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BOX 479 - 931 NP ROAD NE YELM, WA 98597 % ~ ~ 360-458-8411 ~~' FAX 360-458-8166 :, TO: CsQZE k1C-N FAX#' From: ~~}~JO j DATE: 5 -y- o (~ PAGES: 1 ,including this Cover sheet Subject: you5~ p~n~fl~s/`?c-Zm ~~~Z~ COMMENTS: 1-01 q, ~~~°~ Y~=~m Tc-b~~ wA~2 S~E L_oT ll~ 1577 YCLm ~2P~ Wfl" S.L . . not le ibfe, tease call (360} 458-8411 ~ ~ ~ reco~v~ all ~o~~es or a~ay copy ~s g P i ~ you do not as soon as possible. o~T~p City of Yelm ~9 Community Development Department a Building Division Phone: (360) 458-8407 L WAENINGTON Fax: (360) 458-3144 Applicant: Permit No: BLD-05-0300-YL Issue Date: 0912312005 (Work must be started within 180 days) Receipt No: 38326 Name: Evergreen State Builders Phone: 253.475.6622 Address: P.0. Box 39753 City: Lakewood State: WA Zip 98499 Property info~na~ian; Site Address: 15787 Yelm Terra Way SE Assessor Parcel No. 85840001100 Subdivision: Yelm Terra Lot: 11 Contractor tnforr~a~on: Name: Evergreen State Builders Contact: McCullem, Tom Phone: 253-475-fi622 Address: P.0. Box 39753 City: Lakewood State: WA Zip: 98499 Contractor License No: EVERGSB980PB Expires: 10102106275 Business License: 1042.0 Prot Information: Project: Yelm Terra Description of Work: Plan 220012 Lot 11 Sq. Ft. per floor: (1st) 1172 (2nd) 1028 (3rd) 0 Heat Type (Electric, Gas, Other): GAS Fees: Item --------------------------- Building Permit 100-500k Building Plan Review Mechanical Permit Plumbing Permit Sewer Inspection Water ERU Water Meter (SFD) Water Deposit Traffic Facilities Charge Sewer Deposit State Building Fee Sewer ERU TOTAL FEES: Garage 480 Item Fee Base Amt Unit Fee Unit Rate 1, 301.19 993.75 307.44 5.6000 549.75 0.00 0.00 0.0000 84.75 0.00 0.00 0.0000 118.00 20.00 98.00 7.0000 145.00 0.00 145.00 145.0000 1, 500.00 0.00 1, 500.00 1, 500.0000 300.00 300.00 0.00 0.0000 40.00 40.00 0.00 0.0000 757.50 0.00 757.50 750.0000 50.00 50.00 0.00 0.0000 4.50 4.50 0.00 0.0000 5,417.00 0.00 5,417.00 5,417.0000 $10,267.69 Basement 0 No. Units Unit Desc 54.9000 $1, 000 0.0000 0.0000 14.0000 Fixture 1.0000 ERU 1.0000 ERU 0.0000 0.0000 1.0100 Peak PM Trip 0.0000 0.0000 1.0000 ERU 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 Washington. Signature ,~- Date ''~ ~ ~'~ Firm ~ OFFICIAL USE ONLY #Sets of Prints: Final Inspection: Date: By: p1cT~p City of Yelm 4~ Community Development Department a Building Division Phone: (3fi0) 458-8407 L MINCTGN Fax: (360) 458-3144 Applicant: Name: Evergreen State Builders Address: P.O. Box 39753 City: RrQ,~ot lnf~rmatian: Project: Yelm Terra Description of Work: Plan 2200 !2 Lot 11 Site Address: 15787 Yelm Terra Way SE Fees: Item Acct Code --------------------------- -------------- Building Permit 100-500k 032 001-322-10-00 Building Plan Review 100 001-345-83-00 Mechanical Permit 032 001-322-10-00 Plumbing Permit 032 001-322-10-00 Sewer Inspection 805 412-343-80-00 Water ERU 715 401-343-80-02 Water Meter (SFD) 712 401-343-80-01 Water Deposit 740 402-389-00-00 Traffic Facilities Charge 420120-345-85-00 Sewer Deposit 742 402-389-01-00 State Building Fee 160 001-386-00-00 Sewer ERU 802 412-343-50-01 TOTAL FEES: Lake Permit Fees Schedule ~A ~D Permit No: BLD-05-0300-YL ~~.