13-101905u T
9 0 `Plumbing
Community 8Econ.Dev.Services Permit #: 13 -101905 -00 -PL
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: 253 835-3050
Ph: (253) 835-2807 Fax: (253) 835-2609 p� �
Project Name: THE PARK AT DASH POINT BLDG AA
Project Address: 31737 50TH LN SW Bldg AA Parcel Number: 112103 9129
Project Description: Replace domestic water lines throughout building
Owner
AR IIn cant
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 Fixtures
Other Plumbing Fixtures ............... 10
PERMIT EXPIRES Sunday, October 27, 2013
Permit Issued on Tuesday, April 30, 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 � U �?�� Date: O 1 3 _
Cr" CW
Federal Way
PERMIT #:
Project:
• PHIS CARD IS TO MAIN ONSITE
Construction In ection Record
INSPECTION REQ TS: (253) 835-3050
13 -101905 -00 -PL Address: 31737 50TH LN SW Bldg AA
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
Plumbing Groundwork (4190)
0
Rough Plumbing (4230)
Final Electrical
Approved
Gas Piping (4125)
Approved to cover
By
Approved
Approved to release test
By
Date
By
rj_ • Date ,5__ 2 ,
By
Date
Final - Plumbing (4075)
Approved
By Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF PERMIT APPLICATION
Federal Way
RECEIVED
PERMIT NUMBER _ I O 1 O_ APR 3 0 2013
— TARGET DATE
r-rTv nF FFnFRAL WAY
SITE ADDRESS
SUITIQBT #
C
A
P`RWECTn'VALUATION
ZONING
ASSESSOR'S I 7AX/PARCEL#
TYPE OF PERMIT
❑ BUILDING PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
�-
PROJECT DESCRIPTION
2 i C_ R N
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
- 5
PRIMARY PHONE
MAILING ADDRESS
3 ) CoN S t 5J 300
E-MAIL
CITY
S e -Gd
STATEZIP
c
C1 i
NAME
hPHONE
MAILINGADDRESS _ _
E-MAIL
CONTRACTOR
CITYS
TATE
ZY
,,3o�
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME _
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
APPLICANT
PITY
STATE
ZIP
FAX
PROJECT CONTACT
!NA\ME. `
St
PRIMARY PHONE
G'3- J
MAILING ADDRESS
E-MAIL Q�.
+ �.i A4
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5, 000 or more
(RCW 19.27.095)
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.
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
of this application.
igformation supplied to the city ars,
apart
SIGNATURE: �y
C& Vel DATE
1��J
PRINT NAME:
Bulletin #100 - January 1, 2013 Page 1 of 3 k:\HandoutAPernut Application