23-100019-Application-1-23-23�o
1CITY j
�i
' :r Way
PERMIT NUMBER _
PERMIT APPLICATION
PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + periniteenter@cityoffederalway.com
TARGET DATE 01/20/2023
SITE ADDRESS
SUITE/UNIT #
2418 SW 322nd St., Federal Way WA 98023
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$1000
9 —3— —2— 4 —3— —2— 0 0 -`}— —0—
TYPE OF PERMIT
UILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
C D'S
Convert an existing living room into bedroom by putting in an
81inch wall with a 30inch door. No plumbing or mechanical
PROJECT DESCRIPTION
Detailed description of work to
required.
be included on this permit only
NAME
PRIMARY PHONE
DHURUP CHAND
(206) 902 6226
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
24802 Marine View Drive S
dhurupchand@gmail.com
CITY
STATE
ZIP
Des Moines
WA
98198
NAME
PHONE
SELF/OWNER
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
UBI #
NAME
PRIMARY PHONE
DHURUP CHAND
(206) 902 6226
MAILING ADDRESS
24802 Marine View Drive S
E-MAIL
dhurupchand@gmail.com
APPLICANT
CITY
STATE
ZIP
FAX
Des Moines
WA
98198
NAME
PRIMARY PHONE
PROJECT CONTACT
DHURUP CHAND
(206) 902 6226
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
SAME AS ABOVE
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
❑ OWNER -FINANCED
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 ccuracy of the
information supplied to ty as a part of this application.
SIGNATURE: DATE f ,%a'
PRINT NAME:�f� Ca %rT/d
Bulletin #100 - February 19, 2020 Page 1 of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
ECIIANCA PERMIT $
Indicate how many of each e o ixture to be installed or relocated as part of this project. Do not include extstigg,fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (Commercial)
BOILERS FURNACES HOT WATER TANKS (Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUINIBIlVG WORK
PLUMBING ERMIT
$
Indicate how many of each type offixture
to be installed or relocated as
part of this project. Do not include exLstingfixtures to remain.
BATHTUBS (or Tub/Shower Combo)
LAVS (llama Sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kitchen/Uuhty)
WATER HEATERS (EKectric)
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUSUSE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No
❑ Yes ❑ No
Bulletin #100 - February 19, 2020 Page 2 of 2 k:\Handouts\Permit Application .