~~ ~~p ~ 3 2005 C~-jY pF YELM `j~a3a~ Phone: 253.475.6622 wood State: WA Zip 98499 Assessor Parcel No. 85840001100 Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc ----------- 1, 301.19 ----------- 993.75 ----------- 307.44 ----------- 5.6000 ----------- 54.9000 ------------- $1, 000 549.75 0.00 0.00 0.0000 0.0000 84.75 0.00 0.00 0.0000 0.0000 118.00 20.00 98.00 7.0000 14.0000 Fixture 145.00 0.00 145.00 145.0000 1.0000 ERU 1, 500.00 0.00 1, 500.00 1, 500.0000 1.0000 E R U 300.00 300.00 0.00 0.0000 0.0000 40.00 40.00 0.00 0.0000 0.0000 757.50 0.00 757.50 750.0000 1.0100 Peak PM Trip 50.00 50.00 0.00 0.0000 0.0000 4.50 4.50 0.00 0.0000 0.0000 5,417.00 0.00 5,417.00 5,417.0000 1.0000 ERU $10,267.69 L.~ N M o z ,, u: f__ J Yelm Community Sc PO hoofs Box 4lfi Yelm Wa gS591 Clerk; Te rm i na 1; Croy Rece i t ; 1 Manua Rece ' 4694 lpt, EVERGREEN DISTRICT OFFICE EVERGREEN STATE, BU ' TIDING LLC ' 9l 23/2005 2 ;11 PM Qt Item '-~----_.......__-_._.____..~ C e 1 CPF2900 MITIGATION 5153.00 YELM TERRA LOTS l5 , 78, 82 Yelm Community ~ols - PO Box 476 - _ -~ Yelm, WA 98597 Clerk; Croy Terminal ; 1 Rece i t ; 4693 Manua Receipt ; EVERGREEN DISTRICT OFFICE EVERGREEN STATE, 6UILDING LLC 912312005 2 ;16 PM Qt Item Price 1 CPF2900 13686,00 MITIGATION YELM TERRA DEVELOPMENT Subtota 1; Tax; 5133, 00 Subtotal ; 13688 00 Total ; 0.00 5133,00 Tax ; Total ; , 0 , 00 13688,00 Check 10424 5133 , 0 0 Check 13688 , 00 10405 LOTS ,11,34,35,36 6, 1, 9,10 Amount Due ; 0 , 00 Amount Due ; 0 , 00 0 N 0911512005 17:00 2532843183 CAS RES NI~AF TD~1 PAGE 05 SOT 11 EVERGREEN STATE BUILDERS YELM TRRRA 15~8T YELM TERRA i5~ YELM, WA ~~~E~T~~I~~~ - --~, WATER LICE --~~----~r~~---~-~~-- Y ~.M ?~~~A WAY ~ _ ~ ~~- ~_ =_~~- -~- BEWE RBI C`~- - T - ~, ,~ - - - I~ - ~ I~ ~~t ~ ~ ~ i ~ ~ ~~ b~iVEWAY ~ y .~. _ , ,..,._ 1 ~~ C1R I~~ ~~ ( ~ ~ ~ ~~ ALAN 2~Q~ ~~ ~ ~~ ~ I ~ ~ ~ ~m ~ ~ ~~A~A~~ ~.~. ~L ~ I~ ~ ` _~, __ ~- ^- ND1NP _' ~~ ~~~~ ~ `~ I ~ ~' - ! SIaE1NALK ., /~~ O/ ~I~E PL.A~I AP.,P~~~IA~ ~~~ r,r_ ~PPRDVEb d" PRFr.,F.N1`ED RfUI°F AtdD aE5UB-~IT ~.~~Y REYIEN~LD PY (CUEN57~ DA11=' NOTE5~ CURB ~ ~~th`~AV~.~~. BEV~l~I~ LINE ---- .-.-~.- ,~--~~,,,,_,~,..---------.~ _.,_ ~T~EET ,I.IGI-~T '' r,.~ ~!.1 it ' `~,. ,M,.r • ~ ors 'A4~ .~w •.a.w++.+F_ ....-. -..r-~s. r.~a.,..ry,s...c.ray '~'r.+' I R~ ~ ~~. I ~ 20~~ ~~~~:,~aE Rr:sir~EN-~~~ni_ ar'~I~I~~ in,c~ ~~~~~ 1' : ~~' THIS I~RaWING As sA5>'b 01~ ri.i~NS-rRbvloFa IMFORt~ATiOrr aEf ~E~F~I'~Eb Tb ~F ncC11~ATC nNb RLI.Ine~E. q~lv plsc~EpnNblEs a~TWEChI TH15 baAWihlr nrlo TWL ACTUAL ITC trON17~TI~NS qRE THE GOLF. RESPONSIUfLITY bF 'fI~L ~l,l~t~T~ WAY SOUTfiF~1iST WA~i