21-104870 APPLICATIONCITY OF `�. PERMIT APPLICATION
PERMIT CENTER + 33325 81" Avenue South + Federat Way, WA 98003-6325
Federal Wad
253-835-2607 + FAX 253-835-2609 + permilcenter@cityoffederalway.com
PERMIT NUMBER I - l Q q 6 - 0 - : 1 TARGET DATE 121412021
SITE ADDRESS 32323 32ND AVE SW, FEDERAL WAY, WA 98023 SUINRN
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL p REA
$6500 R
TYPE OF PERMIT L1 BUILDING 11 PLUMBING n MECHANICAL ❑ DEMOLITION ❑ ENGINEERING 1] FIRE PREVENTION
NAME OF PROJECT EMMA KINYUA ADULT CARE HOME FEDERAL WAY
Change existing home into adult care home, 3 bedrooms to 5 bedrooms,
PROJECT DESCRIPTION bathrooms to 2.5 bathrooms,
Detailed description of work to
be included on this permit only
NAME Emma Me .
PROPERTY OWNER MAILING ADDRESS 3232332"A Aye SW
CITY Federal Way STATE WA 41 9607I
NAME ""GOING OUT FOR BIDS
MAILING ADDRESS
CONTRACTOR
CITY STATE LP
LICENSES
NAME EMMA KINYUA
MAILINGADDRESS 3232332NDAVESW
APPLICANT
CITY FEDERAL WAY
NAME DWIGHT LENTZ
PRIMARYPHONE 253-327-0464
E-MAIL am Mgl 2017@g—H.com
PHONE
E-MAIL
FAX
UBI 9
PRIMARY PHONE 25332744"
EMAIL sma I.gc201?0gm 1Il m
FAX
PRIMARY PHONE 253-227-7209
PROJECT CONTACT _
NAIIJNGADDRESS 26506107THAVESE E41AIL &,Aght"Adl "M&—iLcom
(The individual to receive and
respond to all correspondence
concerning this application) CM`°°'"° °" STATE WA ZIP 98042 FAx
NAME Owner ❑
PROJECT FINANCING OWNER -FINANCED
When value is $5, 000 or more NAILING ADDRESS. CrTY, STATE, ZIP PHONE
(ROW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best of my knowledge,
the information submitted In support of this permit application is true and correct. I certify that I will comply with all applicable City of Federal Way
regulations pertaining to the work authorized by the issuance of a permit. I understand that the issuance of this permit does not remove the owner's
responsibility for compliance with local, state, or federal laws regulating construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees Incurred in the Investigation
and defense of such claim), which may be made by any person, Including the undersigned, and filed against the city, 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. 44 yy t
DATE
SIGNATURE:
.(,tI
PRINT NAME:
EXPIRATION DATE
STATE WA 1 ZIP 96023
Bulletin #100 —February 19, 2020 Page 1 of 2 k:\Handouts\Permit Application
MECHANICAL PERMIT
Indicate how many of each
0
AIR HANDLING UNITS
0
AIR CONDITIONER
0
BOILERS
0
COMPRESSORS
0
DUCTING
PLUMBING PERMIT
Indicate how many of each
0 BATHTUBS Iw Tm sue. a eo)
0 DISHWASHERS
0 DRAINS
0 DRINKING FOUNTAINS
0 HOSE BIBBS
9 of fixture to be installed or rel
0 FANS
0 FIREPLACE INSERTS
0 FURNACES
0 GAS LOG SETS
0 GAS PIPING
le of fixture to be installed or relo
0
LAVS (Re.smks)
0 RAINWATER SYSTEMS
0 SHOWERS
0 SINKS (RikMMINXy)
0 SUMPS
as part of this project. Do not inc!
0 GAS PIPE OUTLETS
0
HOODS (u.n—q
0 HOT WATER TANKS IOM)
0 REFRIGERATION SYST
0 WOODSTOVES
as part of this project. Do not inc
1
TOILETS
0
URINALS
0
VACUUM BREAKERS
0
WATER HEATERS (Mb )
0
WASHING MACHINES
VALUE OF MECHANICAL WORK
existing fixtures to remain.
0 OTHER (Describe)
VALUE OF PLUMBING WORK
$ 3 c\3c�
de existing fixtures to remain.
1 WATER PIPING
0 OTHER (Describe)
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VAWE OF EXISTING IMPROVEMENTS
0
$ 6500
EXISTINCUPREWOUS USE RESIDENCE
LOT SIZE (In SgUAM Feel) 10482
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
❑ YesY%0 No
❑ Yes ?�NO No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
-
TOTAL
FOR OFFICE USE
BASEMENT
N/A
— —
FIRST FLOOR (or Mobile Home)
1960
1960
1960
SECOND FLOOR
N/A
COVERED ENTRY
NIA
DECK
N/A
---
GARAGE ❑ CARPORT ❑
OTHER (describe)
Area Totals
EIDN0
III
PROPOSED
TOTAL
—
"NEW HOMES ONLY**
ESTIMATED SELLING PRICE
# OF BEDROOMS
COMMERCIAL - NEW/ADDITION
AREA DESCRIPTION
Area In
Square Feet
Occupancy Group(s)
Construection
Stories
Additional Information
NEW BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT
IMPROVEMENTS
AREA DESCRIPTION
Area In
Square Feet
Occupancy Group(s)
Construction
e
Stories
Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY