20-103073_Building_Permit_Application_08_10_20_v141k
CITY OF
Federal Way
PERMIT NUMBER _
PERMIT APPLICATION
PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway.com
TARGET DATE
SITE ADDRESS
SUITE/UNIT #
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$ 270,000
RS9.6
7 3 8 7 0 0 _ 0 0 1 0
TYPE OF PERMIT
(BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
Arkhipchuk Residence
Single family residence with attached 2 car garage
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
Ruslan Arkhipchuk
(253) 797-2322
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
34930 27th Ave S
rusiding@hotmail.com
CITY STATE
ZIP
Federal Way WA
98003
NAME
PHONE
Rusiding
253 797-2322
MAILING ADDRESS
E-MAIL
34930 27th Ave S
rusiding@hotmail.com
CONTRACTOR
CITY
Federal Way
STATE
WA
ZIP
98003
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
UBI #
RUSID**953L8
602-247-971
NAME Pavel Melnik, Urban Design Group
9 p
PRIMARY PHONE
(206) 453-4545
MAILING ADDRESS
PO Box 58906
E-MAIL
rbandesigncenter@yahoo.co
APPLICANT
CITY
Tukwila
STATE
WA
ZIP
98138
FAX
NAME
Pavel Melnik, Urban Design Group
PRIMARY PHONE
(206) 453-4545
PROJECT CONTACT
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
PO Box 58906
urbandesi ncenter ahoo.c
CITY
ST
ZIP
FAX
concerning this application)
Tukwila
98138
PROJECT FINANCING
NAME
® 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 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 apart of this application.
1dZd
'41 " DATE JULY 29, 2020
SIGNATURE:
PRINT NAME: RUSLAN ARKHIPCHUK
)m
Bulletin #100 — February 19, 2020 Page 1 of 2 k:AHandouts\Permit Application
MECHANICAL PERMIT $
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existiggfixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (commercial)
BOILERS FURNACES HOT WATER TANKS (Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING PERMIT
Indicate how many of each type offixture
to be installed or relocated as part of this project. Do not include existing fixtures to remain.
2 BATHTUBS (or Tub/shower combo)
6
LAVS (Hand Sinks)
5 TOILETS 1 WATER PIPING
1 DISHWASHERS
�—
RAINWATER SYSTEMS
0 URINALS OTHER (Describe)
DRAINS
4
SHOWERS
n VACUUM BREAKERS
0 DRINKING FOUNTAINS
2
SINKS (Kitchen/Utility)
WATER HEATERS (Electric)
HOSE BIBBS
0
SUMPS
1 WASHING MACHINES 24 TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
NO
LAKEHAVEN
LAKEHAVEN
0
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet(
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
VACANT
15,563
❑ Yes x No
❑ Yes X No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
BASEMENT
0
...............................................................................................................................
FIRST FLOOR (or Mobile Home)
1431
...............................................................................................................................
SECOND FLOOR
1883
...............................................................................................................................
COVERED ENTRY
38
...............................................................................................................................
DECK
254
...............................................................................................................................
GARAGE ❑ CARPORT ❑
603
...............................................................................................................................
OTHER (describe)
...............................................................................................................................
Area Totals
EXISTING
PROPOSED
TOTAL
...............................................................................................................................
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE $ 550,000
# OF BEDROOMS 4
COMMERCIAL — NEW/ADDITION
AREA DESCRIPTION
Area in
Square Feet
Occupancy Group(s)
Construction
Type
# of
Stories
Additional Information
NEW BUILDING
ADDITION
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area in
Square Feet
Occupancy Group(s)
Construction
Type
# of
Stories
Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin #100 - February 19, 2020 Page 2 of 2 k:\Handouts\Permit Application