20040091
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Permit No
BLD-05-0349- YL
Issue Date 11/28/2005
(Work must be started within 180 days)
Receipt No
38533
Applicant:
Name: Baker, Manace E
Phone:
253-833-3487
Address. 390 4th Ave. SE
City' Pacific
State. WA Zip 98047
Property Infor,,!ation:
Site Address. 10422 Grove Road
Assessor Parcel No 64303100702
Subdivision: N/A
Lot: B
Contractor Information:
Name: American Dream Construction
Contact:
Phone. 360-882-3218
Address. 390 4th Ave SE
City' Pacific
State: WA Zip: 98047
Contractor License No AMERIDC004BL
Expires. 01/15/0515
Business License:
Project Information:
Project: Mannace E Baker
Description of Work: 176 sf. added to 04-0091
Sq. Ft. per floor' (1 st) 0
(2nd) 0
(3rd) 0
Garage 176
Basement 0
Heat Type (Electric, Gas, Other): ELECTRIC
Fees.
Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
--------------------------- -------------
Building Permit - Other 81.83 000 0.00 o 0000 o 0000 $1,000
Building Plan Review 53.19 000 000 o 0000 0.0000
State Building Fee 4.50 450 0.00 o 0000 o 0000
TOTAL FEES $139.52
Applicarlt'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 contractor I futher certify that I am currently
registered in the State sh'rrgton.
:y
V
OFFICIAL USE ONLY
# Sets of Prints.
Signature
Date
I~Z~~~.J
By'
Firm
Name: Baker, Manace E
Address: 390 4th Ave. SE
Project: Mannace E Baker
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Permit Fees Schedule
Permit No: BLD-05~~- YL
Phone.
253-833-3487
City' Pacific
State: WA Zip 98047
Description of Work: 176 sf added to 04-0091
Assessor Parcel No. 64303100702
Site Address: 10422 Grove Road
Item
Building Permit - Other
Building Plan Review
State Building Fee
Acct Code
Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
-----------..-
8183 0.00 0.00 o 0000 0.0000 $1,000
53.19 0.00 000 o 0000 0.0000
450 450 000 0.0000 0.0000
$139.52 13
oq;
032001-322-10-00
100001-345-83-00
160 001-386-00-00
TOTAL FEES
~
~
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Permit No
BLD-05-0409- YL
Issue Date 11/29/2005
(Work must be started within 180 days)
Receipt No
39350
Applicant:
Name: Baker, Manace E
Phone:
253-833-3487
Address. 390 4th Ave. SE
City' Pacific
State: WA Zip 98047
Property Information:
Site Address. 10422 Grove Road
Assessor Parcel No. 64303100702
Subdivision: N/A
Lot: B
Contractor Information:
Name: American Dream Construction
Contact:
Phone: 360-882-3218
Address. 390 4th Ave SE
City' Pacific
State WA Zip: 98047
Contractor License No AMERIDC004BL
Expires. 01/15/0515
Business License:
Project Information.
Project: Mannace E Baker
Description of Work: 384 sf. garage reference 04-0091
Sq. Ft. per floor' (1 st) 0 (2nd) 0 (3rd) 0 Garage 384 Basement 0
Heat Type (Electric, Gas, Other): ELECTRIC
Fees.
Item Item Fee Base Amt Unit Fee Unit Rate No Units Unit Desc
--------------------------- -------------
Building Permit - Other 167.25 000 000 0.0000 o 0000 $1,000
Building Plan Review 6770 000 0.00 o 0000 o 0000
State Building Fee 4.50 450 000 0.0000 o 0000
TOTAL FEES. $239.45
Applicant'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 re.co?c'r If applying as a contractor, I futher certify that I am currently
registered in the Sate. sifi'ngton.
