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YELM COMMUNITY SCHOOLS
PO BOX 476
YELM, WA 98597
Clerk; Croy
Terminal: 1
Receipt; 16821
Manual Receipt:
NPAR HOMES
N253-535-6504
PAR, HOMES, INC.
10749 S. A STREET, UNIT A
TACOMA, WA 98444
3/14/2006 12:31 PM
Qty Item Price
1 CPF2900 29087,00
MITIGATION
LOT 1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16
,17
Subtotal: 29087.00
Total: 2908.00
Check 29087,00
8133
Change Due: 0,00
THANK YOU
..
City of Yelm
Property Mformation
Site Address: 14740 89th Ave. SE
Assessor Parcel No. 37830000100
Community Development Department
Building. Division
Phone: (360) 458-8407
Fax: (360) 458-3144
A,ppl)cant:
Name: PAR Homes
Address: 10749 South A St. City: Tacoma
Contractor information:
Permit No: BLD-05-0491-YL
Issue Date: 03/13/2006
(Work must be started within 180 days)
Receipt No: 41113
Phone: 253-535504
State: WA Zip 98444
Subdivision: Burnett Estates
Lot: 1
Name: PAR Homes Contact: Thompson, Craig Phone: 253-535-6504
Address: 10749 South A St. City: Tacoma State: WA Zip: 98444
Contractor License No: PARHOI*972PT Expires: 03/0710766 Business License:
Project Information:...,,
Project: Burnett Estates
Description of Work: Plan M2965A3FT, Lot 1
Sq. Ft. perfloor: (1st) 1245 (2nd) .1720 (3rd) 0
Heat Type (Electric, Gas, Other): GAS
Fees:
Item Item Fee Base Amt Unit Fee
-------------------------
Building Permit 100-500k -----------
1,959.75 -----------
993.75 ----------
966.00
Building Plan Review 827.99 0.00 0.00
Mechanical Permit 78.25 0.00 0.00
Plumbing Permit 132.00 20.00 112.00
Sewer Inspection 145.00 0.00 145.00
Water ERU 1,500.00 0.00 1,500.00
Water Meter (SFD) 300.00 300.00 0.00
Water Deposit 40.00 40.00 0.00
Traffic Facilities Charge 757.50 0.00 757.50
Sewer Deposit 50.00 50.00 0.00
State Building Fee 4.50 4.50 0.00
Sewer ERU 5,569.00 0.00 5,569.00
Fire District Impact Fee 780.84 0.00 780.84
TOTAL FEES: $12,144.83
Applicant's Atsfadavit:
Garage 650 Basement 0
Unit Rate No. Units Unit Desc
5.6000 172.5000 $1,000
0.0000 0.0000
0.0000 0.0000
7.0000 16.0000 Fixture
145.0000 1.0000 ERU
1,500.0000 1.0000 ERU
0.0000 0.0000
0.0000 0.0000
750.0000 1.0100 Peak PM Trip
0.0000 0.0000
0.0000 0.0000
5,569.0000 1.0000 ERU
0.2160 3,615.0000 square foot
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 futher certify that I am currently
registered in the State of Washington.
-~ ~ J L: ~`
Signature ~ C---~"`~~~~. Date
Firm `~
OFFICIAL USE ONLY
Sets of Prints:'
Final Inspection:
Date: ,~ o 0
By:
~~pf T"E '~ CITY OF
a° ~'`~ YELM
PO. BoX 479 AEC PT No. 41113
Yelm, WA 98597
360-458-8403
R~*~~~T~ELVE THOUSAND ONE HUNDRED FORTY FOUR DOLLARS & 83 CENT
DATE REC. NO. AMOUNT REF. NO.
RECEIVED FROM
PAR HONES 03/13/06 41113 12.144.83 CHECK PENDI
10749 SOUTH A ST BUDGETARY
TACOMA MA 98444 .
BLD-05-0491-YL
LOTl BURNETT EST.
DIANA
.S WINSP145.WTERU1500.y1TMET300.
• . ' ~ • ~ wwrrrA AA 4TDL~4 Ti!L!7f2A Ad
`-TDEP40 . TRAFF757. 50. SEI~IDEP50.5•rr~~ g . .7~ I ~r+Ar+~V J JV i ...... _ __.__ _
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:..
Name: PAR Homes
Address: 10749 South A St.
Project Information;.
