20170225 Permit Pkg 06072017City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458-3144
Applicant:
Name: BILLEE LEVETON
Address: 10414 BRIGHTON ST SE
YELM WA 98597
Property Information:
Site Address: 10414 BRIGHTON ST SE
Assessor Parcel No.: 65080009700 Subdivision:
Contractor Information:
Name: BILLEE LEVETON
Address:
10414 BRIGHTON ST SE
YELM WA 98597
Contractor License No.:
Project Information:
Project: ROOF
Description of Work: re -roof
Sq. Ft. per floor: First
Second
Third
Garage
Basement
Fees:
Item
ROOF
Expires:
Permit No.: 20170225
Issue Date: 6/07/2017
(Work must be completed within 180 days)
Phone
757 - 876 -9835
Owner: Jasen & Bille Leveton
Phone.
0 /00 /0000
Heat Type (Electric, Gas, Other):
Contractor
BILLEE LEVETON
TOTAL FEES:
Applicant's Affidavit:
' certify that I ve read and examined the information contained within the application and know the same
to be true an correct. I also certify that the proposed structure is in conformity with all applicable City of
Yelm regulati ns i lu a governing zoning and land subdivision, and in addition, all covenants,
easements a d re t rea 5V,
or, I further certify that I am currently
registered in he Signature � / Date `
Firm i�,Ol `1D V-MA
Lot:
Fees
$ 25.00
$ 25.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
Cite of Yeli
(36) 458 -3244
RECA; 00271100 6/07/2017 ;48 PM
OPER; CO TERM: 001
REFA: 1830
PAID BY:
TRAM: 33,0000
20170225
LEUETON
ROOF 10414 Bf
BUILDING Pf RMITS
BILLEE 25.0(CR
UGHTON ST Sf
25.0(CR
1ENDERED: 25.00 (HECK.
APPLIED: 25.00-
CHANGE: ----- 0 00
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: 10 41 qRaici Parcel #: OOO�i X00
Subdivision: Lot #: Plan #: Zoning:
New Construction Re / Re -Roof / Addition Home Occupation Sign
Plumbing Mechanical Mobile // Manufactured Home Placement ❑ Other
Project Description /Scope of Work: R4e,—r00_P
Project Valuer �, U00
Building Area (sq. ft) 1St Floor 2nd Floor 3`d 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?�
/f yes, a completed environmental checklist must accompany permit application.
BUILDING OWNER NAME: ?J
ADDRESS I Oq I L+ R. iG F}raN ST SE EMAIL Cv t
CITY v F L-M STATE 1.JA; ZIP gQ1C,9 -1. TELEPHONE 2c,- r- 2—
ARCHITECT /ENGINEER LICENSE #
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
ew r
GENERAL CONTRACTORLbLA'15 SCOTT.SA ti S-c oWELEPHONE ilea -
ADDRESS 4DI CfLGE�_S-r,5 E EMAIL
CITY C—LM STATE /tis A ZIP 76 5 FAX
CONTRACTOR'S LICENSE #CL_ AARVE- EXP DATE Ar CITY LICENSE #
PLUMBING CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
MECHANICAL CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
Copy of mitigation agreement with Yelm Community Schools, if applicable.
70
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. _
G�7 —l7'
re Date
/ 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