20150220 Permit Pkg 06112015City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: MARGARET KING
Address: 10018 JENSEN DR SE
YELM WA 98597
Property Information:
Site Address: 1(1(]18 JENSEN DR SE
Assessor Parcel No.: 78640105300
Contractor Information:
Name: SOUND HEATING & AC
Address: CURTIS HOOD
5526 184TH ST. E, STE. A
PUYALLUP WA 98375
Contractor License No.: 10696
Project Information:
Project: MECHANICAL
Description of Work:
INSTALL AC UNIT
Sq. Ft. per floor:
First
Second
Third
Garage
Basement
Fees:
Item
MECHANICAL
Permit No.: 20150220
Issue Date: 6/11/2015
(Work must be completed within 180 days)
Phone: 503 - 254 -5747
Owner: MARGARET KING
Subdivision: TAHOMA TERRA
Phone:
Expires: 12/31/2015
Heat Type (Electric, Gas, Other):
Contractor
SOUND HEATING & AC
TOTAL FEES:
Applicant's Affidavit:
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 further certify that I am currently
registered in the
to of Washington. �9
Signature Date
Firm
Lot: 53
Fees
$ 29.50
$ 29.50
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
City of Nm
(36 ) 458-3244
REC#: 00197673 6/11/2015 9:55 AM
OPER: CO TERM: 001
REF#: 63772
PAID BY:
TRAN: 33.0000 BUILDING PERMITS
20150220 29.20CR
KING, MARGARET
10018 JENSEN DR SE
MECH 29.20CR
TENDERED: 29.20 CHECK
APPLIED: 29.20-
CHANGE: �0.00
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: 10018 je iya ZR 3F Parcel #-71 LA 0) 1QfT2,P) (T�
Subdivision: t6,hDVM ICiTc Lot #: 56 Plan #: Zoning:
New Construction i Re -Model / Re -Roof / Addition Home Occupation Sign
Plumbing x Mechanical - Mobile / Manufactured Home Placement Other
Project
Project Val
of Work: MnV31Wfa AIC SUS Y11
Building Area (sq. ft) 1st Floor 2nd Floor
Covered Patio Covered Porch
3rd Floor Garage -2 car 3 car.
Patio Deck
# Bedrooms_ # Bathrooms_ Heating: GAS /OTHER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel?
/f yes, a completed environmental checklist must accompany permit application.
BUILDING OWNER NAME: tillb
ADDRESS EMAIL
CITY STATE_6P ZIP j1` Sly TELEPHONE 505-- `1U-yj57
ARCHITECT /ENGINEER LICENSE #
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
GENERAL CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
PLUMBING CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
MECHANICAL CONTRACTOR / TELEPHONE
ADDRESS t'LU, AA" EMAIL
CITY STATE NjsU ZIP )15 FAX F', `7- C`
CONTRA TOR'S LICENSE #SLI\iO' lfiMllb EXP DATE CITY LICENSE # I0l� (_1tlj
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.
i
Applicant% )signature . Date
Owner / Cbhtractor / 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 (360) 458 -3144 FAX
www.ci.yelm.wa.us