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13-102081Project Name: THE PARK AT DASH POINT BLDG W Project Address: 5030 SW 317TH LN Bldg W Project Description: Replace domestic water lines throughout building • Plunibing Permit #: 13 -102081 -00 -PL Inspection Request Line: (253) 8354050 Parcel Number: 112103 9129 Owne ARRIlcant Contractor City of Federal Way Connun H & Econ. Dev. Services 33325 8th Ave S - n µ g m- E Federal Way, WA 98003 .4 W L LAOM3 Ph: (253) 835-2607 Fax: (253) 835-2609 ALEXANDRIA VA 22304 450-C S PICKETT ST Project Name: THE PARK AT DASH POINT BLDG W Project Address: 5030 SW 317TH LN Bldg W Project Description: Replace domestic water lines throughout building • Plunibing Permit #: 13 -102081 -00 -PL Inspection Request Line: (253) 8354050 Parcel Number: 112103 9129 Owne ARRIlcant 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-C S PICKETT ST ALEXANDRIA VA 22304 Plumbing Fixtures Other Plumbing Fixtures ............... 14 PERMIT EXPIRES Wednesday, November 6, 2013 Permit Issued on Friday, May 10, 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 � �J Date: �,.� Ito ��3 THIS CARD IS TO ON-SITE �,n Construction In ection Record Federal Way INSPECTION REQ TS: (253) 835-3050 PERMIT #: 13 -102081 -00 -PL Address: 5030 SW 317TH LN Bldg W 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) Approved By Date Plumbing Groundwork (4190) Rough Plumbing (4230) Final Electrical Approved Gas Piping (4125) 1:1Approved Approved to cover By Approved Approved to release test By Date By Date By Date Final - Plumbing (4075) Approved By Date Rough Electrical Approved Final Electrical Approved 1:1Approved Right of Way By Date By Date By Date MyOFA Federal Way RfCeIVIEV Mor PERM IT*APPLICATION yV� 2F PERMIT NUMBER l 3 _ / 0 ^ 0 O / _ )0/— TARGET (— TARGET DATE SITE ADDRESS SUITE/UNIT # LAV\3� PROJECT VALUATION i Q$ KING ASSESSOR'S TAX/PARCEL N TYPE OF PERMIT ❑ BUILDING PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT `--" r I d ` G PROJECT DESCRIPTION Detailed description of work to oe be included on this permit only PROPERTY OWNER NAME - 5 a PRIMARY PHONE MAQJNG ADDRESS ,� ` V{� Q VO\V` l ©O 3 ( E -MAH. CITY S STATEZIP 1:1 e d NAME PHONE °1® MAILING ADDRESS _ _ EMAIL CONTRACTOR CI� STATE FAX WA STATE CONTRACTOR'S LICENSE M NPIRATIONDATE FEDERAL WAY BUSINESS LICENSE M NAME _ PRIMARY PHONE (Z- V MAILING ADDRESS o�.ahPic-,?--I EMAIL APPLICANT C TY\\ STATE ZIP FAX 2LO— i �NA\ME . O PRIMARY PHONE -j y(r- PROJECT CONTACT �.)J ' a I F(The MAILING ADDRESS EMAIL 1 Lo cm (Theindividual to receive and respond to all correspondence o � 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 cert(fy 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 apart of this application. rr SIGNATURE: s; DATE PRINT NAME: Bulletin #100- January 1, 2013 Page i of 3 k:AHandouts\Permit APpiication