01-103305City of Federal Way
Community Development Services Building - Single Family Permit #:01—103305 — 00 — SF
33530 Is( Way S
Federal Way, WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: KISLYAK
Project Address: 34402 24TH PL SW Parcel Number: 894720 0110
Project Description: SF - Permit to complete and final work authorized under permit #95-102734-00-SF (original permit to
construct foundation and relocate residence to site).
Owner
Applicant
Contractor
Lender
Leonid T & Luybov Kislyak
LEONID KISLYAK
Leonid T & Luybov Kislyak
NONE
34402 24TH PL SW
707 29TH ST SE
FEDERAL WAY WA
AUBURN WA 98002
34402 24TH PL SW
98023-3052
FEDERAL WAY WA
NONE
Includes
Census category: 999 - Unkno #1 #2 #3 #4
Occupancy Group: R-3 U-1
Construction Type: Type V - N Type V - N
Occupancy Load:
Floor Area (Sq. Ft.):
Census Category ...............................................- 999 - Unknown Construction Type#2............... ........................... Type V - N
Mechanical ................................................. No Occupancy Group#1........................ ................... R-3
Occupancy Group#2...........................................U-1 Plumbing ............................
».................. —. No
Total Building Sq. Feet........................................5136 Zoning Designation ...... .... -- ...................... ....... . RS 7.2
CONDITIONS:
1. Original plans to be available on site for building inspector.
PERMIT EXPIRES February 17, 2002, IF NO WORK IS STARTED.
Permit issued on August 21, 2001
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: {2�� 11� 11' e o ' Date:41
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CONSTRUCTION PERMIT APPLICATION
��I�,PPLICATION NUMBER:aj _ - G� = ea. S�
APPLICATION NUMBER:
pE� AY
.' UPAPPLICATION NUMBER:BL,4D d
"The following is required information — Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
ASSESSOR'S TAX/PARCEL #:
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PROJECT■
TYPE OF PROJECT (This application): ,i'i.,3UILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): 1
VtA-
PROJECT NAME:
CONTRACTOR:
APPLICANT:
NAME:
C� AD&IA Il
/DAYTIME PHONE:
-
MAILING ADDRESS (STREET ADDRESS; CnY, STATE, ZIP):
EVENING PHONE:
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
_ _ _ — _
FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER:
(copy of card required)
EXPIRATION DATE:
/ /
NAME: DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): /EVENING PHONE:
RELATIONSHIP TO PROJECT:
❑ ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE):
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
bIETATLED 13UILDING INFORMATION
EXISTING USE: — EXISTING BUILDING ASSESSED/APPRAISED VALUA�••-$
PROPOSED USE:
PROVEMENTS: $
E-MAIL ADDRESS:
SPRINKLERED BUILDING? ❑ YES ❑ NO --FEE SUPPR N SYSTEM PROPOSED/REQUIRED: El YES El NO
WATER SERVICE PROVIDER: ElLAKEUAVEN ❑ HIGHLINE ElTACOMA ATE (WELL)
SEWER SERVICE PROVIDER: El KEHAVEN El HIGHLINE El PRIVATE (SEPTIC)
n**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: _
ESTIMATED SELLING PRICE: $
FLOOR
UHJL�"1L"dT
EXISTING
PROPOSED SQ. FT.
TOTAL
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
AIR HANDLING UNIT(S)
BBQ(S)
BOILER(S)
COMPRESSOR(S)
DUCT(S)
BATHTUB(S)
DISHWASHER(S)
_ DRINKING FOUNTAIN(S)
_ GAS PIPE OUTLET(S)
INTERCEPTOR(S)
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
FAN(S) HOOD(S) WOODSTOVE(S)
FIREPLACE INSERT(S) _ RANGE(S) MISC. ( ]
FURNACE(S)
GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINK(S)
SUMP(S)
URINAL(S)
VACUUM BREAKER(S)
WASH MACHINE OUTLET
WATER CLOSET(S)
WATER HEATER(S)
❑ ELECTRIC ❑ GAS
MISC. (—)
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. p
� % �Cr� DATE: � /2` � ��/
(NAME/TITLE: L'
/ `❑ PROPERTY OWNER Cl APPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE•
ZONING DESIGNATION: BUILDING SHELL ON ❑ YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES - 33S30 FIRST WAY SOUTH - P.O. BOX 9718 - FEDERAL WAY, WA 98063-9718 - 253-661-4000 - FAX: 253-661-1129