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20037081 Permit Pkg,~~ ~~ ~~ y_ ^-".~ ~.;~~~, .N ..~. - r.` - --.- -.._ G_ _~. •:, ~~~ ~L~~~ .~ f ~~L L ,l4 •. 5~1:41~..:^'IAltl~ ~ .7f i~c .~~ S' CO~;'.~1- i~y.~:.:i F~;-t~,~ri ~:j.~ ~~•~:,?iQ L ~~' u•~~'fY ~~'~~-~!'~1~ rk:~ ~'1Q~~1 N i T ~ ~ 511v t IV~1~11-Iu ^ ~ - `;~ ~ aoY:~~ - z ~_~~L C CasfP:o~~e ~ ~- ;-i~n-~Ca1 COI,-_ ~__~~~1~a _ . 1!'~U.~~ ~10~1. ^ Ce:, [i ri~CL-ir ^ O`c= n f 1 ~ . .. 1'' L c"•" r.. i 1 a.. ,E a'' . L d'? ci ~ G `c- r ._ _ - FROM :YELM SEWER DEPT. FAX N0. :360-458-E3166 Apr. 15 2005 04:45PM P1 O~ ?~~~ ~ r ~~~ ,~ ~, ,~ F.~-~.X TRA~NSMISS~CaN . ~'~L~ CT'I"Y OF YELM W ° ~ a'°" P.0 B0~ 479 - 93l Nl' ROAD N~~ ~~ YELM, WA 9$597 1--~` 360-45 8-$4 Z X FAX ~36Q~458-$166 TO: C~-Y~. - ~~ N L ~ DATE: ~1 r I `~ -- CAS FAQ#: ~ ~~ - g~ ~~ PAGES: ~ , includixzg this Cover sheet { Farorn: Q2/~N ~`~ ~ s~t~~z~ - i { Subject: J--~©u ~C ~ i l~ ,~} ~ S -~ C^ i i a [1 J COMMENTS: ~ a"fi l , 3 0 ~ ~ o ~~ Q ~ 2. ~ tiN , w : n ~ - 0~5 3, ~ ~ 1 ~ ~ ~ od . ~~. ,,. '~* If'you do'not receive all copies or any copy is not legible, please call (360) 45$~8A~11 as sndn as possible. ., CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-3144 ~1 ~- Building Permit ~°_ 7 0 8 1 Date l~ / l ~/ / l~ (Work must be started within 180 days) ~`/ Name ~-f%;.S L1 ~ ~ •l ~ Phone (.~.: '~~) ~., 1,~ "~~~.\ ~ ~~ . N rz , _ Address i ~ '~ 4' ~l'~ ~ ~ . ~ ~ , City ~-~J . ~'4•~' , State ' ~ Zip Code ~~?; ~) " J Site Address ~ `~ ,i ~' ~>' P R - "~ 1 Assessor's Parcel No. ~' ,~~ j [t/'• ~ '~ z°~ C., Lot Size (sq. ff./acres) O E ,~ Subdivision ,~,~ ~~ p~, + ~^~ `~ -r• Lot ~~ Block R T y OR Short Plat No. Block Existing Structures, if any: Name '7 j~,7,~.+ f;°,r`~ Contact Phone ( ) T A Address City State Zip Code License No. Exp. Yelm Bus. Lic. No. ,,,~~.-_~ Description of Work _ - p ~-~, OFFICIAL USE ONLY Permit Type: / Sq. Ft. per floor: (1st) r,, ~ (2nd) ~-( ~~ ~ Garage W'7j~~; ~% Residential ~ Sign Sewer Septic Approval No. Commercial Other Clty Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE N Floor Plan Y / Building Value j~' %~ j~e,;,L-~~ •~ ~ y ~ ~., ~ / / Sets of Prints / Ll/ ~r"- -. Other -7 ^ ,-l Plumbing Permit # c1 ~~ l WA. ST. BC. Fee (4.50 -New Const. Only) `~~ ,t ~ Mechanical Permit # -~ TOTAL FEE ~~~, ~,~ C _s Plan Check By ~ y-! Minimum distance of stuucture