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City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:
Name: DGR Capital
Address: P.O. Box 1791
Property Information:
Site Address: 807 Mt. Aire Lane
Assessor Parcel No.
Contractor Information:
Name: American Dream Concepts
Address: 390 4th Ave. SE
Contractor License No: AMERIDC9516M
Project Information:
Project: Mt. Aire Short Plat
Description of Work: 3002 sf SFR
Sq. Ft. per floor: (1st) 1489 (2nd) 1513
Heat Type (Electric, Gas, Other): GAS
Fees:
Permit No: BLD-05-0644-YL
Issue Date: 07/21/2006
(Work must be started within 180 days)
Receipt No: 42878
Phone: 458-1502
City: Yelm State: WA Zip 98597
Subdivision: Mountain Aire
Contact:
City: Pacific
Expires: 01/14/0714
(3rd) 0 Garage 621
Basement 0
Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
Building Permit 100-500k ---------
2,121.03 ---------
993.75 ----------
1,127.28 -------
5.6000 -------
201.3000 ------------
$1,000
Building Plan Review 1,378.66 0.00 0.00 0.0000 0.0000
Mechanical Permit 91.25 0.00 0.00 0.0000 0.0000
Plumbing Permit 146.00 20.00 126.00 7.0000 18.0000 Fixture
Sewer ERU 5,569.00 0.00 5,569.00 5,569.0000 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
Fire District Impact Fee 782.57 0.00 782.57 0.2160 3,623.0000 square foot
State Building Fee 4.50 4.50 0.00 0.0000 0.0000
TOTAL FEES: S12,885.51
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 zonin and land subdivision, and in addition, all covenants,
easements and restri ions of record. If a yi as a contractor, I futher certify that I am currently
registered in th St of Washington.
Signature ~, ~~. ~. Date ~ ~~- -~~
Firm
#Sets of Prints:
Finallnspe a
Lot: 3
Phone: 253-735-2222
State: WA Zip: 98047
Business License:
PER2121.03.PL1378.66.HECH91.25.PLUN146..SERU5569..SINSP145.WERU1500.WMET300.
WDEP40.TRAF 757.50 SDEP50.FIRE782.57.ST 4.50
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360)458-3144
Applicant:
Name: DGR Capital
Address: P.O. Box 1791
Project Information:
Project: Mt. Alre Short Plat
Description of Work: 3002 sf SFR
Site Address: 807 Mt. Aire Lane
Fees
City: Yelm
Item Acct Code Item Fee
Building Permit 100-500k 032 001-322-10-00 2,121.03
Building Plan Review 100 001-345-83-00 1,378.66
Mechanical Permit 032 001-322-10-00 91.25
Plumbing Perrnit 032 001-322-10-00 146.00
Sewer ERU 802 412-343-50-01 5,569.00
Sewer Inspection 805 412-343-80-00 145.00
Water ERU 715 401-343-80-02 1,500.00
Water Meter (SFD) 712 401-343-80-01 300.00
Water Deposit 740 402-389-00-00 40.00
Traffic Facilities Charge 420 120-345-85-00 757.50
Sewer Deposit 742 402-389-01-00 50.00
Fire District Impact Fee 105 001-345-85-00 782.57
State Building Fee 160 001-386-00-00 4.50
TOTAL FEES: 572,885.51
Assessor Parcel No.
