20090207 Permit Pkg 102009City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360)458-3144
Permit No.: 20090207
Issue Date: 10/20/2009
(Work must be started within 180 days)
Applicant:
Name: C&E DEVELOPMENTS
Address: PO BOX 2983
YELM WA 98597
Property Information:
Site Address: ~iti~RR r111RANT f1R CG ~d
Phone: 253-278-0343
Owner: CASEY PETERSON
Assessor Parcel No.: 81840001400 Subdivision: VISTA GREENS Lot: 14
Contractor Information:
Name: C&E DEVELOPMENT
Address: ERIC PETERSON
PO BOX 2983
YELM WA 98597
Contractor License No.: CEDEVED942JC
Project Information:
Project: NEW RESIDENTIAL BUILDING
Description of Work: E
Sq. Ft. per floor: First 891
Second 995
Third
Garage 600
Basement
Fees:
Item
NEW RESIDENTIAL BUILDING
MECHANICAL
PLUMBING
Phone: 253-278-0343
Expires: 8/11 /2010
Heat Type (Electric, Gas, Other): GAS
Contractor Fees
C&E DEVELOPMENTS $11,611.92
C&E DEVELOPMENTS $ 78.25
C&E DEVELOPMENTS $ 118.00
TOTAL FEES: $ 11,808.17
Applicant's Affidavit:
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 further certify that I am currently
registered in the to Washington.
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OFFICIAL USE ONLY
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CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
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Project Address:~~~ ~u,QAw~1~rL ~~ Parcel #: ~`~~yy `''~" C- ~~/ C~ ~
Subdivision: ~` ~STA G'~~vs Lot #:~ Plan #: 0$87 -A Zoning: 2 `~
~ew Construction Re-Model / Re-Roof /Addition Home Occupation Sign
Plumbing Mechanical Mobile /Manufactured Home Placement ! Other
Project Description/Scope of Work: /JLw SZn~6t~?' /r ~-"`s'~ ~~~ ry w~-~`~
Project Value: ~~~, d/1l7
Building Area (sq. ft) 15t Floor ~~/ 2"d Floor ~1`~~ Garage (.'Pty Deck
Basement Carport Patio / ~' 7
# Bedrooms 2 j # Bathroom Heating~GAS/OTHER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel?
If yes, a completed environmental checklist must accompany permit application.
MECHANICAL CONTRACTOR~~ ~1~a~:o~' TELEPHONE Z~~ _ 2? z.- l ~ z7S--
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
Copy of mitigation agreement with Yelm Community Schools, if applicable.
I 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 and regulations of the State of Washington and the
City of Yelm.
6 Za p
App Icant' Ignature Date
Owner /Contractor /Owner's 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 180 days of issuance, or if work is suspended or abandoned for a period of 180 days
Received
105 Yelm Avenue West (360) 458-3835
Yelm, WA 98597 (360) 458-3144 FAX
www.ci.yelm.wa.us
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~~~~'~~ APPROVED
OCT ~ 4 2009 /~J ~ d c~ `'
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Oct 21 2009 4:11PM HP LRSERJET FRX
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= DssIREFI ` Mccm~rrsza.
~~/~/J~ ~~J T~ ~ FACILITIES SECRETARY
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360.458.b116
FAX: 360.458.64.34
4 01 COATES AvE . NW
PO Sox 476
YELM~ WA 98597-0476
Besiree_mcconnell~ycs.wednet
October 21, 2009
RE: Nlitigadon Fees
Attn: Bohn
Fax: 360.458.3144
Lot # 14
Parcel No. 81840001400 at 1516b Durant Drive SE. This parcel the mitigation fee has
been paid.
Recorded at Thurston County Auditors Office; dated 07!2512007 ,reordering number
3945321.
No fees are due.
If you have any questions, please feel free to call me.
Thank You,
Desiree' McCor-nell
Facilities Secretary
YELM COMMUlJITY SCHOOLS IS RYJ EQURL O?POftTUNZTY EMPLOYER AND FOL:.OFiS TITLE IY. REQUIREMENTS.