15-105896City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: KRYZANOWSKI
Silding - Single Family
Permit #: 15 -105896 -00 -SF
FILE Inspection Request Line: (253) 835-3050
Project Address: 31901 53RD AVE SW Parcel Number: 189860 0070
Project Description: REP - Replace (26) squares of composite roofing and (6) sheets of plywood.
Owne
ARRIIcant
Contractor
Le ur 1e
CASMIR A KRYANOWSKI
NAIDA KHAN
HOME DEPOT AT HOME
OWNER IS LENDER
NANCY KRYZANOWSKI
NORTHWEST PERMIT INC
SERVICES
31901 53RD AVE SW
9808 31ST AVE SE
HOMED**972RQ (2/3/17)
FEDERAL WAY WA 98023-2027
EVERETT WA 98208
3600 LIND AVE SW
RENTON WA 98057
Census Category: 555 - Non-structural roofing permits
Includes:
#1 #2 #3 #4
Occupancy Class:
R-3
Construction Type:
Type V - B
Occupancy Load:-
oadFloor
FloorAreas . f.
0 0 1 0 0
Additional Permit Information
New / Additional Sq. Feet - 3rd Floor....................0 New / Additional Sq. Feet - Basement .................. 0
Occupancy #I - Construction Type ........................Type V - B Mechanical to be Included? .................................... No
Occupancy # 1 - Class.............................................R-3 Plumbing to be Included? ...................................... No
Occupancy # 1 -Use ............................................... Residence (1 or 2
family)
No Fixtures Associated With This Permit H
PERMIT EXPIRES Sunday, May 22, 2016
Permit Issued on Tuesday, November 24, 2015
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.
s—
Owner or agent: _ �Y-- -- Date: 1k 17-41Lo IS
P �AJtA
OAii� " .. .
CITY OF
Federal Way
PERMIT #:
Project:
THIS CARD IS TOIN ON-SITE r `
Construction In ection Record
INSPECTION REQUE TS: (253) 835-3050
15 -105896 -00 -SF Address: 31901 53RD AVE SW
CASMIR A KRYANOWSKI FEDERAL WAY, WA 98023-2027
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.
Underfloor Framing (4285)
SWM Precon Site Mtg (4400)
0
Initial Erosion Control (4365)
E]
Footings/Setback (4110)
Approved to sheath floor
Approved
Approved to install flooring
To be done prior to breaking ground
Approved to place concrete
By
Date
By
Date
By
Date
Underfloor Framing (4285)
Rough Electrical
Approved
Floor Sheathing (4105)Shear
Final Electrical
Approved
Walls (4245)
Approved to sheath floor
Right of Way
Approved to install flooring
Date
Approved to install siding
By Date
By
Date
Date
By
Date
Roof Sheathing (4220)
E]
Fire/Draft Stops (4095)El
Interim Erosion Control (4370)
Approved to install roofing
Approved
Approved
By A,,) Date tLq
By
Date
By
Date
0
Framing (4120)
Insulation (4150)
Framing inspection;
Prior t:app:ro7ve:d.
Electrical, Mechanical Rough -in and
Approved to insulate
Approved to install wallboard
Fire/Draft ns must be signed -off and
By
Date
By
Date
IBC 1093.4
Gypsum Wallboard Nailing (4130)
Final Erosion Control (4375)■
Final - Building (4050)
Approved to install mud & tape
Approved
Approved
By Date
By
Date
By
At,) Date � 2�
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date
To: Community Development Services Page 2 of 3 2015-11-18 22:15:51 (GMT) 18884000383 From: Deborah Shields^3,
an -
51 US3,1
Federal
��� Way PERMIT _._._ � _..._ � _...
CO.Ad;+„f 7M1a!(5%T7.: kaZlf_n7'
SF MF CO ME EL PL DE EN HP
1"1?OX,7;8 APPLICATION
zs;.g? j.;xJr�7. rte; 2,53-81.5-26,09
The following is required information -an incomplete application will not be accepted. Please print legibly (in ink) or type.
SITE ADDRESS 31901 53rd Ave SW — 7 (<r (p (SUITE/UNIT #
ASSESSOR'S TAX/PARCEL # 1898600070 _.- _ LOT SIZE fsp
LEGAL DESCRIPTION fe.g. Acme Estates, Lot 1)
PROJECT INFORMATION
TYPE OF PERMIT BUILDING ❑ PLUMBING ❑ MECHANICAL
DEMOLITION _7 ELECTRICAL ❑ ENGINEERING L] FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed desmr )tion of work included on this permit ontuJ
Replace 26 squares of composite roofing and 6 sheets of plywood
PROJECT NAME (Name of aisiness or Owner Last Narrul Kryzanowski
PEOPLE•- •
PROPERTY
OWNER
-7 H 5
gl�7y(o
CONTRACTOR
I I q i3l
APPLICANT
)a 113.E
PROJECT
CONTACT
LENDER
27II4TII110 022
NAME
Casmir Kryzanowski
PRIMARY PHONE
( 253 ) 459 2304
MAILING ADDRk:SS
CITY. S1 :ATE' 711,
E-MAIL ADDRESS
31901 53rd Ave SW
Federal Way, WA 98023
CITY, STATE. ZIP
COMPANY NAME,
APPLICAN71.' NAMF;
OFFICE FRONE.
