15-102315� � M
City of Federal Way
CornAunity & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: NIKITCHUK
Project Address: 28248 28TH AVE S
4pilding-.Sint Y ..;<nily .
Permit #: 15-102315-00-* SF
L F -2m
Inspection Request Line: (253) 835-3050
Parcel Number: 111700 0230
Project Description: NEW - Construction of a 3,462 square foot 2 -story single family residence with a 220
square foot deck and a 635 square foot attached garage. Includes plumbing & mechanical.
**4 bedrooms; $400,000 estimated selling price**
Owner
ARplican
Contractor
Lender
ANDREY & OKSANA NIKITCHUK
ANDREY & OKSANA NIKITCHUK
OWNER IS CONTRACTOR
WASHINGTON FEDERAL BANK
30323 24TH PL S
30323 24TH PL S
Plumbing Work Valuation?....................................10000
2206 S 320TH ST
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
New / Additional Sq. Feet - Total ..........................
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
V - B
FloorAreas . ft.
3,462 1 0 0 0
Additional Permit Information
New / Additional Sq. Feet - 1 st Floor....................1650
Occupancy # 1 - Area (Sq. Feet).............................3462
New / Additional Sq. Feet - 3rd Floor....................0
BasicPlan?...........................................................
New / Additional Sq. Feet - Basement...................0
New / Additional Sq. Feet - Deck ..........................
Occupancy #I - Construction Type ........................Type
V - B
New / Additional Sq. Feet - Garage .......................635
Occupancy # 1 - Class.............................................R-3
Plumbing Work Valuation?....................................10000
Plumbing to be Included?.......................................Yes
New / Additional Sq. Feet - Other ..........................0
Occupancy # 1 - Use ...............................................
New / Additional Sq. Feet - Total ..........................
4317
Zoning Designation................................................RS 7.2
New / Additional Sq. Feet - 2nd Floor...................1812
Occupancy # 1 - Area (Sq. Feet).............................3462
Mechanical Fixtures
BasicPlan?...........................................................
No
New / Additional Sq. Feet - Deck ..........................
220
Mechanical to be Included?....................................Yes
1
Occupancy # 1 - Class.............................................R-3
Fireplace Inserts .............................
Plumbing to be Included?.......................................Yes
Furnaces.........................................
Occupancy # 1 - Use ...............................................
Residence (1 or 2
Gas Pipe Outlets ...........................
family)
CONDITIONS:
* Right of way permit is required to install driveway approach per COFW detail connecting to 28th Ave S.
Contact ROW permit desk at 253.835.2725 for more details. Final Building Inspection & CO Will Not Be
Scheduled Until ROW Permit Requirements Are Met.
Mechanical Fixtures
Air Conditioners - Stand Alone Un
1
Ducting ...........................................
1
Fans................................................ 7
Fireplace Inserts .............................
2
Furnaces.........................................
1
Gas Piping ...................................... 1
Gas Pipe Outlets ...........................
8
of Water Tanks..............
1
Plumbing Fixtures
Bathtubs .........................................
2
Dishwashers...................................
1
Laundry Washer Outlets................ 1
Lavatories.......................................
5
Showers..........................................
1
Sinks............................................... 1
Water Closets .................................
3
Hose Bibbs.....................................
2
CONDITIONS:
* Right of way permit is required to install driveway approach per COFW detail connecting to 28th Ave S.
Contact ROW permit desk at 253.835.2725 for more details. Final Building Inspection & CO Will Not Be
Scheduled Until ROW Permit Requirements Are Met.
r PEVIT EXPIRES Saturday, January016 r �'
s Permit Issued on Monday, July 13, 201
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:,�i'Czz i� e l 1 l Date-.-
City
ate:
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 City staff.
Tenant Name: NIKITCHUK
Address: 28248 28TH AVE S
Permit 4: 15 -102315 -00 -SF
Includes:
# 1 42 #3 44
Occupancy Class:
R-3
Construction Type:
Type V - B
Occupancy Load:
Floor Area (sq. ft.)
3,462 1 0 1 0 0
Owner Name: ANDREY & OKSANA NIKITCHUK
ANDREY & OKSANA NIKITCHUK
Owner Name:
Owner Address: 30323 24TH PL S
FEDERAL WAY WA 98003
L 0
Building 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 seventy 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 itis situated. Such compliance is the responsibility of the owner and / or occupant of the premises.
I*•
>. _ . THIS CARD IS RMAIN ON-SITE `
�ederl Wa Construction In ection ecord
y INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 15 -102315 -00 -SF Address: 28248 28TH AVE S
Project: ANDREY & OKSANA NIKITCHUK FEDERAL WAY, WA
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)
Right of Way
Approved
Approved
Date
To be done prior to breaking ground
B!�
Approved to place concrete
By
Date
By
Date
By
�A43 Date.
