13-102108 .,
0 •ilding ;Single Family
* City of Federal Way F' I Permit #: 13-102108-00-SF
Community&Econ.Dev.Services
33325 8th Ave S
* Ph:(253)
Federal835-26Way,
07FWAax:(295830)08335-2809 p q Inspection Request Line: 253 835-3050
Project Name: SILVER LIFE ADULT FAMILY HOME
Project Address: 29423 7TH PL S Parcel Number: 515250 0010
Project Description: ALT-Verification of Occupancy for Adult Family Home. ***No construction work
allowed under this permit.***
Owner Applicant Contractor Lender
MIRA KWON WESLEY KO
SUN C KWON SILVER LIFE ADULT FAMILY
29423 7TH PL S HOME
FEDERAL WAY WA 98003 29243 7TH PL S
FEDERAL WAY WA 98003
Census Category: 434-Residential alt/add-no change in number of units
Includes: #1 #2 - #3 #4
Occupancy Class:
Construction Type:
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
Mechanical to be Included? No Plumbing to be Included? No
No Fixtures Associated With This Permit!!
PERMIT EXPIRES Sunday, November 10, 2013
Permit Issued on Tuesday, May 14, 2013
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in acc rdance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent %�!% Date: j//-/-/.?
*/PD/
3
rN� �
•
r 0 PERMIT IPPL CATION
Federal Way (ECE
IVED oy$�
MAY 14 2013 3
PERMIT NUMBER ' _✓ I v "2.-- I 0 (DO
- - _ _ TARGET DATE Cm OF FEDERAL WAY
CDS
SITE ADDRESS _ SUITE/UNIT#
47 9 W oi_ 3 -9 9-/- P&._,_e a
PROJECT VALUATION _ZONING -'1 ASSESSOaR/PARC#_Z--(75-73 0 0 11
,
TYPE OF PERMIT BUILDING ❑ PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT-4). 1 I ye v 1 .-I f %,.417 1
/-17,--L„
PROJECT DESCRIPTION I n p-C_G 1�1- o Al
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER /d i, Kbo o Y1 w�fC� / i-/-j
7 s_` / l, j
MAILING
463 0 &NS-i-" !..
CITY i STATE ZIP
fPdPal w Ck y V0� 92602,?
NAME PHONE
MAILING ADD-. - E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CO R'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
ONA
N f PRIMARY./ -HL/ � P !J
APPLICANT MAILING ADDRESS// '' ..//-X,
' / � � IL C (/��/
CIT02 Y 9 !✓li / ,V P2- \-S"'
ZIP FAX LA) J/ey/ o V FV// e " i/ c1
�7eder0I cry 9'oa
•RIMARY PHONE el
ROJECT CONTACT ,a, — , F Z3 2
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
PROJECT FINANCING NAME 0 OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CI • TE, A PHONE -;;j.
(RCW 19.22095)
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 applic on. y--
SIGNATURE: - "" DATE v//1/03
PRINT NAME: his`4 y /C)
Bulletin#100-Ianuary 1,2013 Page 1 of 3 k:\Handouts\Permit Application
r •
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
$
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commerdat}
BOILERS FURNACES HOT WATER TANKS(c
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLU :ING WORK
PLUMBING PERMIT $
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include sting.fixtutremain.
BATHTUBS(or Tub shower come LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/WARY)
ry) WATER HEATERS(ci. .
HOSE BIBBS SUMPS WASHING MACHI S TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PUR YOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$
EXISTING/PREVIOUS USE LOT SIZE(In Sq a Feet( EXISTING FIRE SPR KLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑YP,B❑ No ❑Yes ❑ No
RESIDENTIAL — NEW OR ADDITIO
AREA DESCRIPTION(in square feet) EXIS ING PRO't ED TOTAL FOR OFFICE USE
m *'- r-� te_, c .0-r£�. �
FIRST FLOOR(or Mobile Home)
iirz'tS:O.:'''1:-:-,y)19,03-Arik";?-:;,- --;-; --ACP:4'7,:-:::`:":'7,-- ,----','"-',"'''''''t-' '-' '- -
COVERED ENTRY
•'-->- ',,,,‘,4f60*-';.- -- 4-qi'ilr;1:il-nf-:.2.-?;,---',''',"•-ilisitgrrlsk434:,ki*?. ..:46-4,."-;;:';.,,,ci;':'$,.;-;•-, :-.204,11)::"
GARAGE ❑ CARPORT 0
iii� � s, _ ING s i z':
' .,per: ,, ,a,,.. . - ," _ a ..§ ;�^�
67QSTID6 PROPOSED ,:TOTAL
Area Totals
ay,yah z ..".Ar,K,'=';',,_<. * .:':i.,,,,',:',41. ..4iii..: .... -,,,e;--,;;A:,-- g'"",. e''•.
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NE ,'/ADDITION
AREA DESCRIPTION Area Occupancy Groups) onstruction #of Additional Information
in Square Feet Type Stories
;aF : :,a' '-" "� • dam, ' a � i
Dui
ADDITION
CO ERC , —REMODEL/TENANT IMPROVEMENTS
AREA DESC: ION
Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
--2,.::„-Tri','-- 4,-4A14-?";Up;,-,!,1::: _ ` wag .4';',' aw i'k .__ h:>
t ': ,. u..sN.- , . _.:iz ate`.*. "."s� ,.�;14,i44,,,,--is-4., `M �. ,',,
TENANT AREA gONLY
kw t`••&� 4..b .'� .& -3 yxi - ce«�s°E 6/ 11.3 ' �3w'� f' .r ^
Bulletin#100—January 1,2013 Page 2 of 3 k.\Fiandouts\Permit Application