07-103394City of Federal Way 1 ? nild
Development Services -Single Family Permit 07-1039-01-
munity
P.O. Box 9718
` federal Way, WA 98063-9718
I Ph: (253) 835-2607 Fax: (253) 835-26091 Inspection Request Liao: (253) 835-3050
Project Name: CHEGARNOV (GRANDE VISTA LOT 31)
Project Address: 33312 42ND AVE SW
Parcel Number: 286730 0310
Project Description: NEW - Construction of a new 4,618sgft, 3 -story, single-family residence with 929sgft
attached garage and 192sgft of covered decks, includes plumbing and mechanical. *** 3
bedrooms; estimated selling price $650,000 ***
Census Category: 101 - New Single Family House
Includes:
#1
#2 #3 #4
Occupancy Class:
Owner
Applicant
Contractor
Lender
TIMA CHEGARNOV
TIMA CHEGARNOV
27500 46TH AVE S
INDY MAC BANK
27500 46TH AVE S
27500 46TH AVE S
AUBURN WA 98001-2021
1120 112TH AVE NE
AUBURN WA 98001-2021
AUBURN WA 98001-2021
BELLEVUE WA 98004
l
.191.5
New / Additional Sq. Feet - Garage .......................929
Census Category: 101 - New Single Family House
Includes:
#1
#2 #3 #4
Occupancy Class:
R-3
U
Construction Type:
Type V- B
Type V- B
Occupancy Load:
New / Additional Sq. Feet - Basement ...... ,............
960
Floor Areas . ft.
4,618
929 0 0
Additional Permit information
New / Additional Sq. Feet - 1st Floor....................1774.5
New / Additional Sq. Feet - 2nd Floor ........ .......... 188 31
New / Additional Sq. Feet - 3rd Floor...................0
Occupancy #1 - Area (Sq. Feet) .............................
4618
Occupancy #2 - Area (Sq. Feet).............................929
New / Additional Sq. Feet - Basement ...... ,............
960
Basic Plan?...........................................................
No
Occupancy #1 - Construction Type.......................
Type V - B
Occupancy #2 - Construction Type ........................Type
V - B
New / Additional Sq. Feet - Deck .........................
.191.5
New / Additional Sq. Feet - Garage .......................929
Mechanical to be Included? ...................................
Yes
Occupancy #1 - Class.............................................R-3
Occupancy #2 - Class .............................................
U
New / Additional Sq. Feet - Other.........................0
Plumbing to be Included? ......................................
Yes
New / Additional Sq. Feet - Total ..........................
5738
Occupancy #1 - Use .................................... ..........
Residence (1 or 2
family)
Occupancy #2 - Use...............................................Private
Garage
Zoning Designation ...............................................
RS 7.2
Mechanical Fixtures
Ducts..............................................
1
Fans................................................
8 Fireplace Inserts.............................
2
Furnaces .........................................
1
Gas Pipe Outlets.............................
3 Hot Water Tank.............................
1
Plumbing Fixtures
Bathtubs .........................................
1
Dishwashers...................................
1 Laundry Washer Outlets................
1
Lavatories......................................
6
Showers..........................................
3 Sinks..............................................
2
Water Closets .................................
5
Hose Bibbs.....................................
2
CONDITIONS:
1. A separate permit is required for retaining walls proposed on this lot. The work under that permit shall
be inspected and finalled PRION to issuance of a certificate of occupany.
2. Provide inspection and T emporary Erosion Control (TESC) measures per KCSWDM on all lots. All silt
fencing must be installed to ensure no sediment -laden water enters any adjacent lot, road, or any storm
drainage system. See "Erosion Control for Single Family Construction" brochure attached to plan for
standards.
3. The TVPE (Tree and Vegetation Preservation Easement) shall be flagged or marked PRIOR to any
clearing, grading, construction or development activity.
4. The TVPF• shall be left undisturbed. All trees, vegetwtion, significant, natural features, and natural
co ngj;«_shy shale not be removed or dified witrout written approval by th ty of 14 ederal Way, per phA
requirements. o .
5. Height survey re: wired.° Height survey shall be done by registered surveyor and shall be submitted to the
city prior to roof truss installation. Maximum building height is limited to 30 feet above average building
elevation.
6. Roof and footing drains shall be tight -lined directly to the storm drain stub provided on the lot, without the
10 -foot perforated pipe section.
7. A separate right of way permit may be required for work being performed in the right of way. Contact
Kathy Messinger at 253-835-2725 for permitting requirements.
0
Permit Issued
I hereby certify that the above information is
the occupancy and the use will be in accor,
Owner or agent:
5 Sunday, October 18, 2009
Thursday, October 18, 2007
rct and that the construction on the above described property and
e with the laws, rules and regulations of the State of Washington
the City of Federal Way.
