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18-104534 Building - Single Family City of Federal Way Permit #:18-104534-00-SF commmury Development Dept. 33325 8th Ave S Federal Way,WA 98003 Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax.(253)835-2609 Project Name: VLASENKO Project Address: 31941 14TH WAY SW Parcel Number:416795 0010 Project Description: REP-Remove existing shake roofing material and replace with plywood and composition shingles. Owner Applicant Contractor Lender NIKOLAY VLASENKO NIKOLAY VLASENKO OWNER IS CONTRACTOR OWNER IS LENDER 31941 14TH WAY SW 31941 14TH WAY SW FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 USA USA q • Census Category:555-Non-structure 1�g • i i its Includes: #1 #2 ‘41 #3 #4 Occupancy Class: Construction Type: Occupancy Load: Floor Area(sq.ft.) AdlikAp ` al 13: it inf• :'. i on Mechanical to be Included? Is .01 Online or O.T.C.application Yes Plumbing to be Included? No • Total Valuation:12,000.00 • gib ��P" -MIT EXPIR S Sunday,24 March,2019 rmit Issue+on Tuesday,September 25,2018 I. I hereby rti t the - .ve info • is correct and that the construction on the above described property an dpancy - d the in accordance with the laws, rules and regulations of the State of ��shington and the City of Federal Way. �9' -2-S7' /f Owner or agent: (1,16.‘....... ._ Date: , .4ATHIS CARD IS TO REMAIN ON-SITE Construction Inspection Record , ay INSPECTION REQUESTS:(253)835-3050 PERMIT#: 18 104534 00 Address: 31941 14TH WAY SW Project: ANNA V VLASENKO FEDERAL WAY WA 98023-4727 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) Final-Building(4050) Approved to install roofmg Approved By a _ Date • < , By Date • Rough Electrical ❑ Final Electrical 0 Right of Way Approved Approved Approved By Date By Date , By Date PERMIT APPLICATION CITY OF Federal Way PERMIT CENTER+ 33325 8th Avenue South rd ��bkrAN>NIi��a�oJ5 253-835-2607 + FAX 253-835-2609 + e r m PERMIT NUMBER I C/ _ v 4 5 .31-_ SEP 2c2018 — TARGET DATE CITY OF FEDERAL WAY 'COMMUNITY DEVELOPMENT SITE ADDRESS SUITE/UNIT# X194// /4/? ,�/44 i/7?911©23 PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# TYPE OF PERMIT BUILDING 0 PLUMBING 0 MECHANICAL ❑ DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION NAME OF PROJECT 4 a p c.74‘ V LAS{)¶Q PROJECT DESCRIPTION TR- (:)/c7/ w°`9c>/ Detailed description of work to ' "S749-/� A*1-c,OOc/ &heV r!.1 e./ c51z/;7_9 be included on this permit only NAME, PRIMARY PRIMARY PHONE PROPERTY OWNER X41/496," 4%'/ / `5E/Je 20,6 .. .:00,..32,f)? MAILING ADDRESS E-MAIL )/Q 9//c'744- A v 5442 CITY STATE ZIP r,e-4.10G09/2a9i./. 42/9 9t/'o.23 _.. NAME 0' ) )I (7 PHONE MAILING ADDRESS l\j E-MAIL CONTRACTOR CITY STATE ZIP FAX WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# NAME 0.' 1 (1\)„,0 PRIMARY PHONE APPLICANT- MAILING ADDRESS E-MAIL CITY STATE ZIP FAX NAMEO� ,(///� l PRIMARY PHONE PROJECT CONTACT � (v ��II (The individual to receive and MAILING ADDRESS E-MAIL respond to all correspondence concerning this application) CITY STATE ZIP FAX PROJECT FINANCING NAME OWN nz 0 OWNER-FINANCED When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE (RCW 19.27.095) I certify under penalty of perjury that I am the property owner or authorised 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 authorised 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. SIGNATURE: �%� `� DATE 9 �'- /CP PRINT NAME: Bulletin#100—January 29,2016 Page 1 of 2 k:\I-Iandouts\Pennit Application