1998 Building PermitsPUBLIC WORKS _. _. _.. P01
'..,.( n.
CIN OF YELM Bulltll mlt No 62/�/
BUILDING DEPT.
•Phone: (360) 488-8407 Dare
(wom rtwst to stated Y him days)
6190 —Ctrl Formal' *6M
w
Nom.A
91on
mons( >
on»ry_
v N
V N
v N
/
A
neo-.. R
ter5 aJ
cI
ware
oasis9"7
p�,'p.0
efe AIXkess Q
p 5
Road
Owylw L & I Fmn
Aea.aorFbor Pbn aw PpmF
SW ��
auorr.mReoom
P
Aeleeon aorta No. On
LashO
.n./oam)
R
SteNluon
lot
& k
i
OR Nrort Puf No.
&Sk
E SRuoNat MOny.
-Art
L.K
con as
ma . (%i)
833 1
Aoor.. A t
S' <
cnr
wore W7A
as C..9 (J6 2
uceree No. La.a yYyln o
Exp
ymm am. W. M.
DeeclplbnIX Work
FO]- f
OFFICIALI ONLY
Omer
FYm_
•
"m
=7 if -i i
ro of
sde aeor
rave ane eManlnq nw mrormalk+n cmfanea wimin ms
=army mvr ma woNeatl <nuullne bInc .11ywrm cwt
rvnyopq law woeMeun, ono In aoamon aII eovanane
ParmMiypB
Rm'denflol
91on
commerce
Shore aennn
£eoa E-11
Fkra Ran
Rumdne aermtt x
MxCM1ankXl PoruA/{��.�,�p��
Ran Clleak By//^Il/,Tx'Fd//N
on»ry_
v N
V N
v N
/
f8
p�,'p.0
F'lgllma��—
Road
Owylw L & I Fmn
Aea.aorFbor Pbn aw PpmF
SW ��
auorr.mReoom
Ilna n me acme M ha nu9
ywYaYn repubtbn MCIWaq
, ab rwmctiona a lecwe. II
sawyer+rrgwlroa/��qp
/Zo�P6�°r+
CITY OF YELM
BUILDING DEP?.
Phone: (360) 458-8407
0
Buildingrrnit h, 200
Date
10011)
(Work must be.a ed within 120 C )
�il��ln/44
�rnnWAR
Sloe Side Rear Owner L& I Fomr
Assessor Noor Ran PermH
AppYcanri AftidmAt
1 aBrtitY Hol I Mve recta and examired Mte Inbrmalbn contohad wlMin Me ppplicatim and know Me same fo be true S anmtfeci
and coeect. I also certify Martine proposestruclue b In conformity wIM all applicable City of yelm WJoflons Irgludlrg
those govamlrg mMnq and land aLLwlvbbn, and In addition. all covenants, aosements and restrictions of record, H
applying as a contactor. I NrMer cerfiN that I am a carentiy registered contract In Me State of WahNngton.
O cydeMReports
r
• • � / _ �:.
i. ms's
�/Ai4
�V I •OITICI�
ONLY
11'
Redentlal Sign_
111, W
�rnnWAR
Sloe Side Rear Owner L& I Fomr
Assessor Noor Ran PermH
AppYcanri AftidmAt
1 aBrtitY Hol I Mve recta and examired Mte Inbrmalbn contohad wlMin Me ppplicatim and know Me same fo be true S anmtfeci
and coeect. I also certify Martine proposestruclue b In conformity wIM all applicable City of yelm WJoflons Irgludlrg
those govamlrg mMnq and land aLLwlvbbn, and In addition. all covenants, aosements and restrictions of record, H
applying as a contactor. I NrMer cerfiN that I am a carentiy registered contract In Me State of WahNngton.
O cydeMReports
•
•
NEW DEVELOPMENT/CONSTRUCTION CHECKLIST
Site Address: 16W2 IL�%t lMp SE ,(.aT-e 18(/1�1/l�/�C/�)
TYPE PERMIT # FEE RECEIPT N COMMENTS
Sewer Permit
125.00
Sewer Latecomers
Sewer/Septic•
1,000.00
Site Plan
Water Latecomers
Water Meter-
300.00
joylj
J 1 J
Water Meter LR -R.
Water Service ERU's
700.00
Consumer Deposit
90.00
`J_J
Plan Review
Building Permit
..f5
WA Building Code Fee
4.50
Mechanical Permit
Plumbing Permit
Yelm Business License q
�j 2Ql O
LJ(
Transportation Facility Charge
Open Space Fee
�/
7�
School Mitigation Fee
01
\�
`D UE AND PAYABLE PRIOR TO FINAL INSPECTION BY YELM BUILDING DEPARTMENT!
-DD-'e A - «UA*L-e�
QLU ase, � u e- A -r VSs Lt" e�
CIN OFYELM
BUILDING DEPT.
Phone: (360) 458-8407
Building Permit
R? 2
DaFe
Mork nnut be staftetl wit[I 120 aoya)
Sitle Skye pear
_ aE�nncs�
., J•• . - — AueaorfkiarPbn asp Pormn
PypMcamat I he N� `
w fifyco mat 1 lave reap ara examinetl me Inlprm,sp i conformity
y wM ONa apl l ad on a ofimow
Yelm me same tp be eue Sabmmed��
aM correct. Ia4ro cemty mat tt>0 prpppsetleh onaI b Inpontormltywimaiapplloomomftof, rm000mflor oral rsp
ibp5a aovemkp mnlrg antl IanQ subtllJbipn. pnp In aWlMon, all covenanh easemenR aM resMcibns of record. 11
appll as a conlracmr: l Nffll ealmy mat I am a currently reglsterep commot In me Stole of Womingfon.
9uanerly Reooar
Signature Date
FYm.
ME
-fir • -- �74"7/��I�!
1 J//�
�\ll� ei
/
1_
i�1i`,��
ice/
�c7
/ .�
i!
• . . • ,
i1iu
/.z.
Commercial .:
.
FloorOf
sap� Approtal M,
Sitle Skye pear
_ aE�nncs�
., J•• . - — AueaorfkiarPbn asp Pormn
PypMcamat I he N� `
w fifyco mat 1 lave reap ara examinetl me Inlprm,sp i conformity
y wM ONa apl l ad on a ofimow
Yelm me same tp be eue Sabmmed��
aM correct. Ia4ro cemty mat tt>0 prpppsetleh onaI b Inpontormltywimaiapplloomomftof, rm000mflor oral rsp
ibp5a aovemkp mnlrg antl IanQ subtllJbipn. pnp In aWlMon, all covenanh easemenR aM resMcibns of record. 11
appll as a conlracmr: l Nffll ealmy mat I am a currently reglsterep commot In me Stole of Womingfon.
9uanerly Reooar
Signature Date
FYm.
• NEW DEVELOPMENT/CONSTRUCTION CHECKLIST
lJ
Site Address: 15114 'EP,4N't4 S LOF*—�3
TYPE PERMIT # FEE RECEIPT # COMMENTS
Sewer Pemtit
125.00
Sewer Latecomers
Sewertseptic•
1,000.00
Site Plan
Water Latecomers
Water Meter-
300.00
1
Water Meter 1.AR.
Water Service ERU's
700.00
D
Consumer Deposit
90.00
Plan Review
I
Building Permit
,Sa
WA Building Code Fee
4.550
Mechanical Permit
Plumbing Pemrit
5—
O•J
6q85-
I , „^
` (J(�
1
Yehn Business License #
Transportation Facility Charge
Open Space Fee
y%M
1TT++�t
/ .p
! .�•
5 DS O
School Mitigation Fee
-PAI n
p0
•DUEAND PAYABLE PRIOR TO FINAL DYBPECTIONBY YELM BUILDING DEPARTMENT!
CITY OF YELM
BUILDING DEPT.
Phone: (360)458-8407
Building Permit N2 6201
Date
(Work rtxct be naded wehh 120 days)
Front toZ71 —f Road
SWe &de ar
AppllcanYs AffldaWt.
I cerflly that I have read and examined the InformaMontdined within the application and know the some to de true
arae cortect, I pec, cerary that the proposed si ictae b In carfamit, with all Oppticpfile Clty of Yarm tegulatlom Including
those governing inning and land subdNblon, and In addition. Oil covenants, easements and restriction Of record. If
applying as a contractor, I further ceMfy that I am a currently registered controct In the Stat. of Nbshington.
Fkm.
I0
.0_.1M
Fssssed By_
Fkwl lno:_ / /
Owner L&IForm
Assessor Floor Nan and Permit
glpdrterNR.a.ds
MK rte_
0
w
r
Name TFSAi�
Phone
N
R
Andress
L.t.F'l{ c
sane A LP cone
Site Address
v
R
Assessor's Parcel No.
Lot Slze (sq. tt./acres)
0
E
$utyflvleorNSWAMLot
frock
Y
OR Short Nat No.
Bock
Esishng Structures H any.
N
Name
E, I
M Contact
Phorse (
)
Addrea
State
Ilp Code
Jc
G
Ucerm No.la5l
—EV
y6nn a. uc.
PI&MOFFICIAL
ELSE ONLY
PermttType:
Residential Sign
commercial Ofha
shoreline Permit y N
Sopa Exempt Y N
Flexor Pan y N
Sets of PMts— I
Plumbingpontratt 541/?
Mach rloa Permit Y�
Pian Check ey
Sq. Ft. per /bar.' 0 t) (?r»
Sewer ptic pray.
• CIN Woter Private II
N .System
Heat, EIecM Gas 011ier
B FOR FEE
FEF
Building value
lull
Other
WA. St BC. Fee
(4.50 New Cow. Orly)
A.
Front toZ71 —f Road
SWe &de ar
AppllcanYs AffldaWt.
I cerflly that I have read and examined the InformaMontdined within the application and know the some to de true
arae cortect, I pec, cerary that the proposed si ictae b In carfamit, with all Oppticpfile Clty of Yarm tegulatlom Including
those governing inning and land subdNblon, and In addition. Oil covenants, easements and restriction Of record. If
applying as a contractor, I further ceMfy that I am a currently registered controct In the Stat. of Nbshington.
Fkm.
I0
.0_.1M
Fssssed By_
Fkwl lno:_ / /
Owner L&IForm
Assessor Floor Nan and Permit
glpdrterNR.a.ds
MK rte_
CIN OF YELM Building Permit t,6201
BUILDING DEPT.
Phone: (360)468-8407 Date
(Work must be started within 120 days)
o I I — !. .inn Inn..
Nrvame
h t 1
I -:-
R
Address -
^ Ltd
CHy--'
stale
A Zip Cane` ,
Ste Addiess
P
R
Agessor's Parcel No.
Lot ere(sq. It./acres)
O
E
Subc,won I, I'
Lot
&oak
I
v
OR Short PM No.
Ell
ExMirg Structures, if any.
Name 1,1,
Carnal
Phone (
)
Atltlrea '-r--
-
c+ry
A stare
)
ap code 6
—
ucerse
Velm Bus. ❑C. Nn n o l
Description of Walk l
X11 /nej
OFFICIAL USE ONLY
PermtType;
Rrsiciel Sign
Cammerclal� Other_
Sh.Me permit Y N
Sopa Exempt V N
Fkror Plan V N
Sefs of Prints
r—
Sq. Ft. pelfkgr:(19) (2rq)
Sewer Xc prove
Cav VAter %Nose
System
Heat: Electra,, Gas OXrer
FOR HE
FEE
Bulldkp vclue
I (
;:
Mer
-
Rumbinl]permit tl If
Mechanical permit 9
Pian Check By
WA Sr. Ill Fee
(4.W - New (bnl
r7
OtALF
G
distance of structure fmm�
ta
Eltle Side / r OvmerL&IFoen
Assessor Floor Ran Ontl Permit
A 8rtfV atIh avlt.
w ca Mat have snit Ma examinatl the (Vaal ft I c o tamed , wM the applicable
and know ilia some to be ling SubmMed J�
arq correct. also ring ilial Xie proposed structure h In conformity o M all applicable CXy Of V&m rarestinctions W Inc cl It
X%MB nQ as a 'Q spring Ontl kRltl' WYwbdMil�r,, and n onr nagon. t ed c nal frac In a Stat of ashin,tan, OI reaOra f
appMPO as
o COniraatot I Nrttrer certify that I am a CurrenXy regMeretl contract In ttre State of VAshinpton.
9uarteriv Reports
signahsre Dote Assessor
i
Fkm:max ./
y / /
CIN OF YELM
BUILDING DEPT.
Phone: (360) 458-8407
•
Building Permit M 6199
Date l ' 1— V
(Work must be Started within 120 clays)
0
AzH Name f
PhoneC
)
/
4
��
R
gddre56
C
State
nor Code
SPe Add.
,,I
T
RO
A4 %Porcel No.
V
Lo1S2a (sq.
K./aces)
P
E
EubdNMon
Lot
Mock
R
T
y
OR Shaft lW No.
Mack
Existing Structures M any:
Name
Phone
O
Addrea
/f"
ity C
np Cade p(
ucerue No.
Exp.
Ye rn Me. Llo. No.
Descrbtian of y-3
/
rz W)
0
OFFICIAL USE ONLY
Perntt Type.
n &i2P 71
Sq'. Ft per floor. (III)
/
(1nd)
rteOdential Sign
Sewer
Septic
Approval No.
Commercla>I rOther
Shoreline Permit Y N
Sega Exempt Y N
Floor Plan y N
Seh of Alnh
Ru'la Permttp
Mechanical Pertnitk
Plan Chad
City Water Prly Well PMale System
Hear: Elem4o Gas Other
am
PASIP FOP FEE
FEE
Mc Ing Mo.
a0 —
Other
-
WA. ST. EC. Fee
(4.W -New Corot Only)
J_
TOTAL FEE
Minimum detance of structure from property Ilnes:
Front to of Road
Sde Side Rear
APPOCON'S Affi N..
I certify that I have read and examined the Information Contaned within the applicatbn and know Me same to be true
and cored. I also certify that the proposed structure b In conformity with all applicable City of Yelm regulations Incacing
Q govemirsg zoning anal land WbdNWo, aril In addition. all coverwnh, easements and reshlcfions of record. If
applying as a contracro[ I furtner certify that I am a currently registered contract In the State of Washington.
Slgnalure Date
F.:
Owner L & I Fpm
Ais. Floor Plan and Permit
9uarrorly R6pons
Assessor /�
CITY OF YELM
BUILDING DEPT.
Phone: (360) 45&8407
•
Building Permit
w° 6198
Date
(4/ must be Started(within 120 days)
w
Name )��AZA;
Phone (
) 3d
H
E
R
AddressCI
Srote
L Code
Site Address
0..
R+'
R
AletuVS Pa,.si NaWo
LO}SRa (SQ. h,/aCIeSJ
O
F
Subdivhbn
Lot
Bock
N
OR Si Plat No.
Back
Exhtfng Structures X any.
Name
Contoct�T
Ffroen(
)
p
AtlWets /Aye
p( -,
Sfote
LP Code
(kyr
uceMe No.
E=
YRtm BaUc. NO.
MWakOFFICVIL
USE ONLY
PermttiYpa:
Roadentlal Sign
N Mx �Ar x
Sq. Ft per roor: (1 (2nd)
Sewer Sepflc
Approval No,
OommerdOl—x—Otlrer
Shoreline Permit Y N
Sopa Exempt Y N
Floor Porn Y N
Seh of Points
Plumbh5g PenmM M
CIN Woter Private Well Frlvale System
Haan: Electric Gas Other
am
WIE FOR FEE
FEE
Building Valuer
�+l� ,
Oryta
WA. Sr K. Fee
(4.50 - New Cont. Only)
Mechankal Permit
Pbn CNecl59y
hss✓ad BY ����
FMI Insall >
O.L&IFmm
Ass,s,or Fbat Ffan mtl Permit
TOTAI FEF
� �
M1aesmum d¢rarw of mrclue hom aoPeM llrgS'
Front to of Rood
Sucre Sam Rear
A(.p/conYS AMCarh:
I certify that I have read and examined she h1camotlon contained wimin Me appikatic, and know the same to be true
Submlhecl
I oho certify }hot }ha proposed Structure
lry with atl City of Velm rafWaflof Icar dlrf
b In cilon,
Moscorrect.
}hose mning and land sri tinof
m, sdaable
o nanl5, a and
. all c.ac!
In anty
of record If
I m a rei c ti, Stah Ian,tlon
aPPMnO as a Conhactar. I NrmercertHy mat I am a Curtently registered contract In the State of VJwhingtan.
ng as a ca
9uartenv Reports
ASsestor� /
7RPC / /
Slgn.M. C Dale // - a – )
Firm'.
CIN OF YELM Building Permit 6194
BUILDING DEPT. I I _
Phone: (360) 458-8407 Date to
•-.- r:...I I ID TAKE PLACE PRIOR TO DEMOLITION (work must be slatted wfhln 1204 ys) 7
WITH REFORIS TO THE CITY
CITY OF YEIM INSPECTOR TO WALK SITE BEFORE DEMOLITION
grrh T
w
Safeway
462-2883
Name
Phorhs(425/
N
R
Address 1121 124th Avenue NE OHy Bellevue
sate WA
apcode 98005
Sue Address10509 Highway 507 S.E.
P
Assessor's Porcel No. 22730110300 & 400 Lot Sge(so h./acres)
P
E
SubdivsJon Lot
Nock
R
r
Y
OR Short Plat No.
Bock
Existing S1NCNret X any'.
Name Contact
Bane (
)
I
F
Address Ctry
Stare
brocades
Uceree No, Ery.
Yelm &a. Uc. No.
Oescription.fwork DEMOLITION - 3 BUILDING @ $50.00 ea.
OFFICIAL USE ONLY
Permit type: -
Retai llol Sign
X
Sa.Ft.per floor '. (1st) (2nd)
Sewer Septic Approval No.
commerclol Other_
Shoreline Permit Y N
Sep. Exempt Y N
Floor Plan Y N
Sets of Prot—
Numbing PermR M
Mecdanical PermR M
Plan Check By
Oxcners
City Water Private Well Private System
Heat: Electric Gas OMer
REN
BASIS FOR FEE
FEE
Building Valoe
150.00
Other
WA. ST BC. Fee
(4. W - New Color Only)
4.50
TOTAL FEE
154.50
Mirvmum tl6}once of sh Wre from property lines
Issued Bl-
Fbmllrep:�_)
Owner L & I Forth
Assesmr Floor Pan and Prom
Front to of Rood
Side Side Rear
AM
pptry,
I haver o�IkaXon and knowYelm the same to be true
ihot dove read and examined Me ImucturXan ccnfoMed
Mc
wad
SubmlHed I—/—
ore
and coned. also Germy idol proposed atl tie City
co Is Ino l y Yelm regulations of lnIf
e
t, easements n
those land n. and covenants, orrd
and In addition. ove r cord
all torss of record. If
mining and land eMly Mat
ng as a.g
I to In t Stor shin
applying m a conhoctor. I mrmer Germy Mat I am a currenXy registered conhaci In the Stole of Wosdington.
Quarterly Reports
Aesess.r_� /
Signature Dw0 j. 0-18
Firm'. 5.0, c C 0+....
iRPC l�
CIN OF YELM Building Permit �p0 6193
BUILDING DEPT. l Phone: (360) (360)458-8407 Date
• (Work must be started within 120 days)
w
No. Safeway
Fnones425) 462-2883
N
E
Md. 1121 124th Avenue NE
C Bellevue
wore WA n code98005
sere Address 10509 Higirsay 507 S.E.
oAsse59or's
Parcel Na. 22730110300 6 400
Lot srre (sq. tt./acres)
v
SuacWon
Loi
Bock
R
T
y
ORShort Pot No.
Bock
Etlsting Structures. M any:
Name S.D. Deacon Contact
Mike Monde
Phone(425) 454-5038
Add. PO Box 3070/1745 114thill SE Suite #12Qih Bellevue
stare WA opcode 98009
Has. W. SDDEACIN108AP
Exp.
Yelm Bus. uc. No.
Oescriptionof Work Construction of new grocery
store
OFFICIALUSEONLY
Permmiype:
ResldenHvl glen
Commerclai x Other_
Shoreline PermR Y N
Sego Exempt Y N
Foor Plan Y N
set of Nrint
Plumbing Perm" 5484
Mechanical Permit E 5601
Plan Check Chk By Bridget Smith
Sq. Ft. per ft. (19) /f (^.nd)
Sewer Septic Approval No.
City Water Private Well Private System
Heat: Electro Gas 011ier
REM
BASS FOR FEE
FEE
Edliding Value
2,964,000
10,410.50
Other
WA. ST.. BC. Fee
(4.K -New Corm Only)
4.50
TOTAL FEE10415.00
Front b of Road
Side Side Rear -
Appllcoff. Afkd .. ,
I certify that I have read and exanInsd the Informaflon contained within the appllcaflon and know the some to be true
0rld Cortect. I also mr fy mor me pro oisd Structure Is In Conformity wih all apolcabla Clry of Yekrl mqubMons Including
}lime goy ming wnlrsg mo and subdNbion, and In addition, all covenant easement and rmMctom of retard. m
UPPION maCon&, Coc fulthBr Cerfy mintI am acuvenllyR lsfered Contract In he SlateofW lnotcn.
ivued By V
Owner L&I Form
Assessor Foor Plan and Permm
Quarterly Room
0 NEW DEVELOPMENT/CONSTRUCTION CHECKLIST
Site Address: 10509 Highway 507 S.E.
TYPE PERMIT # FEE RECEIPT # COMMENTS
Sewer Permit
,I
2625.00
Sewer Latecomers
2950.24 /
I
Sewer/Septic BRU's'
V
105 00000
Site Plan
Water Latecomers
V
10,435.35 r/
1
//
Water Meter'
`u
11000.00 r
Water Meter l.R.R.
650.00
Water Service ERUs
v
14,700.00/
Consumer Deposit
90.00
✓
Plan Review
V
7,776.83 ✓
Building Permit
r
10,410.50
WA Building Code Fee
4.50
Mechanical Permit
308.25
Permit
d,/Plumbing
944.00j
/
Yelm Business License #
Transportation Facility Charge
V
280,500
()pert Space Fee
School Mitigation Fee
'DUEAND PAYABLEPRIOR TO PENAL ENSPECTEON BYYELM BUILDENCDEPARTMENT!
C,
J
CITY OF YELM
BUILDING DEPT.
Phone: (360) 458-8407
Building Permit
Rr! 6197
Date 11—! o
(Work must be started within 120 days)
Rct,1 Oa 1 C7
Mlnlmun dbtor W sliucMe from popeity IM:
From to of Rood
Slde Sloe Real
xfped gra
F4naI1Np:�J
Owner l&IFarm.
Aveda Fbor plan and P It
Applicant AfAdavM:
I comfy t I lave read anal examined the IrNormallon canMlned wmin " applk n or a know tfte fame to be M1ua SubrrJted_JJ
anal coeect. I ob cert t " oropafed fM1ucfure fs In conformity.IM all applkable City of Velm iegulatlorfs Inclutling
tlwse ga.IN zoning and lontl fubdM , aM m atldltlan, all covenant, easement oral re Vlctlonf of racora. I
applying w a con1mcta I fuM car* stat I am a c..I1Y,egWwec1 conhoct in its State of W Inglon.
IM
1=
jq.
=11117,
Mlnlmun dbtor W sliucMe from popeity IM:
From to of Rood
Slde Sloe Real
xfped gra
F4naI1Np:�J
Owner l&IFarm.
Aveda Fbor plan and P It
Applicant AfAdavM:
I comfy t I lave read anal examined the IrNormallon canMlned wmin " applk n or a know tfte fame to be M1ua SubrrJted_JJ
anal coeect. I ob cert t " oropafed fM1ucfure fs In conformity.IM all applkable City of Velm iegulatlorfs Inclutling
tlwse ga.IN zoning and lontl fubdM , aM m atldltlan, all covenant, easement oral re Vlctlonf of racora. I
applying w a con1mcta I fuM car* stat I am a c..I1Y,egWwec1 conhoct in its State of W Inglon.
IM
1=
• NEW DEVELOPMENT/CONSTRUCTION CHECKLIST
Site Address: 1U16 10 timp �•�. �(Y1t�� �IPCLF i��TW'f{`�)���`G✓I`�
•
L
TYPE PERMIT ft FEE RECEIPT# COMMENTS
Sewer Permit
125.00
1 bO ( O
Sewer Latecomers
Sewer,Septic'
1,000.00
/ S
Site Plan
Water Latecomers
Water Muer'
300.00
J
Water Meter I.R.R.
Water Service ERU's
700.00
Consumer Deposit
90.00
O
Plan Review
Building Permit
50. od
lbolo
WA Building Code Fee
4.50
` IOD ( D
Mechanical Permit
Plumbing Permit
Yelm Business License #
^ O
Transportation Facility Charge
Open Space Fee
5 9
`-
School Mitigation Fee
�4
*DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY YELM BUILDING DEPARTMENT!
CITY OF YELM
BUILDING DEPT.
Phone: (360) 458-8407
i
Building Permit 6196
Date I I --(Q-9
(Work must be started within 120 days)
1A
of structure, from
Front to of Road I
Sale Side Reor Owner L III IFarm
Applicants AffldoNF r Aeamor Floor Pan and Permtt
I Panty tot I lave read and examined the Information contained within to applkallon and know Me some to be hue Submltted�_�
and correct. I also ceMfy ttat the propoled Structure is In confamlry with all applicable City of y Iar regWa11IX19 acluding
none governing nnlrg and Iarsd wbdl neon, and a adCPon. all covenanh, eaiement and reshktlons of record. If
applying m a contractor I futher Petty fact I am a currently reorts ed confect In in. State of WaiNrgton.
r
9uataAV Repots
Pan
R
Addrea
C
$tateMJA
a Code
SRe Address
P
R
O
A§essort Parcel No.
Lot SIZE (so. ft Iacres)
P
E
$ubdvie.a
Lot
frock
R
Y
OR Sot Plot No.
frock
Emting Structure,, N any:
N
Name
Contact
Phone(
)
A
Address
ctiv
store
alp code
4
R
IicePae No.
Exp,
YBIm Bun. gc. No.
Desorption of Wak
OFFICIAL USE ONLY
Permt Type:
ReedeMlalTT Sign
Sq. Ft per floor: (1 51) (2nd)
S..,
Sepac Approval No.
Commwcicl�Onher
Shorellne Permit Y N
Sepal Exempt Y N
Floor Plan Y N
Sets of PrOfs 1,F
Cit, Water Private Well Private system
Heat: ElecMc Gas Other
ITEM
MM FEE
FEE
Building Value
Offer
Pumbin9 Permit R
Mechanical PerinffAAIZA
P�cneck By
WA SL BC. Fee
(n.W -New Coral. Only)
-
TOTALFEE
<
/l n
1A
of structure, from
Front to of Road I
Sale Side Reor Owner L III IFarm
Applicants AffldoNF r Aeamor Floor Pan and Permtt
I Panty tot I lave read and examined the Information contained within to applkallon and know Me some to be hue Submltted�_�
and correct. I also ceMfy ttat the propoled Structure is In confamlry with all applicable City of y Iar regWa11IX19 acluding
none governing nnlrg and Iarsd wbdl neon, and a adCPon. all covenanh, eaiement and reshktlons of record. If
applying m a contractor I futher Petty fact I am a currently reorts ed confect In in. State of WaiNrgton.
r
9uataAV Repots
Pan
CIN OF YELM
BUILDING DEPT.
Phone: (360) 458-8407
C�
Building Permit 6195
Date(' -
(Work must be started %ftin 120 Lays)
I QW
U
hNome
�' Phon ) 4%0-61Q(o
a
AWrea s _ cr 7=
statte atle 37
We ,da. I Er... v
P
tt
A69.VOh Pa1C8 fY,1. O L S I,re(sp. f-do"Ife)
O
l
R
Subtlivelon / r/ Lot Stock
y
OR!SfPl'Il. Bb�`JI
Erh1Eg 9hucNes Parry:
N
NOn1e Car11aCI NKVIa )
A
Atld<e6 60,A CBy
Stale ni,Catle
Ilcerse No. Em. Yesn Bu, W, No.
Desoro,lon of WOskLeDIA,,rL
oFFICNL119E ONLY
Parton Type:
ReslWntlal Sign_
commercial_ Other_
Shorl Peal y N
So. Ft. per floor.(I st) (aW)
Sewer Septic AplaO W.
I
Cry Wat,r Private Well PRwre Syate /"'`I _
Heat: Ell Gas Ofher
Sepe, Exempt y N
Floor Pcm y N
Sets of Plnb
ITEM
BASIS FOR FEE
FEE
Will Value
O
Other
Plumbing Parrott F
Mecnanical Perm'
Pbn Choc r I�I`` �C/ 1
sel By N
WA. 57.&C.Fee
(4.a -New Corel Orly)
!
TOTAL FEE
Mlrlmv dBtal Of seuarure ham propeM lines'.
Fran, b of ROW
Flrsal lrsp.J�
Owner L & I Form
Assessor Floor Plan and Permtt
S de SICe Rear
Applicants, AflgOvif..
I all snot I have reW any Bxasslned the Information containetl v rrN, the appl= antl a Eame to be true
SubmltiW��
and coned. I also aemfy ttyN the proposed Woch re Is In conformity ween al appllcOble uiamm Indl
tro se governing moll and land subyNblon. and In addreon all covenants, easement m of recOrQ If
appllymp a/c_oM Moto[ I furmer cemN than lam a cumonfly registered conhact In the State of V.blMnpipn
SlgrrWure Date
Firm:
0
CIN OFYELM
BUILDING DEPT.
Phone: (360) 4584407
III
LJ
Building Permit0 6191
Date
(Work sT be startatl within 120days)
WName
Phase(
)4(93
N
Ada e 0qqb
=rate
C.
Srte Address
P
R
AvavarF No.Lot
stre (:a. O./acrasJ
O
E
SUbCNlsksn 11AI*171;--"ff1
✓
Mock
R
T
Y
OR Short F$at No.
Mock
ExIlir SftwNm% M any.
Name
Contort
Plsone(
7
AddrI
Cfly
Stare
$s Coale
Ue.ho No.
Esw.
Vekn &n. Uc. No.
r
oeFarpfla,rn Vbh C rY'tNA
1
OFFICIAL USE ONLY
Freant Type:
Renicarl Sion
Commarcial_ Omer_
Shoreline Permit y N
Sena Exempt y N
Fkar Play y N
Setsofprh
EjJJR3 —
Permit# O O
Plon Check ey
n
SQ Ft. per flop:(Im (2nd)
Se"r Septic Approval No. r �
Water Well Prlvar System
'I
Heaf: ENCMc Gas Other
FREE
aASEE FOR RE
FEE
c(,,,
S
(4.0. w CorV.OrW
TOTU FH
l l'O
"himum CMtonce of structure from property III
Front to of Rand
Side SMB Rear
AppikanfS Alfldl
I certify ttwt I hays read and examined the Intomlatkn contained within the applicallon and 'A the, same to be true
.I coral I also certify met the praposetl saucture Is In conformlN with all applicable CM/af kn`�j(0e0p0c1o.Incluabp
them goyerl inning and land s.dd"kn. and In cadMon, all covenants, eaamerNs ona esMctkfns of recatl. X
appMng as a deal I further cerMty, I I am a avrentiy reg*ered contract In the State o(Woshington.
Date
Owner L& I Form
Asse)stsr Poor Man and Permit
1RPC fJ_
•
•
NEW DEVELOPMENT/CONSTRUCTION CHECKLIST
Site Address: 6a/A 04L,P/1�Sf— J�
TYPE PERMIT W FEE RECEIPT 4 COMMENTS
Sewer Permit
125.00
Sewer Latecomers
Sewer/Septic'
1,000.00
Site Plan
Water Latecomers
Water Meter'
300.00
i
Water Meter I.R.R
Water Service ERU's
700.00
Consumer Deposit
90.00 i
Plan Review
/ 7 (�/
Building Permit
/ _ / �y
lV 7
i/p7/ ^/-�
WA Building Code Fee
4.50Gt/
Mechanical Permit
DO
/S-0
7'S-O
Plumbing Perrot
a�
Yelm Business License A
Transportation Facility Charge
Open Space Fee
School Mitigation Fee
'DUEAND PAYABLE PRIOR TO FINAL INSPECTION BY YELM BUILDING DEPARTMENTI
CITY OF YELM
BUILDING DEPT.
Phone: (360) 458-8407Date
•
Building Permit
/ � °U
(Work must the started within 120 days)
,If 952,�
0
w
N
Name
Fhone
)
C
r 'r
R
Ada.
JT yy
Stare
Lp COtle
Ste Andress')9W-S210
P
R
O
Assessoh Porcel No.
10:10
Lar Size (p. B,/acres)
P
F
R
SubtllvRlm
Lot
Block
y
OR Ston Pbt No.
Block
&BNeg slrucvas rc any:
Name Va�- (
r -tact
Phone(
)
B
Add.
city
SYate
Lp Coag
}�
Il<erne No.
Exp.
)6elm Bus. Uc. No.
Description of
m
. mi
0,if-iQ
OFFICIAL USE ONLY
Pe m T pe:
Re5oental Sign_
V it-
Ba Ft per Floor, (19) (ltd)
Sewer
Septa
Approval No.
CommemgI�
Shorefl. Permit y N
Sega Exempt y N
CB Water Ptivots Well PBate System
Heat: Elecha Gas 01ner
REM
BASES FOR FEE
FEE
Fkor an y N
Seis M Prints Q
&illding Value
Other
PWmdng Permit# rr
WA. ST. BC. Fee
(4.50 -New ConsEONy)
Mechanical Per
TTmit #�_
Pan checckBYT.6
TOTAL FEE
rem
R
Sloe Ela. Rear
AppllcoffsAMI.. V
I cerWy Mat I have read and examirotl the InfWation contained within fYe application and know Me same to be true
and correct. I also certlty Mat Me proposed stmctum B in conformB wit all oppaabie City of YOM MguWOM Including
Mase goveming zoning and land sudCNElon, and In aooion, oil cgyenants, eassmenh and resMctioru of record, If
applying as a contracros I furMar cedlfy Mat I am a ounentiy registered contract In Me Stale of Washington.
Sgnalure pate
Firm: �0_ L
Final InsP—,J_J_
Owner L & I Form
Assessor Floor Plan and Permit
Submitfetl /j
Quarterly Reports
Assessors
•
•
0
NEW DEVELOPMENT/CONSTRUCTION CHECKLIST
Site Address:Qp�, KIQ�X6 e �.i.F�l,l A 2 k-&-0 JulALG
TYPE PERMIT p PEE RECEIPT k COMMENTS
Sewer Permit
125.00
Sewer Latecomers
Sewer/Septic'
1.000.00
Site Plan
Water Latecomers
Water Meter'
300.00
Water Meter I.R RK
_.
Water Service ERU's
700.00
Comma Deposit
90.00
Plan Review
n
{ 1
Building Permit
MIL
(P
WA Building Code Fee
4.50
qql,+
Mechanical Permit
114
Plumbing Permit
r�
�jUl
3
,mh
YLT
Yelm Business License H
Transportation Facility Charge
Open Space Fee
School Mitigation Fee
'D UE AND PAYABLE PRIOR TO FINAL INSPECTION BY YELM BUILDING DEPARTMENT!
CIN OF YELM
BUILDING DEPT.
Phone: (360) 4584407
0
Building Permit 110 6189
Date E.M
(Work tnusf be started wMin 120 dots)
61dl 9?/. -�
MlnMum dblancB Of ShUClly9 hom properly IIn06'.
Front to of Rood
Sore sdf Rear
APPlbanMAtraso l:
�rI wr'
C rLd I Form
Paeasew Flow Ron aM Permtt
I cerity tint I have read and rr aMlne l the Inlormotlon conrolned wltnla "application and mow the fame to be
ndI.I.
hue I SUlxnitted_J_/
acorrect. I aho Cemty Waal th. prorocWd sirucMe a In conformity wIm atl apcable pliCity of Yelm regWOMOn91nClrMlhg
ill goveminq wnirq and lark 91b Ion. and In addltlon, all covenanh, eosemenh and reshbibru of record. If
appMW as O conho doc I NM r certify mat I am o currently n iii tea contract in the State of W Ington,
@ d telly Reports
Siencture
Firm:�_-
me,
Off,
WORTOW
r ,I
PRIM
0ITICIX USE ONLY
. Sign-
othoir
Y IN
PlurnblingP
Mb
.�.o v
�bZ111�T'�
MlnMum dblancB Of ShUClly9 hom properly IIn06'.
Front to of Rood
Sore sdf Rear
APPlbanMAtraso l:
�rI wr'
C rLd I Form
Paeasew Flow Ron aM Permtt
I cerity tint I have read and rr aMlne l the Inlormotlon conrolned wltnla "application and mow the fame to be
ndI.I.
hue I SUlxnitted_J_/
acorrect. I aho Cemty Waal th. prorocWd sirucMe a In conformity wIm atl apcable pliCity of Yelm regWOMOn91nClrMlhg
ill goveminq wnirq and lark 91b Ion. and In addltlon, all covenanh, eosemenh and reshbibru of record. If
appMW as O conho doc I NM r certify mat I am o currently n iii tea contract in the State of W Ington,
@ d telly Reports
Siencture
Firm:�_-
NEW DEVELOPMENT/CONSTRUCTION CHECKLIST
• Site Address: Rua AQ IO or �,Q-IS--AA-M)
•
0
TYPE PERMIT# FEE RECEIPT# COMMENTS
Sewer Permit
125.00
Sewer Latecomers
Sewer/Septic'
1,000.00
Site Plan
Water Latecomers
Water Meter'
300.00
Water Meter I.RRL
Water Service ERU's
700.00
Consumer Deposit
90.00
Plan Review
hI ly
(l�0
Building Permit
%
WA Building Code Fee
Mechanical Permit
r4.50
so
Plumbing Permit
ODrA
r)
Yelm Business License #
Transportation Facility Charge
Open Space Fee
School Mitigation Fee
'D UE AND PAYABLE PRIOR TO FINAL INSPECTION BY YELM BUILDING DEPARTMENT!
CITY OF YELM
BUILDING DEPT.
Phone: (360) 458-8407
•
Building Permit 6188
Date
(Work must 6e stated wRhin 120 days)
- M •
W
NOms Phone(
a/
N
( 1
''4.
R
Address I C SlateW4
Code qWq on
See Address D C
P
R
Assessors Parcel No. / wSke(sq.M./ocres)
O
P
a
Suad"on Lot Bock
r
V
OR Shod Plot No. Black
Exellne strucMBA rc a+y.
Name contact PtKKM(
A71—
l,/
Addres COY MA Stale Dpcade 4Zg
(,Lrs
4A
G'
Iheroe No. � Em. veal Bs. Ix. No. 1 1 ti r
Dmcrofbn ol4tYblk S
Offh UL USE ONLY
Pem,rcrrpe:
X
Sq.Ft.perfl ,(19) (ysd)
Fmeconllal Sigr�
Commerclal OMer—
ShOMIneP Mft y N
Sega Exempt y N
Pim Pon y N
Seh of PMK /f
PWmh4p Pemi14 ` Soo
Mecha Perrrlll8 C
Sewer SepXc Approval No.
CIN Wafer Private Well Private System
Heol ElecMc Gas 011ier
ITEM
BASIS FOR ME
ME
BWd4g Value
L
Ty"),
ORS
WA St. eC. Fee
(4.5D- New Carol OM')
J L/
Pon Check�B`y��r//nn����
TOIAI$
S D
IIll
q.W(-/�/V
14lm distance of shuchre horn properly Bees:
iiuea ev �
FM144p:��_
0walerL8lfc
AsseRor Fk Fon and PermB
Front M of Rood
Sce Sda Rear
APptcanf5 AMtlavih
I c&Vy Ma I have read and examined the InformaBon condlned Winin the a,,Sl aBOn and bow Me some to be hue
Submlifed��
and carred. I also c Mfy Mat Me proposed s Wre Is In conmrmlry wIM all apptw a CBy of YOM regulaYgne MWIN
Mose g..rn1W zoning Onds land s.WNWon. Ona In acidmon, all covenanhr easemenh and resMcnons of mond. rc
appMf as a mMracloc I Nether cemry Mat I am a currently reglstema contract In Me State of Washingi n.
