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95-101223� ��-�a�aa3 ,��, OF FEDERAL WAY PERMIT NQ: BLD95-0435 � Fi rst Way South �� � ��� �� ����� � ISSUED: 06/28/95 ede ral Way, WA 98003 Building Inspection Requests 661-4140 BY: FC2 661-4000 EXPIRES: 06/28J96 ADDRESS:33020 4TH PL S NO. : 132140-0940 PROJECT DESCRIPTION:MSF ii/PLUMBIN6 AND MECNANICAL. APPROYED BASIf #95-1001-V91 CAMPUS 6lEH, LOT �94. = OMNER �-���_����__•__��=$��m��- COMTRACTOR ���mu���=��__��___�� LENDER amsx=sxeamzsexssxam�ssasa��se�sas�amxaaaxasama CAMPUS 6LEN LTD PARTNERSHIP POLY60N NM COMPANY SEATTLE MORT6A6E ,i 4030 LK MASH BLVD HE, �201 4030 LK MASH BLVD NE 229 QUEEH ANNE AVE H KIRKLAND NA 98033 KIAKLAND YA 98033 SEATTLE NA 98109 822-1T00 822-7700 POLY6HC088DP �samaaaam:maassasaaars=ssxaaaa�aa�amaasxosasxxasasasaamoamma �t��ss�samomaQataeeaaaassamassxsasmmaaasx�aaasxsa�a��:ema xxeaaaaaaessaxmsxQasaamasmssmemaaaxma=mamam�aessmsaaas� _� CONTkACT�S, �LEASE U5E LBCATI011 CODE 1732 NBEN REPOtTIM6 SALES TAX f�t PROJECTS NITNIN TNE CITY OF FEDERAI MAY. TAX RATE = 8.1� Y� saxmmmm�ammmat----ramaamaas�oseasaa:ma�smsasmsaaaea�sma=smarsassaxasmeaas= ��saaxxmsasxxssaa�axsmam=��amaaQarsaaamtseaaaaaaa=sm aaaaamsamsaeaaxesaamaaaxms�aesaaamarasxe_� BLD?:X MEC?:X PLM?:X FLA--EXIST--PROP--- DtIELLIMG UNITS: 1 COMP PLAN.,.......:SR FEES: TYPE OF IiORK:HEiI USE:AES 1ST.: 0: 1187:sf StORIES........: 2 REQUIRED PARKIR6..: 2 SPRINKLERS?......:? PLAN CHECK FEE S 100.00 CENSUS CATE60RY.....:101 2ND.: 0: 992:sf NEI6HT.....: 0.00 ft HAIAAD CLASS...:? fINAI PLAM CHECK...� S 0.00 i OCCUPANCY 6ROUP---------- 3RD.: 0: O:sf YALUATIOM---------- REpUIRED SETBACKS------- FIRE fLOVl....: 0 gp� BUILDIM6 PERMIT....# s 846.00 :R3 :Mi :? :? : OTHR: 0: O:sf EXISI..S: 0 FAONT.........: 20.00 ft SBCC SURCHAR6E.....x S 4.50 TYPE OF COHSTRUCTIOH----- BSM1: 0: O:sf PROP...=: 158410 SIDE..........: 5.00 ft ViATER SERVICE..:FED MEC APPLIANCE FEES.# = 12.50 :5N :? :? :? ; DECK: 0: Q:sf REAR.....,....: 15.00:ft SENER SERVICE..:FED PLUMBING FIXT....93# S 111.00 OCCUPANT LOAD------------ 6AR.: 0: 524:sf RECEIVED.:06/07/95 PUB MKS PLCK(SF)..93 = 40.00 � . 0: 0: 0: 0: TOTI: 0: 2703:sf IMPERV SURFACE: 2231 sf SENSITIVE AREAS?.:Y � a�s�ssxsaaaaasmmasasm�maeaaasaaaxsaaaaaaaaxsmaasae�aaamasxxaeaaaassaasamsxxasm aanasa:smasm�_e�mmtemmaaaaaasaa�e�ra�aa xe , sm FUEL TYPES.:6AS ? FAHS.........,: 6 BOILERS/COMPRESSORS YATER CLOSETS......: 3 URINALS........: 0 TOTAL FEES S 1175.00 - S PIPIN6.: 22 ft NOOD..........: 1 0-3 HP......: 0 BATH TUBS..........: 2 DRINKIN6 FOUNT.: 0 RN<100K..: 1 DUCT MORK.....: 0 3-15 HP.....: 0 SHOMERS............: 3 SUMPS..........: 0 6AS HNT....: 1 i100D STOVES...: 0 15-30 NP....: 0 LAYATORIES.........: 4 VAC BREAKERS...: 0 CONV BURNER: 0 FURH>100K.....: 0 30-SO HP....: 0 SINKS..............: 1 DAAINS.........: 0 BBQ........: 0 MISC..........: 0 5+ HP.......: 0 DISH WASHERS.......: 1 LAMN SPRINKLERS: 0 6AS DRYER..: i AIR HANDLIN6 UNITS fUEI TANKS--------- ELEC MTR HEpTERS...: 0 OTNER fIXTURES.: i RAN6E......: 1 <=10,000 CFM: 0 ABOVE 6AOUMD: 0 LAUN NSNR OUTLTS...: 1 6AS LOGS...: 1 > 10,000 CFM: 0 UNDERGROUHD.: 0 meaaasaxaaaaxas�ea�sss�a�aaa=maaaassae�e�esaaosasmaosxsaaexaaaaaamsxxsssxmx aasaasx_soa�eesassaaaasassaaamaaam:am:�seaaaaasm�s=x�sm¢aessmsmmaeasa=aamaxsxaaamraex�a�sssaaaa �ERMITS EXPIRE 180 DAYS AfTER ISSIIANCE IF NO NOR[ IS STARTED. RESIDENTIAL AND 6RADIM6 PERMITS EXPIRE ONE 11EAR AFTER DATE OF ISSINIMCE. I CERTIfY T�IT TN TION flNINISNED aY ME IS TRUE AND tORRfCT TO TqE BEST Of M1f [IIOYLED6E AND TME APPLICADLE CITY OF FEDERAL YAT REWIREMENTS YItI DE MET. 