16-101609 Building - Single Faily°
City of Federal Way Permit #: 16-101609-00-S F
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: NGINYO
Project Address: 2665 SW 335TH PL Parcel Number: 010060 1190
Project Description: REM-Convert existing ground floor to a(5)bedroom adult care suites.Remodel to include
adding(4)windows and replacing(2)windows,reconfiguring walls,adding(1)prep sink,
and reconfiguring bathroom to meet AFH requirements.Plumbing and mechancial
included.
l
Owner Applicant Contractor Lender
ELIUD N NGINYO ELIUD N NGINYO OWNER IS CONTRACTOR OWNER IS LENDER
ANNE GIKUBU 2665 SW 335TH PL
2665 SW 335TH PL FEDERAL WAY WA 98023-2728
FEDERAL WAY WA 98023-2728
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-1st Floor 0 New/Additional Sq.Feet-2nd Floor 0
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement 0
Calculated Structure Valuation 10000.00 Occupancy#1-Construction Type. Type V-B
New/Additional Sq.Feet-Deck 0 New/Additional Sq.Feet-Garage 0
Mechanical to be Included? Yes Plumbing Work Valuation? 1500
Occupancy#1 -Class R-3 New/Additional Sq.Feet-Other 0
Plumbing to be Included? Yes New/Additional Sq.Feet-Total 0
Occupancy#1-Use Residence(1 or 2
family)
Mechanical Fixtures
Fans 2
Plumbing Fixtures
Sinks I
w
CONDITIONS:
***SEPARATE PERMIT REQUIRED FOR THE ADULT FAMILY HOM INSPECTION***
•
• ' PERMIT EXPIRES Monday, November 28, 2016
Permit Issued on Wednesday, June 1, 2016
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: effilld4Date: 0 7//
Building - Single Family '
City of Federal Way Permit #: 16-101609-00-SF
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 253 Line:Request Inspection
Ph:(253)835-2607 Fax:(253)835-2609 p (253)835-3050
Project Name: NGINYO
Project Address: 2665 SW 335TH PL Parcel Number: 010060 1190
Project Description: REM-Convert existing ground floor to a(5)bedroom adult care suites.Remodel to include
adding(4)windows and replacing(2)windows,reconfiguring walls,adding(1)prep sink,
and reconfiguring bathroom to meet AFH requirements.Plumbing included. No
mechanical
Owner Applicant Contractor Lender
ELIUD N NGINYO ELIUD N NGINYO OWNER IS CONTRACTOR OWNER IS LENDER
ANNE GIKUBU 2665 SW 335TH PL
2665 SW 335TH PL FEDERAL WAY WA 98023-2728
FEDERAL WAY WA 98023-2728
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 10000.00 Occupancy#1-Construction Type. Type V-B
Mechanical to be Included? No Plumbing Work Valuation? 1500
Occupancy#1-Class R-3 Plumbing to be Included? Yes
Occupancy#1-Use Residence(1 or 2
family)
Plumbing Fixtures
Sinks 1
CONDITIONS:
***SEPARATE PERMIT REQUIRED FOR THE ADULT FAMILY HOME INSPECTION***
PERMIT EXPIRES Monday, November 28, 2016
Permit Issued on Wednesday, June 1, 2016
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: Biu L Date: of(/0//?`v/‘
:, .4.01&,* • , • .
THIS CARD IS TO REMAIN ON-SITE `
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 16-101609-00-SF Address: 2665 SW 335TH PL
Project: ELIUD N NGINYO FEDERAL WAY, WA 98023-2728
Scheduled inspections may be failed if this card is not on-site. I I 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.
❑ SWM Precon Site Mtg(4400) 0 Initial Erosion Control(4365) ❑ Plumbing Groundwork(4190)
Approved To be done prior to breaking ground Approved to cover
By Date By Date By Date
• Underfloor Framing(4285) 0 Floor Sheathing(4105) El Shear Walls(4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date By Date By Date
Roof Sheathing(4220) 0 Rough Plumbing(4230) Fire/Draft Stops(4095)
Approved to install roofing Approved Approved
By Date By Date By Date
O Interim Erosion Control(4370•) Prior scheduling a Framing inspection; Framing(4120)
Approved Electrical,Plumbing&Mechanical Rough-in and Approved to insulate
Fire/Draft Stop inspections must be signed-off and
By Date approved. IBC 109.3.4 BY Date
O Insulation(4150) Gypsum Wallboard Nailing(4130) 0 Final Erosion Control(4375)
Approved to install wallboard Approved to install mud&tape Approved
By Date By Date By Date
Final-Plumbing(4075) 0 Final-Building(4050)
Approved Approved
By Date By Date
D Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
D.1"II INSPECTOR kRE.\ A\I2 'I_Y`PE OIINSPF:("III0N.
