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20160107 Permit Pkg 01252016City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Applicant: Name: JOHN /JANE PYANOWSKI Address: 15334 104TH AVE SE YELM WA 98597 Property Information: Site Address: 1 J;'A'1A 1 nATW AVF CF Assessor Parcel No.: 62320004600 Contractor Information: Name: HEPBURN CONSTRUCTION Address: 10215 GROVE RD. YELM WA 98597 Permit No.: 20160107 Issue Date: January 25, 2016 (Work must be completed within 180 days) Phone: 360- 400 -5385 Owner: JOHN PYANOWSKI Subdivision: MILL POND DIVISION 2 Lot: 46 Contractor License No.: HEPBUC *0761-1 Expires Phone: 458 -4137 6/21/2008 Project Information: Project: RESIDENTIAL REMODEL Description of Work: REMODEL BATH, ADD DECK AND RAMP. Sq. Ft. per floor: First Heat Type (Electric, Gas, Other): Second Third Garage Basement Fees: Item Contractor Fees BUILDING HEPBURN CONSTRUCTION $ 828.87 PLUMBING AFFORDABLE PLUMBING $ 27.00 TOTAL FEES: $ 855.87 Applicant's Affidavit: 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 State of Washington. Signature Xzktl) kba� Date I - S- Firm OFFICIAL USE ONLY # Sets of Prints: Final Inspection: Date: By: City of Y�11 (36 ) 458 - REC#: 0 0275 1/25/2016 1:25 M OPER, TERM: 001 REF . 2801 PA BY: T AN: 30.0000 BUSINESS LICENSE HEPBURN CONSTRUCTION INC 35.00CR USINESS LICENSES & T N: 33.0000 BUILDING PERMITS 20160107 PYANOWSKI, JOHN /J0 E 15334 104TH AVE SE BLDG 828.81CR PL 27.0(CR TENDERED: 890.87 CHECK LIED: 890.87 - HANGE: 0.00 ntractor License No.: EPBUC *0761_1 n Permit No.: 20160107 lopment Department Issue Date: 0 /00 /0000 (Work must be completed within 180 days) 3407 4 Phone: 360- 400 -5385 ;E Owner: JOHN PYANOWSKI Subdivision: MILL POND DIVISION 2 Phone: 458 -4137 Expires: 6/21/2008 PFUject\__.,-RESIDENTIAL REMODEL Description of Work: REMODEL BATH, ADD DECK AND RAMP. Sq. Ft. per floor: First Heat Type (Electric, Gas, Other): Second Third Garage Basement Fees: Lot: 46 Item Contractor Fees BUILDING HEPBURN CONSTRUCTION $ 828.87 PLUMBING AFFORDABLE PLUMBING $ 27.00 TOTAL FEES: $ 855.87 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 State of Washington. Signature Date Firm OFFICIAL USE ONLY # Sets of Prints: Final Inspection: Date: By: f 2(:.-A(o6 co-7 CITY OFYELM RESIDENTIAL BUILDING PERMIT APPLICATION FORM Project Address: /�� 3; 4 /yy M 6f0.e ,5 E Parcel #: BY - ------ -------- - - - - -- Subdivision: Lot #: Plan #: Zoning: New Construction /Re -Model / Re -Roof / Addition Home Occupation Sign Plumbing Mechanical Mobile / Manufactured �� `- I� Home Placement p i ' Other � Project Description/Scope of Work: R "<,ft (}= at. n * d &ezk !