16-102855City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: KRYSA
Project Address: 28811 19TH AVE S
Building - Single PhI m ly
Permit #: 16 -102855 -00 -SP
Inspection Request Line: (253) 835-3050
Parcel Number: 422300 0020
Project Description: NEW - Construction of a 2,064 square foot, 2 -story single family residence with a 108
square foot covered entry, a 194 square foot covered patio and a 469 square foot attached
garage. Includes plumbing & mechanical. ***4 Bedrooms; $320,000 estimated selling
price***
Owner
Applicant
Contractor
Lender
RADISLAV KRYSA
RADISLAV KRYSA
OWNER IS CONTRACTOR
JAM WILSON
33322 42ND AVE SW
33322 42ND AVE SW
Ducting...........................................
WASHINGTON FEDERAL SAVINGS
FEDERAL WAY WA 98023
FEDERAL WAY WA 98023
Fireplace Inserts.............................
'2206 S 320TH ST
Furnaces........................
Gas Piping ......................................
FEDERAL WAY WA 98003
Census Category: 101 - New Single Family House
Includes:
#1 #2 #3 #4
Occupancy Class:
R-3
Construction Type:
Type V - B
Occupancy Load-
oadFloor
1
FloorAreas . ft.
0 1 0 1 0 0
Additional Permit Information
New / Additional Sq. Feet - 1 st Floor....................1089
New / Additional Sq. Feet - 3rd Floor....................0
Calculated Structure Valuation..............................259314.97
New / Additional Sq. Feet - Deck..........................0
Mechanical to be Included?....................................Yes
Mechanical Work Valuation?.................................12000
New / Additional Sq. Feet - Other ..........................302
New / Additional Sq. Feet - Total .......................... 2835
New / Additional Sq. Feet - 2nd Floor...................975
New / Additional Sq. Feet - Basement...................0
Occupancy # I -Construction Type ........................Type V - B
New / Additional Sq. Feet - Garage .......................469
Plumbing Work Valuation?....................................8500
Occupancy # I -Class .............................................R-3
Plumbing to be Included?.......................................Yes
Occupancy # 1 -Use ............................................... Residence (1 or 2
family)
CONDITIONS:
A new driveway approach, or widening of the existing approach, requires a City Right of Way (ROW)
Permit. Contact Kathy Mathena at (253) 835-2725 for the ROW Permit application and requirements.
F 1C, 1W,
Mechanical Fixtures
Air Conditioners - Stand Alone Un
1
Boilers ............................................
1
Ducting...........................................
1
Fans ................................................
5
Fireplace Inserts.............................
1
Furnaces........................
Gas Piping ......................................
1
Gas Pipe Outlets.............................
5
Hot Water Tanks............................
1
Plumbing Fixtures
Bathtubs .........................................
1
Dishwashers ......... ......... ..........
1
Laundry Washer Outlets ...............
1
Lavatories.......................................
3
Showers..........................................
1
Sinks...............................................
2
Water Closets .................................
3
Hose Bibbs.....................................
2
CONDITIONS:
A new driveway approach, or widening of the existing approach, requires a City Right of Way (ROW)
Permit. Contact Kathy Mathena at (253) 835-2725 for the ROW Permit application and requirements.
F 1C, 1W,
f
f
. . PERMIT EXPIRES Wednes+ly,�January, 11, 2017
Permit Issued on Friday, July 15, 2016
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: �l L �fO!( Jam/ /. 4 Date: 7—/7-4
City of Federal Way
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 QW1 staff
Tenant Name: KRYSA
Address: 28811 19TH AVE S
Permit #: 16 -102855 -00 -SF
Includes:
# 1 #2 #3 #4
Occupancy Class:
R-3
Construction Type:
Type V - B
Occupancy Load
Floor Area (sq. ft.
0 0 0 0
Owner Name: RADISLAV KRYSA
RADISLAV KRYSA
Owner Name:
Owner Address: 33322 42ND AVE SW
FEDERAL WAY WA 98023
Le �"
Building Official bate
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.
Federal Way
PERMIT #:
Project:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
16 -102855 -00 -SF Address: 28811 19TH AVE S
RADISLAV KRYSA FEDERAL WAY, WA 98003-3811
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.
