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20110215 Permit Pkg 09232013 ��Q� TH�A�� City of Yelm Permit ►vo.: 20110215 7 � �'i,! Community Development Department Issue Date: 9/23/2013 � � (Work must be completed within 180 days) Building Division Phone: (360)458-8407 YELM '""°" Fax: (360)458-3144 Applicant: Name: RHONDA NORDEOFF Phone: 719-640-6379 Address: 10023 COCHRANE AVE SE YELM WA 98597 Property Information: Site Address: 10023 COCHRANE AVE SE Owner: BRYON NORDEOFF Assessor Parcel No.: 56510001500 Subdivision: JOHN'S MEADOWS Lot: 15 Contractor Information: Name: RHONDA NORDEOFF Phone: Address: 10023 COCHRANE AVE SE YELM WA 98597 Contractor License No.: Expires: 0/00/0000 Project Information: Project: RESIDENTIAL ADDITION Description of Work: PORCH AND DECK ADDITION Sq. Ft. per floor: First Heat Type(Electric,Gas, Other): Second Third Garage Basement Fees: Item Contractor Fees BUILDING RHONDA NORDEOFF $ 137.36 TOTAL FEES: $ 137.36 Applicant's 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.,ir�.She�ate-e#V1fas#�iagtpnr--=-""—� �� .__.- ::,. __. ,,—� ' ' '- � Si nature,=� ' --�` - �� Date: 9 � ; � Date•u--- Firm - � =� -- � By� Cit� of Y�lm (36 ) 456-8402 REC#: 00139559 9/23/2013 9:44 AM OPER: CO TERM: 001 REF#: MC TRAN: 33.0000 BUTLDING PERMITS 20110215 137.36CR NORDEQFF, RHONDA 10023 COCHRANE AVE SE g�p� 137.36CR TENDERED: 137,36 OTHER APPLIED: 137.36- CHANGE: 0.00 i 2�� z,r �J � CITY OF YELM RESIDENTIAL BUILDING PERMIT APPLICATION FORM � `r- Project Address:i�G� C�(.�1�Yt� �V�» Parcel#: SISJ �� l� Subdivision: Lot#: Plan#: Zoning: � New Construction '� Re-Model/Re-Roof/Addition � ' Home Occupation Sign ' Plumbing Mechanical � Mobile/Manufactured Home Placement � ' Other Project Description/Scope of Work: �d {�(,� �}-�t'C�� Project Value� ��(�b Building Area(sq. ft) 1S` Floor"77l/ 2"d Floor Garage Deck Basement Carport Patio #Bedrooms� #Bathroom� Heating: GAS/OTHER or ELECTRIC(Circle One) Are there any environmentally sensitive areas located on the parcel? /fyes, a completed environmental checklist must accompany permit application. BUILDING OWNER NAME: � ADDRESS c� 0'�3 Co v� EMAIL S '�c7C� CITY STATE ZIP TELEPHONE -(.o S' ARCHITECT/ENGINEER LICENSE# ADDRESS EMAIL CITY STATE ZIP TELEPHONE GENERALCONTRACTOR TELEPHONE ADDRESS EMAIL CITY STATE ZIP FAX CONTRACTOR'S LICENSE# EXP DATE CITY LICENSE# PLUMBING CONTRACTOR TELEPHONE ADDRESS EMAIL CITY STATE ZIP FAX CONTRACTOR'S LICENSE# EXP DATE CITY LICENSE# MECHANICA�CONTRACTOR 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. � Applicant's Si ture Date Owner/Co ractor/ ner's A /Contractor's Agent(Please circle one.) All pe mits 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 days � 105 Yelm Auenue West (360)458-3835 Yelm,WA 98597 (360)458-3144 FAX www.ci.yelm.wa.us -- ; / ; %�� =��r �E�� l�j' �'yt +��'�� D>�� 7��<`�`�/t� _------- v t d��P �J 1 � �►J _.� , � ----------.—_ �'' : . � __ - _�--________—_____ � __ _ ' _ -_ �- _ _ _ _ ; � �'" � ' � � ��...,. � �� '��'��""S W' �� - �'` �-� a�'1'' o�t �-�✓��-c y�'--- � �� , r a lv xtv : �1 oot� � a� ,, �� .�,►1) � 1�� 1� � . ��..� e�r� er��e� �a ��- � �=---___�_.� � �� _______� ,� �_ �b� � ,� � �� `�� x8 �� _ - � I-' � � � �' � � X 'g � �' .9� °� �.�.°�-�- , � `�' ''� $ �" _ '10'' � �� . � �� ---� �' ��" �' ��._. � : �� ____�. _ _ v.�,,�.. _ ___ . . _ _ __.__�.._ ,_ ...LL� �, __ __ - - , ,� ` { .. — � 3 � ; w ; ____._...._ , , ---- _...__ _._._ � a.. , � , `�- o . ( ;` ��J � ' �� , � �� -� ,�� :� � ,,� , ,� . ,r � ;� , � ,.�y �� , �� ; �- � � . � � , � � . � � 1 � _�.�/ � , f , ; , ' ;' / �' � ; _ �, . _.. e . _ . . �; � � ��,�� _ �. -- r..._� i�� 1� . �� f � � � - dl . �� i"�� tf fff } � . � �� . � �� ,�,, , �. `��.,��. �``�, .�,ti ,{ j' � � __ .w.�._ ...._ _ _ .�� __�; Jn lF' � � � � � � � C' �Y _ � (� � � � .) _, - � � i . � � � � „ � � �, ��, __ �- � � �,. r.' �; � Q � � � c cJ� _ _ �'' � :� ..� � _ __ � �' � % � � � ---- o � �c � �' G (� �, _ �jp G � cr �}' _ � � � .6 � o • �_. � � G � (° a— � _ ___ _ � � d � s ._.�� C° � � �' �..�_ ��. � 6 � �° � � �os �'' � cs� � — .� � � ._ � -- ��, �� .: o � �- � �- � r U � ' i