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o~ T~ City of Yelm
Communi Develo ment De artment
M ~ p p
a
Building Division
Phone: (360) 458-8407
L Fax: (360) 458-3144
w~sNwoTON
Applicant:
Name: Quadrant Homes
Address: P,O. Box 130 City: Bellevue
Phone: 425-452-0332
State: WA Zip 98009
Property Information;
'~' ~~ ~~ ~
Site Address: I~ ~~ ja
Assessor Parcel No. Subdivision: Tahoma Terra Lot: 31
Contractor Information:
Name: Quadrant Homes Contact: Phone: 425-646-8363
Address: P.O. Box 130 City: Bellevue State: WA Zip: 98009
Contractor License No: QUADRC*221OF Expires: 09110107253 Business License:
Projecfi Information:
Project: Tahoma Terra, Division I
Description of Work: 1319 B12L, Demo lot 31
Sq. Ft. per floor: (1st) 612 (2nd) 740 (3rd) 0 Garage 200 Basement 0
Heat Type (Electric, Gas, Other): GAS
Fees;
Item Item Fee
Building Permit 100-500k 1,111.91
Building Plan Review 722.74
Mechanical Permit 51.75
Plumbing Permit 97.00
Sewer ERU (LID) 2,769.00
Sewer Inspection 145.00
Water ERU 1,500.00
Water Meter (SFD) 300.00
Water Deposit 40.00
Traffic Facilities Charge 757.50
Sewer Deposit 50.00
State Building Fee 4.50
TOTAL FEES: $7,549.40
Base Amt Unit Fee Unit Rate
993.75 118.16 5.6000
0.00 0.00 0.0000
0.00 0.00 0.0000
20.00 77.00 7.0000
0.00 2, 769.00 2, 769.0000
0.00 145.00 145.0000
0.00 1, 500.00 1, 500.0000
300.00 0.00 0.0000
40.00 0.00 0.0000
0.00 757.50 750.0000
50.00 0.00 0.0000
4.50 0.00 0.0000
No. Units Unit Desc
21.1000 $1, 000
0.0000
0.0000
11.0000 Fixture
1.0000 ERU
1.0000 ERU
1.0000 ERU
0.0000
0.0000
1.0100 Peak PM Trip
0.0000
0.0000
Applicant's Affidavit:..
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.
Permit No: BLD-05-0336-YL
Issue Date: 1012112005
(Work must be started within 180 days)
Receipt No: 38698
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
~y:
~~~~ THFa CITY OF
4 ~ YELM
YeP~'WA s8 s7 RECEIPT No. 3 8 6 9 8
z 360-458-8403
~~ MA.NiN6TOM
RECEIVED
****SEVEH THOUSAND FIVE HUNDRED FORTY NINE DOLLARS & 40 CENTS
RECEIVED FROM DATE REC. N0. AMOUNT REF N0.
QUADRANT HOMES 10/21!05 38698 7,549.40 CHECK 0248659
PO BOX 130
BELLEVUE WA 980@9 BUDGETARY
LOT 31 TAHOMA TERR DIV 1- DEMO
JANINE
PERMIT 1111.91, PLAN 722.74, MECH 51.75 PLUBM 97, SWR ERU 2769
WTR ERU 1500, METER 300, DEPOSIT 90, TRAFFIC 757.50 BC 4.50 BLD-05-0336-YL
City of Yelm Permit Fees Schedule
Community Development Department ~~ ~ ~ Permit No: BLD-05-0336-YL
Building Division
r Phone: (360) 458-8407 ~CT ~ ~ ~C~QS
"~~~~ Fax: (360) 4583144
~~~~~~ CITY CJF YEt,I~
li nt. J
App ca
Name: Quadrant Homes Phone: 425.452-0332
Address: P.O. Box 130 City: Bellevue State: WA Zip 98009
Project Inormativn:
Project: Tahoma Terra, Division I
Description of Work: 1319 B12L, Demo lot 31
Site Address: Assessor Parcel No.
