11/2004 Report
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City of Yelm
Community Development Department
P.o. Box 479
Yelm, W A 98597
(360) 458-3835
(360) 458-3144 FAX
Memorandum
To: Thurston County Assessor and Thurston RegIOnal Plannmg Councll
From: Roberta Allen, AdmlmstratlVe AssIstant
Date: December 1, 2004
Re: Bmldmg PermIts Issued for the Month of November 2004
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Enclosed are copIes of the Bmldmg PermIts Issued.
PermIt numbers
0172,0181,0185,0186,0187,0188,0189,0190,0191,0192
If you have any questIOns, please contact Gary Carlson at (360) 458-8407
Thank You,
TamI
cc Gary Carlson, Bmldmg OfficIal
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R.\Bmlding Folder\2004 Reports\ll 04 Permit Report.doc
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BLD-04-0172-YL
Permit No
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Issue Date 1110912004
(Work must be started within 180 days)
Receipt No
34038
Applic~nt:
Name. Pelumacher, Linda
Phone
458-5505
Address 1105 Rhoton Rd
City' Yelm
State' WA Zip
Property Information
Site Address 1105 Rhoton Rd. SE
Assessor Parcel No 57660003900
Subdivision' N/A
Lot: N/A
Contractor I nformati on
Name Applicant
Contact:
Phone'
Address.
City'
State
Zip'
Contractor License No
Expires.
Business License
Project Information:
Project: Pelumacher Addition
Description of Work: 170 sq ft addition
Sq. Ft. per floor' (1 st) 0 (2nd) 0 (3rd) 0 Garage 0 Basement 0
Heat Type (Electric, Gas, Other) OTHER
Fees
Item Item Fee Base Amt Unit Fee Unit Rate No Units Unit Desc
--------------------------- ----------..--
Building Permit - Other 188.23 000 000 0.0000 o 0000 $1,000
Building Plan Review 122.35 000 000 o 0000 o 0000
TOTAL FEES $310.58
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
OFFICIAL USE ONLY
# Sets of Prints.
Final Inspection:
Signature
Date:
Date
By:
Firm
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City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Permit No
SIGN-04-0181-YL
Issue Date 1110912004
(Work must be started within 180 days)
Receipt No
34019
Applicant:
Name, Geomatics Land Surveying
Phone
Address
City'
State'
Zip
Property Information
Site Address. 703 Yelm Ave. West
Assessor Parcel No 21724142000
Subdivision' N/A
Lot: N/A
Contractor Information
Name
Contact:
Phone,
Address.
City'
State
Zip
Contractor License No'
Expires,
Business License,
Project Information
Project: Geomatics Land Surveying
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Description of Work: 36 s.f sign for east face
Sq. Ft. per floor' (1 st) 0
(2nd) 0
(3rd) 0
Garage 0
Basement 0
Heat Type (Electric, Gas, Other)
Fees.
Item
Item Fee
Base Amt
Unit Fee
Unit Rate
No Units Unit Desc
Building Permit - Other
TOTAL FEES
2000
$20.00
000
000
o 0000
00000 $1,000
Applicant's Affadavit:
OFFICIAL USE ONLY
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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,