from property lines: Issued By ~~_ Front to of Road Final insp:~/~/~ Side Side Rear Owner L & I Form Applicant's Affidavit: 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 further certify that I am a currently registered contractor in the State of Washington. Assessor Floor Plan and Permit Submitted / / luarterly Reports Signature ~ ~ Date /Z -~O~ Assessor / / Firm: TRPC / / ~"~°f T~ I I ~° s o s s CITY OF YELM P.O. Box 479 Separate application for each structure Yelm, Washington 98597 f~ ~ ° Telephone (360) 458-3244 Date z Const. Address •'~r~ ~ 7 ~~r~ -~~,~~ ~~al ? r ~ ~ '' ~ ~ f .. rI 1 itr.~ ' r Owner , ~r~- ~ k ~~ // ~/ State Contrs. No. r ~ ~~ ~= ~'~ ~~'~ l_~~~ ~~"'~% `~ Building Permit Numl Occupancy. .~ Address `~~ ~ / ~~< <~ ~ ~'~' 000 BTU Fee S Under 100 ~ t Ai F ~ `~ , r, urnaces r Ho 000 BTU Fee S 0 ^ Over 100 Permit ~ Gas ~ Oil ^ Electric ^ Others , 000 Fee S ^ Under 100 , ^ 100,001 - 500,000 Fee S ^ Hot water or ^ 500,001-1,000,000 Fees CONTRACTOR'S AFFIDAVIT Steam Boiler ^ 1 750 001 - 1 000 Fee S 000 I hereby make application for a Mechanical permit and certify that , , , , ^ Over 1,750,000 Fee S our firm is registered as a contractor with the State of Washington and City of Yelm and that work shall be performed in accordance 000 CFM Fee $ ^ Under 10 with all Codes and Ordinances of City of Yelm. , ^ Air Handling Units Firm ^ Over 10,000 CFM Fee $ rator Coolers (Not portable) Fee $ ^ E vapo of the above Fee S tions to an r lt i R Signature y rs or a e a ^ epa r Vent Fan (not covered by other permit) Fee $ t O V ~~ ~ `~ No work shall be performed prior to eipt of validated permit. ection 8407 f i 458 3 0 en o ~ yam.. ~ Fee 5 t H d h E ~, 1 ~~ . or nsp - Call ( 6 ) oo aus x ^ Domestic Fee S r i t ^ I FOR CITY OF YELM USE ONLY nera o s nc ^ Commercial Fee S Other Applianc s (list) Fee S ~ ~ ~~' ,~I ~ ~ '; P Recd by Date Permit # ^ Other mechanical Installations (list) By Value ~~ Permit Fee ~~; ., ,~1 TOTAL EfVCLG~r FEE / ,~ . ~~~ ~ of T"E C ~ CITY OF YELM P.O. Box 479 Yelm, Washington 98597 Telephone (360) 458-3244 t N_ 5997 L SING PE~®JIIT Separate application for each structure / Date_.__-~-~ ~--f Const. Address. 'r3 ~'' ~___,..]_ii'~ ~ ~~~'~ ~5~-'--~~-rs~- Owner-._~~-`~ ~M `"~~} ~ t~~' - - T ~GG'JS L+ ~ f _ Contrachor__.~,/~_ -- Occupancy. s ~-~ 1, i ,l ~~ State Conirs. No.