Permit Fees Schedule
Permit No: BLD-05-0644-YL
Phone: 458-1502
State: WA Zip 98597
Base Amt Unit Fee Unit Rate No. Units Unit Desc
993.75 1,127.28 5.6000 201.3000 $1,000
0.00 0.00 0.0000 0.0000
0.00 0.00 0.0000 0.0000
20.00 126.00 7.0000 18.0000 Fixture
0.00 5,569.00 5,569.0000 1.0000 ERU
0.00 145.00 145.0000 1.0000 ERU
0.00 1,500.00 1,500.0000 1.0000 ERU
300.00 0.00 0.0000 0.0000
40.00 0.00 0.0000 0.0000
0.00 757.50 750.0000 1.0100 Peak PM Trip
50.00 0.00 0.0000 0.0000
0.00 782.57 0.2160 3,623.0000 square foot
4.50 0.00 0.0000 0.0000
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CITY OF YELM ~_
f ~ 1DENTIAL BUILDING PERMIT APPLIC/ ~N FORM
Project Address: P~C~~ t'~1{ ~'t~. (G~I~-1~ Parcel #:
Subdivision: YID, H ~%`~- ~F~ ~`'`j Lot #: ~~ Zoning;
-New Construction u Re-Model / Re-Roof /Addition u Home Occupation Sign
u Plumbing u Mechanical u Mobile /Manufactured Home Placement u Other f
Project Description/Scope of Work: /~~c'.w ~ ~S'f~~c=~~ ~~ ~% /~~/ZaUs~t ~~ Sir ~-~~z~ l
Project Value: ~ ~ C~C'= C~C~ .."°
Building Area (sq. ft) 1~' Floor ~y~~ 2"d Floor ~~3 Garage ~ Decker
Basement Carport Patio
# Bedrooms # Bathrooms Heatin :GAS/ 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.
~G~~
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BUILDING OWNER NAME ~T)('„ Q. Cc.~:~cA-~ I~c1L-
ADDRESS Fem. l G ~ EMAIL
CITY ~(~ STATE CV ft ZIP ~f"~/7~ TELEPHONE ?~r~ ~/S43 fSa~
ARCHITECT/ENGINEER h(~l C IP~~ LICENSE #
ADDRESS ~ ~(aL `' "t~ 5~., ..5~-~ 5 v =~~ C EMAIL
CITY 1. iso~~l STATE t t~ ZIP `l8 ~i9 TELEPHONE ?~S3 '- C9~- a~ 'Sf
GENERAL CONTRACTOR OC,JL. Cc.~; I (~L TELEPHONE 3l0['~ ~IS~ 1 ~~a-
ADDRESS `I~~G. ~~_ (mac( EMAIL
CITY YElrvt STATE~~.~i ZIP Y43~'`i~ FAX_=3C.~v ~-fS£~ fo2S3
CONTRACTOR'S LICENSE # Q6/I f21DL~( EXP DATEQ~CITY LICENSE #
PLUMBING CONTRACTOR~n~-~zr~~cr ~ `- ~r~c~r~ TELEPHONE ~S 3 ~:3; - Z~2~.
ADDRESS 3 `t ~ '"' A.;~ 5 ~ EMAIL
CITY ~CLC ~° r ~- STATE L~Fl ZIP 9~c36~1 ~ FAX ,~°5 j- ~%~ ~~ _ LW 1
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
MECHANICAL CONTRACTOR'R~.~;~I ~1t~,ice Nc~~ln~~; TELEPHONE ~S ~~ - S3 ~'' ~ ~ 03
ADDRESS ,' Z L~C3 `~~ 3 ~'"' ~~ £. EMAIL
CITY T~c~r~•-R STATE ZIP `"~ ~f~~ FAX ~ S _~~l - 003
CONTRACTOR'S LICENSE #aL C ~/ q~~`'G ~ EXP DATES 0~ ITY 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. r---~,~
A 'cant's Signature Date
Owne /Contractor /Owner's Agent /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 Weat (360) 458-3835
PO Box 479 (360) 453144 FAX
Yelm, WA 98597 www.ci.yelm.wa.ua
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Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 2
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Search
Home Safety Claims $ insurance Workplace Rights Trades $ Licerasing
Find a Law or Rule Get a Form or Publication'
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',General/Specialty Contractor
„'A business registered as a construction contractor with L&I to perform construction work within the scope
`'of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment
'of account and carry general liability insurance.
