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20037080 Permit Pkg
~' ~ _. • v C~ rl ~~~.~: 4t ~~ Vim`' ~'~ ~ ~~~ .y t ~~~ ' Sir, ~ ~~ ~ ~.Gii7iv~ Y~.'?J ~p ~~ ~- Co~~e~c~ ' ±~olc~ ~aY:~~ C Suez: ~^n;~,,u ^ • ~~^~~y , L V ' ~~,^ Ca ~~-~-~QXn.~1I1 ll/~A IZ~131 ~'~ ~_ - - Vic.- -:.- -.._ 'J G~. "'. \ / .. .l.- -. -.. -. ~ ~...- J _... __ ~. -_ /~ FROM :YELM SEWER DEPT. FAX N0. :360-458-E3166 Apr. 15 2005 04:45PM P1 O~ TNT A~ '~ F.~-.X TRANSMISSION Y.~LZVr CITY OF YELM '" ° ' °'°" P.O. BOX 479 - 93 a N~' ROAD NE f ~ ~~ ~ ~ YELM, WA 98597 ,- ~ ; ~ 3 60-45 8-8411 ~, }- ~-~ ~ ' (~ FAX ~360~458-8166 TO : C~-Y~ - ~ W L ~ DATE : ~j r l ~ -- US FAQ#: ~ S~ - g~ ~~_ PAGES: ~ ,including this Corer sheet From: ~~~N D~ ~ s~w~Z~ Subject: ~-lo u 5C r ~ l~ <} L S C.~~, COM11~iENTS: ~ a"fi l ~~ ~ o i aJ~~t ~a., 3~3 ;o~~t3~ rzc: N.~ : ~I-C~5 ~.~G '" * If you do' not receive a!! copies or any copy is not legible, please call (360) 458-8411 as sndn as possitle. 1 ~ ° _ Building Permit N ITY OF YELM C 7 0 8 0 BUILDING DEPT. ~ ~ Phone: (360) 458-8407 ~, Date - FAX: (360) 458-3144 (Work must b starte within 180 days) o ~^/ r-- Name /j ~/L ~" /L-!. Phone (` .- ~ ~ , N `~ E rt ~ / ~~" ~ City P¢Lcf-s?j State Address Zip Code Site Address U / ,~dt ~~' P ~ ~% Lot Size (sq. ff./acres) Assessor's Parcel No. P t Lot / Block Subdivision e r T v OR Short Plat No. Block Existing Structures, if any: C o Name ~/~°~ Contact Phone ( ) T Address City State Zip Code ~ Ucense No. Exp. Yelm Bus. Lic. No. Description of Work OFFICIAL USE ONLY Permit Type: ~ Sq. Ft. per floor: (1st) ~ (2nd) Garage ~ (p ~ Sign Residential Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan ~ ^ N / , j Building Value ~j~~3; © (~} ~, ~ r~ / ~/ Sets of Prints ~ j Plumbing Permit # Jr / ~~ Other 1 WA. ST. BC. Fee (4.50 -New Const. Only) , ' fl Mechanical Permit # TOTAL FEE ~ 1 j `~ Plan Check By Minimum distance of structure from property lines: Issued By ~ Final Insp: ~ /~/~ Front to of Road . _ Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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. Quarterly Reports Signature ~.,,.,~^" ~ ~t.. ~(/6/ ,,,~/" Date ~~ "~~ - L~~ Assessor / / Firm: TRPC / / N_ 5996 ~~oFT~ C CITY OfYELM ICS PE~~IT L P.O. Box 479 Separate application for each structure ~ Yelm, Washington 98597 Daie-~~~~~ Telephone (360) 458-3244 Const. Address__ Occupancy__~~~ ~ .-~' ~ ~ f~ X71 f h Lea` Phone ~ ~' Owner. G+`~ t ~ _ _ Address 1~.=tom- --~ ~ -~- __L ~--~------ ~~~ Address~~~~~~'~~'~'"- Phone__ Y~ ~ _~__ ~.~,------ ~~Q Contractor_~Lt~~~ -- State Contrs. No. ~~~~~~~-~~ ~~ ~~ C~ i Building Permit Number - DESCRIPTION OF WORK New CI Addition Remodel _ U Alteration CONTRACTOR'S AFFIDAVIT I hereby make appllcation for a Plumbing permit and cerllfy that our firm Is registered as a contractor with the State of Washington and City of Yelm and that work shall be performed in accordance with all Codes and Ordinances of City of Yelm. Flrm --- Signature ~ ~GC ~~t~~~~/-F~l/ Nn work shall be performed prior to receipt of validated permit. Call (360) 458-8407 for inspection. FOR CITY OF YELM USE ONLY Recd by __ Date__ Permit # 0 ~~T~ (~ IL ~ IT - sos7 CITY OF YELM P.O. Box 479 Separate application for each structure Yelm, Washington 