BLD-05-0356~~~N
~5~~~ C~~~cl
aj; SQF~
~N ~
c
~~E•. ~~ .
oo~v~~oQ~ ~ ,~
o~ #
v /
tio~ ~
o~'~ /
v
~~~_
_~
=~-
~=
==
`=.__
--~,-~-
-~.
j~_,
_`_£
F
=_=
-~
__-_:_
~~
~-
~"_
~_
~~~~
,-
~~
3
~~~ _
.~_
~-
~r -__~ ~-
--
"_ ~ z
~ ~
it
r
~_-~e_=
~,~
W Q
~ a
~ U
a O
O ~
O
Z ~
~ U
~ ~
m H
1 ~
~ U
W J
~ a
~ ~
o W
~ °
U W
a~
Q
L
o~
N
N
Q
rn
c
._
._
m
N
~ N
ca o
ZQ
a~ ~
cc
33
00
N
N
O
N
C
N
L
Z
a.
V
z
a
rn
c
._
-c
._
m
c~
a~
U
a
c
°
Q
N
°
O
U
to
.~
a~
a
ai
.r
N
L
t0
U
~_
U_
0
rn
.c
._
m
^L, C
W
a'
co
La
U
~ U
C
U°°o
-VN
_ ~
:..~e-
° U ~'
~ ~~
.~
~ ~a >_
-:.
- U
Cm~
o°~
~~~
,a~ ~ U
c °~
° ~~
~•~o
L cL/~ ~
~ ~
.3~c
c~
a~ ~,
~ ~
~ ~ N
.a .n
~~`
U p,~
.~
'`~ ° U
coo
~~~
~Q
~~
.~
~_~
L~
~~
~-
°F
_- ;=
=r
_£t
_,__-
~.~
a--=
_'=_
_~._~
~_
-_ -
-. ~.
=~-=
~.
_~___
~__
-_-_
~,
~n~ t
- .
~~_
~_
_-
~_:
~_
r~
~-~~
~.
__~
~_
_:.
3
~ ~.- ~~
:_ _
FROM :YELM SEWER DEPT.
FAX N0. :360-458-8166 Aug. 81 2006 10:02AM P1
Op THE _
R~ FAX TRA'~TSMISSION
x~yMa ~ CITY OF YEI.M
P.O. BOX 479 - 931 NP ROAD Nl:
YELM, WA 98597
,~ ~~ 360-458-8411
FAX 360-458-8 ] 66
TO: G-f' ~ HCti1 DATE: 5-1- O to
FAX#:
PAGES: 1 ,including this
Cover sheet
From: (Z/a~10 Y
Subject: ~}p11~5~ F~N,q~f3~.eKHo~ ~~
COMMENT'S: poi 17~ ly9a~ ~'L+' ,qUC. 5,~. ~~
1 V
~V
~~
** li' ou d nc~t receive Ali co ies ~o~ ~t~ ca , is rice le i~fe, ~e~~~ cell (~f~~ 45$841 l
y U ~ Y ~Y ~ ~
a~ soon a~ p~ss~ble.
CITY OF YELI~9 INSPECTION LOG
~' PROJECT- ~~Q~ ~~ ~ ZI~~ S
PER.'~~1T `~l'!~~~ER
~S ~ L~~ 1 %e
.~DDRESS_ ~ ~~ L y ~~ ~ ~~~ ~~
SET B.-~C hS D~;e:
Front
Reat ~S~'
~i~eFl~r,~:ir,e
~i~e
FOOTI'~G '~~'.~LL
16 ~ g•'
ether ~ ocher
req~ire~ rents
FOOTI~CREB.aR ~~~ D~~e: ~~--'y tip'
.aLL REB.~R D~~P. ~
..
~,
,~ ,, ~
nni *nAn!c , 1`
_ .. Ada ~
~ ~~
CO~II3I~ED FR.a~1E1 E~ c
TERIOR _ }~E.~R 1`.~LL I~~f EC ~IO~
lcr~ _
Fr~r,e _ .~ ~,~ Gas ~Prc~^~~ ''`
- ~ ne J .~~ ~.~
P1L .n ~ .