Project: Burnett Estates
Description of Work: Plan M2985A3FT, Lot 1
Site Address: 14740 89th Ave. SE
Fees:...
Item Acct Code
---------------------------
Building Permit 100-500k --------------
032 001-322-10-00
Building Plan Review 100 001-345-83-00
Mechanical Permit 032 001-322-10-00
Plumbing Permit 032 001-322-10-00
Sewer Inspection 805 412-343-80-00
Water ERU 715 401-343-80-02
Water Meter (SFD) 712 401-343-80-01
Water Deposit 740 402-389-00-00
Traffic Facilities Charge 420 120-345-85-00
Sewer Deposit 742 402-389-01-00
State Building Fee 160 001-386-00-00
Sewer ERU 802 412-343-50-01
Fire District Impact Fee 105 001-345-85-00
TOTAL FEES:
Permit Fees Schedule
Permit No: BLD-05-0491-YL f
Phone: 253-535-6504
City: Tacoma State: WA Zip 98444
Assessor Parcel No. 37830000100
Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
-----------
1,959.75 -----------
993.75 -------
966. ----
00 -----------
5.6000 -----------
172.5000 -------------
$1,000
827.99 0.00 0. 00 0.0000 0.0000
78.25 0.00 0. 00 0.0000 0.0000
132.00 20.00 112. 00 7.0000 16.0000 Fixture
145.00 0.00 145. 00 145.0000 1.0000 ERU
1, 500.00 0.00 1, 500. 00 1, 500.0000 1.0000 E R U
300.00 300.00 0. 00 0.0000 0.0000
40.00 40.00 0. 00 0.0000 0.0000
757.50 0.00 757. 50 750.0000 1.0100 Peak PM Trip
50.00 50.00 0. 00 0.0000 0.0000
4.50 4.50 0. 00 0.0000 0.0000
5,569.00 0.00 5,569 .00 5,569.0000 1.0000 ERU
780.84 0.00 780 .84 0.2160 3,615.0000 square foot
512,144.83
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CITY OF YELM ~ ~~
RyESpIDENpT BUI NG PERMIT APPLICATION FORM
Project Aridnepss: ! L/7 (U ~ 71 ~ ~. ~~ Paroel #: ~ 3 3/ 0 ~~ ~ 2 2 0 0 6 p,~\
Subdivision: 6f~t.rVlG 1 'I~ 1=~a,'~` Lot #: I Zoning; s v~ ~ / ate,
~4 New Consiruction ^ Re-Model / Re-Roof /Addition ^ Home Occupation Sign
~~
^ Plumbing ^ Mechanical ^ Mobile / Manufactured Home Plbcement ^ Other
Project ~-eskxn/Scope of Work A/'ts tJ ~ L° S i e7~-'~~tS G
Basement Carport Patio
Project Value: ~ a (~ ~ Q O t~ .
Building Area (sq. ft) 1'k Fbor~~2nd Floor ~ 70~ ~ Garage ~~l ~ Deck
# Bedrooms # B~hrooms~ S Heatiru~y~"THER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas boated on the park:el? l ~ ~ If yes, a
Meted environmental checklist must accompany permit application.
~. S
ADDRESS EMAIL
CITY a. w~. STATE ZIP Y~ TELEPHONE, a..~ ~- ,S'3.~f"- ,S'O y
LICENSE #
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
°~- ~-~- Y~ TELEPHONE
~~~ EMAIL
- --
CITY STATE. ____ ZtP---_ -- --FAX .
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
CITY 'C to STATE Wa-. ZIP ~'Q_FAX
CONTRAC OR'S LICENSE #8 R.P(.II~~A Q40~EXP DATES frY LICENSE # O S ~- 000 y3(o~ 0
l hereby ~Y tt~ the above lydornration ~ correct and that the oor~nrctlon on, and the ocer~arw.y and the use of the
Cabove d ~ bed property w~ be In accordance wNh the laws, rules and regulaflons of the State of Nlestrhrgton and the
302 D(o
rit's Signature "
Contrak~or /Owner's Agent / Conttakxor's Agent (Please circle one.)
All permits are non~ransferabie and will expire if work authored by such permit is not begun
within 180 days of issuance, or if work is suspended or abandoned for a period of 180 days
I05 Yelm Avenue West (360) 458-3835
FO Box 479 (360) 458-3144 FA%
Yelm, WA 98597 mwm.ciyelm.wa.us
Copy of mitigation agreemerrt with Yelm Community Schools, if applicable.
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