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Public Works Department
901 Rhoton Road
P.O. Box 479
YELM 'elm, WA 98597
WOSNINGTON
(360) 458-8406 Fax: (360) 458-8417
NEW HOME FINAL
DATE: _ j I I '~, I c .--~
__
DEVELOPMENT: ~ ~
BUILDER'S NAME:
LOT #: ~_
COMMENTS:
INSPECTED BY: (check one)
~~ John Ivey
o Edward Smith
FROM :YELM SEWER DEPT.
~~ ~~~ A~
a ~~
TO : C~ ~
~7.A~TE: ~~ ~- ~.~ - ~ "~
PAGBS: ) , including this
Cover sheet
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From:, ~,~~~~
FAX N0. :360-458-8166 Mar. 12 2007 10:49AM P1
FAX~"~~NS~VIISSION
CITY OF YE~,M
P,(~. BOX 479 ~ 931 N'P R.OA~ NE
YELM, W,A 98597
360-458-$4] l
F,A,X ~360,~458-8 l 66
}C I~.J
Subject:. ~'~? ~5E ~ lN~~ f31~ ~n'~77 ~ ~~";
CaMME~1TS: ~... e~ T ~~ ~ ~7~~
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, UJA 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
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 Infonnatiom
Site Address: 14809 89th Ave. SE
Assessor Parcel No. 37830001700
Gortratctor Information:
Name: PAR Homes
Address: 10749 South A St.
Contractor License No: PARHOI'972PT
Project tnfonnation;
Project: Burnett Estates
Description of Work: Plan M2590A2F-11, Lot 17
Sq. Ft. per floor: (1st) 1174 (2nd) 1418
Heat Type (Electric, Gas, Other): GAS
Fees:
Subdivision: Burnett Estates
Contact: Thompson, Craig
City: Tacoma
Expires: 03/07/0766
Permit No: BLD-05-0485-YL
Issue Date: 03/13/2006
(Work must be started within 180 days)
Receipt No: 41107
Phone: 253-535-8504
State: WA Zip 98444
Lot: 17
Phone: 253-535-6504
State: WA Zip: 98444
Business License:
(3rd) 0 Garage 387 Basement 0
Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
-------------------------
Building Permit 100-500k -----------
1,734.63 ----------
993.75 -----------
740.88 ----------
5.6000 -----------
132.3000 -------------
$1,000
Building Plan Review 732.88 0.00 0.00 0.0000 0.0000
Mechanical Permit 78.25 0.00 0.00 0.0000 0.0000
Plumbing Permit 132.00 20.00 112.00 7.0000 16.0000 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 643.46 0.00 643.46 0.2160 2,979.0000 square foot
TOTAL FEES: $11,687.22
Applicant's Affadavit:
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. ~. ~r
~~. w^._.
~.-- l
Signature ~~ Date 3,.- j 3 ~ ~ ~'~
Firm
OFFICIAL USE ONLY
Sets of Prints:
Date:
By:
o~o~ rxF ,.
~'`~ CYELMF ..
YePm, WA 98597 CEIPT No. 41107
360-458-8403
RF*~~ELEVEN THOUSAND SI% HUNDRED EIGHTY SEVEN DOLLARS & 22 CENT
RECEIVED FROM DATE REC. NO. AMOUNT
PAR HONES 03/13/06 41107 11.687.22 CHECK
10749 SOUTH A ST.
TACOMA WA 98444
LOT 17 BURNETT ESTATES
8LD-05-0485-YL
.63. PLAN732.88.
BUDGETARY
REF. NO.
PENDING
DIANA
78.25.PLUH132.. SEWINSP145..WTERU1500..
WTHET300.,WTDEP40.,TRAF757.50.SEWDEP50..STFEE4.50,SEWERU5569.,FIRE643.46
W F T"f CITY OF
~ YELM
YePm, WAX9t3597 RECEIPT No. 4110 8
360-458-8403
RF"~~~ELVE THOUSAND TWO HUNDRED SIBTEEN DOLLARS & 79 CENTS
RECEIVED FROM DATE REC. NO. AMOUNT
PAR HONES 03/13/06 41108 12.216.79 CHECK.
