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BLD-05-0352
~~ ~ ~ CJ1 C~ N. <~ D~ ~~ ~- ov~ N~ ~o~~ -~ ~. o a No3 ~,~ N ^~ v~~ ~ o a~ ~ ~N s o ?; ~ .~ N~ ~ ~~~ ~~~ ~~= ~~~ ~. <~~ ~3~ `~ ~~ ~o tea' N~ ~ ~~ n ~~a ~~ ..~ ~n ~ °~ c ~° o~ ~ 1 rM C ~ ~ Z7 ~ ~ ~ N 0 (~ N ~ a , ~~ o a N n ~_ N O c~ N N O O ~ Q . > > ~ ~ fl. . N ~ `O D Z ~ `° ~ ao D c~ a3 a 3 c~ c~ rt ~, N N Z N 3 o- m -~ m V v m n m ~ Z O ~ ~ D ~ r m n r m 3 ~ ~ ~ o0 -T, c n ~ y v_ m Z G) O 'p n n n ~ ~ ~ n ~ IYEW CONSTRUCTION WATER INSPECTION DATE: DEVELOPMENT: LOT m 3 O ~` ~OT ;~ _ ~A~'aG '~3c~c ~o ~~~~~ LOT ~ c~Y -r~~p -Pd ~v FROM :YELM SEWER DEPT. FAX N0. :360-458-8166 Jun. 23 2006 01:27PM P1 `YOf ZH[ A,Z/ ,a° ~, FAX TRANSMISSION YBLMetON CITY OF. YELM P.O. BOX 479 - 931 NP ROAD NE YfiLM, WA 98597 360-458-8411 C.~~~ PAX 360-458-8166 7'O: (SR NON FAX#t: From: ~(~NYJ'~ DATE: 6-a3'o~ PAGlS: 1 ,including this Cover sheet Subject: FlousC ~~~A~~/ guc~~FpRN C5'C• W ~ t,'' ~ ~ ~'~ ~ ~ 9 M~NT~. x. `f COM ~' -, ~=~~1 _; :. ;~'~ ~~ r ~ E l~~ ~ an c~ Es nit lefiibl~, please cell (36~) 458-411 ~ ~ 1 i you do nc~l receive ~l1 coPlcs or y ICY as s~o~1 ati possibly, CITY OF YELI~9 iNSPECTIO\ LOG PROJECT j~~,~ ~ ~ ~ ~ ~ (~D PER.~91T'~L'!~~LER _ aa~s'~, .~DDRESS__ f y ~3`~~j~'~' ~{ ~' SET B.-~ChS Dule, '`~~ 1~ Frorn Real ~ Z Side Fl~r,~:ir,e Si~e_ ~j 1 ?" ~ ~ b•' 31' l 6" ~ S•, ~theT ~ c~th:r reoLiTe~ gents ~~ s FOOTI~C REB.aR ~ D4te: ~ .~ `~' ' ~ ., l., ~ .aLL RFB.~R ~ D~~;.~~~ rnn~*~nvn!c CO:~IBI~ED FRa~1E! }~~1~ ~o~~ r,s Fr~r.e ~ Pl~r,~i^e '~ CC~nl~~ :;',:S 1~T RIO ~I~ . R `~aLL l~~I'ECTIO~ ~ :M- ~ _ 4 A ~s~P~ ~, ~ ~ ~~ ~. ~ ~ ~~~ ~e ~. - ~.- ~ ~ , 1~~l~L.aTlO~ ~ ,,~ G~s . F1;, ~, ~c ~ O~~FI -, ~, ~''~~~ L~23 _~ ~ C~~~merts SHEET ROC~.~~I~E.aR `~'.~LL'~.~IL Con;r~ents OTHER Cc~n~~;^~~s FI~`.aL Se~~er F.r,::l ~ Electrical `~ Ci~;l Fins) .~ L~;-~~~c~-~; F;r,;,l ~ , t _ Ccf~ .-~~ ~re« ~ lr,sulnti~n J ~i'e Dr~'n~~p ~ ~~' ~'~; Cc~n~n~en;s ~~~z~x~~~~~~~~~ -COMM. JOURNAL- ~~~~~~~~~~~~~~~~~~~ DATE JUN-29-200G ~~~~~ TIME 03;54 ~~~~~~~~ MODE = MEMORY TRANSMISSION FILE No.=715 STN COMM. KEY NAME No. START=JUN-29 03;53 END=JUN-29 03;54 STATION NAME/EMAIL ADDRESS/TELEPHONE N0. PAGES DURATION 001 OK [evergreen state] evergreen state -Yelm CDD ~~~~~ DP-3520 ~~~~~~~~~~~~~~~x~~~~~~ -Yelm CDD - ~~~~~ _ T =1 J D~ ode ~ ~- ~' ~a~ 0 ~~o ~n3 ~ Q'v ~~ N~~ V~~ amp v ~+ ? °~ ? ~' o ~' ~ ~~~ ~~ ~Wm ~_ ~a~ ~~' ~ `-~~ rr ~ ~ W oo~ ~~ o A ~ G ~ ~ ~ C 7 N N S D ~~ y a~ _ o ~ a c~ _. 