94-102128 9q,/150)-)aS)
CITY
335300FirstF EWay Sout�,RALBUILDING PERMIT PERMIT ISSUED:NO: 112/14/9462
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: KLC
661-4000 EXPIRES: 12/14/95
ADDRESS:801 S 328TH PL
NO, : 132140-0400
PROJECT DESCRIPTION:NSF - N/PLUMBING & MECHANICAL.
CAMPUS GLEN, LOT #40
OWNERil=10
-- CONTRACTOR -- LENDER —
CAMPUS GLEN LTD PARTNERSHIP POLYGON NN COMPANY SEATTLE MORTGAGE
4030 LK WASHINGTON BLVD NE 201 4030 LK NASH BLVD NE 229 QUEEN ANNE AVE N
RKLAND WA 98033 KIRKLAND NA 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: 658:sf STORIES • 2 REQUIRED PARKING..: 2 SPRINKLERS? 7 PLAN CHECK DEPOSIT.: $ 100.00
CENSUS CATEGORY -101 2ND.: 0: 666:sf HEIGHT • 0.00 ft HAZARD CLASS .9 PUB WKS PLCK(SF)..93 $ 40.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gm FINAL PLAN CHECK...* $ 0.00
:R3 :MI OTHR: 0: O:sf EXIST..$: 0 FRONT • 20.00 ft i BUILDING PERMIT....: $ 621.50
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...1: 95583 SIDE • 25.00 ft WATER SERVICE..:FED SBCC SURCHARGE : $ 4.50
:5N :5N : DECK: 0: 0:sf REAR - 20.00:ft SEWER SERVICE..:FED MEC APPLIANCE FEES : $ 50.50
OCCUPANT LOAD GAR.: 0: 572:sf RECEIVED.:11/04/94 PLUMBING FIXT....93* $ 91.00
0: 0: 0: 0: TOTL: 0: 1896:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:Y RADON KIT 93 $ 20.00
TYPES.:GAS ELE FANS • 4 BOILERS/COMPRESSORS WATER CLOSETS • 3 URINALS • 0 TOTAL FEES $ 927.50
. . 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 HNT • 1 WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES • 4 VAC BREAKERS...: 0
CONY 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..: 0 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
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 FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT __ C _kQ DATE ia-! Lt-.9q-
FILE COPY
t t‘_A1 i ,, (
1fRUCTtJRElints Use eased use — _
Pormit includes: '_ Building Olt Plumbing I`.. Mechanical ❑ Other
Typo of Work: ifsf ItenidnMinlNow I I lin nrn,Int 1.I Nurnbor of finite III Deck
LI Commercial 'IN Addition LI Gorngo LI Shod LI Other
Enter let Floor jS& eq ft 2nd Floor(.49417 sq ft 3rd Floor _sq ft Existing Floor Area eq ft
Area Basement sq ft Docks sq ft Garage 5'7a sq ft Proposed Total Area sq ft
Water Availability 0 Sewer Availability 0 On-Site Septic System Availability ❑ Project Valuation; 3
Zoning 5 R k5-7 7 Z. 1 Lot Size O 55i S - Existing Bldg Veluouon $
x, N.O.g a1dd‘n
Name
Address
Seattle Mortgage 229 Queen Anne Ave. N.
City Seattle state WA Zip 98109
ML=CI1AN1tAL ION I'ItAC'1'Cllt
Contractor Name Address
•
City State Zip
Contact Phone Fax
License # Expiration Date Verified 0 Yes 0 No
Contractor Name J Address
City State Zip
Contact Phone Fax
License # Expiration Dote Verified 0 Yes 0 No
P.LVAlBINC:F 'URE COUNT' <;
......................
