20160127 Permit Pkg 02162016City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: HEATHER ERVINE
Address: 14809 89TH AVE SE
YELM WA 98597
Property Information:
Site Address: 14809 89TH AVE SE
Assessor Parcel No.: 37830001700 Subdivision
Contractor Information:
Name: BRENNAN HEATING
Address:
4601 S 134TH PL
SEATTLE WA 98168
Contractor License No.: 10111
Permit No.: 201 60127
Issue Date: 2/16/2016
(Work must be completed within 180 days)
Phone: 360- 280 -1859
Owner: HEATHER AND ERIC ERVINE
BURNETT ESTATES Lot: 17
Phone:
Expires: 12/31/2016
Project Information:
Project: MECHANICAL
Description of Work: CHANGE OUT GAS FURNACE. DUCT TEST REQUIRED. COPY TO OWNER AND CITY
BLDG DEPT
Sq. Ft. per floor: First
Second
Third
Garage
Basement
Fees:
Item
MECHANICAL
Heat Type (Electric, Gas, Other):
Contractor
BRENNAN HEATING
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 State of Washington. i
Signature (v W ll Date J A �=
Firm i Q q F� 0 r o 4t.� lt. G !t
Fees
$ 29.50
$ 29.50
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
City of Yolm
(36 ) 458 -3244
REC #: 00222802 2/16/2016 9 :46 AM
OPER: CO TERM: 001
REF #: 43755
PAID BY:
IRAN: 33 .0000 BUILDING PERMITS
20160127 29.50CR
ERVINE, HEATHER
14809 89TH AVE SE
MECH 29.50CR
TENDERED: 29.50 (HECK
APPLIED: 29.50-
CHANGE: 0.00
ow (00 i a7
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: j q @>C Ct 'q 1 I' A-� S
Parcel #:
Subdivision: Lot #: Plan #: Zoning:
❑ New Construction 0 Re -Model / Re -Roof / Addition 0 Home Occupation Sign
❑ Plumbing ["Mechanical ❑ Mobile / Manufactured Home Placement ❑ Other
Project Description /Scope of Work: .c ou-� q Q s r rA r -c -� '1 ri 5 i i _./� I l✓
Project Value: S7 %�ECfiv �e c�— C'oPy 7� C11t"11 6r .q �,�0 Qv�'l�`,�5, ne >L
p
Building Area (sq. ft) 1' Floor 2nd Floor Garage Deck
Basement Car;:GAS;// THER Patio
# Bedrooms_ # Bathrooms_ Heati 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 o, EMAIL _
CITY STATE ZIP TELEPHO
ARCHITECT/ENGINEER LICENSE #
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
���.-r.n� L.vry rv1t, i vrc TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
PLUMBING CONTRACTOR TELEPHONE
AnnPPRR ......
CITY STATE ZIP
CONTRACTOR'S LICENSE #
111%UUMr_00 '-t %p U 5 115 y -4 ~ V L
CITY cs�;.Ll� STATEu r,` ZIP�'t f
CONTRACTOR'S LICENSE #
.i n n a 7 7
Copy of mitigation agreement with Yelm
EXP DATE—CITY LICENSE
EMAIL
3t1c8 FAX Do,. Q,4 16 Go5
EXP DATE -CITY LICENSE #
if applicable.
I hereby rtify that the above information is correct and that the construction on, and the occupancy and the use of the
above,' ribed property will be in accordance with the laws, rules and regulations of the State of Washington and the
Cl of Ye
J
p ' ant's Signature Da e
ner / 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 Ye1m Avenue West
Yelm, WA 98597
wwwx yelm.wa.us
(360) 458 -3835
(360) 458 -3144 FAX
BY- - ------------- - - - - --
Karen Bennett
From: Jaimie How [Jaimie @brennanheating.com]
Sent: Monday, February 15, 2016 7:09 AM
To: Karen Bennett
Subject: RE: City of Yelm - Bldg Fee Sheet for 14809 89th Ave SE
Good morning,
I assume you are closed today due to the holiday, but the homeowner on this job cancelled the A/C portion. We will still
being changing out the gas to gas furnace. We'll be in on Tuesday for pick up, but wanted to give you a heads up.
Thank you,
Jaimie How
Permit Coordinator
Brennan Heating and Air
206.248.7900 office
877.273.6626 (toll free)
206.248.7905 fax
From: Karen Bennett [mailto:KarenB @ciyelm.wa.us]
Sent: Wednesday, February 10, 2016 3:09 PM
To: Jaimie How
Subject: City of Yelm - Bldg Fee Sheet for 14809 89th Ave SE
Good Afternoon Jaimie. Attached is the bldg fee sheet for 148o9 89th Ave SE. The
City of Yelm is open Monday thru Friday, 8 am to 5 pm for permit pick up or you can
mail in a check to the address below and I can mail out the completed permit with
inspection card to you.
Thanks and have a great day.
Karen T. Bennett
105 Yelm Ave W
Yelm, WA 98597
(360)458-3835
karenbPci.yelm.wa.us