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20040002CITY OF YELM INSPECTION LOG C PROJECT ~~ ~ ~ C9 O PERMIT Iv~tTIviBER ~.,~' ) d L_~ ADDRESS ~S ~ ~ ~ k ~-r SET BAChS Date: Front Rear Side/Flanking Side FOOTING REBAR Date Comments FOOTING 12" 16" other required vents, WALL REBAR WALL 6" g„ other Date: COMBINED FRAI~ZE/EXTERIOR SHEAR WALL INSPECTION Hold do~~ns Shear Nailing _ Frame Gas/Propane C Plumbing ~ Mechanical Comments INStiLATION Gas Electric of r o an ^p_ Vapor bamer Comments ~ ( - ~lZ 3 6 SHEET ROCK/SHEAR WALL NAIL Comments OTHER Comments FINAL Sever Final Electrical Civil Final Landscape Final Address Insulation Site Drainage Side~ti~alk Comments FROM :YELM SEWER DEPT. FAX N0. :360-458-f3166 Apr. 27 2005 01:13PM P1 ~O~pF YH,~ p~ :~~`~:~ ~ M FAX TRANSM~SS~ON ~~,:~,~ CrTY OF YELM WASH/NOTON p,U. BOX 479 - 931 NP ROAD NE YELM, WA 98597 360-458-841.1 F.~X 360-458-8166 TO: C~-~ ~- C~~/~ DATE: ~ -~`7 _ ~ ~"~ FAX#~: PAGES: l , including this Cover sheet From: ~A~h~ Subject: }...{ouSc: -.~c~~~-S ~'~> n . ,~ CO]VINIF,NTS : ~.c~ j t l ~ 3 c~5' Sc, L ~ E t~(,-- 1u . ~ ,~~o r~,tnp~~ 4ZD ..5.~. . ~.U ,~ ~~ . ~`~ ~~ ~ SS - 00 ~ ~ ~~~ ~~~ t~ .~~ ,~ *~ If you do not receive all copies or any copy is not legible, please call (360) 458-$41 t as soon as possible. 0 ~~~THEp~j-~ City of Yelm ~, ,, '' ;9~~ Community Development Department Building Division - Phone: (360) 458-8407 YELM Fax: (360) 458-3144 Applrlcant: Name: Israel Fernandez Address: 1810 Ashwood Downs Lane #212 City: Olympia Property Information: Site Address: 305 Solberg Street NW Assessor Parcel No. 22719231600 Contractor Information: Name: Address: Contractor License No: Project Information: Project: Northwest Housing Description of Work: SFD - 3 Bed, 2 Bath Sq. Ft. per floor: (1st) 852 (2nd) 295 Heat Type (Electric, Gas, Other): GAS Fees: Item Item Fee Building Permit 50-100k 874.75 Building Plan Review 370.65 Mechanical Permit 65.25 Plumbing Permit 90.00 State Building Fee 4.50 Sewer ERU 5,269.00 Sewer Inspection (SFD) 145.00 Sewer Deposit 50.00 Water Deposit 40.00 Water ERU 1,500.00 Water Meter (SFD) 300.00 Traffic Facilities Charge 757.50 TOTAL FEES: $9,466.65 Permit No: BLD-04-0002-YL Issue Date: 01/30/2004 (Work must be started within 180 days) Receipt No: 30370 Phone: State: WA Zip 98504 Subdivision: Longmire Meadows Contact: City: Expires: (3rd) 0 Garage 360 Phone: State: Zip: Business License: Basement 0 Lot: 11 Base Amt Unit Fee Unit Hate No. Units -------- Unit Desc ------------- ----------- 643.75 ----------- 231.00 ----------- 0.0070 --- 33,000.0000 $1,000 0.00 0.00 0.0000 0.0000 20.00 0.00 7.0000 0.0000 20.00 70.00 7.0000 10.0000 Fixture 4.50 0.00 0.0000 0.0000 0.00 5,125.00 5,125.0000 1.0000 ERU 145.00 0.00 0.0000 0.0000 50.00 0.00 0.0000 0.0000 40.00 0.00 0.0000 0.0000 0.00 1,500.00 1,500.0000 1.0000 ERU 300.00 0.00 0.0000 0.0000 0.00 757.50 750.0000 1.0100 Peak PM Trip _., ~Qpplricar~Ys Affadavit: O~FICIA~ U'~E Of`ll_Y 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 ~ „ ~, ~r; of I ~rints~. Yelm regulations including those governing zoning and land