20-100103City or Federal way
Community Development DepC
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: KHYLYUK - LOT A
Project Address: 30329 21ST AVE SW
Building - Single Family
Permit #:20-100103-00-SF
Inspection Request Line: (253) 835-3050
Parcel Number: 012103 9158
Project Description: Construction of a 2 story, 3969 square foot single family residence with a 661 square foot
unheated basement, a 160 square foot covered entry, a 84 square foot covered deck and a 694
square foot attached garage, including plumbing and mechanical. *** 6 bedrooms; $700,000
estimated selling price***
Owner
Applicant
Contractor
Lender
304 & 21 ST AVE SW LLC
ARTUR KHYLYUK
ALEKSEY GUYVORONSKYACE
OWNER IS LENDER
1020 S 344TH ST SUITE 201
35850 51 ST AVE S
CONSTRUCTION SERVICES LLC
FEDERAL WAY WA 98003-8711
AUBURN WA 98001
1020 S 344TH ST UNIT 201
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:
Floor Area (s . ft.)
0.00
Additional Permit Information
New / Additional Sq. Feet - 1st Floor .....................
1547
New / Additional Sq. Feet - 3rd Floor .....................
0
New / Additional Sq. Feet - Basement ....................
1459
Occupancy #1 - Construction Type .................
Type V - B
New / Additional Sq. Feet - Garage ........................
694
Plumbing Work Valuation? .....................................
20000
Number of Stories ...................
2
Plumbing to beIncluded?........................................
Yes
Will Certificate of Occupancy be Issued? ...............
Yes
Comprehensive Plan Designation ........................... SF - High -Density
Residential
Total Valuation: 551,393.86
New / Additional Sq. Feet - 2nd Floor .................... 1624
Occupancy #1 - Area (Sq. Feet)......:.......................
0
BasicPlan?...........................................................
No
New / Additional Sq. Feet - Deck ...........................
84
Mechanical to be Included? .....................................
Yes
Mechanical Work Valuation?, ............. ....
20000
New / Additional Sq. Feet - Other ...........................
160
New / Additional Sq. Feet - Total ..........................
5568
Occupancy #1 - Use ................................................
Residence (l or 2
family)
Zoning Designation .............. .
RS 15.0
Mechanical Fixtures
Air Conditioners - Stand Alont 2 Fans 8 Fireplace Inserts 2
Furnaces 1 Gas Pipe Outlets 7 Hot Water Tanks 1
Plumbing Fixtures
Bathtubs 5 Dishwashers 2 Laundry Washer Outlets 2
Lavatories 4 Showers 2 Sinks 4
Water Closets 5 Hose Bibbs 2
CONDITIONS:
A City Right of Way Permit is required for construction of the street frontage and storm drain
improvements within the City's right of way. All improvements shall be constructed prior to Final
Building Permit sign -off or Issuance of a Certificate of Occupancy.
Ft
dr),f"l
PERMIT EXPIRES Monday, 26 July, 2021
Permit Issued on Wednesday, January 27, 2021
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: Le Date:
City of Federal Way
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 111 of the International Building Code or Section
R110 of the International Residential Code is 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: KHYLYUK - LOT A
Address: 30329 21ST AVE SW
Permit # 20-100103-00-SF
Includes: # 1 #2 #3 #4
Occupancy Class: R-3
Construction Type: Type V - B
Occupancy Load: 0.00
Floor Area (sq. ft.) 0.00
Owner Name: 304 & 21ST AVE SW LLC
Owner Address: 1020 S 344TH ST SUITE 201
FEDERAL WAY WA 98003-8711
Building Official
�W 2:-- 2
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 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.
