HomeMy WebLinkAboutPermit M12-029 - BARRICK RESIDENCEBARRICK RESIDENCE
6295 S 153 ST
EXPIRED
OS -22 -12
Mi 2-029
City odiTukwila •
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.: 1770500470
Address: 6295 S 153 ST TUKW
Project Name: BARRICK RESIDENCE
Permit Number: M12 -029
Issue Date: 02/24/2012
Permit Expires On: 08/22/2012
Owner:
Name: BARRICK ANDREA M +ZUVELA SUS
Address: 6295 S 153RD ST , TUKWILA WA 98188
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: KLIEMBH021BT
Phone: 253 - 537 -0655
Phone: 253 -537 -0655
Expiration Date: 01/27/2014
DESCRIPTION OF WORK:
REPLACE EXISTING WOOD BURNING FIREPLACE WITH NEW 42" WOOD BURNING FIREPLACE
WITH NEW FLUE PIPE, COLLAR & CAP.
Value of Mechanical: $4,400.00
Type of Fire Protection: UNKNOWN
Electrical Service Provided by:
Permit Center Authorized Signature:
Fees Collected: $195.90
International Mechanical Code Edition: 2009
Date: )--)-4-4—
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:
Print Name:
Date: Z -2, t (2-
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
M12 -029 Printed: 02 -24 -2012
PERMIT CONDITIONS
Permit No. M12-029
1: ** *BUILDING DEPARTMENT CONDITIONS * **
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 of the City of Tukwila
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
M12 -029 Printed: 02 -24 -2012
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TulcwilaWA.gov
Mechanical Permit No
= project No.
Date Application Accepted
Date Application Expires:
(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: (DICt S I 51rel
Tenant Name:
PROPERTY OWNER ' •
Name: ? .Ve) Covwk Co U.C.
Address:
City: 2.flitkot. State: zipots In
• CONTACT, PERSON — person receiving all project = = • ' <
communication • • •
Name: veyiext46 01ot~ 14 0
Address: ,set. cam,
City: State: Zip:
Phone: Fax:
Email:66A44,\.(D kit t imiin it) to . cowl
King Co Assessor's Tax No.: 3Gcn 00034'6
Suite Number: ID 2.9 5 Floor:
New Tenant: ID Yes J ..No
MECHANICAL CONTRACTOR INFORMATION:.
Company Name :.Ki ;Lintz IA 3rD5 if OAL
Address: i.ri 05 .... 1 t kost,1 ■bk E
City: ..rit.cowv State: 10014) Z41)64646
Phone3 .5.51 . 0(055 Fax: 851. 3451/4) t
Contr RefAti 6w05i4 024 isr Exp Date: /z 11
Tukwila Business License No.:
Valuation of project (contractor's bid price): $ 14'00 • 0(.
(95/90 ilq:/
Describe the scope of work in detail: Reek/44e. jp.454tits 41 00c\ kou4.v-eu v1.5 ., r4, etAxt,
142:4 rcf,:et..136“4. 4414.0 .0,444. el ) 011OtA CA-12
Use: Residential: New 1=1 Replacement
24--
Commercial: New 111 Replacement 1=1
k,
Wn 00 d ,
Fuel Type: Electric 0 Gas El Other:
HAApplications \ Forms-Applications On Line \20I 1 Applications \Mechanical Permit Application Revised 8-9-1 I.docx
Revised: August 2011
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Page 1 of 2
Indicate type of mechanical work being installed and the quantity below:
Unit Type
Qty
Furnace <100k btu
Furnace >100k btu
Floor furnace
Suspended /wall/floor
mounted heater
Appliance vent
Repair or addition to
heat/refrig/cooling
system
Air handling unit
<10,000 cfm
Unit Type
Qty
Air handling unit
>10,000 cfm
Evaporator cooler
Ventilation fan
connected to single duct
Ventilation system
Hood and duct
Incinerator — domestic
Incinerator —
comm/industrial
Unit Type .
Qty
Fire damper
Diffuser
Thermostat
1/414411 as stove
Emergency generator
Other mechanical
equipment
Boiler /Compressor
Qty
0 -3 hp /100,000 btu
3 -15 hp /500,000 btu
15 -30 hp /1,000,000 btu
30 -50 hp /1,750,000 btu
50+ hp /1,750,000 btu
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 ADTIIORIZED AGENT:
Signature:
Print Name:
Date: 2 - 1r1 -12.
G tvi4 K h Day Telephone: 253.531 -D(O SS
Mailing Address: 4103 " 11 1,44 S4 E. 1A.LDWtA. - l VON
Of i0
City
H:\Applications \Forms - Applications On Line \2011 Applications\Mechanical Permit Application Revised 8 -9 -1 I.docx
Revised: August 2011
bh
State Zip
Page 2 of 2
• •
(City of Tukwila
908
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.: 1770500470
Address: 6295 S 153 ST TUKW
Suite No:
Applicant: BARRICK RESIDENCE
RECEIPT
Permit Number: M12 -029
Status: PENDING
Applied Date: 02/24/2012
Issue Date:
Receipt No.: R12 -00802
Initials:
User ID:
WER
1655
Payment Amount: $195.90
Payment Date: 02/24/2012 04:08 PM
Balance: $0.00
Payee: KLIEMANN BROTHERS HEATING & AIR CONDITIONING
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 32555 195.90
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
MECHANICAL - RES
000.322.102.00.00 195.90
Total: $195.90
doc: Receiot -06 Printed: 02 -24 -2012
07 -02 -2012
KAREN KLIEMANN
4703 116 ST E
TACOMA WA 98446
City of Tukwila Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director --
RE: Permit No. M12 -029
BARRICK RESIDENCE
6295 S 153 ST TUKW
Dear Permit Holder:
In reviewing our current records, the above noted permit has not received a fmal 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 08/22/2012.
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 fmal 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 08/22/2012, 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. M12 -029
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206 -431 -3670 • Fax 206 -431 -3665
Contractors or Tradespeople Pryer 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/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 1/27/2014
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, HERBERT JEROME
President
01/30/1998
Amount
KLIEMANN, LAURA LEE
Secretary
01/10/2012
600604774
KLIEMANN, CHRISTOPHER
Vice President
01/30/1998
KLIEMANN, THOMAS PAUL
Vice President
01/30/1998
TRUCK INS
EXCHANGE
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
07/15/2012
$2,000,000.0007
/15/2011
11
TRUCK INS
EXCHANGE
600604774
07/15/2008
07/15/2010
$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
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
https: // fortress .wa.gov /lni/bbip /Print.aspx 02/24/2012
Department of Labor and Industries
PO Box 44450
Olympia, WA 98504 -4450
KLIEMANN BROTHERS HTG & A/C IN
4703 116TH ST E
TACOMA WA 98446
KLIEMANN BROTHERS HTG & A/C IN
Reg: CC KLIEMBH021 BT
UBI: 601- 849 -453
Registered as provided by Law as:
Construction Contractor
(CC01) - GENERAL
Effective Date: 1/30/1998
Expiration Date: 1/27/2014