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95-103377 4` q5- 10 3377 CITY OF FEDERAL WAY L 'r „„,. .,,, TE. .,,,u PERMIT NO: BLD95--1019 33530 First Way South .�,,,,'�Ii�..,,� .,,11.,. .,1„,�r y'� ��,,,,a, °"p �.,,. l"''�,,I�"�'� .,,II,,. II,1 ISSUED: 12/19/95 Federal Way, WA 98003 Building Inspection Requests 661--4140 BY: KLC 661-4000 EXPIRES: 12/19/96 ADDRESS : 33015 4TH PL S NO. : 132140-0650 PROJECT DESCRIPTION:NSF W/PLUMBING AND MECHANICAL ***REVIEWED AS BASIC *95-1020-V94*** CAMPUS GLEN, LOT #65. F= OWNER --- __.._._---.._.__-__._.,_____.._...---_-_--_7_ CONTRACTOR ------ ------ --•--___.-_-_. ----- - LENDER --__.._ - -- ___=.____________CAMPUS GLEN LTD PARTNERSHIP 1 POLYGON NW COMPANY 1 SEATTLE MORTGAGE 4030 LK WASH BLVD NE, #201 1 4030 LK WASH BLVD NE i 229 QUEEN ANNE AVE N KIRKLAND WA 98033 KIRKLAND WA 98033 SEATTLE WA 98109 E 822-7700 822-7700 I POLYGNC051D4 :..___. __ - 1 . 1 *1* CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECIS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.22 *** ------------- - BLD?:X MEC?:X PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN •SR FEES: TYPE OF WORK:NEW USE:RES 1ST.: 0: 1187:sf STORIES • 2 REQUIRED PARKING..: 2 SPRINKLERS' •9 PLAN CHECK FEE $ 100.00 CENSUS CATEGORY •101 2ND.: 0: 992:sf HEIGHT • 0.00 ft ; HAZARD CLASS 0 FINAL PLAN CHECK...* $ 0.00 OCCUPANCY GROUP 3RD.: 0: O:sf VALUATION i REQUIRED SETBACKS FIRE FLOW • 0 gpm BUILDING PERMIT....$ $ 744.50 :R3 :U1 :? :? OTHR: 0: O:sf EXIST..$: 0 FRONT • 20.00 ft SBCC SURCHARGE * $ 4.50 TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 129142 SIDE 5.00 ft WATER SERVICE..:FED MEC APPLIANCE FEES.* $ 50.50 :5N :5N :? :? DECK: 0: 0:sf REAR • 15.00:ft SEWER SERVICE..:FED PLUMBING FIXT....93* $ 91.00 OCCUPANT LOAD GAR.: 0: 696:sf RECEIVED.:12/08/95 PUB WKS PLCK(SF)..93 $ 40.00 : 0: 0: 0: 0: TOTL: 0: 2875:sf IMPERV SURFACE: 2521 sf SENSITIVE AREAS?.:N J IL TYPES.:GAS ? FANS • 4 BOILERS/COMPRESSORS WATER CLOSETS • 3 URINALS • 0 TOTAL FEES $ 1030.50 IPING.: 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 1 LAVATORIES • 4 VAC BREAKERS...: 0 CONY BURNER: 0 FURN>100K • 0 30-50 HP • 0 I SINKS • 1 DRAINS • 0 BBQ • 0 MISC • 0 5+ HP • 0 DISH WASHERS • 1 LAWN SPRINKLERS: 0 GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKSELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0 I RANGE • 1 <:10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 1 GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 I __ A _ ____..._..___J 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 MAY REQUIREMENTS WILL BE MET. CALOA OWNER OR AGENT _ . DATE --1-21-- 4'`- -Q, . 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City of Federal Way : N :TELv (i. —/O-e-C)•---V90 APPLICATION FOIUWILDING PERMIT DEC 0 51995. j� f,� PLEASE PRINT C1TY OF F i APPLICATION #: �> I) ] f SATELOCATION Address Tenant (if known) Lot # Assessor's Tax # I I L(( Nei;(7 Building Owner Name Address Campus Glen Limited Partnership 4030 Lake Washington Blvd NE #201 City Kirkland soca 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 awKirkland State WA Zip 98033 Contact Person Day Phone Other Phone Fax Lori Perkins 206--822-7700 -- 206-827-4098 BUIL7,��NG CONTItACTOIt: ;; 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 # (card must be presented) Expiration Date Verified 0 Yes 0 No POLYGNCO51D4 03/09/96 crnTECT. Name Jay