20040051
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CITY OF YELM INSPECTION LOG
PROJECT :It rrlj ? rv 0,J Il~t-Iv~
PERMIT NUMBER .6{.,() - 0 '1- &~rf7 - Vi..--
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ADDRESS
SET BACKS Date
Front
Rear
Slde/Flankmg
SIde
FOOT~
16"
other other
reqmred vents
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WALL
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FOOTING REBAR
Comments
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COMBINED FRAME/ EXTERIOR SHEAR WALL INSPECTION
Hold downs Shear NaIlmg
Frame Gas/Propane
Plumbmg Mechamcal V ~J- S liflL Jj'/~
Comments ;5(" ~ ,^--SI tel'\{
INSULATION
~as
Foam and Seal
Electnc
Vapor barner
other
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Comments li),de j1llJ
SHEET ROCK/SHEAR WALL NAIL
Comments
OTHER
Comments
FIN AL
Sewer Fmal
Address
Electncal CIvIl Fmal
InsulatIOn SIte Dramage
d 1f2j&Y
Landscape Flllal
SIdewalk
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Comments
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City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Permit No
BLD-04-0051-YL
Issue Date 04/29/2004
(Work must be started within 180 days)
Receipt No
31550
Applicant:
Name Band H Builders
Phone
458-3277
Address POBox 1959
City' Yelm
State WA Zip 98597
Prqperty Information
Site Address. 10642 Mill Road
Assessor Parcel No 2273023204
Subdivision. N/A
Lot: N/A
Contractor Information
Name Applicant
Contact:
Phone.
Contractor License No BHBUII*093C6
City'
Expires 07/01/05182
State
Zip.
Address.
Business License'
Project'lnformation.
Project: Jerry Brown Addition
Description of Work: 714 Rec. Room Expansion
Sq Ft. per floor (1st) 714
(2nd) 0
(3rd) 0
Garage 0
Basement 0
Heat Type (Electric, Gas, Other) OTHER
Fees
Item Item Fee Base Amt Unit Fee Unit Rate No Units Unit Desc
--------------------------- -------------
Building Permit - Other 593.25 000 000 o 0000 o 0000 $1,000
Building Plan Review 385 61 000 000 o 0000 o 0000
Plumbing Permit 32.00 2000 700 7 0000 1 0000 Fixture
TOTAL FEES $1,010.86
Applicant's Affadavit:
-
OFFICIAL USE ONLY
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 f Washington.
~ -all
# Sets of Prints.
Final Inspection:
Firm
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City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Permit Fees Schedule
Permit No BLD-04-0051-YL
Applicant:
Name Band H Builders
Phone.
458-3277
Address POBox 1959
City' Yelm
State' WA Zip 98597
Project' Information
Project: Jerry Brown Addition
Description of Work: 714 Rec. Room Expansion
Site Address. 10642 Mill Road
Assessor Parcel No. 2273023204
Fees
Item
Acct Code
Item Fee Base Amt
Unit Fee
Unit Rate
No Units Unit Oesc
Building Permit - Other
032
001-322-10-00
593.25
000
000
o 0000
o 0000 $1,000
o 0000
Building Plan Review
385.61
0.00
0.00
o 0000
Plumbing Permit
100
001-345-83-00
32.00
20.00
700
7 0000
1 0000 Fixture
032
001-322-10-00
TOTAL FEES.
$1,010.86
~~
'TH~ C{1ra F ---------------------------------------- --------------
~ PO Box 479
Yelm, WA 98597
o."YE.b.~G'''' 360-458-8403
RECEIPT No
31550
RECEIVf;p"""'Ot_F' r;,ql"'I'(.:'ANf "'~>J rr 1
AJ" ~r,\Jw,,-' L_ 'J.t:r, 1_)jL>AHS & P.6 CENTS
RECEIVED FROM
Bc!H .BUILDEP:;
fC) BOl 1S59
YEl.t1 \1'11>,981',97
SITE 10642 MILL ROAD
714 REC RPP, EXPANSION
DATE REC. NO
04/2.9/04 .H~i50
AMOUNT
1,01.e; PJ~ ePEe.}/.
