12-102874 • •uilding - Single Family
City of Federal Way
Community&Econ.Dev.Services Permit #: 12-102874-00-SF
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: BLIZNYUK
Project Address: 1111 SW 347TH ST Parcel Number: 132173 0360
Project Description: REP-Remove existing shake roofing and replace with composition shingles
Owner Applicant Contractor Lender
VIKTOR BLIZNYUK VIKTOR BLIZNYUK OWNER IS CONTRACTOR
1111 SW 347TH ST 1111 SW 347TH ST
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 Area(sq. 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 !!
PERMIT EXPIRES Wednesday, December 19, 2012
Permit Issued on Friday, June 22, 2012
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: Date:
. ///Q,/I
THIS CARD IS TO MAIN ON-SITE .
•
CITY�, ° Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 12-102874-00-SF Address: 1111 SW 347TH ST
Project: VIKTOR BLIZNYUK FEDERAL WAY, WA 98023-7031
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) 0 Initial Erosion Control(4365) "❑ Underfloor Framing(4285)
Approved To be done prior to breaking ground Approved to sheath floor
By Date By Date By Date
•El Floor Sheathing(4105) `� Shear Walls(4245) �El Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By• ,Qf Date 7 6.--(Z
•.
❑ Fire/Draft Stops(4095) El Interim Erosion Control(4370) Prior to scheduling a Framing inspection;
Approved Approved Electrical,Plumbing&Mechanical Rough-in and
B Date B Date Fire/Draft Stop inspections must be signed-off and
Y y approved IBC 109.3.4
El Framing(4120) El Insulation (4150) .❑Gypsum Wallboard Nailing(4130)'
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 'IByL \ Date _ _ -�
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED l 2 1 0 0 3 71
QTY Or #z^''' ''�:iw"" WERMIT ( VLF CO ME PL DE EN FP
Federal Way
COMMUNITY DEVELOPMENT SERV?
U 'N 22 2OAPPLICATION Q
,I
253-835-2607•FAX 253-835-2609 ^'.1-2717 1��Yl
wv u,.citsyfff-rierotu�au..com V
CITY OF FEDERAL WAY
CDS
SITE ADDRESS IAA A 4 1 't Lt' r � - �r SUITE/UNIT#
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 3s°° g i 2 , .3 z 1 7 - ca 3 6 0
TYPE OF PERMIT dBUILDING 0 PLUMBING D MECHANICAL
❑ DEMOLITION ❑ ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT l( Z' / U 1C_
(Tenant Name/Homeowner Last Name) pO �/
PROJECT DESCRIPTION Co 1 S4k:�i" (2.% jji f>4 J)i.. I ``1 a 'C�-' _
Detailed description of work to gl�v;t,�Llr 1.ii y S�L4/ i
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER V 1 r -- f 1'241/44"ca_ ,-.
MAILING ADDRESS E-MAIL
50-k1-t C'S ). JJeci
CITY STATE ZIP
NAME ^ __ PHONE
MAILING ADDRESS , / / S
JJ E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME /V 1 I` j f/2-1,-)11.4
Z `L PHONE
APPLICANT MAILING ADDRESS.711-" ..
CCC111 / ' `^ // E-MAIL
S.n.,,� G�S a.la0Ue
CITY STATE ZIP FAX
PROJECT CONTACT NAME PHONE ..,
(The individual to receive and V 1 '�-4K-- '7L: L Pru (2_;- ) 33 4-d c
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
_
PROJECT FINANCING NAME '
1 /' 14 OWNER-FINANCED
Required value of$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 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 o-this application.
SIGNATURE: i/ DATEL
PRINT NAME: V k N it- ZI yf j
Bulletin#100—January 1,2011 Page 1 of 3 k:AHandouts\Permit Application
• •
..,,,,,,..,,,,,.,,,,,.....„.4.;„,,.,,:,,,,,,v.,.,.,,f,N41,:::::,.;:-:,,iwo.,f-,-;.,,.:,:ni,::,,,f,;,„,:,,,,,,* frkillo,,- .
s>. Z4iz t' : 4 a-,—,, -- ,• ", . .xir a «. >x-,v .< aW �. -x...,-.:€ s's„.,.
VALUE OF MECHANICAL WORK $ (a copy of bid or estimate must be provided)
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(Commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
x • i(a a mix :, a::l
t. v �' ,-, .•.-..#i _ _ ... .2' ,a sem,,. .- _.
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include exis g fixtures to remain.
BATHTUBS for Tub/Shower coral al LAVS(Hand Sinks( TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Xa<ne /uId tyl WATER HEATERS(Fa- .H
HOSE BIBBS SUMPS WASHING MACHI S1
, ., , „ ,,,,,,,k, - ,,„ ,,,,..g,*",.:L,–.*:,,r4,,i0iii:„'"),5150,-,,Ri---giiii0111444!;;*03441*,,A.:&**•'6•x;".^,1*.-**-,:_ , --- --,''°' ,'''' "
''' ,.mss
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR ! -.:-:!;:v.„,:-.--';1,4j'R',.-
OREYVALUE OF EXISTING IMPROVEMENTS
$
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑Yes u No
AREA DESCRIPTION(in square fe- ) EXISTING $12OPOSED TOTAL FOR OFFICE USE
g tee"Ic E 1 — --
FIRST FLOOR(or Mobile Home)
gg
R S 3 **421,04',4.---.-,,-
# ` Ir S vYe�'t< -.s ai ::
COVERED ENTRY
GARAGE ❑ CARPORT ❑
ASG- „
! ` . s 'Z.1 - n#�i s,.� ` : e ;.' kms`it n
EXISTING PROPOSED TOTAL
Area Totals
ESTIMATED SELLING PRI'E$ #OF BEDROOMS
s
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in S•uare Feet Ty.e Stories
ADDITION
* � - >
AREA.►ESCRIPTION Area Occupancy Group(sl Construction # of Additional Information
in uare Feet •e Stories
TENANT AREA ONLY
.a k 3,«e 3. ..•,.s:= ;G ,,.ViSk a.E .n`� w x g .-"'S r - .- _ ,.- _
Bulletin#100—January 1,2011 Page 2 of 3 k:U Iandouts\Permit Application