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City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:..
Name: Lubbesmeyer Construction, Inc.
Address: 1151 112th St. Citv: Tacoma
Property information: ,
Site Address: 14989 Mt. View Ct. SE
Assessor Parcel No. 42990000100
Contractor lnfarmation:
Subdivision: Country Vista
Name: Lubbesmeyer Construction, Inc. Contact: Lubbesmeyer, Paul
Address: 1151 112th St. City: Tacoma
Contractor License No: LUBBECI110DM Expires: 03/21/0881
Project Information:
Project: Country Vista
Description of Work: 2034 SFR-Lot1
Permit Ivo: BLD-05-0645-YL
Issue Date: 07/19/2006
(Work must be started within 180 days)
Receipt No: 42802
Phone: 253-537-6370
State: WA Zip 98445
Lot: 1
Phone: 253-537-6370
State: WA Zip: 98445
Business License:
Sq. Ft. perfloor: (1st) 828 (2nd) 1206 (3rd) 0 Garage 440 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 1,500.55 993.75 506.80 5.6000 90.5000 $1,000
Building Plan Review 975.35 0.00 0.00 0.0000 0.0000
Mechanical Permit 78.25 0.00 0.00 0.0000 0.0000
Plumbing Permit 125.00 20.00 105.00 7.0000 15.0000 Fixture
Sewer ERU 5,569.00 0.00 5,569.00 5,569.0000 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
Traffic Facilities Charge 757.50 0.00 757.50 750.0000 1.0100 Peak PM Trip
Sewer Deposit 50.00 50.00 0.00 0.0000 0.0000
State Building Fee 4.50 4.50 0.00 0.0000 0.0000
Fire District Impact Fee 534.38 0.00 534.38 0.2160 2,474.0000 square foot
TOTAL FEES: $11,579.53
Applicant's Affadavit;
I certify that I have read and examined the information contained within the application and know the same
to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of
Yelm regulations including those governing zoning and land subdivision, and in addition, all covenants,
easements and r trictions of record. If a plying as a c tractor, I futher certify that I am currently
registered in thaJ~, of,1N,~shiggtdFj'. /~ /J„ ,
Sets, of Prints:
Final Inspect n: .
Date: ~°
I3y:
~~~f T~ CITY OF
YELM
YePm, W X98 97 RECEIPT No. 4 2$ 2
360-458-8403
RECEIVED
****ELEVEN THOUSAND FIVE HUNDRED SEVENTY NINE DOLLARS & 53 CENTS
RECEIVED FROM DATE REC. NO. AMOUNT REF. NO.
LUBBSHEYER CONST. I)rtC 07/18/06 42802 1.1,579.53 CHECK 4234
1151 112TH ST
?AGORA NA_98445 BUDGETARY
BLD-05-0645-YL
PERM1500.55,PL975.35MECH78.25,PLUM125.SERU5569.SINSP145,WERU1500.WMET300.
f~IDEP40.TRAFF757.50 SDEP50.ST40.50,FIRE534.38
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Permit Fees Schedule
Permit No: BLD-05-0645-YL
Applicant:
Name: Lubbesmeyer Construction, Inc. Phone: 253-537-6370
Address: 1151 112th St. City: Tacoma State: WA Zip 98445
Project Information:
Project: Country Vista
Description of Work: 2034 SFR-Lot1
Site Address: 14969 Mt. View Ct. SE Assessor Parcel No. 42990000100
Fees:
Item Acct Code Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
Building Permit 100-500k 032 001-322-10-00 1,500.55 993.75 506.80 5.6000 90.5000 51,000
Building Plan Review 100 001-345-83-00 975.35 0.00 0.00 0.0000 0.0000
Mechanical Permit 032 001-322-10-00 78.25 0.00 0.00 0.0000 0.0000
Plumbing Permit 032 001-322-10-00 125.00 20.00 105.00 7.0000 15.0000 Fixture
Sewer ERU 802 412-343-50-01 5,569.00 0.00 5,569.00 5,569.0000 1.0000 ERU
Sewer Inspection 805 412-343-80-00 145.00 0.00 145.00 145.0000 1.0000 ERU
Water ERU 715 401-343-80-02 1,500.00 0.00 1,500.00 1,500.0000 1.0000 ERU
Water Meter (SFD) 712 401-343-80-01 300.00 300.00 0.00 0.0000 0.0000
Water Deposit 740 402-389-00-00 40.00 40.00 0.00 0.0000 0.0000
Traffic Facilities Charge 420 120-345-85-00 757.50 0.00 757.50 750.0000 1.0100 Peak PM Trip
Sewer Deposit 742 402-389-01-00 50.00 50.00 0.00 0.0000 0.0000
State Building Fee 160 001-386-00-00 4.50 4.50 0.00 0.0000 0.0000
Fire District Impact Fee 105 001-345-85-00 534.38 0.00 534.38 0.2160 2,474.0000 square foot
TOTAL FEES: 571,579.53
YELM COMMUNITY SCHOOLS
PO BOX 476
YELM, NA 98597
Clerk: Croy
Terminal: 1
Receipt: 23773
Manual Receipt:
NLUBBESMEYER
NCONSTRUCTION
LUBBESMEYER, CONSTRUCTION .
7/18/2006 1:26 PM
Qtv Item Price
1 CPF2900 13375.00
MITIGATION
COUNTRY VISTA - 06-013 - LOTS 1,2,3,4,5
Subtotal: 13375.00
Total: 13375.00
Check 13375.00
4233
Change Due: 0.00
THANK YOU
- Jui 17 06 09:04a LUBBESMEYER 253 X37 9163 p.l
LANDSHAPES NW, INC.
FACSIMILE TRANSMITTAL SHEET
ATTN T0: FROM:
Garv Carlson ~~~
COMPANY: PHONE NUMBER:.
2531537-6370
CC: DATE:
7/17/06
FAX NUMBER: TOTAL NO.OF PAGES INCLUDING COVER:
3605&3144 2
RE:
^U RGBA3T E~! FOR REVIEW r]PLEASE C_OMME~T DPLEASE REPLY
NOTESi COMi~tENIS:
This letbeer is for the new plan in Country Visfia. ff you have any questions please calf Mario at 253f27~6374.
Thanks,
Melissa
1151E 112T" ST, TACOMA, WASHINGTON 98445
PH 253 537-6370 FAX 253 537-9163
JuI 17 06 09:04a LUBBESMEYER 253 X37 9163 p.2
JUL-17-2006 08.04 FROM:NR£ ONES ANDERSON C425) 826-411? 12535379163 F'.i~s
City of Yelm
Community Development Department HASH JONES
PO Box 479 ANDERSON
Yelrn, WA 98593 ,~
Architects & PlC7nners
July t 7.2006
Re: Lubbesmeyer Construction
Plan 2034 "Concord 11"
To Whore It May Concern:
Regarding Detain on Sheet L1, the'/." anchor bolt is acceptable- as specified on
the plan.
Sincerely,
2512
REGISTE.REU
ARCHITECT
GARY'rHOMAS HASH
STATE OF waSHINCTON
Gary Nash
11644 N.E. 80th St. IGrklcand, WA 98033 (425) 828-4117 FAX (425) 822-1918
8101 S.W. Nyberg Rd. tualatin, OR 97062 (503) 692-8127 FAX (503) 691-0517
untr~ V~~t~
Ln~~~ mirth mot, I~cm
N
~r E
S
A .~
`~" ? ~ ~~ 925 Hd~ dd ey Lana e
~=~ .~cdaaaoaacis, WA 980®
r ~~3
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.E'I1t~d'~d'd,~'~~' ~~C .i.n.fo®2zra-eaa.t.coara
Lot No.
Scale:
1 of 1 ~ ~ „_20'
Drawn By: Date: Job Number
~,, 5/15/06 2?~4
CITY OF YELM ~~~I V ~iC~
~~ ``(~jj RES,,IDjj fE~~NTIAL BUILDING PERMIT APPLICATION FORM
Project Address:.I`i`1~ G I~tT. U~,~(~ ~ ~'~ Parcel #: ~"1 ~ 33~ ®Z~N 2 9 2006
Subdivision: ~ _~~~ Lot #. ~ Zoning;
J~ New Construction u Re-Model ! Re-Roof /Addition u Home Occupation Sign
U Plumbing u Mechanical U Mobile /Manufactured Home Placement u Other
F
Project Description/Scope of Work:_~Q~,~ ~rY-~(~.lf'~-- rfY1~~~IT ~~'1(~.~'~
Project Value:
Building Area (sq. ft} 1S` Floor ~~~ 2`~ Floor 1~~ Garage ~~ Deck
Basement Carport Patio
# Bedrooms # Bathrooms?..5 Heating: AS/ THER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? ~_ If yes, a
completed environmental checklist must accompany permit application.
BUILDING OWNER NAME: ~ '
ADDRESS ~~ E -1-h ~ EMAIL
CITY IGICt~l~9(~Q_ STATE ZIP ~ TELEPHONE ` °
ARCHITECTlENGINEER LICENSE #
ADDRESS h EMAIL
CITY ~ STATE ZIP TELEPHONE
GENERAL C.I,ONTRACTOR ~ =TELEPHONE '
ADDRESS E EMAIL
CITY'CGGfl~~_STATE ZIP .~ FAX ZJ~ ~ , '~ ~ ~__~_
CONTRACTOR'S LICENSE # ~ ,EXP DATE CI LICENSE #
PLUMBING ONT ACTOR ~ TELEPHONE ~~;3/ 3y ~ - 3t-I ~
ADDRESS ~ ~ rL~~F EMAIL
CITY Cl~'c~~l(a...;rn STATE ZIP - FAX
CONTRACTOR'S LICENSE # - ~ X55 EXP DATE CITY LICENSE #
MECHANICAL CONTRACTOR TELEPHONE
ADDRESS ~ ~ _ EMAIL
CITYEIai-l:~t'1~J lj P STATE~ZIP FAX
CONTRACTOR'S LICENSE #j~ I~{Cgjp2"1K 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 washilfgton and the
City of Yelm.
Applicant's Signature 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 18® days of Issuance, or if work is suspended or abandoned for a period of 180 days
I U5 Yedm Avenue West (360) 45&3835
PO Box 479 (360) 45d-3144 FAX
Yelm, WA 98597 www.ci.yedm.wa.ua
LUBBFSMEYER
{ ~ .- CONSTRUCTION, INC.
1151 East 112th Street ^ Tacoma, WA 98445 ^ (253) 537-6370 ^ Fax: (253) 537-9163
To Whom It May Concern:
In the plat of Country Vista, infiltration as designed on the engineered plat shall be
located in the rear yard of each lot.
~. ~ ~ ,
._
Paul Lubbesmeyer
Vice President
4~~~ce Cov ~ _~
~~ERC~ C®U~Ty
I)EVEL®PIVIENT CENTER
2®02 ~A. STAT'E EI~TERGY
C®DE II~TTF'® TION
~~~ l~~ ~~~ Application No.
PLEASE COMPLETE THE FOLLOWING:
Date:
Glazing area calculation: Heat s~'s/t_em sizing calculation:
sf _ 2~ sf = % 'UJ ~ x 20 = ~ ~,D~l~ btu's
Window area _.Heated floor area = % of glazing Heated floor area x btu per sq. ft. =total system output
Refer to the table below to determine yotu compliance path. Divide the system output by the equipment efficiency rating to determine
the total Btu in ut allowed.
