20150122 Rejected Application 02062015�vf5ot22
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: I L4 t l 12 St G 4'h t° It SC Parcel* -721690161210-
Subdivision Lot #:JS�_ Plan #:J� 11+ --- Zoning:
New Construction 0 Re -Model 1 Re -Roof I Addition `; Home Occupation Sign
r Plumbing o Mechanical ❑ Mobile / Manufactured Home Placement D Other
Project Description /Scope of Work: l' LX111 r uv 7 Lrlcv r ��-
Project Value:
1 a Fioor "� e � Deck
Building Area {sq. ft) _ 4 / IU 2 Floor Garage /�� � ` �; � ✓�
/� Basement Carport Patio
# Bedrooms 1 # Bathrooms2� Heati : GAS! THER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? -.-K-to-
If yes, a completed environmental checklist must accompany permit application.
ylg inetY S LICENSE # �
A--. . PUAII Stra enaintcr5 Tr/4+► ue�
CITYr3t c di14 .,s�STATE_ .�R ZIP�G� -tG I- t:LttrivNr- -;,4 p�+c
vv1Jbq'JJ AJ W TELEPHONE_, 53- _4 be
ADDRESS c x EMAIL 1 AtL'J 500t-4 �1 t �hj��%�cS.Cc.r►�
CITY�-��.•.. -}auvp STATE- 4.0 t� ZIP 3 FAX 3 S - G 3l b'
coNTRACTOR'S LICENSE #S -) , J) WJJLLcL EXP DATE CITY LICENSE #_
;h'er sew, ✓ TELEPHONE
ADDRESS ,e 731070 EMAIL
CITY �'u µ 44 �,..�. STATE 1 -373 FAX -253- 195
CONTRACTOR'S LICENSE #1201 n t U� `I'4ZDF EXP DATE CITY LICENSE #_
w h (Mc- TELEPHONE �-
ADDRESS 1 5t ,; EMAIL 2 S3 - 87S- G�SS
CITY L�—AT STATE W ZIP FAX
CONTRACT R'S LICENSE # hay EXP DATE CITY LICENSE #
Copy of mitigation agreement with Yelm Community Schools, if applicable
1 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 taws, rules and regulations of the State of Washington and the
City of Yelm.
5
Appl nt's dignature Date ,
Owner I Contractor ner's Agent I ontractor'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
\�A
105 Yelm Avenue West
Yelm, WA 98597
www.cLyelm.wa.us
JD I (860) 4584885
(860) 458 -8144 FAX
FEB 0 6 2015
John Rowland
From: Angela Warner [angelaw @soundbuilthomes.com]
Sent: Wednesday, February 18, 2015 11:04 AM
To: John Rowland
Subject: RE:
Yes please.
From: John Rowland [mailto:JohnR @ci.yelm.wa.us]
Sent: Wednesday, February 18, 2015 10:27 AM
To: Angela Warner
Subject:
Angela
I will have the permits for lots 86 and 189 ready soon. I still have the application for lot 181 that was submitted as a
single story and the modulation plan requires a two story plan. Would like me to cancel this submission?
John Rowland
Building Inspector
City of Yelm, WA
(360) 458 -8475
johnr @ci.yelm.wa.us
1