License Information
License AMERIDC951 BM
Licensee Name AMERICAN DREAM CONCEPTS LLC
Licensee Type CONSTRUCTION CONTRACTOR
UBI 602460080 Verify Workers Comp Premium
S.tat~s
Ind. Ins. Account
Id
Business Type LIMITED LIABILITY COMPANY
Address 1 390 4TH AVE SE
Address 2
City PACIFIC
County KING
State WA
Zip 98047
Phone 2537352222
Status ACTIVE
Specialty 1 GENERAL
Specialty 2 UNUSED
Effective Date 1 /14/2005
Expiration Date 1 /14/2007
Suspend Date
Separation Date
Parent Company
Previous License AMERIDC004BL
Next License
Associated
License
https://fortress.wa.gov/lni/bbip/Detail.aspx?License=AMERIDC951 BM 7/17/2006
Look Up a Contractor, Electrician or Plumber License Detail
"' Rne~nnee Auinnr Infnrmnfinn
Effective Expiration
Name Role Date Date
` BURBRIDGE,
JAMES G PARTNER/MEMBER 01/14/2005
BAKER,
MANNACE E IV PARTNER/MEMBER 01 /14/2005
Bond Information
Bond Bond
Company Account Effective Expiration Cancel Impaired Bond Received
Bond Name Number Date Date Date Date Amount Date
OLD
REPUBLIC
SURETY Until
#1 CO YLI248839 01/12/2005 Cancelled $12,000.00 01/14/2005
Savings Information
Page 2 of 2
No Matching Information ('
''~~~.' L. a InFnrrn ~+inn -
'Insurance Company
Name
Policy Number Effective
Date Expiration
Date Cancel
Date Impaired
Date
Amount Received
Date
WESTERN
PACIFIC
MUTUAL
#2 INS CO WPGL4600022606 01/13/2005 01/13/2007 $1,000,000.00 01/03/2006'.
WESTERN
PACIFIC
MUTUAL
#1 INS CO WPGL4600022605 01/13/2005 01/13/2006 $1,000,000.00 01/14/2005'.
~,.
Summons /Complaints Information
No Matching Information
Start. a New. Search Printer Friendly Version
-~ About Lt"tl ~ Find a job at Lt`tl ~ inforlnacion en espanot (Site Feedback ~
1-800-547-$367 ~ ,~
~~~ ,~ Washington State Dept. of Labor and Industries. Use of this site is subject to the taws of the
state of Washington.
Access Agreement (Privacy and security statement I Intended use/external content policy ~ V15it aC[e55.wa.gov
Staff only link
https://fortress.wa.gov/lni/bbip/Detail.aspx?License=AMERIDC951 BM 7/17/2006
Look Up a Contractor, Electrician or Plumber License Detail
Page 1 of 2
Topic Index ~ Contact Info
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~ ~ ~ ~ ~ z ~
Home Safety Claims 8 Insuraince Workplace Rights ~ Tra+des ~ Licensing
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General/Specialty Contractor
A business registered as a construction contractor with La*I to perform construction work within the scope
of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment
of account and carry general liability insurance.
License Information
License AMERIDM940MP
Licensee Name AMERICAN DREAM MECHANICAL LLC
Licensee Type CONSTRUCTION CONTRACTOR
UBI 602631979 Verify Workers Comp Premier
Status
Ind. Ins. Account
Id
Business Type LIMITED LIABILITY COMPANY
Address 1 390 4TH AVE SE
Address 2
City PACIFIC
County KING
State WA
Zip 98047
Phone 2532616569
Status ACTIVE
Specialty 1 PLUMBING
Specialty 2 UNUSED
Effective Date 7/17/2006
Expiration Date 7/17/2008
Suspend Date
Separation Date
Parent Company
Previous License AMERIDC951 BM
Next License
Associated
License
https://fortress.wa.gov/lni/bbip/Detail.aspx?License=AMERIDM940MP 7/20/2006
Look Up a Contractor, Electrician or Plumber License Detail
Business Owner Information
Effective Expiration
Name Role Date Date
BAKER,
MANNACE E IV PARTNER/MEMBER 07/17/2006
BURBRIDGE,
'!-JAMES G PARTNER/MEMBER 07/17/2006
Bond Information
Bond Bond
Company Account Effective Expiration Cancel Impaired Bond Received
Bond Name Number Date Date Date Date Amount Date
EMPIRE
FIRE AND
MARINE Until
:#1 INS CO FS802459 07/08/2006 Cancelled $6,000.00 07/17/2006
„Savings Information
Page 2 of 2
No Matching Information
Insurance Information
Company Policy Effective Expiration Cancel Impaired Received
Insurance Name Number Date Date Date Date Amount Date
FARMERS
INS
#1 EXCHANGE 035138587 07/03/2006 07/03/2007 $1,000,000.00 07/17/2006
Summons /Complaints Information
No Matching Information
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1~~ .~, Washington State Dept. of Labor and industries. Use of this site is subject to the taws of the ~ `~'~
state of Washington.
