20170271 Permit Pkg 08022017City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: MT TERRACE BUILDERS
Address: 14730 STATE RT 507
YELM WA 98597
Property Information:
Site Address: 1R77R PRAIRIE HTS ST SF
Permit No.: 201 70271
Issue Date: 8/02/2017
(Work must be completed within 180 days)
Phone: 360- 458 -1502
Owner: MT TERRACE BUILDERS
Assessor Parcel No.: 69270002200 Subdivision: PRAIRIE HEIGHTS Lot: 22
Contractor Information:
Name: MOUNTAIN TERRACE BUILDERS, LLC
Address:
301 YELM AVE E
YELM WA 98597
Contractor License No.: 11031
Expires
Phone:
12/31/2017
Project Information:
Project: NEW RESIDENTIAL BUILDING
Description of Work: LOT 22. DUPLEX. FUTURE ADDRESSING 16224 PRAIRIE HEIGHTS ST E, WESTERN SIDE
AND 16228 PRAIRIE HEIGHTS ST E, EASTERN SIDE.
Sq. Ft. per floor: First 1318 Heat Type (Electric, Gas, Other): ELECTRIC
Second 1586
Third
Garage 860
Basement
Fees:
Item Contractor Fees
NEW RESIDENTIAL BUILDING MOUNTAIN TERRACE BUILDERS, LLC $22,547.90
MECHANICAL MOUNTAIN TERRACE BUILDERS, LLC $ 117.50
PLUMBING MOUNTAIN TERRACE BUILDERS, LLC $ 202.00
TOTAL FEES: $ 22,867.40
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 th tate f Washington. n /�
Signature � Date
Firm f e
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
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CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: 16226 Prairie Heights St SEA Parcel #. 69270002200
Subdivision:
Lot #: 22 Plan #: Zoning:
/ New Construction E Re -Model / Re -Roof / Addition C Home Occupation Sign
❑ Plumbing C Mechanical ❑ Mobile / Manufactured Home Placement ❑ Other
Project Description /Scope of Work: Construct Duplex Residential
Project Value: $200,000
Building Area (sq. ft) 1s` Floor 659 2 "d Floor 793 3`' Floor_ Garage -2 car 430 3 car_
Covered Patio Covered Porch 35 Patio 70 Deck
# Bedrooms 3 # Bathrooms2_5 Heating: GAS /OTHER o ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? No
If yes, a completed environmental checklist must accompany permit application
:Mountain Terrace Builders
ADDRESS 01 E Yelm Ave STE 100 EMAIL MTBpurchasing @gmail.com
CITY Yelm STATE WA ZIP 98597 TELEPHONE 360.458.1502
fTC�GItEER Precise Engineering LICENSE #
ADDRESS 1011 Mellen St EMAIL
CITY Centralia STATE WA ZIP 98531 TELEPHONE
EERALOtVT�Q» SAME AS BUILDING OWNER TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # MOUTATB89OBS EXP DATE 3/19 CITY LICENSE # 603.264.062
I?FIBEf�G GpNT,�ACTOR JR's Plumbing Inc TELEPHONE 253.405.2499
ADDRESS 17909 Kismet Lane SE EMAIL
CITY Yelm STATE WA ZIP 98597 FAX
CONTRACTOR'S LICENSE # JRSPLI'975D5 EXP DATE3119CITY LICENSE # 602.264.092
M, K—Ai 41 T1 4 4114- TELEPHON
ADDRESS EMAIL
CITY_' STATE' ZIP_ FAX
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.
p ' ant'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 abandoned for a period of 180 days
105 Yelm Avenue West (360) 458 -3835
Yelm, WA 98597 (360) 458 -3144 FAX
www.ci.yelm.wa.us 13 -4
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: 16226 Prairie Heights St SE B Parcel #: 69270002200
Subdivision: Lot #: 22 Plan #: Zoning:
,.d New Construction ❑ Re -Model / Re -Roof / Addition ❑ Home Occupation Sign
❑ Plumbing ❑ Mechanical Mobile / Manufactured Home Placement ❑ Other
Project Description /Scope of Work: Construct Duplex Residential
Project Value: $200,000
Building Area (sq. ft) 15' Floor 659 2 "d Floor 793 3rd Floor_ Garage -2 car 430 3 car_
Covered Patio Covered Porch 35 Patio 70 Deck
# Bedrooms 3 # Bathrooms 2_5 Heating: GAS /OTHER o ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? NO
If yes, a completed environmental checklist must accompany permit application.
=�k :Mountain Terrace Builders
ADDRESS301 E Yelm Ave STE 100 EMAIL MTBpurchasing @gmail.com
CITY Yelm STATE WA ZIP 98597 TELEPHONE 360.458.1502
LICENSE #
ADDRESS 1011 Mellen St EMAIL
CITY Centralia STATE WA ZIP 98531 TELEPHONE
�NERAL f',ONTRAC 'OR SAME AS BUILDING OWNER TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # MOUTATB89OBS EXP DATE 3/19 CITY LICENSE #603.264.062
Mlfil WNT A,iGTOF JR's Plumbing Inc TELEPHONE 253.405.2499
ADDRESS 17909 Kismet Lane SE EMAIL
CITY Yelm STATE WA ZIP 98597 FAX
CONTRACTOR'S LICENSE # JRSPLI*975D5 EXP DATE3 /19CITY LICENSE # 602.264.092
ADDRESS_
CITY_ STATE_`
CONTRACTOR'S LICENSE #
jTELEPHONI
EMAIL
_ZIP _FAX
EXP DATE! 'ITY 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.
Ap6ric Sig_nature Date
Ov/ned/ 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 abandoned for a period of 180 days
105 Yelm Avenue West (360) 458 -3835
Yelm, WA 98597 (360) 458 -3144 FAX
www.ci.yelm.wa.us
5' •�� � (ftoJ T c�(L ,
2' min. setback between sidewalks,
driveways, easements & STEP tanks
w /5' min. from property lines, house &
porch foundation & 2' min. from utility
easements.
'RON'I�
APPROVED I FOR SEWER
By Randy at 11:57 am, Jul 25, 2017
WITH REVISIONS
APPROVED by City of Yelm
John Rowland
07/26/2017 4:41:14 PM
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