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20160365 Permit Pkg 12152016City of Yelm Community Development Department Building Division Phone: (360) 458-8407 Fax: (360) 458-3144 Applicant: Name: C &E DEVELOPMENT Address: PO BOX 2983 YELM WA 98597 Property Information: Site Address: 1AR7n 61ST AVF SF Permit No.: 20160365 Issue Date: 0 /00 /0000 (Work must be completed within 180 days) Phone: 253 - 278 -0343 Owner: C &E DEVELOPMENT Assessor Parcel No.: 33860001000 Subdivision: BELLA HOUSA Lot: 10 Contractor Information: Name: C & E DEVELOPMENT LLC Address: ERIC PETERSON PO BOX 2983 YELM WA 98597 Contractor License No.: CEDEVED942JC Expires Phone: 253 - 278 -0343 8/11/2010 Project Information: Project: NEW RESIDENTIAL BUILDING Description of Work: LOT 10, PLAN 9531 Sq. Ft. per floor: First 572 Heat Type (Electric, Gas, Other): GAS Second 981 Third Garage 440 Basement Fees: Item NEW RESIDENTIAL BUILDING MECHANICAL PLUMBING Contractor Fees C & E DEVELOPMENT LLC $16,931.30 SOUND HEATING & AC $ 78.25 BALD HILLS PLUMBING $ 104.00 TOTAL FEES: $ 17,113.55 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. Signature !"rl�� Date - Z -. / Jft Firm 4 mot, OFFICIAL USE ONLY # Sets of Prints: Final Inspection: Date: By: Cite of (36 i) 458 -3244 Yelm REC#: 00252989 12/15/2016 1:15 PM OPER: CO TERM: 001 REFS': 8909 PAID BY: TRAM: 33.0000 BUILDING PERMIT) 20160365 17,113.5 CR C &E DEVELOPMENT 14820 91ST AVE 931.3(CR E'�LD -RES1 78 .2`_ CR MECH PL 1O4.O0OR TENDERED: 17,113.55 CHECK APPLIED: 17,113.55 - CHANGE: YELM COMMUNITY SCHOOLS PO BOX 476 YELM WA 98597 Receipt #: 377018 Clerk: Croy Manual #: Terminal: 1 12/15/2016 1:10 PM NC AND E DEVELOP NC AND E DEVELOP C AND E, DEVELOPMENTS, LLC PO 80X 2983 YELM, WA 98597 Qty Item Price 1 CPF MITIGATION 3015.00 MITIGATION 07- 016/LOT1O/14820 91ST AVE SE;YELM Subtotal 3015,00 Tax 0.00 Total 3015.00 Check 3015.00 8908 Change Due 0.00 THANK YOU 20 ie 03�5 CITY OF YELM RESIDENTIAL BUILDING PERMIT APPLICATION FORM Project Address: 2-0 91 s+ AV 2 S E Parcel #: 3 3$ 6 0 0 0 j ©U 0 Subdivision: i -Q,�C� -U)o QtS g Lot* K) Plan #: �) 5 3 Zoning: WNew Construction ❑ Re -Model / Re -Roof / Addition ❑ Home Occupation Sign ❑ Plumbing ❑ Mechanical T'❑ Mobile / Manufactured Home Placement ❑ Other Project Description /Scope of Work: IV e- ;y� ingl2 �dl�� i �ti,1 fli�P Project Value: Building Area (sq. ft) 1St Floor 2nd Floor'N I 3`d Floor Garage -2 car Tycar Covered Patio Covered Porch 2', Patio Deck # Bedrooms # Bathrooms Z 5 Heating GAS /OTHE or ELECTRIC (Circle One) Are there any environmentally sensitive areas located on the parcel? /f yes, a completed environmental checklist must accompany permit application. BUILDING OWNER NAME: C A- S CLC ADDRES EMAIL C ec CITY STATE VVV ZIP °a5 21 TELEPHONE ARCFIITECT /ENGINEER W2 , LICENSE # ADDRESS -,7 1 l0 EMAIL CITY OC.e STATE�ZIP b TELEPHONE S 5 _0 07 I OR Gk U�t<aplY�I� S TELEPHONE (2-79) Z-7 ADDRESS &1S �� ��� ' EMAIL e(Y1 a c-%4yo ilspro CITY STATE ZIP FAX CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE # PLUMBING CONTRACTOR td TELEPHONE 3 0 5 - GS79 ADDRESS EMAIL CITY je cn STATE ZIP 9$ S9ZFAX CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE # MECHANICAL CONTRACTOR ` )Oord TELEPHONE S' 5 2,350 ADDR SS 5 S 2- T- , E Li 1 EMAI CITY U clt STATE W 1A ZIP `'��3 75 FAX ZS 3 `1S OZ CONTRAIMRS LICENSE # EXP DATE CIT 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 acco 'th the laws, rules and regulations of the State of Washington and the City of Yelm. CAp{=ontractor e Date Ow 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 p V� L� g V 105 Yelm Avenue West T36ff)-45T3885 ------------ Yelm, WA 98597 (360) 458 -3144 FAX www.ci.yelm.wa.us r;r 7 Vr A'� 2' MIN SETBACK BETWEEN SIDEWALKS, DRIVEWAYS, EASEMENTS, AND STEP TANK W /5' MIN FROM PROPERTY LINES, HOUSE AND PORCH FOUNDATION AND 12' MIN FROM PROPERTY LINE a'vini' 'Be-'tb' �aoc-w 'S—.FP TANw- S'MT,a ;=Qv 155'3�'rFY' 3 '%Z HOMr- S' l� a53 -- a S- . -c)310 tor /o PLA,'j * 'q 3 r -A c i t1l Ir of Yelm, Cu'u"' Approved ----------- - - - --- -� �Gl z, illek