subdivision, and in addition, all covenants, easements an restrictions of record. If applying as a contractor, I futher certify that I am currently registered in t S to of Washington. Final Inspection: ~, Dot _ Signature Date Firm ~~ ~~~~~ ~ ~~ __~T~\ ^ - 3~13 i ~ ~, ~ g~ ~~ 3yy i s E ~ S ' ~~6~~R Sy'T ~r4 cr --. i a. ~ psi ~~" fit--~'' ~ f s~T~1~-c-K ~, ~ ~ ~ G F n ~_.J ~ Q ' T~ TfLtVlS~IOPi ~ Q i ELecr'Rt~- O i ~I i '; G' IG-~S ~ i 1 Q I 'SE W CIP. ~ ~ a 4 t p 'P4~.~ ~ ~ ' O,~ T'~N'KI ~ A A X17 -'~. i v l-~us: ~ ' ~ ~ c a U I w ~3yS.sa ~~ ~ .; ' ~Q { ~~ ~~~ L 5 ~ DF~ ~,t1! v~. ~ ,:~ O: r FL-fi~',~1~A{~ T~ TELtV15'IOTti O ELEcY'Ri~ i WA~e~ S S~we~: p 'P©~~ . ~ STEP ~ -s~yY, ~ _- _ _ _. _~ r1 C fJ t!~Fj_. I_ -_ -- ~~ -~ c ! ~ O ~/'~' 3 2004 oFTNEp~~ City of Yelm JAN 0 .~~ , `9~ Community Development De artmen~ ~ ~~~~ 4 ~ ~ C~~Y P~11 Building Division Phone: (360) 458-8407 'YELIVJ[ Fax: (360) 458-3144 Apphcan#: Name: Israel Fernandez Address: 1810 Ashwood Downs Lane #212 City: Olympia Property Information: jj~~+/~~1/ Site Address: 305 Solberg X~iacJ,S~E Assessor Parcel No. 22719231600 Contractor Information: Name: Address: Contractor License No: Project Information: Project: Northwest Housing Description of Work: SFD - 3 Bed, 2 Bath Sq. Ft. per floor: (1st) 852 (2nd) 295 Heat Type (Electric, Gas, Other): GAS Fees: Item "~~ --------------------------- Building Permit 50-100k ~ 6 ~' Building Plan Review b 3 ~ Mechanical Permit U3d Plumbing-Permit SOS Sewer ERU $cS Sewer Inspection (SFD) ~7'~~1 Sewer Deposit 7~~' Water ERU lid Water Meter (SFD) ~75'~ Water Deposit 5~~~ Traffic Facilities Charge %U~ State Building Fee TOTAL FEES: ;4pplicant s Affadavit: V Permit No: B~®-®4-®UU2-YL Issue Not Issued (Work must be started within 180 days) Receipt No: Phone: State: WA Zip 98504 Subdivision: Longmire Meadows Contact: City: Expires: (3rd) 0 Garage 360 Item Fee Base Amt 874.75 643.75 370.65 0.00 65.25 20.00 90.00 20.00 5,269.00 0.00 145.00 145.00 $L , C4 45-66 S~? . c^c.~,gF} 1,500.00 0.00 300.00 300.00 z/6. a U 45.09- yo_ cx~S-Ae 757.50 0.00 4.50 4.50 $9,466.65 Lot: 11 Phone: State: Zip: Business License: Basement 0 Unit Fee Unit Rate No. Units Unit Desc ---- ----------- 231.00 ----------- 0.0070 ----------- 33,000.000 --------- $1,000 0.00 0.0000 0 0.00 7.0000 0.0000 70.00 7.0000 0.0000 Fixture 5,125.00 5,125.0000 10.0000 ERU 0.00 0.0000 1.0000 0.00 0.0000 0.0000 1,500.00 1,500.0000 0.0000 ERU 0.00 0.0000 1.0000 0.00 0.0000 0.0000 757.50 750.0000 0.0000 Peak PM Trip 0.00 0.0000 1.0100 0.0000 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 of Washington. Signature Date Firm UrFICIAL USE C~iv~r' # Sets of Prints: Finallnspection: Date`. By' _ ~_ a: ®-, ~ V_ _ __ . 1t! ~- ~a'3! 1". a~f°.~ ~II~~1 T.r- aa, of~~ a _; . _ .,a. _ _ f ' ?~~~~~' ~ :~ ,yc~`.~. .,,., _ _ .. ~~ _ P.O. Box 479 Yeim,NJA 98597 ~ ; ~-9 ~ ^ s~a~~~~e~ 3 d°~~~, .~, ; ~~~s ~ sg?.~a 360-458-8403. R1=V GiVriJ _ --- --- - - - -- -' RECEIVED FROM D,T.I E P,EG: C\1O. r>.i~1C~Ui~iT RcF. X10. _: _ ~_ . r ,~ _ - - - _ .. _ .., . J . { _' ~.1 _ - _ _ ~ ! ..is.. it , j' -. 1 ,. '. L.~ 'ant,. ~ 5. ~ O .,. r . .