05-106280 A` I Or '3 t
•fPr
City of Federal Way
-
Community Building - Commercial Permit #• 05-1 06280-00-CO
Comunity Development Services •
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: KOVALIK
Project Address: 33506 10TH PL S Parcel Number: 926501 0030
Project Description: TI-Install of egress and entry doors.
Owner Applicant Contractor Lender
SUSAN KOVALIK SUSAN KOVALIKSUSAN KOVALIK&ASSOCIATES
SUSAN KOVALIK&ASSOCIATES SUSAN KOVALIK&ASSOCIATES INC
INC INC 33506 10TH PL S
33506 10TH PLS 33506 10TH PL S FEDERAL WAY WA 98003
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
Census Category: 437 - Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class:
tzP .. _
Construction Type:
Occupancy Load:
Floor trea(sq. ft.) 0 0 0 0
Xdditiral Permit Information
Mechanical to be Included No Number of Stories 1
Permit for Building Shell Only'? No Plumbing to be Included? No
No Fixtures Associated With This Permit !!
CONDITIONS:
PERMIT EXPIRES Saturday, December 8, 2007
Permit Issued on Thursday, December 8, 2005
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 he City of Federal Way.
Owner or agent: `_.► �7� Date: Z- 76)
- ,,. -;,t THIS CARD IS TO&MAIN ON-SITE ,f '
CITY OF ommunltY pnt Develo p m Inspection Record
p
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-106280-00-CO
Owner: SUSAN KOVALIK
Address: 33506 10TH PL S
FEDERAL WAY, WA 98003-6306
This card is part of your required inspection documents. 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.
El /StFootings/Setback(4110) Fire/Draft Stops(4095)
bk g ❑ p NOTE: Prior to scheduling a Framing(4120)
Approved to place concrete Approved inspection;Electrical,Plumbing&Mechanical 1
Rough-in and Fire/Draft Stop inspections must be
By Date By Date
signed-off and approved. IBC 109.3.4/UBC 108.5.4
,❑ Framing(4120) ❑ Insulation (4150) 0 Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By M/F Date ///l�/Q fp By Date By Date
'❑ Final-Fire Department(4060) ❑ Final-Building(4050)
Approved Approved
By G = Date f-/0 - a �o By c„,_ (#3Date/ ..3.. b 7 .,
AA 4//, /6),' 30 /2 ze - c? c Gam .
I
.A 0 . ,CEIv-ED ' zD
Federal way PERM I' r
COUMUNs YDEVELOPM3NT'S S i ZQQ S•� CO EEL PL DE EN FP
33325 8t+t AVENUE SO=•PO BOX 9718 A p p L I C 1�'�� �
FEDERAL WAY,WA 98063.9718 ,t�`�
253835.2607•FAX 253.835.2609 RAL WAY
www.aiuoffedera1wau.onm LING DEPT,
The ollowi • is •uired in ormatlon-an Inco •lete a.•lication will not be acce.ted. Please •rint le•ibI in or . .
■ PROPERTY INFORMATION
33570 6 /G, " cc Sv r
SITE ADDRESS .f ,, SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ / LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach aq ratepaX/a lengtYJogai desoipnonl
■ PROJECT INFORMATION
TYPE OF PERMIT I BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
�. ---,gift. �lL-►.. �.i_�I►� �.40 _-..1,r2
f�i�-riwi t4dMiTitdliTarratWrirrMLIDt NIEL4 4•11;ji'<
-C s 49(es5 r'1 Peon
PROJECT NAME(Name of Business or Owner Last Name) 10 V -�t 1
• PEOPLE INFORMATION
PROPERTY NAME
j PRIMARY PHONE
OWNER 55()__S Qlam( t5�//_/.,A /I3LINGs_bADDRES itj ie e6ce__ ) ..ii_ d_rift,),41 04z_ ,,
e (2I ) S '-' `g/426
COMPANY NAME APPLICANT NAME
OFFICE PHONE
See---R�o u " ( ) -
MAILING ADD CITY,STATE,ZIP CELL PHONE
( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
- -B L I / ( ) -
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
/ /
APPLICANT COMPANY NAME i APPLICANT NAME
OFFICE PHONE
Sem 4 booT? ( )
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
CI Architect a Tenant a Agent 0 Other(Describe) ( ) -
CONTACT NAME,....----- PRIMARY PHONE /
---Li e� 4 ya//,q& Lig(7 - 9k-/
/�1 `O EMAIL ADDRESS
LENDER r b t,, z•,s 4-,,Y:r 4,4rr it Yx,..;- NAME
r;,' , .r•,rr .4Si -,•(-,-,t '••i.•X••r.
MAILING ADDRESS CRY,STATE,ZIP
v
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 7 7(2 -_
SPRINKLERED BUILDING? a YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES 0 NO
WATER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE 0 TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS EXISTING PROPOSED TOTAL 'i x zo�cr i< • r s�
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(comou,daq WOODSTOVES
BOILERS • FIREPLACE INSERTS RANGES MISC(Describe)
- COMPRESSORS FURNACES GAS WATER HEATERS •
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Showercombo) SHOWERS WATER CLOSETS(roues MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS(Bathroom Stoke! VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and further,that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way,but only where such claim
arises out of the rel • of the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE c't //LiznDATE / i2r-e5
ature)
RELATIONSHIP • PROJECT a Owner a Agent ❑Contractor a Architect 0 Other
tbtat(04 �d lex t3 . . .I' Ir1)Y€1'°, ;f6tt:
Ik1 1.I r F E>�; -, e:• 461 Y•.t(c
7( � S7�i •. ga.I ;(e,
Bulletin#100—January 7,2005 Page 2 of 4 k\HandoutsWermit Application