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Home My WebLink AboutPermit M11-076 - THOMPSON RESIDENCETHOMPSON RESIDENCE 14217 55 AV S EXPIRED 12 -07 -11 M11-076 City okukwila 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: / /www.TukwilaWA.gov MECHANICAL PERMIT Parcel No.: 0761000160 Address: 14217 SS AV S TUKW Project Name: THOMPSON RESIDENCE Permit Number: M11 -076 Issue Date: 06/10/2011 Permit Expires On: 12/07/2011 Owner: Name: THOMPSON CYNTHIA L Address: 14217 55TH AVE S , TUKWILA WA 98168 Contact Person: Name: KAREN KLIEMANN Address: 4703 116 ST E , TACOMA WA 98446 Email: KAREN @KLIEMANNBROS.COM Contractor: Name: KLIEMANN BROTHERS HTG & A/C INC Address: 4703 116 ST E , TACOMA WA 98446 Contractor License No: KLEIMBH021BT Phone: 253 -537 -0655 Phone: 253 537 -0655 Expiration Date: 01/27/2012 DESCRIPTION OF WORK: REPLACE EXISTING GAS FURNACE WITH HIGH EFFICIENCY 95% GAS FURNACE AND HEAT PUMP. DUCT MODIFICATION SEALING AND TESTING. TRANS TUH2B060A9V3V, 60,000 BTU'S Value of Mechanical: $9,700.00 Type of Fire Protection: UNKNOWN Electrical Service Provided by: Permit Center Authorized Signature: Fees Collected: $244.85 International Mechanical Code Edition: 2009 Date: 62-(o-i( 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 mechanical permit and agree to the conditions on the back of this permit. Signature: 1/ Print Name: ' e V 1. e £4 t E'` 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: IMC -4/10 M11 -076 Printed: 06 -10 -2011 • • PERMIT CONDITIONS Permit No. M11 -076 1: ** *BUILDING DEPARTMENT CONDmONS * ** 2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the Building Official. 3: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to start of any construction. These documents shall be maintained and made available until final inspection approval is granted. 4: Manufacturers installation instructions shall be available on the job site at the time of inspection. 5: Except for direct -vent appliances that obtain all combustion air directly from the outdoors; fuel -fired appliances shall not be located in, or obtain combustion air from, any of the following rooms or spaces: Sleeping rooms, bathrooms, toilet rooms, storage closets, surgical rooms. 6: Equipment and appliances having an ignition source and located in hazardous locations and public garages, PRIVATE GARAGES, repair garages, automotive motor -fuel dispensing facilities and parking garages shall be elevated such that the source of ignition is not less than 18 inches above the floor surface on which the equipment or appliance rests. 7: Water heaters shall be anchored or strapped to resist horizontal displacement due to earthquake motion. Strapping shall be at points within the upper one -third and lower one -third of the water heater's vertical dimension. A minimum distance of 4- inches shall be maintained above the controls with the strapping. 8: All plumbing and gas piping work shall be inspected and approved under a separate permit +issued by the City of Tukwila Building Department (206- 431 - 3670). 9: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building Department (206 -431- 3670). 10: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the building code or of any other ordinances of the City :of Tukwila. Permits presuming to give authority to violate or cancel the provisions of the code or other ordinances df the City of Thkwila shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the Building Official from requiring the correction of errors in the construction documents and other data. doc: IMC -4/10 M11 -076 Printed: 06 -10 -2011 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.cLtukwila.wa.us Mechanical Permit No. tik t 1,-a 7 Project No. (For office use only) MECHANICAL 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 King Co Assessor's Tax No.: 0761000160 Suite Number: Floor: New Tenant: m Yes ❑..No Property Owners Name: same Mailing Address: same 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 MECHANICAL CONTRACTOR INFORMATION Company Name: Kliemann Brothers Heating Mailing Address: same Contact Person: same City Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: KLIEMBH021 BT Expiration Date: 01/27/2012 State Zip ARCHITECT OF RECORD — All plans must be stamped by architect of record Company Name: NONE Mailing Address: Contact Person: E -Mail Address: City Day Telephone: Fax Number: State Zip ENGINEER OF RECORD — All plans must be stamped by engineer of record Company Name: NONE Mailing Address: Contact Person: City Day Telephone: E -Mail Address: Fax Number: State Zip H:\Applications\Fotms- Applications On Line\2010 Applications \7 -2010 - Mechanical Permit Application.doc Revised: 7 -2010 bh Page 1 of 2 1 • • Valuation of project (contractor's bid price): $ 9700 Scope of work (please provide detailed information): Replace existing gas furnace with new high efficiency 95% gas furnace and heat pump. Duct modification sealing and testing (4c $w p� 4, 14)6,44% �. ,..4 , �" - t f t YY '�1 („4„,„,,,..0,,. pt46 ,u. U. 4 ! A.bd U L l� oit;N.t.1 j!