Water Closets 3 Sinks I Urinals Lawn Sprinklers
Bathtubs I Dish Washers t Drinking Fountains Other
Showers 2 Electric Water Heaters Sumps
Lavatories L4 Washing Machine t Drains Tottt•l Fiktura CoUht
.111.LCIAANICAL UNU CO
Fuel Typo (electric/other) l..-4cS Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping
�j$ Range ( Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs I Gas Log Unit Heater 50+ Tons
Furn >100 BTUs Fans L11 Miscellaneous Fuel Tanks
Gas Hwt ( Hood 1 Boilers Above Ground
Cony Burner Duct Work 0-3 Tons Underground
BBO'e Wood Stoves 3-15 Tons •Total U�" Couit�,
DISCLAIMER: I certify under penalty of perjwy that the Information furnished by me Is true and correct to the best of my knowledge end further that lam 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 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 .fiance of the City, Including its officers nod employees,upon the accuracy of the Infonnntlon supplied to the City as a part of this
:::nt:
Date:
Ili
•
CII TY OF FEDERAL WAY BUILDING p PERMIT62
33530 First Way South ISSUED: 12/14/94
Federal Way, WA 98003 Building 1ntpection Requests 661-4140 BY: KLC
661 -4000 EXPIRES: 12/14/95
ADDRESS:8O1 S 328TH PE.
NO.. : 132140-0400
PROJECT DESCRIPTION:NSF _ N/PLUMBING I MECHANIC!'
CAMPUS GLEN, LOT 140
dip
PUS GLEN LTD PARTNERSHIP POLYGON NN COMPANY SEATTLE MORTGAGE
0 LK WASHINGTON BLVD NE 201 4030 LK NASH BLVD NE 229 OILIER ANNE AVE N
KIRKIAND WA 98033 EIRKLAND NA 98033 SEATTLE WA 98109
822-7/00 822 1100
POLYGNCORBDP
- <..—v........sa...✓.i'2T:..,.,.......4..w..-.—..+....3.ef6..,...ru ..1a».SS.' .>... . . .. r....wA+.�ADpAs+AC'1RFQS........ur,w.._a.r.».•S:i.. ,._...:. '_"_•.,:�Ss .....a_..-;'T^"' '.�..-"A'j0«.�..siva.i+r-.u..r...dr._.ae.u.' -.aF ....._.__...x._.
r.
,.w._...,..� ...._ .. n..m.: .,n ....-.tw.m ..wr. r,-n.-.. ,... _ .Q. .u..6_..a.....:......-_1.." ^.Flr.+.l.. ....':tl,`5.^'•A'S�."..w."..»...r.�...,..-.w.rl ...-...ue........:�'�ii6�lICS't.�'_�—Jn....._.- ...•..:.....^�T-�,...
810?:K NEC':X PLM?:X FIR -UTST -PRI0- ONEILIRC UNIia. i a....:SB a- :
- r ,, gyp Lh
TYPE OF WORK:NEN USE:RES 1.i.: 4: 6)A.ss -1(WIE'� ... Z HOMO= PARKIRG..: 2 SPRI� :2, . 44 , , ,� ,, � PLAN CHECK DEPOSIT.* $ 100.40
. 4,W1411)CENSUS CATEGORY. 101 "PP 0- {,A* ;34 NfIGN1 _. : 0.00 It HAZARD' ,; :.a��f 1 -'' B NKS PICK(SF)..93 $ 40.00
OCCUPANCY GROUP- -_-..�__ i3
" ._ r 0._7,` tt.t, ;r 1 'OUIRri 4-1TRA"KS .. _.. TIRE FLOW.. .w" 0 qpm ''°.NSI '' t"! I CHICK..:* $ 0.00.
:R3 :Mi = 4119i', 0,
„sf Fit ..R. A FPONT • 20.00 ft BUIIDINQ PERMIT....* $ 621.50
TYPE Of CONSIRUCTION BSM( 0: 6:a 110P,...1- 95'4h $IDi . 25.00 ft NATER SERVICE .:FFD 58CC SURCHARGE • $ 4.50
:5N :5N . OFC(: 0 P°sf` REAR • 20.00:ft SEWER SERVICE .:110 NEC APPLIANCE FEES.* $ 50.50
OCCUPANT LOAD GAR `i72:sf RECEIVED.:11/04/94 NUMBING FIXT....93* $ 91.00
0: 0: 0. 0: 1011: 4: 1P6•sf IMPERY SURFACE: 0 sf SENSITIVE AREAS?.:Y RADON KIT ....93 $ 20.00
1 l TYPES.:GAS ELF FANS - 4 BOILERS/CONPRESSORS WATER CLOSETS • 3 URINALS • 0 TOTAL FEES $ 927.50
GAS PIPING.: 38 ft HOOD • I 0-3 HP..,...: 0 BATH TUBS • I DRINKING FOUNT.: 0
FURN<100K..: 1 DUCT WORK • 0 3-15 HP - 0 :;HOMERS • 2 SUMPS • 0
GAS TINT • t WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES - 4 YAC BREAKERS...: 0
r CONY BURNER: 0 FUR$>IOOK • 0 30-50 NP • 0 SINKS • I DRAINS - 0
HBO • 0 MISC • 0 5+ NP • 0 DISH WASHERS - 1 LAWN SPRINKLERS: 0
's GAS DRYER..: 0 AIP HANDLING UNITS FUEL TANKS FLEC WTR HEATERS...: 0 OTHER FIXTURES.: 0
' RANGE.. • I <:10,000 CFR: 0 ABOVE GROUND: 0 LAUN WSNR OUTITS...: 1
GAr1 LOGS...: 0 ) 10,000 CFM: 0 1 ERGROUN0.: 0
'+ ITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS SIARIEDI, RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE Of ISSUANCE.
