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BLD-05-0360
FROM :YELM SEWER DEPT. FAX N0. :360-458-8166 Jul. 13 2006 11:08AM P1 6~Qt tHC pA ~n `~ FAX TRANSMISSION YELM,_,~ CITY OF YELM P.n. BOX 479 93 ] NP ROAD NE YELM, WA 98597 360-458-R411 C ~~ FAX 360-458-8166 TO: GY~~.I-IC-.i-~ DATE: 7-)3-~~ rAx~: PAGES: i ,including this Cover sheet Fr~~n; ~~ (•~ COMMENTS: 1_D I 1 W~ -~{~3~ `~4~A'~• S,~' b~~~~~ ~~ Y ~y ~' 1e~sc cal 1360 ~5$-~~ l 1 '~* If~ ou dU n~~t ~ecelWe ~~E copi~~ car an c~ i~ nc~t 1e ~~~~, ~ ( } Y as su~t~ ~g ~~gsible. CITY OF YELI~9 INSPECTION LOG PROJECT PER.'~91T'~l'!~~LER ~~'~~ 03~ p ADDRESS f `'~gv?~ ~~ ~~ ~~ U ~a/ SET B.~C hS Date: Front ~~~i Re~i ~l~e F~~ri,lre Side ~D FOOTING 1 ?'' ~6.. ether req~i~ 5 6'' s'' [Fiber ~e~ gents FOOTINCREB.~R ~ Date: ~'-;-~; `~'.aLLREB.a -•P. _ ~ ~._ 1` r1 T11 *~'1 C~ t1 ! C .. CO~iB1~ED FRa~1El E~TER}OR ~}~E.aR `~~.aLL 1~~ ' i'ECT} 0~ ~ Fr~r..e ~~-~, _ ~.:! Gas ~Pr~^~~e C~i:~i',leitS Gas . Fle,-• c _ C~l~~:r Co^~ments `~ ~~ ~~ SKEET ROC~'~HE.a~ "'.atL ~'.~1L C~n~r~enis OTI~ER FIti'.aL ~~~ ~,~. _ _~l..tlln Cc~n~n~er,ts ~ ~..- ~~ ~ `~ CC~f'1,'~'l°i',S _~ Ci1;l F~n~l ~ a ~ A ;.. _ L~,~,:~c~, . F,.,~1 ~_ C cf ~~ 'J l'e Dt'''"1''~° ~ ~1~ 1' ~~; T~ City of Yelm Community Development Department Building Division Phone: (360) 458-8407 L Fax: (360) 458-3144 w~sMiNaTON Permit No: BLD-05-0360-YL Issue Date: 1012512005 (Work must be started within 180 days) Receipt No: 38778 Applicant: Name: Evergreen State Builders Phone: 253.475.6622 Address: P.O. Box 39753 City: Lakewood State: WA Zip 98499 Property Information:. Site Address: 14936 89th Ave. SE Assessor Parcel No. 37540001900 Subdivision: Buckhorn Estates Lot: 19 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: 10102!06275 Business License: Project Information: Project: Buckhorn Estates Description of Work: 2161!2 SFR, Lot 19 Sq. Ft. per floor: (1st) 973 (2nd) 1188 (3rd) 0 Heat Type (Electric, Gas, Other): GAS Fees: Item Building Permit 100-500k Building Plan Review Mechanical Permit Plumbing Permit Sewer ERU Sewer Inspection Water ERU Water Meter (SFD) Water Deposit Sewer Deposit Traffic Facilities Charge State Building Fee TOTAL FEES: Appticant's Affidavit: Garage 426 Item Fee Base Amt Unit Fee Unit Rate 1, 539.75 993.75 546.00 5.6000 650.54 0.00 0.00 0.0000 78.25 0.00 0.00 0.0000 118.00 20.00 