13-102170•
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: THE PARK AT DASH POINT BLDG U
Project Address: 5020 SW 317M LN Bldg U
Project Description: Replace domestic water lines throughout building
Plumbing
Permit #: 13 -102170 -00 -PL
Inspection Request Line: (253) 835-3050
Parcel Number. 112103 9129
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 ............... 15
PERMIT EXPIRES Tuesday, November 12, 2013
Permit Issued on Thursday, May 16, 2013
1 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
• \ , 1 and the City of Federal Way.
`
Owner or agent \aAz) S:)� Date:
crrr of �& 9
Federal Way
PERMIT #: 13 -102170 -00 -PL
Project: K N L VISION WA LLC
THIS CARD IS TO MAIN ON-SITE
Construction In ection Record
INSPECTION REQ TS: (253) 835-3050
Address: 5020 SW 317TH LN Bldg U
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
BK7 Date
�j —7—
Rough Electrical Final Electrical Right of Way
Approved 1:1Approved R Approved
By Date By Date By Date
Plumbing Groundwork (4190)
0
Rough Plumbing (4230)
Gas Piping (4125)
Approved to cover
Approved
Approved to release test
By
Date
By
Date
By
Date
Final - Plumbing (4075)
Approved
BK7 Date
�j —7—
Rough Electrical Final Electrical Right of Way
Approved 1:1Approved R Approved
By Date By Date By Date
/ANDTYPE
'-'F INSPECTION
til 2,1
e '3, a'a d
- t
c�
41�CRY OF 0
Federal Way
RECOVED
MAY 16 2013
PERMIT*APPLICATION
J Com(/OF'VEEDERAL WAY
PERMIT NUMBER / 3_ 1 / J D 1'70— 10L
TARGET DATE
SITE ADDRESS
T;13 3 �,... v m y
SUITE/UNIT N
�► ry
VALUATION
ZONING -
ASSESSOR'S TAX/PARCEL A
PROJECT
TYPE OF PERMIT
❑ BUILDING PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION
r I e O @' I ,• >Z N
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
- -
PRIMARY PHONE
MAILING ADDRESS
3rAoo Cas�vo r 5 �Qo
E-MAIL
CITY STATE ZIP
S P, tea C1 i
NAME�j
1 `�
PH/O�NE
T V
MA II ING ADDRESS _ p
LirpLL
E-MAIL
y Q
r CONTRACTOR
CITY
STATE
ZI
FAX
S> �
�
23
WA STATE CONTRACTOR'S LICENSE i
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE F
NAME
PRIMARY PHONE
_
MAILING ADDRESS
bc�\.h ��C�4e1
EMAIL
APPLICANT
CITY
STATE
ZIP
FAX
(�
Plw
PROJECT CONTACT
4NAME .
Irr 41 \
PRIMARY PHONE
sur �P
MAILING ADDRESS
E-MAIL
' Lv A
(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
information supplied to the city as a part of this application.
SIGNATURE: ^` ` ,_ DATE
� e 4
PRINT NAME: i --
Bulletin #I (X) .lanuary I, 201 3 Page i of 3 k:Ahandout,,\Permit Application