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20050052 i[~JJITWJIT~~1[@f@1JJ1~J @J1WJ 1@TI1@Jw@m[~]J@J[@ ~ r~ rF~ I [g] I @!tr[@~ CITY OF YELM - BUILDING DEPARTMENT RESIDENTIAL CERTIFICATE OF OCCUPANCY Building Address 16234 Vancil Ct .SE. Owner Name Owner Address PAR Homes 10749 South A St. Tacoma Wa. 98444 Building Permit Number BLD-05-0052- YL Plan Number Plan 2288/3 Lot2 Remarks Areas Inspected All Code required Special Conditions Building Official G. Carlson Date January 17 2005 This structure is in compliance with the International Residential Code (Chapter 51-51 WAC) as adopted by the Washington State Building Code Council pursuant to Chapters 1927 and 70 92 RCW, effective July 1, 2004 p:;-] r.:-=il ~-v-;t] I ~-:;~il r---l1 rr~l f ~1 r-=:1 ~ r~ i.,:;]1 rnr r~ r~J n- ~ '~ ~l r ~"ll ~l j ~ I ~ I~I ~ ~ ~~I t~~ ~~ t~:.] @:!! ~ [~(~j J [f~ ~ I ~J ~ ~ (gMJ ~ lL~j ~ ~ [fgi. FROM YELM SEWER DEPT TO: &~l; FAX#: FAX HO 360-458-8166 Jan. 12 2006 09 15AM Pi FAX TRANSMISSION CITY OF YELM P.O. BOX 479 - 931 NP ROAD NE YELM, W A 98597 360-458-8411 FAX 360-458~8166 DATE: ,~ ),,~O(, PAGES: J ; including this Cover sheet From: ~AA)b Y Subject: ~ 0 U ~ ~ 4?~ ,0.c, L. / ,. \' m B~'" WE' ~ 'f. COMMENTS: L-O, Ck ) ~ ~"3 4 VA 1 N(...,"L eo. o 7 ~ ) 3CfJ, ~ 0 *'" If you do not receive all copies or any copy lS not leglble, please call (360) 458~8411 as ~oon as pl)ssible. CITY OF YELM INSPECTION LOG c PROJECT U 2--- ~ ~ EJt b-J PERMIT NUMBER Dr - ~-;)-J ADDRESS l ~ Z- 3l.J tJ/)~cfJ C,t- S'P SET BACkS Date J ~ I..)I~ FOOTING WALL ~ ~ / Front 2-'- ~ 12" CJ 6" ,.f)r Rear ~.3 cYi 6" ~ 8" }~I ~ Side Flank.lng V /0 other 0 oJt~~- /" 1 li Side 'J 0 required \ ents _~ ~ ~ c;1''1 / FOOTI"GRE~AR J Date hhtu W .\LL REBAR Date It f;t;v --r- I Comments CO\lBI:"ED FRA~lEI EXTERI.OR SHEAR WALL I\SPE.5TIO~. ~'f. f / Hold downs ;! oJ/- 7// Shear NallJng~ 1:::. 1 i;c ./ v, ') p f' F ram e ::J ~ '\ f[f G as 'Propane ::J ~ . /, . - 0)\ Plumbing 1}:L, ... I'D MechanIcal::J I c Comments I\Sl L.\ TIO~ I ZJ Gas I !ZJ Foam and Seal ./.. A Comments /bJY\^ COil;) 10 < tJY./ t>J K!,Jr.. r-t I ! SHEET ROCK/SHEAR \\' .\lL :\AIL ~ ElectrIc ~ Vapor baTTIer C! Other rf PV-\ I Comments OTHER Comments 2~AL ~1 (f" Se\'\ er Final /ft Electncal Address 0 Insulation . ). commentsJltAA 6A p" o Cml Final o Site Drainage o Landscape9'mal IJ Co[O o Slde\\ alJ...tUV h'.~ 1 { \~ r-l/ \ c c ~ '.'" ,;y~'~.'~'F''''''7rIT-'';;:7. City ofYelm - BulldIng Department CORRECTION NOTICE I have this day inspected this structure and these premises ~d have found the follOWIng VIOlatIOns of the City of Yelm ~rid/or State laws governIng same. c c o '2_) ~) Lf) a ~ PERMIT NO. t~ ~ 713- . 