- - ~ ~o
C~r~~rle ~S
1 ~ S ~~ ~.aT~o~ ~ Gas -_ , .
G~ 1P`-,! C~l~`T
/ ~ - ~ ~~~
Ce;iz,, ens
S1{EET RaC}~'~I{E.aR ti`'.-ALL ~'.~IL
Ce;~~r~e~;s
OT 1 { E R Cc~tt~,~;~~~s
FI~',aL
Selo er F:r::l ~ Electric;:l `~ Cis it Fig-~:1
• ~ ~.~
.-~~..r~... ~ lnsul~i~~n ~~ Sipe pr~,-~~~,p --~ ~~..aIIQ . ~11\\
_ v
Cc~n~n -er,~s
o~T'~ City of Yelm
,~ Communi Develo ment De artment
tY p p
a
Building Division
Phone: (360) 458-8407
L
WAlMINGTON Fax: (360) 458-3144
Applicant:
Name: Evergreen State Builders
Address: P.O. Box 39753 City: Lakewood
Property Information:
Site Address: .14924 89th Avenue SE
Assessor Parcel No. 37540001700
Subdivision: Buckhorn Estates
Lot: 17
Contractor Information:
Name: Evergreen State Builders Contact: McCullem, Tom Phone: 253-475-6622
Address: P.O. Box 39753 City: Lakewood State: WA Zip: 98499
Contractor License No: EVERGSB980PB Expires: 10!02!06275 Business License: 1042.0
Project Informa~on:
Project: Buckhorn Estates
Description of Work: Plan 2150S12, lot 17
Sq. Ft. per floor: (1st) 888 (2nd) 1262
Heat Type (Electric, Gas, Other): GAS
Fees:
(3rd) 0
Item Item Fee Base Amt Unit Fee
---------------------------
Building Permit 100-500k -----------
1,533.31 -----------
993.75 -----------
539.56
Building Plan Review 647.82 0.00 0.00
Mechanical Permit 78.75 0.00 0.00
Plumbing Permit 132.00 20.00 112.00
Sewer Inspection 145.00 0.00 145.00
Water E RU 1, 500.00 0.00 1, 500.00
Water Meter (SFD) 300.00 300.00 0.00
Water Deposit 40.00 40.00 0.00
Traffic Facilities Charge 757.50 0.00 757.50
Sewer Deposit 50.00 50.00 0.00
State Building Fee 4.50 4.50 0.00
Sewer ERU 5,417.00 0.00 5,417.00
TOTAL FEES: $10,605.88
Applicant's Affadavit
Garage 432 Basement 0
Unit Rate No. Units Unit Desc
-----------
5.6000 -----------
96.3500 -------------
$1, 000
0.0000 0.0000
0.0000 0.0000
7.0000 16.0000 Fixture
145.0000 1.0000 ERU
1, 500.0000 1.0000 E R U
0.0000 0.0000
0.0000 0.0000
750.0000 1.0100 Peak PM Trip
0.0000 0.0000
0.0000 0.0000
5,417.0000 1.0000 ERU
OFFICIAL USE ONLY
I certify that I have read and examined the information contained within the application and know the same
to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of ~ Sets of Prints:
Yelm regulations including those governing zoning and land subdivision, and in addition, all covenants, -"'
easements and restrictions of record. If applying as a contractor, I futher certify that I am currently
registered in the State of Washington. Finn! Inspection:
Date: ~ ~
Signature Date ~•~ ••~
Firm By.
~'s~'
Permit No: BLD-05-0356-YL
Issue Date: 1011912005
(Work must be started within 180 days)
Receipt No: 38662
Phone: 253-475-6622
State: WA Zip 98499
.~~~ TfiF~~ ~~.
~~ ~
~~: 3~
~ ~ ~~~
O. fox 479 Q ~~
WA~;;.N1.T 01:
T ~-,~
~_
~.' Fr . i
~~_~..L'ir ~V
1
**'~~`TEN THOUSAND ONE HUNDRED Fltm~ SEVEN DOLLARS « 46 CENTS
nECE~`k~Eu FROM DATE REC. NO. AMO~~T
REF.
