12-101876Building - Single Family
City of Federal Way Permit #: 12 -101876 -00 -SF
Community &Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (2
53) 835-3050
Project Name: HAITU
Project Address: 2323 SW DASH POINT RD Parcel Number: 122103 9095
Project Description: REP - Remove existing asphalt shingles down to plywood and replace with like for like
Census Category: 555 - Non-structural roofing permits
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load
Floor Areas . 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 11
PERMIT EXPIRES Wednesday, October 24, 2012
Permit Issued on Friday, April 27, 2012
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
an t ity of Federal Way.
Owner or agent: Date:
Owner
AARulicant
Contractor
Lender
VEACESLAV HAITU
VEACESLAV HAITU
2323 SW DASHPOINT RD
2323 SW DASHPOINT RD
2323 SW DASHPOINT RD
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
Census Category: 555 - Non-structural roofing permits
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load
Floor Areas . 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 11
PERMIT EXPIRES Wednesday, October 24, 2012
Permit Issued on Friday, April 27, 2012
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
an t ity of Federal Way.
Owner or agent: Date:
C
CITY CW VAI�
Federal Way
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 12 -101876 -00 -SF Address: 2323 SW DASH POINT RD
Project: VEACESLAV HAITU FEDERAL WAY, WA 98023-7815
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.
0
SWM Precon Site Mtg (4400)Initial
Erosion Control (4365)
Shear Walls (4245)
Underfloor Framing (4285)
Roof Sheathing (4220)
Approved
Approved to install flooring
To be done prior to breaking ground
By
Approved to sheath floor
By
Date
By
Date
By
Date
Floor Sheathing (4105)
Final Electrical
Approved
Shear Walls (4245)
Right of Way
Roof Sheathing (4220)
Date
Approved to install flooring
Date
By
Approved to install siding
Approved to in ' 1 roofing
By
Date
By
Date
By Date 7110hz,
Prior
Fire/Draft Stops (4095)
Interim Erosion Control (4370)
Approved
Approved
to scheduling a Framing inspection;
Electrical, Plumbing & Mechanical Rough -in and
By
Date
By
Date
Fire/Draft Stop inspections must be signed -off and
approved. IBC 109.3.4
0
Gypsum Wallboard Nailing (4130)
❑
Framing (4120)
Insulation (4150)
Approved to insulate
Approved to install wallboard
Approved to install mud & tape
By
Date
By
Date
By Date
❑
Final Erosion Control (4375)
Final - Building (4050)
Approved
Approved
By
Date
By
Date
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date
CITt OF ' `
Federal Way
COMMUNITY DEVELOPMENT SERVICES
253-835-2607• FAX 253-835-2609
wum.cit o ederalwau.com
*PERMIT
APPLICATION
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MF CO ME PL DE EN FP
RECEIVED g
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SITE ADDRESS U
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL M
$ Z7&F.4 —CDS — -
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
('Tenant Name/Homeowner Last Name)
H ITL-, T i
id
PROJECT DESCRIPTION
Detailed description of work to
,
�T
be included on this permit only
PROPERTY OWNER
NAME/_X_?/('6
/_X_ fir'6 `
PRIMARY PHONE
MAILING ADDRESS
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E-MAIL
CITY /%9
sTATZ /�
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NAME x`� _
PHONE
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE M
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE A
NAME �` ,�, / f-�
/L✓jj-�
PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME /
PHONE
(The individual to receive and
MAILING ADDRESS
E-MAIL
respond to all correspondence
concerning this application)
CITY
STATE
ZIP
FAX
ALTERNATE CONTACT NAME:
PHONE
E-MAIL
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $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 apart of this application.
i y
416� DATE OG/ �7r • �i��
SIGNATURE:
LLj
PRINT NAME:
Bulletin #100 —January 1, 2011 Pagel of 3 k:\Handouts\Permit Application
719-01
Q
VALUE OFMKECRAMCAL WORK $ (a copy of bid or estimate must be provided)
Indicate how many of each type of future 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 (commemiat)
BOILERS FURNACES HOT WATER TANKS (cas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
Indicate how many of each type
BATHTUBS (or Tub/shower combo)
DISHWASHERS
DRAINS
DRINKING FOUNTAINS
HOSE BIBBS
to be installed or relocated as
LAVS (Hand sinks) _
RAINWATER SYSTEMS _
SHOWERS _
SINKS (kitchen/utiiity) _
SUMPS
f this project. Do not include
TOILETS _
URINALS _
VACUUM BREAKERS
WATER HEATERS (E1ectdc)
WASHING MACHINES
ag fvctures to remain.
WATER PIPING
OTHER (Describe)
Bulletin #100 —January 1, 2011 Page 2 of 3 k:\Handouts\Permit Application