JOB TYPE: OCCUPANCY: COMPLIANCE PATH: HEAT SYSTEM SIZE:
[[~ New
[ ]Remodel [Single Family
[ ]Multi-family ~ Pres tive Ch. 6 (circle one)
I II III ~ Btu input
Efficiency rating (~
[ ]Addition [ ] Com onent Performance Ch. 5 [ )WATTS
[ ]System analysis Ch. 4 HSPF rating
FUEL TYPE: HEAT TYPE: ELEC. UTILITY PROVIDER:
[ ]Electric ~ Forced Air Furnace [ J Tacoma City Light
~ Nat. Gas [ )Heat Pump [ ]Puget Sound Energy
[ ]Propane [ ]Radiant Heat System (baseboard, wall cadet [ ]Peninsula Power
[ ]Oil, wood [ ] Hydronics system ~] Other
[ ]Gas or Wood Stove
VENTILATION INDOOR AIR QUALITY (VIAQ) INFORMATION (check one)
Ventilation Option: [ICJ A [ ] B [ ] C [ ] D [ ] AAHX
System Size: 10 a cfm [ Intermittently operating [ )Continuous operating
PRESCRIPTIVE REQUIREMENTS°•' FOR GROUP R OCCUPANCY
CLIMATE ZONE 1-ALL FUEL TYPES
Optioh Glazthg
to Glazing U-factor Door ~ Ceilm° ~
e Vaulted
~ Wall
, ~
Wall, int. A
Wall, ext. s
Floor
Slab
o Area
/o o£ftoor
~ U-value ceiling j
.Above below ,
below grade on ~
grade grade. .grade
Vertical Overhead
I: l2% 0'.35 0;58. 0:20 R-38 R-30 R-1'S R-15 R-10 R-30 R-I4
II. * 15% 0.40 0:58 0:20 R-38 R-30 R-21 R'21 R-FO R-30 R-1Q
fih Utilmited 0,40 0:~8 0;20 R-38 R>30 R:21 R-2i' R-IO R-30 R-1D
Group R-3
Occupancy
Only
* Refere
nce Case _ _ ,.
0. Nominal R-values are for wood frame assemblies only or assemblies built in accordance with Section 601.1
1. Minimum requirements for each option listed. For example, if a proposed design has a glazing ratio to the conditioned floor area of 13%, it shall comply with all
of the requirements of the 15% glazing option (or higher). Proposed designs which cannot meet the specific requirements of a listed option above may calculate
compliance by Chapters 4 or 5 of the W.S.E.C.
2. Requirement applies to alt ceilings except single rafter or joist vaulted ceilings.
3. Requirement applicable to only to single rafter orjoist vaulted ceilings.
4. Below grade walls shall be insulated either on the exterior to a minimum level of R-10, or on the interior to the same level as walls above grade. Exterior
insulation installed on below grade walls shall be a water resistant material, manufactured for its intended use, and installed according to the manufacturers
specifications.
5. Floors over crawl spaces or exposed to vnbient air conditions.
6. Required slab perimeter insulation shall be a water resistant material, manufacftured for its intended use, and installed according to manufacturer's specifications.
7. Int. denotes standard framing 16 inches on center with headers insulated with a ~ninimu~n ofR-5 insulation.
9. Doors, including al fue doors, shall be assigned default U-factors from Table 10-6C.
10. Where a maximum glazing azea is listed, the total glazhtg area (combined vertical plus overhead) as a percent of gross conditioned floor area sha(1 be less than or
equal to that value. Overhead glazing with a U-factor of U~.40 or less is not included in glazing area limitations.
1 1. Overhead glazing shall have U-factors determined in accordance with NFRC 100 or as specified in Section 502.1.5.
12. Log and solid timber walls with a minimum average -og thickness of 3.5 inches are exempt from this insulation requirement.
