20070027 Demo Permit 02022007 �O�T�'A Clty of Yelm Permit►vo: DEMO-07-0027-YL
,�9 � Community Development Department Issue Date: ��isF!!S�€'d � � � ' ��
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Building Division (Work must be started within 180 days)
Phone: (360)458-8407 Receipt No: 46131
YEL Fax:(360)458-3144
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Applicant:
Name: McGraw,Mike Phone: 978-5345
Address: P.O.Box 429 City: Onalaska State: WA Zip 98570
Property Irtformation:
Site Address: 16910 SR 507
Assessor Parcel No. Subdivision: Lot:
Contractor Information:
Name: Contact: Phone:
Address: City: State: Zip:
Contractor License No: Expires: Business License:
Project Information:
Project: Mike McGraw Project
Description of Work: Demolition of two buildings at 16910 SR 507 8�10502 Grove Rd
Sq. Ft. perfloor: (1st) 0 (2nd) 0 (3rd) 0 Garage 0 Basement 0
Heat Type(Electric,Gas,Other):
Fees:
Item Item Fee Base Amt Unit Fee Unit Rate No.Units Unit Desc
--------------------------- ----------- ----------- ----------- ----------- ----------- -------------
Building Permit-Other 100.00 0.00 0.00 0.0000 0.0000 $1,000
TOTAL FEES: a100.00
Appticant's Affadavit:
I certify that I have read and examined the information contained within the application and know the same OFFICIAL USE ONLY
to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of #Sets of Prints:
Yelm regulations including those governing zoning and land subdivision,and in addition,all covenants,
• easements and restrictions of record. If applying as a contractor, I futher certify that I am currently
registered in the State of Washington. Finallnspection:
g ��'�il ���� Date ���' " � Byte:
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Firm
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' Y='-�.�°va 5s59' RECEIPT N�, 4 6131 �
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*�`*''ONE HUNDRED DOLLARS & 00 CENTS �
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R�:.Eil'ED FRu^�f� CATE REC.NO. AMOUNT ���Np_ I
HE VINEYARDS CONDOMINIUriS @2/02/07 46131 100 . 0@ CHE�K 15816 �
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OLYMPIA WA 98540 BUDGETARY i
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LD PERMIT
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�p�THE'p� City of Yelm Permit Fees Schedule
4 � Community Development Department Permit No: DEMO-07-0027-YL
Building Division
Phone:(360)458-8407
YEw M Fax:(360)458-3144
Applicant:
Name: McGraw, Mike Phone: 978-5345
Address: P.O.Box 429 City: Onalaska State: WA Zip 98570
Project informafion:
Project:Mike McGraw Project
Description of Work: Demolition of two buildings at 16910 SR 507&10502 Grove Rd
Site Address: 16910 SR 507 Assessor Parcel No.
Fees: >
Item Acct Code Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
--------------------------- -------------- ----------- ----------- ----------- ----------- ----------- -------------
Building Permit-Other 032 001-322-10-00 100.00 0.00 0.00 0.0000 0.0000 $1,000
TOTAL FEES: $100.00
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� � ;��`'� 2940 B Limi ed Lane NW �pR coM��tArtcE wrYt�
" Olympia, WA 98502 ;����£�uLAtront i
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_ (360) 586-1044 or 1-800-422-. ,�
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'�,,-0�BO . .���`t'` Fax: (360) 491-6308 WWW.ORCAA.Org----- . .
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Notification of Demolition Permit
It is unlawful for any person to cause or allow the demolition (or major renovation) of any structure unless all asbestos-
containing materials 4ave been removed from the area to be demolished. Work shall not commence on an asbestos project
or demolition unless t6e owner or operator 6as obtained written approval from ORCAA. A written application for a
demolition shall include a certification that there is no known asbestos-containing material remaining in the area of the
structure.
Project Site Address: J(�9I0 S�t.' �7 s��/Q So 2 S�' ���County: 77�'cexyrnt/
City:� State: Wip� Zip:
Starting Date: /'llr�cy ,d'7 Completion Date: i�uFr o 7
*(There is a 10 working day advance notification period from receipt of pernvt application)
Property Owner: /l2t�i/rl�.�re�•J Telephone: 978- S3�$ Fa�c: ,3`a 978-G�4/2.
Mailing Address: �� �12 9
City: C7,�'j'�Yi,��4 State: � Zip: 98s?D
Demolition Contractor: �{/o�tF State License#:
Mailing Address:
City: State: Zip:
Contact Person: Telephone: Fax:
YES NO
� Demolition by Wrecking or Dismantling? ($25.00 fee)check# nonrefundable
Training Fire Demolition? (If yes, attach fire departrnent request for training fire)
,/ Renovation, Alteration, Remodeling,Maintenance, or other Construction?
� Asbestos found or suspected*
'�An ORCAA "Notice of Intent to Remove or Encapsulate Asbestos" form and appropriate fee must be submitted prior to any asbestos
removai work. Asbestos removal projects involving demolition must be preformed by a Certified Asbestos Contractor and all friable or
potentially friable asbestos must be removed before any demolition begins. Refer to ORCAA Regulation 1 Article 14 for additional
requirements that may apply. �
Asbestos Survg�Completed by
AHERA Certified Inspector �p��..�c5� �c..5'TI��- � .
Certification # �-,� �r€�� �ts�C,�-ST� =a` (�'8�S
This approved pernut must Enclosc$25 Certification of the Asbestos Survey must
be available at the job site Processing Fee accompany this form
F:\COMMON�Forms\asbestos�DemoPermit.doc J^J��y ��S.bZS
Rev.10/22/02 .�.�
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