Quarterly Reoom
ka.ssm I
Signature
F4m,
NEW DEVELOPMENT/CONSTRUCTION CHECKLIST`I
• �Y
Site Address: 103L& Pa,�kQ/ o L),D 3 j
•
•
TYPE PERMIT# FEE RECEIPT# COMMENTS
Sewer Pemtit
125.00
C
-
Sewer Latecomers
Sewer/Septic'
1,000.00
i
Site Plan
Water Latecomers
Water Meter
300.00
Water Meter LRR
Water Service ERU's
700.00
Consmner Deposit
90.00
Plan Review
/ /
lL
I
Building Permit
/((/ (^ /?
6
WA Building Code Fee
4.50
['
I
Mechanical Permit
C
Plumbing Permit
N DWs"
(��{/ j�
f1
`�
Yelm Business License #
/D)/o . D
Transportation Facility Charge
Open Space Fee
School Mitigation Fee
'DUEAND PAYABLE PRIOR TO FINAL INSPECTION BY YELM BUILDING DEPARTMENT!
CIN OF YELM Building Permit 11 6187
BUILDING DEPT. �� -42
Phone: (360) 458-8407 Date /V OLJ� """11
. (Work must be started within 120 (toys)
R-, - I eT -,250
o
W
Name
Fnorre
N
Atltlressew/
C
State
IdR
L Code
Sne Add. /D
P
Q
Assessons Parcel No.
O
Lot She (sq. It acres)
P
R
Sua Won
Lot 47
Bock
Y
OR Short Plat No.
Block
EAslirg StnicNes, S am:
Name J5 Z -
Contact
16
PMne (7
�y
Adtlress /
i
Cily
safe
A
Zlp Cotle
,cA(
j$
ucense No.
E,.
Yam, Bus. Bc. No. /D , O
D crabon of Woh
fRM yk(
jLcAl 1c,
OFFICIAL USE ONLY
Pemllf Type:
Resdental)( &g
Commercial Other_
Shoreline Permit Y N
Sepa Exempt Y N
Fbor Plan Y N
Sets of PMts
Plumblrg Permit - /
Mecanaal Permtt
Pan Check By
Sq. Ft, Per Boor(1 st) (22nd)
Sewer Septic Approval No.
city Wafer PM M11 Prl ote System
Heat: Electrc C>os Other
am
SASIS FOR FEE
FEE
Wildho Mnlue
/99,
,DO
Other
WA ST. BC. Fee
(4.50 - New W.. Only)
'� �O
TOTAL FEE
/'
Front to of Raad I
Sae Sae Rear
ApPllcont's Affda .
I cerlfy tat I have read as excr
mosm povernin, ronin, as and
.pplykp as a cnntracm[ I further c
Firm,
issued Byc�
FFwlir4p:��
Owner L & i Form
Assessor Rao, Pan and Permit
Normaflw cwtalnetl within me application as know ma same to be flue I Submittetl��,
tn:chue b In canmrmlfy w a@ applicable Clry of Yelm reguaXom Irwludlr,
and In atlalmn. an covenants ememenfs ant resMcibns of recortl. tt
am a cumM registered contact In to Sfafe of Washington.
9 .rfmrly Rap.n
NEW DEVELOPMENT/CONSTRUCTION CHECKLIST
• PY
Site Address: �p�.R�:\�I ,A RE AnTA-- a7 6S_�q 2b
•
TYPE PERMTTp FEE RECEIPT# COMMENTS
Sewer Permit
125.00
Sewer Latecomers
Sewer/Septic'
1,000.00
Site Plan
Water Latecomers
Water Meter"
300.00
Water Meter
Water Service ERU's
700.00
Consumer Deposit
90.00
Review
WPlan
rIBuilding
FW'�D
Permit
(97
5'61 J
WA Building Code Fee
4.50
Mechanical Permit
/_
/�
Plumbing Permit
Yelm Business License #
Transportation Facility Charge
Open Space Fee
School Mitigation Fee
'DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY YELM BUILDING DEPARTMENT!
CIN OF YELM
BUILDING DEPT.
Phone: (360) 458-8407
•
Building Permit V 3 6186
Date -e 4�z / 9g
(Work must be Started'within 120 days)
Fhw
(
NwName
Phone(
_
)
E
A\JE M 0A
R
Atltlran ch State
7,pGoal
Stte Adtlress
P
R
O
AsseffiOh PorceI NO. LOfSha (sq. R./owed)
R
SubdMsbn Lot Block
F
Y
OR Short PM Na. Slack
ExhRrg S oic"% "any:
S
r
Name Contact Phone
Md.
City Siwe ])p Code O
,pA
�
j$
license No. OU 7rM Exp. Yelm M. UC. No.
DescriptWn of Work (.,
OFFICIM USE ONLY
PermftT p :
12e9tlemal Sign
Sq, Ftper floor: (I st) (2nd')
Sewer Sepik Approval W.
Commarck>—x— O"»r
Snorellrg Pemrtt y N
Sepo Exempt Y N
Floor Plan Y N
Sets of Prints
CRY Wafer Ptya12"k lsm f Sysiem
Neuf Electric Gas Otter
ITEM
MIS FOR FEE
FEE
Ruikikg Value
9. J O
"(A
Other
Plumdng Permtttr
Nlechankal Permtt tr
Plan Check B -T. &J T -1
Issued By ( n AY)
Final
Owner Leafwm
AFve68w Flow Plan and Permit
WA. ST. BC. Fee
(4.50- New Const. Only)
TOTM FEE
O
Minimum dhfance of s"uctue from prapertv IInes:
Front to of Road
Sid. Sid. Rear-
APPIloanYe Affidavit.
I ceMM tinct I have read' and examined the Information contained within tt» application and know fie same to be true
Submitetl��_�_
and' correct. I a certify lfwf Me proposed smialum k In conform", wim all applicable City of Yelm reaubYwru IncWtling
those goveminfF .nlrg and land subc Won. and In cal all coyenaMs eosemenis and n,,hictons of record'. If
'
appMW as ac tracfos l f dnar cent, ifwf l am a cuvently registered contract In the State of Washington.
L
QyXIOM Reports
�Slgrgts
Date
Abesor /�
Fhw
CITY OF YELM
BUILDING DEPT.
Phone: (360) 458.8407
lT)
Building Permit F; 3 1 85
Date
(Work rnurt be started within 120 days)
�
�2 •
MlrVmum Chance of shpctue ham properly I.
kart to
F.7
poaa Final rep:
Owned& IF
AfAdaAt. - Assessor Floor Rion and Itermi
Applcann t
I cercey mat I Mve read and evamlred me Information contained wII1Yn me application and mow me same to be true Submltletl /—�_
and com"i I also cent', Mar me proposed s tore k In conformity wlm oil applicable Cry of velm regubnom Including
Naso 9ove oli, zoning and onal subdlvlslon. am In addition, all covenanh. easemenh ana reslnctions of record. e
opprylna as a contronta, I former comity mit I am a Currently registered contract in me Stole of W Irgton.
I / _ /—\I
^\I I . I 9ualle0v Report,
Dare %v —
NOW,
u' ' .
rr..
. •
I.1�
1•
)r a
Offli USE ONLY
Omer
i." '
�r septic Appro',01 Pia.
Mich, Value�s
srA
®�
Offeer
MlrVmum Chance of shpctue ham properly I.
kart to
F.7
poaa Final rep:
Owned& IF
AfAdaAt. - Assessor Floor Rion and Itermi
Applcann t
I cercey mat I Mve read and evamlred me Information contained wII1Yn me application and mow me same to be true Submltletl /—�_
and com"i I also cent', Mar me proposed s tore k In conformity wlm oil applicable Cry of velm regubnom Including
Naso 9ove oli, zoning and onal subdlvlslon. am In addition, all covenanh. easemenh ana reslnctions of record. e
opprylna as a contronta, I former comity mit I am a Currently registered contract in me Stole of W Irgton.
I / _ /—\I
^\I I . I 9ualle0v Report,
Dare %v —
NEW DEVELOPMENT/CONSTRUCTION CHECKLIST
0
Site Address: em
•
E
TYPE PERMIT H FEE RECEIPT N COMMENTS
Sewer Permit
125.00
-
Sewer Latecomers
Sewer/Septic"
1,000.00
Site Plan
Water latecomers
Water Meter'
300.00
Water Meter IRR
Water Service ERU's
700.00
Consumer Deposit
90.00
Plan Review
- _
C
Building Permit
137.
WA Building Code Fee
4.50
196
Mechanical Permit
Plumbing Permit
Yelm Business License 4
Transportation Facility Charge
Open Space Fee
School Mitigation Fee
`D UE AND PAYABLE PRIOR TO FINAL INSPECTION BY YELM BUILDING DEPARTMENT.
•
CITY OF YELM
BUILDING DEPT.
Phone: (360) 458-8407
Name UAV 1
Building Permit
KI 3
Date
(Work must be started w min 120 days)
Pfone05q 57,,&-
E
( Ji
I WIni 9
Adtlres 24. C
stare ➢ code
Sale Addnes 10 �.
yrd
Assessoh Parcel Na. / Lotsirs (s4. f1./acres)
F
R
Subdivnlon
I' /
— W Lot 10 Block
y
OR Snort PM No. frock '
Exlsfiw Structwes, it any:
I
// /I }�
41 I
Name
contact Phone( )'/'�-
/^��
Address . i City [ q OM state A ➢p Cade q?qoy
W
uceme No.
y M EW. Yelm Eus. yc: fib. (D • O
DexAption of Woh )/q 1
OFFICIAL BSE ONLY
PermdTyae:
SQ. R. Wfloor(150 (2nd)
ResdentlalSign
commercial Otter_
Shoreline Permit y N
Sega Exempt _ - Y N
Floor Ran y N
SehafPMh
Sewer Septic Approval No. --.
ON Water Pvry to Well Privates System
Heat. Electric Gas offer
am
MIS FOR FEE
FEE
Building Malue
7 (
/
Plumbing Perm4 R_yJ I, 9
Omer
WA. 9.. INC.Fee
(4.W -New Const Only)
Mechanical PBrmitA
Plan Check By ,^ )til
Issued By
Final lr¢p:JJ
OwnerL&IF�
Asesar Floor Plan and Permit
TWA FEE
/
Minimum dktance of structure from property lines:
Front b of Road
Side Sal Rear
APpilcantk AfftlaWt.
I certify that I have read and examined fine Intarmatlon contained wdhin me application and Imow the same to ba true
Submitted��
and correct. I also cerify mat me proposed siructwe 4 I conformity M all applicable City of Salm regWatlons Including
,.sa governing mNW and land abtlhMlon, arw In addition, all covenanh, easements and restdctlons of record. If
applying aso contractor, furinercerMymat lam a cwrentiyrepbtered contract In the State&Mehinaton.
9uaRedv Reports
Assessor/ /
Signahue
``-s Date �p— —
NEW DEVELOPMENT/CONSTRUCTION CHECKLIST
Site Address: Ma 11, NImo!` or-- � OT— &
TYPE PERMTT # FEE RECEIPT # COMMENTS
Sewer Permit
125.00
q
Sewer Latecomers
Sewer/Septic•
1,000.00
10(11
Site Plan
Water Latecomers
Water Meter•
300.00
fD a
Water Meter I.R.R.
Water Service ERVs
700.00
Cementer Deposit
90.00
Plan Review
/„
Building Permit
0-13 50
Um
WA Building Code Fee
4.50
TIM
Mechanical Permit
5
aq.00
Plumbing Permit
0. Do
U
Yelm Business License #
D
Transportation Facility Charge
Open Space Fee
School Mitigation Fee
'D UE AND PAYABLE PRIOR TO FINAL INSPECTION BY YELM BUILDING DEPARTMENTI
0
CITY OF YELM
BUILDING DEPT.
Phone: (360)458-8407
,..,e I Aann
Building Permit n (� K? 6182
Date 10-9—`iC�
(Work must he started within 120 days)
k, 4 q"`779
m tlMM,CB o15huCIUre Irian
Rear
Appall Aftell
I certify Mot 111aV6 read and examired the Information confolned within tre applicaflan and know Me same M be hue
oM correct. I also certify that me proposed structure 6 I conformity wMr all apPlicOole City of Yelm reedatOns Including
,a. govemry sonlrp cno land srbtlM1Mbn, and In Walter, all coyenanfx easement, and resMctions of record. If
apPNIM es a contractor I IurMer cermy Rpt I am a can rnty regmerea contact in tae Store of wasnington.
is
1wrd�zA- .in
owner L & I Form
Assessor Floor Pion and Permit
9Ua"i Pecans
E
R
_
Add..9
c
code
hign
/
Ste Address
P
R
Assessafs Parcel NO.
I.ot sw a. R./acl
0
v
F
Subdivision
I F1,A1
[at
Mack
R
y
OR Start Plot No.
Mock
Existing Structures, Worry:
r
Name T-7
I III
I ilio
canfaat F—fftd
(14
AddrehInM
14U
City
StateWA
11p Code
IlcerVe NO.
HP.
Yekn Me. uc. No.
DesoHpeonWWorkOFFICIAL
USE ONLY
Permit Type:
'
(/
Sal Perfbor. (15n
(hrtlJ
Readentlal sign_
Commercial athero
Snorellre Permit Y N
Sepo Exempt Y N
Floor Plan y N
Set, o/PrIrM
$ewer sei ACPrOVal ljo.
City Wafer Pill Wall RNate System
Beat Electric Gas Other
am
Ill FOR FEE
TEE
/
/ O
Buloing VOlue
Runbkq PormitE /
AsechvYcal ParmH• L
Pbn Chec�By
Otte,
WA. SL BC. Fee
(4.50 •New COM. OHy)
< SO
TOTAL FEE
m tlMM,CB o15huCIUre Irian
Rear
Appall Aftell
I certify Mot 111aV6 read and examired the Information confolned within tre applicaflan and know Me same M be hue
oM correct. I also certify that me proposed structure 6 I conformity wMr all apPlicOole City of Yelm reedatOns Including
,a. govemry sonlrp cno land srbtlM1Mbn, and In Walter, all coyenanfx easement, and resMctions of record. If
apPNIM es a contractor I IurMer cermy Rpt I am a can rnty regmerea contact in tae Store of wasnington.
is
1wrd�zA- .in
owner L & I Form
Assessor Floor Pion and Permit
9Ua"i Pecans
• NEW DEVELOPMEN�IT�/CONSTRUCTION CHECKLISTSite Address: ml R ' 1i 0 Sf— kLrF4-c;—_
L
•
Sewer Permit
125.00
Sewer Latecomers
Sewer/Septic*
1,000.00
I
l
Site Plan
Water Latecomers
Water Meter•
300.00
D
Water Meter I.R.R.
Water Service ERU's
700.00
I
Consumer Deposit
90.00
I®
Plan Review
�,/'q
t -7
Building Permit
tol
13.5
WA Building Code Fee
4.50
Mechanical Permit
5J -1 �
oZ l
Plumbing Permit
q Y7
/z), W
E79
1
Yelm Business License M
110'
Transportation Facility Charge
Open Space Fee
School Mitigation Fee
*DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY YELM BUILDING DEPARTMENT!
CIN OFYELM
BUILDING DEPT.
Phone: (360) 458-8407
•
Building Permit p e84
Date
(Wok .4 be started WBhm 120 cloys)
N
R
Gt
Addrea S
i
Vtr o
C
Slate
no Cotle
S - Add—
P
P
O
A464ali PaICB NO.
LW ShB (�. R.IaC1eBJ
P
E
R
SubdNhlon
Lot
frock
1
Y
CR NCIf Fbf NO.
Fbf.'k
Using sloshes, ram:
lame
. compat
PharrI
>
Adtres O
X
cmy LAaq
sate ud
ZIP Cade
- i)
-Na-
EM.
vers as ua.
DecillphonotMykPrj-)J-�OFFICIAL
USE ONLY
Permit Type: `x/
Rssldental / \ Sign
Commercial_ oit»r_
Shorellm Pensnk y N
Sepo Exempt Y N
Floor Plan Y N
Sets of 11
Pumbkp Perrnit4 A
Mechanical Peant / /
Ppn Check By� IV
n n
Sq. Ft. Per Boor: (1517 (yid)
Sewer Septa Approval W.
City Nbfer PMate Well Private System
Heat. Elechlc Gas Omer
_ am
BASS FOR FEE
FEE
@AkJhg Volue
$ r QQ
r' C)
Other
WA. 9.. BC. Fee
(4.W -New Corn[ 0I
FOTAEFEE
ov
M
EM
6SSE
Owner L & I Farm
Assessor Floor Ron and Pe.ft
Appkcanft Akkfavik
I Germy that i have read and examined the Information contained wlmin the application and know the some to be hue Sabminxict J
and correct. I also cents that the proposed smuctwe Is In conforms with all applicable City of Yelm re Jakans Includhg
those govemlrtg zoning and land sJodlvkon, and In addition, all covenants, easements and restrictions of record. It
apppow as a conhqptdt; TfU1Vr cenity mat I am a currently repkrered contract In me State of Mmin,ton
Slpswlrre Date
CIN OFYELM
BUILDING DEPT.
Phone: (360) 458-8407
v
Building Permit /'� �� 6161
Date q moa' ' 7
(Work must be started wBhln 120 days)
0
W
Name
PM1one(
)
N
R
Addles
C
Stale
➢ Code
Site Address
v
R
Assa6or'sP No.
Lol Size (xa. M./OcreF)
O
R
t/--1
Lot
Block
Y
IXi Start Pbt No.
BMsck
Edsllry Sill M arty,
r
NomeIZIAVIA:Conlocf
Bane(
)
d
P
Address
t •
arty
Stale
71p Code
Oceree No. rl 1
1••�+- .
6w.
Yekn Bl4. Oe. No.
Dexrialion of Wdk
QArt,
01i LAE ONLY
Penni
X
Sq.Ft.wfick :(isi)
'
(2nd)
RegderHbl iT Sign_
Commercial O r
Shoreline Permrc Y N
Sopa Exempt Y N
Floor Man y 'N
Sets of Prin
%arta g pennrc R
MIchaNctlPe �a/�,
PM]n CYseck ByL�J((.L��
Sewer Septic Approval No.
CM/ Water PrNole Well @Nate System
Near}: Ell Gas other
am
RAEp FORM
EEE
Eaki VMfe
7
of�
WA ST. BC. Fee
(4.50 -New Corm. 0,00
S -n
Toll FEE
O
/1 n
MWmvn tlbfarxa of shuctue fiom properly Enos:
Front ft, of Road
sloe sae are«
App6canf'SAffldoyX:
I CeMN mcrt I have read ant examl l the InformoMon contained within the apPladflon and know ilia some f0 oe fide
and correci I also cemry mos"proposed sfiuci e is In coniwim all applicable City of Yekn regulallons Includi
those govemlrq zoning and land subClVelon. and In Ol all covenal easement and remktlons of record. 0
copying as a conVoi I further cerWy ilial I am a currently reglssered contract In she Stale of WasM1lrgirn.
owner LA Farm
Assessor Floor Flan and! pill
9UOrteM RBDOrR
ante 9 TT • f£ Amcor t
• NEW DEVELOPMENT/CONSTRUCnT_I,.O/NCHECKLIST (�
Site Address: lbljj 6W '
•
0
TYPE PERMIT # FEE RECEIPT # COMMENTS
Sewer Permit
125.00
3
Sewer Latecomers
Sewer/Septic•
1,000.00/
96
Site Plan
Water Latecomers
Water Meter"
300.00/
_
(�/
Water Meter LRR
Water Service ERU's
700.00
Consumer Deposit
90.00
Plan Review
79. &3
Building Permit
ILM
WA Building Code Fee
4.50
Mechanical Permit
Plumbing Permit
Ro
"(
Yelm Business License #
Transportation Facility Charge
Open Space Fee
School Mitigation Fee
'DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY YELM BUILDING DEPARTMENT!
CIN OF YELM
BUILDING DEPT.
Phone: (360) 458-8407
•
Building Permit F s 80
Date
(Work must be started within 120 days)
ffe irk IM E , J,�
wName
p '
Phone(
)
N
R
Addrea
C
( tateIJA
zidc—
St. Add.
u 2
—
p
R
O
Asserwes Parcel No.
Lot She
q, ./acres)
P
2
SubdNblonkjUcItT7,-Lot
Block
T
y
ORShortPk#No.
frock
Existing Srna m N ant:
Name
Contact
Phorse (
)
Address11
City
State
Lp Code
Ucense No.
I 1.--.
Eqs.
_
Yelm &u, Uc. No. Qq
DescrpMon of Work
OFFICIAL USE ONLY
PermitType:
Resbenilal '\ Sign__
Commembl Other_
Shoreline Permit Y N
Sopa Exempt Y N
Floor Pan y N
Set of Print
P Mleing Permit If 541%p
Mechanical Permit k
Pan Check By��
n
Sq. Ft. per Floor: (1st) (2nd)
Sewer Sepik Approval No.
an, Water Pdvate Well PMate System
Heat: EI.Mc Gm Other
ITEM
I1g6F01FEE
FEE
Building Value
1q,
n,5
other
WA. ST. K. Fee
(4, W -New Const Only)
O
TOTAL FEE
MINMUM
Frant to of Rood
Sae $Ide Rem
Owner LB$I
Msesar Floor Plan and Permit
Appicanhr Affidavit
I certify that I have read and examined the Intonation contah6d wmin rine application th
n and knowe same to lee tua Submitti
rec�
and cort. I OIW ceMfy that the proposed shucture b In conformity with all applicable City of YOM regulatans hcW ng
thaw goveming mining and land subdMFbn, and In addition, aE covenant, easements and reDYrkYrons of recall H
appMW as a cantactas I Mrher canny tient I am a currently registered contact In the Slate of Washington.
9uartedv Report
Spnc,W- //!- .�/mac— Date 7 Z2 -"981
•
0
NEW DEVELOPMENT/CONSTRUCTION CHECKLIST
Site Address: NQilL,k 2E OF 4q
TYPE PERMIT # FEE RECEIPT # COMMENTS
Sewer Permit
125.00
Sewer Latecomers
Sewer/Septic•
1,000.00
Site Plan
Water Latecomers
Water Meter'
300.00
Water Meter I.R.R.
Water Service BRU's
700.00
Consumer Deposit
90.00
Plan Review
Building Permit
(8
WA Building Code Fee
4.50
Mechanical Permit
Plumbing Permit
Yelm Business License #
Transportation Facility Charge
Open Space Fee
School Mitigation Fee
DUEAND PAYABLE PRIOR TO FINAL INSPECTION BY FEW BUILDING DEPARTMENTI
CITY OF YELM
BUILDING DEPT.
Phone: (360) 458-8407
IE
Building Permit
N? 6179
Date
(Work must be started within 120 days)
0
H
NOTB
FM1OIIe
40 q
R
Address
C
State
Do Code
Site Andress
P
R
O
AveawY INo.
lot She (sq.h./acres)
E
R
SubaMsbn
Lot
Bock
y
OR $hOR Pict No.
Bock
ExBflng Shuotures Won
Name
Contact
Phone (
7
Andrea
Clry
State
BIDCode
A
Jos. No.
Exp.
VIM 6.s, Uc,
Descilptlon of Work
OFFICIAL USE ONLY
rmhiype:
Resitlenibl Sign_
Commercibi Olher__
Eh eline Permit V
Sepa mot V
Fkwrpb Y
Set of P'ht
MmWre Permit M
Mechanknl %rmg#
Check By
N
N
N
Sa, Ft. per}bor. (]A) (24
Sewer Septb
App' al No.
City Water Private 61 1 Rvale m
Heol.Electric Other
REM
MFOR FEF
I
I FEE
Bulldirq Value
Omer
WA. 9.. BC. Ree
W -Naw Const Only)
TOTAL RE
Minimum astonce of smrcture from propeM lines : IssuedBy
Front to IN R Final
We Side Rear Owner L H I Form s
Assessor Roor npn anal Permit
Applicants ertffyr I tin r
cettlty that have rand and examiretl the IMormaflon contained wimin the op cation dna w the same to be hue Submflted_J�_
arra coned. I aso cerilty Mot the proposed abucture b m conformity wllh all a Icable City elm reguloxora InakpYng
those gdvernina xonirsg and land sub Ion, and In Walton. all covens easement no re mctbre of record. If
applyiNmaconhacroslMM rcerfHyl lomacunentlymghtaredco actinthe of Wwhington.
9wrteM Report
Signature Date Assessor / /
CITY OF YELM
BUILDING DEPT.
Phone: (360) 458-6407
•
Building Permit ') 6179
Date
(Work must be started within 120 days)
w i.l iGD, i s li�nn n. hell T IA /,— �n 9—A
a
Aadrem F0.Tov
iQor
city
stare l
ziecada 969*
Site Address
P
R
Aasessoh PRETIW.
Lot She (sq. k./acres)
SubdNhlms
n Lot
Bock
R
T
v
OR Short Pat W.
Block
Exispg sMchres d any
s.
Names
Contact
RM (
)
Adaress
Cory
Store
np Code
k
ucen a W.
Em.
veli, Bustlo.
amcr¢Ilon a Work
OFFICIAL USE ONLY
ennit TyPe:
Resdental Sign
Commercial Other_
SN�O�IlmPermit Y
Semet y
FksoY
sen at Ponts
Pkmbing Permit t
tecl,anad Permit e
Pjdh check ay
N
N
N
Sol Ft, per doom (I sr) (3r
Sewer Septic Aper I W.
CRy Nater Prlvare II
Privates em
• Neat: Electric Gas Other
am
B/5EFORFEF
FFF
aulo g vada
pity
Fee
S0. Ww Corel 0nW
rOIALIM
Front to of
Side sde Rem
APPlkame Atflda.M:
I madly mat I have read and emmined trre intarmalbn contained within the
and correct. I also cil thm Itw proposed rryactares Is In conformity with all <
those govemetg miring and land suddlvAcd and In al all cove"
applying as a contmctmAmmarI cedty alar I am a currently registered co;rt
FM
Fina Ilssp:��
Owner LH I Fomr
Awor Roar Plan and Permit
me same To als llae $UbInitlBd��
aim reguariore IncwIng
restrictions of record IF
CIN OFYELM
BUILDING DEPT.
Phone: (360)458-8407
I. J
Building Permit k? 8179
Date
(Work must be started within 120 days)
Nw
Name" AI Phane(
R
Addressi
. /
CI .: --
State
a Cado (Cl -J F
$Ile Addl m
1
_
P
R
O
Astessoh No.
` I Lot Size Csq. K./acrB9)
P
a
SUWNbIonl`11l')hJ�)'U`1IJlnj,Ui
Lot rl 9
Nock
V
OR Shod Pbt No.
Nock
Eld, irg SM1uctues Ifany:
Name n -
Contact
Pnone(
)
Adaress
cIM
sore
ap code
Ilcense No,
Exp,
Vern Bus. Ilc.
Descriptbn of y/or,
OFFICIAL USE ONLY
ermrcrvpe:
RegOentlal Ngn
Commemial Other
S Ino Permit V N
S.P. at Y N
Floor Plan V N
Sats or
Plumbing Pere* E
Mechanical Permrc B
fWh Check By
Sa. Ft. per ficor: (I lin (yn
Sower Septi Appr I No.
• cw WOler Private P ateS em
Heait Electric Gas OMar
ITEM
BAS WBFFE
FEE
Building Value
Other
WA. Sr.. BC. Fee
5g -Naw Cart. Ory)
1Z
TOTAL EEE
We Side Rear
Applicants AMdaNt:
I cerWy tl-.Ot I have read Oral examined the Informotbn contained w hln Tea caflon and k Me same to be true
and correct. I ata Mf, that Te proposed sWcture b In canMmlty wIM am o (cable Clly m regu1011or Including
moss goveming wring and land sulao lon, and In call ,all covena evsemenh re�a. of record. If
applylrg®aconhacbtlNrt rc Mly Wlamacunently regBtered co act In ihes of Washington.
signoture rrI ' Date
Firm:
meed By
Final lrp-----J_J
Owner L B l Form
Azsescv FI xF Pbn ontl Pertnif
• ' r +---R
CIN OF YELM Building Permit
BUILDING DEPT.°0 s
Phone: (360) 458-8407 Date
Mork M1W a started with(170 days)
96 a
w Name S MIV Phone( < C
NX
S a
B
Andrea c M snaret9A
zip cue
StteA . s o
R
Aaeaor's Parcel No. Q Q Z/k.l,7 rLot s- (M ft./acres)
//��////
RE
Subdlyelon C.Y 73 I� Lot Block
I
y
OR Stort Plot No. Block
Exdt#g Shuchuex # any:
/�
Name Contact �-/yLac Phone
J )
nA
— Clly State -
Zip Code
//-77
(lceree No. .y Exp. Yelm Bus. Uc. No.
Oescdpibn�Wonk J, .L
OFFICIAL USE ONLY
PermItType:
ReskieMWf Sign
/I Y
So. Ft. per toor:(Ist)(2nd)
Sewer Septic Approval No.
CommenclaLX—Omer
Shoreline Pennfl Y N
Sep. Exempt Y N
Floor Plan y N
SeR of PMts
(A
Cty WOter Private Well Private System
Heat. ElecMc Gas 011ier
ITEM
SASIBFO M
FEE
kwumg n#
Omer
PlumGrg Perm# #r U
Meclwnical Permit # f"
WA. F. BC. Fee
(4.50 -New Const. Only)
Plan Check By
Issued B
Finallmp:��_
Owner{&IF.
Assessor Floor Plan and P m tt
TOTAL FEE
Minimum d6tance of sM1uctuM from pmpedy, Imes:
From to of Road
3de We Rear
Applicant's AfflcO
I codify Anat I haye read and examined me Information contahV within fle application and know }ns some to be true
Submitted! /
and comeCt. I OW ceMN mat the proposed shucture 4 h C6676imlly wttn.II applicable_�Iy of Yelm reguiaflons Incksding
M.
-
inose goyerni g zoning and analsubdlvisbn, and N addition, all coyenonh. 00wrn 6nal-r6Wctions of record, It
applying as Oc�mCt(lW Gr CertfyiMt}7acu" fly registered Contract In Te$tate of Washington.
CIN OFYELM
BUILDING DEPT.
Phone: (360)458-8407
Building Permit 6175
Date
(Work must be storied within 120 dcrA))
U
NName
Ll
Phone (3�a�, 4 - 709
R
Address 59x0
WALW
q.
C
Stare
➢ Code
Ske Address (S`9-29
P
R
A¢evofs Parcel No.:3-71y'3010(&00
int Size (sq. h./acres)
P
R
SuboYvblon
tat
Block
T
Y
aR Shonf Plot No.
Block
Ex ng Shuctur s S any::
Name C
Contact
Pnone
A
Pdtlrea
City
State
21p Code
We. No.
Exp.
Yelm Bus. Ua, No. 2 i
Dwrptionof Wok
OFFICIAL USE ONLY
Permlf Type:
Sq. Ft, perfboc (Isn
(2nd)
Re5laential Sign_
Caayn.bl Other
Shoreline Permit Y N
Sepa Exempt Y N
Floor Plan Y N
Sets of,Rhffi /�/���
Plumbing PermBA����l�j'_
Sewer Septic Approval No.
•. City Wafer PMate Well RNate System
_
Heat: Elects Gas Omer
IRM
IIMrSFORFEE
HE
Building Value
3-130,00
OMer
Mechanbal Permtttl_J.J 1 )—
Pan Check By J
WA. SF K. Fee
(4.50 -New Const. ONy)
4.D
TOTAL FEE754
-50
Side Male Rear I
Applicants Affidavit.
I cer* Mar I hove rend and examinee ire lorannatbn contained WMln Me application and know the same to be true
and coMCt. I aL certify, that Me proposed shucture & In conformity wllh at applicable City of Yelm regulations Including
those goyemIng zoning and lana Wil,dr ion, and In oddMon, all covenants, easements and ternctbne of record. tt
applying as o cornactos I Nrther certfy mat I am acuventiy registered contract In the Stale of W Ington.
SlonoNre
Firm:
��M/Iri�:ali�1
Owner L & I Form
Aets. Floor Plan and Permit
auorfeM Reports
• NEW DEVELOPMENT/CONSTRUCTION CHECKLIST
TYPE PERMIT H FEE RECEIPT N COMMENTS
Sewer Permit
125.00
Sewer Latecomers
Sewer/Septic"
1,000.00
Site Plan
Water Latecomers
Water Meter•
300.00
Water Meter I.R.R.
Water Service ERU's
700.00
Consumer Deposit
90.00
Plan Review
`�
Dd
Building Permit
t�aco
WA Building Code Fee
4.50
Mccl mical Permit
Plumbing Permit
6/4
oD
Yehn Business License #
-
Transportation Facility Charge
Open Space Fee
School Mitigation Fee
',n
'DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY YELM BUILDING DEPARTMENTI
0
CIN OF YELM
BUILDING DEPT.
Phone: (360) 458-8407
Building Permit
p D
Date 94
—I1 (qO 6t7
Mork must be Started within 120 days)
r�
L_tE f I♦
HName
'2
Phone
E
Address111M I
C
c
sate
a code %
sae Addrea
,s
a
R
As eaa3 Paaq No.
/
4 O
Lot SRe (sq. K./acres)
O
P
I
S.rbdlvbbn
'rj
Lot '
ebck
T
y
OR Stall Pbt No.
ebck
Exteling sman,eA Many:
Nate
Contact
liars.
A
AWress
o;
Cay
$Nte
zip Code
Hcerm No.
Bp
Velm &a. Llc. No. /
t]exrksnon nwark Cfj�mal
OFFICIAL I OWV
Perms TV :
Residen 74—
` Sign_
Commealolo1heT_
Shwellne Permit V N
5epo Exempt y N
scar Plan V N
SefsofPMfi
Pkxnung Permna
Sq. Ft. peva ..(150 (2nd)
Sewer Sepik Approval No,
CIN water Pdvate well PrNcne System
. Heal: ElecMc Gas off a
SEM
BASIS EOR FEF
FEE
Butldhsg Vdue
Q a
prywr
_
MectaNcol Peres t�B5s9a
1E
BC. Fee
(450 New Coml.ONY)
TOrAL FEE
Fran to af Road 1
side side Rear
AppFcann; AXIdaW
I ce W Sat I I read and Information canokred v n the applkoaon and baa the W. to be fru.
and coned. I OW Cechy that the proaased SM1UCIwe a In conformity wdh an applicable Cay of Asirn regraotbre Inaijahn,
mite govemlr ronin, and as d srbavelon. and M addlaon, all covenonfs, easements and restrictions of retard. a
appMw a a conhactoL I f,r r cemfy Sat I am a cwrendy registered contract in i State of Wasnington,
Firm:
Owren LS I Fam
ASsega Fkar Ran axi Permit
sauartedy Reoorh
• NEW DEVELOPMENT/CONSTRUCTION CHECKLIST
•
•
TYPE PERMIT# PEE RECEIPT COMMENTS
Sewer Pennit
125.00
Sewer Latecomers
Sewer/Septic"
MW
Site Plan
Water Latecomers
Water Meter•
300.00
Water Meter LRR
Water Service ERU's
700.00
Consumer Deposit
90.00
Plan Review
Building Permit
% L
l
WA Building Code Fee
4.50
Mechanical Permit
J
Mouthing Petntit
.�
Yelm Business License #
Transportation Facility Charge
Open Space Fee
School Mitigation Fee
*DUEAND PAYABLE PRIOR TO FINAL INSPECTION BY YELM BUILDING DEPARTMENT!
CIN OF YELM Building Permit
BUILDING DEPT.`�—II-Q�)ri 6173
Phone: (360) 458-8407 Date `�
(Work must be storied w-hin 120 days)
w I Norma./ Y/(es`1D. Fi/ L. Pn--(wb h91"
E
R
gtltlresi
C
Stare 11A
ZIPCode
St. Addre
P
R
O
Assessor's Parcel No.
I
Lot She Ua. tt./acres)
v
E
SubdWblon
Lot
Bbck
y
OR Shorn Pbf No.
Block
Etl ng Sft t ,as, N any:
Name
Cor -fact
Phoney b
A
Address
Ll
Clh/
Sfote
Lp Code
Ucense No.
ESP.
Win Bus, Uc. No. I
De.dpibn of Wak
OFFICIAL USE ONLY
Permlf Type
ResldentialSign
Commercial Omer_
Sh001. Permit y N
Sepa brempt y N
Floor Plan y N
Setsof Prinh /�/
PlumUW Permit #�5� I./. �7a/J �
Mectwnical Permit k I_ _
Plan Check By—,I��_
S,S. Ft. per Ilooc (Isr) (2nd)
Sewer Septic Approval No.
CIN Water Private Well PrW System
Heat Electric Gas Omer
am
WIS FOR FEE
FEE
3UI1 W.
one,
WA. 9.. BC. Fee
(4.50- New Const OnM
IfTD
TOTAI FFE
Side Side Rear I
Owner L
Assessor Fksor plan and Permit
Applicarrt's Af coa t
I cerHly Mor I have read and ezaminea the Information combined whin 1Ne application and know me some to be hue Su"midecli
and corect. I abo certify mart the proposed structure b In conformity with all applkxsble City of yeln regulptlpnsol =Ino
those govemirp zoning and land subdNblon, and In addition, all coy ndntS easements and restrictions of record. If
applying as a conhactor. I further cerfity Mat I am a curently registered contract h Me State of Washington.
9uarferiy Reports
Firm:
. NEW DEVELOPMENT/CONSTRUCTION CHECKLIST
TYPE PERMIT# FEE RECEIPT#. COMMENTS
Sewer Permit
125.00
Sewer Latecomers
Sewer/Septic•
1,000.00
Site Plan
Water Latecomers
Water Meter'
300.00
Water Meta I.R.R.
Water Service ERU's
700.00
Consumer Deposit
90.00
Plan Review
Building Permit
WA Building Code Fee
PermitPlumbing
kk4.50Mechanical
Permit
�7
14
Yelm Business License b
Transportation Facility Charge
Open Space Fee
School Mitigation Fee
'DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY YELM BUILDING DEPARTMENT!
0
CITY OF YELM Building Permit —� ei%Z
BUILDING DEPT. 1_ I I_/] S�
Phone: (360) 458-8407 Date ! `SCC 1,
(Work MO be started within
120 days)
�W
Firm:
d E.2
HName
Y Pharre
n
Aoares C='4/f4 state
n�
L Coee O_
15911 drn
Site Aa —
o/o� lot
oA
ezofs Pamel No. ,,J SCe(so.filacres)
P
F
Su ,cm / Lot Block
I
V
OR Ssort Pbt No. Block
Exkfka $Irucluesp. Rory:
�y
Name /Iiia Contact Plane de
Aaarem N6 cRv score
aPcode
,GA
t$
Ikarae W. EW. Venn &a. 1C. No. '
. /
aescrpn of YMk RoN / %7%/ / F/i(��i
OFFICIAL I.RE ONLY
PermRryae;
Sq.Ft.perfloo:(ls) Cana)
ResklenXoL� Sign
Commercial OMser_
Shoreline pem if Y N
Sep. Exempt Y N
Floor Pan Y N
Set of f'"
m PermRR
MCManital Porrrrtts5s9
Pan cnecy
kuea BY`J)_ �J�
Fhal Info: _----
Owner L & I Form
Assessor Floor Pnzs.na Permit
Sewer Septo Approval No.
