20100167 Permit Pkg 09072010City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:
Name: CHERRIE DANKS
Address: 7916 SOUTHWIND CIRCLE
HUNTINGTON BEACH CA 92648
Property Information:
Site Address: 1Rdf17 C~RFFNRRIFR ST SF
OAKRIDGE
Assessor Parcel No.: 65730002600 Subdivision:
Contractor Information:
Name: CHERRIE DANKS
Address:
7916 SOUTHWIND CIRCLE
HUNTINGTON BEACH CA 92648
Contractor License No.:
Permit No.: 20100167
Issue Date: 9/07/2010
(Work must be completed within 180 days)
Phone: 714-536-2452
Owner: CHERRIE DANKS
Phone:
Expires: 0/00/0000
Project Information:
Project: RESIDENTIAL ADDITION
Description of Work: WOOD DECK RAISED 44 INCHES OFF GROUND.
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
BUILDING
Contractor
CHERRIE DANKS
TOTAL FEES:
Applicant's AfFdavit:
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 t at the proposed structure is in conformity with all applicable City of
Yelm regulations including those erning zoning and land subdivision, and in addition, all covenants,
easements and restrictions of rd. If applying as a contractor, further certify that I am currently
registered in th/e~S7tate of W gton. 9 /
Signature / ~.~~/ ~~ Date r r ~ ~~` D
Firm
Fees
$ 125.25
~ 125.25
ONLY
Sets of Prints:
final Inspection:
Date:
By: _
Lot: 26
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CITY OF YELM
RES71D/E~NTIAL BUILDING PERMIT APPLICATI/ON FORM
Project Address: ~~~~1 L~/'+~Q-~`1 ~4`I G/'~~~~Parcel #:~, lO
Subdivision: Loi #:,~~ Plan #: Zoning:
-+~ New Construction ~ ~ Re-Model / Re-Roof /Addition ~ Home Occupation Sign
Plumbing Mechanical ~~ Mo/bille~/ Manufactured Home Plac`e~m,/ent /~ ' Other
Project Descript' n/Scope of Work: ~OOCX 1/E'~'~L /~ ~SeG~ 7'Y ~~ (9 r' /~0 U/ ~'(~
Project Value~~ ~C~C~
Building Area (sq. ft) 15` Floor 2ntl Floor Garage Deck_~
Basement Carport Patio
# Bedrooms- # Bathrooms- Heating: GAS/OTHER or ELECTRIC (Circle One}
Are there any environmentally sensitive areas located on the parcel?
If yes, a completed environmental checklist must accompany permit application.
ARCHITECT/ENGINEER LICENSE #
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
CITY
• CON'
EXP
TELEPHON
EMAIL
LICENSE
PLUMBING CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
...~id~rt E'
Copy of mitigation agreement with Yelm Community Schools, if applicable.
I hereby certify that th~ove information is correct and that the construction on, and the occupancy and the use of the
above described grope y will be in accordance with the laws, rules and regulations of the State of Washington and the
City of Yelm.
ant's Signature Date
/ Contractor /Owner's Agent /Contractor's Agent (Please circle one.)
Alf permits are non-transferable and wilt expire if work authorized by such permit is not begun
within 180 days of issuance, or if work is suspended or abandoned for a period of 180 days
105 Yelm Avenue N
Yelm, WA 98597
www.ci.yelm.wa.us
(360J 458-3835
(360) 458-3144 FAX
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