18-102463 Building - Single Family
City of Federal Way Permit #:18-102463-00-SF
Community 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: KAZAK
Project Address: 33343 12TH AVE SW Parcel Number:926496 0070
Project Description: REP-Tear off existing roofing;install new 1/2"CDX sheathing and composition shingle
roofing system.
Owner Applicant Contractor Lender
JOSEPH KAZAK SOUND ROOFING SYSTEMS SOUND ROOFING SYSTE
33343 12TH AVE SW 823 SW 152ND ST 823 SW 152ND
FEDERAL WAY WA 98023-5301 BURIEN WA 98166 BURIEN WA 98
Census Category: 555-Non-struct loo• . r e, g i
Includes: #1 #2 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq.ft.)
• -1 Permiit ormation
Mechanical to be Included" Not Is this an Online or O.T.C.application9 No
Plumbing to be Included" ,....
Total Valuation:22,500.00
eitab
PEREXPIRES Monday,3 December,2018
it Issued on Wednesday,June 6,2018
I hereby certify th. ' e above information is correct and that the construction on the above described property
and the occu -ncy 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 age (Q,1A . Date: (9-6- �?5
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
Felieral-Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 18 102463 00 Address: 33343 12TH AVE SW
Project: JOSEPH KAZAK FEDERAL WAY WA 98023-5301
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 roo g Approved
Date L 1 0 By Date
0 Rough Electrical El Final Electrical .... . .... ... [J Right of Way
Approved Approved Approved
By Date By Date By Date
ilk& RECEIVED
PERMITO
CITY OF �t--,Way
_uN 0 s 2018
Federal A ay PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
{TY OF FEDERAL WAY 253-835-2607+FAX 253-835-2609+permitcenterricitvoffederahvav.com
COMMUNITY DEVELOPMENT
PERMIT NUMBER___/ �( _ I� _ � TARGET DATE (1;7 1;-.77Its...\—)
SITE ADDRESS (, �/ SUITE/UNIT#
3331-3 12-4 AVE SvrW
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 9.2. 00 61 2 G4 / t - 0 70
TYPE OF PERMIT , BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT IZE- K()c I (N a 2 k.
cosPROJECT DESCRIPTION 1�-K' �'' 11 -t) 0 . 1 ikiS t( ne,t4l 1/111 J
Detailed description of work to e ( , �1 . 4 t I Ni ii1 ,G'' , `�"'T
be included on this permit only
NAMED c�-{��,{ -,^�/ PRIMARY PHONE
PROPERTY OWNER
P
Ora STATE ZI
t-e d u w� aWO2�
NAME sand. lam[/ PHONE
HAILING ADDRESS $2,3
3ew15 "d st, e- rSo told.FD i' hg"
CONTRACTOR
c kt1e i (44' q$1(/ZIP � FAX 20– it// -03Fra.
WAc TEO CONTRACTOR'S G 0LIC15-2*
Iq E O # 7 i 7 / /DATE PE1;E$pi.D g 1 #
NAME Bk--; ct s-p ins v7K wi s 12 5 �_ of tj 3 3
APPLICANT MAILIN AD REBS E-MAIL
2 �w, (5 2U St
CITY W a Yl/h STA q S21SI_. FAX
PRIMARY PHONEPROJECT CONTACT NAS 13K-1". C t"4STif i I"',v N 26i -1-66--- F3#1
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence SQ Q Lj a�o
concerning this application) CITY STATE ZIP FAX
.
NAME WOWNER-FINANCED PROJECT FINANCING
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP 111 PHONE
(RCW 19.27.095j
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,expensesand 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: – —el��i% �r CAL DATE
0 iiiitT
PRINT NAME: 2 --1-1441d 4.4::;b4
Bulletin#100–January 29,2016 Page 1 of 2 k:\Handouts\Permit Application