10749 SOUTH A 3T
TACOMA WA 98597 BUDGETARY
LOT 16 BURNETT EST
REF. NO.
PSNDIITG
DIAIiA
R 20 1.75, PLAN845.73,NECH78.25,PLUN125.,3EWINSP145,WTERU1500.,WTHET300,W
TDEP40.,TRAF757.50,SEWDEP50.,STFEE4.50,SEWERU5569.,FIREFEE800.06
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.
Rrojlect Information:.
Project: Burnett Estates
Description of Work: Plan M2590A2F-11, Lot 17
Site Address: 14809 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-05-0485-YL
Phone: 253-535-6504
City: Tacoma State: WA Zip 98444
Assessor Parcel No. 37830001700
Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
-----------
1,734.63 -----------
993.75 -----------
740.88 -----------
5.6000 -----------
132.3000 -------------
$1,000
732.88 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 ERU
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
643.46 0.00 643.46 0.2160 2,979.0000 square foot
$11,687.22
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CITY OF YELIIt
L REQSionENTU~,L Buu.DING PER~AIT APPUCATI~oN ~7a
Project Address: j ~~Q i d 9 [~,~AU ~ .Sr. Patel #: 0 2 Zoos `~
p ,I '~ ~b
Subdivision: D t~. ('t~~ ~"~' ~-= ~'~,~5 Lot #: i 7 Zoning: ~ k ~ 'e /~` ~ ~ r_\~l
New Constnx~ion 0 Re-AAodel / Re-Roof /Addition ^ Flome Occupation Sign r^ ~l
^ Plumbing ^ Mechanical 0 Mob~e /Manufactured Home Placement ^ Other ° 1
Project OescnptroNScope of V1brk: /lfY. i.~) tC C S i ~''t~t3-G
Project Value: ~ / ~ d d' D Q .
Building Area (sq. ft) 1" Floor 2nd Floor ~ / ` Garage ~ Deck
~o~Basement Carport Patio
# Bedrooms # t3athtrx~n~ Hea6ng~G~THER a ELECTRIC (Ca+de One)
Are ti~ere any errvirorarrentaty sensitive areas located on the paroel? ~~ ff yes, a
oorrrplei~ed environmerrtal ct~edd'rst must accompany permti application.
c~•~, s
ADDRESS EMAlL
CITY ~ STATE ZIPS' °~Y~TELEPHOI~ ~. '- S"3 S'-- .~`O1/
LICENSE #
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
Q- ~ Y.~ TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
COPffRACTOR'S LICENSE # EXP DATE Ct1Y LK:ENSE #
TELEPHONE - ~-S"7 mil)
ADDR S ' F • C' EMAIL
CITY ~' STATE~c-~u-. ZIP!~~;_FAX
CONTRAC DR'S LICENSE # ~' 4 EXP QATE3 11'1( LICENSE # O S°- 00lJ 5~(a• ~
CITY
LICENSE #~.:~. ~. Brt c;~~sr 7 EXP DATErLa(~CITY LICENSE # OS = ~ /6 5~~ o
Copy of mitigation r>errt with Yelm Community Schools, if applicable.
r hey oe~ry >har the aboMe irdornu~tion ~ connect and that the construction on, dad the oocupenq and the use of the
airove des~xibed property v~ be In aceor~darrce witlr the ~. ndes and reguh~tforrs of the ~ oaf N~shhg6on and the
C~- of Yelnr.
trt's Signature
1 Owner's Agerrt / Contracfior's Agent (Please circle one.)
Aq permits are nontransferable and wrll expire ff work authorized by such permit is not begun
within 180 days of i~uance, or ff work is suspended or abandoned for a period of 180 days
l05 Ydm Avenue West (366) 458-3835
PU Box 479 (36®) 458-,3144 FA%
Yelr~ W~ 98587 zazom.ciyelr~a.ma.us
~a~ y
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