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Home My WebLink AboutPermit PG11-021 - CAMPY RESIDENCECAMPY RESIDENCE 5505 S 149 ST PG11-021 City oftukwila 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: PG11 -021 Issue Date: 01/27/2011 Permit Expires On: 07/26/2011 Owner: Name: CAMPY CHARLES +SONYA Address: 207 12TH ST NW , PUYALLUP WA 98371 Contact Person: Name: Address: Email: Contractor: Name: KLIEMANN BROTHERS HEATING AND AI Address: 5518 163RD ST E , PUYALLUP WA 98375 Contractor License No: IU,IEMBH021 BT Phone: Phone: 253 - 537 -0655 Expiration Date: 01/27/2012 DESCRIPTION OF WORK: INSTALL SINGLE GAS STUB FROM HOME TO BUILDING ON LOT. Value of Plumbing /Gas Piping: $200.00 Uniform Plumbing Code Edition: 2009 Fees Collected: $96.60 International Fuel Gas Code Edition: 2009 Permit Center Authorized Signature: pc -A '-4 Date: 1 --1-7' 1 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 plumbing /gas piping permit and agree to the conditions on the back of this permit. Signature: Print Name: z-- ck,_/,_, i, r This permit shall become null and void if the work is no 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 PG 11 -021 Printed: 01 -27 -2011 • • PERMIT CONDITIONS Permit No. PG11 -021 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. doc: UPC -4/10 PG 11 -021 Printed: 01 -27 -2011 CITY OF TUKWIIII Community Developm11111 Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Plumbing/Gaffermit No. [ [ `Q Project No. (For office use only) 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: Ss-6s sd - L Nit sr King Co Assessor's Tax No.: —7 (P l0 f 4) - 0)-d r Tenant Name: r�4_r1�� Suite Number: Property Owners Name: Ic s ' C Mailing Address: 7 / 1-l'i. 5t Al) W City Floor: New Tenant: ❑ Yes .. No 1"114 State 5K37� Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: Mailing Address: x/70 / /-( S�► E k4c'e,OIL /ice ■,.. bG�s c v E -Mail Address: 7 Day Telephone: City Fax Number: 2-53 X7-7 o(SS wP State Zip PLUMBING / GAS PIPING CONTRACTOR INFORMATION Company Name: (b1-5 Mailing Address: L/ 703 //‘ Si' £ City Contact Person: l crc, K E -Mail Address: t"-c-c=,,.‘ i ! eh -.....v. Are, s .Cowes Contractor Registration Number: State rsYti Zip Day Telephone: Z- 5 3 C37 5T.3-5 Fax Number: Expiration Date: 7/7o 1 Z ARCHITECT OF RECORD - All plans must be stamped by Architect of Record Company Name: Mailing Address: City Day Telephone: Fax Number: Contact Person: E -Mail Address: State Zip ENGINEER OF RECORD - All plans must be stamped by Engineer of Record Company Name: Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: State Zip H:\ Applications\Forms- Applications On Line\2010 Applications \7 -2010 - Plumbing -Gas Piping Permit Application.doe Revised: 7 -2010 bh Page 1 of 2 0 Valuation of Project (contractor's bid pi" $ S14(rig543% OO • Scope of Work (please provide detailed information): f 5 v�l e ��g S� tA �j , � "A" h is •s O Building Use (per Int'I 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 lu 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 OWWORIZED ENT: Signature: Print Name: C1 Mailing Address: Zo7 /2 ±k ti Date Application Accepted: Date: 7it/ Day Telephone: (2S 3) 72o - 2323 P&II statewA X37/ Zip Date Application Expires: Staff Initials: H :\Applications\Forms- Applications On Line\2010 Applications \7 -2010 - Plumbing -Gas Piping Permit Application.doc Revised: 7 -2010 bh Page 2 of 2 • C 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 Parcel No.: 7661600208 Address: 5505 S 149 ST TUKW Suite No: Applicant: CAMPY RESIDENCE RECEIPT Permit Number: PG11 -021 Status: PENDING Applied Date: 01/27/2011 Issue Date: Receipt No.: R11 -00156 Initials: User ID: WER 1655 Payment Amount: $96.60 Payment Date: 01/27/2011 11:57 AM Balance: $0.00 Payee: CHARLES CAMPY TRANSACTION LIST: Type Method Descriptio Amount Payment Check 1858 96.60 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts GAS - RES 000.322.103.00.00 96.60 Total: $96.60 doc: Receipt-06 Printed: 01 -27 -2011 • INSPECTION-RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Sbuthcenter Blvd., #100, Tukwila. WA 98188 (206) 481:3670 Permit Inspection•Request Line (206) 431-2451 • P4/7.-02-1 Project: .: /74,07frvit iee5 Type of Inspection: - 6,1- Address: ,,&-iovett Date Called: Special Instructions : • / / Date Wanted: a. • .?• Requester: 1 none No: -.2•5_"t 724- Z. gz 0 Approved per applicable codes. (- 0 Corrections required prior to approval. • COMMENTS: 4* SA Lif. 0 AL A 1).4,r_JACT 'Fa c-;ja:AJ Date:2" n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. • . : • INSOP CTION NO. RECORD P6 ii a copy with permit f ''� ii r 0. ' • INSP -GTION N0: PERMIT NO. +' ` '': .,....,.....- ' • " . INSPECTION RECORD : F--- N....02. 71- ,. Retain a copy with permit a_ INSPE ION NO. PERMITNO. •• , ITY OF TUKWILA BUILDING DIVISION. : .. . .•...-:; 6300 Sou hcenter Blvd., #100, Tukwila. WA 98188 . (206) 431-367.0 Permit Inspection Request Line (206) 431-2451 . . Project: Type of Inspettleon: Date cla eed:atti;)ra 1 )46 AchCss: IPX 5305 -C, r /4/ Special Instructions: Instructions: . . Date Wanted: p.m. Requester: • . .. _ Phone No;, 21;- 232-3 Approved.per applicable codes. DCorrections required prior to approval. COMMENTS: e 'Inspect? : rate: • El REINSPECT:10.N FEE REQUIRED. Prior to next inspection. fee must be • .1 .1 paid at 6300.Southcenter Mr& Suite 100: Call t� schedule reinspection. • -.•••;•*-. • Contractors or Tradespeople Peter Friendly Page 1 General /Specialty Contractor A business registered as a construction contractor with LEI 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 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 $1,000,000.0007 /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 01/27/2011