05-101412 ederal
Com nnuyDevelopmentservices Building - Single Family Permit #: 05 - 101412 - 00 - SF
P.O.Box 9718
Federal Way,WA 98063-9718 c.
Ph.(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: KRYSA
Project Address: 30519 24TH AVE SW Parcel Number:889420 0090
Project Description: NEW-New 4184sqft single family home with plumbing and mechanical
****5 bedroom/$600,000****
Owner Applicant Contractor Lender
IGOR KRYSA IGOR KRYSA NONE WASHINGTON MUTUAL
29409 19TH PLS 29409 19TH PL S 12691 PALA DRIVE MS 1560PCA
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 GARDEN GROVE CA 92841
Includes:
Census category: 101 -New si
L #1 #2
#3 #4
Occupancy Group:
R-3 U-1 i___
Construction Type: R ________
- —-- - Type V-N Type__ __V N
Occupancy Load -- — —
Floor Area(Sq Ft) �
1st Floor Proposed Sq.Feet 1940 2nd Floor Proposed Sq.Feet - 2194 1
Basic Plan No Census Category g ry 101 -New single family holm
Occupancy#2-Construction Type Type V-N Deck Proposed Sq.Feet 280
Fire Spri iklers Required No Garage Proposed Sq.Feet 684
Height of Structure 26 Mechanical
Yes
Occupancy#1 -Class R-3 Occupancy#2-Class
U-1
Plumbing Yes Total Building Sq.Feet 6387
Total Proposed Sq.Feet 4868 Zoning Designation RS 9.6
Plumbing Fixtures
Description _
_ Description ty
—_ _ _ p.—_ i�Quantltyl L p _��QuantltyJ� Description _ _Q_uantity
Bathtubs 2 Dishwashers Ji 1 j Gas Pipe Outlets 1 3—11
j Laundry Washer Outlets I 1 LavatoriesL 8 —Other Plumbing I Fixtures Jr 2
—Showers 2 —Sinks
1 Water Closets 4
•
Water Heaters __I
1
Mechanical Fixtures
Description Quanfi
— jI ty Description_ _lQuantity� Description (Quantity
Air Handling Units Ji 1 Ducts
1 1 Fans
Fireplace Inserts 1 1 ---
Furnaces r 1 _1 -- — —
I
PERMIT EXPIRES October 26,2005.
Permit issued on April 29,2005
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. !!ff
Owner or agent: — v- 4 Date: 0 4', 49 0.6—
A
t
City of Federal Way
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 110.3 of the Uniform 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: KRYSA Permit number: 05 - 101412-00
Address: 30519 24TH SW
#1 #2 #3 #4
Occupancy Group: R-3 U-1
Construction Type: I� Type V-N Type V-N
Occupancy Load: tFloor Area(Sq.Ft.): i.. I—
Owner
IGOR KRYSA
Name: 29409 19TH PL S
Address: FEDERAL WAY WA 98003
mas• nfsr«fiK, cao
OA
Building Official /S/(�
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 severely
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.
A 1
THIS CARD IS TO•MAIN ON-SITE , ' '
CITY OF °' '' t
om4munity Development Inspection Record
Federal Way IVR INSP1CTI9N REQUEST PHONE # (253) 835-3050
PERMIT #: 05-101412-00-SF
Owner: IGOR KRYSA
Address: 30519 24TH 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.
❑ Temp.Erosion Control (4365) 12 Footings/Setback(4110) ❑ Foundation Wall (4115)
To be done prior to breaking ground Appro ed tylfce concret Approved to place concrete
•By in Date c 74 OS1 By lir Date .t. l�"'� By Date /3••06.--
Drainage/Downspout 4040Groundwork(4190) Slab/Concrete Floor 4255
❑ ( ) 0 Plumbing ❑ ( )
Approved to backfill Approved to cover Approved to place concrete
By toi Date .LL-O By Date By Date
•Underfloor Framing(4285) ❑ Floor Sheathing(4105) ❑ Shear Walls (4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By `w \\, Date 11 By
F-7/F- Date By �. Date ; � /j
?
f�
❑ Roof Sheathing(4220) ❑ Rough Plumbing(4230) 0 Mechanical Rough-in (4165)
Approved to install roofing Approved Approved
By Ji Date g 05 By Lr- Datee.- e/rectr"- By (...- Date q - 3 0,o j--
❑ Gas Piping(4125) ❑ Fire/Draft Stops(4095) NOTE: Prior to scheduling a Framing(4120)
Approved to release test Approved nspection;Electrical,Plumbing&Mechanical
Rough-in and Fire/Draft Stop inspections must be
�` signed-off and approved. IBC 109.3.4/UBC 108 4'
By C....li Date.- 3o-cky— By 5 Date \.(..9--
.
