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20050424~. _~~ cn ~~ to ? ~ N '.. n n ate; ~~ N~ _~ N o. ~ ~. N '" ~ v ~ n fD O. ~ ~ ~ N ~ O ~ ~ 7 N~ ~ C7 ~ f~D ~~ W ~ __. <a~ ~~~ `~ ~. ~~~ ,~.~ ~ ~. onC~ 0 A ~ Q n ~ -p C) N ~ C ~ 3 ~ ~ D ~ W 00 W W co H y ~ yZ ~ ~ ~ a D ~ ~ ~ ~ a a ~ a ~ 3 w ~D °' o. ~ m • a Z ~' ~ N c m z c 3 6 (D N m n ~ ~ v .~ z o ~_ D m ^r ~ •/ ~_ W ^~_ C •/ r D ~ m Z G7 O rp n ~ ~ 3 m z ~ CITY OF YELM INSPECTION LOG PROJECT__ 1..~-~- I~ }3 ~~b ~n~ ZI PER,'~91T NU?~9BER [~ = ~y Z,~ ADDRESS 1'x-1 Q ~ (p ~ 1~ ~~ ~ ~ SET B.~CtiS Date: /~-~ ~ Front Z 1 Rear 3 a Side F1ar.Line Side ~ lZ~ FOOTING \\'ALL yrl 6' g~ ] other D other ] required ~ ents Imo. FOOTIIC REB.-~R Date:_/T_~1\'.aLL REB.aR Date: I ~ ~(1 T11mPniC C ~IBI\ED FRa~tE/ ~TER10R SHE.aR \1'.aLL I\SPECT,lO1 ,l,~ Hold do~~ns ~ j' ~ ~ Chear:~'ailine .~/~ ~' ~J ~- \ U ~~ Frame --?~ <' ~ G,~ `' / }I > - ~iCI %ro~G Gas 'Propane ] ~ ft"' Plurnl,inc ~ ;f- ~~ ?~9echanical ] g ,~ "`~"` Comments }\St'L.aTIO\' /~,~~-" Comments ', .2 ] Gas '] Electric ] Other '] Foam and Seal ~' Vapor barrier = p\',.~ SKEET ROCK,'c}JE.~R \\'.aLL ~.aIL Comments OTHER 1`I\',aL Sees er Final .-~d~iress Comments ~~ Comments n Electrical ;] Cis it Final Landscape Final ~_~ C cf 0 ] ]nsulation ] Site Drainnce ] Side~~alk FROM :YELM SEWER DEPT. FAX N0. :360-458-8166 Aug. 15 2006 02:35PM P1 ~pE xH~ p~ a° ~~~, ~A~ TRANSII~YSSI~N ,~~~~ Cr'I'Y QF Y~LM "'~'"'"°Ta" P.O. BOA. 479 ~- 931 NP ROAD NI: YEL1Vi, WA 9$597 360-455-8411 --~ ~ FAQ ~3Gd-458-8166 TO: Cr1~.C ~ ~"A1 FAQ#: From: )Q/-~~1~7~j~' ,ATE: $ l ~,-~ Q ~ PAGES: I ,including this Cpver Sheet Subject: ~o ~5c; 1~ ~ Nti4~-- ~3u~ Kk4o2~v ~~'T'. CQM.MENTS: ~... o~ ) ~-( 1 ~(9 n (~ ~'9''~ }~ t1~ • S. ~' . ** II'you do not recEive all copies or any copy is nit legible, please call (360) 458-841 I as snon as possible. City of Yelm Community Development Department Building Division Phone: (360) 458-8407 Fax: (360)458-3144 Applicant: Name: Evergreen State Builders Address: P.O. Box 39753 Property Information: Site Address: 14906 89th Avenue SE Assessor Parcel No. 37540001400 Contractor Information: Name: Evergreen State Builders Address: P.O. Box 39753 Contractor License No: EVERGSB980PB Project Information: Project: Buckhorn Estates Description of Work: Plan 2150S/2, lot 14 Sq. Ft. per floor: (1st) 888 (2nd) 1262 Heat Type (Electric, Gas, Other): GAS Fees: Item --------------------------- Building Permit 100-500k Building Plan Review Mechanical Permit Plumbing Permit Sewer Inspection Water ERU Water Meter (SFD) Water Deposit Traffic Facilities Charge Sewer Deposit State Building Fee Sewer ERU Fire District Impact Fee TOTAL FEES: Applicant's Affidavit: City: Lakewood Subdivision: Buckhorn Estates Contact: McCullem, Tom City: Lakewood Expires: 10/02/06275 Phone: 25375-6622 State: WA Zip 98499 Lot: 14 Phone: 253-475-6622 State: WA Zip: 98499 Business License: 1042.0 (3rd) 0 Garage 432 Basement 0 Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc ----------- 1,533.31 ----------- 993.75 ------- 539 ---- .56 ----------- 5.6000 ----------- 96.3500 ------------- $1,000 647.82 0.00 0 .00 0.0000 0.0000 78.75 0.00 0 .00 0.0000 0.0000 132.00 20.00 112 .00 7.0000 16.0000 