20150313 Permit Pkg 10202015City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: WILLIAM HEUER
Address: 14856 TERRA VIEW ST SE
YELM WA 98597
Property Information:
Site Address: IARAR TFRRA VIEW ST SE
Permit No.: 20150313
Issue Date: 10120/2015
(Work must be completed within 180 days)
Phone: 301 - 466 -3243
Owner: WILLIAM HEUER
Assessor Parcel No.: 78640003000 Subdivision: TAHOMA TERRA Lot: 30
Contractor Information:
Name: BOB'S HEATING & AIR
Address:
13633 NE 126TH PLACE #425
KIRKLAND WA 98034
Contractor License No.: 10102
Phone:
Expires: 12/31/2015
Project Information:
Project: MECHANICAL
Description of Work: WATER HEATER REPLACEMENT
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
MECHANICAL
Contractor
BOB'S HEATING & AIR
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 SW of Washington.
Signature Date
Firm
Fees
$ 29.50
$ 29.50
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
City of Yell
(36 ) 458 -3244
REC #: 00210913
OPER: CO TERM
REF #: 505480
PAID BY:
10/20/2015 11:12 AM
001
TRAN: 33.0000 BUILDING PERMITS
20150313 29.50CR
HEUER, WILLIAM
14856 TERRA VIEW ST SE
MECH 29.50CR
TENDERED: 29.50 CHECK
APPLIED: 29.50-
CHANGE: 0.00
10/13/2015 TUE 11:05 FAX
CITY OF YELM
RESIDENTIAL 13UILDING PERMIT APPLICATION FORM
Project Addrese: 1 4856 Terra View St SE Parcel #: 78640003000
[imo01/001
Subdivision: Lot #: Plan #: I Zoning:
❑ New Construction ❑ Re -Model / Re -Roof / Addition ❑ Home Occupation Sign
CI Plumbing LX Mechanical ❑ Mobile / Manufactured Home Placement ❑ Other
Project Description /Scope of Work:, Warranty water heater replacement
Project Value: 0.00
Building Area (sq, ft) 1" Floor 2'd Floors Garage Deck
Basement Catrport,, Pat10
# Bedrooms_, # Bathrooms_ Heating: OAS /OTHER or ELECTRIC (Circle One)
Are there any environmentally sensitive ersaa located on the parcel? --
Ny+ea, a completed environmental checklist must accompany permit application.
Ila
CITY
p TELE
TEL
CITY STATE ZIP F
CONTRACTOR'S LICENSE#! EXP DATE CITY LICENSE #_ ®„Q
Copy of mitigation agreement with Yelm Community Schools, If applicable.
I hereby certify that the above IrHormadon is correct and that the aonatruation on, and the cocupancy and the use of the
above described property will be in socordence with this laws, rules and regulations of the stale of Washington and the
City of Ydm.
10/13/1 ti
Applicant's Signature Dab
Owner / Contractor / Owner's Agent / Contractor's Agent (Please circle one.)
All permits are non - transferable and will expire It work authorlated by such permit is not begun
within 18o days of Issuance, or If work Is suspended or abandoned for a period of 180 days
IOd Ye I— Abe »ue Weet (860) I68-688d
Yebn, WA $6687 (860) 4b& d!B *FAX
rornm da,yeam Wa,ue
I