0 .. ~ o ~ ~~ ~ 3 a a tD D Z `° ~ a°' a ~ m ~ H ~ 2 ~' C Q fD 1 C f~ _~ 01 J 0 002/002 00;00;38 3fi0 458 3144- ~~~~~~~~~ m ~ cn - 0 r rn 0 ~ ~ ~1 ~' m ~ ~ r ~ ~ I n ~ ~ C ~ _ n ~ ~ ~ m Z 0 0 ~ m n D C ~ ~ 3 Z Z ~/ ~ T~ City of Yelm 7 City: Lakewood Community Development Department Community Development Department Building Division Building Division Phone: (360) 458-840 Phone: (360) 458-840 Fax: (360) 458-3144 L Fax: (360) 458-3144 WAtMIMOTOM WAfNINQTON Applicant: Applicant: Name: Evergreen State Builders Name: Evergreen State Builders Address: P.O. Box 39753 Address: P.O. Box 39753 Properly nforma~on: Site Address: 14937 89th Ave. SE Assessor Parcel No. 37540000400 Permit No: BLD-05-0352-YL Issue Date: 10/1912005 (Work must be started within 180 days) Receipt No: 38659 Phone: 253.475.6622 State: WA Zip 98499 Subdivision: Buckhorn Estates Lot: 4 Contractor lnforma~on: 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: Proje~# `information: Project: Buckhorn Estates Description of Work: 174013 SFR, Lot 4 Sq. Ft. per floor: (1st) 854 (2nd) 952 (3rd) 0 Garage 664 Basement 0 Heat Type (Electric, Gas, Other): GAS Fees: Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc Building Permit 100-500k 1,413.75 993.75 420.00 5.6000 75.0000 $1,000 Building Plan Review 597.30 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 (LID) 2,769.00 0.00 2,769.00 2,769.0000 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: $7,773.30 Applicant's Affadav`rt: OFFICIAL USE ONLY I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is inconformity with all applicable City of # Sets of Prints: Yelm regulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I futher certify that I am currently registered in the State of Washington. Final In$p+ection: ,0 ~ Signature ~.~~~, Date : .~~r Date. By: Firm ~ ,~ _'~""_' :; ,~ h _ r- ~~ l ,tom / ~~ ` ,,,: ~ I ' ~-- , ~`'. ~.'.: 3... i 1 ~ ~.e S ~` * ~` *EIGHT THOUSAND SEVENTY FOUR DOLLP.RS ~ 42 CE~~TS ~,~~,~~ _~'~~ ~ GATE ~ ~; ~~~~ ~~ ~; ~~ ~~ ~_~-~~~ REQ. ~0. ,~t~i .:~~, ~ Ec~-. ~a0. EVERGREEN STATE BUILDERS 10/19/05 38658 P,O, BOX 39753 LAKEWOOD WA 98499 BUDGETARY LOT 3 BUCKHORN ESTATES BLD-05-0354-YL 8,074,42 CHECK PENDING` ,: _u ~ C, ELLS PERP°~IT~.625 , 43, PLANRECbBE~ . 