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
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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
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RECEIVED FROM DATE REC. NO.
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RECEIPT No. 3 8 3 5 2
AMOUNT REF. NO.
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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`
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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
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