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 -----------
1,111.91 -----------
993.75 -----------
118.16 -----------
5.6000 -----------
21.1000 -------------
$1,000
Building Plan Review 100 001-345-83-00 722.74 0.00 0.00 0.0000 0.0000
Mechanical Permit 032 001-322-10-00 51.75 0.00 0.00 0.0000 0.0000
Plumbing Permit 032 001-322-10-00 97.00 20.00 77.00 7.0000 11.0000 Fixture
Sewer ERU (LID) 802 412-343-50-01 2,769.00 0.00 2,769.00 2,769.0000 1.0000 ERU
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 420120-345-85-00 757.50 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
TOTAL FEES: $7,549.40
o~ T~ City of Yelm
Communi Develo
~ tY p
Building Division
Phone: (360) 458-8407
WASHINGTON Fax: (360) 458-3144
Applicant:
Name: Quadrant Homes
Address: P.O. Box 130
Project Information:
Project: Tahoma Terra, Division I
Description of Work: 1319 B12L, Demo lot 31
ment Department
City: Bellevue
Permit Fees Schedule
Permit No: BLD-OS-0336-YL
Phone: 425-452-0332
State: WA Zip 98009
Site Address: Assessor Parcel No.
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 1,111.91 993.75 118.16 5.fi000 21.1000 $1,000
Building Plan Review 100 001-345-83-00 722.74 0.00 0.00 0.0000 0.0000
Mechanical Permit 032 001-322-10-00 51.75 0.00 0.00 0.0000 0.0000
Plumbing Permit 032 001-322-10-00 97.00 20.00 77.00 7.0000 11.0000 Fixture
Sewer ERU (LID) 802 412-343-50-01 2,769.00 0.00 2,769.00 2,769.0000 1.0000 ERU
Sewer Inspection 805 412-343-80-00 145.00 0.00 145.00 145.0000 1.0000 ERU
Water E RU 715 401-343-80-02 1, 500.00 0.00 1, 500.00 1, 500.0000 1.0000 E R U
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 420120-345-85-00 757.50 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
TOTAL FEES: $7,549.40
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: Terra View ST SE, Yelm (Model) Parcel #:
Subdivision: Tahoma Meadow Div 1 Lot #: 31 Zoning; R3
Q New Construction ~ Re-Model 1 Re-Roof /Addition ~ Home Occupation Sign
~ Plumbing ~ Mechanical ~ Mobile I Manufactured Home Placement ~ Other
Project DescriptionlScope of Work: SFR (Basic Plan Series LS 1390-24, Plan # 1319 B)
Project Value:
Building Area (sq. ft) 1St Floor 612 2nd Floor 740 Garage 200 Deck 56 orch~
Basement 0 Carport 0 Patio 150 (opt.}
# Bedrooms 3 # Bathrooms 2 Heating: GAS OTHER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? No If yes, a
completed environmental checklist must accompany permit application.
BUILDING OWNER NAME: Quadrant Homes
ADDRESS PO Box 130 EMAIL charley.reidna.Quadranthomes.com
CITY Bellevue STATE WA ZIP 98009 TELEPHONE 425-452-0332
MECHANICAL CaNTRACTOR Bog's NEW CONSTRUCTION INC. TELEPHONE 425-889-9345
...::.......:. .
ADDRESS 13633 NE 126 "Place, Suite 350 EMAIL
CITY Kirkland STATE WA ZIP 98034 FAX 425-889-0630
CONTRACTOR'S LICENSE # BOBSNNC9776B EXP DATEo9io2io5CITYLlCENSE #
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.
on behalf of Quadrant Homes
9126!2005
Applicant' Signature Date
Owner l Contractor I Owner's A ent Contractor's Agent (Please 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) 458-3835
PO Box 479 (360) 458-3144 FAX
Yelm, WA 98597 www.ci.yelm.wa.us
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~ OVA s~T~~ ~RO~D~D FOR YOUR ~FOR~AT~O ONLY. ~~ ~~ ~~~ ~T~~DD TO sx0 A.LLL ~A~R~
RELATED TO TRF PROFFRTY, INCLUDI~10 RU'I` NOT L~~~'FD TO, AREA, DI~[FNSIONS, EE~[ETS, F~10RO~AC~ENTS
OR ROUN'DARY LOOA.TIt~NS NOR S IT INTENDED TO RE USED FOR LEGAL DESORIPTION OR SURY'EY PURF05ES.
'`E ENOOURA~E YOUR REFERENCE TO .AOTUAL DOO NTS, TITI~ SE~.ROHES ACID CO~ENTS OR SURYEYS
RELATED TO THE PROPERTY FOR FURTHER INFORMATION'.