20150263 Permit Pkg 08212015Applicant:
City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Permit No.: 20150263
Issue Date: 8/21/2015
(Work must be completed within 180 days)
Name: NANCY JO TRENT -HENLE Phone:
Address: 15510 105TH WAY SE
YELM WA 98597
Property Information:
Site Address: 15510 105TH WAY SE Owner: NANCY TRENT
Assessor Parcel No.: Subdivision:
Contractor Information:
Name: NANCY JO TRENT -HENLE Phone:
Address:
15510 105TH WAY SE
YELM WA 98597
Contractor License No.: Expires: 0 /00 /0000
Project Information:
Project: MECHANICAL
Description of Work: INSTALL DUCTLESS HEAT PUMP
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
MECHANICAL
Contractor
NANCY JO TRENT -HENLE
TOTAL FEES:
Applican s \Affidavit:
I cert ify t t I have read and examined the information contained within the application and know the same
to be true and corr ertify that the proposed structure is in conformity with all applicable City of
Yelm reg la including ose governing zoning and land subdivision, and in addition, all covenants,
easem en s and restriction of record. If applying as a contractor, I further certify that I am currently
registere in the tate of shingt
Signature on. Date •Z
Firm &Z NA Li dl
Lot:
Fees
$ 29.50
$ 29.50
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
City of Yolm
(36 ) 458 -3244
REC #: 00205120 8/21/2015 12:24 PM
OPER: CO TERM: 001
REF #: 115
PAID BY:
TRAN: 33.0000 BUILDINGS PERMITS
20150263
TRENT- HENLE, NANCY JO
15510 105TH WAY SE
MECH
TENDERED: 29.50 CHECK
APPLIED: 29.50-
CHANGE: 0.00
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CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: 1,55 Ib 1 Q,fth WAv 5t Parcel
Subdivision:
Lot #: Plan #: Zoning:
&/6 1),�4_3
F. New Construction Re -Model / Re -Roof / Addition El Home Occupation Sign
Plumbing IVMechanical ❑ Mobile / Manufactured Home Placement ❑ Other
Project Description /Scope of Work:_ 1.5-tall Q cAUe_}1-e55 VreeLt r �-p
Project Value: 4 3 J67.Da
Building Area (sq. ft) 1" Floo11-74 2nd Floor 3`d Floor Garage -2 car 3 car
Covered Patio Covered Porch Patio_ Deck
# Bedrooms_ # Bathrooms_ HeatindOEOTHER r ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? -N-0_
Kyes, a completed environmental checklist must accompany permit application.
BUILDING OWNER NAME:
ADDRESS-.15-910 10 tl- W 0. 5
CITY \1 -Q,tm STATE_ W ZIP
ARCHITECT/ENGINEER LICENSE #
ADDRESS EMAIL
CITY STATE ZIP_ TELEPHON
GENERAL CONTRACTOR E TELEPHONE 3(P6-52,9--754P-7
ADDRESS Pp Rg L7,BUI EMAIL
CITY \ m A STATEW_zip FAX
CONTRACT R'S LICENSE # '1 EXP DATE CITY LICENSE #
PLUMBING CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
MECHANICAL CONTRACTOR &IC aS GA�l 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.
7`2.0-15
App ican ' ure 6 Date
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
C EPI ED
JUL 2 7 2015
105 Yelm Avenue West (360)
Yelm, WA 98597 (360)
wwu,.ciyelm.wa.us
Karen Bennett
From: Alison Krehmeier [alpineductmgr @gmail.com]
Sent: Monday, July 27, 2015 10:01 AM
To: Karen Bennett
Cc: Karen Ragan
Subject: Nancy Trent - Permit Application DHP
Attachments: Cit of Yelm permit application.pdf
Hello!
I've attached the permit application for Nancy Trent. Please let me know if you have any questions!
Thanks -
Alison Krehmeier
(253) 381 -8743
alpineductm r gmail.com
Karen Bennett
From: Karen Bennett
Sent: Friday, August 21, 2015 128 PM
To: 'karen @alpineductless.com'
Subject: City of Yelm - Mechanical Permit - 15510 105th Way SE
Attachments: City of Yelm Mechanical Permit - 15510 105th Way SE.pdf
Here you go Karen. Hard copies are in the mail to Nancy Trent.
Have a great weekend!!
Karen T. Bennett
1 o5 Yelm Ave W
Yelm, WA 98597
(36o)458-3835
karenb(&ci.yelm.wa.us
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