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BLD-05-0487FROM : YELM SE~JER DEPT. FAX N0. :360-458-E3166 Aug. 30 2006 03:06PM P1 oa~~ rt~~ a~ 4 ~„ SAX TRANS~ISSI~I~T ~~~MC CITY of YE~.M "".."~"'".°" ~'.(J. BMX 479 -~ 931 NP ROAD NE ~\ YE~.M, 'WA 9$597 ~1 36Q-458-f~411 c` , ~"\ FAX~360-45$-8166 ".~,.X#: Prom: ~~,~,p~ SubjecC: ~fausE ~`lNAL.S COMMENTS: ~u~.N~ L.CS i 1~ J~7y ~a1 ~~ ~~1 DA7,E: $~-~~aM ~ ~ WAGES: ~ ,including this Cover sheet ~V ~~. 0 ~~ SST. j o ~" 9 ~` ~U ~,, S, ~ .~ ~~ ~ ** Ii'you do not receive all copies or any copy is not legible, please Gall (360) X58-8411 os soon as r~ossible. 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 MITIGATION 29087.00 LOT 1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16 ,17 Subtotal: 29087.00 Tax; 0.00 Total: 29087.00 Check 29087.00 8133 Change Due: 0.00 THANK YOU J SJ ~ ^` ~ J A sue; ~~ ?~N ~o~ ~~ A ~ a~ ~~~ N ^~ ~ V ~ n (D d ~ V (A ? O ? ? N~ ~ n ~ N ~. ~ , ~W~ n. ~ ~~ `° a ,~ ~ ~. o p C7 A ~ d 7 ~ n C ~ N ~ ~ ~ 0o to D c v ~ a n ~ o~' N ~ - O n ~' A d n of =~ m - o a 41 O n d o D_ ~ ~^ 0 L a v N N Q ~D J N O O m w N W c a 9' c~ Z C 3 Q m 3 Z C N 00 f f > > m m a m a N ~ c a co ~. a c~ H N m n ~ ~ m ~ z ~ ~ ~ D ~ r m •• 3 I ~_ W ~_ C n r n ~ m z ~ m n n ~ ~ 3 Z ~ 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 Permit No: BLD-05-0487-YL Issue Date: 03/13/2006 (Work must be started within 180 days) Receipt No: 41109 Phone: 253-535-6504 State: WA Zip 98444 Property Information: Site Address: 14821 89th Ave SE Assessor Parcel No. 37830001500 Subdivision: Burnett Estates Lot: 15 Con actor Information: Name: PAR Homes Contact: Thompson, Craig Phone: 253-535-8504 Address: 10749 South A St. City: Tacoma State: WA Zip: 98444 Contractor License No: PARHOI*972PT Expires: 03/07/0766 Business License: Project Information: Project: Burnett Estates Description of Work: Plan M3049B3F, Lot 15 Sq. Ft. per floor: (1st) 1475 (2nd) 1574 (3rd) 0 Garage 855 Basement 0 Heat Type (Electric, Gas, Other): GAS Fees: Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc ------------------------- Building Permit 100-500k ----------- 2,001.75 ----------- 993.75 ---------- 1,008.00 ----------- 5.6000 ---------- 180.0000 ------------- $1,000 Building Plan Review 845.73 0.00 0.00 0.0000 0.0000 Mechanical Permit 78.25 0.00 0.00 0.0000 0.0000 Plumbing Permit 125.00 20.00 105.00 7.0000 15.0000 Fixture Sewer Inspection 145.00 0.00 145.00 145.0000 1.0000 ERU Water ERU 1,500.00 0.00 1,500.00 1,500.0000 1.0000 ERU Water Meter (SFD) 300.00 300.00 0.00 0.0000 0.0000 Water Deposit 40.00 40.00 0.00 0.0000 0.0000 Traffic Facilities Charge 757.50 0.00 757.50 750.0000 1.0100 Peak PM Trip Sewer Deposit 50.00 50.00 0.00 0.0000 0.0000 State Building Fee 4.50 4.50 0.00 0.0000 0.0000 Sewer ERU 5,569.00 0.00 5,569.00 5,569.0000 1.0000 ERU Fire District Impact Fee 800.06 0.00 800.06 0.2160 3,704.0000 square foot TOTAL FEES: $12,216.79 f Applicant's Affadavit: OFFiCtAL USE ONLY 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 # Sets of Prints: 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. Final Inspection: ~ '~-> ~ Date: ~ , ~ ~~ Signature ~~ ~ Date ~/ Firm 1 I ~~~f T~P~ CITY OF . ~_~.. 4 ~ YELM YePm, WA 98597 RECEI •4110 9 360-458-8403 EE ~ R~'~~T~ELVE THOUSAND TWO HUNDRED 3IBTEEN DOLLARS & 79 CENTS RECEIVED FROM DATE REC. NO. AMOUNT REF. NO. PAR HONES 03/13/06 41109 12.216.79 CHECK PENDING 10749 30UTH A 3T TACOMA WA 98444 BUDGETARY LOT 15 BURNETT EST DIANA .. 