City Water Private well Fl System
Heat Eksctflt Gas Other
am
RASIS FOR FEE
FEE
&Adkp Wua
/
glerrPNmu
WA Sf. BC. Fee
(4.50 Nev, Comt. Only)
111 -FET
MlrAnvn Wtarrce afmucMe Rpn PropeM nrkss:
Front M of Road
Sae Sloe Rear
Appicantf Afildov1f:
I cw* tial I have rood OM1 eeornmea Mer af4nnotan confaineol viMln Me applicafan aro M. her, soma to be hue
Submiherl��
a d correct. I alio cemry (hat Ma proposec muclure k In Canfamlly wim all applicbUle Cny of Yenm Wdolions Inciuding
Mose governing zoning anal Wal suademon. and In Carlton, all covenant, easement aro re morions of record, If
applying w a cor actor. I fum er terry Mot I am a currenf r mgistmea contact In"Slate of WaMlraton.
OuaaeM Report
SanaNre �J,�,,yi
gale —/y— /
Assessor
Firm:
6 NEW DEVELOPMENT/CONSTRUCTION CHECKLIST
TYPE PERMIT *i FEE RECEIPT# COMMENTS
Sewer Permit
125.00
Sewer Latecomers
Sewer/Septic•
1,000.00
Site Plan
Water Latecomers
Water Meter•
300.00
169 2
.l
Water Meter I.R.R.
Water Service ERU's
700.00
Consumer Deposit
90.00
Plan Review
Building Pennit
AIA,
WA Building Code Fee
4.50
Mecbatucal Permit
Plumbing Permit
Ychn Business License q
�/
Transportation Facility Charge
Open Space Fee
School Mitigation Fee
T
.Ao
'DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY YELM BUILDING DEPARTMENT!
CIN OF YELM Building Permit
BUILDING DEPT. n 611
5vPhone: (360) 458-8407 .... Date f-- 7 T
• n r (Work must be started within 120 days)
w
Nome
60�
N
E
R
Addnsss
Stale11M
zipcode
ttA
6V,16142
Ste—nee-15-91A
7
o
o
Aessoh Po ce nip.
ds¢e(q. M.tac es,
E
P
SubOWblan
Lot Block
y
OR Short Rat No.
frock
EYBlkrg Skuctu aany:
Name 2
Contact Phase
AOWea
city uacre
app
Ilcer se No.
Velm &c. ac. No.
neaabXon of Work
/Exp.
[L/xy
OFFc USE ONLY
PermtfType
Sq. F1. per flop: (1st)
M4Resitlentlal�
Sign
Commemio other_
shoreline permit V N
Sepo Exempt Y N
Floor Plan V N
sets d Prbh
sewer Septic Approval No.
City Vater Private Well Private Sysley
Heat. Elechic Gas Omer
am
lA9 llwm
FEE
&nlaiw MLrse
7D
Other
PlumbngPermltk
Mechonkal Permttr��fr.�
WA. ST. EIC. Fes,
(4.`✓J-New Const orty)
s
r
Pion Check By—Y2f �/iZF:9
TOTMFFE71
.75
Minimum distance of skuctue from property fins:
From to of Rood
Sus side Red,
APPIIcanYS Ae ft:
I certify that l have read and examined! Ma Oformalbn contohea wl1hin Me application and know me same to be true
and cd
anealso ceMty Md Me proposed ahucive k In conformity wIM all oppllcoble City d Velm regulolbna InClutlkrg
tine. governing amin, and lonal sutMNkian. oral M otltlttlon, all covenanh, easemenh anal resMction, of record. M
aPPl,vg as a C.MmclIX I wane, CeMly Mat l am a CVlerlfly,egsoeRd Cont o In tns State of Waihlllg}On,
OwaerL&IFpm
Assessor Floor Pon and Permit
Quarterly Raparh
•
0
NEW DEVELOPMENT/CONSTRUCTION
//CHECKLIST
Site Address: n / /[A/� ni A%� Lt �� za/�l/
TYPE PERMIT # FEE RECEIPT # COMMENTS
Sewer Permit
125.00
Sewer Latecomers
Sewer/Septic-
1A00.00
/Yl
(�J
Site Plan
Water Latecomers
Water Meter•
300.00
Water Meter I.R.R.
Water Service ERU's
700.00
Consumer Deposit
90.00
Plan Review
l N 2 I
Building Permit
/, „�
1
WA Building Code Fee
4.50
Mechanical Permit
5k'
Plumbing Permit
6j,Xj
/
/}n nn.
7U W
Yelm Business License #
a (
Transportation Facility Charge
Open Space Fee
School Mitigation Fee
D
"DUE AND PAYABLE PRIOR TO FINAL INSPECTION R YELM BUILDING DEPARTMENT/
CIN OF YELM
BUILDING DEPT.
Phone: (360) 458-8407
•
`M lN..It)R IC. /T IZi .SIF
Building Permit , 610
Date
(Work must be started within 120 days)
b VA
—I
oh `r•
R
Address
C
Slom
IJA
zocode n
She Aodrass
'^
P
1,
Assessor's Parcel No.
D C) 0 Lot Sim (sq. tt./acres)
P
R
SubdNUon 1\1,
Lot
Nock
T
Y
OR SWO not No.
Nock
E#sting Structures ff. any:
Name WIV
Contact
..
PhonekA
Address
q v CM
State
Dp Code
,oak
((
License No.
Exp.
Velm &a, Ilc. No. I
Oesbrlptmr of Work
OFFICIAL USE ONLY
RaaWnilol Ng
COmmercdl Other_
Shoreline RermM Y N
Sepa Exempt Y N
Floor Plan V N
Seh of Pfbts
Numbing Permrk `D
Aachanicol Permr B
Plan Check B
Sq. Ftper floor (19) (2nd)
Sewer Septic Approval Na.
City Water P .m Well P ate System
Neat'. ElecMc Gas Other
am
BASIS FOR FEE
FFE
Building
Ory»r
WA. 9.. BC. Fee
(4.W - New Corsi. ONy)
EOEAL FEE
Minimum distance of structure from prooef Imes: f
Sids
Issued By�' rnl�NG �sS
Final Imp: ------ — / ----- —
Owner L&IFoen
Assessor Floor Ran and PermB
Applicant§ Affidavit
I cemty trust I trove read and examined the IMormalmn co mined within the application and krww the same to be true &rbmlttetl J_�
and correct I oso ceM that the proposed structure k In conformity with as applcode CRY of Velm reguWom Including
those goveming mnkg and land sobdMGon, and in addMon, all comrwnts, easements aW estictbm of record. M
appiyno as a contractor. I further cerHy Oat I am a currently registered contract N the Stare of Washington.
9uartmtiv Reppm
Siglotom ��n/Lti�.ii/L0ZPA,1 i,r,rr oare9—IY-9k Asea. / ,
6 NEW DEVELOPMENT/CONSTRUCTION CHECKLIST
•
0
TYPE PERMFr# FEE RECEIPT COMMENTS
Sewer Permit
125.00
Sewer Latecomers
Sewer/Septic•
11000.00
Site Plan
Water latecomers
Water Meter*
300.00
L�i
PEE
Water Meter I.R.R.
Water Service ERU's
700.00
Consumer Deposit
90.00
Plan Review
A , S0
Building Permit
I7
l/
Y5
O
WA Building Code Fee
4.50
O
Mechanical Permit
5
4
Plumbing Permit
/
l0
Yelm Business License #
Transportation Facility Charge
Open Space Fee
School Mitigation Fee
-D UE AND PAYABLE PRIOR TO FINAL DYSPECTION BY YELM BUILDING DEPARTMENT!
•
CIN OF YELM
BUILDING DEPT.
Phone: (360) 458-8407
MMMLi, UQIICrtd
Building Permit f t ? 6169
Date
(Work must be started within 120 days)
V _ ..i4 a . 0 �
Ftlarse(QJi X170-9!DK
E
R
Addrex
SW AyrC
stansWA
Lp Code W 3n
S e Addrea
P
P
O
A6essofs Parcel NO.
n
D Lot 51m (Fq. ft./aIXBF)
P
R
$Uh%1NN,1 i %�
Lot
Back
T
y
OR Port Part W.
Black
E*Hng, If QI
�Sh1sWh.,ft
contact
pr..
A
AtWres
Cr,
Stale
2pcado
ucerve No.
EAP.
NNa lice, ac. Na a'
OescMtlon of W,k
OFFICIAL USE ONLY
PermItType
Res fic,l /\ sip
Commemld OMser_
Shoreline Permit Y N
Sepo Ewnpt Y N
Floor Par,Y N
Soh of Prints
Plumgrq PemIR f
Mechank:d WrMtf 55,13 7
PWn Check aal&�
So. Ft. per floor: (19) Mal)
sewer septle Approval No.
City Water Private Mil klNdre system
Heol. ElecMc Gas Other
ITEM
9/315 FOR FEE
FEE
&usdn9 Vol./
y
d S
Oflrer
WA. Sr. EC. Foo
(4.W -New Corot. Orlty)
-A. j
TOTAI FEF
M
Sitle pec,
Final h,
Owner L& I Form
Assessor Floor Plan and Perm4
Acorsfyl mar
I hcaNh
nd oa itgt I w read and examined Mr0 hformolWn conlaFred wNNn the OpplWotWn and know the same 01 be true subrnEted_J�
and cortect. am cetMy that Me proposed stucfixe b In c0nbrmXY wMh all applicable CM/ &' reputations Inco rsp
mog pOVemlrlp Main, and land subd I I r1, O W In addMM. all caysnoft a WMGMS and restrlctlOns Of woad. If
0pptyirsp as a contract,, I Nrll comfy tinct I am a cvrenlly mastered contact In the State of Washlnpton.
9uarteriy Reporh
6 NEW DEVELOPMENT/CONSTRUCTION CHECKLIST
•
0
Site Address: 1.1214 QlwiI UrAfWos 0-+ <Cr— k5_40
TYPE PERMIT N FEE RECEIPT N COMMENTS
Sewer Permit
125.00
Sewer Latecomers
SewedSeptic"
1,000.00
Site Plan
Water Latecomers
Water Meter-
300.00
Water Meter I.R.R.
Water Service ERU's
700.00
Consumer Deposit
90.00
('I
Plan Review
Building Permit
Q
I l
ii.
Cl
WA Building Code Fee
4.50
9
Mechanical Permit
i
�y
I
Plumbing Permit
5Ao?
C%
Yelm Business License N
oC
Transportation Facility Charge
Open Space Fee
School Mitigation Fee
"DUEAND PAYABLE PRIOR TO FINAL INSPECTION RY YELM BUILDING DEPARTMENT!
CITY OF YELM
BUILDING DEPT.
Phone: (360) 458-8407
•
Building Permit 6168
Date 9 //-9y_
(Work must be started within 120 days)
o
NO(IIB
FM1gre
_
N
P
AtltlreL
/
r
Sbte
Code ( L
See Pod
v
R
No.
(�
1o15Re (aq. rc./odes)
0
R
:r--
I%(
y)
bf
BIOck
T
y
OR Short Rat No.
Block
bli lrg Structures If any
G
Nome
Contact
Phone tG]
AtlMep
CBy
SNIe
DP Cotle
k
ucave No.
Eel.
Velm &e. uc.
OmcroXond Wark'751k(j�ip'
(ILL
OFFICwLI15E ONLV
psl Type
peydentgl �' Slgn
Sapw ffoar: Oso (2wn
Sewer
Sepik
Approval No.
Commercial_ Other_
Shoreline Permit V N
Sega Exempt V N
FporPWn V N
Sets of Rhts
Kam VPermse 54
Ran Check ltl �
City Water Private Well RNafe System
Heat ElecMc Gas Omer
am
E412WISFaRFEE
ME
BWkltp Volue
c6T, op
a
WA. 9.. BC. F6 -i
(d.50 -New COM. orVy)
�Oa�enn
TOTM FEE
g O
Side
Rear
Owner L & l Farm
Assessor F Plan and Permit
AppllcanYs Affidavit
I coMfy that I have read and examinod Me Information oontalned witnln the application and know the same to be true Suhmilled_�J_
aM correct. I oW certify Mat Me propased shucMe Ik In conformlN wlln all applicable CIN of w IegulaXons Including
ttxae govemirg zoning and bW sabdNMon. and In addlnon. all covenonlx oasemenh and reshkipns of Iacono. N
applyVg M a contoctos I fuMlercerMythat I am o currently reglitored controcl in the SMe of Washington.
Rm,
0
eTMVM
Ouar,ry peW
• NEW DEVELOPMENT/CONSTRUCTION CHECKLIST
•
0
TYPE PERMIT # FEE RECEIPT # COMMENTS
Sewer Permit
125.00
1
Sewer Latecomers
Sewer/Septic"
1,000.00
02
Site Plan
Water Latecomers
Water Meter-
300.00
-�
Water Meter I.R.R.
Water Service ERU's
Deposit
V700.00Consumer
Plan ReviewBuilding
Permit
lU
WA Building Code Fee
4.50
i
Mechanical Permit
/
Plunbing Permit
t� , f k7
e (` h
A -60
�
30E
Yelm Business License #
Transportation Facility Charge
Open Space Fee
School Mitigation Fee
'DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY YELM BUILDING DEPARTMENT.
CIN OF YELM
BUILDING DEPT.
Phone: (360) 458-8407
•
Building Permit s 67
Date
(Work must ae started within 120 days)
M.
0
yy
h
w
Name 1
P
,l4hone
N
�Aq';
Addrea
c
ore
WA
n cone
+ 25-
P
Avessor's Porcel Na.
L
Im Sale (sq. m/acres)
I,
E
SUMN61an
Lot
sock
a
y
ORSMRPIat No.
soc4
EAMO, structvm If any:
r
Norte
Contact
Phare
Address
OBy
State
npOodp
a
W.. No.
Ea.
y Sa, IIC. No.
oa,criptpr, of wait �jIKISLE
YALI
T)WEL
i N
OFFICIAL USE ONLY
Perron type:
So. F1. per Poor.(10)
(2nd)
Rebdennol Sign
Canmeecld other_
Shorellre Pennit v N
Sega Eeempt y N
Floor Ran v N
Seh of PMh
Sewer $BpnC ACproval Na.
city Water Private Well RNate System
Next Elect4c Gas OMer
REM
RAf11KISIME
FEE
Galata Wlue
Q
I {�
Pk O Perron R
Other
N
MechanM:al Perm 8
Plan Check Ll-R.EIZ.
WA. 9, S Fee
(4.50 - New Cony. CMI�
TOW FEE
z�
Mktmtrtn
F :'f
s1.
I CerMy that 1 n read and eaomnea Me Inronnarron contonetl wimin ma appncafion and know Me same to be true
and coned. I deo canny Mat na propcaed strucrum Is In conlonnn, w as applcadle Coy of velm reguksnom noodng
those goyeMing zoNra ora and subdNNon, ata In oddmon, all covenants easements ora resMctlan of record, If
oppMng as a contracts. I former cernfy Mat I am a cunenny registered contract In me Store of Womington,
Ran
Owner L A I Fam
Asteaa Floor Plan and Permit
Quarterly R.Ports
6 NEW DEVELOPMENT/CONSTRUCTION CHECKLIST
•
0
Site I.. by roles4
TYPE PERMIT# FEE RECEIPT# COMMENTS
Sewer Pennit
125.00
Sewer Latecomers
Sewer/Septic'
1,000.00
Q'
i Q
Site Plan
Water Latecomers
Water Meter'
300.00
Water Meter LRR
Water ServiceERU's
700.00
LP
Consumer Deposit
90.00
Plan Review
I-7 '
Building Permit
(TII.15)q6'1
WA Building Code Fee
4.50
Mechanical Permit
qo .IS-
Plumbing Pemdt
D CD
Yehn Business License #
Transportation Facility Charge
Open Space Fee
School Mitigation Fee
1
•DUEAND PAYABLE PRIOR TO FINAL INSPECTIONBY YELM BUILDING DEPARTMENTI
CIN OF YELM
BUILDING DEPT.
Phone: (360) 458-8407
•
o /
Building Permit III 166
Date
(Worknwst 08 Started wifilln120 days) -
w
Name
Phos
— I
N
O
R
Address
C
Stare
Code
we Address
P
p
Assessotk Pardel No.
O
lotStre Csq k./a-err-
-
SubdlNs I
Loi
!Rock
y
OR Shat Pbt Np.
frock
Existing StMctres,,K/Iarry:
Name 'V
Contact
Phone
AAddrea
'
V LL
^
any
State
ap Code
J.. No,
Exp.
Yelm M. U, No. I
Descrbhon ofV n
Pewiti(
OFFICIAL USE ONLY
PermRType: `
Sq. Ft. per floor(1st)
(2nd)
ResidentA Sign
Commercial— Other_
Snorellne Penni! ,\y
N
Sewer Septic Approval No.
ay Nater Private Well RNate System
Heat. Elechic
Gas
Otho,
Sepa Exempt Y
Fbor PMn Y
"eft of PM
N
N
ITEM
MSE FOR FEE
FEE
BuikAq Value
I a
r
Rumang Permh R
Mechanical Parmlf RR 'Q�
Ran Checckr_ss
BYIDE
Other
WA. V. SC. Fee
(d.50 -New Const. Only)
TOTAL FEE
Front to of Road
Side Side Rea,
ApplcanriAtfda ;
I cwW that I have read and exomined me Information cantalnad WMln the appllcabon and know the same to t e hue
anal coned. I aka c3s11ily Mat the proposed Mucture Is In cants Mfty with al appllculNe Cary of Yelm regulations Including
Mose governing wnhg and land w1adNkOn and In addition, all covenants, easements and restrictions of recoro. R
appNIW as a COnhaatq, I furMer car lt, that I am a cunentiy registered canhact In the State of Washington.
Z Md
Iswed BY
FNwl Mnp:J�
Owner L S, I Form
Assesses Floor Man ar,a Pe,md
6 ,,env Reoorh
• NEW DEVELOPMENT/CONSTRUCTION CHECKLIST
•
TYPE PERMIT # FEE RECEIPT M COMaTENTS
Sewer Permit
125.00
(1
-`
Sewer Latecomers
Sewer/Septic'
'Wo 00
Site Plan
Water Latecomers
Water Motor'
300.00
t
Water Meter I.R.R.
Water Service ERU's
700.00
n
Consumer Deposit
90.00t��
Plan Review
L
Building Permit
p
WA Building Code Fee
4.50
Mechanical Permit
5
Plumbing PermitY�o
'
ROpD
Yelm Business License #
a132.b
Transportation Facility Charge
Open Space Fee
School Mitigation Fee
*DUEAND PAYABLE PRIOR TO FINAL INSPECTIONBY YELM BUILDING DEPARTMENT!
CIN OF YELM
BUILDING DEPT.
Maine: (360) 458-8407
Building P It
IA 77
Date
(Work mus be started wlMln 120 days)
M t I
Of slnrch a ham mopeM Imes:
Sk1e Sitle Rea Owner L H I Fam
Asseaor Flow Plan and Permtt
AppkcanfYAF110.rS1:
I caMy tM1ot I twos n atl and ex InEol ttse Infoenallon contakted Mthin" applkallon and know "same b be true Submihed� J
and coned. I pI cerw ttwt ttta prOpOsed sln4ll ne h In conformlly wim OF oppllNble City Of Yelm reaub hcludbq
those goyemkq mNrw wW Iond subcl W aW In oddllkNr, all cowrwnik easements aW nmOOctonF of record. If
applykV on a Contraot.. I fiM ceMfy lhot I am a cueantlyrWIslered con"ict Int S eof Wm Inlcn.
Firm:
IWOFhone(
W
Name
)/
ry
R
Atltlress
CMy
Slate
Zip Code
Stt. Addmsv
P
R
Asses , Parch No.
Lo15Ge (sq. ft /..no) '
O
P
E
Subd n
Lot
Block
R
Y
OR Short PM No.
Bock
Emting sn ctuRs. Ifany:
Name
contact
Fnone (
>
r
R
Atltlress
City
Stare
Zlp Coale
OA
p
Lkeny No.
Exp,
Yelm Bus. Lk. No,
f orlpfionofWork
OFFICIAL USE
PermB Type:
ONLY
�N(/
Sq. Ft. par floor: (10)
(2nd)
R"clental . \ Stan_
commemol CM.r
Shoreline Permlt Y N
Sep. Exempt y N
Fkwr Plan Y N
SelF of PAnA
%umbbq PermB Y
Mechonkal Permtt)
Plan Check By
i�
Sewor Septic Approval No,
city Water pfl aw. Well PrNote System
Heat Electric Gas Omer
ITEM
BNS FON FEE
FEE
Builtlingvolue
3
Other
WA, V. BC. Fee
(4.50 - New COmt. ONy)
TOMFEE9.
Of slnrch a ham mopeM Imes:
Sk1e Sitle Rea Owner L H I Fam
Asseaor Flow Plan and Permtt
AppkcanfYAF110.rS1:
I caMy tM1ot I twos n atl and ex InEol ttse Infoenallon contakted Mthin" applkallon and know "same b be true Submihed� J
and coned. I pI cerw ttwt ttta prOpOsed sln4ll ne h In conformlly wim OF oppllNble City Of Yelm reaub hcludbq
those goyemkq mNrw wW Iond subcl W aW In oddllkNr, all cowrwnik easements aW nmOOctonF of record. If
applykV on a Contraot.. I fiM ceMfy lhot I am a cueantlyrWIslered con"ict Int S eof Wm Inlcn.
Firm:
CIN OFYELM
BUILDING DEPT.
bPhone: (360) 458-8407
Bulldin ermit t 6176
Date F(/
(Work must be started within 120 days)
IN -Mg /VF/Ca7RnPA M/i ��fiir=�i�F i>C,((r�'.Prvi,� R�a�( ,/�rA-9//7/.,
R
Add.
City
/ State
L Cotle
site Address
Q6,06160
R
Assessoh Parcel W.
Lot Size(sq.
It loom)
P
E
R
SabclWlon
Lot
Back
y
OR Short Plvl W.
Block
Exkting 51sucNes, tor"
Name
Contact
Mare(
)
A
A
Address P AmeCRY
Store
➢p Code
License No.
Epi,
Yen, &s. 0c. No. S' ,
D rpryon of Work
(") N(i
OFFICIAL USE ONLY
Permit Type:
Sq. Ft. per floor: (I st)
(yid)
ResdsntlalSign
Commemlal Other_
Starellne Permit Y N
Sewer Septa Appro al W.
City Water Ptivate Well PtiWte System
Heam,Reati
Gos
Ctiser
cepa Exempt Y N
Floor Ran Y N
Sets of Pnhts I I / ///jjj
ITEM
RAMFORFEE
FFE
Building Value
/
a , D
Other
Plumung P srm,M�1
Mechanical Penni A)
Pan Check By
-
WA. Si f)C. Fee
(4.50 -New Cont. ONy)
/
/
TOTAL FEE
� J 015
From to of Rood
&de Sae Rear
ApplkarMS Afloo tt
I Canty that I have read and examined the Infarmatbn contained within the application and know the some to be flue
and const. I also certify that the proposed structure Is In conformity with as appllcable City of Yell regulaflon kaluding
M
governing wall and land subdNblon, and In addition, all covenants. easemenh-and resMcllons of record. ti
appMW asecontactor,Ifun,ercerIl l am acu.nt,/.QIs}ered cantroCtlnme StcleofW l^ngton, p'
ante y - /0- ;7
Firm:
MNxWfff/fMIIIIIII
Final Imp:�_J
Owner L & I Form
Assessor Floor Ron and Permll
9l.,l RepoR9
CITY OF YELM
BUILDING DEPT.
Phone: (360)458-8407
0
Building Permit ��yr��� h? 6165
Date Q 11 -- IV
(Work must be sfai fed within 120 days)
Issued By f�
good Final
Sitle v &de Rear ' OwnerL&IFann
AVasva Floor Fan and Permit
A GrHfy Mat Iha r
certify rest have read oral M4pr p the Infortnafbn contained y M the pplic.bW and know the same b be hue Bubmhied��
aril coned. olw aearcy that ndpmposetl n, a and
I B In conloraM/ o Xn atl applicable nt; n Yelm cttorsWdafforsr he rd! If
Those goveming tuning and land rtly Ma I and ri addition.
mig all covenant. In a Ston of rMticMor. of record. If
applying W o cpnhactoc I Nrther cerXlyitgt I am a curter#y regeteretl contact In the Efate of Washington.
9U.Mady Report
N
Name (
iU.rIL 1 ♦
Phone
R
AtltlresB
AM
/=
C
Stag ➢ code
Adtlress '
l
Lk C-`
Aueswfs Pa INo.
�V
Lot Sha sq. k,/acres)
P
R
S..Ikion
Lot
Nock
T
y
OR ShoaPM No.
Nock
Exkling Skucturex X arty:
Name Dyj N1 15contact
Prone OF�/
)
cAA
Atltlrea
U166
TIVIDq2M
rcY
Slate ➢p cook,
#
Ucerd! No.
Exp,
Yelm Be, Lk:. NO.
Dexrpflon of Work
OFFICIAL USE ONLY
PermrcType:
So, Ft. perfbor:(10)
(2nd)
Resklenrwl� Ngn
comnerc1a1 OXrer
Shoreline Permit V N
Sega Exempt Y N
Floor Plan Y N
Sets of PMA
Sewer Septic Approval No.
CUy Water PrNWe Well Flwte Svgem
Heat: Electrk Gas Other
ITEM
BASIS FOR ME
FEE
Building Value
OfferPlumbing
Permit#
; hw0 cf Farm
PlanC ec I
WA. ST. K. Fee
(4.50- New Corsi. Only)
TOTAL FEE
Issued By f�
good Final
Sitle v &de Rear ' OwnerL&IFann
AVasva Floor Fan and Permit
A GrHfy Mat Iha r
certify rest have read oral M4pr p the Infortnafbn contained y M the pplic.bW and know the same b be hue Bubmhied��
aril coned. olw aearcy that ndpmposetl n, a and
I B In conloraM/ o Xn atl applicable nt; n Yelm cttorsWdafforsr he rd! If
Those goveming tuning and land rtly Ma I and ri addition.
mig all covenant. In a Ston of rMticMor. of record. If
applying W o cpnhactoc I Nrther cerXlyitgt I am a curter#y regeteretl contact In the Efate of Washington.
9U.Mady Report
0 NEW DEVELOPMENT/CONSTRUCTION CHECKLIST
•
0
Site Address:
TYPE PERMIT k FEE RECEIPT R COMMENTS
Sewer Permit
125.00
Sewer Latecomers
Sewer/Septic'
1,000.00
Site Plan
Water Latecomers
Water Meter'
300.00
Water Meter I.R.R.
Water Service ERU's
700.00
2)42
Consumer Deposit
90.00
Plan Review
I I
Building Permit
WA Building Code Fee
4.50
Mechanical Permit
Plumbing Permit
�KJ
�
Yelm Business License 4
Transportation Facility Charge
Open Space Fee
School Mitigation Fee
n
'DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY YELM BUILDING DEPARTMENT.'
CITY OF YELM
BUILDING DEPT.
Phone: (360) 458-8407
•
Building Permit N4 6164
Date
(Work must be started within 120 days)
0
w
NameFYwne
)
ry
R
gtlbresX,
I M r A 15AA'
C
state
zp Coon
5"e AaIXe
P
R
Arsenals Parcel No.
Lot size (eq _"yacres)
O
P
R
SUWNWon
Lot
Stock
y
OR SqR Plat No.
BIOCM
E*Mg ShucNes"any:
Name
Contact
Prime (
)
d
AWren
Clry
state
Dp CoOe
Ilceree No.
Em
&n. itc. No.
OeForptlon d Wok
OFFICIAL USE ONLY
Permit Type:
ReNdanllal Sp
Commando oXwr
Shoreline Permit Y N
Seca Exempt V N
Floor Plm V N
sehd Prints
% bhe Pe Ar
Fneatwrgcd Perm" e
Plan CM1eck By
So, Ft. per Foci (19) rrW)
Sewer Sepik
Approval No.
City Wder eW I
Pr de System
Heat: Electric Gas
O
am
FOR
FEE
EWlaYgJY
Other
-
WA, ST FIC. Fee
(4.S) Cow. Orvy)
MIYA
P 1
Owner L e I Form
ZX Assessor Flaor Plan anal Perm"
I Germy nPSlI cNe
na co Md Novo retia oral t"pr p Me IdOrm0110n cmbkrmi y ro Me applkale canal know Me same M W hue yrbnyrye�.._ y
Ontl , m I OIfO tangly n d Me propasetl ihuchne a In cmtanmlly wIm d e, easements
Gly n y61m repuns of krc rdN If
Mose poyemIng
co mnlrp anal Nass nrbal hart I and In oddmnMy re . to cd! c n contract
a the Stair of restgctore of recortl. "
apgNnp a o conhacros I hMher cerigy mai I am a currengy registered! cmhocf In Me Slate of WaMlrpfon.
CITY OF YELM
BUILDING DEPT.
Phone: (360)458-8407
•
Building Permit k.3 5163
Date -
(Work must be started within 120 days)
PtWA-4- 9 5 d
Front
Side
Fhal1mP:_/-7Z
APPYcon1Y A it Auessor Fbor Plan and Pemitt
I certify that t have read and examined the Information contolned within the application and know the same to be hue Submittedj J
and correct I also ceeXfy that the Proposed rr uc re is In conformity with all applicable City of Yom regulations Including
those governing mnirg and land s Msrbn, orae In addition, all coveranh, easements and resin ot record, If
oppMng m aoonfroctor. I FrAtier cemly that I am a currently registered contract In fine State of Washington.
w
Name M4KC
�l
Pri
- /II.
N
R
Addrea CIDI
C
6UA
State 141A
Op Code l
Site Address
I
P
o
Assessor§ Parcel No.
q. ff
Lot size(s./acres)
P
E
Sub Ms.n
Loi
Bock
T
y
OR ShoR Plat No.
Bock
ExtiNng ShLclrsr lf'cIny:
Name N
Contact
Phone16to_
Aadrea
I —
cIty P
�.(�
store WA
npcom
ucrs. No.
Exp.
YBIm Bus. UC. No.
D dptlan of Wok
OFFICIAL USE ONLY
Permit Type:
Residential Sign
Commercio� carer_
swireline Permit Y N
Sepo Exempt y N
Floor Plan Y N
Sets of Prht
PlumNng Permit N
Mechanbal Perm
Plan Check I�0 r_
BSUed BY
Sq. H, perfbor (10) (2nd)
Sewer Sepik APproval No.
• Cny rimer RNOfe VJBII Private System
HeaF. Electric G. Omer
gEM
BASS FOR FEE
FEE
BulkJing Vol.
Curer
WA, SF BC. Fee
KW -New Const ONY)
TOW FEE
C
Mini. mi of slnh:hrre from omosm, Ilnes.
Front
Side
Fhal1mP:_/-7Z
APPYcon1Y A it Auessor Fbor Plan and Pemitt
I certify that t have read and examined the Information contolned within the application and know the same to be hue Submittedj J
and correct I also ceeXfy that the Proposed rr uc re is In conformity with all applicable City of Yom regulations Including
those governing mnirg and land s Msrbn, orae In addition, all coveranh, easements and resin ot record, If
oppMng m aoonfroctor. I FrAtier cemly that I am a currently registered contract In fine State of Washington.
CIN OFYELM
BUILDING DEPT.
Phone: (360) 458-8407
Building Permit6162
Date 9-,
S 2?
(Work must be stoned within 120 days)
'ilLf-#9S&�
a
W
Name
Pharre(
N
P
AddrenCRY
10
4
Stale iW
A a, Cade
Stte Adtlren
V
o
Acsessoh Parcel No.
Lot She all ft./oast)
P
E
SubdNlean
Lot
Block
R
I
y
ORSIad Pat No.
Block
Flmrvp Srepturel M arty:
Name O
CoMac1
El ry�
Atldress
1i
C1ty
Stale
Ip code
Uceree Nc inwiQC
EAI.
Vekn Bu. W. No. S,
aescrotMlnWWoh
OFnCIAL USE ONLY
Pertnrcrype:
ReNdenlla Wal
Commercla other_
Shoreline Permit Y N
Seca Exempt Y N
Floor Man Y N
Sets of FBnts
Plumbing PerrnB F
M9chonkal Per
Plan Check By
Sa, Ft. per Boco 0,F) (]ltd)
Sewer Sepik Approval No.
Clry Water Pnvote Well PrNate System
Neat Electric Gas Other
am
BASS FOE FEE
FEE
8l WN.e
D
Other
WA. SL EC. Fee
(ASS- Nev, Calst. only)/
10,11IMFEE
v
:�)
Sae Side Rear I
Appk;alYE AMdaNI:
1 ciersy Mat 1 nave lead and examined Me Inlonnallon contained Wftnn the application and Imow me same M be hue
and correct. la corWy Mat INB propp shucture h In confamlty with al opplkable City W Velm rgulonom InciL d g
Inose sol ana and luadlvelon, and In cautionall covenantseasements and resmcflons of recon. M
aeapr/IpgrasO soL IkYtfserI am aCURentlyreBlSlerea canhaCl In MB $late of WpMingtOa,
I
Firm:
bsuetl al MiJ
Final to a:I
Owner Lis IFam
Aveaor Fkla Pan and PemnO
CIN OF YELM
BUILDING DEPT.
Phone: (360) 458-8407
Vlc-rn2
Building Permit
Date / -3-
Q F 6161
(Wok must be started wMin 120 days)
A- 4 * a'z
R
Add. I(/ J i CI ` slale YV/1 ➢ COUe
�p
Ste Add. r`I\ �.
P
R
nn
Assows Parcel No, I V Lo15tre (sq. K./attes)
v
R
SubdWon Lot Nock
1
y
OR Short Pier No, Nock
Existing Structures If any:
L F�
Name Contact lN1I More
/
) '(� '
D
Addr m
CIN State KfA
➢p Code
I
u—No No. Exp, Yelm Nu, uc, No.
Della"on of Wok
OFFICIAL USE ONLY
PwmffT p :
Re .ntla Sign
Comm..1al Otlher_
Sharellne Permit y N
Sep. Exempt y N
FloorPlan „p y N
Sets of Prints
Sq. Ft. per floor (1 st) Rnd)
Sewer Septic Approval No.
CIN Water Private Well Pdyate System
HeaF ElecMc Gas Other
am
RASISFORFEE
FEE
sulang Whm
r
%among Permit R
Mectwnkal Perm
Pan Chec y
Imued BY
Prel ft,_
owner L&IFoRm
Assessor Fbw Plan and Penhit
Other
-
WA, F. BC. Fee
(4.50- Naw Const. OW
TOTAL FEE
O
Minimum distance of structure from property 11re :
Front to of Road
Side Sale Rear
AppNcanYs AMdoNY
I cenffy that I have real and examined the infonnafbn Contained within the application and know Me some to be true
Submitted_/j
and corect. I also Germy that the proposed structure Is In conformlN wIM all applicable ON of Winregulal InCludlnp
Mose governing zoning old and subdNblon, and In oddMOn. oll covenaM . easements and reeMclicns of record. 0
applylrg froatas further carEfy ttrzf am a currently registered contract In the Slate of Washington.
Ouarady R.P.ft
Amesar — J
sf;
Date —
CIN OFYELM
BUILDING DEPT.
Phone: (360) 458-8407
•
Building Permit 6160
Date 4-3 - (?,P -
(Work must be sorted Will 120 days)
Firm:
w
N
I LAA
R
Adc'm D C Stale
L Catle
SXe Addrey IQl c .
OA9
,,Fcgl Na. b O Lots (w. ff/dclw)
P
Su Wdn Lot Block
R
r
y
ORSwrt Plat No. Black
EtXne st ctuei M an,
Nana VQL,(AJ46S k154DAJContact
AActa
T—
A qRMS
a _ Cm/V /
Srore
2%) a
E
litems No Ems. Yelm &a. Ik. No.
Oecrpllan d Work = (Ll
OFFICIAL USE ONLY
PatmX iypa:
Reiaentlal Sign_
Sq. H. par tioor:(Ist) (2ntl)
Sewer Sepflc Approval No.
ConlmarC101_i_ Ot r
Snarellne Permit y N
Sega Exempt y N
Floor Plan sair y N
Sas of Print
Pl mdng Perm"
Permit a
Plan Cssack By
� �
Final Inito
OenerL9lFarm
AssessorFloor Ras and P unit
.City Ydaer Private Wall Private System
Next. Els c Gas Omar
ITEM
RASLS MR HE
FEE
Bullding`yalue
14C zo
3D
Oloa
WA. SE RC. Fee
(45). New Corot. Only)MechaMc.1
TOTAL FEE
Wntmum tlWtonca Ofsauctaetromp OO"llnas.
Front to of Road
Sk]e Slag Rear
PppYcanMs AMdaWt:
1 calmly that I have react and examinBO Ire Nformallon contat etl w In line applicotbn and know the same to be hue
Submlttea
and correct. I olm certify that the propwetl structure a In conformity wim all applicable City of Yelm regulalbns Including
_1___j
theta govamkg zoning and land sgb Ion. and In addition. all cavananh, easement, and rasMctions of record If
ld contact In e Slate of Washington.
apply,actor lfurtharc flat l am a currently regberero
9uarl Reoors
Assesvor/�
Signature
Dale
— -
if
Firm:
CITY OF YELM lluildlngr!t& 0 6068
•BUILDING DEPT, Date
Phone: 458-8407 (Wort must blastartkwilhin 120 days)
A V 1 q5L_J
aDk_
L(
Name
Phone(
Add.. Cit StLtA
Zlp Code ?'
Sita Addrass
( 5
Assessor's Parcel No. tSize (s4.idecrea)
Subtlivision
Lot
Block
v
OR Short Plat No.
Block
Existing Structures, if any:
pName
Contact
Phone( )
Address City St.
Zip Code
License No.)C *-
Exp. Yell m Bus. Lic. No.
Description of Work
OFFICIAL USE ONLY
Permit Type:
Residential Sign_
Commercial_ Other_
Shoreline Permit Y N
Sepa Exempt Y N
Floor Plan Y N
Sets of Prints
Plumbing Permit
Mechanical Permit 5 �
Plan Check By
Issued B
Final lnap:____J ---- J
Owner L8l Form
Assessor Floor Plan and Permit
Submitted /__j
Quarterly Reports
Se. fl. per floor: flat) (2nd)
Sewer Septic Approval No.
iy Watar Private Well Private System
ReaLElectric Gas Other
ITEM
BASIS__OR FEE
FEE
Building Value
��� 8•
�O
Other
WA. ST. 8C. Fee
(4.5 New Const. Only)
TOTAL FEE
TT
V
Minimum distance of structure from property lines:
From to of Road
Side Side Rear
Applicants Affidavit:
I cedify that I have read and examined the Information contained within the application and know the same to be
true and correct. I also ceniy that the proposed structure is In conformity with all applicable City of Yelm reg-
ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and
restrictions of record. If applying as a contractor, I further cenlfy that I am a currently registered contractor In the
State of Washin on.
