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BLD-05-0489
-€ ~: I I w a g a Q U a O /o ~ V W Z ~_ U_ ~ ~ m N I ~ ~ U J J ~ a O W H ~ U NW Li. N N N v Q rn c .~ m N ~ E 'a Z Q N N c c 3 3 00 N E z c co a N 7 Z N c '~ .~ m iii N a~ N C ~ O U ~ ~ U c N ~ ~ 'v ~ a Q ~ (0 0 +~ ~ C N ~ fl. ~ N ~ L Q U ~ U C U °°o UN iu _ ~~~ ~o>, ~U~ N rn~ ~_~ ~~> '~ U C m ~ O ~ ~ ~ ~ a`~~U o~ ~ ~' ~ '~ o ~_ ~ ~ 3~ ~ U ~ ~ C ~ N .Q ~ ~ T of ~ ~ U Q ~ .~ ~ ~ 'N ~ U ~ ~ o UUQ fn ~ L ~ ~ r n '~ uF THE JD~9~ ~'i ty o f ~'e l m ~, Public Works, Department 901 Rhoton Road P.O. Bos 479 YELM 'elm, WA 98597 WASHINGTON f,3G0) 458-8406 Fas: (3G0) 458-8417 NEW HOME FINAL DATE: _ ,. ~ I I r~~ 1 C' > ~~ DEVELOPMENT: BUILDER'S NAME: LOT #: .~ COMMENTS: INSPECTED BY: (check onel ;'~, John Ivey o Edward Smith FROM :YELM SEWER DEPT. ~OE ?H~ A~ 4 ~ FAX N0. :360-458-£3166 Mar. 12 2©87 10:49AM P1 FAX T~..AN`~MISSION CITY OF YELM P.O. BOX 479 -- 931 NP ROAD NE YELM, WA 98597 360-458-841 1 FAX 360-458-81 bb ~C ~ DATE: ~ ~ ~~ - d "7 PAGLS: ) ,including this Cover sheet Fram: ~~~~~, Subject: Ala ~S~ F ~N~c~ !~u n!~'~T~ ~ 57", COMMENTS: ~ v i .~ ~ y ~ 5~ ~ q ~ ,9L~~ , ~, E . C ~ ~ r ~` 7~J ~C`i(~` . ~C~ '"` If you do not receive all copies or any copy is not lcsible, please call (3fi0) 458-84 ~ 1 IIS SOO17 IIS 1)p SS1`~~t;, Q.2~~5 ~~~~ . z.~ FAX#: 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, ~JA 98444 3/14/2006 12:31 PM Qty Item Price 1 MITIGATION 29087.00 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 Community Development Department Building Division Phone: (360) 458-8407 Fax: (360) 458-3144 Applicant: Name: PAR Homes Address: 10749 South A St. City: Tacoma Property Information: Site Address: 14752 89th Ave. SE Assessor Parcel No. 37830000300 Contractor Information: Name: PAR Homes Address: 10749 South A St. Contractor License No: PARHOI'972PT Subdivision: Burnett Estates Contact: Thompson, Craig City: Tacoma Expires: 0310710766 Project Information: Project: Burnett Estates Description of Work: Plan M2294A2F-3, Lot 3 Sq. Ft. perfloor: (1st) 1103 (2nd) 1178 (3rd) 0 Heat Type (Electric, Gas, Other): GAS Fees: Item --------------------------- Building Permit 100-500k Building Plan Review Mechanical Permit Plumbing Permit Sewer Inspection Water ERU Water Meter (SFD) Water Deposit Traffic Facilities Charge Sewer Deposit State Building Fee Sewer ERU Fire District Impact Fee TOTAL FEES: Item Fee Base Amt Unit Fee 1,586.23 993.75 592 .48 670.18 0.00 0 .00 78.25 0.00 0 .00 118.00 20.00 98 .00 145.00 0.00 145 .00 1,500.00 0.00 1,500 .00 300.00 300.00 0 .00 40.00 40.00 0 .00 757.50 0.00 757 .50 50.00 50.00 0 .00 4.50 4.50 0 .00 5,569.00 