20050766 Permit Pkg 103006~~pF 4HEp City of Yelm
a ~ Community Development Department
~ ~i
Building Division
Phone: (360) 458-8407
EY, Fax: (360) 458-3144
Applicant:
Name: Fast Water Heater
Address: 12601 132nd Ave. NE City: Kirkland
Property Information:
Site Address: 802 Mt. Aire
Assessor Parcel No. 63420000100 Subdivision:
Contractor Information:
Name: Contact:
Address: City:
Contractor License No: Expires:
Project Information:
Project: Schmitt H2O tank
Description of Work: Replace gas hot water tank
Sq. Ft. per floor: (1st) 0 (2nd) 0 (3rd) 0
Heat Type (Electric, Gas, Other): OTHER
Permit No: PL-05-0766-YL
Issue Date: 10/30/2006
(Work must be started within 180 days)
Receipt No: 44373
Phone: 425-814-3124
State: WA Zip 98034
Lot:
Phone:
State: Zip:
Business License:
Garage 0 Basement 0
Fees:
Item Item Fee Base Amt Unit Fee Unit Rate
Plumbing Permit 27.00 A20.00 7.00 7.0000
TOTAL FEES: 527.00
No. Units Unit Desc
1.0000 Fixture
Applicant's Affadavit:
OFFICIAL USE ONLY
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 # Sets of Prints:
Yetm regulations including those governing zoning and land subdivision, and in addition, all covenants,
easements and restrictions of record. If applying as a contractor, I futher certify that I am currently
registered in the State of W/a~shington. Final Inspect
Signature ~~'/`-~'~-~ Date /~ 6 ~ Date'
Firm ~7~-~~C!/ ~~ !V ~7`~ %< ~ By~
City of Yelm
Community Development Department
Building Division
Phone: (360)458-8407
Fax: (360) 458-3144 ~~~ ~J
Applicant:
Name: Fast Water Heater
Address: 12601 132nd Ave. NE
Property Information:
Site Address: 802 Mt. Aire
Assessor Parcel No. 63420000100
Contractor Information:
Name:
Address:
Contractor License No:
~1,cL~~
Project Information:
Project: Schmitt H2O tank
Description of Work: Replace gas hot water tank
Sq. Ft. per floor: (1st) 0 (2nd) 0
Heat Type (Electric, Gas. Other): OTHER
Subdivision
Contact:
City:
Expires:
(3rd) 0
Permit No: PL-05-0766-YL
Issue Date: 10/30/2006
(Work must be started within 180 days)
Receipt No: 44373
Phone: 425-814-3124
State: WA Zip 98034
Lot:
Phone:
State: Zip:
Business License:
Garage 0 Basement 0
Fees:
Item Item Fee Base Amt Unit Fee Und Rate No Units Umt Desc
Plumbing Permit 27.00 20.00 7.00 7.0000 1.0000 Fixture
TOTAL FEES: 527.00
Applicant's Affadavit
OFFICIAL USE ONLY
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 # Sets of Prints:
Yelm regulations including those governing zoning and land subdwision, and in addition, all covenants,
easements and restrictions of record. If applying as a contractor. I futher certify that I am currently
registered in the State of Washington. Final Inspection:
Date:
Signature Date
By.
Firm I
~~` T~ I CITY OF
YELM
P.O. Box 479
Yelm, wA sass7
360-458-8403 RECEIPT No. 4 4 3 7 3
RECEIVED
*''""TWENTY SEVEN DOLLARS & 00 CENTS
RECEIVED FROM DATE REC. NO. AMOUNT REF. NO
FAST WATER HEATER
10/26/06 44373 .
27.00 CHECK 2165
12601 132ND AVE NE
KIRKLAND. WA 98034 BUDGETARY
SITE ADDRESS 802 MTN AIRE
425-814-3124
GRETCHEN
PL-05-0766-YL
REPLACE GAS HOT WATER TANK
City of Yelm
Community Development Department
Building Division
Ph 360 458 8407
Permit Fees Schedule
Permit No: PL-05-0766-YL
one. ( ) - O
YELM Fax: (360) 458-3144 p f"~1
~ ~ ~ ,~mF~
Applicant: ~C•
Name: Fast Water Heater \~` O~ ~ `-Phone: 425-814-3124
Address: 12601 132nd Ave. NE City: Kirkland Ci \ ` State: WA Zip 98034
Project Information:
Project: Schmitt H2O tank
Description of Work: Replace gas hot water tank
Site Address: 602 Mt. Aire
Assessor Parcel No. 63420000100
Fees:
Item Acct Code Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
------------------------- ---------- --------- -- - -
Plumbing Permit 032 001-322-10-00 27.00 20.00 7.00 7.0000 1.0000 Fixture
TOTAL FEES: $27.00
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address:802 MT AIRE LN NW Parcel #: lo~ ~1 L~ ~/ ~~ D ~~CEI V ~'r,
Orr ~~
Subdivision: Lot #: Zoning; '
I New Construction ^ Re-Model / Re-Roof /Addition f i Home Occupation Sign `Q~C+ f,
X Plumbing ~ Mechanical ^ Mobile /Manufactured Home Placement C Other VET
Project Description/Scope of Work: Remove/Replace Gas Water OCr 2 6 ?/~
Project Value: 449.00
Building Area (sq. ft) 1ST Floor 2nd Floor Garage Deck
Basement Carport Patio
# Bedrooms- # Bathrooms- Heating: GAS/OTHER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? If yes, a
completed environmental checklist must accompany permit application
GENERAL CONTRACTORFAST wATER HEATER coMPANY TELEPHONE425 814-3124
ADDRESS 12601 132ND EMAIL pamelah(a~fastwaterheater.com
CITYKIR AND STATE ZIP 4 FAX 425 814-9516
CONTRACTOR'S LICENSE # FASTWWH9a8BC EXP DATE~~3~0eCITY LICENSE # 1048
CITY
Copy of mitigation agreement with Yelm Community Schools, if applicable.
I hereby certlty that the above Information is correct and that the construction on, and the occupancy and the use of the
above described property will be in accordance with the laws, rules and regulations of the State of Washington and the
City of Yelm.
10/25/06
Applicant's Signature Date
Owner (Contractor /Owner's Agent /Contractor's Agent (Please circle one.)
All permits are non-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
105 Yel~n Avenue West (360) 458-3835
PO Box 479 (360) 458-3144 FAX
Yelne, WA 98597 www.ci.yelne.wa.us