20120243 Permit Pkg 08142012City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:
Name: NORTHWEST PERMIT INC.
Address: 1345 GULF ROAD
POINT ROBERTS WA 98281
Property Information:
Site Address: Q19R CARVC CT CF
Assessor Parcel No.: 6352000480 Subdivision
Contractor Information:
Name: WESCO
Address:
2800 THORNDYKE AVENUE WEST
SEATTLE WA 98199
Contractor License No.: WASHIES9710B000
Project Information:
Project: MECHANICAL
Permit No.: 20120243
Issue Date: 8/14/2012
(Work must be completed within 180 days)
Phone: 360 - 945 -2787
Owner: COURTNEY TAYLOR
MT SHADOW Lot: 48
Phone: 206- 378 -2033
Expires: 9/28/2011
Description of Work: REPLACE GAS FURNACE AND INSTALL 2.5T HEAT PUMP
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
MECHANICAL
Contractor
WESCO
TOTAL FEES:
Applicant's Affidavit:
I certifyAhat 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 regulatio ding those governing zoning and land subdivision, and in addition, all covenants,
easerr)ents(�nd restri ions of record. If applying as a contractor, I further certify that I am currently
Firm
Fees
$ 29.50
$ 29.50
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
City of Velm
(36 ) 458 -8402
REC #: 00102750 8/14/2012 9:28 AM
OPER: CO TERM: 001
REF #: 8435
TRAN: 33.0000 BUILDING PERMITS
20120243 29.50CR
NORTHWEST PERMIT INC.
9128 CARYS ST SE
MECH 29.50CR
TENDERED: 29.50 CHECK
APPLIED: 29.50-
CHANGE: 0.00
Z( zozq3
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: 9128 CARYS ST Parcel #: 63520004800
Subdivision: Lot #: Zoning;
❑ New Construction Vj Re -Model / Re -Roof / Addition ❑ Home Occupation Sign
❑ Plumbing i/ Mechanical ❑ Mobile / Manufactured Home Placement ❑ Other
Project Description /Scope of Work: REPLACE GAS FURNACE AND INSTALL 2.5T HEAT PUMP
Project Value: 8766.00
Building Area (sq. ft) 1" Floor 2nd Floor Garage Deck
Basement Carport Patio
# Bedrooms_ # Bathrooms_ Heatinc✓ AS /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.
BUILDING OWNER NAME: COURTNEY TAYLOR
ADDRESS 9128cnRYSST — EMAIL
CITY YELM STATE WA ZIP 98597 TELEPHONE 360 -878 -2492
ARCHITECT /ENGIN_EER LICENSE #
ADDRESS r EMAIL
CITY STATE ZIP TELEPHONE
GENERAL CONTRACTOR WESCO TELEPHONE 800- 398 -4663
ADDRESS 2800THORNDYKEAVEw EMAIL
CITY SEATTLE STATE WA ZIP 98199 FAX
CONTRACTOR'S LICENSE # WASHIES9710B EXP DATE 9/13 CITY LICENSE # 30501
P_L_U_MBING CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
ME_CHANICA_LCO_ NTR_ACTO_R_ TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
Copy of mitigation agreement with Yelm Community Schools, if applicable.
I hereby certify at he ¢ove information is correct and that the construction on, and the occupancy and the use of the
above describe pro e y will be in accordance with the laws, rules and regulations of the State of Washington and the
City of Yelm.
Xk,,M t 4
Applicant's Signature Date
Owner / Contractor / Owner's Agent / Co tractor'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 West (360) 958 -3$,I�Il5I, � �
PO Box 479 (360) 458 -3 iY3 j I
Yelm, WA 98597 mmru.ci.yel a. us
U
AUG 1 2012
BY: -------- - - - - --
ii Vrtihwest Permit Inc. -
LI CIE-1CJ El ClEJCIEl
August 10, 2012
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.
If you have any questions please contact me at 360.945.2787 or Sheila @nwpermit.com
ny T a ks
Sh it Monty
Northwest Permit Inc.
AUG 1 � 2012
BY: -------------- - - - - --