20160281 Permit Pkg 07082016City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: MATTHEW & HEIKE THOMPSON
Address: 9929 COCHRANE AVE SE
YELM WA 98597
Property Information:
Site Address: 9929 COCHRANE AVE SE
Assessor Parcel No.: 56510002000 Subdivision
Contractor Information:
Name: MATTHEW & HEIKE THOMPSON
Address:
9929 COCHRANE AVE SE
YELM WA 98597
Contractor License No.:
Permit No.: 20160281
Issue Date: 7/08/2016
(Work must be completed within 180 days)
Phone: 360- 539 -1911
Owner: MATTHEW THOMPSON
JOHNS MEADOW Lot: 20
Expires
Phone:
0 /00 /0000
Project Information:
Project: MECHANICAL ISTALL MIN SPLIT DUCTLESS HEAT PUMP
Description of Work:
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
MECHANICAL
Contractor
MATTHEW & HEIKE THOMPSON
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 t
easements and �kjstrictions
registered in Mate of
Signature
e governing zoning and land subdivision, and in addition, all covenants,
ffrr, cord. If applying as a contractor, I further certify that I am currently
rington.
/ Date �' I
Firm I
Fees
$ 29.50
$ 29.50
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
C�ty� o� yell
458 -3244 p16 3:11 PM
00236594 710812
RECA TERM; 001
OPEF'. � 443
REF�'
PAID 0Y
33.0000 BUILDING PERMITS
LRAM : 29.50
20160281 MATTHEW & ""I E
TNO p VE SE
9929 co COCHRANE A 29.50
MECN 50 (NECK
29 .
TENDEREO� 29.50 -
F,PPLIEU
L',HANGE
Address:
9929 Cochrane Ave SE
Yelm, WA 98597
Site Plan Key:
-Main electrical panel
0Transfer switch
OGas meter
❑Generator
xElectric motor
Job Description:
Thompson, Matthew
Ductless
41
00
N
HP 8 Ft
9929 Cochrane Ave SE
N
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address:`' Io �m i m-hra it ,Parcel #: 6 Lpr I C)C)o 1-C)oo
Subdivision:
Lot #: Plan #: Zoning:
New Construction Re -Model / Re -Roof / Addition Home Occupation Sign
Plumbing echanica Mobile / Manufactured Home Placement j ( Other
Project Description/Scope of Work:
Project Value: ii , " I� Q • I
Building Area (sq. ft) 1St Floor 2nd Floor 3rd Floor Garage -2 car 3 car,
Covered Patio Covered Porch Patio Deck
# Bedrooms_ # Bathrooms_ Heating: GAS/OTHER (oor�ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? � V o
/f yes, a completed environmental checklist must accompany permit application.
BUILDING OWNER NAME:
ADDRE SC^ O MAIL (CM
CITY STATE ZIP ELEPHONE - C105-1 - -I D` 1
ARCHITECT /ENGINEER LICENSE #
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
GENERAL CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
PLUMBING CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
MECHANICAL CONTRACTOR ELEPHONE
ADDRESSC EMAIL : afl
CITYJ2V CO PSTAT ZIP FAX 2V
CONTRA TOR' LICENSE EXP DATE CITY LICENSE #
Copy of mitigation agreement with Yelm Community Schools, if applicable.
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. 11
4Datenature
ctor / Owner's Agent / Con ractor'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 Yelin Avenue West (360) 458 -3835
Yelm, WA 98597 (360) 458 -3144 FAX
www.ci.yelm.w¢.us