Fixture 145.00 0.00 145 .00 145.0000 1.0000 ERU 1, 500.00 0.00 1, 500 .00 1, 500.0000 1.0000 E R U 300.00 300.00 0 .00 0.0000 0.0000 40.00 40.00 0 .00 0.0000 0.0000 757.50 0.00 757 .50 750.0000 1.0100 Peak PM Trip 50.00 50.00 0 .00 0.0000 0.0000 4.50 4.50 0 .00 0.0000 0.0000 5,417.00 0.00 5,417 .00 5,417.0000 1.0000 ERU 557.71 0.00 557 .71 0.2160 2,582.0000 square foot $11,163.59 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 applying as a contractor, I futher certify that I am currently registered in the State of Washington. Signature j~,~ ~- Date ~l.~~D ~Q-~ Firm ,rrs~ Permit No: BLD-05-0424-YL Issue Date: 12/20/2005 (Work must be started within 180 days) Receipt No: 39515 OFFICIAL USE ONLY # Sets of Prints: Final Inspection: Date: /G o6 By. ~~"`- NEW CONSTRUCTION WATER INSPECTION DATE: ~Ia31~~ DEVELOPMENT: ~"~_~n ~PC~~ ~~ LOT # ~ Q K S:ry1~ U LOT # LOT # ~Q Op iHf p9~ CITY OF YELM Po. Box a7s RECEIPT No. 3 9 51.4 Yelm, WA 98597 _. 360-458-8403 RECEIVED ****TEN THOUSAND FIVE HUNDRED SIBTY EIGHT DOLLARS & 51 CENTS RECEIVED FROM DATE REC. NO. AMOUNT REF. NO. EVERGREEN STATE BUILDERS 12/20/05 39514 10.568.51 CHECK PENDING PO 80% 39753 LAKEWOOD. WA 98499 BUDGETARY BLD-05-0422-YL SITES 14912 89TH AVE SE BLDPRMT1223.35. PLNREV516.86. MECHPRMT78.25, PLMB125. S/ERU5417. S/INS145 W/ERU1500. W/MTR300. W/DEP40. TRAFF757.50. S/DEP50. STFEE4.50. FIREDST411.05 / fTHfp~ C F ~, YELM P.O. BOx 479 Yelm, WA 98597 L 360-458-8403 RECEIVED ****ELEVEN THOUSAND ONE HUNDRED SIBTY THREE RECEIVED FROM DATE R EVERGREEN STATE BUILDERS 12/20/05' PO BO% 39753 LAKEWOOD. WA 98499 BUDGETARY BLD-05-0424-YL SITE: 14906 89TH AVE SE R No.39515 LLARS & 59 CENTS EC. NO. AMOUNT / REF. NO. 39515 11.163`.59 CHECK PENDING BLDPRMT1553.31, PLNREV647.82, MECHPRMT78.75. PLMB132. S/INSP145. W/ERU1500 W/MTR300, W/DEP40. TRAFF757.50. S/DEP50. STFEE4.5@. S/ERU5417. FIRE 557.71 YELM COMMUNITY SCHOOLS v 2 5 5 9 7 LOCAL RECEIPT DATE ,~ -- 1 ~-~-- Received from ~(,Qh~ ~,,~~ ~~Q~ . FOR Z, i_~. /~ ' "'~ -" DOLLARS ACCOUNT CODE AMOUNT CASH CHECK Jti ~Q ''J ~ ~ ; . ~-- $~ ~~ ~v YELM CO~1NGNITY SCHOOLS City of Yelm Community Development Department Building Division Phone: (360) 458-8407 Fax: (380) 458-3144 Permit Fees Schedule Permit No: BLD-05-0424-YL Applicant: Name: Evergreen State Builders Phone: 253-475-6622 Address: P.O. Box 39753 City: Lakewood State: WA Zip 98499 Project Information: Project: Buckhorn Estates Description of Work: Plan 2150S/2, lot 14 Site Address: 14906 89th Avenue SE Assessor Parcel No. 37540001400 Fees: Item -- --- Acct Code ------------- Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc Building Permit 100-500k 032 001-322-10-00 ----------- 1,533.31 ---------- 993.75 ---------- 539.56 ---------- 5.6000 ----------- 96.3500 ----------- $1,000 Building Plan Review 100 001-345-83-00 647.82 0.00 0.00 0.0000 0.0000 Mechanical Permit 032 001-322-10-00 78.75 0.00 0.00 0.0000 0.0000 Plumbing Permit 032 001-322-10-00 132.00 20.00 112.00 7.0000 16.0000 Fixture Sewer Inspection 805 412-343-80-00 145.00 0.00 145.00 145.0000 1.0000 ERU Water ERU 715401-343-80-02 1,500.00 0.00 1,500.00 1,500.0000 1.0000 ERU Water Meter (SFD) 712 401-343-80-01 300.00 300.00 0.00 0.0000 0.0000 Water Deposit 