<
Signature Date
Fi
AssessorJJ
TRPC
aDk_
L(
0 0
NEW
D��E�� V�(ELO�P. vMENTIN{]EWCON\ST/RUCTION CHECKLIST
• E ADDRESS:
TYPE
PERMIT #
FEE
RECEIPT #
COMMENTS
SEWER PERMIT
125.00
SEWER LATECOMERS
SEWER/SEPTIC-
SITE PLAN
ACCESS & DRAINAGE
WATER SUPPLY
WATER LATECOMERS
WATER METER'
WATER SERVICE ERU'S
l N
CONSUMER DEPOSIT
90.00
OWER
TELEPHONE
STATE/CO APPROVAL
STREET CONSTRUCT
PLAN REVIEW
9,i7
BUILDING PERMIT
g ,
MECHANICAL PERMIT
g ,
PLUMBING PERMIT
L�
GRADING PERMIT
SIDEWALKS/CURBS
LANDSCAPING
YELM BUSINESS LICENSE#
TFC -TRANSPORTATION
FACILITY CHARGE
OUE AND PAYABLE PRIOR TO FINAL INSPECTION BY
THE YELM BUILDING DEPARTMENT
C`AFFICEOMtJ EM SPSWWPD
CITY OF YELM
•BUILDING DEPT.
Phone: 458-8407
BuildinrmIr— 67
Date
(Work must
\/ r 9 97 within 120 days)
Name L�eb
Phone( �fq(—'B9
Address "441 I -QC
zip Cotle
Site Address
Assessor's Parcel No.. Lot Size (sq.fVacres)
Subdivision
Lot
Block
v
OR Short Plat No.
Block
Existing Structures, ifany,::
/� '
Name �q,4�p qy_,/ Q/3 "Afk Contact
Phone ( )
R
A
Address City St.
zip coda
License No. i�,J G-' Exp. Yelm Bus. Lk. No.l
Description of Work
OFFICIAL USE ONLY
Permit Type:
Rizedsntlel Sign_
Commemial-- Other_
Shoreline Permit Y N
Saps Exempt Y N
Floor Plan Y N
Sete of Prints
Plumbing Perms B
Mechanical P�er—mi
Plan Check By y 1
Issued
Final lnsp:JJ
Owner L81 Form
Assessor Floor Plan and Permit
SubmilledJJ
Ouartedy Reforms
Sq.fLperdoor.(1N) (2nd)
Sewer Septic Approval No.
CRy Water Private Well Private System
Heal: Electric Gas Other
ITEM1
BASIS FOR FEE
FEE
Building Value
14S
r�), r
Other
WA. ST. BC. Fee
(4.50—New Const Only)
TOTAL FEEqcE
Minimum distance of structure from properly lines:
Front to of Road
Side Sitle Rear
Applicants Affidavit:
I certify that I have mad 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 reg.
ulations including those governing zoning and land subdivision, and In addition, all covenants, easements and
restrictions of record. If applying as a contractor. I funher certify that I am a currently registered contractor In the
Stale of Washin on.
Signature Date
Firm:
AssessorJ�
TRPC J —1
0 0
NEW DEVELOPMENT/NEW CONSTRUCTION CHECKLIST
0
STTE
TYPE I
PERMIT #
FEE
RECEIPT #
COMMENTS
SEWER PERMIT
125.00
SEWER LATECOMERS
SEWER/SEPTIC'
x
't
STTE PLAN
ACCESS & DRAINAGE
WATER SUPPLY
WATER LATECOMERS
WATER METER*
WATER SERVICE ERU'S
CONSUMER DEPOSIT
90.00
OWER
TELEPHONE
STATE/CO APPROVAL
STREET CONSTRUCT
PLAN REVIEW
(�
S6
BUILDING PERMIT
MECHANICAL PERMIT
PLUMBING PERMIT
I
8
GRADING PERMIT
SIDEWALKS/CURBS
LANDSCAPING
YELM BUSINESS LICENSE#
TFC -TRANSPORTATION
FACHdTY CHARGE
TUE AND PAYABLE PRIOR TO FINAL INSPECTION BY
HE YELM BUILDING DEPARTMENT
C�FFICEIDOCUMENT\PISPSF W D
CIN OF YELM Building Permit
BUILDING DEPT. R
Phone: (360) 458-8407 Date
• (Work rtkst be�carted within 120 days)
Front to of Road
We Side Red,
App9Co"tt Af idaWt
I cea(y tnot I MVe read and examir`bd the InformWlon conlalnetl Wlitlln the oppPoolon and kndw me fpme to be It.
aM coned 1 pbo.entry mama Proposetl) Ve b In confamlty wmn all oppl pb Clry of Yen regulpMons ociu n,
tlg5e gavemirk'F iatvj a1(1 kl%1 Sl1G'lfhkn OM 'er afJatlan. oii <overwnR. ea nn artl re9hktkn5 of record. I
dvplykng a a contractai, I Axther Cantly ma I on, a cunently regw ed com do, n the Store dl V*Wwvon.
I
Owner L & I Form
Atseua Fba Plan and P mlf
fi
W
Name AM
shone(
)
N
W
Add. j
City
Stale WA
Docode �
SO. Addreek
rV .
P
R
PsessorY Pat'N NO.
r9oo�;re
Lot Sde (sq. R /acres)
0
I
SubdNelon
r
_
Lot t�
Rock
T
Y
OR Snort PIa No.
Rock
Exbnry Sndc i a ,-
Nome
Contact
Phone(
)
Atltlres
CM/
stateILIDp
Cotle
license No.
Exp.
Yeim R.n. Lk. Np.
Dmcrptkn al Vlak
-E-80
OFFICM VSE ONLY
Permit Type:
Refklentbl Sign_
com"Mo Other
Shorelirre Permit y N
Sega Exempt Y N
Find, Mon Y N
Eels of prints
Pkimblrq Pe"i /1I♦♦/��/A����
iJJ�—
Pkn Cf»ck R
Sq. Flper lloor'.(IV) (�
Sewer Sepik Approval No.
CIN Water PJydte Well Private System
Heat ElecMC Gat Olney
ITEM
NASIS FON FEE
FEE
Oukklg Vol.
Q
ORS
WA. ST BC. Fee
(4.50 - New Cant. Orly)„
TOTAL FEE
O
Front to of Road
We Side Red,
App9Co"tt Af idaWt
I cea(y tnot I MVe read and examir`bd the InformWlon conlalnetl Wlitlln the oppPoolon and kndw me fpme to be It.
aM coned 1 pbo.entry mama Proposetl) Ve b In confamlty wmn all oppl pb Clry of Yen regulpMons ociu n,
tlg5e gavemirk'F iatvj a1(1 kl%1 Sl1G'lfhkn OM 'er afJatlan. oii <overwnR. ea nn artl re9hktkn5 of record. I
dvplykng a a contractai, I Axther Cantly ma I on, a cunently regw ed com do, n the Store dl V*Wwvon.
I
Owner L & I Form
Atseua Fba Plan and P mlf
CITY OF YELM
BUILDING DEPT.
Phone: (360) 468-8407
i
Building Permit Grp 158
Date
(Walk must .farted vMhln 120 days)
�Pk4 X15.
OName
N
I qN I
Phone
R
Address
ELS!
E�p IVC./ NW
.•.. Cn, ELI
Stale
A Dp Corte
�...�. •.
SO.Md.
V
R
a
Assessor$ Parcel NO.
Lot BIZB (sa. e./acres)
P
R
Subtllybbn yrto
j
lnf
Block
T
V
OR Short Flof No.
Block
Existing Structures. If any
�s
�j
Name 4'
ky Contact
Phone( •�a�
Address
City
Stat.
I t Dp COtle
,QA
p
U... No.
Z
Exp.
Yelm Bas, Uc.
Debcrlptlonof Wak1
OFFICIAL USE ONLY
PermhType:
'
Sq. Ft per floon(I st)
(2nd)
Reshienilol Sort_
CommercbI Other_
Strarellne Permit y N
Sep. Exempt Y N
Floor Plan y N
Seh a prints
PUmaing PermhA M
Sewer Sepflc Approval No.
,.CRY Wafer PMote Well Phwfe System
Heat: Electrk Gas Other
REM
SMMFOREEE
FEF
Building Value
3 3 I I r �0
O V
Other
Al✓4// ^^
Mechanlcol Permit# ,
WA. 9.. K. Fee
(4.EA-New Corot. Only)
Plan Chack I L)Aj
TOM FEE
Minimum distance of shucture from property Ilnes:
Frani to of Road
Skis We Rear ^�
Issued BY � • �'L�(�Air F_�'
Fhtal Imp:��_
Oym., L
Applicant$A}fldoNf. A fsor Floor Plan and Pemrh
I comfy hwf I hove read and examlrop the h uctuM n contained wttfrin all applabi, H, o know fne same fI � hue Submlfted��
and coned. I al6o comfy and
the proposed n, and I a In conformity with all .ppikable n% of Yekn regul s of i inc rel It
(nose govemlrtg mnkg antl land subdivkbn, and In .tltlttbn, oil covertonh, eabemenR and resmcibns Of record It
ap"M as a Wntraaiar. I former certify that I am a cumently reglstamd contract h ine State of Wash[Wton
_QWRBrIyRe rh
Assessor_/�_
Rim:
CITY OF YELM
BUILDING DEPT.
Phone: (360) 458-8407
•
Building Permit
�I Q' t 6157
Date dTIgU
(Work nwsi be started within 120 days)
NNome
/
Phone
—
E
R
A ftess
State
D Code
Site Address
P
o
Assessp§ Parcel No.
Loi She (sq. K./acres)
P
E
B Iodvlson
wt
Book
T
Y
OR Start Plat No.
Bock
Ex§#ng ShucMes, B any,
Name Otom'
// //
f[.fi
Contact
(' /i
Plwne
—
A
AddI-
City
State fA
Lp Cotle
,��tar)(n�
titan¢ No. Cg
ma
,Y 1
/ vl
E,
Yell Bra. Lic. No.
Desctlptanof Work
£—
OFFICIAI-WE0WY
Permit Type:
Sq. Ft. per flocs (Ist)
(2nd)
Residl Sign
C.ml Other_
Shoreline Permit Y N
Sega Exempt Y N
Floor Pin Y N
Sets of Fill
Plumbing Permit #
MectWnaal Permit# n
Plan Check By K
Sewer Septi: Approval No,
City Water Prlvata Well PrNMe $ystem
Heol e6Ctrin Gas Other
ITEM
Ill Fast FEE
FEE
Bulahg Value
r
Other
WA. Sr. K. Fee
(4.W -New Const. Only)
TOTAL FEE
Side W. Rear I
Owner L
f I ALW
Assessor Floor Pan and! Permit
AFPlicant§ Affidamt:
I c.tt y hWt I have read and examined the Information contalnod Wtnln the applla flon and know the same to be hue SUlxnith3d��
and! comil I also, certify that the proposed s Wssr 61n conformity win Oil apoiCable City of Yelm reguahons Including
t,.., govemIW song and and subdNBon. and In additan, all covenants, easements and resMcnrons of record. ff
applying as a Contrail I WHI Coil mat I am a currently regBtered contact a the State of Washingan.
IQuarterly Report
Firm:
CITY OF YELM
BUILDING DEPT.
Phone: (360) 468-8407
Building PermIt
L- (0 6150
Date ;' 9R
(Work must I» started WEMiIn 120 drys)
Nrm.
0
WName
k'1 Phone
N
R
Address
Clry Strne WA
hpCode,
sA ,F
rim AddressJAKI I V l
v
R
As s.%Parcel Na(Oqg z1ILIN Slee (sq. ft mares)
O
p
ICE SuoaNbbn Lot Block
R
y
OR Stall PM Nq. Black
ExBfing Slnsc". Harry.
Name Pnone
¢
Adtlres
city I
state WAnp
coats
iTf
ticeme No.
Em. Yom, &a. Ilc. No.
pexrlption W — R=E
OFFICIAL USE ONLY
Permitiype'
Sa. Ft. pertioor:(10) (2hd)
ReRdential Sign
Commercbl Of.,
Shoreline Permit Y N
Sewer Sepik Approval fJo,
City Water Ptiyate Well PrNate System
Heal: Electra Gas Omer
Sepo Exempt Y N
Floor Plan V N
Sets of PMR
nm
III EOR FEEif,
FEE
B Iding Value
Omer
Phxndng PeenM E ALIA
rteahonkal F9.mNtl
WA. St. INC. Fee
(4.W- 4.cornt. Only)
TOW HE
Plan Check
Itnsed By
Final Into: �
Owner L & I Form
Assessor Floor Plan and Permit
Minimum tlMance of structure hon oopeMy, Imes:
Front to of Road
Slam Slate Rear
Appllcam's AMdavlt.
I certify Mat I have mad and examined Me Information contained within the application and know the same to be hue
Subm],,
and correct. I aW cedify than the propased strl "e Is In conformity with all applicable City of Yelm regulations Including
those governing Eoning and land subalvbion, and In addition, all covemms, easements and restrktians of record If
applying as a conhacio[ I further cams Mart l am a currently regbtereC contract In the State off Wa� n.
Ouartetiy Reports
.arkefor / /
sign"",
Dote
Nrm.
0
CIN OF YELM Building Permit
BUILDING DEPT.
Phone: (360) 458-8407 Date
• (Wbrk a started In 120 days)
a
W
--me Phone
N
E
R
Addrea City State bUA
hp Code
Site Address ��
P
R
O
Asses Parcel No,/0 5 Lot she (sq, tt./ares)
P
E
Sub Msoh Lot q1 Rock
T
y
ORShortPlat No. Rock
Ex§tg SkucNrss. ff.,y:
AlName Contact/y� Pnane
Addrea City aNMA StateJA
DP Code
Ucense No. Exp. Yelm &u. Uc. No. f
Descilpil Work
OFFICIAL USE ONLY
PermXiype: YY
ReslaentlalRon
Commarcbl Other_
Shoreline Permit Y N
Sopa Exempt Y N
Floor Plan y N
Set of Prhh
Rumbino Permit k
Mechanical Feelk
Check By
lmtred
Final lnsp:�_J
Owner L & I Forth
Aaessot Floor Ron and Permit
SubmMed�_�
Ouanerly Report
Asseswr / /
TRPC hJ
Sq. Ft, perfoor(I a f) (2nd)
Sewer Septic Approval No.
ON Water Phyaie Well PAvate System
Hear. Elechic Gas Other
ITEM
IIS MR ME
FEE
Wall Value
b
Other
WA. F. EC. Fee
(450 -NOW Const. Only)
:47 -
iOiAt FEE
rPlan
Minimum distance of stratus from property Tires:
Front to of Road
side Side Rear
- -
APPilconYs AHIdOUr. '
I cenity thot I hove *0ol Ond examined the Information contained WXhih theappllcaXon and know the some t0 be }me
and correct. I also neMty that the proposed structure k In oonfonmM/ with au applicable City of Yell WJatlom Includlno
floes ,awn q zoning and kmd subdNblan, and In addition, all covenantl easements ono re h lions of record. N
applylrg as a contraotas I hulher cenity that I am a currently registered Connect In the Sfol of Washington.
81onall Date
Flim: -
40 NEW DEVELOPMENT/CONSTRUCTION CHECKLIST
Site Address: zMa 9e v/F EZ67-&/
•
U
TYPE PERMIT FEE RECEIPT# COMMENT'S
Sewer Permit
125.00
Sewer Latecomers
Sewer/Septic•
1,000.00
Site Plan
Water latecomers
Water Meter'
300.00
I
Water Service ERU's
700.00
Consumer Deposit
90.00
Plan Review
'
Building Permit
154,
y . 0014A
U-1
WA Building Code Fee
4.50
Mechanical Permit
Zr
Syn
Plumbing Permit
/p. v
Yelm Business License k
/dD, o
Transportation Facility Charge
/
Open Space Fee
School Mitigation Fee
'DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY YELM BUILDING DEPARTMENTI
CIN OF YELM
BUILDING DEPT.
Phone: (360)458-8407
Name J-)AI///7
Building Permit
r,: s
Date
(Work must loarted within 120 ays)
Phone
Owner L&IFoan
Assessor Fioor Plan and Permit
APPXmnf§AMdwH:
I certify that I have read and examined the Informatton Contained within the applicaflon and know the same to be hue SubmMed� J
and coned. I also COTW thdt the Proposed structure Is In conformtty with all applicable City of yell, regulolbro Includirq
ttsose goveming tuning and land subdNelon, and In addltan, all covenants, easslmenis and res ctlons of record. 0
apptying as a contractor. I IuM r cerW that I am a currently reglsrered contrao In the State of Washington. ,
on
Rm:
Ouorterly Repwls
R
Addr®ss
Vie
C
Sbte
➢ Cotle
Site Add..
JJLLC�
W
P
a
Aaesscr§Parcel Na
lot She(sq. it/.I.)
0
v
E
SubdNRon
✓J
'C
Lot
Nock
T
y
OR Shod Not No.
Rack
Exlsting St,.Ia s. E arty:
Nome (/�
Q Contact
2//✓ if
Phone
y
)
A
Adtlrev —
Ctty
State
➢p cods,uc—
No. uT
No
i
Es .
Yell, &E. IIC. No. (/ [ 0
Dascsnot Woh
D
��
OFFICIAL USE ONLY
Permit Type:
Reskienflal—x— Sign—
Commercial Omer_
Shomilos Permit Y N
SBpa Exempt y N
Ft. Plan y N
Sets of Prints
PlumNng Permtt B
Sq. Fl. per flaar.(I s0 (2nd)
Sewer Septc Approval No.
City Water Private Well ANate system
Heol: El c Gab O sir
ITEM
BASIS FOR FEE
FEF
BWlding Volae
Od
Other
WA. ST. K. F.
(4,W- New Coru't. Only)
N chanlaal PetmttB
Plan Check By
TOTAL FEE
Owner L&IFoan
Assessor Fioor Plan and Permit
APPXmnf§AMdwH:
I certify that I have read and examined the Informatton Contained within the applicaflon and know the same to be hue SubmMed� J
and coned. I also COTW thdt the Proposed structure Is In conformtty with all applicable City of yell, regulolbro Includirq
ttsose goveming tuning and land subdNelon, and In addltan, all covenants, easslmenis and res ctlons of record. 0
apptying as a contractor. I IuM r cerW that I am a currently reglsrered contrao In the State of Washington. ,
on
Rm:
Ouorterly Repwls
• NEW DEVEL^1OPMENT/CONSTCR+UCTION�C^HECKLIST
Site Address: lt3/y7'7'-Y �V/� "Op VE,[�,30
•
0
TYPE PERmffN FEE RECRIPT# MMMENTC
Sewer Permit
125.00
I „
�1
Sewer latecomers
Sewer/Septic-
11000,00
Site Plan
Water Latecomers
Water Meter'
300.00
D
Water Service ERU's
700.00
Consumer Deposit
90.00
I O
Plan Review
/
Building Permit
WA Building Code Fee
4.50
Mechanical Permit
Plumbing Permit
•J
Yelm Business License #
Transportation Facility Charge
Open Space Fee
,
Schaal Mitigation Fee
'DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY YELM BUILDING DEPARTMENT)
CIN OF YELM
BUILDING DEPT.
Phone: (360) 458-8407
•
Building Permit
� 6154
Date %- d � • 7 n
(Work must be started wrihln 120 days)
' It,
immi ll
0
W
N
NameDix1r)Ptgne(
)
E
R
Address
C
State
9 Cotle
S#e Add. b
P
RAsse6soff
O
Parcel No.
Lot Size (sq. h./acres)
P
R
Subdv#lon
Wf
Dock
T
y
OR Short Plat No.
Dock
Ebsflrg Sh rsrs #
Nome
Cantact
Rmr»(
)
VT
A Idress
City
State WA
--Code
Uceme No.QE"
412:Exp.
Mm &a. Uc. No.
Description of Work
OFFICIAL USE ONLY
Perm#Type:
sr s arNlal SW
CommercipL--�
So. Ft. per floor: (1st) (2nd)
Sewer
Sepik
Approval No
Other
Shoreline Permit y N
Sep. Exempt y N
roar Plan Y N
Sen of PM
Ci y Nater private Well PM we Syrtem
Heat: El c Gas Omer
am
WISFOEFEE
FEE
WIMI' M]lue
177 If-
Rumbirg Parrott M
Mechanical PermH k
Plan Ch
Other
WA. 9.. 9C. Fee
(4b0- New Come Orry)
TOTAL FEE
Mhmum tlbtanoe
M
-M7WTEEa
� y�
Q`I
Applicata AM
Assessor FWOr Ran and Perm#
car* cethat I Nam,sr w r[ptl and examinatl the IlNonnWbn coniplPad wflhln the appllcaflon and know the same fo be true SubrtYHed_J
antl cortect. I abo certify Mat the pulaclW n. and
o canfamlly o H of applicable City of Velm rcg m ofr Includb I
those ng as cr ng tuning and kmd wffy b I antl In Addison all pow contract
easemenn and resMcton of record. M
applying as a contracfo[ I fuMler CBH#y that I.m a curtentty registered canhact In the State IN WINhirgton.
M
Firm:
Ouarteriv Reports
CIN OF YELM
BUILDING DEPT.
Phone: (360) 458-8407
•
Building Permit
'7
Date /�1
(Work must 61orted wllnln 120 days)
0
H�1
Name LI'
Phone(
)
R
SS
wale
city Vrim sore LAJA
a coca
V
Ste Address
RO
^
Asdeaoh Parcel No. I /
Lot Sm (sp. ft./=M)
P
E
R
Suadivgbn
Lot 91ack
Y
OR Stolt Rot No.
Bock
Etlsting ShucNes,101
0611 IV,
Name
p,woes:
CHY wore
ap coca
)T£
leema ra.
Em.
Yelm &A. uc. No.
Descrptlan of Wak 92
(
OFFICIAL USE ONLY
Permft Type:
R"denft Sign
Commercb Other_
Shoreline Permk Y N
Sega Exempt Y N
Foor Ran Y N
S &I`nnh
Plumdng Pelmiti
�.IPermMi1
Check Bymm S,Y))(n1�
Sq. R. per floor.() ap (
Sewer Septic Approval No
City Water Rivote Well P oto swtern
Heat. Elecho Goa Other
IMM
EMILFOEFEE
FEE
Wilding Vol.
Other
W0.91K.Fed
(AIM -New Com. CNy)
TOTMFEE
826"YPon
lvuetl8
Matimrxn,%onceofskuci ManpropertYHoes:
Rnailnp:_J_J_
OwiserLdlFam
Apessa Floor Ron and PermR
Font to of Road
Side Skte Rear
APftb
thaAllldaN!'.
co that read orrd ex ide Inbr
1 the applicalbn arW know e dame b oe hug
ccwfp
Supnkited__/_�
I,n l oW prop
arxt coned. also certify nd the proposedm
"el i
m y n a9 applcame City of Yelm regukmof
r q
coon,
ono 161n
011 o
}nose go n zpnlnB antl IarW wbaNbbn. Ontl In adalnon. all covenanh, ecemenh arq redMcibns of record M
cord.
o Cta.1 MMer CB fy toot I am a currently reg0lered conhoct In the State of W ington.
app ' as a -.71
pupnetly Reoorta
Dote
Firm'.
CITY OF YELM
BUILDING DEPT.
Phone: (360) 458-8407
i1
ILJ
Building Permit 2
Date
(Werk must be Jibed within 120 days)
0w Name n.M1 Or Jr.Lk& pr,on-A6 '�A-.'Zr944
E
R
Address
clry
state
Lp code
spa Address
P
R
A6 .oi parcel No.
Lot size (rQ. It /acres)
0
P
E
SAd"Icn
lar
Back
R
Y
OR Stall Plot No,
Bock
Exe rg structures R any :
C
Try
NO
Contort
For
)
Addres
CM/ 72in, iA
stole
➢p Code
Ucerae No.
Exp_
Yelm Bus. Uc. No.
�Wak
OFFICIAL UK ONLY
Permit Type:
ResldenBal 917n
Commercial_ Other_
Shoreline Permit Y N
Sat , Ft per floor. (I sh (2nd)
Sswer Sepflc Approval No,
•City Wale/ PMOte WeU Plvara System
1
Heat Electtic
Gas Offer
SBPO Exempt V N
Floor Pan y - N
Seh Of Prinh
Plumbing Permits
mechanical Permit S
Pbn Check By -
am
11"S FOR FEE
FEE
Bulldog Value
Other -
WA. SL K. Fee
r(4.W- New Camt. Only)
TOM FEE
of ftrurtrre from
Own& L 9.1 Fpm
AtteHIp Fkar Pbn pri Permit
ARplicahl AffidaWt
I ramify thar I have read anal exampled" InfarmaXpl ContalMa yMin the aWlkMbn and kMW toe Same ro be hu0 $ an,loed��
ohd correct law ce"Iby man the p1po ed structure B In conformity with OE aPFikad'e City of yekn regukrBam psc.Z
thane goveminp wni and chd xfociikon, and In addition, all coverspnts, easements OW resmctbns W recordp
appN1W m a contmOtp. I fudher cerfty that I am a currently regetared contract In the Store of WaMlinglon.
OUartedy RBOan3
Sgnahre - Dore Assessor � /�
Fpm'. TRK_ / /
CITY OF YELM Building Permit
BUILDING DEPT. / �!30.1151
Phone: (360) 458-8407�',� Date Qe
• C k1 _ I 6f% /L F (—ice (Work rrt4sf b artetl wlttiin 120 days)
MNTOM k WE: _ TU M yl d�F �'���LtiLi1Cy/lei �Lfn.Y
r �• F Ii7 . � L'4i
Minimum distance of shucfureham propeM Ilam:
Fwnt to of Rood
Side Side Rear
Apple. Afflco lt:
I certify Mol I b mad and emmined fie Information contained within the appllcallon and kno4i the same to be free
and coeeM. I ow cenlfy Mat Me prapmed snu wre b In confmmhy with all applicable CITY of m1m repuiatim s Includng
mow damming ianng and land WUtlNNOn and! In addition, all covenants emremenfs and mdflctWnS of word. If
applying as a coMractoo[AI runner cantly MaiI amm/a cunenny rWWemd centrad In the State of W Ington,
Firm:
�1_ri]TIT3A9
Owner L & I Form
Assesor Floor Poon and Permit
9uarteev Reoorh
51e Auras, b
OAsseSOfs
POrcel No.
y '/ OV
lot5tre (Sq. rc./ocres)
P
Roi
SWtlIWbn
L
Nock
T
y
OR Shore Pat No.
Nock
EdsXng ShucMe if any:
Name
Confact
Phone (
)
Addrea
City
Stole
zip Code
Uceme No.
Exp.
yelm Bus. Uc. Na.
DmcHpHon of Work
OFFICIAL USE ONLY
Potmff Ty .
Rmldenlbl Sgn—&
CommercWl Other_
Shoreline Permit Y N
Sq. Ft perfboc (It) (3rtl)
Sower Septic Approval No.
CIN Water pH.Im Well Pham System
Heat, EbcM1lc
Gas
Omer
Sepa Exempt y N
FloorPbn y N
Sen of RI
Plumbing Pennk d
MecnanLal Permit nn
Plan Check
am
WIS MR FEE
FEE
BUBdMg Volue
/22 04 00
011ier
WA. Si K. Fee
(4,50 -New Cont. Only)
TOTAL FEF
4
n
Minimum distance of shucfureham propeM Ilam:
Fwnt to of Rood
Side Side Rear
Apple. Afflco lt:
I certify Mol I b mad and emmined fie Information contained within the appllcallon and kno4i the same to be free
and coeeM. I ow cenlfy Mat Me prapmed snu wre b In confmmhy with all applicable CITY of m1m repuiatim s Includng
mow damming ianng and land WUtlNNOn and! In addition, all covenants emremenfs and mdflctWnS of word. If
applying as a coMractoo[AI runner cantly MaiI amm/a cunenny rWWemd centrad In the State of W Ington,
Firm:
�1_ri]TIT3A9
Owner L & I Form
Assesor Floor Poon and Permit
9uarteev Reoorh
CIN OF YELM
BUILDING DEPT.
Phone: (360) 458-8407
•
Building Permit
t.-3
Date
(Work Unit ba rte0 wlthm 120_,dcrvs)
Ti
0411
w
NamePhone(
r
)
N
E1
R
Arad..
c
stare
n cha.
She Addren O
l
v
R
Assessors Palael No.
rSG0Lot Sze (sqf[/«res)
n
T
Su bdNelan
Lot
Nock
OR Sart Pat No.
Nock
Emnn, ShucMex X any.
Mame
Concoct
Phone(
)
d
Addre55-gRa
Fb
City
Scale
Dp Cotle
---N- BE aU
Exp.
Velm Na. Uc, No.
Descri,non of Vi
I
Ofl`C1 USE ONLY
Perme Type:
R"co,1lal
Sq. Ftper floor:(Isf)
(Intl)
_Sign
Commercbl Omar_
Shoreline Perms V N
Se«Exempt V N
Floor Man Y N
Se" of Pons
Plumblrp Permitif sgji
Sower Septi[ Approval No.
• CRy Water Private Well Prate System
Heat Elechlc Gos Ocher
am
IFA915 FOP FEE
FEE
Euidir Value
Omer
Mechonkal PormnY1J_([Z_
WA EIC Fee
(<.W New COM. ONy)
TOTAL FEE
Plan Check 9y
. .- o,
Ninon. dermoo of
Front to of Road
Sae Sae P.,
Final lmp:J�
Owner L & t Farm
Arena Poor Pan and Perms
APPlaanik Affidavit
Germy hat have read and examined the Inlormanon contained wlhln me appllcaXon and know ma same m be hue SubmlMetl��
and correct also certlty that Hot praposetl shucMe rm
k In conlony .11, .11 opplcablo CH, .11 elm regWatlons mclutlhtg
inose ,ovemlrg ronin, acre land suWNelon. and In oddlnon. all c.vmm:mIs easamanh arta roll W record. X
applying Os o confr«ro[ I further cenXy that I am a currenny reghrered Conhnct.n the State of WOUsmpcan.
Dace —% b
Firm:
Quarterly Resorts
•
NEW DEVELOPMENT/CONSTRUCTION CHECKLIST
Site Address: ES l_.1lr lj IDnlo aI�l Tme,
TYPE PERMIT# FEE RECEIPT# COMMENTS
Sewer Permit
125.00
Sewer Latecomers
/
Sewer/Septic-
1,000.00
/
Site Plan
/
Water latecomers
/
Water Meter'
300.00
/
Water Service ERU's
700.00
Consumer Deposit
90.00
Plan Review
/-N
Building Permit
WA Building Code Fee
4.50
Mechanical Permit
85,7
Plumbing Permit
Yelm Business License #
Transportation Facility Charge
Open Space Fee
,
School Mitigation Fee
'DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY YELM BUILDING DEPARTMENT!
CITY OF YELM
BUILDING DEPT.
Phone: (360) 458-8407
0
Building Per It
Date
(W started within 120 days)
.// n-/--# L'%/)/
VV
Fir in
NamePhone
ry
R
Address City State 11
Lp Code
Site Mdress V
P
R
Agessort Parcel No. Lot St. (sq. ft./acres)
O
P
E
S.rbdlvtsan Lot Block
F
Y
OR Sian Pbl No. Bock
Fading Shu ff arty:
C
ry
NameN/A Contact Fhone(
)
Addres City State
DP Coda
—41AIKerso
NO. Eno Yelm Bus, Uc. No.
DescWtion of Wak
OFFICIAL USE ONLY
Pormniype'
Re9dental_)(. Sign
Sq. Ft pond.'(ISI) (2nd)
Connmordol OfI
Shorellne Pettntt y N
Sepo Exempt V N
Fkar Plan V N
Sets of Prints
Sewer Septk Approval No.
• CIN Water Private fhell Rhode System
Heart EIeCMc Gas Other
ITEM
WIS FOR FEE
FEE
Building Value
PlumblrgPermit * &4
Medankdd WrmM # AI IA
OMer
WA. St. BC. Fee
(ASW - New Cor'et. ONy)
MTFEE
VZIIPlan
Check BY ft.fLkx hp id
clued BY
FYwl lnxp:�J_�
Owner Ld l Form
Anessor Floor %an and Permit
MlNmum detance of strucnre Mom gaped Imes:
Front to of Rood
Side Side Rear
Applddx YAfFaa.M:
I certify Mat I Nave read add examined Mor Information ponfalned wffnin the c,picalion and know the same to de, hue
SLamlrpdI�.j
are cored, i also codify that the proposed shuCMG k h Co fennily wtth all opWioadIe CIN of Yelm rega ons Including
Mese aovemirg tuning arta WrW 9LLJtlNbbR oW In addition, all cdvonanh, easements and restrictions of record. If
applyng at a. I NxIlher pertly teat I am a cumenMy regdered contract N me, State of Wastinglon.
auonerN Reoorls
Axseuo-------
------
Signature
Dote 6
irin
CIN OFYELM
BUILDING DEPT.
Phone: (360)458-8407
r
Building Permit (,) 6147
Date 23 �/FS
(Work must be started within 120 days)
WN
..me R /
nm
c
P/aneAS% S36 oo7a
R
Address ,79/'S ` r QN T
CM
Adv State ry
L code 7
SRa Address �/ 9a
0
P
R
AcsessdY Parcel No.
Lot see (,a. It./acres)
O
aSuWtl
k,, /S/
E W
Lot
Block
Y
OR ShoR Pbt No.
1 Mock
Emnrg Shuctu,. R any:
Nome /%-)
Contocf
Phone(
)
Atltlrass
City
Stale
Lin Cade,
OA
p
llrr
Orme No. y
ll
/ / �✓ T
Em.
Win &a. dc. No. 3?z? • O
Ce dptionof Work fanSlAltL`
/"p I%i Gs
7/NG
OFFICIAL UK ONLY
Permit Type:
Residential Sign
Commercial Other
Shoreline Permt y N
Sep. Exempt y N
Floor Man y N
Sets of Purrs
Plumbing Permit p
Mechankal Permit * $,f 7 6
Pan Check By D r ,-" h�
Sq, Ft. per fear (I sp (2nd)
Sewer Sepfic Approval No.
. City Writer Private Well PrNare System
Heat EloaMc Gas Other
am
BASK FOR FEE
FEE
Building Value
//,7 �/ 8. 2 0
9 8 7 .
Other
WA. ST BC. Fee
OW New Comt. Only)
r 5 U
TOTAL FEE
�s
ae sae Racer
Issued By U ifGAf Lf y
Final Irap'.------ j J
Owner L B IF
Assessor Floor Plan anal Permit
ApaEcann, Affidavit.
ceRRy that I fxrve read and er.mmed the Mlarmaten caltakred w"`n e,e application and know the some t0 be hue Submitted J J
and coned. I also ratify that tha proposed structure s In conformity with all applicable City of Yekn ragulaMns Inclutlina
those go..msWxoun, and aha subdlwbn, aha In Oddiflon, all covenants. easemeno and rmMctipns of record If
oppMng.s a c.=,, further cemN that I am a currently rea stemd conhact'In the Srate of Washington.
9uarfedy Repom
Sgnature �' -�-� "���Date G - z S- 5/g 1
Firm
0 0
• NEW DEVELOPMENT/CONSTRUCTION CHECKLIST
Site Address:
14gr)q?eP,,l-lr,- VlR-,A LCnP qF
•
0
TYPE PERMIT# FEE RECEIPT# COMMENTS
Sewer Permit
125.00
Pq
Sewer Latecomers
Sewer/Septic'
1,000.110
/
Site Plan
Water Latecomers
Water Meter'
300.110
'
Water Service ERU's
700.00
I qq
Consumer Deposit
90.00
/
Plan Review
Building Permit
usq
.Co
qPY
13�•
WA Building Code Fee
4.50
Mechanical Permit
nrt •�
/,.,, �j�
Plumbing Permit
f6fo(/
rP--
Yelm Business License 0
Transportation Facility Charge
�—
Open Space Fee
— C
School Mitigation Fee
'DUE AND PA FABLE PRIOR TO FINAL INSPECTION BY YELM BUILDING DEPARTMENT,!
CIN OF YELM
BUILDING DEPT.
• Phone: (360) 458-8407
Building Permit N° 6146
^D I� Dare 6•23-9�
1 1 I (Wok must be started within IZO days)
yo+
Name B LK e/yI65 / Phone�s3) S36-Gc'r0
N
R
AA Q Cp
Address ^ 716 C.B►,EA xf/ F • CYFy dwLeAdState A04 LP Code ! O 73
/Z/719A-PRR/.e%,B 11,srA ZL,, E,
SUI
P
R
A4emorYParcel NOLot S.(SG. fC/aCle9)
O
E
Loi .SO 'Ell
R
y
OR Short Plot No. Block
Ex ifing ShucRues, f.,
Name S-41ne Contact Prime(
)
cAA
Address CM Stole
Lp Cade
7$
Uceme No. Exp. Yelm &A. ud No. 3 7 • O
Descrptodof Wok NcW Si.✓6ZZ- A/ALIWlLV
OFFICIAL USE ONLY
Fermn Type:
Sq. Ft. per fioor:(10) (2nd)
Re,penBal >e" Sign_
Canmercial Otter_
Shorellrte Permit y N
Sewer Septic Approval No.
CIN Water Prl Well PMate System
Sepa Exempt y N
Floor %m y N
Seb of Prints
Plumbing PermflY S4�7 /�
Mechanical permits 0�CcrJ'.. "(9
plan Check By U, fE A--
Hem ElecMc Gas Other
REM
BASIS FOR FEE
FEE
BWldlnp Valrxs
; g .( 6O . �O
7-`V. 5-0
CME,
E
WA. SL BC. Fee
(450. New Carat Only)
pp
% . 0
TOTAL FEE
6 9• D O
ksued By D,1r&.rrld 1
/
MlNmrdBtarae of shuciMe h
xn pppertY Wrei:
Final Irep----- —�
Owner L&IF.
Assessar Foot Plan arid Permit
Front or Road
Side Sloe Rear
Applicants AtfidaNi:
I CWWy that I have renal and examined the Inlarmatbn contained wlMln fie applicaBon and now Me some t0 be hue
Submlttedl_J
and correct. 1 also dotty Mat Me prapased shuchue B In cmformlty wIM all appliCable Cty of Yelm regWallons Including
'M goV ming zoning and land suddlYl91m, and In OddBIOR all coV nonti. eawments and rest1ctlOn9 d word. M
applylN m a conhactoc MrMar cemN that I am a currently registered contract in Me State of WaMiNton.
Quarterly Repass
AuessorJ�
Slgnphue Dale
Firm
CIN OF YELM Building Permit o 6 3
BUILDING DEPT.
Phone: (360) 458-8407 Date 14
f� (Work Must be started within 120 days)
w Name 12A',en 90ji 11 Phone (1—,
8�1
E
R
Address CI Slafe
Lp Cade qT
Site Address
P
P
Aaewrs Parcel No. LMS¢e (W, it
O
P
E
R
SUbdlvWon Lot Block
Y
OR Sfart Pdt No. Bock
E>dMing Slrucia es R any:
NaPro a
me Contact
-a 3
I
9Addr.PO,
cM
State
Dpcotle
lyRs
Ucerse No. Exp. Yekn Eds, Ilc. No.
Descniptbn of q
C
�'/
C
OFFICIAL USE ONLY
Permd Type:
ize,,demrdi s4a
f
I
F1.per flow:(IV) (21rd)
Sewer Septic Approval No.
Commercial_ OThe
Shoreline Permit Y N
Septi Exempt Y N
Foor Flan Y N
Sets of Plot
�. Cry Water Private Well Private SysMm
Neat ElectOc Gm Other
am
Ii FOR FEE
ME
BWdka�I
NJ
1A
so
e
P dmgPermitR�/A__
Mectaakal PermM 4 NSA
Omer
WA. 9, BC. Fee
(L.Sg- New cow OnM
TOTAL RF
Ing,
Plop CB
Wsueo By
Final lmp:��
Owner L A I Fomn
Fl ar Plan and Permit
om propertyY es.
