20170258 Permit Pkg 07122017Applicant:
City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458-3144
Permit No.: 20170258
Issue Date: 7/12/2017
(Work must be completed within 180 days)
Name: MICHAEL FISH
Phone: 253 - 335 -9438
Address: 15413 PRAIRIE WIND CT SE
YELM WA 98597
Property Information:
Site Address: 15413 PRAIRIE WIND CT SE
Owner: MICHAEL FISH
Assessor Parcel No.: 64410000200 Subdivision: MCKENZIE MEADOWS Lot: 2
Contractor Information:
Name: BOB'S HEATING & AIR
Phone:
Address:
14148 NE 190TH ST
WOODINVILLE WA 98072
Contractor License No.: 10102
Expires: 12/31/2017
Project Information:
Project: MECHANICAL
Description of Work: RETRO FIT AIR CONDITIONER.
INSTALL. DUCT TEST REQUIRED, COPY TO CITY OF
YELM
Sq. Ft. per floor: Heat
Type (Electric, Gas, Other):
First
Second
Third
Garage
Basement
Fees:
Item
MECHANICAL
Contractor
BOB'S HEATING & AIR
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 restri tiorl,s of record. If applying as a contractor, I further certify that I am currently
registered in the Stat f ashington.
Signature Date
Firm
Fees
$ 29.50
$ 29.50
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
p^ | ~� V"1N
(3b[ U| Y��m
) 458-3244
RECA: 00274650 7/12/2017 1:00 PM
OPEP: CO TERM: 001
REF#: 600915
PAID BY: O083 HEATING
TRAh: 33.0000 BUILDING P\RMI73
20170258 29.5(CR
FISH, MICHAEL
15413 PRAIRIE WIND (T S[
NECH 29.5(CR
lFNOERED: 29.50 (H0
APPLIED: 29.50-
CHANGE: 0.00
07/02/2017 SUN 23:01 FAX
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
ProJect Address: 15413 Pralrle Wind Ct SE parcel #: 64410000200
Subdivision: Lot #: Plan #: Zoning:
0 New Construction 0 Re -Model / Re -Roof / Addition L1 Home Ocoupatlon Sign
0 Plumbing ® Mechanical 0 Moblle / Manufactured Home Placement 0 Other
U002 /002
Project DesoriptlonlScope of Work: Retro-fit a1r conditioner instill
Project Value: $6000 JJ tr c' /l f ;'eel (eo 7 e Lt 4t
Building Area (eq, ft)
# Bedrooms,
1't Floor 2n° Floor Garage Deck-
Basement_ Carport Patlo
# Bathrooms_ Heating: GAS/OTHE or ELEC7RI Ircie One)
Are there any environmentally sensitive areas located on the parcel?
If yes, a completed environmental checklist must accompany permit application,
WING OWWRMW Michael Flah
ADDRESS 15413 Pralrle Wlnd Ct SE EMAIL
CITY Yelm STATE WA ZIP 9B597_ TELEPHONE_ 253 - 335 -9436
(W I, T/Ei1!' I;NJE LICENSE #_.____
ADDRESS
CITY STATE ZIP TELEPHONE
ON WWOW, TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
Rol' M .:0Q " MM'K TELEPHONE
ADDRESS EMAIL
CITY STATE--__-zIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
OIIGAL'•, : Bobs ®flt n TELEPHONE 9W-846-5346
ADDR�sS 1414 N 90th b I EMAIL IhoneycuttQbobsheatina.com
CITY STAT�ZIPFAX _
CONTRACTOR'S LICENSE # 85 EXP DATES /17CITY LICENSE # 13.000393,0
Copy of mlllgatlon agreement with Yelm Community Schools, If applicable.
I hereby certify that the above Information Is aormot and that the oohatruction en, and the ocoupancy and the use of the
above described property will be in eocordanae with the laws, rulae and regulations of the State of Washington and the
citv'Af alalm.
7/3/17
Applicant's SlgriMl Date
Owner I Contratttor / ner's Agent / Contractor's Agent (Please circle one.)
All permits are non4nlnsferable and will expire If worts authorised by such permit Is not begun
within 160 days of issuance, or If work Is suspended or abandoned for s period of 180 days
106 YelmAvenue Weal (860) 4se -sess
Yalm, WA 9868f (860) 45.9 -2144 FAX
Wwu,.el.yefm.wa. ua qq W 1b 9 JUL o 5 2017
Y. e�Aeeseseeseelaae /a■
07/02/2017 SUN 23:01 FAX
Bob's Heating & Air Conditioning
14148 NE 190th St
Woodinville, WA 98072
Fax: (425) 482 -3742
Date: 7/3/17
Company: Bob's Heating and Air
Attn: Permits
From: Bobs Heating and Air
Pages (including cover): 2
Notes:
Please contact our office with any questions and for payment:
Office: 1- 800 -840 -3346
Lucinda (pen-nits): 260 -378 -6630
0001/002