15-103369 • ilding - Single-Family
City of Fe . Way Permit #: 15-103369-00-SF
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: 253
Ph:(253)835-2607 Fax:(253)835-2609 p q � )835-3050
Project Name: KOZODOY
Project Address: 37012 22ND AVE S Parcel Number: 721265 1560
Project Description: REP-Re-roof shake to shingles
Owner Applicant Contractor Lender
IGOR KOZODOY IGOR KOZODOY OWNER IS CONTRACTOR OWNER IS LENDER
QUALITY HOMES INVESTMENT QUALITY HOMES INVESTMENT
LLC LLC
37012 22ND AVE S 37012 22ND AVE S
FEDERAL WAY WA FEDERAL WAY WA
Census Category: 555 -Non-structural roofing permits
Includes: #1 #2 #3 #4
Occupancy Class: R-3
Construction Type: Type V-B
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
Occupancy#1-Construction Type Type V-B Mechanical to be Included? No
Occupancy#1-Class R-3 Plumbing to be Included? No
Occupancy#1 -Use Residence(1 or 2
family)
No Fixtures Associated With This Permit t!
PERMIT EXPIRES Saturday, January 9, 2016
Permit Issued on Monday, July 13, 2015
I hereby certify that the above info ation is correct and that the construction on the above described property and
the occupancy and th- use • •e • a rdance_wittrthe laws, rules and regulations of the State of Washington
--• he City of Federal Way.
Owner or agent: / - Date:
7 /3 '/S
r
4
CITY of �
Construction In ection Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 15-103369-00-SF Address: 37012 22ND AVE S
Project: IGOR KOZODOY FEDERAL WAY, WA 98003-7585
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 Roof Sheathing(4220) ❑ Final-Building(4050)
Appr do nstall roofing Approved
B GS Date 7- l 1_ l Date__ _(� .
'
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
R'ceNep
'�1. t °'5 PPLICATION
CITY OF UL wPERMIT
FederalWay CITY DF FCD�L 3 boy S
PERMIT NUMBER ) n - I (� 3 1 - s TARGET DATE ( 1q
SITE ADDRESS SUITE/UNIT#
370l A ghCI /42 t/F 5' fec( af uM v* Z9a93
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 6 12i2 - ( ›.--- c,
TYPE OF PERMIT E BUILDING ❑ PLUMBING D MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION
rO®1r-) 5D,). 40 s�a-k ' , s*2 - Ca-3
Detailed description of work to
be included on this permit only
PRIMARY PHONEI , ��
PROPERTY OWNER
NAME ,..., ., ® h9 - 4` 7
e. E-MAIL
27'Gi 5��/ yy/� 6' yYf?2'�Z. cez�;
CIT �c S
a'( Vv '.. wY7 ZIP,"
�5
NAME PHONE
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME ^"1 il /-
PRIMARY PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME V ' n� PRIMARY PHONE
PROJECT CONTACT .0
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT y.....4.7NER-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 th ity of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in
the investigation and defense of cl•im), which may be made by any person,including the undersigned,and filed against the city,
but only where such claim •.-' es ou of the reli a of the city, including its officers and employees, upon the accuracy of the
information supplied to - •ty • a art of s application.
SIGNATURE: r DATE
PRINT NAME: -: 3' 9-- kiVC/C97
Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
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1111
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
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.
AIRHANDLING 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
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
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.
BATHTUBS(or Tub/Shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
�,t'+ />.,r'�F'�` l //�,./;/ ,ice�'`�4 i l'`�f,'i�'✓r�' rl `,/`/r,.
FIRST FLOOR(or Mobile Home)
/ `,
COVERED ENTRY
s�./;',22;12422".24 2.2. -",./5 ,
GARAGE ❑ CARPORT 0
O ` 44 / , /5/;. 47%
r J r
Area Totals y art EXISTING PROPOSED TOTAL
ESTIMATED SELLING PRICE$ 1/OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
„ii „/�f�f?^`�i`'� '�f`� i u.�; ` %i;: �'i/ r 4y ',;V '
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
' / _:c/ /2 2'2 / . 0// , A24.2/v,A 4. 4 ' w2,22 r'%'LLIjice'2 2 4,44 2724t4 24 7i 7,422'° , i ,� ! ,,', '
'Al);
TENANT AREA ONLY
r l te:t bNLY 4/ ,' /
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application