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~~of THEp~ City Of Yelm Permit No: BLD-08-0010-YL
a ~~ Community Development Department Issue Date: 01/31/2008
~ Ry (Work must be started within 180 days)
Building Division
~" Phone: (360) 458-8407 Receipt No: 52643
~.a
YELM'~ Fax: (360) 458-3144
Applicant:
Name: Wood, Dale Phone: 458-5540
Address: 15708 123 Ave. SE City: Yelm State: WA Zip 98597
Property Information:
Site Address: 213/215 Mill Rd SE
Assessor Parcel No. 21725110202 Subdivision: Lot
Contractor Information:
Name: Applicant Contact: Phone:
Address: City: State: Zip
Contractor License No: Expires: Business License:
Project Information:
Project: Dale Wood Duplex
Description of Work: Duplex 2872 sf total
Sq. Ft. per floor: (1st) 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 Desc
-------------
---------------------------
Building Permit 100-500k
-----------
2,046.55
-----------
993.75
-----------
1,052.80
5.6000
188.0000
$1,000
Building Plan Review 1,330.25 0.00 0.00 0.0000 0.0000
Mechanical Permit 212.00 0.00 0.00 0.0000 0.0000
Plumbing Permit 188.00 20.00 168.00 7.0000 24.0000 Fixture
Sewer ERU 11,770.00 0.00 11,770.00 5,885.0000 2.0000 ERU
Sewer Inspection 290.00 0.00 290.00 145.0000 2.0000 ERU
Water ERU 3,000.00 0.00 3,000.00 1,500.0000 2.0000 ERU
Water Meter (SFD) 300.00 300.00 0.00 0.0000 0.0000
Consumer Dep 180.00 90.00 0.00 0.0000 0.0000
Traffic Facilities Charge 2,577.52 0.00 2,577.52 1,276.0000 2.0200 Peak PM Trip
Fire District Impact Fee 724.03 0.00 724.03 0.2160 3,352.0000 square foot
State Building Fee 4.50 4.50 0.00 0.0000 0.0000
TOTAL FEES: $22,622.85
Applicant's Affadavit: _ -_
OFFICIAL USE ONLY
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 ', # Sets of Prints:
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 futher certify that I am currently
registered in the State of Washington. Final Inspection• jl
Date: ~' '
Signature Date
-_ _ __-
--- -_ _ -
- --
_ _ -
- _ - -
Y
Firm -- _- - ~_ _ _ --_
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: /11.e~ ~ Parcel
Subdivision: Lot #: Zoning;
~I New Construction u Re-Model / Re-Roof /Addition u Home Occupation Sign
u Plumbing u Mechanical u Mobile /Manufactured Home Placement u Other
Project Description/Scope of Work: T~~,.~ lwu fem.
Project Value:
Building Area (sq. ft) 1~ Floors 2"d Floor f ~/6 t! Garage ~ ~ Deck
Basement Carport Patio
# Bedrooms- # Bathrooms- Heating: GAS/OTHER or ~ LECTR 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 /S ~ U ~ ~_ Z..,,~- EMAIL
CITY ~E/.r. STATE,~~~ZIP 9f3sy? TELEPHONE "
ARCHITECT/ENGINEER LICENSE #
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
GENERAL CONTRACTOR (~ c.J,J _e ri- TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'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.
1 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.
Applicants 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 180 days of issuance, or if work is suspended or abandoned for a period of 180 days
105 Yelm Aaenue Weat (360) 458-3835
PO Box 479 (360) 458-3]44 FAX
Yelm, WA 98597 rvunv.ci.yelm.ma.ua
Dale Wood
15708 123rd Ave. SE
Yelm, WA 98597
February 5, 2008
City of Yelm
P.O. Box 479
Yelm, WA 98597
RE: STEP System -new construction duplex Permit # 08-0010
Mr. Jim Gibson -Engineering Dept.
Mr. Gary Carlson -Building Dept.
Mr. Jon Yanasak -Sewer Dept.
Received
F~3 0 5 2008
I am proposing to use one sewer step system in lieu of the normal 2 by increasing the step
tank to a 1,500 gallon tank, increasing pump size to a 20 gallon per minute pump and
supplying a separate electrical service for the system on the above referenced project. By
doing this it should be less maintenance for the city.
Please review and let me know as soon as possible. If you have any questions please
contact me at 458-5540.
Sincerely,
Dale J. Wood
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Thurston County Map Output Page
Page 1 of 1
Thurston Countv Map ~
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Disclaimer: Thurston County makes every effort to ensure that this map is a true and
accurate representation of the work of County government. However, the County and all
related personnel make no warranty, expressed orimplied,regarding the accuracy,
completeness or convenience of any information disclosed on this map. Nor does the County
accept liability for any damage or injury caused by the use of this map.
To the fullest extent permissible pursuant to applicable law, Thurston County disclaims all
warranties, express or implied, including, but not limited to, implied warranties of merchant
ability, data fitness for a particular purpose, and non-infringements of proprietary rights.
Under no circumstances, including, but not limited to, negligence, shall Thurston County be
liable for any direct, indirect, incidental, special or consequential damages that result from
the use of, or the inability to use, Thurston County materials.
°@f~:,ir.*.~r~s ~ 2007 -Thurston County GeoData Center
iA~'~'11~Ft-A 2404 Heritage Court SW, 3rd Floor
t `rgr~ ~ Olympia, WA 98502-6031
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LEGEND
~,~ I~ia~tir Roads
,~~,..:~~ Roads
Streams
~~J Contours
'4n~'etlands
itietland Bn€fers
Parcels
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http://geomap l .geodata.org/servlet/com.esri.esrimap.Esrimap?ServiceName=cadastralov&... 1 / 11 /2008
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Flood Zones
T1'ater Bodies
-- Zoning
Cities
Thurston County Map Output Page Page 1 of 1
http://geomap l .geodata.org/servlet/com.esri.esrimap.Esrimap?ServiceName=cadastralov&... 1 /11 /2008
-ROM : YELM SEWER DEPT.
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