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BLD-05-0395FROM :YELM SEWER DEPT. 4O ~~r+ XELM W NOTOM FAX N0. :360-45B-f3166 Jun. 13 2006 11:53AM P1 FAX TRANSMISSION CITY OF Yr,LM P.D. BOX 479 -- 931 NP ROAD NE YELM, WA 98597 '\ .~~ 360-458-8411 ~~ ,~ FAX 360458-8166 TO: ~2 E ~ ~ E~ ., FAX#: From: t~,up~ DATE: ~~ 1 ~ - o ~ PAGES: (,including this Cover sheet Subject: 4-~aus~ ~~ u N t~~ ~~L~ i ~~(LA COMMENTS: L o } ~~ ~ ~ g-S-C G o~ 79l 1 d Y5-~ ~~ ~~~> . ~(: ~. ~ Cc-m i ~~~e~9 ST 5. C . ** if you do no[ receive all copies or any copy is not 4egiblc, please call (360) 458-84] 1 as soon as possible. W Q ~ G. ~ U Q. 0 ~ ~ W Z Q ~_ U_ M_ LL. W r ~ U J J W Q ~ Z O W F- ~ U W N Q rn C_ -~ m N N N zQ ~ ~ 3 3 00 N E 7 Z c c~ n. N .Q 3 Z .~ L a~ a rn C .~ m vi Y (0 m N C "O O ~ ~_ U ~ a o y U c _ ~ ~ ~ U a~ ~ n cn ai io 0 (d U W~ O rn C_ .d .~ m ~ C .~.. j a ~, m L a U_ y U 'O ~ U ~ o V N t0 ~ ~~~ ~ o ,, ~U ~ ~.~~ ~ v cm ~ o ~ ~ c ~?~ NFU ~ o~ ~ ~N w '~ O t N ti (0 3?~ c ~,~~ C w N .Q~ ~' E -o ~ o ~ ~ U Q ,.. C ~ ~ .N co U coo ~Q ~~ _N ~ L ~ H r CITY OF YEL1~1 INSPECTION LOG ,._._.. PROJECT (,~-~' 7~ ~l % /S~Z PER.'~9(T'~L'~1BER ~- D3Z ~ .~ ADDRESS ~ d yj !~ ~~Sr-y,- /~/~ SE- S~ SET B.~CtiS Date: Front ~Z. Rear Z~ SideFlarJ:inc /~ Side c. FOOTI~CREB.aR ~'~ ~nn~ mPn7c CO~lI31\ED FR~~IE/ E\TERIOR ~HE.aR ~~'.aLL I~Sf ECTIO\ Holy do~~ns ~ `;hear:~ailin~ Frsr,:e ~ _o~ t,.z:;, '~j~ ~, , Gas Propane- ~ P1ur,Fine ~ '~;echanic~l =i Sti-'-tip- z- , r c %. ~~ y "' Comments 1\St~L.aTIOti Comments FOOTI'.~G \'`'ALL 12'' ~ 6•, 16'• ~ fi•, other ^ other requited ~ ents Date: l2~~ r s \1'.aLL REB.aR -~~r Date: ~/-~c} as =' Electric ~ Other '~ Foam and Seal ~' \'apo r l ar, ier = P\'.~ SI{EET ROC}C,'SHE.-~R ~\'.-ALL ~.a(L Comments OT1{ER F}1,aL Se~~ er F:ral .-\d~resc Comments Comments Electrical ~i Cis it Final Landccape Fir,al ~_~ C c(0 ~ Insulation ~~ Site Drainace -, `;ide~~alk ,~ _... City of Yelm Community Development Department Building Division Phone: (360) 458-8407 Fax: (360)458-3144 Applic2lnt: Name: Evergreen State Builders Address: P.O. Box 39753 City: Lakewood Property Information: Site Address: 15851 Yelm Terra Way SE Assessor Parcel No. 85840000200 Subdivision: Yelm Terra Contractor Information: Name: Evergreen State Builders Contact: McCullem, Tom Address: P.O. Box 39753 City: Lakewood Contractor License No: EVERGSB980PB Expires: 10102106275 Permit Ivo: BLD-05-0395-YL Issue Date: 11/15/2005 (Work must be started within 180 days) Receipt No: 39249 Phone: 253.475.6622 State: WA Zip 98499 Lot: 2 Phone: 253-475-6622 State: WA Zip: 98499 Business License: 