MlMmun dWtarae of structure from Im
Front to of Road
Side Sloe Rear
Applicants AffidavitAssessor
I certMy Mat I have read and examined! the Infdmatlon cor a r ed WMln the application and know Me same to be hue
5ubmlMad��
and coned I der, certity Mat me propmed shucture k In conlormlty with al applicable City of Yelm re ualora InClUdlrg
tram govemog mning and IVW waierWon and In addlrom all covenant, earemenh aro reshlctom of record. If
applying as acgstracb[ LN erftty Mot I am a currenYry regliri contact In Mer StoreN
tof Wrnngton,
/I //
9UorteM Reoorts
Date
CITY OF YELM
BUILDING DEPT.
Phone: (360) 458-8407
0
Building Permit�, i 6141
Date
(Work l be started vitl 120 days)
HName
EDl)A,SA&l,
Rwne(
>
`
R
Aaarev 90
AP/F C, AVE cry
store wA
Dp OOde
Site Adtlren
pAvessoYS
Parcel No.
3 D00 — M, 701 Lot &xe(sa. n./acres)
P—�
t
R
Subdmhlon
Lot
& k
Y
OR Short Plat No.
Block
EdsMo Strum".a, 9 any'.
Name F
Q ^ contact
Prone
Add. /3
L
IN Orly/FC
state KIA Dp Cade -
Ucense NO.
Em
Yelm &a Uc. No.11,201.
Descratkn or Work 11X7d
/Ib
OFFICIAL USE ONLY
PaIrM pe.
Rafkal lel Sign_
ComMe,.IdIl
So. Ftper toor:(10) (2nd)
Sewer
SePtc Approval No.
Omer_
Sharellrle Permit Y N
Sep. Exempt y N
Fksor, Won y N
Sets of Penh
•Clry Water Private Well Private System
Heat ElecMc Gas Other
am
Imuld FOR FEE
FEF
BulkYkg Value
(-
Other
Plumbnp PermR A
Mechanca PermR alr57� 9
WA. SI. BC Fee
(4 W - New Const. Oby)
Tom FFE
Wan Check By 11
Issued BY
Final lnsp:��
Owner L&IForm
Assessor Floor Pan and Permtt
MlOrmum durance of mucture ham proper, Imes',
Front to of Road
Sue Sae Rear
AppllcaniS Affil
ce , itat have read .nd evamined Me Informal contained wlMln the application and know Me some to be true
Submin d
a ct a cerllfY Mat the proposed structure Is In conform], with aN applicable city OI Yelm regulations Includbg
"Ming N
bnd srrvHNWan. aM In addMon, all covenants. eaffernal and resMctrom
of record M
P o can t
r c ttM am a C.11v registered corm.. M Me State of WaNlrgton.
Quarterly Reoorh
htteswr / /
r NEW DEVELOPMENT/CONSTRUCTION CHECKLIST
•
C�1
Site Address: 16507 Yelm Avenue (SR 507)
TYPE PERMIT# FEE RECEIPT# COMMENTS
Sewer Permit
312.50
Sewer Latecomers
0.00
Sewer/Septic'
21500.00
i
Site Plan
0.00
Water Latecomers
0.00
Water Meter.
1,050.00
1
Water Service ERU's
11750.00
Consumer Deposit
90.00
Plan Review
3,546.78
Building Permit
1,662.25
WA Building Code Fee
4.50
Mechanical Permit
86.00
Plumbing Permit
109.00
Yelm Business License #
1601.0
Transportation Facility Charge
31,061.00
Open Space Fee
0.00
School Mitigation Fee
0.00
'DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY YELM BUILDING DEPARTMENT:
CITY OF YELM
BUILDING DEPT.
Phone: (360) 455.8407
C-1
Bullding Permit �y
t,
Date 'v U21 /P
(Work f xnt be started w1MM 120 days)
a
W
Name {�
Pnone(
)
N
F
Add.l`�
C Stote
Code
Sr -
Srce Ad(}BSI /
oAvesalsfbcel
Na.
Wt Site (p. n./acres)
v
E
joljdrybipn
Lot Bock
P
Y
OR Shod Plot No.
B k
Exbtkp SM1 ft R am,
Name
Contact P me(
)
ACdrev
Cly State
Ap Code
license No.
EV Yelm Bas. tic. No.
Descrotbn of Wbrk I
OFFICIAL WE O y
Reimrc type',
RegdwV a_ Sign
commemwx Omer_
Sq. Ft, per flaoc (Is" (RM)
Sewer Sepik
Approval No.
SNOreW1B RprrpB Y N
Sepo Exempt y N
Floor Plan Y N
Sets of R
. CEY Woler Rivate Well F,N . System
fkaF. ElecMc Gm Other
am
MIM FDR FEE
FEE
BWtlkq Value
Otter
Plumbaq Psxmrc EA
MecM1rnMcal (Mrmw 1��
By
blued BY y
FMkspJ�
Owner L & I Form
AfMpp Flop qon and Pennrc
WA. Sf. BC. Fee
(4.W- New CoM. Orty)
TOM FEE
F2 rnawn
Minimum dlstaze of eh.Wla from property lines
Rant to of Road
Sloe Side Rear
APPSC to
I ce"Wy t I h.TB aMl[I pld e.eam 6 me FMrrgllan CM1pr9d wIRYl1re CppkMbn pq lops 1M fptle ro OB lrlle
Sitwnftd--j I
pW correct. I abo aMRy Mas Me proposed ebucMe b h aonformlly W al oppFcaOle CR, M YeM regublbrn Mckdtp
iNGse goYeniq mmp orb ksnd eeartYm. and M adrMbn. a coverwnh eemerwnn and reeMlcfbn p record. R
a"W ce o canhacfol I fellnN cerEFy itgt alnMM lepbfered aMtrpaf hthe IOote of W inglon.
_ AA w
6W1MIy RBOMF
• NEW DEVELOPMENT/CONSTRUCTION CHECKLIST
•
TYPE. PERMIT# FEE RECEIPT# COMMENTS
Sewer permit
125.00
1 1
1�1
Sewer Latecomers
Sewer/Septic-
13Ao
Site Plan
Water Latecomers
Water Meter*
3
'\
/v
Water Service ERU's
7
Af /.714r
Consumer Deposit
Plan Review
/
Building Permit
`Y
iS
WA Building Code Fee
4.50
Mechanical Permit
/
Plumbing Permit
'A
Yelm Business License #
Transportation Facility Charge
../�
Open Space Fee
School Mitigation Fee
'DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY YELM BUILDING DEPARTMENT!
CIN OFYELM
BUILDING DEPT.
Phone: (360) 458-8407
•
Building Permit rl3 6144
Date �-\ J'a 4�/
(Work a be Slated within 120 days)
w
Noma
Phone (
)
N
R
Atltlres
CIE4 AA
State
Lp Coale
SMe Address
t
PIngR
A mn; Parcel No.Q�o
Lo1$RB (SQ. i[/aCIBS)
O
P
F
Subdivelon
Lot
Blodk
R
1
y
OR Shod Flat No.
Block
Fill Structures M any:
Name
Contact
Fnorre(
)
CM
Stare
LP Code
JcAAdtlres
jf
/�
J erne No. {t
Ems.
yelm &a. lk No. R
o Wndn of work
OFFICIAL lSE ONLY
Hamar ype.
Sq. Ft per floor'. (1st)
(2nd)
RBAdentlaSian
Commercial_ Other_
Shorelire Perm" y N
Sopa Erempt y N
Floor Pkm Y N
Set, W Prins
Plumbkg Perm" flA_
Sewer Septic Approval No.
CIN Water Private Well Rvate Sptem
Meat-. Electric Gas Omer
am
10.314 FOR FEE
FEE
Builtlinp Wlue
Other
Mecnarkcd PemJt e l/�
Pion Chet^ j�, �elmlor
WA. ST K Foe
(4W - New Corel Orvy)
TOTAI FEE
Front
"
sloe Sloe Rear I
�Wfif9LvArArX-ZM
Owner L & I Form
Avwsor Floor Pion anal Permit
APpllcanYs AfFgoNt.
9lIMy "q! I t read anal eYamVgtl me intorma"an containeC within MIB oppllco"dl and know " Same to be frUe Subra Mifal
anal caret,. I also cedMy tnot Me preposed structure a In conformlty nth al oppllcable Oly of Yelm regLYaMans Incttdina
Mose povemlna zona, Mal land subdlvelon, and In addition, all covenoafi, easements and restrictions of record, If
applyhq m a contractor I }umber cedlty that I om a currently reorstered contract In Me State of Washington.
6uarfenr Repom
pan
I
L�
r
L
CIN OF YELM
BUILDING DEPT.
Phone: (360)458-8407
Building Permit ]
Date % � 117 1$
(Work must be started Within 120 clays)
p�
l /)A-/ 9, /,,
la'/
Name
/i—/
Q
Ptane<
)
N
R
Addles
./
b'A
C
State )
Code
SHe And.
AA
P
O
AsessorS Parcel No,
Lot SCe(ect ff./awes)
P
R
SuW1,ASOn
Lot
Elock
T
y
OR Short Plat No.
Elock
Exbting St.W.% A any
Name
Contact
Phone (
)
AtltlreE
City
Stale
AP Code
Ucerse No.
Exp
Yelm Bis. La, No.
Descriptan of Work
L IJ4 :bC
OFFICIAL USE ONLY
PermtrType:.
Reldentiol Sign
Commemal Other
Shoreline Pe rnlf y N
Sepa Exempt y N
Floor Pkm y N
Soh of Prints
Plumlong Permlf A
MechaMcal PernV A 641
Pan Chock By
Sq. Ft. per roar: (tah Kul ea (2nd)
Sewer Septic Approwl No,
City later Pfivam Well Pham System
Heat. Electric Gm Other
BEM
&F-BI5FOIEFEE
FEE
Bulaklg aloe
Other
WA ST. K. Fee
(4.5A) - New Const. Only)
TOTAL FEE
MlMmum dlsfanoe of structae from property (Ines: Issued ByL7
Front m of Road Final lrep:J�
Bide Sae Rear Owner L & I Form
APPkOanYs AlfdOvH: Assessor Flonr Plan and PermH
I certify that I harm read and emmired ME, Indonmotion contained wlMin the applaotbn and know the same to be flue Sutxntited��
and correct. I also Owth, thOt Ms, proposed sfructwe Is In conformity w all applicable City of YeM regulation, Includirp
Moss goyemlrp mNng and land IsAA"an, and in addition, Oil co m aMs, easements and msffl a of record. A
apptying as a conM1actar, I furMer ceMfy Mot I am a currently registered contract In Me State of WOMingfon.
/ Quarterly Raoorn
SlgnaMe
Date
/i—/
Assessor
Firm:
TRPC / /
CIN OFYELM
BUILDING DEPT.
Phone: (360) 458-8407
•
BuildingPermit ) 6139
Date (V-11-4
(Work must be started within 120 days)
aw
None
/i
1
nlarne
1
n
R
Adtlnea I 7
ll �.
C
Sfgre
ZWCoda ^ I'1
c
��
-
lte Atltlreu
—
(�
P
R
Atsessoh Parcel NO.
Lot Slee (sq. h./acres)
O
E
$VUCNNOn I n
I I
L yt/
Lot
&.I
I`�7
R
Y
OR Spd Pbt Na.
Block
EAflrp Sft.uw, 0any'.
Noma
Contact
Ptone(
)
A
Atlbes
Clly
Sora
Ilp Code
I
acerae No. 1 E)
'DT�
Em.
yelm &e. Uc.
De,arofMM of Wok
1iL E 1
OFFICIAL IRE ONLY
PeRnX T,,pe
ResldenXd_k\— $Ign
Commercga Other_
Shoreline Permtt y
Sepa Exempt y
Fbor Plan y
$e1sofPrbk
Plumdng FMmlt F �����J
Pf,mno#
Plan Check BylD - Ff1,II
N
N
N
�
t 10C
Sq. Ft per fbor'. (Ist)
nd)
$ewer $eptt
Pro WI Na,
City mten PA If Well
Note System
Beat. Electric C.nt
Other
RM
RN6 FOR
M
&libinp WIVE
'd/,-7,.
Omer
WA.9K Fee
( -New Cop. Orvy)
TOTAI FEE
n
Minimum
Front to of P.
$Ida Sltle Rear I
final lr'6p: / /
Owner L & I Form
Assesses Floor Plan and Permit
Apfp Cc nYF AMgoM'.
I cermy MW I rave read and examined the information CWMin tl with'm tp QWWhom and know the same to M M1ue $udmitfed� /
and,, ove. I ebo nm, and
nd Pulad eon, and I k In lrIlon mtty wIM al ft, a City n Yekn reeJOXof ko d, 0
apse oovern co xoMno afu fond wGtlThat I m . In nfy, n. all ad comm a the Srah of ahingrondrdcl,onE of recall. R
aPPNnp os o contmcbr. I Nrlher ceritry itgl l am o [amenity reolitened contract In the Sbte of Mbshlrpbn.
Dara
Fkm
9ua "Reports
Assesses /
CIN OFYELM
BUILDING DEPT.
Phone: (360)458-8407
Building Permit o 6138
�j�'j'
Date I,—//" �'1U -
(WWk midst state staged w9hks 120 Hays)
wName
,
C
Rsorro
-
N
E
d14AYLI
Z014n
.
Address /S22/17-
Coca
Stte Address L4Lii
Z4
v
n
J�
R
Atsessa's Follow No.
in
LaSRB(sa.lt./dane)
0
P
-P
E
Subaivblon WV
La
Flock
R
Y
OR Short Pot No.
&otic
Emroq Structures R my:
Nome
Contact
Hsone(
)
cAA
Address
CIN
Stare
np Code
ij
Uceme No.
/
EW.
yeta &n. uc. No. V
DaseMtbn of Woh
/k4
C
OFFICIAL USE ONLY
Permtt type
Residential Sign
Commercial Other_
Shoreline Permtt Y N
Sega Exempt y N
Floor Plan y N
Set of Phis
Sa. FT per flow(1st) (ltd)
Sewer SBpflc Approval No,
•CIN Water Prlvare Well HNae System
Hea'. Electric Gas Other
am
Mop FOR FEE
FEE
Wk*Q Value
O
T
Othe,
HumGrq Pemif
WA. 9 BC. Fee
(A.SU - New COM. Call
Mechanical Permit #=
Han Check By 1 j�
nl Ill
TOTAL FEE
Front to of Road I
!idly Side Rear I
4Bd� / e
Final l='.—.
o'
Floor Pon and Permit
ApFllcanni AflklavR
Germy Mat I hove recd and, examined the Informaflon contained wmin the application and know Me some to be true Submlited �
and correct, I also call that the proposed structure Is In conformlN wIM all applicable Clty of yelm regulatlom Ind Id I
Mase govBT ria roning and land s.mv51on. and In cal all covenant. easements and reShktlWS of record. If
app" ye p conhacta I former really Mat I am a cunenfly el veered contact in the Safe of Wmbington.
Quaryl Reoorh
Signature �4-j<J�-7F- Date 6-11-98
Fvm
• NEW DEVELOPMENT/CONSTRUCTION CHECKLIST
Site Address:L"Ope VlJ) l
TYPE PERMIT p FEE RECEIPT N COMMENTS
Sewer Permit
125.00
1
r
Sewer latecomers
Sewer/Septic'
1,000.00
Site Plan
Water latecomers
Water Meter"
300.00
71
Water Service ERU's
700.00
Consumer Deposit
90.00
(�
Plan Review
Building Permit
/(��
l�Jl ?S
UjfW ,
WA Building Code Fee
4.50
J /n
Mechanical Permit
Plumbing Permit
Yelm Business License N
Transportation Facility Charge
Open Space Fee
School Mitigation Fee
'DUEAND PAYABLE PRIOR TO FINAL INSPECTION BY YELM BUILDING DEPARTMENT!
CIN OFYELM
BUILDING DEPT.
Phone: (360) 458-8407
•
Building Permit 6137
Date (D -I /- q
(Work must be started within 120 days)
rt_ I, ffil
w
None
N
A
—
^I
CI A N y
Addre9
W
City
( k L
StateWA
Site Amrev (
t
^�
P
A4e55aa PaaN NO.
a
Eat Site (sa. ft -/ares)
E
-.��
Subdivelon 1SI I'�
V(E
Loi
frock
R
v
OF Short Pbt NO.
frock
Exstlrq ShucM1res M arry'.
N
Name n I T lu
Contac!
Ptwrle ( )
cd
Addreu
City
State
Zip Code
rC
k
ucecse No.
Exp_
&a. jr,. Na,.
Descrronon or wbrir
OFFICIAL USE ONLY
Permit Type'.
ReNtlenti Skin
Sa. Ftpa icor'. (10)
(2nd)
Commercial QISM_
SnOreline Permit Y N
Sega Exempt Y N
Floa Plvm Y N
Sets of Prins
Sewer Septic Approval No.
• City Water Private Well Private System
Neat Electric Gas OMer
ITEM
M MWIFEE
FEE
Siding Wlue
4 to
E//
V
(���
Plumlxq Pomlf
r/�'+1_ sc7
Offer
r
Mecnv.cal w^rvt
I
^y r
WA sr lic. Fee
(a.50 - New corer. arw)
Pon Oher:k
TOTAL FEE
I
n if
Minimum detance of structure hom
Front
Side
M
Side Rear
�.amigrnralow
Owner L & I Form
Applicants AMdaNt Asseswr Fbor Man and Permit
cemfy ttai I nova read and examined me hfamallon contobe l wlttfln me Opplirotbn aM know the some to be true SubmitRtl_� ,
arvt caeat ect I also cerfry mme proposed structure e h opefor a wilt, all applicable City of Veto Wuicstbm Mudkg
moss ,o ..i,and brrd spcify . 9,W oddri aA coeerwnn. eassmenh and rekhkti of retard. M
applywaSa contracts. INrihercerMy tni IOm a cWRntly RQelpledCMiraCt 0 me State of W,,i
9uarteM Repan
spnove �-
Fkm
• NEW DEVELOPMENT/CONSTRUCTION CHECKLIST
,'I
Site Address: '}943?Ht(ZIE, x,73
•
0
TYPE PERMIT# FEF. RECEIPT# COMMENTS
Sewer Permit
125.00
Sewer Latecomers
Sewer/Septic•
1,000.00
Site Plan
Water Latecomers
Water Meter•
300.00
'
Water Service ERU's
700.00
Consumer Deposit
90.00
Plan Review
— 0 -
Building Permit
qn
z
'
WA Building Code Fee
4.50
Mechanical Permit
b
Plumbing Permit
'I�
'nb
I
Yelm Business License
Transportation Facility Charge
— _
O
Open Space Fee
School Mitigation Fee
iD
0 -
'DUEAND PAYABLE PRIOR TO FINAL INSPECTION BY YELM BUILDING DEPARTMENT!
CIN Of YELM
BUILDING DEPT.
Phone: (360) 458-8407
Building PermitD 6136
Date 10-1/ -Q
(Work must be started Within 120 days)
l��i •_rte
°w
Name -�+o^e67IA
C
N
a
Address
w
Dx l
C
( I l
StateKIA
➢ Cooe /
srce Adorev LF / c'-'
l�
N II rr ^^^
R
A¢essorY Po.l No. 'A
�
w
LOt Sze(a. fL/OCres)
O
E
-rye
suodN an VI JI F'f
���
LO}
Bock
R
V
OR SFwrl Ph1 No.
BIOCk
EM W ShucMw, H any
Name n
Contact
Plwne (
)
A
Adtlress
City
State
Ap Coos
License No.7,0 Ij
Ems.
Velm Bus. fk;. NO.
aescrptlon of Woh e
'AAM zil
-A C7OFFICIAL
LISE ONLY
Pernik type:
`
Sq. Ftpat floor', (I st)
(2nd)
RWdenWI Sion_
COmmemhl Other
Shoallne Permit V N
Sepa Emmpt V N
Fk rPlan V N
Sets of phis
PlumdrlaFermrcB
Sewer septic Approval No.
. City Water PMcte Well Pilvate System
Heat Eecbp Gas OMer
IIFM
BASE FOR FEE
FEE
B&dhnp Value
I I / Q
I /
omer
-TpWk
MeclspnhW Permit Ft' 6
Pon Check BY
SF BC. fee
(<.SO. New Cael. Only)
TOTAL FEE
I C 9 I
sae
side
Assesses Fnor Ron Ma Permit
Appllcanri AMdaWt
I comfy Hq1 I have read and uamineo " InformoMOn corn.n9tl wimin Me applhaXOn and In Hre same to be hue SubmlMed�J_
cmq comIoi. I also cemfy that Me proposed s "e Is In conformity M d applhable City of Vekn RpUbMOIK nakwnq
i oovernirq zoning and dral subdNBhn. and In occido s. aF covenants, ememenh and nx fila of recoro. H
opplylrp ona conhacvx I NmlercerMfy H I am o cwenlry reoMereo cantroci n"Stale of W lrpfon.
oatR G - ii. se
Fkm'.
9 art ny Reaom
•
NEW DEVELOPMENT/CONSTRUCTION CHECKLIST
Site Address: ��$�rj�Uttn..LF �ISTW Lap<�r L.,- Z —
TYPE PERMIT# FEE RECEIPT# COMMENTS
Sewer Permit
125.00
Sewer Latecomers
Sewer/Septic'
11000.00
Site Plan
Water Latecomers
Water Meter'
300.00
Water Service ERU's
700.00
Consumer Deposit
90.00
Plan Review
-D—
Building Permit
/
l
G
WA Building Code Fee
4.50
✓
Mechanical Permit
�J
^
Plumbing Permit
qS
isn-m
Yelm Business License #
Transportation Facility Charge
N b
Open Space Fee
School Mitigation Fee
�R l
_
'DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY YELM BUILDING DEPARTMENT.!
NEW DEVELOPME'NIT,//C,ONSTnRU�CnTrI.ON CHECKLIST
Site Address:_`1
-�4G I
TYPE PERMITW FEE RECEIPTN COMMENTS
Sewer Permit
125.00
Sewer Latecomers
Sewer/Septic-
1,000.00
Site Plan
Water Latecomers
Water Meter"
300.00
ao 1
Water Service ERU's
700.00
1 a 0 `
tel/
Consumer Deposit
90.00
/
L
Plan Review
—O_
Building Permit
`j �f
WA Building Code Fee
4.5001]
Mechanical Permit
Plumbing Permit
Yelm Business License N
Transportation Facility Charge
Open Space Fee
School Mitigation Fee
1
'DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY YELM BUILDING DEPARTMENT!
0
CIN OF YELM
BUILDING DEPT.
Phone: (360) 458-8407
17J
Building Permit r t 6135
Date L-10-99
( f r (Work must be started within 120 days)
a12
w
Nome %
L —
L
Phone (i-
n0 "f
J�ANp<<l'V1
A
/2 7
R
Andrewli 12D
1
c bte
D cotle
Site Atlriep I
�t�
- c
o .
P
a �
�.
^
QPssesfoh
Porcel No. (
lam'
Lot S'¢e (eq ft /acres)
P
F
R
saptlNEpn 44 1 QI E
1
lot
frock
1
Y
OR ShortPlvl Na.
Block
EmtinR Shu:Ne''e�s Y any
Narre �-.d ft
Contact
Pnaee (
)
cAA
AnIXass
City State
Dip Ca1e
k
0cerva No. C
z N
Exp. yern&e. 0c No. , Q
OescroNm �Wak - I N
OFFICIAL IISE ONLY
Permit Type
Sa. Ftper floor (I in
(2no)
Resbennal Sign
comma l offer_
Shoreline Permit Y N
Sepa Exempt Y N
Fkxor Plan y N
Sets Of PMts
Sewer Sepik Approval No
• City Woter PtivOfe Well Private System
Heat Electric Gm Other
am
PAYE FOP FEE
FEE
Bislang Volue
Omer
pumping Per" P
MechankPerm G'� �'//�
al 0
(�
BC
WA. Sf . Fee
(4. W
- New Ca
Const Only)
Is- �/ �/'
�-/
IOTu FEE
/ C:
Ixbn Check By u ry ry,za,~_
MirNnUn �tUKe Ot SMKNa hdn paperry kl9s
Front to of Rocal
Side SICe Rear
Inaeoer�,j�,J AJC /�F12ltJ
FYallr6p:__ / /
eQl
Avera Fksa Pbn ono Peentt
Ap miff than
Y I Por it
anc! coni have read Intl exanlf9tl the ktbrmaMn contokroa wimp hre ppplkatbn orb xaow Nse fame to be hoe 5ypryryep__ /
Intl correct. aha cardia mat me pr Ivl cn, i rf In confamiry o"e as IppkcaM M n veru regWaitof r load 4
XMbe (x of. ctl na and lanher c N*ANebn. m a In anlyres. all contracna"Pirt
In
l r of
IBfhkikaf of feCortl. X
appNXq m a conhacta, I further ceMry mat I am a currently reglzreretl conhact In hre Sbte al Washlrgbn.
Oaarterl�ARe b"'
Firm'.
NEW DEVELOPMENT/NEW CONSTRUCTION CHECKLIST
SITE
TYPE
PERMIT k
FEE
RECEIPT k
COMMENTS
SEWER PERMIT
125.00
I
SEWER LATECOMERS
SEWER/SEPTIC'
1,000.00
SITE PLAN
ACCESS & DRAINAGE
WATER SUPPLY
WATER LATECOMERS
WATER METER'
CW13
WATER SERVICE ERU'S
~ICO.OQ
CONSUMER DEPOSIT
90.00
'TATE/CO APPROVAL
STREET CONSTRUCT
PLAN REVIEW
y
.
BUILDING PERMIT
4
WA BUILD CODE FEE
MECHANICAL PERMIT
PLUMBING PERMIT
p
GRADING PERMIT
SIDEWALKSICURRS
LANDSCAPING
YELM BUSINESS LICENSEk
TFC -TRANSPORTATION
FACILITY CHARGE
x- C Sct�c -
*UE AND PAYABLE PRIOR TO FINAL INSPECTION BY
THE YELM BUILDING DEPARTMENT
CITY OF YELM
'BUILDING DEPT.
Phone: (360) 458-8407
0
Building Permit )I 6134
Date
(Work ust be farted within 120 days)
9
0
wNomeQeZ6
Phone (
)
N
R
Adtlress Cfty Stale
Lp Code
Site Address
P
R
Assessor's Parcel No, Lot She tsqft/ocrea)
a
P
E
SUbdNBon Lot Bock
R
1
y
OR SMrt Plat No. Back
Etlstkg Skod" , x any.,
C
ry
/
Name /v contort Plwna<
)
R
A
Atldrea city Stare
np Cooke
(YR'
#turas No. Eqn. yearn Bos. IIC. No.
D—rides- a Wdk /
OFFICAL USE ONLY
PermBiype:
Reed6nflal Sign
Commercial OtheI
Shoreline Permit v N
Sega Exempt y N
Floor Pbn y N
Sets of Prints
Plumbing Permit #
Mechonicat Permit # A
Plan Check By A low
iftoedl6
�;
So Ft, per floor:(10) (2nd)
Sewer Septic Approval No.
Cif, Wafer Private Well Private System
Heat Electric G. Omar
REM
BASIS FOR FEE
HE
Bullcirg Value
Other
WA. 9 BC. Fee
(a B)- New Cornt Only)
TOM HE
Minimum distance of structure from properly ores:
FInal
Owner L & I fpm
Asseap Floor Pon aq Permit
Submttred_�_J
9 arteM Reports
Auesso / /
TRPC I /
Front io of Rood
Sbe Skse Rear
AssplcanYs AMtlaNt
I dery mat I hove read and examined fine InfomO contained wlmM the applkvflon and brow the same to be hue
and conect. I also Pertly Mat the proposea structure ls In conformity w a oWidobie Cary of Yelm W gallon Including
ttxnse governing xoNng arM lard subtl m and In addition, W covenant; easemenh and resMd%Pm of record If
appylrg w a comrractos I further Certify that I am a cuvenfty regiVered contract in the State of Washington.
Signature Date
Fkm:
CIN OF YELM
BUILDING DEPT.
Phone: (360) 458-8407
i1
U
Building Permit
'1' 6133
Date
(1Nork 4st be Awled wHhin 120 day.)
0
w
N
Name Fhone
)
R
Atldress C Sfafe aJA
DP Code
Sile Atltlresa
P
R
O
Pamel No. Lof Y e (sq. ff./acre8)
P
E
R
SubtlNMon Loi Bock
v
OR Shot Rof No. Bock
Existing sft c A N arty:
Name f� ontxt Phone
)
Add. City State Zlp Code
Ila.— Na. /r7 If Esp. Yarn &a. Uc. No.
DeeCRPflon of Work Lllli�Q
OFFICIAL USE ONLY
FermftT e / s
Resltlentlol L 5gn
Commercldl� Other_
St orellne Pert Y N
Sepa Exempt Y N
Fkor Plan Y N
Sets of PM
RumGng Permtt�
Mechanical Pe ltM
Ran Check By V
Issued By
Flml I.P: J /
Owner L & I Form
Assessor FIM Ran ax1 Permit
Submlaetl�_J
9 mn div Reports
Assessor��/
TRPC I_>
Sq. Ft. perflo I(lsn (yid)
Sewer Sepik Approval No.
' CIN Wafer Pflvate Well Privale System
Heat: ElecMc Gas Oft ar
ITEM
BAER FOR FEE
FEE
Wilding W.
Other
WA. 9.. SC. Fee
(4.W -New Const. ONy)
TOTAL FEE
Ymmum distance of structure from property (Ines:
Front to of Road
Sitle Side Rear
Applicants Affida .
I cealfy than I have read and ewgload the Infonnotan contained wlmin the cpplkaflon and know the some to be true
Including
antl covert. alsoming rat and proposedr, and I tr Inconformityove a applicablents ofl restrictions
antl reshicton. of record. If
Mose Wassgo�enahg mato arvf Intl r*fficon. and In ocidiflon.ntymg all croventrac In Stale
applylrp w a Conaaata[ I tunher ceMFy than IAam a cuaenfly regWeretl contract In iha Sbte Of NbahirptOn.
SlgnaNre i Data jq
Firm:
• NEW DEVELOPMENT/CONSTRUCTION CHECKLIST
u3S
0
Site Address: 311 Cullens Road SE (Easthaven Villa)
TYPE PERMIT $1 FEE RECEIPT# COMMENTS
Sewer Permit
2,325.00
1
?/,3q
Sewer Latecomers
Sewer/Septic'
13,950.00
39
Plan Review Fees (engineers)
1407.63
(�
_
Water Latecomers
Water Meter-
400.00
n
Water Service ERU's
91765.00--9)39
)3 9
Consumer Deposit
90.00
c1
�
Plan Review
41643.20
3
Building Permit
7,143.50
9
WA Building Code Fee
4.50
Mechanical Permit
534.00
()
�al
Plumbing Permit
11436.00
r
Yelm Business License #
Transportation Facility Charge
5,355.00
Open Space Fee
School Mitigation Fee
TOTAL
47 053.53
'DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY YELM BUILDING DEPARTMENT!
•
CIN OF YELM
BUILDING DEPT.
Phone: (360) 458-8407
RRISFANATAJ
Building Permit '7 6131
Date
(Work rAW be slatted within 120 days)
E
R
Addres/1)
7co,
Stale11JA
Lp(:otle
SireAtltlres
r
P
R
Aee9ah Parcel No.
Lot sae (sa. ft./acres)
0
P
E
SubtlNblon
Lot
Block
R
Y
OR shoo Par No.
Rock
Exbtp Sfructuree. II any
Name n
Contact
Phan.(
)
Addres
cit
State
000
ucerm No.
Exp.
,elm &6. uc. I b.
Ce"mrhllon of Wdk
OFFICIAL IAE ONLY
Permit Type.
Resdenflal_ sign
Commextial Mer
Shoreline Permit y N
sepa Exempt Y N
Prom Plan V N
$eh of RFh
Plumdrq Pormiti 5�1/d 7
Meclwnk:al Peantti<!g�
%n Check Byj r
So. Ft. per RoOr.(lan (2nd)
Sewer Sepik APMoval No.
• city Water ptNate Well Private system
Heat Electric Gas OMer
ITEM
IAt MRFEE
EFE
Building Value7312,00
��
WA. Sf BC. fee
(4.W- New Corot Only)
TOTAL HE
"nomurn dBlonce of oructtae from
&dale 5k -le Rear
IswetlBy,—�?, (rVO/7J? �
owner L & I FOrE
AssesorFloor Ran anal Permit
Appmorm, Affdavlt
I cert, that I have mad and examined 4w Information contained wIMIn Me appllcrofion and know Me same 10 be hue Submlhed
and correct. I aim cert, that Me proposed structure b In conformity with all appllCadle Cary of,film reguktlone Irrdualing
Mose goveming Xning and land su lviskn, and n addtan, all eo,enanh. eaeemenh and resMetkm of record. R
applying as a contractor.Ifurter. certify that I am a carenfay rKiffered confraM In Me State of Ihgton.
F-�G -i?ii7:LS•'lirci
Farm:
• NEW DEVELOPMENT/CONSTRUCTION CHECKLIST
•
0
Site Address: 9802'f-)VV0UH011 a � Q% --,6�e2r
TYPE PERMIT# FEE RECEIPT# COMMENTS
Sewer Permit
125.00
I
Sewer Latecomers
/
Sewer/Septic•
I/000.00
(j
Site Plan
/
Water Latecomers
/
Water Meter'
(tl l
Water Service ERU's
Consumer Deposit
r7001.00
Plan ReviewBuilding
Permit
WA Building Code Fee
4.50
Mechanical Permit
J
%9.�
7
Plumbing Permit
Yeim Business Llceme A
L/.
Transportation Facility Charge
-al(�
.1/lt
Open Space Fee
School Mitigation Fee
'DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY YELM BUILDING DEPARTMENT!
CIN OF YELM Building Permit
BUILDING DEPT.1 i F! 6132
a
Phone: (360) 458-8407 Date In _ -91?
16 (Work must be started WNhin 120 days))
1
0
W
Name PMne
N
E
R
Addr ss CRY State
L0 Cad.
Site Add. /D
v
Assessor's Parcel No. LOt S&e (sq. K./acres)
P
E
SubdNklon Lot Black
R
y
OR SMR Pb, No, Black
Fdstin®SHuc,ures, Harry:
Nome u Contac, Phone
Adc sds C' Q r Sate
.�/
Z. Code 9 a 3 p
,pn
p
Ucense Na. Exp- '/elm Bus. Uc, Na.
D Rariptbn of Wyk
OFFICIAL USE ONLY
PermHType:
Residential Sign
Sq. Ft. per Hoar:(1st) (2d)
Sewer Sepilc Approval No.
Commembl Otte,_
EMleline Pannit y N
5epa Exempt y N
Faar Pan y N
56,5 of Prints
Numbing Permit M
Mechanical Pe It k
Plan CneckB
Issued By
Final Ins,
Owner L&IF.
Assessor Floor Ran and Permit
CIN Water P ate Well Pnvgte System
Heat. Electric Gas Other
am
BASIS FOR FEE
FEE
Mcing Vaiw
Other
WA. 9 BC. Fee
(AM -New Const. Only)
TOTAL FEE
Minimum d§lonce of shuctum fon property Imes'.
Front m of Road
Sae Skis Rear
ApPEaanlb A,BdovH:
I certify Hof I hate read and examinetl do Information contained Wmin me application and know the same to be true
submined_��
and aamset. I oleo CeRffy tnat 14 propped structure k In contanntiy Witn aE applimde City of Yelm raguaftons Including
move goveminp 2 ng and land sUadlNt ion. and In addlit n. all covenant easements aM resMctions of n cod. H
apptong as a contmctdc 1 funhercertlfy man I am a cumntiy regaeNq contract In tins, SbtR of Wasnington.
ouartenly Reports
Fkm:
CIN OFYELM
BUILDING DEPT.
Phone: (360) 458-8407
r 1
w 1. k,- -Air fr 1 7"v e.
Building Permit
its
Date 141,11?
(W�b9e stoned within 120 tlaYs)
e�4S6
`a
;)
"ote
q-25 /
Address
Clry
cane
Ste Address D
p
Asessoh Porcrel NO.
IO`'
Lot $pe (sq. h./ares)
E
Subalivislon 0'
lot
&oc4
P
Y
ORStpri%dt No.
frock
ExMtrap SM¢tue4 R any
rk
N me
Cmtoct
Rgne (
)
`AA
PAdrea
City
Stare
Zip Code
II
Wer se No.
D//
Em.
Yelm Bus. l<. No
DescriptkMn of Wah
/
I (
n/
OGfICUML USE ONLY
Permitiype:
Sa. Ft. pertloor:(19)
(2nd)
Residential X Sign
Commerclol Other_
Shmellne Permit Y N
Sega Exempt Y N
Floor Plea Y N
Seh Of Prints
Plumting
Sewer Septic Approval Na.
Water Private Well Private System
0CMy
Heat EI.Mc Gas Omar
am
lAtOfglfEE
FEE
Bulding Volae
OMer
WA St BC. Fee
(d 50 - New Const. Orly)
Mechanical Permit
Plan Check By
TWA FEE
MINMum distance of smc} a Iron property Mes.
Front to OI Rood
Side Side Rear
Applicants AMaI
certtly mai I Myo local araC coomMBd this, InrormWbn contaned w in MO oppYLMIM and kMw Me sums, M ae mne
oM caned I .W cel N Mat Bae Prapoleal situ wm 6 In co fvmlty w of opplkatNe City of Yelm repulollorMt kckM v
Mose governing EOMap a!W IPM s dadywon. oM In o ldMon. all covenants elements ow reMMctMs Of record. B
opplylnp w a co mrscto[ I further cedlfy Mat I am a currently registered contract In Me State of WaMlnpton.
vgnave pwie...-'�7� yx„w Dote
Firm. .v�_
R i- WAVJF 'l1ROA
Owner L @ I Form
Assesor Floor Plon and Permit
9uortelly Reports
0 NEW DEVELOPMENT/CONSTRUCTION CHECKLIST
•
Site Address: �p"Od � �S i J,!/RI V�� /LA7 .7431
TYPE PERMIT# FEE RECEIPT# COMMENTS
Sewer Permit
125.00
T
(f 50
Sewer latecomers
/
Sewer/Sep1ie"
1,000.00
Site Plan
/
Water Latecomers
/
Water Meter"
300.00
Water Service ERU's
700.00
—i
Consumer Deposit
90.00
Plan Review
/ n
Building Permit
lo�a9
/
WA Building Code Fee
4.50/
Mechanical Permit
Plumbing Permit
/—^
1(�xJ
�
Yelm Business License #
MW
Transportation Facility Charge
�J
l
Open Space Fee
School Mitigation Fee
"DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY YELM BUILDING DEPARTMENT!
CIN OF YELM Building Permit )
BUILDING DEPT. 6127�
Phone: (360) 458-8407 Date 5_I —
(Work must oe started s th 120 days)
w
Name Fl-
N
l
N
R
Addren
city/
strne
),4
n cone () s -O
Site AddrenI& I
v
R
AmnaY Parc& NO.
O
tn} shte (SQ. ft./acres)
0
P
[
Subdlvbbn
Lot ¢
Nook
R
�
CR SnoR Pat Na.
Block
EFCtlrp $haft X any.
R
Name
Contact
Phone(
7
cAA
Aches
city
State
no COde
k
ucerve No Fq
/01
EW
Yekn &e. Uc. No.
0 wfipt$on of Won
OFFICIAL USE ONLY
Permll Type:
Resldennol_Z_ Spn
Commercal OM., -
Slnorellrye Permtt Y 1 N
Sepa Exempt Y N
Floor Plan Y N
Seh of Ff,in
sq. FT.per�'(1st) Cdr1)
Sewer Sepik Approval No.
