20150222 Permit Pkg 07212015City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: TIMMY & SHERRY REGAN
Address: 14732 91 ST AVE SE
YELM WA 98597
Property Information:
Site Address: 14732 91ST AVE SE
Assessor Parcel No.: 33860000600
Contractor Information:
Name: SUNSET AIR INC
Address: TERRY MEDLOCK
5210 LACEY BLVD.
LACEY WA 98503
Contractor License No.: 10734
Project Information:
Project: MECHANICAL
Description of Work:
INSTALL AC UNIT
Sq. Ft. per floor:
First
Second
Third
Garage
Basement
Fees:
Item
MECHANICAL
Permit No.: 20150222
Issue Date: 0 /00 /0000 ��ZI /?�1 J
(Work must be completed vothin 180 days)
Phone: 253 - 888 -7091
Owner: TIM AND SHERRY REVAN
Subdivision: BELLA HOUSA
Phone:
Expires: 12/31/2015
Heat Type (Electric, Gas, Other):
Contractor
SUNSET AIR INC
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 t se governing zoning and land subdivision, and in addition, all covenants,
easements and restr finns�o� record. If applying as a contractor, I further certify that I am currently
registered in the ate shington. /
Signature fi 'L Date
Firm A r
Lot: 6
Fees
$ 29.50
$ 29.50
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
City of Mi
(36 ) 458 -3244
REC #: 00201956 7/21/2015 3:09 PM
OPER: CO TERM: 001
REF #: 34969
PAID BY:
IRAN: 33.0000 BUILDING PERMITS
20150222 29.50CR
REGAN, TIMMY & SHERRY
14732 91ST AVE SE
MECH 29 50CR
TRAN: 33.0000 BUILDING PERMITS
20150226 29.50CR
SAN NICOLAS, EVALONNIE
14812 PRAIRIE VISTA LP SE
MECH 29,50CR
TENDERED: 59.00 CHECK
APPLIED: 59.00-
CHANGE: 0.00
JUN /13/2015/SAT 02:57 PM Sunset Air
FAX No, 360 456 4990 CW50r'A�20*2'
CITY OF YELM��(
RESIDENTIAL BUILDING PERMIT APPLICATION FORM b
Project Address - - -NM o'- -I1 � U� cJ�-� Parcel #: 13 (1 (,oDQ0(1)n7-J
Subdivision: Lot #: Plan #: . Zoning.
❑ New Construction ❑ Re-Model/ Re -Roof /Addition ❑ Home Occupation Sign
❑ Plumbing Mechanical C7 Mobile / Manufactured Home Placement ❑ Other
Project Description /Scope of Work:
Project Valve: to -
Bui[dinq Area (sq, ft) tat Floor 2 "" Floor 3'-° Floor Garage -2 car 3 car
Covered Patio Covered Porch w Patio Deck
# Bedrooms # Bathrooms_ Heating: GAS /OTHER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel?
If yos, a completed environmental checklist must accompany permit application.
LICENSE #
ADDRESS —EMAIL
CITY STATE ZIP TELEPHONE
TELEPHONE__
ARES EMAIL
7-E�v TE ZIP FAX
EXP DATE CITY LICENSE #
TELEPHONE
ADDRE=RR'SL EMAIL
CITY TE ZIP FAX
CONTR # EXP DATE CITY LICENSiw #
v _
LMLTELEPHl
ADDRESS 1 EMAIL VLZM
CITY A E w ZIP FAX-,& (�
CONT AC ' R'S LICENSE XP DATE CITY LICEl\ SE #
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
Ctty; (m.
r
App icant's Si nature Date
Owner / 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 Y'eltnAvenue GPest . jN 1 it LU15 ($60) 458 -2835
Yelm, WA 98597 (300),1,58-314d FAX
www.ei.yelm.w¢.us
JUN/13/2015 /SAT 02:57 PM Sunset Air FAX No.360 456 4990 P.001
SUNSET AIR, INC
PHONE: (360) 456 -4956 FAX: (360) 456 -4990
5210 LACEY BLVD. LACEY, WA 98503
FAX TRANSMISSION
TO:
DATE /TIME:
COMPANY.
FAX #: 4
FROM: ROMY MEYER - RTMeSUNSETAIR.COM
COMMENTS:
1
in n i ua�s
o'o
Iti
This transmission contains-pages, including this cover page. If any page is
missing, please contact me at the above number.