11-104079City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: PARLOVA
Project Address: 33412 26TH PL SW
4juilding - Single ,Falnily
IL Permit #: 11-104079-00-S F
Inspection Request Line: (253) 835-3050
Project Description: REP - Stabilize the existing foundation with pipe piles.
Parcel Number: 010060 0100
caner
Applicant
Contractor
Lender
ERLING M & CARLA PARLOVA
CG ENGINEERING
RAM JACK
ERLING M & CARLA PARLOVA
33412 26TH PL SW
250 4TH AVE S SUITE 200
RAMJACJN943K4 (5/24/12)
33412 26TH PL SW
FEDERAL WAY WA 98023-2703
EDMONDS WA 98020
1110 SW 142ND ST
FEDERAL WAY WA 98023-2703
BURIEN WA 98166
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
New / Additional Sq. Feet - 1 st Floor ....................
0
New / Additional Sq. Feet - 3rd Floor....................0
New / Additional Sq. Feet - Deck ..........................
0
Mechanical to be Included?....................................No
Plumbing to. be Included?.......................................No
0
Occupancy # 1 - Use ...............................................
Residence (1 or 2
family)
New / Additional Sq. Feet - 2nd Floor...................0
New / Additional Sq. Feet - Basement...................0
New / Additional Sq. Feet - Garage.......................0
New / Additional Sq. Feet - Other ..........................0
New / Additional Sq. Feet - Total ..........................
0
Zoning Designation................................................RS
7.2
CONDITIONS:
If a gravel -filled trench is installed for the roof downspout at the NW building corner (per geotech
recommendations), the trench can be no closer than 5 -feet to any property line.
PERMIT EXPIRES Tuesday, April 17, 2012
Permit Issued on Thursday, October 20, 2011
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 the City of Federal Way.
Owner or agent: Date: t2 2-0
CITY OF
Federal Way
PERMIT #:
Project:
THIS CARD IS TO MAIN ON-SITE
40 Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
11 -104079 -00 -SF Address: 33412 26TH PL SW
ERLING M & CARLA PARLOVA FEDERAL WAY, WA 98023-2703
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.
SWM Precon Site Mtg (4400)
Initial Erosion Control (4365)
Footings/Setback (4110)
Approved
To be done prior to breaking ground
Approved to place concrete
By Date
By Date
By Date
0
Foundation Wall (4115)
Final Erosion Control (4375)
❑
Drainage/Downspout (4040)
Date
E]
Slab/Concrete Floor (4255)
Approved
Approved to place concrete
Approved
Approved to backfill
Date
Date
Approved to place concrete
By
Date
By
Date
Date
By
Date
Underfloor Framing (4285)
Approved to sheath floor
By Date
Roof Sheathing (4220)
Approved to install roofing
By Date
E
to scheduling a Framing inspection;
l, Plumbing & Mechanical Rough -in and
t Stop inspections must be signed -off and
approved. IBC 109.3.4
Shear Walls (4245)
Approved to install siding
By Date
Interim Erosion Control (4370)
Approved
By Date
Insulation (4150)
Approved to install wallboard
By Date
Gypsum Wallboard Nailing (4130)
Floor Sheathing (4105)
Final Erosion Control (4375)
Approved to install flooring
By
Date
Approved to install mud & tape
Right of Way
Approved
Approved
Fire/Draft Stops (4095)
Approved
By
Date
Date
Date
By
Framing (4120)
Approved to insulate
By
Date
Shear Walls (4245)
Approved to install siding
By Date
Interim Erosion Control (4370)
Approved
By Date
Insulation (4150)
Approved to install wallboard
By Date
Gypsum Wallboard Nailing (4130)
Rough Electrical
Approved
Final Erosion Control (4375)
❑
Final - Building (4050)
Approved to install mud & tape
Right of Way
Approved
Approved
Date
Approved
By Date
By
Date
Date
By
Date �� L
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By.
Date
3
CITY OF
Federal Way Ct MIT
RE
COMMUDEVELOPMENT ES
253-835-2607• FAX 253-835-2609 G APPLI CATI O N
www.cituoffederalwau.com
040-:7-q MF CO ME PL DE EN FP
11/43/1/K4�
1$
SITE ADDRESS U5
SUITE/1 #
Zf ON
PROJECT VALUATION
ZONING
ASSESSOR'S TAR/PARCEL #
0
TYPE OF PERMIT
)(BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
PAILL IY A P, I rd v E
i
PROJECT DESCRIPTION
TA r t Tk4 1PLc ; 1
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
CKCA 4 dam' nutAjA
PRIMARY PHONE
- 43-zz
MAILING ADDRESS
E-MAIL
S'
CAradi;a 1°C7
CITY
STATE
ZIP
NAME
V �� �N �MJ ACA6
PHONE
71b6-zgz 57,117 -5 -
MAILING ADDRESS
E -MAH.
CONTRACTOR
1110 1 . 1
zi
CITY
STATE
(�t�,IG(c
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
tAM
EXPIRATION DATE
2`t 12,
FEDERAL WAY BUSINESS LICENSE #
NAME
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PHONE
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MAILING ADDRESSpp
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APPLICANT
CITY STATE
tf)ywtxqh' LOA
ZIP
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FAX
s- -
PROJECT CONTACT
(The individual to receive and
respond to all correspondence
concerning this application)
NAME
U' `'TIT LA R6 - 0 '(o VkCL1
PHONE
`� - ` Sszo
MADAVG ADDRESS
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E -MAD,
CITY ``ST --ATE
%Hd719 4_J
ZIP
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FAX
ALTERNATE CONTACT NAME:
PHONE
E -MAH.
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5,000 or more
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
I cert(fy 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.
Ifurther 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.
SIGNATURE: (/ c. - —DATE
PRINT NAME: 'f I'T LX,
Bulletin #100 -January 1, 2011 Page 1 of 3 UIIandoutsTermit Application
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1 4 �,
0 0
VALUE OF MECHANICAL WORK $ w (a copy of bid or estimate must be provided)
Indicate how many of each type of fixture to b 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 (commemiap
BOILERS FURNACES HOT WATER TANKS (cas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include
existing fixtures to remain.
BATHTUBS (or Tbb/Shower Combo)
LAVS (Hand Sinks(
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
EXISTING FIRE SPRINEIZR SYSTEM?
DRINKING FOUNTAINS
SINKS (Kitchen/Utntty)
WATER HEATERS (Eiectric)
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FUCTURES
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
0o
I -Fiat; N;Tr. ko j
7U b6c
$ _ cto
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINEIZR SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
' Q & LG- �:14Y►41LY
-7 -4&c Cr-
❑ Yes ?( No
❑ Yes x No
Bulletin #100 - January 1, 2011 Page 2 of 3 k:\Handouts\Permit Application
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FEM1T #: 1J-104079-00=Sf-
ADDRESS: 33412 26th Place SW
PROJECT 'PARLOVA
DATE: 10/6/11
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