7?pva) 1\1 U e~ "T. jlV S'U -{24 V ~ C/l-t-J ..h c,,;r if C'A u,} t- (I' t'ldD ~ ~ loa u-L- ,<)~hJ W I i~S. J.~1.tu~ c>te-- 0~ l/J F1tirv ~Lqpl, ;, }-/-uf:) .:2ws vt-12c.- b:,o 0Yt- 6p ~ Iv v A 1-. ;J'~ls~ C't>-r -rtcl-t p~ VY1 Cl '?-/1 U' J S fY A Le- ....-1 I S'J:;> -' C 1 ~-JJ cJ LUJ. C fl-4 lA..J I )1 LL ? i-. .-/1 ~ ~ fA~ l\rl\ f-}-'Z hi .,() VZ-rc.--fv . J:--. --, ~WV)J /lhv,J tJt:t--L[ ~) 7 VG-f'/ Ie aJ I You are hereby notified that no more work shall be covered upon these premis corrected. When corrections have been made, call for re-inspection at 458-8407 DO NOT REMOVE THIS TAG DATE ~/I2;If)C e violations are INSPECTOR FOR BUILDING DEPARTMENT &3 ~ City ofYelm - Building Department CORRECTION NOTICE c ~ I have this day inspected this structure and these premises (' have found the following VIOlatIOns of the City of Yelm \'nc:ilor State laws governing same 'J 2-) c' PERMIT NO. !vf-. ,.) je 6nb'j 1 r- -:301 st '(J"'f OV.v- ~ p In I.-l {I/..2L?/J J, 'I r /) Li,t..-f ,;~ fu f f / /1 l( vh K-, 1/ )-4A./' ;J..tc?IJ ./; L~/l." Vl^ d v.1 Ii --t;;[GO I) /:/ ("" Ii /)' /") ~ ~#-u.tcJ.L k kAyYvjL-- 3) ~I) 0'0 1\- 1fM. g' IL f 5 Vr-- $~ ?V~f C-J..r-;./ ~.Z-.- / tf~ h-lvJ :5 /1 /LA.;r; P'Y"Jr7 LVNe-/."vJ tk7J L/ n \.........-J _---------,. You are hereby notified that no more work shall be covered upon these ,renrlses unV' the abo~ violations are corrected. When corrections have been made, call for re-inspection at ~~407 DO NOT REMOVE THIS TAG DATE f?; :)-- 19\\ . PAR~NT / / / /t;3 ~ CIty ofYelm - BUildIng Department CORRECTION NOTICE c ~ I have this day inspected thIS structure and these premises ~~ have found the folloWIng vIOlations of the City of Yelm "add/or State laws governIng same PERMIT NO. <J;~5IA/u( 4/--rz I) (J"NtP lcft H C/) ,?S t'0 7~{;& ./ 2) tc"'\v-5 "- P-J'~ J d uJ up- Sf1hYJ--f 3) pi rJtT ;J J 8 S L-J l/ ~I o:C _ y ) IJo Wo-S tv ffll ?tfJ -;; ~* D) $hv.p h,,,./.- o..7A'j"J rlV- ~ 60 r..:t>.J-- S'M/JlWr Lt ') f /r j t:h h>1L ~ <g Hv/iJ 'J) 1Up~ Cf-L h}~~ J- ~-Jt-/k~ ,(!/h-U ~) Add 0~ Iv 5fiJVL/l-;r to iH Cf) c~ ~ ~~tJ Otfrlu ~.- C j'J) bJ ~~I- S\'7J o-U-- ('\ ~ You are hereby notified that no more work shall be covered upon these premises above violations are corrected. When corrections have been made, call for re-inspecf:o, at 458-8407 DO NOT REMOVE TIDS TAG DATE /~f1 ~ <NSO'EcroHORBUOW<NGO"ARTMEm o o City of Yelm Community Development Department Building Division Phone: (360) 458-8407 Fax: (360) 458-3144 Permit No BLD-05-0052~YL Issue Date 06/07/2005 (Work must be started within 180 days) Receipt No 36932 Applicant: Name: PAR Homes Phone: 253-535-6504 Address. 