740 402-389-00-00 40.00 40.00 0.00 0.0000 0.0000 Traffic Facilities Charge 420 120-345-85-00 757.50 0.00 757.50 750.0000 1.0100 Peak PM Trip Sewer Deposit 742 402-389-01-00 50.00 50.00 0.00 0.0000 0.0000 State Building Fee 160 001-386-00-00 4.50 4.50 0.00 0.0000 0.0000 Sewer ERU 802 412-343-50-01 5,417.00 0.00 5,417.00 5,417.0000 1.0000 ERU Fire District Impact Fee 105 001-345-85-00 557.71 0.00 557.71 0.2160 2 ,582.0000 square foot TOTAL FEES: $11,163.59 12!1512@@5 15:32 2532843183 CAS RES NWAF TDM PAGE @7 1 ~"t 1 .1 ~V~~tG~~~T S'T..~T~ BLTI~ERS BUCEHaRN ESTATES ~ ~ ~ ~ ! ~~ 1~9~B 89thANENT~ SOUTf Txcr~sTarr comer, WA DEC 1 ~ 2005 PARC1?L NO.3?3400Q~400 50.~D' $' ---- 44' ... _ 25' BS "a AT10 ~- ~ "-' 0'J U? ~ m ECK ApV p Rp~ G- .~ CO cQ ~« ,% PLAN 215015/2; jf JI CVRD. PORC -' /~ ~ ~. ~ 2005 CASCADE RESIDENTIAL DESIGN, INC. ~~~ . ~~ ~~ ~ ITS ~'L~4N TNI3 DRAWING IS 945ED CN CLIENT-PROVIDED INPORMATIDN REPRESENTED TO BE ACCURATE AND RELIAOLE. ANY DISCREPANCIES BETWEEN THIS DRAWINp AND THE ACTUAI. 5ITE CONDRN7N5 ARE THE 50LE R£SDONSi01UTY OK THE CLIENT. AWNCi OAi -Qh pleaRrT ~ a.bss .rte 53.13' SI_T_E PLAN APPROVAI, +-RaR.e a R4'Ao10 wnl4 w .~Ilrrt ," RMO: 0 I ~n 1 m ~~ I~ i~ N I~ ~ M 11 L__' ~ ~-~-- N _~ ®S ._..,.~_.... _NORtH SGA~.~ 1R ^ 2rDI CITY OF YELM ~SIDENTIAL BUILDING PERMIT APPLIC ``"'7N FORM Project Address:G~~l~6 BPS' ~~'~~c-,SE• ~'X: ~ jjs-O _ Z Subdivision:" ~{~~JO?'/? S Lot #:_ ~~ Zoning; ~0 ~-~ ~ tYNew Construction u Re-Model / Re-Roof !Addition u Home Occupation Sign U Plumbing u Mechanical u Mobile J Manufactured Home Place~m~engt-~ U Other Project Descriptivecope of Work: spirt ~ ~~~~~ ~~~.~~~ Project Value: ~6 ~ , Soo Building Area {sq. ft) i°~ Fk~v°O~ 2"~ Floor/z6 z Garage ~.~Z Deck/~O Basement Carport Patio # Bedrooms-~ # Bathrooms 3 Heatin . ~A THER or ELECTRIC (Circle One) Are there any environrnentally sensitive areas located on the parcel? If yes, a completed environmerttal checklist must accompany permit application. BUILDING OWNER NAME: .Pr~ 'r ~ ~ ADDRESS ~ EMAIL ~.'~.~/t pc}L~s"~, CITY -STATE ~ ZIP y~I9 TELEPHONEGZ.s3,7 'i,L7s-- -~ !vZ ~ ARCHITECT/~~NGINEER Sf'r' ICENSE # ADDRESS /per, ~v~ EMAIL CITY"~~~ ~_STATE c'~~' ZIP ~ TELEPHONE CZS~~7~L/- ~/~7~ GENERAL CONTRACTOR S'CL~pli C p(~,dt,.A~ TELEPHONE ADDRESS EMAIL CITY -STATE ZIP FAX CONTRACTOR'S LICENSE # e~~~~ EXP DATE v7 CITY LICENSE # PLUMBING CONTRAi^TOR /J/,~~SPx-i'l IkQC.4~11•ELEPHONE_~z5~~ .-~~7- '~C~, ADDRESS /`~f~S ~ EMAIL CITY-%G~~YI ~. STATE ~-. ZIP FAX C'~g'3~ CONTRACTOR'S LICENSE # EXP DATE CITY LIC~ ESN # ~ MECHANICAL CONTRACTOR Gr` '< TELEPHONE L Q ADDRESS S ~~,~-~' -- EMAIL CITY P -STATE G~C;/1 ZIP ~~FAX CONT CTOR' UCI`NSE # EXP DATE CITY LICENSE # Copy of mitigation agreement with Yelm Community Schools, if applicable. 1 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 wkh the laws, rules and regulations of the State of Washington and the City of Ye1m. Applicant's Signatur~a Owner tContractor /Owner's Agent /Contractor's Agent _l'~ ~~ ~ ~ Date (Please circle one. Ail 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 far a period of 1 t3I1 days I05 Yelm Avenue West PO Box 479 Yelm, WA 98597 (360) 458-3835 (360) 458-3144 FAX rt17UW.C i.yellli.tllO.liB