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20130341 Permit Pkg - Void 12092013 'f�'of TH+��,��" City of Yelm Permit No.: 20130341 �� , Community Development Department Issue Date: 0/00/0000 a en (Work must be completed within 180 days) Building Division � Phone:(360)458-8407 ELM Fax:(360)458-3144 Applicant: Name: EVERGREEN STATE BUILDERS Phone: 253-475-6622 Address: P.O. BOX 39753 LAKEWOOD WA 98496 Property Information: � Site Address: gg57 JENSEN DR SE Owner: EVERGREEN STATE � BUILDERS � • Assessor Parcel No.: 78640102900 ivision: TA MA E � Lo 9 Contractor Information: �� Name: EVERGREEN STATE BUILDERS (/ Phone: 253-475- 22 • Address: ' P.O. BOX 39753 • LAKEWOOD WA 98496 Contractor License No.: EVERGS6980PB Expires: 0/02/2006 ,, Project Information: , � Project: NEW RESIDENTIAL BUILDING ` � Description of Work: LOT 29, PLAN 3102 � Sq.Ft.per floor: First 1314 Heat Type(Electric,Gas, Other): GAS Second 1758 Third Garage 898 Basement Fees: Item Contractor Fees NEW RESIDENTIAL BUILDING EVERGREEN STATE BUILDERS $18,182.41 MECHANICAL NUCCIOS HEATING $ 84.75 PLUMBING TOP NOTCH PLUMBING INC $ 132.00 TOTAL FEES: $18,399.16 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 the State of Washington. Signature Date Date: Firm By� "f�`woF TH�A,� City of Yelm Permit No.: 20130341 ' � 7� Community Development Department Fee Calculation Worksheet a en Building Division Phone:(360)458-8407 YELM Fax:(360)458-3144 Applicant: Name: EVERGREEN STATE BUILDERS Phone: 253-475-6622 Address: P.O. BOX 39753 LAKEWOOD WA 98496 Property Information: Site Address: gg57 JENSEN DR SE Owner: EVERGREEN STATE BUILDERS Assessor Parcel No.: 78640102900 Subdivision: TAHOMA TERRA Lot: 29 Project Information: Project: NEW RESIDENTIAL BUILDING Description of Work: LOT 29, PLAN 3102 Sq.Ft.per floor: First 1314 Heat Type(Electric, Gas, Other): GAS Second 1758 Third Garage 898 Basement Fees: Item Units Fees WATER METER(SFD) 1 $ 300.00 WATER ERU 1 $5,486.76 SEWER ERU 1 $6,393.54 SEWER INSPECTION FEE 1 $ 145.00 BUILDING PLAN REVIEW 0 $1,657.85 POLICE MITIGATION-TAHOMA TERRA 1 $ 310.00 STATE BUILDING FEE 1 $ 4.50 TRAFFIC FACILITIES CHARGE 1 $1,334.21 BUILDING PERMIT CONSTRUCTION VALUE 377,116 $2,550.55 TOTAL FEES: $18,182.41 PAYMENTS MADE: $ 0.00 BALANCE DUE: $78,182.47 �p�TH�p��"� City Of Yelm Permit No.: 20130341 � 7 � � Community Development Department Fee Calculation Worksheet Building Division Phone:�360)458-8407 LM ""'""°" Fax:(360)458-3144 Applicant: Name: EVERGREEN STATE BUILDERS Phone: 253-475-6622 Address: P.O. BOX 39753 LAKEWOOD WA 98496 Property Information: Site Address: gg57 JENSEN DR SE Owner: EVERGREEN STATE BUILDERS Assessor Parcel No.: 78640102900 Subdivision: TAHOMA TERRA Lot: 29 Project Information: Project: NEW RESIDENTIAL BUILDING Description of Work: PLAN REVIEW FOR PLAN 3102 . 3102 WAS NOT BUILT ON LOT 29. Sq. Ft. per floor: First 1314 Heat Type(Electric, Gas, Other): GAS Second 1758 Third Garage 898 Basement Fees: Item Units Fees BUILDING PLAN REVIEW 0 $1,657.85 TOTAL FEES: $ 1,657.85 PAYMENTS MADE: $ 0.00 BALANCE DUE: $ 1,657.85 ..