20170190 Permit Pkg 05152017City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: ALLAN & ELIZABE GONZALEZ
Address: 14989 101 ST WAY SE
YELM WA 98597
Property Information:
Site Address: 1 AQRQ 1 f11 CT WA V QP
Assessor Parcel No.: 81780003200
Contractor Information:
Name: ALLAN & ELIZABE GONZALEZ
Address:
14989 101 ST WAY SE
YELM WA 98597
Contractor License No.:
Project Information:
Project: RESIDENTIAL ADDITION
Description of Work:
PATIO COVER
Sq. Ft. per floor:
First
Second
Third
Garage
Basement
Fees:
Item
BUILDING
Permit No.: 20170190
Issue Date: 5/15/2017
(Work must be completed within 180 days)
Phone: 360 - 515 -1658
Owner: ALLAN GONZALEZ
Subdivision: TERA VALLEY
Phone:
Expires: 0 /00 /0000
Heat Type (Electric, Gas, Other):
Contractor
ALLAN & ELIZABE GONZALEZ
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 lying as a contractor, I further certify that I am currently
registered in the State Qf Wks gton.
Signature ( X Date
Firm
Lot: 32
Fees
$ 114.26
$ 114.26
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
Git)� of Mm
(36) 458 -3244
REC #: 00269370 5/15/2017
OPEF: AS TERM: 001
REFS:
PAID BY: ELIZABETH GONZALEZ
ACC1 #: XXXXXXXXXXXXXXXXXXX
AUTH #: 040453
TRAM #: 000000000361
TYPE: PURCHASE
2:04 PM
TRAN: 33.0000 BUILDING PIRMI1'3
20170190 114.2E CR
GONZALEZ, ALLAN & EIIZABE
14989 101ST WAY SE
BLDG 114.2E CR
IE:NDERED: 114.26 (REDIT CARD
APPLIED: 114.26-
CHANGE: 0.00
New Construction (SFR)
El Mechanical
• New Construction (Duplex)
,❑,Remodel
Addition
L3 /
❑ Commercial
• New Construction (Multi - family)
❑ Reroof
❑ Tenant Improvement
• Manufactured Home Placement
❑ Plumbing
❑ Fire Permit
Property Address: 1 4 J
1 C 1 S i �I\IA-
C YG / WA . °l S-q
Tax parcel number:
Subdivision:
V t,)q -A G e U (Z-,e eA)
Lot No.: CC �� I 1 �d�
00
Project Description /Scope of Work:
Project Value:
Heat Source:
❑ Gas ❑ Electric ❑ Solar
Plan No.: Bedrooms:
Baths:
Area 1st Floor:
2nd Floor:
3rd Floor:
Garage:
Basement:
Carport:
Covered Patio: 2 k Ib
Front Porch:
Applicant: A UL. -AtJ 19. GC I")-ZA L1�5Z Owner:
Yr✓ S 3�0 5t5- (lo��
Address:
Address:
14'e?' S
Telephone:
Telephone:
(o Q
Email:
Email:
A I I n vi — G't 0 2,A L,15 2-
C
Architect /Designer:
General:
Address:
License No.:
Telephone:
Telephone:
Email:
Email:
L2,3 kg L
Plumber:
Mechanical:
Email:
Email:
R _ 20 i a`
License No.:
License No.:
BY
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 applicati � d
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