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20130164 Permit Pkg 06142013
o� "� City of Yelm Permit ►vo.: 20130164 � Community Development Department Issue Date: 6/14/2013 � (Work must be completed within 180 days) Building Division Phone: (360)458-8407 w" » " FaX: (360)458-3144 Applicant: Name: PUGET SOUND BUILDERS ASSOC Phone: 253-202-5025 Address: 11012 CANYON ROAD E, STE. 8 PUYALLUP WA 98373 Property Information: Site Address: 14451 99TH AVE SE 172 Owner: PUGET SOUND BUILDERS ASSOC Assessor Parcel No.: 78640117200 Subdivision: TAHOMA TERRA Lot: 172 Contractor Information: Name: PUGET SOUND BUILDERS ASSOC Phone: Address: 11012 CANYON RD E, STE 8 PUYALLUP WA 98373 Contractor License No.: PUGETSB903MH Expires: 7/31/2013 Project Information: Project: NEW RESIDENTIAL BUILDING Description of Work: LOT 172, PLAN 2045Z Sq. Ft. per floor: First 938 Heat Type(Electric, Gas, Other): ELECTRIC Second 1263 Third Garage 419 Basement Fees: Item Contractor Fees NEW RESIDENTIAL BUILDING PUGET SOUND BUILDERS ASSOC $16,617.69 MECHANICAL KLIEMANN BROS. $ 84.75 PLUMBING RAINIER VIEW ROOTER $ 125.00 TOTAL FEES: $16,827.44 ApplicanYs Affidavit: OFFICIAL USE ONLY 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 #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 further certify that I am currently Final Inspection: registered in he State of Washington. Signature V� Date (Q � l3 Date: Firm By� Cit� �fi ���m , ����r� ��,a-��o� REC#�, Ot�1�;1);163 6J 14I201�3 11:09 AM OF'ER; (;0 TE.F�M° U�71 REF#: b��� 1�F;A�#. 33�OQOCi OUTI_[]�N[; P��MI�fS '�?�13C11 b�4 1�,827.44CR PUGE�f �(l.UNC� HUILI)kRS A�SOG 14��1 �91�N AVE�. SE 1�12 Ht�l-��;,1 1�,617.69C� MEC�H 8�1.75CR o� 12.5,OUCR � � �(�hAN; "�-�.���a1�0 �U�LL7ING f'ERMI�fS 2��!'�t�1��3 16,82�,39CR PIJGE�T �UUN[) BUIt.(��I�S +�S50Ca �l�1445 9�7Mi A�lE: SE l��i� Hl_C�a—k���1 16,625.6ACR M�CH �4.7�CF� F'L 118.(1UCR IE�tIaFV��I): 33,655.�3 CNtCK APPL_T�[a: 33,655.83— ___ ___ __.__. [�HANC�E.: 0.00 YELM COMMUNITY SCHOOLS PO BOX 476 YELM WA 9859! Clerk: Croy Terminal : 1 R�cei pt: 212755 Manual Receipt: NP5 BLD ASSOC NPS BLD ASSQC PUGET SOUND, BUILDERS ASSOC , 6/14J2013 11 ;01 AM Q��__._.._.Item_____.__..__ __________--_ _�_.____.Pr1re 1 GPF MITIGATION 3015.00 MITIGATION 05-027/Lot 172/14451 99th Ave SE;YeIm 1 CE7F f�TTIGATI�N 3�15.00 MITTGATION 05-027/Lot 173/14445 99th Ave SE;Yelni Subtotal � 6030.00 Tax: 0,00 T�ota 1 ; 6030,00 Check �030.00 6888 Change Due: 0,00 THANK YOU 2�13���- CITY OF YELM RESIDENTIAL BUILDING PERMIT APPLICATION FORM Project Address:��51 ��� ��'� Parcel#:�3 Io�}O�(��� Subdivision:TG�1C:'�ca T��_ Lot#._ ,���' Plan#:_r��4t'j-� Zoning: �IVew Construction i ! Re-Model/Re-Roof/Addition i ; Home Occupation Sign ' Plumbing : � Mechanical �: Mobile/Manufactured Home Placement �� Other Project Description/Scope of Work: l�}��Sl'y�,�j,��,7�� Project Value: �, V��ip2.