# Sets of Prints.
Final Inspection
Signature
Date
Date'
.By'
Firm
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BLD-04-0185-YL
Permit No
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Issue Date 1112312004
(Work must be started within 180 days)
Receipt No
34118
~ppncant:
Name. Evergreen State Builders
Phone
253-475-6622
Address POBox 39753
City' Lakewood
State W A Zip 98499
Property I nforrnati<?n
Site Address. 15838 104th Ave SE
Assessor Parcel No 85840005100
Subdivision, Yelm Terra
Lot: 51
Contractor Information
Name, Evergreen State Builders
Contact: McCullem, Tom
Phone, 253-475-6622
Address, POBox 197
City' Lakewood
State: WA Zip
Contractor License No EVERGSB980PB
Expires, 10/02/06275
Business License. 1042.0
ProjecfI hfonnCi!ion
Project: Yelm Terra
Description of Work: Plan 1610 R/2B, Lot 51
Sq. Ft. per floor' (1st) 1610
(2nd) 0
(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 1,09090 993 75 9715 5 6000 17 3490 $1,000
Building Plan Review 709 08 000 000 o 0000 o 0000
Mechanical Permit 7175 000 000 o 0000 o 0000
Plumbing Permit 111 00 20.00 9100 7 0000 13 0000 Fixture
Sewer ERU 5,26900 000 5,26900 5,2690000 1 0000 ERU
Sewer Inspection 14500 000 14500 145 0000 1 0000 ERU
Water ERU 1,500 00 000 1,50000 1,500 0000 1 0000 ERU
Water Meter (SFD) 300 00 300 00 000 o 0000 o 0000
Water Deposit 4000 4000 000 o 0000 o 0000
Traffic Facilities Charge 757 50 0.00 757.50 7500000 1 0100 Peak PM Trip
Sewer Deposit 5000 5000 000 0.0000 o 0000
State Building Fee 450 450 000 o 0000 o 0000
TOTAL FEES $10,048.73
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.
OFFICIAL USE ONLY
# Sets of Prints.
Final Inspection:
Signature
Date:
Date
By'
Firm
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Permit No
SIGN-04-0186-YL
City of Yelm
Community Development Department
Building Division
Phone: (360)458-8407
Fax: (360) 458-3144
Issue Date 1111812004
(Work must be started within 180 days)
Receipt No
34081
Applica.n.!:
Name. TVR Sign
Phone'
Address, 11432 Vail Road SE
City' Yelm
State. WA Zip 98597
Property Information
Site Address 715 Yelm Ave E #3
Assessor Parcel No 99002045441
Subdivision.
Lot:
Contractor Information
Name.
Contact:
Phone.
Address,
City'
State
Zip
Contractor License No
Expires,
Business License
Project Information
Project: Art Gallery Sign
Description of Work: 1 sign 18" x 96" x 2"
Sq. Ft. per floor' (1 st) 0 (2nd) 0 (3rd) 0 Garage 0 Basement 0
Heat Type (Electric, Gas, Other)' OTHER
Fees.
Item Item Fee Base Amt Unit Fee Unit Rate No Units Unit Desc
----..---------------------- ----...--------
Building Permit - Other 2000 000 000 o 0000 o 0000 $1,000
TOTAL FEES $20.00
Appltc::cmt's Aff~davrt:
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.
OFFICIAL USE ONLY
# Sets of Prints
Final Inspection
Signature
Date,
Date
By'
Firm
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Permit No
SIGN-04-0187 -YL
City of Yelm
Community Development Department
Building Division
Phone' (360) 458-8407
Fax: (360) 458-3144
Issue Date 1111812004
(Work must be started within 180 days)
Receipt No
34081
Applicant:
Name TVR Sign
Phone:
Address, 11432 Vail Road SE
City' Yelm
State WA Zip 98597
Property Information
Site Address 715 Yelm Ave E #3
Assessor Parcel No 99002045411
Subdivision:
Lot:
Contractor Information
Name'
Contact:
Phone.
Address
City'
State.
Zip
Contractor License No
Expires
Business License
Project h1formation.
Project: Art Gallery Sign
Description of Work: 10" x 72" Monument Sign
Sq. Ft. per floor' (1st) 0 (2nd) 0 (3rd) 0 Garage 0 Basement 0
Heat Type (Electric, Gas, Other) OTHER
Fees.
Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
-----..--------------------.. -------------
Building Permit - Other 2000 000 000 o 0000 o 0000 $1,000
TOTAL FEES $20.00
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.
OFFICIAL USE ONLY
# Sets of Prints.
Final Inspection:
Signature
Date'
Date
By:
Firm
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Permit No
SIGN-04-0188-YL
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Issue Date 1111812004
(Work must be started within 180 days)
Receipt No
34088
Applicant:
Name Jody's Outlaw Bar & Grill
Phone:
253-847-1280
Address. POBox 552
City' Spanaway
State W A Zip 98446
Property Information.
