20160401 Permit Pkg 12272016City 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: 1 AR'IR Al ST AVF SF
Assessor Parcel No.: 33860001300
Contractor Information:
Name: C & E DEVELOPMENT LLC
Address: ERIC PETERSON
PO BOX 2983
YELM WA 98597
Permit No.: 20160401
Issue Date: 12/27/2016
(Work must be completed within 180 days)
Phone: 253 - 278 -0343
Owner: C &E DEVELOPMENT
Subdivision: BELLA HOUSA
Contractor License No.: CEDEVED942JC Expires
Lot: 13
Phone: 253 - 278 -0343
8/11/2019
Project Information:
Project: NEW RESIDENTIAL BUILDING
Description of Work: LOT 13, PLAN 3012C
Sq. Ft. per floor: First 708 Heat Type (Electric, Gas, Other): GAS
Second 909
Third
Garage 391
Basement
Fees:
Item
NEW RESIDENTIAL BUILDING
MECHANICAL
PLUMBING
Contractor Fees
C & E DEVELOPMENT LLC $16,981.01
SOUND HEATING & AC $ 78.25
BALD HILLS PLUMBING $ 118.00
TOTAL FEES: $ 17,177.26
Applicant's Affidavit:
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.
Signatu �„"�_�'�� ---� -- Date
FirmQ�yJ�
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
city, of Yelm
(36 ) 458 -3244
RECD': 00253943
OPER: CO 12/27/2016
8935
REF#: TERM: 001
4:40 PM
PAID By:
TRAN: 33.0000 BUILDI
20160401 NG PERMITS
"I DEVELOPMENT 77 "2ECR
14838 91ST AVE SE
BLD -RES1 16,981.O1CR
MECH
PL 78.2ECR
118.0CCR
TRAN: 33.0000 BUILDING PERMIT'S
20160402 16,846.4ECR
CIE DEVELOPMENT
14920 91ST AVE SE
BLD -RES1 16,650.21CR
MECH
PL 78.2CCR
118,OCCR
TENDERED: 34 023.72
APPLIED: CHECK
34,023.72 -
CHANGE: - -`-"- -- -
0.00
18■
YELM COMMUNITY SCHOOLS
PO BOX 476
YELM WA 98597
Receipt #: 379146 Clerk: Croy
Manual #: Terminal: 1
1/18/2017 8:45 AM
NC AND E DEVELOP
NC AND E DEVELOP
C AND E, DEVELOPMENTS, LLC
PO BOX 2983
YELM, WA 98597
Qty_ Item _ _ Price
1 CPF MITIGATION 3015.00
MITIGATION
07- 016 /LOT 13/14838 91ST AVE SE;YELM
Subtotal 3015.00
Tax 0.00
Total 3015.00
Check 3015.00
9004
Change Due 0.00
THANK YOU
4H (110
CITY OF YELM
!
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: i LT9 20 9 (S+ 1t� � -S+ E Parcel #: 3 3 0100 Zi O
Subdivision: P�Al ! ,jb US 0 Lot #: i {, Plan #: 3 0 (2 " Zoning:
❑ New Construction ❑ Re -Model / Re -Roof / Addition ❑ Home Occupation Sign
Plumbing F Mechanical ❑ Mobile / Manufactured Home Placement Other
Project Description /Scope of Work: Lkw Si r)q(t parrlily -�orY1e
Project Va
IS5. IL-10 I,-)
Building Area (sq. ft) 1St Floor 70 C, 2 "d Floor 0 h 3'd Floor_
Covered Patio Covered Porch -7 Patio
Garage -2 car Jqt car.
Deck
# Bedrooms_ # Bathrooms_ Heatin : GAS /OTHEk,or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? N r1.
If yes, a completed environmental checklist must accompany permit application.
BUILDING OWNER NAME: C A- \dQ _ ^1' S ( CC
ADDRESS 3 EMAIL Ce_cf -e Ve V3a ryv Ak CE c Gt1j Ct
CITY STATEW r) ZIP $S TELEPHONE 3C ) 4 -13b- Oy-3 Z
ARCHITECT /ENGINEER CI' i% le LICENSE #
ADDRESS s KivJ 4 (O y- J JEMAIL
CITY'.! STATE p(A_ZIP TELEPHONE S3 'S D(70
GENERAL CONTRACTOR C. - F D -ti's 0 p.Vt,1 S TELEPHONE 2Q 2__M--0_2N-3
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
PLUMBING CONTRACTOR P_)(( 4A S r1 ' TELEPHONE 3 k60) 1S--)
ADDRESS 14EMAIL
CITY. STATE N, ZIP9 FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
MECHANICAL C_ ONTRACTOF ' 'o� r r Al TELEPHONE -IS -
' 3Sc-
ADDRESS r Sir A EMAIL
CITY ry STATE V , W ZIP 'SK31 S FAX (2S-2 is O2�S
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 described property will be in accordance with the laws, rules and regulations of the State of Washington and the
City of Yelm.
Applicant's Signature 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 abandon ftwwme V
Niqdcl�
105 Yelm Avenue West ' ----- (1"45- 8.8885--
Yelm, WA 98597 (360) 458 -3144 FAX
www.ci.yelm.wa.us
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