20100039 Permit Pkg 031210City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:
Name: RDS 2 LLC
Address: 2840 CRITES ST SW
TUMWATER WA 98512
Property Information
Permit rvo.: 20100039
Issue Date: 3/12/2010
(Work must be started within 180 days)
Phone: 360-292-7850
site Address: 917 YELM AVE W Owner: RDS 2 LLC
Assessor Parcel No.: 21724130500 Subdivision: Lot
Contractor Information
Name: ALDRICH 8 ASSOCIATES Phone: 425-483-1313
Address:
810 240TH STREET SE
BOTHELL WA 98021
Contractor License No.: ALDRIA*202RU Expires: 2/09/2011
Project Information:
Project: DEMOLITION
Description of Wor1c: DEMO OF HOUSE
Sq. Ft. per floor: Heat Type (Electric, Gas, Other):
First
Second
Third
Garage
Basement
Fees:
Item
DEMOLITION
Contractor
RDS 2 LLC
TOTAL FEES:
Applicant's Affidavit:
I certify that I have read and examined the information contained within the appligtion and know the same
to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of
Yelm regulations inGuding those governing zoning and land subdivision, and in addition, all covenants,
easements and restri lions ecord. If applying as a contractor, I further certify that I am currently
registered i t as ington.
Si nature l Date 3 ~ ?.~ ~ D
Finn
Fees
$ 50.00
s so.oo
Sets of Prints:
final Inspection:
Date:
Ci t~ of Y~l~
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OF'ER: GO TER~+i: Oo1
F'~Fq• ~~~
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TF~°AN: ~~3.0000 B-JILDI~G FER~ITS
~oiooo_~~y ~o.ooc~'
RDS ~ LLC
`ji7 ;'EL~i H iiE !d
DEFiO 50.fi0Ck
TEr~DERED: 5o.~h~ CNEC~
C~NGE: 0. o0
q~~ 2oioaos9
CITY OF YELM
~l 1 RESIDENTIAL BUILDING PERMIT APPLICATION FOORM
Project Address: J t ~ ~ C ~ M ~ V ~ Parcel #: a ~ _I ~ `f ~ ~ ~ S~
Subdivision: Lot #: Plan #: Zoning:
New Construction ! Re-M~
Plumbing ~ Mechanical
Project Description/Scope of Work:_
Project Value:
Building Area (sq. ft), 151 Floor
Basement-
# Bedrooms- # Bathrooms.
Adel / Re-Roof /Addition Home Occupatio Sign
Mobile /Manufactured Home Placement Other
fl e Im O o ~ ~-~au5 ~
_ 2nd Floor Garage Deck
Carport Patio
_ Heating: GAS/OTHER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? ~~
ff yes, a completed environmental checklist must accompany permit application.
PLUMBING CONTRACTOR N 1<=1 TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
Copy of mitigation agreement with Yelm Community Schools, if applicable.
I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the
above described property will be in accordance with the laws, rules and regulations of the State of Washington and the
City of Yelm. ~~
~~1 ~ 1~-~ I`Mr-ft ~~ r~ 3 • Z • I v
Applicant's SiJxtaturP Date
Owner I Contractor Owner's Agen Contractor's Agent (Please circle one.)
All permits are non-transferable and will expire if work authorized by such permit is not begun ~~~
within 180 days of Issuance, or if work is suspended or abandoned for a period of 180 c1
MAR U ;; 2010
~ Y' --------
105 Yelm Avenue West (360) 458-3835
Yelm, WA 98597 (360) 458-3144 FAX
www.ci.yelm.wa.us
b L /`(, V/ L V 1 V/ + n a V J~ J V r +~a vaaw u i
nu +~v. ~vUZJ1V.JVV +. VVl/ VUl
Olympic Region Clean, Air Agency
2940-B Lusutai Lane NW
Olptnpia, WA 98502
(36~ 58b-1044 • PAX (360) 491-6308
Port Augclca ofl'icc (360) 417-1466
Ragmond Office (360) 942-2137
www.ORCAA.org
Demolition Pern~it
~ Commercial Structure -Permit fee: 560.00 -10 working dAy wait period
[ J Owrner occupied residential dweklk~oig - PerAait fee: $35.00 - lPrkor Notice
;,N..
pRnpF~a^rv,~avNtR
Name: •~- .S ~~
L Phony aso 2fl2a96o Etnall:emtCrhEerQeomnstnet
L
C FAX: 380 292.7861 MiObilG: 3A0 791-1589
Mailing~;Ad se: X840 Crites Street SW ~'~' Tumw~ter State: WA 2~p:
983,2
Site Address ,917 Yefm Ave W. City: Yelm SmtG WA gyp:
98597
nF.Mni.i'i'(ON CONTRAC'T'OR fYl C'.hrck if sane ae biobetty ecvher infotmaticm
Basincsa Namc: ~ Phone: Email:
PAX:
Onsice Contact Phone: Mobile: ( )
FAX:
Mailing Address: City: Start: Zap:
DEMOLITION INPOIZMATION
# of Structutcs being dctnolishcd: Stet Date: Completion Datc _
s 3 l~ t O ~3 ,~ i ra- ^
Asbestos present Yea )C No Survey attache X Ycs No Has all identiSed es s bee
removed Yee _~10 /V
D$MOI.ITION PROTECT CATEGORY
[X] Complctc Dctnolition '
[ ] Training Pirc -Pine Agency:
[ ] Renowtiou, Alteratioq Remodeling, Maintaannce, or other Construction
[ ] Emergency ~ Additional Fee of 550.00 (must be accompanied by Government Ordered Declaration-Commercial only)
I bsve nd •ad sail abide by the soslitioeir rat forth is tbir persiit ~sd ten) addrRdssr tbento. Ida harsbj serti,{~ tb~t
ill ~dee#fe~d ~rbtJtet bat bttR trlwovsd anti the iaforiw~tio~e is tbit tfiplie~rtioR rad axppleneeatal dst~ de.rcribs~ bsnis
lt, tb tb~ butt of sry btNOSYIad~, oaxrsta oxd co,,t-pl~te.
Soott L Ritter, Manager RDS2 LLC '1/10/09
Applicant Name Signature Date
gjy,
tved Payrxxeat Info. Approved Asbtstos Pctxtait
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Reviewed by: _~
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