Date:
/16 0'2
City of Fe0eral W
1
Certifi , e 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: CHEGARNOV (GRANDE VISTA LOT 31) Permit #: 07 -103394 -01 -SF
Address: 33312 42ND AVE SW
Includes:
#1
#2 #3 #4
Occupancy Class:
R-3
U
Construction Type:
Type V - B
Type V - B�
Occupancy Load:
Floor Area (sq. ft.)
4,618
929 0 0
Owner Name: TIMA CHEGARNOV
TIMA CIIEGARNOV
Owner Name:
Owner Address: 27500 46TH AVE S
AUBURN WA 98001-2021
uilding Official Date
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 th,6 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 itis situated. Such compliance is the responsibility of the owner and / or occupant of the premises.
THIS CARD IS TO MAN ON-SITE ;
CITY OF tommunity Development ment fnspecti.on Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 83.5-3050
PERMIT #: 07 -103394 -01 -SF
Owner: TIMA CHEGARNOV
Address: 33312 42ND AVE SW
FEDERAL WAY, WA 98023
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.
❑ SWM Precon Site Mtg (4400) ❑ Initial Erosion Control (4365) ❑ Footings/Setback (4110)
Approved To be done prior to breaking ground Approved to place concrete
By Date By Date By Date / I
-
❑ Foundation Wall (4115)
❑
Drainage/Downspout (4040)
❑
Plumbing Groundwork (4190)
Approved
Approved to place concrete
Approved to backfill
Approved to cover
By/ �_
By
; �'i " Date ��
By
J)
/� Date / I �3 t
❑
❑ Slab/Concrete Floor (4255)
❑
Underfloor Framing (4285)
Floor Sheathing (4105)
Approved to place concrete
Approved to sheath floor
Approved to install flooring
`� ate �/ ✓
By
Date
By
1, _yBy
Date
1- 5
❑ Shear Walls (4245)
❑
Roof Sheathing (4220)
❑
Rough Plumbing (4230)
Approved to install siding
Approved to install roofing
Approved
By±� Date _ r�
By
Date
By
Date
❑ Mechanical Rough -in (4165)
❑ Gas Piping (4125)
❑ Fire/Draft Stops (4095)
Approved
Approved to release test
Approved
B C Date __1941�By
Date 1 -� 4(
By
.� Date
❑ Framing (4120)
❑ Insulation (4150)
NOTE: Prior to scheduling a Framing (4120)
inspection; Electrical, Plumbing & Mechanical
Approved to insulate
Approved to install wallboard
Rough -in and Fire/Draft Stop inspections must be
signed -off and approved. IBC 109.3.4/UBC 108.5.4
By lam` Date L4_u`as
C Dat Q�
❑ Gypsum Wallboard Nailing (4130)
❑
Final Erosion Control (4375)
❑
Final - Mechanical (4065)
Approved to install mud & tape
Approved
App v
By Z Date Zi Q
By
Date
By
Z5Date 1 �`J
1J
❑ Final - Plumbing (4075)
❑
Final - Building (4050)
Approved
By / jd" Date�
By
Approved
(%
Interim Erosion Control (4370)
Approved
By Date
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
CITY G' L L
Federal Way RECEI EF PERM x T +
COMMUNITY DEVELOPMENT SERVICES MF CO ME EL PL DE EN FP
3332E 81" AVENUE SOUTH • 63 971 9718 A T
FEDERAL WAY, UY 98063 -260 I(��P P L I C A T I O N
253-835-2607• FAX 253-835-2609 JUN 2
Il_t{!�:.r,�.ry(llfliif'(�C'IY:iIII(ltl. (:911L WWppyy
The following is re4tt�� j dh'incomplete application will not be accepted. Please print legibly (in ink) or e.
