20160402 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 AQ9n Q1 CT A % /t= CG
Permit No.: 20160402
Issue Date: 12/27/2016
(Work must be completed within 180 days)
Phone: 253 - 278 -0343
Owner: C & E DEVELOPMENT
Assessor Parcel No.: 33860001800 Subdivision: BELLA HOUSA
Contractor Information:
Name: C & E DEVELOPMENT LLC
Address: ERIC PETERSON
PO BOX 2983
YELM WA 98597
Contractor License No.: CEDEVED942JC
Project Information:
Project: NEW RESIDENTIAL BUILDING
Description of Work: LOT 18, PLAN 3012C
Sq. Ft. per floor: First 708
Second 909
Third
Garage 391
Basement
Fees:
Item
NEW RESIDENTIAL BUILDING
MECHANICAL
PLUMBING
Lot: 18
Phone: 253 - 278 -0343
Expires: 8/11/2019
Heat Type (Electric, Gas, Other): GAS
Contractor Fees
C & E DEVELOPMENT LLC $16,650.21
SOUND HEATING & AC $ 78.25
BALD HILLS PLUMBING $ 118.00
TOTAL FEES: $ 16,846.46
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 Was ington.
Signature " — Date ,/ ,;2-o�-2 -16
Firm r1_v1_ct"
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
Cite of Yelm
(361) 458 -3244
RECD': 00253943
OPER: CO 12/27/2016 4.:40 PM
REF#: TERM: 001
8935
PAID BY:
IRAN; 33.0000
1.' BUIL
0160401 DING PfRMI13
17, 177.2ECR
C &E DEVELOPMENT
14838 91ST AVE SE
BLD -RES1
NECH 16,981.01CR
PL 78.2cCR
118.00CR
TRAPI: 33'0000 BUILDING PERMIT3
20160402 16,846.4ECR
C &E DEVELOPMENT
14920 91ST AVE SE
BLD-RES1
hIECH 16,650.21CR
PL 11B78.2ECR .000R
1ENDERED: 34,023
APPLIED: , 72 CHECK
34,023.72 -
CHANGE: ---
0.00
ZD(0-6ynl
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Addrennss:'' 1 L- % 3 ?, � (c- J e Parcel #: 3 3 9 6 b O 0 ('300
Subdivision: &A1 Q t�O �_tSQ Lot #: Plan #: '� Q, I '2- C Zoning:
New Construction ❑ Re -Model / Re -Roof / Addition E Home Occupation Sign
E Plumbing E Mechanical (❑ Mobile / Manufactured Home Placement E Other
Project Description /Scope of Work: IV e_yq S inQ� -� -Fom i jj 11(o o/1-0
Project Value:�5�')—,> N 0 ooq
Building Area (sq. ft) 1St Floor-70Z 2 "d Floor 'J0 3`d Floor Garage -2 car 4t car
Covered Patio Covered Porch .7 Patio Deck
# Bedrooms # Bathrooms 1'5_
' `_ Heating. GAS /OTHER or ELECTRIC (Circle One)
``
Are there any environmentally sensitive areas located on the parcel? 1N( C2
ff yes, a completed environmental checklist must accompany permit application.
BUILDING OWNER NAME: C U '�cn .� C(-,C-
ADDRESS Q. ��i - 1�, -�k 2 �3 EMAIL
CITY !,! STATE y' ZIP Ja��ELEPHONE
ARCHITECT /ENGINEER i LICENSE #
ADDRESS -�20 car, l c (o EMAIL
CITYk±ASsL V IOCe STATE Wft_ZIP G TELEPHONE C2 S-
GENERAL CONTRACTOR TELEPHONE 2S3 Z 7 -C33 3
ADDRESS EMAIL t'ti� p�Y'i�, Y �Ca�1c't i1.Cgn�
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
PLUMBING CONTRACTOR _ald ( L' TELEPHONE 3 Sri - 6
ADDRESS EMAIL
CITY _�J (� STATE 1, ' TT ZIP J$ S9�FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
MECHANICAL CONTRACTOR ` OLin % c TELEPHONE S-
ADDRESS 552C ( 4:fy, E G Q EMAIL
CITY PU � STATE V� V1 ZIP FAX (2.5'3 '7S 02_�
CONTRA6TOR'8 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 Sign 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 ermit is not begun
within 180 days of issuance, or if work is suspended or abandoned for cs1E VIE
105 Yelm Avenue West (360 wxygn - - - - - --
Yelm, WA 98597 (360) 458 -3144 FAX
www.ci.yelm.wa.us
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2' MIN SETBACK BETWEEN SIDEWALKS,
DRIVEWAYS, EASEMENTS, AND STEP TANK W /5'
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PORCH FOUNDATION AND 12' MIN FROM
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