13-1023701
T � }
Plumbing
Comm n4 & Eederall W sem Permit #: 13 -102370 -00 -PL
33325 8th Ave S r,. - • _
Federal Way, 98003 ' Inspection Request Line: (253) 835 050
Ph: (253) 835-2807 Fartax (253) 835-2809 � --�,+r
4 - .�.._.._.y
Project Name: THE PARK AT DASH POINT BLDG K
Project Address: 4955 SW 319TH LN Bldg K Parcel Number: 112103 9129
Project Description: Replace domestic water lines throughout building
Plumbing Fixtures
Other Plumbing Fixtures ............... 12
PERMIT EXPIRES Wednesday, November 27, 2013
Permit Issued on Friday, May 31, 2013
1 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 Application Date:
MAY 31191
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Owner
Applicant
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 ............... 12
PERMIT EXPIRES Wednesday, November 27, 2013
Permit Issued on Friday, May 31, 2013
1 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 Application Date:
MAY 31191
� XIA ��. �0
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• TffiS CARD IS TO MAIN ON-SITE
m� I
�Construction In ection Record
Federal Way INSPECTION REQ TS: (253) 835-3050
PERMIT #: 13 -102370 -00 -PL Address: 4955 SW 319TH LN Bldg K
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
y Date6'—�
Plumbing Groundwork (4190)
0
Rough Plumbing (4230)11
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
y Date6'—�
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date
a"of, A � PERM IT'kPPLICATION
Federal Way RECEIVE®
2✓ MAY 3 0 2013
PERMIT NIIMBER � _ ` � � � v — , TARGET DATE
CITY OF FEDERAL
SITE ADDRESS
SUITE #
W °1 S L
Vth
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$ (?, oco
I I_2,.._L G 3- c 2 Ici
TYPE OF PERMIT
❑ BUILDING PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER5
NAME
PRIMARY PHONE
�st
MAILING ADDRESS
3 0 CoNVe t j44
EMAIL
PITY STATE ZI
�g
b (s� l-
S v V p Cli
NAME /PjIVOP
PHONE
10
EVjq4P,
MADJNGG ADDRESS _ (j
Lito S
- E-MAIL
CONTRACTOR
CITY
STATE
ZIp
4y
FAX
g
L/. 11 3 o
A STATE CONTRACTOR'S LICENSE # - EXPIRATION DATE
VIA
FEDERAL WAY BUSINESS LICENSE #
-102,134
i20 i 13
13
NAME
PRIMARY PHONE
MAIL ING ADDIfESB
E MAIL
APPLICANT
CITY
STATE
ZIP
FAX
}NA\M SS:
PRIMARY PHONE /
- `P
-3'
PROJECT CONTACT
W \
c9'
MAILING ADDRESS
E-MAIL .
L,
(The individual to receive and
respond to all correspondence
t t :-,AT,
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
X 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 lincluding 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.
t t
SIGNATURE: - -- :'' , — . - - — -- DATE i
PRINT NAME:
Buiictin #i00 .fanu.try 1. 201 1 i of 3 k:AFiailtlouts\Permi( i1�;1 liiatir.0