95-100088 95- /00OFs�
CITY OF FEDERAL WAY BU I LD I NG PERM ! T PERMIT NO:
02/24/9516
33530 First Way South
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 02/24/96
ADDRESS: 622 S 328TH PL
NO. : 132140-0280
PROJECT DESCRIPTION:NSF W/PLUMBING 6 MECHANICAL. $$REVIEWED AS BASIC PLAN 195-1001-V91$$
CAMPUS GLEN, LOT 128.
OWNER
CAMPUS GLEN LTD PARTNERSHIP
CONTRACTOR — LENDER
POLYGON NW COMPANY SEATTLE MORTGAGE
• 4030 LAKE WASH. BLVD NE 1201 4030 LK WASH BLVD NE 229 QUEEN ANNE AVE N
KIRKLAND WA 98033 KIRKLAND WA 98033 SEATTLE WA 98109
822-7700 822-7700
POLYGNC08BDP
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? .? SBCC SURCHARGE $ $ 4.50
CENSUS CATEGORY •101 2ND.: 0: 740:sf HEIGHT • 0.00 ft HAZARD CLASS .? MEC APPLIANCE FEES.$ $ 68.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm PLUMBING FIXT...•93$ $ 98.00
:R3 :M1 :? :? OTHR: 0: O:sf EXIST..$: 0 FRONT • 20.00 ft RADON KIT 93 $ 20.00
TYPE OF CONSTRUCTION BSMT: 0: O:sf PROP...=: 125862 SIDE • 15.00 ft WATER SERVICE..:FED FINAL PLAN CHECK...* $ 483.93
:5N :5N :? :? DECK: 0: 0:sf REAR • 5.O0:ft SEWER SERVICE..:FED BUILDING PERMIT....$ $ 744.50
OCCUPANT LOAD GAR.: 0: 497:sf RECEIVED.:01/06/95 PUB WKS PLCK(SF)..93 $ 40.00
0: 0: 0: 0: TOTL: 0: 2204:sf IMPERV SURFACE: 1884 sf SENSITIVE AREAS?.:?
1110 FUEL TYPES.:GAS ? FANS • 5 BOILERS/COMPRESSORS WATER CLOSETS • 3 URINALS • 0 TOTAL FEES $ 1458.93
GAS PIPING.: 50 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
CONY BURNER: 0 FURN>100K • 0 30-50 HP • 0 SINKS • 2 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 QUILTS...: 1
GAS LOGS...: 1 > 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 URNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET.
OWNER\OR AGENT 1,1 _ ___ _ DATE .tl-1.5
ALE COPY
! PL.AiJ„ ,„,r, 3,_,.ef,
1111
RF( FIVFED City of Federal Way8As
q 5.. i •)yi/q1
�wu nom”- APPLICATION FOR BUILDING PERMIT
JAN 1 9 199
CI fY IL INC, DEL WAY � .. ��
PLEASE PR/NT BUILINC DFPT. APPLICATION #: lo
-
Sat LoCATIO Address (0 e-:.-,. 32L`R )
Tatung (if known) Lot IAssessor's Tax N
I7
f 12 V1-C - CZ f) ,
Building Owner Nemo Address
Campus Glen Limited Partnership 4030 Lake Washington Blvd. NE #201
City Kirkland State WA
Zip 98033 ,Phone 822-7700
Naturo of Work Construct Single Family House
APPLICANT
Nome (F,M,L)
Campus Glen Limited Partnership _
Address
4030 Lake Washington Blvd. NE #201
city Kirkland state WA Zip 98033
Contact Porson Day Phone Other Phone Fax
Lori Perkins 822-7700 827-4098
BUILDING CONTRACTOR
Company Noma
Polygon Northwest Company
Addrass
4030 Lake Washington Blvd. NE #201
city Kirkland State WA Zip 98033
Contact Parson Phone Fax
Lori Perkins 822-7700 827-4098
Contractor's # (card must be presented) Expiration Date Verified 0 Yea 0 No
POLYGNC088DP 03/09/95
ARCIIIi;LCT
Name
Jay Middleton Design Group
Addrass
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 #
ger
Please Complete Reverse Side
CD0402(Rev 4/831
1
t___��]')(Z�J 'I` r' #. Existing Use ProIF
posed Use r
Vacant S.F. Dwel�ing
Pefmlt Intlltidoa: X) Building XIX Plumbing XIX Mechanical l I Other
a
Type of Work: XI Residential X New ❑ Remodel ' ❑ Number of Units ❑ Deck
❑ Commercial ❑ Addition C1 Garage ❑ Shod Li Other
Enter 1st Floor 1.17 sq ft 2nd Floor 7444 eq ft 3rd Floor 4.