� . Building Area(sq.ft) 1S'Floor q3� 2nd Floor 1�3, Garage ,� Deck Basement Carport Patio�_ #Bedrooms� #Bathrooms a�s Heating: AS/OTHE or ELECTRIC(Circle One) Are there any environmentally sensitive areas located on the parcel? � (�? . If yes,a completed environFrrental checklist must accompany permit application. BUILDING OWNER NAME: � • 4� � ,� ADD SS �11;i lw ,. - �j Af L f� e � ��n' STATE�_ZIP ^ TELEPHON " ' - � ARCHITECT/ENGINEER LICENSE# ADDRESS EMAIL C�TY STATE ZIP TELEPHONE GENERALCONTRACTOR TELEPHONE , � ADDRESS EMAIL {Q C�n' STAT ZIP FAX � ���"��� CONTRACTOR'S LICENSE# ' �' 1�EXP DATE� ' CITY LICENSE# PLUMBING CONTRACTOR � Z TELEPHONE 3- ADD SS EMAIL CITY STATE 1N ZIP "1 FAX CONTRACTO 'S LICENSE# 'iM1i' EXP DAT CITY LICENSE# - 7�(� MECHANICALCONTRACTOR ' "- TELEPHONE_ S3-�i�7-Q 5�, ADDRESS 1 � EMAIL CITY '�y�a�W STATE 1��ZI P FAX CONTRACTOR'S LICENSE# t�C� EXP DATE1 '�CITY LICENSE# - ^ Copy of mitigation agreement with Yelm Community Schools, if applicable. I hereby cerGfy that y�e above information is corred and that the conztruction on,and the occupancy and the use of the abo described pro will be tn accordance w(th the laws,rules and regulations of the State of Washington and the City Yetm. Applica t' Signature 3������ Date Owner/Contractor/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 be�qun within 180 days of issuance,or if work is suspended or abandaned for a period of 180 days �5 RECEIV�L� 5 . a MAR .� 7' 2013 105 Ye1m Avenue Wesi (360)45 Yelm,WA 98597 (360)45 www.ci.yelm.taa.us ��T 1�2 PUGE'I' SOUND BUILDERS ASSICII'�.TIQN, LLG T.�xor�.�� 14451 99th AVE1W�SOUTH EAST YELM,WA 98597 PARCEL NUMBER:7864011720 40.Op' � .____ � � � �. --� 5 �._ __�o>_______�.-., 5�� ; �'x�o' i ;,�_��_� � � Q�r w��.�.----°'�'r _-' i � � Zfl' 9S�L N __._ � Pplip ' � �, -____�..__.�_ St�p Tank Excava2iora !t� 'Ji�latior� C)f I � � 'i�e Required S' t�/linim�rrr+ Set Back To � � �- y � ►�— � � �a�.s��c�atior� Shall E3e E3ack Fiileci Ui�'ith z � vyo � � ' I C:E�F ,�—� ' � w � a � �" � .. ' Q � � � �.r� � tV (,W� �-.� t"' � � • iv�I a- � '�"' .A p Q �� � - frcni �'t�rct� �c�t�nciaticsn Anri Step T�nk o� p � � � d' z '� �i C� � Lc�cat�or��Shail Be �t�ked fic�r Set Bac�k in� [2. � C� *—� �..� Q ' (t15p�L'tiqrl C.f�• ; e-- � rn - �1 d' L-�- I� i COVEREO � � + � � � .� PORCN � � � ' � � T• �� � � ��)v� �+ .��""^" ,-�..t�.,,,�_.._,.,_,._� 71"W x 103"l. x 65"D _�_ h- ;a� `� >--� N I � YELM STEP TANIC �' F� 20�8S8L � I --( 5' r_ . �}, � I i� h � �Y� .� ° �� cv � i � � 1 UTlL1T EASEME fi � � �� � � � � � _ ____�. G`�-R�ST1�" � O.O�� � SIQEWAL.K r` ����/� O � ` P NTiNG �u�.i� T��� 99th AVE SE M TER ������°�'�� � � — — � �� �� - �: ���� ���� �o�r�+ Q2JI'� :;u�rGes�ox 25��:�i 5?I i0�v'�5(21s�5!�reet f'a��,far��,th'fi 98'� � --r `;� .l��.._t �'SCAL� I' = 20' � � . )I }'q 1 DR�MI.6Y DA7E. ltll7: p12PJECi�: .:.A f..'�'S � � �t i�,J �-@'.�JZi3 JI.$I°S8A-?AFkF44 TE{.}y+ u �E3Y:_ i _ ; "___'_'--------�.�.