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20170129 Permit Pkg 02172017City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Applicant: Name: NORTHWEST FAMILY HOMES Address: PO BOX 39 EAST OLYMPIA WA 98540 Property Information: Site Address: inVA7 PAI 14Af1F-q AT SF Assessor Parcel No.: 67110001100 Contractor Information: Name: NORTHWEST FAMILY HOMES Address: PO BOX 39 EAST OLYMPIA WA 98540 Contractor License No.: NORTHFH954BE Project Information: Project: NEW RESIDENTIAL BUILDING Description of Work: LOT 11, PLAN 2935 Sq. Ft. per floor: First 2507 Second 428 Third Garage 792 Basement Fees: Item NEW RESIDENTIAL BUILDING MECHANICAL PLUMBING Permit No.: 20170129 Issue Date: 2/17/2017 (Work must be completed within 180 days) Phone: 360- 791 -5644 Owner: NORTHWEST FAMILY HOMES Subdivision: PALISADES WEST Phone: Expires: 1/05/2017 Heat Type (Electric, Gas, Other): GAS Lot: 11 Contractor Fees NORTHWEST FAMILY HOMES $18,853.22 SUNSET AIR INC $ 78.25 ACME PLUMBING $ 125.00 TOTAL FEES: $ 19,056.47 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 W hingto Signature G% Date Firm OFFICIAL USE ONLY # Sets of Prints: Final Inspection: Date: By: Cite of Yell (36 ) 458 -3244 RECh': 00260328 211712017 OPER: CO TERM: 001 1:49 PM REFS`: 1523 PAID BY: IRAN: 33.0000 BUILDING PFRMIIS 20170129 NORTHWEST FAMILY HONES 10732 PALISADES ST IE BLD -RESI 18,853.2;CR MECH PL 78.2ECR 125.O(CR 1ENDERED: 19,056.47 CHECK APPLIED: 19,056.47- CHANGE:"'-- - 0.00 REPRINT YELM COMMUNITY SCHOOLS PO BOX 476 YELM WA 98597 Receipt #; 384081 Manual # 211712017 2,05 PM Clerk: Zigler Terminal; 1 NNW FAMILY HOMES NNW FAMILY HOMES NORTHWEST, FAMILY HOMES 7426 MANZANITA DR NW OLYMPIA, WA 98502 Qty Item 1 CPF MITIGATION Price MITIGATION 3015100 06-023 Lot #11 10732 Palisades St, Subtotal Tax 3015.00 Total 0,00 3015,00 Debit /Credit 3015.00 Change Due 0.00 [HANK YOU CITY OF YELM RESIDENTIAL BUILDING PERMIT APPLICATION FORM Project Address:_ / 0'7 7 — fact J r 16 d ei -t . f E Parcel #: 6 ,7/ l U OG // 00 Subdivision_ _ � r I 11"I' der, e.1 --t- Plan #. Z Ij_ ZOninq, XNew Construction i i Re -Model / Re -Roof / Addition I i home occupation Sign I Plumbing i Mechanical !a Mobile / Manufactured Home Placement 12 Other Project Description /Scope of Work:_ 0 vt t - L V LT Project Value: 3771 �3 Building Area (sq. ft) 15' Floor 2 °d Floor _/ 24ii Garage 7 �/ 7r 9 Deck Basement Carport Patio f a��1 �ve�C'r�11 / yp # Bedrooms 3. # Bathrooms? ��'� Heating: 00THER or ELECTRIC (Circle one) Are there any environmentally sensitive areas located on the parcel? Pfyes, a completed environmental checklist must accompany permit application. Copy of mitigation agreement with Yelm Community Sc 2015, 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 Yeim. Applicant's Signature / -- Owner / Contractor / Owner's Agent / Contractor's Agent (Please circle one.) All permits are non- transferable and will expire if work authorized by such per for a h pe t within 180 days of issuance, or if work is suspended or abandoned YOS Xelru Avenue West Yelrn, WA 98599 {36 ©) 458 3836 "` Wruw.ci yelrrc.wa.us (860) 468 -3144 PAX etve 4 2,ci J, sleeve water line 0 AA11 under driveway 24 ft. max. -V 6 � I --Idriveway approach 161W161W 61 f wi r move step tank "C here. 2ft. off driveway and easement. 5ft.off 6V foundation 711, IS 23 It. min. setback Ineeded for tank 414- Rd H),�4 6 ILA �e r LeO �- i Drywell. 5 ft off 10, < Lr property line and foundation. 15 yd's Isleeve water line of rock required. .39. 74 I-j YZ