17-106110City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax (253) 835-2609
Project Name: FIRST UKRANIAN BAPTIST CHURCH
Project Address: 1829 S 308TH ST
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Building - Commercial
Permit #:17 -106110 -00 -CO
Inspection Request Line: (253) 835-3050
Parcel Number: 092104 9134
Project Description: REP - Tear off existing composition shingles from school portion of building; over existing
sheathing install composition roofing system. Replace plywood as needed.
Owner
Applicant
Contractor
Lender
FIRST UKRANIAN BAPTIST
TIM SAVOLYUK
OWNER IS CONTRACTOR
CHURCH
28028 SW 37TH AVE S
37603 28TH AVE S
AUBURN WA 98001
FEDERAL WAY WA 98003
Census Category: 555 - Non-structural roofing permits
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area (sq. ft.
Additional Permit Information
Mechanical to be Included? ..................................... No Number of Stories................................................... I
Is this an Online or O.T.C. application? .................. Yes
Plumbing to be Included? ........................................ No
Total Valuation: 6,600.00
Permit for Building Shell Only? .............................. No
PERMIT EXPIRES Tuesday, 26 June, 2018
Permit Issued on Thursday, December 28, 2017
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: ' � _""o�- Date: 1.2 9117
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 171011000 Address: 1829 S 308TH ST
Project: FIRST UI{RANIAN BAPTIST CHUR, FEDERAL WAY WA 98003-4820
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.
1❑
Roof Sheathing (4220)
0
Final - Building (4050)
Final Electrical
Approved to install roofing
Approved
By
Date
By
Date S .
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
I By
Date
By
Date
44%
RECEIVED PERMIT APPLICATION
CITY 06;;
Federal Way DEC 2 2017 PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway.com
COMTY OF WAY
UNN" DEVELOPMENT
PERMIT NUMBER o _ TARGETDATEDATE 04 U 13vJ17
Q t INa( Dii S (3p4zl
SITE ADDRESS
SUITE/UNIT #
PROJECT VALUATION
ZONING
ASSESSOR'S T/PARCEL #
TYPE OF PERMIT
Jl BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ElFIRE PREVENTION
NAME OF PROJECT
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PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME /
PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS
Avt S
E-MAIL
37 o3 )slL
CITYSTAT
Fe cls Ial Wazr,
WA
ZIP
9$0 a 3
NAME
PHONE
-
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAIY RE ...
I vm
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
APPLICANT.
CITY
4C,k(k(�
STATE
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ZIP
FAX
NAME-�--
(l�Vi � V
PRIMARY PHONE
PROJECT CONTACT
,
MAILING ADDRESS- AA C _
o n 3-71L Avt J
E-MAIL
(The individual to receive and
respond to all correspondence
n
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STATE
� V,,'ji
ZIP 0 i
99
FAX
concerning this application)cITY
PROJECT FINANCING
NAME
® OWNER -FINANCED
When value is $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW I9.27.095)
I certify under penalty of per 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 of this application.
I
SIGNATURE: I 1 iRn JIB CI u DATE
PRINT NAME: I _L161 1 S A j 0
Bulletin #100 — January 29, 2016 Page 1 of 2 k:\Handouts\Permit Application