"---;41•'-;11 01 JS:L96 •0151 5311:35(1 EN11100 JO 3d!!
:5313 S5:""-" NUM 610J I 1 .5tioft "a111 JN4t dOHd--iSIa-413 X 4518 1:03$ X:018
Atm. ...:. .-..,m -. ...... ':L.. e%:.�14: ..... .. ..... ... .
d08303851 400 •
00I1-ZZ8O0LL-ZZ9
60186 VM 3111035 11086 00 000/1811 21086 VN 050118I1
'N JAV 1550 53340 6ZZ 35 OA18 NSVM II 0205 10Z 35 °A18 5019NI550M 11 0205
f390518101 3111035 ANVd503 NN 1105110d OIHS/1351808 011 5315 5118503 }
�Mt� m_�._ .. �_�,�9
2851 NV1d '551 101 '5319 511d503
16A-6101-561 31508 030011880 "WV315VN31$ 1 WHOM /$ - JSN:NOIidIHOS30 .103fOtJci
00l,O-017TZET : 'ON
id 1ST1 2 S 019:SS3J0t3b
Y
5611.E/S0 :S37jIdX3 i , 00017-199
DJ JlUg }0t'`/T`t'--t999 sl�s}aiiba8 uat333adsu t>uip t`�o fi �� V a-aa a t '
9880-176018 :ONuiIW233d 1l�i►�l1 �. i1 l�t.t\.1/ I J J AkZM 3 V .14).14 sJOuAll?
i .,l.
t
: 5t,
wi,„.....,
. • . ....
• - ibbliibb-
I SE 'tACKS;& FOOTINGS p
Date//- �9 9� By Y,1�
FOUNDATION WALLS
Date/Z'/z,..f By(
PLUMBING GROUNDWORK
Date. By
UNDERFLOOR FRAMING
Date/3,-7),.,y By ykAj
.... ..................... . ... . . ..........
SHEAR WALLS ,re' /iz,‘ fS'�//� G�
Dates 4,'1704"/1144 ,By2JI*ft/Q /-5c)--!1 c ine ,j Ty Ay/op/env,- Q'zc.41'7i c.h1- - /GrZeiviP 4
7 PLUMBING ROUGH-IN 4- ,viii p tvi/i,�t,- 5771.- ie-/J Lam.- c ,9�Gorpp,�+-,✓Ut OF- crXR-$ 1
/off ! '
Datez' L✓o// S? r�Y.,i�- .f/��Gi.v4 f //✓rsn..✓4ddv s,r� C.-
GAS
/
GAS:PIPING Z-/7-13. ?"- f/k#'- 16/. P
DateZ4f ff B
MECHANICAL ROUGH-IN
.................
Date Z -/7"-fr By /07
MECHANICAL,(OTHER)
Date By
FRAMING
Dater/c'r
INSULATION
Date 744'5- E
GWB - 1ST LAYER
Date `7)i /11- "I 6 By 01
GWB - 2ND LAYER
Date By
SUSPENDED CEILING
Date By
PLANNING FINAL
Date By
1 ENGINEERING FINAL
Date By
rFIRE FINAL
Date By
BUILDI G FINAL I 0 0'r (:"A‹,
Date / A`j By Jr ',.
OTHER
Date By
OTHER
Date By
CDO 193
City of Federal Way •
RECEIVED
NP;) ray APPLICATION FOR BUILDING PERMIT NOV 31994
TI..A 1 V 4-•33 CITY OF FEDERAL WAY
BUILDING DEPT,
•
PLEASE PRINT APPLICATION
: BLD qui— oglre9
SSE LO, ATI ON Addross C17a3� S , '3 31 .51- (91'
Tenant (if known) Lot it (/ )Ll Assessor's Tax N� /32/44/—/2/FSVC
Building Owner Name Addross
Campus Glen Limited Partnership 4030 Lake Washington Blvd NE, #201
City Kirkland State WA Zip 98033 Phone 822-7700
Nature of Work Construct Single Family House
Nome(F,M,L)
Campus Glen Limited Partnership
Address
4030 Lake Washington Blvd. NE, Suite 201
city Kirkland state WA Zip 98033
Contact Person Day Phone Other Phone Fax
Lori Perkins 822-7700 N/A 827-4098
13UILrnNG CON`RAC '03L
Company Nome
Polygon Northwest Company
Address
4030 Lake Washington Blvd. NE, Suite 201
city Kirkland state Wn zip 98033
Contact Person Phone Fax
Lori Perkins or Greg Arms 822-7700 1127-41198
Contractor's ft (card must be presented) Ex iration Date Verified 0 Yes 0 No
POLYGNC088DP 3/09/95
Ai Ci ECS
Name
Jay Middleton Design Group
Address
4030 Lake Washington Blvd NE, Suite 210
City Kirkland state WA zip 98033
Contact Person Phone Fax
Jay Middleton 827-4991 827-6405
LEGAL DESCRIPTION
Campus Glen Lot# L1L4
Please Complete Reverse Side
CD0492 IRev 4/93)
1 ! 1 L t 1 i I
STRUCTIME •.tiIilIUso •hb011U5n
W . Vacant S.F. >7wPlling
Permit includes: - Building rt Plumbing .4 Mechanical O Other
Type of Work: IQ Rooidontinl jKI Now I I limurolol I I N bor of Units ___ (.1 Dock
LI Comrnorciol I-1 Addition 1.1 Grunge LI Shod U Other
Enter 1st Floor 9(p7 sq ft . 2nd Floor 7140 sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement sq ft Docks sq ft Geroge -703 sq ft Proposed Total Area sq ft
/
Water Availability 1d Sewer Availability On-Sita Septic System Availability U Project Valuation: S
Zoning d"Ek ,S • 7 2 (Lot Size -7a0U Existing Bldg Valuation;'$
LEND1!R"
Nnmo Address
Seattle Mortgage 229 Queen Anne Ave. N.
City Seattle State WA zip 98109
MECh ANICAY,CUN'I'1lACT()It P (d.(1 1 f)G
Contractor Name J Address
City State Zip
Contact Phone Fax
•
License # Expiration Date Verified 0 Yes 0 No
I'LUAiI31NC C(�N'l'R�(;'1'OI2 BI o c t n
Contractor Name Address
City State Zip
Contact Phone Fax
License / Expiration Date Verified 0 Yes 0 No
ILTAI,MN prit tE COUNT'
Water Closets '77 Sinks 1 Urinals Lawn Sprinklers
Bathtubs 1 Dish Washers IDrinking Fountains Other
Showers '2. Electric Water Heaters Surnps
Lavatories 4 Washing Machine I Drains Total Fixttiro Coilht
111LCIIANiCAL tUNEJ COUN I`. '•
Fuel Type (electric/other) 6aS Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping 38 ' Range f Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs I Gas Log Unit Heater 50+ Tons
Furn >100 BTUs Fans y Miscellaneous Fuel Tanks
Gas Hwt I Hood ( Boilers Above Ground
Cony Burner Duct Work 0-3 Tons Underground
BBQ's • Wood Stoves 3-15 TonsTotal Unit Coyt-
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 •.fense of such claim),which may be made by any person,Including the undersigned,end filed against the City of Federal Way,
(nit only whore each claim ay out of thin i inn(' of the City,Including IU oflicnrs and employee's,upon the accurncy of the informnlion supplind to thin City as a part of this
application. r
Owner/Agent: dill a { / Q
Date: Jl/ // y