20160367 Permit Pkg 11222016City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: JEFF CASON
Address: 10403 REDFERN CT SE
YELM WA 98597
Property Information:
Site Address: lnAn'% RFnFFRN (_T SF
Assessor Parcel No.:
Contractor Information:
Name: JEFF CASON
Address:
10403 REDFERN CT SE
YELM WA 98597
Subdivision:
Contractor License No.: Expires
Permit No.: 20160367
Issue Date: 11/22/2016
(Work must be completed within 180 days)
Phone
Owner: JEFF CASON
Lot:
Phone:
0 /00 /0000
Project Information:
Project: ROOF
Description of Work:
TEAR OFF AND REROOF COMPOSITION
Sq. Ft. per floor:
Heat Type (Electric, Gas, Other):
First
Second
Third
Garage
Basement
Fees:
Item
Contractor
ROOF
JEFF CASON
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. �f
Signature ! - ✓ Date
Fees
$ 25.00
$ 25.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
Cite of Yolm
(361) 458 -3244
RECAP: 00250984 11./22/2016 12:55 PM
OPER: CO TERM: 001
REFS` : 7622
PAID B`(:
TRAM: 30.0000 BUSINESS LICENSE
J. BRAZILL CONSTRUCTION
BUSINESS LICENSES & 35.000R
IRAN: 33.0000 BUILDING PERMIT'S
20160367 25.O(CR
CASON, JEFF
10403 REDFERN CT SE
ROOF 25.O(CR
TENDERED: 60.00 (HECK
APPLIED: 60.00 -
CHANGE: 0400
F F A
MkV1 MM 1121 1�t
BUILDING PERMIT APPLICATION oh b,p &1 1
❑ New Construction (SFR)
❑ Remodel
❑ Mechanical
❑ New Construction (Duplex)
❑ Addition
❑ Commercial
❑ New Construction (Multi - family)
8 Reroof
❑ Tenant Improvement
❑ Manufactured Home Placement
❑ Plumbing
❑ Fire Permit
Property Address: 10403 Red Fern Ct. SE Yelm, Wa. 98597
Tax parcel number:
Subdivision:
Lot No..
Project Description /Scope of Work: Tear off composition
& reroof with Composition
Project Value: $ 6,980.00
Heat Source:
❑ Gas ❑ Electric ❑ Solar
Plan No.: Bedrooms:
Baths:
Area 1s' Floor:
2nd Floor:
3rd Floor:
Garage:
Basement:
Carport:
Covered Patio:
Front Porch:
Applicant: Chris Cason
Owner:
same
p
Address:
Address:
same
same
p
Telephone: 360- 539 -4802
0 Telephone:
same
p
Email:
Email:
Architect /Designer:
General:
J Brazil Construction
p
Address:
License No.:
JBRAZBC961DJ
p
Telephone:
Telephone:
360 - 705 -4315
Email:
Email:
,
amesbrazil comcast. net
Plumber:
Mechanical:
Email:
Email:
License No.:
License No.:
By submitting this application to the City of Yelm, you affirm that all answers, statements, and information
contained in and submitted with this application are complete and accurate to the best of your knowledge and
that you are the owner of the property or duly authorized by the owner to act on their behalf. Permission is
granted to representatives of the City to enter upon and inspect the property as reasonably necessary to process
the application.