❑ Framing(4120) �❑ Insulation (4150) ❑Gypsum Wallboard Nailing(4130)1
Approved to insulate Approved to install wallboard Approved� to install mud&tape
By -!// � C Date 04, , ,By 03 DatelO./7.03 j i By /g "Ap/ Date 40////kst
Final-Mechanical (4065) Final-Plumbing(4075)
Final- SWM(4375) ❑ 0 ( )
Approved 1 Approved l Approved
By Date / f 84, By Gam- U✓ Date 62- 2. 40By C cot) Dateee- a 0•
❑ Final-Building(4050) ['Temp.Erosion Maintenance(4370)
Approved Approved
By d Date Q6 By Date
A
� RECEI D S'---
�����CIT'OFFederal Way j6_14 12-- —
PERMIT
coMa1UNITvoEVELOPxEMTSERVICES 'uitwt `.e 2Q0 ( MF CO ME EL PL DE EN FP
33325 89,AVENUE SOUTH•PO BOX 9718 �A` D /
FEDERAL WAY,WA 98063-9718-260 ,./"�,Jam .L I CATION TD LI /
253-83w26y7•FAX alwalL 5-2609 CITY OF FEDARE / �
uww.cty°/jeaer°lu,°u cornBUILDING DEPT 1
The ollowin• is re.uired in ormation—an incom•lete a••lication will not be acce•ted. Please •rint le•ibl in in or •e.
• PROPERTY INFORMATION
SITE ADDRESS .305/9 -(q e4 q/7/�AL S 11' Cfa' 11,1-1 404 986','3 SUITE/UNIT# qZ
ASSESSOR'S TAX/PARCEL# / 2 I D 3 - 9 0 .2 2 LOT SIZE (sf) 9, 6O9
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal descaption)
■ PROJECT INFORMATION
TYPE OF PERMIT BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)
IAlec.i hone 1-,4411 plumbin j owl tried-704/rd x//81/
PROJECT NAME(Name of Business or Owner Last Name) P
• PEOPLE INFORMATION
PROPERTY NAME
PRIMARY PHONE
OWNER _ra-,m aHd _:_r/p/4'i K#QySA (;7j3) 94/6 - '/356
MAILING ADDRESS CITY,STATE,ZIP
19'09 /9PS F47 7,j 4(-74 9iCe.%�=-3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
it,/? /be(75,4f .x e (i f ) 4v6 - 1/3 f 6-
MAILING ADDRESS CITY,STATE,ZIP
%,/ / V2 CELL PHONE
CITY OF d q�d qL WA/TSS LICENSE NUMBER / ed 4- ✓ EXPIRATION DATE(17J0> (FNUM) 33.1
ER - 9Gyef
- - - B L / / ( )
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
/ /
APPLICANT COMPANY NAME APPLICANT NAME
OFFICE PHONE
U �l� ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
T r (. IA 9c'(‘ - e"_3 5 6
LENDER Per RCW 19.27.095: Lender information is NAME
required if project value exceeds$5,000 lA"115 uia 0.1 /j6/e/0/
MAILING ADDRESS CITY, STATE,ZIP a
-t ff °4ZA DOVE- 67Cl1de/2 t 'CU�;(4 �/2 W
• DETAILED BUILDING INFORMATION nn //
EXISTING USE J/(�'Q/7 I- PROPOSED USE AA _ //Q
EXISTING ASSESSED/APPRAISED VALUE $ /7O e)2 T VALUE OF PROPOSED WORK $ tri ? 4e:, �
TRINKLERED BUILDING? 0 YES ,XNO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES XNO
kTER SERVICE PROVIDERLAKEHAVEN ❑ HIGHLINE o TACOMA 0 PRIVATE(WELL)
'VER SERVICE PROVIDER LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
PF
r �' PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ. FT. SQ. FT. SQ. FT.
BASEMENT
FIRST
SECOND q0
THIRD t_n
FOURTH
ADDITIONAL FLOORS(DESCRIBE) ZO
DECK(COVERED?)
zia
GARAGE svfCARPORT El
6511 Q/
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTING SF pErrhIsPRIVOSED SF TOTAL SF
**NEW HOMES ONLY** NUMBER OF BEDROOMS .5 ESTIMATED SELLING PRICE $ c.'7 M.52, d ti C
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHAIVICAL
flue of Mechanical Work $ 7 0
06
I AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS .j FANS HOODS(commercial) WOODSTOVES
BOILERS / FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS I FURNACES / GAS WATER HEATERS
I DUCTS 3 GAS PIPE OUTLETS
PLUMBING
/ BATHTUBS(or Tub/Shower Combo) 2 SHOWERS —T_ WATER CLOSETS(roue) MISC(Describe)
/ DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
/ WASHING MACHINES URINALS ‘2., HOSE BIBBS
2 LAVS(Bathroom sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
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. {�
NAME/TITLE —I�� /`e0YS.4 DATE G3,,,,,/e"9J/GIJI
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner 0 Agent ❑ Contractor 0 Architect 0 Other
FOR OFFICE USE ONLY
o NEW a ADDITION a ALTERATION ❑ REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES a NO BASIC PLAN? ❑YES ❑NO
ZONING DESIGNATION CHANGE OF USE? o YES a NO
NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU? ❑YES o NO
PLATTED LOT? ❑YES ❑ NO DEMO PERMIT REQUIRED? ❑YES o NO
'letin#100—August 19,2004 Page 2 of 4 k\Handouts\Permit Application