94-102469 CITY OF FEDERAL WAY BU I LDI NG P PERMSIT NO:SUED: 02/24/9540
33530 First Way South
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 02/24/96
ADDRESS: 616 S 328TH PL
NO. : 132140-0270
PROJECT DESCRIPTION:NSF W/PLUMBING I MECHANICAL. =*REVIEWED AS BASIC PLAN t95-1002-V91=*
CAMPUS GLEN, LOT 127
= OWNER — CONTRACTOR — LENDER
CAMPUS GLEN LTD PARTNERSHIP POLYGON NW COMPANY SEATTLE MORTGAGE
IllIt0 LAKE WASH. BLVD NE 1201 4030 LK WASH BLVD NE 229 QUEEN ANNE AVE N
KLAND WA 98033 KIRKLAND WA 98033 SEATTLE WA 98109
822-1100 822-7700
POLYGNC088DP
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: 0:sf EXIST..$: 0 FRONT • 20.00 ft RADON KIT 93 $ 20.00
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 125588 SIDE • 5.00 ft WATER SERVICE..:FED FINAL PLAN CHECK...; $ 483.93
:5N :5N :? :? DECK: 0: 0:sf REAR • 5.00:ft SEWER SERVICE..:FED BUILDING PERMIT....; $ 744.50
OCCUPANT LOAD GAR.: 0: 497:sf RECEIVED.:12/30/94 PUB WKS PLCK(SF)..93 $ 40.00
: 0: 0: 0: 0: TOIL: 0: 2204:sf IMPERV SURFACE: 1989 sf SENSITIVE AREAS?.:?
L 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 OUTLTS...: 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 IN 0 NATION FURNIOIY 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 �R , A'`_ DATE
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City of Federal Way w vqiAka-
rI?' f:: ECE ATION FOR BUILDING PER IT
14)
JAN ' 1995
PLEASE PRINT o RAL WAY APPLICATION #: ,�L.�_/" 1 6
SITE I OCAI'IpN s�,(s Et t F »rd (01 Rio 3Z3 T1
;�U�LG�i#�t� dTeaa
Tenant (if known) Lot //7.3_, As s e T x X
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
APPLICANT
Name (F,M,L)
Campus Glen Limited Partnership
Address
4030 Lake Washington Blvd. NE 4201
City Kirkland State WA Zip 98033
Contact Person Day Phone Other Phone Fax
Lori Perkins 822-7700 827-4098
T3U1LUlNG CONx'KA;GTOIt
Company Name
Polygon Northwest Company
Address
4030 Lake Washington Blvd. NE #201
City Kirkland state WA Zip 98033
Contact Person 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
A,itCIJELCI....:.
Name
Jay Middleton Design Group
Add toss
4030 Lake Washington Blvd. NE 4210
CityKirkland state WA Zip 98033
Contact Person Phone Fax
Jay Middleton 827-4991 827-6405
•
LEGAL DESCRIPTION
Campus Glen Lot # 71-7
o‘
Please Complete Reverse Side
CD0492(Rev 4/931
4
_____AL.,..:,...1_ , 40 • -
SIR 1 v w K xis ti 0,..5 1Proposed Use
T Vacant S.P. Dwelling
•
Permit includes: 9xx Building MX Plumbing XN Mechanical I Other
Typo of Work: ICI Residential XY New ❑ Remodel ❑ Number of Units H Deck
C1 Commercial ❑ Addition ❑ Garage .� El Shed ❑ Other
Enter let Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basogttnt?t sq ft Decks sq ft Garage sq ft Proposed Total Area_ sq It
Water Availability f3 Sewer Availability Ld On-Site Septic System Availability ❑ projectValuation $
Zoning SR Lot Size " I 'xfatmp Bldg Vfaf4clfign '$
TNpgit
Name Address
Seattle Mortgage 229 Queen Anne Ave. N.
City Seattle State WAZip 9$109
1VICC1IANICAL CONTRACTOR Bidding
Contractor Name Address
City State Zip
Contact Phone Fax
License t Expiration Date Verified ❑ Yes D No
PI,V.... O'CONTRA0TOR Bidding
Contractor Name Address
City State Zip
Contact Phone Fax
License ft Expiration Date Verified D Yea D No
;?TIMII31N![�'rFTX` i1itP.CQCJIV'' : .....;
Water Closets Sinks ( Urinals Lawn Sprinklers
Bathtubs ' Dish Washers I Drinking Fountains Other
Showers 2.. Electric Water Heaters Sumps
Lavatories Lt Washing Machine I Drains Total Fixture Count
11 CTIA NICAX.UNIT COUI •.
Fuel Type (electric/other) 6a Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping '� Range ( Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs Gus Log Unit Heater 50+ Tons
Furn >100 BTUs Fans IIMiscellaneous Fuel Tanks
Gas Flwt ' flood Boilers Ahovo Ground
Cony Burner Duct Work 0-3 Tons Underground
BBQ's • . Wood Stoves 3-15 Tons Total Un1t Count ` y'
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true and correct to the boat of my knowledge and further that I am authorized by the own
of the above premises to perform the work for which permit application is made.!further agree to save harmless the City of Federal Way as to any claim(including costs,expert
and attorneys'fees Incur d in h estlgatlon and defense of such claim),which may be made by any person,including the undersigned,and filed against the City of Federal W
but only where such clot arts out of the reliance of,the City, Including Its officers and employees,upon the accuracy of the information supplied to the City as a part of
application. /`�/ �(
Owner/Agent: _. ( L./ , / A_ /Date: [ //WC?
