20160319 Permit Pkg 09072016City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: BRUCE STEWART
Address: 14815 PRAIRIE VISTA LP
YELM WA 98597
Property Information:
Site Address: 14815 PRAIRIE VISTA LP SE
Assessor Parcel No.:
Contractor Information:
Name: BRUCE STEWART
Address:
14815 PRAIRIE VISTA LP
YELM WA 98597
Contractor License No.:
Subdivision:
Permit No.: 20160319
Issue Date: 9/07/2016
(Work must be completed within 180 days)
Phone: 360- 960 -8356
Owner: BRUCE AND DONNA
STEWART
Phone:
Expires: 0 /00 /0000
Project Information:
Project: RESIDENTIAL ADDITION
Description of Work: ADDED TO ALREADY STANDING BALCONY W /ADDITON AND STAIRS
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
BUILDING
Contractor
BRUCE STEWART
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 Washington.
Firm
Lot:
Fees
$ 83.25
$ 83.25
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
Cite of Mm
(36 1) 458 -3244
REC #: 00242751 9/07/2016 8:11 AM
OPER: CO TERM: 001
REF #:
PAID BY:
ACCT #: XXXXXXXXXXXXXXXXXXX
AUTH #: 091111
TRAM #: 000000002371
TYPE:: PURCHASE
TRAM: 33.0000 BUILDING PERMRI1'S
20160319
STEWART, BRUCE
14815 PRAIRIE VISTA LP SE
BLDG 83.2`.CR
TENDERED: 83.25 CREDIT CARD
APPLIED: 83.25-
CHANGE: 0.00
C/2/bl�0317
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
%�
Project Address: `4 3 �1`� ck,m \-2 `V , arcel #:
Subdivision: Lot #: Plan #: Zoning:_
New Construction \ARe -Model / Re -Roof / Addition I Home Occupation Sign
Plumbing Mechanical Mobile / Manufactured Home Placement Other
Project Description /Scope of Work: ct d TO Gtd 4,44(4(ao S AS
Project Value: ` S-00 to /
Building Area (sq. ft) ls' Floor 2 "d Floo,� Garage Deck
Basement Carport Patio
# Bedrooms_ # Bathrooms_ Heating: GAS /OTHER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel?
If yes, a completed environmental checklist must accompany permit application
BUILDING OWNER N E:
ADDR SS �'\ Ci EMAIL
CITY STATE I P, TELEPHONE--) 52)-Z - o (-i
MECHANICAL CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # 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 es roperty w'll be in accordance with the laws, rules and regulations of the State of Washington and the
City of Yel
Applicant's Signature Date
Owner / Contractor / Owner's Agent / Contractor's Agent (Please circle one.)
95
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
SEP 0 12016
105 Yelm Avenue West (360) 458 -383 Y�.
Yelm, WA 98597 (360) 458- 314AX�-- �������������� -�-
www.ci.yelm.wa.us
01 THE A�I
City of Yelm
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Community Development Department
105 Yelm Avenue West
Yelm, WA 98597
YE LM
(360) 458 -8407 - (360) 458 -3144 FAX
CITY OF YELM BUILDING DEPARTMENT
CORRECTION NOTICE
I have this day inspected this structure and
these premises and have found the following PERMIT NO. s-
violations of the City of Yelm and /or State laws
governing same:
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You are hereby notified that no more work shall be covered upon these premises until the above
violations are corrected. When corrections have been made, call for re- inspection at (360) 458 -8407.
DO NOT REMOVE THIS TAG DATE / 16
Inspector
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