14-101326A
City of Federal Way -
quilding - Single Family
Community & Econ. Dev. Services "- Permit #. 14 -101326 -00 -SF
33325 8th Ave S
Federal way, WA 98003 Inspection R
Ph: (253) 835-2607 Fax: (253) 835-2609 peCti Request Line: (253) 835-3050
Project Name: PETROVSKIY
Project Address: 34938 11TH CT SW
Parcel Number: 542243 0320
Project Description: REP - Tear off shake roofing & install plywood sheathing & composition shingle roofing
system.
Owner
A Rlicant
Contractor
Lender
VITALIY PETROVSKIY
VITALIY PETROVSKIY
OWNER IS CONTRACTOR
OWNER IS LENDER
34938 11TH CT SW
3493811TH CT SW
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
Census Category: 555 - Non-structural roofing permits
Includes. # 1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load
Floor Areas . ft 0 1 0 0 0
Additional Permit Information
New / Additional Sq. Feet - 3rd Floor....................0
Mechanical to be Included?...................................No
New / Additional Sq. Feet - Basement...................0
Plumbing to be Included?......................................No
No Fixtures Associated With This Permit It
PERMIT EXPIRES Saturday, September 20, 2014
Permit Issued on Monday, March 24, 2014
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: 3��7—Z14
CITY OF �&
Federal Way
PERMIT #:
THIS CARD IS TO MAIN ON-SITE
Construction In ction Record
INSPECTION REQ TS: (253) 835-3050
14 -101326 -00 -SF Address: 34938 11TH CT SW
Project: VITALIY PETROVSKIY FEDERAL WAY, WA 98023-6970
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.
Roof Sheathing (4220) j I
Approved to install roofing f
Date A– Z— l
By
Approved
Date
❑
Rough Electrical
Approved
❑
Final Electrical❑
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CRY OF PERMIT NPPLICATIQN
Federal Way RJKEUM
MAR 2 4 2014
PERMIT NUMBER _ I v C� _ """'
-- ------—�I'fYOFF/bloWAY�fZ3lf`�
rnS
SITE ADDRESS
3 `( Ct 3<S ir � C4 3w, Feder l u ✓ wo--3
SUITE/UNIT #
PROJECT VALUATION
@
lTk"oo
ZONING
ASSESSOR'S TAX/PARCEL #
-77> 2 j ,^
-
TYPE OF PERMIT
BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
47 M�Vv - K—+ /
PROJECT DESCRIPTION
c `
t
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
PRIMARY PHONE
MAILING ADDRESS
L -r RX tt � AV �
E- L
v( ti
CITYSTATE
o
1.�
ZIP
o0 I
NAME .r'
PHONE
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAMES'" ��.,,,,,
� -c -
PRIMARY PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME S-ej ��
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
� tj,
❑ OWNER -FINANCED
Required value of $5,000 or more
(RCW 19.27095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
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 the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied-to--the-city as a part` of " iiPplication.
SIGNATURE: DATE
PRINT NAME: %/ i//^
Bulletin #100 — January 1, 2013 Pagel of 3 k:\Handouts\Permit Application