14-102739 • •uilding - Single LFannily
City of Federal Way /�
Community&Econ.Dev.Services Permit #: 14-102739-00-SF -
33325 8th Ave S
Federal Way,WA 98003 Request Inspection
Ph:(253)835-2607 Fax:(253)835-2609FILE
q est Line: (253)835-3050 •
Project Name: ALPHA II ADULT FAMILY HOME
Project Address: 30026 13TH AVE S Parcel Number: 025300 0305
Project Description: ALT-Verification of Occupancy for Adult Family Home. ***No construction work
allowed under this permit.***
Owner Applicant Contractor Lender
FRANCISCA W KARANJA FRANCISCA W KARANJA
31725 8TH AVE S 31725 8TH AVE S
FEDERAL WAY WA FEDERAL WAY WA
98003 98003
Census Category: 999-Unknown
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 penult ii
PERMIT EXPIRES Monday, December 8, 2014
Permit Issued on Wednesday, June 11, 2014
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 accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way. /
Owner or agent: , A+ Date: b b 1 11 ( 1 ti-
"ifitirlit"l"
LED
M City of Federal Way Ili IIP
Certificate of Occupancy solp 1
f .V
ItieW
This Certificate issued pursuant to the requirements of Sectigp11;0y,2.of the International Building Code certifying that
at the time of issuance, this structure was in compliance with the various ordinances of the City regulating building
construction or use. This certificate is valid ONLY when endorsed by City staff.
Tenant Name: ALPHA II ADULT FAMILY HOME Permit#: 14-102739-00-SF
Address: 30026 13TH AVE S
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load
Floor Area(sq.ft.) 0 0 0 0
Owner Name: FRANCISCA W KARANJA
FRANCISCA W KARANJA
Owner Name:
Owner Address: 31725 8TH AVE S
FEDERAL WAY WA
98003
Building Official Date
The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which
experience has shown most severly affect the health and safety of the general public. Although the City has made as complete a
review and inspection as is reasonably possible(within budgetary time and personnel limitations), the City neither guarantees nor
warrants to the owner/occupant or to any other person that this Certificate evidences strict compliance with each and every
ordinance or regulation of the City or the State of Washington affecting the construction or use of said structure or the land upon
which it is situated. Such compliance is the responsibility of the owner and/or occupant of the premises.
A, r
> x:�c
0 THIS CARD IS TO ON-SITE -
CITY OF Construction In ection Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 14-102739-00-SF Address: 30026 13TH AVE S
Project: FRANCISCA W KARANJA FEDERAL WAY, WA 98003-4130
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as
possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your
inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card.
El Final-Building(4050)
Approved
By Date
•
El Rough Electrical El Final ElectricalEl Right of Way
Approved Approved Approved
By Date By Date By Date
- I 0z 7-39'
GTMGF....A. .
'ERMIT
Federal Way s F CO ME PL DE EN FP
•
CO2M5MU
3-8M3IY
5-26D0EFLAOXPM25E3,78:2R9CES APPLICATION RECEIVED
aQ
+ J U N 11 2014
SITE ADDRESS 3c 2/_ 1 rJJ vee-1U ee 50 t„A -r-L CITYsdt RAL WAY
od a\ Wails 43 Pc c(g003 CDS
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ O653 0 0 . 0 3 0 5
❑BUILDING 0 PLUMBING 0 MECHANICAL
TYPE OF PERMIT
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT `` I )
(Tenant Name/Homeowner Last Name) ALPi� A DAL / F4 l.e-1 C)fli/ E
PROJECT DESCRIPTION
Mu(t FR w�1 LI OA 6 — Ta�`'t v\ CQ CC 0j. 542-(1.1:0/lc / OX.p.
Detailed description of work to LAO loAt t,J\ Q, t \Vki Ci,vY01 8f, p 1 i 114 i q (nI t
be included on this permit only _ )0 0 n n ,� v J Q .
NAME PRIMARY PHONE" ey
PROPERTY OWNER 1-4 n a k So VI 2-5-3-5-08-V /12 2-
MAILING ADDRESS E-MAIL
CITY STATE ZIP
1
PHONE
14111 �0k,ncxsesz itrr eaci fsosgL. K•'Nn4lo6-271- t-2-S-2
MAILING ADDRESS y r_ j� E-MAIL
CONTRACTOR /�/2.-`2-�SbLg \�` Z�Ca Pk�-'
C pS��c t \ �TpE gg00ZIP 3 FAX
WA STATE CONTRACTOR'SI 'SLICE E# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
PHONB
N 1 EI" 0 g CA. )t. K \r 1, 1 0.1 0 2.06.- 271-- v L/g
APPLICANT G ADDRESS
2--L - - Gi'" kc (, yhRoivi.e cirt!eam/40
C 52 ly a o"t✓��; STATE
� ZIP +J'') FAX /Let
J ��° - - f fes_ /
PROJECT CONTACT NAME F e I V O S C P' K A �, t-1TA PHONE�l7'�2 7/- �j Z
(The individual to receive and
respond to all correspondence MAILING ADDRESS
E-MAIL
concerning this application) 21,02,--2 Jr' 0 to 7jq t/7 pig{ az- 'i'k of 60 mecca reeco rocas L
CITY
Fe.cLx4C LA) i�t ZIP al S17o3 06-3T76-64 0q n'e-6
ALTERNATE CONTACT NAME: J PHONE , E-MAIL
Ku serf, u r'19 7-63-- 2-4-921 RiFGtq 0iv/ecorcPc.ooil rgsi--r,.e,
PROJECT FINANCING NAME OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP PHONE
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 th- city as a part of this application.
1,
SIGNATURE: j DATE tj V 1l 0 , I it
PRINT NAME: - FRP N('as C( etkforPJA
Bulletin#100-April 14,2010 Page 1 of 3 k:\Handouts'Permit Application