03-101442r
1 r , ,
- -4IF4—• Ng ' , *1 *
'r Caty of Federal Way • i 0`'A at
Community Development Services Building - Single Family Permit #:03 - 101442 - 00 - 3`lr
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: OTROKH
Project Address: 31317 33RD AVE SW Parcel Number: 438801 0170
Project Description: ADD-756 square foot second story addition,including plumbing&mechanical.
•
Owner Applicant Contractor Lender
SERGEY&NATALIA OTROKH SERGEY&NATALIA OTROKH SERGEY&NATALIA OTROKH NONE
3131733RD AVE SW 3131733RD AVE SW
FEDERAL WAY WA FEDERAL WAY WA 31317 33RD AVE SW
FEDERAL WAY WA NONE
Includes:
Census category: 434-Reside #1 #2 lP #3 -1I #4 I
Occupancy Group: R-3 !
Construction Type: Type V-N
1 Occupancy Load:
LFloor Area(Sq.Ft.):
2nd Floor Proposed Sq.Feet 756 Census Category 434-Residential alt/add-no
Mechanical....,. ........ No Occupancy Group#1............ ....i ...... .. R-3
Plumbing........;.. No Total Proposed Sq.Feet..... 756
1
CONDITIONS:
Prior to any clearing or grading on a lot,the owner/builder shall install temporary erosion/sedimentation control facilities
approved by the City.These facilities must ensure that dirt or sediment laden water does not enter the public drainage
system,adjacent lots or public streets.The owner/builder bears the responsibility to maintain the facilities in proper
working order,replacing as necessary.The facilities may be removed only after such time as construction is complete&
landscaping is installed.See attached for standards and site plan for location of silt fencing.
All building downspouts,footing drains&drains from all impervious surfaces(i.e.,patios&driveways)shall be connected
to the approved permanent storm drain outlet or directly discharged into the NGPE as shown on the approved construction
drawings on file with the City of Federal Way Public Works Dept under project No.ILA-90-PP08-SUB.All drain
connections must be constructed&approved prior to the final building inspection.For lots that are designated for
individual lot infiltration systems,the systems shall be constructed prior to final building inspection approval&shall comply
with plans on file.All individual stub-outs shall be privately owned&maintained by lot owner.Outlets from building
downspouts shall not be discharged directly onto slopes greater than 40 percent(NGPE areas).
Service connections for electrical&communication facilities shall be placed underground per FWCC,Sec.16-48.
PERMIT EXPIRES January 5,2004.
Permit issued on July 9,2003 W ,i l,'∎
1
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:
g --' --' Date:
•
INSPECTION LOG
DATE INSPECTOR OK CQ ZR/RE.T AREA AND TYPE OF INSPECTION
ro,ot A -v Ica
POST THIS CARD ON THE FRONT OF BUILDI ' *"'r
. , r .. ,, ,,,. y -� . •, • BUl*ING DIVISION -
,.,:lk 7Z ,, . = , , t w INSPECTION RECORD
INSPECTION REQUEST PHONE#: 253-835-3050
PERMIT #: 03-101442-00-SF
OWNER'S NAME: SERGEY & NATALIA OTROKH
SITE ADDRESS: 31317 33RD SW
() FOOTINGS/SETBACKS () FOUNDATION WALL
( ) DRAINAGE: Line ( ) Connection
Ilia 4....( ,,,H.ux.: 1 P v.-.w.' ttOi B KOT41_ 4I , .,,. H
() UNDERFLOOR FRAMING
(>�j ROUGH PLUMBING: DWV q - ` - t = C (A , Water piping LI.—? 7-{('�,
() ROUGH MECHANICAL Gas piping
() SHEATHING g 4i Roof 1/1/60 �� r
() SHEAR WALLS Mi
() ELECTRICAL ROUGH-IN Ditch Cover
() FIRE/DRAFTSTOPS
a
() FRAMING/FIRESTOPPING 1(/I3/03 Awip /t
,
( ) INSULATION: Floors Walls ill I?�1 n3 Fl/ l ft /5 a, F1/
: ',..4, ,,i,,,;,:,,,,;4;iiiiortt::-Japaioz:7:651.:,,w,fcrro,--m:.:-.1.:7a-,-N -ko--44,00vemy.,,i;.iiiseptiot50000
( ) WALLBOARD NAILING 3 254 if ,%1 O SUSPENDED CEILING
( ) ELECTRICAL FINAL
() PLANNING FINAL
() PUBLIC WORKS FINAL
( ) FIRE FINAL
a
() BUILDING FINAL
0
#J
e,04, a i A� w a 38 a i 2
•
L
�_ 0 CONSTRUCTIC4PERMIT APPLICATION
QTY OF �...� APPLICATION NUMBER: a - i 1fi► i
Federal Way APPLICATION NUMBER: - -
1APPLICATION NUMBER: - -
**The following is required information-Please print(in ink)or type** i ���
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. t
• PROPERTY INFORMATION
1 SITE ADDRESS: �-Q o?Qa l( 1 0";I4 1
6 1--*(--) ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
r/ /7 OF LA/e-E/4/4 t/'EItd/ /it/ Z 11-dk fir- -, I /I
. • • PRO3ECT INFORMATION
TYPE OF PROJECT(This application): m BUILDING o PLUMBING o MECHANICAL ❑ DEMOLITION
o ELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): ' /t ' 527.c E'i(JL7 -'tG %/1 "41201'/Gf,t'
PROJECT NAME: 437,&D L/-/ .�-7�/t1 e,Oc "
• PEOPLE INFORMATION -
PROPERTY OWNER: ` NAME: S` u l 7' `//kek6 L- A Li /u// 'Yee I L i DAYTIME PHONE:
rf (L53 ) : - .46 2�
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
i ;I �- 33.2_0 , 1,e_. 5 tv A-e c/e, ' / 7, vLi.;2 y 4-oe"
CONTRACTOR: I NAME: //�� DAYTIME PHONE:
-''i t./e ,C.:/�_ ( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): i EVENING PHONE' ff�
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
- - I ( )
CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) / /
APPLICANT: NAME: I DAYTIME PHONE:
5 01,e ‘-‘,- i (//g real/'a 7,ed,L I (,6 3) ,/j 7*.9 b
MAILING ADDRE (STREET ADDRESS;CITY,STATE,,ZIP:�_ p,, Way ',/ 4Q)- -_--' EVENING PHONE:` /'
l i / / '- ,Q42 .41-e- l�‹ - ', / I�VaGt G�'� � (z,:,.' ) 5- - ?
RELATIONSHIP TO PROJECT: , !l j FAX NUMBER:
❑ ARCHITECT ❑ TENANT t7 OTHER( DESCRIBE): (UGe-""(--4-1e-- (7.4')5-7%.)i/5-- i 9
E-MAIL ADDRESS: /�i11 `/,,I
CONTACT PERSON FOR THIS PROJECT: b PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR I�I�1('r 4 rifehh ad t11f//,man
■ DETAILED BUILDING INFORMATION •
EXISTING USE: J//t../CZ E /cc,1 C.YEXISTING BUILDING ASSESSED/APPRAISED VALUATION $ 2 C C E'C
PROPOSED USE: '5'7,1,.(,,, c; /cliff C.+/ PROPOSED VALUATION FOR IMPROVEMENTS: $ S el, cf,c9C,
SPRINKLERED BUILDING? ❑YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES pic NO
WATER SERVICE PROVIDER: LAKEHAVEN o HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: ji'LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION 1111l**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
• PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT !_
FIRST ---`—i
SECOND
THIRD !
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
• FIXTURES
Indicate number of each type of fixture
MECHANICAL
•
AIR H•N r,LING UNIT(S) EVAP s • • E COOLER(S) dr • LOG(S) RE••- SY EM(S)
BBQ(•) ■ FAN(S) Oil D(S) W•OD' OV (S)
BOI R f ) V FIREP •CE NSERT(S) • •t GE(S) MI•C.
COMPRES i R(S) I FURNA•'
DUCf(S) GAS PI•E 0 LET(S) ••T SOURC ❑ ELE • C ❑ GAS
PLUMBING
BATTUB(S) • ATORY(S - •* A ) ( WI
A ER H TER(S)
DI I KING ER(S) • • N WATER SYS. UM B• • -R(S) . ELE RIC ❑ G S
DRI KING FOUNTAI SHOWER(S) ACH E OUTL:
GAS PIPE OUTLET(S) SINK(S) R C OS, MIS ( )
INTERCEPTOR(S) SUMP(S)
• 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,induding the undersigned,and filed against the City of
Federal Way,but only where uch claim arises out of the reliance of the dty,induding Its officers and employees,upon the accuracy
of the information suppli � •�• :ty as a part of this application.
4i ti�
NAME/TITLE: DATE: /. / ,J
L-
❑ PROPERTY OWNER APPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
.: .• � :AVM".3 .�'941rvvM:SiW��W.1•. � _.��� 3 s.9'5G•: " �3 .Ni.M.:+iRlR rb i."'-YRP.S�'�k w.s+>x?;�.
°j NEW a®:ADDITION p,'JALTERATION� „a REPAIR b,,TENANT IMPROVEMENT ST,
CENSUS`CODE:-- . • gOT:srzerogw.
ZONING,DESIGNATION Va ' v;' a BUILDII G SHELL ONLY7 OYES _,,O NO ;: I .
COMP PLAN DESIGNATION •3 . " '• � = , LAS - , .,�t- A $ 3*.
." T �,�...��.�� ,BASIC,PLJ►N�� �-�[3 YES:� D.NO-���.,�„ :.. �'.::: _�, . .:.
SECTION±�;; TOWNSHIP RANGE ,.; ,i ,NEW,ADDRESS REQUIRED? , .❑YES °a NO =_
PLATTED;LOT? - ''DYES o NO `.titol— " ,CHANGE OF USE? o YES '-3 NO .
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www dtvOfTederaIwdY,com