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20050309 Permit Pkg 092705~OF THfA City of Yelm r ~ Community Develo Building Division Phone: (360) 458-8407 LM Fax: (360) 458-3144 Applicant: Name: Carter, James Address: 1018 Kingsview Ct. NW Properly Information: Site Address: 1018 Kingsview Ct. NW Assessor Parcel No. 57630000800 Contractor Information: Name: Applicant Address: Contractor License No: Project Information: Project: 1018 Kingsview Storage Unit Description of Work: 12x24 storage kit Sq. Ft. per floor: (1st) 0 (2nd) Heat Type (Electric, Gas, Other): pment Department City: Yelm Subdivision: Contact: City: Expires: 0 (3rd) 0 Permit No: BLD-05-0309-YL Issue Date: 09/27/2005 (Work must be started within 180 days) Receipt No: 38352 Phone: 458-2526 State: WA Zip 98597 Lot: Phone: State: Zip: Business license: Garage 0 Basement 0 Fees: Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc Building Permit -Other 97.25 0.00 _ 0.00 0.0000 v0.0000 $1,000 TOTAL FEES: $97.25 ~{ ~ ~ erg ~, .,S ;' `~~ ~, ~~ ~ ~~1~`l ~• ;~ 1 ~ r- 1 ~ -- 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 restrictions of record. If applying as a contractor, I futher certify that I am currently registered in the State of Washington. Signature ~ ~~~1 y~~ _ ~~~/Jir y Date ~•~ 7 ~ ey~ Firm -~~-sc ss>tl-~ ;t Sets of Prints: ~inal Inspection: Date: By: CITY OF YELM P.O. Box 479 Yelm, WA 98597 360-458-8403 RECEIVED .. it \ t ... \; Z. r~- .r -, ~ • • -i ~~ r _ T, . (:~ ^~ - /^ r \ t +' _ _ .. _ .v _ RECEIVED FROM DATE REC. NO. n ~ - - ~.~~: _.: RECEIPT No. 3 8 3 5 2 AMOUNT REF. NO. ..~ City of Yelm Permit Fees Schedule Community Development Department ~~~ ~ Permit No: BLD-05-0309-YL V/ \~ Building Division Phone: (360) 458-8407 SEP 2 ~ ~n~5 LM Fax: (360) 458-3144 C~~( QF YELM Applicant: Name: Carter, James Phone: 458-2526 Address: 1018 Kingsview Ct. NW City: Yelm State: WA Zip 98597 Project Information: Project: 1018 Kingsview Storage Unit Description of Work: 12x24 storage kit Site Address: 1018 Kingsview Ct. NW Fees: Item Acct Code Building Permit -Other 032 001-322-10-00 TOTAL FEES: Assessor Parcel No. 57630000800 Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc 97.25 0.00 0.00 0.0000 0.0000 $1,000 $97.25 CITY OF YELM RESIDENTIAL BUILDING PERMIT APPLICATION FORM Project Address: ~ ~ I ~ ~--vGS ~~ l~. ~~ C_ T, Parcel #: ~~ ~~ ~ °D DBO~ Subdivision: Lot #: Zoning; U New Construction ! ~ Re-Model / Re-Roof /Addition U Home Occupation Sign u Plumbing u Mechanical ~_~ Mobile /Manufactured Home Placement ~-Vbther Project Description/Scope of Work: S`i'o ~ ~ L (.~ ti i ~T )a. ~ ~1.1 °~ ~ ~ Project Value: ~ Lj+G06 Building Area (sq. ft) 1~' Floor 2nd Floor Garage Deck Basement Carport Patio # Bedrooms- # Bathrooms- Heating: GAS/OTHER or ELECTRIC (Circle One) Are there any environmentally sensitive areas located on the parcel? ~1 ~ % If yes, a completed environmental checklist must accompany permit application. ARCHITECT/ENGINEER LICENSE # ADDRESS EMAIL CITY STATE ZIP TELEPHONE GENERAL CONTRACTOR 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 wkh the laws, rules and regulations of the State of Washington 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 180 days of issuance, or if work is suspended or abandoned for a period of 180 days 105 Yelm Avenue West (360) 458-3835 PO 13os 479 (360) 458-3144 FAX Yelm, WA 98597 rvmm.ci _velm.ma.ua 165 ` 13' 8" 10` ~~N Storage 24 Shed 29 75 ` 12 t ~~ 1 l5 ` - 2l` 33 ` Storage Shed Site Map 1018 Kingsview CT NW Yelm WA 98597 (360) 458-2526 E ~`~. ~.~~ j, d,r t.. 49 `