20170219 Permit Pkg 06052017City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Permit No.: 20170219
Issue Date: 6105/2017
(Work must be completed within 180 days)
Applicant:
Name: MARK LAVERGNE Phone: 360- 915 -4944
Address: 1314 169TH ST S
SPANAWAY WA 98387
Property Information:
Site Address: 108 YELM AVE W Owner: MARK LAVERGNE
Assessor Parcel No.: 85800100200 Subdivision:
Contractor Information:
Name: MARK LAVERGNE Phone:
Address:
1314 169TH ST S
SPANAWAY WA 98387
Contractor License No.: Expires: 0 /00 /0000
Project Information:
Project: DEMOLITION
Description of Work: REMOVE BARN STRUCTURE. DEMO
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
DEMOLITION
Contractor
MARK LAVERGNE
TOTAL FEES:
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 proposed structure is in conformity with all applicable City of
Yelm regulatio nclu g tho gover i g zoni and land subdivision, and in addition, all covenants,
easements r s cti ns o ecord f pplyin as a contractor, I further certify that I am currently
registered i th at of W hingt
Signatur Date ` J 5 L
Firm
Lot:
Fees
$ 50.00
$ 50.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
Olympic Region Clean Air Agency Representing Clallam, Grays Harbor, Jefferson,
ORCA A Mason, Pacific, and Thurston Counties
Note to File
ORCAA Demolition Notification #17DEM004672
108 Yelm Ave W, Yelm, WA
2940 Limited Lane NW
Olympia, WA 98502
(360) 539 -7610. 1- 800 - 422 -5623
ORCAAA has reviewed the application for demolition and the survey that was also submitted.
There was no regulated amount of asbestos in the building, according to the AHERA survey.
The required 14 day wait period has also elapsed. Therefore, the ORCAA requirements to demolition of
this structure have been met.
Please be sure to follow all other requirements and regulations that the City of Yelm, or Thurston County
May have.
If you have any questions, feel free to give me a call.
Mike Shults M
0RCAA Air Quality Specialist
360- 539 -7610
Port Townsend Field Office: 615 Sheridan, Port Townsend, WA 98368 • (360) 338 -6419
South Bend Field Office: 1216 W Robert Bush Drive, South Bend, WA 98586 • (360) 942 -2137
J. Wanner <jackie.wallner @orcaa.org>
ORVAA
Demolition notification application received
1 message
permits @orcaa.org <permits @orcaa. org>
Reply -To: permits @orcaa.org
To: debbie.moody @orcaa.org
Cc: jackie.wallner @orcaa.org
Mon, May 8, 2017 at 10:23 AM
Cool, somebody just filled out our demolition form! Let's make sure all is good and
drop our new -found friend a note if needed. Here's what was submitted:
Name:
Mark Lavergne
Mailing address:
1314 169th St S
City:
Spanaway
State:
Wa
ZIP:
98387
Phone number:
3609154944
Other phone number:
3609154944
Email address:
mark alavergne@yahoo.com
Is the property owner also
Yes
the demolition contractor ?:
Project Size:
750
Number of structures being
1
demolished ?:
is asbestos present ?:
No
Start date:
05122/2017
Site address:
108 Yelm Avenue W
City:
Yelm
.rj
BUILDING PERMIT APPLICATION
❑ New Construction (SFR) ❑ Remodel
❑ Mechanical
❑ New Construction (Duplex) ❑ Addition
❑ Commercial
❑ New Construction (Multi - family) ❑ Reroof
❑ Tenant Improvement
❑ Manufactured Home Placement ❑ Plumbing
❑ Fire Permit
Property Address: �Q� L .� l ��
l U
Tax parcel number: Subdivision:
Lot No.:
Project Description /Scope of Work:
Project Value: Heat Source:
❑ Gas ❑ Electric ❑ Solar
Plan No.: Bedrooms: Baths:
Area Ist Floor: 2nd Floor:
3rd Floor:
Garage: Basement:
Carport:
Covered Patio:
Front Porch:
Applicant: Owner:
Address: Address:
Telephone: Telephone:
Email: Email:
Architect /Designer: S�s��v1 General:
Address. s ��Lic Anse
� SV&,Z No.:
� ��1 "�
Telephone. Qel�ephone:
:3 C'o - %�� ��3��
Email: Email:
Plumber: Mechanical:
Email: Email:
License No.: License No.:
By submitting this application to the City of Yelm, you affirm that all answers, statements, and information
contained in and submitted with this application are complete and accurate to the best of your knowledge and
that you are the owner of the property or duly authorized by the owner to act on their behalf. Permission is
granted to representatives of the City to enter upon and inspect the property as reasonably necessary to process
the application.
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