10749 South A S1. City' Tacoma State: WA Zip 98444 Property Information: Site Address. 16234 Vancil C1. SE Assessor Parcel No. ~f}. 7 3:>/lf07 0 L Subdivision: Timber Estates Lot: 2 Contractor Information. Name: Applicnt Contact: Phone. Address. City. State. Zip 98444 Contractor License No. Expires. Business License. Project Information: Project: Timber Estates Description of Work: 2288/3 Demo Sq. Ft. per floor. (1st) 1179 (2nd) 1109 (3rd) 0 Garage 470 Basement 0 Heat Type (Electric, Gas, Other). GAS Fees: Item Item Fee Base Amt Unit Fee Unit Rate No Units Unit Desc --------------------------- ------------- Building Permit 100-500k 1,359.99 993.75 366.24 5 6000 65 4000 $1,000 Building Plan Review 883 99 000 0.00 o 0000 o 0000 Mechanical Permit 78.25 000 0.00 o 0000 o 0000 Plumbing Permit 11800 20.00 98.00 7 0000 140000 Fixture SewerERU 5,41700 0.00 5,41700 5,417 0000 1 0000 ERU Sewer Inspection 145.00 000 14500 145.0000 1 0000 ERU Water ERU 1,500 00 000 1,500.00 1,5000000 1 0000 ERU Water Meter (SFD) 300.00 300 00 0.00 o 0000 o 0000 Water Deposit 4000 40.00 0.00 o 0000 o 0000 Traffic Facilities Charge 757 50 0.00 757 50 750 0000 1 0100 Peak PM Trip Sewer Deposit 5000 5000 000 0.0000 o 0000 State Building Fee 4.50 450 000 0.0000 o 0000 TOTAL FEES. $10,654.23 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 ::::~::;~W"h;"9: D'" ,(:t r Firm ~_~ fI,,~"'s :r:-^---_ OFFICIAL USE ONLY # Sets of Prints. By. ~~l~'lil~~!lft~~~~AiL;i:f.~;1r1Jl:~~~~~;{;1~1lr~~i,;:r~~~~l:1~~~,M~d!~..i:~~:~~~~~.~~~~~:~~~~~{;t~~~~~ - - - -. \ /' -~~~~~~< \ !/\ I " ~ 1 , -, CIT"Y Ot ") [~ l IvI o o FECEiPT qo --"\ r:) ~} ,-' ......: ..........'-----. .......".t...~ " t~~':.~~===l .- ,~ jL , , \ i J .I / .F .;" .;;n.,_ '"" _L'Cl::-::~r[ h 7J !)' r.- r ~ =, ~.I~:Y r (i... =, .. n.... . r. . . . ,. 11 S '\::: ';_1= ? :=:' ~,-= f.. i .C..... ("T' .-~i- :-::l-fE'E -c e:-; 03 ~')~;:: ~:=; , 6: ~ ... ~ - ~...:.. :.: r"I.;': _ r c: 1:-49 ~GUTh -,:' J" r. ~& : C! I!:.. 1'; L .? ~ 4: ~ ~ 2 To.. S'=': S .:' J.:._~ E ~ J - ~ :. - v t: :: : - :. =- ...... : ',. - - ... -! ..., ; - - ~ 1: ,.. ') ....... ""'""- " ;._\. '_ ..... .-J c:-;' ., ..... ~:;.~TC~EL'~ E -J L F ~ ! l ~ l _ c-:' :. ("I I= =-!\ F [ \ '- - I~ - ..-12:' ~~:: : 1 i'r - 3 =~1.~E":~:1 ~ .- ,; - ~ -'; :- r I:: F ...1 .:- :: (, ..: !T =- -=";.. , r !:. ;. -;- "--: :::; -, ~ i_ 6f~'~~~_~~tI~~4:"~.: -'i;: ;,f~-., 7~lA~i1i~;':~(=;..i:.;.~i:~~~L~~~!~~~~f(.~~~~~~~iri~~ , /~~~ !.I -- - '""-.1 'I '-,I .I ": \ ~ ---- J ! . . f--- __I L:o !:. ?-~J CIlY OF 'lELl\1 :: F{ECEiFL<-r i'~() " ""' ,-', - '-' j j ~.. 