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BLD-05-0361FROM :YELM SEWER DEPT. FAX N0. :360-458-8166 Jul. 24 2006 12:0~'M P1 O~~f THE p4-, d ~ ~ FAX TRANSMISSION x~zM ~~, CITY OF YGLM P.O. BOJ{ 479 931 NP ROAD NE YELM, WA 98597 ~^ 1 360-458-8411 ~c 1~~ \ PAX 360-458-8166 \J TO: G-2E cNCN DATE: ~-dH-OCo FAX#: PAGES: / ,including this Cover sheet From:. PHNDS~ Subject: y~o4S~ Fi~vA~-~L3uc1{~o2N CST. COMMENTS: GDT aD~ ~'i44a, dQ"n'+,e}u~. S,G• *• II' you do not receive ell copies or any copy is not legible, please call (360) 458-8411 as soon as possible. H Z W F- Q a W D t7 Z O J m J W LL 0 H V ~" V Z Q a v v 0 0 W H Q V H W V J Q H Z W O W Z a J m Q vi C .p m N ~ ~ ~~ ZQ ~ ~ C C 33 00 Z ;~_. a v~ C 'O m N Y a~ 8 V a C H Q c ,o ;_. .0 0 V W .~ a N ~.+ ~~ _ ,.+ ~ ay ~ to U_ ... ,_ as ~ ~c~ U°°o -VN t~ c~°~ ~U .y ~ ..,~ .~ o~ ~v - a~ ~. - :~ c ~ ~ ~ om~ c~ w L m~U ~o~ ~N ~ ~ O Z H~ ~~ 3~c U ~ ~~ ~~N ~ ' a ~ o~~ ° a~ .c ,oo ~ 'N ~ U ~~ o ~~~ Q ~ ~~ y~ t ~ C 0 ' ~ '- ~ N . . .~ V 0 C .? m CITY OF YEL1~9 INSPECTION LOG PROJECT i~ zo ~~l~i LQc9d PER'~11T'~L!~9IIER_ f~S d 3 ~ l ADDRESS 1y~yZ sS ~'k' /aid S~ SET B.-~ChS Date: /' ~ ~- ~ Front ~~ Reat ~,~' Side Fl~r.~ine ~~ Side FOOTI'~G `~',~LL ~•, -~ b•, l6•• ~ ~•, other ~J other required ~~ents j FOOTING REB.~R ~ Date: ~ -- ~ ~ `~'.aLL REB.a ~ R 1 Date: 1 (1 T11 T1'1 P T11 C r • . .. .. ~ ... V C0.~1al~ED FR.a~tEl Holy do«~ns ~~. ~~ ~ ; ~~ _'°~ ` Plur~in~ ~ ~ ~ }.:1 ~. Cc~r,~ments ElTER10R ~~~E.~R ~`'.~I..L I~cPf CT10~' ..her ;~3il~r~ .~ ~-~ ~~- G~s~Pro~~ne~ w~. I~SI~L.~T101' ~ ~' Gas _~ Electr~ !c _ C~t~,er Fo~,~ ~n~ Seel ~ ~'~r; r h~rier P~'.~ Comments ~ ~ SKEET ROC}~'S~~E.aR "'.aLL ~'.~IL Comments OTl~ER Cemm;nts Se~~~er F~;n::l ~ Electrical ~ Citi~il Find Z L~n~~c~~~ ~. F,r~l ! C~~!~ .-~d~ress ~ lr,sul~tien ~ Site Dr~incce ~ ~, Cen~ments NEW CONSTRUCTION WATER INSPECTION DATE: ~ I O W DEVELOPMENT: v ~?- LOT # a~ p K LOT # o~ ~ p ~G LOT # ~oe t~ City of Yelm c Ciry: Lakewood ommunity Development Department Community Development Department Building Division Building Division Phone: (360)458-8407 Phone: (360) 458-8407 Fax: (360)458-3744 Fax: (360} 458-3144 W~iMIM670M WAiMIMGTOM Applicant: Applicant; Name: Evergreen State Builders Name: Evergreen State Builders Address: P.O. Box 39753 Address: P.O. Box 39753 Property Infor~rnnation: Site Address: 14942 89th Ave. SE Assessor Parcel No. 31540002000 Permit No: BLD-05-0361-YL Issue Date: 1012512005 (Work must be started within 180 days) Receipt No: 38779 Phone: 253.475.6622 State: WA Zip 98499 Subdivision: Buckhorn Estates Lot: 20 contractor Information: Name: Evergreen State Builders Contact: Medina, Ed Phone: 253-475-6622 Address: P.O. Box 197 City: Lakewood State: WA Zip: 98499 Contractor License No: EVERGSB980PB Expires: 10102106275 Business License: Project Information:...: Project: Buckhorn Estates Description of Work: 220012 SFR, Lot 20 Sq. Ft. per floor: (1st) 1172 (2nd) 1028 (3rd) 0 Garage 480 Basement 0 Heat Type (Electric, Gas, Other): GAS Fees: Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc B u i Id i ng Permit 100-500k 1, 565.79 993.75 572.04 5.6000 102.1500 $1, 000 Building Plan Review 661.54 0.00 0.00 0.0000 0.0000 Mechanical Permit 78.25 0.00 0.00 0.0000 0.0000 Plumbing Permit 118.00 20.00 98.00 7.0000 14.0000 Fixture Sewer ERU 5,417.00 0.00 5,417.00 5,417.0000 1.0000 ERU Sewer Inspection 145.00 0.00 145.00 145.0000 1.0000 ERU Water ERU 1,500.00 0.00 1,500.00 1,500.0000 1.0000 ERU Water Meter (SFD) 300.00 300.00 0.00 0.0000 0.0000 Water Deposit 40.00 40.00 0.00 0.0000 0.0000 Sewer Deposit 50.00 50.00 0.00 0.0000 0.0000 Traffic Facilities Charge 757.50 0.00 757.50 750.0000 1.0100 Peak PM Trip State Building Fee 4.50 4.50 0.00 0.0000 0.0000 TOTAL FEES: $10,637.58 Applicant's Affadavit: 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 # Sets 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 futher certify that I am currently registered in the State of Washington. Finai [nspaectitm Date: Signature ,,, ~ ,~. ~T~,~,~; .. Date ~ ~~ By: Firm ~~ i .. YEL 25589 M COMMUNITY SCHOOLS LOCAL RECEIPT DATE ~ p - a ~ ~ ~ o 05' Si~13 c~3- ~s3~16 ~jl.. ... , Received from FOR YY1 .~. I ,~ ~, ~ OLLARS ACCOUNT CODE e~w iur .,.,,.. .. sss $ g~' ~5s, o0 YE M COMMUNITY SCHOOLS o%~a(o 19 ad a1 . BY _' - - . - ~~ . r~~' f I, ~~ ~ ~ , \~,sr1 4 ~~~` u , ~~ n ~ n ` i „• _,,.y. ,hti ~ i ~'...r~l-'s. ~~ b.- 3 ; ~~. =..i i_: +f 'i: '~i F i~ ~ i:~ .~.' ~ ~ ~ 1 i 1 ~ ir~ ii ~ i la ~ ~~ ~ ~ ~~ ~ ~ d l,~ ~f is a ~.' i ~ ~ ~ ~ a~ ~, ~ t Jf ~ ai7_ {tp~~ y~ L [1 -- I I ~EU~E~~ED E~~~~ DATE REC. N0. 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L' t a i', ~. _~~ ~ ~ L i n - L.f ,~.lJ. 1 v. fli ~uV'Y i a.i V s. r ~ ~ ~ i .i, a a ~ ~ ~,- i '" i i ~ S' t ~ '~ '~ i. .. ~ is • ~ ~, J r, r' ~ ~ ~ r'+_r q n ;`r ," a ;, : i i,j .~. ~~ _~_ -. ~. 's . .. ~ ~i t ', f'V / T /~ a. .L. ~ .. _ a .. - .. _ _ ~ + ~ s ~ = 3 { 3~, - ~ ~. -~ a ! ~ _ _ .~ s S t. _ T ~ . ~. 6• ~ ~ !~ i ~ ice.. _ s ~ _ 1~ ~ 1 t~• i / ~' ~¢ ~ S Ss K C i of Ye I m Community Development Department Building Division Phone: (360) 458-8407 w..»,»~» Fax: (360) 458-3144 Applicant. Name: Evergreen State Builders Address: P.O. Box 39753 City: L ~i Mr~~n~~a~~~R Project: Buckhorn Estates Description of Work: 220012 SFR, Lot 20 Site Address: 14942 89th Ave. SE Fps: Item Acct Code Item Fee Building Permit 100-500k 032 001-322-10.00 1,565.79 Building Plan Review 100 001-345-83-00 661.54 Mechanical Permit 032 001-322-10-00 78.25 Plumbing Permit 032 001-322-10-00 118.00 Sewer ERU 802 412-343-50-01 5,417.00 Sewer Inspection 805 412-343-80-00 145.00 Water ERU 715 401-343-80-02 1,500.00 Water Meter (SFD) 712 401-343-80-01 300.00 Water Deposit 740 402-389-00-00 40.00 Sewer Deposit 742 402-389-01-00 50.00 Traffic Facilities Charge 420120-345-85-00 757.50 State Building Fee 160 001-386-00-00 4.50 TOTAL FEES: 510,637.58 Permit Fees Schedule Permit No: BLD-05-0361-YL Phone: 253.475.6622 wood State: WA Zip 96499 Assessor Parcel No. 37540002000 Base Amt Unit Fee Unit Rate No. Units Unit Desc 993.75 572.04 5.6000 102.1500 $1,000 0.00 0.00 0.0000 0.0000 0.00 0.00 0.0000 0.0000 20.00 98.00 7.0000 14.0000 Fixture 0.00 5,417.00 5,417.0000 1.0000 ERU 0.00 145.00 145.0000 1.0000 ERU 0.00 1,500.00 1,500.0000 1.0000 ERU 300.00 0.00 0.0000 0.0000 40.00 0.00 0.0000 0.0000 50.00 0.00 0.0000 0.0000 0.00 757.50 750.0000 1.0100 Peak PM Trip 4.50 0.00 0.0000 0.0000 16f Q3f 2~~5 11: 21 ?532843183 CAS RE .F TDM PAGE ~9f 18 y~~~~ ~~~ ~~~~~~ ~~~-~,~~,~ ReceivF THC~"RSTON GOUNTY, WA ~.