0 SWM Precon Site Mtg ()
❑ Initial Erosion Control (4 65)
13 Footings/Setbac ( 110)
Approved
To be done prior to breaking ground'.�&
Approved to place concrete
1:1Approved
Approved to place concrete
O�
By Date
By Date
By Date
0
Foundation Wall (4115)
0
Drainage/Downspout (40p40 )
By
❑ Plumbing Groundwork (4190)
1:1Approved
Approved to place concrete
By
Approved to backfill $ `
Approved
Approved to cover
By
J\ tJ Date j) J
By
A rj Date q I9
By 0
Date ` t'. ` 1
Slab/Concrete Floor (4255)
Underfloor Framing (4285)
Floor Sheathing (4105)
Approved to place concrete
Approved to sheath floor
Approved to install flooring
By
DateBy
f}N Date 011 7.0 1 /
By 0
Date b
Shear Walls (4245)
Approved to install siding
By :W►7 Date 11�?.p�iS,
0 Mechanical Rough -in (4165)
Approved
By Date
0 Roof Sheathin
Approved to install
Date 1
Gas Piping (412:
Approved to release test
By A c. Date
Q Interim Erosion Control (4370)ENZIDraft
duling a Framing inspection,
Approved bing & Mechanical Rough -in and
nspections must be signe&off and
By Date proved. IBC 109.3.4
[:]Gypsum Wallboard Nailing (4130)
Approved to install mud & tape
By r,') Date 1
Final - Plumbing (4075)
Approved
By Date
0 Rough Plumbing (4230)
Approved
By A,,,} Date t 2 I& � (�
Fire/Draft Stops (4095)
Approved
By Date
Framing (4120)
Approved to insulate
By Date
v
0 Final Erosion Control (4375)
Approved
By Date
Final - Building (4050)
Approved
By Date �g
El
Insulation (4150)
Approved to install wallboard
By
Date
1:1Approved
Right of Way
By
Final - Mechanical (4065)
Approved
By
Date
[:]Gypsum Wallboard Nailing (4130)
Approved to install mud & tape
By r,') Date 1
Final - Plumbing (4075)
Approved
By Date
0 Rough Plumbing (4230)
Approved
By A,,,} Date t 2 I& � (�
Fire/Draft Stops (4095)
Approved
By Date
Framing (4120)
Approved to insulate
By Date
v
0 Final Erosion Control (4375)
Approved
By Date
Final - Building (4050)
Approved
By Date �g
El
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date
i ORLCEIVWPERMI1APPLICATION
CITY _D€
1►.ie 1 Way JUN 1U 2016 PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenter(acityoffederalway.com
,CITY OF FEDERAL WAY �
PERMIT NUMBER _ C) 7 / SD 55 _ 5 D —7-)15-//(,
— TARGET DATE
SITE ADDRESS
20 ICA t' cave S Fe-eYA 1 ud c�.y
SUITE/UNIT #
PROJECT VALUATION
ZONN�IN�G"
1�•J,�
ASSESSOR'S TAX/PARCEL #
2 Z - 0
TYPE OF PERMIT
; BUILDING 9PLUMBING 104dECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION
Caijh-Uek?n o ✓ i s nv� A c4
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
PRIMARY PHONE
MAILING ADDRESS
332Z q. aie .au
E-MAIL
rad kv jA
CITY
Fe uer / u</ei
STAIE
Wif
ZIP
NAME fj'�J, pp,, �����r
PHONE
V W V�Y
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
MAILING ADDRESS
lt�i 1 371,d'
E-MAIL
rad/e s e,
APPLICANT
CITY
1eL,j1 WNj
STATE
ZIP
FAX
PROJECT CONTACT
NAME /
3l ? {/
PRIMARY PHONE
Z
(The individual to receive and
respond to all correspondence
MAI ADDRESS
�1 L etue- 5 LL"
E-MAIL
r44k, v -s , f�
CITYr I
STAT
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME FL -64,Y4
WOJ411a FL- Y J G/ t'e
❑ OWNER -FINANCED
When value is $5,000 or more
(RCW 19.27.095)
MAILING ADDRESS, TY, STATE, ZIP
Z .Z �•,, /' 7 C � / / �
GC✓C1 � .. �G.�� �l F1.�,. - � G" Vlf
PHONE
_
ZJ ?j ,.- G/ % '��(✓ni
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 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 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,
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.
SIGNATURE: DATE
// j
PRINT NAME: / L 4 elj &Z (ljg
Bulletin #100 - January 29, 2016 Page 1 of 2 k:\Handouts\Permit Application
1)
71�"
VAN
i
_ TWECHANICAL PERMIT
` Indicate how many of each typ
T AIR HANDLING UNITS
AIR CONDITIONER
BOILERS
COMPRESSORS
1 DUCTING
VALUE OF MECHANICAL WORK
$ 17,()CSU
to be installed or relocated as p rt of this project. Do not include existing fixtures to remain.
FANS GAS PIPE OUTLETS OTHER (Describe)
FIREPLACE INSERTS HOODS (commercial)
FURNACES HOT WATER TANKS (Gas)
GAS LOG SETS REFRIGERATION SYST
GAS PIPING WOODSTOVES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
( I�(✓
WATER PURVEYOR
J{ kL {' e4W"
VALUE OF PLUMBING WORK
PLUMBING PERMIT
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
Uz v
EXISTING FIRE SPRINKLER SYSTEM?
❑Yes No
PROPOSED FIRE SUPPRESS ON SYSTEM?
❑Yes o
-c)o
Indicate how many of each type offixture
to be installed or relocated as part
of this project. Do not include existing fixtures to remain.
