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20050713 Permit Pkg 100406City of Yelm Community Development Department Building Division Phone: (360)458-8407 Fax: (360)458-3144 Applicant: Name: Lubbesmeyer Construction, Inc. Address: 1151 112th St. Property Information: Site Address: 14939 Mt. View Ct. SE Assessor Parcel No. 42990000600 Contractor Information:. Name: Lubbesmeyer Construction, Inc. Address: 1151 112th St. Contractor License No: LUBBECI110DM City: Tacoma Subdivision: Country Vista Permit No: BLD-05-0713-YL Issue Date: 10/04/2006 (Work must be started within 180 days) Receipt No: Contact: Lubbesmeyer, Paul City: Tacoma Expires: 03/21/0881 Phone: 253-537-6370 State: WA Zip 98445 Project Information: Project: Country Vista Description of Work: 2034 SFR-Lot 6 Sq. Ft. perfloor: (1st) 828 (2nd) 8 (3rd) 0 Heat Type (Electric, Gas, Other): GAS Fees: Item Item Fee Building Permit 100-500k 1,153.63 Building Plan Review 487.40 Mechanical Permit 71.75 Plumbing Permit 90.00 Sewer ERU 5,569.00 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 Fire District Impact Fee 534.38 TOTAL FEES: $10,703.16 Phone: 253-537-6370 State: WA Zip: 98445 Business LiGe~~ ~~~ V # Sets of Prints: -Final Inspection: Date: By: Garage 440 Basement 0 Base Amt Unit Fee Unit Rate No. Units Unit Desc ----------- 993.75 ------- 159. --- 88 ----------- 5.6000 ----------- 28.5500 ------------- $1,000 0.00 0. 00 0.0000 0.0000 0.00 0. 00 0.0000 0.0000 20.00 70. 00 7.0000 10.0000 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 4.50 0 .00 0.0000 0.0000 0.00 534 .38 0.2160 2,474.0000 square foot Lot: 6 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 City of Yelm Community Development Department Building Division Phone: (360) 458-8407 Fax: (360) 458-3144 Applicant: Name: Lubbesmeyer Construction, Inc. Address: 1151 112th St. City: Tacoma Project 4nformation: Project: Country Vista Description of Work: 2034 SFR-Lot 6 Permit Fees Schedule Permit No: BLD-05-0713-YL Phone: 253-537-6370 State: WA Zip 98445 Site Address: 14939 Mt. View Ct. SE A essor arcel No. 42990000600 Fees: Item Acct Code It m ee ase Amt Unit Fee Unit Rate No. Units Unit Desc ___________________________ -___-___-____- R ___-- _ ____-_-____ ____---_-_- _-____-_--- --___---__- --_-__------- Building Permit 100-500k 032 001-322-10-00 i' ,500.55 993.75 506.80 5.6000 90.5000 $1,000 Building Plan Review 100 001-345-83-00 633.98 0.00 0.00 0.0000 0.0000 Mechanical Permit 032 001-322-10-00 78.25 0.00 0.00 0.0000 0.0000 Plumbing Permit 032 001-322-10-00 125.00 20.00 105.00 7.0000 15.0000 Fixture Sewer ERU 802 412-343-50-01 5,569.00 0.00 5,569.00 5,569.0000 1.0000 ERU Sewer Inspection 805 412-343-80-00 145.00 0.00 145.00 145.0000 1.0000 ERU Water ERU 715401-343-80-02 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 420 120-345-85-00 757.50 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 Fire District Impact Fee 105 001-345-85-00 534.38 0.00 534.38 0.2160 2,474.0000 square foot TOTAL FEES: $11,238.16 a~ F T~ CITY OF d YELM P.O. Box 479 Yelm, WA 98597 360-458-8403 RECEIPT No. 4 3 9 5 2 RE~~*V~ LEVEN THOUSAND TWO HUNDRED THIRTY EIGHT DOLLARS & 16 CENTS RECEIVED FROM DATE REC. NO. AMOUNT LUBBESMEYER COHST. INC 10/04/06 43952 11.238.16 CHECK 1151. 112TH ST TAACOM WA 98445 BUDGETARY REF. NO. 4394 PER1500.55.PL633.98.HECH78.25.SERU5569..SINSP145..WERU1500.WMET300.WDEP40.TRAF F757.50.SDEP50.STFEE 4.50 FIRE 534.38 ~.oF t~ CITY OF a° YELM YePm, WA 98597 RECEI No. 360-458_$403 4 3 9 4 7 RECEIVED ****ELEVEN THOUSAND TWO HUNDRED THIRTY EIGHT DOLLARS & 16 CENTS RECEIVED FROM DATE REC. NO. UNT REF. NO. LUBBESNEYER CONST. INC 10/04/06 43947 11.238.16 CHECK 4394 1151 112TH ST TACOMA WA 98445 BUDGETARY GRETCHEN ~~-'t-l ~~ ~~ ~~ ~ ~~~ PERM1500.55.PL633.98.HECH78.25.PLUM125.,SERU5569..SINSP145.WERU1500. WMET300.WDEP40.TRAFF757. 50.SDEP50,STFEE4.50FIRE534.38 ~.oF t~ CITY OF d YELM P.O. Box 479 Yelm, WA 98597 360-458-8403 RECEIPT No. 4 3 9 4 9 RE~~~VEDLEVEN THOUSAND TWO HUNDRED THIRTY EIGHT DOLLARS & 16 CENTS RECEIVED FROM DATE REC. NO. AMOUNT LUBBESHEYER CINST INC 10/04/06 43949 11.238.16 CHECK 1151 112TH ST. TACOMA WA 98445 BUDGETARY REF. NO. 4394 vrr~ i ~.nr+a~ PERM1500.55.PL633.98.HECH78.25.PLUM125..SERU5569..SINSP145.WERU1500. WMET300.WDEP40.TRAFF757.50.SDEP50.ST4.50,FIRE534.38