~~/J! PE
PERMIT1223.35,PLAN516.86,t4iECH78.25,PLUM125,SERERU5417.@@, SEWINSP145,WTERU~
WT~~ET30@.,WTDEP40.,TRAFF757.5@,SE~~yDEP50.,STAT4,50
EVERGREEN STATE BUILDERS 1@/19/@5 38661 1@,157.46 CHECK
P.O. BOX 39753
LAKEi~€OOD WA 98499 BUDGETARY
BLD-05-0355-YL
LOT 16
~ ~~~~
~~ .~
CITY ~
~i
~~
'
O. ~vx 4
~
E,,,~ ~
~~LI~
1k'T ci!iiY L. Y.^. ft' JAG-45~-~~+~v
REF.
~~~~
PEA
PERt~~IT1533.31,PLAN647.82,t~~ECH78.75,PLUM132.00,SEWINSP145.00,WTERUIS@@.~i@
WTMET300.,WTDEP4@.,TRAFF757.50,SEWDEP50.@0,ST4.5@,SEWERU5417.00
RECEIPT No. 3 8 6 6 2
i ~ !-- € ~- - F- I
****TEN THOUSAND SIX HUNDRED FIVE DOLLARS ~ 8$ CENTS
E
RECE~ t`ED FROM OATS REC: X10. AMOJ~T
EVERGREEN STATE BUILDERS ~r~;~.9/@5 38662 10,605.88 CHECK
P.O. BOX 39753
LAKEWOOD VGA 98499 BUDGETARY
BLD-@5-@356-YL
~,O T 17
~~ ~,~ ~~~~~~
; CITY ~F
~~~,
iv~lil~ ~TfA ~/~~Jf
~~ 350-4~~-843
RECEIPT No. 3 8 6 6 3
~~ ~ ~ ~~
F~~ 1 ~-€
~`i~~~
* ~` * `TEN THOUSAND EIGHT HUNDRED NINE DGLLARS ~~ 71 CENTS
RECEiI~'ED FROM DATE REC. NO. A~~JIOJ~T
EVERGREEN STATE BUILDERS 10/19/05 38663 10,8@9.71 CHECK
F.O. BOX 39753
LAKEWOOD ~A~A 98499 BUDGETARY
BLD-05-0357-YL
LOT 18
REF.
~vs,
~'E~
~--
MICHELLE
PERI~~iIm1676.95, PLAN708. 51,MECH78.25, PLUt~132.04, SEWER54:~ i . , S3Eti{~1NSP145, ~~TERU:
t.a~~:t~m~,~r~ i.aT'Z~~nr~ m~n~r~~G~ G~ ~~'Wil~'.D~lh rl-Or ~Td ~Of
Ye 1 m Community Schoo 1 s
Po Box 476
Yelm, WA 98597
Clerk; Croy
Terminal; 1
Rece i t ; 7609
Manua Receipt ;
EVERGREEN
DISTRICT OFFICE
EVERGREEN STATE, BUILDING LLC
10/ 1512005 10 ; 29 AM
Q~ Item Price
1 CPF2900 10266 , 00
MITIGATION
BUCKHORN ESTATES LOTS 3, 4, 5,16,17,18
Subt ota 1; 10766 , 00
Tax; 0,00
Total ; 10266.00
Check 10266 , 00
10566
Amount Due ; 0 , 00
10~03f2005 11:21 2532843183 CAS RES NI~AF TDM PAGE 0610
~~ w.
Ly
...ice
f ~~~!