'Z:L.l.! \. r ...,.. ..J - 1 -~ ~; ;- _!...J I ~.r:=..~ ~ ;'\ - \- l-'-__-- I." . E: 1 . ~ ........".-= ~- - , -,. -- ~:-,' "- C" 1'(::: c: \. :: ..:...l. :.:.. \;.. ~ '';''~ r-. ~. .....,:.......\, =- ~ ~ :-;" I. 1- ...., II 0 ....... ""i: _' ...... ...... .... _ ';:";-;- .~ 1\ -. - .t,., .:. ......;. '- _ -.., i'! _L. ,-, - - I ,. ---'-:'-.:.-= ~LI:-=:';l'-F~" - . . _~4- ..... ~- c .. - - - - - \ :. nr . . - -, - -- - ~ ~ - -.;. ~ ",j'., ::':".::-Ft ['~\ ;: "I u- 1 '=1'" C F =-1 ~ ;: " =~~ J_ rT'- - -. f. ':'- - - .' e1;~~q;~~~!if~fu:~~~J~~~.t~~1i~~~1~~W.J1r~~t:r:2:Itt!1~~~~tr;:Q;d"I1ID~'G~it~J~~~ ~-; ~"'=:...-------:' i/.. '.-'.. '.'=) I ____~=--l C.lT\ OF -. rr'\[ l~~L~\ :0 ~. 3 ~~ :~ 3 ;1 ,..'" ~.--,.... t.-~t:.t...; L ,...... i ~ ' ..., _. T " ,--- "-,,- - ~ _ 't '- - - -:. ...; 1 Q' c- . \.. . .: " l'.!-~_,,-l~~ ~:q<; ::'1 '- ~ r...~' ::.: l. I' - ?i C ~ ~ ~I :: - -.;. =.~ ~- '=. , !"';.. -rr- c:- ~ F ~ ., ~ - D ..,: 1 .l-' L ... ~ I : ~ I L: , . , o o Yelm School Distrlct ATTN SUSAN CROY PO BOX 476 YELM, WA 98597 360-458-1900 Sold to PAR HOMES 16867 PAR HOMES HOMES PAR 10749 S A ST, UNIT A T ACOMA ~~A 98444 # 5985 09 06/03/05 Reg #1 SalesPerson SUSAN Item # 2900/MITIGATION MITIGATION/CAPITAL PROJECTS 1 @ 15,399 00 15,399 00 CK #7753 FOR 05-003 AND 04-0118-YL - TIM BER Item # 2900/MITIGATION MITIGATION/CAPITAL PROJECTS 1 @ 0 00 0 00 ESTATES FOR ALL 9 LOTS $1711 00 EACH SubTotal 15,399 00 Total Due Check 15,399 00 15,399 00 Thank you PLEASE KEEP THIS RECEIPTI I I o H8-05 12.t8PM FROM-PAR Homes, Inc o +253535018b T-591 P 002/002 F-996 Y' ~ ~\ tj.e\ ;).().. 7 ~ 01 'j()1tJO N 1 II I I ~;1.() 6 ~;)- ~ , '13 I . " .., ~ 10',1' + IJ - , ..., ~ -r _ I . J a--: ~ ....... .. ... ... a tit- f'('l .... . ... ~ ~ I~ ' ~5- - V .. .. - , b _ I D. 'S- ('ltJt/ I !~;.. , '[ l.l/I/Jl~~ +-1 ~ r,.~b~r Cf)fA,('f- A~.-...",,,",. If"r=-. ,., rl'''-.~ ... 'fj~,j; V L L> / ( ...~'- --------- - ~~~ -_._-,---'~ .~ "C77-J .- -~ 4J-------...~__"" ---..--...-.---~._~_._,.._.,..___.._...__._----_... - - ! .,r.-. ,., F~LE COPY." 0 r._ 01-29-05 12 49PM FROM-PAR Hom8~, Inc U +253535019b T-591 P 001/002 F-996 PAR Homes, Ine. 10749 S. A Strest, Unit A Tacoma, WA 98444 Phone:253-53~504 FGK:2e3-83~86 COWAN'/: TO: ~'f ~aJ i S'tJ '""- C, ~+-y 6d- Y~/~ FAX#:.. s 6 f) .--11 J!.- "5 I '7 ~/ l'ROM: C, ~~ fj DA~~ PAGES: 2- (Includl~ CINt.t Sheet) COMMENTs: -21-<--fA-~ e-. Q. d- ( ( & \A..... --e (' + ( 0 1,,-- _5 c~ AI cir ""1 IF YOU HAVE NOT REceIVED ALL PAGES em CANNOT READ ANY PART OF 11<<5 FAX. PLEAse CAlL. o o Topic Index I Contact Info L. .......................__..