98597 Date ~ Telephone (360) 458-3244 L Sri r/~ :~ ~ ~ ~ 1 ~~. Occupancy ~f"~ Const. Address 1 G / '~'~ /..72i Address~~~ ljr~_,~` G ~/1QPJl~~ Phon ~ ~~~ Owner ~rJ- ctor ^~'1- Address ~G~ 1 /~1G~ ~ ~~hone ~~i) j~ 9~~ ~~1 C~ntr~ State Contrs. No. M~~~r~` 13 ~ `~. Building Permit Number r~ Hot Air Furnaces ^ Under 100,000 BTU Fee S ~ / ^ Over 100,000 BTU Fee S ^ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee S ^ Hot Water or ^ 500,001 - 1,000,000 Fee S Steam Boiler ^ 1,000,001 - 1,750,000 Fee $ ^ Over 1,750,000 Fee S ^ Air Handling Units ^ Under 10,000 CFM Fee $ ^ Over 10,000 CFM Fee S ^ Evaporator Coolers (Not portable) Fee $ Repairs or alterations to any of the above ^ Fee S / P Vent or Vept ~F<an (not covered by other permit) Fee S Exhaust Hood Fee $ ^ Incinerators ^ Domestic Fee S ^ Commercial Fee S Other Appliances (list) _ 9v~ ''W'~ h ~ " ' Fee S 1 i.~ ! P `~ ^ Other mechanical Installations (list) By Value Permit Fee TOTAL EfVCLOSE D FEE ~ Permit ~ Gas q~ Oil ^ Electric ^ Others CONTRACTOR'S AFFIDAVIT I hereby make application for a Mechanical permit and certify that our firm is registered as a contractor with the State of Washington and City of Yelm and that work shall be performed in accordance with all Codes and Ordinances of City of Yelm. Signature No work shall be performed prior to receipt of validated permit. Call (360) 458-8407 for inspection. FOR CITY OF YELM USE ONLY Recd by Date Permit # ~a of T"Fp~9~ CITY OF a m YELM P.O. Box 479 Yelm, WA 98597 YELM 360-458-8403 RECEIPT No. 2 8 5 9 9 RECEIVED ****NINE THOUSAND FOUR HUNDRED FIFTY DOLLARS & 64 CENTS RECEIVED FROM DATE REC. NO. AMOUNT NORTHWEST HOUSING DEVELOPMENT 12/19/03 29599 9,450,64 CHECK P.O. BOX 219 SUMNER, WA 98390 SITE 510 VAN TRUMP ST NW LOT16 PERMIT # 7082 MISCELLANEOUS RECEIPT GRETCHEN REF. N 1003 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 - • • o - s ~ o o • _ - o o - ~•~, _~t.__~_._" /O ~p THE p~'~ CITY OF ~. ~ .. a m YELM P.O. Box 479 Yeim, wA x8597 RECEIPT No. 2 9 6 0 0 YELM 360-458-8403 RECEI~E*~NINE THOUSAND FOUR HUNDRED FIFTY DOLLARS & 64 CENTS RECEIVED FROM NORTHWEST HOUSING DEVELOPMENT P.O. BOX 219 SUMNER, WA 9839.0 BLD PERMIT 708.1 SITE 303 SOLBERG ST NW LOT 12 DATE REC. NO. AMOUNT REF ~ 12/19/03 29600 9,450.64 CHECK 1003 MISCELLANEOUS RECEIPT GRETCHEN SEW INS 145, SEW 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 ~~ T"Fpq~ ~ CITY OF ~ a m YELM P.O. Box 479 Yelm, WA 98597 YELM 360-458-8403 RECEIPT No. 2 9 6 01 RECEIVED ** *NINE THOUSAND THREE HUNDRED TWENTY FIVE DOLLARS & 19 CENTS RECEIVED FROM NORTHWEST HOUSING DEVELOPMENT P.O. BOX 219 SUMNER, WA 98390 BLD PERMIT 7080 SITE 301 SOLBERG ST NW LOT 13 DATE REC. NO. AMOUNT REF. N 12/19/03 29601 9,325.19 CHECK 1003 MISCELLANEOUS RECEIPT GRETCHEN SEW INS 145, SEW ERU5125, WAT MET 300, WATERU1500, CONS DEP 90, PLN REV370.65 BLD PER 877.29. 