OFFICIAL USE ONLY
# Sets of Prints.
Final Inspection:
Date 11~?Pf~\0.5---
Date:
Firm
By'
Of Tm!1Il City of Yelm
~"'- . I Community Development Department
B!j&; Building Division
Phone: (360) 458-8407
...."'...".ON Fax: (360) 458-3144
PAlO
NO'J ~ ~ 2005
C\TY OF YEW
Permit Fees Schedule
Permit No' BLD-05-0409-YL
Name: Baker, Manace E
Phone:
253-833-3487
Address: 390 4th Ave. sE
City' Pacific
State: WA Zip 98047
ef9J!1#1!il~ffi!!~.~ti:;~iiJ;3;\\:~i;g-;:
Project: Mannace E Baker
Description of Work: 384 sf. garage reference 04-0091
''j..:::'-;;;-~;::\'-~
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Site Address: 10422 Grove Road
Assessor Parcel No 64303100702
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"
Item Accl Code Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
Building Permit - Other 032001-322-10-00 167.25 0.00 0.00 0.0000 o 0000 $1,000
Building Plan Review 100001-345-83-00 6770 0.00 000 0.0000 0.0000
State Building Fee 160001-386-00-00 4.50 4.50 0.00 0.0000 0.0000
TOTAL FEES $239.45
RECEIPT No.3 9 3 50
RECEIVED
"""'''''''THO
HUNDRED THIRTY NI~E DOLLARS & 45
DATE REC. NO.
C.Ei{TS,
RECEIVED FROM
AMOUNT
REF NO.
BAKEF.. HANACE
390 4TH AVE SE
PACIFIC, ~A 98047
25.3-833~34b7
11 .1:: 9 I 0 5 3 9 ],5 0
239 45 CHECK
5109
BUDGETAP.y
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RESIDENTIAL CERTifiCATE Of OCCUI'ANC'(
6ui\din9 p..ddress
owner Name
owner p..ddress
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5i~~~ ~~~~r::~~o~~~Pb~~~: ~ashington state Building Code Council pursuant
10 Chapters 19 27 and 70 92 RCW, effective July 1. 2004
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CITY OF YELM INSPECTION LOG
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PROJECT ~ ~~ - w I- f3
PERMITNillvfBER OY-6C> ?/
ADDRESS II/ Y 2 z- 6Y'lIV( /d s?
SET BACKS Date
Front
Rear
SIde/F1ankmg
SIde
FOOTING
12"
~
WALL
other
reqUIred vents
/ Date'4WALLREBAR ~Date~
6"
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other
FOOTING REBAR
Comments
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COMBIl\TED FRAME/ EXTERIOR SHEAR WALL INSPECTION
Hold downs Shear NaI1mg oJ<\. 'f#-
Frame Gas/Propane
P1umbmg Mechamca1
~-n""6 b'""
Comments (t ~ ~ 1/i1JQ/
INSULATION Gas
Foam and Seal
Electnc
Vapor bamer
other
PYA
Comments
SHEET ROCK/SHEAR WALL NAIL
Comments ~
OTHER
Comments
FINAL
~\ er F mal
Address
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Landscape F mal
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City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Permit No
BlD-04-0091-YL
Issue Date 09/21/2004
(Work must be started within 180 days)
Receipt No
33209
Applicant:
Name. Baker, Manace E
Phone
253-833-3487
Address 390 4th Ave. SE
City' Pacific
State WA Zip 98047
Property Inforrna,tiol1
Site Address. 10422 Grove Road
Assessor Parcel No 64303100702
Subdivision: N/A
Lot: B
Contractor Infor'11a,ti.911
Name American Dream Construction
Contact:
Phone 360-882-3218
Address 390 4th Ave SE
City' Pacific
State WA Zip:
Contractor License No AMERIDC004BL
Expires. 01/15/0515
Business License
Project Info~matlon~
Project: Mannace E Baker
Description of Work: 2240 SFR
Sq Fl. perfloor' (1st) 1344 (2nd) 1344 (3rd) 0 Garage 0 Basement 0
Heat Type (Electric, Gas, Other): ELECTRIC
Fees
Item Item Fee Base Amt Unit Fee Unit Rate No Units Unit Desc
--------------------------- -------------
Building Permit 100-500k 1,252.64 993 75 258 89 5 6000 46.2300 $1,000
Building Plan Review 814.21 000 000 o 0000 o 0000
Mechanical Permit 159 50 000 000 o 0000 o 0000
Plumbing Permit 104 00 2000 8400 7 0000 12.0000 Fixture
Water ERU 1,50000 000 1,50000 1,5000000 1 0000 ERU
Water Meter (SFD) 300 00 300 00 000 o 0000 o 0000
Water Deposit 4000 4000 000 o 0000 o 0000
State Building Fee 450 450 000 o 0000 o 0000
TOTAL FEES $4,174.85
Applicant'~ Affadavit:
OFFICIAL USE ONLY
# Sets of Prints.
Signature
Date
""ZI- (J'f
F;:::~"~
BY'~
Firm
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RECEIPT No ] 3 208
RECEIVEP***THREE THOUSAND EIGHT HUNDRED EIGHTY NINE DOLLARS & 88 CENTS
RECEIVED FROivl
DATE REC NO
A.i'vIOIJNT
ReF N()
NAMACE E. BAKER
390 4TH AVE SE
PACIFIC, WA 98047
09/21/04 33208
3,889.88 CHECK
2767
SITE: 10428 GROVE RD
MISCELLANEOUS RECEIPT
DIANA
~
BLDPRMT 1252.64, PLNREV529.24, MECHPRMT159.50, PLMB PRMT104.,W/ERU1500.00
W/MTR300, W/DEP40., STATEFEE4.50
. .
RECEIVE,p
***FOUR THOUSAND ONE HUNDRED
RECEIPT No 33209
& 85 CENTS
RECEiVED FROM
DATE REC NO
!l,MOU~JT
4,174.85 CHECK
REF NO
MANACE E. BAKER
09/21/04 33209
2767
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Permit Fees Schedule
City of Yelm
Community Development Department
Building Division
Phone' (360) 458-8407
Fax: (360) 458-3144
AppliC3rlt:
Name. Baker, Manace E
Address 390 4th Ave. SE
~r()j ec!Jrlf<>~ma-ti on.
Project: Mannace E Baker
Description of Work: 2240 SFR
Site Address 10422.Grove Road
-
Fees
Item Acct Code
Building Permit 100-500k 032001-322-10-00
Building Plan Review 100001-345-83-00
Mechanical Permit 032001-322-10-00
Plumbing Permit 032001-322-10-00
Water ERU 712401-343-80-01
Water Meter (SFD) 712401-343-80-01
Water Deposit 740402-389-00-00
State Building Fee 160001-386-00-00
TOTAL FEES
Permit No BLD-04-0091-YL
Phone
253-833-3487
City' Pacific
State. WA Zip 98047
Assessor Parcel No 64303100702
----'
Item Fee Base Amt Unit Fee Unit Rate No Units Unit Desc
-------------
1,252.64 99375 258 89 5 6000 46.2300 $1,000
814.21 000 000 o 0000 o 0000
159 50 000 000 o 0000 o 0000
104 00 2000 8400 7 0000 12.0000 Fixture
1,50000 000 1,500.00 1,500 0000 1 0000 ERU
300 00 300 00 000 o 0000 o 0000
4000 4000 000 0.0000 o 0000
450 450 000 o 0000 o 0000
$4,174.85
PAeLel f)
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by
Adress.
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CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address -'0 Y22. G-rove eel ~ F. Parcel #' (, L{3 03/ oo7oZ.
fZ;
-
Lot#.
Zoning,
Subdivision.
~ New Construction 0 Re-Model/ Re-Roof / Addition 0 Home Occupation Sign
o Plumbing 0 Mechanical 0 Mobile / Manufactured Home Placement 0 Other
Project Description/Scope ofWork._~eU) ~ r- ~LS (J?0 u::....
1-1l\\i\1\e. I~JO K L A V\~ Coo k.
Oa L.i vCAI.;Ic....