____! V.. ~~~;;..'rcl~i~&;~;~;~~~~-y--;_crl;I~~~;ij~-h~ r Trades & Licensing .~ J : Find a Law or Rule I i Get a Form or Publication Look Up a Contractor, Electrician or Plumber General/Specialty Contractor A business registered as a construction contractor with Lftl to perform construction work within the scope of its specialty A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance r License I~formation --~~'-~.~--~--~I I License PARHOI*972PT i I Licensee Name PAR HOMES INC , , I Licensee Type CONSTRUCTION CONTRACTOR , , i I 601415748 Verify Workers Comp Premium I UBI I Sta.tu.s. I I Ind. Ins. Account 0 I Id I Business Type CORPORATION I I i Address 1 PO BOX 731931 ! i Address 2 I i ! City PUYALLUP i I l County PIERCE i ~ , I State WA I I I I Zip 98373 ! i I Phone 2535394033 i l I ~ Status ACTIVE I I Specialty 1 GENERAL I i . , Specialty 2 UNUSED i ! I Effective Date 10/30/2003 i I i Expiration Date 3/712007 I I Suspend Date I Separation Date i I Parent Company II , i Previous License PRECIRI075J2 i Next License , C Associated ! License - ,] ! Business Owner Information ! I o o I Name Role Effective Date Expiration Date 1 ITHOMPSON, C.~IG T PRESIDENT 10/30/2003 ___~ i . . ---~'$---~~~-----'-~"'-'~~~'=-'.~--'_.'-'---='"==~--~"--, I Bond Information j , 1 ! Bond Bond I Company Account Effective Expiration Cancel Impaired Bond Received I ! I jBond Name Number Date Date Date Date Amount Date I I Until 02/25/20021 1#3 CBIC 660758 02/25/2002 Cancelled $12,000 00 , 1~-:rlC 660758 03/17/1998 02/25/2002 $6,00000 I ~8 03/17/1993 03/17/1998 $6,00000 ! #1 CBIC ____.__.~__~_~._,__.~".._.,.,...__..__~___~........JJ i Savings Information I No Matching Information / !Insurance Information ,._.,""-__U".-....., I Company Policy Effective Expiration Cancel Impaired Received l I Insurance Name Number Date Date Date Date Amount Date l NORTH AMERICAN , SPECIALTY I 1#10 INS BXCOO0544203 OS/23/2004 OS/23/2005 $1,000,000 00 OS/28/2004 ! NORTH AMERICAN i SPEC INS Until "#9 CO BXCOO0544204 OS/23/2004 Cancelled $1,000,00000 OS/21/2004 ~ ! NORTH l ~ AMERICAN ~ SPEC INS ~ #8 CO BXCOO0544203 OS/23/2003 OS/23/2004 $1,000,000 00 10/30/2003 !I ~ MUTUAL ! OF ENUMCLAW 1#7 INS CO PK83619 02/17/2000 02/17/2004 $1,000,000 00 02/24/2003 ~ MUTUAL ~ OF !I ! ENUMCLAW ,#6 INS CO TBD 02/ 17/1999 02/17/2000 ~ STATE .' FARM FIRE 1#5 8: CAS CO 98CU34279 03/17/1998 03/17/1999 02/12/1999 i STATE l FARM FIRE ~ 8: 1#4 CASUALTY 98CE52674 03/17/1996 03/17/1998 i STATE j FARM FIRE i ! 8: !