20040104
@ID~~~
crr'l Of 'lELM _ BUILOING OEP ,..p.1'MEN1'
P.ESIOEN1'I,..L CEP.1'lfIC'" 1'E Of OCCUP ,..NC'I
Building Address
~
RemarKS
~
~
~
Plan Number
004
~
owner Name
owner Address
~~04.,{L
Building permit Number
~
~
p..reas Inspected
o ate
specia\ conditions
Building Official
~
.hiS struclU,e is io co,"pliance with the 10lefoatioOal Residenliai Code \ChaPle, I
51-5\ WAC) as adopled by the washinglon State BUlidln9 code couocl pUfsuao
10 Chaplers 19.21 and 10 92 RCW. elleclIVe July \. 2004
={r;@{@11@
,~,J,i YcLM SEWER DEPT
FRX NO 360-45B-El166
Nov 14 2005 05 45PM P1
FAX TRANS~v1ISSION
CITY OF 'YELivI
\ P.U BOX 479 - 931 \lP ROAD NE
~ YELM, W A 98597
\' ~(~\ 360-458-8411
'\J~ FAX 360-458-8166
TO: 7?JtAJ DATE: 1(-1')-0<)
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FAX#:
From' k~t).^J D Y
PAGES: I , mcluding thIs
Cover sheet
SubJect )-16u.C)1::- r l AII-\/~ }) I
. c: r- I~ '- -:::> / jI... \,l) \--10 tA'5 IN L,Y"
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COMMENTS: L6T I) 5-{)7
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.,j- IrYOLl do not recejvC' all copIes 01' any (,;opy IS nul kglble, please call (360) 458-84] 1
1S snUI1 a~ posslble
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CITY OF YELM INSPECTION LOG
PERMIT NLTh1BER
u ~ L~
ot-f/olbi
-S-OS' Wier ~
PROJECT
? ADDRESS
~~\V' SETBACKS Date
\J; \ Front
Rear
SldeiFlankmg
SIde
FOOTING
WALL
12" 6"
16" 8"
other other
reqUIred vents
./ Dale ~ WALL REBAR ./' Date F> f/ bC/
FOOTING REBAR
Comments
o
COMBI~TED FRAME/ EXTERIOR SHEAR WALL INSPECTION
Hold downs Shear NaIlmg
Frame Gas/Propane
Plumbmg Mecha111cal
Comments
I:{:m and Seal
~ (gJ~
'- I
SHEET R0CK/SHEAR WALL NAIL
INSULATION
Electnc
Vapor bamer
other
/VA
Comments
Comments ~ te ~rvif
OTHER Comments
FINAL ~/
;:-~~er Fmal
/ jd'dress
Comme" ~
,",ctncal
~ulatlon
1/:/
C1\ 11 Fmal
SIte Dramage
~dscape Fmal
/Idewalk
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City ofYelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Permit No
BLD-04-0104-YL
Issue Date 08/02/2004
(Work must be started within 180 days)
Receipt No
32896
Applica~:. .
Name. Deonnah McCloud
Phone:
412-8105
Address. 1013 Crystal Springs Rd
City. Yelm
State. WA Zip
PEoperty Information.
Site Address 505 Coats St.
Assessor Parcel No 59710000200
Subdivision. Longmire Estates
Lot: 2
Contractor Information:
Name Owner
Contact:
Phone:
Address.
City.
State.
Zip
Contractor License No
Expires
Business License
Project Information
Project: Longmire Estates, Lot 2
Description of Work: 1004 SFR
Sq. Ft. per floor. (1 st) 1004
(2nd) 0
(3rd) 0
Garage 360
Basement 0
Heat Type (Electric, Gas, Other) GAS
Fees.
Item Item Fee Base Amt Unit Fee Unit Rate No Units Unit Desc
--------------------------- -------------
Building Permit - Other 812,43 000 000 o 0000 o 0000 $1,000
Building Plan Review 343.25 000 000 o 0000 o 0000
Mechanical Permit 38.75 000 000 0.0000 o 0000
Plumbing Permit 6900 2000 4900 7 0000 7 0000 Fixture
Sewer ERU 5,26900 000 5,26900 5,2690000 1 0000 ERU
Sewer Inspection 145.00 000 14500 145 0000 1 0000 ERU
Water ERU 1,50000 000 1,500 00 1 500.0000 1 0000 ERU
Water Meter (SFD) 300 00 300.00 000 o 0000 o 0000
Water Deposit 40.00 4000 000 o 0000 o 0000
Traffic Facilities Charge 75750 000 757 50 750.0000 1 0100 Peak PM Trip
Sewer Deposit 5000 50.00 000 o 0000 o 0000
State Building Fee 450 4,50 000 o 0000 o 0000
TOTAL FEES $9,329 43
AppUCCi!lt's Affadavit:
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 contract ,I futher certify that I am currently
