20100017 Permit Pkg 020310City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:
Name: SOUTH SOUND RE SOLUTIONS
Address: 704 SO 5TH AVE SW
TUMWATER WA 98512
Property Information
Permit No.: 20100017
Issue Date: 2/03/2010
(Work must be started within 180 days)
Phone: 360-359-0017
Site Address: 15414 CALLIE AVE SE 175 Owner: SOUTH SOUND RE
SOLUTIONS
Assessor Parcel No.: 416100117500 Subdivision: CHERRY MEADOWS Lot: 175
Contractor Information:
Name: SOUTH SOUND RE SOLUTIONS Phone:
Address: DONALD JENKINS
704 SO 5TH AVE SW
TUMWATER WA 98512
Contractor License No.: Expires: 0/00/0000
Project Information:
Project: NEW RESIDENTIAL BUILDING
Description of Work: REACTIVATION OF PERMIT BLD-07-0210-YL, SFR LOT 175 PLAN 22126
Sq. Ft. per floor: Heat Type (Electric, Gas, Other): GAS
First 1252
Second 1168
Third
Garage 418
Basement
Fees:
Item Contractor Fees
NEW RESIDENTIAL BUtLDtNG SOUTH SOUND RE SOLUTIONS $ 2,884.75
MECHANICAL SOUTH SOUND RE SOLUTIONS $ 0.00
PLUMBING SOUTH SOUND RE SOLUTIONS $ 0.00
TOTAL FEES: $ 2,884.75
Applicant's Affidavit:
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 further certify that I am currently
registered in the State of Washington. // 7-7 ?
SinnatiirP ~/T> I /~ D ~ . K. _ f)ata 7P ~ 3. ~. () ~ 0
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
City of Y~1~
t:;60) 458-8402
F:ECq: 00019585 1!2612010 ;x:39 F'M
OPER: CO TEf~: 001
REED: 900001692
TRAM: 33.0000 RUILDIOr F'ERi4ITS
20100017 2.884 , 75CR
SOCRN SOUND RE SOLUTIONS
15414 COLLIE ACf SE 175
BLD-E~S1 2.884.75CR
TEODEF,~D: 2.884,?5 CHECK
REPLIED: 2 ~ 884.75-
--------------
CNANGE: 0.00
~~. ~3~~~ 3s9-6oi ~
CITY OF YELM
• RE/S/I/DENTIAIL BUILDING PERMIT APPLICATION FORM
Project Address:/I ~ ~! 7 C~~/i~ /9(`~, SC Parcel #:
Subdivision: ~~l f •~v t4~a.~Lot #: !~ Plan #:,~2/~ ~ Zoning:
New Construction Re-Model / Re-Roof /Addition Home Occupation Sign
Plumbing Mechanical Mobile /Manufactured Home Placement Other
Project Description/Scope of Work: ~iti ~ s ti G/,rz~ ~itJ~ ~~ t4 s r
Project Value: ~ S ~~~
Building Area (sq. ft) 151 Floor Z/ S 2 2nd Floor 6 ' Garage Y (~' Deck Nf~ ,
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.
•
GENERAL CONTRACTOR,fro.w e C~4~ti4-~ TELEPHONE
ADDRESS S ArT ~- ~: S /~ ~~ v y ~ 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.
•
I hereby ceRify 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 with the laws, rules and regulations of the State of Washington and the
City of Yelm. , /~ F1
Applicant's Signatu D to
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
705 Yefm Avenue Wesf (360) 458-3835
Yelm, WA 98597 (360) 458-3144 FAX
u~u~u~.cl.yelm.u~a.ua