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13-102367i Plumbing tity Corrmwrifty& E� o� s rvim - Permit #: 13 -102167 -00 -PL 33325 8th Ave S f' Federal way, WA 96003 Inspection Request Line: (253) 8354050 Ph: (253) 835-2607 Fax (253) 835-2809 � t. R, Project Name: THE PARK AT DASH POINT BLDG G Project Address: 4930 SW 319TH LN Bldg G Parcel Number: 112103 9129 Project Description: Replace domestic water lines throughout building Owner K N L VISION WA LLC ARnlicant PLUMBING EXPRESS SAGEWATER Contractor 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 Fixture& ............... 13 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 See Applicationay Owner or agent: Date: MAY S 1 RECI FN*Ugb */11113 C1, CW Federal Way PERMIT #: Project: THIS CARD IS TO ON-SITE Construction In ection Record INSPECTION REQ TS: (253) 835-3050 13 -102367 -00 -PL Address: 4930 SW 319TH LN Bldg G 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) By , ADate d-7%blV4- L VCe-.' fz � _i Plumbing Groundwork (41 90) Rough Plumbing (4230)as Final Electrical Approved Piping (4125) Approved to cover By Approved Approved to release test By Date By Date By Date Final - Plumbing (4075) By , ADate d-7%blV4- L VCe-.' fz � _i Rough Electrical Approved Final Electrical Approved Right of Way —� Approved By Date By Date By Date QTY OF PERM IT*APPLI CATION Federal Way RECEIVED �oUyy PERMIT NUMBER �/ _ O �Q �f/ TARGET DATE MAY 3 0 2013 - - --MA1 %AJAX/ SITE ADDRESS _ IT DS PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL # 13OnO 3- 1 2 P� TYPE OF PERMIT ❑ BUILDING PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT'` -- 5 v 4 PROJECT DESCRIPTION Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER - s Q tV MAILING ADDRESS 3 0o C©NVo �i -,)1 300 E-MAIL CITY STATEZIP S �t d t NAME hPHONE MAILING ADDRESS _ -L �°'� e. EMAIL CONTRACTORLitb CITY STATE I FAX e2 7130`� KATE CONTRACTOR'S LICENSE # EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE # G �2a/3 171� 1021 NAME PRIMARY PHONE _ MAILING ADDRESS 0 " ` C3 C �\ h ti C �� \ EMAIL APPLICANT CITY STATE ZIP FAX �NA`ME . PRIMARY PHONE / ri PROJECT CONTACT kr i � G 3 MAILING ADDRESS EMAIL w (The individual to receive and respond to all correspondence w, t 1 t 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 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 apart of this application. i F SIGNATURE: �F� DATE I '� c PRINT NAME: Builetm#I(X)- January I,2013 Fake 1 of k:AliandoMAPermitAppliration