Rmtl eu~MC ~ ~ ~~ ~~ ~N CENTER OF
cup ~ sAC NORTH
~ 2005 CASCADE RESIbENTIAI., fJESfGN, iNC. SCALE I° ~~'
LOT 11
BUC~'fiORN ASTATES
14924 $9th AVE~~TET,~ SOITST
'~iURS~'~N CDIT.N7.'Y. WA F~ ~iC~i I V ~i
~ARC~ NO.3?4000 ~~00
60.00'
6~ 40'-
PA 10
DECff A@V
l
+a / ~~
~~ FLAN 21505/2 ~
o! ~
NI IC
~ r
J~
m
+ m PO C!i -~•~•.r~
1 `~
~~~' ~
~~ L
l ~~~ ^^J
^ k
m 1
~~~
~~ ~ ~
ocr 10 2005
~ ~~
L ~, ~
.~~ ~.r'
"'~ ~~ { j +
~'d,
89th AVE. SE
(:F I.~T~R ~F
THis QRAwfNt# r5 BASFR pti ~LI~rrT-PRnvm~~ I+Jf•bar~arioN aF~~z~.^.,FNTEb r~ eE nrr.~l~ATI:
ANA Rf.I.iApIF~ ANY DISCi~I;~A~lGIE~ BF.TWEFN THI:; hR4WINt1 ANA THE A~TiiAf. 51TE C4NDITI(1~,r,
ARE THE 4t~1,(' RFaPDN51RILITY nF ?N~ GUENT,
CITY OF YELM
.xRESIDENTIAL BUILDING PERMIT APPL `~"~ TIGN FARM
Pra'ec ~ a ~~ '~
t t Address;~~ y a ~~'~ S~ #; a
Subdivision: ~~- ' ~
~ Lot #. Zanin ,
9
New Cgnstruction ~ Re~Model ! Re-Roof !Addition U Home Occupation Sign
U Plumbing U Mechanical U Mobile !Manufactured Home Placement u Olher
Pro~ect s i
De cr t~onl5co e of Work. ~~~~
~ P R ~ S~
Project Value~~ ~ ~
Building Area (sq. ft) 1 ~ Fioor ~~ Zhd Ffoor/z 6 Z_~arage _~Z. peck 6'a
Basement Carport Patio
# Bedrooms .~~ # Bathrooms 3 Heatin . GA OTHER or ELECTRIC (Circle One)
ARCHITECT/~NGINEER Gt C, ICENSE #
ADDRESS ~~~ S.~ 02 EMAIL
CITY ~Ce ~D~yrlG~ STATE LL-~_ZI~ a TELEPHONE C Z8~' 2. -,~ '7Q
GENERAL CUNTRAC~TOR r~ r~',~.~t ~1~~r.~~~~,.TELEPHONE
ADDRESS EMAIL
CITY _STATEZI P FAX
CONTRACTOR'S LICENSE #_~'~. ~~~EXP DATE~CITY LICENSE #
PLUMBING CONTRACTOR G ~ TELEPHONE~~_~.~~ ~.~ ~~ ~
ADDRESS ~ ~ ~- ~~ ~- EMAIL
CITY ~~ STATE C~:.,~ ZIP ~ FAX ~ ~~ ~~~ -- ~"~~~
CONTRACTOR'S LICENSE # _______ EXP DATE„,~CITY LICENSE #
MECHANICAL CONTRACT R f~/ ~ ~ ~ TELEPHONE ~ ~ ~~ ~'.- ~ ~!'~
~~~s.._
ADDRESS ~ ~~~ ~~ ~1L EMAIL ~ ~~ ~C"'f,~S~.
CITY t~'1 ,~~STATE c.ZI P ~' ~Ci S" Z FAx ~'~,~ ~~ ~ ~ _ ~ ~ __.._
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
Copy of mitigation agreement with Yelm Community Schools, if applicable.
!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 snd regulations of the Stete of YYeshington and the
City of Ye1m,
~° ll~_~
Applicant's Signature pate
Owner ! Contractor !Owner's Agent !Contractor's Agent Please circle one.
Alt permits are non-transferable and will expire if work authorized by such permit is not begun
within 180 days of is:~uance, or if work is suspended or abandoned rtor a period of 180 days
I05 Ye~m Auenue West - -- - (36D) 458-335
Pn Box 4 79 X360) 45&3141 FAX
Yerm, t'VA 98597 www.cs.yerm.wa.ue
Are there any environmentally sensitive areas located on the parcel? If yes, a
completed environmer~tal checklist must accompany permit application.