BLD-05-0631of rxe City of Yelm Permit No: BLD-OS-0631-YL
~~~ Community Development Department Issue Date: 11/02/2006
~~/ \~~ Building Division (work must be started within 180 days)
Phone: (3601468-840] Receipt No: 44678
ELM Fax: (3601458-3144
Applicant:
Name'. Williams, Wayne Phone'. 458-30]]
Atldress: P.O. BOx 311 City'. Rainier Slate'. WA Zip 985]6
~~, ~-
Property-Information:
Site Atldress: 315 McKenzie Ave. SE
Assessor Parcel No. 64420]00]00 Subdivision' Lot.
C_on_trac_to_r_I_nformation:
Name: Applicant Contact. Phone:
Atldress'. City: State: Zip'.
Contractor License No: Expires: Business License'.
Project Information:
Prclect. Wayne Williams
Description of Work: Finish converting garage to Mo[her Inlaw Apt.
Sq. Ft. per DOOr: (1 sQ 0 (2nd) 0 (3rd) 0 Garage 0 Basement 0
Heat Type (Electric, Gas, Other):
Fees: ~
Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Oesc
Building Permit-Other 38]5 0.00 0.00 0.0000 0.0000 E1,000
Building Plan Review 25.18 0.00 0.00 0.0000 0.0000
TOTAL FEES: E63.93
I certify that I have read antl examinetl the information containetl within the application antl know the same
to be true and correct I also cenify that the proposetl sirucWre is in conformity with all applicable City of
Velm regulations inclutling those governing zoning antl lantl subdivision, antl in addition, all covenants,
easements and restrictions of recoM. If applying as a contractor, I father cedity That I am currently
registered in the State of Washington.
Signature
Firm
Date ~~' 2~0~
# Sets of Prints:
'final Inspection:
Date.
By:
CITY OF
YELM
R0. ecx 4]9
Velm. WA 9853]
aeaasa-aaw
RECEIVED
'." .,_r,'iY THf3P,E ^G., i_iiF;S ., a, f_'~p7?„
RECEIVED FROM DATE REG. N0.
47ANE iII Ls IA615 ll/E~?/i' 44~*1d
Fli Eud 311
7c Lb1 i!A :~,~% 8!inCETAFi'
3.7 IiC C:i.!i°T~ A!iF .~„ AI%T
RECEIPT No. 4 ~ 6 ~ 8
AMOUNT REF. NO.
53. 9s CHF, is r: 1Q~4°
~.ar.r;as
Receer~~~~
' CITY OF YELM '
RESIDENTIAL BUILDING PERMIT APPLICATION FORM JUL ~9 20U6
Project Addreaa: ~1h'YYI~KcXIZiU M/~ SrE Parcel#: ~ ~-~20 goo ~fb
Lol #: Zoning;
u New ConstruAion D( Re-Model / Re-Roof / Adtlition a Home Occupation Sign
u Plumbing U Mechanical r D Mobile /Manufactured Home Placement a Other ~ ~ ~- ~ L
Project Description/Scope of Work: 1'uYII C~'l Q/~I'/OP) TIC ~AYlllf.•''~- I,~.'f1~ Yn~1P,Y'(/I'~Q.(A) ITMI//I
Project Vatue: 1~~~ ~~~~~
Building Area (sq. g) 1° Flrior~p~ 2ne Floor Garage Deck
Basement CarportPatio
# Bedrooms Z # BaNrooms ~ Heating: GAS/OTHER o LECTRIC (Circle One)
Are there any environmentally sensitive areas located on the Darcel? ~..0 If yes, a
completed environmental checklist must accompany permd applica0on.
BUILDING O NER NA ~ I I Qi1'IS
ADDR SS I EMAIL ~~
CITY~(y(J~1d r _STATE 'N /F ZIP ~l TELEPHONE 011- ciR-'~A'~l~l
GENERAL CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATEZIP FAX
CONTRACTOR'S LICENSE # EXP DATE_CITY LICENSE #
PLUMBING CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE21P FAX
CONTRACTOR'S LICENSE # EXP DATE_CITY LICENSE #
Copy of mitigation agreement with Velm Community Schools, if applicable.
I hereby certify that the above Information le correct and that [he construction on, antl the occupancy and the use of the
above tleacribetl proPerry will be In accortlance wtth [Ile laws, rules and regulanona of the state of Waehlnpton antl the
Ctty of Yelm.
Applicant' Signature r Date
Ovmer / C tractor I Owner's Agent 1 Contractor's Agent (Please circle one.) ,
All permits are non-transferable and will expire if work authorized by such permit is not begun
within 180 days of Issuance, or if work is suspentletl or abandoned for a pertod of 160 days
lPi Yelm Avenue Weet (360) 458-3835
PO Bax 4)9 (360) 458-3144 FAR
Yerm, WA 98599 mmm.ciyelm.ma.ua
City of Yelm Permit Fees Schedule
Community Development Department PAID
` m Permit No: BLD-05-0631-YL
Building Division
Phone: (360)958-690] NOV 0 2 ~Oflfi
YELM Faz:(360)458-3144 CITY OFYELM
Applicant: -' _ ~~
Name: Williams, Wayne Phone'. 458-3077
Atltlress: P.O, Box 311 City: Rainier State: WA Zip 985]6
Project I_for'matfon: _~_,u. ,_,_,~
Project: Wayne Williams
Description of Work: Finish converting garege to Mother lnlaw Apt.
Site Atltlress: 315 McKenzie Ave. SE Assessor Parcel No. fi4920T00T00
Fees: __. ._ __~. ._.__~
._~
Item Acct Cotle ~ Item Fee Base Amt Unit Fee ~ Unit Rate No. Units Unit Desc~
yy~i~
Builtling Permit-Other 032001-322-00-00 38.]5 0.00 0.00 0.0000 0.0000 $1,000
Builtling Plan Review 700 001-345-83-00 25.18 0.00 0.00 0.0000 0.0000
TOTAL FEES: $63.93
CITY OF YELM -BUILDING DEPARTMENT
RESIDENTIAL CERTIFICATE OF OCCUPANCY
Building Address 315 McKenzie Ave SE #B
Owner Name
Owner Address
Building Permit Number BLD-OS-0631-YL Plan Number
Remarks: See Special Contlitions
Areas Inspected: All Cotle required
Special Conditions: Garage Conversion to a residence allowed under YMC 17 12 02 B 3 a Residence for Blood or Mamietl Relatives
Building Official: G. Carlson Dale: November 15 2006
This structure is in compliance with the International Residential Code (Chapter
51-51 WAC) as atlopted by the Washington Sfate Building Code Council pursuant
to Chapters 19.27 and 70.92 RCW, effective July 1, 2004