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Home My WebLink AboutPermit PG10-110 - CAMPY RESIDENCECAMPY RESIDENCE 5505 S 149 ST PG1O-11O City ANkwila 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.ci.tukwila.wa.us Parcel No.: 7661600208 Address: 5505 S 149 ST TUKW Project Name: CAMPY RESIDENCE PLUMBING /GAS PIPING PERMIT Permit Number: PG10 -110 Issue Date: 08/17/2010 Permit Expires On: 02/13/2011 Owner: Name: CAMPY CHARLES +SONYA Address: 207 12TH ST NW , PUYALLUP WA 98371 Contact Person: Name: KAREN KLIEMANN Address: 4703 116 ST E , TUKWILA 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: NEW GAS PIPING TO FURNACE, WATER HEATER AND (2) FIREPLACES FOR NEW SINGLE FAMILY RESIDENCE Value of Plumbing /Gas Piping: $600.00 Fees Collected: Permit Center Authorized Signature: Uniform Plumbing Code Edition: 2009 $96.60 International Fuel Gas Code Edition: 2009 Date: 9--(7-10 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 o thgperformance of wok. I am authorized to sign and obtain this plumbing /gas piping permit. Signature: Print Name: Date: 9-' / 7 / 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: UPC -4/10 PG10 -110 Printed: 08 -17 -2010 Parcel No.: Address: Suite No: Tenant: 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.ci.tukwila.wa.us 7661600208 5505 S 149 ST TUKW CAMPY RESIDENCE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: PG10 -110 ISSUED 08/17/2010 08/17/2010 1: ** *PLUMBING AND GAS PIPING * ** 2: No changes shall be made to applicable plans and specifications unless prior approval is obtained from the Tukwila Building Division. 3: All permits, inspection records and applicable plans shall be maintained at the job and available to the plumbing inspector. 4: All plumbing and gas piping systems shall be installed in compliance with the Uniform Plumbing Code and the Fuel Gas Code. 5: No portion of any plumbing system or gas piping shall be concealed until inspected and approved. 6: All plumbing and gas piping systems shall be tested and approved as required by the Plumbing Code and Fuel Gas Code. Tests shall be conducted in the presence of the Plumbing Inspector. It shall be the duty of the holder of the permit to make sure that the work will stand the test prescribed before giving notification that the work is ready for inspection. 7: No water, soil, or waste pipe shall be installed or permitted outside of a building or in an exterior wall unless, adequate provision is made to protect such pipe from freezing. All hot and cold water pipes installed outside the conditioned space shall be insulated to minimum R -3. 8: Plastic and copper piping running through framing members to within one (1) inch of the exposed framing shall be protected by steel nail plates not less than 18 guage. 9: Piping through concrete or masonry walls shall not be subject to any load from building construction. No plumbing piping shall be directly embedded in concrete or masonry. 10: All pipes penetrating floor /ceiling assemblies and fire - resistance rated walls or partitions shall be protected in accordance with the requirements of the building code. 11: Piping in the ground shall be laid on a firm bed for its entire length. Trenches shall be backfilled in thin layers to twelve inches above the top of the piping with clean earth, which shall not contain stones, boulders, cinderfill, frozen earth, or construction debris. 12: The issuance of a permit or approval of plans and specifications shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the Plumbing Code or Fuel Gas Code or any other ordinance of the jurisdiction. * *continued on next page ** doc: Cond -10/06 PG10 -110 Printed: 08 -17 -2010 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.ci.tukwila.wa.us I hereby certify that I have read these conditions and will comply with them as outlined. 