20100072 Permit Pkg 041510City of Yelm
Community Development Department
Building Division
Phone: (360)458-8407
Fax: (360)458-3144
Applicant:
Name: WESCO
Address: 2800 THORNDYKE AVENUE WEST
SEATTLE WA 98199
Property Information:
Site Address: 1R~7~ M111111 F RIl CF
Permit No.: . 20100072
Issue Date: 4/15/2010
(Work must be started within 180 days)
Phone: 206-378-2033
Owner: ALLAN AND BETH SARTAIN
Assessor Parcel No.: 64300600405 Subdivision:
Contractor Information:
Name: WESCO
Address:
2800 THORNDYKE AVENUE WEST
SEATTLE WA 98199
Contractor License No.: WASHIES9710B000
Project Information:
Project: MECHANICAL
Lot:
Phone: 206-378-2033
Expires: 9/28/2011
Description of Work: REPLACE GAS FURNACE AND INSTALL 2T A/C
VALUE: $7674.
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
MECHANICAL
Contractor
WESCO
TOTAL FEES:
Applicant's AfFdavit:
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 regulati¢ns including those governing zoning and land subdivision, and in addition, all covenants,
easements hd'restrictions of record. If applying as a contractor, I further certity that I am currently
registered in~the;Etate of,Washington._ ~
Date
Firm
Fees
$ 25.00
$ 25.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
Ci ty of Yel~~
1360) 45P,-4402
0 EM: 0002(410 4!15!2010 Il:
CO TEEM: Ofii W PoM
R'EFq: F1S0
IRAN ~10007?f0 BUILDI~{G FEFMI7S
k'ESCO ~1.OOCf,
if,322 MIDDLE RD SE
MECH 25 OOCF
TENDERED: 25.00 ,
APPLIED: ,,~ Cf~;,Y
~.1.00-
C.HANGE: -----0, 00
Zolo0o7Z
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: 16322 MIDDLE RD SE Parcel #: 64300600405
Subdivision, Lot #: Zoning;
^ Plumbing ~ Mechanical ^ Mobile /Manufactured Home Placement ^ Other
Project Description/scope of work: REPLACE GAS FURNACE, INSTALL 2T A/C
Project Value: 7673.63
Building Area (sq. ft) 1 ~~ Floor 2ntl 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.
BUILDINGeOWNER NA{ytE: ALLAN & BETH SARTAIN
ADDRESS is3zz mioo~e Ro sE EMAI L
CITY veLM STATE wA ZIP sass? TELEPHONE 3so-a58-7259
ARCtiITEGT/ENGINEER LICENSE #
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
GENERA[GONTRAGTOR wesco TELEPHONE sao-3sa-ass3
ADDRESS zscorrioRNOrKenvew EMAIL
CITY SEATTLE STATE wA ZIP ssfss FAX
CONTRACTOR'S LICENSE # wnswess7toe EXP DATEsitt CITY LICENSE # 30501
PLUMBtNG`CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE_CITY LICENSE #
MEGk;(ANIGAL~GONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATECITY LICENSE #
Copy of mitigation agreement with Yelm Community Schools, if applicable.
I hereby certify [hat the above information is correct antl that the construction an, and the occupancy and the use of the
above described property will be ~n'a~cordance with the laws, rules antl regulations of the State of ashington and the
City of Yelm. ~ ~/ i
Applicant's Signature Date
Owner I Contractq~ / O ner's Agent /Contractor's Agent (Please circle ane.)
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
New Construction ~ Re-Model / Re-Roof /Addition ^ Home Occupation Sign
105 Yelm Avenue Weat (360) 458-3835
PO Box 979 (380) 458-3144 FAX
Yelm, WA 98597 www.ci.yelm.wa.us
i
_?
~~
April 8, 2010
City of Yelm
Attn: Gary Carlson
105 Yelm Avenue W
PO Box 479
Yelm, WA 98597
Gary:
Please process attached mechanical permit. We act as permit expeditors for our clients
and as such would ask that you do not mail the permits to the address on the application.
Instead, please mail them to the address below:
Northwest Permit Inc.
1345 Gulf Road
Point Roberts, WA 98281 ,
Please see attached check for payment of the permit fees.
Please be informed that we, Northwest Permit Inc. have taken over the permitting
services for Washington Energy Services. Please update your contact information with
the above contact address and below:
Contact: Naida Khan
Tel: 360-945-2787
Fax:360-945-2091
Email: naida@nwpermit.com
If you have any questions please contact me.
Th .you.
Naida Khan
Northwest Permit [nc.
O
~~~g~~g
APR :~ 2 2010 JJ
B Y: --------------