98.00 7.0000 5,417.00 0.00 5,417.00 5,417.0000 145.00 0.00 145.00 145.0000 1, 500.00 0.00 1, 500.00 1, 500.0000 300.00 300.00 0.00 0.0000 40.00 40.00 0.00 0.0000 50.00 50.00 0.00 0.0000 757.50 0.00 757.50 750.0000 4.50 4.50 0.00 0.0000 $10,600.54 Basement 0 No. Units Unit Desc 97.5000 $1,000 0.0000 0.0000 14.0000 Fixture 1.0000 ERU 1.0000 ERU 1.0000 ERU 0.0000 0.0000 0.0000 1.0100 Peak PM Trip 0.0000 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 Firm Date ~,,I~•-~~~"~/` OFFICIAL USE t}NLY Sets of Prints: Final Inspection: Date: / By: 1 Q~ ~~12~~5 11:21 ~;~`~2~4318~ CAS RES Nl~ TD~I PAGE 88! 18 89th AVE. SE Receive ocr i o zoos ~~ ~ ~~ ~~~~~! N ~ „~.~. ~~ . ~i ~ ~ ~ ~ ~ ~ ~ ~~ ,~.~~.. ~~~ C~NTE~ ~~ GUL a~ SAC ~ ~~ Rr~fd~r191 lec ~ ~ ~ 1 V '' N~~T~ ~ ~~QS ~~tSCA~E f~E~ID~NTIAL DE~I~Nr lN~, ~~~~~ III = ~~I LET 19 ~VERGR~~N S'T'.A'~'~ BT_TIL1~~1~5 ~z~c~ox~' As~r.~~.s 149$8 89th AV,~:~TU~ SOUT~f~'EAS~' 'Z'~NRST~N CQL]'NT'Y, WA P~iRCEL NO, 375~OQ41900 - - _ _ 7 03.00' - ~_BS~ ~ f I_ oveaNnHC.t. -- ~I NI ~ . ~ m / ~j~% ~~ ,PLAN 2161/2 j ~ oRrvevinr "p ~~~ 0 r TWI; ~RAW~f•1C I$ ~AOGR ON CI.IF~IT-pROVID~I) IM~'ORMATIdN RfP17~5ENTF.I} T~ P.F. ACCUR~IT~ AND RF.I.IARI,6. ANY DISCRfii}AiJt~fE$ BEiW~~N TN14 ~RAWINA AND THF. h~'Tilnt, ~~FF C4NDITIp~~~ ~R~ THE 541.F. RF'?;~fjN519fCITY AR TNT CI.lf.NT, i .. YEL 25589 M COMMUNITY SCHOOLS LOCAL RECEIPT DATE ~ p - ~ ,5 ~ ~ o 05' ____ Su13 c~ 3- ~s3 ~!6 ~/~. .., Received from . ~ FOR Y1r1 .~. f ~ / ~ ~~ OLLARS ACCOUNT CODE euro wr „^~~~~• ~ 4nan I;FIt~K 555 ~ g~' Sys, o0 YE M COMMUNITY SCHOOLS o~aCo~ l9aoal . BY ~~"~ ~ ; ~ , ~~ ~ - - 'eY.:s rf1N ~.. _ 3 ' ~ » ~ ~ { ~ _ '~ Iwo{- ~ ~ = fi3 s r ~'1 t r - rr }~fc~- • in~ ry ~ ••!!'~//~' ° 7`i ~ }~'}( '~ ~ '} ~~ ~` f~ ~ ~ `~ ("~ Y I-i ~1~ ~ ~ v ' 1 3. a~ i• ~ `~" +f :J i ~ ~ if ~ ~ `~ 4~ `.J it ~ :, ~ ~~ ~i ti~ a._ ~ ~ a~. a1 `.i ~ ~ i~ ~ ~~E c~ ~ti ~~~~~~ ~'~? ~~~~~ u~i E REC. N0. A1~9CUNT REQ. N~. ,... ? 7 ; ~ t`+ r 7 ~y fTl ;~ ~ i ~ "3 #'i i . ~ rt 'A ~ i ~ r r T f ~, n ~s e .: b ~ . i ~.y , .j ~ ~ ,. ~,{ dwi ~1 r ti `\ ~T1r~ ~~ // ~' i 3'r ~ -~ ',. ~ T f - r t s ~ 1 _ of ~ ~.. { e}.~ . ~ r T ' s ~. '~` e - ~ Ta r.~ • 1 J t ~ ~ d !~ 1 3 ... ..' .~' r ti .< ~ 1~ -.1 !+ ~.. U - _ r i ~ ~' rq ' i ~ t..i ,w i 1 1 i l'i ~ ~ i, _ >. ,~ j a. I.Ls i. ;~ a'. a` .'~ 1 ~. ~ ~ 3 ~ r, ~' ~: td' y.' '°~ ,~ ~ .