~f~-Gt/-"~~'~~ ~ Building Permit Number `'~~~~~__- - ITEM FEE 61UANTITY E F E Toilets ------ Urinals -..1 , - -- ~ -- ~ ~ ~--~G"~ - _ _ Lavatory.--_ Bath Tubs _~~_ __ - i. ~,v ~_ Shower Baths -~-- ~ _ - ~ tfv ~~ `~ ~ ~%~ __ _ Kitchen Sink_ _- ~' d tfci ___~_-. _ ~~! _ Disposal Units - ___ _ Dish Washers _`~~-i,~i. _ ~-~'~J Drinking Fountains Laundry Tub _ _ Automatic Laundry Equip. ~~~_ __~_ . ~ ~, ~~i Catch Basin Floor Drains __ _ Floor Sink Riot Water Tanks N <62J' _ ~ ~ ~~ - Misc. _ Misc. Permit Fee ',l TOTAL ENCLOSED FEE ~~~~~ I hereby make application for a Plumbing permit and certify that our firm Is registered as a contractor wllh the State of Washington and City of Yelm and iliac work shall be performed In accordance with all Codes and Ordinances of Clty of Yelm. Address~~~~ -~~~' r'~~'1,~ Phone_~~=~~%'~"~`Y~~_ Signaturess~-~ ~---- No work shall be performed prior to r ceipt of validated permit Call (360) 458-8407 for inspection. FOR CITY OF YELM USE ONLY Recd by __ _Date Permit #_ CONTRACTOR'S AFFIDAVIT • O ~ • O City of Yelm -Permit Fees C;tP Arlrlracc• ~n~ CnlhPrv Ct NW lnt 17 PAI® ~~~ DEC 1 9 2003 ~~ ~.I~cr Permit # Fee List Fees Due Recei t # Comment 805 Sewer Inspection Fee Sin le Famil $145.00 $145.00 805 Sewer Inspection Fee MultiFamil /Comm./Industrial $145.00/ ERU 0 Sewer Latecomers 0 802 Sewer ERU approved under 1994 Sewer Ca acit 0 Sewer ERU in the LID+LID Assessment 0 0 Sewer ERU lots outside the LID boundaries $5125.00 $5125.00 104 Site Plan 0 Water Latecomers 0 712 Water Meter $300.00 $300.00 Water Meter I.R.R. 0 760 Water ERU's inside cit limits $1500.00 $1500.00 760 Water ERU's outside cit limits $2000.00 0 740 wtr 742 swr Consumer Deposit $90.00 $ 90.00 100 Plan Review $ 407.91 032 Building Permit 7081 ~ $ 965.48 160 WA Building Code Fee 6098 $ 4.50 $ 4.50 032 Mechanical Permit 5997 $ 65.25 032 Plumbing Permit $ 90.00 030 Yelm Business License# 0 Total $8693.14 420 Transportation Facility Charge $757.50 School Mitigation Fee $ 650.00 confirm 410 Open Space Fee TOTAL $9450.64 DUE AND PAYABLE AT TIME OF PERMIT ISSUANCE' A:\7081(1340)LM lot 12.doc __-_ __ ._- _-- - __ ___ ___.-V-------~-1+ -----------------------_______-_-_-_ _____ ' O`c Op THE p ~~ ~`~/~ y1 ~®/~ 1 _.__-..~_._ ~-.