20040003CITY OF YELM INSPECTION LOG
PROJECT
PERMIT Iv-CTIviBER ~`{ ~ p O~
ADDRESS ~~ (`~ ~i~.,r ~a...,,~rJ
SET BACKS Date:
Front
Rear
Side/Fla~-iking
Side
FOOTING REBAR Dater
FOOTING WALL
12" 6"
16" 8"
other other
required vents
WALL REBAR Date:
Comments
COMBINED FRAME/ EXTERIOR SHEAR WALL INSPECTION
Hold downs Shear Nailing dfi y-I- v ~`
Frame Gas/Propane G~
C Plumbing o q (, Mechanical ~
Comments
INStiL ATION Gas Electric other
m al ` : Vapor barrier PVA
Comments Il
SHEET ROCK/SHEAR FALL NAIL
Comments
OTHER Comments
FINAL
Se«~er Final Electrical Civi] Final Landscape Final
Address Insulation Site Drainage Side~ti~alk
Comments
FROM :YELM SEWER DEPT.
FAX N0. :360-458-E3166 Apr. 22 2005 10:58AM P1
/ X04 tH~ p~
a ~, FAX TRANSMISSION
~Ey~ CITY OF YELM
WAtlNINDTON P,4. BOX 479 - 931 NP ROAD NE
I "YELM, WA 98597
n,~`; 360-458-8411
`~~ X 360-458-$166
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From: ~P~Ni~~ ~s~x=tZ~
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** If you do not receive all topics or any copy is trot legible, pteasc call (360) 458-84] 1
as soon as possible.
City of Yelr~
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:...
Name: Jeremy Brant
Address: 9902 132nd Street / Apartment B City: Puyallup
Property Information:
Site Address: 508 Van Trump Street NW
Assessor Parcel No. 22719231600
Contractor lnformatiori:
Name:
Address:
Contractor License No:
Project Information:
Project: SFD
Description of Work: SFD - 3 Bed, 2 Bath
Subdivision: Longmire Meadows
Contact:
City:
Expires:
Phone: (253) 445=0116
State: WA Zip 98390
Phone:
State: Zip:
Business License:
Sq. Ft. per floor: (1st) 852 (2nd) 295 (3rd) 0 Garage 360 Basement 0
Heat Type (Electric, Gas, Other): GAS
Lot: 15
Fees: _
Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
---------------------------
Building Permit 50-100k -----------
874.75 -----------
643.75 -----------
231.00 -----------
0.0070 -----------
33,000.0000 -------------
$1,000
Building Plan Review 370.65 0.00 0.00 0.0000 0.0000
Mechanical Permit 65.25 20.00 0.00 7.0000 0.0000
Plumbing Permit 90.00 20.00 70.00 7.0000 10.0000 Fixture
Sewer ERU 5,269.00 0.00 5,125.00 5,125.0000 1.0000 ERU
Sewer Inspection (SFD) 145.00 145.00 0.00 0.0000 0.0000
Sewer Deposit 45.00 45.00 0.00 0.0000 0.0000
Water ERU 1,500.00 0.00 1,500.00 1,500.0000 1.0000 ERU
Water Meter (SFD) 300.00 300.00 0.00 0.0000 0.0000
Water Deposit 45.00 45.00 0.00 0.0000 0.0000
Traffic Facilities Charge 757.50 0.00 757.50 750.0000 1.0100 Peak PM Trip
State Building Fee 4.50 4.50 0.00 0.0000 0.0000
TOTAL FEES: $9,466.65
Applicant s Affadayit
I C7~=FICI,=a~ uS~ 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 L # Sets of Prin,~,
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. i Final Inspection:
Signature
~.__ /
Permit No: BLD-04-0003-YL
Issue Date: 01/30/2004
(Work must be started within 180 days)
Receipt No: 30372
e,~~ ~
1 vel"t,b1~a 5897 3° ~~~~~ ~ ~.;y,, a' ' ~` ~
R,L=. ~G.
