20130319 Permit Pkg 09062013 o�oF ''"�p� City of Yelm Permit No.: 20131�319
y�4 Community Development Department Issue Date: 9/06/2013
(Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
L
""•`"'""°" Fax: (360)458-3144
Applicant:
Name: AIR SOLUTIONS Phone: 360-400-1492
Address: 8746 CULLENS ROAD
YELM WA 98597
Property Information:
site Address: 15625 PARKVIEW DR SE Owner: LORI MCMANUS
Assessor Parcel No.: 67290001400 Subdivision: PARKVIEW Lot: 14
Contractor Information:
Name: AIR SOLUTIONS Phone: 360-400-1492
Address:
8746 CULLENS ROAD
YELM WA 98597
Contractor License No.: AIRSOSL931N0 Expires: 9/09/2011
Project Information:
Project: MECHANICAL
Description of Work: FURNACE CHANGE OUT
Sq. Ft. per floor: First Heat Type(Electric,Gas, Other):
Second
Third
Garage
Basement
Fees: •
Item Contractor Fees
MECHANICAL AIR SOLUTIONS $ 29.50
TOTAL FEES: 5 29.50
ApplicanPs Affidavit: 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 confortnity with all applicable City of #Sets of Prints:
Yelm regulations including those governing zoning and land subdivision,and in addition,all covenants,
easements and restridions of record. If applying as a contrador,I further certify that I am currently Final Inspection:
registered in the Sta of Washington. �
Signature �� �, � Date %�6 �S Date:
Firm
C''` By:
,
Cit� of Y�lm
(36 ) 458-8402
REC#: 00137724 9/06/2013 11.5p qM
OPER: CO TERM: 001
REF#: MC
TFiAN: 33.00OU BUILDING PERMITS
20130319 29.50CR
AIR SOLUTIONS
15b25 PARKVIEW DR SE
MECH 29.50CR
rENpEREU; 29.50 O1'HER
APPLIED: 29,50-
CHANGE: 0.00
i
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CITY OF YELM ----�
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
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Project Address: f s � Z S- j ��k�fc��v ��`' Parcel#:
Subdivision: Lot#: Plan #: Zoning:
❑ New Construction �Re-Modei/ Re-Roof/Addition ❑ Home Occupation Sign
❑ Plumbing ❑ Mechanical ❑ Mobile/ Manufactured Home Placement ❑ Other
Project Description/Scope of Work:_ /�j��:�i4.��((: � — ��✓'n✓k�� �"l�,i.�� vcr �
Project Value: �l 7 dc�•v�
Building Area (sq. ft) 1St Floor 2"d Floor 3�d Floor Garage-2 car 3 car
Covered Patio Covered Porch Patio Deck
# Bedrooms_ # Bathrooms_ Heating: GAS/OTHER or ELECTRIC (Circie One)
Are there any environmentally sensitive areas located on the parcel?
/f yes, a completed environmental checkiist must accompany permit application.
BUILDING OWNER NAME: c� � ` c �s-�
ADDRESS S� Z S o.-��ur �� :S_F EMAIL
CITY t��vl.,., STATE�ZIP �d"S�7 TELEPHONE �'9—yc�8"2
ARCHITECT/ENGINEER LICENSE#
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
GENERAL CONTRACTOR TELEPHONE
�' ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE# EXP DATE CITY LICENSE#
PLUMBING CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE# EXP DATE CITY LICENSE#
MECHANICAL CONTRACTOR �V' So�Cc � ' TELEPHONE �/vc� -/�y�'2
ADDRESS u7�j� Ce�//�'�f /Zd EMAIL
CITY (��/,,.-� STATE (�t/.9ZIP ��Si'7 FAX
CONTRACTOR'S LICENSE# iZSaS�9,(��ZEXP DAT ITY LICENSE#
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 Yelm.
, �ls-/�
Applicant' 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 for a period of 180 days
��. �. _
I �
SEP 0 5 2013
105 Yelm Auenue West (360)458-3835
Yelm, WA 98597 (360)458-3144 FAX
www.ci.yelm.wa.us