20170305 Permit Pkg 09072017City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: DENNY THOMAS
Address: 117 CIRCLE VIEW DR NW
YELM WA 98597
Property Information:
Site Address: 117 rlRrl F VIEW I1R MW
Assessor Parcel No.:
Contractor Information:
Name: A PLUS SERVICES
Address:
7225 PACIFIC AVE SE
OLYMPIA WA 98503
Contractor License No.: ALECS" 994NO
Subdivision:
Permit No.: 20170305
Issue Date: 9/07/2017
(Work must be completed within 180 days)
Phone: 360- 280 -7506
Owner: DENNY THOMAS
Phone:
Expires: 8/29/2017
Project Information:
Project: MECHANICAL
Description of Work: INSTALLATION OF DUCTLESS HEAT PUMP
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
MECHANICAL
Contractor
A PLUS SERVICES
TOTAL FEES:
Applicant's Affidavit:
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 applying as a contractor, I further certify that I am currently
registered in the S of W shington.
Signature Date ` 7-- 1
Firm
Lot:
Fees
$ 29.50
$ 29.50
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
�' °� V°1
l N
� U� ���m
(360) 458-3244
RACA: 00280418 9/07/2017 8:27 AN
OPEF: CO TERN: 001
REFA: 37475
PAID 8Y:
TRAN: 33.0000 BUILDING PLRNIlS
20178305 29.5(CR
THOMAS, DENNY
117 CIRCLE VIEW DR fN
KCH 29.5(CR
lENDBRED: 29.50 (HECK
APPLIED: 29.5O-
CHANGE: 0,00
.,, .0.4
X12 030S
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: I I'l Cioc,lc V;cw Dr Nw Parcel #: 5S 1 (6 L a0 0 2 7 00
Subdivision:
Lot #: Plan #: Zoning:
New Construction Re -Model / Re -Roof / Addition Home Occupation Sign
Plumbing echanical Mobile / Manufactured Home Placement Other
Project Description /Scope of Work: 1- hsfk1b!Lr ALCA SS � I:&� elA,„„
Project Value: J ' J ) ; - o 7
Building Area (sq. ft) 1" Floor 2nd Floor 3rd Floor Garage -2 car 3 car
Covered Patio Covered Porch Patio Deck
# Bedrooms_ # Bathrooms_ Heating: GAS /OTHER ol<ETRIC Circle One)
Are there any environmentally sensitive areas located on the parcel?
If yes, a completed environmental checklist must accompany permit application.
BUILDING OWNER NAME: DeNhiS 7�6w,As
ADDRESS II I C;,Je View Dr AIM/ EMAIL
CITY Ytj,r. STATE _i _ZIP 99557 TELEPHONE 360 -2$0-` 506
ARCHITECT /ENGINEER LICENSE #
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
GENERAL CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
PLUMBING CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
MECHANICAL CONTRACTOR A+ scrvic.es TELEPHONE 3Lo -` ?1 -2400
ADDRESS T ZZ5 Ncjf-c Ave- SE EMAIL ru6s}c(16I cf�o/NS/vIN•�.b� 040-1
CITY Dl k. STATEy✓�_ZIP 9 &503 FAX 3&0- 15 /-1f?b
I CONTRACTOR'S LICENSE #Ar! Ecc *9 9,VA16 EXP DATE$/46CITY LICENSE # 17- 100%3
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.
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
105 Yelm Avenue West (360) 458 -3835
Yelm, WA 98597 (360) 458 -3144 FAX
www.ci.yelm.wa.us