20170278 Permit Pkg 08022017City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:
Name: STORME BEITH
Address: 811 MTN AIRE LN NW
YELM WA 98597
Property Information:
Site Address: All MTN AIRE I KI NW
Assessor Parcel No.:
Contractor Information:
Name: PACIFIC AIR SYSTEMS
Address:
12811 PACIFIC HWY SW
LAKEWOOD WA 98499
Contractor License No.: PACIFAS093KA
Subdivision:
Permit No.: 20170278
Issue Date: 8/02/2017
(Work must be completed within 180 days)
Phone: 360- 870 -3354
Owner: STORME BEITH
Phone:
Expires: /� / %
Lot:
Project Information:
Project: MECHANICAL
Description of Work: REPLACE GAS FURNACE AND INSTALL AC. DUCT TEST REQUIRE AND COPY BACK TO
THE CITY OF YELM
Sq. Ft. per floor: First
Second
Third
Garage
Basement
Fees:
Item
MECHANICAL
Heat Type (Electric, Gas, Other):
Contractor
PACIFIC AIR SYSTEMS
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 plyin s a contractor, I further certify that I am currently
registere he State of.W hi to .
Signature Date 612-11
Firm
Fees
$ 29.50
$ 29.50
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
r
Cl, f Ml
(36 1) 458 -3244
RECD: 00276795 8/02/2017 6:56 AM
OPER: CO TERM: 001
REFS: 1871
PAID BY:
TRAM: 33.0000 BUILDING PIRMI13
20170278 29.5(CR
BEITH, STORME
811 MTN AIRE LN NW
MECH 290CR
TENDERED: 29.50 (HECK
APPLIED: 29.50-
CHANGE: 0.00
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: 811 MOUNTAIN AIRE NW
Subdivision:
Parcel #: 22719210303
Lot #: Zoning;
New Construction Re -Model / Re -Roof / Addition Home Occupation Sign
Plumbing V( Mechanical Mobile / Manufactured Home Placement Other
Project Description /Scope of Work: Replace gas fumace. Install A/C.
Project Value: 10425.00
Building Area (sq. ft) 1s' Floor 2nd Floor Garage Deck
Basement Carport Patio
# Bedrooms_ # Bathrooms_ Heating: GAS /OTHER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? If yes, a
completed environmental checklist must accompany permit application
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.
I hereby certify that the above informa 'on is correct and that the construction on, and the occupancy and the use of the
above described property will be i acco ce with the laws, rules and regulations of the State of Washington and the
Cit of Yelm.
(cant' Sl Date
ontractor / 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
PO Box 479 (360) 458 -3144 FAX
Yelm, WA 98597 www.ciyelm.wa.us
7/31/2017
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