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13-102366
• Ctty of federal Way Community & Econ. Dev. Services 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2807 Fax: (253) 835-2809 Project Name: THE PARK AT DASH POINT BLDG F Project Address: 4920 SW 319TH LN Bldg F Project Description: Replace domestic water lines throughout building Plumbing Permit #: 13 -102366 -00 -PL Inspection Request Line: (253) 835-3050 Parcel Number: 112103 9129 Owner ARRlicn 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 Olumbing Fixtures Other Plumbing Fixtures ............... 6 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 �'Cf„E�1�I , Owner or agent: See APPIC Date: MAY $1 RECD ;r1w"a ;,**/13 r arr of VAI� Federal Way PERMIT #: 13 -102366 -00 -PL Project: K N L VISION WA LLC THIS CARD IS TO ON-SITE Construction In ection Record INSPECTION REQ TS: (253) 835-3050 Address: 4920 SW 319TH LN Bldg F 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. 1- Plumbing (4075) Approved By ate El Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date Plumbing Groundwork (41 90) Rough Plumbing (4230)Gas Piping (4125) Approved to cover Approved Approved to release test By Date By Date By Date 1- Plumbing (4075) Approved By ate El Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date cfrvaf,A PERMIT*APPLICATION Federal Way yy o� RECEIVED � PERMIT NumBER 1 ✓ _ 0 (i LS/ _ �� _ TARGET DATE n Y 3 0 Z013 SITE ADDRESSNIT �VUCD!6 # FED RAL WAY W 3 L� uW� 5 PROJECT VALUATIOI ZONING ASSESSOR'S TAX/PARCEL # /'? ( Q - I- TYPEOF PERMIT ❑ BUILDING PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT'` PROJECT DESCRIPTION Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER C� MAILING ADDRESS 3 oo CoNvo �i , 300 E-MAIL CITY STATE ZIP S iZ, d 1 NAME • PHONE '1© MAILING ADDRESS _ P E-MAIL CONTRACTOR CITY STATEZIjp L� FAX 1230 l WA STATE CONTRALTO ' ICENSE # EXPIRATIONDATE FEDERAL WAY BUSINESS LICENSE # RNS m e.• I? X13 13- 102.116 NAME PRIMARY PHONE t_ (� J (Z. \ (`- MAILING ADDRESS (� (�Gv` ri 1 �,Eve E-MAIL APPLICANT CITY' ZIP FAX (��\ oSTATE {NAME_ . ` PRIMARY PHONE PROJECT CONTACT i*1 ti 3 MAILING ADDRESS E-MAIL (The individual to receive and respond to all correspondence 1,,y r t14 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 19.27095) 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 claiml, 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. I SIGNATURE: ��- DATE PRINT NAME: Bulletin #1(H)- .lxnuary 1. 2013 Page I of I k:AIlaiidoutAPenmt Application