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CITY OF YELnf INSPECTION LOG
PROJECT~/~,~ ~ ,~-~j ~~l~_ ~.
PER.'~11T'~L~1BER Q~ - p3 . p~
ADDRESS /G.s y~ /~.v~K//~',~ ~~tv .~,e- cS~'
SET B.~CtiS Date:
Front ~
Rear 3~
Side Fl~r.~ine
Side
FOOTI'~G `~'.~LL
l ~'' ~ 6•'
16'• ~ ~•,
other ~J other
requited ~~ents
FOOTI~C REB.~R Date: ~~'.aLL REB.aR ~ .
Date.
rnmmPntc
CO.~1Bl~EDFRa~tEIE~TERIOR~}~E.~R~`'.aLLI~Sf'E '
CT1O~
Holy doti~~ns ~ ch:~r :~'3ilir~
Fr~r~.e .a' Gas Pro ane ~` ~ ~~Z ~
. 1, ~
Plur~l^ine ~ ~~lpch~nic~l ~+ ~~z
` - ~~
~ ._ r~
t~... Comments
1~SL~L.~T1O:1 ~ Gas ~,~~ .~
_ E1e~~.~c _ C~t~,er
~~' Fc~~~~ ~n~ Seel ~ ~'~-~: r Fri ter --
r _ P~ .~
C~n~ments
~j;EET ROC~,'SHE.aR ti`'.~LL ~'.alL
C~~~ments
OTI~ER Cc~r,~r~:nts
Flti',ai,
Se1~~er F;r,;:l ~ Flectric::l i Citiil Find ~, L~n~sc~~,P ~ ; ,
.~ ~ ~ F~r~l _ Ccf~
~. .-~d~ress ~ lnsuluti~n J Site Dr~in~ce ~ ~i~e~~~al~;
C~n~ments ~.6 0~
~ T~ City of Yelm
Communi Develo ment De artment
~ tY p p
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
WAlMIN6TON
Applicant:
Name: Sound Built Homes, Inc.
Address: P.O. Box 73790 City: Puyallup
Prape~ty Information..
Site Address: 16547 92nd Ave. SE
Assessor Parcel No. 63540005000 Subdivision: Mountain Sunrise
Contractor Information;
Name: Sound Built Homes, Inc. Contact: Dye, Kelli
Address: P.O. Box 73790 City: Puyallup
Contractor License No: SOUNDBH075BM Expires: 09110107253
Pro ject_ Information.
Project: Mountain Sunrise
Description of Work: 2068 A SFR, lot 50
Sq. Ft. per floor: (1st) 1134 (2nd) 926 (3rd) 0 Garage 430
Heat Type (Electric, Gas, Other): GAS
Fees:
Lot: 50
Phone: 253-848-0820
State: WA Zip: 98373
Business License:
Item Item Fee Base Amt Unit Fee Unit Rate
Building Permit 100-500k 1,490.19 993.75 496.44 5.6000
Building Plan Review 629.05 0.00 0.00 0.0000
Mechanical Permit 78.25 0.00 0.00 0.0000
Plumbing Permit 118.00 20.00 98.00 7.0000
Sewer I nspection 145.00 0.00 145.00 145.0000
Water E R U 1, 500.00 0.00 1, 500.00 1, 500.0000
Water Meter (SFD) 300.00 300.00 0.00 0.0000
Water Deposit 40.00 40.00 0.00 0.0000
Traffic Facilities Charge 757.50 0.00 757.50 750.0000
Sewer Deposit 50.00 50.00 0.00 0.0000
State Building Fee 4.50 4.50 0.00 0.0000
Sewer ERU (LID) 2,769.00 0.00 2,769.00 2,769.0000
TOTAL FEES: $7,881.49
Basement 0
No. Units Unit Desc
88.6500 $1, 000
0.0000
0.0000
14.0000 Fixture
1.0000 ERU
1.0000 ERU
0.0000
0.0000
1.0100 Peak PM Trip
0.0000
0.0000
1.0000 ERU
Applicant's Affadavit
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 St of Washington.
Signature ~, Date
Firm
Permit No: BLD-05-0369-YL
Issue Date: 1110112005
(Work must be started within 180 days)
Receipt No: 38972
Phone: 253-848-0820
State: WA Zip 98313
OFFICIAL USE C}N~Y
Sets of Prints:.
Final Inspection.
