20180225 16239 Vancil Lp ReRoof POI THE y City of Yelm Permit No.: 20180225
4 Community Development Department Issue Date: 611112018
(Work must be completed within 180 days)
Building Division
Phone:(360)458-8407
. L
". Fax: (360)458-3144
Applicant:
Name: TIM HOYLE Phone: 360-791-5694
Address: 16239 VANCIL LP SE
YELM WA 98597
Property Information:
Site Address: 16239 VANCIL LP SE Owner: TYPE CURRENT OWNER
NAME
Assessor Parcel No.: 69270000100 Subdivision: Lot:
Contractor Information:
Name: TIM HOYLE Phone:
Address:
16239 VANCIL LP SE
YELM WA 98597
Contractor Lice s: 0100/0000
Project Inform }}
Project: F C t l�j of lelm
(36C i 458-3244
Description of IA 6/11/2018 1(. :33 AN
RECR: 0030916�RM' 001
Sq.Ft. per floor any, : Co ,Gas, Other):
REFS: 89627
PAI[ BY
BUILDING PIRMI13
IRAD: 33.000025.0(CR
x:0180225
HOYLE, TIM
Fees: 16239 VANCIL LP 25E 0(CR
Item ROOF Fees
ROOF 25.00 (HELP' $ 25.00
1 E.NDEREC.
25.00- TOTAL FEES: $ 25.00
APPLIED:
-- 0.00
CHANGE:
Applicant's Affidavit: OFFICIAL USE ONLY
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 #Set of Prints:
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 Final Inspection:
registered in the State ofashingt. .
IA
/
Signature E Date l.0 ' 1` t— 1$ Date:
By
Firm '
20►g�
K. h
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: I Loa J9 UW46\ LP• SE .46Y) Parcel #: (0q 9 r1 nD on 100
c rn
Subdivision: Lot#: Ian #: Zoning:
New Construction "I-Re-Model/Re-Roof/Addition Home Occupation Sign
Plumbing Mechanical Mobile/Manufactured Home Placement Other
Project Description/Scope of Work: t0Jc OC-c- 12-C,-lZMP W l
Project Value: t 3p 0 O
Building Area (sq. ft) 1st FloorCI 2"` Floor 3 3`d Floor Garage-2 car 3 car
Covered Patio Covered Porch Patio Deck
#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.
BUILDING OWNER NAME:i,kt lb A • • - is • -
ADDRESS I0 1 arl Dalin_ ice't EMAIL
CITY )AN\ i(1te STATE-TX ZIP ""1c1,ac TELEPHONE a5 3- PI ' - F 9
ARCHITECT/ENGINEER LICENSE#
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
GENERAL CONTRACTOR-n(1 f RIR') D(')c TELEPHONE 3(0O- S5a• 1 ea9Ci
ADDRESS PO +'.9•6-1 EMAIL . . dd . , lar. • lb • Vizir' •
CITYCALAInWiek STATE , i ZIPg8sol FAX • - Som.- • l •
CON TORS LICENSE# ' iT 'I x ,,; XP DATEc //PTY LICENSE#
PLUMBING CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE# EXP DATE CITY LICENSE#
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 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. I1r
r r
11.1 (pCcct Co -11 - IS
Applicants iignature / Date
Owner/Contractor I 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.yebn.wa.us