t It� Existing Floor Area sq ft
r Area Itasement sq ft Decks sq ft Garage Z-( i7 t Proposed Total Area ay ft
Water Availability 17 Sewer Availability Li On-Site Septic System Availability ❑ Project Volifation'
Zoning SR Lot Size `7 Cxistinp pldp Vflltation '8
.................... ...........................................::::: .........
.................... ................ ............. ............ .................
.................. .................. ............................ ...............
Y;•T�N1'MIZ
Name Address
Seattle Mortgage 229 Queen Anne Ave. N.
city Seattle State WA Zip 98109
MECITANICAVCONT'TtACTOY2 Bidding
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes 0 No
-
l AIMPING<CQNTRAPTQR B idd inq
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No i
Water Closets 3 Sinks ( Urinals Lawn Sprinklers
Bathtubs I Dish Washers i Drinking Fountains Other
Showers 2 Electric Water Heaters Sumps
Lavatories Washing Machine 4 Drains Total iixtilro Count )
1Y
nECLIANICALWITTOUNTWOM
Fuel Type (electric/other) Gids Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping ✓%. Range ` Air Handling > = 10,000 CFM 30-50 Tons
Furn <lOOK BTUs ` Gas Log Unit Heater 50+ Tons
Furn >100 BTUs Fans14 Miscellaneous Fuel Tanks
Gas Hwt I Ilood '1 Boilers Above Ground
Conv Burner Duct Work 0-3 Tons Underground
BBQ's • Wood Stoves 3-15 Tons Total Unit Caut11
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 ow
of the above promises to perforin the work for which permit application is made.1 further agree to save harmless the City of Federal Way as to any claim(including costs,expel
and attorneys'foes Incurred In Investigation and defense of such claiml,which may be made by any person,Including the undersigned,and filed against the City of Federal V
but only where such claim arts out of the reliance oft City,Including Its officers and employees,upon the accuracy of the Information supplied to the City as a part o
application.
Owner/Agent: // /// ` L/L......A...4)2(_____c___ _,
_Dela: /1/Y/9 Jc
SITE PLAN gUb615 -0oi(
..
SCALE: 1' - 20'
LOT 28, PLAT OF CAMPUS CSV
1 S 86'08'58" W ,
67.00' S' 5(bernie-i)
BSBL . C('-
-- 2.5'
NSF A %•s-
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— 71 e
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ty S 86'0 '58" V ,, 9 Li
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WATER _I MA-744 MUM
METER `r' Przi4E-�.ltN1.-- Fes(571 N‘---elr-) t�I 8` 38�T1.0 IZa i'J
N 86'08'58" E -C
492.53'
SS SSMH
a:-r? 2tJev 1-
NE75 S y-A-'r---
vmm>nm,B. Inl 1�>=2M t meonu� ittIM
• ° ° 6.
SITE PLAN APPR OVA!. RECEIVED
Permit Num 09 5-0 0
Approved • � '►.. i� — ____.._ JAN 3 01995
Date: 240"
1
Comments: ,E CvIJD rr i G NS S - NF Eir\1PrL CITY OF F NG D PT AY
UN,—!. iA) F vl ! 4fit -e-1 _
POLYGON NORTHWEST PRO.!,
4030 LAKE WASHINGTON BOULEVARD N,E., SUITE 201 LOT NO. 28 PLAN NO.
KIRKLAND, WASHINGT❑N 98009 (206) 822-7700 BASIC NO.
