13-101952s
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fa)c (253) 835-2609
0 Plumbing
Permit #: 13 -101952 -00 -PL
Inspection Request Line: (253) 835-3050
Project Name: THE PARK AT DASH POINT $1LBG V --
Project Address: 31722 50TH LN SW Bldg Y Parcel Number. 112103 9129
Project Description: Replace domestic water lines throughout building
Owne
ARRIIcan
Contractor
K N L VISION WA LLC
PHOENIX RENOVATION CORP DBA
PHOENIX RENOVATION CORP DBA
3709 CONVOY ST SUITE 300
SAGEWATER
SAGEWATER
SAN DIEGO, CA 92111
450 C S PICKETT ST
PLUMBES922JC (6/20/13)
ALEXANDRIA VA 22304
450 C S PICKETT ST
ALEXANDRIA VA 22304
Plumbing Flxtums
Other Plumbing Fixtures ............... 6
PERMIT EXPIRES Wednesday, October 30, 2013
Permit Issued on Friday, May 3, 2013
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 �1�1 _._ Date:
CITY C� VA '
Federal Way
PERMIT #:
Project:
THIS CARD IS TO MAIN ON-SITE dP
i Construction In ection Record
INSPECTION REQ TS: (253) 835-3050
13 -101952 -00 -PL Address: 31722 50TH LN SW Bldg Y
K N L VISION WA LLC FEDERAL WAY, WA 98023
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 - Plumbing (4075)
Approved
By Date S - _ 3
❑
Plumbing Groundwork (41 90)
Rough Plumbing (4230)Gas
Final Electrical
Approved
Piping (4125)
Approved to cover
By
Approved
Approved to release test
By
Date
By
Date S (3
By
Date
Final - Plumbing (4075)
Approved
By Date S - _ 3
❑
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF V&
Federal Way
PERMIT NUMBER I
� PERMITAPPW*WJON
APR 30 2013 spy"%
t O ( (q 5-?-. _ W CITY OF FEDERAL WAY
TARGET DATE cDS
SITE ADDRESS
SUITE/UNIT N
1 2 a i L 5W
y L �"r'lis
PROJECT VALUATION
ZONING
ASSESSOR'S TAR/PARCEL 11
TYPE OF PERMIT
❑ BUILDING PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
i (-k N 1-5
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PRONE
PROPERTY OWNER
JRC C�
MAILING ADDRESS ']
J oC
E-MAIL
CITY STATE ZIP
S C
e d Pk�a
NAMEPHONE
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10
MAILING ADDRESS _ p _
�r'� �'
E-MAIL
CONTRACTOR
CITY
STATE
IV
ZIP
4 3o�
FAX
A
WA STATE CONTRACTOR'S LICENSE / EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE A
NAME _
PRIMARY PHONE
MAILING ADDRESS
-1�504G d���h P;�1���
E-MAIL
APPLICANT
C TY
STATE
ZIP
FAX
cl` (�
NAME
�
PRIMARY PHONE
`�j
PROJECT CONTACT
t
. "'qn - J
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
6"),11 w 1
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $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 flied 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 apart of this application.
�y�`,'r
SIGNATURE: �a\ DATE
PRINT NAME: ' 11J
Bulletin #100 -- January 1, 2013 Page 1 of 3 k:AHandouts\Permit Application