2019.0055 TT 10 ApplicationCITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: 9510 Tyler Terrace Ct SE Parcel #: 81060001000
Tyler Terrace 10 1876-2
Subdivision: Lot #: Plan #: Zoning:
/New Construction ❑ Re -Model / Re -Roof /Addition ❑ Home Occupation Sign
❑ Plumbing ❑ Mechanical ❑ Mobile / Manufactured Home Placement ❑ Other
Project Description/Scope of Work: Construct SFR
Project Value: $125000
Building Area (sq. ft) 1s Floor 748 2"d Floor 1128 3rd Floor_ Garage -2 car 380 3 car
Covered Patio Covered Porch 52 Patio 100 Deck
# Bedrooms 4 #Bathrooms 2.5 Heating GAS/ THER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? No
ff yes, a completed environmental checklist must accompany permit application.
Mountain Terrace Builders
ADDRESS200 Mosman Ave SE EMAIL MTBpurchasing@gmail.com
CITY Yelm STATE WA ZIP 98597 TELEPHONE 360-458-1502
'(( Level Design LICENSE #
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
.r. OWNEPfELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # 253HOHL862MJ EXP DATE CITY LICENSE #
. Bald Hills Plumbing TELIPHONE E?MIE59.6831
ADDRESS 15932 Agate St SE Baldhillsplumbing@yahoo.com
CITY Yelm STATE WA ZIP 98597 FAX
CONTRACTOR'S LICENSE # BALDHHP901PH EXP DAT 1E, /21 CITY LICENSE # 603-051-893
h'S 2 m Pro Air Heating TELEPHONE 701.609.4764
ADDRESS 2 2 Empire Sf S EMAIL pro.airl223QUmail.com
CITY Rochester STATE_VA_ZIP 98579 FAX
CONTRACTOR'S LICENSE # PROAIAH846DH EXP DATE13/20CITY LICENSE # 603.586.447
Copy of mitigation agreement with Yelm Community Schools, if applicable.
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 Washington and the
City of Y^__*11�
1111�
ure Date
r / Owner's Agent / Contractor's Agent (Please circle one.)
All perrbits 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 West (360) 458-3835
Yelm, WA 98597 (360) 458-3144 rAX
wwwxLyelm.wa.as