20170189 Permit Pkg 05122017City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: SABRINA WATKINS
Address: 13883 OSPREY LINKS RD
ORLANDO FL 32837
Property Information:
Site Address: QR7R r)r11Ur1VAA1 r_T Q1=
Assessor Parcel No.:
Contractor Information:
Name: SABRINA WATKINS
Address:
13883 OSPREY LINKS RD
ORLANDO FL 32837
Contractor License No.:
Subdivision:
Expires
Permit No.: 20170189
Issue Date: 5/12/2017
(Work must be completed within 180 days)
Phone: 253 - 330 -3522
Owner: SABRINA WATKINS
Phone:
0 /00 /0000
Project Information:
Project: ROOF
Description of Work: TEAR OFF EXISTING COMP REROOF WITH 30 YEAR
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item Contractor
ROOF SABRINA WATKINS
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 of Washingto
Signature Date �� 2
Firm () 0 a--
Lot:
Fees
$ 25.00
$ 25.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
T�l of Mm
1) 4 58 -3244
RECD: 00268869
OPEF': MC TERM
REF4: 87771
PAID BY: TINA
TRAM: 33.0000
20170189
WATKINS
9826 001
ROOF
5/12/2017 11:39 AM
001
BUILDING Pf RMITS
25.0(CR
SABRINA
IOVAN CT SE
25 , O(CR
1E.NDERED: 25.00 (HECK
APPLIED: 25,00-
CHANGE:
0.00
MAY /12/2017/FRI 09:49 AM THE ROOF DOCTOR FAX No.3603529164
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
P. 001/001
2brio 10
Project Address: �ga to Do',() tee,., (' -F -F Parcel #: S V � q 0000 700
Subdivision: Lot #. Plan # zoning:
New Construction Re -Model tR�eR�/ Addition Home Occupation Si n
9 E Plumbing Mechanical E le / Manufactured Home Placement Other
Project Description /Scope of Work: na e - e rw f ►✓ �l 3/� ���. r �Arn ,
Project value: -T 7100
Building Area (sq. ft) I" Floor 2rd Floor 3" Floor Garage -2 car 3 car
Covered Patio Covered Porch Patio Deck
# Bedrooms # Bathrooms_ Heating: GAS /OTHER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? Alfi
/f yes, a completed environmental checklist must accompany permit application.
ADDRESS _3 L` 1 EMAIL
CITY Orle,�Aea STA E ZIP31S.j7 TELEPHONE 3,�o �rl-l�
� %8IMMa.Z, WfMf§ - LICENSE # -
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
TELEPHONE 3al) SSa 1 94/
ADDRESS EMAIL
CITY STATE w a, ZIP 9'9-S; >'z FAX
CONTRA T R'S LICENSE # f o() -/Q1 * 4A4EXP DATE-3—CITY LICENSE #
�y., TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
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 tho
above described property will be in accordance with the laws, rules and ragulatione of the State of Washington and the
City of Yelm.
U uy-t -, s /Q-A- / -7
Applicant's Signature Date
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 riot begun
within 180 days of issuance, or if work is suspended or abandoned for a period of 180 days
105 Film Avenue Weat (360) 458 -3835
Yelm, WA 98597 (360) 458 -3141 FAX
www.ci.yedjn.wa.us