74, P~iECH78. 25, PLU~-111R . 00, SE~~iINSP145.00, ~R~TERi~'1500. , WTR~~ET300.00,WTRDEP40.,SE1~DEP50.,TRAFF757,50, SEWERU2769.00,ST4.50. _. I ~ ~ ~~~ ~ ~~~~ ~~~ ~ i ~ ~ ~' f T se _ °_ f -°w s t - .i 3~ ;:f " ~ r r.. a ~. ~ ~. * * ~` * SEVEN THOUSAND SE~'E~' HUNDRED SEVENTY THF,EE DOLLARS & 30 CENTS f ~~ ~~ ATE BUIL ERS 10/19105 38659 7,773.30 CHECK PENDING EVERG~•~E~N ST F, 0,`~. BOX 39753 L '`~{EWOOD WA 98499 K~i~ BUDGETARY .A ~~ 0 T 4 ~.: ~~~ _, B L D- 0 5- 0 3 5 2- YI~;.::~:~''`=~p FER~IT1413,75,PLAN597,30,t~~ECr~78.25,PLUP~118,00,SEFERU2769.00,SEINSP145.00 WTRERU1500,00,WT~~ET300.,WTDEP40,,SE~iDEF50,,TFAFF757.50,STAT4.50 ~~ ~~ ~ ~~~~ F '~! r~ ;. ~ .. _~ n~ ~ v , -x.:,:,y ~~~~. ~~0 ****TEN THOUSAND SEVEN HUNDRED TWENTY TWO DOLLARS & 42 CENTS ^~- r r~ S"~~ t 1_ 3 i 4 .~. ~~w~'~~.~ ~-~~~~ SATE SEG. ~l~. A~t1~U~- ~~~- ~~ 1~5~5~" EVERGREEN STATE BUILDERS 10/19/05 38660 10,722.42 CHECK PENDING( F.O, BOX 39753 LAKEWOOD WA 9$499 BUDGETARY LOT 5 BLD-05-0353-YL ,. PERMIT 625,43,PL;~N63G.74,MECH78.25,PLUt~118.,SEF~ERU5417,00, SEWINSP145.00 ^~TERU 1500 , 00, ~dT~~ET j00 . , WTDEP40 , , SE~~~DEP50 , , TRAFF7 57 , 50, ST.~TE4.50 Ye 1 m Community Schoo 1 s PO Box 476 Ye 1 m, WA 98597 Clerk; Croy Terminal; 1 Rece i t ; 7609 Manua Receipt ; EVERGREEN DISTRICT OFFICE EVERGREEN STATE, BUILDING LLC 10~ 19/2005 10 ; 29 AM aty Item Price 1 CPF2900 1026fi,00 MITIGATION BUCKHORN ESTATES LOTS 3, 4, 5,16,17,18 Subtotal ; 10266.00 Tax; 0.00 Total ; 10266 , 00 Check 10266 , 00 10666 Amount Due ; 0 , 00 ~a~0~1~~Q5 1~.: ~~ ~~~284~183 CAS RES r~~JAP TDM PAGE 03/x.0 L~~ SUCKS ff dRN .AST1~'I'~S 14837 89tk~ AV~'[JE SOUTkTEAST ~ e ~ ~ f V ~'~ ST011T CC3UN'~"Y, WA p~~~ pro. axs~aoo~od 0 C T 1 0 2005 -~~^~~. 89th AVE. SE M[~1.~' ~~yLy'~ LV -,_ 4 I V 4M.. ~~ A 'P- ~~++ 1 r V ..r `~W.w« ~. r ~ ~ ~ M .~ ~ a'+.. x~ .~/M~Y a.w11 Awww'1F~1Mr*.r4.w /- ~~ a,.~wl /~M w. l.+'vf~'.wy.~s YM.~ r~wr+r+^~-• ~~ ~ I ~ ~~~~~ ~A~CAD~: ~E~IbENT1AL f~~,~l~~l, lNl~. ,~ „ ~~.