, _
4I % '
3530TV DFirst Way South PERMIT PE
PERMIT
02/24/9540
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 02/24/96
'ADDRESS:616 S 328TH PL
NO. : 132140-0270
PROJECT DESCR I PT I ON:NSF W/PLUMBING i MECHANICAL.. **REVIEWED AS BASIC PLAN t95-1002-V91"i
CAMPUS GLEN, 10! K27 -
- OWNER :-,...- _ :-------------------- - . CONTRACTOR - g LENDER
CAMPUS GLEN LTD PARTNERSHIP POLYGON NW COMPANY SEATTLE MORTGAGE
0 LAKE WASH. BLVD NE 1201 4030 LK WASH BLVD NE 229 QUEEN ANNE AVE N
'KLAN° WA 98033 KIRKLAND WA 98033 SEATTLE WA 98109
822-7700 pp,
3a y$ :n .____-r- s _ _ ._ .ruu...u.-.•..,...,
BLD?:X MEC?:X PLM?:X FIR---EXIVP--- «' PLAN SR> FEES:
TYPE OF WORK:NEW USE:TIES 1ST I 967,sf 0001E « 4 ; 'I` �';,,,/A!,:.., : ''''''fAt/ 114011T: ,� ** '' �p� r SBCC SURCHARGE $ 4.50
CENSUS CATEGORY '101 , a - HEIGHT4� a f x rW ?A �SS , �P NEC APPLIANCE FEES. E 68,00
OCCUPANCY GROUPr01.10 �. - f ��i V AT.OP ' ' _ - ,HI -t X11.. 0 9011 EI' �' -x IXT....93r 8 98.00
:R3 11 :7 :7 : �p � E ST FROM • 20.00 ft 'AI'N H.........93 i 20.00
TYPE OF CONSTRUCTION - -« , m ' *5, • t* , P«? -• w, • 5.00 ft WATER SERVICE,.:FED FINAL PLAN CHECK...* $ .483.93
:5N :5N :7 :7 D , ! ,,, AR , • 5.O0:ft SEWER SERVICE..:FED BUILDING PERMIT..,.' $ 744.50
OCCUPANT LOAD GAR * = 7: 44* EC D..121 4 .,„� � PUB WKS PLCK(SF),.93 $ 40.00
0: 0: 0: 0: TOTE $ 2 -t''' IMPFRV SURFACE: 1989 sf SENSITIVE AREAS?.:?
TYPES.:GAS ? FANS 5 BOILERS/COMPRESSORS WATER CLOSETS......: 3 URINALS • 0 1OTAL EEFS 1 1458.93
• S 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 NWT • 1 WOOD STOVES...• 0 15-30 HP V 0 LAVATORIES • 4 VAC BREAKERS...: 0
CONY BURNER: 0 FURN>100K 0 30-50 HP • 0 SINKS • 2 DRAINS • 0
880 • 0 MISC - 0 5+ HP • 0 DISH WASHERS • 1 LAWN SPRINKLERS: 0
GAS DRYER..: 1 AIR HANDLING UNITS FUEL TANKS RFC VTR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE......: 1 <7.10,000 CFM: 0 ABOVE GROUND' 0 LAUN NUR OUTLTS...: 1
GAS LOGS...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0
- - -__�__.� ...______-3. - ..S w: ._.... . ____._._.-..__ _ _...- .._.__._.r....
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I"
,,
I CERTIFY THAT THE I ATION FURNIStbBY Mt IS TRUE AND CORRECT TO TRE BEST OF MY KNOWLEDGE AND TOE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WIL1 RI MIT „it
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FIELD COPY
t _. _._ - �_ - _, _. __ _....__ ,
. . IP", N
11.1.1. 0
fCKS & FOOTINGS
Date —"7_ `�� By
FOUNDATION WALLS ---)
Date 4-) - - `7: By
PLUMBING GROUNDWORK
Date . By
UNDERF 'U R FRAMING
Dateff f7 By yV
SHEAR WALLS 06/fr3';:e/050z,40.4 /y fikke Atiht Al}/ C--,Date By "-A.5 /`f FjC •'�7ft C'/fc."4 %��1//5 c` / !�I( �j
PLUMBING ROUGH-IN Li'24 `1 S �C- (-11/L r(� bV S��r t l s t I /v-r 0
Date c/�f/rf B�L 7
GAS PIPING
Date 0 By
MECHANIC L ROUGH-IN
Date/ /////q( By
MECHANICAL (OTHER)
Date By
FRAMING
Date 005' By ,
INSULATION
Date Oeff By �ti
GWB - 1ST LAYER
Date 2 --9 --- By/s4)
GWB - 2ND LAYER
Date By
SUSPENDED CEILING
Date By
PLANNING FINAL
Date By
ENGINEERING FINAL
Date By
FIRE FINAL
Date By
BUILDING-F1_ AL * CL (' U 4 cel G��� 'Pi,'''l' ��• (1.� i 6tiliP4I k(g6/17
� D
Date l/"7 fr. Bymailm�
OTHER
Date By
OTHER
Date By
CD01 93