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20150241 Permit Pkg 07132015City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Applicant: Name: NORTHWEST FAMILY HOMES Address: PO BOX 39 EAST OLYMPIA WA 98540 Property Information: Site Address: 1 A771 Q1 CT A % /1= CF: Assessor Parcel No.: 33860004900 Contractor Information: Name: NORTHWEST FAMILY HOMES Address: PO BOX 39 EAST OLYMPIA WA 98540 Contractor License No.: NORTHFH954BE Project Information: Project: NEW RESIDENTIAL BUILDING Description of Work: LOT 49, PLAN 1974 Sq. Ft. per floor: First 879 Second 1271 Third Garage 497 Basement Fees: Item NEW RESIDENTIAL BUILDING MECHANICAL PLUMBING Permit No.: 20150241 Issue Date: 7/13/2015 (Work must be completed within 180 days) Phone: 360- 791 -5644 Owner: NORTHWEST FAMILY HOMES Subdivision: BELLA HOUSA VILLAGE Lot: 49 Phone: Expires: 1/05/2017 Heat Type (Electric, Gas, Other): GAS Contractor Fees NORTHWEST FAMILY HOMES $17,162.39 SUNSET AIR INC $ 84.75 ACME PLUMBING $ 118.00 TOTAL FEES: $ 17,365.14 Applicant's Affidavit: 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 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 registered in the State of Wa ington� �'] Signatures / Date / A_ Firm /Vc� r �q T OFFICIAL USE ONLY # Sets of Prints: Final Inspection: Date: By: Citt of Mm (36 } 458 -3244 REC #: 00200629 7/13/2015 12 :17 PM OPER: CO TERM: 001 REF #: 15231 PAID BY: TRAM: 33.0000 BUILDING PERMITS 20150243 17,303.92CR NORTHWEST FAMILY HOMES 14702 91ST AVE SE BLD -RES1 17,114.67CR MECH 78.25CR PL 111.000R TRAN: 33.0000 BUILDING PERMITS 20150241 17,365.14CR NORTHWEST FAMILY HOMES 14721 91ST AVE SE BLD -RES1 17,162.39CR MECH 84.75CR PL 118.00CR TENDERED: 34,669.06 CHECK APPLIED: 34,669.06- CHANGE: 0.00 YELM COMMUNITY SCHOOLS PO BOX 476 YELM WA 98597 Receipt #: 308650 Clerk: Gerber Manual #: Terminal: 1 7/13/2015 12:13 PM NNW FAMILY HOMES NNW FAMILY HOMES NORTHWEST, FAMILY HOMES 7426 MANZANITA DR NW OLYMPIA, WA 98502 Qty Item _ Price 1 CPF MITIGATION 3015.00 MITIGATION Lot 1 Bella H6usa Village 14702 91st Ave 1 CPF MITIGATION 3015.00 MITIGATION Lot 49 - 14921 91st Ave SE Subtotal 6030.00 Tax 0.00 Total 6030.00 Debit /Credit 6030.00 Change Due 0.00 THANK YOU �,nlsbaq CITY OF YELM RESIDENTIAL BUILDING PERMIT APPLICATION FORM 11 It- Project Address: f y7L1 / Aw f e Parcel #:_jyn Oou y5 U 1 Subdivision-_&/e, Ax, Cl Lot #:_ Plan #: Zoning: 2-15-0 rt vt J��r� °• oi, ,,XNew construction i i Re -Model / Re -Roof / Addition t ; Home Occupation Sign I Plumbing I Mechanical 1.1 Mobile / Manufactured Home Placement 1; L Other Project Description/pe of Work: Project Value: 5/o� 5aq Building Area (sq. ft) 1sl Floor —1 2`a Floor _ Garage _ Deck Basement Carport Patio f c: �L # Bedrooms `_ # Bathrooms?' /` Heating: AS THER or ELECTRIC (Circle One) Are there any environmentally sensitive areas located on the parcel? _W !f yes, a completed environmental checklist must accompany permit application. BUILDING O}�NER NAME: r ,I�, ' - - - --� — �, ADDRESS t ". i i i� ( (X '� c f t vt ' �, iu C I -- CITY r'i 11 / EMAL ��d�.rrn �CvvHccr rK� STATE_ Crv1 ZIP`y v TELEPHONE�3`U ARCHITECT /ENGINEER ENSE'# ADDRESS - -11 1%' 13 �; 1 r/L Dv SL j EMAIL CITYSI tt W_ K i STATE I;J 4 ZIP y g C 1 y TELEPHONE GENERAL CONTRACTOR ;t-ti •Welt furvl;" , � ADDRESSJ)- i; . �c>< �� i ZtP C' U IL �^'r X611 c c r-1 vex e? CITY iA STATE few"" rc;rt,I,L CONTRACTOR'S I ICENSE # y ` EXP DATE _ CITY LICENSE # PLUMBING ADDRESS_ ? b F i li CITY - u I vh an ti STAT CONTRACTOR'S LICENSE # IIAIZUHANICAL AIJUKESS S 1 r Lt LGi L C CITY G,s STATE (.✓�} ZIP CONTRACTOR'S LICENSE #_Ji' /J1E�tt Z yrs rOVIA1 � TELEPHONE to,-" L ____EMAIL ' yl�_f3 FAX � EXP DATE CITY LICENSE # .'17ij TELEPHONE gicv -- 146 EXP DATE Copy of mitigation agreement with Yelm Community LhOOIS, 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. Applicant's Signature Owner/ Contractor / Owner's Agent / Contractor's Agent (Please cir Date 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 -.._ JUN 16 2015 105 .Ye&tt Auen.ue West -- - Yelnt, WA 98597 1tr"O� Q58-38 uww.ciyelrn.toa.us - - -- 45947WFAX — 'p�Gti we-fly- 0 ,, f- ('Ow0r, cHhk Wad ml-+ir (Op EL Glfh Avc S� f-1. Oo I lu'ut,14 I:a./cwcai Z � SC3 Ban LvRB 1 U0EL tot 6' T 1 U0671- l7 llA Nytif4 $ N (n� +tc Q�u� rf '.{ Av(Q r • 1471 -1 91ft A-fE l%t-cc(* 31860004900 pfar^# 1�7y ISO {t. verr'lOk V 8eArvow- W-1 A -tt--* = 4 3 Sl q 8uILbING A-kEIR 174.7 3(k TYrPEi�Ul��ir A�c�4= t9Y3r�F+ =yl`1. 2' MINIMUM SETBACK BETWEEN SIDEWALKS, DRIVEWAYS, EASEMENTS, AND STEP TANK. I- °°KS L1KI: SCL'iC(Z 6a"C pl �v -m i3 C Zhj ca�jc.R.EI-J�' City of Yefm, CDD Approved c