CONT, REG. NO, POLYGNC088DP ADDRESS
Ccs\- CC5IX)Age 3S4
.1
CITY OF FEDERAL WAYBU I LD I NG
[� PERMSSIJED: 02/24/95T NO: BLD95 16
33530 First Way South PERMIT
BY: FC
Federal Way , WA 98003 Building Inspection Requests.. 661-4140
661 -4000 EXPIRES: 02/24/96
ADDRESS: 622 S 328TH PL
NO. : 132140-0280
PROJECT DESCRIPTION AU VI/PLUMBING 8 MECHANICAL. **REVIEWED AS BASIC PLAN t95-1601-V91“
CAMPUS GLEN, LOT VB.
OWNER _ -- CONTRACTOR ..�_.. z ,,_,___..��. .--, .._._ -- LENDER W.— -.�.£--- � _ ��- -:.
CAMPUS GLEN LTD PARTNERSHIP POLYGON NW COMPANY SEATTLE MORTGAGE
4030 LAKE MASH. BLVD NE 1201 4030 LK HASH BLVD NE 229 QUEEN ANNE AVE N
KIRKLAND WA 98033 KIRKLAND WA 98033 SEATTLE WA 98109
822-7700 _x ` _
__ _...._... ---_._.-_._.__ -_ . __n�, .._... y .-- __� ._ ....... _.�. -�_
a _ C� P 'lAti. :SR" FEES:
BLD?:lC MEC?.X PLM?:lt FL'�: :::: 27-W4147777';':!7,'', uR
. 1 RE 1#; PAPKINfI , - S; SBCC SURCHARGE $ $ 4.50
TYPE OFWOBRK:NEVI USE:RES 1ST: 0 98 ST
:. `
CENSUS CATEGORY t01 "" '�''��"@ 4` f :71ik H" 4 i� 00 ft �� C MEC APPLIANCE FEES. $ 68.00
t
OCCUPANCY GROUP
�� � f V 40- ��k a. IStI1+E0JA�� Lit FI � W �� jNG FIl(T....93i t 98.00
:R3 :M1 a a - ���� T � � �� 1I EK , 0 'SIDE( 15.00 ft WATFR SERYiCf..:FEO FINALKIT 93 # 2Q.00
TYPE OF CONSTRUCTION PLAN CHECK...* 8 483,93
:SN :5N :? :? :��,D 0 �'" � � .°� RtAR 5.00:#1 SEWER SFRVICE..:FED BUILDING PERMIT....' $ 744.50
OCCUPANT LOAD �R. �� ti EIYED. #'/0. . , ., PUB WKS PLCK(SF)..93 1 40.00
D: O: 0: 0: E ° 0: :s# IMPERV SURFACE: 1884 sf SENSITIVE AREAS?.:?
FUEL TYPES.:GAS ? FANS 5 80iLERS/CtMPR%SSOIS WATER CLOSETS . 3 URINALS 0 TOTAL FEES ; 1458.93
GAS PIPING.: 50 ft HOOD • 1 0-3 HP • 0 BATH TUBS 1 ORINIIING FOUNT, < 0
FURN<100K..: 1 DUCT WORK • 0 3-15 HP • 0 SHOWERS 2 SUMPS 0
GAS HIT • i WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES 4 YAC BREAKERS...: 0
CONY BURNER: 0 FURN>100K • 0 30-50 HP • 0 SINKS DAMNS • 0
HBO......,... 0 MISC • 0 5+ HP • 0 DISH WASHERS • 1 LAWN SPRINKLERS: 0
GAS DRYER..: 1 AIR HANDLING UNITS FUEL TANKS--------- ELEC NTH HEATERS...: 0 OTHER FIXTURES.: 0
RANGE • 1 x10,000 CFM: 0 . ABOVE GROUND: 0 tAUN WSHR 001115...: 1 1
OAS LOGS...: 1 ) 10,000 CFM: 0 UNDERGROUND.: 0 _w
• PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RFSIOENTIA. AND GRADING PERMITS SPIRE ONE YEAR AFTER DATE OF ISSUANCE. �
I CERTIFY THAT THE INFORMATION FURNISH) BY MF IS TRUE AND CORRECT TO THE BEST OF MY K11ONtIDGE ANO THE APPLICABLE CITY'Of FERERAt WAY REQUIREMENT �f1lf RI WI
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