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20160338 Permit Pkg 09302016
City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Applicant: Name: CHURCH OF CHRIST Address: 11319 128TH AVE SE RAINIER WA 98576 Property Information: Site Address: 607 RHOTON RD NW Assessor Parcel No.: 22719240202 Subdivision: Contractor Information: Name: CHURCH OF CHRIST Address: 11319 128TH AVE SE RAINIER WA 98576 Contractor License No.: Project Information: Project: MECHANICAL Expires Permit No.: 20160338 Issue Date: 9/30/2016 (Work must be completed within 180 days) Phone: Owner: CHURCH OF CHRIST Phone: 0 /00 /0000 Description of Work: INSTALL DUCTLESS HEAT PUMP Sq. Ft. per floor: First Heat Type (Electric, Gas, Other): Second Third Garage Basement Fees: Item MECHANICAL Contractor BRENNAN HEATING 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 Washington. I q Signature �� oc� `6,j 14 - t Date ! " 3 0 ((�� Lot: Fees $ 29.50 $ 29.50 OFFICIAL USE ONLY # Sets of Prints: Final Inspection: Date: Firm Cit�l of Yelm (361) 458 -3244 RECD': 00245099 9/30/2016 12:59 PM OPER: GI TERM: 001 REFS': 8844 PAID BY: IRAN: 33.0000 BUILDING PERMIT'S 20160338 29.5(CR CHURCH OF CHRIST 607 RHOTON RD NW MECH 29.5(CR TENDERED: 29.50 ( HECK APPLIED: 29.50- CHANGE: ---'--0-.00 CITY OF YELM RESIDENTIAL BUILDING PER IT AATION FORM r� I Project Address. �� 12h t o-� y) V Parcel #. CQ-� I � 9 4 00 Oa Subdivision: Lot #: Plan #: Zoning: New Construction Re -Model / Re -Roof / Addition Home Occupation Sign Plumbing iri'1lechanical Mobile / Manufactured Home Placement Other Project Description/ ope rof Work: j�} �(' { �� S S " - I Project value: �,o� J fl Building Area (sq ft) 1S` Floor 2'1° Floor Garage Deck Basement Carport P # Bedrooms_ # Bathrooms_ Heating. GAS /OTHER r ELECTRIC le One) Are there any environmentally sensitive areas located on the parcel? If yes, a completed environmental checklist must accompany permit application. BUILDING OWNER NAME: Q r- C�— b r 1- �yy W i t1 ADDRESS EMAIL CITY STATE ZIP TELEPHONE C) �95QS 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 ( r\ - ��TELEPH0NE pia • A D© ADDRESS 10171 EMAIL -% ,Nq C.a+►'� CITY -.c_- STATE ) C. Z I PC4 Is t6 FAX LS 6 CONTRACTOR'S LICENSE #&4_r%^k1tqqIIZiEXP DATE CI Y LICENSE # a Copy of mitigation agreement with Yelm Community Schools, if applicable I hereb fy that the above information is correct and that the construction on, and the occupancy and the use of the abov descr ed property will be in accordance with the laws, rules and regulations of the State of Washington and the Ci of Yelm G J A i nt's Signature Da e er / Contractor 1 Owner's Agent / 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 Yelm, WA 98597 www.ci.yeirn.wa.its rJ 1 n46 (36 58 (360) 458 -3144 FAX BY:- ----------- - - - - -- Karen Bennett From: Jaimie How Daimie @brennanheating.com] Sent: Wednesday, September 28, 2016 2:32 PM To: Karen Bennett Subject: Mechanical App. Attachments: churchofchristmechapp.pdf Importance: High Good afternoon, We are installing a ductless heat pump for a church. The equipment is residential, but I'm not sure how the city classifies it as far as residential or commercial. Please advise if I need to provide more information for the permit. Thank you, Jaimie .Aow Permit Coordinator Brennan Heating and Air 206.248.7900 office 877.273.6626 (toll free) 206.248.7905 fax