20160376 Permit Pkg 12302016City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: HIEN GIANG
Address: 1925 54TH LANE SE
OLYMPIA WA 98501
Property Information:
Site Address: 9n.1 vm M Ax= C
Assessor Parcel No.: 64400800100 Subdivision:
Contractor Information:
Name: HIEN GIANG
Address:
1925 54TH LANE SE
OLYMPIA WA 98501
Contractor License No.:
Permit No.: 20160376
Issue Date: 12/30/2016
(Work must be completed within 180 days)
Phone: 360 - 970 -5902
Owner: HIEN GIANG
Phone:
Expires: 0 /00 /0000
Project Information:
Project: COMMERCIAL REMODEL
Description of Work: INSTALL INSULATION AND SHEETROCK ON UNIT C
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
BUILDING
Contractor
HIEN GIANG
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.
Signature _ Date j zjCJ l
Firm
Lot:
Fees
$ 111.25
$ 111.25
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
Cite of Yelm
(361) 458 -3244
REC4�: 00254136 12/30 / 2016
REF# C(7 TERM: 001 1 i':17 PM
PAID BY.
ACC1 #: XXXXXXXXXXXXXXXXXXX
AUTFI #: 05021D
IRAN #: 000000003705
TYPE: PURCHASE
IRAN: 33.0000 BUILDING PERMITS
x'0160376
GIANG, HIEN 111.2ECR
BLDG 201 YELM AVE E
111.2`CR
IENDERED:
APPLIED: 111.25 (RENT CARD
111.25 -
CHANGE';
0.00
BUILDING PERMIT APPLICATION 77tf"A 9-110
❑ 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: 201 E Yelm Ave, Yelm WA 98597
Tax parcel number:
Subdivision:
Lot No.:
Project Description /Scope of Work: Install insulation and sheetrock on Unit C
Project Value: $ 5,000.00
Heat Source: @ Gas
@ Electric ❑ Solar
Plan No.: Bedrooms:
Baths:
Area 1't Floor: 2500
2nd Floor: 3200
3rd Floor: 1100
Garage:
Basement:
Carport:
Covered Patio:
Front Porch:
Applicant: Hien Giang
Owner: same as Applicant p
Address:
Address:
1925 54th Lane SE, Olympia WA
98501
p
Telephone: 3609705902
0 Telephone:
Email: hienoi @yahoo.com
Email:
D
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.