BLD-05-0500ti
Applicant
City of Yelm
Community Development Department
Building Division
Phone: (360)458-640]
Fax: (360)458-3140
Permit No: BLD-05-0500-YL
Issue Date: 03/27/2006
(Work must be staretl within 180 days)
Receipt No: 41797
Name: Evergreen State Bulltlers Phone: 253.4]5.8622
Atltlass: P.O. Box 39]53 City: Lakewootl Stale: WA Zip 98499
Properly Inforrnadon:
Site Atltlress: 14959 89th Ava. SE
Assessor Parcel No. 3]540000900 Subtlivision: Buckhorn Estates Lot' 9
Contractor Information:
Name: Evergreen Stale Builders CanlacL Metlina, Etl Phone'. 2536]5-6822
Atltlress: P.O. BOx 19] City: Lakewootl Slate: WA Zip: 98499
Contactor License No: EVERGSB980PB Expires: 10IOL06275 Business License:
Project lnforrnation:_
PmjecC Buckhom EsUtes
Description of Work: 222917 $FR, Lot e
Sq. FL per floor: (1st) 1039 (2nD) 1191 (3b) 0 Garage 538 Basement 0
Heat Type (ElecMO Gas, Other): GAS
Fees
Item Item Fee Base Amt Unit Fea Unit Rate No. Units Unit Desc
Builtling Permit 100-500k 1,625,43 993.75 631.fi8 5.6000 112.8000 51,000
Building Plan Review 686.]4 0.00 0.00 0.0000 0.0000
Mechanical Permit ]8.25 0.00 0.00 0.0000 0.0000
Plumbing Permit 118.00 20.00 98.00 ].0000 14,0000 Fixture
Sewer Inspection 145,00 0.00 145.00 165.0000 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
TraRC Facilities Charge 75].50 0,00 ]57.50 ]50.0000 1.0100 Peak PM Trip
Sewer ERU (LID) 2,84].00 0,00 2,769.00 2,]69.0000 1.0000 ERU
State Builtling Fee 4.50 4.50 0.00 0.0000 0.0000
Fire District Impact Fee 595.51 0.00 595.51 0.21fi0 2,]5].0000 square foot
TOTAL FEES: 58,747.93
I cerify that I have read and examinetl the information containetl within the application and know the same
to be true antl correct. I also cenify that the proposatl structure is in conformity with all applicable City of
Yelm regulations including those governing zoning antl lantl subtlivision, antl in a0ditlon, all covenants,
easements antl astrictions of record. It applying as a contractor, I father ceniq that I am currentty
registeretl in the State of Washington.
k Sets of Prints:
Inspection:
Signature ~ ~~ -~ Date ~_~~-.~~ °
Firm .~G TTZ By'
LV I V
EVERGREEN STATE BUILDERS
BUCKNORN ESTF TES
ta859 89th gvENUE SOUTHEAST
THURSTON COUNTY, Wq
PARCEL N0, 3754000500
891h AVE. SE A~ r:~ ~E~
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N ~I ~~ PLAN 2229/3 LIP
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- 49'-6A0" -
6 , 7'-6.00"
63.00' ~~ Dl]'
~ 51TE PLAN
NORTH
®2005 CMSCADE RESIDENTIAL DESICIN, INC. SGALE I' n Zt~'
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CITY OF
YELM
P.0. Box Q9
Velm, WA 9859)
360-458-8403
RECEIPT No.41197 '
RECEIVF~4".EIGHT THOUSAND 3EVEN HUNDRED FORTY SEVEN DOLLARS & 93 CENT9
1i582~
RECEIVED FROM DATE REC.NO. AMOUNT REF NO.
EVERGREEN STARE DERS 03/22/06 41197 8,747.93 CHECK PENDING
P.0. BO% 3 3
LARENOOD A 98499 BUDGETARY
BLD-05 500-YL
LOT UCRHORN EST
500._NTERU1500
NTHBT300.,WTDEP40.,SEWDEP50.,TRAFF757.50,SENERULID2847.,STFEE4.50,FIRE595.51
~.~ `"` CITY OF
YELM
v" m°, w~A"946's9~ RECEIPT No. Q 11 9 8
360-458-8403
RECEIVF~Q „EIGHT THOU3AND FIVE HUNDRED SI%TY THREE DOLLARS & 52 CENT9
I I58 7-
RECEIVED FROM DATE REC. NO. AMOUNT REF. NO.
EVERGREEN STATE BUILDERS 03/22/06 41198 8,563.52 CHECK PENDING
P.0. BOB 39753
LARENOOD NA 98499 ~ BUDGETARY
BLD-05-0501-YL -
LOT 9 BUCRHORN ESTATES
JANINE
PERH 1562.71,PLAN660.24,HECH78.25,PLUN125.,SENINSP145.,NTEAU1500.,
EP40.,TRAFF757.50,SENDEP50.,SENERU2769.,STATFEE4.50,FIRE571.32
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.__RESIDENTIAI. BUILDING PERMR APPLICA N FORM
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L~ cehorrr .~S6a72` ~ ~ ~ ~
spbdla~i«,:_~~ sLa<#:~ zonirg;~i/c~/.e ~ (1
ConsWdipn u Re-Model/Re-Roo(/Aadilion U Home O¢upalion Sign
U Plumbing u Medlanical U Mobile! Man"u"~F~adunnred Home Placement u OUler ~~~
Project DesttiptioNScope of WoM: ,-~P~ p IP ~ F!<r,~ A4~~~4 ~ ~J> ~/~
Project Value: ~~~~ ~ Vin,
l
(.Building Area iau. It) 7n FloarLQ T8 2"0 FIOW// Y/ Genge y/a peclt._~_.