PROPERTY•- •
SITE ADDRESS 3-53/z '12,(o 496"& C7/7' SUITE/UNIT #
ASSESSOR'S TAX/PARCEL #C� C� - LOT SIZE (sj zC
T-3/
LEGAL DESCRIPTION (e.g. Acme Estates, Loi 1 ) �! - 3/ ,� (5-e/1111%e— / STT'14-
(Attach separate page for lengthy legal description)
PROJECT INFORMATION
TYPE OF PERMIT ILDING PLUMBING XMECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)
may% F 9 /Lem c.� /3F4 G�%r w c��v S'"7'/2 . � , �'T2� �2� %Z�-c-c.r -r �c;'r •�L,
l /✓ � der c� r j/J %u � /ar ,�, ,�` ,tl.~�i i7 2u cc"G ,.� �; cam+- L—. (
PROJECT NAME (Name of Business or Owner Last Name0,09/V L Ti'I�
•PLE INFORMATION
PROPERTY
NAME
PRIMARY PHONE
OWNER
CONTRACTOR COMP VY NAME
/V Z l7/ /::�-
MAILING ADDRESS
5J3 WE f/ s
CITY OF FEDERAL WAY BUSINESS LICENSE. N11M
COPY of card required
with each application
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
APPLICANT NAME
CITY, STATE, ZIP
R EXPIRATION DATE
EXPIRATION DATE
APPLICANT NAME
CITY, STATE, ZIP
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other
CELLPHONE
FAX NUMBER
(ZS`3) 2.7s -
CELLPHONE
FAX NUMBER
PRIMARY PHONE I E-MAIL ADDRESS -
L�/z//l/GLi/�L
NAME Per RCW 19.27.095:
Lender information is required if project value exceeds $5,000
MAILING ADDRESS S CITY, -STATE, ZIP PHONE
EXISTING ASSESSED/APPRAISED VALUE $
PROPOSED USE--'(�S(DPrII �C� 5(NE �� -f=,
VALUE OF PROPOSED WORK $' ''`� `•"�
SPRINKLERED BUILDING? ❑ YES "0 FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED? ❑ YES OrNO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0<RACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER tg-LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTICI
MAILING ADDRESS
,33/.30 --5tV YZ pj–
CITY, STAT , ZIP ` � �,.�1
%-�41: V1 4
E-MAIL ADDRESS
CONTRACTOR COMP VY NAME
/V Z l7/ /::�-
MAILING ADDRESS
5J3 WE f/ s
CITY OF FEDERAL WAY BUSINESS LICENSE. N11M
COPY of card required
with each application
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
APPLICANT NAME
CITY, STATE, ZIP
R EXPIRATION DATE
EXPIRATION DATE
APPLICANT NAME
CITY, STATE, ZIP
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other
CELLPHONE
FAX NUMBER
(ZS`3) 2.7s -
CELLPHONE
FAX NUMBER
PRIMARY PHONE I E-MAIL ADDRESS -
L�/z//l/GLi/�L
NAME Per RCW 19.27.095:
Lender information is required if project value exceeds $5,000
MAILING ADDRESS S CITY, -STATE, ZIP PHONE
EXISTING ASSESSED/APPRAISED VALUE $
PROPOSED USE--'(�S(DPrII �C� 5(NE �� -f=,
VALUE OF PROPOSED WORK $' ''`� `•"�
SPRINKLERED BUILDING? ❑ YES "0 FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED? ❑ YES OrNO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0<RACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER tg-LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTICI
AREA DESCR'"_TION
EXISTING
PROPOSED
TOTAL
WOODSTOVES
SQ. FT.
SQ. FT.
SQ. FT.
BASEMENT
BOILERS
��
FIREPLACE INSERTS
HOODS (commarew)
Z
COMPRESSORS
O
FIRST
/ RANGES
11�/�_,c_
DUCTS
PLATTED LOT?
.SECOND
jj
995
O
J
BATHTUBS for Tub/Shower Combo)
THIRD
LAYS (aatnroomsinks)
URINALS
MISC (Describe)
ADDITIONAL FLOORS (DESCRIBE)
RAINWATER SYST
VACUUM BREAKERS
DECK 0,COVERED OR []UNCOVERED?)'
DRINKING FOUNTAINS
l
SHOWERS
GARAGE CARPORT 0
�2
NUMBER OF FLOORS
E"'sr'RO
""""o
TOTAL
TOTAL=STLNO Sr
TOTAL PROPOSED Sr_
TOTAL Sr
Ji
"NEW HOMES ONLY*" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE SCS r
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS
EVAPORATIVE COOLERS
_� GAS PIPE OUTLETS
WOODSTOVES
BBQS
FANS
�_ GAS WATER HEATERS
MISC (Describe)
BOILERS
��
FIREPLACE INSERTS
HOODS (commarew)
Z
COMPRESSORS
O
FURNACES
/ RANGES
UP/SEPA/SU? ❑ YES
DUCTS
PLATTED LOT?
GAS LOG SETS
REFRIG. SYSTEMS
O
J
BATHTUBS for Tub/Shower Combo)
t
LAYS (aatnroomsinks)
URINALS
MISC (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS
l
SHOWERS
WATER CLOSETS (Toilet)
ELECTRIC WATER HEATERS
SINKS
_� WASHING MACHINES
HOSE BIBBS
SUMPS
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' Jees 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.
NAME/TITLE
(Signature) (Title)
RELATIONSHIP TO PROJECT Owner ❑ Agent ❑ Contractor ❑ Architect ❑
F.i, 3l lr Q2 ? y
o NEW ❑ ADDITION
❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY?
❑ YES 0 140.
BASIC PLAN? ❑ YES
)kNO
ZONING DESIGNATION
Z
CHANGE OF USE? DYES
O
NEW ADDRESS REQUIRED?
