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BLD-05-0357F a _ _ ~~ ~ z .'a$- ". ~"~ g _~ a __ ~I[~-~+~F ga~G-~ I ~ ~ ' ~~ _ i~ ~_t °_ ~~ F 's ¥ ~`~ '' F - ~= ___- ~~ ~_ :~- .f° ~' ~ s a ~_ f~~~ 3~ W Q ~ a a ~ a. o o 0 z ~ Q ~ U ~ ~ m F= ~ W ~ (,~ W J ~ a ~ ~ o W ~ ° U W r N .a Q C '~ .~ m N ~ ~ ~~ ZQ W A 33 00 N Ii L E Z a a~ .o Z c= C a v~ C '~ .~ m iri Y L U a c N t0 a~ Q vi c O O U N U a O O N e- C ai 0 c 0 c~ U C~ N ~U 0 rn .~ m ~ ~ ~ ~ Q ~ L = i U `- ._ ~ U U~o UN i•+ '0 r C 0 71 ~U ~ .N ~~ ~ ~v ~ '~ U om~ ~~~ ~~~ ~ c~ ~o~ ~ °'rn ~~~o rNti 3~c ~, ~ c~ U ~~ ~~N ~~ .a ~ ~- o~ ~ a, ~ .c ,oo ~ '`~ ~ U ~' o 0 ~ ~~ ~U ~Q ~~ ~~ r~ ~- -_".. i `_. ~r~ ~ Ems'-Y4'#, ~~-i. - _- ~-X~ E '~. __ r c = ._ "z~~= =•~ ~~__ -: r -~ Qom= ;- ~~~ j ~-. ,~a ;~.~ } ~- ~. :~= _- -~~. ~.s :~ .r ~~ ~~a --. .~~ _.: -~- ~~ :~-~- :~- _~~:. -~;. ~. II_ _:f FROM :YELM SEWER DEPT. ~~ TEL p ~~. ~~~ a M ~L ww+uuo~w~ FAX N0. :360-458-8166 May. 12 2006 84:03PM P1 F.AX TRANSMISSION CITY OF YELM P.O. BOJ{ 479 - 931 NP ROAD NE YELM, WA 98597 ~ , 360-458-8411 C ~(Z~ FAX 360-458-8166 ~, TO: G-12E~NEn) DATE: 5-Ja o6 FAX#: PAGES: 1 ,including this Cover sheet From: ~l~,uDY Subject: HousE F~~A~.S L~~ i ~~ ~~~ COMMENTS: 13uc-KFIoRN Gs. t_ai J e~ /4930 ~~' A~~. S.E. gu(zP1~t1 ~~ L.oT 9~ ~v~7~ `d 9~' qua. 5. ~ . ** li' ou do ~~1 r~ceiv~ alb co ies ~~ any ~~~py is r~~t l~~i~le, p~~~~ call ~3f ~) 458»841 ~ Y ~ as soon as E~ossi ~, ~r~,5~ t-3ax -rte r.,~+~~ «~~ ~b Y~~ CITY OF YELI~1 I\SPECTION LOG PROJECT Z5~ PER.'~91T'~l'!~1IIER d~ ~ ~ ~~7 SET B.~CtiS D~te: Front .~ Rear ~~ ~l~e Fl~r.~,lne ~' e l ~ FOOT}~G '~~'.~LL l ?'' ~ b•' } 6" ~ s., J ~t~ leT :J ~ ~~et regLiTe~ ~ ents fO0T1~CREB.~R ~: D~1e: I1~~y ti~'.aLLREB.aR ..P. D~~.. rnni mon!c CO~IBI~ED FR~~IEI EITER}OR ~}JE.~R ~`~.aLL I~~f ECT10~ N~1~ c~o~~ns ~ ~~e~T'~~ilir,~ - ._ FT~re ~ - Gas ~Prc~r one ~ PILr CC~nli'1P^' .. ~ .+,.S ... ,.s legit-,e -, ~~l~;~T Fc~~~~ ~n~ ~e~l `~ ~'~t ~ t ~'~`TieT r`'.~ C~r~~. ents ~}} EET ROC}~'c}{E.aR "'.ALL ~'.~I L Cc~;r~e^ts OTI{ER CC~f~I"1e',',s F1~',ai, ,J ~e1~eT F:r,::l ~ EleetTic;:l `~ Cis i1 Fin~1 .. L::r,~~c~-,A ;.. , ,_, , f, .