Cry Water Prlwle WeF Phare system
Heat'. EI.MC Gas Omer
am
EAEO FOR FEE
FEE
&Aniv�
/
Pk}mdagP ft 5
Mecfvonlcd Pe nit8 5Fal - LI
Pan CtNfck By I
-----T
oto
WA ST. BC. Fee
(d.5p - New const. only)
Z �
TCff Fm
/ 7
('1 //_ _
IM
0
AppkcanA Aflaavit'
I cer fy tMt I t nod aral a nifinetl Ma MIIXTatbn Contotr wl"n the appik'albn and know the same to co M1ue
anal ca , I d Cerhfy "t the propWe;1 ShI1CNe a In confarntly wtm W applkable CM/ of Ye rpJuaMats 4r Wkq
ince, goyarNp ID kg arc and srbMitriat and In ad3tlo l a CoyMarlt& easemenh and rmnncMu of record. H
app"V as a CCniraCta I fVeler CgMly that l an a cVfM11y regb ifa Cont cot k1 the $tale of Warhlrgtan.
�9111l7lFi'a
Owner L&l Form
Aveda FW Ran and P O
9raReriv Reports
MPC_ _/
• NEW DEVELOPMENT/CONSTRUCTION CHECKLIST
•
0
Site Address: //D / -'/Ig RF1/(li j, -e
L47- 0 Z4p
TYPE PERMIT# FEE RECEIPT# COMMENTS
Sewer Permit
125.00
/
C
Sewer latecomers
/
Sewer/Septic'
1,000.00
Site Plan
/
s
Water Latecomers
Water Meter•
300.00
Water Service ERU's
700.00
Consumer Deposit
90.00
/yll
Plan Review
/
1%7/.
Building Permit
e.
WA Building Code Fee
/
4.50
Mechanical Permit
,
Plumbing Permit
Yelm Business License #
O IRJ•
�
Transportation Facility Charge
Open Space Fee
/
School Mitigation Fee
/
'DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY YELM BUILDING DEPARTMENT!
CIN OF YELM
BUILDING DEPT.
Phone: (360) 458-8407
•
Building Permit
6128
(Work must ae started within 120 days)
Rno� qos
wName
DF
R
Address (J/� Q /.,� /'� C state WA
➢ Cade /
M. Ado ess i
Assessoh Parcel No. O a / Lot $he (,q. R./acres)
P
F
SubdNwon lot frock
a
Y
GR ShoR Plat No. Bock
ExlsRnis StOCMeS H any:
Nome Contact Pron. (
)
fAddress
aN Stole
bp code
Uterus NO. Exp. Velm &a. W rVo.
Description Of Work n
Of£ICIAL USE ONLY
Permit Type'.
Sao Ftoer tlOar'. (Ist) (2nd)
ResidenflalX Sign
Commercial OMer
Shoreline Permit Y N
Sep. Exempt Y N
Floor Plan Y N
Set of P
numbing Permit.
Sower Septk: Approval No.
city Water Private Well Private System
Near ElaC Gas Other
am
IlASIS FOR FEE
FEE
Full
Oh,r
MechaMcal PemNt x
WA. St BC. Fee
(4,W - New Cornf, Only)
n
TOTAL FEE
Plan Check
Issuetl By IQ
Minimum distal -Co Of stuoNr. tom pr.p.q lines'.
Front io of Road
Final Msp_�J
Owner L & I Farm
Assessor Floor Plan and Permit
Side Side Rear
Applil ARlaavH:
I cerMy flat I have read and examined mcontained
Me Information wlMM Me appllcatlan and know Me tr
Me some to bue
and coned I amo ceri Mat" proposed strut ure k In conformity with all oppikadie CIN of Yelm regulalford Ircludk,
Mose go Mlw ronin, and land suladly , and In aadltlon, all covenants, a sment and resticRons of record. H
.PPIOW os a Conttal I NRher certify Mai I am a currently regwerea contact in ine SMte of Woshin ton.
9u.i Report
TRPC / /
Signal Data
Firm.
• NEW DEVELOPMENT/CONSTRUCTION CHECKLIST
•
0
/
TYPE PERMIT M FEE RECEIPT M COMMENTS
Sewer Permit
125.00
Sewer Latecomers
/
Sewer/Septic•
1,000.00
Site Plan
/
Water Latecomers
/
Water Meter'
300.00
Water Service ERU's
700.00
Consumer Deposit
90.00
Plan Review
/ n� •
J
Building Permit
wzs
/O /• ^�
WA Building Code I=
4.504
Mechanical Permit
tP
Plumbing Permit
cc
Yelm Business License M
d �Q•
Transportation Facility Charge
Open Space Fee
School Mitigation Fee
*DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY YELM BUILDING DEPARTMENT!
CITY OF YELM
BUILDING DEPT.
Phone: (360) 458-8407
•
Building Permit �p 00
Date
(Work mu f be juted vMhln 120 dl
Ha
Name Phone
_
E
rex C Stale
D Code
-LA
SBe Aaaress
&-f,064-
0
Aseaph Parcel NO. O LIN SCe (sq, h /OCreb)
P
E
R
$UbaNBarl IDt &YCk
y
pi Bhali FHal No. Block
E#NYtp SM1ucNes M arra
Nome (Antapt Phone(
7
Aades Clry Shote
DP Coag
I aeree No. Exp. Yeim Br&. W. No.
Dmcrlptiarr w W r
OFFICIAL USE ONLY
Permit Type'.
Residential /V Sign_
commercial_ Other_
Shorellne Permit Y N
Sepa Exempt V N
Fksar Plan V N
Se r or Prinh G�
Plsmdng Permit# J
M6chonlaal Permit # ss�a
Plan Check By /}
1,
buea
Sq. Ft. perB (III) (2nd)
Sewer Septic APWr Na.
' City Water Private Well Private System
Heat: Electric Gas Other
Fill
BASIS MR HE
FFR
BWia<g Val.
!�—
otter
WA. SL K. Fee
(4.50 - New Cant Only)
TOTUFEE
AIIrYmun dflanCe orserlCNe nam poperN lines
Front to o/ Rana
Final lnp:__/ J
OwnerL&[Farm
Acsesor fbor Plan arta Permit
Submitiea__/�
QyQmPny Repasts
Assessor /�
TRPC t /
Slag Slag Rear
AppticanysAMtlaNt:
I certify that 1 have retia aro eeamlrtea the lnrormarl cantainea wrl " applicaMon and [mow ire same to De true
and cared. aeo certity tttd M» propaFea 6huCNre & In contormlry with OF applkable City of Velm regulaSans MCIuaMg
those 90VGMWQ n,Nrlp ano land sWMwon, an s In andlnon, all covenants easements and resMcibn of recua II
applNirgasaccabaMa[ Ifurttrer ceaXyegt amacurrenny tegl5lerea contractintits Stole orW irgion.
Signature Dote /3 '
Axl
9 NEW DEVELOPMENT/CONSTRUCTION CHECKLIST
•
TYPE PERMIT# FEE RECEIPTN COMMENTS
Sewer Permit
125.00
n
—1
Sewer Latecomers
/
Sewer/Septic•
11000.00
O
Site Plan
/
Water Latecomers
/
Water Meter•
300.00
1
Water Service ERU's
Consumer Deposit
Plan Review
Q4.5O
Building Permit
/
WA Building Code Fee
Mechanics) Permit
nc nom.
�D
Plumbing Permit
r
Yelm Business License #
Transportation Facility Charge
Open Space Fee
School Mitigation Fee
'DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY YELM BUILDING DEPARTMENT!
CIN OF YELM
BUILDING DEPT.
Phone: (360) 458-8407
Building Permit
N° 6125
Date
(Work must be started within 120 days)
0
w
u
R
Name Ufnl Yjr
Address
E
CI C T
Phon -
SYofe A Do Code
SR. Atl0
P
R
O
A ezorh Parcel No.
1o15Re (sq. ft/acres)
F
SubdNtbn
Lot
B
Ry
OR Short Mat No.
141
B
k
E:femg Structures, R any,
Name
Contort
one(
)
4IS
Addre ,
kY
St a
ba Cade
R
Lkense No.
Exp.
Yelm s
Llc. No.
Dexripflon Of Work
OFF12ALUSE ONLY
P Typo:
R.Sc.nfal Sign
Commercial Other_
Shoreline Permti y
Sepa Exempt y
Floor Plan Y
Set of Print
Plumbing Permit R
Mechonkal Permit M
Plan Check By
N
N
N
Sq. Ft per flooc(Isry
(2nd)
Sewer Sepflc
Approval o
city Nbter P ate Wall
Ptl ystem
Heat Electric Gas Other
FFEM
IIMIS FOR FEE
FEE
Building Value
Other
WA. Sr. BC. Fee
(4. W - New Const O'X'--'
TOTAI FEF
Side I Rear
trued
Owner L & I Farm
-
Applicants
Floor Plan and Permit
ApplkanYs AHkavM
certify Mat I have read and examined the Information contained wY In fha appllcat avow Ma wme to be }rue Submlttetl��
and coned. I also cerrity met the propceedl structure Is In conformity w' IB City Of Yelm regubflorns Inoutling
Mme goyeming mning and land wbdM oM and In addttbn. Oil covenant, easement and resMc}bns of record. If
applylrg as a controctar. I former certify Mat l am a currently registered contract In tyre State of Womington.
FNM:
0
Date
(Do.n.M Repeal
CITY OF YELM
BUILDING DEPT.
Phone: (360) 458-8407
Building Permit K7 6124
Date
Molifinuil
stall within 120 days)
as
w
Name i
N
a
Aatlren , c /I
O.C.
SMB Address
v
R
Aveao , Pomel No. Lct S¢6 (sq. tt./acres)
P
E
Suodlvelon Lot Mock
R
V
OR Short Pbt No. Mack
Exiting shuctu,. Many:
Name Pho e
Atltlress City 4Stole
Dp Cafe
R
Ilcern NO. Em. VIn ME. Ilc. No.
D crfot IN Work
OFFICIAL USE ONLY
Pe It Type:
R nfi l Sol
Comme¢bl Omer_
Shoreline Permit Y N
SePa Exempt V N
Floor Pkn y N
Sets of
So. Ft. per floor:(10) (qld)
Sewer Sepik Approval No.
City WUler Prlvatewell Pitvale system
Hear ElecMc Gas 011ier
am
RASIS FOR FEE
ME
Bhg Value
/
P Nno Permrct
Omer
wAn. ec. Fee
(4.w - New conn. Qrw)
Inechoncol Fgrmit I
Plan CheclfPv
m By
Final
Owner L 81 Form
A emr Fbor Plan and! Permit
TOTAIFEE
y
NRNm tlblance of mucture ham poperry Imes:
Front to of RocOf
soi Side Rear
Appticonh Afficil
I certity Mat I have reod and examined the Informoton contained wlmin the appikatbn ontl know fie some to be hue
subminetl J�
al cosi. I alio cwtfy that the proposed structure h In conformity with all opplknble City of Ye reoula om Including
Mose oov rnll ronin, and bno sub Alan. Ono In addition, all coveranh. easement antl r ctbns of record. M
applyingmacontractus I fumsercertifythct 1= a curr fly regeteredcontract h Rse Stateof Washington.
Quarterly Reoarh
A a4«
sol s Y
CITY OF YELM
BUILDING DEPT.
Phone: (360) 458-8407
e Building Permit 6123
Date
(Work must be started within 20 days)
o
w
Name 1 Ptwna
— J(
N
�T nA
IAJA➢p
R
Add. W ` /cl'Telp, State
Code
S. Adds. Sqbr
o
Aa .s PdrCel No.q9qo6s-e�00-114b J Lot Size (sq. ft./acres)
P
E
SubdNeion Lot Slack
R
T
Y
ORShoMPbt No. Back
6 np SMxMuek If on
„
Noma 8-19 , con—, Pho e
fO
Add. Cn Stare
➢,code
p
license No. Em. Yalm Eus llc. No. 1 D
cIs,xrianai
OFFICIAL USE ONLY
PermltType: /
Resldenflal—L Sign_
Sq. Ft. perf oor. (1 st) (2nd)
Commeldal Other_
Shorellne Permit V N
Sepo Exempt Y N
FbonPbn Y N
Seh of PMh
Plumunp P..J i
Mechanical Permit E _
Plan Check By
blued By
Find nsap I
O.rLalFgmk
Apes r Fbar Plan and %nntt
Sewer Sepfic Approval No.
CIN Water ANate Well PBvofe System
Hear: EleCMc Gas OMer
ITEM
WeFORFEE
FEE
Wilding Value
a
Ohe
WA ST. BC. FBe
(4.50 - New Corel. ONy)
TOTAL FEE
M Urn dMaryct, of shR horn praPedy Wlw:
Rant to of Road
Side Side Red,
AwIICanfh ASIWCNS.
I cedlly Mnc t I have read aM examlred the Information contained wiMin Ma oppfiaOHcn d,sd knave MB Same fa be fn:B
Submlffed_/ /_
and coned. I ai carRN Mat the proposed shucfure Is In confand0ty M as applicable CIN of valva regu anti Flckldhp
1Mse aavemirq sans, and knd subdyRlon, and In addltlon, as coyenama sasemenh and nsFno" W reoom. H
apPning as a contmcfd, l fi h ceMN fhat I am a Curenfly rWish,ed canhact In the Stale of Washington.
Ouadeoy Reports
gsseaw f_/_
Signatve
Date b_C
Fkin
t
TRPC J_
•
r1
L_J
NEW DEVELOPMENT/CONSTRUCTION CHECKLIST
Site Address: 9LYm�4�a
TYPE PERMIT 4 FEE RECEIPT N COMMENTS
Sewer Permit
125.00
�J
/
Sewer Latecomers
/
Sewer/Septic•
1,000.00
Site Plan
/
Water Latecomers
/
Water Meter*
300.00
Water Service ERU's
700.00
Consumer Deposit
90.00
Plan Review
3/5.Jtrp
Building Permit
o[
WA Building Code Fee
4.50
UCS
Mechanical Permit
5
/og so
a lob
Plumbing Permit
1,4
n
D
Yelm Business License k
3�so.o
Transportation Facility Charge
Open Space Fee
/
School Mitigation Fee
V, 0/9. v
'DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY YELM BUILDING DEPARTMENT!
0
4
CIN OF YELM
BUILDING DEPT.
Phone: (360) 458-8407
Building Per )it W3 6122
Az
Date
(Work Wst t4 started within 120 oaYS)
0
Name ) 0VI�WC A&APEAlPhone(
)
N
`a
Aad,.. [I Al c [ stare
A n cam
y�ryyG.(
Site Address ,F^)u
P
R
O
Assessor; Parcel No. L [ Lot S.(sq.ft./aam)
P
E
R
SubdivWon Lot Block
r, y
OR Short Plat No. Frock
P
Ex§Hrg Shrctures it any:
Nome n� cantoctJJ Phone(
)
AtlaressRrx City A ,4 Stale J
r
Zip bum
/cA
R
we.- . e d Exp. yelm Be.
D ffpfionofWork
OFFICIAL USE ONLY
PermItType:
Resk19nH01_)(_ Sign_
comm.1.1 011ier_
e -
Shorellne Permit Y N
Sego Exempt y N
Floor Plan y N
Set of Prints
Mmbing Permit 0
Mechanlcal Permit#
Plan Check by nn
Issuetl By ` e
Finallrep:��
b nwL&IForn
Assemr Floor plan and Permit
WOrnmed I
Quarterly Reoonh
Assessor ) /_
TRPC r
Sq. Ft, per floor: (1st) (2nd)
$ewer Septic No.
Approval '
City Wale, Rivotg"Well Private System
-
Heat. ElecMc Gas Omer
ITEM
'BASIS FOR FEE
FEE
Wiling Value
Omer
WA. 9.. SC. Fee
(4.50-NawC W. Orny)
tow FEE
Minimum dhWnce of drua a from property Imes:
From m of Flood
Side Slae Rea,
ApplkanYS Afildavit:
I Cedpy Man I have read anal examined the Informallon contained wimin the appllcallon and know me same to be hue
andcored. 1 aiso.,* Man the proposed sM .1,In canfar" wIm aY applicable allrehH
y of WrIm guom Includkg
Mose govemkg zoning and land subd W, and In adacm. da covenants easements qw renrctkns of record. If
applying ca a contmctos I further cerMN Hai I am a curenfty registered connect In H» Stare of Wmhinglon.
)( Sigrahua� pate l - -
Firm:
CITY OF YELM
BUILDING DEPT.
Phone: (360) 458-8407
Building
Permit
Date -1- �Li • �f_
(Work must be started wMin 120 days)
°w INnmw 71/G NG//`AFQ✓10A/nivl y�l/L//Y'A/GAIT �ieC)/1 PnoN,r�/ii']
P
Addreh
O
Cry
sirne wA a cone 85
srce Atldresa .
�
%SLAC'
F
P
R
Assessofs PafCBI No,
s-� eifi./acres) 1�-
p
RP
subdWblon [_�
n
A
Cot
Black
I
Y
OR SMR FM No.
Block
xbnng Structures. M any:
Name
Coni
Phone ( 1Q
A
AGdress 100, Airx
Crcy
state Zlp catle
Ucer6e No.
� / rt
Exp.
VBim &u. Lic. No.
D IcrlpMonof Work
Tool
OFFICIAL USE ONLY
PermMType
Resdimni Sign
Canmercial 011ier_
Bltoreilne'rPMnit Y N
Sepa Exempt Y N
FloorPbn Y N
Sets of Prints
PlumbngP rrnMp
Mechonbal Permflp
Plan Check By ImlIlls ll
Sq. R. per fbac(1 st) (2nd)
Sewer Septic Approval No.
City Water Rivals, Well Rtvam System
Heat, Eleatic Gas 011ier
IIFM
11AIM RFEE
FEE
Bu gValue
O
Misr"i
WA. ST.
- (4,W -Naw Const.oniy)
xs0
TOTM FEE
Front
Skis, Skim Reor
APplicanY9 Affli
I cei that I have read and examined this Information dontaNed WI1nin tris, appladi and know 1M same to be true
OW axreat I OW ceRtly trat fie proposs,d whi b In conformity Mitn all applicable CIN of Yom regulaflons Incbding
inose governing zodng all and subcIviii all In addition, all coversanm easements and restricXons of record, is
applying as a Contractq[ I NM.rcerMty that I am a curmnfly registered contract bins, State W Washirgbn.
Pv --
Firm.
RIM."WIMAIUMIM�y
Owner L&IForcn
Assessor Floor Ran and Perms
buarteMv Report
NEW DEVELOPMENT/NEW CONSTRUCTION CHECKLIST
•SITE ADDRESS: 1553, IDi l`, "F DF Lyr
TYPE
PERMTT 0
FEE
RECEIPT #
COMMENTS
SEWER PERMIT
125.00
/
SEWER LATECOMERS
SEWER/SEPTIC'
1,000.00
SITE PLAN
ACCESS & DRAINAGE
WATER SUPPLY
WATER LATECOMERS
WATER METER'
WATER SERVICE ERU'S
Ity. CC)
CONSUMER DEPOSIT
90.00
STATE/CO APPROVAL
ET CONSTRUCT
PLAN REVIEW
1530 137
BUILDING PERMIT
1 d
I
WA BUILD CODE FEE
SO
M&.
MECHANICAL PERMIT
PLUMBING PERMIT
1,1144 -Sb
N79/
GRADING PERMIT
SIDEWALKS/CURBS
LANDSCAPING
YELM BUSINESS LICENSE#
R
TFC-TFLALNFACnXrY SCHARGE ON
57, JZ)
U31
aw g7-�(-9q7. a7 = �PY5.gc
WDUE AND PAYABLE PRIOR TO FINAL INSPECTION BY
THE YELM BUILDING DEPARTMENT
C WMCEVOCU�SKW W D
CITY OF YELM
BUILDING DEPT.
Phone: (360)458-8407
•
Building Permlt
t
6109
Dane
(Work must be stoped within 120 days)
Rcsot198731
wN
Namezipe-LMALAtr
(
Phane
) D
R
Address
CRY Vam
State
WA
Do Code
Stie Address
IZ4d
P
x(
!
Assassoh Pastel No.
DU
Loi Ehe(sa.
«res)
o
E
Su"man jL4
i%
Loi
Block
T
y
Mshavt Plat No.
Bleak
Exhlhg Shunclues Many:
Name yF
M
Contocf
Phone
— D
Address
/
Cin
Sake
Dp cade
f[A
k
uC No.
Ex,
ve m an. uc. No. 000
. / u
^/
OffI I ONLY
PermR Type: ��//
Resldent1oI__> Sign_
Sa. Ft. per docc(1$0
(2Td)
_
ComTercol Other_
Shoreline Permlt y N
Sepa Exempt Y N
Floor Pion Y N
Sats otPMh
Sewer Septic Approval No.
City 4lT Prlw Well Mote System
Heat: Electric Got Other
am
III FOR FEE
FEE
BWayg Value
t)
�D Q
Purring Permx F_
Mechanical Permxs,_�3._
Oth.
WA9.11I
(4,W -Now Conic OrI
SQq
.
l L
Plan Cheak By n'IFIL
TOT&FEE
D ��(./
C Os..,.,,, !
=' ii
Owner L & I Farm
Assessor Floor Ran and Permx
AppkannSAKdovit:
1 cesnfy that I hays reatl and oxcminecl n II Information contained wtihin the opplkotton and know the some to be hue Sunmlttad J J
antl correct. I ala certify that the propped sxuciWe Is In conformity with all applicable City of yelm regulahions aciuding
Mose governing zoning and and subdf eon, and In addlXon, all Covenantsr easements and restrictions of record II
appying m a controctoc I Mhher certify That 1—an, a currenny re Iitenfd contract In the State of Washlrgfon.
Quarterly Repom
Firm
NEW DEVELOPMENT/NEW CONSTRUCTION CHECKLIST
• ADDRESS: 15S-3 / /n/ -o aa,-, .f, -C I z5,-,
r
L
TYPE
PERMIT N
FEE
RECEIPT N
COMMENTS
SEWER PERMIT
125.00
7
SEWER LATECOMERS
SEWER/SEPTIC'
1,000.00
SITE PLAN
ACCESS & DRAINAGE
WATER SUPPLY
WATER LATECOMERS
WATER METER'
:•
WATER SERVICE ERU•S
./
1rw.
CONSUMER DEPOSIT
90.00
EICO APPROVAL
CA'
STREET CONSTRUCT
PLAN REVIEW
8B
BUILDING PERMIT
73
WA BUILD CODE FEE
o
MECHANICAL PERMIT
3
PLUMBING PERMIT
GRADING PERMIT
SIDEWALKS/CURBS
LANDSCAPING
YELM BUSINESSLICENSEN
q
TFC -TRANSPORTATION
FACILITY CHARGE
D?f-tk IgACr-
WFDUE AND PAYABLE PRIOR TO FINAL INSPECTION BY
THE YELM BUILDING DEPARTMENT
cwmc�uwK snwa
CIN OF YELM
BUILDING DEPT.
Phone: (360) 458-8407
Building/Permit n D 6104
Date
(Work must W started within 120 days)
kJJ
O
WName
Fhone(
N
R
/�
Addess P CXy GL $tote
Lp Code i
Srte Address
P
OPuemr's
Parcel No. Q Q Lo15Re (sq. ft /acres)
E
SubbNWon lvlh Loi Block
R
•
CR $fait Pbl No. 8bck
Exist, S tures, If any:
Name Contact Phone (
)
Addrea City V,--ZIA Stare WA
ziecode r
fcA
p
Ilceme No. og-�3,eZ EV, Yekn &E. LiC. No. L O
OBScMibnW Wank OK(p() /
OFIRCIAL LRE ONLY
PermBiype'.
Resicential Sign
Sq. Ftper floor'. (1st) (2,d)
Sewer Septic Approval No.
CommerciI other
Shoreline Permtt Y N
Sega Exempt Y N
fkor plan Y N
Sets of Prints
CIN Water Private Well Private System
Neat Electric Gas Oilier
IEEM
BASIS FOR FEE
RE
Building Vo1ue
O
Plumbng Permtt Y N 1A
Mechrnkd PermM /A
Other
WA. St BC. Fee
(4 W - New Corxst Only)
PIpn CM1eck/Etyj t
iOIALFEE
�O
herd By �t•
Minimum distance of sttve tom property Ilnei
mc
Front to of Race
Fine VRpI_��
Owner L St I Farm
Assessor Floor Fen and Permit
Side Side Rear
Applicants Atiloavlt.
I c.W flat I hove read and examinere di diInformation contorted wlihln the application and know, the some to be }rue
Submtttetl / /
and correct I also certify that the proposed structure 6In conformity with all applicable CIN of yelm regvII Including
those governing Roning and land subdlvislon, and In aaalflon, all covenant, easement and restrictions of record. If
applyvij as a connector, I Whiner certify Met I am a currently regxioretl contract In the State of Wbshlrgton
9uarleM Repads
/ /
iRPC
$0noture Dole/ 3 f Assessor
Firm:
ip
CITY OF YELM
BUILDING DEPT.
Phone: (360)458-8407
Building
Permit ('�
� sit e
. , �. Date .4— 9 — g
(Work must be started within 120 dogs)
-sw R/i _
Nw
Name y/
e
Pnane
) 6WFP �/
R
Address
/�,� I lR,l
Dr/A
v.F
n
C /CC
,E
Sfafe A COde (p
Ste Addeo
pM�'f
(//E
1'
/Dpi y n
P
R
O
Assessor§ Ppc& No.
O
Lof Slze (xl. e./odes)
P
E
R
SWblvBan
Lat 44
sock
T
Y
OR Short Pat W.
Bbck
Edstirg Strutctures If any:
t
Name Gn3111LIVA14Contact
I /C
Acidness1009
e3 i
n'
CRy
A sae OA zp Cade WVOY
�cAS
Ie
Ucense Na.
uy
Exp.
Yelm Bus. W. No. 1016
Cesctiption of work
IA1
�1[L
` /
leGry
OFFICIAL USE ONLY
Pent Tyioe
ReNCenMI Son_
Commemlol Other_
Shoreline Permit Y N
Sep. ExemPf Y N
Floor Plan Y N
Numbing Permtt
Mechanicol Permit R
Ron Check Byz) "r 15 /m
Sq.Ft,per Mor:(1st) (2nd)
Sewer Septic Approvol No.
ctty Water PfNWe Well Prleafe System
NBoi Elects Gas Other
BEM -
EMS Fail FEE
FEE
Fulani
/
00
Cther
WA. ST SIC. Fee
(ASW- New Coort orty)
S
ToTR FEE
Front to of Road
Side Sae Rear
ApplloanYs Affidaytt:
I certXy that I have read and examined the Information contained within the application and know the same to be true
and correct. I also certMy that the propwed structure k In conformity with al applicable City of Yelm feguaMM Including
ttlpe gat emrng zoning pld land Sub'/• NIfaR and In coati all cowni easements andreefirkmons of record. If
applying as a contractor I frMher certify that I am a currently registered contractth
In e State of Wmhingk:,
Signature / Date
Nom:
All,
Issued ByJ, C"C`nNA/eA�S
Owner L & I Form
Assessor Flop Pan and Permit
Quarterly RBPo08
NEW DEVELOPMENT/NEW CONSTRUCTION CHECKLIST
SIT I, ADDRESS: /5 /fj.( V161,
TYPE
PERMIT N
PEE
RECEIPT N
COMMENTS
SEWER PERMIT
125.00
SEWER LATECOMERS
SEWER/SEPTIC'
1,000.00
SITE PLAN
ACCESS & DRAINAGE
WATER SUPPLY
WATER LATECOMERS
WATER METER'
WATER SERVICE ERU'S
CONSUMER DEPOSIT
90.00
STATE/CO APPROVAL
STREET CONSTRUCT
PLAN REVIEW
rn�7-�
I `/� •,)C/
BUDDING PERMIT
���
/(�p•�
WA BUILD CODE FEE
MECHANICAL PERMIT
SJ
s9 a5
PLUMBING PERMIT
GRADING PERMIT
SIDEWALKS/CURBS
LANDSCAPING
YELM BUSINESS LICENSE#
�D/O
TFC -TRANSPORTATION
FACH,ITY CHARGE
IDUE AND PAYABLE PRIOR TO FINAL INSPECTION BY
THE YELM BUILDING DEPARTMENT
c:wmc�NUNr smw a
CIN OF YELM Building Permit
BUILDING DEPT. ' ' '' 1+ _Q_ggl 617
Phone: (360)458-8407 Date I II
• (W(jo'rrkk' xW be started within 120 days)
0 r
W Naw
N
E
V
-R
AOdless
I / AI Stpte
Code
S. Ack ren
DkIVL
P
R
gyeysors Parcel No.
Los Ske (q. e./acreq
p
WbdN on J�
LM &ack
R
T
y
OR SWd Plat Na.
Ell
Exetkq SM1ucMet M cm,
-
Name E —
Catgct E ,L • Z W Phase
/' /
A
Adds"0/ u
on' D/ifi4 Mae,/} mCatle o
H
Uceme No. F z FJ r
Ey. Yelm Fk . l)c. W. 1,916,
Oescflpflon of Wok
l
�L S/D A(C
OFFICIAL M ONLY
F§rmMiype:
Reda" M os Sqn
Sa. Ft. per floor. (Im
(2nd)
Commercbl Other_
Showllne Permit N
Sego Exempt Y %
FloorPbn V N
$eh a Prints
Sewer Septic Approval No.
C11y Wafer Private Well FNM,System
Neat: Elechlc Gas Otter
ITEM
RNIE FOR FEE
FEE
wlcing Wlue
70, WY Aseo
1
•
S�/
one,
PkembingPermIte
AsechvYcd PerMfl J
WA. 9.. K.
(A.50 -New Oorst.dW)
le
Toram
.
Poo Cneck
fek.6Y�9• E on/W
Finds
Min"= deal. of from papertv lines.
Fmt I of Road
!Pae Skle
Rear
OwrnerL&IFdM
Avesor Fbar Pion and Permtt
Applcal A/flcw
I cerWy that I have read and examined Me Intoenatbn confal ed within Me application and know Me same f0 be Ms,
$ bmlltetlj_/
and coeect. I Oleo cerfMy Mal Me pmpose0 sttuctuw Is In conrormity wm as applicable Clry at Yell wgulatiom Including
Mow gow mlra zoning and land subaNbion, and In addtten, all Cavenani5. easements and esMcibm of record. M
opbyIW as a conhactoe I furma certity Mot I am a cunently wglsteed conhact In We State of Washington,
9oanely Repo%
Aueswr�_�
Slpnalslre %
� r Dote
n
S' �) 3
Fkm:
0
SITE
I
L
NEW DEVELOPMENTINEW CONSTRUCTION CHECKLIST
TYPE
PERMIT
FEE
RECEIPT#
COMMENTS
SEWER PERMIT
125.00
SEWER LATECOMERS
SEWER/SEPTIC'
I'MAQ
SITE PLAN
ACCESS & DRAINAGE
WATER SUPPLY
WATER LATECOMERS
WATER METER'
, QQ
WATER SERVICE ERU'S
iL�GY�
CONSUMER DEPOSIT
90.00
STATEICO APPROVAL
STREET CONSTRUCT
PLAN REVIEW•SO
y
BUILDING PERMITOle.
LYS
WA BUILD CODE FEE
ikY6
MECHANICAL PERMIT
5/
PLUMBING PERMIT
GRADING PERMIT
SIDEWALKS/CURBS
LANDSCAPING
YELM BUSINESS LICENSE#
�(iO
TFC -TRANSPORTATION
FACILITY CHARGE
AJDUE AND PAYABLE PRIOR TO FINAL INSPECTION BY
THE YELM BUILDING DEPARTMENT
cwmccnooc srsrrr D
CIN OF YELM
BUILDING DEPT.
Phone: (360) 458-8407
•
Building Permit
a� "2 61 21
Date '"r
(W muss be started wtthl 120 days)
Minimum
Side Sae Rear O,,mt L & I Form
AStenor Floor %on and Permit
Applicants AMdaNt
I certify trxxt l have read and examined I Information contained within the appllcatlon and know Me fame m be hue Submmedl_j
and correct. I OW certify that the propoeetl etrueture B In conformity with W applll City of Yalm reguictlom Including
III governing mnlng and land subdMlGon, and In odditan, all covenants, eaements and ree retam of record. M
applying as 0 conhaCto[Ifurther cerffy Hof I am a currently registered contract In the State of W Ingtcn.
°
-70
W
Name
Fhone
R-
N
R
Address
C
Stale WA
D Cotler
Slle Add.
P
R
Assial Parcel No.
Lot Sue (sq. ft✓acres)
0
P
F
R
Subdl
Lot
Block
Y
OR Short Plat No,
frock
Existiire SmscMes M any:
Name mm
Contact
Phone
Address
City
Stale 1A
by Cotler
k
Ocense No.K-r
Exp.
Win Bus Ire No.
Defariptan of Work R
OFFICIAL USE ONLY
PermttType:
Raidentlal Sign
Sic. Ft. per fear. (I stf (?rd)
Sewer
Septic
Approval No.
Commercbl—K— Other_
Shoreline Palmtt Y N
Serpa Exempt Y N
Fkor Pan y N
of Prhts
%umbing Permit k
Mechanical Permit 0
Pan Check BTs &
Cly Water Private Well Rare System
Heat: ElecMc Gas Other
REM
BASIS FOR FEE
FEE
Building `/aloe
'MtWh
Other
WA. Sl BC. Fee
(4.50 -New Caret ONy)
TOTAL FEE
Minimum
Side Sae Rear O,,mt L & I Form
AStenor Floor %on and Permit
Applicants AMdaNt
I certify trxxt l have read and examined I Information contained within the appllcatlon and know Me fame m be hue Submmedl_j
and correct. I OW certify that the propoeetl etrueture B In conformity with W applll City of Yalm reguictlom Including
III governing mnlng and land subdMlGon, and In odditan, all covenants, eaements and ree retam of record. M
applying as 0 conhaCto[Ifurther cerffy Hof I am a currently registered contract In the State of W Ingtcn.
CITY OF YELM Building Permit a 6120
BUILDING DEPT.
Phone: (360) 458-8407 Date
(Work Alit be started within 120! days)
V�
w Name VIRAL _ )Pa, I-WkL'�AIE A-, BAkE-oe Phone( *l5& 3
Flim:
�f d
E
R
Add. crrY — sore
code
Site Address /i --
P
R
Amalsoh Parcel No. Lot Slx.(sq. It/acres)
O
E
(]
SUb w.a 1 / % Lot Bk k
r
Y
MShort Pkat No. Block
Exiting Sksxtures F any:
Nome matt Phan. (
)
Addrea �/ M State
➢p Cotle '�/
,cA
(S
lberee No. Evia. Yelm B. llc. No.
nesctipflon of lrybtk
OFFICIAL USE ONLY
Permit Type:
Sq. Ft. perfloor (1st) (yx!)
Re9denibl� Sip_
CommembL__ OMier
Shoreline Permit y N
Sepa Exempt y N
Floor Pion Y N
Sets of Prints ,,11
V
Sewer Sepik Approval No.
City Water Mcv Well PrNat. Syatem
Neat: Elecidc Gas 011ier
MFM
BASIS FOR FEE
FEE
wsyylg kaiue -
Omer
%umbing Pennitp
Mechanical tt
WA. Sf K. Fee
(4.W -New Corot Only)
iOTAI FEE
Plan CheckCBQ
A
Issued By �+ s Q! f n
Minimum dixonce of structure from propeM IIn.
FInaIInSp:��
Owner L B(Form
Assessor Floor Plan and Permit
Front to of Road
We Side Rear
Applicants AMtlaNI:
I certify ti of I have lead and examined Me Infiannatlon contalrrotl within the application and know Me same to be hue
SubmifterL--_/J
and conect. I also cedilMsituc
y Mot the proposed tum b In conformityith wal applicable City of Yelm repulatiore Including
may, p mkg xonIN and land subdWon, and In ddditlon, oil c manta easements and reamcilons M nxxxd. R
applylrpma conhacta I further tartly, that I am a currently registered contract In Me State of W inglon.
9.ftdy Reports
A95eagor /�
Sipnolure
Dcte
Flim:
�f d
b-1 -0200.0
NEW DEVELOPMENTINEW CONSTRUCTION CHECKLIST �o
•
SITE
TYPE
PERMIT #
FEE
RECEIPT #
COMMENTS
SEWER PERMIT
125.00
SEWER LATECOMERS
SEWER/SEPTIC'
1,000.00
SITE PLAN
ACCESS & DRAINAGE
WATER SUPPLY
WATER LATECOMERS
WATER METER'
WATER SERVICE ERU'S
CONSUMER DEPOSIT
90.00
TATE/CO APPROVAL
STREET CONSTRUCT
PLAN REVIEW
.
BUILDING PERMIT
lO��
, �%
WA BUILD CODE FEE
'E, -i m,4
MECRANICAL PERMIT
PLUMBING PERMIT
,QO
GRADING PERMIT
SIDEWALKS/CURBS
LANDSCAPING
YELM BUSINESS LICENSE#
3 7-57
TFC -TRANSPORTATION
FACILITY CRARGE
^/
)V14
00 SSE Per- h1k -o—
WUE AND PAYABLE PRIOR TO FINAL INSPECTION BY
THE YELM BUILDING DEPARTMENT
C�FRCEIDOCUMWMSNW WD
CIN OF YELM Building Permit
BUILDING DEPT. R I , 6118
31 Phone: (360) 458-8407 Date,3619
• (Work m At be sf rted wlHiln 120 ddja)
n
16
Firm:
& A
AddreSJ60X% v c srore
np coca
srce Address l
oAeessoh
Parcel No. 9 Lot Sire (sq. K./acre,,
R
SubdlWbn Q/ • Lot,
Block
T
y
OR Short Flat No. frock
NhAr19 Structures, E any:
Name )Q
ACdress IN C(JVI
State
bpCode
Ilceree No. Exp. Yelm Bus. Uc. Np.
3 y 40
D mdption of WOh r�Q
OFFICIAL USE ONLY
Permlf Type:
sq. Ft. pertbor (1st) C2nd)
Resldenfiol 519
Commercbl
31,0.11. Permit y N
Sepa Exempt y N
Floor Plan Y N
Sefs of Prl
Plumbn9 Peanit e
Mechonbal Permit #
PlanCheck By
I%.. By
FoolINp:��
Owner L d I Form
Aaessor Noor Ron and Permit
Sewer Septic Approval No.
other -ON Water Private Well Prva system
!leaf: EIectdi Gas Other
mm
BASIS FOR FEE
HE
8UIICIn9VaIW
D
Other
WA. SL K. Fee
KW- New Corot. Only)
TOTAL FEE
Minim= distance Of situCfum from property Imes:
Front to Of Road
Skis Sltl Rear
AppNcaM§ AffldavB:
I certify that I h read and examined the Informatbn contalned Mtnin MTe ooplication and know the same to be true
Submllled J�
and caveat I aW cermy that the proposed structure Is In conformlN wlm all applicable CIN W Yelm re9tiaf ins 11CIUdhl9
't
9mamlrq mrr 9 and land suloctAlan, and In adcltlon all covenants. a mroenh and re fiors of record. If
apptyMQ old contraciw, Nrlher cerMN shot 10m O au oft re9teered contact In the State of Wa ltineton.
9uprterN RBOOrh
skinoNe y
Dale
Firm:
0
SITE
NEW DEVELOPMENTINEW CONSTRUCTION CHECKLIST
TYPE
PERMIT #
FEE
RECEIPT #
COMMENTS
SEWERPERMIT
125.00
SEWER LATECOMERS
SEWER/SEPTIC'
1,000.00
SITE PLAN
ACCESS & DRAINAGE
WATER SUPPLY
WATER LATECOMERS
WATER METER*
�.og
C3
WATER SERVICE ERU'S
CONSUMER DEPOSIT
90.00
S
TATE/CO APPROVAL
TREET CONSTRUCT
PLAN REVIEW
BUILDING PERMIT
1(1(� 9
Lp
WA BUILD CODE FEE
R�9ff)
School
IT F
MECHANICAL PERMIT
1
PLUMBING PERMIT
GRADING PERMIT
SIDEWALKS/CURRS
LANDSCAPING
YELM BUSINESS LICENSE#
/
TFC.TRANSPORTATION�
FACILITY CHARGE
_ O
( fJ S� Ftr--- ti)/4 -0-
AWUE AND PAYABLE PRIOR TO FINAL INSPECTION BY
THE YELM BUILDING DEPARTMENT
C:WFFlC�UMENM spsS .WPD
CIN OFYELM
BUILDING DEPT.