____.._ a m 1 ~ L LY1 P.O. Box 479 Yelm, wA ss597 RECEIPT No. 2 9 5 9 9 YELM 360-458-8403 RECEIVED ****NINE THOUSAND FOUR HUNDRED FIFTY DOLLARS & 64 CENTS RECEIVED FROM NORTHWEST HOUSING DEVELOPMENT P.O. BOX 219 SUMNER, WA 98390 SITE 510 VAN TRUMP ST NW LOT16 PERMIT # 7082 DATE REC. NO. AMOUNT REF. N 12/19/03 29599 9,450.64 CHECK 1003 MISCELLANEOUS RECEIPT GRETCHEN SEW INS 145, SEW ERU 5125, WAT MET 300, WATERU 1500, CONS DEP90.PLN REV407.91 BLD PER 965.48, W B CODE4.50, MECH PER 65.25, PLM PER 90, TRANS 757.50 Q~pp THE pq ~ ~1~ Y ® 1 " ., .. , 9 gg ~~ ~~/ a m ~~L10'~ ~ -. P.O. Box 479 Yeim, WA 98597 RECEIPT fVo. ' `Z g 6~0 Q YELNi 360-458-8403 ~ _ RECE*I~F~~ " NINE THOUSAND FOUR HUNDRED FIFTY DOLLARS" & 64 GENTS RECEIVED FROM DATE REC. NO. AMOUNT-, REF. ~ NORTHWEST HOUSING DEVELOPMENT 12/19/03 29600 9,450."64.GHECK" 1003 P.O. BOX 219 SUMNER, WA 98390 BLD PERMIT 7081 SITE 303 SOLBERG ST NW LOT 12 MISCELLANEOUS RECEIPT GRET-CHEN° SEW INS 145, SE41 ERU 5125, WAT MET 300, WATERU 1500,CONS DEP 90, PLN REV407.9 BLD PER 965.48, W B CODE 4.50, MECH PER 65.25, PLM PER 90, TRANS 757.50 a • :z~ u~ ~ ~- s O v J O C7 L'1 L~ O O O .:. '~c,7 • G`~.3 O ~. ~ N C_ : ~5 a~ • • `i s ~~ a ~-~ YE ^` •- O ~C v;~ n ~~ LYl r- 'd' C,T ~p RECE n~o. 29601 Ldl - REF N NORM ° `- ~K 1003 P.0 0 S UM~. BLD --~-.~,.....-.~ _ . „~.~ SITE 301 SOLBERG ST NW LOT 13 MISCELLANEOUS RECEIPT GRETCHEN SEW INS 145, SEW ERU5125, WAT MET 300, WATERU1500, CONS DEP 90. PLN REV370.6~ BLD PER 877.29, 41 B CODE4.50, MECH PER 65.25, PLM PER 90, TRANS 757.50 0 ,~ ~'elln School District ASS/GEN Student Receipt hedger LONGMIRE MEADOWS PO BOX 219 SUMNER WA 98390 18-Dec-03 The purpose of this report is to show aR activity for a student; what items have been purchased, how payments shave been applied and the current :account balance. Student numbe ~ 381~88~ Telephone 2538638188 ,~~ Class ~ ~~-~~~~~~~-~ Account balance ~ 0.00 DATE RECEIPT # DESCRIPTION OF ITEM MEMO /NOTES PRICE ROA 6/14/02 3330 MITIGATION OR TVF CHECK# 2309/LOT 5,200.00 0.00 16 17 21 20 19 22 23 18/DIV LONGMI 0 0 + o+ o o n 0 0 + o l o o n 0 0 0 + 0 1 0 0 11 _. c~ • -.~ - s ~ + 0 1 0 o n -• c~ z ~ z co c0 + c-J 1 c~ c~ 11 f- OJ W ~ Q i i i i In ~ \ cn .- ~ -- ~-, ~- d CV = 1 ! 11 W O .- ~ 1 ? i? U -1--~ ~ W ~ ~ ~ i` W O Z O Z O ~ •- W^ 6l ~ CC G7 O7 k- 1 LC) F- Ll Ln R". D O F'- OD O ?--? OD O O fn C7 F- O G3 F- O O '- -Y .~ of -T Q: O C1J CJ O Q) CU ?--~ _t ~-+ .J F- c0 U ~- W O C [D O O d M F- ~ F- ~ ~ ~--~ O W O [.n ^^- O Lu C.O iV t0 ?