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5 FOOTING/DOWNSPOUT DRAIINS
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6 UNDERIFE:C#+pRFRA►1rAING:> `<'>:>: »»>::»<::::><:>:
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19 BUfLDINQ FINAL :
Date/a 2)'' r BY 55 'flu dt1hl t vim v
20 OTHt
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C00193(Rev 4/97)
arraF G
BUILDING DP
EOE_ • • 33530 First W;
uV ' Federal Way,WA
(253)661-4o.
..‘‘c,4.,NNO
0a`OFax(253)661 129
.40\ ���c1 APPLICATION FOR BUILDING PERMIT
PLEASE PRINT CP APPLICATION # ?,MI-- y I
i Via ? i :: > > ; .;; , :> Address
1900 SSW. Campus Dr.
Tenant(if known) Emerald. Glen, Apartments Lot *182104-9012 Assessor's Tax #182104-9012
2
Building Owner's Name AFC Properties LTD Address
Ae 1050 17th ST. Suite 1220
City ,Denver stateColorado Zip 80265 Phone (303)534-6322
Nature of Work Balcony Deck Repairs
iiiigiltaNtillEigiiiiiggininiiiiiiiiiiiiiiiiiiiiiiiiiiiiii
Name (F,M,L) Fairfield Development L.P.
Address 5510 Morehouse Drive Suite #200
City San Diego State Ca. zip 92121
Contact Person Doug Novick Day Phone253-661-1 065 Other Phone Fax
425-785-0309 253-661-1067
FEDERAL
WA
I. .Li1L21NG C(�NT#�iiTf�R :::
. :.;;>;:.;:..: RAL; SINESS LICENSE # 601-866-433
Company Name Fairfield Development L.P.
Address 5510 Morehouse Drive Suite# 200
City San Tli n State ca. • 92121
Contact Person Doug Novick Phone Fa
253-661-1065 X53-661-1067
Contractor's # (card must be presented) F10DEVL-022LD Expiration Date Verified ❑ Yes 0 No
4-7-99
Name N/A
Address
City
State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please see Attached.
P/ease Complete Reverse Side 0
Multi-Family Use tl-
F i
am 1
e
sed UseSaMe
ermit includes: 0 Building 0 Plumbing ❑ Mechanical XJ Other
Type of Work: 0 Residential ❑ New ❑ Remodel ❑ Number of Units • k Deck
0 Commercial ❑ Addition ❑ Garage ❑ Shed 0 Other
Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft
Water Availability 0 Sewer Availability ❑ On-Site Septic System Availability ❑ Project Valuation I$ 1 t 3CIG•L(1
Zoning I Lot Size Existing Bldg Valuation $
........................................................................
Name A/FC Properties LTD. Address 1050 17th ST. #1220
City Denver stateCoin_ zi802A5
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Contractor Name N/A Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
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Contractor Name N/A Address
City State Zip '
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
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Water ClosetsN/A Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Total Fixture Count
Xii::.i i:i:i ........ ....... iii: iii:................ i*i:...... .'..............
............................................... ......................................
MH!#.NLCALUNrhCIUN'I'........................ MECHANICAL EVALUATION ONLY $
Fuel Type (electric/other) 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 Gas Log Unit Heater 50+ Tons
Furn >100 BTUs Fans Miscellaneous Fuel Tanks
Gas Hwt Hood Boilers Above Ground
Cony Burner Duct Work 0-3 Tons Underground
BBQ's Wood Stoves 3-15 Tons Totaf.Urnt CntigL........
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 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 arises 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 this application.
Owner/Agent: -..L-) , ` Date: / — 7 4.J
r'
Bunomc.Aw
REVISED 13/28/97 .. . .