Site Address, 404 11st Street
Assessor Parcel No 22719332300
Subdivision, N/A
Lot: N/A
Contractor Information
Name Culbertson Sign
Contact: Nichols, Don
Phone, 800-925-6011
Address. 5200 122nd St. E.
City' Tacoma
State. WA Zip
Contractor License No.
Expires. 08/30/04243
Business License'
Project Information
Project: Jody's Outlaw Bar and Grill, Inc.
Description of Work: 30 sf Wall Sign
Sq, Ft. per floor' (1 st) 0
(2nd)
(3rd)
o
o
Garage 0
Basement 0
Heat Type (Electric, Gas Other)
Fees
Item
Item Fee
Base Amt
Unit Fee
Unit Rate
No Units Unit Desc
Building Permit - Other
TOTAL FEES.
2000
$20.00
000
000
o 0000
00000 $1,000
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.
OFFICIAL USE ONLY
# Sets of Prints,
Final Inspection.
Signature
Date:
Date
By'
Firm
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Permit No
BLD-04-0189- YL
City of Yelm
Community Development Department
Building Division
Phone. (360) 458-8407
Fax: (360) 458-3144
Issue Date 1112312004
(Work must be started within 180 days)
Receipt No
34116
Applicant:
Name Evergreen State Builders
Phone
253-475-6622
Address. POBox 39753
City' Lakewood
State W A Zip 98499
Property Information:
Site Address. 15813 104th Ave SE
Assessor Parcel No 85840006600
Subdivision: Yelm Terra
Lot: 66
Contractor Information
Name. Evergreen State Builders
Contact: McCullem, Tom
Phone. 253-475-6622
Address. POBox 197
City' Lakewood
State W A Zip
Contractor License No' EVERGSB980PB
Expires, 10/02/06275
Business License
Project Information
Project: Yelm Terra
Description of Work: Plan 1740B/2, Lot 66
Sq Ft. per floor' (1 st) 854 (2nd) 952 (3rd) 0 Garage 418 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 1,14915 99375 155 40 5 6000 27 7500 $1,000
Building Plan Review 48551 000 000 o 0000 o 0000
Mechanical Permit 7875 000 000 o 0000 o 0000
Plumbing Permit 111 00 2000 9100 7 0000 13,0000 Fixture
Sewer ERU 5,269 00 000 5,269 00 S,269 0000 1 0000 ERU
Sewer Inspection 14500 000 145 00 145 0000 1 0000 ERU
Water ERU 1,50000 000 1,50000 1,500 0000 1 0000 ERU
Water Meter (SFD) 300.00 300 00 000 o 0000 o 0000
Water Deposit 4000 4000 000 o 0000 o 0000
Traffic Facilities Charge 757 50 000 757 SO 7500000 1 0100 Peak PM Trip
Sewer Deposit 5000 5000 000 o 0000 o 0000
State Building Fee 4.50 450 000 o 0000 o 0000
TOTAL FEES $9,890.41
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
OFFICIAL USE ONLY
# Sets of Prints.
.Finallnspection.
Signature
Date:
Date
By'
Firm
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Permit No
BLD-04-0190-YL
City ofYelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Issue Date 1112312004
(Work must be started within 180 days)
Receipt No
34117
Applicant:
Name. Evergreen State Builders
Phone.
253-475-6622
Address. POBox 39753
City' Lakewood
State, WA Zip 98499
Prop~rtylnformation
Site Address, 15850 104th Ave SE
Assessor Parcel No 85840005300
Subdivision Yelm Terra
Lot: 53
Contractor Information
Name. Evergreen State Builders
Contact: McCullem, Tom
Phone' 253-475-6622
Address, POBox 39753
City' Lakewood
State WA Zip
Contractor License No EVERGSB980PB
Expires 10/02/06275
Business License 1042.0
project jnj()rm~tjoh
Project: Yelm Terra
Description of Work: Plan 2211/2, Lot 53
Sq. Ft. per floor' (1 st) 1071 (2nd) 1140 (3rd) 0 Garage 434 Basement 0
Heat Type (Electric, Gas, Other) GAS
Fees.