#3 CASUALTY 98BS37170 03/17/1995 03/17/1996 I i STATE ~ FARM FIRE .. o o & #2 CASUALTY 98BC60410 03/17/1994 03/17/1995 STATE FARM FIRE & CASUALTY i#1 CO 980878278 03/17/1993 03/17/1994 ~ J ~mons / Complaints Information t No Matching Information Start a New Search Printer Friendly Version About Lal I Find a job at Lal I Informacion en espanol I Site Feedback I 1-800-547-8367 c\) Washington State Dept. of Labor and Industries. Use of this site is subject to the laws of the state of Washington. Access Agreement I Privacy and security statement I Intended use/external content policy I Staff only link sllington Visit access.wa.gov Look Up a Contractor, Electnclan or Plumber LIcense Detail U o Page 1 of3 r Indt:x (on ,ae ! fJ Saf(lty Claims &: Insurance Workp!aceRiahts .trades &: Ucensi.ng Find a Law or Rule Get a Form or Publication Look Up a Contractor, Electrician or Plumber General/Specialty Contractor A business registered as a construction contractor with LEtI to perform construction work within the scope of its specialty A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance License Information License PARHOI*972PT Licensee Name PAR HOMES INC . Licensee Type CONSTRUCTION CO NT RACTOR : 601415748 Verify Contractor Premium UBI Status Ind Ins Account 0 Id Business Type CORPORATION Address 1 PO BOX 731931 . Address 2 City PUYALLUP : County PIERCE State WA Zip 98373 Phone 2535394033 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 10/30/2003 Expiration Date 2/25/2005 I Suspend Date : Separation Date . Parent Company Previous License PRECIRI075J2 Next License . Associated License Business Owner Information I Name Role Effective Date https.//fortress wa. gOY /lm/b bl pi detail aspx?LIcense= P ARH 0 1* 972PT 2/12/2005 Look Up a Contractor, ElectncIan or Plumber License Detail o o Page 2 of3 . THOMPSON, CRAIG T PRESIDENT 10/30/2003 Bond Information Bond Bond Company Account Effective Expiration Cancel Impaired Bond Received Bond Name Number Date Date Date Date Amount Date #3 CBIC 660758 02/25/2002 $12,00000 02/25/2002 #2 CBIC 660758 03/17/1998 02/25/2002 $6,000 00 1#1 CBIC 660758 03/17/1993 03/17/1998 $6,000 00 mm. Savings Information No Matching Information Insurance Information Company Policy Effective Expiration Cancel Impaired Received Insurance Name Number Date Date Date Date Amount Date NORTH AMERICAN SPECIALTY #10 INS BXCOO0544203 OS/23/2004 OS/23/2005 $1,000,000 00 OS/28/2004 I NORTH AMERICAN SPEC INS #9 CO BXCOO0544204 OS/23/2004 $1,000,000 00 OS/21/2004 NORTH AMERICAN SPEC INS #8 CO BXCOO0544203 OS/23/2003 OS/23/2004 $1,000,000 00 10/30/2003 I MUTUAL OF ENUMCLAW #7 INS CO PK83619 02/ 17/2000 02/17/2004 $1,000,000 00 02/24/2003 MUTUAL OF ENUMCLAW #6 INS CO TBD 02/ 17/1999 02/ 17/2000 STATE FARM FIRE #5 & CAS CO 98CU34279 03/17/1998 03/17/1999 02/12/1999 STATE FARM FIRE & #4 CASUALTY 98CE52674 03/17/1996 03/17/1998 STATE FARM FIRE & #3 CASUALTY 98BS37170 03/17/1995 03/17/1996 STATE FARM FIRE & #2 CASUALTY 98BC60410 03/17/ 1994 03/17/1995 https.