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FROM :YELM SEWER DEPT.
FAX N0. :360-458-3166
May. 18 2006 09:32AM P1
OF Ttl[ I~p~
., M FAX TRANSMISSION
~;y~ ~ CITY OF YELM
P.O. BOX 479 - 931 NP ROAD NE
~~ ~ ~ ~ YELM, WA 98597
~\~~ 360-458-8411
FAX 360-458-8166
To: Gee ucN
FAX#:
DATA: S~17- a~O
P~4G~S: j ,including this
Cover sheet
From: ~ND ;~
Subject: Nou ~L. ~~r~.~13 ~.~ rrT , S ~N~~ 5~
COMMENTS: Lol z-I~ 1~S1R 91^`~ A~~'. S. E,
~~ ~~' you ~~ nc~~ ~~c~iv~ ail copies or ~y cQpy i~ ~lc~t ~e~~~~~, ~leas~ ca~~ ~3~i0~ 458841 ~
as loan ~s ~ss~k,l~,
CITY OF YELI~9 I;~$PECT10\ LOG
PROJECT_ fyl s ~y 2/s--/
PER'~91T'~l'!~9IIER pj ~ p3?jg
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Comments ' `~,~.;,,~~, ~~ ~ a
~~ City of Yelm
Community Development Department
~/ ~~ Building Division
Phone: (360) 458-8407
L Fax: (360) 458-3144
w~sHiNaTON
Applicant.
Name: Sunridge Homes, Inc.
Address: P.O. Box 73790
Property In#ormation
Site Address: 16519 92nd Ave. SE
Assessor Parcel No. 63540000400 Subdivisio
Contractor In#ormation:
Name: Sunridge Homes, Inc. Conta
Address: P.O. Box 73790 City:
Contractor License No: SUNRIH10054H Expire
Project In#ormaton:
Project: Mountain Sunrise, Division I
Description of Work: Plan 2151 S12, Lot 4
Sq. Ft. per floor: (1st) 845 (2nd) 1306 (3
Heat Type (Electric, Gas, Other): GAS
Fees.:
Item Item Fee Base Amt
Building Permit 100-500k 1,535.55 993.75
Building Plan Review 648.76 0.00
Mechanical Permit 78.25 0.00
Plumbing Permit 125.00 20.00
Sewer Inspection 145.00 0.00
Water ERU 1,500.00 0.00
Water Meter (SFD) 300.00 300.00
Water Deposit 40.00 40.00
Traffic Facilities Charge 757.50 0.00
Sewer Deposit 50.00 50.00
State Building Fee 4.50 4.50
Sewer ERU (LID) 2,769.00 0.00
TOTAL FEES: X7,953.56
Applicant's Affidavit:
City: Puyallup
Permit No: BLD-05-0339-YL
Issue Date: 1110112005
(Work must be started within 180 days)
Receipt No: 38981
Phone: 253-848-0820
State: WA Zip 98373
n: Mountain Sunrise, Div. I Lot: 4
ct: Dye, Kelli Phone: 253-848-0820
Puyallup State: WA Zip: 98373
s: 09127106270 Business License:
rd) 0 Garage 440 Basement 0
Unit Fee Unit Rate No. Units Unit Desc
541.80 5.6000 96.7500 $1, 000
0.00 0.0000 0.0000
0.00 0.0000 0.0000
105.00 7.0000 15.0000 Fixture
145.00 145.0000 1.0000 ERU
1, 500.00 1, 500.0000 1.0000 ERU
0.00 0.0000 0.0000
0.00 0.0000 0.0000
757.50 750.0000 1.0100 Peak PM Trip
0.00 0.0000 0.0000
0.00 0.0000 0.0000
2, 769.00 2, 769.0000 1.0000 ERU
OFFICIAL 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 restr'ctions of record. If applying as a contractor, I futher certify that I am currently
registered in the St of Washington. 'F[nal Inspec~on
:Date:
Signature . ; ~., Date ~ ~'
'~ By:
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~ YELM
P,O. Box 479
Y+
elm, wA 98597 RECEIPT No.
z 360-458.8403 3 8 9 8
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ww.wrwtor
RECEIVED
**~*SEVEN THOUSAND NINE HUNDRED FIFTY THREE DOLLARS & 56 CENTS
RECEIVED FROM DATE REC. N0. AMOUNT REF N0.
