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20140104 Permit Pkg 03052014 '�'"'��� T����,`'� City of Yelm Permit ►vo.: 20140104 � � '�� Community Development Department Issue Date: 3/5/2014 (Work must be completed within 180 days) Building Division Phone: (360)458-8407 'YELM "x"'"P'°" Fax: (360)458-3144 Applicant: Name: MT TERRACE BUILDERS Phone: 360-458-1502 Address: 14730 STATE RT 507 YELM WA 98597 Property Information: site Address: 10005 TYLEAH CT SE Owner: MT TERRACE BUILDERS Assessor Parcel No.: 4713000400 Subdivision: FAIRWAY ESTATES Lot: 4 Contractor Information: Name: MT TERRACE BUILDERS Phone: Address: 14730 STATE RT 507 YELM WA 98597 Contractor License No.: Expires: 0/00/0000 Project Information: Project: NEW RESIDENTIAL BUILDING Description of Work: LOT 4, PLAN 1291 N Sq. Ft. per floor: First 1423 Heat Type(Electric, Gas, Other): GAS Second 1704 Th i rd Garage 872 Basement Fees: Item Contractor Fees NEW RESIDENTIAL BUILDING MT TERRACE BUILDERS $18,271.22 MECHANICAL BEST CHOICE HEATING $ 84.75 PLUMBING JR'S PLUMBING $ 146.00 TOTAL FEES: $18,501.97 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: Yetm 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. � Date: Signat re Date c� 5 �'�� Firm ��.. , `1� By: Cif� of Ye1m t36 ) 458-8402 ***** � EPRINT R E C E T P r***** REC#: ��154484 3105/2014 2:48 PM OpER: TERM: 001 REF#: 23242 TRAN: 33,0000 6UILDTNG PERMrrS 2014U104 18,501.97CR MT TERRACE BUILDERS gLp R�S05 TY��qH CT SE MECH 18�271.ZZCR Pl. �4.75CR 146.00CR TENUERED: 18,501.97 APF�LrED: 18,501.97_ CH�CK CHANGE; -�``-�------ 0.00 REP�I�T YELM CAMMUNI�fY SCHOOLS PQ BOX 476 YELM WA 98597 Receipt #: 24346� Clerk: Cr�y Manual #: Terminal: 1 3/5/2014 1:25 PM NMT. TERRACE ��MT, TERRACE MT, TERRACE , BUILDERS, LLC 14730 ST ROUTE 5q7 YELM, WA 9$597 Qt�!. Item___ _ Price 1 CPF MTTIGATION 3015,00 MITIGATION 13-002/LOT 4110005 TYLEAH CT SE; VELM Subtotal 3015.00 Tax 0.00 Total 3Q15.00 Check 3015.00 23240 Change Due O.OQ THANK YOU CETY OF YELM ��D I O� RE5IDENTIAL BUILDING PERMIT APPUCATION FORM , , .. . � - � " � 4�.?._.._ u- � � arcel# 1 /; _; � r : ,-� ,-, �t �' r � Pro ect Address:_ �(�C � Subdiv�sio�:_.�,�'lj'��� _..._ Lot#:� Plan it. �a� Zoning. (?�dew Construction Re-Model I Re-Roof I Addition Nome Occupation Sign Plumbing Mechanical Mobile/Manufactured Home Piacement Other Protect DescriptionlScope of Woric: ��Z.L�� �_�,-.�-'4���'��"-�-�u*� ������ Prolect Value� � 1�� U ' 375 q3 8u�ldmg Area (sq ft) 1" Floor��l.l 2'� Floorl�3r° Flaor Garage-2 car 3 car�Z Covered Pat�o Cavered Porch `�� � Patio Oeck # Bedrooms� # Bathrooms,,,�r� H�atin . GA 4THER or ELECTRIC (Circle One) Are there any environmentalty sensiti�e areas located on the parcel? !f yes, a completed environmental checklist must accompany perm�t application . � ....___ _ ....... .__..__�_._________ ___.�__ .____�_______._ _. ._...._,.�..__.,.______m._.`�___,_._______.._ ._ ._._._ .. � BUILDIt�G OWNER NAME: L�L.... 1 ADDRESS�},�,.`.��� T `a't3'� EMAIL r � n � ��� ."`.� � CITY`�`,�+�� STA7E,�21P "J ��`7�- TEIEPHONE Z.. _W__._.. _____.�._..____.__.._ ____�. ____._ ... ..._.._ .._,_._�,_— ._.__ �___--- -__ _ _m._.._�_____�._ .._��___.___ ; ARCHITECTIENGINEER l:�t�°"L� LICENSE# y AOaRESS "i}� St. �...� �EMAII � CITY�ka�..�C�c�c- STATE �--^'� ZIP �i Y�Ci.9 TELEPHONE�.'�3 - S "� -C� �`�i ST _ _--,�� _ _...__s,., _______� _EMAIL _�_._.�.(.�'r.L� � _r. ._.---..___._._..._,_.. _ ._... _--- _.. .._.__._..r_______.._�_ ; GENERAL CON7RACi'OR TELEPHONE �4S � i �1s2.. i ADORESS �-I r�._ .r „P�.�a.,td��s ,�J�ra,�c•I�c °' � CITY�, r�__. _STATE�� ZfP�" FAX C(�NTRACT�R'S �ICENSE# �� EXP OATE� '�'CITY LICENSE # . . _.,___ _.__._. � _..._ � _ __ ._.. _ _ ___-- --_-�.._�. ...__,._._. .__._. _._.__.. _.. . .... . �._.. . . .. __._. � P�UM8ING CONTRACTOR�,�� �� ��n�, TELEPHONE �`�3 �-tcs; 2� 7 � ADDRESS���(� 1�.4.�'Y�.�- Ln S ' EMAIL .�r-��„Ga1T u��'_,n�jncr��3��,�/.Cr � CITY Y�.Iw� STATE w�n ZIP �3f;��� FAX ? COh1TFtACTOR"S LIGENSE #,ZO'�-l�(—Z'x°J�'iD5 EXP D,�TE C�TV LICENSE # ,.._._._�._p.._._ � �...___ __...__ �.__.�_.___. __..__ ._. l MECHANICAL CONTRAC70R ,��z Sk��c�c'c Q TELEPHQNE�,3 • 5_3�- U ���3 � ADDRESS i 2�v� 3"�'s ��. L- EMAIL �� �'ic�..^! h u��, l vrr�'�. r-�:� � CITY'i c.��,�wo. S7ATE�►/'� ZiP lo FAX CONTRACTOR'S UCENSE #�i GC�tS� C�- EXP OATE3 CITY UCENSE # ____� Gopy of mitigatron agreement with Yelm Community Schools, if appiicable. i hereby caRffY that the aba�e information is carrect ana that the construCtion on,and the accupancy and[!re use ot the above described property will be in accordance�with the laws,rulea and reguiatlons of the SWto ot Washington and the City of Yelm. � -,.^ �� + • � f � , , �'�� ApplicanE s Signature Date Owner!Contractar f Owner's Agent/Contractor's Agent(Please circ{e one.) All permits are non-transferable and will expire if work authorized by such permii is not begun within i80 days of issuance, or if work is suspended or abandoned for a pe�iod of 180 days ..,. 1�r _ "J �.�°�°`�.:�, r_. , : _ � ...._ _ _ JAN fl � � ._ _ � ��I� , . J03 Yr1m Arrrr��r Wrat . � - -, - ._ ... ..........�� (360j J58-3bt3S Yehr:. 1YA 9�39� � �' (38U) JSt�-31��1�1 Fr�h` u�ta�ir.�r.yptn,.�,�u.r�s BY: wo�•sue�dawoHOHN'^++^�^^ � �W � G090-889(£9Z) �Xd� 60£9-b89(E9Z) 66t�86 b'M'QOOM�Nt�'i MS 133L115 H1601 tiZ6tr � � ��� ,. ,�.,. � ���'� '�NI `JNIN'JIS30 3WOH 1S3MHltlON � : �oy ��� � �Z6"�'S � ��85 ��I o l N a �—.__ _ __ ; �------ �. ► � � � � � � �.., � �� �, 6� )�,'NIW�p, � ������ � m � � � g���� Y � � � � � , . �� ` �����g � . .�. � > � p I �� ��� �__—_ _ 4,} O i � n � �� � � _____ ..___ �� �' �- I � _ �„".�°.._� I I � � �`,: , �� m � � � � �. � � -- - mm�m� � ���g � ,� ���� ._ _ _ ._.____. f ___--� �� . _ _�._ _ , _ a� . � - \ � � �'` � 6l # � � � I ' � � z i I �0 � -�-t,y�-�--� c� � z I � --- C � z . ,r.o 3 Q - `�, m � �s m g E Y Q � � Q � r c� � � � � � �'�;�,.._. ? � • � ° . � ( 4 " I °`_� ..__ . . � � J z � -;� f �� �� , a a � , " �� ` z3 � ,. �W� w a � . �� , Y � o � �3� Q � N Vf Vf � ���j ��� � � ;:;� W � � c�yr -c� J W ` ��� � � � � � .r�� r: ;� c�v � s'` '�'S \ � Q— � `� 'a�� t� ; � �. � Y'�``f t� � ,...... ...... ` � ��51.� � n8� ��l ol N �''',..rj?�. � �� � 0 . _ . 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