1042.0 Project Information: Project: Yelm Terra Description of Work: Plan 220012 Lot 2 Sq. Ft. perfloor: (1st) 1172 (2nd) 1028 (3rd) 0 Garage 480 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 ----------- 1,301.19 ---------- 993.75 ----------- 307.44 ---------- 5.6000 ---------- 54.9000 ------------- $1,000 Building Plan Review 549.75 0.00 0.00 0.0000 0.0000 Mechanical Permit 84.75 0.00 0.00 0.0000 0.0000 Plumbing Permit 118.00 20.00 98.00 7.0000 14.0000 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 5,417.00 0.00 5,417.00 5,417.0000 1.0000 ERU Fire District Impact Fee 578.88 0.00 578.88 0.2160 2,680.0000 square foot TOTAL FEES: $10,846.57 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 W~a~shiingt~o,,n.~'~ Signature ,~ i~r/~''~iw ~ ~'--....'"~--""''. Date ~,~'"" ~ D~ Firm _ ~.~ Sets of Prints; Final inspection: > %, f . 'BY~`_ Applicant: City of Yelm Community Development Department Building Division Phone: (360) 458-8407 Fax: (360) 458-3144 Permit Fees Schedule Permit No: BLD-05-0395-YL Name: Evergreen State Builders Phone: 253.475.8622 Address: P.O. Box 39753 City: Lakewood State: WA Zip 98499 Project Information: Project: Yelm Terra Description of Work: Plan 2200 /2 Lot 2 Site Address: 15851 Yelm Terra Way SE Assessor Parcel No. 85840000200 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 ----------- 1,301.19 ----------- 993.75 ---------- 307.44 ----------- 5.6000 ----------- 54.9000 ---------- $1,000 Building Plan Review 100 001-345-83-00 549.75 0.00 0.00 0.0000 0.0000 Mechanical Permit 032 001-322-10-00 84.75 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 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 5,417.00 0.00 5,417.00 5,417.0000 1.0000 ERU Fire District Impact Fee 105 001-345-85-00 578.88 0.00 578.88 0.2160 2,680.0000 square foot TOTAL FEES: $10,846.57 .-11 / 08/ 2005 15:48 2532843183 CAS RES N4Al~lF TDM PAGE 02 l~o~ ~V~~t~R~,~~ STA.T~ Bt1ILI]~RS ELM ~"~~tRA ~. X85 ~ YET~Nr TE~tR~L V'V''AY SaTJTHEAS~ Y~LI~V~, ~'A ~ 5Y0 .r t I ~ ~~ . \r 1 / ~ r STREET ~IGHT ~`. /~__ ~ ~ WATER LINE ~ Y~L.M 1`~RRA AVE. $E ~ ~~S~EWER LIN[ I ~ f I - „-- ~----- I SITE PLAN APPROVAL APPADYEb AS PACStNTED REVrE AND RC:~tRNtT PF,VIfWF,O RT (CLIF.NT~: .....~. PM1TF.~~ NOTCS~ ~~~ ^- ~~ ,...._._... ~.~.......~,...,...~a~.,:,~ ~ --~ --- ~ o 25' 658E n ~; - 9,0 44.0 ••-- 7, "' r "~ ' M &XY ~~ ~ ~. n+ rw ..,....~.....~.~ .l,~~_ _, ~ 105fh AVE.SE. ,'~ ~_ ~ SEWER LINE - ,_ .~..~. _ _ ~rt _ ~.~~ --- (~ /~ j~ ~ STFi~`ET LIGHT ~,~A~ No~rN p 200 cascAaE ~~siaENTIAL hL";~c~N, iNC:.. 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