~ ; '~ ~' i ~ ..' ~ ~ ~ / ~! i. ~ i .1 ~ '.~ ~ ~ 1 ~ ! ~ ~ i ~ Y~ ~`~ ''..~ ~ ~3~ ~ ~~ L.J ~f '# ~° ~ ~ ~ L= ~ "~'~ ~ ~ ; ~ F ~ ``, ~ °'± 4.,) _ a s _ ~ q ~~ `r 3 - -- -. _ ,~~~_.___.__ _....r__._._._ ___.~.._....._ _._..,.,...._.._.~..~._._....._._~... ~' i r - ~ ~4I / _.._...._..__...._. __._._._----_ ~..~.~.___.r..___~.._...~._. _._._ __. __. _._-.~..__.__.. ---.__.__ _...______._._._. ~ ¢ ~~~ ~ l I ~_ ~ ! rr sir • 3~ ~Y~i,~"'~"~~,, Y~i rte', ~1J+JV' f 3~~ ~f ~~~gjJ ~?1a~ iJV`~- ~vl~'~``~t1 ', ~ :;:tic.?.~.=r l Y i I f ~ s ' ~ g 1 1 ~. ~ n ~ i i a '.~ iJ '~~ S S ~ a. ~ ~ A i ~ f1 ~ ~ ~ S.; . ~ ~ i ti ~ . i. a z .. E.~ Lt ~~ L1 ~ # :.' \.' 1.3 J~ i . E ', ~# I i 4 r~ u; ~ i -~ , S t i~ ~ ~ l.^ ~ L # i 1.,.7 f -•1 ("4 ~; _ ~~ ~hl C i`i~,C. iy~. t I~~V~ti.`vi•~T ~C.. ~jr...:. I E! L~ .- ty ~ L ~. a 1.`~ L .a :' _ ,..r ,-, ..r .~ ~r ~ .ES _ - °' y. {~ % f .~ ~ f d ~j ~ ~ ~~f ~% j' ^! G .1 ~_ ,~ ;.~ i` ~ ~ °~ ~ ~ F s '; 'r }55`J, r' . 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L a .- ~ a . - _ . ~. f ~ -_ • 4 , f l~ - ~ - _i ~_ _1 1 -., 1 .. 1 ~ Y ~ L ~' a.. i. 1 .. s ~s ~Y.' ~.' L 1'`= +.. "1 !". '1 '~ ~ ~. f 4 irik~ ~ .r !~ !"R ~1, 4~ ~~ ,T~ ~ 4. ..} Y i.i ~ ~ V ~. ~ S_a •. • s 1 - L . ~ ~ l~ .. 1. ~- ~ i ~ ~ s ,~ l ~-r ~ ~` t.. ~. '~ /', ~ - 1 -'7 ~- tj 1 ~ ~ s+ .~ L ` !~ L - - - ~ ~' ~3 n ~- r dui" `~,~. <+ < .. ----------- '. i- - ~. i ; ~ z - _ , ~'. - - --- F _ - 'S~ r i City of Yelm Permit Fees Schedule Community Development Department Permit No: BLD-05-0360-YL Building Division Phone: (360) 458-8407 MlASNIN070N Fax: (360) 458-3144 Applicantw Name: Evergreen State Builders Phone: 253.475.6622 Address: P.O. Box 39753 City: Lakewood State: WA tip 95499 Pr©ject lnforma#ion Project: Buckhorn Estates Description of Work: 216112 SFR, Lot 19 Site Address: 14936 89th Ave. SE Assessor Parcel No. 37540001900 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 1,539.75 993.75 546.00 5.6000 97.5000 $1,000 Building Plan Review 100 001-345-83-00 650.54 0.00 0.00 0.0000 0.0000 Mechanical Permit 032 001-322-10-00 78.25 0.00 0.00 0.0000 0.0000 Plumbing Permit 032 001-322-10-00 118.00 20.00 98.00 7.0000 14.0000 Fixture Sewer ERU 802 412-343-50-01 5,417.00 0.00 5,417.00 5,417.0000 1.0000 ERU Sewer Inspection 805 412-343-80-00 145.00 0.00 145.00 145.0000 1.0000 ERU Water ERU 715 401-343-80-02 