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BLD-05-0358
~~ ~? ~N ~~ D~ ~~ o ~; n N `°. ?~ N ~o~ ~~~ ya3 ~~~ ~~ ~. ~~~ ~ ~ co a~ yN ? O?? N~ ~ ~~~ ~, ~~~ ~~o ~° ~ n _. . ~a~ L ~ y. C ~~ `~ O ~a ~~ oan ~~8. '~ _~ ~~ ~~ ~~ ~. ~o _. a co 0 n~~i' 0 rt 0 0 v~ ~, n a O~ N D N a c~ 3 y . . ~o _. a ~' co c~ 3. ~. Z c 3 c~ ~_ 3 z c 3 o~ 00 ~~ ~~ ~~ DZ a3 ~~ N _. a co D a c~ N m m n v ~ z ~ ~ ~ D ~ r m c~ ~ ~ ~ -r o0 c n r n ~ m Z ~ rn n ~ ~ 3 n ~ FROM : YELM SE~JER DEPT. FAX N0. :360-458-8166 Jul. 24 2006 12:00PM P1 O`Ort N~ pp~ a ~ ~ FAX TRANSMISSION x~~~a aN CITY OF YCLM ~ P.O. BOX 479 -- 931 NP ROAD NF.. ~,~ YEI~M, WA 98597 ~ 360-~58-8411 r ~~~ ~ PAX 360-458-8166 TO: G2E cNEN DATE: '7-ay-O(o FAX#: PAGES: ~ ,including this Cover sUeet From: ~qti p y~ Subject: r{pysC FrNA~-/t3ucl~NofN C57. C ~'-~ ~ bb`l' COMMENTS: UDT o2D~ ~~194a. 69"~'~ ,guL-'. 5,C~ ~ oT a i, IY9Y8 d9?~' Au G. 5-~~ ~S ~C~t~~ cc ~~ ~ ~ ' ~ co is not ~e idle, pl~a~e call X360) 4,5~-$~~11 l1 you rho not ~cceive X11 cop~cs or any py ~ a~ soon a5 pt~5s~t~le. CITY OF YELI~1 INSPECTION LOG PROJECT ~j , ~a~ ~' ?~ l 1~~1 ~~Z, PER'~11T NUMBER C7 S' (> ~~~j ADDRESS l ~ J ~(~ ~D 8~j ~ ~ ~ ~~ SET B.aC hS D3te: Front Rear ~S Side Flar~;ine 7- ' Side I FOOTI'~G ~~',~LL D l b•' p g•' other ~J other . --- - J required ~~ents ~- FOOTI'~G REB.~R ~~ ~~1 Date: ~-~ ~~ ~ `~'.~LL REB.aR ~l~ ~ ~ .. ~ Date. 1 ~ rnm mPn1c ~ ~. .. .. .. ~...V CO.~iBi~•ED FRa. iEl ElTER10R S}~E.~R "~.aLL 1~~~'ECTIO~ Hold do~~~ns ~ ~ Shear ~'ailin~; 3~ 2 j 1 Frurne ~ ~, ~~ ..~ ~«_.-.,~..,-~ Gas 'Propane ~ ~ _3( ~ Plurnl~in~ ~,~ Mechanical wtt~Q ~ ~°~ 1 ~„~ Comments f ~ ~ 1 ~~ i~St~L.aTIOti ~ Gas ~ ~ -, _ Flectr~c _ Other Foam and Seal ~ `'~por l,~rrier = p`',.~ Comments S1~EET ROCh~`SHE.aR ~`'.-ALL ~'.aIL Comments OTI~ E R Comments F I :~'.a L Se~~~er Fnal ~ Flectric4l ~ Ci~~il Final ~ Lan~sca e Fin:~l ~ ~ p _ Ccf0 ~.. .-address ~ lnsul3tic~n ~ Site Dr~inuce ~ Side«~311; Cc~mn~ents NEW CONSTRUCTION WATER INgpECTION DATE: 7 ~'7 if I O y DEVELOPMENT: C~ LOT# ~ ~ K LOT#~ Q~ LOT# City of Yelm C D I D 07 City: Lakewood ommunity eve opment epartment Community Development Department Building Division Building Division Phone:~360)458-84 Phone: (360) 458-84 Fax: (360)458-3144 ~, Fax: (360} 458-3144 w~sw~wo+ow WAiMINCTOM ~~IC811t: Applicant: Name: Evergreen State Builders Name: Evergreen State Builders Address: P.O. Box 39753 Address: P.O. Box 39753 Property Information: Site Address: 14948 89th Ave. SE Assessor Parcel No. 37540002100 Cantra~tor In~ormatian: Name: Evergreen State Builders Address: P.O. Box 39753 Contractor License No: EVERGS6980PB Project nforrna~on Project: Buckhorn Estates Description of Work: 167512 SFR, Lot 21 Permit No: BLD-05-0358-YL Issue Date: 1012512005 (Work must be started within 180 days) Receipt No: 38780 Phone: 253-475-6622 State: WA Zip 98499 Subdivision: Buckhorn Estates Contact: McCullem, Tom City: Lakewood Expires: 10102!06275 Sq. Ft. per floor: (1st) 908 (2nd) 767 (3rd) 0 Garage 413 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 Traffic Facilities Charge Sewer Deposit State Building Fee TOTAL FEES: Item Fee Base Amt Unit Fee Unit Rate 1, 304.55 993.75 310.80 5.6000 551.17 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 757.50 0.00 757.50 750.0000 50.00 50.00 0.00 0.0000 4.50 4.50 0.00 0.0000 $10,265.97 Lot: 21 Phone: 253-475-6622 State: WA Zip: 98499 Business License: 1042.0 Basement 0 No. Units Unit Desc 55.5000 $1,000 0.0000 0.0000 14.0000 Fixture 1.0000 ERU 1.0000 ERU 1.0000 ERU 0.0000 0.0000 1.0100 Peak PM Trip 0.0000 0.0000 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 State of Washington. Signature ~~~ . ~~ .. Date~,~"'~ '` ~-. /r Firm ~~~`~ OFFICIAL USE ON.Y # Sets of Prints: :Final Inspection:.:.. Date: By: City of Yelm Community Development Department ~,/ ~~ Building Division Phone: (360) 458-84 w..«~,~« Fax: (360) 458-3144 Applicant; Name: Evergreen State Builders Address: P.O. Box 39753 Prate lntorma~on: Project: Buckhorn Estates Description of Work: 167512 SFR, Lot 21 07 City: Lakewood Permit Fees Schedule Permit No: BLD-05-0358-YL Phone: 253475.6622 State: WA Zip 98499 Site Address: 14948 89th Ave. SE Assessor Parcel No. 37540002100 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 1,304.55 993.75 310.80 5.6000 55.5000 $1,000 Building Plan Review 100 001-345-83-00 551.17 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 Traffic Facilities Charge 420120-345-85-00 757.50 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 TOTAL FEES: 610,265.97 ' ~ -'~ a~ ~ _ ~ . 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'/ `+ ~' ~ ..c i.i ~ ~. 1.- `-'~. - f ~~• ~-'~ i. _ ~~~ ~ ~ *^ 1 i ~ ~ „°~ ' T ,~ _9;'s tj °Ti ;-~ ' r _ ~ .-~, g+~ },~ r 1 ~' ~ '• r •"- 't" ,y -. J Y ii "~' ?ti ~a .~.! ,~ l a ~ ~ ~-% ~ ~. ~ is sr 3t ,1 d. Ys} ~ ~ ~ .l ~ y ~ _ ~. ~~ ~ .~ LI ~ s ~ ? tr ~ .,'~ ? ~? ^`-~ ~'i~ ".', . ~. ~~ b ~i sr~ .~. i v tJ . i { ~' j i I ~ 7 i i YELM COMMUNITY SCHOOLS 2 5 5 8 9 LOCAL RECEIPT DATE l 0 - a s ~ o~ o 05 Sttl3 d3- fs3~I6~/1., Received from _ ~ : ~.Q,. ~ o o ~1,~~, ~c 11 ~D~o,~,~ r FOR YY1 '. accouNr coos e„N ~.R ,...... _..__.. ass CASH CHECK o~aCo 19aoaJ ~ ~~l 5 5 s, o 0 YE M COMMUNITY SCHOOLS By 1010312~i05 11: ~1 2543183 CAS RES N~JATDM PAGE 10110 -~I ~ ~o t _ 9 ~ ~ rt f '~ ` o~ c~ ' M w a~ a~ h _ '~ ~ i h 1 I_~~ ~ ~ ~ ~ ~ n r T , y ~ ~~ ~ ~ . YI` ~~ `~yyf ~ ` Q 1 I+ ~. J~~ ~ , Up ` y ~ ~ i h _.. - - f _ _ _~ ~~' BBL -•~ -~ _~.. ~ r.