20150304 Permit Pkg 10012015City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: VG INVESTMENTS LLC
Address: 1940 E D ST STE 100
TACOMA WA 98421
Property Information:
Site Address: 0044 1 (V_IICT ['_T CF
Assessor Parcel No.: 840700090000
Contractor Information:
Name: C & E DEVELOPMENT LLC
Address: ERIC PETERSON
PO BOX 2983
YELM WA 98597
Contractor License No.: CEDEVED942JC
Project Information:
Project: NEW RESIDENTIAL BUILDING
Description of Work: LOT 90, PLAN 2565 -J
Sq. Ft. per floor: First 955
Second 1241
Third
Garage 393
Basement
Fees:
Item
NEW RESIDENTIAL BUILDING
MECHANICAL
PLUMBING
Permit No.: 20150304
Issue Date: 10/01/2015
(Work must be completed within 180 days)
Phone: 400 -0432
Owner: VG INVESTMENTS
Subdivision: WILLOW GLEN
Phone
Expires: 8/11/2010
Lot: 90
253 - 278 -0343
Heat Type (Electric, Gas, Other): GAS
Contractor
C & E DEVELOPMENT LLC
PREMIER GENERAL CONTRACTING
BALD HILLS PLUMBING
TOTAL FEES:
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 Stat?,o Washington
Signature ' Date
Firm 4-5:+
Fees
$14,037.39
$ 71.75
$ 118.00
$ 14,227.14
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
City of Mi
(36 ) 458 -3244
REC #: 00208431 10/01/2015 8:53 AM
OPER: CO TERM: 001
REF #: 7911
PAID BY:
TRAN: 33.0000 BUILDING PERMITS
20150304 14,227.14CR
VG INVESTMENTS LLC
9935 LOCUST CT SE
BLD-RES1 14,037.39CR
MECH 71.75CR
PL 118.00CR
TENDERED: 14,227,14 CHECK
APPLIED: 14,227,14 -
CHANGE:
YELM CPO B X 476 HOw
YELM WA 98597
Receipt #* 313097 Clerk: Croy
Terminal: 1
Manual #:
Ma
9/17/2015 12148 PM
NC AND E DEVELOP
NC AND E DEVELOP
DEVELOPMENTS, LLC
C AND E,
A 98597 RD SE
17206
WAIRIE
YELM,
price
WtY Item
�- CpF MITIGATIDN
3015.00
MITIGATION
90/9935 LOCUST CT SE ;YELM
07- 015/LOT
3015 00
Subtotal
0,00
Tax
3015.00
Total
3015.00
Check
7902
Change Due
0.00
THANK YOU
1c(so,;o4
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: 1135 wmt 64 SE Parcel #: 40 JDDDI DOD
Subdivision: MNW) Wfl Lot #: 0 D Plan #: 2SNO'b'S Zoning:
New Construction ri, Re -Model / Re -Roof / Addition I_' Home Occupation Sign
Plumbing Mechanical Mobile / Manufactured Home Placement Other
Project Description /Scope of Work: WV SMA &ffAMM i�We,
Project Value: Ls2zfw ct
Building Area (sq. ft) 1" Floor 2 d Floor� Garage ?J013 Deck
Basement Carport Patio 9cl
# Bedrooms L ° # Bathrooms 2--S Heating GAS /OTHE or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? ND
/f yes, a completed environmental checklist must accompany permit application
BUILDING OWNER NAME: iT 113V Istmuts
ADDRESS EMAIL
CITY:JA_ rAtTW"1 STATE ZIP TELEPHONEZ -Z1 - D3►k3
ARCHITECT/ NGINEER Plol n LICENSE #
ADDP,ESS EMAIL
CITY STATE_j( _ZIP TELEPHONE 1,6'3 -CAUL ( bel
GENERAL ONTRACTOR TELEPHONE �✓
ADDRESS DN -�, EMAIL
CITY STATE_)�ZIP FAX
CON AC OR'S LICENSE # EXP DATE CITY LICENSE #
PLUMBING CONTRACTOR TELEPHON
ADD SS EMAIL
CITY !@ STATE Vellk ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
MECHANICAL CONTRACTOR VOW& L04&&A TELEPHONE 53L' 31
ADDRESS EMAIL
CITY � STATE V_ZIP qfl D FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
Copy of mitigation agreement with Yelm Community Schools, 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. a
Applicant's Signature Date
Owner / 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
105 Yelm Avenue West (360) 458 -3835
Yelm, WA 98597 (360) 458 -3144 FAX
www.ci.yelm.wa.us
Q
w �il
M
c >
r
Q
L�
IA
1 p
Z
o
Vf W Q
`
W
d
..
r
N
C Lu Q
_Z 3 3
z
_
�W>a
Q
w �il
M
f-
1�7
J_
Jn
W V)
u
U
0 V)
2 <
Li
h Vo
N
V�
Ql
J•
c >
1 p
Z
o
Vf W Q
f-
1�7
J_
Jn
W V)
u
U
0 V)
2 <
Li
h Vo
N
V�
Ql
J•
L4 `
// (X L`, & f�
�yv
Lv
C0
/ J
1
VIM
9
'P
W e�
F- 3
W
Z
o
Vf W Q
`
W
d
..
uj
N
C Lu Q
_Z 3 3
z
_
�W>a
N m �
0
L4 `
// (X L`, & f�
�yv
Lv
C0
/ J
1
VIM
9
'P
W e