Phone: (360) 458-8407
Building Permit o 6114
Date �?-/f'" 99
(Work must be started within 120 all
Moasc a" yS9- 5
E
Addren
C Stare WA
a Code O�
She Address
P
0
Avessa's Paces NO.
Q Lot9 (sa.fEfa[res)
E
Sr1xY+llon
Lot 1 isaak
R
T
Y
qE SnortPWl No.
Ell
ENstirp shuctue> M any
Name
Contact Fswre
E
(tj
Aaaress
_ Cary I— sore
MP�sc�ode
ucerea No.
Exp, Yell E s. Llo.
Descrptlon of Wark E
OFFIGAL l6E ONLY
Penh type:
Sq.Ft.pertlaar:(10)
(2nd)
R"geni Sign
commercbother_
Shorellne Permit y N
Sopa Exempt y N
Floor Plan y N
Sets of Prinh
PNmdrq Penne s ie�—// 11 /^�
k
Mecnanal Permit erg
sewer Septo Approval No.
city Water Private Well Pr Nae system
Heat. Electric Gas Other
am
BASIS FOR FEE
FEE
sail Wlue
pier
124
WA, s7 E Fee
(4.50 . . Camt Only)
Pbn Clerk By 1 �F�\
TOTAL FEE
O
`!✓1,,..,re'
�•�✓(`i1�
Mnman dMance of shl Form aapedy Ikes:
BY 5
Fppl lreP:_J�
Front to of Road
side Sloe
Rea
Owner LS l Fam
Aaeuorr Floor Pkn and Penh
Applicants AMtlovl�
I cemfy tiwt I have n as and exanlned Te Information
contalned within stiff application and Imaw me acme to be true
SupNlted��
and correct. I ala cerWy tiat the ompossd iml k In conformity w at appimare City of Yarm regukstlons Iroludlrsp
ttwse goyeming inning aro rand subdW o, and in oodmonall cow nta eoaements and resmctbns of recall If
`
applynq as a canhocta[ I fudher cerWy Tat I am
a currently registered contract In the State of Washington.
Q,.1sl Reports
(�
SignaMe {,
Date
ASFeaor�
Firm'.
NEW DEVELOPMENTINEW CONSTRUCTION CHECKLIST
• EADDRESS:I 4 BirKland P4 01E l-lJl
TYPE
PERMIT N
FEF. I
RECEIPT N
COMMENTS
SEWER PERMIT
I35.00�j Q
SEWER LATECOMERS
SEWER/SEPTIC'
1
l
SITE PLAN
ACCESS & DRAINAGE
WATER SUPPLY
WATER LATECOMERS
WATER METER'
. U
WATER SERVICE ERU'S
CONSUMER DEPOSIT
90.00
STATE/CO APPROVAL
STREET CONSTRUCT
PLAN REVIEW
4/.2"32
C
BUILDING PERMIT
��
Y , so
WA BUILD CODE FEE
9• SO
MECHANICAL PERMIT
S�/tl
.DQ
PLUMBING PERMIT
5 I&
l97b
GRADING PERMIT
SIDEWALKS/CURBS
LANDSCAPING
YELM BUSINESS LICENSE#
qgvKc)
TFC -TRANSPORTATION
FACILITY CHARGE
4DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY
THE YELM BUILDING DEPARTMENT
C 4 MC�SMW NPD
CIN OF YELM
BUILDING DEPT.
Phone: (360)458-8407
•
Building Permitr 6116
Date 3 - 13 - 9
(Work must be started within 120 tlays)
+ �C�q 9
P -7 011
R kI.ISr IV.-I-/—I..A
I IM ts17
n.�acres>
BIOCR".
Y 1 OR 4tortPlat No. Block
stare
DesCnbflon of Wdk I N I F r rrti I L s,t✓� 1�l y
OFFICa USE ONLY
Permfl l'ylzs:
RaYdentbl__/x_ sips
Carnmerclal Omer_
Sfwrellne Permit Y N
saga Exempt Y N
Fbor Flan Y N
seisot Rkse
MMI flermflE S11,12
Mechanbal Parrott rr�!',.�'l,
Flm Chec�k 1By( /n�
Issued
Final lnsp: J�
Owner L Is l Form
Atte6ar Fbp Flanara Peiml!
Submlheo� /
Quarterly Reports
assessor 1 1
Sa. Ft. per floor: (10) -- (7M)
Sew Sept) Appro No.
CIIy Warer Private Well RIVWe System
Neat: ElecMc Gas dw
III
MLE Ill
FFE
BLAI Volue
'�
cc)
Omer
wa i. BC. Fee
(4.50 - New Corot. Only)
O
..
IOIAL HE
Minimrxn distance of smx;tue horn properly III
Front to of Road
Side Side Rear
AppYcvnis AMtivWt
1 Cedlly maf 1 nave ieatl and exo't""d me hiormalbn Confahed wM me opplbotbn and baw fhe same to be tnie
and coned. I oeo ceriffy ttwt Ina proposed structure Is In conformity wit, all applbable City of Ye" W daltons Including
those gmemlrg zoning ora land subdNbbn, and In addmon, all covenonts, easements and restrbflons of record. It
applying as o conbacto4 I full certify mot I am a Currently registered contract In me sista of womington.
Sgiwhxe Q Doll 3 - /T 98
NEW DEVELOPMENT/NEW CONSTRUCTION CHECKLIST
• ADDRESS: J 1gD9 RIRI- Vjsm L -WP S. F. LeT 11- 17
TYPE
PERMIT M
FEE
RECEIPT R
COMMENTS
SEWER PERMIT
125.00
2
SEWER LATECOMERS
SEWEIUSEPTIC•
I.000.00
SITE PLAN
ACCESS & DRAINAGE
WATER SUPPLY
WATER LATECOMERS
WATER METER'
2
WATER SERVICE ERU'S
CONSUMER DEPOSIT
90.00
STATE/CO APPROVAL
STREET CONSTRUCT
PLAN REVIEW
I .00
(�
(_
BUILDING PERMIT
WA BUILD CODE FEE
, rj
MECHANICAL PERMIT
,
PLUMBING PERMIT
Q
GRADING PERMIT
SD)EWALKSICURBS
LANDSCAPING
YELM BUSINESS LICENSER
, O
TRC -TRANSPORTATION
FACILITY CHARGE
A&DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY
THE YELM BUILDING DEPARTMENT
C wMCeD0CUKSr MSrsW "D
CIN OF YELM
BUILDING DEPT.
Phone: (360) 458-8407
•
Building Permit '0 6115
Date -3-/ � - 9et .
(Work must be started within 120 days)
NNoma
"�
T
nro^eIX l.0
R
AAdd.CAall,
cif,i�(JA
:rola
IA jade
Ste Atld v
�
ll—
4
P
R
Avouch Parcel NO
let ske (W, ft /.or.)
0
P
F
SUIxtNRICn
Lot
Flock
R
1
OR Short Plot No.
Flock
EdsNrg StrucI l N airy'
Name -
Contact
PtWne( 7
_ AA
Aamev
Ch,
state
?p code
A
Ucane No.
I'
j7
I
Exp.
Vern &s. luo No.
DastroNan of Wak/
(�
OfEICIAL USE ONLY
Petmrciype: YY
Residential �[]� Sign
Commercbl other_
Shoreline Penni y N
Sepo Exempt y N
Floor Plm Y N
of PMR
Pk,meing PetmN♦
klechvJcd PmMflr
Pkn chat^By. �O I��IP�
nn/T
Sa. Fs Per floor (le) (2nd)
$ewer 59ptk Ate! al NO.
• City water PMate well PrNote System
HeatElecirk Gos other
REM
Mf11 Poi Fa
FEE
Bulbng Wlue
I
7& CCsoh
Omer
WA. ST. IiC. Fee
(a.SU-Ne. Corm.Orsy)
r
Toll RE
Front M of Rood
Side Sloe Rear
Appllcclvs Alfldayit
I ceRlfy Mat I Dave read or d examined Me Information contained within the conical and know the some to be true
and correct. I also certify that Me proposed structure Is In conformity with all applicable City of Venn regulations Including
Mote Q."Ing Z hlrlg and land subd,,slon, and In cool oil COV4,lantS easemenR and restrictions of record. If
applying as a coniroctot I further cenny that I am a cunentiy registered contract in the stare Of wa. rngton.
sgnonxe �•.._��j ��i _ oars
Film
Fil Il
Owner L Is I Form
Asse. Floor Plan and Permir
NEW DEVELOPMENT/NEW CONSTRUCTION CHECKLIST
0
SITE
TYPE
PERMIT N
FEE
RECEIPT N
COMMENTS
SEWER PERMIT
125.00su
SEWER LATECOMERS
SEWERISEPTIC•
IA00.00
SITE PLAN
ACCESS & DRAINAGE
WATER SUPPLY
WATER LATECOMERS
WATER METER'
WATER SERVICE ERU'S
1
CONSUMER DEPOSIT
90.00 VI
ATE/CO APPROVAL
STREET CONSTRUCT
PLAN REVIEW
BUILDING PERMIT
WA BUILD CODE FEE
1
MECHANICAL PERMIT
j
11
PLUMBING PERMIT
1
GRADING PERMIT
SIDEWALKSICURBS
LANDSCAPING
YELM BUSINESS LICENSER
TFC -TRANSPORTATION
FACILITY CHARGE
0DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY
THE YELM BUILDING DEPARTMENT
CITY OF YELM
BUILDING DEPT.
Phone: (360) 458-8407
•
Building Permit
r/h3 6113
Date -3 —, Y-9 7s
(Work must oe started within 120 days)
/ l r\ays))
e R l
o
Dw
Name
Plane
_
N
AA
R
Address
C
State 0A
D code
Site AddrN
P
R
AssesroA Patel No.
Loi Size (sq. e./aaei)
0
VIZ
VIEW
E
Subdivdon J
lot
&ack
Y
OR Sfnorl Plol fJo.
Block
E#slka St,=Ves it array:
Name
Contact
Plane(
)
Address
City
state
zip code
urerva No.
3 r
Esp.
Velm Bse. Lk:. No.
of Vlak'NiXIE
OFFICIAL USE ONLY
Permit Type,'.
sq. n. perfkar'. (len
(yu))
Resldenflol Sign
Commerclal Omer_
Sborellne Pennlf Y N
Seals Exempt y N
Fioor Plan y N
Soft of PrIft
Bawer Septic Approval No.
Clty Voter Prlvale Well
Heat: ElecMc Gm Otha'
gFE/
1AIXFDRFEE
HE
Bulklhg Wlue
r
PlumbinpPermXis rs
Olha
MechanWd "llarl2-
tot 57 ec. Fore
(4S0 -New Court. ow y
FaFu FVPknChlstkerD.rPIn,10
7
N T
Mi"MM pisgrnoe of strwtsre horn properly Pres:
Fant ta or �/ Road
Side Wks Rear
Appk:grh Affldavlt
I c.W tial I lata read arta exarnlred Mse Inbrmalcn contained w In tine pppl.a and Waw Ms, Sarre ta be tlVe
,mc correct. I also coney Mat the psopa shu fts Is M ewfatmlly wfh oil appl :c bks City of YBM regulator- hcknbng
Mase govemirg zonirg a" k subdl b . and st oddtlbn, all covenants. Basemenis and reshktlore of fls d . M
appmro as o contactor. I Writer c.Mly Mat I amp cs®nty yflo stared contract In me Stale of WO1Mngtan.
signals- �� rate 3- / 1- 98
Fkm.
Owrar L & I Farm
Assessor Floor Plan and Perm#
Gumterly, Repots
NEW DEVELOPMENTINEW CONSTRUCTION CHECKLIST
TYPE
PERMIT
FEE
RECEIPT#
COMMENTS
SEWERPERMIT
SEWER LATECOMERS
SEWER/SEPTIC'
1,000.00°�
11
SITE PLAN
ACCESS & DRAINAGE
WATER SUPPLY
WATER LATECOMERS
WATER METER*•CL7
WATER SERVICE ERU'S
CONSUMER DEPOSIT
90.00
11
STATE/CO APPROVAL
STREET CONSTRUCT
PLAN REVIEW
BUILDING PERMIT
WA BUILD CODE FEE
• SD
1 1
MECHANICAL PERMIT
3
51. SD
1
PLUMBINGPERMIT
ILI.S
1`
GRADING PERMIT
SIDEWALKS/CURBS
LANDSCAPING
YELM BUSINESS LICENSE#
TFC -TRANSPORTATION
FACILITY CHARGE
'DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY
• THE YELM BUILDING DEPARTMENT
C'�MC�UMEM SnS WPD
•
CITY OF YELM
BUILDING DEPT.
Phone: (360) 458-8407
Building Permit St 17
Date 1-1.3
(Work must be started within 120 days)
\A I Ll �- %t C C '1"',. I � . - M7/)
E
R
Atltlress I
store
Cotle
Site Add.. I
II',Y
r1(
I O
P
a
Aasesarh Parcel No,
lot 5 (sq. ft./acres)
P
E
R
subtlivBbn
lni
Elock
y
OR Shit Flat No.
Block
E*Nv Slruchxes M any:
7RiN
Nome
Contact
PhOnB (
)
Atldress
City
Stats,
IIP Code
ucense No.
EwP
W0,, Bus. uc. No.
OeariptiOn Of W
`
OFFICIAL USE ONLY
PermMTyp :
ReSdenBpl� Sign_
Cornrn.m l-- Me
SI`Arellne Permit Y
Seloo Exempt y
Fkar Plan Y
Sets of Prints
Plumbing p
Mechank l Permit 0 5S3R
Phn CheckMIPLI
n -,
_
W
N
N
Sq. Ft. per floor: (19) (2nd)
Sewer Septic Approval No.
• City Water Private We11 Pdyate System
Heat: ElecMc Gas Other
am
BASIS FOR FEE
FEE
Wllding Value
I1c)
-773775
Other
WA. St BC. Fee
(4,W - New Const.OnM
TOTAL FEE
G/
M
AOpicantk AfflCavM
I cerflry Mat I hove read and examined the Information Contained WMIn the applk n and know the same to be flue
antl ocrrect. I aha certify Mat the ProPosso sM1ucture s In ConfOnmlty w all OPPICOble City of Yem regulalbra Inducing
Mose goveming zoning and and WWNWOM and In atltllibn, all covenants easements and resMctbns of scan. B
applying as a contract.[ 1 further Cem1y that I am a currently registeretl contract In the Store of Washington.
Issued BY
Owner L & I Form
Assessor poor Flan and Pecnif
Quarterly Reports
Signature 3- / 3 98 Maessol
FkM: TRPC
NEW DEVELOPMENT/NEW CONSTRUCTION CHECKLIST
•
SITE
TYPE
PERMIT N
FEE
RECEIPT N
COMMENTS
SEWER PERMIT
125.00
SEWER LATECOMERS
SEWERISEPTIC•
1,000.00
SITE PLAN
ACCESS & DRAINAGE
WATER SUPPLY
WATER LATECOMERS
WATER METER'
,�
WATER SERVICE ERU•S
�.
11
CONSUMER DEPOSIT
90.00
11
STATE/CO APPROVAL
STREET CONSTRUCT
PLAN REVIEW
BUILDING PERMIT
U
l
WA BUILD CODE FEE
b
1
MECHANICAL PERMIT.�
1
PLUMBING PERMIT
1 1
GRADING PERMIT
SIDEWALKSICURRS
LANDSCAPING
YELM BUSINESS LICENSEN
TFC -TRANSPORTATION
FACILITY CHARGE
DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY
THE YELM BUILDING DEPARTMENT
C \OMCEDDC�SPSW "D
CITY OF YELM
BUILDING DEPT.
Phone: (360)458-8407
•
Building Permit�j� 8111
Date � - / 3 - 9 a
(Work nsurt be started within 120 days)
Phnre
N
Pone /'%�
R
Mdtee / •' Q StaleAIA
zipcode
Site Aatllea /
P
0
A9essars iNa. Lat SFB(Fa, ft./dares)
P
E
SubJNplon VI Lot Mock
R
1
Y
OR Short Plat No. Mock
Existing SRrsc "If any.
Name Contact Pnone(
7
Atltlreb City Stare
IW code
bcerve Na. EW, Yekn Mn. bC. No. . D
Desorp7lan«Wok /E �(
OFFICIALLSEoNLY
Permit Tyae: y
Sak. oerfboc(1-0 Ma)
Resldenibl /\ Sign_
Commercla� Other_
Shoreline Permit Y N
Sepa Exempt V N
Floor Plan Y N
SehofP
Sewer Sepik Approval No,
Cly Wafer private Well PMate System
HeaF. EIec1Rc Gas Other
ITEM
Miq 14M
I
willarro Vkskle
JQ
S��Dy
Oexsr
/
PlumbingP ffit �'�
Mecnonkai Penne 6-52
M. ST. BC. Fee
(4.5) -New Const. Only)
_
TOTAL FEE
—Check -Wb. n
esuetl By I
Final
Owner L&IFarm
Avessor Floor Plan and Permit
NNrrYnUn dbbae OtshaaRle hon property Yses'
Front fo of Rodd
Sark Sitle Rear
_
App4cant4 Affldavif
I creCly trot I have read and exom.ned me IMormollon contained within fine application and know Me some to be hue
Submitted / /
and correct, I OM certify, martins proposed ahucture Is In Conformity wflh all applicable City «Yekn reQuotlar a nc.W Ing
thoke governing tuning and lana subGly.son, and n addition , all covenants, easements and restrictions of record.—It
copMng as a aanlNCtM I fartneraerny Ra> I am a carentyreg4tsev s contractIn the5tate of Wotnlrgfon
Quarterly Reports
Q 3' 7 S 9 B
Sgratu® Cate
AssesarJ /
TRPC r /
km:
i
;
NEW DEVELOPMENT/NEW CONSTRUCTION CHECKLIST
• E ADDRESS: 1A0,7 / / 0 -It ✓ 1
TYPE
PERMITO
FEE
RECEIPT
COMMENTS
SEWER PERMIT
125.00
SEWER LATECOMERS
SEWER/SEPTIC'
1,000.00
SITE PLAN
ACCESS & DRAINAGE
WATER SUPPLY
WATER LATECOMERS
WATER METER`
WATER SERVICE ERU'S
'TLt�•CL7
��
CONSUMERDEPOSIT
90.00 ✓
N
STATE/CO APPROVAL
STREET CONSTRUCT
PLAN REVIEW
BUILDING PERMIT
WA BUILD CODE FEE
MECHANICAL PERMIT
PLUMBING PERMIT
O
Q
I I
GRADING PERMIT
SIDEWALKS/CURBS
LANDSCAPING
YELM BUSINESS LICENSE#
TFC -TRANSPORTATION
FACILITY CHARGE
•'DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY
THE YELM BUILDING DEPARTMENT
C.�MCEnDOCUhffiNNNSPSW WPD
CIN OFYELM
BUILDING DEPT.
Phone: (360) 458-8407
Building Permit Qf
Date CJI L?igg,
(Wok roust Ee started within 120 days)
LL ~
o
w
flame
�Y}
Phone tX )
N
Address
/
-w
n
fi
cIN
state
Zp Cade
SR.Add.
v
0
/
Avesofs Parcel No. (O
Lot sRe (sq. ft l—)
P
F
SubdNwon
Lot
Black
R
Y
OR ShoR Plat No.
Block
EA MV st-kIl a F arsy:
Name /-L775
Cantoct
F14
(IQ li/st
Addres
CMy
state
Lp cads C
ucerm Ffla 14
EW.
MRIm Bln. Lk. No.
Y
aa:crofan all C
OFFKYAL USE ONLY
Pot»TypB:
Residenfial sign
Commemlal Other_
Shoreline Permit Y N
Sepa E.mpt Y N
Fkar Plan Y N
Sehol MIA IA
mmtuv Fwmw# M
PermH1A
Pim awct ey�
so. Ft. perfioon(ISO (2nd)
Sewer Septic Approval No,
CIN Water Private Well Private System
Heat El a Gas 0",
ITEM
BASIS FOR FEE
FEE
Bulldhp Wlue
D D
other
WA. St. K. Fee
(4.W New Comt. Only)sz.)Mechardcal
Toru RE
s Q
Side sae Pear I
Owner L
AppilcoldY Affidon f. Assesp! Fksor poo and Pertntt
I cesBly Hot I hays read and esammed the Informalan contahed within the appik-atbn and know to same to b hue Supmryted_J I
Ora carted. I also cedXy that the proposed 1m."l, Is In confarmlN w all applicable (:t/ of yelm replio%ans lncWIng
Ill poyeming wnlW and land subdlv6bn, and In addition, all covenants, easements and renMcfions of record, If
applyiMas a conhacttx. I furter certify fnat I am a curmnlly registered contract In to State of YAmhlrpton.
9uanerly RBOaltn
Fkm:
CIN OF YELM
BUILDING DEPT.
Phone: (360)458-8407
4 Building Permit F,' ' 7
Date
(Work st be started within 120 days)
2524
w
Name C7
p
L
Pha e c S— 3�
E
Add.
V67ZMA
city YELM
Stale WA Z Cade 9
Site Md.
D
n
LA
o
Ave %Porcel No.
q
OD /
Lot Slee(sq. it locres)
P
E
SubdMsan
Lot
Elock
F
y
OR Start Plat No,
Mock
E&Iing Structures. ifany:
Name V
/ U
ta�yct/
Mom C3/(� at O v
Addles
%�
' / nn
'y Lv
/' 1
WVn/
City
UI
State l�t..Jn DoGo. Ll
ucerse No.
G S
jr Exp,
Yelm Sus. Uc. IN �� /T LZe
Dayckpton W Wpb
A
/'
K
/Cn
rC—
`
_
OFFICIAL USE ONLY
Permltiype:
ReiJaRmial Sign_
Oomme'adi Other_
Shoreline Pe"It Y N
Seipp Exempt Y N
Floor Pan Y N
Sets of I'Mms.
yI,
Plumbing P.,MMN rr/��'
Mechanical Permit i„J ��?7
Pan Check By
• / D� 1,Q AIL
Sq. Ft, per floor: (I st) (2nd)
Sewer Septic Approval No.
Gly Water Private R Wall cte System
Heat, ElecMc Gas Other
am
EIMIS FOR FEE
FEE
Mining Wile
Other
WA. ST. BC. Fee
(450- New Const. Only)
TOTAL FEE
Minimum
Owner L & I Form
i AS
Anessor Floor Pbn and Permlt
Apoiiconys AMdi
I cetfy Mat I have lead and examined the Informant combined Wfinl the application and know the same to be hue SubmXted--__/�
and correct. I also certify mot mse proposed structure is In confamRy with as appllwGe City of Yelm reguaMons hcludhg
those governing saning and and subdNblon. and In addlBon, all covenamh easements also reslacians of record. If
applying as a commotoe I ittser catty Mot I am a currently registered contact in the State of WaMingan,
g artelry Reoorh
FHm:
NEW DEVELOPMENT/NEW CONSTRUCTION CHECKLIST
SITEADDRESS: San Al • P0. IC O°y UL 81�'7. OA14
TYPE
PERMIT D
FEE
RECEINT M
COMMENTS
SEWER PERMIT
125.00 y
SEWER LATECOMERS
SEWERISEPTIC•
IA00.00
SITE PLAN
ACCESS & DRAINAGE
WATER SUPPLY
WATER LATECOMERS
WATER METER'
WATER SERVICE ERU'S
CONSUMER DEPOSIT
90.00
"'TATE/CO APPROVAL
STREET CONSTRUCT
PLAN REVIEW
. SO5-
BUILDING PERMIT
WA BUILD CODE FEE
• SO
MECHANICAL PERMIT
a , on
PLUMBING PERMIT
r
GRADING PERMIT
SIDEWALKS/CURBS
LANDSCAPING
YELM BUSINESS LICENSED
TFC -TRANSPORTATION
FACILITY CHARGE
*UE AND PAYABLE PRIOR TO FINAL INSPECTION BY
THE VELM BUILDING DEPARTMENT
C\OFFICE\ UMPNTRJSPSHT WPD
•
CIN OF YELM
BuIIdIloPermiT
%'� SiOe
BUILDING DEPT.
Phone: (360)458-6407
Date
(Work Itbe Afed
wBhh 120 days)
7A
—/JaT
Name ;�&IC)V
Pho a
R
C A C
Ada. V
C LZ- Shite /(
caae %
Site Acid.
r'
P
R
AveswrT Porcel No.
Lot Ske (sq. B./acre0
O
P
/Q
E
P
SubdNWon [{ !
/2 Lof Block
y
OR Short Plot No.
Block
EWMp ShucMes B any:
Name r
Contxt ryry I (' Phoma(
'
AdcFen
City Store
lip Code
ihCA
k
ucerue No.
Esp.
oexrotloncf ✓
OFFICIAL IBE ONLY
PermitType.
ReskfeMlo Sgn
Commercid Other_
Shoreline Permlt Y N
Septi Exempt y N
Floor Pkn y N
Sets of biPMR
Mmng Per: L
MBCfgJcol PemNti C �L
Sq. Ft. Per Boor: (tst) (lnd)
Sewer Wft Approval No.
City Water PMate Well PMote System
/
Heat, Electic Gos Omer
ITEM
BASIS FOR FEE
FEE
Bulldky Value
77
Omer
WA. Sr. BC. Fee
(4.50. New CoM.ONy)
SD
TOTALFEE
Pbn Check By
Ruled By Ss ctmwnis
Fs,as s r__j2jr—fiVAfP-
MNmum tlFlance of muct horn p rry Is.
Rant W
af Road
OwnerL& Form
Floor Plan and FInmit
S4clekfe Sloe Rear
Asseeor
AppkcanYl AMtlO.if
I cw* mat I hove read and examined the Informoiton
contabeci within the appliocsorm and know the same to be hue
Submmea��_
ha
aLonect. 1 also ceaBy that the proposes shut".
a In conformity with all applicable City of Yelm W WaXans incladhg
inose governing zoning and land suac"bn, and m addition, all covenaa%. easemenR and re0rictme of rocom. If
oppiylna as a contactoc I fanner LerBfy that I am a caienly regishi ea contract In the State W Washington.
9uaneriv Repons
AssessorI l
TRPC__J /
SlgnaNe - pots ° -
Fkm:
44
0 0
NEW DEVELOPMENT/NEW CONSTRUCTION CHECKLIST
SITE ADDRESS: Dn M-7- PUKE _A N E SL L
LEE
TYPE
PERMIT #
FEE
RECEIPT N
COMMENTS
SEWER PERMIT
125.00
5b
SEWER LATECOMERS
SEWER/SEPTIC'
L,000.00
SITE PLAN
ACCESS & DRAINAGE
WATER SUPPLY
WATER LATECOMERS
WATER METER`
WATER SERVICE ERU'S
/w
CONSUMER DEPOSIT
90.00
TATE/CO APPROVAL
STREET CONSTRUCT
PLAN REVIEW
139-63
BUILDING PERMIT
(Q ip
55-io.
WA BUILD CODE FEE
,Sp
b
MECHANICAL PERMIT
PLUMBING PERMIT
GRADING PERMIT
SIDEWALKS/CURBS
LANDSCAPING
YELM BUSINESS LICENSE#
TFC -TRANSPORTATION
FACILITY CHARGE
.I
7�
CP610 -09655 I �W, 3 2
*UE AND PAYABLE PRIOR TO FINAL INSPECTION BY
THE YELM BUILDING DEPARTMENT
CIN OF YELM BullAermit ftp g 05
BUILDING DEPT.
Phone: (360) 458-8407 1 Date
• (Work st be storl6d wlt6 120 days)
600f4 m 9, i
I0
0
r
G
S
w
Name
.L Fnanec
N
P
^
Addrea 1
CRy Slate
bpcode
Site Addn I
v
R
AaeAofs Parcel No.
LM Strs(so. M./aaB4)
O
P
E
Subtllvblan
Lot Flock
R
1
y
OR Nrort PM No.
Flack
Ed ng SM1uchxex 0 any:
Name AF5
Contact Phone(
)
`A
Address
city State
by code
R
bCene Na. ,4 i D6 -)(o
EV. yelm &a. Ilo,
Descrotlan rn Wak
OFFICIAL USE ONLY
Permit Type:
Resdentiol /
Sa. Ft per fba', (10)
(2nd)
Sign
Commercial Omer_
Shoreline Permit y N
Sega Exempt v N
Floor Fbt y N
Se" of PMh '/'
PlumuNPerMtJ H7
Sewer Septic Approval No.
city Water Ptivate Well Prlvata System
Ii Heat Ele,trlc Gos Ohrer
REM
EASE FOR RE
FEE
BUllang volue
Omer
Mechankd PxrMll�
WA, 5I BC. Fee
(rt_W New COW Only)
IOFAL FEE
Pkm CtledCBy
/��.L tI
Issued
Minim= dldance of 5 cfure frau aooeft lines.
Final lW:------_J
Owner L&IFam
Assessor Floor Flan and Pelmlt
Front to of Road
Side Side Rea
AppllconVf AMdavlt..
1 certify that I hove read and examined Me Information
contained wlm1n the applicallan and know me some M be hue
Submmed�
and co.n. I also certify that me proposed shuCtum Is In aonfamlty wm all applloobl. City of yelm regal lops Ncludng
mcfe governing gming and land efiOn"lon, and In addlflon, all covenants, eossments and resmcton; of record. If
apdNng OS a connactoc Mlmer cerMv that I am a currently registered connect In me Stare of Womington.
_
OUMedy Revorls
Assessa�_J_
Sprwhlre -
r Date - �'
I0
0 0
NEW DEVELOPMENTINEW CONSTRUCTION CHECKLIST
• /p/� /fir /
SITE ADDRESS: 21e- / q 2_ r lg" �o r _
o Ll
TYPE
PERMIT #
FEE
RECEIPT #
COMMENTS
SEWER PERMIT
I23.00
SEWER LATECOMERS
SEWER/SEPTIC'
LAW.00
SITE PLAN
ACCESS & DRAINAGE
WATER SUPPLY
WATER LATECOMERS
WATER METER'
WATER SERVICE ERU'S
'r60 _ p()
CONSUMER DEPOSIT
90.00
TATEICO APPROVAL
STREET CONSTRUCT
PLAN REVIEW
/ �.
BUILDING PERMIT
Qsm.
4105
2
WA BUILD CODE FEE
415-0
ReS
MECHANICAL PERMIT
5-5-5
SI SO
c
PLUMBING PERMIT
GRADING PERMIT
SEDEWALKSICURBS
LANDSCAPING
YELM BUSINESS LICENSE#
TFC -TRANSPORTATION
FACH,ITY CHARGE
*UE AND PAYABLE PRIOR TO FINAL INSPECTION BY
THE YELM BUILDING DEPARTMENT
CNO"ICEOWUMENm SPSW.WPD
CITY OF YELM
BUILDING DEPT.
Phone: (360) 458-8407
Building Permit N) s 03
Date Mct u h GJ,
(Work m $t be starteb within 120 days)
6(k+# M51
W
Nome Hhl
A I
Pnone(3 — a7
R
Address
ox 10a ir
c
stare
Mp code
I
T I E..
�-
srce Aaw9m
Aaesn's Pacel No.
D
laf She (sq. M./ocres)
P
a
SW vrl
tot
Bock
y
aR Short Pbt No.
Block
EA,," shacMea it any:
Nuns
Nli• Contac,
', 11
Nok1CrAlNWWAA—
A
PF10rBg111541A,6
•
Gly F
$1019
Zp Code
acerae ia.
JJ�� / G
/r/
%
Eli.
Vern &e. 0C. W.
Oetoatlanclf h A1,5W
OFFICIAL lISE ONLY
PermM type
Sq. Ft.Oerikac (Isp
(2nd)
ResktenllalSign
commercl01_ Other_
Shoreline Permit Y N
Sepa Exempt Y N
Floor Pan Y N
Seh of Prin
Plumbing Permit 9
MxMnkal Pofrm�Rer _
Plan Check By
Sewer Septic Approval No.
CIN WWer Private Wall Preate System
Heat Electric Gas Other
am
11MIMFORfEE
HE
Main, Maim
Other
WA 9.. W. Fee
(4.50 -New Cant. ONV)
TOTAI fEE
n
r
Sitle $We Rear
Assessor Floor Plan aro Permit
AppiCanYSAtficmAf.
I cemN that l have reatl antl examined hw Informatkn sonar wl In i applicaiim aro Imow the same to D fnse Submirt d�^J
aW sorest. 1 also cemry ihot hne proposetl ShucMe b In contormlN wkh aG applicable C1N of Yelm regu"Itt InclWkg
ihne Weming zoning and land suWlWlm. and In addl all Covenants, easemenh and refacllons of record. M
oPOlyinq as a Contractor, I full certify tlwt I am a cunently wgRrered contact In tre Stora of WaShlnpton.
9 Cady Reaprh
Signature
Firm:
NEW DEVELOPMENT/NEW CONSTRUCTION CHECKLIST
• M /1 IX
n.I/ y
SITE ADDRESS: 811 I �1 AIRF- LANG q.6 %BTS 3
TYPE
PERMIT #
FEE
RECEIPT #
COMMENTS
SEWER PERMIT
125.00
SEWER LATECOMERS
SEWER/SEPTIC'
1,000.00
SITE PLAN
ACCESS & DRAINAGE
WATER SUPPLY
WATER LATECOMERS
WATER METER'
5
WATER SERVICE ERU'S
CONSUMER DEPOSIT
90.00
'TATE/CO APPROVAL
STREET CONSTRUCT
PLAN REVIEW
BUH.DING PERMIT
3 1. 50
WA BUILD CODE FEE
MECHANICAL PERMIT
PLUMBING PERMIT
GRADING PERMIT
SIDEWALRS/CURES
LANDSCAPING
YELM BUSINESS LICENSE#
qqrbAir
TFC -TRANSPORTATION
FACILITY CHARGE
OP24
*UE AND PAYABLE PRIOR TO FINAL INSPECTION BY
THE YELM BUILDING DEPARTMENT
C:�ITICEIpDCUMEM\PISNW V D
CIN OFYELM
BUILDING DEPT.
Phone: (360) 458-8407
•
Building Permit
9M2
Date ,�
Ns/ "'I beetcne WHhinl days)
°
W
Name
- /?),-.
j.
—
Phone 3
E
Aaa. $O
()b
cry V61,17sore14
a coae
Sire Aaareu
� G
L
P
o
Ass %Frarcel No.
lot5tre (sq. H./attest
P
F
Euballobn
Loi
Mock
R
�
OR StgH Rot No.
Bbek
E4ftV SllucIU66 R my:
Nwne
filrse
AA
Atlares
Clly V9/117
Slate 14 Lp Code
uceme No.
E>m.
velm Bu. uc. No. D .
Dascvson of work
OFRCIAL ISE ONLY
PemM Type:
Residenill Sign
Sq, Ft. Per eaor:(10) Rr4
Sewer
SO^
Approval No,
ther_
commercWl� _0M.—
Shoreline Pwrno V N
Sopa Exempt V N
Floor Pon Y N
Seh of Pdnh
Cry Water Nw Well KH gSystem
Cry-Nil
Heat ElecMc Gas Other
REM
BAEIE FOR FEE
FEE
Milling Valva
/z
r
Plumb P6enHY
MecranWal PermH Y
Plan Check By n�
Other
WA. U. IC. Fee
(4.50- New CoW. Only)
TOTAL FEE
Front b d Rana .mal eep:_J�
Ste Skfa Rear O .LelFotm
A55e5ia! FtOIX Flan Qld Pgr11i
corKy
nt9 AffldaWt
I
certify That Ihave rtf antl examined the Is b wrssosl contained within -11 appilakon aM 145aw Hre some to be M1ue SubmMed_/�
and caned. aln certdy itwr me wopwea structure m In cmfw Ify wiM oil appimde city of Velm regukzdwu Including
fhwe g arnl, zoning attl Mnd su bion, orifi In II coven.nl easamanh and resmcfbns of t.ond. M
oppying as a conha �, h1M1erC Mat aTa ! Rd conn', In the$ate of Washington.
/ D/ 7 9uaHedv R®oorrs
NEW DEVELOPMENTMEW CONSTRUCTION CHECKLIST
0
SITE
TYPE
PERMIT#
FEE
RECEIPT#
COMMENTS
SEWER PERMIT
125.00
SEWER LATECOMERS
SEWER/SEPTIC'
1,000.00
SITE PLAN
ACCESS & DRAINAGE
WATER SUPPLY
WATER LATECOMERS
WATER METER*
WATER SERVICE ERU'S
CONSUMER DEPOSIT
90.00
1TATE/CO APPROVAL
STREET CONSTRUCT
PLAN REVIEW
BUILDING PERMIT
�Q
WA BUILD CODE FEE
MEC9ANICA , PERMIT
PLUMBING PERMIT
GRADING PERMIT
SIDEWALKS/CURRS
LANDSCAPING
YELM BUSINESS LICENSE#
TFC -TRANSPORTATION
FACD..FTY CHARGE
&UE AND PAYABLE PRIOR TO FINAL INSPECTION BY
THE YELM BUILDING DEPARTMENT
C1 McEmocuFfEMW spsS ."D
CIN OF YELM --Building Permit B101
BUILDING DEPT. '�
Phone: (360)458-8407 Date
• MrotRnv-wOe awmrcn)z0d)
A_j
p
w
NamePlsora
N
R
addressIQAj�
C
Store
D Code
Stte Address144 Iq
• rsil
r
a
A95esfots Parcel No.
Lot sba (sq. it./aeras)
R
Subdly I
Lot
Block
T
v
ORSIwrf Pict No.
Nock
LsiRXrg sfir rcanY
Name
Contact
Phoria(
)
Address
City
Stare
Zp Code
k
IlCerrsa No.
Esg+'
velm NY. (k. NO.
Descrbtkn rn work
oFFIcwL (uE oNLv
Pam,nrvpe:
Re50eMlal • &9n
sa. F. per Roor: (IN)
(2M)
"Commercial Other_
Shoreline Permif Y N
Sega E.mpt Y N
Floor Ptah v N
Sets OI RRns
Sewer Septi[ Approval NO.
City Worer Private Well Private System
Neal: E:. Gas other
am
eASRFORFEE
FEE
NdWkg W
�
W
PYumdrgPamrltlC�J'
N%chpnkal Partntt Imo_
Check BV ll AdMIRIA
_ - I
other
WA ST. &C. Fee
(4.50 - New COM. only)
s
TOTAI FFE
17, -enFfon
lfflnl ndbMlce of Fhaa114e ham properly lines:
Front to of Road
We Usle Rear
Applicant's Affidavit.
