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22-100100City of Federal Way Community Development Dept. 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax: (253) 835-2609 Project Name: ZURI2 ADULT FAMILY HOME Project Address: 35436 12TH AVE SW Building - Single Family Permit #:22-100100-00-SF Inspection Request Line: (253) 835-3050 Parcel Number: 257180 0025 Project Description: Verification of Occupancy for Adult Family Home. ***No construction work allowed under this permit.*** Owner Applicant Contractor Lender JOSEPH MWANGIZURI2 ADULT JOSEPH MWANGIZURI2 ADULT FAMILY HOME FAMILY HOME 35341 13TH WAY SW 35341 13TH WAY SW FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 Census Category: 434 - Residential alt/add - no change in number of units Includes: #1 #2 #3 #4 Occupancy Class: Construction Ty e: Occupancy Load: Floor Area (sq. ft.) Additional Permit Information Mechanical to be Included?... ............................ No Is this an Online or O.T.C. application?.................. Yes Plumbing to be Included?._ . ................................... No r No Fixtures Associated With This Permit !! PERMIT EXPIRES Wednesday, 6 July, 2022 Permit Issued on Friday, January. 7, 2022 I hereby certify that the above i formation is correct and that the construction on the above described property and the occupan a will be in accordance with the laws, rules and regulations of the State of Washington and the City of Federal Way. Owner or agent: Date: U 3 ZZ Washington State Department Of ReveiRECEIVED MAR 2 8 2022 Business Lookup CITY OF FEDERAL WAY COMMUNITY DEVELOPMENT License Information: Entity name: ZURI2 ADULT FAMILY HOME Ll Business name: Entity type: Limited Liability Company UBI #: 604-795-235 Business ID: I Location ID: Location: None Excise tax and reseller permit status: Secretary of State status: I Click Click Governing People May include governing peop Governing people T. MWANGI, JOSEPH The Bu nightly AM ECEIVED 3 3 (�b PtA, wc, )' t1j c-A-( fw Z I w'C' qr6�� �AR 7 8 2022 OF FEDERAL 1QPEUNfFY €ELMW CITY OF PER�ZffI 'APPLICATION Federal Way JAN 0 7 2022 AA 100100 - SF CITY UNITY DE I Ay PERMIT NUMBER _ 1 _ '� �` /I ' ` �L ENT TARGET DATE '��.rj /'� SITE ADDRESS SUITE/UNIT # 2. % l�' � f� Or " PROJECT VALUAT N ZONING I ASSESSOR'S TAX/PARCEL # TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT 7a r f PROJECT DESCRIPTION Detailed description of work to pp � ` hi e be included on this permit only PROPERTY OWNER NAME % } r PRIMARY PHONE MAILING ADDRE9S CITY S AAIE ZIP J ' q NAM PHONE MAILING ADDRESS E-MAIL CONTRACTOR CITY STATE ZIP FAX WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE # NAME PRIMARY PHONE APPLICANT MAILING ADDRES Y E-MAIL CI Y pi STAVE ZIP ' U FAX NAME1 PRIMARY PHONE PROJECT CONTACT MAILING ADDRESS E-MAIL (The individual to receive and respond to all correspondence CITY STATE ZIP FAX concerning this application) PROJECT FINANCING NAME 1 r OWNER -FINANCED When value is $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 a of the reliance of the city, including its officers and employees, upon the accuracy of the informuti[rr± !ppll4d to the r.'� rt of thaw a rli -04 SIGNATURE: _-DATE r PRINT NAME: iI .S~ �r �� f ) � 1 r Bulletin #100 —February 22, 2016 Page 1 of 2 k:\Handouts\Permit Application