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~~~~~~~~~~~~~~~ -COMM. JOURNAL- ~~~~~~~~~~~~~~~~~~~ DATE MAY-17-2005 ~~~~~ TIME 20:02 ~~~~~~~~
MODE = MEMORY TRANSMISSION
FILE Na.=635
STN COMM. KEY NAME
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START=MAY-17 20:01 END=MAY-17 20:02
STATION NAME/EMAIL ADDRESS/TELEPHONE N0. PAGES DURATION
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FROM :YELM SE~JER DEPT.
FAX N0. :360-458-8166 May. 10 2006 02:3aPM P1
OE tH8 p~
:~ ~L?; FAX TRANSMISSION
$y CITY OF YELM
P.O. BOX 479 - 931 NP ROAD NE
J YELM, WA 98597
~~~ ~ 360-458-8411
FAX 3G0-458-8166
To: GR~icN~N
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FAX#:
From: ~~},V~~
DATE: 5-/O-oL
PAGES: 1 , Xncludxng this
Cover sheet
Subject: NouSL-" ~i,~q~s/mT, sgnS,2~S~
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~ Ci of Yelm Permit Ivo: BLD-05-0366-YL
Community Development Department Issue Date: 11101/2005
Building Division (Work must be started within 180 days)
Phone: (360) 458-8407 Receipt No: 38973
y Fax: (360) 458-3144
WAiMINOTON
Applicant.
Name: Sound Built Homes, Inc. Phone: 253-848-0820
Address: P.O. Box 73790 City: Puyallup State: WA Zip 98373
Property Inforrna~Qn
Site Address: 16520 92nd Ave. SE
Assessor Parcel No. 63540004600 Subdivision: Mounta in Sunrise Lot: 46
Contractor Information:
Name: Applicant Contact: Phone:
Address: City: State: Zip: 98373
Contractor License No: Expires: Business License:
Project nforma~an:
Project: Mountain Sunrise
Description of Work: 2068 A SFR, lot 46
Sq. Ft. per floor: (1st) 1134 (2nd) 926 (3rd) 0 Garage 430 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 1,490.19 993.75 496.44 5.6000 88.6500 $1,000
Building Plan Review 629.05 0.00 0.00 0.0000 0.0000
Mechanical Permit 78.25 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 E RU 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 (LID) 2,769.00 0.00 2,769.00 2,769.0000 1.0000 ERU
TOTAL FEES: $7,881.49
Applicants Affadavit:
Qf FICIA~ 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 Qf Pnnts:
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 a State of Washington. Final tnspeotion:
Date:
Signature ~ Date . ~ ~ ~~'""
Firm ~~'
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CONTACT INFO
KELLI= (253> 848-0820
~- MOUNTAIN SUNRISE, LOT 46
1, MAINTAIN 10' ~
BETWEEN STRUCTURES
z. R~~F RUNOFF TD BE S 0 U N D BU I LT CITY 0 F YE LM
TIGHTLINED TD R~ACHET~ H 0 M ES INC.
3, DRIVEWAY APP i
BE BROOM FINISHED P,o, BOX 73790 16520 92ND AVE SE
PUYALLUP, WA 98373 YELM, WA
PH• (253) 848-0820
FAX C253> 539-0514 PARCEL # SCALES 1'=30' DATE= 08-OS-OS
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P.O. Box 479
Yelm, wA 98597 RECEIPT No. ;
z 360-458-8403 3 8 9 1. ..
.~.~~, 3
RECEIVED
****SEVEN THOUSAND. EIGHT HUNDRED EIGHTY ONE
DOLLARS & 49 CENTS ~
RECEIVED FROM DATE REC. N0. AMOUNT ~ ' ~ REF. N ,
0
SOUND BUILT HOMES INC 11/01/05 38973.
7,881.49 CHECK PENDING
PO BOX 73790
PUYALLUP, WA 98373 BUDGETARY
BLD-05-0366~YL
SITE: 16520 92ND AVE SE
BLDPRMT1490.19, PLNREV629.05, MECHPRMT78.25, PLMB118 S/INS1
W/MTR300, w/DEP40 TRAFF7 45, W/ERU1500
57.50, S/DEP50, STFEE4.50, S/ERU2769
CITY OF YELM
RESIDENT/IfAL BUILDING PERMIT APPLICATION FORM
• ~ AI 'IL'1}~Ti ~~ Parcel #: ~O ~'~.3~ ~ «`~~ ~11 '1 ~~D1
reject Address. ~~ 1 /~~~ l(~
P
Subdivision: ~ ~/~6~~Lot #: Zoning;
New Construction ~ Re-Model 1 Re-Roof /Addition ~ Home Occupation Sign
~ Plumbing D Mechanical 0 Mobile 1 Manufactured Home Placement D Other
Project Description/Scope of Work: ~~ ~~~'~t~ F~m~u" tit ~ 1/~- ~ ~~
• `,~'
Project Value.
Building Area esq. ft) 1 ~ Floor ~/ 2"d Floor Garage ~{ Deck
Basement Carport Patio
# Bedrooms # Bathrooms ~ Heating' THER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? if yes, a
completed environmental checklist must accompany permit application.
~UiLDINGOWNER NAME:.~4~c N'. ~ 1 t~ ~ -- ~ ~
ADDRESS ~ f~ • L3bX ~~~~ EMAIL ~ ~ ~~_ ~ ~ C'd ~-.
CITY ~ ~ STATE~V~ ZIP~~~ TELEPHONE ~ ~- ~! r!~ ~
ARCHITECT/EI~GI ~ E ~ LICENSE #
ADDRESS Cl f . ~ EMAIL
CITY~~~1~ STATE ~/~- ZIP .TELEPHON ~ ~7 ` ~~~
GEN~,RALCONTRA~TQR~~~f~s _ ~~~ ~ TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE #~~!/U~/~ ~7~ EXP DATE CITY~LICENSE #
P.LUM~ING C CTO . ~C ~~~~ ~'.1~VL° TELEPHONE ~' 33~. ~?-. ~ `~
ADDR SS: ~ ~, ~ ~..... EMAIL
CITY ~ STAT 1;~ - ZI>~,~ 3 _FAX~, -
„~,,,
CONTRACTOR'S LICENSE #,,~/G~C~~~:XP DATE ~ CITY LICENSE #
M~ 4~~HANICAL CONTRACTOR~~,~ ~ ~ TELEPHONE~,~3~~7~~~~~~~
ADDR ~'c~" ~~- EMAIL
CITY L STAT ZIP ~~~ FAX ~~ ~ ~ 7!~ ~
CONTRACTOR'S LICENSE #~1JVD~~~i'( EXP DATE CITY LICENSE #
Copy of mitigation agreement with Yelm Community 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.
Applicar~'s Signature -~=~= ~ ~~-----~~~~= ~~~~-..~ Date
Owner 1 Contractor 1 Ow s ctor's A ent P se circle one.)
All permits are non-transferable 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) 45&3835
PO Box 479 (360) 458-3144 FAX
Yetm, WA 98597 www.ci.yelm.wa.us
~~~~
~~lr ~~-
City of Yelm
Permit Application Check List
(360) 458-3835
Contact: Gary Carlson ~ar~(a~ci•yelm.wa.us~
This is required to apply for a permit off of an
approved base flan:
1. 1 Application (include approved base plan #)
2. 1 Site plan