•4�fi Project Value: Building Area (sq. ft) 1" Floor 2nd Floor Garage Deck Basement Carport Patio # 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: d D koJ ADDRESS i S-334 % EMAIL CITY U a� STATE -w ZIP 1 ?- TELEPHONE " d ARCHITECT /ENGINEER LICENSE # ADDRESS EMAIL CITY STATE ZIP TELEPHONE GENERAL CONTRACTOR e dtW TELEPHONE O Q S ' 626Z% ADDRESS A EMAIL %fie yeil,l�N;�eYic&i V 060qd, CITY STATE ZIP ' $ FAX CONT CTOR'S LICENSE # .p 1;,'q3) P_ :XP DATE CITY LICENSE # PLUMBING CONTj�ACTOR4 qAt&- g W& �Nu�rL _TELEPHONE 3, 66 c: -$O — Z b-7 `f ADDRESS �v 2011Z EMAIL CITY 1w STATE 60 l ZIP FAX CONT ACTOR'S LICENSE #ikFFMAM r1 EXP DA &-JTY LICENSE # IV 000 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. 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. Applicant's S gnature 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 105 Yelm Avenue West Yelm, WA 98597 www.ci.yelm.wa.us (360) 458 -3835 (360) 458 -3144 FAX C07-f n qq 0 \ CL o \ I f _ I o IJ J W 0�! _° p n w (n � Z O Q J w Q w V W �u R dM`nllJ 'TS ]AV HIbOt tHgS aNd NNOr NIsModd t oV-O0 LO bC 9�NVP 4t�96YMY�dN �� n Ll � 35 ON,ltllHliN If CS a rc Q dOl SNdld 110OW�� 3NI N`JI534 9NIL'V?JO n qq 0 \ CL o \ I f _ I o IJ J W 0�! _° p n w (n � Z O Q J w Q w V W �u R VM'wl3A 'TS 3AV H1ro01 bUSl NSMONVXd INVP aNd NNOP 2J SNdld 1300W32J fad y ma roa xrry wm zH dnra IT, _',� O �C1906 IM Y 35 'Ha nrV O U ei n is Nu_Ya w „ a a 00 r LE i� \� n � E F ff c� w iroa g C) N � 0 w N ❑ � wooa aaUn / 2/ � O M O �C1906 IM Y 35 'Ha nrV O U ei n is Nu_Ya w „ a a 00 r LE i� \� n � E F ff c� w C) o 0 w N ❑ O �C1906 IM Y 35 'Ha nrV O U ei n is Nu_Ya w „ a a 00 r LE i� \� n � E F ff c� w m �V'/M ('wlflA '3'S ]AV HH1bn01 KSSI n Daze -ssKo � S V 1 O V \� / l � I V V" O V V �f O roLS- ssa(ox i3uoWd /z• -fir y a I`� . fISH6 'tlM tlldYUlO � � � Q -- 3S 'd fiV1NH3tl LCLS tC_ SNVId L(1C �'ld 9'�r A3iS3d 3A�ad K VIQ� 1-W w CpJ� V Q d W ¢ K W��aN 3 > �c OCJxc� Z ZO`�N Y�(r S z 0 F v o- m: m� mw 7� 4 _ m m J� Q r N O ¢ U O _ Q � m m w d' v O � Z O F O_ O Z Q S y � N •N o� �w zS Z O Q O Xtl11 ,If I, j 'W�II ,1Lj ❑IJ a x <a � 2 I U z U N Z J Y J X Z J . �� U_ cn yy� LZ •�y� X V 5 U o X W ■ �e � Q C� U ¢ V 0 0 CJ Z O U O Z S X z 0 F v o- m: m� mw 7� 4 _ m m J� Q r N O ¢ U O _ Q � m m w d' v O � Z O F O_ O Z Q S y � N •N o� �w zS Z O Q O Xtl11 ,If I, j 'W�II ,1Lj ❑IJ a x <a ' NOSdWIS _ MOQ ENE OEN�� MEN No MEN�� ©IT�� m�� mmo OEM NEON So mQ��O�� mmoom��e�� E ENE�� MENEM N�� MINIMME mom ENEMY, INN IEEE IN IN IN �� ®��Ill��t INN ��llIN li mill 11NONE 0�e�ll�� ■ MMMMMMMM�III��IfY1�� ®�il��■ NMI mommoom��iII��I► ..�.�c��r��;�i1'��1� ��1�1 ■S ■�Ntl ��f��e.Sr�1�i'i3i■ MENEM �