BATHTUBS (or 1Lb/shower combo)
LAVS Hand Sinks) _ 3
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kitchen/utility)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS I
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
( I�(✓
WATER PURVEYOR
J{ kL {' e4W"
SEWER PURVEYOR
CC � - h &pm l
VALUE OF EXIST/I(NG�MPROVEMENTS
$ / 1
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
Uz v
EXISTING FIRE SPRINKLER SYSTEM?
❑Yes No
PROPOSED FIRE SUPPRESS ON SYSTEM?
❑Yes o
Bulletin #100 — January 29, 2016 Page 2 of 2 k:\Handouts\Permit Application
VICINITY MAP
ISI Ill ��� IIID
'•- —III—,
Infiltration trench filled with
washed rocks covered with
construction fabric
2 - 16ft. 4" pert. pipe for footing
dreinage and roof dreinage
DRAINAGE PLAN
CONSTRUCTION
SILT FENCE
BSBL
INFILTRATION TRENCH
' PROPOSED SINGLE
FAMILY RESIDENTIAL
a
COVERED
4' L PORCH
a �—
COVERED PATIO
4 CONCRETE
4
� a
2 CAR GARAGE
BSBL
4
4 a
CONCRETE a
a WALKWAY 4 .4 .
0 4
b4 d. 4.
a
a
CONCRETE 1'I
4 ,DRIVEWAY . -
\ a a
SEWER ON SITE
SEWER
UNDERGROUND
TO HOUSE
GAS
UNDERGROUND
TO HOUSE
PHONEAND
ELECTRIC
UNDERGROUND
TO HOUSE
EXISTING PSE GAS
ONSITE
\ CONSTRUCTION
SILT FENCE
WATER
UNDERGROUND
TO HOUSE
EXISTING ELECTRIC
BOX ONSITE
EXISTING WATER
METER ONSITE
W
Lr•-
PROJECT DESCRIPTION:
VJ
CONSTRUCTION OF NEW TWO STORY SINGLE FAMILY RESIDENCE PER PLAN
0
00
PARCEL# 422300002o ZONING: RS7.2
00 W
LOT COVERAGE:
BSBL
STRUCTURES
V
(COVERED PORCH AND PATIO INCLUDED) 1,391 SQ.FT. 119.7%
TREE NOTES
vi A.6
W ISG
�.
LABEL
A
I DESCRIPTION SIZE
SMALL EVERGREEN
TALIMPERVIO 1,9 5SQ.
1,955 SQ. .127.8%
S
�'.+
LOTALIMPERVIOUS
LOT SIZE 7,034 SQ.FT.
73" CIRCUMFERENCE
RETAIN
OWNER:
MAX. IMPR. SUFR. COVERAGE 50
ui
M
NOTES:
1. EXISTING AVERAGE PROPERTY GRADE ELEVATION AT 452'THROUGHOUT
B
C
SMALL EVERGREEN 15" CIRCUMFERENCE
SMALL EVERGREEN
O
2. NO RETAINING WALLS PROPOSED ONSITE
3. EXISTINDURING CONSTRUCTION,
IO BE USED AS TEMPORARY PARKING
DURING CONSTRUCTION.
®
MM
V/ W
SEWER ON SITE
SEWER
UNDERGROUND
TO HOUSE
GAS
UNDERGROUND
TO HOUSE
PHONEAND
ELECTRIC
UNDERGROUND
TO HOUSE
EXISTING PSE GAS
ONSITE
\ CONSTRUCTION
SILT FENCE
WATER
UNDERGROUND
TO HOUSE
EXISTING ELECTRIC
BOX ONSITE
EXISTING WATER
METER ONSITE
Lr•-
VJ
0
00
W
00 W
N r)
TREE NOTES
vi A.6
�.
LABEL
A
I DESCRIPTION SIZE
SMALL EVERGREEN
PLAN
S
�'.+
73" CIRCUMFERENCE
RETAIN
OWNER:
RAD KRYSA
B
C
SMALL EVERGREEN 15" CIRCUMFERENCE
SMALL EVERGREEN
RETAIN
FEDERAL WAY WA
`"
17" CIRCUMFERENCE
UNITS REQUIRED:4
RETAIN
RAD KRYSA
253-269-2254
UNITS RETAINED:6
DATE: 05-14-16 9
1veD
SEWER ON SITE
SEWER
UNDERGROUND
TO HOUSE
GAS
UNDERGROUND
TO HOUSE
PHONEAND
ELECTRIC
UNDERGROUND
TO HOUSE
EXISTING PSE GAS
ONSITE
\ CONSTRUCTION
SILT FENCE
WATER
UNDERGROUND
TO HOUSE
EXISTING ELECTRIC
BOX ONSITE
EXISTING WATER
METER ONSITE
Lr•-
0
00
00 W
N r)
vi A.6
LL
v
OWNER:
RAD KRYSA
33322 42ND AVE SW
FEDERAL WAY WA
RADKRYSA@GMAIL.COM
DRAWN BY:
RAD KRYSA
253-269-2254
DATE: 05-14-16 9
1veD
�
JUN 10 2W
S.
CITYoF cos�L NAY
H r
a
1 e
SITE
PLANQND
SCALE:
1"=5-0"
��