20160282 Permit Pkg 07152016City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: NIKKOLAS RESUTEK
Address: 14939 91 ST AVE SE
YELM WA 98597
Property Information:
Site Address: 14939 91 ST AVE SE
Assessor Parcel No.: 33860002800
Contractor Information:
Name: SUNSET AIR INC
Address:
5210 LACEY BLVD. SE
LACEY WA 98503
Contractor License No.:
Project Information:
Project: MECHANICAL
Description of Work: ADD AC UNIT
Sq. Ft. per floor:
First
Second
Third
Garage
Basement
Fees:
Item
MECHANICAL
Subdivision
Permit No.: 20160282
Issue Date: 7115/2016
(Work must be completed within 180 days)
Phone: 210- 488 -3199
Owner: NIKKOLAS RESUTEK
BELLA HOUSA VILLAGE Lot: 28
Expires
Phone:
0 /00 /0000
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 res i i rts of record. If applying as a contractor, I further certify that I am currently
registered in the at o ashington.
Signature Date
Firm SunSef �l`
Fees
$ 29.50
$ 29.50
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
Cite of Yell
(361) 458 -3244
REC, 00237536 7/15/2016 9:51 AM
OPER: CO TERM: 001
REW 35379
PAID BY:
TRAM: 33.0000 BUILDING PERMITS
20160282
RESUTEK, NIKKOLAS 5(CR
14939 91ST AVE SE
MET 29.5(CR
TENDERED: 29.50 (HECK
APPLIED: 29,50-
CHANGE: ��- p,00
CITY OFYELM fQ��/��
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RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: i utgb 9 % % -1� �� Parcel #:
Subdivision: Lot #: Plan #: Zoning:
❑ New Construction ❑ Re -Model / Re -Roof / Addition D Home Occupation Sign
CJ Plumbing []Aechanical D Mobile / Manufactured Home Placement ❑ Other
�r
Project Description /Scope of Work: (Lif 4U h M v�
Project Value: 5V4 -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 or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel?
If yes, a completed environmental checklist must accompany permit application.
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•w�-
LICENSE #
ADDRESS EMAIL
CITY TE ZIP TELEPHONE
TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S L CENSE # EXP DATE CITY LICENSE #
=- TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR' ICENSE # EXP DATE CITY LICENSE #
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
Cltyraf-yplm.
, O&M %1I
Appli ant's Si nature U Date
Owner l Contractor / Owner's Agent I 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
F- CEIVF'
105 Yelm Avenue West Al JUL -
Yelm, WA 48597 A 2016
www.ci.yeltmw¢.its
Y. .............. ......
(360) 158 -3835
(360) 458 -3144 FAX