Cl"As�
OF
Federal Way
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 20 100103 00 Address: 30329 21ST AVE SW
Project: 304 & 21ST AVE SW LLC FEDERAL WAY WA 98023
Scheduled inspections maybe failed if this card is not on -site. DO NOT LOSE TH 15 CAM), 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
❑
Foundation Wall (4115)
❑
Drainage/Downspout (4040)
❑
Plumbing Groundwork (4190)
Approved to place concrete
Approved to backfiII
Approved to cover
By
Date
By
Date
By
Date
El
Slab/Concrete Floor (4255)
❑
Underfloor Framing (4285)
❑
Floor Sheathing (4105)
Approved to place concrete
Approved to sheath floor
Approved to install flooring
By
Date
By
Date
By
Date
El
Shear Walls (4245)
❑
Roof Sheathing (4220)
❑
Rough Plumbing (4230)
Approved to install siding
Approved to install roofing
Approved
By
Date
By
Date
By
Date
0 ❑
Mechanical Rough -in (4165)
Gas Piping (4125)
Fire/Draft Stops (4095)
Approved
Approved to release test
Approved
By
Date
By
Date
By
Date
ElInterim Erosion Control (4370)
Approved
By Date
❑ Insulation (4150)
Approved to install wallboard
By Date
Prior to scheduling a Framing inspection; ❑ Framing (4120)
Electrical, Plumbing & Mechanical Rough -in Approved to insulate
and Fire/Draft Stop inspections must be signed -
off and approved. IBC 109.3.4 By Date
❑l Gypsum Wallboard Nailing (4130) IF
Approved to install mud & tape
By Date
By
Final Erosion Control (4375)
Approved
Date
❑ Final - Mechanical (4065) ❑ Final - Plumbing (4075) = Final - Building (4050)
Approved Approved Approved
By Date By Date By N Date ZdZ
❑ Rough Electrical ❑ Final Electrical ❑ Right of Way
Approved Approved Approved
By Date By Date By Date
clxr or
Federal Way Kok 0
0�
PERMIT NUMBER
PERMIT APPLICATION
PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenterAcitvortederalway.com
TARGET DATE
SITE ADDRESS
SUITE/UNIT #
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PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
/►p
i o rm f 4' V`
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME NV�_t l V) "I _ 1 V k-
PRIMARY PHONE U _ 93 3q
PROPERTY OWNER
MAILING ADDRESS s
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CONTRACTOR
CITY STATE
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ZIP q�
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FAX
WA STATE CONTRAC R'S LICENSE # SXPIRATiON DATE
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NAM
FEDERAL WAY BUSINESS LICENSE #
PRIMARY PHONE
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MAILING ADDRESS
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APPLICANT
ITY STATE ZIP IG j�
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FAX
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PROJECT CONTACT
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MAIL
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(The individual to receive and
respond to all correspondence
119ITx1 . ^. I W STATE I ZIP �nJ
NAME b
FAX — �-
OWNER -FINANCED
concerning this application.)
PROJECT FINANCING
When value is $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27,095)
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 o dart.
SIGNATUR . DATE
o �20a—�
PRINT NAME: w1� IiC
W
Bulletin #100 — January 29, 2016 Pagel of 2 k:\IIandouts\Permit Application
MECHANICAL PERMIT
$ 2000-0
Indicate how many of each type offixture to be installed or relocated as part of this pMject. Do not include exist' fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
�L AIR CONDITIONER FIREPLACE INSERTS HOODS )Commercial)
BOILERS FURNACES _� HOT WATER TANKS IGas)
COMPRESSORS GAS LOG SETS _ _ REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
— r —
PLUMBING PERMIT
Indicate how many of each type o
fixture to be installed or relocated as
part of this project. Do not include existing
fixtures to remain.
BATHTUBS (or1Lb/Shower Combo)
LAVS (HamlSinks)
S TOILETS
WATER PIPING
L DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kitchea/Umicy)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
Y WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
PURVEYOR
SEWER
S1E,WEE,Ry/PU'RRVVEEEY}O�{R/yy��'h`//
VALUE OF EXISTING IMPROVEMENTS
�WAAT/E�yR" I
v ,4 K V 11 6N
V i c l l � i l' �/ ''
EXISTING/PREVIOUS USE
LOT SIZE jIn Square Feet)
EXISTING FIRE SPRIN/�LER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
9 (RI �Z
❑ Yes; No
❑ Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
BASEMENT
FIRST FLOOR (or Mobile Home)
'
T
� 9
�j
.......................... ............................ ......._.................
✓
SECOND FLOOR
COVERED ENTRY
1 O
1 O
DECK�
�
.........__.._.. __»�».» ..._. ......�._............
GARAGE CARPORT ❑
OTHER (describe) UW1} _TVD SMVVretjr
I
toLp J
_...::::... __..:..::........ ...::...
Area Totals
EXISTING
PROPOSED
//
' —1 Sb8
TOTAL
y
.............. -........ ._.._.._..... ............... .......................... ................ ._.... .............
**NEW HOMES ONLY*"
ESTIMATED SELLING PRICE $ 090 # OF BEDROOMS
COMMF.,RCIAL — NEW/ADDITION
AREA DESCRIPTION
Area in
Square Feet
Occupancy Groups)
Construction
a
# of
Stories
Additional Information
NEW BUILDING
ADDITION
COMMERCIAL— REMODEL/TENANT IMPROV"EMENTS
AREA DESCRIPTION
Area in
square Feet
Occupancy Group(s)
Construction
a
# of
Stories
Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin #100 —January 29, 2016 Page 2 of 2 k:\Handouts\Permit Application