20140221 Application 07152014 G��
CITY OF YELM
RESiDENTIAL BUILDING PERMIT APPLICATION FORM
Project Addr�s���� C�1�C�� �� Parcel#: ���OIOC��Z_IC�O
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Subdivision:�tY1 O Lot#:��-� Plan#:Z. � Zoning:
�ew Construction ' Re-Model/Re-Roof/Addition � i Home Occupation Sign
� Plumbing Mechanical '� Mobile/Manufactured Home Placement ; Other
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Project Description/Scope of Work�(1�.�l1�S�Y1�11�Q 0►m�u►YeS�aex�Ce �� �
Project Value:�f ���Q' �
Building Area(sq. ft) 15`Floor►Z7`�t 2"d Floor�yln 3�d Floor Garage-2 c�3 car
Covered Patio �1� Covered Porch �� Patio Deck
#Bedrooms� #Bathraoms?`�2 Heatin � GAS THER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? N�
If yes, a completed environmental checklist must accompany permit application.
Bt,���1�G C?WNER�{A� 1f1 2X
ADDRES EMAIL
CITY STATE�_ZIP TELEPHONE l0•�3C�O
p;Ft�t�#il`��'�/�("�IC,!(�1� �A LICENSE#
ADDRESS �� 1. W. EMAIL��C��Q.���AVYI�.QS—�C�"
CITI� ell STATE ZIP TELEPHONE _ S-�__'�1�I0�
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ADDRES EMAIL 'R.1Gh • � \CJ.
CITY�\ � STAT ZIP FAX Z 3• l0•bL40�
CONTRACTOR'S LICENSE# XP DATE CITY LICENSE#
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PLUMBifUG CONTRACTtS TELEPHONE 3-Z�1�-�_
ADDRESS��'L�W• V � EMAIL
CITY��jQV�,`�lf� STATE ZI FAX _• _ _ � _ _
CONTRACTOR'S LICENSE �I EXP DATE_CITY LICENSE#
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IUN���HANICAk��C?t�TF�A��,�R Y� EMAIPHONE •
� ADDRESS O �
CITY�G C0�1A STAT�.�ZI FAX Z �I
CONTRACTOR'S LICENSE#Y1. XP DATE_CITY LICENSE#
Copy of mitigation agreement with Yelm Communit � oos, if applicable.
I 1 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.
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Ap ic nt's Signature Date
Ow r Contractor/Owner's Agent/Contractor's Agent(Please circle one.)
All permits are non-transferable and wiil 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
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10•5^elm Auenue West (360)458-3835 �
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Yelm,WA 98597 �,�'B01 458-3144 FAX
www.ci.yelm.wa.us .__ _.._ _. . _�
C 4(Z>:� �: 13�X C,/�N.�o T i3C; 13�.N W � F� �Gt�I
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SCALE:1"=20' S.s� ,�.�� ,s� z�� .__
70.00 �
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i26 1 127 �"` "' �
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� 18x12 � �-' r ' ( § � !
ROOF COV PATIO �
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� DRAINS� � � � � 1�.5' �� 'it1'� �
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x � � � � '
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� i 2394 B STD �
M � W DIAG 54.45' � ' `" j
4 v� � FENCE u�i § q
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,°9 � $') 39'-0" 25�8 ' � �
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I� 2 CAR �J✓-- �-__x�..____x_..... . ____,�_.�!
x� � GARAGE �ll1
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ICOV.PORGH ����� q �1 I 1
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'�• �VIYLl. TANK�/ ��
• I DRIVE ��o�,��--/ r�,'� � �'�
� 10'UTIL ESMF � � � � ��^j�
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GONC WALKv� 18' Q
PIANTER 8' � �V
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m Gt1R61 CUTtER
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APPROXIMATE i
LOCATION OF (
57REET TREE , i
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��,�`�":� �� ,;_-=;_�....._.,._.�,,....__._._...�,........._ GHAD DRICIE SE� �
�
JUL 2 2 2014 2' MINIMUM SETBACK BETWEEN ������� ��ed
� � SIDEWALKS, DRIVEWAYS, EASEMENTS, � �
� ' ! AND STEP TANK. ��
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____�_._,..._,
,___._____..�.w_____. _. ,
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NO 5' EAVE
ENCROACHMENT THlS LOT - .-- �- ----�.�----°,-�-----��M-
CONNECT 4" PVC ROOF
STEP TANK EXCAVATION IN VIOLATION DRAINS TO DRYWELL
OF THE REQUIRED 5'MINIMUM SET BACK FRONT PORCH FOUNDATION AND STEP
TO FOUNDATION SHALL BE BACKED TANK LOCATION SHALL BE STAKED OUT
FII.LED WITH CDF. FOR SET BACK INSPECTION.
LOT 127 - C H E RRY M EADCJWS
PARCEL #: 416100 127 00 Dat�: oWner: Freestone
07 / 21 /14 Gherru Meadows LLG
Lot Size: Pro�ect Address: b820 20th St. E Sulte A
5,701 Sq. Ft. 15487 CHAD DRIVE SE 2I53 8 6a 300