07-0202 Permit Pkg 053007~o,< T"FA City of Yelm
~`9 ~ Community Development Department
/+ Building Division
Phone: (360) 458-8407
LM Fax: (360) 458-3144
Applicant:
Name: Beyer, Kyle
Address: 16514 92nd Ave. SE
City: Yelm
Property Information:
Site Address: 16514 92nd Ave. SE
Assessor Parcel No. 63540004500 Subdivision:
Contractor Information:
Name: Applciant Contact:
Address:
City:
Contractor License No:
Expires:
Project Information:
Project: Beyer Heat Pump
Description of Work: Heat Pump
Sq. Ft. per floor: (1st) 0 (2nd) 0 (3rd) 0
Heat Type (Electric, Gas, Other): OTHER
Fe¢s:
Item - -_-~-- Item Fee Base Amt Unit Fee
Mechanical Permit 29.50 Y~0.00 0.00
TOTAL FEES: b29.50
Permit No: M-07-0202-YL
Issue Date: 05/30/2007
(Work must be started within 180 days)
Receipt No: 48876
Phone: 539-1828
State: WA Zip 98597
Lot:
Phone:
State: Zip;
Business License:
Garage 0 Basement 0
Unit Rate No. Units Unit Desc
0.0000 0.0000
Applicants Affadavit:
I certify that I have read and examined the information contained within the application and know the same OFFICIAL USE ONLY -l,
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, # Sets of Prints:
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:
Signature ~ ~~ ~ ~ Date: ~
!t-.l~_" -~ G~s~~ Date ~~
Firm ~
By:
City of Yelm
Community Development Department
Building Division
Phone: (360)458-8407
Fax: (380)458-3144
Applicant:
Name: Beyer, Kyle
Address: 16514 92nd Ave. SE
Project Information:
Project: Beyer Heat Pump
Description of Work: Heat Pump
Site Address: 16514 92nd Ave. SE
Feea:
Item Acct Code
Mechanical Permit 032 001-322-10-00
TOTAL FEES:
CITY OF
YELM
P.O. Box 479
Yelm, WA 98597
360-458-3244
RECEIVED
RECEIPT No. 4 8 8 7 6
****TWENTY NINE DOLLARS & 50 CENTS
RECEIVED FROM DATE REC. NO. AMOUNT
REF. NO.
DANIELLE BEYER 06/07/07 48876 29.50 CHECK 1397
16514 92ND AVE SE
YELM WA 98597 BUDGETARY
City: Yelm
Permit Fees Schedule
Permit No: M-07-0202-YL
Phone: 539-1828
State: WA Zip 98597
Assessor Parcel No. 83540004500
Item Fee Base Amt
_ Unit Fee Unit Rate No. Units Unit Desc
29.50 0.00 0.00 0.0000 0.0000 _____
529.50
M-07-0202-YL
CITY OF YELM ~ C
RESIDENTIAL BUILDING PERMIT APPLICATION FORM ~
4
, ~~~
Project Address: 1 le7 14 9 Z~ ~ t\~,;= ~c Parcel #: __ ~ 3 5 ~~~~ ~~~, 5 UU ,
`
~
~ %' O
ii?
Subdivision:_Nl I , ~v;~,,,sr:. Lot#: ~~ Zoning; >
New Construction ~ Re-Model / Re-Roof /Addition Home Occupation Sign ~ ~ ~
Plumbing G( Mechanical ~ Mobile /Manufactured Home Placement ! Other
Project Description/Scope of Work: (,~~{ , ~ ~ ~,,`~ ' ~ bta n ~„ o
Project Value:
Building Area (sq. ft) 1~' Floor 2"~ Floor Garage Deck
Basement Carport Patio
# Bedrooms ~ # Bathrooms Heating:~GAS/OTFiER!or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? 1~;
If
~
yes, a
completed environmental checklist must accompany permit application.
I hereby certify 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 YYashington and the
City of Yelm.
C~! .z,- ,~~~ ~ / ~"
Applicant's Signatur °~I ~~
Da e
Owner /Contractor / ner'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 Yelm Avenue Weat
PO Box 479 (360) 458-3835
Yelm, WA 98597 (360) 458-3144 FAX
urwm.ci.yelm.wa.us
Copy of mitigation agreement with Yelm Community Schools, if applicable.