#c', }', Cit� of Ye�m (36 ) 458-84(l2 REC#: �70145949 12/09/2013 2:26 PM OPER; CO TERM: 001 REF#; 33830 TRAN: 33.0000 BUTLDINU PERMITS 20130341 1 ,657,�5Cf? �UERGREEN STAT�E BUILDER9 9957 JENSEN DR SE �LD-RE51 1,657.85CR TRAN: 33,0000 BUILqING PERMITS 20130364 18,068.26CR EVERGREEN STATE BUTLDERS 9957 JENSEN DR 5E BLD-RES1 17,859.O1CR MECH 91 .25CR PL 118�OOGR TENGERED: 19,726.11 CHECK APPLIED; 19,726.11- CHANGE: v��O.OQ p �,,, � � � � � � w O � �" - � -� 3 Z � � � � �� ^ cv ~ a C..� �� .� � m vi �r O o� � \ Y � �, a nq z �� L,,,_ m 3 �L/ � � � ��,� �. � c � >_ -�—� � �B /�1 N Q r �n� i¢H. ';' � o �� 7r1.. �",,;r;r �, � � , � J Z � � * , � o � � � 00 �1 o Z � ��.. ,�, << j .� . ° U � oW �t_ . 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(�, � � �g� � � a ��a � �"� W � �� i '�' +- ° �� 8�� ti��i CITY OF YELM RESIDENTIAL BUILDING PERMIT APPLIGATION FORM Project Addres�:__��__ _��tiJe ti St • S'+� Parcel#: ��> �� O 2 � a d , -- — ��____ _._—. � Subdivision:��►kw, ut� Lot#:_.z- _ � 'D 2 Zonin ��'�.� `'-��..t�°�t' `�"�-. �------.. ��_ Plan#: � 9�___�_---_�_.__ �` ^;�1Vew Constructiori Re-Model/ Re-Roof/Addition Home Occupation Sigr7 Plumbing Mechanical Mobile/Manufactured Home Placement Other � ,,., Project Description/Scope of Work: o��C- -�-mt�'�i�`� Project Value:� �'f',f'D 37'f}��p,— Building Area(sq. ft) 1 S' Floor�3��_ 2�d Floor�7� Garage 0 /g Deck � Basement Carport Patio_�f�� # Bedrooms7�_ #Bathrooms��'Y Heating: AS/ HER or ELECTRIC(Circle One) Are there any environmentally sensitive areas located on the parcel? �_ !f yes, a completed environmentai checklist must accompany permit application. �.t._ � �� t�-�e � .c �.��l�.�mtx ADDRESS�d• �o)c 3g7s EMAIL ,j! e1=�r�-r+�� .[' u+S�r.a • � CITYCu�c�•.Q( STATE oiY�1- ZIP �'�TELEPFiONE_�253° 'f'7d=(�Ll��"- � . � �� a'' � LICENSE# '1 Z ADDRESS �� 5� � Sf•� w d ��@-' EMAIL N't�+s `at.�r. r�¢ • ,,� CITY s� e" STATE ZIP TELEPHO�L 3-- 8" - i � - �� TELEPHONE ADDRESS EMAIL CITY STATE ZIP FAX � � � CONTRACTOR'S LICENSE#�v��,4S89S1�f 8 EXP DATElai _CITY LICENSE# I�-'l�E b�'�.. c� ��UMBIt'�"��t�� . /Vo TELEPHONE_ ��. 4�6-_ C3d`G� ADDRESS ��- �� l EMAIL �o`ff'SJ d r�•�-- Q (�tt'F�•�.e(e �,_ CITY t�t,`sw't�-d` STATE ZIP �'J'? FAX�bo�°�+�K>- a db'z-°- CONTRACTOR'S LICENSE#TbPnlo�l�� DK EXP DATES� CITY LICENSE# 12` b��.yyy e .� HANICAL� '. �- �c t�� ' TELEPHONE� - �--�?3 3 ADC�RES� �� e EMAIL d�A. � _ n E� &' p-✓�tu.4 • c,a+�... C17Y '.%�„:.��.,_ STATE ZIP '��/d FAX � CONTRACTOR'S LICENSE#�ia�c(�*`q�.� EXP DAT ITY LICENSE #�� Copy of mitigation agreement with Yelm Community Schoois, 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,rulea and regulations of the State af Washington and the City of Yelm. .«�'.:„W�r,,�..�.,.�...s �,a--°.^` � ��(� Appl t's Sign ure Date Owner/Contractor/Owner's Agent/Cantractor's Agent(Please circle one.) All permits are non-transferable and will expire if work authorizecl by $ueh permit is not begun within 180 days of issuance, or if work i� suspended or abandnn�d for a period of 180 days I � ��:��V]ED � --�- S�P � � 2913 I05 3elm Auenue West (360)458-3835 Yelm, R'A 98597 , � � � � `?