20160303 Permit Pkg 07292016City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: RICHARD HIGGINS
Address: 1013 KINGSVIEW CT NW
YELM WA 98597
Property Information:
Site Address: if114 1<1N :C \ /IFW f_T MW
Assessor Parcel No.: Subdivision
Contractor Information:
Permit No.: 20160303
Issue Date: 7/29/2016
(Work must be completed within 180 days)
Phone: 206 - 778 -7718
Owner: RICHARD HIGGINS
Name: WASHINGTON ENERGY SERVICES Phone:
Address:
3909 196TH ST SW
LYNNWOOD WA 98036
Contractor License No.: 10807 Expires: 12/31/2015
Project Information:
Project: MECHANICAL
Description of Work: REPLACING GAS FURNACE AND INSTALLING AN AC
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 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 of Washi ton.
Signature Date`y L-,/ �Ci Z,�L�
Lot:
Fees
$ 29.50
$ 29.50
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
Cite of Yelm
(36 6) 458 -3244
RECD': 00238866
OPER: CO TERM
REF #: 3427
PAID BY:
712912016 11:40 AM
001
IRAN: 33.0000 BUILDING PERMITS
20160303
HIGGINS, RICHARD
MECH 9.5(CR
1013 KINGSVIEW CT NU
29.5(CR
TENDERED: 29.50 (HECK
APPLIED:
29.50-
CHANGE: - -- -- ----
0.00
CITY OF YELM ltl (a D ?D
COMMERCIAL BUILDING PERMIT APPLICATION FORM
Project Address: 1013 NW Kingsview Ct Parcel #: 57630001200
Zoning; Current Use: Proposed Use:
7 New Construction Re -Model / Re -Roof / Tenant Improvement
Plumbing mechanical I I Fire Prevent/Suppress /Alarm Other
Project Description /Scope of Work: Replacing gas furnace and installing an AC. See attached site plan.
Project Value: 8300
Building Area (sq. ft) Parking Garage 1St 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.
I�IIG�I,WI�It"ENANT'..N;l•••.. Richard Higgins
ADDRESS 1013 NW Kingsview Ct EMAIL
CITY Yelm STATE WA ZIP 98597 TELEPHONE 206 -778 -7718
ff.VM IWEE8 LICENSE #
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
PLUIV010. GONTkA- TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
MEC )JANICAL;= _QNTRACT' Washington Energy Services TELEPHONE 206-378-9927
ADDRESS 3909196th St SW EMAIL eonat @washingtonenergy.com
CITY Lynnwood STATE WA ZIP 98036 FAX
CONTRACTOR'S LICENSE # WASHIES851NS EXP DATE °x'07 "7 CITY LICENSE #
Copy of City Mitigation documentation (TFC).
1 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.
j` 07/28/16
Applicant's Signature r Date
Owner / Contractor / OWfler Agent / Contractor'
Ethan Onat
All permits are non - transferable and will expire if Business Systems Manager
within 180 days of issuance, or if work is suspen
105 Yelm Ave W
Yelm, WA 98597
3909 196th St. SW
Lynnwood, WA 98036
800 - 398 -HOME
washingtonenergy.com
Lic. No. WASHIES85 INS
Washington
Energy Services
Office: (206) 378 -6927
eonat Cdwashingtonenergy.com
Washington SITE PLAN DRAWING
MAk y+xti itri s e t t_ Customer
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