20050652 Permit Pkg 072406~OF T~ City of Yelm
o
Project Information:
Project: Sara Cornelson Grage
Description of Work: 480 sf garage
Community Development Department
Building Division
Phone: (360)458-8407
EL Fax: (360) 458-3144
Applicant:
Name: Bob Howard Construction
Address: P.O. Box 1260 City: Yelm
Property Information:
Site Address: 15491 107th Loop SE
Assessor Parcel No. 81580000200 Subdivision:
Contractor Information:
Name: Applicant Contact:
Address: City:
Contractor License No: Expires:
Sq. Ft. perfloor: (1st) 0 (2nd) 0 (3rd) 0
Heat Type (Electric, Gas, Other): OTHER
Permit No: BLD-05-0652-YL
Issue Date: 07/24/2006
(Work must be started within 180 days)
Receipt No: 42919
Phone: 458-7464
State: WA Zip 98597
Lot:
Phone:
State: Zip:
Business License:
Garage 480 Basement 0
Fees:
Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
Building Permit -Other 198.75 0.00 0.00 0.0000 0.0000 $1,000 _
State Building Fee 4.50 4.50 0.00 0.0000 0.0000
Building Plan Review 83.97 0.00 0.00 0.0000 0.0000
TOTAL FEES: 5287.22
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 gontractor, I futher certify that I am currently
registered in the State of Washir~gCbn. ~ ^ /"
Date ~~- ~ ~~ -
// /~
# Sets of Prints:
Final Inspection:
Date:
By:
City of Yelm ~ p'9/Q Permit Fees Schedule
Community Development Department ~~~ 9 4 permit No: BLD-05-0652-YL
Building Division C/~OF X00('
Phone: (360) 458-8407 Y~~r/
Fax: (360)458-3144
Appllcar>t:
Name: Bob Howard Construction
Address: P.O. Box 1280
City: Yelm
Phone: 458-7484
State: WA Zip 98597
Project Information:.
Project: Sara Comelson Grage
Description of Work: 480 sf garage
Site Address: 15491 107th Loop SE
Fees:
Item Acct Code
Building Permit -Other 032 001-322-10-00
State Building Fee 160 001-386-00-00
Buikding Plan Review 100 001-345-83-00
TOTAL FEES:
Bob Howard Jr. Construction LLC
Assessor Parcel No. 81580000200
Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
198.75 0.00 0.00 0.0000 0.0000 $1,000
4.50 4.50 0.00 0.0000 0.0000
83.97 0.00 0.00 0.0000 0.0000
$287.22
..
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ELM
P.O. Box 479
Yelm, WA 98597
36°-458-8403 RECEjPT No. 4 2 9 l g
RECEIVED
""'"TNO HUNDRED EIGHTY
RE SEVEN DOLLARS & 22 CENTS
CEIVED FROM
BOB HONARD COASTRUCTION DATE REC. NO.
AMOUNT
REF. NO.
PO BO% 1260 07/24/06 42919 287.22 CHECK
7616
YELN. NA 98597
BLD-05-0652-YL BUDGETARY
SITE: 15491 107TH LP SE
BLD PRNT 198.75. ST FEE 4.50. PLAN REV
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Owner: CORNEUSON, SARAH A
Address: PO BOX 33062
City: FT LEWIS
State: WA, 98433-0062
Parcel No.: 81580000200 `
i
Site Address: 15491 107TH LP SE <<~ ~• 3~
Site City: YELM r J
Site ZiP: 98597
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City o f Ye l m (Date Received
By
...
Community Development
` Department
Y~ELM RESIDENTIAL BUILDING 9002 j ti ~nr
w°s~'~°T°N PERMIT APPLICATION A
APPLICATION EXPIRES 180 DAYS FROM DATE OF SUBMITTAL. ~~, `~~~~~
TO EXPEDITE PROCESSING, PLEASE VERIFY ALL DOCUMENTATION FOR ACCURACY.
ALL CONTRACTORS ARE REQUIRED TO PROVIDE A COPY OF THEIR CONTRACTOR'S
REGISTRATION CARD AND PROOF OF A CURRENT CITY OF YELM BUSINESS LICENSE.
IN ORDER TO PROVIDE PROMPT AND EFFICIENT SERVICE, WE NEED THE FOLLOWING
DOCUMENTS SUBMITTED WITH PERMIT APPLICATIONS:
• Identification and description of the work to be covered by the permit for which application is
being made.
