20160117 Permit Pkg 05032016City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458 -3144
Applicant:
Name: MOUNTAIN TERRACE BUILDERS
Address: 14730 SR 507
YELM WA 98597
Property Information:
Site Address: 301 YELM AVE E
Assessor Parcel No.: 99002058843
Contractor Information:
Name: MOUNTAIN TERRACE BUILDERS
Address:
14730 SR 507
YELM WA 98597
Subdivision:
Contractor License No.: Expires
Permit No.: 20160117
Issue Date: 5/03/2016
(Work must be completed within 180 days)
Phone: 360- 704 -0935
Owner: MOUNTAIN TERRACE
BUILDERS
Phone:
0 /00 /0000
Project Information:
Project: RESIDENTIAL REMODEL
Description of Work: PAINTING AND FLOOR COVERING
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
BUILDING
Contractor
MOUNTAIN TERRACE BUILDERS
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
Lot:
Fees
$ 391.25
$ 391.25
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
City of Mm
(36 ) 458 -3244
REC #: 00230146 5/03/2016
OPER: CO TERM: 001
REF #: 24788
PAID BY:
TRAN: 33.0000
20160117
MOUNTAIN
301 YELM
BLDG
TENDERED:
APPLIED:
2:43 PM
BUILDING PERMITS
391.2 CR
TERRACE BUILDERS
AVE E
391.2`)CR
391.25 (HECK
391.25-
CHANGE: 0.00
CITY OF YELM
COMMERCIAL BUILDING PERMIT APPLICATION FORM
Project Address:'' I Y lr'VN c? -� Parcel #:
Zoning; Current Use: Proposed Use:
New Construction _N>e,__Re -Model / Re -Roof / Tenant Improvement
Plumbing :1 Mechanical El Fire Prevent/Suppress /Alarm ❑Other
Project Description /Scope of Work:
Project Value: Z-�5 00
Building Area (sq. ft) Parking Garage is' Floor, 2nd Floor 3rd Floor
Building Height
Are there any environmentally sensitive areas located on the parcel? If yes, a
completed environmental checklist must accompany permit application.
BUILDING OWNER/TENANT NAME: T t °
ADDRESS i40-36 5-C P' <D-2' EMAIL
CITY Y STATE ki 4 ZIP lL6- - TELEPHONE 266 ? I6Z Z-
ARC HITECT /ENGINEER LICENSE #
ADDRESS _ EMAIL
CITY STATE ZIP TELEPHONE
GENERAL CONTRACTOR S AgN -R— 45 _TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
PLUMBING CONTRACTOR TELEPHONE
ADDRESS - - -- EMAIL
CITY -SSE 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 City Mitigation documentation (TFC).
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 Signature
Date
Owner / Contractor / Owner's Agent / Contractor's Agent / Tenant (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
MCM
! � .1 2) `1 2,016
(360) 3If35
105 Yelm Ave W (360) , ?MT7"
Yelm, WA 98597 www.ci.yelm.wa.us