I certify that I have read and examined the Information contained within the application and know the same to ba hua
and coned. I also certify tFgt the proposed sfructue b In conformity with all applicable CIN of Yelm repWanons wcludinp
Mose povemirg wining and land sWdhAsbn, and In addition. all covenants, easements and resMctiom of record. ti
applying ae a conhoctor, I further cenity mat I am a currently registered contract In the Stote of Washlnpton.
crate 7-To-
owner L & I Form
Assessor Him Ran v Permit
0 0
NEW DEVELOPMENTINEW CONSTRUCTION CHECKLIST
0
TYPE
PERMIT #
FEE
RECEIPT #
COMMENTS
SEWER PERMIT
125.00
SEWER LATECOMERS
SEWER/SEPTIC'
1,000.00
SITE PLAN
ACCESS & DRAINAGE
WATER SUPPLY
WATER LATECOMERS
WATER METER'
WATER SERVICE ERU'S
CONSUMER DEPOSIT
90.00
3
TATE/CO APPROVAL
STREET CONSTRUCT
PLAN REVIEW
BUILDING PERMIT
(�
3
WA BUILD CODE FEE
MECHANICAL PERMIT
PLUMBING PERMIT
%
,
GRADING PERMIT
SIDEWALKS/CURBS
LANDSCAPING
YELM BUSINESS LICENSE#
TFC -TRANSPORTATION
FACILITY CHARGE
•)UE AND PAYABLE PRIOR TO FINAL INSPECTION BY
THE YELM BUILDING DEPARTMENT
C\OMC�sesW w D
CITY OF YELM
*BUILDING DEPT.
Phone: 458-8407
Building Pgr. it
Date
(Work must be started within 120 days)
P1o�\+ R339
F11
Name
Phone( ) 05A
R
Address
City
St
zip Code
n
Site Address 91
l rl l j )E
Assessor's Parcel No. p Lot Slze(aq.it/ecrea)
r
Subdivision Lot Block
y
OR Short Plat No. Block
Existing Structuur'res,, if any:
Name !�0 f Contact Phone( )
R
A
Address city St. zip Code
License No. i7 RW
�''/
Exp. Yelm Bus. Lic. No. /
Description of Work hall")) ;5amII14 DLjellinq
OFFICIAL USE ONLY
Permit Type:
Residentiaf--��Sign
Commercial— Other
Shoreline Permit Y N
Sepa Exempt Y N
Floor Plan Y N
Sets of Prints
Plumbing Permit 8 '/D
Mechanical Pe mit H
Plan Check By
Issued By'31Pr 1V -V r
Final
Owner L81 Form
Assessor Floor Plan and Permit
Submitted��
Quarterly Reports
Sq. ft. perflooc(1st) (2nd)
Sewer Septic Approval No.
ity Water Private Wall Private System
Meat: Electric Gas Other
ITEM
BASIS FOR FEE
FEE
Building Value
Other
WA. ST. BC. Feet
ew
(4.50—NConst Only)
y
TOTAL FEE
Minimum distance of structure from property lines:
Front to of Road
Side Side Rear
Applicants Affidavit:
I certify that I have read and examined the Information Contained within the application and know the same to be
two and conect. I also certify that the proposed structure is In conformity With all applicable City of Yelm reg-
ulations 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 a currently registered contraMor in the
State of Washington.
Signature Date Date 7-70' 98
Firm:
Aeaeeeor�_J
TRPC J _J
.I
F11
0 0
NEW DEVELOPMENT/NEW CONSTRUCTION CHECKLIST
•
SITE
TYPE
PERMIT#
FEE
RECEIPT
COMMENTS
SEWER PERMIT
125.00
SEWER LATECOMERS
SEWERISEPTIC•
1,000.00
SITE PLAN
ACCESS & DRAINAGE
WATER SUPPLY
WATER LATECOMERS
WATER METER'
W X
WATER SERVICE ERU'S
7[D,
CONSUMER DEPOSIT
90.00
y 2
'TATEICO APPROVAL
STREET CONSTRUCT
PLAN REVIEW
.7
BURRING PERMIT
3.
2
WA BUILD CODE FEE
2
MECHANICAL PERMIT
S
PLUMBING PERMIT
f2
L
GRADING PERMIT
SIDEWALKSICURBS
LANDSCAPING
YELM BUSINESS LICENSE#
TFC -TRANSPORTATION
FACILITY CHARGE
*DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY
THE YELM BUILDING DEPARTMENT
c�OMCFOM timmuuvsw"D
CITY OF YELM
BUILDING DEPT
hone: 458-8407
Building P712C,
{mH
Date L' CA ° 6 99
(Work must be started within 120 days)
c
Name
Tn Phone(
R
AddressCity st. ZIP Code
, r
Site Address ! r
p (] ^
10
Assessor's Parcel No. p a � I r.y_= LM Size (aq.f /acres)
-'
Subdivision ISirt VIEW Lot - I� Block
V
v
OR Short Plat Na. Block
Existing structures, if any:
` sr
Name — MO- AZ A&AM Contact Phone( )
T
n
Address City St. Zip Code
Il
License Np.
Exp. Yelm Bus. Lis. No. . 4D
Description of WorkOFFICIAL
USE ONLY
Permit Type:
Sq.1t.perfloor:(1st) (2nd)
Residential Sigrr
CommerciaL— Other
Shoreline Permit Y N
Sepa Exempt Y N
Floor Plan Y N
Sewer Septic Approval No.
City Water Private Well Private System
Heat: Electric Gas Other
ITEM
BASIS FOR FEE
FEE
Building Value
Q
Sets of Prints
Plumbing Permit M s�
Mechanical Permit a.6Aya.[
Other
WA. ST. BC. Fee
(4.5 New Const. Only)
Plan Check BByQy %V�� ,�.m��i'l�
TOTAL FEE
60916D
Minimum distance of structure from property lines:
Issued By w�-�
Final lnsp:---- J ----J
Owner L&I Farm
Front to of Road
Side Side Rear
a Affidavit:
Assaseor Floor Plan and Permit
Ice
I certify t and examined the information
that have
t I within the application and know the same to be
an also re is in c
we and correct. I also cgove that the proposed structure is in conformity with all City of reg-
Submitted��
melnt
covenants,
including those allan
zoning and lend all covenants, easements and
comm and In addition,
restrictions a smear cur
of record. If applying es a contractor. I further certify that I am a currently registered contactor In the
applying
Stof
State of Weshirgfon.
Quarterly Reports
Signature Date 7-20-9$
Firm:
AseeasorJ�
TRPC J J
c
0 0
NEW DEVELOPMENT/NEW CONSTRUCTION CHECKLIST
•ITE ADDRESS: ► 44 a I PI I 1 � �� � P ul ►s��V wo
TYPE
PERMIT #
FEE
RECEIPT #
COMMENTS
SEWER PERMIT
125.00
1
SEWER LATECOMERS
SEWERISEPTIC'
1,000.00
SITE PLAN
ACCESS & DRAINAGE
WATER SUPPLY
WATER LATECOMERS
WATER METER'
WATER SERVICE ERU'S
CONSUMER DEPOSIT
90.00
3I
ATE/CO APPROVAL
STREET CONSTRUCT
PLAN REVIEW
I^
BUILDING PERMIT
W
1
WA HUHA CODE FEE
,5
1
MECHANICAL PERMIT
5
PLUMBING PERMIT
{
GRADING PERMIT
SIDEWALKS/CURBS
LANDSCAPING
YELM BUSINESS LICENSE#
9, Q
TFC -TRANSPORTATION
FACILITY CHARGE
DTUE AND PAYABLE PRIOR TO FINAL INSPECTION BY
HE YELM BUILDING DEPARTMENT
CITY OF YELM
•BUILDING DEPT
Phone: 458.8407
Building P rmit,t,� 95,098
Date L(( )) 7�S
()Wrkmuslr awrchin 120 days)
6
Name/Gf).f.icL,L Q� TAICti
-5
5-W7
nhone(3)
',P
Address 1,,2,0-7 1!Ln Ciry 4 q/I SLA1,4 ZIP Code 7 3%
S. Address / /aC3 P/Q brio Uy S���S•£.
Assessor's Parcel No. D D I D d Lot Size (sq.IVacres)
Subdivision/�(L� lets.) Lot
/e LTJ Lot
Block
Block/�(L�
T
y
OR Short Plat No.
Block
Existing Structures, If any:
Name —8ca ej. Contact
PhAone(Q5-j) jr3(o00�
RAddress
n G Ciry u Il SL
T Zipeode 7
Umnse No. Exp. Yelm
Bus. Lic. No.
Description of Work r" -92M,h4
OFFICIAL USE ONLY
Permit Type:
Residential / Sign_
Commercial_ Other
Shoreline Permit Y N
Sega Exempt Y N
Floor Plan Y N
Sets of Prints
Plumbing Permita� ,(Q
5_4
Mechanical Permit #2
r
Plan Check By �qq ��rd�I A PL
Issued By • lLC7r t ltQ /'C
Finallnsp:_JJ
Owner Lgl Form
Assessor Floor Plan and Permit
Submidea��
Quarterly Reports
Sq. X. per floor: (1 at) (2nd)
Sewer Septic Approval No.
ity Water Private Well Private System
HeaCElecolo Gas Other
ITEM
BASIS FOR FEE
FEE
FF
Building Value
/�
9 .
Other
WA. ST. BC. Fee
(6.50—New C.M. Only)
Z�/• Q
FEE
// 4!�)Q
Minimum distance of structure from property lines:
Front to of Rood
Side Sete Rear
Applicants AHldavh:
I certify that I have read and examined the information contained within the application and know the same to be
true and tenant. 1 also certify that the proposed structure Is in conformity with all applicable City of Yost reg-
ulations including those governing zoning and land subdivision, and in addition, all coyenants, easements and
restrictions of record. If applying as a contractor, I further codify that I am a currently registered contractor In the
Slate of Washington.
Signature"—_e�—':r Data 9g
Firm:
Assessor��
TRPC _J
0 0
NEW DEVELOPMENT/NEW CONSTRUCTION CHECKLIST
I*
SITE
f�
TYPE
PERMIT N
FEE
RECEIPT N
COMMENTS
SEWERPERMIT
125.00
SEWER LATECOMERS
SEWER/SEPTIC'
1,000.00
SITE PLAN
ACCESS & DRAINAGE
WATER SUPPLY
WATER LATECOMERS
WATER METER'
3oo,00
WATER SERVICE ERU'S
706,00
CONSUMER DEPOSIT
90.00
V
POWER
TELEPHONE
STATE/CO APPROVAL
STREET CONSTRUCT
PLAN REVIEW
BUILDING PERMIT
60 91?
(Q/ . S1
-/-no
u z
MECHANICAL PERMIT
0
PLUMBING PERMIT
GRADING PERMIT
SIDEWALKS/CURBS
LANDSCAPING
YELM BUSINESS LICENSE#
319. O
TFC -TRANSPORTATION
FACILITY CHARGE
•`DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY
THE YELM BUILDING DEPARTMENT
CITY OF YELM
WBUILDING DEPT.
hone: 458-8407
Buildingand N° 0 9 7
Date
(Work must be started In 120 days)
d#
N7�
Name
IJ fi
Phone( 4P- 6^
R
Md.
I fj coAA 11at.
VJA
Zip Code 9
RM
Site Address
I V
Ua
a
Assessor's Parcel Ni I Lot Size (sp.Wacros)
Subdivision Q Lot
Block
T
v
OR Short Plat No.
Block
Existing Stpu sees. if my..
NameeContact
Phone( )
A
Address City SL
Zip Code
License No. V FffCU 1T
I ) DT Exp. Yelm Bus. Lic. No. 37 ! r o
Description of Work Ih
OFFICIAL USE ONLY
Permit Type:
Residential Sign
Commercial— _OtherSF_
Shoreline Permit Y N
Sepa Exempt Y N
Floor Pian Y N
Sets of Prints
Plumbing Permit X
Mechanical Permit N
Plan Check B I
Issued By hni
Final lnsp:_/---J
Owner L8l Form
Assessor Floor Plan and Permit
Submitted—J— I
Quarterly Reports
S4. ff. per floor. (lid) (2nd)
Sewer Septic Approval No.
ity Water Private Well PrivateSystem
Heat:Elecldc Gas Other
I ITEM
BASIS FOR FEE
FEE
Building Value
—
—
Other
WA. ST. SC. Fee
(4.50—New Conal. Only)
TOTAL FEE
Minimum distance of structure from property lines:
From to of Road
Side Side Rear
Applicants Affidavit
I certify that I have read and examined the Information contained within the application and know the same to be
true and conect. I also certify that the proposed structure is in comormity, with all applicable City of Yelm reg.
ulations including those governing zoning and land subdivision, and In addition, all covenants, easements and
restrictions of recortl. Ii applying as a contractor, I further certify that I am a currently registered contractor In the
State of Washinglo
pF
Signature Date Z•�� - / c
Firm:
Aeeassor�_J
TRPC
CITY OF YELM
WUILDING DEPT.
hone: 458.8407
Buildintti o s 0
Date
(Work must be rted wit in 120 days)
0,4 /V)1)
IN
Name (21A 111 DE V EL -OP \
Phone
y (�'
Atltlras9 v LCI /0 / City 1. W W Zip Cod. Qi) 3
Site Address b
R
m�L4
Assessor's Parcel No. / / Z) a (.� Lot Size (aq.lVeerea)
0
Subdivision Lot
Block
v
OR Short Plat No.
Block
Existing Structures, if any:
8
4
n , Contact
Name VQu4s Algor
AAddress
p
1� �Ciry P✓ L
4%4Zip Code
License No. QQ N4D7-7Exp. Yell m Bus. Lic. No.
Description of Work OU -17 S i I
OFFICIAL USE ONLY
Permit Type:
Residential_�(( Sign_
Commercials Other_
Shoreline Permit Y N
Saps Exempt Y N
Floor Plan Y N
Sets of Prints
Plumbing PermitN
Mechanical Permit p
Plan Chack By D.�Felm 1I
Issued By S • l:AM nC t
Final lnsp:---/----j
Owner L8l Form
Assessor Floor Plan and Permit
Submitted --- /
Quarterly Reports
Sq. fl. perfl000(ist) (2nd)
Sewer Septic Approval No.
Water Private Well Private System
sy
Hal:Electric Gas Other
ITEM
BASIS FOR FEE
FEE
Building Value
IXi Ll
Other
\\
O(1
WA. ST. BC. Fee
(4.50—New Const. Only)
TOTAL FEE
nn
C/D
Minimum distance of structure from property lines:
From to of Road
Side Side Rear
Applicants 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 teddy that the proposed structure is in conformity with all applicable City of Yelm reg-
ulations including those governing zoning and land subdivision, and In addition, all covenants, easements and
restrictions of recorc. Itpplying as a contractor, I further cartity that I am a currently registered contractor in the
State of Washington.
Signature iL Date �' S
Firm:
Assessor��
TRPC _� J
IN
CITY OF YELM Building Per it �N4/ ,094
BUILDING 45 DEPT. Date �N
Phone: 458.8407 .p ` .{�- Q1�.�G1c(Work must be tanetl w�� In 120 days)
Name David E. Frick
Phone( 253) 566-2735
Address 17.04 PNIOragla Drive City Fircmat St.
WA Zip Code 98466
Site Address 15607 Parkview Drive S.E.
nAssessor's
Parcel No. 8YY1�H11ffi 67290001800 Lot Size (sq.l iscres)
Subdivision Parkview Lot #18
Block
v
OR Shod Plat No.
Block
Existing Structures, If any:
Name E-7 Building Contact Ernest L. Zahn
phone(253 )471-1755
n
1009 South 60th
Address cm St.
964i1ff
Zip Code
EZSU1*+061M5
License No. Exit. Velm Bus. Lk. No.
Description of Work Single Family Residence
OFFICIAL USE ONLY
Permit Type:
Residential X Sign
Commercial_ Other_
Shoreline Permit Y N
Sepa Exempt Y N
Floor Plan V N
Sets of Prints
Plumbing Permit a 5433
Mechanlcal Permits 5545
Plan Check By T;Retersc
Issued By S. C Onners
Final lnap:JJ
Owner L81 Form
Assessor Foo, Plan erM Permit
SubmittedJJ
Quarterly Repons
Sq. ft. Par floor:(tst) (2nd)
Sewer Septic Approval No.
City Water Private Wall Private System
Heat: Electric Dae Other
ITEM
BASIS FOR FEE
FEE
Building value
$ 71,416.74
$ 513.50
Other
WA. ST. BC. Fee
(4.50—New Const. Only)
$ 4.50
TOTAL FEE
$ 518.00
Minimum distance Of structure from property lines:
Front to of Road
Side Side Rear
Applicants Atlidave:
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 cmtily that the proposed structure is in conformity with all applicable City of Yelm reg
ulations including those governing zoning and land subdivision, and In addition, all covenants, easements and
restrictions of record. If applying as a contractor. 1 further certify that I am a currently registered contractor In the
Stat. of Washington.
Signature Onto
Firm:
Asseesor�J
TRPC J
NEW DEVELOPMENT/NEW CONSTRUCTION CHECKLIST
is
SITE ADDRESS: 15607 Parkview Drive S.E. Lot # 18
i
L_
TYPE
PERMITN
FEE
RECEIPT N
COMMENTS
SEWER PERMIT
125.00
SEWER LATECOMERS
SEWER/SEPTIC'
1,000.00
SITE PLAN
ACCESS & DRAINAGE
WATER SUPPLY
WATER LATECOMERS
WATER METER'
300.00
WATER SERVICE ERU'S
700.00
CONSUMER DEPOSIT
90.00
POWER
TELEPHONE
STATE/CO APPROVAL
STREET CONSTRUCT
PLAN REVIEW
64.19
4.50 WA ST. Cade Fee
BUILDING PERMIT
518.00
2 r
MECHANICAL PERMIT
33.50
PLUMBING PERMIT
66.00
GRADING PERMIT
SIDEWALKS/CURBS
LANDSCAPING
YELM BUSINESS LICENSE#
Th D
TFC -TRANSPORTATION
FACILITY CHARGE
*DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY
THE YELM BUILDING DEPARTMENT
C'\OFFICE\DOCIIM MSPSFIT.wPD
CITY OF YELM
BUILDING DEPT
hone: 458-8407
Dateng,P�afmit%-7R6095
Date if 1^L�nl
(Work musl""bddsl__arted within 120 days)
H
Name David E. FriCk
Phone(253 ) 566-2735
R
Address 1104 Panorama Drive City FircreSt SLWA Zip Code 98466
She Address 15617 Parkview Drive S.E. Lot /16
A
Assessor's Parcel No. 67290001600 Lot Size (sq.R/acres)
Subdivision ParkViM Lot 16
Block
T
v
OR Shod Plat No.
Block
Existing Structures, if any:
&
Name E -Z Building Contact Ernst eL. Zahn
Phone(253 )471-1755
T
RAddress
1009 South 60th City Tacoma st.WA Zip Code 98408
Q
Licenae No. EZBUT"0611,15 Exp. Yelm Bus. Lic. No.
Description of Work ssn�OFFICIAL
USE ONLY
Permit Type:
Residential X Sign_
Commercial_ Other_
Shoreline Permit Y N
Sepa Exempt Y N
Floor Plan Y N
Sets of Prints
Plumbing Permit M 5434
Mechanical Permit k 5546
Plan Check By T. PeteraC
Issued By S. 0011111nerB
Final lnsp:----] ---- J
Owner L8l Form
Assessor Floor Plan and Permit
Submitted—�
Sq. ft. per door: (let) (2nd)
Sewer Septic Approval No.
City Weter Private Wall Private System
Heel: Electric Gas Other
ITEM
BASIS FOR FEE
FEE
Building Value
$ 71.416.74
$ 513.50
Other
WA. ST. BC. Fee
(4.5 New Covet. Only)
$ 4.50
TOTAL FEE
$ 518.00
Minimum distance of structure from property lines:
Front to of Road
Side Side Rear
Applicants Affidavit:
I caddy that I have read and examined the information contained within the application and know the same to be
true and codec[. I also cemty that the proposed structure is in conformity with all applicable City of Yelm reg.
ulations 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 a currently registered contractor In the
State of Washington.
Quarterly Reports
o
Signature V �-- Data ZZS
'-G/p
Firm:
Assessor��
TRPC J
LI
NEW DEVELOPMENT/NEW CONSTRUCTION CHECKLIST
15617 Parkview Drive S.E. Lot #16
TYPE
PERMIT #
FEE
RECEIPT #
COMMENTS
SEWER PERMIT
125.00
SEWER LATECOMERS
SEWER/SEPTIC'
1,000.00
SITE PLAN
ACCESS & DRAINAGE
WATER SUPPLY
WATER LATECOMERS
WATER METER*
300.00
WATER SERVICE ERU'S
700.00
CONSUMER DEPOSIT
90.00
POWER
TELEPHONE
STATE/CO APPROVAL
STREET CONSTRUCT
PLAN REVIEW / `7
64.19
4.50 WA ST. Code Fee
HUMMING PERMIT
6095
518.00
�C
MECHANICAL PERMIT
5546
33.50
PLUMBING PERMIT
5434
66.00
GRADING PERMIT
SIDEWALKS/CURBS
LANDSCAPING
YELM BUSINESS LICENSE#
TFC -TRANSPORTATION
FACILITY CHARGE
*DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY
THE YELM BUILDING DEPARTMENT
WPD
CITY OF YELM
WUILDING DEPT.
hone: 458-8407
Building P mit o 9 2
Date n��l/�/y
(Work mygl 0Ps within*'days)'9 /
Name
Phone( )
R
Address
A nO City
(
zip Code
Em
Site Address
Assessor's Parcel IN J Lot Size (s4.f hicres)
Subdivision Lot
Block
v
OR Short Plat No.
Block
Existing Structures, if any:
Name Contact
Phone ( )
Address; City SL
Zip Code
License No. LUM Exp. Yarn
X�111I11
Bus. Lie. No. did
nn
Description of Work M V1
OFFICIAL USE ONLY
Neu)
Permit Type:
Residential_ Sign
Commercial -4— Other_
Shoreline Permit Y N
Belie Exempt Y N
Floor Plan Y N
Sets of Prints
Plumbing Permit A-
Mechanical Permit N��p�-[
Plan Check By ) - s—'
Issued By r n�r
Final Insp:J�'O
Owner L8l Forrn
Assessor Floor Plan and Permit
SubmMedJ---J
Ouaderly Report
S4. fl. perfl000(1st) (2nd)
Sewer Septic Approval No.
ity Water Private Well Private System
Heat Electric Gas Other
ITEM
BASIS FOR FEE
FEE
Building Value
'
Other
WA. ST. BC. Fee
(4.50—New Comet. Only)
TOTAL FEE
Minenum distance of structure from Property U":
Front to of Road
Side Side Rear
Applicants Affidavit:
I cenily 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 reg.
ulations including Mose governing zoning and land subdivislon, and M eddltlon, all covenants, easements and
restrictions of record If applying as a contractor, I further certify that I am a currently registered contractor in the
State of Washington.
Signature Date
Firm:
Ameseor r r
TRPC J
CITY OF YELM
WUILDING DEPT
hone: 458-8407
Buildin er i ° X10 8 8
Date o
(Work must Wiftened within 120 days)
� I?ol
"l
W"'p—
Neme 1 -6,Q,
Phone ) X
b
4 'I
Address City
6t
Zip Code
Site Address 147351
i
l
Assessor's Par o.
/-k
5W Lot Size ati.ftlacrea)
{
Subdivision
Lot
Block
v
OR Short Plat No. '
i
Block
Existing Structures, if any:
Name Contact
Phone ( )
r
FAddress
City St.
Zip Code
License No. Exp. Yelm Bus. W. No.
Description of Work
OFFICIAL USE ONLY
Permit Type:
Residential) Sign_
Commercial_ Other_
Shoreline Permit Y N
Saps Exempt Y N
Floor Plan Y N
Sets of Prints
Plumbing Permit p4.�uC
Mechanical Permit M. T
Plan Check By i
Issuatl By t
Q /
Final lnsp: � "
Owner LEI Form
Assessor Floor Plan and Permit
Submitted J ---J
Quarterly Reports
Sp. h. per floor:(lal) (2nd)
Sewer Septic Approval No.
Ity We orPrivate Well Private System
Hear. Electric Gas Other -
ITEM
BASIS FOR FEE
FEE
Building Value
I
Other
WA. ST. BC. Fee
(4.50—New Conal. Only)
TOTAL FEE
00
Minimum distance of structure from property lines:
Front ro of Road
Side Side Rear
Applicants Affidavit:
I certity that I have read and examined the information contained within the application and know the same to be
true and correct. I also cengy that the proposed structure is In conformity with all applicable City of Yelm reg.
ulations Including those governing zoning and land subdivision. and in addition, all covenants, easements and
restrictions of record. If applying as a contracto . I further canny that I am a currently registered contractor In the
State of Washington.
Signature Data 2'1`%v
Firm: y
Assessor f f
TRPClow
"l
W"'p—
r*�-
NEW DEVELOPMENT/NEW CONSTRUCTION CHECKLIST
SITE ADDRESS: IlP
r
L.
TYPE
PERMIT#
FEE
RECEIPT#
COMMENTS
SEWER PERMIT
125.00
SEWER LATECOMERS
SEWER/SEPTIC'
1,000.00
SITE PLAN
ACCESS & DRAINAGE
WATER SUPPLY
WATER LATECOMERS
WATER METER'
WATER SERVICE ERU'S
CONSUMER DEPOSIT
90.00
POWER
TELEPHONE
STATE/CO APPROVAL
STREET CONSTRUCT
PLAN REVIEW.
/
BUILDING PERMIT
MECHANICAL PERMIT
55g
PLUMBING PERMIT
GRADING PERMIT
SIDEWALKS/CURBS
LANDSCAPING
YELM BUSINESS LICENSE#
TFC -TRANSPORTATION
FACILITY CHARGE
m /
/ v
*DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY
THE YELM BUILDING DEPARTMENT
CIOFHCE\ UMEN SPSHT.WPD
CITY OF YELM
pUILDING DEPT.
Phone: 458-8407
Building m' N° 0,
Date
(Work must be started within 120 days)
��C7 /
w
Name Dk jd E. Frick
Phone( 253) 566-2735
"e
e Fircrest
1104 Femoral DrivCiCitySt
Address
WA 98466
ZipCode
Site Address 1567.9 Parkview Drive S.E. Lot #13
A
Aesessor's Parcel No. 67290001300 Lot Size (sq.f /acres)
Subdivision Parkview Lot LM13
Black
v
OR Short Plat No.
Black
Existing Structures, if any:
Name E -Z Building Contact Ernest L. Zahn
Phone( 253) 471-1755 -
Address 1009 South 60th City T&XM St.
WA ZiPCmfe 98408
License No. EZBUI**061M5 Exp. Yelm Bus. Lic. No.
Description of Work Single Fatd.ly Residence
OFFICIAL USE ONLY
Permit Type:
Residential Sign_
Commercial_ Other_
Shoreline Period Y N
Seca Exempt Y N
Floor Plan Y N
Setsaf Prints
Plumbing Permit # 5432
Mechanical Permit# 5544
Pian Check By T. Peteraf
Issued By �S-'� �J onnal
Final lnsp:'!r
Owner LBl Form
Assessor Floor Plan and Permit
Submiged---J— – —
Quarterly Reports
Sp. k. pergoor.(lst) (2nd)
Sewer Septic Approval No.
&-Water Private Well Private System
Heel Electric Gas Other
ITEM
BASIS FOR FEE
FEE
Building Value
$ 71,416.74
$ 513.50
Other
WA. ST. SC. Fee
(4.50—New Const. Only)
$ 4.50
TOTAL FEE
518.00
Minimum distance of structure from property lines:
Front to of Road
Side Side Rear
Applicants Affidavit:
I cantly that I have read and examined the information contested within the application and know the same to be
true and correct I also cattily that the proposed structure is in conformity with all applicable City of Yelm reg-
ulations 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 a currently registered contractor in the
State of Washington.
Signature I) t,.J L�7) ti' •�� Date I- i.-(- 9
Firm:
Assessor��
TRPC
t�
NEW DEVELOPMENT/NEW CONSTRUCTION CHECKLIST
Ll
SITE ADDRESS: 15629 Parkview Drive S.E. Lot #13
TYPE
•POWER
PERMIT #
FEE
RECEIPT #
COMMENTS
SEWER PERMIT
125.00
SEWER LATECOMERS
SEWER/SEPTIC'
1,000.00
IL
SITE PLAN
ACCESS & DRAINAGE
WATER SUPPLY
WATER LATECOMERS
WATER METER*
300.00
2
WATER SERVICE ERU'S
700.00
CONSUMER DEPOSIT
90.00
2
TELEPHONE
STATE/CO APPROVAL
STREET CONSTRUCT
PLAN REVIEW
64.19
q�
BUILDING PERMIT
6093
518.00
3 -30 60
MECHANICAL PERMIT
5544
33.50
PLUMBING PERMIT
5432
66.00
GRADING PERMIT
SIDEWALKS/CURBS
LANDSCAPING
YELM BUSINESS LICENSE#
TFC -TRANSPORTATION
FACILITY CHARGE
O"DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY
THE YELM BUILDING DEPARTMENT
C OFFICEIDOCUN 6 SPSHT. P/PD
CITY OF YELM
0BUILDING DEPT.
Phone: 458-8407
Building errnit N� 6
Datej
(Work/jK/�5//uuet ��be started within
120 days)
IIW(rf—
�i
Name Dirvid E. Feick phone1253 ) 566-2735
Address, 1104 Panorama Drive City Pircrest soNA zipcode 98466
Site Address 10139 Third
P
Assessor's Parcel No. 67290001100 La Size (eq.IVeaes)
Subdivision PArh't ely Lot 411
Block
T
v
OR Short Plat No.
Block
Existing Structures, It any:
Name E-7. Building - Ernest L. 7alIDntaa EzTiest L. Zahn
Phone( 257 471-1755
4
Address 1009 Sgeth 60th Cay TaCatla St. WA Zip Code 98408
a
license No. E71BUI0,e06LM5 Exp. Yekn Bus. Lic. No.
Description of Work Single zanily Residence
OFFICIAL USE ONLY
Permit Type:
Residential X Sign
Commercial Other_
Shoreline Permit Y N
Sopa Exempt Y N
Floor Plan Y N
Sets of Prints
Plumbing Perms M 9431
Mechanical Perms a 5543
Plan Check By T. Peters
Issued By S.
{� Ez
Final lnsp:.— J�9`
Owner L8l Form
Assessor Floor Plan and Permit
Submitted��
Quarterly Protons
Sq. h. par floor: (IM) (2nd)
Sewer Septic Approval No.
try Water Private Well Private System
Heat: Electric Gas Other
ITEM
BASIS FOR FEE
FEE
Building Value
$ 71 416.74
513.50
Other
WA. ST. SC. Fee
(4.50 --.New Conal. Only)
4.50
TOTAL FEE
518
Minimum declines of structure from property lines:
From to of Road
Side Side Rear
Applicants Affidavit:
I cedify that 1 have read and examined the information contained within the application and know the same to be
true and correct. I also certify that the pmposed structure is In conformity with all applicable City of Yelm reg.
ulations including those governing zoning and land subdivision, and in ack ion, all covenants, easements and
restrictions of word. if applying as a contractor, I further cantly that I am a currently registered contractor in the
State of Washington.
Signature n 4..+ - Date I _ I - zr
Firm:
Asyagsor_i_J
TRPC
_._tl
NEW DEVELOPMENT/NEW CONSTRUCTION CHECKLIST
•
SITE ADDRESS: 10339 Third Street S.E. Lot #11
TYPE
PERMIT #
FEE
RECEIPT #
COMMENTS
SEWER PERMIT
125.00
SEWER LATECOMERS
SEWERBEPIIC•
1,000.00
SITE PLAN
ACCESS & DRAINAGE
WATER SUPPLY
WATER LATECOMERS
WATER METER*
300.00
WATER SERVICE ERU'S
700.00
CONSUMER DEPOSIT
90.00
POWER
TELEPHONE
STATEICO APPROVAL
STREET CONSTRUCT
PLAN REVIEW
128.38
4.50 WA ST. Code Fee
BUILDING PERMIT
6091
518.00
MECHANICAL PERMIT
5543
33.50
PLUMBING PERMIT
5431
66.00
GRADING PERMIT
SIDEWALKSICURBS
LANDSCAPING
YELM BUSINESS LICENSE#
TFC -TRANSPORTATION
FACILITY CHARGE
SDUE AND PAYABLE PRIOR TO FINAL INSPECTION BY
THE YELM BUILDING DEPARTMENT
CITY OF YELM
BUILDING DEPT.
Phone: 458-8407
Building P®filit ° 6090
Data ap
(Work must bN started Within 120 days)
R
U 71(a
Name Mr. Arnold DrogBeth _ _ Phone (360 )943-9968
Address 208 4th Street N.E. City Yelm BIWA= Mp Code 98597
P
She Address Salve as attwe
Assessor's Parcel No. 22710' 1 ^' In Lot Size (aq.lVacres)
R
n
Subdivision Lot
Block
r
v
OR Short Plat No.
Existing Structures, it any:
Block
Name Bob Howard Jr. Construction Contact Bob Howard
Phone( 360)458-7464
A
Adid,eys 16309 Railway Rd. S.E. City Yelm St
WA zip Code 98597
License No. BCBH05C1010P Exp. Yelm Bus. Lm. No. 98-001430.0
Description of Work Re -roof
OFFICIAL USE ONLY
Permit Type:
Residential X Sign_
Commercial_ Other_
Shoreline Permit Y N
Soo Exempt Y N
Floor Plan Y N
Seta of Prints
Plumbing Permit M
Mechanical Penne a
Plan Check By Tim Peters
Issued By S. Conners
Final lnsp:----] ---- J
Owner L5l Form
Assessor Floor Plan and Permit
SubmMed-�—J
Reports
SQ. k. par fli(1 et) (2nd)
Sewer Septic Approval No.
Ity Water Private Well Private System
Heat: Electric Oas Other
ITEM
BASIS FOR FEE
FEE
Buildigg value
$4,500.00
$72.00
Other
WA. ST. BC. Fee
(4.50—New Covet. Only)
$ 4.50.00
TOTAL FEE
$76.50
Minimum distance of structure from property linea:
Front to of Road
Side Side Rear
Applicants Affidavit:
I certily 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 reg.
ulations 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 a currently registered contractor in the
State of Washington.
i p
Signature Date -1/-Y6
Firm:
—Quarterly
Assessor��
TFIPC
CITY OF YELM
1UILDING DEPT.
Phone: 458-8407
Building Per It N!
Data I -1—Q_
'Al must De startsd within 120 days)
Name '
Plane y
Address Cque
n SLA
Zip Coria T
She Address ) r)
a
Assesaor'e Parcel No.
Q I O Lot Size (e4.f themes)
0
E
Subdivision Lot
Block
v
OR Short Plot No. -1
Block
-
Exietlrg Sir
PUGET SOUND POLYSTEEL
Ni 8841 WILKENSEN"RD SE �� /�,
'I YELM, WA 98597 , a Ciy SI(A
License No. 458-5588 elm
Description of Work d 0-1 �-+
&
AAddress
�
PPhone (4�41 p--.`I1l_7 1�-
2)—
Zip Code )0~
Bus. Lk. No. -
OFFICIAL USE ONLY
Permit Type:
Residential Sign
Commercial Other_
Shoreline Permit Y N
Sepa Exempt YO
Floor Plan Y N
Sets of Prints
r
Plumbing Permit Y�
Mechanical Permit Y
Plan Check
Issued By -
Final lnsp:��
Owner L&IForm
Assessor Floor Plan and Permit
Submitted_J�
Quarterly Reports
S9.fr.perlklon(Is) (2nd)
Sewer Septic Approval No.
M Water Private Well Private System
Heal: Electric Gas Other
ITEM BASIS FOR FEE
FEE
Building Value J
Other
WA. ST. C. FM 4.50—New Const. Only)
4,5C7
TOTAL FEE
.� N
Minimum distance of structure from property lines:
Front to of Road
Side Side Rear
Applicants 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 reg-
ulations including those governing zoning and land subdivis or, and in addition, all covenants, easements and
restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the
Staie of Won.
ee
Signatu Date
zt
Firm:
Assessor—JJ
TRPC _J
NEW DEVELOPMENT/NEW CONSTRUCTION CHECKLIST
op
ITE ADDRESS: 10501
TYPE
PERMIT#
FEE
RECEIPT#
COMMENTS
SEWER PERMIT
7O
SEWER LATECOMERS
SEWER/SEPTIC'
SITE PLAN
ACCESS & DRAINAGE
WATER SUPPLY
WATER LATECOMERS
WATER METER'
WATER SERVICE ERUB
CONSUMER DEPOSIT
POWER
TELEPHONE
STATEICO APPROVAL
STREET CONSTRUCT
PLAN REVIEW
BUILDING PERMIT
50 Bc-
MECHANICAL PERMIT
55x.
q5.
2
PLUMBING PERMIT
7-7
GRADING PERMIT
SIDEWALRS/CURBS
LANDSCAPING
YELM BUSINESS LICENSE#
TFC-TRANSPORTATIO :2
FACILITY CHARGE
)� 180 /80Ip�00
NN/O
. I
ft IQAA3(o7 b0Ak3
&DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY
THE YELM BUILDING DEPARTMENT
WPD
klm
CITY OF YELM
WILDING DEPT.
Phone: 458.8407
Building P 7M
. N N!6 o
Date
(Work must be st LLed within 1 �tl7aycs) J
rl)0 Ar
4�
y
Name.
Phon )
Address
WD City
S
Zip Coo.
Site Address I L
R
Assessor's Parcel Na Loi 31ie (sq.tl/aeree)
8
R
Subdivision Lot
Blook
T
v
OR Short Plat No.
Block
Emaing Structures, it any:
NName
lett
Phorre
T
R
A
Add. C s
Zip
License No.—SLL)Esp.
Yelm
Bus. Lic. No.
Description of Work
OFFICIAL USE ONLY
Permit Type:
Residential— Sign
Commercial_ Other_
Shoreline Permit Y N
Sopa Exempt Y N
Floor Plan Y N
Sets of Prints
Plumbing Permit M
Mechanical Permit
Plan Cheek B
Issued B;E�'
Final lnsp:�/�MMa�+��
Owner Lbl Form
Assessor Floor Plan and Permit
Submitted I
Ouenerly, Reports
Sq. a. per floor: (1st) (2nd)
Sewer Septic Approval No.
Water Private Well Private System
Neat: Electric Gas Other
ITEM
BASIS FOR FEE
FEE
Building Value
Other
WA. ST. SC. Fee
(4.5 New Cones. Only)
TOTAL FEE
Minimum distance of structure from property lures:
Front to of Road
Side Side Rem
Applicants Affidavit:
1 candy that I have read and examined the information contained within the application and know the same to be
true and correct. I also cenity, that the proposed structure is in conformity with all applicable City of Yelm reg,
utations including arose governing zoning and land subdlvblon, and in addition, all covenants, easements and
restrictions of record. If applying as a contractor, I further candy that I am a currently registered contractor In the
State of Washington.
Signature Date
Firm:
Automation f t
TRPC J
4�
y
NEW DEVELOPMENT/NEW CONSTRUCTION CHECKLIST
•
SITE
TYPE
PERMIT 0
FEE
RECEIET #
COMMENTS
SEWER PERMIT
125.00
SEWER LATECOMERS
SEWER/SEPTIC'
1,000.00
SITE PLAN
ACCESS & DRAINAGE
WATER SUPPLY
WATER LATECOMERS
WATER METER'
3co, 0 6,
-
WATER SERVICE ERU'S
CONSUMER DEPOSIT
90.00
POWER
TELEPHONE
STATE/CO APPROVAL
STREET CONSTRUCT
PLAN REVIEW
15(0
BUILDING PERMIT
W c)
�5
MECHANICAL PERMIT
`a
D,1..550
PLUMBING PERMIT
GRADING PERMIT
SIDEWALKSICURBS
LANDSCAPING
YELM BUSINESS LICENSEN
TFC -TRANSPORTATION
FACILITY CRARGE
•'DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY
THE YELM BUILDING DEPARTMENT
C�mcpoocuw Nspsw"D