• Description of the land on which the proposed work is to be done by legal description, street
address or similar description that will readily identify and definitely locate the proposed building
or work.
• Description of the use or occupancy for which the proposed work is intended.
• Two complete sets of construction plans, diagrams, computations and specifications, and site
plan including septic and/or step tank location.
• Stated valuation of any new building or structures or any addition, remodeling or alteration to an
existing building.
• Signature of the applicant, or the applicant's authorized agent.
• Energy calculations.
• Civil plans and specifications, if applicable.
• Any additional data and information as may be required by the building official.
• Copy of mitigation agreement with school district, if applicable.
THE FOLLOWING ITEMS ARE NEEDED WHEN SUBMITTING AN APPLICATION FOR A SIGN
PERMIT:
• The name, address and signature of the owner of the sign.
• The street address or location of the property on which the sign is to be located and the name
and address of the owner of that property.
• The type of sign or sign structure.
• A site plan showing the proposed location of the sign relative to the boundary lines of the property
where it will be situated, the locations and square footage areas of all existing signs on the same
premises, and the location of all abutting public rights-of-way, building and other structures on the
premises.
• Specifications and scale drawings showing the materials, designs, dimensions, structural
supports, and electrical components of the proposed sign.
105 Yelm Avenue Weal (360) 458-3835
PO Boz 479 (360) 458-3144 FAX
Y"elm, WA 98597 utmu~.ci.yelm.u~o.us
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: / 6 ~~ ~ / / D ~ +~ /' S ~ Parcel #: g 15 g O O (7 ~,20(~
Lot #: Zoning;
^ New Construction ^ Re-Model / Re-Roof /Addition ~ Home Occupation Sign
0 Plumbing ^ Mechanical ^ Mobile /Manufactured Home Placement ^ Other
Project Description/Scope of Work:
Project Value: I~,~.S `/. U
Building Area (sq. ft) 1~ Floor 2nd Floor Garage y ~~ ~ FDeck
Basement Carport Patio
# Bedrooms- # Bathrooms- Heating: GAS/OTHER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? If yes, a
completed environmental checklist must accompany permit application.
Copy of mitigation agreement with Yelm Community Schools, if applicable.
I hereby certify that the above information is c rect and th the construction on, and the occupancy and the use of the
above described pro erty will e ' accords with the s, rules and regulations of the State of Washington and the
City of Yelm.
App icant's S g re Date
Owner /Contractor / Owner's A t /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 Auentee West (360) 458-3835
PO Box 479 (360) 458-3144 FAX
Yelm, WA 98597 wmm.ci;yelm.ma.us
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License Information 1
License BOBHOHJ965P0
Licensee Name BOB HOWARD JR CONSTRUCTION LLC
Licensee Type CONSTRUCTION CONTRACTOR
UBI 602434767 Verify Workers Comp Premium
Status
Ind. Ins. Account
Id
Business Type LIMITED LIABILITY COMPANY
Address 1 PO BOX 1260
Address 2
City YELM
County THURSTON
State WA
Zip 98597
Phone 3604587464
Status ACTIVE
Specialty 1 GENERAL
Specialty 2 UNUSED
Effective Date 10/20/2004
Expiration Date 10/20/2006
Suspend Date
Separation Date
Parent Company
Previous License
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Business Owner Information
Effective Expiration
Name Role Date Date
HOWARD, BOB
JR PARTNER/MEMBER 10/20/2004
Information
Bond Bond
Bond Company
Name Account
Number Effective
Date Expiration
Date Cancel
Date Impaired
Date Bond
Amount Received
Date
Until
#2 CBIC SF8618 11/03/2004 Cancelled $12,000.00 11/04/2004
COLONIAL
AM CAS it
#1 SURETY
OF M
LMP4040315
10/04/2004 Until
Cancelled
$12,000.00
10/20/2004
Savings Information
No Matching Information
Insurance Information
Company Policy Effective Expiration Cancel Impaired Received
Insurance Name Number Date Date Date Date Amount Date
#2 CBIC C11SF8618 11/03/2004 11/03/2006 $1,000,000.00 10/17/2005
NAUTILUS
#1 INS CO NC02061703 06/25/2004 06/25/2005 $1,000,000.00 10/20/2004
Summons /Complaints Information
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https://fortress.wa.gov/Ini/bbip/Detail.aspx?License=BOBHOHJ965P0 7/2l /2006