-_r Puget Sound Builders plan 2045z �� �,�- � Heatin� Ducts are located in unconditionE Conditioned Floor Area 2201 Equipment size over de Conditioned Building Volume 22554 Btu/hc Weather Station 203.00 Component Performance, R-3 occupancies Code Target Values Proposed Desi Area UA Vertical Glazing U = 0.300 330 99.0 Overhead Glazing U = 0.500 0 0.0 Doors U = 0.200 38 7.6 Flat/Vaulted Ceilings U = 0.027 1263 34.1 Wall (above grade) U = 0.056 134 7.5 Floors U = 0.029 938 27.2 Slab on Grade F = 0.360 0 0.0 Below Grade 2' depth, wall U = 0.042 0 0.0 2'depth, slab F = 0.590 0 0.0 3.5' depth, wall U = 0.041 0 0.0 3.5' depth, slab F= 0.640 0 0.0 7'depth, wall U = 0.037 0 0.0 7' depth, s�ab F = 0.570 0 0.0 Target UA Total 175.4 Proposed Target Credits from Chpt. 9 1.0 Proposed Credits fror If the Proposed UA s the Target UA, and the Proposed Credits From Chpt. 9 are> 1 than the home meets Check other code requirements Vertical Glazing Plan Component Glazing Width Height ID Description Ref. U Qt. Feet Inch Feeincf 214.00 pro build 0.300 1 6 0 5 214.00 pro build 0.300 2 6 4 214.00 pro build 0.300 3 4 0 4 214.00 pro build 0.300 1 4 3 # 214.00 pro build 0.300 1 4 2 214.00 pro build 0.300 2 3 0 5 214.00 pro build 0.300 1 3 3 214.00 pro build 0.300 1 4 4 214.00 pro build 0.300 3 2 6 5 220.00 0 0.000 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 Sum of Area and UA� Glazing Area Weighted U Exterior poors Plan Component Door Width Height ID Description Ref. U Qt. Feet Inch Feeinct 1 Exempt Door if less than 24 SF 20.00 10-6C 0.160 1 3 6 8 20.00 10-6C 0.160 1 2 8 6 8 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 If exempt door is selected, must be s 24 SF. Sum of Area and UA� Overhead Glazing: Plan Component Glazing Width Height ID Description Ref. U Qt. Feet Inch Feetncf 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 Sum of Area and UA) FlaWaulted Ceilings Plan Component Attic ID Description Ref. U 10.00 10-7 0.027 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 Sum of Area and UA� Walls (Above Grade) Plan Component Wall ID Description Ref. U 239.00 10-5 0.060 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 Sum of Net Wall Area and UA� Floor(over crawl or exterior) Plan Component Floor ID Description Ref. U 14.00 10-3 0.025 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 Sum of Area and UA� Slab on Grade(less than 2 feet below grade) Plan Component Slab ID Description Ref. F 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 1.00 0 0.000 Sum of Area and UA� Below Grade Wall: 2 foot depth Plan Component Wall Wall Waii Slab ID Description Ref. U Area UA F 1.00 0 0.000 0.0 0.000 1.00 0 0.000 0.0 0.000 1.00 0 0.000 0.0 0.000 1.00 0 0.000 0.0 0.000 Sum of Area, Length and UA 0.0 0.0 � Below Grade Wall: 3.5 foot depth Plan Component Wall Wali Wall Slab ID Description Ref. U Area UA F 1.00 0 0.000 0.0 0.000 1.00 0 0.000 0.0 0.000 1.00 0 0.000 0.0 0.000 1.00 0 0.000 0.0 0.000 Sum of Area, Length and UA 0.0 0.0 � Below Grade Wall: 7 foot depth Plan Component Wall Wall Wall Slab ID Description Ref. U Area UA F 1.00 0 0.000 0.0 0.000 1.00 0 0.000 0.0 0.000 1.00 0 0.000 0.0 0.000 1.00 0 0.000 0.0 0.000 Sum of Area, Length and UA 0.0 0.0 � Chapter 9 Options Total of 1 Credit Required Opt. Opt. Description 1a High Efficienc HVAC Equipment 1 1.0 1 b Hi h Efficienc HVAC Equipment 2 1c Hi h Efficiency HVAC Equipment 3 2 High Efficienc HVAC Distribution System 3a Efficient Building Envelope 1 3b Efficient Buildin Envelope 2 3c Super-Efficient Buildin Envelope 3 4a Air Leakage Control and Efficient Ventilation 4b Additional Air