❑ YES 1Y -NO
UP/SEPA/SU? ❑ YES
NO
PLATTED LOT?
❑ YES ❑ NO
DEMO PERMIT REQUIRED? o YES
O
Bulletin #100 —April 2, 2007. Page 2 of 4 k\HandoutsTermit Application
..
. 18. 4 ERMIT A03-
cffy OP 061
COMMUNITYDEVELOPMBhTSERVICEB � j SF MF CO ME EL PL DE EN FP -
33325 D AVEWUE,WAIN • PO DOX 97 ��`` VP,.�P L I G A T I O N
FEDERAL WAY, X 98063.9718
253.835.2607• FAR 253-835-2609
imov.dhrol%deralwayrotn � Y OF rood to
�. ING DEPT,
The following is requ,rmation – an incomplete application will not be accepted. Please print. legibly (in ink) or type.
SITE ADDRESS , fG w1-1,)61( vt// -- 11
,�UITE/UNIT #
ASSESSOR'S TAX/PARCEL # 7 ?-> _Q LOT SIZE is
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1
)h /
(ttac
A epamte pagefor lengthy legal dm iption) _
PROJECT INFORMATION
TYPE OF PERMIT . UILDING ',PLUMBING. p MECHANICAL
13DEMOLITION 11 ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
DESCRIPTION (Provide detailed description of work included on this permit onlu)
PROJECT NAME (Name of Business or Owner Last Name)
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
%14F6l+X-1V0(,1
lei Q
,
COMPANY NAME _
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CrrY, STATE, ZIPCELL
PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
I I
CONTRACTOR'S REGISTRATION NUMBER
EXPIRATION DATE
E-MAIL ADDRESS
NAME
, STATE, ZIP
❑ Architect ❑ Tenant ❑ Agent ❑ Other
t I
CELLPHONE
FAX NUMBER
NAM • `; - PRIMARY PHONE - E-MAIL ADDRESS
VAME Per RCW 19.87.095:
VIAILJIVU AESS
r3 Lender information is required ifproject value exceeds $5,000
CITY, STATE, ZIP Pump
EXISTING ASSESSED/APPRAISED VALUE $_
SPRINKLERED BUILDING? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN
SEWER SERVICE PROVIDER O LAKEHAVEN
PROPOSED USE 9c5 i Q AN'/ 5-✓��
VALUE OF PROPOSED WORK
FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
❑ HIGHLINETACOMA ❑ PRIVATE (WELL)
❑ HIGHLINE 0 PRIVATE (SEPTICI
`i iDo .
GJtij
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS <'
EXISTING
S . FT.
PROPOSED TOTAL
S . FT. SQ.FT.
AREA DESCRI
BASEMENT
FANS
C
FIRST
BOILERS
p
/
SECOND
BASIC PLAN?
it
THIRD
RANGES
ADDITIONAL FLOORS (DESCRIBE)
GAS LOG SETS
REFRIG. SYSTEMS
DECK (fq'COVERED OR ❑ UNCOVERED?)
G'
UP/SEPA/SU?
GARAGE ❑ CARPORT ❑
o NO
BATHTUBS (-Tub/shower combo)
NUMBER OF FLOORS
raosrtsa
PROPOSED
TOTAL
MAL icvsrnvosr
TorALlRoro@zaar 7Q! aAll
"NEWHOMES ONLY"NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS <'
EVAPORATIVE COOLERS
GAS PIPE OUTLETS
WOODSTOVES
BBQS
FANS
GAS WATER HEATERS
MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS (commercia))
BASIC PLAN?
COMPRESSORS
FURNACES
RANGES
DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
NEW ADDRESS REQUIRED?
G'
UP/SEPA/SU?
o YES
o NO
BATHTUBS (-Tub/shower combo)
LAVS (BaftwmSinks)
URINALS
MISC (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS (rodeo
ELECTRIC WATER HEATERS 72--
SINKS
( WASHING MACHINES
HOSE BIBBS
SUMPS
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 taws 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 apart of this application.
SIGNATURE: ' �/ c'.� /�}'I DATE y r`
Property Owner and/or Authorized Agent
Bulletin #1100 = August 16, 2007
Page 2 of 4 .
k\Handouts\Permit Application
❑ NEW ❑ ADDITION
o ALTERATION
o REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES ❑ NO
BASIC PLAN?
o YES
6 NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
o NO
NEW ADDRESS REQUIRED?
o YES o NO
UP/SEPA/SU?
o YES
o NO
PLATTED LOT?
o YES o NO
DEMO PERMIT REQUIRED?
o YES
o NO
Bulletin #1100 = August 16, 2007
Page 2 of 4 .
k\Handouts\Permit Application
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