. J~~
~of THEp~~ Ci#y of Yelm ~/~l ® Permit No: BL®-04-0®03-YL
a~ ~.9y~ Community Development Department Issue Not Issued
°' ~i JAN ~ 0 2004 (Work must be started within 180 days)
Building Division
Phone: (360) 458-8407 Receipt No:
YELM Fax: (360) 458-3144
., CITY ®F YELL
Applicant:
Name: Jeremy Brant
Address: 9902 132nd Street / Apartment B City: Puyallup
Property lnformafion:
Site Address: 508 Van Trump Street SE
Assessor Parcel No. 22719231600 Subdivision: Longmire Meadows
Contractor Information:
Name: Contact:
Address: City:
Contractor License No: Expires:
Project Information:
Project: SFD
Description of Work: SFD - 3 Bed, 2 Bath
Sq. Ft. per floor: (1st) 852 (2nd) 295 (3rd) 0
Heat Type (Electric, Gas, Other): GAS
Fees:
Item.:..
---------------------------
~.2 Building Permit 50-100k
ica Building Plan Review
c3~ Mechanical Permit
~~~ Plumbing Permit
,po5 Sewer ERU
~°S Sewer Inspection (SFD)
7`l~ Sewer Deposit
7~d Water ERU
7 ~a Water Meter (SFD)
7Yc Water Deposit
ydc Traffic Facilities Charge
/UV State Building Fee
Item Fee Base Amt Unit Fee
874.75 643.75 231.00
370.65 0.00 0.00
65.25 20.00 0.00
90.00 20.00 70.00
5,269.00 0.00 5,125.00
145.00 145.00 0.00
5~•'`>P4rs.66 c5J.c~C4~:9A- 0.00
1,500.00 0.00 1,500.00
300.00 300.00 0.00
tfc•~ a~-ee- vv.cx45-eo o.oo
757.50 0.00 757.50
4.50 4.50 0.00
TOTAL FEES:
Applicant s Affadavit:
$9,466.65
Phone: (253) 445=0116
State: WA Zip 98390
Lot: 15
Phone:
State: Zip:
Business License:
Garage 360 Basement 0
Unit Rate No. Units Unit Uesc
----------- ----------- -------------
0.0070 ~,ooo.ooo~ $1,000
0.0000 - ~ 0
7.0000 0.0000
7.0000 0.0000 Fixture
5,125.0000 10.0000 ERU
0.0000 1.0000
0.0000 0.0000
1,500.0000 0.0000 ERU
0.0000 1.0000
0.0000 0.0000
750.0000 0.0000 Peak PM Trip
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
OFFICIAL USE ONLY -
# Sets of Prints.
I Final Inspection:
Date:
By:
Yelm School District
ATTN; SUSAN CROP
PO BOX 476
YELM, 4~A 98597
360-458-1900
Sold to; 15963
NORTH4~EST HOUSING DEVELOPMENT
38188
LONGMIRE MEADOUJS
PO BOX 219
SUMNER ~JA 98390
# 5008 13 01/15/04
Reg #1 Salesperson SUSAPJ
Item # 2900/MITIGATION
MITIGATION OR TUF
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!!!
O¢ TAF pp,
o``' ~.
~~
YELM
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:
Name: Jeremy Brant
Address: 9902 132nd Street /Apartment B
Property Information:
Site Address: 508 Van Trump Street NW
Assessor Parcel No. 22719231600
Contractor Information:
Name:
Address:
Contractor License No:
Project Information:
Project: SFD
Description of Work: SFD - 3 Bed, 2 Bath
Sq. Ft. per floor: (1st) 852 (2nd) 295
Heat Type (Electric, Gas, Other): GAS
Fees:
City: Puyallup
Subdivision: Longmire Meadows
Contact:
City:
Expires:
(3rd) 0 Garage 360
Phone: (253) 445=0116
State: WA Zip 98390
Lot: 15
Phone:
State: Zip:
Business License:
Basement 0
Item Item Fee Base Amt Unit Fee
- Unit Rate
----------- No. Units
----------- Unit Desc
-------------
---------------------------
Building Permit 50-100k
-----------
874.75
-----------
643.75
----------
231.00
0.0070
33,000.000
$1,000
Building Plan Review 370.65 0.00 0.00 0.0000 0
Mechanical Permit 65.25 20.00 0.00 7.0000 0.0000
Plumbing Permit 90.00 20.00 70.00 7.0000 0.0000 Fixture
Sewer ERU 5,269.00 0.00 5,125.00 5,125.0000 10.0000 ERU
Sewer Inspection (SFD) 145.00 145.00 0.00 0.0000 1.0000
Sewer Deposit 45.00 45.00 0.00 0.0000 0.0000
Water ERU 1,500.00 0.00 1,500.00 1,500.0000 0.0000 ERU
Water Meter (SFD) 300.00 300.00 0.00 0.0000 1.0000
Water Deposit 45.00 45.00 0.00 0.0000 0.0000
Traffic Facilities Charge 757.50 0.00 757.50 750.0000 0.0000 Peak PM Trip
State Building Fee 4.50 4.50 0.00 0.0000 1.0100
0.0000
TOTAL FEES: $9,466.65
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 record. If applying as a contractor, I futher certify that I am currently
registered in the State of Washington.
