20150308 Permit Pkg 11192015City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: RAINIER GENERAL DEVELOPMENT
Address: P.O. BOX 627
RAINIER WA 98576
Property Information:
Site Address: 14921 91 ST AVE SE
Assessor Parcel No.: 33860003100
Contractor Information:
Name: RAINIER GENERAL DEVELOPMENT
Address: DOUG BLOOM
P.O. BOX 627
RAINIER WA 98576
Contractor License No.: RAINIGD115QL
Project Information:
Project: NEW RESIDENTIAL BUILDING
Description of Work: LOT 31, PLAN 9937
Sq. Ft. per floor: First 788
Second 1021
Third
Garage 389
Basement
Fees:
Item
NEW RESIDENTIAL BUILDING
MECHANICAL
PLUMBING
Permit No.: 20150308
Issue Date: 11/1912015
(Work must be completed within 180 days)
Phone: 360- 400 -0740
Owner: RAINIER GENERAL
DEVELOPMENT
Subdivision: BELLA HOUSA
Expires
Lot: 31
Phone: 360- 400 -0740
1/01/2011
Heat Type (Electric, Gas, Other): GAS
Contractor
RAINIER GENERAL DEVELOPMENT
AIRTIGHT HVAC
PRIDE CONSTRUCTION
TOTAL FEES:
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 currently
registered in the State of Washi o .
/ l / / "// �l lam'
Signature Date �
Firm
Fees
$17,218.41
$ 71.75
$ 118.00
$ 17,408.16
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
N1N1 of Yell
) 458 -3244
REC #: 00214033 11/19/2015 1:14 PM
OPER: CO TERM: 001
REF #: 49966
PAID BY:
IRAN: 33.0000 BUILDING PERMITS
20150307 17,188.14CR
RAINIER GENERAL DEVELOPMENT
14945 91ST AVE SE
BLD -RES1 17,005.89CR
MECH 78.25CR
PL 104.00CR
IRAN: 33.0000 BUILDING PERMITS
20150308 17,408,16CR
RAINIER GENERAL DEVELOPMENT
14921 91ST AVE SE
BLD -RES1 17,218.41CR
MECH 71.75CR
PL 118.000R
TENDERED: 34,596.30 CHECK
APPLIED: 34,596.30 -
CHANGE: 0,00
REPRINT
YELM COMMUNITY SCHOOLS
PO BOX 476
YELM WA 98597
Receipt #: 324984 Clerk: Croy
Manual #: Terminal: 1
11/19/2015 1:09 PM
NRAINIER DEVEL.
NRAINIER DEVEL.
RAINIER GENERAL , DEVELOPMENT, INC.
PO BOX 627
RAINIER, WA 98576
Qty Item Price
1 CPF MITIGATION 3015.00
MITIGATION
07- 016 /LOT 31/14921 91ST AVE SE;YELM
1 CPF MITIGATION 3015.00
MITIGATION
07- 016 /LOT 27/14945 91ST AVE SE;YELM
Subtotal 6030.00
Tax 0.00
Total 6030.00
Check 6030.00
49965
Change Due 0.00
THANK YOU
ov�'0 °6
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: 14921 91ST AVE SE Parcel #: 33860003100
Subdivision: BELLA HOUSA Lot #: 31 Plan #: 9937 Zoning: R6
—
X New Construction Re -Model / Re -Roof / Addition Home Occupation Sign
❑ Plumbing Mechanical Mobile / Manufactured Home Placement r Other
Project Description /Scope of Work: CONSTRUCT 1809sgft SFR
Project Value: $190,000 2„11 bcq
Building Area (sq. ft) 15` Floor 788 2nd Floor 1021 3'd Floor Garage -2 car 389 3 car
Covered Patio Covered Porch 25 Patio 120 Deck
-
# Bedrooms 3 # Bathrooms 2.5 HeatingZGAS /OTHER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? NO
If yes, a completed environmental checklist must accompany permit application.
BUILDING OWNER NAME: RAINIER GENERAL DEVELOPMENT, INC
ADDRESS PO BOX 627 EMAIL rgdinc @ywave.com
CITY RAINIER STATE WA ZIP 98576 TELEPHONE 360 -400 -0740
ARCHITECT /ENGINEER LICENSE #
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
GENERAL CONTRACTOR RGD, INC TELEPHONE 360- 400 -0740
ADDRESS PO BOX 627 EMAIL rgdinc @ywave.com
CITY RAINIER STATE WA ZIP 98576 FAX 360 -400 -0828
CONTRACTOR'S LICENSE # RAINIGD115QL EXP DATE2016CITY LICENSE # 10627
PLUMBING CONTRACTOR PRIDE CONSTRUCTION TELEPHONE 360- 446 -4027
ADDRESS PO BOX 209 EMAIL pride–construction@yahoo.com
CITY RAINIER STATE WA ZIP 98576 FAX
CONTRACTOR'S LICENSE # PRIDECB941 P6 EXP DATE2016CITY LICENSE #
MECHANICAL CONTRACTOR AIRTIGHT HTG TELEPHONE 360- 455 -0455
ADDRESS PO BOX 457 EMAIL AIRTIGHTHVAC1 @GMAIL.COM
CITY EAST OLYMPIA STATE WA ZIP 98540 FAX
CONTRACTOR'S LICENSE #CCAIRTIHA931PB EXP DATE 2016CITY LICENSE #
Copy of mitigation agreement with Yelm Community Schools, if applicable.
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.
Applicant's SignaturV Date
Owner / Contractor / Owner's Agent / 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 (360) 458 -3835
Yelm, WA 98597 (360) 458 -3144 FAX
www.ci.yelm.wa.us
SEP 17 2015
VILLAGE AT OAK PRAIRIE LOT 31
9
A
ui
Notes:
1) FRONT PORCH FOUNDATION AND
STEP TANK LOCATION SHALL BE
STAKED OUR FOR SET BACK
INPSECTION.
2) STEP TANKS ARE TO BE LOCATED
2' MINMUM FROM SIDEWALK,
DRIVEWAY AND EASEMENTS. 5'
MINIMUM FROM FOUNDATION AND
PROPERTY LINES.
3613
Water
Power
Gas
1) SLEEVE WATER LINES
WHEN WITHIN 10LF OF SEWER
COMPONENTS.
2) SLEEVE SEWER LINE
UNDER DRIVEWAY.
66.97
® EXISTING TREES
3) STEP TANK IN VIOLATION OF THE
REQUIRED 5' MINIMUM SETBACK TO
FOUNDATION SHALL BE BACK FILLED
WITH CDF.
4) CONNECT PVC ROOF DRAINS TO
DRYWELL AND TEST DRAINS.
SCALE. 1 " =20 FEET
0 1 0 20 40