20160257 Permit Pkg 06282016City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: COLTEN & JENNIF HUDNELL
Address: 9870 JENSEN DR SE
YELM WA 98597
Property Information:
Site Address: 027f1 mKiQpAI no c=
Assessor Parcel No.: 78640107200
Contractor Information:
Name: SUNSET AIR INC
Address: 5210 LACEY BLVD.
LACEY WA 98503
Contractor License No.: SUNSEAI915131
Project Information:
Project: MECHANICAL
Description of Work:
ADD HEAT PUMP
Sq. Ft. per floor:
First
Second
Third
Garage
Basement
Fees:
Item
MECHANICAL
Permit No.: 20160257
Issue Date: 6/28/2016
(Work must be completed within 180 days)
Phone: 360- 359 -5978
Owner: COLTEN HUDNELL
Subdivision: TAHOMA TERRA Lot: 72
Phone:
Expires: 1/21/2017
Heat Type (Electric, Gas, Other):
Contractor
SUNSET AIR 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 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 llvashington.
Signature Date v ,(
( 9-16)
Firm
Fees
$ 29.50
$ 29.50
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
Cite of Yolm
(36i} 458 -3244
RECD': 00235595 6/28/2016 11:49 AM
OPER: CO TERM: 001
REFS`: 35363
PAID BY:
TRAN: 33.0000 BUILDING PERMITS
20160227 29.5GCR
WADLEIGH, STEVE / LEA -ANN
9307 PRAIRIE WIND
MECH 29.50CR
TRAN: 33.0000 BUILDING PERMITS
20160232 29.50CR
MASON, ANTHONY
14871 89TH AVE SE
MECH 29.5UCR
TRAM: 33.0000 BUILDING PERMITS
20160257 29.50CR
HUDNELL, COLTEN & JENNIF
9870 JENSEN DR SE
MECH 29.50CR
TRAM: 33.0000 BUILDING PERMITS
20160256 29.50CR
VAN CLEAVE, PATRICV
9239 BRENDAN DR SE
MECH 29.50CR
TENDERED: 118.00 CHECK
APPLIED: 118.00-
CHANGE: 0.00
fl
CITY OF YELM (,,
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: q VJ L(i. n o r!7E�_ Parcel #: U —GAO 6 -12 0-0
Subdivision:
Lot #: Plan M Zoning:
❑ New Construction ❑ Re -Model / Re -Roof / Addition ❑ Home Occupation Sign
CI Plumbing mechanical a Mobile 1 Manufactured Home Placement ❑ Other
Project Description/Scope of WorkA Le C
_ .�
Project Value: � r q
Building Area (sq. ft) 1 t Floor 2nd Floor 3 "d Floor Garage -2 car 3 car
Covered Patio Covered Porch Patio Deck
# Bedrooms_ # Bathrooms_ Heating: GASIOTHER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel?
If yes, a completed environmental checklist must accompany permit application.
LICENSE #
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
TELEPHONE
ADDRESS EMAIL _
CITY TATE ZIP FAX
CONTRACTOR'S LICEN # EXP DATE CITY LICENSE #
- TELEPHONE
ADDRESS EMAIL
CITY STAKE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
�ScLois, if applicable.
hereby certify that the above information Is correct and that the constriction on, and the occupancy and the use of the
above described property will be In accordance with the laws, riles and regulations of the State of Washington and the
City I el
Applica is Signatu a Date
Owner I Contractor I Owner's Agent/ Contractor's Agent (Please circle one.)
All permits are non - transferable and will expire if work authorized by such p
within 180 days of issuance, or if work is suspended or abandoned for a per! day���
1
105 Yelm Avenue West
Yelm, WA 98597
www.ci.yelm.wa.us
(360) 458 -3835
(360) 458 -3144 FAX