4d B CODE4.50, MECH PER 65.25, PLM PER 90, TRANS 757.50 .. ~ ~::it~ of 'elm -Permit Fee Site Address: 301 Solberg St. NW, lot 13 ®~c ~ ~ 200 ~~ e er~l Permit # Fee List Fees Due Receipt # Comment 805 Sewer Inspection Fee Sintrle 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 aci 0 Sewer ERU in the LID+LID Assessment 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 city limits $2000.00 0 740 wtr 742 swr Consumer Deposit $90.00 $ 90.00 100 Plan Review $ 370.65 032 Building Permit 7080 $ 877.29 160 WA Building Code Fee $ 4.50 $ 4.50 032 Mechanical Permit 6097 $ 65.25 032 Plumbing Permit 5996 $ 90.00 030 Yelm Business License# 0 Total $8567.69 420 Transportation Facility Charge $757.50 School Mitigation Fee $ 650.00 confirm 410 Open Space Fee TOTAL 59325.190 DUE AND PAYABLE AT TIME OF PERMIT ISSUANCE! 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(n 13a m m i - m 7 ~ rt y K C1 ~ > cn ~ ~ v ~ o r' , cc 7 .'.\ ~ G ~ '~ ~ G C ~' ~ tt N ~ ~ f1 O S ' _ ~ P.!1 * . ,tt V ~ l D . ~ }l ~. ~ t1 ,,I~ C Q O ~ ~ _ /~ ~a O J 7 ./ ~ 7 CO ~ C - P ra ~ 1 4 ~ ~ ~ G n L .- n 4 r ~ ~;y ~' _ ~! ~... o z ~ ~ G ~ _ y ~ A J ° R Cj '. x ~ .o ~' ~ ~~ cn p ~ st,/ ,© m ~ ~ 0 .J . 1 N, i ce. j .~ .. ,~ e, a ..~ ~r J ~ ~i / _ ~ ,~ ~ l: r~ / ~ x ^ U Sn~J U + n1 V Q V ~ ( 'V ~ ~ ~ 0 . 9 {~ ~ a S7 CITY OF YELM RcS1DENTIAL BUILDING PERi~11T APPL1CATlON FORP~1 Froi~cAddi~ss: ~n~ ~^~hPr~ 4r Yelm FGrceIr:2271921600 & 22719230900 Sucdivision; Longmire Meadows Lot ~: 1 '~ Zoning; Residential XK Nair; Construction ^ Re-Mode! / Re-Roof /Addition ^ Hcme Occupation Sign C~ F(umbing ^ Nlechan!cal ^ Mooile / Manu~acturd Home Placement !! Other Protect Description/Scope of `,Mork: s;.,gi P fa> ; ZT d~rrell~ n~ Protect Value: Euiiding Area (sq. ii) 1~` Floor 852 2"~ Floor 295 Garage ~_ Deci< Basement N/A Carport N/A Pa~!o N/A =' Eedrooms 3 ~' Bathrooms 2 Heatin GASI T HER or ELECTRIC (Circle Ono) Are there any environmentally sensitive cress located on the parcel? l~ Y=s, completed environmental checklist must accompany permit application. - _~ 8UILDINC_:QWNERN~,M`: ~ '' ADDRESS - ~ CITY Tarnma STATE raA ZIPQR~~1,~_TELEPHONE ~S'2 5'~s~_i ~~ Q _. _.. . F,RCHIT;ECT/EVGINEE_~ NNn~~; rrs F g1i i L1CEN r ~;nRTUU>lnsi ni ADDRESS ~ q CITY S rnner STATEraa Z1P9R2gn T ELEPHONE~s~ Q~ a, Qa _...._ .. _.. _1.. TELEPHON- G NiRP.L-GO~IT~GT.OR ownerlbuilder ADDRESS same - CITY STATE ~!P F,;X CONT~:,^-,C T OP,'S L!~>=UcF = EXP DP.TE CI i Y L1CE~1SE _ i ~_~ v ~~ ~' UP/i~ING CO~_~ T r:,=,C ~ OR Sunset Plumei,-LC 1 `LE;~~'O1~=inn-/. S~-7~gi ~ .-. -~ r __ 7G~S ~. ~ L...C\i~_ = i CSI ~ I ^1:^,C! ~J-i ~. _I~: 'V.`_. = SIJ~SLC~`O~ ~'OPv CJC" C~=.! C!(i/~i ~ ~ ~ - ~i ~/1Cviir"-.'~iiCr^-.L CuiV I i t,'~.~i! Qp, HerltaQe Heating ~ ',=LC`-,i U~= ~~ j-q77-7~ I 1 ?.DDP;'E.SS 1 P~~;=; ~, I CiIY Tarom~ SIAIE~.?~ 7i;' oR/~~,~, ~',~` _ CCiJ T R,-.CTOR'S I IC~,E~SE =HF'RTTFT-1 ~F,C1L EX~ DA I C •G i i Y LI .Ci`+S = C Coc~'r c m- tion Ggr.,~r,,..,., vii~"I Y~i„~ Com~~~uniy Sc~~ooi-. ~~ _^riicable. { -. c, -~ i=_ co~~- . 2: .. 2na: i`° ""-__'.• ction cn, a-~ t,._ acct:?inc., ~-.. ,,.e a== -_ c~a:^~ `,viii b= in a~..~r^a.,~_ ,r~.., tn_ la`.vs. rut=_s any rc~;=,:c-_ c` try ._._ -, 'T;asnin~:en z-d the Ci~~~ o` Ye!r~. ;,ppiicant's Sicn2ure DGy .l Owner's Cor,tracor's Agee: (rleas_ circl: on=_ Ov,'ner,~CGnifcCT^v', Aaen~, ~;I permits are non-trans~eraole c^~ v':111 eXplfS li b^JOr'{, allif10f1Z~C );~ Si:Cil pernlli IS r1Gi begun within 18G days o; issuance, cr if tivork is suspended or abandoned for a perioc o i80 drys (,: = ~~; r „r, r.uim;; !i,_:cir,; :neat I~~,r:r. ~; 1'r,~ccdurc:. I:uil,Ii„t_ I'cruti:~ I!C.1iir1^i'rrr,;i;:\(+~.rL•,~