REF NO
01 1
-' L. ~
MISCELLANEOUS RECEIPT
GRETCHEN
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BLOC, FlU:'l' 5:;>~ ::'5,
P Il\.NRE J I," d "3') t] >
?LU~,m PRH1' ??
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Project Address:
CITY OF YELM
RESIDENTIAL BUILDIN PERMIT APPLICATION FORM
'F Parcel #. ~J..13f)~ .3 0 J.. Y
Subdivision' Lot #. Zoning;
U New Construction U Re-Model / Re-Roof ~ U Home Occupation Sign
U Plumbing U Mechanical u Mobile / Manufactured Home Placement u Other
Project Description/Scope of Work. (Jd J R... eo... J:.O(l1/l1
'It) M-e>L ()-O
Building Area (sq. ft) 1st Floor fJ J 1/
Basement
Project Value
2nd Floor
Carport
Garage
Patio
Deck
# Bedrooms # Bathrooms Heating GAS/OTHER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? !2JO If yes, a
completed environmental checklist must accompany permit application.
TELEPHONE
LICENSE #
TELEPHONE ,5'7 ..." 9
:GENERAL CONTRACTOR S' TELEPHONE l/oB -31).77
ADDRESS P.O, 19S'1
CITY Yc>..-[M. STATE vIA ZIP9~~ 7 FAX 1/ 673 -66 7 ~
CONfRACTOR'S LICENSE # pJ.IIJu.U C)9X'~ EXP DA TE?"6.>'CITY LICENSE #O'l",9113J.57J."-
'pLUMBING CONTRACTOR 111 td TELEPHONE SJ.. D( '7
ADDRESS 10f (per)!: ~L.
CITY y.e.J1VI , STATE vii ZIP r8~ '1 FAX 'f.si3- ?Ol ~
CONTRACTOR'S LICENSE #mtl!1tI2fcoSJM1 EXP DATE CITY LICENSE #t)'J",{)fJ/-8COtO
MEC'HANICAL CONTRACTOR /
ADDRESS
CITY STATE
CONTRACTOR'S LICENSE #
TELEPHONE
ZIP
FAX
EXPDATE CITY LICENSE #
Copy of mitigation agreement with Yelm Community Schools, if applicable
i - r/lcJ- 0 if
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
R.\Community Development\Forms & Procedures\Building Permits\ResBldgPermitApp.doc
Page 2 00
LICENSE DET-\IL INFORMATION Form
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Page 1 of2
STATE OF WASHINGTON
DEPARTMENT OF LABOR AND INDUSTRIES
Specialty Compliance Services Division
P. O. Box 44000 Olympia, W A 98504-4000
THE RESULT OF YOUR INQUIRY FOR LICENSE NUMBER SELECTED IS
LICENSE DETAIL INFORMATION
Current Filter None
Registration# or License BHBUII*093C6
Name B & H BUILDERS INC
Address PO BOX 1959
Address
City YELM
State WA
Zip 98597
Phone Number 3604583277
Effective Date 2/26/1991
Expiration Date 7/1/2005
Registration Status ACTIVE
Type CONSTRUCTION CONTRACTOR
Entity CORPORATION
Specialty Code GENERAL
Other Specialties UNUSED
UBI Number 601270968
~~*_~~JEW C_ROSS REFEBENCE_ElLE FQR THIS L1CENSE* *~
* * *VIEW PRINCIPAL OWNER(S) FOR THIS L1CENSE* * *
* * *VIEW CONTRACTOR BOND/SAVINGS INFORMATION * * *
~_* *CHECK INQUIRY FOR_SUMMONS AND COMPLAINTS* * *
~~_~_YI~W CQNI8ACTORJJ'.tSURANCE INFORMATION * * *
New mqUlry by CITY, NAME , PRINCIPAL OWNER NAME, LICENSE, UBI
NUMBER, check the
L&I Contractor Industrial Insurance Premium Status or return to the L&I Construction
Compliance HomePa~
https.//wws2 wa.gov /lm/b bl p/TF2F orm.asp ?l1cense= BHB UII * 093 C6
4/28/2004