13-102365I % 0
City of Federal Way
--
Community 8 Econ. iJev. Services r t
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax (253) 835-2609 cs
Project Name: THE PARK AT DASH POINT BLDG E
Project Address: 4915 SW 319TH LN Bldg E
Project Description: Replace domestic water lines throughout building
• Plumbing
Permit #: 13 -102365 -00 -PL
Inspection Request Line: (253) 835,3050
Parcel Number: 112103 9129
Owner
ARRlican
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 ................ 12
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 Ann jratian Date:
MAY S 1 RECD
F*4ttjo
vto
f
Federal Way
PERMIT #:
Project:
THIS CARD IS TO MAIN ON-SITE
Construction In ection Record
INSPECTION REQ TS: (253) 835-3050
13 -102365 -00 -PL Address: 4915 SW 319TH LN Bldg E
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.
E] Plumbing Groundwork (41")
E] Rough Plumbing (4230)
Gas Piping (4125)
Approved to cover
Approved
Approved to release test
By Date
By 57S Date
By Date
Date
By
Final - Plumbing (4075)
Approved
By Date
Rough Electrical
Approved
Final Electrical
Approved
0
Right of Way —�
Approved
By
Date
By
Date
By
Date
0 0
CIITOF� PERMIT APPWLkN
Federal Way �
MAY 3 0 2013 1)pH
�
PERMIT NUMBER _ `� �O _ P% CM OF FEDERAL J1Ay
- TARGET DATE CDS
SITE ADDRESS
4q%5 SW al ' h'
SUITE/UNIT 8
1M » rvii
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL N
$ le 0 x
I 1 1 2 0 3- ci 1 1 -
TYPE OF PERMIT
❑ BUILDING PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
` �-- — s
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
�, V 5 Q
PRIMARY PHONE
ZrJ
MAILING ADDRESS
3 4 CoNVo 'Si
E-MAIL
CITY
STATEZIP
ICI
NAME,
R. �s'�o
PHONE
MAILING ADDRESS _
E-MAIL
CONTRACTOR
CITY
STATE
ZiP 1 3
FAX
WA STATE CONTRACTOR'S LICENSE / EXPIRATION DATE
P% 3 C, X20 13
FEDERAL WAY BUSINESS LICENSE R
13 - i Q 2, 13 t0
NAME _ -
PRIMARY PHONE
e. ` V
MAILING ADDRESS
E-MAIL
APPLICANT
C TY ^�
�. A o . i
STATE
ZIP
FAX
PROJECT CONTACT
NA\ME..
�,3
�A
PRIMARY PHONE
`3 q,, -- (P
MAILING ADDRESS
E-MAIL pil
:n3
(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
1 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 cert(fy 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.
e r 1 1 _
SIGNATURE: \ ' DATE
PRINT NAME: ----
Bulletin #100- January 1, 2013 11 we I of 3 kiA1liuidouts\Permit Application