~c~~ro. azs~aoozooo OCT ~ 0 200 SOT 2(Z~ EVERGREEN STATE BUILDERS euc~oxxrsxa~s ~z.oo' ~ _~„~,__~ r sz'... nssL~ _._ ~ _ Q OVERHANG .'~ ~~~\ \ ~~m`/ ~ ~~ ~ ~ I J Q ~~ r Q N ~N ~ o z ~ z ~ c° 21VEWAY ~ _ ~ ~_~ 1 89th AVE. SE ~EI~TE~ ~F CUL bE 8AC ~ ~, ~~ ~~ • ~ ~- F . 4~ ~~ (~ ~ -~ -~- ~ 5' -- ~._.~ ~~- ~~ ~~ ~ I~ ~~ ~ o ~~ cep,, IeG NC~~TN ~ 2~~5 CA~CAp~ I~E~IDENTIAI~ ~E~IGN, INC. ~~ THI$ ~~4WINa i5 AAS(~ bN ~uE~vr•••p~nv16E11 iMF~RMATI~N f;FPRESE~ITEh ro Rr ~CCURat~ ~N~ hKLIABI.E. TINY h~~L~'~PANCI~; l~EFWEEN TN15 nRAWip1~ ANI? THE A~TU~I, ,"ITE CDNMTION~ AAF THK SALE A~~;Ai~NaI~fIITY OF Tl•I~ ~LIC.~~~T, cmr of YELM ~-~ RESIDENTIAL gI11LLJING PERMIT A~-r~'~. ,~ATIfJN FORM Pr ' ~ o~ect Address,,~~~ ~ ~,,~ D© V /rte//-/~yJ/J~~~~/ ~ Su~~ f I~~onY .I ~ o V/ ~ , , ~. trot #. v~ D Zonir~ , New C~nstructlon u Re~Model ! Re~Roaf !Addition a Home Occupation Si n U Plumbing u Mechanical U Mobile M ~ ! anufactured Home Placement U Other Project DescriptionlScope of Work: ~ ~ ~ Project Value: 2 Building Area (sq. ft} i'` Fioor// 7Z. 2"~ Floor/O ~ Garage - ,~j~ peck Basement Carport Patio 2/6 # Bedrooms, # Bathrooms ~ Heating: AS/ THER or ELECTRIC (Circle One) ARCHITECTl~NGINEER Gt n AQDRESS /~~ S~ a CITY ~Ce f~yf'/G STATE ~ SIP GENERAL. CC~NTRAC~TC?R ADDRESS CITY _STATE~ZIP CONTRACTOR'S L1CEN5E #~7 ~.ICENSE # EMAIL. TELEPHONE ~ r TELEPHONE EMAIL FAX ~XP DATE~CITY LICENSE # PLUMBING CONTRACTOR G~ , r~ TELEPHONE~,~ ~~ ~~ ADDRESS r ~- ~ r r~ EMAIL CITY~,~(~ .....STATE CZIP ~~~ FAX ~.~`~ `.~.~ ~. ~r~~/~///~"~~~~,w+,fi~'~ CONTRACTOR'S LIGENSE # EXP DATE~,CITY LICENSE # ME~HANlCAt. CONTRACT R ~f`f ,~ t ~ ,S,_,TEL_EPHC~NE ~~ ~~ ~_ ~ - ~~. ~.,~, ~- ADDRESS ~~~~ /'7 ~ EMAIL ~ ~~ l~j ,~;~, CITY 1 ~ „~,~,STATEZIP ~~'~~y ~ FAX__~"~~ fi ~ ~ ~--~, , ~ CONTRACTOR'S LICI~,NSE # _- --- EXP DATECITY LICENSE # Copy of mitigation agreement with Yelm Camrnunity Schools, if appliCabfe. # hereby certify that the above information ix correct and that the construction on, and the occupancy and the use of the above described property wiii be in accordance with the dews, rules and regulations of the State of 1Nashingtan and the City of Yetm, Applicant's Si~natur~~ pad gwner I Contractor ! C?wner'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 i$:~uance, or if wade is suspended or abandoned for a period of 1 ~Q days -~I~7C~ / a is ~ ~ ~". 105 Yetm Avenue Weet (360} 455x3835 ~o &,x Ors ~ fasoj ~s~-3r~~ ~Ax Yeim, WA 985gfi wurcu.ci.y~lm,wn.~ee Are there any environmentally sensitive areas located on the parcel? If es, a completed environmental checklist must accom an Y p y permit application.