Building Area (sq ft) 1 st Floor 134Lf 2nd Floor T ( (, Garage
Basement Carport Patio
# Be~roo~s .s # Bathrooms~5 Heating: GAS/OTHER o~Circle One)
Are there any environmentally sensitive areas located on the parcel? . () ,') If yes, a
completed environmental checklist must accompany permit application.
Project Value
Deck
BlJILOIN$'dWNEF1NAME. A l' cf- -:iJ2-
~~E8:t,.i;=P3Q'{~~AT~''C~A 11'- ZI~E- q<<OL(l TELEPHONE Z.SX-- ~J j~___?'-I Yl
AF(~81t:~G]Z~N<3IN~E8 ~A,Me
ADDRESS
CITY STATE ZIP
LICENSE #
TELEPHONE
t;~NERt:['c~tElAGJC?~ ll/NlU reA"" 17ff' AIA/\ Lo4TELEPHONE "2'55 -i,W 1- 075 '72-
ADDRESS ~_'1 q 0 Ll_ Ave b E
CITY PA (<1-1'-- STATE 0(/ A ZIP 9~Ol(7 FAX '255:- Kf3-lJ'-/ J'-I
CONTRACTOR'S LICENSE #A~\fEf!..I{)(.q;"46L EXP DATE cE CITY LICENSE #
PLUMBING 'CONTRACTOR
. . .
ADDRESS
CITY STATE
CONTRACTOR'S LICENSE #
TELEPHONE
ZIP
FAX
EXP DATE CITY LICENSE #
MECHANICAL CONTRACTOR
ADDRESS
CITY STATE
CONTRACTOR'S LICENSE #
TELEPHONE
ZIP
FAX
EXP DATE CITY LICENSE #
Copy of mitigation agreement with Yelm Community Schools, if applicable
I hereby certify that the above information is correct and thatthe 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 nd the City of e .~
(p~ i.j.- 0 i
pplicant'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
( (omfl1l1I1IlV Developmenl hHlll:' & l'r"':cdllres,,l!uilcllllt: Perrnits' He:JlIdt:1'crrnitl\r'p dill:
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Site Address
City'
Subdivision
Sub Type
Work Proposed
Permit Description
Thurston County Public Health & Social Services
On Site Sewage Systems Permit # 03-107324-000
64303100702
UNKNOWN
../---~.
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( Lot #. 1<)
\, .-/
----_/
Plans Approved By'
Issued Date 05/13/04
Issued By' Vince McDowell
Expire Date 05/13/07
On Site Sewage System
New' Residential
new septic in Yelm city limits
Applicant:
Address
Owner'
Address
OSS Designer'
Address
MANNACE E BAKER
386 4TH AVE SE PACIFIC, WA 98047
MANNACE E BAKER
386 4TH AVE SE PACIFIC, WA 98047
Paul Morneau/Alternative Designs
Po Box 1962 Yelm, WA 98597 / 343
Phone (360) 458-9548
Info
Proposed Sewage System Use Residential, S Number of Bedrooms
3 Water Supply Type
This OSS system is experimental
Disinfection
OSS serves a food establishment
No Tank
Concrete
Pre/treatment
Disposal
Group A
None
None Transport Pressure distribution
No An Operation ~ Maint Cert is required No
Trench
sand-lined (C33)
Access Issues. no
Directions. from Yelm; head toward McKenna on Hwy 507: at Grove Rd go north under SPA linea; lot on right
PROPERTY OWNERS ARE RESPONSIBLE FOR DETERMINING AND MARKING ALL PROPERTY LINE LOCATIONS AND
RELATED EASEMENTS.
Installation must be in conformance with the stamped, approved design for this permit number This permit may
be revoked if the site conditions have changed since the design was approved.
The on-stie sewage system may be installed only by an installer certified in Thurston County or by the resident
owner of the property A resident owner installer must contact the Environmental Health reviewer prior to construction.
Depending on the specific situation the resident owner installation may be subject to multiple inspections.
This system may not be used until the final As-built drawing is accepted by this department.
For FINAL INSPECTION. call 360-786-5400
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