`tiuo jl k A A) G11 ecu ate: ve."-, ins ud ;11.510•
THIS CARD IS TO REMAIN ON-SITE
crrr os1rKl
Federal Construction Inspection Record
Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 16-101609-00-SF Address: 2665 SW 335TH PL
Project: ELIUD N NGINYO FEDERAL WAY, WA 98023-2728
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.
SWM Precon Site Mtg(4400) El Initial Erosion Control(4365) -0 Plumbing Groundwork(4190)
Approved To be done prior to breaking ground Approved to cover
By Date By Date By f,.) Date If
I L) l i4,
0 Underfloor Framing(4285) 0 Floor Sheathing(4105) CI Shear Walls(4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date By Date By Date
El Roof Sheathing(4220) ' 0 Rough Plumbing(4230) ❑ Mechanical Rough-in(4165)
Approved to install roofing Approved Approved
By Date By A70 Date cola jitt Bz:2- Date_ L 6—C
Gas Piping(4125) Fire/Draft Stops(4095) 0 Interim Erosion Control(4370)
Approved to release test Approved Approved
By Date BBy 4 Date q_'-G_4(43 By Date
Prior to scheduling a Framing inspection; Framing(4120) El Insulation(4150)
Electrical,Plumbing&Mechanical Rough-in and Approved to insulate r7 c4-40+0. Approved to install wallboard
Fire/Draft Stop inspections must be signed-off and /
approved. IBC 109.3.4 By filo Date 'III ((!
Zo , By piLA) Date ctJ/if
4 0 Gypsum Wallboard Nailing(4130)' !0 Final Erosion Control(4375) Final-Mechanical(4065)
Approved to install mud&tape Approved Approved
Date I6_ [rt.. 6 By Date 13 -----F5- Date Z//g/i8
0 Final-Plumbing(4075) ElFinal-Building(405 )
Approved Approved
`B 5 Date-z e 7//e. •B‹.---/-----c-
Date Z.,, //),(.,(.:7
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
RECEVED
` • �I
PERMITPPLICATION
am,OF t,. APR 01 2016
Federal Way OF CITY FEDERAL WAY
CIPERMIT NUMBER \ ( _ 1 0 I W 0 — S TARGET DATE 41/2:2 /
SITE ADDRESS SUITE/UNIT#
u.) 37) - e Atai
� -(.c) r' o2
$ PROJECT 20NING ASSESSOR'S TAX/PARCEL �/ 6 ® -
TYPE OF PERMIT BUILDING LUMBING ❑ MECHANICAL 0 DEMOLITION ❑ ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT _ (J 0 'N. ' 1 r l
IIRMIAPC
PROJECT DESCRIPTION J� `1 7 �-{r nom;r�,�s -' /c' 0 f emus,,,..��,�n15
Detailed description of work to AS ��lLJC��c I V -�1�`ti-7'C 1 `� C e d M.�
be included on this permit only C'St,,E tNaga- iV 1. . .A10171 j `.417 C = , /1 ` ,.
NAME PRIMARY PHONE
A'/'
uI) i Ai' iis,o 2,9e 42 qs4
PROPERTY OWNER SAILING ADDRESS E-MAIL
ar S W 3&s.14 PL ,C-tvunc}12,. S &c o.Coiv)
CITY STATE ZIP
NAME _ _ PHONE
-fc 41rY term/ J
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME PRIMARY PHONE
EL/MO N NfIrr7a 24 z2.7 YS'P./
APPLICANT MAILING ADDRESS E-MAIL
16 Cf ,S`tJ 3s5 , pi_ ,,V.LAN r‘eh.7A3os(0744ao.( /'YJ.
?C TY STATE ZIP FAX
nE>�L ,A1C y WA 9f0
NAME1 � PRIIM�AARRY�PHOONEE/
PROJECT CONTACT 'C) Y1 yA19—t04-4-1,-- --
,P 1,-- 'l 14Z-t,`T l45)'0 ICI 1
(The individual to receive and MAILING DRESS 8(� ./ E-MAIL /��](N1�
respond to all correspondence , �1 -7-3 . (mum ASS oct tet) .
concerning this application) CITY P STATE ZI FAX
1 '661-'2--
-. -. -NAME
PROJECT FINANCING 0 OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 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 Iaws 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.