0.00 5,569 .00 575.21 0.00 575 .21 $11,393.87 Applicant's Affidavit: Permit Ivo: BLD-05-0489-YL Issue Date: 03/13/2006 (Work must be started within 180 days) Receipt No: 41111 Phone: 253-535-8504 State: WA Zip 98444 Lot: 3 Phone: 253-535-8504 State: WA Zip: 98444 Business License: Garage 382 Unit Rate 5.6000 0.0000 0.0000 7.0000 145.0000 1, 500.0000 0.0000 0.0000 750.0000 0.0000 0.0000 5, 569.0000 0.2160 Basement 0 No. Units Unit Desc 105.8000 $1,000 0.0000 0.0000 14.0000 Fixture 1.0000 ERU 1.0000 ERU 0.0000 0.0000 1.0100 Peak PM Trip 0.0000 0.0000 1.0000 ERU 2,663.0000 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 purrently registered in the State of~'W~asrh'in'g~ton. 2 %J/ /, Signature ~ ~ l:~'" Date J ; r '~ ~" Firm ~ OFFICIAL USE ONLY # Sets of Prints:. Final Inspection Date: ~~ ~ ~ BY= Hof T~ CITY OF YELM P.O. Box 479 Yelm, WA 98597 360-458-8403 RECEI R~uEZEVEII THOUSAND THREE HUNDRED NINETY THREE DOLLARS 6c 87 CENTS RECEIVED FROM PAR HOHE3 10749 SOUTH A ST TAC01~lA NA 98444 BLD-05-0489-YL LOT 3 BURNETT EST. DATE REC. NO. 03/13/06 41111 BUDGETARY AMOUNT REF. NO. 11.393.87 CHECK PENDING ~ - DIANA ~ PERH1586.23.PLAN670.18.HECH78.25.PLIN118.3ENINSP145.NTERU1500.NTHET300. NTDEP40.TRAFF757.50.SENDEP50.STFEE4.50.SENERU5569.FIREFEE575.21 .. -. -. o~~f T„~P~ CITY OF YELM YePm, WAxse597 RECEIPT No. 41112 360-458-8403 R'~u~ELVE THOUSAND ONE HUNDRED FORTY FOUR DOLLARS & 83 CENTS RECEIVED FROM DATE REC. NO. AMOUNT REF. NO. PAR HOMES 03/13/06 41112 12,144.83 CHECK PENDING 10749 30UTH A ST TACOMA NA 98444 BUDGETARY BLD-05-0490-YL LOT 2 BUANETT EST. DIANA BLDPERM1959.75.PLAN827.99.HECH78.28.PLUH132.SENINSP145.NTERU1500.NTNET300. NTDEP40.TRAFF757.50.SENDEP50.STFEE4.50,SENERU5569.00, FIREDIST780.84 Applicant: City of Yelm Community Development Department Building Division Phone: (360) 458-8407 Fax: (360) 458-3144 Permit Fees Schedule r~~ Permit No: BLD-05-0489-YL Name: PAR Homes Phone: 253-535-6504 Address: 10749 South A St. City: Tacoma State: WA Zip 98444 Project Information; Project: Burnett Estates Description of Work: Plan M2294A2F-3, Lot 3 Site Address: 14752 89th Ave. SE Assessor Parcel No. 37830000300 Fees: Item Acct Code Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc --------------------------- Building Permit 100-500k -------------- 032 001-322-10-00 ----------- 1,586.23 ----------- 993.75 ----------- 592.48 ---------- 5.6000 ----------- 105.8000 ------------- $1,000 Building Plan Review 100 001-345-83-00 670.18 0.00 0.00 0.0000 0.0000 Mechanical Permit 032 001-322-10-00 78.25 0.00 0.00 0.0000 0.0000 Plumbing Permit 032 001-322-10-00 118.00 20.00 98.00 7.0000 14.0000 Fixture Sewer Inspection 