~r t.~~I Basemen) CarpoR ~~~Pallo Z//
\/ly # Bedfooms~ # Bathraoms~s HoabngrywyyTRER a FIECTRIC (Circle OneJ
Are (here any ermironrnentaliy sensitive aroas located on the parcel? It yes, a
wmpleted environmental Checklist mull actompany permit application.
BUILDING
r GENERAL CONTRAC < o TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTORS uCENSE # 2 'U ExP DATE e7 pTY LICENSE #
PLUMBING CONT OR ~..~GV( /k?r7 LEPHONE (Z SS r37- ~jOc
ADDRESS /g/S~n EMAIL
CITY ?G(~c'>v!K STATE, t~ZIP~ ~' FAX 08537 >U '
CONTRACTORS LICENSE # EXP GATE CITY LICENSE #
MECFWNICAI, CONTRACTOR 'r 7ELEPHONEC ()
ADORE55 5557 ~ X41 S. - EMAIL
CITY Qiu% /cv/cv it STATE Z_1P &3' FAX
CONTR CTOR'8 LICENSE # EXP DATE CITY LICENSE #
Copy of mrtigaDm agreement with Yelm Community Schools. it applicable.
1 henlry vnlrY Nm Ille eeove htoemarbn k comcl aM e..l W cwsuwnb. en, end Cr eseupeneY and an vee ar ur
Wove daenlW popeny witl a in eccwdanu wM IM Inre, rWn mid reaWetlum d tl~e sole of WmMnamn arm IM
Applicant's Signsturo Dab
Owner I Centraetor I Owrrefs Agent I Conhaclor'e Agent (Please circle onoJ
All permits am non~rarlabrable and wUl espiro If work auMorized by sucb permit is not begun
wlthM 1B0 days d issuance, or H work a suspended or abandoned for a padod d tad days
105 Yrlm Au<rtue Weer (ait) It&fafi
PO Bvs fYf (ftt) 158.tIN FAX
Yrl~ WA 8ffff mmm.<iYelw.wo.u1
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FROM :YELM SEWER DEPT. FRX N0. :368-458-13166 Sep. 26 2006 04:43PM P1
FAX TRANSMISSION
CITY.OF YELM
P.O. BOX 479 - 93 l NP ROAD NE
YELM, WA 18597
360-458-8411
PAX 360-458-8166
To: G,e~TCNE~
rax~:
DATE: 9-~G-o~
PAGES: ~ ,including this
Cover sheet
From: ~'FiNOY
Subject: /-{OUSE i'L~A~S
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COMMENTS: L-o ~ ~ iy~s9 S9T-~A~E. S.E .
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~ ~ I I you do not receive all topics or any copy is not legible, pfcase cnll (.3fi0) 45R-841 1
as soon as possible.
CITY OF YELM INSPECTION LOG
PROrcr ~~aM ~ ~~~~ ~~, f~
PER~ITT NUMBER /J~ /JSD6
ADDRESS ~~~~_9 Sf`7 ~ ~ ~'f-~
SET BACKS Date: L ~
Front 20
Rear LZ- 1
Side/Flanking (o
Side /~
FOOTL~iG tiVALL
~16 ~$,
^ other ^ other
^ required vents
FOOTING REB.AR.~L Date:-~ a ~, ~ti ~I.L REBAR Ot Date`
COnIBLNED FRAbIE/ EXTERIOR SHEAR W.~S,P~~ON
Hold downs ^ /d6 She r. ailin a'G v6
' Frame [3~o L ~6 Gas/Propane o,L , P L~
Plumbing W' p Mechanical oe
Comments
INSULATION Gas ^ Electric ^ other
~oamandSeal ^ Vaporbarrier ^ PVA
Comments '~~ ~//r/~
SHEET ROCK/SHEAR WALL NAIL
OTHER
FINAL
~S~~e; Final lE~~lec,riczl = Cicil Final ~- L.ar.dscape Final
,_ Address ~=/I715llIai10n _~~ SiteDrainase Sidewalk
CITY OF YELM -BUILDING DEPARTMENT
RESIDENTIAL CERTIFICATE OF OCCUPANCY
Building Address 14859 89'" Ave SE
Owner Name Everoreen State Builders
Owner Address P.O. Box 39753
Lakewood WA. 98499
Building Permit Number BLD-05-0500-YL Plan Number Plan 2229/3
Areas
Special
Building Official: G. Carlson Date: November 17. 2006
This structure is in compliance with the International Residential Code (Chapter
51-51 WAC) as adapted by the Washington State Building Code Council pursuant
to Chapters 19.27 and 70.92 RCW, effective July 1, 2004