~~~ ~r U~~L, W~~ T ~1,~~ ..,-.,m, SMT. 5' BSg- I ~~ ~,aN ~ 74a~3s , . ,(GARAGE RIGHT) I `` / / ~ _ . _ Pte.,. _ ~'w~~ ~kaWlh~ I~ ~9A4fiT} t~N C~If~l~-p~QVf~F.p !N~"t7I2~lATIdN R~p'~~SF.'N1ED Tb ~E A~CVkAtE Ab~~ aEi,fA~L~. ANY nf~~~rf A~~~f~a ~ETWF.FH 1H~:C gR~1WfMb 4N(~ THE ACXU~II. ~lTE CbNnIT10k" nab tHE 5~~~ RF;5pnw5~l~11.11'Y b~ t~~ ~u~t~r. CITY QF YELM .,' ~tESIDENTIAL BUILDING PERMIT APPLrbTItJN FORM Project Address; © ~~ ~. ,~ w Subdivision: ~ ~ . ~ ~ ~ -- Lat #. Zonis , 9 New C~onstruct~on U Re~Model ! Re~Roof 1 Addition u Horne Occupation Si n 9 U Plumbing ~ Mechanical U Mobile !Manufactured Home Placement u Other Project DescriptianlScope of Work: ~ ~ , Project Value:_„~~ c.~ ~,j~D Building Area ~s~. ft} ~ ~ Floor '~ ~'~ Floor,~~;~Z. Gar e Deck ~~~ ~ ~~~ Basement Carport~______~Patio /,~ # Bedrooms.,, # Bathroams~,. S'~ Neatin ~ A THER or ' 9 ELECTRIC ~C~rcle One} Are there any environrnentally sensitive areas located on the parcel? If es, a completed environmental checklist must accom an y p y perrr~it application. GENERAL GGN~'RAC~TOR ~,~r~w,~.~ TELEPHONE ADDRESS ~"`~`~""" .~". ~." `... EMAIL CITY _.STATEZIP FAX CONTRACTOR'S LICENSE #-~„~~~ ~XP pATE~CITY LICENSE # PLUMBING CONTRACTOR !~ . n TELEPHONEC ~~ ~~~ ADDRESS ~ ~~~'~~ ~ EMAIL STATE Gc~IP ~~ FAX ~.~.~~ `.~~ -- ~_~ CITY~,~~ .. ~__ ......_, CONTRACTOR'S LICENSE # EXP DATE~CITY LICENSE # ~I".~~~~.~ MECHANICAi. CONTI~ACY R ~f~f TELEPHONE ~"~ ~--~ -.~..,.. ADDRESS ~ ~~7 ~ r~ ~. EMAIL ~ ~ ~ C~ C~°t~ CITY ~ ~„STATEZIP 9'~~5~ ~ FAX _~'~~ ~.~ ~ ~w~' ~ C.~ :~.~......_..,....~__ .~. .,__._.~,.r. CONTRACTOR'S LICENSE # EXP LATE___ --CITY LICENSE # ~,._.,,,,~, Copy of mitigation agreement with Yelm Community Schools, if applicable. 1 hereby certify that the above information is correct and that the construction an, and the occupancy and the use of the above described property viii be In a~ccordante with the iaw$, rules and regulations of the State of YVeshingtan and the City of Ye1m. ~` •rrrwirrr~rrrr+~.M.rr.r.rr~wwrr..rir~..~~rr ~~ ~` ~/D / ~~ Applicant's 5igna#ur+~ Date -~.~ t~wner t Con#ractar l C3wner'$ 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 1$0 days of i$:~uance, or rf work is suspended ar abandoned for a period of 1 ~Q days I05 Yetm Avenue West ~38Dj 45~-383 PO ~x d 7'9 {360j 45&3r~l~ ~`.AX Yelm, WA 9859fi rvurur.ci.yeYm.rva.ue ARCHITECT/~NGINEER C'GZ ~ ICENSE # ADDRESS ~v~ .1p o7 EMAIL CITY ~~ t~1rl~„STATE ZIP ~ u TELEPHONE C Zg 2 _ _,~a '~a