registered i e State of Washin ton
OFFICIAL USE ONLY
# Sets of Prints.
Date
Signature
Firm
o 0
City of Yelm '/} 7-1 f ~ ~
Community Development DepapAI D \V\\)
Building Division ~\\Jl
Phone: (360) 458-8407 AUG 1 2 ZOO4\)
o
A .. Ifc'aC"nf:
R,P.......".....
Name: Deonnah McCloud
Fax: (360) 458-3144
Address: 1013 Crystal Springs Rd
Pr6Jecfinforrnation,
Project: Longmire Estates, Lot 2
Description of Work: 1004 S FR
Site Address. 505 Coats St.
Fee~:.'Z'. "
Item
t7 32- --------------------------
Building Permit - Other
/00 Building Plan Review
032- Mechanical Permit
C tJ32 Plumbing Permit
flJ2- Sewer ERU
?tJj Sewer Inspection
7it7O Water ERU
7/J.- Water Meter (SFD)
7vo Water Deposit
'tU Traffic Facilities Charge
1,-/2- Sewer Deposit
/bo State Building Fee
c
Acct Code
032
001-322-10-00
100
001-345-83-00
032
001-322-10-00
032
001-322-10-00
802
412 -343-50-01
805
412-343-80-00
760
404-343-80-34
712
401-343-80-01
740
402-389-00-00
420
120-344-85-00
742
402-389-01-00
160
001-386-00-00
(/
TOTAL FEES
'-..-.....
Permit Fees Schedule
Permit No BLD-04-0104-YL
C~TY,JJF Yr;~M---. '7
~>'Cj'ljh~iit1r~L~:';tCi:~;:'::. :}~~,.,;~;,:;':'>,;;.1i,~b>,,',-i~~}:\(~:, ;.:: ,~,'.':;, - b:~~:~~.>{J-i;i-;
Phone.
412-8105
City' Yelm
State W A Zip 98597
Assessor Parcel No 59710000200
Item Fee Base Amt Unit Fee Unit Rate No Units Unit Desc
------------
812.43 000 000 o 0000 o 0000 $1,000
343.25 000 000 o 0000 0.0000
38.75 000 000 o 0000 o 0000
6900 20.00 4900 7 0000 7 0000 Fixture
5,269 00 0.00 5,269 00 5,2690000 1 0000 ERU
145 00 000 14500 1450000 1 0000 ERU
1,500 00 000 1,500.00 1,500 0000 1 0000 ERU
300 00 300 00 000 o 0000 o 0000
4000 4000 000 o 0000 o 0000
757 50 0.00 757.50 7500000 1 0100 Peak PM Trip
5000 5000 000 o 0000 o 0000
450 450 000 o 0000 o 0000
'"
"
$9,329 43
',-
flECEIP'OIO 328 <3 6
REf NO
1005
,
RECEIVED HJ,OM
DEOI1I1A I'.CCLOUD/N\'\J ~IYll\
505 COA1ES 51
{>O B01 219
SUMNER WA 98390
LOI1Gl'.tl1E EStAtES. LOt 2
OI\IE
08/12/04
.,_~.NO
32896
I'.tSCELLAI1EOUS l1ECEtpt
DIANA
~~~---
--ca-3ei1S- PLUI'.S 69. Sl1l1 El1U 5269.
___~04:0104-YL 812.43. l1EVtE11343~~' ~P 90:tl1irrtC151.50. SC 4.50
tl1SP 145. l1tl1 El1U 1500. l1tl1 I'.tl1 ·
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Yelm Community Schools
PO Box 476
Yelm, WA 98597
Clerk'
Terminal
Recei!;1t.
Manual Receipt:
Cray
1
3736
N253863811
NMITIGA nONS
NORTHWEST, HOUSING DEVELOPMENT
9/19/2005 10'53 AM
Qty Item
Price
1 CPF2900 5200 00
MITIGA nON
FOR LONGMIRE MEADOWS LOTS 1,2,3,4,5,6,7 &
8
Subtotal,
Tax.
