20090225 Permit Pkg 103009City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:
Name: C&E DEVELOPMENTS
Address: PO BOX 2983
YELM WA 98597
Property Information:
Site Address: ~f17 STFVFNS !I-VF NF
Assessor Parcel No.:
Contractor Information:
Name: C&E DEVELOPMENT
Address: ERIC PETERSON
PO BOX 2983
YELM WA 98597
Permit ivo.: 20090225
Issue Date: 10/30/2009
(Work must be started within 180 days)
Phone: 253-278-0343
Subdivision:
Lot:
Phone: 253-278-0343
Contractor License No.: CEDEVED942JC Expires:
Project Information:
Project: RESIDENTIAL REMODEL
Owner: C&E DEVELOPMENTS
8/11 /2010
Description of Work: REMODEL EXISTING RESIDENCE AND BRING EXPOSED AREAS UP TO CURRENT CODES
AS CLOSE AS POSSIBLE
Sq. Ft. per floor: First
Second
Third
Garage
Basement
Fees:
Item
BUILDING
MECHANICAL
PLUMBING
Heat Type (Electric, Gas, Other): ELECTRIC
Contractor Fees
C&E DEVELOPMENTS $ 139.25
C&E DEVELOPMENT $ 105.00
C&E DEVELOPMENTS $ 55.00
TOTAL FEES: $ 299.25
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 State gf~Nashinc~,>;on. ~
Date
Firm ~ .~_r % ~.~ll/A4 ~~l~L.l~-'~A~'~t
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By: _
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CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: ~ ~ ~ ~ M S ~ P c I #~:
O
Subdivision: Lot #: Plan #: Zoning:
New Construction ~ Re-Model / Re-Roof /Addition Home Occupation Sign
Plumbing Mechanical Mobile /Manufactured Homtte Placement .Other - i
Project Description/Scope of Work: ~`'` ~~ '~' ~ ~ l 0~~'''-~~ rt I ('f-~'- ~ d ~ 1
.~ E. ~ ~~
Project Value: 7G%c%~-,
Basement Carport Patio
# Bedrooms- # Bathrooms- Heating: GAS/OTHER or ELECTRIC (Circle One)
Building Area (sq. ft) 1St Floor 2nd Floor Garage Deck_
Are there any environmentally sensitive areas located on the parcel?
If yes, a completed environmental checklist must accompany permit application.
BUILDING OWNER NAME: ~h?
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
ARCHITECT/ENGINEER LICENSE #
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
GENERAL CONTRACTOR ~ TELEPHONE ZS ~- 7F~ - 0~~~
ADDRESS ~ '<- ~' ~ EMAIL
CITY ~S ATE ZIP / S-5''~7 FAX
CONT CTOR'S LICENSE # EXP DATE CITY LICENSE #
PLUMBING CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
MECHANICAL CONTRACTOR TELEPHONE
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.
~ l0~3 ®~
pplicant' gnature 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
105 Yelm Avenue West (360) 458-3835
Yelm, WA 98597 (360) 458-3144 FAX
www.ci.yelm.wa.us ~ ~ ~ ~a ; '' F.. ,
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OCT 2 31CC9