20050631 Permit Pkg 032907CITY OF YELM -BUILDING DEPARTMENT
RESIDENTIAL CERTIFICATE OF OCCUPANCY
Building Address 315 McKenzie Ave SE. #B
Owner Name
Owner Address
Wavne Williams
315 McKenzie Ave. SE
Yelm, WA 98597
Building Permit Number BLD-05-0631-YL Plan Number N!A
Remarks: See Special Conditions
Areas Inspected: All Code required
Special Conditions: Garane Conversion to a residence allowed under YMC 17.12 02.8.3.a. Residence for Blood or Marred Relatives
Building Official: G. Carlson Date: November 15, 2006
This structure is in compliance w~h the International Residential Code (Chapter
51-51 WAC) as adopted by the Washington State Building Code Council pursuant
to Chapters 19.27 and 70.92 RCW, effective July 1, 2004
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:
Name: Williams, Wayne
Address: P.O. Box 311 City: Rainier
Property Information:
Site Address: 315 McKenzie Ave. SE
Assessor Parcel No. 64420700700 Subdivision:
Contractor Information:
Name: Applicant
Contact:
Address: City:
Contractor License No: Expires:
Project Information:
Project: Wayne Williams
Description of Work: Finish converting garage to Mother Inlaw Apt.
Sq. Ft. perfloor: (1st) 0 (2nd) 0 (3rd) 0
Heat Type (Electric, Gas, Other):
Fees:
Item Item Fee Base Amt Unit Fee
Building Permit -Other 38.75 _ 0.00 0.00
Building Plan Review 25.18 0.00 0.00
TOTAL FEES: 563.93
Applicant's Affadavit
Permit No: BLD-05-0631-YL
Issue Date: 11/02/2006
(Work must be started within 180 days)
Receipt No: 4.4618
Phone: 458-3077
State: WA Zip 98576
Lot:
Phone:
State: Zip:
Business License:
Garage 0 Basement 0
Unit Rate No. Units Unit Desc
0.0000 0.0000 $1000
0.0000 0.0000
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.
# Sets of Prints:
Final Inspection: .
Signature~~ Date ~~' 2~dV
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RECEIPT No. 4 ~ 618
AMOUNT REF. NO.
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OF THFP~ City of Yelm
~ ~/7 l~ ~~ Permit Fees Schedule
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~ Community Development Department
4 en PAID Permit No: BLD-05-0631-YL
Building Division
Phone: (360) 458-8407 ~ (~ \1 (- 2 ~ n (1 h
LM Fax: (360) 458-3144
CITY OF YELM
Applicant:
Name: Williams, Wayne Phone: 458-3077
Address: P.O. Box 311 City: Rainier State: WA Zip 98576
Project Information:
Project: Wayne Williams
Description of Work: Finish converting garage to Mother Inlaw Apt.
Site Address: 315 McKenzie Ave. SE Assessor Parcel No. 64420700700
Fees:
Item Acct Code Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
Building Permit -Other 032 001-322-10-00 38.75 0.00 ^~ 0.00 0.0000 0.0000 $1,000
Building Plan Review 100 001-345-83-00 25.18 0.00 0.00 0.0000 0.0000
TOTAL FEES: 563.93
r~eC~'~~~'~~~t
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM JUL (~ 2006
Project Address: ~ ~ ~ 'YY! ~ Ker1Zi U ~/ / `,~ ~ rarcel #: (~Sh-~Z D ~o O 7f~
Lot #: Zoning;
u New Construction 1)l' Re-Model / Re-Roof /Addition I I Home Occupation Sign
Plumbing ~ ~ Mechanical r l_~ Mobile /Manufactured Home Placement _ Other 1,
Project Description/Scope ofWr^~!o~rk: I'tY1t S{Z i;U'GLQQ) 11 j ~,CYl~i'.~'f" ~i~~~ m~i~x-l l~ - lam h'u`t
Project Value: (~~~~ `~~ ~W
Building Area (sq. ft) 162 Floor ~ I°~S 2nd Floor Garage Deck
Basement Carport Patio
# Bedrooms L # Bathrooms ~ Heating: GAS/OTHER o ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? ~~ If yes, a
completed environmental checklist must accompany permit application.
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.
I hereby certify that the above Information la 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 Washlnflton and the
Ctty of Yelm.
i
~^0Iv-0b
Applicant' Signature Date
Owner / C tractor /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
106 Yelm Avenue West (860) 458-3885
PO L3ox 479 (360) 458-3144 FAX
Yelm, WA 98597 mmro.ci.ye[m.u+a.ua