Total,
Check
6724
Amount Due:
5200.00
0,00
5200,00
5200.00
0.00
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o
Permit Fees Schedule
City ofYelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Appli(:;ant:
Name. Deonnah McCloud
Address. 1013 Crystal Springs Rd
Proj~ctlrifo.rrnation
Project: Longmire Estates, Lot 2
Description of Work: 1004 SFR
Site Address. 505 Coats St.
Fees
Item Acct Code
Building Permit - Other
032
001-322-10-00
Building Plan Review
Mechanical Permit
100
001-345-83-00
Plumbing Permit
032
001-322-10-00
Sewer ERU
Sewer Inspection
032
001-322-10-00
Water ERU
802
412 -343-50-01
Water Meter (SFD)
Water Deposit
805
412-343-80-00
Traffic Facilities Charge
760
404-343-80-34
Sewer Deposit
State Building Fee
712
401-343-80-01
740
402-389-00-00
420
120-344-85-00
742
402-389-01-00
160
001-386-00-00
TOTAL FEES
Permit No BLD-04-0104-YL
Phone:
412-8105
City' Yelm
State. WA Zip 98597
Assessor Parcel No. 59710000200
Item Fee Base Amt Unit Fee Unit Rate No Units Unit Desc
-------------
812.43 000 000 o 0000 o 0000 $1,000
343.25 000 000 o 0000 o 0000
38.75 000 000 o 0000 o 0000
6900 2000 4900 7 0000 7 0000 Fixture
5,26900 000 5.269 00 5,2690000 1 0000 ERU
145 00 000 145 00 145 0000 1 0000 ERU
1,50000 0.00 1.50000 1,5000000 1 0000 ERU
300 00 300 00 000 o 0000 o 0000
4000 4000 000 o 0000 o 0000
757 50 000 757 50 750 0000 1 0100 Peak PM Trip
5000 5000 000 o 0000 o 0000
450 450 000 o 0000 o 0000
$9,329 43
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RECEIVED
JUN 2 8 1004
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address 50') Coates St. Yelm
Paroel#'22719231600 & 22719230900
Subdivision. T ongUl.ir~ Meadows Lot #. 2
Zoning; Residential
IDt New Construction 0 Re-Model/ Re-Roof / Addition 0 Home Occupation Sign
o Plumbing 0 Mechanical 0 Mobile / Manufactured Home Placement 0 Other
Project Description/Scope of Work:
Project Value
Building Area (sq ft) 1st Floor 1004 2nd Floor Garage 160 Deck
Basement N / A Carport N/ A Patio N/ A
# Bedrooms...l- # Bathrooms-L Heating:~THER or ELECTRIC (Circle One)
Singlp f~mily n~pll;ne
Are there any environmentally sensitive areas located on the parcel?
completed environmental checklist must accompany permit application.
!?Qt~ltY@:.9.y.jrR~EL!ll_t;M.~. Deonnah McCloud
ADDRESS 1013 Crystal Springs
CITY Yelm STATE WA ZIP 98597 TELEPHONE 360-412-810')
~RQB};t~QtiE;;N.G.jti1J:;:!;8 NHD/Sitts & Hill L1CENSE# NORTHHD05401
ADDRESS P.O. Box 219
CITY Sumner STATE WA ZIP 98390 TELEPHONE 253-863-8188
If yes, a
G.~NERAL.~G()NtflAGTQB owner/builder
ADDRESS same
CITY STATE ZIP
CONTRACTOR'S LICENSE #
TELEPHONE
FIV<
EXP DATE CITY LICENSE #
p_LUMBING-COI'{fRACJOR Sunset Ptlumbing
ADDRESS P.O. Box 2008
CITY Yelm STATE WA ZIP 98597 FIV<
CONTRACTOR'S LICENSE # SUNSEC*0440P EXP DAT~ITY LICENSE #
0'"
TELEPHONE 253-922-2211
TELEPHONE 360-4')8-2991
MECHANICAL CONTRACTOR Heritage Heating
ADDRESS 9001 Pacific Ave.
CITY Tacoma STATE WA ZIP98444 FIV<
CONTRACTOR'S LICENSE # HERITEI 13604 EXP DATE
lTY LICENSE #
Copy of mitigation agreement with Yelm Community Schools, if applicable
I hereby certify that the above information is correct and tflat 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
waQIogtoo aod th, Clly of Y,lm.
Applicant s Signa ure te
Owner! Contractor! Owner's Agent! Contractor's Agent (Please circle one)
'1
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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