After recording return to:
Yelm Community Schools District No. 2
P. O. Box 476
Yelm, WA 98597
Attn: Erling M. Birkland
MITIGATION AGREEMENT
Reference No: SUB-OS-0096-YL
Grantor: 1. Landshapes Northwest, Inc.
1151 E. 112`h Street
Tacoma, WA 98445
Grantee: 1. Yelm Community Schools Dist. 2
Legal Description: Sec 13, T17N, R1E; Mtn. View Road & Yelm Avenue West
Assessor's Property Tax Parcel Number/Account Number: 21713310200
t~
THIS MITIGATION AGREEMENT ("Agreement"} is made this'~~ of / _ 1 ~ , 2006,
between the YELM COMMUNITY SCHOOLS DISTRICT NO. 2, Yelm, Washington (the "District")
and Landshapes Northwest, Inc. (the "Developer")
RECITALS L';~~.F ~~- ~J
A. The Developer has submitted an application to T.~tr-stay for the construction of a
16 lot subdivision, "Country Vista" near Yelm, Wash. (the "Project"). The Project is located on property
that lies within District boundaries, more particularly described on Exhibit A, attached hereto and
incorporated herein by reference.
B. The State Environmental Policy Act, Chapter 43.21C RCW ("SEPA"), provides
processes and procedures whereby major actions by state and local agencies, including, but not limited
to, plat or PUD approval or the issuance of building permits, may be reviewed to determine the nature
and extent of their impact on the environment. Impacts on public services, including schools, are
environmental impacts for the purposes of SEPA. SEPA requires the mitigation of adverse
environmental impacts.
C. The District's student population and growth projections indicate that the Project will
have an impact on the District, when cumulative impacts of other projects are considered.
D. RCW 82.02.020 authorizes the District to enter into a voluntary agreement with the
Developer for payment to mitigate the impact of the Developer's Project.
3831384
IIIIIIII Page. 1 of 4
IIIIIIII D5! 1512006 11 :34P
IIIIIIII on Co . Wa .
IIIIIIII Thurst
IIIIIIII .00
IIIIIIII $35
IIII AGR
YELM COMMUNITY SCHOOLS
E. Pursuant to Resolution No. 12-16-93-05, it is the policy of the District to recommend that
the direct impact of development be voluntarily mitigated by the payment of fees and/or other mitigation
measures where appropriate.
F. The Developer has agreed to mitigate, on a voluntary basis, the adverse impact of the
Project on the District.
AGREEMENT
NOW, THEREFORE, in consideration of the above recitals and the mutual promises and
covenants below, the District and the Developer agree as follows:
1. The Developer acknowledges and agrees that there is a direct impact on the District as a
result of the Developer's Project and that this Agreement is necessary as a result of that impact.
2. The Developer acknowledges and agrees that in order to mitigate the direct impact of the
Project, the Developer has offered to pay the District the following sum of money: Two Thousand Six
Hundred Seventy-Five Dollars and 00/100 ($2,675.00) for each lot in the subdivision or the total sum of
Forty-Two Thousand Eight Hundred Dollars and 00/100 ($42,800.00) (the "Mitigation Payment") for the
16 lots of the subdivision. The amount referenced by this paragraph is subject to change pursuant to
paragraph 4 below.
3. Any extension, renewal, modification or amendment to the Project that results in an
adjustment in the number of lots shall result in a corresponding pro rata adjustment in the Mitigation
Payment.
4. The Developer agrees that the payment of the full Mitigation Payment (in the amount of
Two Thousand Six Hundred Seventy-Five Dollars and 00/100 ($2,675.00) per dwelling unit or Forty-
Two Thousand Eight Hundred Dollars and 00/100 ($42,800.00)) for the project, shall be a condition of
building permit issuance for each single family dwelling in the project. If building permit issuance does
not occur within Five (5) years from the date of this Agreement, the amount due for mitigation, as stated
in paragraph 2 above, shall be modified to the amount reflected in the then most recent mitigation
agreement to which the District is a party. A copy of such agreement shall be made available to
Developer upon request.