0
Foundation Wall (4115)
Drainage/Downspout (4040)
❑
Plumbing Groundwork (4190)
Right of Way
Approved
Approved to place concrete
Date
Approved to backfill
B!�
Approved to cover
By
Date 40 2'v 1 -
B� Date �_ l�_ l
By
Date
Slab/Concrete Floor (4255)
Underfloor Framing (4285)
❑
Floor Sheathing (4105)
Approved to place concrete
Approved to sheath floor
Approved to install flooring
By
Date
B
Date_ ZZ—
By
wWF Date
Shear Walls (4245)
E:]
Roof Sheathing (4220)
E]
Rough Plumbing (4230)
Approved to install siding
Approved to install roofing
Approved
By
VkAttDate l o ( (G ( (e:-
By
Date L p 14 t S
B
Date
Mechanical Rough -in (4165)
Gas Piping (4125)
Fire/Draft Stops (4095)
Approved
Approved to release test
Approved
By
Date 1 •� -t 5
By
Date
By
Date l r-
Interim Erosion Control (4370)
Prior to scheduling a Framing inspection;
4120)
Framing ( )
Approved
Electrical, Plumbing & Mechanical Rough -in and
Approved to insulate
By
Date
Fire/Draft Stop inspections must be signed -off and
BY
r ` Date 7i
approved. IBC 1093.4
,
Insulation (4150)
❑ Gypsum Wallboard Nailing (4130)
❑
Final Erosion Control (4375)
Approved to install wallbroardt
Approved to install mud & tape
Approved
By
Date Zf { R t`,
By
f. Date (2 (gl ( t;-
By
Date
Final - Mechanical (4065)
El
Final - Plumbing (4075)
Final - Building (4050)
Approved
Approved
Approved
—
B ------ �`� Dates
_
Date(,-7G;, I
By Z � Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
B!�
Date (,� fir- (C�
By
Date
-P 0 PERMIAKFPL1CATIOA
deraI Way 4 0
PERMIT NUMBER _ ((� Z3 f - MAY 14 2015 �O 5A 5
SITE PDDRESSI� � � � � .�\'^ SUITE/UNIT #
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL #
$ 0250, SOD i 1 L
TYPE OF PERMIT
VBUILDING UPLUMBING Li'l MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
/Vl e s/
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAM ��j/ � � L /,, /_
l� (�l? 2 �k S a VI d i , n J �C'' ° Gl /�
PHONE
5 3 � S.2 ' 00-3
(p�
3�03Da 3
E-MAIL n �� ehuk a(7or�
CITI
U%Ji
ZIPR`�r�fl3
NAME
PHONE
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
Ok,5 ana Mk;4ehc(k
PRIMARY PHONE
Z53-93.2 -003-C
Mnti z3 ADDRESS 05.2-S 02 il %L
k53 i?a, n Ki-FCf2& MI—R"/
APPLICANT
CITY
-
oie ;;&, / Wj
STATE
W,+
ZIP( y
FAX
PROJECT CONTACT
NAME m11
5 �� e f I S 6k/ t C �i / l
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME ff ��, //� � y� ,, , /
i7 FE'��LE'.�' a' { � �i yI K
� OWNER -FINANCED
Required value of $5,000 or more
(IrcwI9.2zo9s)
MAILING ADDRESS, CITY, ftATE, ZIP
-1 .2 06 �v20 Rhe lv�
PHONE
4,S_ 3 L /- 3,F05
I eertVj under penalty of perjury that I am the property owner or authorised agent of the property owner. I certify that to the best
of my knowledge, theainformation 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 authorised bg 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 application.
toof�this
` / S
SIGNATURE://��Y� DATE
PRINT NAME:
dr
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
Indicate how many of each type o re to be installed or relocated as part of this project. Do not include existirkqfLctures to remain.
BATHTUBS (or Tub/Shower Combo) 5 LAVS (HandSin1N �3 TOILETS WATER PIPING
i DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS _� SINKS (Kitchen/utility) —7— WATER HEATERS (electric)
_ HOSE BIBBS SUMPS f WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
A/10
WATER PURVEYOR
l Ae k6eq Of
SEWER PURVEYOR
La kp h a ileo U -k.1.
OF MECHANICAL WORK
MEVALUE
CHANICAL PERMIT
LOT SIZE (In Sgna a Feet)
'?, ? Cr o sl
EXISTING FIRE SPRINKLER SYSTEM?
❑ Yes iii/No
PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes &of/No
FIRST FLOOR (or Mobile Home)
650
$
Indicate how many of each type of
future to be installed or relocated as
part of this project. Do not include existing res to remain.
/ AlR HANDLING UNITS
FANS
GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER
_ j`
FIREPLACE INSERTS
HOODS (commercial)
BOILERS
/
FURNACES
�r
% HOT WATER TANKS JG—)T" k )e 3S
COMPRESSORS
GARAGE ❑ CARPORT ❑
GAS LOG SETS
REFRIGERATION SYST
DUCTING
_
GAS PIPING
WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
Indicate how many of each type o re to be installed or relocated as part of this project. Do not include existirkqfLctures to remain.