~~ ~Te« ~ lr,sulnti~n 'J ~i.e Dll~ii`l~re ~ ~i~,~ti;:"1; ,,-- Ccn~mer,ts ~~~~ ~~,~ ~ ~ ~n~7 o~ T~ ~~~ C i of Ye I m ~Y ~~ Community Development Department Building Division. Phone: (360) 458-8407 L Fax: (360) 458-3144 WAENINGTON Ap~(icant: Name: Evergreen State Builders Address: P.O. Box 39753 City: Lakewood Permit No: BLD-05-0351-YL Issue Date: 1011912005 (Work must be started within 180 days) Receipt No: 38663 Phone: 253.475.6622 State: WA Zip 98499 Property In~orrnation Site Address: 14930 89th Ave. SE Assessor Parcel No. 37540001800 Subdivision: Buckhorn Estates Lot: 18 Contactor 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: EVERGSB980P6 Expires: 10102106275 Business License: Project. Infiormation: Project: Buckhorn Estates Description of Work: 2502S126 SFR, Lot 18 Sq. Ft. per floor: (1st) 1034 (2nd) 1467 (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 Traffic Facilities Charge Sewer Deposit State Building Fee TOTAL FEES: Item Fee Base Amt Unit Fee 1,676.95 993.75 683.20 708.51 0.00 0.00 78.25 0.00 0.00 132.00 20.00 112.00 5,417.00 0.00 5,417.00 145.00 0.00 145.00 1, 500.00 0.00 1, 500.00 300.00 300.00 0.00 40.00 40.00 0.00 757.50 0.00 757.50 50.00 50.00 0.00 4.50 4.50 0.00 $10,809.71 Garage 461 Basement 0 Unit Rate No. Units Unit Desc 5.6000 122.0000 $1, 000 o.oooo o.aooo 0.0000 0.0000 7.0000 16.0000 Fixture 5,417.0000 1.0000 ERU 145.0000 1.0000 ERU 1, 500.0000 1.0000 ERU 0.0000 0.0000 0.0000 0.0000 750.0000 1.0100 Peak PM Trip 0.0000 0.0000 0.0000 0.0000 Applicant's Affadavt: I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm regulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I futher certify that I am currently registered in the State of Washington. Signature Date ~~~~~~~` Firm tJFFICIAL USE 4N~Y ~1 # Sets of Prints: 'I~ ~ina1 Inspection; Date:' ey: ~~~~f~~ -~~~ ITS ~ F ~~ S I [ ~' '~ . i~~ ~~ !~ '~~LI~ o. Dix 479 ~'el~, ~~~ 98597 E~Ei~T ~~. ~~~~~. ~~~~2 36L-45$-8403 ti:A 3r;INi:T01: '-.~~''~~; C ~- * * * `TEN THOUSAND ONE HUNDRED P`Tt T~ SEVEN DOLLARS Sc 46 CENTS RECEI~jED FROM DATE REC. NO. AMOUNT EVERGREEN STATE BUILDERS 10/19/05 38661 1®,157.46 CHECK P.O. BOX 39753 LAKE~k~00D WA 98499 BUDGETARY BLD-05-0355-YL LOT 16 REF. ~CJ7 PEN PERMIT1223.35,PLAN516.86,MECH78.25,FLUM125,SERERU5417,00,SEWINSP145,WTERUI WTt~ET300. , WTDEP40. , TRAFF757.50, fiE~~rDEPS@. , STAT4. 5@ ~~ ®`~~~~ ~~~ k ' tv f ``, ~'~ ~ CITY ~F ~~~~ P O. aox 479 ~'~Im. Y'UA 98597 ~~~, 'A'F :-MiNa'.T04' 360-458-403 t- ! -- ~ t. ~~"1r i~ v ~! '.