20170280 Application 08142017CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: 15429 92nd Ave SE
Subdivision: Cherry Meadows
Parcel #: 41610009900
Lot #: 99 Plan #: 3079 -A Zoning:
0 New Construction ❑ Re -Model / Re -Roof / Addition a Home Occupation Sign
LEI Plumbing 0 Mechanical a Mobile / Manufactured Home Placement a Other
Project Description /Scope of Work: Construct newSFR using base plan 3079 -A elevation
Project Value:
Building Area (sq. ft) 1 st Floor 1435 2nd Floor 1644 3rd Floor Garage -2 car 453 3 car.
Covered Patio Covered Porch 142 Patio Deck
# Bedrooms 4 # Bathrooms 2_5 Heating GAS /OTHER r 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: SoundbuiltHomes
ADDRESS PO Box 73790 EMAIL meganp @soundbuilthomes.com
CITY Puyallup STATE wA ZIP 98373 TELEPHONE 253 -848 -0820
ARCHITECT/ENGI NEER Landmark Design/Sega Engineers LICENSE # ENG -#26606 (Greg Thesencitz)
ADDRESS 1202 Main St #104 EMAIL kevin @landmarkdesign.com
CITY Sumner STATE wA ZIP 98390 TELEPHONE 253 - 826 -7808
GENERAL CONTRACTOR Soundbuilt Homes TELEPHONE 253 -848 -0820
ADDRESS PO Box 73790 EMAIL meganp @soundbuiRhomes.com
CITY Puyallup STATE wA ZIP 98373 FAX n/a
CONTRACTOR'S LICENSE # SOUNDHL831CL EXP DATE 2119 CITY LICENSE #
PLUMBING CONTRACTOR Rainier view Rooter LLC TELEPHONE 253-435-1996
ADDRESS Po Box 73070 —EMAIL
CITY Puyallup STATE wA ZIP 98373 FAX
CONTRACTOR'S LICENSE # PAINIVR942DF EXP DATE 3/18 CITY LICENSE #
MECHANICAL CONTRACTOR Sound Heating &AC TELEPHONE 253 - 875 -3350
ADDRESS 5526 184th St E #A —EMAIL
CITY Puyallup STATE wA ZIP 98375 FAX
CONTRACTOR'S LICENSE # SOUNDHC867DE EXP DATE 3/18 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.
Megan Parsons
Ogtlally sign by Megan Parsons
Dale: 2017.0- 13:17 08—
7/5/2017
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
15 -5
105 Yelm Avenue West (360) 458 -3835
Yelm, WA 98597 (360) 458 -3144 FAX
www.ci.yelm.wa.us