Middleton Design Group Addrp0430 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 C00492(Rev 4/93 ,* LS"'RUCTURI� Existing Use ¶roposodUso S F Dwelling Vacant . . Permit includes: M Building 7 Plumbing g Mechanical ❑ Other Type of Work: [N Residential IX/ New ❑ Remodel ❑ Number of Units_ ❑ Deck ❑ Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other Enter 1st Floor 9Li7 sq ft 2nd Floor-74/(o sq ft 3rd Floor sq ft Existing Floor Area sq ft • Area Basement sq ft Decks sq ft Garage i1 • `� sq ft Proposed Total Area sq ft Water Availability NSA Sewer Availability k On-Site Septic Se tic S stem Availability ❑ PCtV� tlarl $ "'rjQ : Wa Zoning SR Lot Size "l t ✓Pr�Zy •i1l � [ `: :: >� aung9d9Yeu»t19n $ > < » > : ................................................................ .......... .......... Name Address Seattle Mortgage 229 Queen Anne Ave. N. City Seattle State WA Zip 98109 ........................................................................................... ........................................................................................... ........................................................................................... 11 + n T.A _<GQ .TRLAcT. Y2 Bidding Contractor Name Address City State Zip Contact Phone Fax License # Expiration Date Verified 0 Yes ❑ No • POINIAIN r ONTRAMO. ': Bidding Contractor Name Address City State Zip Contact Phone Fax License # Expiration Date Verified ❑ Yes ❑ No • Pt LUYIIM°41:XTUAWC.O.Maiig :i:i:ii Water Closets '3 Sinks I Urinals Lawn Sprinklers Bathtubs ` Dish Washers Drinking Fountains Other Showers '-2j Electric Water Heaters Sumps Lavatories Washing Machine I DrainsTotal`'Fixture.Count ; `r Fuel Type (electric/other) -(2)0.1.:', Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons Length of Gas Piping '3's" r Range 1 Air Handling > = 10,000 CFM 30-50 Tons Furn <IOOK BTUs I Gas Log Unit Heater 50+ Tons Furn >100 BTUs Fans z_ Miscellaneous Fuel Tanks Gas Hwt I Hood I Boilers Above Ground Cony Burner Duct Work 0-3 Tons Underground BBQ's Wood Stoves 3-15 Tons 'totalUnit Q.augt 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 d 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 clairti arises out of'the. 'lance 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:1 (Art,/ ( Date: ( 212IQc i0 B LDqs , / (Diq • SITE PLAN SCALE: 1 ■ 20' RECEIVED LOT 66, PLAT OF CAMPUS GLEN DEC 051995 CITY OF FEDERAL WAY • ' BUILDING DEPT. t r7 M.t.t—t uvw ..e'''.... SZac3 e=at- r Y2('•>. y.-c- (3p(_,,L__ _ . `� _____________________4TH I y LACE SOUTH _347.2 FL'ttt_ 24- ' ,t �� AX 0- 1•_,L L.,-;-t-s, 1E 6A.,•-•c "M/>l( Ie.)" . Com,[t= �L I._.1 1111 (=ry c..0....oa-c..-r-N-tom. N 11 , ---- It � A-1-1'44.!45" ._ (2) WATER R=292.67' METERS • • - 1160.00' eL \ � . I wAk �¢..v PY w t C-,-ik . . I A PS . tv P X1:,46till I i� �Eci L --. t t j 5. N w i I I h,41 id-kN f 31-A37 I w 66 ,,..0 .,. m N 64 Z m im—______ r II. -lo SIT 'LAN APPROVAL I P Milt P`a::�e.�: 0 7s-' i (.3)} •Frrc`':d 13y: �. r' - ' Date: _ z ' :< -..... ..E... Comments: fit= ed^' rT"'-3. BSBL _ _ - - ss 71.41' to N n N 19'48'28" W a n P _ P 'N-\ (- '? r 1- ., 1--' © J�t�k C .- AL R O i I v Li i .2 POLYGON NORTHWEST PROJ. 4040 LAKE WASHINGTON BOULEVARD N.E., SUITE 201 LOT NO. 65 PLAN NO. KIRKLAND, WASHINGTON 98009 (206) 822-7700 BASIC NO. 0 CONT. REG. NO. POLYGNC088DF ADDRESS 4 Lok Coverac_j ,1570 ...`\ .