20170240 Permit Pkg 06212017City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: EMANUEL LUTHERAN CHURCH
Address: 206 THIRD ST SE
YELM WA 98597
Property Information:
Site Address: inr. Mf_K1=N711= AVF CF
Assessor Parcel No.:
Contractor Information:
Name: WASHINGTON ENERGY SERVICES
Address:
3909 196TH ST SW
LYNNWOOD WA 98036
Contractor License No.: 10807
Subdivision:
Expires:
Permit No.: 20170240
Issue Date: 6/21/2017
(Work must be completed within 180 days)
Phone: 360- 458 -3861
Owner: EMANUEL LUTHERAN
Phone:
12/31/2017
Project Information:
Project: MECHANICAL
Description of Work: REPLACING GAS WATER HEATER LIKE FOR LIKE
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
MECHANICAL
Contractor
WASHINGTON ENERGY SERVICES
TOTAL FEES:
Applicant's Affidavit:
I certify that) have read and examined the information contained within the application and know the same
to be true ad correct. I also certify that the proposed structure is in conformity with all applicable City of
Yelm regul I tions includin those governing zoning and land subdivision, and in addition, all covenants,
easements and c ions f record. If applying as a contractor, I further certify that I am currently
registered the tate of shington
Signature Date
Firm ui� 5
Lot:
Fees
$ 29.50
$ 29.50
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
Cite of Ye lm
(36) 458 -3244
REC4: 00272906 612112017
OPEF: CO TERM: 001 1 :31 PM
REFfi : 3931
PAID BY:
TRAM: 33.0000 BUILDING PERMIT"
20170240 29.5(CR
EMANUEL LUTHERAN CHIRCH
306 MCKENZIE AVE SE
hIECH 29.5(CR
TENDERED: 29.50 (HECK
APPLIED: 29.50-
CHANGE: 0.00
CITY OF YELM
COMMERCIAL BUILDING PERMIT APPLICATION FORM
Project Address: 306 McKenzie Ave SE
Zoning;
Current Use:
Parcel #: 75300801100
Proposed Use:
❑ New Construction Re -Model / Re -Roof / Tenant Improvement
❑ Plumbing Mechanical Fire Prevent/Suppress /Alarm Other
Project Description /Scope of Work: Replacing gas water heater like for like
Project Value: 1500
Building Area (sq. ft) Parking Garage
Building Height
151 Floor 2nd Floor 3rd Floor
Are there any environmentally sensitive areas located on the parcel? NO If yes, a
completed environmental checklist must accompany permit application.
B 1l D NG oWNERifENANT NAME:
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
ARCHITECTtENG1NEE R LICENSE #
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
GENERAL CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
PLUMBING CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
MECHANICAC-_ 0,IdTRACTOR Washington Energy Services TELEPHONE 206 -378 -6927
ADDRESS 3909196th St SW EMAIL eonat @washingtonenergy.com
CITY Lynnwood STATE WA ZIP 98036 FAX
CONTRACTOR'S LICENSE # WASHIES851NS EXP DATE 09' °'" CITY LICENSE #
Copy of City Mitigation documentation (TFC).
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.
06/07/17
Applicant's Signature Date
Owner / Contractor / w is Agent / Contractor's Agent / Tenant (Please circle one.)
All permits are non- transf rable 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 da �s.,
In) IF (eNl TV 17%7 sue .
J",Q) 4583835__.__
105 Yelm Ave W (360) 458- 31441�'�i`
Yelna, WA 98597 www.ci.yelm.wa.us