Qate
By~
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address:~KQG~xc,~-~/ ucc.~~„~Parcel #: !o y30%ZDOIf~,, 07~.71733DlD(~
Subdivision:, ,~/~j6ELot #:.~~ Zoning; d~~
t4' New Construction ^ Re-Model / Re-Roof /Addition D Home Occupation Sign
D Plumbing 0 Mechanical ^ Mobile /Manufactured Home Placement ^ Other
Project Description/Scope of Work: W~~ ~Q~tM Eta, ~~ntv~E F~-mice.i ~81~ Tl'I~~W ~1~t~S~'
Project Value: ~ ~ ~ ~ . C_JLC~
Building Area (sq. ft) 1~` Floor ~~ y 2nd Floor ~~' Garage "~v Deck
Basement Carport Patio
# Bedrooms ~/ # Bathrooms ~ ~~ Heating~~~„"THER or ELECTRIC (Circle One}
Are there any environmentally sensitive areas located on the parcel? _
completed environmental checklist must accompany permit application.
If yes, a
BUILDING OINIV~ER .NAME: ~4Ci N`, ~t 1 Lr ~ ~ ~ ~ ~
ADDRESS ~`~ X ~~`7 ~~ EMAIL ~ - rZ~ ~~C.'tl~-.
CITY ~ ~ STATE I~V~}' Z1P ~' TELEPHONE ~ 3- ~! rd ~-
AR 'F HITECTIEf~GI ~. ~ - ~ LICENSE # .
ADDRESS ~Cr"~l `7 EMAIL
CITY STAT ZIP ~ TELEPHON _ ~'
GENE„RALCONTRACTC)Rr~~~ (~J~/U~° ~ TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE #~:~II~D'~~13~ EXP DATE CITY~LICENSE #
PLUM~~LNG C =~,~ T ~,: CTC). -~ ~ cif 'i~~~ urn~e~''.,1~G~ ~TELEPHONE~~3~' ~7~ 7v~
ADDR S~ ~ ~ ~- EMAIL __ _
CITY ~ ~ STAT ~ - Zlp 3 _FAX< ,,,,,,
CONTRACTOR'S LICENSE #,,/~~~;~~ :XP DATE ~ CITY LICENSE #
~-/~~„ ~ .
~ y .. .... ..' I
M,~M;~ HANICAL CONTRACTOR ~ ~,~~(,~ TELEPHONE~,S.~~~~~~~f~
ADDR S ~ ~'"t~ ~- c5' EMAIL '
CITY G STATE ZIP ~7~ FAX ~ ~~ .~. 7~"~-~ ~~~
CONTRACTOR'S LICENSE #~thJl~~Y~~i'( EXP DATE CITY LICENSE #
~ AT
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. /"'~~
Applicar~'s Signature
Owner I Contractor I C
- :--~ ~~~~ Date
is A ent P se circle one.j
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) 45&3835
PO Box 4fi9 (360) 458-3144 FAX
Yelm, WA 98597 www.ciyelm.wa.us
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~~~~ T~p cITY of
4 ~i
4 ~ YELM
P.O. Box 479
relm, wA 98597 RECEIPT No. 3 8 9 7 2
360-458-8403 ~ ..~
w~u.w.~oa
RECEIVED
*.***SEVEN THOUSAND EIGHT HUNDRED EIGHTY ONE DOLLARS 6c 49 CENTS
RECEIVED FROM DATE REC. N0. AMOUNT REF Nb.
. . ..
SOUND BUILT HOMES INC 11/01/05 38972 7,881.49 CHECK PENDING
PO BOx 73790
PUYALLUP~ WA 98373 BUDGETARY
BLD-05-0369-YL
'~ SITE: 16547. 92ND AVE SE
BLDPRI'~iT1490.19, PLNREV629.05, MECHPRMT78.25, PLME118, S/INS145, j~~/ERU15@@
w/MTR30@, W/DEP40, TRAFF757.50, S/DEP50, STFEE4.50, S/ERU2769
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City of Yelm
Permit Application Check List
(360) 458-3835
Contact: Gary Carlson (~aryc(a~,ci.yelm.wa.us)
This is required to apply for a permit off of an
approved base plan:
1. 1 Application (include approved base plan #)
2. 1 Site plan
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CONTACT INFQ
KELLIt C253) 848-0820
~~
1. MAINTAIN 10'
BETWEEN STRUCTURES
2, RDOF RUNOFF TD BE
TIGHTLINED TO DRYWELL
3, DRIVEWAY APPROACH TD
BE BROOM FINISHED