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FROM :YELM SEWER DEPT.
FAX N0. :360-458-E3166 Sep. 11 2006 03:09PM P1
~pF TM~ p~'~
a ~ FAX TRANSIV.~ISSION
~,zL~v~r CITY OF YELM
"""' '"°'°" P.tJ. BOX 479 - 931 NP ROAD NB
YELM, WA 98597
360-458-841 l .
FAX -360-458-8164
TO: C~~C r~~ DATE: `~ f~-d(P
FAX#: ~ i'AGES: j ,including this
Cover sheet
From: SAND`
~0 . ~
Subject: ~~us~- F~N1~L, ~j ~ ~~
r
COMMENTS: G.o ~- ~3~ ~ ~~J~ ~~~~~ u~~C~ ~~,s_ E. .
** If you do not receive all copies of any espy is nit legible, please call (360) X58-84] 1
as soon as possible.
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:
Name: Sunridge Homes, Inc.
Address: P.O. Box 73790
Rroperty Information:
Site Address: 16634 Rainier View Dr SE
Assessor Parcel No. 63540001900
Contractor Information:
Name: Sunridge Homes, Inc.
Address: P.O. Box 73790
Contractor License No: SUNRIH1005QH
Project Information:..:
Project: Mountain Sunrise, Division I
Description of Work: Plan 2151 S/2, Lot 19
Sq. Ft. per floor: (1st) 845 (2nd) 1306
Heat Type (Electric, Gas, Other): GAS
Fees:
City: Puyallup
Subdivision: Mountain Sunrise, Div. I
Contact: Dye, Kelli
City: Puyallup
Expires: 09/27/06270
(3rd) 0 Garage 440
Item Item Fee Base Amt Unit Fee Unit Rate
---------------------------
Building Permit 100-500k -----------
1,535.55 -----------
993.75 -----------
541.80 -----------
5.6000
Building Plan Review 648.76 0.00 0.00 0.0000
Mechanical Permit 78.25 0.00 0.00 0.0000
Plumbing Permit 125.00 20.00 105.00 7.0000
Sewer Inspection 145.00 0.00 145.00 145.0000
Water ERU 1,500.00 0.00 1,500.00 1,500.0000
Water Meter (SFD) 300.00 300.00 0.00 0.0000
Water Deposit 40.00 40.00 0.00 0.0000
Traffic Facilities Charge 757.50 0.00 757.50 750.0000
Sewer Deposit 50.00 50.00 0.00 0.0000
State Building Fee 4.50 4.50 0.00 0.0000
Sewer ERU (LID) 2,847.00 0.00 2,769.00 2,769.0000
Fire District Impact Fee 559.66 0.00 559.66 0.2160
TOTAL FEES: $8,591.22
Applicant's Affadavit:
Phone: 253-848-0820
State: WA Zip 98373
Lot: 19
Phone: 253-848-0820
State: WA Zip: 98373
Business License:
Basement 0
No. Units Unit Desc
-----------
96.7500 -------------
$1,000
0.0000
0.0000
15.0000 Fixture
1.0000 ERU
1.0000 ERU
0.0000
0.0000
1.0100 Peak PM Trip
0.0000
0.0000
1.0000 ERU
2,591.0000 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.
Signature
Firm
~ ~ l r
Permit Ivo: BLD-05-0440-YL
Issue Date: 01/31/2006
(Work must be started within 180 days)
Receipt No: 40419
Sets of Prints:
Fnalinspec 'on~
Dates
By:
OE THE P ~ .~, ,.
f ,~ ~ CITY OF
YELM
P.O. Box 479
Yelm, WA 98597 RECEIPT No. 4 0 419
360-458-8403 °`
,.
RECEIVE„„*EIGHT THOUSAND FIVE HUNDRED NINETY ONE DOLLARS & 22 CENTS _~
RECEIVED FROM
SUNRIDGE HOMES
PO BO% 73790
PUYALLUP WA 98373
DATE REC. NO.
02/01/06 40419
BUDGETARY
AMOUNT REF. NO.
8.591.22 CHECK 09349
16634 RAINIER VIEW DR SE LOT 19
~_ JANINE
BLD -05-0440-YL 1535.55, PLAN648.76, MECH 78.25, PLUMB 125, SWR INP145
WTRERU1500, WTR MTR300, DEP90, TRAF757.50. BC4.50, SWRERU2847,FIRE559.66
Y~of TIIFp~ CITY OF
YELM
Po. sox a7s RECEIPT No. 4 0 4 2 0
Yelm, WA 98597
360-458-8403
RECEIVE,~**EIGHT THOUSAND THREE HUNDRED FORTY SI% DOLLARS & 73 CENTS
RECEIVED FROM DATE REC. NO. AMOUNT REF. NO.
SUNRIDGE HOMES 02/01/06 40420 8.346.73 CHECK 09349
PO BO% 73790
PUYALLUP WA 98373 BUDGETARY
16658 RAINIER VIEW DR SE LOT 15
JANINB
BLD -05-0442-YL 1404.37, PLAN593.34, MECH 78.25, PLUMB125, SWR INSP145
WTR ERU 1500, MTR300, TRAF757.50, DEP90, BC 4.50 SWR ERU 2847, FIR 501.77
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360)458-3144
Applicant:
Name: Sunridge Homes, Inc.