Signature Date
Firm
`~
Permit No: BLD-04-0003-YL
Issue Not Issued
(Work must be started within 180 days)
Receipt No: xxx
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
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CITY of YEL)tit JAN 1 ? 2004
RcSIDENTIAL BUILDING PERMIT APPL]CAT10N FORM
ProjectAddr:,ss: 5L1~Van Trump ParCElr:?719231600 & 22719230900
Subdivision: LonQmire Meadows Lot n: 1 5 Zoning; Residential
~ New Construction ^ Re-Model / Re-Roof /Addition ^ Home Occupation Sign
n_ Plumbing ^ Mechanical ^ Mobile /Manufactured Home Placement ^ Other
Project Description/Scope of Work: s; ~i P fam,~~ .~ jai i ~ n~
Project Value: ~'
Building Area (sq. fi) is Floor 852 2"d Floor 295 Garage .360 Deck
Basement N/A Carport~_Patio N/A
Bedrooms 3 n Bathrooms 2 Heatin„ GAMIC T HER or ELECTRIC (Circle One)
Are there any environmentally serisitive areas located on the parcel? If yes, a
completed environmental checklist must accompany permit application.
,.
BUILDINGOWNER NAME: April D & Jeremy Brant
ADDRESS 9902 132nd St Ct E A.pt B
CITY Puval l u~ , STATE WA ZIP 98373 TELEPHONE 253-445-0116 _
R~CHITECT/ENGINEER HN ~; rr~, ~, t1i11 LICENSE'r t~Tnumuunn~/~~1
ADDRESS ~ RAY ~ t 9
CITY SitmnPr STATEr~.A ZIP9R~gn I ELEPHONE_~}~,-g~~ ,~i aQ
GENER~\L CONTRACTOg owrier/builder T ~ ! ~
ADDRESS same
CITY STATE .ZIP FAX
j CONTRACTOR'S LICENSE _ EXP DATE CITY LICENSE
PLUMBING COf~t T RACTOR Sunset Plumbir.a TELEPHONE300-!~ SR-991
. _. . .
-'.DDR=SS P.O. Bow 2008
CI-,( Felm S T P,TE W3 ZIP 9859 % =;~=:
CONTRACTOR--,'S LICENSc = Sti~ISEC%<0440P E:~= u,=-. T c%Ci~~~ ~ . L ...=.. ~= _
ti'1ECHAMCALCONTRP.CTO~ Heritage Heating TE.L=PHONE 253-0~~-211
ADDRESS 9001 Pa i f; c AvP
CITY Tacoma S I P, I E wa ZIP ggr,~4~4 FAX
CONTRACTOR'S LICENSE =NFRTTFT-1 '~F,n/ EXP DA T E~ITY LICE:'SE
Dpi
CaG'~/ Oi fiiliiaG?IOn G~~~~ril2iii V'll.n Yelm Communiy SCh001~, ri cDCii~cDl~.
1` ~
~ heC2~y C°:iiiy brat in? a~C'1@ In~Cf,'iia'IGii IS CO. f2Ci 2i10 tn2t the CO nSt:LCiiun Gn; and in? .,C~U~7c nCy anC u10 LS?
Oi ine 2~OV°_ D°_=. ~ ibad F)r6~i °_riy Wlll 5E Iii accordant°_ Wii~i iii°_ la`NS, (UI°_s anC i 2Gu~atiGna ..i i112 Ctaia Ci
vlashingicn and the City o9 Yelm.
~;ppllcant's Signature Da`=
Ovrner /Contractor / Owner's Agent !Contractor`s Agent (Nleas~ circle ene.)
All permits are non-transferable and vrill expiry if work authorized by such permit is net
begun ~^rithin 180 days of issuance, cr if work is susnendeti or abandoned for a period o`
180 days
~~, durc'.:iulilint.`Iim;;::N Itid^;'•:n;u;ilhi,ilw~_.
(,;.f'a,r;r.rnn .i?r.:~;k i nca~.1~~ rm I'm=c _
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