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C �; �(pM �s.a t � O��t�E . � � ���+� �� �� � � ��;;� �� '-�r_�.ril ,���1�; �t:!� � .L !l<I�i_��.i . � � . , . ,. j� : �� �� �1 �� � ; : . . � * .� •:;; . __ . .s_- .� . _ _ -w , a rt ' SE7BACKS & FOOTINGS - � Date By ,. FOUNDATION WALLS Date _ 1;�'_ �t t> g ^f� � � V� PLUMBING GRO[1NDWORK Date By UNDERFl.00R FRAMING'' Date �� ��� BY SHEAR WALLS .� � �* '/!/G/L �( Date By Te�-�� PLUMBIN ROUGH-IN ���(�'4'S /[/ie, /N� Date v � By GAS PIPING Date � o y By MEGH NICAL ROUGH-IN Date (r?� By MECHANICAL (OTHER) Date By FRAMING � O S� S L Date (� .,/ � _� gY � jQ f6 A�� ; INSULATION r ��_ Date (+J �� By GWB - 1 ST LAYER Date —�'--C� By 'GWB - 2ND LAYER Date By 'SUSPENDED CEILING Date By PLANNING FINAL Date By ENGINEERING FINAL Date By FIRE �INAL Date By BUILDiNG FINAL ` , . ; Date By OTHER Date By OTHER Date By CD0183 ;����.�r � ���<- � �� �c,�� - �'� I ' � L�cn.��'�3 �..� G City of rederal Way �- --��Przs� k?�t=�-�3=� � �� �' APPLICATION FOR BUILDING PERMIT �{l:" , f��i�r;�'�. . h� PLEASE PR/NT Ct1�' " �. A�l�l�:. � #: ,��J�t� " �.1`t �S _ � � Y � .5��'�.''LOCA.T�ON .: Address �j _`it.� ;�,, �! � ��� �..>.�, �+ t Tenant (if known) Lot A Assessor's Tex X �`_� Lr�> �=t, Building Owner Neme Address Cam us Glen Limited Partnershi 4030 Lake Washington Blvd NE #201 c�ry Kirkland scace WA Z;P 98033 Phone 206-822-7700 Neture of Work Construct Sin le Fa _ _ __ _ _ ._ _ _ ;.: , ApPL1CANT; , ; Name (F,M,U Campus Glen Limited Partnership Address 4030 Lake Washington Blvd NE #201 cic� •r stece ziP 9 8 0 3 3 Contact Person Day Phone Other Phone Fax Lori Perkins 206-822-7700 -- 206-827-4098 BUILU;(TVG.COI�'�RA,CTQIt Compen Name Po�ygon Northwest Company Address • 4030 Lake Washington Blvd NE #201 c�cyKirkland state WA Z�P 98033 Contact Person Phone Fax Lori Perkins 206-822-7700 206-827-4098 Contractor's A� (card must be present�d) Expiration Date Verified O Yea O No POLYGNC051D4 03/09/96 ARCIUTECT Name ' Jay Middleton Design Group Addrp�330 Lake Washington Blvd. NE #210 4 c�cy Kirkland steca WA z�P 98033 Contect Peraon Phone Fex Jay Middleton 827-4991 827-6405 LEGAL DESCRIPTION /� Campus Glen Lot# P/ease Comn/ete Reverse Side CD0482(Rev d/B31 ,+ ' LS"'^�r�T�]�7' Existing Use Proposed Use S.F. Dwe 11 ing _�mit includea: � Building � Plumbing ; Machenical ❑ Other Type of Work: � Residential W New ❑ Remodel ❑ Number of Units ❑ Deck ❑ Commerciel O Addition ❑ Garage ❑ Shad ❑ Other Enter 1 st Floor 1 I�,``1 sq ft 2nd Floor ! 2-eq ft 3rd Floor sq ft Existing Floor Arae eq ft � Area Besament eq ft Decks aq ft Garaga _ eq ft Proposad Totel Area sq ft Wetar Availability ❑ Sewer Aveilability O On-Site Septic Syatem Aveilability ❑ ,project;l/el�atjon ¢ Zonine SR Lot Size �. , �ci��ii�a 81dg�/a�u�aciop $ _...............__.....................__................... _............................._................................. ........_._....... _............................._._................... ........_..........._ _..............._.._.........._............_._ _... ..._._..... Y:'�IVbE�L; Name Addrese Seattle Mortgage 229 Queen Anne Ave. N. cicy Seattle ' stete WA ziP 98109 :. ;: �CT�A1I�T�AY.Gi�1V'rY2A�TU�2 ;', Bidding _............. .........___...: Contractor Neme Address Ciry Stete Zip Contact Phone Fax Licensa * Expiration Data Veri(ied ❑ Yas O No .....................