SUNRIDGE HOMES INC 11/01/05 389$1
7,953.56 CHECK PENDING
PO BOX 73790
PUYALLUP, WA 9$373 BUDGETARY. ~
BLD-05-0;39-YL ~ '~
SITE: 16519 92ND AVE SE
DIANA
BLDPR~~iT1535.55, PLMREV648.76, MECHPRMT7$.25, PL~tB125, S/INS145 ~
~~t/MTR300, W/DEP40 TRAFF757 ~ ~/ERU1500
. ~ .50, S/DEP50, STFEE4,50, S/ERU2769
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: ~~ ~~~/ ,~~~~" Parcel #: fd-~36/~DalCS - d~ rll "73,3 ~f ~
Sub 'vision:~Dtt~+~~~-SUh'~~ Lot #:~~ Zoning; ~~
New Construction D Re-Model / Re-Roof /Addition ^ Home Occupation Sign
^ Plumbing ^ Mechanical 0 Mobile /Manufactured Home Placement ^ Other
Project Description/Scope of Work: ~ ~ ~ k7 ~~~~~~ N~~L},/~~~~.L(C~'c lJ7'V
Project Value: ~ ~-~~1~
Building Area (sq. ft) 1~` Floor /3~~0 2'~`' Floor Garage ~/`l 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.
BUILDING'0 1..E AME: ~'
ADD SS ~ ~ E~+
CITY STATE ZIP TELEPHONE
ARCHITECTIEI~GINEE~ ~~~~cl ~ ~ - ~~ LICENSE #
ADDRESS L~ r ~ ~ ~ - EMAIL
CITY - 'STATE ZIP TELEPHON ~ ~ ~"
GE,N~RAL~CONTRACTOR .~~"/'1'l~ ~S u a~~fELEPHONE
ADDRESS EMAIL
CITY ~ STATE ____ ZIP FAX
CONTRACTOR'S UCENS #s;,~,f~~,~-~~E~XP DATE ~ CITY LICENSE #
__ _` I-~.i-~~ _ ~.
r . ~ 0 OR iC'~ ~~L ~ u~+:~t' F LEPHONE ~ ' ~~ ~ ~ ~`~_
~LUMB~~NG C NTRAC.T ,~,~i~C~ ~,~ _ _ ,~
ADDR ~ S ~ ~ ~ ` EMAIL
- ~.
CITY ~t~~'l. STA ~ ZiP ~ FAX
CON RAPTOR'S LICENSE # ~ l ~ C~.~" ' ~ EXP DATE CITY LICENSE #
~ =1~
N~~C~HAN~CAL CONTRACTOR '7/UC~-- TELEPHONE '~~ 3 ~'~7v~~- ~~'
ADDR SS ~~ EMAI
CITY ~ ~ STATE ZIP FAX ' , - ~'~
CONTRA TOR' LICENSE #~~~~ P DATE CITY LICENSE #
! ~I-~~
_____ Copy of mitigation agreement with Yelm community Scnoois, it applicaale.
I hereby certilyr 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 Yeim.
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Applican Signature .,~_ . ,_~-.~.~.-~~:~~:Y....__...~_..~.~...~.,...;,~ uaie
Owner I ontractor 1 Ow s Agent~l~Contracto~.s,Agent (PI ase circle one.}
All permits are non-transfers a an 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 Auenue West (360) 458-3835
PO Box 479 (360) 45&3144 FAx
Yelm, WA 98597 www.ci.yelm.wa.us
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CONTACT INFD
KELLI~ C253) 848-0820
"~ TA o MOUNTAIN SUNRISE, LOT 04
IN IN 1 '
BETWEEN STRUCTURES ~
~, ROOF RUNOFF TO BE S U N RI D G E CITY O F Y E LM
3, DR V LWAYD A PR RY HETL H 0 M ES INC.
I E OAC 0 ~
BE BROOM FINISHED p ~ BOX 73790 16519 92ND AVE SE
PUYALLUP, WA 98373 YELM, WA
PHA (253) 848-0820
FAX• (253> 539-0514 PARCEL # SCALES 1`=30' DATES 08-05-05
~~~~
~~~~
City of Yelm
Permit Application Check List
(360) 458-3835
Contact: Gary Carlson ~~garv~,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
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