PL-05-0450
City ofYelm
Community Development Departm~t'E (C IE' ~ ~I E l!]
Permit No
PL-05-0450-YL
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Issue Date. 01/19/2006
(Work must be started within 180 days)
MAR 1 6 2006
Receipt No
39963
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Applicant:
Name. Fast Water Heater
Phone:
425.814.3124
Address. 12601 132nd Ave NE
City' Kirkland
State. WA Zip 98034
Property lnformati()n:
Site Address. 1212 Crystal Ct.
Assessor Parcel No. 43390000100
Subdivision.
Lot:
Contractor Information .
Name:
Contact:
Phone.
Address.
City'
State.
Zip
Contractor License No
Expires.
Business License:
Pr()j~ct Inforll1ati()n.
Project: Sweeny
Description of Work: Electric Water Heater
Sq. Ft. per floor' (1 st) 0 (2nd) 0 (3rd) 0 Garage 0 Basement 0
Heat Type (Electric, Gas, Other): OTHER
Fees:
Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
--------------------------- -------------
Plumbing Permit 2700 2000 700 7 0000 1 0000 Fixture
TOTAL FEES $27.00
App!icant'!>.2Affadavit:
OFFICIAL USE ONLY
I certify that I have r.ead 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
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 futher certify that I am currently
registered in the State of Washington.
# Sets of Prints:
Final Inspection:
Signature /tf/6:.t
Firm 'flu;IitM1 ~
Date (521"19 [.
Daoo~te~
B~' ~
Y',' . -
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360)458-3144
Permit No
PL-05-0450- YL
Issue Date. 01119/2006
(Work must be started within 180 days)
Receipt No
39963
Name: Fast Water Heater
Phone.
425.814.3124
Address: 12601132nd Ave NE
City' Kirkland
State. WA Zip 98034
p~Qperty
Site Address: 1212 Crystal Ct.
Assessor Parcel No. 43390000100
Subdivision:
Lot:
Name:
Contact:
Phone:
Address:
City'
State:
Zip
Contractor License No:
Expires:
Business License.
Project: Sweeny
Description of Work: Electric Water Heater
Sq. Ft. per floor- (1 st) 0
(2nd) 0
(3rd) 0
Garage 0
Basement 0
Heat Type (Electric, Gas, Other): OTHER
Item
Item Fee
Base Amt
Unit Fee
Unit Rate
No Units Unit Desc
Plumbing Permit
TOTAL FEES.
2700
$27.00
2000
700
7 0000
1 0000 Fixture
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
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 futher certify that I am currently
registered in the State of Washington.
Signature
Date
Firm
Name: Fast Water Heater
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Address. 12601 132nd Ave NE
City' Kirkland
Project: Sweeny
Description of Work: Electric Water Heater
Site Address: 1212 Crystal Ct.
Item
Plumbing Permit
Permit Fees Schedule
Permit No PL-05-0450- YL
Phone
425.814.3124
State: WA Zip 98034
Assessor Parcel No. 43390000100
032001-322-10-00
Item Fee Base Amt Unit Fee
20.00
700
Unit Rate No Units Unit Desc
7 0000
1 0000 Fixture
Acct Code
TOTAL FEES
2700
$27.00
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Subdivision
Zoning,
1>~
('
~ . <<>~
/&,....3 ~A
7,)2 '\./.
Ff'
Project Address.
1212 Crystal Ct
Lot #.
Parcel #. 4 3 3 900 0 0 1 0 0
i'i New Construction 0 Re-Model / Re-Roof / Addition 0 Home Occupation Sign
lX Plumbing D Mechanical D Mobile / Manufactured Home Placement [] Other
Project Description/Scope of Work: Remove/replace electric water heater
Project Value
349.00
Building Area (sq ft) 1st Floor
Basement
2nd Floor
Carport
Garage
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 a(:company permit application
B(Jf~m5ING'Q,^,Nt:;RN;i\M~. Sweeney, Gloria
ADDRESS 1 /.1 /. rry!": t- r:ll rt- EMAIL
CITYYelm STATE WA ZIP 98597 TELEPHONE 360-458-4837
~gcHHfrEC;r;/EN<3INEER
ADDRESS
CITY STATE
ZIP
LICENSE #
EMAIL
TELEPHONE
<3EN~~~ c0Nm~Acj1(:),~
ADDRESS
CITY STATE
CONTRACTOR'S LICENSE #
ZIP
TELEPHONE
EMAIL
FAX
EXP DATE CITY LICENSE #
R!Ll"JrV1BjN<3!"QONmR~cj1Q~ Fast Water Heate'iELEPHONE 425-814-3124
ADDRESS 1 2601 1 32 A VP. NF. EMAIL
CITYKi rkl r:lnn STATE WlI. ZIP qR()~4 FAX 4?l:\ R14 ql:\16
CONTRACTOR'S LICENSE RFAS'T'WWHQ4 RRa:XP DATE CITY LICENSE # renewal pendir g
1 . -:! () Q
MEQ~ANlcA~\;Q<;?N'j'fiA~;r;O~ TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY 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.
1-17-006
Applicant's Signature Date
Owner I Contractor 1 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
POBox 479
Yelm, WA 98597
(360) 458-3835
(360) 458-3144 FAX
www.ci.yelm.wa.us
Look Up a Contractor, Electnclan or Plumber LIcense Detail
Washmgton State Department of Labor and Industnes
General/Specialty Contractor
A business registered as a construction contractor with L&I to perform
construction work withm the scope of its specialty A General or Specialty
construction Contractor must maintain a surety bond or assignment of
account and carry general lIability insurance.
License Information
License F ASTWWH948BC
Licensee Name FAST WATER HEATER COMPANY
Licensee Type CONSTRUCTION CONTRACTOR
UBI 602564544
Ind. Ins. Account Id 5380601
Business Type LIMITED LIABILITY COMPANY
Address 1 12601 132ND AVE NE
Address 2
City KIRKLAND
County KING
State WA
Zip 98034
Phone 4258143124
Status ACTIVE
Specialty 1 GENERAL
Specialty 2 UNUSED
Effective Date 1/3/2006
Expiration Date 1/3/2008
Suspend Date
Separation Date
Parent Company FWH ACQUISITION COMPANY LLC
Previous License FASTWHC052DF
Next License
Associated License
Business Owner Information
Effective Expiration
Name Role Date Date
JORDAN, JEFF PARTNER/MEMBER 01/03/2006
HANLEYBROWN,
JASON P ARTNER/MEMBER 01/03/2006
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Bond Information
Bond Bond
Company Account Effective Expiration Cancel Impaired Bond Received
Bond Name Number Date Date Date Date Amount Date
DEVELOPERS
https.//fortress.wa.gov/lm/bblp/pnnter.aspx?Llcense= F ASTWWH948BC
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