02-1036280 0
City urainity Development Services Federal Way
Conuntm Building - Single Family Permit #: 02 - 103628 - 00 - SF
33530 Bt Way S
Federal Way, WA 98003 -6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: KOSIUK
Project Address: 33044 16TH PL SW
Parcel Number: 010457 0290
Project Description: RES ADDN - Construct detached hot tub enclosure building accessory to single family residence, per
plans. No plumbing or mechanical under this permit.
Owner
Applicant
Contractor
Lender
OLEG V & IRINA KOSIUK
OLEG V & IRINA KOSIUK
OLEG V & IRINA KOSIUK
NONE
33044 16TH AVE SW
33044 16TH AVE SW
FEDERAL WAY WA 98023
FEDERAL WAY WA 95023
33044 16TH AVE SW
FEDERAL WAY WA 98023
NONE
Includes:
Census category: 434 - Reside #1 #2 #3 #4
Occupancy Group: U -1
Construction Type: Type V - N _
Occupancy Load:
Floor Area (Sq. Ft.):
Basic Pl an .................. ............................... No Census Category.................. ............................... 434 - Residential alt/add - no
Height of St ructure ............... ............................... 9 Mechanical.................. ............................... No
Occupancy Group # 1 ............... ............................0 -1 Other Proposed Sq. Feet....... ............................... 240
Plumbing .................. ............................... No Total Proposed Sq. Feet ....................................... 240
Zoning Designation .............. ............................... RS 5.0
CONDITIONS:
1. No building shall encroach onto any building setback line or easement shown or not shown.
2. Maximum building height is 30 feet above average building elevation, per Federal Way City Ordinance #90 -51.
3. Building setbacks are: 20 feet front; 5 feet side; 5 feet rear.
4. This decision shall not waive compliance with future City of Federal Way codes, policies, or standards relating
to the subject proposal.
PERMIT EXPIRES February 23, 2003, IF NO WORK IS STARTED.
Permit issued on August 27, 2002
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, riles and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: ' J<O&Jal< Date:
Q3 (J
POSWIS CARD ON THE FRONT OF BUILDI�
BUILDING DIVISION
Vwjw INSPECTION RECORD
INSPECTION REQUEST PHONE #: 253- 835 -3050
PERMIT #: 02- 103628 -00 -SF
( ) DRAINAGE: Line
( ) Connection
41M "Nag
( ) UNDERFLOOR FRAMING
() ROUGH PLUMBING: DWV Water piping
O ROUGH MECHANICAL Gas piping
( ) SHEATHING
( ) SHEAR WALLS
( ) ELECTRICAL ROUGH -IN
( ) FIRE/DRAFTSTOPS
() FRAMING/FIRESTOPPING J 0— Z
Roof Floor
Ditch Cover
( ) INSULATION: Floors
Walls
Attic
( ) WALLBOARD NAILING
( ) SUSPENDED CEILING
ON W� g �� , WAM
( ) ELECTRICAL FINAL
( ) PLANNING FINAL.
( ) PUBLIC WORKS FIN
( ) FIRE FINAL
( ) BUILDING FIN
5
su
ROEIVED
cmoF C
EOM— AUG 2, 7 2002
VV iFIY
CITY OF FEDERAL WAY
BUILDING DEPT.
CONSTRUCTION PERMIT APPLICATION
APPLICATION NUMBER:
APPLICATION NUMBER:
APPLICATION NUMBER: - -
* *The following is required information — Please print (in ink) or type **
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
Ct i
PROPERTY INFORMATION
SITE ADDRESS: � � 't�� �Q�� (�.� ASSESSOR'S TAX /PARCEL #: C) _t
LEGAL DESCRIPTFON OFF tUBJ1CTUPRO ERTY (ATTAC U� ' STE DESCRIPTION I�F L�N GTHY):
wo . F -
� lyT �7�s.
■ PRO]ECT INFORMATZON'. '
TYPE OF PROJECT (This application): BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): Ga 2 e— L O
PROJECT NAME: K&5t %,kv,
■ PEOPLE INFORMATION
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
NAME: Q` _ O ` DAYTIME PHONE:
1/y�' V (ao6)5T -S7 -1333
MAILING ADDRESS ( EET ADDRESS; QTY, STATE, ZIP):
33094 16th PL,Sw FedeYo,l wal wp Q ?N3
NAME:
DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; QTY, STATE, ZIP):
EVENING PHONE:
QTY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
CONTRACTORS REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required)
nnMt: DAYTIME PHONE:
MAILING ADDRESS (STREET App , QTY, STATE, ZIP): EVENING PHONE:
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE): ( -
E- MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
EXISTING USE:
PROPOSED USE:
■ DETAILED BUILDING INFORMATION
EXISTING BUILDING ASSESSED /APPRAISED VALUATION $
PROPOSED VALUATION FOR IMPROVEMENTS: $ 600
SPRINKLERED BUILDING? ❑ YES X NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED: ❑ YES KNO
WATER SERVICE PROVIDER: LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
* *NEW RESIDENTIAL CONSTRUCTIO LY **
t
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
7- .1 1 - ■ PR03ECT FLOOR AREAS
FLOOR
EXISTING S . FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESC BE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
AIR HANDLING UNIT(S)
BBQ(S)
BOILERS)
COMPRESSOR(S)
DUCT(S)
BATHTUB(S)
DISHWASHER(S)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTORS)
number of
FAN(S)
FIREPLACE
GAS PIPE
&AIN WATER SYS.
SHOWER(S)
SINK(S)
SUMP(S)
type of fixture
GAS LOG(S) REFRIG. SYSTEM(S)
HOOD(S) WOODSTOVE(S)
RANGE(S) MISC. (
HEAT SOURCE: ❑ ELECTRIC ❑ GAS
URINAL(S) WATER HEATER(S)
VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
WASH MACHINE OUTLET
WATER CLOSET(S) MISC. ( 1
■ ' DISCLAIMER /SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and
further, that I am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of
Federal Way, 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.
f NAME /TITLE: O �/ DATE: t
t ❑ PROPERTY OWNER PPLICANT ❑ CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL. WAY, WA 98063 -9718 • 253-661 -4000 • FAX: 253-661 -4129
www.dtvoffederalway.com