13-102371a Plumbing
City & Way
ices Permit #: 13-102371-00-P L
33325 8th Ave S d
Federalway, WA 98003 Inspection Request Line: 253 835-3050
Ph: (253) 835-2l 807 Fax: (253) 835-2809 i� eq
Project Name: THE PARK AT DASH POINT BLDG L
Project Address: 4%5 SW 319TH LN Bldg L Parcel Number. 112103 9129
Project Description: Replace domestic water lines throughout building
Owner
Allll� cant
Contractor
K N L VISION WA LLC
PLUMBING EXPRESS SAGEWATER
PLUMBING EXPRESS SAGEWATER
3709 CONVOY ST SUITE 300
450-C S PICKETT ST
PLUMBES922JC (620/13)
SAN DIEGO, CA 92111
ALEXANDRIA VA 22304
450-0 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: ee AD— D icatinn Date:
MAY 81 RECD
cmr of
Federal Way
PERMIT #:
Project:
THIS CARD IS TO I&MAIN ON-SITE
Construction In ection Record
INSPECTION REQ TS: (253) 835-3050
13 -102371 -00 -PL Address: 4965 SW 319TH LN Bldg L
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
Date z�
Plumbing Groundwork (41 90)
Rough Plumbing (4230)Gas
Final Electrical
Approved
Piping (4125)
1:1Approved
Approved to cover
By
Approved
Approved to release test
By
Date
By
Date
By
Date
Final - Plumbing (4075)
Approved
Date z�
Rough Electrical
Approved
M
Final Electrical
Approved
1:1Approved
Right of Way -^
By
Date
By
Date
By
Date
0" OF - - PERM IT4KPPLI CATI ON
Federal Way RECEIVED
PERMIT NUMBER _ ' `r (/ l _ TARGET DATE MAY 3 0 2013
_
..�,. ncr ccnFRA1 WAY
SUITE/U5§, L i inns %T
SITE ADDRESS _ IDA
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL f
TYPE OF PERMIT
❑ BUILDING PLUMBING ❑MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT',
" 5
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPE,R,(T�Y�(JOWNER
NAME
PRIMARY PHONE
ADDRESS,
!`v
D �,'{v`%rl
E-MAIL
�TY
STATE
ZIP '
rIAME
w,'
/PI es s
PHONE
10
MAILING ADDRESS _ _ -
LArSo -L
E-MAIL
CONTRACTOR
CITY
STATE
ZIp
q
FAX
NgtlLf.
o
WA STATE CONTRACTOR'S LICENSE T EXPIRATION DATE
PINA yn c 2 -SC /20/13
FEDERAL WAY BUSINESS LICENSE A
3 l 21310
NAME _
PRIMARY PHONE
e—
UAIL,ING ADDRESS
o�\.VA
E-MAIL
APPLICANT
PITY
V:
STATE
ZIP
FAX
PROJECT CONTACT
I `
PRIMARY PHONE (_
C) 3 ` c' `P
MAILING ADDRESS
EdHAIL
1
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
X 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 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.
SIGNATURE: 1 _DATE
t s,,
PRINT NAME: . •... % i '. ---- -
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