BLD-05-0332FROM :YELM SEWER DEPT. FAX N0. :360-458-3166 Ju 1. 26 2006 10 : 31 AM P 1
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[\ YELM, WA 98597
~~~~\ 360-458-8411
PAX 360-458-8166
TO: GAF tl~~V DATE: 7-~6-0~
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T~ City of Yelm
Community Development Department
Community Development Department
Building Division
Building Division
Phone: (360) 458-8407
Phone: (360) 458-8407
Fax: (360) 458-3144
Fax: (360) 458-3144
W~tM140TOM
WAfNINOTON
Applicant
Applicant:
Name: Quadrant Homes
Name: Quadrant Homes
Address: P.O. Box 130 City: Bellevue
Address: P.O. Box 130 City: Bellevue
Property lnforma~ion:
Site Address: l ~~j ~~ C~,~Gt ~ ~~,
Assessor Parcel No. Subdivision: Tahoma Terra
Contractor Information:
Permit No: BLD-05-0332-YL
Issue Date: 10/10/2005
(Work must be started within 180 days)
Receipt No: 38510
Phone: 425-452-0332
State: WA Zip 98009
Lot: 33
Name: Quadrant Homes Contact: Phone: 425-646-8363
Address: P.O. Box 130 City: Bellevue State: WA Zip: 98009
Contractor License No: QUADRC*2210F Expires: 09110107253 Business License:
Project lnforma~cn
Project: Tahoma Terra, Division I
Description of Work: 1811 A12L, Demo lot 33
Sq. Ft. per floor: (1st) 718 (2nd) 1132 (3rd) 0 Garage 456 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 1,395.27 993.75 401.52 5.6000 71.7000 $1,000
Building Plan Review 906.92 0.00 0.00 0.0000 0.0000
Mechanical Permit 78.25 0.00 0.00 0.4000 0.0000
Plumbing Permit 139.00 20.00 119.00 7.0000 17.0000 Fixture
Sewer ERU (LID) 2,769.00 0.00 2,769.00 2,769.0000 1.0000 ERU
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
TOTAL FEES: $8,085.44
Applint'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 Washington.
Signature Date /~
Firm
OFFICIAL IJSE ONLY
Sets of Prints:
Final Inspection:
Date:
By:
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CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: Terra View ST SE, Yelm (Model) Parcel #:
Subdivision: Tahoma Meadow Div 1
Lot #: 33 Zoning;
R3
Q New Construction D Re-Model 1 Re-Roof I Addition ~ Home Occupation Sign
d Plumbing d Mechanical ~ Mobile l Manufactured Home Placement 0 Other
Project DescriptionlScope of Work: SFR (Basic Plan Series LS 1800-30, Plan # 1811 A)
Project Value:
Building Area (sq. ft) 1St Floor 718 2nd Floor 1,132 Garage 656 Deck 10 orch
Basement 0 Carport 0 Patio 150 (opt.)
# Bedrooms 3 # Bathrooms 3.5 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.auadranthomes.com
CITY Bellevue STATE WA ZIP 98009 TELEPHONE 425-452-0332
ARCHITECTIENGINEERCT Engineering LICENSE # CT16520BTL35666SSF38567
ADDRESS 180 Nickerson St., Suite 302 EMAIL jrai(a~ctengineerinq.com
CITY Seattle STATE WA ZIP 98109- TELEPHONE1206) 285-4512
GENERAL CQNTRAC70R Quadrant Homes
ADDRESS PO Box 130 EMAIL charley.reidna.quadranthomes.com
CITY Bellevue STATE WA ZIP 98009 FAX 425-646-8363
CONTRACTOR'S LICENSE # QUADRC*2210F EXP DATEo9i~o~o7CITY LICENSE #
PLUMBING CONTRACTOR Peltram Plumbinq_TELEPHONE 253-891-8781
ADDRESS 164 Stewart Road SW EMAIL
CITY Pacific STATE WA ZIP 98047 FAX 253-891-9248
CONTRACTOR'S LICENSE # PELTRP1075DZ EXP DATEo~io2~o6CITY LICENSE #
MECHANICAL CONTRACTOR Bog's NEW CONSTRUCTION, ANC. TELEPHONE 425-889-9345
ADDRESS 13633 NE 126T" Place, Suite 350 EMAIL
CITY Kirkland STATE WA ZIP 98034 FAX 425-889-0630
CONTRACTOR'S LICENSE # BOBSNNC9776B EXP DATEosio2~o5CITY 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.
on behalf of Quadrant Homes
Applicant' Signature Date
Owner 1 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
912612005
105 Yelm Avenue West (360) 458-3835
PD Box 479 (360) 458-3144 FAX
Yelm, WA 98597 www.ci.yelm.wa.us