09-103370 - Illding - Single F niiiy}
City of Federal Way
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ommunityDevelopment Services Permit #: 09-103370-00-SF
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: KURKOV
Project Address: 29013 28TH PL S Parcel Number: 029450 0070
Project Description: REP-Fire damaged building to replace roof,fire damaged framing, re-wire circuites,
install new plumbing,drywall, install millwork,paint and new flooring. FOR INITIAL
INSPECTION ONLY-NO CONSTRUCTION ON THIS PERMIT.
,
Owner Applicant Contractor Lender
PAUL KIRKOV PAUL KIRKOV PO BOX 833
PO BOX 833 PO BOX 833 GRAHAM WA 98338
GRAHAM WA 98338 GRAHAM WA 98338
Census Category: 434 - Residential alt/add- no change in number of units
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq. ft.) 0 0 0 0
Additional Permit Information
New/Additional q. I cet-3rd Floor 0 New/Additional q. Fcet-Basement 0
Mechanical to be Included? No Plumbing to be Included? No
No Fixtures Associated With This Permit I!
PERMIT EXPIRES Saturday, February 27, 2010
Permit Issued on Monday, August 31, 2009
I hereby certify that the above i ermation is correct and that the construction on the above described property and
the occupancy and the use •e . ac •rc.. ce with the laws, rules and regulations of the State of Washington
nd the City of Federal Way.
Owner or agent: Date: g/3//)?
FINAL1b
• THIS CARD IS T MAIN ON-SITE r
CITY OF "''�
Construction Ii ection Record
---
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 09-103370-00-SF Address: 29013 28TH PL S
Owner: PAUL KIRKOV FEDERAL WAY, WA 98003-7903
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) - ❑ 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
O Floor Sheathing(4105) 0 Shear Walls (4245) El Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By Date
❑ Fire/Draft Stops(4095) 0 Interim Erosion Control (4370)
Prior to scheduling a Framing inspection; '
Approved Approved Electrical,Plumbing&Mechanical Rough-in and
Fire/Draft Stop inspections must be signed-off and
By Date By Date approved. IBC 109.3.4
11/
O Framing(4120) 0 Insulation (4150) ❑Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date By Date By Date
o Final Erosion Control (4375) El Final -Building(4050)
Approved 7 Approved
i /1
By Date By /7A 7' Date ��/0
ID Rough ElectricalID Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
Or/or A • PERMIT WMF CO ME EL PL DE EN FP
Federal Way r
• COMMUMTY DEVELOPMENT SERVICE IJ S APPLICATION / 0 9
253-835-2607•FAX 253-835-2609
www.dtuofederaiwau,,com w^,,r1 r tAl l4 f'J
4," . ,;A a ii ;y:4... .1 say -; tt,.c;, , '1'' C k ' ` w .-..'4,ft,".." d '
SITE ADDRESS
0 13 )_ y Pi S F-ec(, .y- "( .,.i 14 5'7 OCR
SUITE/UNIT# ZONING ASSESSOR'S (t ,
T /PARCEL#
raL E `
0, 7 5 0 - V 0 -7 0 —0(
t a! v ,, ov , " 1a# ' Pi
NAME OF PROJECT
(Tenant or Homeowner Name) l'-- ' s `' ' '^( t ,
'6 BUILDING A PLUMBING 0 MECHANICAL RD
,,.kcjt V`19
TYPE OF PERMIT
0 DEMOLITION W.ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION
a " 1..
