95-101126 406 ci--7--... /0 )1D&
CITY OF FEDERAL WAYPERMIT NO: BLD95-0411
;�,
33530 First Way South . '; U I. L)L)I N G PERMIT ISSUED: 06/21/95
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 06/21/96
ADDRESS:634 S 331ST PL
NO. : 132140-0410
PROJECT DESCRIPTION:NSF - W/PLUMBING AND MECHANICAL. APPROVED BASIC *95-1009-V91.
CAMPUS GLEN, LOT X41.
1= OWNER =_____===== _ _ = CONTRACTOR == ==__ _ =--- LENDER == _ _____
CAMPUS GLEN LTD PARTNERSHIP POLYGON NW COMPANY SEATTLE MORTGAGE
4030 LK WASH BLVD NE, X201 4030 LK WASH BLVD NE 229 QUEEN ANNE AVE H
Ili0KIRKLAND WA 98033 KIRKLAND WA 98033 SEATTLE WA 98109
I 822-7700 822-7700
POLYGNC088DP
I- . __ _________ ______ __ _____ = _ ==xxx==_
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.2% ***
____________________ _ _=_________=___= = _ == _
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: 740:sf HEIGHT • 0.00 ft HAZARD CLASS •' FINAL PLAN CHECK...* $ 0.00
OCCUPANCY GROUP 3RD.: 0: O:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gps BUILDING PERMIT....* $ 730.50
•R3 •M1 OTHR: 0: O:sf EXIST..$: 0 FRONT • 20.00 ft SBCC SURCHARGE * $ 4.50
TYPE OF CONSTRUCTION BSMT: 0: O:sf PROP...$: 125588 SIDE • 20.00 ft WATER SERVICE..:FED MEC APPLIANCE FEES.* $ 61.50
•5N •5N • DECK: 0: 0:sf REAR • 5.00:ft SEWER SERVICE..:FED PLUMBING FIXT....93# $ 98.00
OCCUPANT LOAD GAR.: 0: 497:sf RECEIVED.:05/31/95 PUB WKS PLCK(SF)..93 $ 40.00
0: 0: 0: 0: TOIL: 0: 2204:sf IMPERV SURFACE: 3176 sf SENSITIVE AREAS?.:N RADON KIT 93 $ 20.00
x=====xs==x====sssssss =
========== ======s=sx=x=xs=xss =========..........
EL TYPES.:GAS ? FANS • 5 BOILERS/COMPRESSORS WATER CLOSETS • 3 URINALS • 0 TOTAL FEES $ 1054.50
AS 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
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 WTR HEATERS...: 0 OTHER FIXTURES.: 1
RANGE • 1 <:10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 1
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 T _ TTIION 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 _ NI A A" , C:. QDATE � �=l -'
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«�•� .-- City of Tederal Way
-`,- rCEIv�APPLICATION FOR f °' -
R BUILDING PERMIT
MAY 3 11995
CITY FFEDERAL WAlePLEASE PRINT BUILDING DEPT. APPLICATION #: V - D-1 j j
SITE LOCATION ; Address : i4 5 -3-.2,1 tc,c_ i •
Tenant (if known) Lot KAssessor's Tax #
1
1 ' 2_ tc-16 ct , (,
Building Owner Name Address
Campus Glen Limited Partnership 4030 Lake Washington Blvd NE #201
City Kirkland state WA zip 98033 Phone 206-822-7700
Nature of Work Construct Single Family Residence
•APPLICANT . :
Name (F,M,L)
Campus Glen Limited Partnership
Address
4030 Lake Washington Blvd NE #201
CityKirkland State
WA Zip 98033
Contact Person Day Phone Other Phone Fax
Lori Perkins 206-822-7700 -- 206-827-4098
•
13CJII;T�XNG 0StritA.CIro
Company Name
Polygon Northwest Company
Address
4030 Lake Washington Blvd NE #201
CityKirkland state WA Zip 98033
Contact Person Phone Fax
Lori Perkins 206-822-7700 206-827-4098
Contractor's N (card must be presented) Expiration Date Verified 0 Yes 0 No
POLYGNCO51D4 03/09/96
[ cIuTEcT
Name
Jay Middleton Design Group
Addr a
4'030 Lake Washington Blvd. NE #210
City Kirkland state WA zip 98033
Contact Person Phone Fax
Jay Middleton 827-4991 827-6405
LEGAL DESCRIPTION
Campus Glen Lot#
Please Complete Reverse Side
CD0492 Inev 4/931
•
4
_.. ... .: •
I
S'1'RU TURA • 'Existing Use Vacant Proposed Use S.F. Dwelling l I
Permit includes: M Building ; Plumbing 7 Mechanical ❑ Other
Type of Work: LX Residential jiiL New ❑ Remodel ❑ Number of Units ❑ Deck
❑ Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other
Enter 1st Floor 11.0-7 sq ft 2nd Floor? (' sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement sq ft Decks sq ft Garage 41 / sq ft Proposed Total Area sq ft
Water Availability t Sewer Availability LI On-Site Septic System Availability 0 ProjaQt;Vgltfatjgn fj.
