20160341 Permit Pkg 10052016City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: JOE STANDLEY
Address: 10627 11TH AVE CT S
TACOMA WA 98444
Property Information:
Site Address: 402 WEST RD NE
Assessor Parcel No.: 64303601501
Contractor Information:
Name: JOE STANDLEY
Address:
10627 11 TH AVE CT S
TACOMA WA 98444
Contractor License No.:
Permit No.: 20160341
Issue Date: 10/05/2016
(Work must be completed within 180 days)
Phone:
Owner: JOE STANDLEY
Subdivision: Lot:
Phone:
Expires: 0 /00 /0000
Project Information:
Project: DEMOLITION
Description of Work: DEMO SHEET ROCK WALLS AND CEILING
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
DEMOLITION
Contractor
JOE STANDLEY
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 Washiinngton.
Signature Date //j--
Firm
Fees
$ 50.00
$ 50.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
Nll Of ME
) 458 -3244
REC #: 00245714 10/05/2016 11:39 AM
OPER: CO TERM: 001
REF #:
PAID BY:
ACCT #: XXXXXXXXXXXXXXXXXXX
AUTH #: 201152
TRAN #: 000000002754
TYPE:: PURCHASE
TRAM: 33.0000 BUILDING PERMITS
20160341 50.0(CR
STANDLEY, JOE
402 WEST RD NE
DEMO 50.0(CR
IE:NDERED: 50.00 (REDIT CARD
APPLIED: 50.00 -
CHANGE: 0.00
SHINGT
BUILDING PERMIT APPLICATION tA91003L
• New Construction (SFR) ❑ Remodel
❑ Mechanical
• New Construction (Duplex) ❑ Addition
❑ Commercial
❑ New Construction (Multi - family) ❑ Reroof
❑ Tenant Improvement
❑ Manufactured Home Placement ❑ Plumbing
❑ Fire Permit
Property Address: '/4Z l'd t4/,
m
Tax parcel number:
Subdivision:
Lot No.:
Project Description /Scope of Work:
Project Value:
Heat Source:
❑ Gas ❑ Electric ❑ Solar
Plan No.: Bedrooms:
Baths:
Area 1St Floor:
2nd Floor:
3`d Floor:
Garage:
Basement:
Carport:
Covered Patio:
Front Porch:
Applicant:
Owner:
Address: I-10Z rc,A y�x� ►-✓`�
Address:
Telephone: ZS- 5 �G �75�6
Telephone:
/3`
Email: S t"�l�?G`��5 �an5� C��
Email:
Architect /Designer:
General:
Address:
License No.:
Telephone:
Telephone:
Email:
Email:
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.