HomeMy WebLinkAboutPermit EL11-0528 - THOMPSON RESIDENCETHOMPSON RESIDENCE
14217 55 AV S
EXPIRED
12 -07 -11
ELi 1 -0528
Parcel No.:
Address:
Tenant Name:
Cityef Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Inspection Request Line: 206 - 431 -2451
Web site: http: / /wwwci.tukwila.wa.us
0761000160
14217 55 AV S TUKW
THOMPSON RESIDENCE
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL11 -0528
06/10/2011
12/07/2011
Owner:
Name: THOMPSON CYNTHIA L
Address: 14217 55TH AVE S , TUKWILA WA 98168
Contact Person:
Name: KAREN KLIEMANN Phone: 253 -537 -0655
Address: 4703 116 ST E , TACOMA WA 98446
Contractor:
Name: KLIEMANN BROS HEATING & A/C
Address: 4703 116 ST E , TACOMA WA 98446
Contractor License No: KLIEMBH003MP
Phone: 253 -537 -0655
Expiration Date: 07/17/2012
DESCRIPTION OF WORK:
THERMOSTAT WIRE TO NEW HEAT PUMP AND REPLACE INDOOR THERMOSTAT
Value of Electrical Work: NRES: $0.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service Provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected: $59.85
National Electrical Code Edition: 2008
Date: ID- f 0- `
I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied with, whether specified herein or not.
The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the performance of work. I am authorized to sign and obtain this electrical permit and agree to the conditions on the back
of this permit.
Signature: Date: 6;'''/0 —l/
Print Name: 4( eivt (► .B i44..,q in in
This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended
or abandoned for a period of 180 days from the last inspection.
doc: EL -9/09
EL11 -0528 Printed: 06 -10 -2011
• •
PERMIT CONDITIONS
Permit No. EL11 -0528
* *ELECTRICAL **
1: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector
at each work site.
2: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector.
3: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter
296 -46B WAC.
4: When any portion of the electrical installation is to be hidden from view by permanent placement of parts of the
building, such equipment shall not be concealed until it has been inspected and approved by the Electrical Inspector.
5: The issuance of an electrical work permit shall not be construed to be a permit for, or an approval of, any violation
of the provisions of the electrical code or other ordinances of the jurisdiction. Permits or related documentation that
presumes to grant this authority are therefore not valid.
6: Any change in the scope of work described by the electrical work permit shall require additional work permits. Where
approved plans have been issued, revisions to the plans and additional review may be required.
doc: EL -9/09
EL11 -0528 Printed: 06 -10 -2011
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
h ttp : / /wWW ci= tkwila: Wa: us
Electrical Permit No. t L. 1,1 . O S
Project No.
(For office use only)
ELECTRICAL PERMIT APPLICATION
Applications and plans must be complete in order to be accepted for plan review.
Applications will not be accepted through the mail or by fax.
* *Please Print **
SITE LOCATION
Site Address: 14217 - 55th Ave S
Tenant Name:
Cindy & Dave Thompson
Property Owners Name: same
Mailing Address: same
King Co Assessor's Tax No.: 01.61060100
Suite Number Floor:
New Tenant: m Yes ❑..No
City
State
Zip
CONTACT PERSON — Who do we contact when your permit is ready to be issued
Name: Karen Kliemann
Mailing Address: 4703 = 116th St E
Day Telephone: (253) 537 -0655
Tacoma _ WA
98446
E -Mail Address: karen@kliemannbros.com
City State
Fax Number: (253) 539 -3861
Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Kliemann Brothers Heating
Mailing Address: same
Contact Person: Kliemann Brothers Heating
E -Mail Address:
same
City"
Day Telephone:
Fax Number:
State
Zip
Contractor Registration. Number: KLIEMBH003MP Expiration Date: 07/17/2011
Valuation of Project (contractor's bid price): $ 250
Scope of Work (please provide detailed information): Thermostat wire to new heat pump and replace indoor thermostat
Will service be altered? ❑ Yes m No Adding more than 50 amps? ❑ Yes m No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
® Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
® Puget Sound Energy
❑ Seattle City Light
HAApplications\Forms- Applications On Line \2010 ApplicationsV -2010 = Electrical Permit Application.doc
bh
Page 1 of
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $152.85
(including an attached garage)
❑ Garages, pools, spas and outbuildings - - - - -- - - - -- $81.90 ea
❑ Low voltage systems
(alarm, furnace thermostat) - $59.85 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $81.90
(no added/altered circuits)
❑ Service change with added/altered circuits -- $81.90
number of added circuits - $11:55 ea
❑ Circuits added/altered without service change $54.60
(up to 5 circuits)
❑ Circuits added/altered without service change -- - $54.60
(6 or more circuits) $7:65 ea
❑ Meter /mast repair - -- - - $68.25
• Low voltage systems - -- - $59.85
(alarm, furnace thermostat)
MULTI = FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $63.00
❑ Temporary service (generator) $78.75
❑ Manufactured/mobile home service - $84.00
(excluding garage or outbuilding)
❑ Carnivals $78.75
Number of concessions -- $10.50 ea
PERMIT APPLICATION NOTES -
Value of Construction - In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject
to possible revision by the Permit Center to comply with current fee schedules.
