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20110118 Permit Pkg 02082011City of Yelm Permit No : 20110118 Community Development Department issue Date: 2!08/2044 (Work must be complatetl within 160 days) Building Division Phone: (360)458$407 Fax: (360)458-3144 Applicant Name: YELM PROPERTY DEVELOPMENT Phone: _ 380_-458-0544 Address: P O BOX 2950 YELM WA 98597 Property Information: Site Address: 16662 GREENLEAF AVE SE 88 Owner: YELM PROPERTY _ DEVELOPMENT LLC Assessor Parcel No.: 84070008800 Subdivision: WI LLOW GLEN III Lot: 88 Contractor Information: Name: YELM PROPERTY DEVELOPMENT Phone: 458-0544 Address: DENNY BALASCIO P O 80X 2950 YELM WA 98597 Contractor License No.: YELMpDL00302000 Expires: 2/20/2011 Project Informaton: Project: NEW RESIDENTIAL BUILDING Description of Work: LOT 88 PLAN 1596 Sq. Ft. per floor: Heat Type (Electric, Gas, Other): GAS First 730 Second 868 Third Garage 720 basement Fees Item Contractor Fees NEW RESIDENTIAL BUILDING YELM PROPERTY DEVELOPMENT 516.100.24 MECHANICAL SUNSET AIR INC S 78,25 PLUMBING TOP NOTCH PLUMBING INC f 111.00 TOTAL FEES: f 16,289.44 Applicant's Affidavit: OFFICIAL USE ONLY I certify that I have read and exeminetl the information contained within the applicaGOn and know the same to be true and correct. I also certify that the proposed strudwe is in conformity with ail applicable City of g Sets of Prints: Yelm regulations including those governing zoning antl land subtlivision, and in addition. all covenants, easements and restrictions of record. If applying as a contractor, I further Certify that I am currently Final Inspection: registered ~ e State of W/a;l~'+~r+gton. ~~ (~~~ Date ~e/jt Date: Signature Finn By' UItY Qf YE~~ ~t:ECp: (73fia'F.°r2'~ ?i~JBI'~YJ11 3:1? F~` i..f.E{~: hj TRA'n~: 33AC~C DiulDiYf., PERAITS X11011': 1~:,'?,9, ~~ YELM P~~E%T`r C_CELOF~IF.t2T l c= ~~ L7iEE~LEAE ; v iz. ~~ -':8 y, ~ j Ul~-Ill_SL ~ (p` LJf 1LW..~~ S f~r^~? np 2=.~ft C.' 0,0C YELM COMMUNITY SCHOOLS PU BOX 476 YELM kA 96597 Clerk: Croy Terminal: 1 Receipt: 14579 Manual Receiat: 116ROCK T ON NBROCKTON BROCKTUN CONSTRUC1IiIN LLC, YELM PROPERTY DEVELOPMENT LLC x/8/2011 3:08 PM 0~ _,__iteir ___ . _ __.__._ Price 1 TVf MITIGATION 2780.00 MITIGATION Nillo:u ;len III Lot p88 Suttotal: 2780.00 Tax' 0.00 Total: 2780.00 Check 2780.00 5374 Change Due; O.OU THANK YOU ~Of(0!!~ CITY OF YELM RESIpENTIAL BUILDING PERMIT APPLICATION FORM Project Address: /6G6 2 cr/~n/erg' ~ 5~ Parcel #: 9~1~70(7~ ~ ~ a Subdivision: Nl1lDu1 Glentl .3 Lot #:~ Zoning; ~~ New Construction _ Re-Model / Re-Roof /Addition t Home Occupation Sign Plumbing ~ Mechanical -i Mobile /Manufactured Home Placement ~ Other Project Value: ~ ~~y'~~ - L~ Building Area (sq. K) 1~' Floor 'Iw 2n° Floor SF ~ Garage' , t ~ Deck # Bedrooms # Bathrooms3,7 Heatin :GAS/OTHE r ELECTRIC (Circle One) Are there any environmentally sensitive areas located on the parcel? ~_ If yes, a completed environmental chQCklist must accompany permit application. BUILDING OWNER NAME: ~ rP~G'PErC'TY Ec~VE! MFA+~r ZCC ADDRESS Z~'.So ,] ~J EMAIL CITY V~i.ng STATE~ZIP7BJ-17 TELEPHONE ~/SS-~549 ARCHJTECT/ENGINEER Ejr,lE LrnlF LICENSE# ADDRESS l014 E U'f~ EMAIL CITY~rridrR- STATE+.Jr1 ZIP a8'iU! TELEPHONE 456 'E~BP,S GENERAL CONTRACTOR ~LLC TELEPHONE ADDRESS EMAIL CITY STATE ZIP FAX CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE # PLUMBING CONTRACTOR iD IdoTCN TELEPHON~~ 08A3 ADDRESS ~O c(9r EMAIL CITY JPMN]EZ STATE I,c.rh ZIP S7*+ FAX CONTRACTOR'S LICENSE # EXP DATE_CJTY LICENSE # MECHANICAL CONTRACTOR i[nlj~' d -rrt TELEPHONE 456-4956 ADDRESS SaJO L4C ~ EMAIL CITY Uf__~STAT ,',/~ZIP SSP 3 FA,X _ CONTRALTO S LICENSE # EXP DATE_CITY LICENSE # Copy of mitigation agreement with Yelm Community Schools, if applicable. I hereby cerUty that the above Information is correct and that the construction on, antl the occupancy anq the use of the above described property will be In accortlance with the taws, rules and regulations of the State of Washington and the City of Velm. Applicant's Si nature Date Owner / Cont ctor I Owner's Agent /Contractor's Agent (Please circle one.) All permits are non-transferable and will expire if work authorized by such permit is not begun within 180 days of issuance, or if work Is suspended or abandoned for a period of 1$0 days i, ~ D _.. ~i,i~ Jni Yelrn it i:enue {f'esr - - - (3so) 938 - 1'O Bos 979 (36'UI 48&,3f~4 F:~.R`-"-"__ _ _ _ _ Fefm, till 98597 reuu.ri.yelm.um.us -~-- - --- Projections less than 5 feet to property lines shall provide fire-resistant construction per IRC Table R302.1 WAC 51-51-0302 a.b --- i ~ r Sy/~ 1 I na 1 i" scp~; /''= 2° // LdT~ 6~' A~ ~~' ~ ~S 9G Z~ Y_ i r ~,`f~-- ~ FILE - sZ - -