20050738 Permit Pkg100306~pF THFp~~ City of Yelm
~9 ~p Community Develo
~ ~e
Building Division
Phone: (360) 458-840
ELM Fax: (360) 458-3144
pment Department
7
Applicant:
Name: Knight Construction
Address: PO Box 2830 City: Yelm
Property Information:
Site Address: 110 View Drive
Assessor Parcel No. 81620000900 Subdivision:
Contractor Information:
Name:
Contact:
Address: City:
Contractor License No: Expires:
Permit No: BLD-05-0738-YL
Issue Date: 10/03/2006
(Work must be started within 180 days)
Receipt No: 43939
Phone: 360-8949398
State: WA Zip 98597
Lot:
Phone:
State: Zip:
Business License:
Project Information:
Project: Blankenship
Description of Work: Residential Re-roof
Sq. Ft. perfloor: (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 -Other 25 00 __ 0.00 A 0.00 0.0000 0.0000 $1,000
TOTAL FEES: $25.00
Applicant's Affadavit
I certify that I have read and examined the information contained within the application and know the same
to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of
Yelm regulations incl ing those governing zoning and land subdivision, and in addition, all covenants,
easements and re i ions of recor If applying asj3,pontractor, I futher certify that I am currently
registered in the tdte Washin /
. ~ ~~. • /~
Sign~~Q~~ ~~ _ J Date ~U.
Firm
# Sets of Prints:
Final Insaectlon:
CITY OF
YELM
P Q. Box 4?9
Yelm, WA 98597
360-45d 8403
RECEIVED
****TWENTY FIVE DOLLARS & 00 CENTS
r~~c!V~:7 FPC~'~1 DATA REC VO
KNIGHT CONSTRUCTION 10/03/06 43939
22449 BALDHILLS RD SE
YELM WA 98597 BUDGETARY
RECEIPT No.4 3 9 3 9
AMOI,'NT Rc` X10
25.00 CHECK 8667
PERMIT 25.00 BLD-05-0738-YL
CITY OF
YELM
P.O. Box 1'9
Y"elm, WA 98597
360-158-8x03
RECEIVED
****THIRTY FIVE DOLLARS & 00 CENTS
RECE~V=D =q~~M DATE RE:,. NO.
KNIGHT INVESTMENTS NW INC 10/02/06 43926
RICHARD/THELMA KNIGHT
22449 BALD HILLS RD SE BUDGETARY
PO BOX 2830
YELM. WA 98597
DIANA
BUSINESS LICENSE APPLICATION
RECEIPT No. 4 3 9 2 6
AMOUN'
35.00 CASH
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FOJJ R~~ M //,,
Project Address: ~ ~ {r~ I ~ ~ ~'`,l) ~~~ ~~"" ~ ~~ ~`~' Parcel #: `~i ~ l~/ ~~ U~~ V~
Subdivision: ~ ~"{' ~~ ~~. P Lot #: ~ Zoning;
^ New Construction (~Re-Model / Re-Roof /Addition i Home Occupation Sign
^ Plumbing ~ Mechanical GG ^ Mobile /Manufactured Home Placement ^ Other
Project Description/Scope of Work:fJ~rnU~ Ulc~~ Il,(.x~~i,~~~ ~ ka~Cl~_~ ZA1t~~~ ~j1'(~), [~~~$ic~r~ ~~> i'k,,~ry',/(,erti~!
i /ly~J ~;a,~~+- ~-~
Project Value: ~ ~ ~~ ~'~ ~ ~ ~"
Building Area (sq. ft) 15f Floor ~ ~ ~ i ~ 2"d 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? ~ r ~.' If yes, a
completed environmental checklist must accompany permit application.
ARCHITECT/ENGINEER LICENSE #
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
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.
above information irvcorrect and that the construction on, and the occupancy and the use of the
ty will be in accord6nce~wit¢~the laws, rules and regulations of the State of Washington and the
City
Z^~~~ ~ ~ ,~._ ~ -~~
Date
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
]05 Yelm Avenue West (360) 458-3835
YO Box 479 (360) 458-3144 FAX
Yelm, WA 98597 mu+u~.ci _velm.u~a.us
UEP.~RT`1ENT Or LABOR AND INDUSTRIES
REGISTERED AS PROVIDED BY LAW AS
CONST CONT GENERAL
REGIST. # EXP. DATE
CCO1 KNIGHIN021KJ 04/10/2007
EFFECTIVE DATE 05/11/1998
KNIGHT INVESTMENTS NW INC
PO BOX 2830
YELM WA 98597-2830