20170145 Permit Pkg 03232017City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: DONALD MCCALL
Address: 10421 REDFERN CT SE
YELM WA 98597
Property Information:
Site Address: 1f1d71 R1=Il1=1=R1U rT CF
Assessor Parcel No.:
Contractor Information:
Name: SUNSET AIR INC
Address:
5210 LACEY BLVD. SE
LACEY WA 98503
Contractor License No.:
Subdivision:
Expires
Permit No.: 20170145
Issue Date: 3/23/2017
(Work must be completed within 180 days)
Phone: 360- 628 -4078
Owner: DONALD MCCALL
Phone:
0 /00 /0000
Project Information:
Project: MECHANICAL
Description of Work: HEAT PUMP ADD AND GAS FURNACE CHANGE OUT
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 and restrictions of record. If applying as a contractor, I further certify that I am currently
registered in the State of Washington.
Signature L /GL� Date
Firm
Lot:
Fees
$ 29.50
$ 29.50
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
Cite of Mm
(36 +) 458 -3244
RECA': 00263719 3/23/2017 8:54 AM
OPER: CO TERM: 001
REFS`: 35601
PAID BY:
IRAN: 33.0000 BUILDING PERMIT'S
20170145 29.5(CR
MCCALL, DONALD
10421 REDFERN CT SE
MECH 29.5(CR
TENDERED: 29.50 (HECK
APPLIED: 29.50 -
CHANGE: 0.00
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: �042A " 'FjQ (V - U`5t-7- Parcel #:_ U 5 0 f 0 N
Subdivision: Lot #: Plan #: Zoning:
❑ New Construction ❑ Re -Model I Re -Roof / Addition ❑ Home Occupation Sign
❑ Plumbing *echanical h Mobile / Manufactured Home Placement ❑ Other
Project Description /Scope of Work:
Project Value: 1
Building Area (sq. ft) 18' Floor 2nd Floor 3`d Floor_
Covered Patio Covered Porch Patio
Garage -2 car
Deck
3 car
# Bedrooms # Bathrooms_ Heating: GASIOTHER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel?
If yes, a completed environmental checklist must accompany permit application.
LICENSE #
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
ADDRESS
—
CITY
CONTRACTOR'S LICI
TELEPHON
EMAIL
ATE - _ - - -- ZIP - - - - -- - FA)
# EXP DATE
CITY LICENSE #
TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S Ll NSE # EXP DATE CITY LICENSE #
,{�I L- - TELEPHONE
ADDRESS U S (,. EMAILr �( IfiS@ I'G�'I l'GY►l�
CITY __S ATE-I)\)()— ZIP gAnD`l FAX
CONTRACTOR'S LICENSE #5�1_Vl�fl tJll/�kP DATE CITY LICENSE # m
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
abo�a de cribed property will be in accordance with the laws, rules and regulations of the State of Washington and the
Citv of Y Im.
410d�
Appli ant's i nature Date
Owner I Contractor I Owner's Agent 1 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
105 Yelm, Avenue West (360) 458 -3835
Yelm, WA 98597 (360) 458 -3144 FAX
www.ci.yehn.wca.us