SIGNATURE: , r DATE C9111/0//20/‘
PRINT NAME: g_ki 0/ AF Aly 1 y 0
Bulletin#100—February 22,2016 Page 1 of 2 k:\Handouts\Permit Application
• •
VALUE OF MECHANICAL WORK 11.
MECHANICAL PERMIT $
Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing fixtures to remain. 4
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
Idicate how many of each type of fixture to be installed or relocated as part of this project.Do not include Ixistinq fixtures to remain.
BATHTUBS(or Tub/Shower combo) LAVS(Hand sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS(Kitchen/utility) WATER HEATERS(Electric)HOSE BIBBS SUMPS WASHING MACHINES r;21) TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**NEVI HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information
Square FeetType Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—February 22,2016 Page 2 of 2 k:\Handouts\Permit Application
® RECEIVED
°aPR o zoos PER, MIT SPPLICATION
CITY OF
Federal Way , °
CITY OF FEDERAL WAY ---.1 CO
LIP V
PERMIT NUMBER ' (/ _ I I f 6) n _
_ _ "' S� TARGET DATE '-1/2-2_f/
SITE ADDRESS SUITE/UNIT#
CQ ' u.) 3 ,e Attil
-mac.. l v
PROJECT VALUATION ZONING ASSESSOR'S TA'K/PARCEL# i
$ t t 1 CY.10 0y 0 0 (0 p _ ) 1 q 0
TYPE OF PERMIT KBUILD1NG ITPLUMBING D MECHANICAL ❑ DEM ITION ❑ ENGINEERING 0 FIRE PREVENTION
NAME OF PROJEd 0 )
1, 'T _ - C- i\W— (�l�d.�1' M) 1—�
PROJECT DESCRIPTION - ". -� c� j `���
Detailed description of work to { * 1 - c -I V c42°EkT ..-e.--
be included on this permit only (, . J 1 pi'y /„ 44n, ' -� „__,,2
I`-I�l '{�'{F'I �Lo�Y�—
NAME - f/ (I . A" ,II, 'R .. PHONE
PROPERTY OWNER `.,urS dv tki Af n/ y ` ✓ + ��
,,,
MAIL! ADDRESS E-MAILL
fZ.C6,C Sw 33S /2L i N thn.G4 0dSiDyuhoo�wl
CITY P Jc
re 0174 Wu OP A eiF°
NAME w� PHONE
okolvt'I* h ' e-ecmi J
MAILING ADDRESS E-MAI
CONTRACTOR
CITY STATE ZIP lr'..'"""ytNiAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME PRIMARY PHONE
Et-kr0 N N/if?70 26' 22.E VS71-1
APPLICANT MAILING ADDRESS E-MAIL
Nes Sw 3 s51 1` in_ ,V-LAN etk OS CO ya hoo•epP9<
CATY STATE ZIP FAX
W1209-41.- IA/0-y W A Qfo2
NAME PRIMARY
�PHONE
7
PROJECT CONTACT * , "tC� !9 Iq 1
(The individual to receive and MAILING DRESS ��aa -� E-MAIL
respond to all correspondence p. eat (�7-3 sErnS oct e J .
concerning this application) CITY _ 0 A STATEn - ZIPFAX
NAME ~`j
PROJECT FINANCING 0 OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 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.
SIGNATURE: 42 DATE G`) `�/CSI/Z0/
PRINT NAME: / f71/ /VL /gq1!,y 0
Bulletin#100—February 22,2016 Page 1 of 2 161-landouts\Permit Application
• • VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
Indicate how many of each type of fixture 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(commerdal)
BOILERS FURNACES HOT WATER TANKS(Gas(
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $ .
dicate how many of each type of fixture to be installed or relocated as part of this project.Do not include dxistiny fixtures to remain.
BATHTUBS(or rub/shower combo( LAVS(Hand s(nks( TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS ' SINKS(Kitohen/utday) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES �� TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**NEW,HOMES
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
NEW BUILDING-'
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information
Square FeetType Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—February 22,2016 Page 2 of 2 k:\Handouts\Permit Application