20140220 Application 07152014 ��2��
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CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
ProjectAddress: �FJL� �I1QC1.'�(.�''JE Parcel#: ���D�j�125�D
Subdivision: �� � Lot#:�7 Plan #:Z.. Zoning:
�ew Construction ❑ Re-Model/Re-Roof/Addition ❑ Home Occupation Sign
❑ Plumbing ❑ Mechanical ❑ Mobile/ Manufactured Home Placement ❑ Other
Project Description/Scope of Work: �e.lJ� ����e ��1��,U� ��J�C�Y1��O� ��.Cj
Project Value:�l� �l�P'`
Building Area (sq. ft) 15t Floo� 2"d Floorl�"�� 3rd Floor Garage-2 ca�'1�3 car
Covered Patio Z�� Covered Porch a5 Patio Deck
# Bedrooms� # Bathrooms�-�� Heating. GAS/O HER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? Nb
/f yes, a completed environmental checklist must accompany permit application.
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ADDRES EMAIL
CITY �� C STATE ZI TELEPHONE �3- l0•1
ARGF#�T'��TI�}�GINEER � LICENSE#
ADDRESS 'P EMAIL Com �n �
CITY`I�O � 1 STATE WA ZIP TELEPHONE 1-125•�- '�
GENERAL CONTRACTQI� OY1e. ''L TELEPHONE '� ll0'�
ADDRESS Zb� g.. �.t.1 EMAIL Y CV� �J•
CITY �� � STATE ZIP FAX Z � LO'
CONTRACTOR'S LICENSE�E�.�' a1A1�1Z.EXP DATE CITY LICENSE#
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PLtJMBfN� C(��TR1��TC? � IJ�YYI TELEPHONE 2'S�S'Zy°►•bZO�
ADDRESS �•�� �'i '',�. EMAIL
CITY ��� STATEk�G ZIP aI�IJC�J FAX Z'r'� •��1' �-I
CONTRACTOR'S LICENSE 1,'TR 10�1�J'I7L EXP DATE CITY LICENSE#
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M��HA1+,�[G��:.C{QJ�[TF�A ,"�"4�RlF,� YIYI TELEPHONE Z�J�J'�'3`1-b10�
ADDRESS�►`1O � 't EMAIL
CITY`t0► STATE ZIP 4l! FAX Z 1
CONTRACTOR'S LICENSE#KL.'Y 1"1 OZ1'��CEXP DATE CITY LICENSE#
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Copy of mitigation agreement with Yelm Communit c ools, 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.
`1- 1�-1�-t
A pl anYs Signature Date
O ne /Contractor/Owner's Agent/Contractor's Agent(Please circle one.)
All permits 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
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3 ��. _ I
J�lL � � �014
105 Yelm Auenue West (360)458-3835 `
Yelm, WA 98597 '
�'.�Q,�_45$-3144 FAX
www.ci.yelm.wa.us �` ���`�" '"-"'�`�
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SCALE:1"=20� 29' 1$' 17.5' 5.5'
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c�'s ��`
�# 45.00 $
(y� � 18' GONG WALK
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� CURB/GUTT'ER 4
�---- 24" �
i APPROXIMATE
ILOCATION OF
� STREET TREE
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���GHP�D RI1/E SE i 2' MINIMUM SETBACK BETWEEN
����9~ ��� F ���� �� �r�� SIDEWALKS, DRIVEWAYS, EASEMENTS,
,J�� � `� 2Q�4 ,�pproved AND STEP TANK.
NO 5'��At�� ;_'_ _��>., � .�, � ��,
ENCROACHMENT TFit'S"COT"-"'°`--- �
CONNECT 4" PVC ROOF
STEP TANK EXCAV DRAINS TO DRYWELL
OF THE REQUIRED 5' MINIMUM SET BACK FRONT PORCH FOUNDATION AND STEP
TO FOUNDATION SHRLL BE BACKED TANK LOCATION SHALL BE STAKED OUT
FILLED WITH CDF. FOR SET BACK INSPECTION.
LOT 125 - CHERRY MEADOWS
PARCEL #: 416100 125 00 Date: owner: Freestone
07 / 17 /14 �}���.�.0 ����Qws LL�
Lot Size: Pro�Ject Address: 6820�Qth 5t. E Suite A�
5,701 Sq. Ft. 15499 CHAD DRIVE SE 2I53-6�300