Expiration of Plan Review - Applications for which no permit is issued within 180 days following the date of application shall expire by limitation.
The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing
and justifiable cause demonstrated.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Print Name:
Mailing Address:
Date: 06/07/2011
Day Telephone: (253) 537 -0655
Tacoma
City
98446
State
Zip
IDate Application Accepted:
Date Application Expires:
Staff Initials:
H:\Applications \Forms - Applications On Line'2010 Applications \7 -2010 - Electrical Permit Application.doc
hh
Page 2 of 2
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.TukwilaWA.gov
Parcel No.: 0761000160
Address: 14217 55 AV S TUKW
Suite No:
Applicant: THOMPSON RESIDENCE
RECEIPT
Permit Number: EL11 -0528
Status: PENDING
Applied Date: 06/10/2011
Issue Date:
Receipt No.: R11 -01179
Initials: WER
User ID: 1655
Payment Amount: $59.85
Payment Date: 06/10/2011 08:25 AM
Balance: $0.00
Payee: KLIEMANN BROIS HEATING
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 31336 59.85
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - RES
000.322.101.00.00 59.85
Total: $59.85
doc: Receiot -06 Printed: 06 -10 -2011
•
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
KAREN KLIEMANN
4703 116 ST E
TACOMA WA 98446
RE: Permit No. EL11 -0528
THOMPSON RESIDENCE
1421755 AV S TUKW
Dear Permit Holder:
In reviewing our current records, the above noted permit has not received a final inspection by the City of
Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform
Plumbing Code and /or the National Electric Code, every permit issued by the Building Division under the
provisions of these codes shall expire by limitation and become null and void if the building or work authorized
by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work
authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180
days. Your permit will expire on 12/07/2011.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final
inspection. Each inspection creates a new 180 day period, provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is
due to expire. Address your extension request to the Building Official and state your reason(s) for
the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is
determined that your extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and /or receive an extension prior to 12/07/2011, your permit will
become null and void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
Bill Rambo
Permit Technician
File: Permit File No. ELI 1-0528
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
Contractors or Tradespeople Pr ter Friendly Page
•
Electrical Contractor
A business licensed by L &1 to contract electrical work within the scope of its specialty. Electrical
Contractors must maintain a surety bond or assignment of savings account. They also must have a
designated Electrical Administrator or Master Electrician who is a member of the firm or a full -time
supervisory employee.
Business and Licensing Information
Name
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent Company
KLIEMANN BROS HEATING & A/C
2535370655
4703 116Th St E
Tacoma
WA
98446
Pierce
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601849453
Active
KLIEMBH003MP
Electrical Contractor
7/17/2000
7/17/2012
Hvac /Rfrg Ltd Energy
Unused
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
KLIEMBH911 Q4
KLIEMANN BROS
HEATING & A/C
Electrical
Contractor
Residential
Unused
11/24/2009
11/24/2011
Suspended
Electrical Administrator INFORMATION
License KLIEMC'985MP
Name KLIEMANN, CHRIS
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
KLIEMANN, HERB
Cancel Date
01/01/1980
Bond Amount
KLIEMANN, CHRIS
2
01/01/1980
RSB4068040
KLIEMANN, TOM
Until Cancelled
01/01/1980
ELECTRICAL CITATION
KLIEMANN, HERB
Agent
01/01/1980
DEVELOPERS SURETY
& INDEM CO
KLIEMANN, LAURA
Secretary
07/17/2002
08/25/2005
Bond Information
Page 1 of 2
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
2
RLI INS CO
RSB4068040
07/17/2005
Until Cancelled
19.28.101 RCW
ELECTRICAL CITATION
$4,000.00
06/27/2005
1
DEVELOPERS SURETY
& INDEM CO
853026C
07/17/2000
Until Cancelled
08/25/2005
$4,000.0003/28/2001
Assignment of Savings Information No records found for the previous 6 year period
Insurance Information No records found for the previous 6 year period
Summons /Complaint Information Summons and Complaints are not filed with the department for this contractor type
Warrant Information Warrants are not filed with the department for this contractor type
Infractions /Citations Information
Infraction / Citation
Date
RCW Code
Type
Status
Violation Amount
EMURD00323
8/18/2010
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$1,000.00
EMURD00292
11/3/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$125.00
https://fortress.wa.gov/lni/bbip/Print.aspx
06/10/2011