20190157 Car Star DemoCARSTAR of Yelm
From: permits@orcaa.org
Sent:. Monday, April 29, 2019 8:53 AM
To: CARSTAR of Yelm
Subject: Demolition Notification
x 2940 Limited Lane NW
®�` y y Olympia, WA 98502
360-539-7610
This is your OFFICIAL CONFIRMATION of NOTIFICATION to ORCAA
of your planned DEMOLITION Project.
If required, present this Confirmation of Notification certificate, along with your receipt of payment, to your
local city or county permitting agency as evidence of completion of ORCAA's Notification Process.
This Notification is not valid until fees are paid. Notification fees are non-refundable.
Name:
Mailing address:
City:
State:
ZIP:
Phone number:
Other phone number:
Email address:
Is the property owner also the
demolition contractor?:
Project Size:
Number of structures being
demolished?:
Is asbestos present?:
Start date:
Matt Earsley
103 1st Street North
Yelm
Washington
98597
3604804659
3604582599
matt@premiercollisioncarstar.com
Yes
980
1
No
05/13/2019
1
Site address: 106 West Yelm Ave
City: Yelm
ZIP: 98597
Upload your asbestos survey: AsbestosXSurveyXReportXX003X_xuexae.pdf
Has all identified asbestos been
Yes
removed?:
Category options: Demolition
Fee: Single family residence - Notification fee: $37.00 -14 day waiting period - Nonrefund
What email address should we send
carstarofyelm@carstarusa.com
the application confirmation to?:
Submitted On: 2019-04-29 08:52:45
IP Address: 73.169.190.242
CARSTAR of Yelm
From: support@pointandpay.com
Sent: Monday, April 29, 2019 8:58 AM
To: CARSTAR of Yelm
Subject: Your Receipt
Greetings,
Olympic Region Clean Air Agency thanks you for your payment. For questions about your account, please call 360-539-
7610 Please note: This permit is not valid until fees are paid and permittee receives an approved permit from ORCAA.
Your payment ID is: 57934469
Items Paid For:
Description: Permits
Amount Paid: $37.00
Permit Type: Demolition
Site Address or Permit Number: 106 West Yelm Ave, Yelm WA 98597
Customer Information:
First Name: Sadie
Last Name: Earsley
Address Line 1: 103 1st Street North
Address Line 2:
City: Yelm
State: Washington
Zip Code: 98597
Phone Number: 3604582599
Email Address: carstarofyelm@carstarusa.com
Payment Information:
Subtotal: $37.00
Fee Total: $2.00
Total: $39.00
Datetime: 04/29/2019 08:57:18
1