20160372 Permit Pkg 02142017City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Permit No.: 20160372
Issue Date: 2/14/2017
(Work must be completed within 180 days)
Applicant:
Name: HIEN GIANG Phone: 360- 970 -5902
Address: 1925 54TH LANE SE
OLYMPIA WA 98501
Property Information:
Site Address: 201 YELM AVE E Owner: HIEN GIANG
Assessor Parcel No.: 64400800100 Subdivision:
Contractor Information:
Name: Alpine Ductless Phone:
Address:
PO Box 123101
Olympia, WA 98508
Contractor License No.: Expires: 12/31/2017
Project Information:
Project: MECHANICAL
Description of Work: INSTALL TWO DUCTLESS HEAT PUMPS
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
MECHANICAL
Applicant's Affidavit
Contractor
HIEN GIANG
TOTAL FEES:
I certify that I have read and examined the information contained within the application and know the same
to be true and corjelr Ify that the proposed structure is in conformity with all applicable City of
Yelm regulations including tho governing zoning and land subdivision, and in addition, all covenants,
easements and r strictions o ecord. If applying as a contractor, I further certify that I am currently
registered in the St /te of W gton. ^
Date / ' 1 LI
Firm
Lot:
Fees
$ 40.00
$ 40.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
Cite of Mm
(36 ) 458 -3244
RECD 00259620 2/14/2017 1:23 PM
OPER: CO TERM: 001
REF #: 255
PAID BY:
TRAM: 33.0000 BUILDING PERMITS
20160372 40.0(CR
GIANG, HIEN
201 YELM AVE E
MECH 400CR
TENDERED: 40.00 (HECK
APPLIED: 40.00-
CHANGE: 0.00
Nov 21 16 09;48a Titus -Will 360 -570 -3363 p.2
CITY OF YELM
COMMERCIAL BUILDING PERMIT APPLICATION FORM
Project Address: 2 D j `{-c lm A14-e„ Parcel Da I CC)
Zonis Comm? 1L+ 0. F -5-U Amn�
g. Current Use:{•- �m Proposed Use:
❑ New Construction Re -Model 1 Re -Roof I Tenant Improvement
11 Plumbing 1X' Mechanical F� Fire Prevent/SuppresslAlarm n Other
Project Description /Scope of Work: I SS aj � tl t_ t+kpss Le
Project Value: * HF , to Do,
Building Area (sq. ft) Parking Garage 1" Floor3LPS2 "d Floor3'd Floorc3LAD
Building Height }(
Are there any environmentally sensitive areas located on the parcel? ND If yes, a
completed environmental checklist must accompany permit application.
BUILDING OWNERITENANT NAME:
ADDRESS2D] F. 16M ft\ ;e MAIL
CITY_Vr n STATE_IL)�ZIP ��TELEPHONES
ARCHITECTIENGINEER LICENSE #
J ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
GENERAL CONTRACTOR TELEPHONE - -�
ADDRESS EMAI L
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
PLUMBING CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
MECHANICAL CONTRACTOR j[��°L ttc+_ _ TELEPHONE 3(.00 - 5,>i-7Stp
ADDRESS ,X 123101 EMAIL( ; n�� cfrfi�ffit`e C' a m;uQ .
CITY STATE lr }� ZIP ��g FAX CD
CONTRACT R'S LICENSE 4atRindl7gln i 4, EXP DATEVIKICITY LICENSE #
Copy of City Mitigation documentation (TFC).
1 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.
Applicant's Signature Date
Owner /Contractor] Owner's Age 1 Contractor's Agent nant (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
105 Yelm Ave W
Yelm, IVA 95597
(360) 458 --3b35
(360) 458144 FAX
I-tviu.ei.velm.wa.us
Nov 21 16 09:48a Titus -Will 360- 570 -3363 p.1
Alr)ine Ductless LLB
atpineductoffice @gmail.com
253 - 381 -3235
Date
To: Ye� vn
Fax # 459-3i-ff-
From: baw�
Total number of pages (including cover sheet) 4-
ef�e6 �/en'0 --, /� as A
Nov 21 16 09:48a Titus -Will
Customer: T+ ,ot V1 & 1-a 1�4
Site ,Map
House Shape
Setbacks
Rooms Labeled
IDU Unit
ODU Unit
Line Set Run
Drain Line
Electrical Line
Cond. Pomp.
Attic 1 Crawl
Access Size
Dimensions
Dryer Vent
Concrete
Obstructions
Propane Tank
Gas Meter
Plug within 25'
Fence / Gate
Animals
Parking
Gate Code
Sales Folder
Contract
Site Map
Disclosure
Rebate Form
Ladder / Height
Front Door
Photos
IDUs
!1 ODU- Ground to root
w/ owner pointing
Breaker Box
Access Issues
Other Notes
360- 570 -3363 p 3
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