20160364 Permit Pkg 11232016City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: EASTHAVEN VILLA
Address: c/o BEEHIVE MANAGEMENT
FOREST GROVE OR 97116
Property Information:
Site Address: 311 CULLENS RD NW
Assessor Parcel No.: 21724140502 Subdivision: N/A
Contractor Information:
Name: HARRINGTON CONSTRUCTION & DEV
Address: ANDY
PO BOX 1
EAST OLYMPIA WA 98540
Contractor License No.: HARRICD942R8
Project Information:
Project: ROOF
Description of Work:
Sq. Ft. per floor:
Fees:
Item
ROOF
TEAR OFF AND REROOF
First
Second
Third
Garage
Basement
Permit No.: 20160364
Issue Date: 11/23/2016
(Work must be completed within 180 days)
Phone: 503 - 357 -3793
Owner: TYPE CURRENT OWNER
NAME
Phone:
Expires: 1/01/2017
Heat Type (Electric, Gas, Other):
Contractor
HARRINGTON CONSTRUCTION & DEV
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. also certify that the proposed structure is in conformity with all applicable City of
Yelm regulations incl ing tho a governing zoning and land subdivision, and in addition, all covenants,
easements and restr tions o Af applyi as a contractor, I further certify that I am currently
registered in the St of h n n. ,w
Signature . Date
Firm f .
Lot: N/A
Fees
$ 1,066.55
$ 1,066.55
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
Cite of Mm
(36 �) 458 -3244
RECD': 00251002 11/23/2016 6:58 AM
OPER: CO TERM: 001
REFS` : 12971
PAID BY:
TRAM: 310000 BUILDING PERMITS
20160364 1,066 K CR
EASTHAVEN VILLA
311 CULLENS RD NW
ROOF 1,066.5`.CR
TENDERED: 1,066.55 (HECK
APPLIED: 1,066.55-
CHANGE: 0.00
BUILDING PERMIT APPLICATION All) (14AA
• New Construction (SFR)
❑ Remodel
❑ Mechanical
• New Construction (Duplex)
❑ Addition
Commercial
• New Construction (Multi - family)
XReroof
❑ Tenant Improvement
• Manufactured Home Placement
❑ Plumbing
❑ Fire Permit
1
Property Address: 311 CUk \kt.�S N
Tax parcel number:
Subdivision:
Lot No.:
Project Description /Scope of Work:�� -D�'r'
Project Value6w >kLr&G
Heat Source:
❑ Gas ❑ Electric ❑ Solar
Plan No.: Bedrooms:
Baths:
Area LK4(:* 1st Floor:
2nd Floor:
3rd Floor:
Garage:
Basement:
Carport:
Covered Patio:
Front Porch:
Applicant: %Y1 UGht6' nw er:
/ac�l��oyGE�i
Address:
Address:
on\%`M
Telephone:
Telephone:
Email:
Email:
iR CXn J't
Architect /Designer:
.S -X
General:,�:«KQS
C-0 O-C r°
Address:
License No.:
Lob}c
Telephone:
Telephone:
Email:
Email:
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Plumber:
Mechanical:
Email:
Email:
NOV 14 2016
License No.:
License No.:
BY;_ •..•.ww.w•w.w..AAw.
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.