10-104459-00City of Federal Way
Community Development Services
P,O, Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835.2609
Project Name: ODARCHUK
Project Address: 35027 21ST AVE SW
Building - Single Family
Permit #: 10-104459-00-SF
Inspection Request Line: (253) 835-3050
Parcel Number: 242103 9072
Project Description: ADD - In conjunction with Permit #09-102769, convert attic storage area into 270 square
foot bedroom. No plumbing or mechanical.
Owner
Am)licant
Contractor
Lender
VASILIY & OKSANA ODARCHUK
VASILIY & OKSANA ODARCHUK
35027 21 ST AVE SW
VASILIY & OKSANA ODARCHUK
35027 21ST AVE SW
35027 21ST AVE SW
FEDERAL WAY WA 98023
35027 21ST AVE SW
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
Census Category: 434 - Residential alt/add - no change in number of units
Includes:
#1
#2
#3
#4
Occupancy Class:
R-3
Construction Type:
Type V - B
Occupancy Load:
Floor Area (sq. ft.)
1 270
0
1 0
0
Additional Permit Information
New / Additional Sq. Feet - I st Floor ....................
0
New / Additional Sq. Feet - 3rd Floor....................0
New / Additional Sq. Feet - Basement...................0
New / Additional Sq. Feet - Deck.. ........................
0
Mechanical to be Included?....................................No
New / Additional Sq. Feet - Other ..........................0
New / Additional Sq. Feet - Total... .......................
270
New / Additional Sq. Feet - 2nd Floor...................270
Occupancy #1 - Area (Sq. Feet).............................270
Occupancy # 1 - Construction Type .................. ..
..... Type V - B
New / Additional Sq. Feet - Garage.....:.................
0
Occupancy # 1 -Class .............................................R-3
Plumbing to be Included?.......................................No
Occupancy # 1 -Use ...............................................
Residence (1 or 2
family)
No Fixtures Associated With This Permit 11
PERMIT EXPIRES Wednesday, April 20, 2011
Permit Issued on Friday, October 22, 2010
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:
�fZ � Date:
079a9ado7
_ THIS CARD IS TO REMAIN ON -SITE
CITY 01 Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
pER,VIIT #: 10-104459-00-SF Address: 35027 21STAVE SW
Project: VASILIY & OKSANA ODARCHUK FEDERAL WAY, WA 98023-3039
Scheduled inspections may be failed if this card is not on -site. DO NOT LQSE THCS 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.
SW.1►'t rrecan byte Mtg (44UU)
Approved
Initial Erosion Control (4365)
To be done prior to breaking ground
I
Footings/Setback (41
Approved to place concrete
By
Date
By
Date
By
Date
FoundationWall (4115}
Approved to place concrete
E]
Drainage/Downspout (4040)
Approved to backfill
Slab/Concrete Floor (4255)
Approved to place concrete
By
Date
By
Date
By
Date
Underfloor Framing (4285)
Approved to sheath floor
Floor Sheathing (4105)
Approved to install flooring
Shear Walls (4245)
Approved to install siding
By
Date
By
Date
By
Date
1:1Approved
Roof Sheathing (4220)
Approved to install roofing
FireWraft Stops (4095)
Approved
Interim Erosion Control (4370)
By
Date
By
Date
By
Date
Prior to scheduling a Framing inspection;
Electrical, Plumbing & Mechanical Rough -in and
�
Insulation (4150)
Approved to install wallboard
Framing; (4120)
Approved to insulate
Fire/Draft Stop inspections must be signed -off and
approved. IBC 109.3.4
By
Date
By
Date
❑
Gypsum Wallboard Nailing (4130)
Approvcd to install mud & tape
Final Erosion Control (4375)
Approved
Final - Building (4050)
Approved
By
Date
By
Date
By
Date
❑
By
Rough . lectrical
Approved
Date
rFinal
❑
By
Electrical
Approved
Date
❑
By
Right of Way
Approved
Date
PERMIT MF CO ME PL DE EN FP
Federal Way
C0MA/1,N11Y i1F.47if.C3I1NE343$-2609$S A P P L I G A T I04 I V E®
2.53-R.ZS-2fif19
_r��: i._:ilk:!•:; i_rl^r�_�i•;:j_rrr.�
SITE ADDRESS
SUITE/UNIT p
3 S 0�� g •� �I ERAS WAY
PROD VALUATION
ZONING
ASSESSOR'S TAX/PAR
TYPE OF PERMIT
LDING ❑ PLUMBING ❑ MECHANICAL
tDEMOLIT;ON
❑ NGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
N
%3�r
PROJECT DESCRIPTION
` `
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
CITY f
STATE Z ` )
NAME
PHONE f
II
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY t j :
S A
ZIP
PAX
WA STATE CONTRACTOR'S LICENSE M
E7fP TION DATE
FEDERAL WAY BUSINESS LICENSE B
}
NAME
PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
CITY
A
`
YT
ZIP
FAX
PROJECT CONTACT
NAME
PHONE
(The individual to receive and
respond to all correspondence
MAILING ADDRESS
E-MAIL
concerning this application)
CITY
STATE
ZIP
FAX
ALTERNATE CONTACT NAME:
PHONE
E-MAIL
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5, 000 or more
(RCW 19 27.095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
I certify under penalty of perjury that ram 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 Fed a ay as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation and defense of such c[aimJ, whir may mada by any person, including the undersigned, and filed against the city,
but only where such claim arises out of the nce the ity, including its officers and employees, upon the accuracy of the
information supplied to the city as apart of this ap lica 0
SIGNATURE: DATE v
PRINT NAME:
Bulletin #100 — April 14, 2010 age of 3 k:\Handouts\Perrlut Application
VALUE OFMECIMNICAL WORK $
a copy of bid or estimate must be provided)
Indicate how many of each type of future to be installed or relocated as part of this project, Po not include existing fixtures to remain.
AIR HANDLING UNITS
FANS
GAS PIPE OUTLETS OTHER (Describe) _
AIR COND[TIONER
FIREPLACE INSERTS
HOODS (commercial) \\
BOILERS
FURNACES
HOT WATER TANKS IG-)
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
DUCTING
GAS PIPING
WOODSTOVES
IMM
Indicate how many of each type of fMure to be installed or relocated as part of this project, Do not irtclu a existing fixtures to remain.
BATHTUBS (or-rub/shower combo)
LAVS (Handslnla)
TOILETS WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kitchen/utility)
WATER HEATERS (g)p
HOSE BIBBS
SUMPS
WASHING MACHIN - ... . . ...... .. „ .. ROW
Bulletin #100 —April 14, 2010 Page 2 of 3 k:\Handouts\Permit Application