13-104198 wilding - Single Family
City of Federal Way Permit #: 13-104198-00-S F
Community&Econ.Dev.Services � � 4_ x.---
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 FaX (253)835-2609 I L Inspection Request Line: (253)835-3050
Project Name: COLLINS
Project Address: 32807 12TH AVE SW Parcel Number: 926494 1040
Project Description: ADD-Construct 2-story closet/storage addition. No plumbing or mechanical.
Owner Applicant Contractor Lender
JEROME COLLINS GRIGORIY ANDRUSHCHENKO OWNER IS CONTRACTOR OWNER IS LENDER
LYSANDER COLLINS 36237 21ST PL S
32807 12TH AVE SW FEDERAL WAY WA 98003
FEDERAL WAY WA 98023-5203
Census Category: 434-Residential alt/add-no change in number of units
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-1st Floor 234 New/Additional Sq.Feet-2nd Floor 234
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement 0
Occupancy#1-Construction Type. Type V-B New/Additional Sq.Feet-Deck 0
New/Additional Sq.Feet-Garage 0 Mechanical to be Included? No
Occupancy#1-Class R-3 New/Additional Sq.Feet-Other 0
Plumbing to be Included? No New/Additional Sq.Feet-Total 468
Occupancy#1-Use Residence(1 or 2 Zoning Designation. RS 7.2
family)
No Fixtures Associated With This Permitil
PERMIT EXPIRES Monday, June 2, 2014
Permit Issued on Wednesday, December 4, 2013
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
the City of Federal Way.
Owner or agent: ��,/ Date: /2 ` 13
4- <-
THIS CARD IS TO MAIN ON-SITEr
CITY Or 4I Argil Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 13-104198-00-SF Address: 32807 12TH AVE SW
Project: JEROME COLLINS FEDERAL WAY, WA 98023-5203
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) 0 Initial Erosion Control(4365) ' El Footings/Setback(4110)
Approved To be done prior to breaking ground Approved to place concrete
By Date By Date By P4 Date ( (3 )6 i
❑ Foundation Wall(4115) 0 Drainage/Downspout(4040) 0 Slab/Concrete Floor(4255)
Approved to place concrete Approved to backfill Approved to place concrete
By V"I2 Date I I 1 I It By Date By Date
.
0 Underfloor Framing(4285) 0 Floor Sheathing(4105) Q Shear Walls(4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Iyy Date l l I B Date 9`
L Y t— y ,By C Date 1—an—t
y
•
❑ Roof Sheathing(4220) ❑ Fire/Draft Stops(4095) 0 Interim Erosion Control(4370)
Approved to install roofing Approved Approved
By Gid Date 1—1)%-71—1 By Date114 %14�I V) .By Date
Prior to scheduling a Framing inspection; 0
Framing(4120) El Insulation(4150)
Electrical,Plumbing&Mechanical Rough-in and Approved to insulate Approved to install wallboard
Fire/Draft Stop inspections must be signed-off and ((i,
tapproved IBC109 3.4 By Date _11 ,` By Date 2 1
O Gypsum Wallboard Nailing(4130) ❑ .Final Erosion Control(4375) ❑ Final-Building(4050)
Approved to install mud&tape Approved Approved
By VA43 Date 21 ,i (ILI, By Date Date �12t_
O Rough Electrical Final Electrical �0 Right of Way
Approved Approved Approved
By Date By Date By Date
�rOF a RECSVED ,PERMIT�►PPLICATION
4, Federal Way SEP 2 3 2013
CITYOF F D RA W y 1��°`
PERMIT NUMBER3 _ O g F TARGET DATE /OS/3 9SITE ADDRESS /
3 2 8'to - 1 ,2iv.e, i4J 7-¢ 'L LJ Ay cwt.- 9g 0 23
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
�
$ $190 �:7 "7-, ,) 9 ,2,_ 6 °I - oLi ma
TYPE OF PERMIT UILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT c a-C/t tt 1-/ to GI CO ( l
PROJECT DESCRIPTION ,c r
— / /
Detailed description of work toJ ad (1"..... Q r D
be included on this permit only
.- ..a NAME._ . _.., V.-_ .. __.... __ __...- PRIMARY PHONE
PROPERTY OWNER 11,0(1}'(.� 09I/i kl s /53'3 ` 7 l/(7 G'F3 Z
MAILING ADDRESS
p -/ 2- + 4v-e_.
re & LA/C x STATE
ZIP
E-MAII.
. . -
N , PHONE
CO aIadAiey (AI - ._.
,�l'tekei4ko 2 ssr3 335'- yo,63
MAILING ADDRESS E-MAIL
CONTRACTOR
.362 p? -Z /pi- & ST, /,A _
CITY ®" -a,r.� Ii6,,--,PS, tp/L' .. /�j
8,.<% 5 FAX
WA STATE CONTRACTOR'SLICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE M
S 0 2 f ‘1,96 / /
.. .. - ..._. R -/^' ,�/t��. ^ m�PRIMARY PHONE _-_._ -----_
NAME �y 'a b kik y .AC .,0 'u ✓^"Q i-tku
APPLICANT MAILING ADDRESS E-MAIL
362 3 I.(p1 f
CITY STATE ZIP FAX
`1'e d 2 14-13-t( vim. 9P®03
NAME PRIMARY PHONE
PROJECT CONTACT (1 il I 0 (Y l i .1.c3 -3 3 S—tf,S3
(The individual to receive and MAILING ADD E- L
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME -. __.
PROJECT FINANCING 0 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 Iaws 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.
/j
SIGNATURE: ori [[•' DATE ( '- /8 - /3
G"
PRINT NAME: a A i O 1?t Y 4 I-e b)5 U s A t,, 614 Vin
Bulletin#100—January 1,2013 Page 1 of 3 101-Iandouts\Permit Application
• •
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 nptI'n'clude existing fixtures to remain
AIR HANDLING UNITS FANS GAS PIPE 014)`L 'FS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS _ HOODS ommercial)
BOILERS FURNACES H WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT r
Indicate how many of each type offixture to installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(oTub/Slower Combo) -.ACS
)Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS ! SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/UDlity) WATER HEATERS(Elechic)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
*GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR /1SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
It/4 7P- i 1I _ / $
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
N A 9 q p; S F 0 Yes to No ❑Yes 1 ' No
RESIDENTIAL - NEW O DITION
AREA DESCRIPTION(in square feet) EXISTING ROPOSED TOTAL FOR OFFICE USE
le FIRST FLOOR(or Mobile Home) 2. 3 LI
COVERED ENTRY
GARAGE ❑ CARPORT 0
=SUNG PROPOSED TOTAL
Area Totals
ESTIMATED SELLING PRICE$ I #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
Area
AREA DESCRIPTION in Hare Feet Occupancy Group(s) Construction #of Additional Information
Stories
E � � a ��; i r-_ �� r
- -ss n x& dr5`N' 6.05,3 � 3� :ani;� `
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
Area Construction #of Additional Information
AREA DESCRIPTION in care Feet Occupancy Group(s) �,a Stories
�-4
Wta _ ai., 9 -
TENANT AREA ONLY
Bulletin#100—January 1,2013 Page 2 of 3 k:\I-Iandouts\Permit Application