--~- ~ ~~ ~ ~ f 1 ~ uTIL~ C~MT. ~, ~ ~ ~~t~ AVE. ~E I -,.~ -~~- ~` { +r ii4r~~ ~ 'i ~ ~ ~/ ~,r~.~s.rwrwwr+ lNAix~»+'~*~' ~~~ v~~ ~~ ~l~~T ~ ~ 2a~~ ~~1~~ADE r~E~iaE~vTi,~~_ C~E~~~N~ ~~~. ~~ 14848 88th AVENUE SOUTI~F„~-.5T ~oN ~o~, wA eC~l~/ ~A~CELNO. s~s4ooa~ioo OCT 1 0~ 2005 nor z~ EVERGREEN STATE BUILDERS BIICRf{ORN ASTATES THIS ~J~4WIN(i 15 BASF ON Ct.ll~,hlT-PRf1V~~Eh II~IFb~M1ATIDIV RF.PRfS~h1TF(} TO ~E ACCURATE. ANb kEi.iAAI.K. Ah~Y ~}ISCREPANf:IF~ ~~TWEFh1 Twla I~aAWItJC ANb TIdF A~T~I~L SIZE C4NDITIOh#S ~~(: THE. ~ ALE R~;PON;IAII_I1Y OF T~I~ ~LIF.MT, c~TY o~ YELM °°~SIDENTIAL BI~ILDIHG PERMIT APPLI'IQN FORM protect Address.~',~l ~ ~,~ ~~ Z Subdivision: ~- ~, . ~ ~ ~ Lot g New C~anstructian U Re-Model ! ~e-Roof 1 Addition u Home C}ccupation Sign U Plumbing U Mechanical U Mobile 1 Manufactured Home Placement U Other Project Description/Scope of Work. ~ , ~ project Value: ~~ Building Area esq. ~} 1~ Floor ©~ ~'~ Flour Gar e ~.,,~~~ ag Deck ~~~~ Basement CarportPatio Z/~~ # Bedrooms,,,,, # Bathranms ` ' •~ Heatin : GA THER ar ELECTRI i 9 C ~C rcle One} Are there any environmentally sensitive areas located on the parcel? If yes, a completed enviranmer~tal checklist must accompany permit application. BUILDING OWNER NAME: ADDR SS ,.~j.S-° ~~ CITY ~ ~ STATE ARCHITECT NGINEE~t , ~~ ADDRESS ~ ~ CITY STATE EMAIL Z!P _._ _TELEPHONE SIP LICENSE # EMAIL TELEPHONE C - -_ TOR ~,~~:~. _~~,..TELEPHONE ADDRESS EMAIL CITY _,STATE,ZIP FAX CONTRACTOR'S LICENSE #_ _.~~.,~~~~~' DATE~CITY LICENSE #, PLUMBING CONTRACTOR ~ , n TELEPHONE~_ _?~...~ ~~~ ADDRESS I ~ ~ 1 ~ EMAIL ...W..... ^..._ CITY ,~ ,_,~STATE~IP ~~ FAX ~ 5° - ~ CONTRACTOR'S LICENSE # EXP DATE~,CITY LICENSE #_-- MECHANICAL ~ONTI~-CT R ~f~/ ~ ,~ ~ TELEPHONE ~,~ ~_ ...,~ ~- ~ ADDRESS_~ ~~7 f~ ~ /~' EMAIL i (-~ ~~~' CITY m ICY „,~~,STATEZI P 9' ~C~ .~~" ~ FAX ~'~~ ~' ~ ~ ~ ~'. ~ ~ ., ONTRACTOR'S LICENSE #,,,~„ _ EXP tiATE_-__---CITY LICENSE # ._„~ Copy of mitigation agreement with Yelm Community Schools, if applicable. i hereby certify that the above information is Correct snd that the construction on, and the occupancy and the use of the above described property wifi be in accortlance with the iaws, rules and regulations of the State of Washington and the City of Ye1m, e Applicant's Signatur+~ C,~wner t Contractor ! t7wner's Agent ! Contractor~a Agent ~~/~. ~~~ Data Please circle one. Ali permits are non-transferable and will expire if work authorized by such permit is nat begun within 1~0 days of is:~uance, or i1` work is suspended ar abantloned for a period ofi 1 ~0 days ~"7~ ID5 Yetm Acrenue Weet (36a) d59-3835 PD 13ox d79 (360) d88-3Ydd FAX Yeim, WA 9859fi wurw.ci.ye~m,wo.ue