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 provision of any other work or local laws regulating construction or the performance of work. Signature: Print Name: I. A-14'1_'11 G L h Date: doc: Cond -10/06 PG10 -110 Printed: 08 -17 -2010 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us Plumbing /Gas Permit No. (For office use .onl) PLUMBING / GAS PIPING 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: 5505 South 149th Tenant Name: Campy, Charles & Sonja Property Owners Name: Same Mailing Address: Same King Co Assessor's Tax No.: 7661600208 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 E -Mail Address: karen @kliemannbros.com Day Telephone: (253) 537 -0655 Tacoma WA City State Fax Number: (253) 539 -3861 98446 Zip PLUMBING / GAS PIPING CONTRACTOR INFORMATION Company Name: Kliemann Bros Heating Mailing Address: same as above Contact Person: Same as contact E -Mail Address: same as contact Contractor Registration Number: KLIEMBH021 BT City Day Telephone: Fax Number: State Zip Expiration Date: 01/27/2012 ARCHITECT OF RECORD —: All plans must be stamped by Architect, of Record Company Name: N/A Mailing Address: City Contact Person: Day Telephone: Fax Number: E -Mail Address: State Zip ENGINEER OF RECORD — All plans must be stamped by Engineer of Record Company Name: NIA Mailing Address: City State Zip Contact Person: Day Telephone: E -Mail Address: Fax Number: H:\Applications\Fmms- Applications On Line\2010 Applications \7 -2010 - Plumbing -Gas Piping Permit Application.doc Revised: 7 -2010 bh Page 1 of 2 Valuation of Project (contractor's bid pr1 $ 600.00 Scope of Work (please provide detailed information): New gas piping to furnace, water heater, (2) fireplaces Building Use (per Int'1 Building Code): Occupancy (per Int'1 Building Code): Utility Purveyor: Water: Sewer: Indicate type of plumbing fixtures and/or gas piping outlets being installed and the quantity below: Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty Bathtub or combination bath/shower Bidet Clothes washer, domestic Dental unit, cuspidor Dishwasher, domestic, with independent drain Drinking fountain or water cooler (per head) Food -waste grinder, commercial Floor Drain Shower, single head trap Lavatory Wash fountain Receptor, indirect waste Sinks Urinals Water Closet Building sewer and each trailer park sewer Rain water system — per drain (inside building) Water heater and/or vent Industrial waste treatment interceptor, including trap and vent, except for kitchen type grease interceptors Each grease trap (connected to not more than 4 fixtures - <750 gallon capacity) Grease interceptor for commercial kitchen ( >750 gallon capacity) Repair or alteration of water piping and/or water treatment equipment Repair or alteration of drainage or vent piping Medical gas piping system serving 1 -5 inlets /outlets for a specific gas Each additional medical gas inlets /outlets greater than 5 Backflow protective device other than atmospheric -type vacuum breakers 2 inch (51 mm) diameter or smaller Backflow protective device other than atmospheric -type vacuum breakers over 2 inch (51 mm) diameter Each lawn sprinkler system on any one meter including backflow protection devices Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections (1 -5) Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections over 5 Gas piping outlets 4.b 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 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 International Plumbing 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 0 Signature: RAUTHO' ZE AGENT: e Date: 8 -17 -2010 Print Name: Karen Kliemann Day Telephone: 253- 537 -0655 Mailing Address: 4703 - 116th St E Tacoma WA 98446 City State Zip Date Application Accepted: Date Application Expires: Staff Initials: H:\Apphcanons\Fonus- Applications On Lme\2010 Applications \7 -2010 - Plumbing -Gas Piping Permit Application.doc Revised: 