95-101196 CITY OF FEDERAL WAY PERMIT NO: BLD95-0432
33530 First Way South BUILDING PERMIT ISSUED: 06/21/95
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 06/21/96
ADDRESS:637 S 331ST PL
NO. : 132140-0390
PROJECT DESCRIPTION:NSF - W/PLUMBING AND MECHANICAL. APPROVED BASIC #95-1010-V91.
CAMPUS GLEN, LOT #39.
F= OWNER ..._...----= = x == T CONTRACTOR =__ _ ...====xx=====_____________ _ LENDER = _ _______
CAMPUS GLEN LTD PARTNERSHIP POLYGON NW COMPANY SEATTLE MORTGAGE
4030 LK WASH BLVD NE, #201 4030 LK WASH BLVD NE 229 QUEEN ANNE AVE N
IRKLAND WA 98033 KIRKLAND WA 98033 SEATTLE WA 98109
822-7100 822-7700
POLYGNC088DP
.......=___. __====.=x=====____.=_---_= ___ ==x= =--xtr.=..._-_ _ __--_-_---_.=--=R
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.2% ***
Fx=axx=xxxxx x=rcx==x=x=== ==x==x==== T = __ _____________=====x x===x==x= =
BLD?:X MEC?:X PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN •SR FEES:
TYPE OF WORK:NEW USE:RES 1ST.: 0: 658:sf STORIES • 2 REQUIRED PARKING..: 2 SPRINKLERS' •? PLAN CHECK FEE $ 100.00
CENSUS CATEGORY •101 2ND.: 0: 666:sf HEIGHT • 0.00 ft HAZARD CLASS •' FINAL PLAN CHECK...* $ 0.00
OCCUPANCY GROUP 3RD.: 0: O:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm BUILDING PERMIT....* $ 643.00
•R3 •M1 • OTHR: 0: 0:sf EXIST..$: 0 FRONT • 20.00 ft SBCC SURCHARGE * $ 4.50
TYPE OF CONSTRUCTION BSMT: 0: O:sf PROP...$: 100627 SIDE • 10.00 ft WATER SERVICE..:FED MEC APPLIANCE FEES.* $ 57.00
•5N •5N • DECK: 0: 0:sf REAR • 10.00:ft SEWER SERVICE..:FED PLUMBING FIXT....93* $ 91.00
411 OCCUPANT LOAD GAR.: 0: 572:sf RECEIVED.:06/06/95 PUB WKS PLCK(SF)..93 $ 40.00
. 0: 0: 0: 0: TOTL: 0: 1896:sf IMPERV SURFACE: 2419 sf SENSITIVE AREAS?.:Y
�= ____ __= C.. __ __ ==C==..==C.== x
EL TYPES.:GAS ELE FANS • 4 BOILERS/COMPRESSORS WATER CLOSETS • 3 URINALS • 0 TOTAL FEES $ 935.50
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
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.: 0
RANGE • 1 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 1
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
.-.-x.......x.-x = _ _ _--__ =...t.-= _ ___ _ _- =A
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 I TION FURNISHED BY NE IS TRUE AND CORRECT TO TME BEST OF MY KNOWLEDGE AND THE APPLICABLE)CITY OF FEDERAL NAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT t %fes' DATE /" - / /���
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a.a _ECEIV ED City of Federal Way
ra7W= l__ l� .
�� 191Y 4 4nAPPLICATION FOR BUILDING PERMIT
JUN O
Gfi r uOL,pING DEPT AY
PLEASE PR/NT APPLICA TION #: aX11) c-(Yi'9a
SITE :OCATION Address ,-')D-7 5, '7 1 -3-\.-p)
Tenant (if known) Lot # Assessor's Tax X
3c
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
BUILDINGCONTRACTOR
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 I (card must be presented) Expiration Date Verified 0 Yes 0 No
POLYGNCO51D4 03/09/96
k* I IITECT .
Name
Jay Middleton Design Group
Addrpss
4030 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# 59*
Please Complete Reverse Side
CD0492(Rev 4/931
Y 0
LillMrIVR,EMR:priinR,RExisting Use
Vacant Proposed Use S,F.
Dwelling
Permit includes: Mi Building gl Plumbing kl Mechanical ❑ Other
Type of Work: I$ Residential IM New ❑ Remodel ❑ Number of Units_ ❑ Deck
❑ Commercial O Addition ❑ Garage 0 Shed ❑ Other
Enter 1st Floor OJ sq ft 2nd Floor/')(pip sq ft 3rd Floor sq ft Existing Floor Area sq ft
• Area Basement sq ft Decks sq ft Garage 57 , .sq ft Proposed Total Area sq ft
Water Availability ks. Sewer Availability [] On-Site Septic System Availability 0 P[nlectvelurfttgfl @ ,
Zoning SR Lot Size • Ed Up P14. �NfIuali:otl» .16,iii i!'; :i.Mi <>:€<<':>.`;:>
•
Name Address
Seattle Mortgage 229 Queen Anne Ave. N.
City Seattle • State WA Zip 98109
CHANICAL;CO14TRCTU#........:` Bidding
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes El No
PLUMBING CQNTRAcy.c Bidding
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified 0 Yes ❑ No
.4.VMRXIYG I c•.M CPP
Water Closets Sinks 1 Urinals Lawn Sprinklers
Bathtubs ' I Dish Washers Drinking Fountains Other
Showers G.. Electric Water Heaters Sumps
Lavatories 1."f Washing Machine I Drains TotalFixture Count .
Fuel Type (electric/other) C)q_s Gas Dryer \i Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping 3�j / Range I Air Handling > = 10,000 CFM 30-50 Tons
Furn <1OOK BTUs I Gas Log Unit Heater 50+ Tons
Furn >100 BTUs Fans !../ Miscellaneous Fuel Tanks
Gas Hwt 1 Hood / Boilers Above Ground
a
Cony Burner Duct Work 0-3 Tons Underground U `
BBQ's Wood Stoves 3-15 Tons Tota. nft Count
<)
DISCLAIMER: I certify under penalty of perjury that the Information furnished by me Is true and correct to the beet 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 arise out of the reliance of the City,Including its officers and employees,upon the accuracy of the information supplied to the City ss a part of this
application. 7
Owner/Agent: 0—(A, t' Date: .
MR —EJ`: —i5 TUE 1.u :2'-i HIi •_.rrill 0, . I,LL ,,._
! •
FtECEIVED ,�
�`
1995 ' " L -',$ N 5U
JUN 1 s GALE: V p 20'
C,1 I
u t-cAL WAY LOT OF CAMPUS GLEN fo-e.
- Y OF Ft ��� 39, PLAT
BUILDING DEPT. '
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///////,/ / / ,5e\, ' TE PL• APPROVAL
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POLYGON NORTHWEST PROD.
4040 LAKE WASHINGTON BOULEVARD N.E., SUITE 201
LOT NO. 39 PLAN NO.
KIRKLAND, WASHINGTON @8009 (206) 827-7700 DASIC NO.
CONT. REG. NO. POLYGNC088DF ADDRESS
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