�3'60)458-3I441+ _ wu�u�.ri.,yelna.u�n:us � -- t ��,.. _ � � v� ; John Rowland From: John Rowland Sent: Monday, October 21, 2013 4:53 PM To: 'Jeff Kelley' Cc: Karen Bennett Subject: RE: permits for Tahoma I will pass lot 28 on to Karen to permit. If we change lot 29 to a different plan there will still be a $1657.85 review fee due an plan 3102. It will become a stock plan for the 2012 code cycle and the review fee can be used as a credit when you use the plan. Thanks Jahn From: Jeff Kelley [mailto:jeff@evergreenstatebuilders.com] Sent: Monday, October 21, 2013 4:29 PM To: John Rowland Subject: RE: permits for Tahoma Na. We are getting an offer in on a different plan for lot 29. 28 will remain what we submitted. Thanks, Jeff From: John Rowland [mailto:JohnRCc�ci.yelm.wa.us] Sent: Monday, October 21, 2013 4:18 PM To: Jeff Kelley Subject: RE: permits for Tahoma Permits are ready for lots 2 and 29. I was told you may want to change lot 28. Do you want to permit lot 28 as submitted? If so it can be ready Tuesday. From: JefF Kelley [maiito:jeff@evergreenstatebuilders.com] Sent: Monday, October 21, 2013 4:06 PM To: John Rowland Subject: permits for Tahoma John, how are the permits coming along for lots 2, 28& 29? 1 _ . Myers Engineering , LLC 3206 50t" Street Ct NW, Suite 210-B Gig Harbor, WA 98335 Phone: 253-858-3248 Fax: 253-858-3249 Email: mvengineerCa�centurytel.net September 12, 2013 Attn: Building Department Ref: Plan 3102 Site Location: 99571 Jensen Dr SE—Yelm, WA This is a Truss Approval Letter for the above referenced plan to be built at the above referenced location. I have reviewed the pre-manufactured truss designs and layout provided by ProBuild (Arlington, WA), dated September 5, 2013, for compatibility with the above referenced plan and i find them acceptable for use on this project. If you have any questions, please give me call. Sincerely, ,-: ' «; �� `�. � �. `^ '�t t Mark Myers, P.E. .':� �` �:°a Project Engineer � �` � ; "� j �G.,, a � °�'�y . �v ,� . o� ,��,�- �� I ��`��, ��Z _.._ � �� , �, `..� �-'� � I L�: _ _ _ Page 1 of 1 � r ' SEP ��6 2013 � ; ___ � _ ___ .___ �_� Myers Engineering , LLC 3206 50th Street Ct NW, Suite 210-B Gig Harbor, WA 98335 Phone: 253-858-3248 Email: myenqineer(a�centurvtel.net September 12, 2013 Attn: Building Department Ref: Plan 3102 Site Location: 9957 Jensen Dr SE—Yelm, WA This is a Site Specific Engineering Letter for the above referenced plan to be built at the above referenced location. The plan referenced above and described in the accompanying construction documents and calculations, was designed for compliance with the requirements of the 2012 IBC/IRC for the design loads expected at the above referenced site. If you have any questions, please give me a call. Sincerely, - � T �:: .� ��; �... .� -��'�` �;t�'� � o;� v,t r . ��,�j .;; ' Mark Myers, P.E. � 1 t., Project Engineer ;; - ?: ` �:.� � � � �. � 1 �` � YiJ�' �N\ U'1°11iL� {��D ` �f � F� ,p-. �:,, t',��,�� %. .��" �i / ��"�`�°�``�q"- 1'li - t� 1� � / RECF��'ED Page 1 of 1 � SEP 2�6 Z013 , BY: