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
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� " � 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
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� BUILDIt�G OWNER NAME: L�L....
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i ADORESS �-I r�._ .r „P�.�a.,td��s ,�J�ra,�c•I�c
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C(�NTRACT�R'S �ICENSE# �� EXP OATE� '�'CITY LICENSE #
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� P�UM8ING CONTRACTOR�,�� �� ��n�, TELEPHONE �`�3 �-tcs; 2� 7
� ADDRESS���(� 1�.4.�'Y�.�- Ln S ' EMAIL .�r-��„Ga1T u��'_,n�jncr��3��,�/.Cr
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l MECHANICAL CONTRAC70R ,��z Sk��c�c'c Q TELEPHQNE�,3 • 5_3�- U ���3
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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. � -,.^
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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
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