05-105257Ci of Federal Way �� � j� .{j
Community Development Services A ngle Family Permit
t ti 05-1,65Z57 ������
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: BOYKO
Project Address: 31617 13TH AVE SW Parcel Number: 416795 0260
Project Description: ADD - Construction of a new first floor, 840 sqft garage with a second floor, 528 sqft
addition above the new garage and a new second floor, 240 sqft deck, including some.
mechanical work. No plumbing.
Owner
Applicant
Contractor
Lender
VITALIY BOYKO
VITALIY BOYKO
PO BOX 23814
PO BOX 23814
PO BOX 23814
FEDERAL WAY WA 98093
FEDERAL WAY WA 98093
FEDERAL WAY WA 98093
1614
Census Category: 434 - Residential alt/add - no change;*Wits
Includes: #1 #2 #3 #4 1
Qccupancy Class: R-3 U
�GIUCtlori T e: Type/ - B Type V - B
o c cLoad:
rrArea (sa. ft.) 0 0 0 0
CONDITIONS: `"
This parcel is located within a Wellhead Protection Area (Capture Zone 5) and must comply with FWCC,
Chapter 22, Article XIV "Critical Areas" and fill out a Hazardous Materials Inventory Statement, if applicable
PERMIT EXPIRES Wednesday, February 6, 2008
Permit Issued on Monday, February 6, 2006
I hereby certify that thea ove information is rrect and that the construction on the above described property and
the occupancy and the se I be i accor alice with the laws, rules and regulations of the State of Washington
a the City of Federal Way.
Owner or agent: Date: R, l9%
, �/Q
City of Fwder;A4 Way '" ' I
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 110.2 of the international Building Code certifying that
at the time of issuance, this structure was in compliance with the various ordinances of the City regulating building
construction or use. This certificate is valid ONLY when endorsed by City staff.
Tenant Name: BOYKO
Address: 31617 13TH AVE SW
Permit #: 05 -105257 -00 -SF
Includes:
# 1
#2 #3 #4
Occupancy Class:
R-3
U
Construction Type:
Type V- B
Type V- B
Occupancy Load:
Floor Area (sq. ft.) 1
0 1
0 1 0 0
Owner Name: VITALIY BOYKO
VITALIY BOYKO
Owner Name:
Owner Address: PO BOX 23814
FEDERAL WAY WA 98093
rsuming vmciai uaie
The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which
experience has shown most severly affect the health and safety of the general public. Although the City has made as complete a .
review and inspection as is reasonably possible. (within budgetary time and personnel limitations), the City neither guarantees nor
warrants to the owner/ occupant or to any other person. that this Certificate evidences strict compliance with each and every
ordinance or regulation of the City or the State of Washington affecting the construction or use of said structure or the land upon
which it is situated. Such compliance is the responsibility of the owner and / or occupant of the premises.
r
` THIS ('AIM IS TOR AIN ON-SITE
CITY OF c4pommunity Dev'dopMef Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05 -105257 -00 -SF
Owner: VITALIY BOYKO
Address: 31617 13TH AVE SW
FEDERAL WAY, WA 98023-4722
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS 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.
❑ Temp. Erosion Control (4365) Footings/Setback (4110) ❑ Foundation Wall (4115)
To be done prior to breaking ground Approved to place concreteApproved to place concrete
By Date B(�C Date a 4 L-2 1 1. By AL Date -
❑ Drainage/Downspout (4040)
Approved to backfill
By g::._ Gj I Date &/. • 2613 ` C�
I
Floor Sheathing (4105)
Approved to install flooring
By C ai Date G i 13 • tJ
❑ Mechanical Rough -in (4165)
Approved
By Date
E
Prior to scheduling a Framing (4120)
n; Electrical, Plumbing & Mechanical
nd Fire/Draft Stop inspections must be
nd approved. IBC 109.3.4/UBC 108.5.4
❑ Gypsum Wallboard Nailing (4130)
Approved to install mud & tape
By Date
❑ Slab/Concrete Floor (4255)
Approved to place concrete
By Date
Shear Walls (4245)
Approved to install siding
By C Date &' '/3 •
❑
Gas Piping (4125)
Approved to release test '
By.
Date,::..
❑
Framing (4120)
Approved I
z
Approved to insulate
By
Date
Insulation (4150)
❑
Final - SWM (4375)
Date
Approved
By
Date
❑ Final - Building (4050) []Temp. Erosion Maintenance (4370
Approved Approved
By Date By Date
Underfloor Framing (4285)
Approved to sheath floor
Date L -9
Q
Roof Sheathing (4220) . =
Approved to install roofing
By G %J* Date G l c?,,.
Fire/Draft Stops (4095)
Approved I
z
By
Date
Insulation (4150)
Approved to install wallboard
By
Date
❑
Final - Mechanical (4065)
Approved
By
Date
cede VI/ay ,FIVE! '
PERMIT
� COAIM)MTYDfiVfiLOPA03NTS8RVICSS
9332AVENUE • PO 9718 2FEDERAL WAY, WA 98063-9718
253835-2607• FAX 25.835-260
y p L I C AT I O N
Luwru cif ygJf'ederdwau nom LORAL WAY,,
The following is requirieER-6n
in¢gmpiete application will not be ac
SITE ADDRESS1
ASSESSOR'S TAX/PARCEL it
LEGAL DESCRIPTION (e.g. Aane Estates, Lot 1)
15-'- -(2 z--(�.2
(A-° hrePQrnWP-j-f r-Wfhy legal dmaWm)
SF
7S -7(,o
-0
CO JOE EL JZL Dib EN FF
SUITE/UNIT
LOT SIZE (s.0
or
TYPE OF PERMIT -4UILDING ❑ PLUMBING /�41-W- HANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DE/S��CRIPTION (Provide detailed description of work included on this Dermit onlul
et
PROJECT NAME (Name of Business or Owner Last
CONTRACTOR
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
J\t
CITY, STATE, ZIP —
( 1 -
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE -
FAX NUMBER
— — — — B L
CONTRACTORS REGISTRATION NUMBER (copy of card regalred with each application) EXPIRATION DATE
COMPANY NAME '
S +VF
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP —
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
o Architect ❑ Tenant ❑ Agent ❑ Other (Describe)
( -
r
EXISTING USE7
EXISTING ASSESSED/APPRAISED VALUE $_j
SPRINKLERED BUILDING? ❑ YESNO
WATER SERVICE PROVIDER LAKEHAVEN
SEWF♦R SERVICE PROVIDER • LAKEHAVEN
,E �,✓+, PROPOSED USE l�F.�l'I7rL—
i WlJ VALUE OF PROPOSED WORK i$ or 6DO
FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? O YESNO
• ffiGHLINE c3 TACOMA ❑ PRIVATE (WELL) // \\
❑ HIGHLINE 0 PRIVATE (SEPTICI
AREA DESCRIPTION
STING
SQ. FT.
PROPOSED
SQ. F'P.
TOTAL
SQ.
ME
MISC (Describe)
GAS WATER HEATERS
jFT.
1 �1
WATER CLOSETS
MISC (Describe)
�Cri
ii
1
SECO
HOSE BIBBS
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK COVERED ND
2,40
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS warorO PROPOSED Toro R._..._,.._......... �x
"NEWHOMES ONLY*" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
number of each type of fixture to be
Value of Mechanical Work
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
PLIIlI18ING
BATHTUBS (or Tub/shomrcombo)
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
I.AVS fBerhmom8i ko
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
as part of this project. Do not
to remain.
GAS LOGS
REFRIG. SYSTEMS
HOODS (cemmerriq
WOODSTOVES
RANGES
MISC (Describe)
GAS WATER HEATERS
WATER CLOSETS
MISC (Describe)
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
I cerft under penalty of perjury that the t o on 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 pr ises 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 clatrq, which may be made by any person, ng the undersigne4 and filed against the City of Federal Way, but only where such claim
arises out of the reliance of the city, including tofficers and employees, upon the accuracy of the iry%rmation supplied to the city as a part of
this application
NAME/TITLE \ ` DATE C- l
(Sign tune(/ (Tifle)
/RELATIONSHIP TO PROJECT Owner ❑ Agent ❑ Contractor ❑ Architect ❑ Other
Bulletin #100 — January 7, 2005 Page 2 of 4 k\Handouts\Permit Application
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