22-102552-Permit Application-6-6-2241k
CITY OF
Federal Way
PERMIT NUMBER _
PERMIT APPLICATION
PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway.com
TARGET DATE 5/31 /2022
SITE ADDRESS
SUITE/UNIT #
619 SW 361 ST ST, FEDERAL WAY, WA 98023
N/A
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$ 16,894
7 4 3 6 8 0_ 0 0 2 0
TYPE OF PERMIT
® BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
NASRA MOHAMED
CONVERT THE GARAGE AREA INTO A LIVING SPACE, WILL INCLUDE A QUITE AREA, PLAY AREA,
PROJECT DESCRIPTION
Detailed description of work to
AND A FULL BATHROOM
be included on this permit only
NAME
PRIMARY PHONE
NASRA MOHAMED
(253) 632-5359
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
619 SW 361ST ST
GWMUNGE2@GMAIL.COM
CITY STATE
ZIP
FEDERAL WAY WA
98023
NAME
PHONE
HOME -OWNER / PROPERTY OWNER
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
UBI #
NAME
PRIMARY PHONE
HOME -OWNER / PROPERTY OWNER
APPLICANT
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
NAME
PRIMARY PHONE
PROJECT CONTACT
HOME -OWNER / PROPERTY OWNER
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
HOME -OWNER / PROPERTY OWNER
El 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 accuracy of the
information supplied to the city as a Rq nleqfb�*Fqfflication.
N�c�rc7l���an'/ed
SIGNATURE: DATE 05/31 /2022
PRINT NAME: NASRA MOHAMED
Bulletin #100 — February 19, 2020 Page 1 of 2 k:AHandouts\Permit Application
MECHANICAL PERMIT
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existiggfixtures to remain.
AIR HANDLING UNITS 1 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
PLUMBING PERMIT
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
1 BATHTUBS (or Tub/shower combo) 1 LAVS (Hand Sinks) 1 TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS (Kitchen/Utility) WATER HEATERS (Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
N/A
N/A
N/A
$ 16,894
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet(
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ® No
❑ Yes x No
N/A
0.42 ACRES
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
BASEMENT
...............................................................................................................................
FIRST FLOOR (or Mobile Home)
1,630
1,630
—4
3,200
...............................................................................................................................
SECOND FLOOR
1,570
2,510
4,140
...............................................................................................................................
COVERED ENTRY
...............................................................................................................................
DECK
330
330
do
...............................................................................................................................
GARAGE IN CARPORT ❑
940
0
0
...............................................................................................................................
OTHER (describe)
...............................................................................................................................
Area Totals
EXISTING
PROPOSED
TOTAL
...............................................................................................................................
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE $
1 # OF BEDROOMS
COMMERCIAL - NEW/ADDITION
AREA DESCRIPTION
Area in
Square Feet
Occupancy Group(s)
Construction
Type
# of
Stories
Additional Information
NEW BUILDING
ADDITION
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area in
Square Feet
Occupancy Group(s)
Construction
Type
# of
Stories
Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin #100 — February 19, 2020 Page 2 of 2 k:\Handouts\Pennit Application