RTIFY IHR' THE.1NFORMATION FURNISED BY NE IS TRUE AND CORRECT TO THE RISE OF MY KNOWLEDGE ANSI THE APPLICABLE CITY Of FERERAL WAY REOUTR'NENTS WILL BE M' p„. !
�� �1 . . r(„Ift
R OR �1Gi I1Th:,,,j-LA GATE !I14
. ( Z_W.
04
FIELD COPY
0 0 0 0 0 C 0 T' 0 2 0 0 (IC 0 o C 0 Z 0 1 0 E 0 A 0 `0 0 0 T o o o m o
rr rr 0) ro ,+ 0 at D r+ C .+ Ea .t N r+ D r+ m ED' m .+ D .+ C 0) = 0 0) C o C d .m.[ ...i
ro I ro I co 0 ro -mn co Z m Z ro m W m C ro ro 2 c- S ro m 3 m ro ro loco z
co
70 z m z m —� —C Z D --z---T. W 70 \ 70 W \V 0
Z 0 m O �� 4� Z D �,D —S o -.1
\ ` z �! Qo
D Z n y D i _ t 4 cn „
2 D m m 0 /�� ± 0 '
t -1' 0 22 C * 0
D >, 7, -A, 1 n ` f m _ 3 v D o
m = (( Z z * In2
z J\ 0 0 0
W c 00 CO CO W W CO CO 03 CO CO X c co
I' ci.-- c".:1 *
--1 it
.... f lir -,-‹
Q
7-z" ...N.N. rN,. j 5c-
r,N, '' \--N ) k
gr 'AI -....? t4 t'c ' k.1 .,Nk
.,.... --\
--
S - 1---
k
., .._... 1\-ir 1A
° �
( � - —.
J C -�
c.--Z' -(16L
k
ki k --\ t(-\L
(--- "7"-- % 1
0
i r
y (LA) ) ,�( 'SAS 1 C- GLH K) '9 Lk- (CZS - 0 ( ,
RECEIVESCity of Federal Way •
�`� r w NOV ® 4 , iPLICATION FOR BUILDING PERMIT
CITY OF FEDE IV 3I 7-5,L. APPL/CAT/ON Jt: j�,l]'1 1 003
BUILDING
PLEASE PR/NT
SI`Z'E LOCATION Address p,r� r I r j23 ' 1.e.
Tenant (if known) Lot N Assessor's Tex if
L/C) _ sz140--0 00
Building Owner Name Address
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
AI':I'LICAN't
Name (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
BUILDING COI AACTOI2
Company Name
Polygon Northwest Company
Address
4030 Lake Washington Blvd. NE, Suite 201
city Kirkland stat° WA Zip
y8na3
Contact Person Phone Fax
Lori Perkins or Greg Arms . 822-7700 R27-40W1
Contractor's #(card must be presented) Ex iration Dote Verified 0 Yes 0 No
POLYGNCO88DP 3/09/95
ARCii�1�ECT
Name
Illay Middleton Design Group
Address
4030 Lake Washington Blvd NE, Suite 210
city Kirkland state WA zp 98033
Contact Person Phone Fax
Jay Middleton 827-4991 827-6405
LEGAL DESCRIPTION
Campus Glen Lot# /V
Please Complete Reverse Side
CD0492(nay 4/93)