20160366 Permit Pkg 12022016City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: TERRY INGLE
Address: 15757 YELM TERRA WAY SE
YELM WA 98597
Property Information:
Site Address: 15757 YELM TERRA WAY SE
Assessor Parcel No.: 85840001600 Subdivision
Contractor Information:
Name: SUNSET AIR INC
Address:
5210 LACEY BLVD. SE
LACEY WA 98503
Contractor License No.:
Permit No.: 20160366
Issue Date: 12/02/2016
(Work must be completed within 180 days)
Phone: 360 - 458 -3421
Owner: TERRY INGLE
YELM TERRA
Phone:
Expires: 0 /00 /0000
Project Information:
Project: MECHANICAL
Description of Work: GAS PIPING TO DRYER AND FUTURE RANGE
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
MECHANICAL
Contractor
SUNSET AIR INC
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 andiflestrictions of record. If applying as a contractor, I further certify that I am currently
registered 0 tI *,J,Jk . rNQVashington. _
�saAm
Lot: 16
Fees
$ 29.50
$ 29.50
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
Cite of Yolm
(361) 458 -3244
RE4: 00251427 12/02/2016 10:36 AM
OPER: CO TERM: 001
REFh!: 35487
PAID BY:
TRAN: 33.0000 BUILDING PERMIT')
20160366 29.5CCR
INGLE, TERRY
15757 YELM TERRA WAti SE
MECH 29.5CCR
TENDERED: 29.50 CHECK
APPLIED: 29.50-
CHANGE: 0.00
Romy Meyer
Office - Manager
. >, Accounts Receivable
1 1' s e i t 360/923 -1244 ext. 118
I N C O R P O R A T E D
HEATING • COOLING • FIREPLACES • WINDOWS
Sale & Servicing of: Gas Furnaces / Air conditioning Systems
Heat Pumps I Gas Fireplaces / Refrigeration / Water Heaters
5210 Lacey Boulevard SE, Lacey, WA 98503
rtm@sunsetair.com
tax: 360/456 -4990
Shelton: 360/427 -8005
Tacoma: 253/475 -4044
South Bend: 360/875 -4070
www.sunsetair.com
fw,,ws-f
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FO RM
Project Address:; n-i ItnlQ1 0 &_—? Parcel #: i5-� "Q W
J �0
Subdivision:
Lot #:
Zoning;
❑ New Construction 0 Re -Model / Re -Roof / Addition ❑ Home Occupation Sign
0 Plumbing 11/ Mechanical 71 Mobile / Manufactured Home Placement ❑ Other
Project Description/\Scope of Work:
Project Value:
Building Area (sq. ft) 13` Floor 2 ^d Floor Garage _ Deck
Basement Carport Patio
# Bedrooms_ # Bathrooms_ Heating: GAS/OTHER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? If yes, a
completed environmental checklist must accompany permit application.
BUILDING VINE NA E rt"1
ADDRE S r EMAIL
CITY �` 1 STATE ZIP qMa TELEPHONE
ARCHITECTIENGINE LICENSE #
ADDRESS EMAIL
CITY STATE-- ZIP TELEPHONE
GENERALCO TRACTO
ADDRESS
CITY S
CONTRACTOR'S LIC
TELEPHON
EMAIL
TATE ZIP FAX
iE # EXP DATE CITY LICENSE #
PLUMBING CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LI NE # EXP DATE CITY LICENSE #
MECHANICAL CONTRACTOR- ( UKIELEP ONENA) -VS),e -
ADDRESS U - i s EMAIL 1 .` , G
CITY S A ZIP FAX -[
CONTRACTOi 'S LICENSE # P DATE [_CITY LICENSE #
Copy of mitigation agreement with Yelm Community Rools, if applicable.
F !s 6y ce;Vy that the above information is correct and that the construction on, and the occupancy and the use
above described property will be in accordance with the laws, rules and regulations of the State of
hington and the C' of Y M.
Applicant's Si 4 naturb Date
Owner 1 Contractor / 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
RAForms & Proccdures\Building PermitslResBldgPermit .App.docPagc 2 o173