13-102369e
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
0 Plumbing
Permit #: 13 -102369 -00 -PL
' Inspection Request Line: (253) 835-3050
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Project Name: THE PARK AT DASH POINT BLDG J
Project Address: 4950 SW 3191M LN Bldg J
Project Description: Replace domestic water lines throughout building
Parcel Number. 112103 9129
Owner
Annlicant
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 ............... 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 City of Federal Way.
Owner or agent: Vee Application Date:
MAY 81 RECD
MY OF 1411�&
Federal Way
THIS CARD IS TO ON-SITE
Construction In ection Record
INSPECTION REQ TS: (253) 835-3050
PERMIT #: 13 -102369 -00 -PL Address: 4950 SW 319TH LN Bldg J
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.
0
Plumbing Groundwork (4190)
Rough Plumbing (4230)as
Final Electrical
Approved
Piping (4125)
ElRight
Approved to cover
By
I Approved
Approved to release test
By
Date
By
55 Date 741/)
By
Date
Final - Plumbing (4075)
Approved
By Date
0
Rough Electrical
Approved
Final Electrical
Approved
ElRight
of Way
Approved
By
Date
By
Date
By
Date
�OF ,A
Federal Way
� PERMITOAPPLRE ETRN �
PERMIT NUMBER I ✓ _ 10 Z —.57 6:1 q — 'P`/
MAY 3 0 2013
TARGET DATE CM OF FEDERAL WAY
rnC
SITE ADDRESS
-
SUITE/UNIT #
PROJECT VALU TION
ZONING
ASSESSOR' AX/PARCEL #
$ X76
i A -IL -tP3--�
2�
TYPE OF PERMIT
❑ BUILDING PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
f d e` G
PROJECT DESCRIPTION
Detailed description of Mork to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
C, Q
MAILING ADDRESS
3 o Co cavo � i s� o 0
E-MAIL
ITY
STATE
a�2�
IZ7 C)
v: 11
-
NAME
/Pf '
PHONE
/�
0.,�55
Q 8
/ 03—
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIg
FAX
ei
Gf
A STATE CONTRACTOR'S LICENSE # -- EXPIRATION DATE
)I
FEDERAL WAY BUSINESS LICENSE #
" c 2760 i20 i�3
3-/ 2J3G
NAME_
PRIMARY PHONE
5 e. A\ �-
MAILING ADD
E-MAIL
APPLICANT
C TY
STATE
ZIP
FAX
_
4NA\ME
`
PRIMARY PHONE /
� - `P
PROJECT CONTACT
�.i�1,
Cy
MAILING ADDRESS
E-MAIL �¢
(The individual to receive and
respond to all correspondence
LII 1 t I
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 responsibilityfor 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. - -
1 SIGNATURE: V^` '
—c——
i. '•. DATE
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PRINT NAME:
Bulletin#100- Luivaiy 1. 2013 i'a�e i of 3 kllian�ou;�APermit Al;l:iicatiim