09-102769-00J
1
. .� 11.1ulding' - Single Fa nil r
City of Federal Way; �,
Community Development Services I Permit k: 09` 102�69-00-SF
P.O. Box 9718
Federal Way, WA 98063-9718 Inspection Request Line.- 253 835-3050
tPh:. (253) 835-2607 Fax: (253) 835-2609 f-'- T' t' r, p q
Project Name: ODARCHUK
Project Address: 35027 21ST AVE SW Parcel Number: 242103 9072
Project Description: ADD - Construct addition to main floor with attic storage above. Mechanical work
included under this permit. (Related work under 09-102259-00-SF to tear off & re -sheet
roof and install new composition roofing; replace sheetrock & insulation; replace dry rot
2x4 framing members in the attic room).
Owner
Applicant
Contractor
Lender
VASILIY & OKSANA ODARCHUK
VASILIY & OKSANA ODARCHUK
35027 21ST AN'F 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.)
1 400
1 0
0
0
_ __ —.
Aelditivrrai Permit Informaflon
New / Additional Sq. Feet - 1 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?....................................Yes
New / Additional Sq. Feet - Other... ........ ..............
0
New / Additional Sq. Feet - Total ..........................
0
Zoning Designation................................................RS 7.2
New / Additional Sq. Feet - 2nd Floor...................0
Occupancy # I - Area (Sq. Feet).............................400
Occupancy # 1 -Construction Type .........................
Type V - B
New / Additional Sq. Feet - Garage...... .................
0
Occupancy # I - Class.-.... ...... :.............................
R-3
Plumbing to be Included?.......................................No
Occupancy # I -Use ...............................................
Residence (1 or 2
family)
L . _ ANOW
Mechanical Fixtures
Ducting......................................... 2 Fans..................... .................................................. 2
PERMIT EXPIRES Wednesday, October 27, 2010
Permit Issued on Friday, April 30, 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
he City o Federal Way..
� ✓�;�%% �'rt` —1 Cry.:'
Owner or agent: Date: ( '�
zluAU a, &/3/u
CITY OF - ..
Federal Way
THIS CARD IS TO R_ EMAINON-SITE
Construction Ir )ection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 49-1 D2769-D0-SF
Address: 35027 21ST AVE SW
Owner: VASILIY & OKSANA ODARCHUK FEDERAL WAY, WA 98023-3039
led if D�. Inspections arc
as
se to sequential
er as
possible
e r inspe left right, toe to�bottom).SP ease sel edulecard is not linspections s appropriate. Wojjjs rk must not be covered un it it is approved. Check with th your
possible (read u g p
inspector if yvu are unsure about any of the inspectivr;s or the inspection sequence. On -go ing instep' ctians are lugged an the back ofthis card.
436 Footings/Setback (4110)
DSWM Precon Site Mtg
L� Approved
By Date f
❑ Foundation Wall (4
Approved to place concrv3
[00) Initial Erosion Contra!
To be done prior to breaking ground
By C Ji'r f Dater
Drainage/Downspout (4040
' I Approved to backfill ,
Date p
BY
Date
By
Underfloor Framing (4 5)
Floor Sheathing
Approved to sheath floor +
"'"
Approved to install fiw
:By::_
'ADate
By
Date7
Roof Sheathing (4220)
Rough -
Mechanical Rough
CJ
Approved to install reofmg
Approved
By
/I `� Date
By
Date
j
Approved to place concrete
By _?!�l Date
❑ Slab/Concrete Fl or (4 55)
Approved to place concrete
By Date
(4105} Shear Walls (4245)
)ring Approved to install siding
1111
7I'1By I Date l /Q
(4165)
rA
Gas Piping t414
Approved to release test
By ,,/�`� Date 9
❑
Fire/Draft Stops:01095)]
Interini Erosion Control (4370)
Approved
Prior to scheduling a Framing inspection;
Electrical, Plumbing & Mechanical Rough -in and��—Fire'Draft
Approved
Stop inspections must be signed -off andByDate
Date C`
approved. IBC 109.3.4
2 _By
Framing (4120}
Insulation (4150)
G sum Wallboard Nailing (4130)
yp
Approved roved to install mud & tape
❑
Approved to instilatc
proved to install wallboard
Date
By
Date/2 . / 3 • Jb
BY Date
Y
i 1 —� 1
Final Erosion Control (4375)
Final - Mechanical (4065)
❑ Final - Building (4050)
Approved
❑
Approved
Approved
By
Date ��,7 f�
By
Date d-'Z11)
By Date %f
po N. i Iriti/il- v,,,Ttt- *&I-10Z;Z�-cj - SF
i4J(3 #10-to40`% -Ftcct.
