23-101118 -Permit Application - 03-06-2341k
CITY OF
Federal Way
PERMIT NUMBER _
PERMIT APPLICATION
PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway.com
TARGET DATE
SITE ADDRESS
SUITE/UNIT #
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$ 15,000
0 1 0 0 6 0- 1 0 0 0
TYPE OF PERMIT
BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
ALLAN REMODEL
PARTITION EXISTING FAMILY ROOM TO CREATE BEDROOM F.
PROJECT DESCRIPTION
Detailed description of work to
PUT A PARTITION WALL TO ENCLOSE THE STAIRCASE AND INSTALL DOOR. INSTALL GRAB BARS IN BATHROOMS.
CONSTRUCT WOODEN RAMP. RAMP IS LESS THAN 30" FROM GROUND.
be included on this permit only
REMODEL IS FOR THE PURPOSE OF CONVERTING THE HOME INTO AN ADULT FAMILY HOME. REMODEL SF 140 SF AND RAMP SF IS 115 SF
NAME
PRIMARY PHONE
ALLAN NGUGI
206-434-8550
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
33330 29TH PL SW FEDERAL WAY WA 98023
n u iallan11 mail.com
CITY
FEDERAL WAY
STATE
WA
ZIP
98023
NAME
PHONE
HOME OWNER DOING THE WORK
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
UBI #
NAME
PRIMARY PHONE
GEORGE NGANGA
206 548 6798
MAILING ADDRESS
33330 29TH PL SW FEDERAL WAY, WA 98023
E-MAIL
sldesigns21 @gmail.corr
APPLICANT
CITY
FEDERAL WAY
STATE
WA
ZIP
98023
FAX
PROJECT CONTACT
NAME
PRIMARYNGANGA PRIMARY PHONE
206 548 6798
MAILING ADDRESS
33330 29TH PL SW FEDERAL WAY WA 98023
E-MAIL
sldesl ns21 mall.co
(The individual to receive and
respond to all correspondence
CITY
FEDERAL WAY
STATE
WA
ZIP 98023
FAX
concerning this application)
PROJECT FINANCING
NAMEALLAN NGUGI
® OWNER -FINANCED
When value is $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 1927.095)
33330 29TH PL SW FEDERAL WAY WA 98023
206-434-8550
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 as apart of this application.
pcity
SIGNATURE:^ i7 � DATE 03/06/2023
PRINT NAME: GEORGE NGANGA
Bulletin #100 — February 19, 2020 Page 1 of 2 k:AHandouts\Permit Application
MECHANICAL PERMIT
$
Indicate how many of each type of
fixture
to be installed or relocated as part
of this project. Do not include existinq fixtures to remain.
AIR HANDLING UNITS
0
FANS
GAS PIPE OUTLETS OTHER (Describe)
0 AIR CONDITIONER
0
FIREPLACE INSERTS
0
HOODS (commercial)
0 BOILERS
0
FURNACES
0
HOT WATER TANKS (Gas)
0 COMPRESSORS
0
GAS LOG SETS
0
REFRIGERATION SYST
DUCTING
D_
GAS PIPING
0
WOODSTOVES
PLUMBING PERMIT
Indicate how many of each type of
ffixture to be installed or relocated as part of this project. Do not include existiRq fixtures to remain.
BATHTUBS (or Tub/shower combo)
U
LAVS (Hand Sinks(
TOILETS WATER PIPING
0
DISHWASHERS
-
RAINWATER SYSTEMS
0
URINALS 0 OTHER (Describe)
0
DRAINS
0
SHOWERS
0
VACUUM BREAKERS
0
DRINKING FOUNTAINS
0
SINKS (Kitchen/Utility)
0
WATER HEATERS (Electric)
0
HOSE BIBBS
0
SUMPS
0
WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
N/A
CITY OF FEDERAL WAY
PUBLIC SEWER
$
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes v No
❑ Yes VNo
RESIDENTIAL
7182
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
BASEMENT
1130
0
1130
...............................................................................................................................
FIRST FLOOR (or Mobile Home)
1510
140
1650
...............................................................................................................................
11111
SECOND FLOOR
0
0
0
...............................................................................................................................
COVERED ENTRY
0
0
0
DECK
190
0
0
...............................................................................................................................
GARAGE ® CARPORT ❑
440
0
0
...............................................................................................................................
OTHER (describe)
0
0
0
Area Totals
EXISTING
PROPOSED
TOTAL
...............................................................................................................................
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE $
# OF BEDROOMS
COMMERCIAL — NEW/ADDITION
AREA DESCRIPTION
Area in
Square Feet
Occupancy Group(s)
Construction
Type
# of
Stories
Additional Information
NEW BUILDING
ADDITION
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area in
Square Feet
Occupancy Group(s)
Construction
Type
# of
Stories
Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin #100 — February 19, 2020 Page 2 of 2 k:\Handouts\Permit Application