20-103594-Building Permit Application-09-17-2020-V1PERMIT APPLICATION
4( CITY Of PERMIT CENTER + 33325 811, Avenue South + Federal Way. WA 08003-6325
Federal Way 253-835-2667 + FAX 253--835-2609 + permitceiiter;i,icit.voffederalway.coni
PERMIT i � NUMER. 01 ZU 2,,D
2 L) —3 - TARran DATE , 1
30625 11th avenue south federal way WA 9ZSUU�5
SITE, ADDRESS
ZONING ASSESSORS TAXIPARCEL
$ J— 0 - ----- f c)
TYPE OF PERMIT
IN
BUILINNG 0 PI,UTNIBUNG 0-1 MECHANICAL 0 DFmourlo-, 17 ENCfNEERING 0 FIREPWWE'l-TO
NAME OF PROJECT i
(A PA C-11E 1/6
rN VL� r2-T C C-1,N JTb 1 u �A
PROJECT DESCRIPTION
2 -4
Detailed description qfujork- to
be included on this penrnl onl-Y
J ACINTA KINUTHIA&CHARLES NYONYO
PRIMARY PHONE
NAME
2533340896
PROPERTY OWNER
30625 1 1TH AVENUE SOUTH
E-MAIL )UNJAC2006 #yAH00-COM
MAILING ADDRESS
•
CITYFEDERAL WAY STATE
ZIP
WA
98003
NAME
PHONE
MAILING ADDRESSE-MAIL
CONTRACTOR
CITY STATE zip,
FAX
WA STATE CONTRACTOR'S LICENSE E7"iRA�TIOIN DATE
U81
KINUTHIA
PRIMARY PHONE 2533340896
NAMrJACINTA
30625 lITH AVENUE
Z-MAIIkkinjac2005�kyahooxor�
APPLICANT
MAILING ADDRESS
-RAL
FE6E Wj�Y-- STATE ZIP—
FAX
CITY
WA 98003
2064292494
t NAME
N C-IfA
ane
PRIMARY PHONE
2"Or. 5q 9
PROJECT CONTACT
111 (The individual to receive and
MAILING ADDRESS
I kA Me N U E. So%) I
E-MAIL
respond to all correspondence
concerninq this application)
CITYJD(Z STATE kpj
VA
ZIP
FAX
NAME
PROJECT FINANCING OWNER-FINANCED1
PTiONE
J,tqWn 1,alue is $5. 000 or rn ore MAILING ADDRESS, CITY, STATE, ZIP I
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
knowledge, the irkf0rmatj*n submitted in support of this permit application Is true and correct. r certify that I Will comply with
of my
is 0
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance f a permit. I understand that the
for compliance with local, state, or federal laws regulating
issuance of this permit does not remove the owner's responsibility
construction or environmental laws.
Ifto-ther 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 applicatiom
SIGNATURE: DATE
PRINT NAME
P,nm 1 731"�
uwteun -, 100 - r cal uUT y 1 5. 20-0
VALUE OF MECHANICA L WORK
MECHAINICAL PERMIT
i Indicate how any of each type of -fature, to be installed or relocyned as part Olvthis -project.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
MR CONDITIONER FIREPLACE 'INSERTS 140ODS ic.r�uualj
BOILERS FURNACES HOT WATER TANKS fGe,
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
oy pf-,umBnw, GICz ':Is
PLUMBING PERINUT
$
1 fi
xture ulvres to rerrm�q.
Indicate how many of each tizve OLE�tyre to be iristalled or relocated as 2ari of Phis proj
ect. Do not .5.S!_nq BATHTUBS LA%,S Mand sia-s4 TOILETS WATER PIPING
DISHWASHERS RAINWATER, SYSTEMS URINALS OTHER (Describej
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS iiacctwniutitiqq WATER HEATERS
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FMTURES
GENERAL NFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR ^ SEWER PURVEYOR VALUE OF 494ZI—N iEXiS
-9 rMPROV grMPROV
obvke, N sWck s eA,,j o- 5 kv�
i=iFY*G/PREVIOU9 USE LOT SIZE (in sique" Feat] EXISTING FIRE SPRINKLER SYSTEM? iPROPOSED FIRE SUPPRESSION SYSTEM?
tNo
o Y" Yes,V No
RESIDENTIAL
- NFw OR DDITION
AREA DESCRIPTION (in square feet) i EXISTING
j PROPOSED #
TOTAL
SECOND
COVERED ENTRY
DECK
�-R
23)
R
Area Totals
L-z-
PRICE 1 #
COMMERCIAL — NFw/AIDDITION
i Area in
AIZEA DESCRIPrION Occupancy Group(s)
square Feet
NOW Bum N -77 77777
ADDITION
v I a INTERIM
FOR OFFICE USE
Bulletin #100 - Fcbruwn 19, 2020 pagc 2 „ I- -', k:1landouts,,Pcrmit Application