❑ Final Electrical Right of Way
❑ Rough Electrical Approved Approved
Approved
BY Date BY
Date By Date
Federal, .. E I V E L PERMIT SF F CO ME EL PL DE EN FP
2]
roVWhMD8 PafENrsiMC _APPLI ATI�N 1 f Q
2sa saS260 Fnx 2ss ess zL . �� "
Si 3 fD
SUITIC,UNiT.
ZONING 2 � T� � � a
NAME OF PROJECT
(Tenant or Homeowner Name)
1 �/
N( BUILDING PLUMBING MECHANICAL
TYPE OF PERMIT
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION
C2-11+07. .+?7-, e-
xzzw y�
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
7X4-,v�f
PEOPLK, .• }
NAME
PRIM ARY PHONIC
PROPERTY OWNER
Tfle "
rO ADDli CITY, STATIC, ZIP
OWNER IS ALSO:
❑ CONTRACTOR APPLICANT PROJECT CONTACT
NAME �.• _ PRIMARY PHONE
CONTRACTOR
MAH.nYG ADD J7��TtFAX
WA STATE COAfRACTOWS LICENSE N
z"nuTION DATE
FEDERAL WAY BUSMSS LICENSE #
NAME
PRIMARY PHONE
APPLICANT
A-i'
MAIIdRGADDR -=, SThIi ZIP /
FAX
PRIMARY PHONE - -
PROJECT CONTACT
NAME
(The individual to receive and
)
MAXIMO ADDRESS, CITY, STATE, ZIP
FAX
respond to all correspondence
concerning this application)
( ) -
ALTERNATE CONTACT NAME:
PRIMARY PHONE
E-MAIL
PROJECT FINANCING
NAME
OWNER -FINANCED
Required for projects with
MAILING ADDRESS, CITY, STATE, ZIP
PRIMARY PRONE
value of $5, 000 or more
(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 injbrmation 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 furth►r agree to hold harmless the City of ,Federal Way as to any claim iineluding costs, expenses, and attorneys' fees incurred
in the investigatlan and defense of such ctaim), 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 afjicers and employees, upon the accuracy of the
information supplied to the city as a part applic
`
7r �r
SIGNATURE: DATE
PRINT NAME:
Bulletin #100 — 4/17/2009 Page 1 of 4 k:\Handouts\Permit Application
MECHANICAL FIXTUR.- i
Value of Mechanical Work $ (A C
Indicate number of each type of fixture to be installed or relocated as
AIR HANDLING UNITS FANS
AIR CONDITIONER FIREPLACE INSERTS
BOILERS FURNACES
COMPRESSORS GAS LOG SETS
Z DUCTING GAS PIPING
OF BID OR ESTIMATE MUST BE PROVIDED
of this project. Do not include existinU[Ixtures to remain.
GAS PIPE OUTLETS OTHER (Describe)
HOODS (commmiaq
HOT WATER TANKS (G—)
REFRIGERATION SYST
WOODSTOVES
PLUMBING FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include e)dstingfixtures to remain.
BATHTUBS (or Tub/Sho—rCombo) LAVS (Hand sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe)
DRAINS 1 SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS (Kitchen/Utility) WATER HEATERS (Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION _
PROJECT VALUATION WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT S12E (In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No ❑ Yes ❑ No
RESIDENTIAL
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
BASEMENT
FIRST FLOOR (or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER (describe)
Area Totals
EXISTING
PROPOSED
TMZ
**NEWH0JWS ONLY**
ESTIMATED SELLING PRICE $ i # OF BEDROOMS
COMMERCIAL — NEW/ADDITION
AREA DESCRIPTION
Area
in Square Feet
Occupancy Group(s)
Construction
a
# of
Stories
Additional Information
NEW BUILDING
ADDITION
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area
in Square Feet
Occupancy Group(s)
Construction
a
# of
Stories
Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin # 100 — 4/17/2009 Page 2 of 4 UIlandoutsTermit Application