20140224 Permit Pkg 08052014 �."�aF rH,�p� City of Yelm Permit ►vo.: 20140224
'
� *� Community Development Department Issue Date: 8/05/2014
d �++ (Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
LM
Fax: (360)458-3144
Applicant:
Name: GAIL HILLS Phone: 360-458-5067
Address: 1011 KINGSVIEW CT. NW
YELM WA 98597
Property Information:
Site Address: 1011 KINGSVIEW CT NW Owner: GAIL HILLS
Assessor Parcel No.: 57630001000 Subdivision: Lot:
Contractor Information:
Name: WASHINGTON ENERGY SERVICES Phone:
Address:
3909 196TH ST SW
LYNNWOOD WA 98036
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 WASHINGTON ENERGY SERVICES $ 29.50
TOTAL FEES: $ 29.50
Applica Ys Affidavit: OFFICIAL USE ONLY
I certify hat I d and examined the in ation contained within the application and know the same
to be tr e a orrect. I also certify that the rop sed structure is in conformity with all applicable City of #Sets of Prints:
Yelm r gul io s incl ding those go erning oni g and land subdivision,and in addition,all covenants,
easem nts n rest ctions of r r . If app n as a contractor, I f her certify that I am currently Final Inspection:
registe d i t St e of W t n
� Date:
Signatu Date
By:
Firm
Cit� of V�lm
(36 j 458-8402
REC#: 00167987 B/05/2014 11:32 AM
OPER: CO TERM: 001
REF#: 1607
TRAN: 33.0000 BUILDTNG PERMITS
20140224 29.50CR
HILLS, GAIL
1011 KINGSVIEW CT NW
MECH 29,50CR
TENQERED: Z9.50 CHECK
APPLIED; 29.50-
CHANGE: Q,pp
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CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: 1011 NW KINGSVIEW CT Parcei#: 57630001000
Subdivision: Lot#: Zoning;
❑ New Construction � Re-Model/Re-Roof/Addition ❑ Home Occupation Sign
❑ Plumbing �Mechanical ❑ Mobile J Manufactured Home Placement � Other
Project Description�scope of work: REPLACE 50 GAL. GAS WATER HEATER
Project value: $950.00
Building Area(sq.ft) 1�Floor 2nd 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.
BUILDING OWNER NAME: ���Hi��s
ADDRESS����NW KINGSVIEW CT EMAIL
C�N YEIM STATE wA ZIP 95597 TELEPHONE (253)53�-42s2
ARCHITECT/ENGINEER LICENSE#
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
GENERAL CONTRACTOR v�►ESCO TELEPHONE $oo-3sa-asss
ADDRESS 3sos�ssm sr sw EMAIL
CITY lynnwood STATE wA ZIP ssoss FqX
CONTRACTOR'S LICENSE# WASHIES97108 EXP DATE9i15 CITY LICENSE# 3oso�
PLUMBING CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE# EXP DATE_CITY LICENSE#
MECHANICAL CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE# EXP DATE CITY LICENSE#
Copy of mitigation agreement with Yelm Community Schools, if applicable.
1 hereby ce ' that the above information is correct and that the co�struction on,and the occupancy and the use of the
above ri property will be in accordance with the laws,rules and regulations of the State of Washington and the
City Yel
��`�--��S— ��
Ap ' t's Signature Date
Owner/Contractor/Owner's Ag nt/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 suspended or abandoned for a period of
-� ..������,-.
AUG 0 4 2p14
105 Yelm Avenue West (360) ---__ I
PO Bos 479 (360)458-3144 FAX��"V"°'4°`��==�i'
Yelm,WA 98597 www.ci.yelm.wa.us
No r�tl�v��s t Perr�i t I n c.
��. �� _�___.
E � � ! � � � � r
July 25, 2014
City of Yelm
Attn: Gary Carison
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 y a any questions please contact me at 360.945.2787 or Sheila@nwpermit.com
any a s
onty
Northwest Permit Inc.