--1 O CY_ `-+ O CC ~ O ~ Y r O ~ 2 1 S ~ 4l r-- Ul ~ C~J O .~ Le> O C/J h- U U `JJ .s. O Q) ~_ Z LL \ Z A.L W il? ? ~ ~.[7 F- W r- Q O O ~ V ~ Cv 3 O ~ ttJ O r' CD d c Z CY] ~ W F- Q7 O~ O J .-F- _JO -~ ~'K Cr ~JQ O NQ O 4J 1-- O W CD O S :~ O W f~ LC7 C3 CO d T Q 0. T C7 +-+ F- ~ O Z ~' ~ YS ?--1 2C #t i--1 #C # U O O O O O E '--1 Y E r--~ Y Z d Cn ~ O al E U N~ U (/J $k ~ H H C~~A~ '~EUr£ 3~ `--~' ~ ~ , ~~ 3 y 3 . ~~ f ~ ~~ a ~' i - - - - ~ i r ~ j i ~~ ~ ~ ~ ` ~ ~' Si.11~" ~/ ' ! ~ S~,gA~K I ,so ~ ~ ;~ ~o/N~ _-. C O l7 E ~E Q -- ~Rtiv~WR ® ~ ~ ~.m^ -~ ~fy a ~ ~ ~ 3 y3, sit~Ew~-tK 4, ~ _ ~,: ~ F f~ --~ - - --~__. __ _ ---- - - - -- --- - --_. - - _.__ c~~~~ ~~UC~ 0 - - - -~ TC`.~ 1 ~, cT" ~ 2 ~I 0 r( l c Q a I J ~~ ~ f V U G J w_J vS' LL ~ 3 c~ ,~ •/ < .i ~ w ~ Q 4 i, LL ~ ~ Z ~ r W - Z D < V ~ ~ U v c W O LL• c CL J v G b+. O J ~ E" W~ J U I t \`; R p ~ ~~ .\ } JI~ ~. \ - -- i I - . .~. -li L~ I I I ' f ~ ~ ( .; °U~!i I .___ Z I II ~ t ~ J J ~~~' l i1 . - ~~.~- . -~ ` ~ ~~ _I~ c G ~I, I i i, ~' I I _ II .,` C ~ •\ J I ~' I f; tN~~U " ~ U J~• ~. 'I .~.: I . ~~~~ ~ : : _ ~~ EL'~~ . ' ~ ~ ~~~ y ~;:,~ aUJ z I I ~ ~-~' i in _ N A ,. ,.~ ,, I~ M ~ t ~•\ `~ ~.~\ f.j ~ ~~=c ~ i ~ ~ ' C i at \\\' 1 ~' ( - ~ ~ `~''~ '`) y~(S ~" { : I ~ .1- i r . n^ ~ J ~ ~~ u ~.II~ E ~ ~ ~~ ~ ~ ~ ~ ~ ~ ~.n ~ I i ~ i..~ ~ ._ . `•~ i ~• ,~ ~ • ti ~ .a W (.. •~ ~ +,.J ~ N1 G ( I J p I ~ 4 l.r I C~~, w W C L~ U'1 [n ~• ~' ~i pp J ~ v J U V U ' U W < ~ O C ~ V~.~I q v ~I I [C ~ I U 4. O O:~[ C r <i, ~`.3 - D Z Z O < 4`+ vY ('F ~' t ~ G OjI _ O~I O~I C ICc I: Lo c~~ O i 3 3 3 ~I < z ~ z~. I C os o3• ~ ~ -. ~ ~ I .- r ~, ~~ c 'C'i w? w ,w. w~I I ~ ~- ~ W~~ WFj ~' W~: OIt'; ~ OtI~ n p~, U3 O~ UZ I 05 U~t v. i.. ~ 2~1~ C ~~ J J J ~lJ... J.. Z.: JJ~ J ZU US UO t~Ul tiC? _ - II p u: r j ~' \ ~~~\ ~ v ~~ ~~ ~~ ~~ ~~ s ~ ~~.n l r.~.. •.:~ 3..r , 1r!f~ IrJ ?~ W r y, _• / < G ' ~~ C D `~ V 1'-~ rt ` _ D' G ~ U J ~. _ ~ ~ ~ C G G ~^v. `•' O ~ ~ D ,~ } . ~ ~ K ~ U V N cc ~ ~ O _. E - - '~' . r m Y _ _ ~+ D O ~ W r i- O ct: cD ~ ~ o~ u ~ si .S~ ? K i ~ `~ > L7 C ~ U ~ N '. ~ c a . G C c ~ ^ 6 c `~. ~ ~ _ 4 `7.~> O Y ~ t, ~' ~ _ ~ U Q ~. (~ 1 ~"'i = ti c p ~ ~ w ~x . ~ o - ~ ~~ f . ~ ~ , „~ L ~ ~ _ G R ~ . - _v 1 ~ o p ~ i .. J ~ i _~ -0 }- G ~ ~ s N ~ P y ~,: m ~ b L / o :r ~ d °J •~ ~ :~.