16-102009 •
Building -Sitigle !'amily
City of Federal
Community&Econ.Devv..Services Permit #: 16-102009-00-SF
33325 8th Ave S
Federal Way,WA 3 Inspection Request Line:
Ph:(253)835-2607 Fax:(253)835-2609 p q (253)835-3050
Project Name: EQUI-LUV-N-CARE ADULT FAMILY HOME
Project Address: 35530 6TH AVE SW Parcel Number: 302104 9002
Project Description: ALT-Verification of Occupancy for Adult Family Home. ***No construction work
allowed under this permit.***
Owner Applicant Contractor Lender
JOHN DUNCAN JOHN DUNCAN
NM DUNCAN 35530 6TH AVE S
35530 6TH AVE S FEDERAL WAY WA 98023-8110
FEDERAL WAY WA 98023-8110
Census Category: 434-Residential alt/add-no change in number of units
Includes: #1 #2 #3 #4
Occupancy Class: R-3
Construction Type: Type V-B
Occupancy Load:
Floor Area(sq.ft.) 0 0 0 0
Additional Permit Information
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement 0
Calculated Structure Valuation 0.00 Occupancy#1 -Construction Type. Type V-B
Mechanical to be Included? No Occupancy#1 -Class R-3
Plumbing to be Included No Occupancy#1-Use Residence(1 or 2
family)
No Fixtures Associated With This Permit!!
PERMIT EXPIRES Sunday, October 23, 2016
Permit Issued on Tuesday, April 26, 2016
I hereby certify that the above informal, is 'orrect and that the construction on the above described property and
the occupancy and the w'll be in -ccor d ance with the laws, rules and regulations of the State of Washington
and the City of Federal Way. (p
Owner or agent: Date:
3-6
CITY OF # PERMIT
Federal Way T A SF MF CO ME PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES AP P L I C iT I o
253-835-2607•FAX 253-835-2609 Li
P.P.ED:r.ltiiille.cifrlliivgil'.^C!ni APR 2 6 2016
SITE ADDRESS CITY OF FEDERAL WAY SUITE/UNIT#
35530 Will AVE .sW ffe-DEtZ1 L WAY, WA ' 9oZ3 CDS
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ ?4'00 .at Ic MTA-L -
TYPE OF PERMIT 0 BUILDING 0 PLUMBING ❑ MECHANICAL ,WADvt-T P*M1.1 y r•Iol1AE
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/HomeownerinctName) EQUI-LUV-N- CA-ice- A•F 1
RE NOVA-TIONS TO -tIOM,E (4l3oVE A'DDE8SS) TO MEET t AND Crry
PROJECT DESCRIPTION
Detailed description of work to leeQUT2LM•EIVTS.
be included on this permit only
-
NAME PRIMARY PHONE
PROPERTY OWNER J0fiN C-1 . DUNCAN Zak • 77L7 • 1024-3
MAILING ADDRESS E-MAIL
321+ SW insitest 344-TH -CT sSx FOO me YA$- 00.CoM
CITY STATE ZIP
V12E1ettl WAY vw - ct1J023
NAME PHONE
JOHN Cr,. "DUNCA-N 20t8 •'1"1q• 1824-3
MAILING ADDRESS E-MAIL
CONTRACTOR 3 214- `S w 3 4-4•T-1-1 sT SSX Fcote@ YAli 00•CAM
CITY STATE ZIP FAX
1F6DS12At_ 01 OW tvA 41E023
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
N/A / N/A /
NAME PHONE
JOHN C'i • DUNC41-3 2018 • 7741•IG24.3
APPLICANT MAILING ADDRESS E-MAIL
3214- S w 3N-4•T14 sr s=Xb=aOre@Yitlico-coM
CITY STATE ZIP FAX
F€D leAL wAY iN4 1eo23
PROJECT CONTACT NAME PHONE
(The individual to receive and JOHN C-1• AUNCPrN 20ta•7741 •t0 2-4.3
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application) 3214 S W 3144.t1-1 sr $1 x Foote(YAHOO.coM
CITY STATE ZIP FAX
E'DEJCAL war vv A- a 9023
ALTERNATE CONTACT NAME: PHONE E-MAIL
I<YM3ElRt.EEr DUNCAN 26.3.306•cl 2.44 KrAilS 127UNCAN@X4H00.6'
PROJECT FINANCING NAME
Required value of$5,000 or more 00i...1 N GI.. •DUNCAH OWNER-FINANCED
(RCW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP PHONE
3214. SW 344TH sr >s'DFRAL VVA-Y, tAl419025 ZOb•77a1•1.0245
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 ense of such c In,which may be made by any person,including the undersigned,and filed against the city,
but only where su cl im arises t of t e reliance of the city, including its officers and employees, upon the accuracy of the
information supp ' d to he ity as part o this application.
SIGNATURE: DATE 2 to d?S L 2OIto
PRINT NAME: JOHN DVNCAN
Bulletin#100-April 14,2010 Page 1 of 3 k:\l-landouts\Permit Application