20160110 Permit Pkg 01202016City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: TRAVIS & URSULA SWANSON
Address: 9835 DONOVAN CT SE
YELM WA 98597
Property Information:
Site Address: QR�r% nnPJ 1VANI C_T Ct`
Assessor Parcel No.:
Contractor Information:
Name: ZEPP CONSTRUCTION INC
Address:
43 FULLER RD
ELMA WA 98541
Contractor License No.: ZEPPCC1856C2
Subdivision:
Expires
Permit No.: 20160110
Issue Date: 1/20/2016
(Work must be completed within 180 days)
Phone: 360- 470 -0846
Owner: TRAVIS SWANSON
Phone:
2/28/2017
Project Information:
Project: ROOF
Description of Work: ROOF OVER THE EXISTING COMP
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
ROOF
Contractor
ZEPP CONSTRUCTION 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 re lations iacJuding those governing zoning and land subdivision, and in addition, all covenants,
easeme is restric ns of record. If applying as a contractor, I further certify that I am currently
register i e Stat of Washi n.
Signatur JAPIC Date
Firm Z'�1L7 Irtm �1 y
Lot:
Fees
$ 25.00
$ 25.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
Citt of Mm
(36 ) 458 -3244
REC #: 00219824
OPER: CO TERM:
REF #: 3890
PAID BY:
1/20/2016 12:48 PM
001
TRAN: 33.0000 BUILDING PERMITS
20160110 25.00CR
SWANSON, TRAVIS & UFSULA
9835 DONOVAN CT SE
ROOF 25.000R
TENDERED: 25.00 CHECK
APPLIED: 25.00-
CHANGE: 0.00
ZO /fo0 //D
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: g995 � �W�;? C- , t- Parcel #: �Ocq r_ cl rnC
Subdivision: Lot #: Plan #: Zoning:
New Construction Re -Model ! Re -Roof / Addition Home Occupation Sign
Plumbing ! ! Mechanical Mobile / Manufactured Home Placement ! Other
Project DescriptionfS7cocp�e of Work:
Project Value-
Building Area (sq. ft) 1s` Floor 2n3 Floor
Covered Patio Covered Porch
V 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'?
If yes, a completed environmental checklist must accompany permit application.
BUILDING OWNER NAME:
ADDRESS `IL5,- Llaoy*ca') CT .S E EMAIL ha o sc � , ✓�,' /.Nc+ay�
CITY ne -h STATEI..,A_ZIP W5-0 TELEPHONE 1 -,A:
ARCHITECT /ENGINEER LICENSE #
ADDRESS EMAIL
I CITY STATE ZIP TELEPHONE
GENERAL CONTRACTOR
v,f- l,.cY ;6 -- TELEPHONE If /0 -(-1 CX 0Z
ADDRESS ;�Y 3 Few 1c ^ Wd
CITY STATE 1,A
EMAIL
ZIP FAX
CONTRACTOR'S LICENSE # Z F1'CCSfMUW
DATED-' CITY LICENSE #
%
1 PLUMBING CONTRACTOR
TELEPHONE
!ADDRESS
EMAIL
CITY STATE
ZIP FAX
CONTRACTOR'S LICENSE #
EXP DATE CITY LICENSE #
MECHANICAL CONTRACTOR
TELEPHONE
ADDRESS
EMAIL
CITY STATE
ZIP FAX
CONTRACTOR'S LICENSE #
EXP DATE CITY LICENSE #_
Copy of mitigation agreement with Yelm Community Schools, if applicable.
1 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.
App nt's SIgp#
Affe Date
Owner t ConttWor / 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 M
a ' ; 1 9 2016
Yelin Avenue West " ' ys"t fE8885- ......r
';'elm. WA 98597 (360) 458 -3144 FAX
1vww.6.ye1m.,va.us