Home Depot At Home Services
Naida Khan
( 800 ) 381 -5699
MAII.INO ADDRESS
CITY, STATE. ZIP
CEI -11 PHONE
3600 Lind Ave Sw Ste 150
Renton Wa 98057
-
CITY OF FId *-,RAL BAY BUSINESS I..ICENSF NUM[WR
EXPIR:YrION DATE;
FAX NUMBER
20-03-101448-00-B
NAME
Naida Khan/ Northwest Permit
( ) -
CONTRACTOR'S REGISTRATION NUMBER
EXPIRATION DATE
r -MAIL: ADDRESS
HOMED**972RQ
02/03/2017
COMPANY NAME
APPLIG4,11' NAME
OPPICE PHONE,
Northwest Permit Inc.
Naida Khan
( 360 ) 945-27137
MAILING ADDRESS
CITY, S N17E, '7,11'
CF .1. 111-I0tiE
9808 31 st Ave Se
Everett Wa 98208
RELATIONSHIP TO PROJ^CT
FAX NUMBER
❑ Architect ❑ Tenant W Agent. ❑ Other
( 888 ) 400-0383
NAME
Naida Khan/ Northwest Permit
PRIMARY;11 IONE
( 360 945-2787
E1 MAIL ADDRESS
naida@nwpermit.com
NAME
0 vu F \ E
per RCW 19.27.095:
Lender information is required if project value exceeds $5,000
MAILING ADDRESS
CITY, STKIT, ZIP
/PHONE
t )
Residential
DROP0912D XT22
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $, 149331.72
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? c YES c NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER C LAKEHAVEN C HIGHLINE ❑ PRIVATE (SEPTIC}
To: Community Development Services Page 3 of 3
2015-11-18 22:15:51 (GMT)
18884000383 From: Deborah Shields
AREA DESCRIPTION
EXISTING
SQ. FT.
PROPOSED
59. FT.
TOTAL
SQ. FT.
BASEMENT
❑ YES o NO
BASIC PLAN?
❑ YES
FIRST
ZONING DESIGNATION
CHANGE OF USE?
SECOND
❑ NO
NEW ADDRESS REQUIRED?
i:i YES r NO
THIRD
n YES
n NO
PLATTED LOT?
ADDITIONAL FLOORS (DESCRIBE)
DEMO PERMIT REQUIRED?
❑ YES
❑ NO
DECK (-- COVERED OR ❑ UNCOVERED-?)
GARAGE � CARPORT C
NUMBER OF FLOORS
ESIE8TIwd
tROPosBD
MTAL
TOTAL=NnNO sT
TOTAL PROPOSED sr
TOTAL OF
"NEW HOMES ONLY"" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated. as part of this project. Do not include existing fixtures to rern.ain.
Value of Mechanical Work (A COPY OF L311) OR 13SITMATII Mt1ST b'ls' INCLhTDED WITH APPLICATION)
AIR I:IANI:)LING tJN€7:5 EVA110RA'rIVF COOLERS CIA$ PIPE OUTLETS WOODSTOVES
DDQ:, 11NS CAG WATER 11LATL:RE; N11' ,C (Dcncribc)
BOILERS FIREPLACE INSERTS IIOC)DS((:o:nmec q
COMPRESSORS FURNACES RANGES
DUCTS CTAS L(Xi SETS REFRIO. SYSTEMS
1:3x1'1'IITLBS lo:Tun(semve: Cumbn� LAWS (Ba:}roomSnkqURINALS MISC (Descrilx.)
1),ISHWA11,IIERS RAINWATER SYST � VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSE113 trnaet,
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
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 this application.
-
f-rnYy ii9 .fry�,fekwnG 9r
Kathleen Genge r,
t �-
SIGNATURE: :z� s.ii is iao w oarou DATE
Property Chaner tend/or Authorized Agent
o NEW n ADDITION
r€ ALTERATION
n REPAIR r TENANT IMPROVEMENT
BUILDING SHELL ONLY?
❑ YES o NO
BASIC PLAN?
❑ YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
❑ YES
❑ NO
NEW ADDRESS REQUIRED?
i:i YES r NO
UP/SEPA(SU?
n YES
n NO
PLATTED LOT?
❑ YES ❑ NO
DEMO PERMIT REQUIRED?
❑ YES
❑ NO
Bulletin #100 January 1; 2008 Page 2 of 4 WJ.IandoutsiPermit Application