12-102246City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003 -.-
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: LUTSENKO
Project Address: 36317 8TH AVE SW
Project Description: ADD - Construct 260 sqft covered deck.
wilding - Single Family
Permit #: 12 -102246 -00 -SF
Inspection Request Line: (253) 835-3050
Parcel Number: 779645 0390
Owner
ARRlic i!n
Contractor
Lender
SERGEY LUTSENKO
SERGEY LUTSENKO
36317 8TH AVE SW
GALINA LUTSENKO
36317 8TH AVE SW
FEDERAL WAY, WA 98023
36317 8TH AVE 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 Type:
Occupancy Load
Floor Areas . ft. 0 1 0 1 0 10
Additional Permit Information
New / Additional Sq. Feet - 1 st Floor .................... 0
New / Additional Sq. Feet - 3rd Floor....................0
New / Additional Sq. Feet - Deck ..........................260
Mechanical to be Included?....................................No
Plumbing to be Included?.......................................No
Zoning Designation...............................................RS 9.6
New / Additional Sq. Feet - 2nd Floor...................0
New / Additional Sq. Feet - Basement....................0
New / Additional Sq. Feet - Garage.......................0
New / Additional Sq. Feet - Other ..........................0
New / Additional Sq. Feet - Total .......................... 260
No Fixtures Associated With This Permit It
PERMIT EXPIRES Saturday, December 8, 2012
Permit Issued on Monday, June 11, 2012
I hereby certify that the above information is correct and that the construction on the above described properly and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
`/J/7 the City of Federal Way.
Owner or agent: Date:
CrrY
4;&�
Federal Way
PERMIT #:
Project:
THIS CARD IS TO MAIN ON-SITE
Construction Inection Record
INSPECTION REQU TS: (253) 835-3050
12 -102246 -00 -SF Address: 36317 8TH AVE SW
SERGEY LUTSENKO FEDERAL WAY, WA 98023-7296
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)
Initial Erosion Control (4365)Footings/Setback
(4110)
Approved
To be done prior to breaking ground
Approved to place concrete
By Date
By Date
By Date t C'—'l -1Z
0
Foundation Wall (4115)
Drainage/Downspout (4040)
Final Electrical
Approved
Slab/Concrete Floor (4255)
Right of Way
Approved
Approved to place concrete
Date
Approved to backfill
By
Date
Approved to place concrete
By
Date
By
Date
By
Date
0
Underfloor Framing (4285)
0
Floor Sheathing (4105)
Shear Walls (4245)
Approved to sheath floor
Approved to install flooring
Approved to install siding
By
Date
By
Date
By
Date
Roof Sheathing (4220)
Fire/Draft Stops (4095)
Interim Erosion Control (4370)
Approved to install roofing
_ Approved
Approved
By
Date �r
By
Date
By
Date
13
Framing (4120)
Prior to scheduling a Framing inspection;
Insulation (4150)
Electrical, Plumbing & Mechanical Rough -in and
Approved to insulate
Approved to install wallboard
Fire/Draft Stop inspections must be signed -off and
approved. IBC 109.3.4
By
Date $' y ` t
By
Date
Gypsum Wallboard Nailing (4130)
Final Erosion Control (4375)
Final - Building (4050)
Approved to install mud & tape
Approved
Approved
By
Date
By
Date
By
Date 1
Rough Electrical
Approved1:1
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
r
�tr°FFederal Wap PERMIT
,. yRECEjvE*
COMMUNITY
_DEVELOPMENERVIC
0• 5253-835-267FAX 23S-2609ES
uww2tyo(edemvaq.c.or..
A!� D
p P L I C A T I O N
. r., nF FEDERAL WAY
'k o 49-- a- y
MF CO ME PL DE EN FP
SITE ADDRESS L.ACDS n, �<
SUITE/UNIT M
:3 3 1, -�- S - Q'A& SZA)
PROJECT VALUATION
ZONING
PCs,?.
ASSESSOR'S TAR/PARCEL !
TYPE OF PERMIT
BUILDING ❑ PLUMBING ❑ MECHANICAL
71—BUILDING
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
I
/,'yl�" l4n
Cs 1 W T til j
PROJECT DESCRIPTION
b" 1 0�-
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAMEl
jQ, ( �a'i �?a Lf S-Q�,R
PRIMARY PHONE
33 K QS
MAILING ADD
841, ave
E-MAiL
CITY e(ct a
M
Z gj0d_
NAME
w
PHONE
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE k
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE N
NAME
PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
(The individual to receive and
WAMET
AALk+5" ko
IIGNE 5 3 3(1
MAILING ADDI&SS
E-MAIL
respond to all correspondence
concerning this application)
CITY
STATE
ZIP
FAX
ALTERNATE CONTACT NAME: PHONE
E -MAD.
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.
ZSIGNATURE: DATE S J R . I
PRINT NAME: 5e i2 lu+ S -e VV r o
Bulletin #100 —January 1, 2011 Page 1 of 3 k:\Handouts\Permit Application
VALUE OF MECHAMCAL WORK $ (a copy of bid or estimate must be provided
Indicate hoynVny of each type of fixture to be installed or relocated as part of this project. Do not include
AIR HANDL UNITS FANS GAS PIPE OUTLETS _
AIR CONDITION FIREPLACE INSERTS HOODS ro,all
BOILERS FURNACES ATER TANKS (cas(
_ COMPRESSORS GAS LOG SETS EREFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
Indicate how many of each type offuqMpeT6
be installed or se
d as part of this project. Do not include existing fixtures to remain.
BATHTUBS (or Tub/sh—rcom
LAVS (Hand sinks)
TOILETS WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
D G FOUNTAINS
SINKS (Kitchen/umity)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES
AREA DESCRIPTION I enArea ree� I Occupancy Group(s)
AREA DESCRIPTIONI Area — %- Occupancy Groups)
in Square Fee
TENANT AREA ONLY
Construction -1...# of _ I Additional Information
Construction # of Additional Information
Tvve I Stories
BulletinIJAW—'January 1, 2011 Page 2 of 3 k:lHandouts\Permit Application
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