~ J ~` m e ~ ~7 ~ N Y ` ' '`~' `J - ~ ~~~ ' y~ ~ ~J yc' ` ~ an O ~ ~ n/ ~. h P1 c 0 a ~z~. 7~ a CITY OF YELM RESIDENTIAL BUILDING PERitil1T APPLICATION FORP~t Project Address: '30'1 SnlhP~g Rt_ YPIm PcrCel `:7719231600 & 22719230900 SUbdIVISIOn: Longmire Meadows Lot ~: 12 Zoning; Residential X~ New Construction ^ Re-Model / Re-Root /Addition ^ Ho~;le Occupation Sign ^ Plumbing ^ Mechanical ^ Mobile /Manufactured Home Plac:,ment ^ Other Project Description/Scope otV~lork: ~;;,gi P f_.. am; ~ d~selli b Project Value: Building Area (sq. fi) 1s Floor 852 2"d Floor~,gg Garage 360 Deck Basement N/A Carport~_Patio N/A n Bedrooms 5 n Bathrooms 2 Heatin GASI THER or ELECTRIC (Circle One) Are there any environmentally sensitive areas located on the parcel? If yes, a completed environmental checklist must accompany permit application. BU'ILDING_4V!lNER;NAME: Les C Kniffen - ADDRESS 30911 1st Ave S d~126 CITY_Federal Way STATE wA ZIP 9Rn9n TELEPHONE~s~_~~~_~=.7~ _-_ LICENSE r Af~CHI,I;,ECT/ENGINEER HNn~4; rrG t~ u; ~ ], _N.CIRTI~0~1-1i1 ADDRESS CITY S imnPr STATE~r,14 ZIP9R~19n T ELEPHONE ~S~_sz~~ o, oa TELEPHONE ADDRESS same CITY STATE .ZIP, CONTRACTOR'S LICENSE FAX EXP DATE CITY LICE`dSE PLUMBING COf~.rRaCTOR Sunset Plumbing T ELEP'r~ONE~6n-J, tiR-2991 F,DDRESS P.O. Bo.~ 2008 CI I Y ~e1m S I P, T E Tr;A ZIP 98597 F-~ CONTRACTOR'S LICENSE SUNSEC*0! 40P EXP DP, T EiCI^ •1 T 1' LIB: -i~iSE MECHANICAL CON I RAC I OR Heritage Heating TELEP; .OI~E X53-G22-22 ~ t ADDRESS CIIY Tarnma SIAIE wA ZIP gszr414~~ FAX CONTRACTOR'S LICENSE ~' HFRTTFT-1 '~hf1G EXP DA T EiD 1 T Y LIC='i•dSE COGy Oi mitigation agre°rnE; It ~^nth Yelm Coml ~ furry S~~fi001S, ri c .OciJIO I hereby ce„if•~ th2~ in2 cbOVO IniC~TciiCn IS COfi°_Ci and tn2~ the CCnSi;UCiIO~~ Gn; 2"lC :-.? CCC::D2i1C~ anc tll2 US? G' th° 3bGVe C°_SCi ID°_C D~G,Oeriti/ N11II be In 20001 C.cnC°_ ~'Jli!7 the I~'.VS, (L:,"s c..-. ~ •- ~ •~- 'r^lzshington znd the City Gi Yelm. Applicant's Signature O~•rner,~ Contractor / O^ r er's Agent !Contractor's Agent _ ~_"_ (please circ':~ onG.) All permits are non-ir2nsferohle and vrill expire if vrork authorized b;r such permit is not t begun vrithin 180 days of issuance, or if Urork is suspended or abando;,~d for a period o. 180 days t:;-(:,vnr:im,i; f?r::il~~ ic;:~in~:,;.Fc:f'r,~ccdurc::-14ni?`iir~..1,cami;:l:~,:•:I:i,.!_~1'crnit;?~~j}.u:,~. I;;; -