5. The District agrees to record this Agreement after it has been executed by the parties.
6. The Developer acknowledges and agrees that the Mitigation Payment is authorized to be
used for capital improvements to the following facilities: Fort Stevens Elementary School, Prairie
Elementary School, Lackamas Elementary School, Southworth Elementary School, Mill Pond
Intermediate School, Yelm Middle School, and/or Yelm High School and/or any other facilities that may
be affected by the Project and/or the purchase of portable facilities and/or school buses.
7. The Developer agrees that the District has five (5) years from the payment date to spend
the Mitigation Payment for the capital improvements or expenditures described in paragraph 6. In the
event that the Mitigation Payment is not expended within those five years, the moneys will be refunded
with interest at the rate applied to judgments to the property owners of record at the time of refund;
however, if the Mitigation Payment is not expended within five years due to delay which is attributable
to the Developer, the Payment shall be refunded without interest.
8. The Developer waives and relinquishes its right to protest or challenge the payment of
the Mitigation Payment pursuant to this Agreement and hereby covenants and undertakes that it forever
refrains and desists from instituting, asserting, filing or bringing any lawsuit, litigation, claim, or
challenge or proceeding to challenge this Agreement, claim any repayment or reimbursement of funds,
performance or improvements provided for therein, or any of its terms and conditions, on any ground or
basis whatsoever.
9. The District hereby waives any objection to the Project as presently proposed.
10. The District and the Developer agree that the Mitigation Payment will be full and
complete mitigation for the impact of the Project as presently proposed on the District.
3831384
IIIII IIII IIII D5 /915•! 2006 { 1434A
IIIIIIIIIIIII
IIIIIIiilllllll a.
IIIIIIIIIIIII ton Co. W
35.00 Thurs
YELM COMMUNITY SCHOOLS AGR $
11. This Agreement shall be binding upon and inure to the benefit of the heirs, executors,
administrators, successors, and assigns of both of the Developer and the District.
12. If an action must be brought to enforce the terms of this Agreement, such action shall be
brought in Thurston County Superior Court. The prevailing party shall be entitled to payment of its costs
and reasonable attorneys' fees.
13. This Agreement constitutes the entire agreement between the parties and any other
agreement either written or oral shall be null and void.
EXHIBIT A
LEGAL DESCRIl'TION
General Location: Mtn. View Road & Yelm Avenue West
Section 13 Township 17N Range 1 E
Land Area: 3.01 acres
Tax Parcel Number: 21713310200
YELM COMMUNITY SC,~PH~OO~L1S DISTRICT NO.2 \~
DATED: V ~,/~. `~i / ~ v ~O ~'V ~
l By: Alan Burke
Its Superintendent
STATE OF WASHINGTON )
)SS
COUNTY OF THURSTON )
I certify that I know or have satisfactory evidence that Alan Burke is the person who appeared
before me, and said person acknowledged that he signed this instrument, on oath stated that he was
authorized to execute the instrument and acknowledged it as the Superintendent of the Yelm Community
Schools District No. 2 to be the free and voluntary act of such party for the uses and purposes mentioned
in the instrument.
GIVEN under my hand and official seal this da of , 2006
r~•c~'CEN$,q~~ -~!~ BLIC m and f r e State of
:" ~r •'~N ~i'••. ~? ~~i~ Washington, residing at
Z:.. ,~~Y ~':~ ~~~ My Commission Expires: -
~~ • ~" S
~~~ ,~ ~.c? p~4 4s ? C7 ,
/r~i~ ••'••., g.i~~•.r~Z' 3831384
f I'Isrq rE of ~P.~`' a III III VIII IIII IIII ~5/y15.l2006 f 1434A
~~.,,,,,,,,.~~~ VIII VIII Ilii liilll ll
IIIIIIillllill
YELM COMMUNITY SCHOOLS AGR $35.00 Thurston Co. Wa.