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 Sewer Deposit 742 402-389-01-00 50.00 50.00 0.00 0.0000 0.0000 Traffic Facilities Charge 420120-345-85-00 757.50 0.00 757.50 750.0000 1.0100 Peak PM Trip State Building Fee 160 001-386-00-00 4.50 4.50 0.00 0.0000 0.0000 TOTAL FEES: $10,600.54 crr~r of YELM tESIQENTIAL BUILDING PERMIT Ap'Pt.'" ~.rIC?N I~ORN~ Project Address.~'~ -- ~ , .~~' ~~' #; Subdivision: ~~ 1~,, Lot #. Zonm , , New Cans#ructlon U Re~Model 1 Re~Roaf l Addition u Home C~ccupatian Si n ~ Plumbing ~ Mechanical u Mobile M 9 ! anufactured Home Placement U gther Project Descriptionl5cope of Work: y ~ ,~ Project value: 3 Building Area tsq. ft} 1 ~ Flaor~/ / J 2"~ Floorr~~' Gar e ~ De ~~ ag ~~ ck Basement Carpart~Patio~~~. # Bedrooms # 8athraoms Z ' ~ Heatin : GA qTH ' ..~._. ER or Ek.ECTRIC ~C~rcle Ones Are there any environmentally sensitive areas located on the parcel? If es, a carnpleted environmental checklist must accom an e y p y p rmit application. GENERAL CgNTRAGTgR TELEPHgNE ADDRESS EMAIL CITY ~„STATEZIp ~'AX CgNTRACTO~TS LICENSE # .~ P DATE~CITY LICENSE # PLUMBING CgNTRAt~TgR ~. . ~ TELEPNgNE~'~5~..~.~~ ~~~.~ ADDRESS / ... ~~ ~ - ~.~°~" -° EMAIL CITY ~.~„~STATE GcZIP L~ ~~ FAX ~; . ~ ~- ~_~, CgNTRACTOR'S LICENSE #~ EXP DATE~CITY LICENSE # ~~. - r MECHANICAL CgNTI~ACT R f~/i ~ ~TELEPHC~NE,~'Z:_ ~~~~ ADDRESS ~ ~'~ -~ ~ EMAIL ,' ~~ C Y1TY ..' 1~6%11~R ~ ~ ~,STATEZI P ~ ~C~ ~~ ~? FAX ~' ~ ~ ~ ~ ~ ~ ~ CgNTRACTgP'S LIC~:NSE # EXP DATE~CITY LICENSE # Copy of mitigation agreement with Yelm gar~munity Schools, if applicable. !hereby certify that the above inf`orrnatlon is Correct and that the construction on, and the occupancy and th$ use of the above described property w!N be in accordance with the !ew$, rules and regulations of the State of 1Neahin~tan and the City of Ye1m. •rM.I.wrrrrnrrr~nwMi fir, Applicant's 5ignatur{a Date t~wner 1 Contractor ! Gwner's Agent !Contractor's Agent Please circle one.j Ali permits are non-transferable and will expire if waric authnri~ed by such permit is not begun within 1~o days of is:~uance, or rf work is suspended or abandoned far a period of 1 ~a days 105 YeYm Ar~¢nue i'Yeat (364j 453-383 PQ Box d 7'9 (3G0 j 458-314~f ~`AX Yeim, WA 9859fi wurur.ci.yerm.r~a.~e ARCHITECTl~NGINEER 'Gt n ICENSE # ADDRESS ~v~ ~.D o2 EMAIL CITY ~~~~,,L`gTATE ZIP 8' u TELEPHONE ~ ZS ~ -~ '7Q