13-102377City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
0 Plumbing
Permit #: 13 -102377 -00 -PL
Federal Way, WA 98003 " l
Ph: (253) 835-2607 Fax: (253) 835-2609 ; ;, Inspection Request Line: (253) 835-3050
Project Name: THE PARK AT DASH POINT BLDG N
Project Address: 31830 51ST LN SW Bldg N Parcel Number. 112103 9129
Project Description: Replace domestic water lines throughout building
Owner
Applicant
Contractor
K N L VISION WA LLC
PLUMBING EXPRESS SAGEWATER
PLUMBING EXPRESS SAGEWATER
3709 CONVOY ST SUITE 300
450-0 S PICKETT ST
PLUMBES922JC (6/20/13)
SAN DIEGO, CA 92111
ALEXANDRIA VA 22304
450-C S PICKETT ST
ALEXANDRIA VA 22304
Plumbing Fixtures
Other Plumbing Fixtures ............... 8
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 Fgderal Way.
Owner or agent: See Application Date:
MAY 81 RECD
E\NP��� o/aa/Is
CITY CW •V AII�
Federal Way
THIS CARD IS TO MAIN ON-SITE Y
Construction I ection Record
INSPECTION RETS: (253) 835-3050
PERMIT #: 13 -102377 -00 -PL Address: 31830 51 ST LN SW Bldg N
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.
Final - Plumbing (4075)
Approv d
By Dat
Plumbing Groundwork (4190)
Rough Plumbing (4230)Gas
Final Electrical
Piping (4125)
1:1Approved
Approved to cover
By
Approved
Approved to release test
By
Date
By
Date
By
Date
Final - Plumbing (4075)
Approv d
By Dat
Rough Electrical
Approved
1:1Approved
Final Electrical
1:1Approved
Right of Way
By
Date
By
Date
By
Date
VA► 0 PERMIT LPPLICATI ON
N;derai way RECEIVED
PERMIT NUMBER 0 7- PLI MAY 3 0 2013 .3
— — TARGET DATE CM OF FEE)ERA6 WAY
SITE ADDRESS
SUITE/ #
"W11!5
PROJECT VALUATION
$ 6000
ZONING
ASSESSOR'S TAX/PARCEL #
p 3 - ci 1 2 01
1 1 �— —
TWE OF PERMIT
0 BUILDING ;(PLUMBING 0 MECHANICAL El DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
V
PRIMARY PHONE
MAILING ADDRESS
ITY
STATE
ZIP
NAME
/PhAMB'IN01 es5
PHONE
10
MAILING ADDRESS
TSO -c -
- FKJAIL
CONTRACTOR
CITY
STATEI
713 0
FAX
N n
VAA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE 0
13-/ 2 13&
NAME
PRIMARY PHONE
MAILING ADDAEss
�5-1
&MAIL
APPLICANT
CITYSTATE
vUxv"o
ZIP
FAX
PROJECT CONTACT
NAME
V
PRIMARY PHONE
-(
P
-I _ "I � 6
MAILING APDRESS
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
X OWNER -FINANCED
Required value of $5,000 or more
IRCW 19.27 09S)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
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.
Ifiirther agree to hold harmless the City of Federal Way as to any claim lincluding 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 this application.
SIGNATURE: DATE
PRINT NAME: