20170104 Permit Pkg 01052017City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: BONNIE & CARA JOHNSON
Address: P.O. BOX 1421
YELM WA 98597
Property Information:
Site Address: 10329 PARKVIEW LP SE
Assessor Parcel No.: 67290004100 Subdivision:
Contractor Information:
Name: BONNIE & CARA JOHNSON
Address:
P.O. BOX 1421
YELM WA 98597
Contractor License No.:
Project Information:
Project: ROOF
Description of Work: REROOF
Sq. Ft. per floor: First
Second
Third
Garage
Basement
Fees:
Item
ROOF
Permit No.: 20170104
Issue Date: 1105/2017
(Work must be completed within 180 days)
Phone: 360- 481 -7392
Owner: BONNIE JOHNSON
Phone:
Expires: 0 /00 /0000
Heat Type (Electric, Gas, Other):
Contractor
BONNIE & CARA JOHNSON
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 i� � }� Lo ,, o J6 Date 1 Z
Firm
Lot:
Fees
$ 25.00
$ 25.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
Cite of Mm
(36 i) 458 -3244
RECD': 00256030 1/13/2017 1:37 PM
OPER: CO TERM: 001
REFS` : 9934
PAID BY:
TRAM: 33.0000 BUILDING PERMITS
20170104 25.0(CR
JOHNSON, BONNIE & CARA
10329 PARKVIEW LP SE
F!OOF 25.O(CR
TENDERED: 25.00 CHECK
APPLIED: 25.00-
CHANGE: 0.00
City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: BONNIE & CARA JOHNSON
Address: P.O. BOX 1421
YELM WA 98597
Property Information:
Site Address: 10329 PARKVIEW LP SE
Assessor Parcel No.: 67290004100 Subdivision:
Project Information:
Project: ROOF
Description of Work:
REROOF
Sq. Ft. per floor:
First
Second
Third
Garage
Basement
Fees:
Item
BUILDING PERMIT ESTIMATED
VALUE
Permit No.: 20170104
Fee Calculation Worksheet
Phone: 360- 481 -7392
Owner: inuKIo�Kl
Heat Type (Electric, Gas, Other):
Units
10,999
TOTAL FEES:
PAYMENTS MADE:
BALANCE DUE:
Lot:
Fees
$ 25.00
$ 25.00
$ 0.00
$ 25.00
�, n/ 7eiiq 5 r
CITY OF YELM
R
,�,c g ,ESIIIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address:/�c7b /Wy ✓ /F.(,(% Parcel #: k7.z 7VOW/400
Subdivision:
Lot #: Plan #: Zoning:
=1 New Construction Y, Re -Mode e-Roo Addition F Home Occupation Sign
Plumbing F Mechanical ❑ Mobile / Manufactured Home Placement C Other
Project Description /Scope of Work: Re—xx)=
Project Value /Q. 'F`c/• 100
Building Area (sq. ft) Vt Floor12 "d Floor 3 d Floor Garage -2 car 3 car
Covered Patio Covered Porch 4y2_ Patio 4W Deck
# Bedroom # Bathrooms 2. Heating: MOTHER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? N
If yes, a completed environmental checklist must accompany permit application.
ARCHITECT /ENGINEER LICENSE #
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
GENERAL CON IBC OR Oi7T11SR'N /U L PHO I
ADDR S Z0 /� N i EMAIL O •G0i19
CITY STATE60,0V ZIP FAX •02/
R'S
CONTRAC LICENSE #A10Xii ' e, P DAT %CITY LICENSE #
PLUMBING CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
MECHANICAL CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
Copy of mitigation agreement with Yelm Community Schools, if applicable.
I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the
above described property will be in accordance with the laws, rules and regulations of the State of Washington and the
City of Yelm.
zzy/�Y
Applicant's Sig atu Dat
Owner / 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
too ream Avenue West (360) 458 -3835
Yelm, WA 98597 (360) 458 -3144 FAX
www.ci.yelm.wa.us
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: /y--72`I P/},�,CVlL�GC� Z10 Sf' Parcel #:
Subdivision: Lot #: Plan #: Zoning:
-' New Construction V Re -Model Re-Roof / ddition r- Home Occupation Sign
Plumbing E Mechanical ❑ Mobile / Manufactured Home Placement C Other
Project Description/Scope of Work: PeM61 /f� OZO JV671C
Project Value: 15 6 9g% cv
Building Area (sq. ft) Vt Floor /5/2 -2 "d Floor 3rd Floor Garage -2 car �Z 3 car
Covered Patio Covered Porch 132— Patio 120 Deck
# Bedrooms # Bathrooms Z Heatin . GAS/ THER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? N/
If yes, a completed environmental checklist must accompany permit application.
le
ARCHITECT /ENGINEER LICENSE #
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
GENERAL CONTRACTOR TELEPHONE /
ADDRESS /y201Y171AVIAY EMAIL /� C OYES CdYY�
CITY STATE ZIP FAX D
CONTRA OR'S LICENSE # 0 XP DATE /MITY LICENSE #
PLUMBING CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
MECHANICAL CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
Copy of mitigation agreement with Yelm Community Schools, if applicable.
I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the
above described property wi a mace ante with the laws, rules and regulations of the State of Washington and the
City of Ye
Applicant's Signature Date
7
Owner / Contractor / O ner'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
tva re[mAvenue West (360) 458 -3835
Yelm, WA 98597 (360) 458 -3144 FAX
www.ci.yelm.wa.us