805 412-343-80-00 145.00 0.00 145.00 145.0000 1.0000 ERU Water ERU 715401-343-80-02 1,500.00 0.00 1,500.00 1,500.0000 1.0000 ERU Water Meter (SFD) 712 401-343-80-01 300.00 300.00 0.00 0.0000 0.0000 Water Deposit 740 402-389-00-00 40.00 40.00 0.00 0.0000 0.0000 Traffic Facilities Charge 420 120-345-85-00 757.50 0.00 757.50 750.0000 1.0100 Peak PM Trip Sewer Deposit 742 402-389-01-00 50.00 50.00 0.00 0.0000 0.0000 State Building Fee 160 001-386-00-00 4.50 4.50 0.00 0.0000 0.0000 Sewer ERU 802 412-343-50-01 5,569.00 0.00 5,569.00 5,569.0000 1.0000 ERU Fire District Impact Fee 105 001-345-85-00 575.21 0.00 575.21 0.2160 2,663.0000 square foot TOTAL FEES: $11,393.87 CITY OF YELM RESIDE BUILDING PERMIT APPLICATION FORM Address: ~~.~o - ~ 9 U~t;.S~ ,~ 3 ~/ ~ ~!l ~ 0 2 2006 ~~ Subdivision: B~~.r~~ t--r l~~~a.~s Lot #: 3 z«ting; s :~. ~ i-n~-~ .~ ~.4 New constnldion ^ Re-#Aodel / Re-Roof /Addition ^ Flome Occupation Sign , ~ ^ Plumbing ^ Mechanical ^ Mobile / Manufacblred Home Placemerrt ^ Otlter Project Descxicope of Work ff1 `r. es~ e 5 c ~-'~ytihG Project value: / ~ d ~~ 0 . But~ding Aree (sq. >~~ .~~~ Fbor -1 ~ 03 i^° Fbor l 7 Garage 3~)~ Deck ~b Basement Carpet Patio ~ Bedrooms ~" # Bathrooms2•.~ I-leatin9~/oT1iER a ELECTRIC cc~ ones Ar+e them; any envinonmenhaily sensitive areas located on the paroel? ~~ ff yes, a completed envinonmerrtal chedctist must accompany permit application. ck S ADDRESS EMAIL ,CITY ' - ~ STATE ZIP 9' ~°Y~%y TELEPHOI~ ~._ '- .S'-3 S' ~ S'O rf LICENSE # ADDRESS EMAIL CITY STATE ZIP TFIEPHONE a- ~ Yi Tg.EPHONE AppRESS EMAIL CITY STATE ZIP FAX CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE # CITY LICENSE ~B /~' Pf./t~+t Q gcp~EXP DATE3/QIdCITY LICENSE CIIY,,,(~~.d~ ~+c~ t;c.- STATE L ~a= ZIP ~l Ayy (~ FAX CONTRACTOR'S LICENSE ~~:.,~ ~. grf t;.,t~317 EXP DATE ITY LICENSE Copy of mitigation agreement with YeMn Community Sdtools, if applicable. 0 0 i henib~r oerSfy wet the aboare iaFormatia~ is correct and that the ta~ueEion on, and the occupancy and the ties tithe above described properly w~ be h, accedence with the ~. noes and tithe state dMfashb~on and the l:Uy d Yelm. _~ 3 O ~ s Signature Corrtracbor /Owner's Agent !Contractor's Agetrt (Please ch+cle one.) A8 permits are and wr~l expire if work authorized by such permit is not begun w8hin 180 days of issuance, or if work is strspehded or abandoned for a period of 180 days 1®5 Yelm Avenue iYest (360) 438.4835 pp Box 479 (366) 458-3144 Fi4X Yel~a, stn °3~3+? rowur.eiyelara.rma.res ~~ ~ %~ O r ~arc~c( a~~~3~i 00000 ~~ ~, t~ .~' D ~~s ~ ~a~y ~.. o f 3 1 S / ~l ~G S °~-wL ~ DS- 03 ~3 ~.r0.~ q j ltio~Pso°'` p ~~ ~ o~~ s ~~~,