13-102376• Plumbing
City of way Permit #: 13 -102376 -00 -PL
Community
& EcEcon. Dev. Services
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: 253 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609 q
Project Name: THE PARK AT DASH POINT BLDG P
Project Address: 31810 51ST LN SW Bldg P Parcel Number: 112103 9129
Project Description: Replace domestic water lines throughout building
Owner
ARnlicant
Contractor
K N L VISION WA LLC
PLUMBING EXPRESS SAGEWATER
PLUMBING EXPRESS SAGEWATER
3709 CONVOY ST SUITE 300
450-C S PICKETT ST
PLUMBES922JC (6/20/13)
SAN DIEGO, CA 92111
ALEXANDRIA VA 22304
450-0 S PICKETT ST
ALEXANDRIA VA 22304
Plumbing Fixtures
Other Plumbing Fixtures ............... 14
PERMIT EXPIRES Wednesday, November 27, 2013
Permit Issued on Friday, May 31, 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: See Application Date:
MAY 31 RECD
THIS CARD IS TO MAIN ON-SITE
MY OF Construction In ection Record
Federal �1IVay INSPECTION REQ TS: (253) 835-3050
PERMIT #: 13 -102376 -00 -PL Address: 31810 51ST LN SW Bldg P
Project: 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.
0 Final - Plumbing (4075)
Approved
Byt5 Date 2 /
Plumbing Groundwork (4190)
0
Rough Plumbing (4230)Gas
13
Piping (4125)
Approved to cover
By
Approved
Approved to release test
By
Date
B
Date % =
By
Date
0 Final - Plumbing (4075)
Approved
Byt5 Date 2 /
Rough Electrical
Approved
Final Electrical
Approved
Right of Way -^
Approved
By
Date
By
Date
By
Date
a"" A 9 PERMITOPPLICATION
Federal Way RECEIVED
10 051Y
PERMIT NUMBERiP MAY 3 0 2013
TARGET DATE
CITY OF FEDERAL WAY
SITE ADDRESS
SUITE/UlEllb
-&� 3\
A 1P 14 (A"ZT6
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$
oco
-2, 3 -
TYPE OF PERMIT
❑ BUILDING ;(PLUMBING 0 MECHANICAL 11 DEMOLITION 0 ENGINEERING El FIRE PREVENTION
NAME OF PROJECT
ffI e. O omebs—( 1, C_23
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PREKARY PHONE
PROPERTY OWNER5gsr
V
MAILING ADDRESS
S 1 300
EMAIL
3tyog
CITYZIP
C
S
STATE
NAME
/PhAIM
PHONE
103—
Vjq 4P,5;
MAILING ADDRESS
_C_ �z E' 1 'ST
- EMAIL
CONTRACTOR
CITY
STATE10
7
FAX
30fl
VASTTE A CONTRACTOR'S LICENSE 0 EXPIRATION DATE
.(
FEDERAL WAY BUSINESS LICENSE #
V1-,Ay,\2jf_ Z2 -SC
NAME
PRIMARY PHONE
MAILING ADDRESS
'Ark) - (_ -s c,"-\
E-MAIL
APPLICANT
CVy
STATE
ZIP
FAX
P"o
NAME
PRIMARY PHONE
(P
PROJECT CONTACT
'S\\\,
MAILING DRESS
F -MAIL
(The individual to receive and
respond to all correspondence
1,� t I I
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 19.27.0951
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.
Iftirther 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 u] the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
SIGNATURE: DATE
PRINT NAME:
i of