� Ytsaw% J Uf S Lzt 5 p tA.l g"� ,�-�, � � wows 4t = TitH LEO((OA1 q 3 LSA RJktJE. New ❑ Use: Residential: Commercial: New Fuel Type: Electric m Gas Replacement Replacement m Other: Indicate type of mechanical work being installed and the quant'ty below: Unit Type: Qty Unit Type: Qty Unit Type: Qty Bioler /Compressor Qty furnace <100k btu 1 air handling unit >10,000 cfm fire damper 0 -3 hp /100,000 btu furnace >100k btu evaporator cooler diffuser 3-15 hp /500,000 btu floor furnace ventilation fan connected to single duct thermostat 1 15 -30 hp /1,000,000 btu suspended/wall/floor mounted heater ventilation system wood/gas stove 30 -50 hp/1,750,000 btu appliance vent hood and duct emergency generator 50+ hp /1,750,000 btu repair or addition to P heat/refrig/cooling system 1 Incinerator — domestic other mechanical equipment air handling unit <10,000 cfm incinerator — comm/ind 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 additional periods not to exceed 90 days each. The extension shall be requested in writing and justifiable cause demonstrated. Section 105.3.2 international building code (current edition). 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 U ITORIZED AGENT: Signature: 100i ✓•• Print Name: Karen Kliemann Mailing Address: 4703 - 116th St E Date: Day Telephone: Tacoma 06/08/2011 (253) 537 -0655 City WA State 98446 Zip Date Application Accepted: Date Application Expires: Staff Initials: H:\Applications\Forms- Applications On Line\2010 Applications \7 -2010 - Mechanical Permit Application.doc Revised: 7 -2010 bh Page 2 of 2 • o 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: M11 -076 Status: PENDING Applied Date: 06/10/2011 Issue Date: Receipt No.: R11 -01178 Payment Amount: $244.85 Initials: WER Payment Date: 06/10/2011 08:19 AM User ID: 1655 Balance: $0.00 Payee: KLIEMANN BROS HEATING TRANSACTION LIST: Type Method Descriptio Amount Payment Check 31336 244.85 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts MECHANICAL - RES 000.322.102.00.00 244.85 Total: $244.85 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. M11 -076 THOMPSON RESIDENCE 14217 55 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. M11 -076 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206- 431 -3670 • Fax: 206 - 431 -3665 Contractors or Tradespeople P ter Friendly Page 0 General /Specialty Contractor A business registered as a construction contractor with LW to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name KLIEMANN BROTHERS HTG & A/C IN UBI No. 601849453 Phone 2535370655 Status Active Address 4703 116Th St E License No. KLIEMBH021BT Suite /Apt. License Type Construction Contractor City Tacoma Effective Date 1/30/1998 State WA Expiration Date 1/27/2012 Zip 98446 Suspend Date County Pierce Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date KLIEMANN, HERB Cancel Date 01/01/1980 Amount KLIEMANN, TOM 12 01/01/1980 600604774 KLIEMANN, CHRIS 07/15/2011 01/01/1980 01/01/1980 Bond Information Page 1 of 1 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 4 RLI INS CO RSB763469 01/27/2005 Until Cancelled $12,000.00 01/13/2005 Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 12 TRUCK INS EXCHANGE 600604774 07/15/2010 07/15/2011 43.22.435 RCW FAS INFRACTION $2,000,000.00 07/09/2010 11 TRUCK INS EXCHANGE 600604774 07/15/2008 07/15/2010 $200.00 $2,000,000.00 07/14/2009 10 TRUCK INS EXCHANGE 600604774 07/15/2005 07/16/2008 $1,000,000.0007 /05/2007 9 NATIONAL FIRE & MARINE INS CO 72LP162481 07/22/2004 07/22/2005 07/15/2005 $1,000,000.0007 /25/2005 8 TRUCK INS EXCHANGE 600604774 07/15/2004 07/15/2005 $1,000,000.00 07/27/2004 Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period Warrant Information No unsatisfied warrants on file within prior 6 year period Infractions /Citations Information Infraction / Citation Date RCW Code Type Status Violation Amount F39952 7/28/2005 43.22.435 RCW FAS INFRACTION Satisfied $200.00 F39953 7/28/2005 43.22.435 RCW FAS INFRACTION Satisfied $200.00 F39954 7/28/2005 43.22.435 RCW FAS INFRACTION Satisfied $200.00 https://fortress.wa.gov/lni/bbip/Print.aspx 06/10/2011