7 -2010 bh Page 2 of 2 • City of Tukwila �J qs 2 Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Fax: 206 - 431 -3665 Web site: http://wwwci.tulcwila.wa.us Parcel No.: 7661600208 Address: 5505 S 149 ST TUKW Suite No: Applicant: CAMPY RESIDENCE RECEIPT Permit Number: PG10 -110 Status: PENDING Applied Date: 08/17/2010 Issue Date: Receipt No.: R10 -01597 Initials: User ID: WER 1655 Payment Amount: $96.60 Payment Date: 08/17/2010 08:13 AM Balance: $0.00 Payee: KAREN KLIEMANN TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 01797A ACCOUNT ITEM LIST: Description 96.60 Account Code Current Pmts GAS - RES 000.322.103.00.00 96.60 Total: $96.60 PAYMENT qpr.FsvEp doc: Receiot -06 Printed: 08 -17 -2010 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. _ ri- CITY OF TUKWILA BUILDING DIVISION . 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 PS/0 — /(v Project: kes. (j _ TYpe gntiectipn: 6t1, P 1 A I. Address: s-SIDS i/I Date *to toi ' Special Instructions: j I, 0 I, Date Wanted: am ' ....1 / (r f Requester: Phone No _ 6` C —�3 7 lO 5 Zs� Approved per applicable codes. 1 Corrections required prior to approval. COMMENTS: -erAit 11( e:,The Inspe tor: REINSPECTION FEE R QUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. 'n CITY OF TUKWILA BUILDING DIVISION 1�- 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Pico , n Project: f L,A Ypeelc coon: r Js- p:1,6, Address:: 5.5-0.' S' (�'Te" I 4q S r. Date Called: �� Special Instructions: Date Wanted: if - .7 -( t 1 .m. p.m Requester: Phone N 7. — 37 --o(. " ❑ Approved per applicable codes. Corrections required prior to approval. • -'� COMMENTS: _G p ° 0 9 6`Ar - r 0 ✓ . it s ! Date: e --7 ®C ,A4 -„ - b ;o " ye .F �5�� Po 6k— t' F 2i\/ ( -% r Q ),-4 rem frc 'aTA n( A4A (—o r \34 Qt. a- --C, Inspector: _G " , `4 ! Date: e --7 ®C n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 9— PG (0-1t0 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 431 -2451 (206) 431-3670 Project: /� �� / < Type Inspection: IJo )-ef lu ( ()A 5i /of Address: / / . S°ag 5 / S‘t' Date Called: Special Instructions: 4--r Date Wanted: 5—� -,') a.m` Requester: Phone No: _ 1 '5 3 --3 `] —(.0 6 55 0 Approved per applicable codes. orr� ns required prior to approval. Y COMMENTS: IJo )-ef lu ( ()A 5i AJ 0 1 r 6 kif uu,r rh-b 4--r ---f-cik 1)--AL-\ €__-_,t-f .,,o_c_re) V Inspector: Date: T7 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION NO. INSPECTION RECORD Retain a copy with permit PPio -rrd PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 431 -2451 (206) 431 -3670 Project .p ~� (Le_ s- Type of Inspection: Uv4f r u g Add�€ss: I/ '' M —� sr Date Called: . .P Special Instructions: a r ; J (.�1� A fprj Date Wanted: 1_8- _(0 �m. Requester: Phone No: 2__) 3 —5 3'7 — d‘ 5 ElApproved per applicable codes. orrections required prior to approval. COMMENTS: 1\J O ;`� D A ,S ,TP 1 0 rs,AS R Dtit <L\ T-n Alp r`'J -0 p C`�'f 1,S pr,10- . .P , ri < <., ,A^ 6 . n 5 a r ; J (.�1� A fprj . A . Date: n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Contractors or Tradespeople Pri} er Friendly Page • General /Specialty Contractor A business registered as a construction contractor with L &I 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 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 Bond Amount KLIEMANN, TOM 4 01/01/1980 RSB763469 KLIEMANN, CHRIS Until Cancelled 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 43.22.435 RCW FAS INFRACTION $12,000.0001/13 /2005 3 DEVELOPERS SURETY & INDEM CO 447697C 01/27/2002 Until Cancelled 03/17/2005 $12,000.0012/31 /2001 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 $1,000,000.00 07/05/2007 9 NATIONAL FIRE Et MARINE INS CO 72LP162481 07/22/2004 07/22/2005 07/15/2005 $1,000,000.00 07/25/2005 8 TRUCK INS EXCHANGE 600604774 07/15/2004 07/15/2005 $1,000,000.0007 /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 08/17/2010