__ . ..............................._ ....... _ _........ .............................._........... ... ....................................................__.....___ _......._.__..__._ , ...._............_,........__... PLVMI3IIV+G'CnNTRACTQR:: B i dd i n g Contrector Neme Address City Stete Zip Contact Phone Fax L(oense N ' Expiration Date Verified O Yes ❑ No ...................::............................................:................ ........................................................................................... ��:;����i.�'X���.`i`�'QU�`�.' _..................._ .._..__... ._....... _ ...................._. Watar Closete 3 Sinks l Urinals Lawn Sprinkl s Bathtuba � Dish Washers � Drinking Founteins Other Showere Electric Water Heaters Sumps Levetories Washin Machina � Dreins Totai>Fiziure>Couri[<:: _> �: ::>:<::' 9 ........................... .................................................................:....................:... .......................................................................................... 1ti��e�T�CA�,.:TJN��`.'C+IaUN�':>;:;'::»::':>:>:'::;; Fuel Type (electriclother) aj Ges Dryer Air Handling < = 10,000 CFM 15-30 Tona Length of Ges Piping p� Renge � Air Hendling > = 10,000 CFM 30-50 Tone Furn <lOOK BTUs � Ges Log Unit Heater 50+ Tons Furn >100 BTUs Fans Miscellaneous Fuel Tenks Ges Hwt � Hood Boilars Above Ground Conv Burnar Duct Work O-3 Tons Undarground BBQ's Wood Stoves 3-15 Tons 7o�al',Un�t Caunt DISCLAIMER: I certlty under panelty o(pe�ury thnt the Informetlon turnished by me Is tnie end correct to the best of my knowledge end turther thet I am suthorized by the owner of the above premise�to perform the work for whkh parmit epplicetion i�mede.I further apree to seve harmless the City of Fedaral Way a�to a�y clelm(includinp costs,expencec, �nd attomeys'tee�I�cur►e n InvestfQetl �nd defen�e of�uch clslm►,whlch mey be made by�ny panon,Includlnp the undorslgned,end liled sAslnat the Cky of Federel Wey, but anly whare�uch clel a �e�out of h .rallence ol the Gty,Includinp It�officer�end employee�,upon the eccurecy of the Intormetlon�uppllod to the Clty a�e part of thic applicatlon. i i.., __� Q /;. ( � :o � —�r/C��� /I��� Owner/A ent: l Dete: . S I T E P LA N �-��� -v���� �� 3CALE: 1' � 20' S�� LOT 94� PLAT OF CAMPUS QLEN �� �� g6, , , ; . 7) pg�, � '69- �v TRACT C � ; ; , : r; s� wo.a.�. 7•�3, (n 26 19�p.,�' *,�. \ � ;_t,: , � � � � `'�.,:�.� ��� � , �� �� �- �� \ I . 92 .� � � � ,.; � s�, �'� � �v��„��,� �N � \�� ��= \ � J �s \'o. Im � A • m ��\ �s J'� w J v � \ c�` � � i ����2 � �, � . �� �t- % � N, � ! � • �. i� ' � `� � � . ' . � . ; t � Y '. 95 5� �5..,, 93 . - � � � � � � a ;�,.�;� � � � .� � � � � �s — , - - � _ 0=03'18'S0"- ,�\ � . Z WATER L=16 24 5 � � �y . i o=15'09'46" ) METERS � cv R=244.67 S;, . =64.75' � a � , --,- - ��, � � , � i � � ' <� � ' � u . n �r�� � Fi - . . � . 'u LI h F� � ' �� � � � P ��6� � 4TH PL.ACE SOUTN E ���� R 0 � ��, � - -—'—r-5$_ IAH F S$ � o 2� � � � � � � Y POLYCa N N PROJ. � 4 ORTHIIVEST 4040 LAKE WASHINGTON BOULEVARD N.E., SUITE 201 LOT N0. 94 PLAN N0. a KIRKLAND, WASHINGTON 98009 (206) 822-7700 BASIC N0. s CONT. REG. N0. POLYGNC088DF ADDRESS = 14 � Cc�e�� �i ��� �����Q��� srrE ri.�rt �covu. �a�N 01 �99a Ponnit Numbet: — Appmved By: JG _,_,_ " �;�,�OF FEDER�.L i�ilA�' _ Date: � �` _ ' • F3tItL.GI[�;�bEPT. , Comments: ��- � �