20170138 Permit Pkg 03202017City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: MELISSA CALERON - CONNOR
Address: 16479 GREENBRIER ST SE
YELM WA 98597
Property Information:
Site Address: 1AA7Q r.RFFNRRIAR CT CF
Permit No.: 20170138
Issue Date: 3/20/2017
(Work must be completed within 180 days)
Phone: 931 - 338 -1142
Owner: MELISSA CALERON - CONNOR
Assessor Parcel No.: 56510003800 Subdivision: JOHNS MEADOWS Lot: 38
Contractor Information:
Name: BOB'S HEATING & AIR
Address:
14148 NE 190TH ST
WOODINVILLE WA 98072
Contractor License No.: 10102
Phone:
Expires: 12/31/2017
Project Information:
Project: MECHANICAL
Description of Work: ADD AC TO EXISTING HVAC. DUCT TEST REQUIRED.
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
MECHANICAL
Contractor
BOB'S HEATING & AIR
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 regulationayncluding those governing zoning and land subdivision, and in addition, all covenants,
easements and r ,,strictions of record. If applying as a contractor, I further certify that I am currently
registered in th S gton.
Signature Date Z
Firm
Fees
$ 29.50
$ 29.50
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
Cite of Yelm
(36 ) 458 -3244
RECA: 00263522 3/20/2017 12:58 PM
OPER: CO TERM: 001
REFA` : 600697
PAID BY:
TRAM: 33.0000 BUILDING PERMITS
20170138 29.5(CR
CALERON- CONNOR , MEEISSA,
16479 GREENBRIAR ST SE
MECH 29.5(CR
TENDERED: 29.50 (HECK
APPLIED: 29.50 -
CHANGE: '� 0.00
03/13/2017 MON 23:47 FAX
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address; 16479 Greenbrier St; SE parcel #; 56510003800
Subdivision: Lot #: Plan #: Zoning;
14002/002
❑ New Construction ❑ Re-Model / Re -Roof / Addition ❑ Home Occupation Sign
❑ Plumbing ® Mechanical ❑ Mobile/ Manufactured Home Placement ❑ Other
Project Dosedptlon /Scope of Work: add ac t existing ILvac
e 0 0 0 10'eP JVS- 'h2'6'
-
Project Value; _
Building Area (sq. k) 1" Floor 2nd Floor_ Garage Deck
Basement Carport Patio
# Bedrooms_ # Bathrooms— Heating: t3AS /DTHER.or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel?
Kyes. a completed environmental checklist must accompany permit application.
(ICI: f
r,..kenneth c:onnor
ADDRES 9 -re en raer 3 t S F EMAIL
CITY yo in STATE_..__ waZIP,,.=,'_TELEPHONE
t�l.. R'fl IIViA LICENSE #
ADDRESS EMAIL
CITY STATE —ZIP TELEPHONE
TELEPHONE
ADDRESS EMAIL
CITY --STATE----ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
TELEPHONE
ADDRESS_ - -. - - -- — _ - - - - - EMAIL
CITY sTA1'E__, ZIP � FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE'#
C14 ,; IQAL T OF2 Bobs eaten TELEPHONE 8.00 -8403
ADDR�ss 14148 N - �Oth _ EMAIL i�losne _ o s ea na.com
CITY WoodinAlle STATE WA Zln 98072FAX
CONTRACTOR'S LICENSE # 85 EXP DATEB?/t :ITY LICENSE # 13. 000393 .0
Copy of mitigation aareement with Yelm Community Schools, if applicable.
I hereby cartlfy th a above Information Is correct an¢ that the oonstruction on, and,the 90CUpanoy and the uae of the
above desortba r erty will be In aaoordanre with the laws, ruler and rcguiations of the State of Wilehinglon and the
city of Yelm,
3/14/17
re Date
/ OWner's Agent / Contractor's Agent (Please circle one,)
All permits are non - transferable and will expire If work authorised by such
within 180 days of Issuance, or If work is suspended or Abandoned for a pe a
MAR 1 Ki'r
105 'elm Avenue West I'Wf- 8881-.__. ---
Talm, WA 98597 (880) 45 &8144 FAX
wwu,.ot'yelm wave
03/13/2017 HON 23:47 FAX
Bob's Heating & Air Conditioning
14148 NE 190`x' St
Woodinville, WA 98072
Fax: (425) 482 -3742
Date: 3/14/17
Company: Bob's Heating and Aix
Attn: Permits
From: Bobs Heating and Air
Pages (including cover): 2
Notes:
Please call our office with any questions and /or for payment.
206 - 378 -6723
U001 /002