~. E tl~ L V RECEIPT No. 3 8 6 6 2 ****TEN THOUSAND SIX HUI~'DRED FIVE DOLLARS & 8$ CENTS RECEIVED FROM DATE REC. N0. AMOUNT EVERGREEN STATE BUILDERS ~Y.~!19/05 38662 10,605.88 CHECK P.O. BOX 39753 LAKEWOOD WA 98499 BUDGETARY BLD-05-0356-YL LOT 17 REF. f C%~~}~ PEN PERMIT1533.31,PLAN647.8`,~~~£CH78.75,PLUM132.@@,SE~~~INSP145.00,WTERUIS@0.@@ WTMET300,,WTDEP40.,TRAFF757,50,SEWDEP50.00,ST4.50,SEWERU5417.00 ~..... _ ~_ _ - _- _ - __. _~.._..__ _...__ _.._ ~. _.. ~..__._..~. _. ~. _..~.._.__ _..... _.._.,....~. r..__ _.__ ~.__._...__. _...._._._..~. _. -~ ,.._..,..~. _._. __. ~. w _.. _..~ _ _ ._ _._ _._...__ -_ __ ~.. _._ ._.. ~ __..,._.. __. ~. i °~~~~~~`' CITY (~~ ~~~. ~,~~ ~LI~I a 0. t~cx 479 Y~I~,1~~VA 98597 ~~~ ~. ~ V ~ ~1 ~ 360-458-8403 wa~:wiN~row ~~c~EIS~IED ****TEN THOUSAND EIGHT HUNDRED NINE i-4LLARS ~~ 71 CENTS RECEIVED FROM DATE REC. N0. AMOUNT REF. l~s EVERGREEN STATE BUILDERS 10/19/05 38663 10,809.71 CHECK PEA t P.O. BOX 39753 LAKEWOOD 'rdA 98499 BUDGETARY BLD-05-0357-YL LOT 18 ~~. ~- MICHELLE PERI'~iIT1b76.95, PLAN708. 51,MECH7£i, 25, PLUM132.Oa, SEWER5417. , SE~r~Ih8P145, WTEFUI tr~~,~t.,m~~~r~ t.rmn~nn~ m~ntr+r~~~ G~ ~~'G.IT1S~'D~GI ~hA ~Td 5~ Ye 1 m Community Schoo 1 s Po Box 47fi Ye 1 m , WA 98597 Clerk; Croy Terminal; 1 Rece i t ; 7fia9 Manua Receipt ; EVERGREEN DISTRICT OFFICE EVERGREEN STATE, BUILDING LLC 1 ai 15/70x5 1 a ; 29 AM Qty Item Price 1 CPF15a0 1 a2fio , as MITIGATION BUCKHORN ESTATES LOTS 3, 4, B,16,17,'18 Subtota 1; 1 a~s6 , as Tax ; 0 , o0 Tot a ~ ; 1 also , ao Check 1 a~so . 0a 1 aoss Amount Due ; a , a0 16163 2685 11:21 25`2843183 CAS RES h~~~. TDM PAGE ~?11 ~ ~~.~a' +~~~ ~ .~-,., ,... , i IIJJ ri, ,PLAt.1.0 ~E~~.1N ~~' ~~~L aECK Acv, L •I `~ J j R ( , ~ lYJ td ~ ~ ~ ~ ~ z r~ ~~ .MAI FI_ ~RI~IEUV~IY ~ ~~ ~ ~, ~ ~ 14830 89th R,VENLtE SOL {ST Receive mHiT,~SfiON GQLTN'I'Y, W.A ~~xc~ pro. ~zs~ooay~oo OCT 1 0 2005 LOT 18 EVERGREEN STATE BUILDERS auc~oarrnsTnrss $9th AVE. S~ C'~"~ JI~~ ~LhiN CUL~QF SAG RegdadY Dplp~ InG ~' NaI2TN ~ 20Q5 CASCADE RE5IDENTII.IL. bESIGN, iNC_ ~aL~ J" Z0~ THIS DRAWIMf~ ~, F~ASF.D ON i:I,IENT-PRDVIbEb INrnA~fATfbN RF.PRF~f~ITl:b T~ HF hC~UfiASE ANA RFI.IARI.F~ I~IJ'1 oi~cr~~rANCIE$ gEtWEF,hI Thy, E~RA4Y1N0 ANR TIC AC~'iJAI SITE' C4hlbl'tI~NS ARF. THE :¢hI,F ~7~5PdN51RII,I7Y bF THE CLIENT. CITY CAF YELL RESIQENTIAL St11t.QING PERMIT APPL"`~.TIC~N Ft7RM . ~ ,~~ Proyect Address:,~~ ~ v' I Subdivision. ~- ~,.. ~ ~ D Lot #. Zonm , ~ _ g New Construction U Re~Model ! Re~Roaf t Addition u Home Occupation Sign U Plumbing U Nlechanicai U Mobile l Manufactured Home Placement U Other Prv~ect Descriptionl5cope of Work: ~ ,~ ~ L~ Project Value:~~~,10,~~~ Building Area esq. ft~ ~ ~` Floor~,~~ ~'~ Floor,~~. D~ Garage ~ Deck ~g ~1~ Basement CarportPatio # Bedroams~ # Bathroarns 3 Heatin . GA OTHER or ELECT ' RIC Circle Ones Are there any environmentally sensitive areas located on the parcel? If yes, a completed environmental checklist must accompany perr~it application. GENEFZAI. CONTRAGTOR~~,~i~. ~ DWI~~~ TELEPHONE ADDRESS " - .-.. r1YrWYWrt Y~YYr~Y.11Y~Y.Y~YinY ,_~EMAIL ....~I ,f^~~~ CITY _STATE~ZI P FAX CaNTRACTaR~s LICENSE # ~~~.~ ~.xP ~ATE~,CITY uCENSE # PLUMBING CONTRACTOR ~~ ~ ADDRESS I ~~ ~,~~, ~' CITY //~,Ty STATE ~Cd,.r~ SIP rr r if - u . rwn. .,.~.rr.YrY„~, CONTRACTOR'S LICENSE # r~~~ I I„II~YiWW~YYiYYY EMAIL IR.~.IYYY~YY I ~~ ~~~ FAX ..~".~ ~' - ~' ~ ~~ 111 ~,Y~YiYI~ i YrY1YrrYYI~~~~ EXP DATE~,CITY LICENSE # -_ MECHANICAL CONTRACT R ~f~f ~ ~' ,TELEPHONE ~Z. ~ ~~~ ADDRESS ~.5~7 /~ EMAIL ~ (~ C~ CITY ~ ,~,I~,STATE ~ ~I P ~' ~`G~ S~ ~ FAX ~'.~ ~`,~ ~ ~ -~ /~'~(j~/R/' ~ C.~ ~~~ ~ ~Yr.~YY~1i1 IIYYY~.Y~Y~r.' lrfjlY~r.lY~liWA~YYIYYIM~ CONTRACTOR'S LICI~,NSE # EXP DATE CITY LICENSE # -- - -------- ........I,. Copy of mitigation agreement with Yelm Community Schools, if applicable. !hereby certffy that the above i~`ormartion is correct and that the construction on, and the occupancy and th$ use of the above described property wiii be in accordance vrith the iallYSt rules and regulations of the State of W89hington and the City of Ye1m. ---- --.__ _ u ~wwrwlwwrwn~+^wM.rrrrrrrrr.rnwnrwrr v G.7 wrr.rrwrrw~.r.~rr Applicant's Signatur~~ pad t~wner I Contractor ! Owrner's Agent !Contractors Agent please circle one. Ali permits are non~t~~ans~erable and will expire if work authorized by such permit is not begun within X80 days of is:~usnce, or "rf work is suspended or abandoned rtor a period of 1 R4 days I05 Yetr» Auenue i~Y~est (36d} 45~-383 PLi $ox d 7'9 (360 ~5B•31' 4~t FAX Yelm, WA 9859?' wwr~.c~.yelm.r~a.ue ARCHITECT/~NGINEER L`Gt ~/,~~ -~~i~/,ICENSE # ADDRESS /v~ ~Q o~ EMAII. CITY ~.1e L~OYI'J~ -STATE Gfi1 ZI~ t~ TELEPHONE ~ ZS ~ -,~ "7Q