DATED: ~~ Z
STATE OF WASHINGTON )
)SS
COUNTY OF 1
By:
Its: Developer
I certify that I know or have satisfactory evidence that ~Crl~,l` ~~~~~s the person who
appeared before me, and said person acknowledged that he signed this instrument, on oath stated that he
was authorized to execute the instrument and acknowledged it as the applicant for this subdivision to be
the free and voluntary act of such party for the uses and purposes mentioned in the instrument.
GNEN under my hand and official seal this ~~'d` day of (~ , 2006.
~~~~~
MELISSA A. BEYER NOTARY PUBLIC in d for the State of
NOTARY PUBLIC Washington, residing at~ ~n
STATE OF WASHINGTON My Commission Expires: 1-~i- U+j
COMMISSION EXPIRES
JANUARY 9, 2007
IIIIIINIIINIUIIIIIIIIINIIIIIIIIIIIIIIIIIIIIIIII~I °°~''m~
of 4
6 11:34A
Thurston Co. Wa.
Hr, ~ ; u,.> uu~~ cs ~~ ~,
_.. ~..e-~ _ = ~:_
REGISTERED AS PROVIDED BY LAW AS
CONST CONT GENERAL
REGIST. $$ ~~~r . D11TE
CCOl LUBBECIll~DT~ ~!~%2l; 2!'~0
EFFECTIVE DATE'- 03/14/1989
LUBBESMEYER CONSTRUCTION INC
1151 E 112TH
TACOMA WA 98445 r
g
'-- ~ Detach And Display C'erti?'icace ------'
REGISTERED AS PROVIDED-BY LAW AS
CONST CONT GENERAL
REGIST. ## EXP. DATE
CCOl- LUBBECIllODM 03/21/2008
EFFECTIVE DATE 03/14/1989
LUBBESMEYER CONSTRUCTION INC''"'
1151 E 112TH
TACOMA WA 98445
Signature ~
Issued by DEP:AItT~/IENT OF LAIC QR .EtND INDLJST IZIES
~----
- ~~
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knC :~~~$.alii, 1~.1.~
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Jun 29 06 02:32p LUBBESMEYER
253 ~-~7 9163 p.1
FACSIMILE TRANSMITTAL SHEET
ATTN T0:
Gary Carlson FROM:
Melissa
COMPANY: PHONE NUMBER:
253!537-6370
CC: DATE:
6129106
FAX NUMBER:
360-4513144 TOTAL N0. OF PAGES INCLUDING COVER:
2
RE:
OlJ RGENT 0 FOR REVIEW ^PLEASE COMMENT ^PLEASE REPLY
NOTES/COt~iMENTS:
This is for the 2034 Plan that Mark dropped off to you today. If you have any questions please call me at
2531537-6370.
Thanks,
Melissa
1151E 112TH ST, TACOMA, WASHINGTON 98445
PH 253 537-6370 FAX 253 537-9163
JUN-25-2007 16:15 City of YElrn Public Works 360 456 8417 P.02
4~0~ TH~p~~ City of 'elm
a
Public Works Department
901 Rhoton Road
P.O. Box ~!?9
Y L ~ elm, NA 98597
WASMI.+OTOr. (360) 458-8406 Fax: (360) 458-8417
NEW HOME FINAL
DATE: Z'a
DEVELOPMENT: ~
BUILDER°S NAME;
LOT #: ~ ADDRESS: _~,LZ~ _N~~~ I C-~.X.~ ~"~-~1
COMMENTS:
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INSPECTED BY: (check one)
John lve~-
~dward Smith
TGTAL P.02
FROM :YELM SEWER DEPT.
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FAX N0. :360-458-f3166 Jun. 26 2007 07:16AM P1
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