BATHTUBS (or Tub/Shower Combo) 5 LAVS (HandSin1N �3 TOILETS WATER PIPING
i DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS _� SINKS (Kitchen/utility) —7— WATER HEATERS (electric)
_ HOSE BIBBS SUMPS f WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
A/10
WATER PURVEYOR
l Ae k6eq Of
SEWER PURVEYOR
La kp h a ileo U -k.1.
VALUE OF EXISTING IMPROVEMENTS
$
EXISTING/PREVIOUS USE
/k/0
LOT SIZE (In Sgna a Feet)
'?, ? Cr o sl
EXISTING FIRE SPRINKLER SYSTEM?
❑ Yes iii/No
PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes &of/No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
BASEMENT
Additional Information
NEW BUILDING
FIRST FLOOR (or Mobile Home)
650
ADDITION
SECOND FLOOR
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
COVERED ENTRY
Area
in Square Feet
Occupancy Group(s)
Construction
# of
Stories
DECK
TOTAL BUILDING
122 U
GARAGE ❑ CARPORT ❑
b 7�
OTHER (describe)
PROJECT AREA ONLY
Area Totals
ffiSMO
PROPOSED
TOTAL
..._.__.__.......__..............
**NEW HOMMS ONLY`*
ESTIMATED SELLING PRICE $ 00 w
I # OF BEDROOMS `
COMMERCIAL — NEW/ADDITION
AREA DESCRIPTION
Area
in Square Feet
Occupancy Group(s)
Construction
# of
Stories
Additional Information
NEW BUILDING
ADDITION
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area
in Square Feet
Occupancy Group(s)
Construction
# of
Stories
Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
PARCEL NUl15ER:
111100-0230
LEGAL DE5CRIFTIQN;
5RITTON5 FIRST AIDE)
Flat Block: 2
Flat Lot; I
LAND60'-0",
22'-0' 531-01 O -60'-0"N 88718
5rol w 1351
- — — — — — — — — — — — — — — -
w w
At PClM. WDOTA-ft Uft aNSb, OR
w w
w
LLI
0
FROP05ED E3UILIDING
KENTON, WA 07,
26.05 io
COVERED
>
URBAN
DESIGN
GROUP
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03
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COVERED
51LT FENCE
St
izi
STOCKPILE
C E I V E Q
- ------ --r-j
0-4
4—
1
51TE FLAN -r -Y
DATE 1,
OF FEDERAL WAY
ENTRY
\M
If
L22 CONSTRUCTION ENTRANCE
PARCEL NUl15ER:
111100-0230
LEGAL DE5CRIFTIQN;
5RITTON5 FIRST AIDE)
Flat Block: 2
Flat Lot; I
LAND60'-0",
22'-0' 531-01 O -60'-0"N 88718
5rol w 1351
- — — — — — — — — — — — — — — -
PH'
w w
5AVE.N. 5UITF
PAINTER 9 RA EK AV5057
5TE.: A200
w w
w
LLI
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FROP05ED E3UILIDING
KENTON, WA 07,
26.05 io
COVERED
>
URBAN
DESIGN
GROUP
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03
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COVERED
St
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STOCKPILE
C E I V E Q
- ------ --r-j
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iviff 14 2915
1
51TE FLAN -r -Y
DATE 1,
OF FEDERAL WAY
ENTRY
\M
1 \WA
LK
L
lu
N ee7j8'5& w 1.35,
40--4-
PH'
5AVE.N. 5UITF
PAINTER 9 RA EK AV5057
5TE.: A200
TOTAL LOT AREA
—Td
LLI
0
FROP05ED E3UILIDING
KENTON, WA 07,
26.05 io
COVERED
PH: (206) 536-5250
URBAN
DESIGN
GROUP
I I . UATER
LINE
5AN ITARY
SEWER
SITE FLAN
SCALE: V = 20'-0"
OWNER INFORMATION: II SITE AE)OPE55:
P/N: It 1700-0230
262V 28th Ave, south
FEDERAL WAY, WA
I
I
LOT GOVERAC:;E (STRUCTURES)
'3,'3'30 &F.
TOTAL LOT AREA
—Td
LLI
2.603 5F.
FROP05ED E3UILIDING
�AM
26.05 io
COVERED
3,21a 5F.
Lu
mmI
lNl-r=Rvlcu�S
VIE)
03
TIO
COVERED
St
izi
STOCKPILE
C E I V E Q
- ------ --r-j
0-4
I
I
LOT GOVERAC:;E (STRUCTURES)
'3,'3'30 &F.
TOTAL LOT AREA
-0 >
;�o (:7 m
() 0 m
71
2.603 5F.
FROP05ED E3UILIDING
m
n
26.05 io
COVERED
3,21a 5F.
lNl-r=Rvlcu�S
S
03
COVERED
C E I V E Q
iviff 14 2915
1
51TE FLAN -r -Y
DATE 1,
OF FEDERAL WAY
CDs