20150130 Permit Pkg 02272015City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: MICHAEL GRIER
Address: 9235 BRENDAN DR SE
YELM WA 98597
Property Information:
Site Address: 9235 BRENDAN DR SE
Assessor Parcel No.: 55360003800 Subdivision:
Contractor Information:
Name: FAST WATER HEATER
Address:
12601 132 ND AVE. SE
KIRKLAND WA 98034
Contractor License No.: 10236
Permit No.: 20150130
Issue Date: 2/2712015
(Work must be completed within 180 days)
Phone: 253 - 719 -7122
Owner: MICHAEL GRIER
Phone:
Expires: 12/31/2015
Project Information:
Project: MECHANICAL
Description of Work: REMOVE AND REPLACE GAS WATER HEATER
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
MECHANICAL
Contractor
FAST WATER HEATER
TOTAL FEES:
Appli nt's Affidavit:
I certi hat I have read and examined the information contained within the application and know the same
to be rue and correct. I also certify that the proposed structure is in conformity with all applicable City of
Yelm s including those governing zoning and land subdivision, and in addition, all covenants,
easer ents and trictions of record. If applying as a contractor, I further certify that I am currently
regist ed i the Sate of Wa ington. �/
Signntu �(�( �(, Date i c 1
1 11 'R@ Ap T
Firm
Lot:
Fees
$ 27.00
$ 27.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
City of Mm
(36 ) 458 -3244
REC #: 00187951 2/27/2015 11 :24 AM
OPER: CO TERM: 001
REF #: 18448
PAID BY:
IRAN: 33.0000 BUILDING PERMITS
20150130 27.00CR
GRIER, MICHAEL
9235 BRENDAN DR SE
MECH 27.000R
TENDERED:
APPLIED:
CHANGE:
FWH ACQUISITION COMPANY LLC / DBA FAST WATER HEATER COMPANY
CITY OF YELM
15550 MICHAEL
27.00 CHECK
27.00-
HUIX
2/17/2015
'easy fax , email or call with copy of the permit or permit
r;um!)er mailing the hard copy . Thanks!!!!!
Fax:425 -636 -7085
Phone:425- 636 -7084
-may!: sthapa @fastwaterheater.com
18448
27.00
FWH - PERMIT ACC 15550 MICHAEL 27.00
7Z-0 1 so r,>_>0
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address 11__S 6mcim IDT Parcel #: 615 6000
Subdivision: Lot #: Plan #:_ - _ Zoning:
i New Construction Re -Model / Re -Roof / Addition I Home Occupation Sign
i Plumbing D< Mechanical Mobile / Manufactured
Home Placement I I Other
Project Description /Scopre� of Work:
Project Value: 2
Building Area (sq. ft) 1s` Floor 2nd Floor 3`d Floor Garage -2 car 3 car
Covered Patio Covered Porch Patio__. Deck
# 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: _
ADDRESS 23 D 3 I W- EMAIL
CITYu iQJW STATE L,)Vk ZIP I J6 CZTTELEPHONE %0(f Z
ARCHITECT /ENGINEER LICENSE . #.
ADDRESS EMAIL__
CITY STATE ZIP TELEPHONE
GENERAL CONTRACTOR W TELEPHONE
ADDRESS rl siV *EMAIL
CITY STATE WW ZIP-G& \ FAX
CONTRACTOR'S LICENSE # 'CWV k- k6(48DCEXP DATE_V.CITY LICENSE #_ bldg
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 C!TY 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.
a Z t
Applicant's Si ure Date
Pp na 9
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 suspended or abandoned for a period of 180 days
105 Yelm Avenue West (360) 458 -3835
Yelm, WA 98597 ( 3144 FAX
www.ci.yelm.wa.us x >4
FES 2 6 2015