Leakage Control and Efficient Ventilation 5a Efficient Water Heating 5b High Effiecienc Water Heating 6 Small Dwellin Unit 7 Lar e Dwellin Unit 8 Renewable Electric Energy *1200 kwh Total Credits 1.00 Y �System Size �d space. :sign load 6.00 >ur output 28,824 KW 8.4 gn Values Area UA 242 72.7 0 0.0 38 6.0 1263 34.1 222 13.3 938 23.5 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 UA Total 149.6 n Chpt. 9 1.0 Qualifies the 2009 WSEC. Area UA 30.0 9.0 48.0 14.4 48.0 14.4 15.7 4.7 8.0 2.4 30.0 9.0 9.0 2.7 16.0 4.8 37.5 11.3 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o o.o 242.2 72.7 0.300 Area UA 0.0 0.0 20.0 3.2 17.8 2.8 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 37.8 6.0 Area UA 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Area UA 1263.0 34.1 0.0 0.0 0.0 1263.0 34.1 Net Area UA 222.0 13.3 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 222.0 13.3 Area UA 938.0 23.5 0.0 0.0 0.0 938.0 23.5 �' (: � ' ��,.�y c. > ^- , -�_:�: �.�_ � Y � t{-_ I �.� _ / � � ; {_ , __�------_�^��� 1 1 ' S .i< '1 r6: 1� � , r , ; ' 8 �J � �.e � Duc� l.eakage Affidavit(New Construction) ' Permit#: �� � � � �� '7 ��° j,. r� House address or lot number: ��f`f�'�� r� �T�'\ �`"�``- �- �- t.;� :�,, t... City: . {�/� tr�-t Zip: ,' ;-5�,_� / I Cond. Floor Area(ft2): ��,� �1 Source(circle one): �an�� Estimated Measured ❑Duc#tightness testing is not required.7he#otal leakage test is not required for ducts and air handlers focated entire(y within the building fhermal envelope. Ducts located in crawl spaces do not qualify for thls exception. Afr Handler 1n conditloned space?[]yes�no Air Handler present during test7�yes[J no Circla Test Method: L.eakage to Oufside T�etat"Lea� Maximum ductleakage; Posf Construc#ion,tota!duct leakage: {floor erea x.04)= CFM@25 Pa post Construction,leakage ta oufdoors: {f{oor area x.04)= CFM@25 Pa Rough-In,tota[duct[eakage with air handler insfalled:{floor area x.04)= `��CFM@25 Pa Rough-In,totaf duct teakage with air handler not tnsta![eci: (floor area x.03)= CFM@25 Pa . i Test Ftesult: ,� (� CFM@25Pa Ring(circle one if applicable}: Open 1 c�> 3 �uct Tester Locafion: ��` /�-j"" Pressure Tap t.ocation: ����'``t'�/r �"f "�'� ����- !certify fhat these duct leakage rates are accurat�and defermined using standard ducE testing protocol. Company Name:,�/,,``/;>/:'ll� l "J/ "<=S Technician: � � � "�� � ,/ . Technician Signature; ��� � �' r� � Date: �? r%� �;��7 �•' >�--, � c.._ Phone Number: _:�.� /' C C� ,.� �; �-. U � � N � � � � � � O � �.-� O N � � � � � � � � L � � � U QO N � N � "� � � � R, � �i Uo � � � U � � � � � 4> O Z � c � > q ° � � � V � c� � �� �v � � °- � � °' �y � � cmU � O .� � � � � � rv .� � � � � � � � � � a � � � o � � � � W � �� � q � � ._ � � v � � � � � -� � w � c�a N •� •� W �� � a� � .