06-104177City of Federal Way Mechanical Permit #• 06-104177-00-M E
- Community Development Services •
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: LUENGEN
Project Address: 905 SW 364TH PL Parcel Number: 779645 0490
Project Description: ALT - install pool heater and assoc gas piping.
Owner
Applicant
Contractor
GERALD G LUENGEN
GERALD G LUENGEN
GERALD G LUENGEN
905 SW 364TH PL
905 SW 364TH PL
905 SW 364TH PL
FEDERAL WAY WA
FEDERAL WAY WA
FEDERAL WAY WA
98023-7400
98023-7400
98023-7400
Additional Permit Information
Mechanical Valuation............................................1050 Over the Counter Permit? ...................................... Yes
THIS CARD IS TO REMAIN ON-SITE
CITY of 4A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -104177 -00 -ME
Owner: GERALD G LUENGEN
Address: 905 SW 364TH PL
FEDERAL WAY, WA 98023
This card is part of your required inspection documents. 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.
❑ Mechanical Rough -in (4165) ❑ Gas Piping (4125) Final - Mechanical (4065)
Approved Approved to release test Approved
By Date By Date By?4� Date 1Z, ZIL
C1n or Q�w
Feder lWaY RECEIVED PERMIT
C M ffff DEVELOPI W SBRFICBS
3332S 81v AVENUE• P" 9718 7 20A P P LI C AT I O N
PBDBRAL WAY,, WA WA 9 98069-971718 . �1 ! j
253.8352607• PAX 2534835-2609
-b ( _ ( 0 `'1-L 7 _L
SF MF Cq' M' EL PL DE EN FP
ASSESSOR'S TAX/PARCEL ii 3 ---3 A- -4-P -�L 5 - LOT SIZE (sfl
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
. /ABarhP�i��vNW�d�l
PROJEcTINFORAIATION
TYPE OF PERMIT ❑ BUILDING . ❑ PLUMBING MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL/ ❑`ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed des tion of work included on this hermit onlvl
®� PROJECT NAME (Name of Business or Owner Last Name) Qe-n
PEOPLE•- •
PROPERTY
NAME PRIMARY PHONE
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
COMPANY NAME
APPLICANT NAME
TMA LG ADDRESS
S 5W 3(=W-71* P�
CITY, STATE, ZIP
C - E
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
OFFICE PHONE '
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
RELATIONSHIP TO PROJECT
CONTRACTOR'S REGISTRATION NUMBER (copy of card r•gah ed with epch application)
EXPIRATION DATE
❑ Agent ❑ Other (Describe)
COMPANY NAME
APPLICANT NAME
OFFICE PHONE '
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect 0:Tenant:
❑ Agent ❑ Other (Describe)
EXISTING ASSESSED/APPRAISED VALUE
SPRINKLERED BUILDING? 0 YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE
SEWER SERVICE PROVIDER ❑ LAKEHAVEN . ❑ HIGHLINE
PROPOSED USE
VALUE OF PROPOSED WORK $
M SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
a
❑ TACOMA ❑ PRIVATE (WELL)
❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING
SQ. FT.
PROPOSED TOTAL
SQ. FT. SO. FT.
BASEMENT
SINKS
DRINKING FOUNTAINS
FIRST
SUMPS
RAINWATER SYST
SECOND
URINALS
HOSE BIBBS
THIRD
VACUUM BREAKERS
ELECTRIC WATER HEATERS
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS wrroio TOTAL
"NEWHOMRS OhIY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of
to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Value of Mechanical Work $ (-)Tp �4#
AIR HANDLING UMTS EVAPORATIVE COOLERS GAS LOGS REFRIG. SYSTEMS
BBQS FANS HOODS (co erci.4 WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC (Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
BATHTUBS iwTub/sho comb*
SHOWERS
WATER CLOSETS Retkq MISC (Describe)
DISHWASHERS
SINKS
DRINKING FOUNTAINS
GAS PIPE OUTLETS _^
SUMPS
RAINWATER SYST
WASHING MACHINES
URINALS
HOSE BIBBS
LAVE (s th--d o
VACUUM BREAKERS
ELECTRIC WATER HEATERS
I certVy under penalty of perjury that the infirmation furnished by me is true and correct to the best of my knowledge, and further, that I
am authorised 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 dng person, including the undersigned, and filed against the City of Federal Way, but only where such claim
arises out of the reliance oft ty, including i fficers and employees, upon the accuracy of the ir{formation supplied to the city as a part of
this application. Q'
NAME/TITLE DATE v —
(Sipattlre (,nom)
RELATIONSHIP TOP ECT Owner D Agent ❑ Contractor ❑ Architect P Other
RidietHn #1 W Tanwtry 1 2006 Page 2 of 4 k\Hwdouts\Permit ADDlication