Zoning r .�' 4.___S 1--2 Lot Size I---N,‘;' ,
mo' Exist n8 Bldg vialo fora $.......
LENOt
Name Address
Seattle Mortgage 229 Queen Anne Ave. N.
city Seattle • state WA Zip 98109
............................................................................................
MECHANICAL CONTRACTOR Bidding
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING CONTRACTOR Bidding
Contractor Name Address
City State Zip
Contact Phone Fax
License tl Expiration Date Verified 0 Yes 0 No
Water Closets Sinks l Urinals Lawn Sprinklers /
Bathtubs / Dish Washers I Drinking Fountains Other
Showers v Electric Water Heaters Sumps
Lavatories
lii,::.•» ::::..., ...;... �s[:'s>:
G Washing Machine Drains Totaliaiti#jrgCou ::1»
MI"CIIANI[CAX UNIT:CO.IN'I'
Fuel Type (electric/other) r,jr,Z.,.i Gas Dryer J Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping ',. Range 11 Air Handling > = 10,000 CFM 30-50 Tons
Furn <IOOK BTUs I Gas Log Unit Heater 50+ Tons
Furn >100 BTUs Fans ) V) Miscellaneous Fuel Tanks
Gas Hwt I Hood ' Boilers Above Ground
Cony Burner Duct Work 0-3 Tons Underground
BBQ's Wood Stoves 3-15 Tons Total lJnjt Qgurt
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 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 attorneys'fees Incurred In Investigation and tense 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 cla ad s out of 04.rattan s 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
jC7Owner/Agent: �/V� � �i�l"-�� "" __Dela: �/a/ ,
i"1 Fi','-._l..";.i -y tUE 1 _ ;i.I _:ki I`i f':L! ,_.L_i_. - ,. `l./ c - DH I I - -
SITE PLAN \ a . L.
V20' � U d
3QALE; 1 w* a"'.
LOT 41 , PLAT OF CAMPUS GLEN
SITE PLAN APPROVAL r-
.. - M
Permit Number' 9s -0 uf/ M
(2) WATER-, a
Apprc��cd$y: 777-777-, MET�.RS cnDae: �, v (:17A---/' ..r 4 4 4, d��.,
Comments: ;e �'c).,vG)rT7dI. �, `ly
44v
40441,
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-11�' DRAINAGE
_\--1--- _ Ill /____ E'.MT TO CITY
i'... ti\ I FEDERAL W.
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4,1., I. RECEIVED
fii ' 6i
�` 1 - ~ alTh....../ �' MAY 3 1 1995
co .I , . CITY OF FEDERAL WAY
I— BUILDING DEPT.
N So— ________45.1
4---• 0 Cy1..p6. v1R
•
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—5, r r Q ,�) �. c (FJ AR
\ 8
re �4 LINE [ DIRECTION DISTANCE
5.
I. _ r
- __ 1— 1' L-10 S 37'01 '16' E 3.15'
71.99' L-11 N 52'b6'44 E 30.70'
S 37'01'16" EJ/4b *7t(T/Ut
li7velN4 A' CUR RADIUS , LENOYH DELTA
1�-.. --�-20' TREE -
RETENTION De"Pet w 6 C--9 50.00' 20,34' 23'18'13
BUFFER
POLYC.,ON NORTHWEST P OJNo. 41 PLAN NO.4040 LAKE WASHINGTON BOULEVARD N.E., SUITE 2U1
KIRKLAND, WASHINGTON 98009 (206) 822-7700 BASIC NO.
CONI'. REG. NO, POLYGNC088DE ADDRESS
Lth (ode—rs ( I 7 (
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