20160232 Permit Pkg 06282016City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: ANTHONY MASON
Address: 14871 89TH AVE SE
YELM WA 98597
Property Information:
Site Address: 14871 89TH AVE SE
Assessor Parcel No.: 37540000700
Contractor Information:
Name: SUNSET AIR INC
Address:
5210 LACEY BLVD.
LACEY WA 98503
Contractor License No.: SUNSEA1915131
Project Information:
Project: MECHANICAL
Description of Work: ADD A/C UNIT
Sq. Ft. per floor:
First
Second
Third
Garage
Basement
Fees:
Item
MECHANICAL
Subdivision
Permit No._ 20160232
Issue Date: 6/28/2016
(Work must be completed within 180 days)
Phone: 770 - 807 -5656
Owner: ANTHONY MASON
BUCKHORN ESTATES Lot: 7
Expires:
Phone:
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 Sta of Washington.
Signature Date 6 Z At-
Firm
Fees
$ 29.50
$ 29.50
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
Git�, of Yelm
(36 i) 458 -3244
RECA': 00235595 6/28/2016 11:49 AM
OPER: CO TERM: 001
REFS': 35363
PAID BY:
TRAM: 33.0000 BUILDING PERMITS
20160227 29.50CR
WADLEIGH, STEVE / L[A -ANN
9307 PRAIRIE WIND
MECH 29.50CR
TRAM: 33.0000 BUILDING PERMITS
20160232 29.50CR
MASON, ANTHONY
14871 89TH AVE SE
MECH 29.50CR
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, PATRICK
9239 BRENDAN DR SE
MECH 29.50CR
1ENDERED: 118.00 CHECK
APPLIED: 118.00-
CHANGE: 0.00
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM —I
Project Address: �� ~l �f� 5 I`J Parcel #:
Subdivision: Lot #: Plan #: Zoning:
O New Construction Q Re -Model / Re -Roof 1 Addition D Home Occupation Sign
Plumbing >(Mechanical D Mobile / Manufactured Home Placement El Other
Project Description /Scope of Work: c%r co aA i I�-r Add
Project Value: 5_p (J o
Building Area (sq. ft) tst Floor 2nd Floor 3rd f=loor Garage -2 car 3 car
Covered Patio Covered Porch Patio Deck
# Bedrooms_ # Bathrooms_ Heating: GAS /OTHER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel?
!f yes, a completed environmental checklist must accompany permit application.
ZI TELEPHONE
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An-J0JtVAQ1 LICENSE #
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
_ TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
�A� -�ESS � _J . "�° �7k'I" J'1li 4.C.f11.✓ TELEPHONE��IDD "f`7�"`'�•�s`1S�
t1 5 EMAIL i(�r�l P( 1f7.4k,i fi r l7V►�
CITY (t S ATE�i(k, ZIP_FAXlllf7' "�'-'l� — �f
CONTRACT R'S LICENSE # fNL_daZ ULVtXP DATE CITY LICENSE # i
Copy of mitigation agreement with Yelm Community Sc4ols, if applicable.
I hereby certify that the above Information is correct and that the construction on, and the occupancy and the use of the
71, scrib. ed property will be in accordance with the laws, rules and regulations of the State of Washington and the
of e Im
Applicant's Si nature Date
Owner / Contractor l Owner's Agent l 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 (360) 458 -3835
Yelm, WA 98597 (360) 458 -3144 FAX
rvww.ci.yelrn. wu. us