20090228 Permit Pkg 111209City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:
Name: WINTERS CONSTRUCTION
Address: 5452 33RD CT SE
LACYE WA 98503
Property Information:
Site Address: X17 NW V~AI TRI IMP
Assessor Parcel No.:
Contractor Information:
Name: WINTERS CONSTRUCTION
Address:
5452 33RD CT SE
LACEY WA 98503
Contractor License No.: WINTEC*953R9
Permit No.: 20090228
Issue Date: 11/12/2009
(Work must be started within 180 days)
Phone: 360-280-6952
Phone:
Expires: 12/31 /2009
Lot:
Project Information:
Project: RESIDENTIAL REMODEL
Description of Work: ADDING A WINDOW WHER ONE DOES NOT EXIST. WINDOW OPENING OVER 6' ABOVE
FINISHED FLOOR WILL BE A MINIMUM OF 24 ,
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other): ,
Second
Third
Garage
Basement ,
Fees:
Item
BUILDING
Contractor
WINTERS CONSTRUCTION
TOTAL FEES:
Applicant's Affidavit:
I certify that I have read and examined the information contained within the application and know the same
to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of
Yelm regulations including those governing zoning and land subdivision, and in addition, all covenants,
easements and restrictions of record. If applying as a contractor, I further certify that I am currently
registered in the to of Was gton. I f
Signature Date / / ~ ~Z- Ug
Firm w. ~
Owner: JACOUELINN CLARKSON
Subdivision:
Fees
$ 44.85
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
~1 ~Y ~f i ~li~
TC~^
L~~~ r u~LL! i T-! a tl1~J+\i
~!R~T~k^ ~ ~r~~?RU~Ti~r
F ~ ` P~l~l .~ri~~ T!~'I fi~~'
h~ 1),^ ,
L_ y;~ a e~l'{~`
-rrtn , a -.
! fi~ a :.i?%a ~ii?I )~) f i r~•n~t nri y
:..~~~! a ~.~4.tC.
J
~ya~~r~ a _._.___ ________--
~, (,' i
Z.~zq o 228
CITY OF YE6M
RE51pENTIAL Bull-DINCy PERMIT APPLICATION FORM
Protect AddreSS:.s~~ //W ~~ ~ ~'~ parcel #:
Subdivision: Lot #: Plan #:f,___~ Zoning:
i i New Construction ~Q Re-Model / Re»Roof /Addition i. i hlome Occupation Sign
Plumbing C.. Mechanical : 11 Mobile /Manufactured Home Placement 1 i i Other
project tJescrlption/Scope of Work: d ~ "`~ ~ W ' '~~ "`J ~~~"`
Project Value: Yk. cx°.~ Q i ~ ~ (a0b
Building Area (sq. ft) 191 Floor rl~ 21d Floor~~ Garage ~ y 0_ Deck
Basemen Carport Patio
# Bedrooms ~ # Bathrooms Z Heating: GASlOTHER LECTRIC Circle One)
Are there any environmentally sensitive areas located on the parcel? __,___~_,_
!f yes, a completed environmental checklist must accompany permit application,
OWNER NAME,-~ act c.~,c-t ~ ~^'`~
CI?Y.~
ARCHITEC
ADDRESS.
cITY
GENERAL,
STA'
EMAIL
TELEPHONE '6a- ~tb~ --
GINEER LICENSE #
. EMAIh.
c~'eTF ZIP TELEPHONE
LEPHONE O - "^
reu u~ C.b~ r-nsy~ . ~Y"~
CITY STATE .LIF' "1srs~~ ~~~r+^
CONTRACTO 2'S LICENSE # c.~E S`3 EXP DATEdI CITY LICENSE #
PLUMBING CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY Sl'ATE~,ZIp FAX
CONTF2ACTOR'S LICENSE #, EXP DATElCITY LICENSE #,
ADDhttS? ~~
CITY STATE~ZIP__,
rnnlTRACTOR'S LICENSE # EXP DATE____CITY LICENSE #
!,_, Copy of mitigation agreement with Yelm Community ScProois, if applicable.
I horoby oartlFy that tF+e above bo n Elccord9net} with the (~YV9efVi90 61nd royu etlons of tho StetsOinW68h nylon aid thee
aDOVe described p~oparty
City m..
~- 3-0
Applican ro Date
Owner .Contractor Owner's Agent /Contractor's Agent (Ploase circle one.)
All permits a anon-transferable and will expire if work authorized by such permit is not begun
within 180 days of issuance, or if work is suspended or abandoned for a period of 180 days
taco) ~s8-ass5
!os YeGa Aven sc West (8G0) 4SB-3194 FA?~
Yclnr, WA 9869?
rurura.cl.yelru.rva. ue
tiiZ'~ ~~Z~8Sb~01 6S9ti8~b09~ WOIlOf1~IlSN00 S~131NIM~WOi'f~ bZ~90 6002-~-flON