1 5.WTERU1500.WTMET300. WTDEP40.TRAF757.50.SEWDEP50.STFEE4.50.SEWERU5569.FIREFEE800.06 ~~~f T~ CITY OF - d YELM YePm, WA"ses97 RECEIPT No. 41110 3saass-aao3 R~'~uT~ELVE THOUSAND ONE HUNDRED FORTY FOUR DOLLARS & 83 CENTS RECEIVED FROM DATE REC. NO. AMOUNT PAR HOMES 03/i3/06 41110 12.144.83 CHECK 10749 SOUTH A ST. TACOMA NA 98444 BUDGETARY BLD-05-0488-YL LOT 4 BURNETT EST. REF. NO. PENDING DIANA J PERN1959.75.PLAN827.99,MECH78.25.PLUM132..SEWINSP145..WTERU1500.WTMET300.WTDEP 40.TRAF757.50.DEWDEP50.STFEE4.50.SEWERU5569..FIRE FEE 780.84 Applicant: City of Yelm Community Development Department Building Division Phone: (360) 458-8407 Fax: (360)458-3144 Permit Fees Schedule J Permit No: BLD-05-0487-YL Name: PAR Homes Phone: 253-535-6504 Address: 10749 South A St. City: Tacoma State: WA Zip 98444 Project tnfortnation: Project: Burnett Estates Description of Work: Plan M304983F, Lot 15 Site Address: 14821 89th Ave SE Assessor Parcel No. 37830001500 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 ----------- 2,001.75 ----------- 993.75 ----------- 1,008.00 ----------- 5.6000 ---------- 180.0000 ------------- $1,000 Building Plan Review 100 001-345-83-00 845.73 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 032 001-322-10-00 125.00 20.00 105.00 7.0000 15.0000 Fixture Sewer Inspection 805 412-343-80-00 145.00 0.00 145.00 145.0000 1.0000 ERU Water ERU 715 401-343-80-02 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 105 001-345-85-00 800.06 0.00 800.06 0.2160 3,704.0000 square foot TOTAL FEES: $12,216.79 !~ ~ 1 =,~~ ~~.~G( ~ ~E~f3~~ ~~ y 3 t r O S .50 3~ ~ t~ ~s ~~ `~~~ ~~ ~ ~~ Pock ~rt` ~ 3 0 ~ -~~ pn;v~ , ~ _~ ~~ as _ _3~ ~ _~ _ I ~ b ` ttt `,T ~'~' ~' ~ ~c,es~~~ce~f' ~a ~yg~l d9~~ ~4v~ sE, Lai' l ~ ~~,.rh~ t~- £`~t~~-~s D __ ~o~-,s 3oyy CITY OF YELM ~` RESIDENTIAL BUILDING PERMIT APPLICATION FORM Project Address: l 7 ~~ l d 9 ~~ Alf ~ . f~ Parke, #: ~ 3 3/ o a R 0 2 2006 Subdivision: 6u.r~~ ~'~ ~ ~a.~s Lot #:_~ Zoning; s ~ i-n~ ~ ~C~ 1 New Construction ^ Re-AAodel / Re-Roof /Addition ^ Home Ooaipation Sign ~ ^ Plumbing ^ Mechanical ^ Mobile / ManuFactuned Home Placement ^ Other r Project Descript~ionPScope of Worlc ~r. ~~ ~ ~' S t ~.-Y~41-~ Pr~ect Value: / ~ d d Q ~ . Building Area (sq. ft) 1'` Floor~~2nd Fbor_/~_,~~Garage ~ Deck Basement Carpet Patio # Bedrooms # Bathrnom_ Heating~S THER or ELECTRIC (Circle One) Are there any environmentally sensitive areas located on the paroEl? _,~Z~ ff yes, a c:ompletied environmental checklist must accompany permit application. LICENSE ~ ADDRESS EMAIL CITY STATE ZIP TELEPHOI~ a. t~.i.. Yr 11FLEPHO~ ADDRESS EMAIL CITY STATE ZIP FAX CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE # CITY LICENSE #B R Pc.lt~tl~O ~40GEXP DA' Cl7Y LICENSE # OS-ODd 5'3(a 4 CITY LICENSE #AL;~. ~ B~ ttrSt 7 EXP DA' LICENSE ~ OS = GYI 16 y ~ O Copy of mitigation agreement with Yehn Community Schools, if applicable. i oerliry that the above bdormetioa is oatect and that the constnrctloa on, and the ocurpa~wy and the tree of the above described property vr91 be M acco~roe vrNh the taws, rules aad regrdatiorrs of the StaEe of Mb~sNrrgton and the crty of Ye6n. r' 3 ~ ~ ~?o pt's Signature Contractor /Owner's Agent / Contractor's Agent (Please circle ate.) Ali permits are 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 l03 Yelps Avenue West (360) 438,4835 PO Boz 479 (360) 438-3144 FAS Yelnz, 1 JF 98597 zmosa.ciyelms.ama.us Cr-c~r y/ ~ ~ ~-~ a s L. o-~ 8 Ds -03~~ Sa-~~ ~'eP~~~ C,r~~ ~r ~ ~o~~so~ P ~~ N ~~.~ S ~~~.,