•~ ~ 'fir] ~ .v't'7 D~~ D ~ D E 5{, ~~` ~~'.. ~ ~.~s W - t " TMi ~; ~~ ~ ~~~ P.O. Box 479 r- Yelm, WA 98597 ~'~~~~~ ~ ~° g 364-458-8403 RLCEiV~D __ _ _ _ _ _ _ _ _ i, ~ _7..._.. ~ _ _.,,. t__ _.._~_ .._ _ _._. _.,._._._.,., .. _,_ _ RECEI`/ED FRC!'A - - - , ,.. ~ .... _, r ~ 4 - _ REF. f`!O. Yelm School District ATTN: SUSAN CROP PO BOX 476 YELM, WA 98597 360-458-1900 Sold to: 15963 NORTHWEST HOUSING DEVELOPMENT 38188 LONGMIRE MEADOWS PO BOX 219 SUMNER WA 98390 # 5008 13 01/15/04 Reg #1 Salesperson SUSAN Item # 2900/MITIGATION MITIGATION OR TVF 1 @ 1,950.00 1,950.00 CK #2888 FOR LOTS 11,14, & 15 SubTotal 1,950.00 Total Due 1,950,00 - Check 1,950,00 Thank you. PLEASE KEEP THIS RECEIPT!!! i O O 13`~~ RECEIVED cr- ~r of Y;=Lh~ JAN 1:2 2004 RESIDENTIAL BUILDING PERT~IIT APPL1CATlON FORM ProjectAddrass: 'i~5 Snlharg St _ Yelm ParCEI ":2~719~'~1 Fi00 & 22719230900 Subdiv?Sion: Longmire Meadows Lot ~: 11 Zoning; Residential Netiv Construction ^ Re.-Mode? / Re-Reo~ /Addition ^ Home Occupation Sign ^ Plumbing ^ Mechanical ^ Mobile / Manu~scturad Home Place,-nent ^ Other Project Description/Scope~oi~~Jork:_ Project Value ~ ll~. building Area (sq. r} is Floor 852 2°d Floor 295 Garage 36Q Deck Bssement N/A Carpori h/A _Patio 1v/r T 6edrooms~ T Bathrooms 2 Heatin„ GAS/ THER or ELECTRIC {Circle One} Are there any environmentally serisitive areas located on the parcel? If yes, a completed environmental checklist must accompany permit application. _BU`ILDING_~!/_UN__ER;NA_~_ilE: TGrael & Sh~~~^^ FPrnanrla~ ADDRESS,1Q7n n ~, a lln --~~ Tn ~b~l ~ C1TY Olvmn;a STATE wA ZIP gRS._n/l TELEPHONE~_~.g~s~_~~~4 - A~CHI I_ECTjENGINEEFi HNi~ f S; tt~ ~, N; ~ 1 LICENSE~r TTnvTU~7nn~/apl ADDRESS P ci R~~ ~ 1 g CITY SitTilnPT SIAIE~,z-~ ZIPgR~An IELEPHONE~~~ o~Z Qis?a GENER~^-;L CONTf,.~,CTO~- owner/builder ~ ELEPHON~= r~r~n ADD, ,~5~~ same Cl TY STATE ZlP r~• CON T R,'`,CTOR'S LIC-NSE - EXP D ^. i E CITY LIC:-i~;S- ,'',DJ=,=SS . 0. Bc 20015 ~~ COPvT~;.'',~ ~ U=`S LI'"-:~;~_ - SUtiSEC~O! 40P LXP ~.=. -i I I Y Li~_..__ _ ~. r,0; ~ _ Heritage Heating I =_-~~ ~C)P~i~- ~~3-~2?_~7' 1 I v;EC~ ;,~,NiC ~ ,, ~,;T=~~-'.PTO=: - r~.DDRLSS ~ . CI11' Tac~~ra SI?,IE GTA ZIP gRiF1,J, F';,X CONTR,~,CTOR'S LIONS= = NF~TTFT-t ~F,(1L EXF' D ~ E~1 i 1' L1~=':~_ _ CGD'~l Ci ...,:.~_:fC~'i 2~~i2~r1°i~~. „~iI"1 YEifTI COiIIITILIII?V "~(100i', r .~2GIS i,c, _ C°_i i i.`~~, i~~_ __~.~ i, .. _,. ,.~_~~..,~ 1=. C~, ~ _.., c"'._ ,.~_. ~i,c _., .._.. .. ,,,~~n 0.- _.._ ...? ,, .,_ cii.,, c~._. ..,~ _~a C` .~,ic _~,p~~e ro=.," __ _--.i.y.!I^~_ ,i, c.. .. .,"_. _,,.,_ ~,...i ii'~_ lc ., 5.,_25 _,~_ ,c_ .c..~C= ..i .,,_ G~~.2 ..~ ~,;'asnin~:cn 2n~ the Ci:, ~' Yetr~. i~a`' Applicants Sian~;ur~ ~`.- CorIi1G'.icl; [1 :Vii~r'S AOFP.i / CO~liraCiOr'S i',Sc ~ (~~=a== --,"=I- ~i~ .1 All por~itS arE rlO~ri215T?rabl° and l"JlII eXplre I~ VJOrk aUthOriZcG );~~ S!'C1l D1?rTiili IS rlOi bzgvn t"Jlih!n I Gil Gcy'S Oi ISSUur1CE, Cr Ii ~'JOrk i= Sl1s~°n~°G Or ~:~c~+i~0~+°_v fOC a F'?rIOL= Oi "!e0 daj~S !' f ,v..,.:.n x. ,). ..i`~+ . ':"i .c.,; .;.. i r+ ec<lur~ + tiiiclu+ 1 ~ m;: I'c l.ic;_ .-\i+ +: _ f': {' I