Item Item Fee Base Amt Unit Fee Unit Rate No Units Unit Desc
-------------------------...- -------------
Building Perm it 100-500k 1,29932 99375 305 57 5 6000 54 5660 $1,000
Building Plan Review 844 55 000 0.00 o 0000 o 0000
Mechanical Permit 7875 000 000 o 0000 o 0000
Plumbing Permit 12500 2000 105 00 7 0000 150000 Fixture
Sewer ERU 5,269 00 000 5,269 00 5,2690000 1 0000 ERU
Sewer Inspection 14500 000 14500 145 0000 1 0000 ERU
Water ERU 1,50000 000 1,50000 1 500 0000 1 0000 ERU
Water Meter (SFD) 300 00 300 00 000 o 0000 o 0000
Water Deposit 4000 4000 000 o 0000 o 0000
Traffic Facilities Charge 757 50 000 757 50 750.0000 1 0100 Peak PM Trip
Sewer Deposit 5000 5000 000 o 0000 o 0000
State Building Fee 450 450 000 o 0000 o 0000
TOTAL FEES $10,413.62
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,
OFFICIAL USE ONLY
. # Sets of Prints.
Final Inspection:
Signature
Date.
Date
By'
I
Firm
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Permit No
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
SE-04-0191-YL
Issue Date 1111912004
(Work must be started within 180 days)
Receipt No
Phone'
Name Blue Bottle
Phone.
State WA Zip
458-4611
Address 309 Yelm Ave. East
City' Yelm
Applicant:
Property fnformation
Site Address. 309 Yelm Ave. E
Assessor Parcel No 22719341901
Subdivision.
Lot:
City'
State.
Business License.
Zip'
Contractor License No
Expires,
Contractor Information
Name Applicant
Address,
Contact:
Basement 0
Building Permit - Other
TOTAL FEES
000
o 0000
No Units Unit Desc
00000 $1,000
OFFICIAL USEONL Y
# Sets of Prints.
Final Inspection:
Date:
Project Information.
Project: Blue Bottle
Description of Work: One banner for indoor music event, max size 16 square ft.
A-board sign for anniversary, max size 2x3
Sq Ft. per floor' (1st) 0
(3rd) 0
Garage 0
By'
(2nd) 0
Heat Type (Electric, Gas, Other)
Fees
Item
Base Amt
Unit Fee
Unit Rate
Item Fee
000
000
$000
Appticant'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
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BLD-04-0192-YL
Permit No
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Issue Date 1112212004
(Work must be started within 180 days)
Receipt No
34099
Applicant:
Name 1-5 Signs
Address. 8751 Commerce PI Dr NE
Phone
459-3200
City' Lacey
State W A Zip 98516
Property Information
Site Address 608 Yelm Ave. East
Assessor Parcel No
Subdivision.
Lot:
Contractor Information
Name 1-5 Signs
Contact:
Phone 459-3200
Address. 8751 Commerce PL Dr NE
City' Lacey
State' WA Zip
Contractor License No 150ESM8971JH
Expires 04/16/05106
Business License'
Project Information
Project: Venture Bank TI
Description of Work: New entry extended roof and interior wall remval
Sq, Ft. per floor' (1 st) 0
(2nd) 0
(3rd) 0
Garage 0
Basement 0
Heat Type (Electric, Gas, Other)
Fees.
Item
Item Fee Base Amt
Unit Fee
Unit Rate
No Units Unit Desc
Building Permit - Other
Building Plan Review
TOTAL FEES
o 0000
o 0000
00000 $1,000
o 0000
209.25
136 01
$345.26
000
000
0.00
000
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
OFFICIAL USE ONLY
# Sets of Prints'
Fihallnspection.
Signature
Date:
Date
By'
Firm