�, M � � � w � 0 � � � � � � m � � � � �� � '� j � Z Q � �-v ..c � Q � � � � o � U � � I=- Q Z n' C� c o ° � � W � � U U J � ,N � � ,<n � l� � � � �Q., �M N 0 J � � � � � � � O z � � ("Jj �— � Q � � N � J V � N _ Q � tn � � F— � � � � z � � . . (n � Q � O +�` N � (a f ,�,�''���� c � N N � J U � U '� 2 -a � � � Q � `� � �w Q fL3 � � � � U � Y°" i,�� � Z Q � �C � � w"o G� � N a� � (a �, � C ,�, � � c c � � � '� � �``�x�`� m O O m � Q c� m �o� tHFP,��" City of Yelm Permit No.: 20130164 qr�' 'y � � Community Development Department Issue Date: 6/14/2013 (Work must be completed within 180 days) Building Division Phone: �360)458-8407 L ""°»,"°. » Fax:(360)458-3144 Applicant: Name: PUGET SOUND BUILDERS ASSOC Phone: 253-202-5025 Address: 11012 CANYON ROAD E, STE. 8 PUYALLUP WA 98373 Property Information: Site Address: 14451 99TH AVE SE Owner: PUGET SOUND BUILDERS ASSOC Assessor Parcel No.: 78640117200 Subdivision: TAHOMA TERRA Lot: 172 Contractor Information: Name: PUGET SOUND BUILDERS ASSOC Phone: Add ress: 11012 CANYON RD E, STE 8 PUYALLUP WA 98373 Contractor License No.: PUGETS6903MH Expires: 7/31/2013 Project Information: Project: NEW RESIDENTIAL BUILDING Description of Work: LOT 172, PLAN 2045Z Sq.Ft. per floor: First 938 Heat Type(Electric, Gas, Other): ELECTRIC Second 1263 Third Garage 419 Basement Fees: Item Contractor Fees NEW RESIDENTIAL BUILDING PUGET SOUND BUI�DERS ASSOC $16,617.69 MECHANICAL KLIEMANN BROS. $ 84.75 PLUMBING RAINIER VIEW ROOTER $ 125.00 RESIDENTfAL ALTERATIOI�i PUGET SOUND BUILDERS ASSOC—O7/16/2014 $ 26.55 TOTAL FEES: $16,853.99 ApplicanYs Affidavit: dFFfCIAL USE ONIY I certify that I have read and examined the information contained within the application and know the same to be true and correct.I also certify that the proposed structure is in conformity with all applicable City of #Sets of Prints: Yelm regulations including those governing zoning and land subdivision,and in addition,all covenants, easements and restrictions of record.If applying as a contractor,I fuRher certify that I am currently Fina!Inspection: registered in the State of Washington. Date: Signature Date Firm BY TRAN: 33.0000 �����T�6.55CRITS � ��130119 ���� �� ���� pUGET SOUND 6UILDERS ASSOC t36 � ��� �4�� 14407 98TH �A� 2�,55CR BLD-RES3 REC#: OO�i6n63h 7/17/2014 1 :31 PM ppER; Cp TERM: 001 TRHN: 3�,OOQO ��I��ZZ� 55CRITS REF#: �38i 7�12�316 pUGET SOUND BUILQtRS AS50G 14441 9�TH WAY SE TRAN; 33.0000 BUlLDtNC PERMITS BL�-RES3 26.55CR 20120317 2�,55CR PiJGET SOUND BuILDERS AS�O� 14�4? 98iH WAY SE TRAN; 33,0000 6�ILDI26.55CR�TS BLO-RE�3 26.55CR 26130165 P���� gp�Np BUILqERS ASSOC 1442� 9$TN w�Y �E TRAPl: 33.0000 BUILQI�G P�RMITS BLD-RES3 26,55CR 2012Q3i3 �6,5�GR PUGET SOUND 8L'ILaERS ASSOC 14453 9�TM WAY S� TRAN; 33,0000 B�ILDI�6 55CRIT5 �LD-RES3 �6.55CR 2�13Q164 PUGET SOUND BUILDERS ASSOC 14A51 99TW AVE SE TRA�� 33.0000 �UILGING PERMITS BI.�-RE53 26.55CR 2�13U161 26,55CR PUGET SOUND BUILDERS RSSOG 14��6 99TH WA'� Sk TRAN: 33.0000 BUILDING PERMITS BLD-�ES3 26.55CR ��130163 26,55CR P�GET SOUND BUILDERS ASSOC 14463 99TH WAY S� TRAId: 33,�000 BUILDZNG PERMIT� BLD-R�S3 26.55CR 2Gi3Q173 26.55CR �UGET SO�N� 6�ILDERS AS�OC ���D���p; 265.50 CHECK 1�445 99TH AUE SE Ap��T�p; 265050- �i_�-RES3 26.55CR CNANGE; �•��d TR��. 3�.OQ00 SUILDING PE�MZTS �01`016� ����5�� PUGET SGUND 6UILDERS ASSQC 14458 99TH WAY SE BLD-RES3 26,55GR CITY OF YELM RESIDENTIAL BUtLDING PERMIT APPLICATION FORM Project Address: (��1�� ���Ji �t� Parcel#: �" Subdivision: 1.