20140150 Permit Pkg 04162014 '�''wQr iHEp,p�' City of Yelm Permit No.: 20140150
y
� �� Community Development Department Issue Date: 4/16/2014
d � (Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
LM
'""'""°" Fax: (360)458-3144
Applicant:
Name: ALBERT MAY Phone:
Address: 14911 PRAIRIE VISTA LP
YELM WA 98597
Property Information:
Site Address: 14911 PRAIRIE VISTA LP SE Owner: ALBERT MAY
Assessor Parcel No.: Subdivision: Lot:
Contractor Information:
Name: SUNSET AIR INC Phone:
Address:
5210 LACEY BLVD. SE
LACEY WA 98503
Contractor License No.: Expires: 0/00/0000
Project Information:
Project: MECHANICAL
Description of Work:
Sq. Ft. per floor: First Heat Type(Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item Contractor Fees
MECHANICAL SUNSET AIR INC $ 29.50
TOTAL FEES: $ 29.50
Applicant's Affidavit: OFFICIAI 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 conformity with all applicable City of #Sets of Prints:
Yelm regulations including those governing zoning and land subdivision, and in addition, all covenants,
easements and restrictions of record. If applying as a contractor, I further certify that I am currently Final Inspection:
registered in the State Was � on
_ / Date:
Signa Date 6�
By:
Firm
Cit� of Y�lm
(36 } 458-8402
REC#: 00158356 4/16/2014 11:32 AM
OPER: C� TERM: 001
REF#: 34224
tRAN; 33,Op0� BUILDING PERMITS
20140150 29,5qCR
MAY, ALBERT
14911 PRAIRIE VISTA LP SE
MECH 29,50CR
TENDERED: 29.50 CHECK
APPLIEQ: 29.5U-
CHANGE, �
2iJ14/APR/09/`J�'ED 11 : 57 AM SUNSET AIA IN�. FA� No, 360 456 4990 P, 0(�2
��� � �
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CI1Y OF YELM
RESIDENTIAL BUILDING pERMi7 ApPLICATION FORM
Project Address: �'l-)(� i'��((.QJ ���� Parcel#:�� �����I���
Subdivision� Lot#� Plan#:� �oning:
p New Construction ❑ Re-Model 1�te-Roof/Addition ❑ Home Occupation Sign
p Plumbing �Mechanical Cl Mobile/Manufactured Home Placement ❑ Other
Project Description/5cope oF Work__l,�/I�CIi�L �(�1.;�,�� � ��I 1� �U�
Praject Value: ������ ___
Building Araa(sq.ft) 1g�Floor 2R° Floor 3`� Floor Garage-2 car 3 car
Covered Patio Covered Porch Patio Deck
#�edrooms_ #Bathraoms_ Meating: GAS/OTHER or ELECTRIC(Circle One)
Are there any environmenta[ty sensitive areas Iocated on the parcel?
If yes, a completed environmental checiclist must accompany permit application.
�UlLDING OW R�IANtIE:
A�1DR S - - � �l EMA1L '
CITY STATE ZIP TELEPHONE
ARCHlTECT/ENGINEER �1 LICENS�#
.._,. ..._ ... . .
ADDRESS �MAIL. _ —
CiTY STATE ZIP TELEPHONE
,. .._._.. .-- -�---- --- ------ �
iGENEi�AL C�i�1TF2qC�"�R TELEPH NE ` �
ADA �SS �MAEL �'1') :(,ul;�L�1'�'�,/
CITY ST TE ZIP F
CONTRAC R'S LICENSE# EXP DATE GTY LICENS�# ___ _
�'LIfMBiNG CON�`RACT�R TELEPHONE
ADDRESS _ _ _ . ... . .. EMAIL
C[TY STATE ZIP FAX
CONTRACTOI�'S LICENSE# EXP DATE CITY LICENSE#
,......._ ....- --. .....__. _.. ......_..---..._.._.....
�VlECHANiCAL CONTRACTOR T��EPHONE
ADDRESS �MAIL
� CITY STATE ZIP FAX
CONTRACTOR'S LICENSE# EXP DATE CITY LICENSE# � D �'�
Copy of mifigation agreement with Yelm Community Schools, if applicable. ,
I hereby certify that the above information is correct and that the constructlon on,and the occupancy and the use of the
above scribed property will be in acaordanca w[!h the laws,rul�s and regulatlons af the State of Washington and the
CI of Y Em.
. � � � /
App ica tu�e Date
Owne antractor'/Owner's Agent/Contractor's Agent(Please circle one.)
All permits are�on-transferable and will expire if work authorized by such permit is not begun
within 180 days af issuance,or if work is suspended or abandoned for a periad of�0 days
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105 Yelm�luenue Wesx � � ?�
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www.ei.yedhi.tvct.us ``�"
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201'�/APR/09/WED 11 : 57 AM SUNSET AI� INC. FA;� No, 360 456 �990 P, 001
� SUNSET AIR, T0�•1� � .
PHONE: (36Q) 456-495b FAX: {360) 456-4990
521t� LACEY BLVD. LACEY, WA 98503
FAX TRANSMISSTON .
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DATE/TIME� � � /� .
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COMPANY: �
FAx �: �5�g �3 (�f�/ �
FROM: ROMY MEYER - RTMC�SUNSETAIR.COM
COMMENTS:
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This transmission contains�pages, including this cover page_ If any page is
missing, please contact me at the above number_