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General/Specialty Contractor
A business registered as a construction contractor with L£tl to perform construction work within the scope
of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment
of account and carry general liability insurance.
License Information
License BESTCCH955CH
Licensee Name BEST CHOICE HEATING
Licensee Type CONSTRUCTION CONTRACTOR
UBI 602461451 Verify Workers om Premium
5tdtu~
Ind. Ins. Account
Id
Business Type INDIVIDUAL
Address 1 12608 37TH AVE E
Address 2
City TACOMA
County PIERCE
State WA
Zip 98446
Phone 2535371329
Status ACTIVE
Specialty 1 AIR HEAT,VENTILATION,EVAPORAT
Specialty 2 SHEET METAL
Effective Date 3/15/2005
Expiration Date 3/15/2007
Suspend Date
Separation Date
Parent Company
Previous License
Next License
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License
https://fortress.wa.gov/lni/bbip/Detail.aspx?License=BESTCCH955CH 7/17/2006
Look Up a Contractor, Electrician or Plumber License Detail
Business Owner Information
Name Role Effective Date Expiration Date
HURSH, RHOAN C OWNER 02/08/2005
I Bond Information
Bond Bond
Company Account Effective Expiration Cancel Impaired Bond Received
Bond Name Number Date Date Date Date Amount Date
Until
#1 CBIC SF9798 03/15/2005 Cancelled $6,000.00 02/15/2005.
Savings Information
No Matching Information
Incnranep Information
Page 2 of 2
Insurance Company
Name Policy
Number Effective
Date Expiration
Date Cancel
Date Impaired
Date
Amount Received
Date
'#1 CBIC C11SF9798 03/15/2005 03/15/2007 $1,000,000.00 02/27/2006
Summons /Complaints Information
No Matching Information
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state of Washington.
Access Agreement I Privacy and security statement I Intended use/external content policy ~ Visit aCCe55.wa.gov
Staff only link
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CITY OF YELM INSPECTION LOG
PROJECT Lot 3 Mt. Aire 2572
PERMIT NUMBER OS-0644
ADDRESS 807 Mt. Aire Lane
SET BACKS Date:
Corrections
UNDER FLOOR ^ Corrections
DRY WELL ^_ Corrections
FOOTING REBAR _^Date:
_
Footing ^ 12"
Wall ^ 6"
Required vents_
Corrections
WALL REBAR ^Date:
® 16" Other_
® 8" Other_
COMBINED FRAME/ EXTERIOR SHEAR WALL INSPECTION
Hold downs ^ Shear Nailing ^ _
Frame ^ Gas/Propane ^ _
Plumbing i
^ Mechanical ^ _
Corrections:
INSULATION ^Gas ^Electric ^Other
^Foam and Seal ^Vapor barrier ^PVA
Corrections:
SHEET ROCK/SHEAR WALL NAIL
Corrections:
FINAL
^Sewer Final ^Electrical ^ Civil Final ^Landscape Final ^C of O
^Address ^ Insulation ^ Site Drainage ^ Sidewalk
Correections:
*************** -COMM. JOURNAL- ******************* DATE APR-16-2007 ***** TIME 02:41 ********
MODE = MEMORY TRANSMISSION
FILE No.=250
STN COMM. KEY NAME
No.
001 OK 8
START=APR-16 02:40 END=APR-lfi 02:41
STATION NAME/EMAIL ADDRESS/TELEPHONE NO. PAGES DURATION
94581253
***** DP-3520 ********************** -Yelm CDD
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