//fortress wa.gov/lm/bblp/detaIl.aspx?Llcense=P ARHOI*972PT 2/12/2005 Look Up a Contractor, ElectrIC or Plumber LIcense DetaIl . " #1 STATE FARM FIRE & CASUALTY CO 980878278 03/17/1993 03/17/1994 Summons / Complaints Information No Matching Information Start a New Search Printer Friendly Version o \bout La! i Fi 1 a i ILl _ctl I nfm llaci6n en :5 17.g i ! ,....its 82db ck I ,) of l;;.) :f lli,g "I ';t tt'.Jf ash JDf !ndus:.:r';i;';\::,. U1" lYc~i.. md It In",n!;. d 0(" ),ter https.//fortress wa. gOY /lmlb bIp/ detaII.aspx?LICenSe= P ARH 01* 972PT reXt r) tf' lt Page 3 of3 dCC'''''S ':."/2:. 'IV 2/12/2005 , . ~ c c c CITY OF YELM ,/'\ RESCnlAL BUILDING PERMIT APPLlCATIO"---..-/ORM Project Address. SUbdivision.TtflAher !::..sf-Qf,;-:J;' Lot #. ~ Parcel #. '"'0 Q) U"") c:l > c:l "-l .- af:) Q) .,...c U :z: Q) <( -:l a: Zoning; ~ New Construction U Re-Modell Re-Roof I Addition U Home Occupation Sign u Plumbing U Mechanical U Mobile I Manufactured Home Placement U Other Project Description/Scope of Work: /fl.e Lv C_t:J /f.; ~ f. Project Value. /7" c!J OCJ () 11/ Xl) OD . i)) ./ ~ Building Area (sq. ft) 1st Floor /"1 r 2nd Floor II () 7 Garage ~ gO Deck Basement Carport Patio # Bedrooms t--( # Bathrooms2::k. Heating: GAS/OTHER or ELECTRIC (Circle One) Are there any environmentally sensitive areas located on the parcel? // t8 If yes, a completed environmental checklist must accompany permit application ARCHITECT /ENGINEER ADDRESS CITY STATE LICENSE # EMAIL TELEPHONE ZIP GENERAL CONTRACTOR Q"./t1 -c:.-- ADDRESS CITY STATE CONTRACTOR'S LICENSE # ~ CITY LICENSE # PLUMBING CONTRACTOR ADDRESS CITY STATE CONTRACTOR'S LICENSE # ELEPHONE ;;J-';-3- 5"'9" 7- .5 -770 EMAIL FAX EXP DATE CITY LICENSE # ZIP MECHANICAL CONTRACTOR K ADDRESS CITY STATE CONTRACTOR'S LICENSE # ; 'e h Met- ^-- fO,sTELEPHONE .s - EMAIL ZIP FAX EXP DATE CITY LICENSE # Copy of mitigation agreement with Yelm Community Schools, if applicable I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above described property will be in accordance with the laws, rules and regulations of the State of Washington and the City of Yelm. AP~~ Da~j;f/ OS Owner I Contractor I Owner's Agent I Contractor's Agent (Please circle one.) 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 105 Yelm Avenue West POBox 479 Yelm, WA 98597 (360) 458-3835 (360) 458-3144 FAX www.ci.yelm.wa.us