20050714 Permit Pkg 100406City of Yelm Permit No: BLD-05-0714-YL
Applicant-
Community Development Department Issue Date: 10/04/2006
Building Division (Work must be started within 180 days)
Phone: (360) 458-8407 Receipt No: 43949
Fax: (360) 458-3144
Name: Lubbesmeyer Construction, Inc. Phone: 253-537-6370
Address: 1151 112th St. City: Tacoma State: WA Zip 98445
Property Information:
Site Address: 14933 Mt. View Ct. SE
Assessor Parcel No. 42990000700 Subdivision: Country Vista Lot: 7
Contractor Information:
Name: Lubbesmeyer Construction, Inc. Contact: Lubbesmeyer, Paul Phone: 253-537-6370
Address: 1151 112th St. City: Tacoma State: WA Zip: 98445
Contractor License No: LUBBECI110DM Expires: 03/21/0881 Business License: / ~
Project Information: ~^~/I ~ v
Project: Country Vista / ~ /
Description of Work: 1320 SFR, Lot 7 ~ I ~~
6
Sq. Ft. per floor: (1st) 828 (2nd) 1206 (3r) Garage 0 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 1,500.55 993.75 506.80 5.6000 90.5000 $1,000
Building Plan Review 633.98 0.00 0.00 0.0000 0.0000
Mechanical Permit 78.25 0.00 0.00 0.0000 0.0000
Plumbing Permit 125.00 20.00 105.00 7.0000 15.0000 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
State Building Fee 4.50 4.50 0.00 0.0000 0.0000
Fire District Impact Fee 534.38 0.00 534.38 0.2160 2,474.0000 square foot
TOTAL FEES: $11,238.16
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,8fa~of Wa~hi~ng~ ,/ /n_ / ~
Signature
Firm ~
~_~`~~
Sets of Prints:
.Final Inspection:
Date:
BX:
~~ ~ 7~ CITY OF .W _..
d YELM
YePm, WAx98 97 RECEIPT No.
360.458.8403 4 3 9 5 2
RE~~*V"€ELEVEN THOUSAND TWO HUNDRED THIRTY EIGHT DOLLARS & 16 CENTS
RECEIVED FROM
LUBBESMEYER COMST, INC
1151. 112TH 3T
TAACOH WA 98445
DATE REC. NO.
10/04/06 43952
BUDGETARY
AMOUNT REF. NO.
11.238.16 CHECK 4394
PER1500.55,PL633.98,MECH78.25,SERU5569.,SINSP145.,WERU1500,WMET300,WDEP40,TRAF
F757.50,SDEP50,STFEE 4.50 FIRE 534.38
~oF T~ CITY OF
~'`~ YELM
P.O. Box 479
Yelm, WA 98597
360-458-8403
RECEIPT No. 4 3 9 4 7
RECEIVED
****ELEVEN THOUSAND TWO HUNDRED THIRTY EIGHT DOLLARS & 16 CENTS
RECEIVED FROM DATE REC. NO. AMOUNT REF. NO.
LUBBESMEYER CONST. INC 10/04/06 43947 11.238.16 CHECK 4394
1151 112TH ST
TACOMA WA 98445 BUDGETARY
PERM1500.55,PL633.98,MECH78.25.PLUM125..SERU5569.,SINSP145,WERU1500.
WMET300,WDEP40.TRAFF757. 50,SDEP50,STFEE4.50FIRE534.38
~W~f `"F CITY OF
YELM
P.O. Box 479
Yelm, WA 98597
360-458-8403
RECEIPT
RE~~~VEDLEVEN THOUSAND TWO HUNDRED THIRTY EIGHT DOLLARS & 16 CENT
RECEIVED FROM DATE REC. NO. AMOUNT REF. NO.
LUBBESMEYER CINST INC 10/04/06 43949 11,238.16 CHECK 4394
1151 112TH ST.
TACOMA WA 98445 BUDGETARY
~~ S f~S '~7 ~~
GRETCHEN
PERM1500.55.PL633.98,MECH78.25,PLUM125.,SERU5569.,SINSP145.WERU1500.
WMET300.WDEP40.TRAFF757.50,SDEP50.ST4.50,FIRE534.38
City of Yelm
Community Development Department
Building Division
Phone: (360)458-8407
Fax: (360)458-3144
Permit Fees Schedule
Permit No: BLD-OS-0714-YL
Applicant:
Name: Lubbesmeyer Construction, Inc. Phone: 253-537-6370
Address: 1151 112th St. City: Tacoma State: WA Zip 98445
Project Information:
Project: Country Vista
Description of Work: 1320 SFR, Lot 7
Site Address: 14933 Mt. View Ct. SE Assessor Parcel No. 42990000700
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 ----------
1,500.55 -----------
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
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YELM y 20~
LOCAL RECEIPT DATE 1 0 -
Received from
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YELM COMMUNITY SCHOOLS
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