20160266 Permit Pkg 06242016City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: WASHINGTON ENERGY SERVICES
Address: 3909 196TH ST SW
LYNNWOOD WA 98036
Property Information:
Site Address: 1AR39 PRAIRIE VISTA LP SE
Assessor Parcel No.:
Contractor Information:
Name: WASHINGTON ENERGY SERVICES
Address:
3909 196TH ST SW
LYNNWOOD WA 98036
Contractor License No.:
Subdivision:
Permit No.: 20160266
Issue Date: 6/24/2016
(Work must be completed within 180 days)
Phone: 206 - 378 -6905
Owner:
Lot:
Phone:
Expires:
Project Information:
Project: MECHANICAL
Description of Work: ADD A AC UNIT TO EXISTING FURNACE
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
MECHANICAL
Contractor
WASHINGTON ENERGY SERVICES
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 inekiding those governing zoning and land subdivision, and in addition, all covenants,
easements and reptrictions of record. If applying as a contractor, I further certify that I am currently
registered in;the ao of Wash gton.
Signature Date • Z
�._ C
Fees
$ 29.50
$ 29.50
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
ci L f of Bo�m44
(36C)
RECD`: 00235486 6/24/2016 3 :43 PM
OPER: CO TERM: 001
REFS': 3372
PAID BY:
TRAM: 33.0000 BUILDING 5(CMRITS
20160266
WASHINGTON ENERGY SERVICES
14839 PRAIRIE Vag ALP SE
MECH
1ENDERED: 29.50 CHECK
APPLIED: 29.50 -
CHANGE: .._� 0.00
CITY OF YELM
COMMERCIAL BUILDING PERMIT APPLICATION FORM
Project Address: 14839 Prairie Vista Loop Parcel #: 81860002400
Zoning; Current Use: Proposed Use:
❑ New Construction -1 Re -Model / Re -Roof / Tenant Improvement
!I Plumbing Mechanical ❑ Fire Prevent/Suppress/ /��A,,larm ❑ Other
Project Descri (ion/Scope e of Work. Adding an AC to existing furnace nb e! -j�
1 N N
Project Value: 6802
Building Area (sq. ft) Parking Garage 1" 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
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
ARCHITECT /ENGI,Nttk LICENSE #
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
GECiERAi,CCQNTRAC,J TELEPHONE
ADDRESS —EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
PLUMB) ,G,,CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
MECHANICAL, CONTRACTOR Washington Energy Services TELEPHONE 206 - 378 -6927
ADDRESS 3909196th St sw EMAIL eonat @washingtonenergy.com
CITY Lynnwood STATE WA ZIP 98036 FAX
CONTRACTOR'S LICENSE 4 WASHIES851NS EXP DATE 091078 7 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.
06/17/16
Applicant's Signature Date
Owner/ Contractor/ O ner 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 r�l&I MMM
BY:- - - - - --
(360) 158 -3835
105 Yelyn Aue W (360) 158 -3111 FAX
Yebn, WA 98597 www.ci.yelm.wa.ns