14-1057830
Electrical
Permit #: 14 -105873 -00 -EL
Inspection Request Line: (253) 835-3050
Project Name: LUKKES 3-y L0
Project Address: 34507 15TH PL SW
Project Description: replace gas furnace
Parcel Number: 6664910200
Owner
JENNIFER K LUKKES
ARRIacant
JAINIIE HOW
Contractor
BRENNAN HEATING & A/C LLC
KEVIN LUKKES
City of federal Way
(ELECTRICAL)
Community & Econ. Dev. Services
FILE
33325 8th Ave S
FEDERAL WAY WA
Federal Way, WA 98003
4601 S 134TH PL
Ph: (253) 835-2807 Fax: (253) 835-2809
0
Electrical
Permit #: 14 -105873 -00 -EL
Inspection Request Line: (253) 835-3050
Project Name: LUKKES 3-y L0
Project Address: 34507 15TH PL SW
Project Description: replace gas furnace
Parcel Number: 6664910200
Owner
JENNIFER K LUKKES
ARRIacant
JAINIIE HOW
Contractor
BRENNAN HEATING & A/C LLC
KEVIN LUKKES
BRENNAN HEATING & A/C
(ELECTRICAL)
3450715TH PL SW
4601 S 134TH PL
BRENNHA%2DU (3/31/16)
FEDERAL WAY WA
SEATTLE WA 98168
4601 S 134TH PL
98023
TUKWILA WA 98168
Additional Permit information
Is this an Online or O.T.C. application?.................Yes
Electrical fixtures
Circuits - Residential ...................... 1
Is Use Educational or Institutional?.......................No
PERMIT EXPIRES Monday, May 11, 2015
Permit Issued on Wednesday, November 12, 2014
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 Date:
CITY Of
Federal Way
COMMUNITY DEVELOPMENT SERVICES
253-835-2607• FAX 253-835-2609
_u.�mu�.r?+o eaera(a•a corn
*PERMIT
APPLICATION
MF CO / mV :RECDEIVED a
OCT 02 201
3
CITY OF FEDERAI
WAY
SITE ADDRESS
SUITE/UMT
PROJECT VALUATION
$
ZONINGASSESSORS
TAI(/PARC
/�/./
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING Q'11TIECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
rl'enant Name/Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
Ar
be included on this permit only
PROPERTY OWNER
NAME
v •, rA
PRIMARY PHONE
2Z?S _ Sr7L f ab?(o
MAILING ADDRESS
E-MAIL
C
t� �•-
STATE
\A) lh�
ZIP
N -
PHONE
��cS �tl-l✓.
ZJ"3-�kr� 3Tr,ro
MAILING ADDRESS
R7i-- S't" Nw D
CONTRACTOR
E-MAIL
&";'0 Q G tG. iS e
CI
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE M
- r F 14T 6
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE M
NAME
PHONE
APPLICANT
MAILING ADDRESS
E-MAIL
CITY
PT"
FAX
PROJECT CONTACT
NAME
PHONE
(The individual to receive and
MAILING ADDRESS
E-MAIL
respond to all correspondence
concerning this application)
CITY
STATE
ZIP
FAX
ALTERNATE CONTACT NAME:
PHONE
E-MAIL
PROJECT FINANCING
Required value of $5,000 or more
NAME
OWNER -FINANCED
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 of application.
SIGNATURE: DATE
PRINT NAME:
Bulletin #100 -January 1, 2011 Page I of 3 k4landoutsTermit Application
'jV
i
•
VALUE OFMECHAMCAL WORK $
a i 3
(a copy of bid or estimate must be provided)
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing 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
Indicate how many of each type of f acture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS (or Tub/shower combo)
LAVS (Hand Sinks(
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kitchen/utility)
WATER HEATERS (Electic(
HOSE BIBBS
SUMPS
WASHING MACHINES
CRITICAL AREAS ON PROPERTY? I WATER PURVEYOR
EXISTING/PREVIOUS USE ( LOT SIZE (In Square Feet(
SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
n Yes ❑ No. ❑ Yes ❑ No
Bulletin #100 — January I, 2011 Page 2 of 3 k:\Handouts\Permit Application
CITY OF
Federal Way
PERMIT #:
THIS CARD IS TO ON-SITE
+Construction In Won Record
INSPECTION REQUE TS: (253) 835-3050
14 -105873 -00 -EL Address: 34507 15TH PL SW
Project: JENNIFER K LUKKES FEDERAL WAY, WA 98023-7050
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.
Final - Electrical (4055)
Approved
By Date It
UFER Ground (4295)
Ditch cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
1:1Approved
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date It
Pool Bonding (4195)
Temporary Power (4275)
1:1Approved
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
Feeders/Sub-panels (4045)
0
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date It
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date