{�ttb�AP��� Lot#:� Plan#: Zoning: I New Construction Re-Model/Re-Roof/Addition , Home Occupation Sign ' Plumbing Mechanical Mobile/Manufactured Home Placement �C'Other Project Description/Scope of Work: ��� ���(,� �I�,� �'I� (��C(��,,��'� Project Value: lJl�4� Buiiding Area(sq. ft) 1S` Floor 2�d 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. BUILDING OWNER NAME: ADDRESS EMAIL CITY STATE ZIP TELEPHONE ARCHITECT/ENGINEER LICENSE# ADDRESS EMAIL CITY STATE ZIP TELEPHONE GENERALCONTRACTOR TELEPHONE, Z5 �- :—�� ADDRESS I IqIZ (�1loN � cT'� 1Z 4M6 ��2EMAIL M �_ � CITY�Y�_i;p STATE�ZIP 9$ 3fi3 FAX CONTRACTOR'S LICENSE#�1E�ET5�rpC �1N EXP DATE CITY LICENSE# l0 1'(� � ?-�'1 � PLUMBING CONTRACTOR ��JF �PWpSLrk�Nt�TELEPHONE " w 3 ADDR SS_7��IL I$?'�'" �`T' CT � EMAIL CITY ��(�Li.V STATE�_ZIP �$ FAX CONTRACTOR'S LICENSE#CCfi.�PwiN18��EXP DATE CITY LICENSE# _ MECHANICALCONTRACTOR fi Er7L�(,.._ TELEPHONE (�"';,1 ��,5-- 9 � ADDR SS _��"LQ j IZ�'`' S i' � SiJ i� C_2 EMAIL 7 CITY L. STATE �eUi-1- ZIP��3��FAX CONTRACTOR'S LICENSE#�I.�ZT'EZS�(o�Mq EXP DATE CITY LICENSE# 7�i"�— Copy of mitigation agreement with Yelm Community cho � i applicable. 1 hereby certify that the above information is correc4 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 ihe State of Washington and the City of Yelm. '� r f Applicant's Signature Date Owner/Contractor/Owner's Agent/Contractor's Agenfi(Please circle one.) ,411 perrr�its are non-transferable and will expire if work authorized by such perrnit is not begun vvithin 180 days of issuance, or if work is suspendeel or abandoned for a period ot 180 days �13C711p� y�,, 105 Yelm Auenue West (360)4�8-3835 �ti 1���L� Yelm, WA 98597 (360)458-3144 FAX www.ci.yelm.wa.us � ,1UL 14 2014 i �iY: x" - Qt��J��C-��'`> t�t�(.,�&�z�,� ��= 4"�r,�� ,�..� - j��t.�°��c�, �e_ ��` t�t� �t��c�'�-- � � _ �j���t�t�r�.�►�: t.�r.l� � --- ----- - -----_ _ �C.�� 1 �� - _____ _ , j I'U�E'I' S��iN�? BLTILDERS ASSICIATIUN, LLC � I �'�3oM�A TII�RA � � � 14451 99th AVII�ITJE SQUTH:£AST YELM� Y►IA 8$593 ? 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Box 479�Yelm, WA 98597 INSPECTION (360)458-8407�(360)458-3 l44 FAX CARD L PERMIT #: 20130164 DATE ISSUED: , ' JOB ADDRESS: 14451 99TH AVE SE OWNER: PUGET SOUND BUILDERS ASSOC CONTRACTOR: PUGET SOUND BUILDERS ASSOC WORK DESCRIPTION: LOT 172, PLAN 2045Z TYPE RESULT DATE DONE INSP , TOR FOUNDATION SEAL ' � /y/ /y SUMP PUMP � �� /y�i�- << DRAIN LINE _�� / t MISCELLANEOUS �/'�.,�o�,,. f��i.z.���,�. �' � f All Marked Inspections Must be scheduled prior to covering Call (360)458-8407 for Building Inspections Call (360)458-841 1 for Sewer Inspections All other jurisdictions' inspections must be complete before you call � • �` - �-��1.,�'��C��'`� i..�tX..,s'�'�'4�'a�^� �i� �t�!s� ,��.,.� � l..�t`_��C��-�} ��.- ��` t��' � ��}�Fi�:��.._ � � ., .— (�1���`�rt��: l.-��� _------ ----- - _--- - ��� i�i 2 ; � I��J���' S��,Ti'�;� �3�7ILD��S �.SSI��1�`�'��JI`v, ��C ' ' `T1�i�MA T�RId� � � ; ; ; 144a 1 99th�iVENT.T£5�t7TH�,�ST Y�LNt � YV�9$S9T � ' PAR�EL NtTiVIBER:7864011Z2Q i � — — �t i.1.�lJ j -- — , `� ! 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