20170220 Permit Pkg 05312017City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: PHL LLC / KEN RITTER
Address: P.O. BOX 39512
LAKEWOOD WA 98496
Property Information:
Site Address: 108 SECOND ST SE
Assessor Parcel No.:
Contractor Information:
Name: PHL LLC / KEN RITTER
Address:
P.O. BOX 39512
LAKEWOOD WA 98496
Contractor License No.:
Subdivision:
Permit No.: 201 70220
Issue Date: 5/31/2017
(Work must be completed within 180 days)
Phone: 206 - 585 -8383
Owner: PIERCE HOME LEGENDS 8
LLC
Phone:
Expires: 0 /00 /0000
Lot:
Project Information:
Project: RESIDENTIAL REMODEL
Description of Work: REPAIR SUBSTANDARD PLUMBING AND REPAIR SAGGING BREAKFAST NOOK
Sq. Ft. per floor:
Heat Type (Electric, Gas, Other):
First
Second
Third
Garage
Basement
Fees:
Item
Contractor
Fees
BUILDING
PHL LLC / KEN RITTER
$ 391.25
PLUMBING
PHL LLC / KEN RITTER
$ 27.00
TOTAL FEES:
$ 418.25
Applicant's Affidavit:
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 W.�ksYQn.
Firm
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
Cite of Yelm
(36 ') 458 -3244
RECD: 00270293
RE 4 :: 10 59 TERM: 00
PA ID 10 111017 10:21 AM
BY;
TRApI; 30.0000
NORTHRIDGE CONTRACTORS BUSINESS LICENSE
BUSINESS
LICENSES &
TRAhI: 33 00011 ES.000R
20170220 BUILDING PfRMITS
PHL LLC /KEN 418.21
108 SECOND ST SE SE
BLDG
PL 391.2f CR
TENDERED 27.0(CR
APPLIED; 453.25 (HECK
453.25 -
( "FIANGE:
0.00
Project Add
Subdivision:
l%t
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
108 2nd St. SE Parcel #: 6440 -07 -00101
n/a
Lot #: n/a Plan #: n/a Zoning:
res
,,i G "Z Z
New Construction x Re -Model / Re -Roof / Addition C_] Home Occupation Sign
Plumbing Mechanical Mobile / Manufactured Home Placement Other
Project Description /Scope of Work: repair substandard plumbing and sagging breakfast nook.
Project Value: $25,000.00
Building Area (sq. ft) 15' Floor 2nd Floor 3`d Floor Garage -2 car 3 car
Covered Patio Covered Porch Patio Deck
# Bedrooms 3 # Bathrooms 1.5 Heating: GAS /OTHER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? no
If yes, a completed environmental checklist must accompany permit application.
BUILDING OWNER NAME: Northridge Contractors leV1
ADDRESS P.O. Box 39512 EMAIL ken@northridgecontractors.com
CITY Lakewood STATE WA ZIP 98496 TELEPHONE 206 -858 -8383
ARCHITECT /ENGINEER n/a LICENSE #
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
GENERAL CONTRACTOR same as owner TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
PLUMBING CONTRACTOR same as owner TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
MECHANICAL CONTRACTOR n/a TELEPHONE
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 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 Agent / 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.yelm.wa.us