PROJECT DESCRIPTION �/
Detailed description of work to ryee�v-:`''l / ' ' „a i1-e e`'1rt:-ctr 7S f t,(-ez 'i e 1) e i''`S(c,-G( ki.- -`'" ti/.='5j
be included on this permit only S,�-,k� le.CL-6. �,A, (,.r.- i( %vt •S G,�,- � Z! '7 'h 1 u-,..-t-e(
i
NAME PRIMARY PHONE
PROPERTY OWNER F et Li L I kt r. ,j v (2$ 3 )73a -J-3 3 ar 2
MAILING��yyADDRESS,CITY,STATE,ZIP y� E-MAILf /``y
C) 1�'Q {? t/ij�a2(n r.1n t I. t f E3 i vt, l,-Lta%roa 00''cIrtd.., 60
OWNER IS ALSO: Q CONTRACTOR Le APPLICANT ®- PROJECT CONTA
NAME PRIMARY PHONE
ALA-1,4•Olf 6 / 4- A, ('-2$$ ) 73z- 2 3 e.t-
CONTRACTOR MAILING ADDRESS,CITY,STATE,ZIP FAX
Pe /AP 5 Y> 7 ( - -�u ,i4)3,38 (j. 2 3i 16,s-
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
uPa cc,t- 5933-' j /J-.0 /7 DC7
NAM/E) y ,(� PRIMARY PHONE
APPLICANT • G-tt'�i i`vim✓h V (�S'J) 732 - Z 3E' 2
MAILING ADDRESS,CITY,STATE,ZIP FAX
l'10 ( X e j 3 tc1 _6t e i, (44 9 G i ( ) -
PROJECT CONTACT NAB,,-) PRIMARY PHONE
(The individual to receive and /"w `e-e /e[/ ( �'7�1 732- z 1
respond to all correspondence MAILING ADDRESS,CITY,STATE,ZIP FAX
concerning this application) /96 k '3.3 (7'7,--a.',4_44,,,i '/ 4 Y.53 ( ) _
- ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL
(29?,)732 --7 e.) >��ckvi,yk „a.-_,):,-,,,,,,,,' 6c
PROJECT FINANCING NAME
OWNER-FINANCED
Required for projects with
value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the
best of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply
with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that
the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs, expenses,and attorneys'fees incurred
in the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the
city, but only where such claim arises out of t reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to tha part SIGNATURE: ,/ tPllcation.
DATE l ( `�"c
r
PRINT NAME: t/C( /�( ✓i'k-"'
Bulletin#100—4/17/2009 Page 1 of 4 k:\Handouts\Permit Application
7 11 €1 1u. 1gyrus 0w 41 v 3.
r
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE PROVIDED)
Indicate number 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(commerc)al)
BOILERS FURNACES HOT WATER TANKS(cos)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
^ Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
l ✓ BATHTUBS or Tub/Shower Combo) ✓ LAVS(Hand Sinks) - TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS 2-7- SINKS(Kitchen/Utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES'
GENERAL INFORMATION
PROJECT VALUATION WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTINL/PR' /IOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes g,No IDYes 141 No
bok.-0 4
Q` 50
"g
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL
FOR OFFICE USE
FIRST FLOOR(or Mobile Home) .'8'10 f
to
�j
9'�i),$.' & I`sito
COVERED ENTRY – ---- —
DECK
r ,. .:,sn�._ ,�,,,..�.>$x >„s.. .a,.., .? ,.131 a•-ae'M�,3sa.w£i .
GARAGE 0 CARPORT 0
.14
4ROY2Plitpliogi 0,01,0.1047,k
F s
EXISTING PROPOSED TOTAL — -- --.—. —
Area Totals
** W Homs ONLY**:
ESTIMATED SELLING PRICE$ #OF BEDROOMS
AREA DESCRIPTION Area Construction # of
in Square Feet Occupancy Group(s) Type Stories Additional Information
ADDITION
rte. ,'.. 7.. #i - .z �.� :<M5!
x.y� >
... t 3°...F .. �.. '+0 'sw.. 3�h ...a F a14'PA"^F� .,�t '.s..
AREA DESCRIPTION Area Construction #of
in Square Feet Occupancy Group(s) Type Stories Additional Information
TENANT AREA ONLY
Bulletin#100–4/17/2009 Page 2 of 4 k:\I-Iandouts\Permit Application