Address: P.O. Box 73790
Project Information:
Project: Mountain Sunrise, Division 1
Description of Work: Plan 2151 S12, Lot 19
Site Address: 16634 Rainier View Dr 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 (LID) 802 412-343-50-01
Fire District Impact Fee 105 001-345-85-00
TOTAL FEES:
~~
~iA~ ~~ ~ ~.~~~n~
CITV OF YELM
=~G yl ~/
Permit Fees Schedule
Permit No: BLD-OS-0440-YL
Phone: 253-848-0820
State: WA Zip 98373
City: Puyallup
Item Fee
1,535.55
648.76
78.25
125.00
145.00
1, 500.00
300.00
40.00
757.50
50.00
4.50
2,847.00
559.66
$8,591.22
Assessor Parcel No. 63540001900
Base Amt Unit Fee Unit Rate No. Units Unit Desc
993.75
541.80 --------
5.6000 --------
96.7500 -------------
$1,000
0.00 0.00 0.0000 0.0000
0.00 0.00 0.0000 0.0000
20.00 105.00 7.0000 15.0000 Fixture
0.00 145.00 145.0000 1.0000 ERU
0.00 1,500.00 1,500.0000 1.0000 ERU
300.00 0.00 0.0000 0.0000
40.00 0.00 0.0000 0.0000
0.00 757.50 750.0000 1.0100 Peak PM Trip
50.00 0.00 0.0000 0.0000
4.50 0.00 0.0000 0.0000
0.00 2,769.00 2,769.0000 1.0000 ERU
0.00 559.66 0.2160 2,591.0000 square foot
YELM COMMUNITY SCHOOLS 2 5 5 9 8 ~
~ LOCAL RECEIPT oarE_ i - ~ - ~ a o o '
Received from ' ~ ~ , ~ ~ ~ / ~ ~t
1 0 ~}-
FOR ~ , ,..~n ~,,.~ 0 - '
~t\ o. r• ~ I ~ ~ 1 r'. e^
"` i DOLLARS
oc
$ ao, s 3a
YELM COMML",YITY SCHOOLS
By . ~Anl .r.,, ~ L~" ~~.1nt0-
4
6'x8-Yz' STEP TANK
(5' MINIMUM FROM
FOOIING/PORCH)
CONTACT INF^
KELLIj C253) 848-0820
NQTE:
i. MAINTAIN 10'
BETWEEN STRUCTURES
2. ROOF RUNOFF T^ BE
TIGHTLINED TO DRYWELL
3. DRIVEWAY APPROACH TD
BE BROf]M FINISHED
~, k'~ ~ ~~"; `~...; ~-fit ~:. ~..
~',
CITY OF YELM ~~
RE'S/IDENTIAL BUI/LDING PERMIT APPLICATION FORM C1
Project Address:,% le l/0.~"7 V ~~ ~E Parcel #:~"~,;~~~~~~~1 ~~r~ `~'q/~/ O ~~~~
Sub ivision: ~f~l.pu'ri rt~,J-S~~k~i.5~ Lot #:~ Zoning; ~ ~~
~f
New Construction ^ Re-Model / Re-Roof /Addition ^ Home Occupation Sign
^ Plumbing ^ Mechanical ~ ~ /^ Mobile /Manufactured Home Placement ^ Other /
Project Description/ScopGe of Work: ~~[~L~~ ~~~1~~S~t~ ~~~/ ~J~i'7~~L(C~r~(J7'~J
Project Value: ~~~n ~~ ~`7~ ~~
L-L`L~ `-~~ Jl,
Building Area (sq. ft) 1~` Floor,~~ 2=d floor Garage ~1~" Deck
i
~~~\ Basement Carport Patio ®~
# Bedrooms -~ # Bathrooms Heating:~THER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? _
completed environmental checklist must accompany permit application.
If yes, a
BUILDING O E 'AME. ~ ' ~ ~t~' -
ADD SS EMA _
CITY ll eLlu STATE- ZIP TELEPHONE -
ARCHITECT/ENGINEEF2 -"'~'~ i LICENSE#
ADDRESS %b~ ?`~- EMAIL
CITY ~t Gt STATE ;% ZIP Ln ~ TELEPHONE
GENERAL CONTRACTOR .S~"/~~ /~}5 Lr7n~£~fELEPHONE
ADDRESS EMAIL '~
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE #~/V~j-~;~ EXP DATE_CITY LICENSE #
CITY(~~~STA'
CONTRA TOR' LICENSE
~I_Crrlulvt=L~.2. Tom, !'-;
EMAIL __ f
FAX
ATE CITY LICENSE #
TELEPHONE~~J ~'7~j ~3~'~j'
DATE CITY LICENSE #
Copy of mitigation agreement with Yelm Commun ~/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. /-~,
Applican Signature ,., ,_._.__:---~ ___ _:.__..___.._~__;~ -, Date
Owner / ontractor / Owlp~>~s Agent / ContractQr's_Agent (P~ase circle one.)
All permits are non-transfers a 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
PO Box 479 (360) 458-3144 FAX
Yelm, WA 98597 www.ci.yelm.wa.us