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City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (380) 458-3144
Applicant:..
Name: Triance Homes
Address: 12839 SE 307th St.
Property Information:
Site Address: 14952 101 st Way SE
Assessor Parcel No. 81780002800
Contractor Information:
Name: Johnson Custom Homes
Address: 18741 Nutmeg St. SW
Contractor License No: JOHNSCH976DC
Project Information:
Project: Terra Valley Avignon
Description of Work: 2250 SFR Avignon Lot 28
Sq. Ft. perfloor: (1st) 956 (2nd) 1294
Heat Type (Electric, Gas, Other): GAS
Fees:
City: Auburn
Subdivision: Tera Valley
Contact: Johnson, John
City: Rochester
Expires: 03/03/0762
Lot: 26
Phone: 360-273-6668
State: WA Zip: 98579
Business License:
(3rd) 0 Garage 576 Basement 0
Item
------------------------ Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
--
Building Permit 100-500k -----------
1,631.03 -----------
993.75 -----------
637.28 -----------
5.6000 -----------
113.8000 -------------
$1,000
Building Plan Review 689.11 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 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
Consumer Dep 90.00 40.00 0.00 0.0000 0.0000
Traffic Facilities Charge 757.50 0.00 757.50 750.0000 1.0100 Peak PM Trip
Fire District Impact Fee 610.42 0.00 610.42 0.2160 2,826.0000 square foot
State Building Fee 4.50 4.50 0.00 0.0000 0.0000
Sewer ERU 5,725.00 0.00 5,725.00 5,725.0000 1.0000 ERU
TOTAL FEES: x11,655.81
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(./
Sianature~--,c~~~/1~,.'. ~C ~ `r~~ Date 5~~~~'~~
Firm
Permit No: BLD-07-0180-YL
Issue Date: 05/02/2007
(Work must be started within 180 days)
Receipt No: 48401
Phone: 206-818-0483
State: WA Zip 98092
Sets of Prints:
FfnaF Inspection:
Date. Ste'+~ 7,r2°~'J
By;
~~~f t~ CITY OF ~` .~. _---
4 YELM
P°. Box 479 4 8 4 01
Yelm, WA 98597 RECEIPT No.
360-458-3244
RE'~'~~V*ELEVEN THOUSAND SI% HUNDRED FIFTY FIVE DOLLARS & 81 CENTS
RECEIVED FROM DATE REC. NO. AMOUNT REF. NO.
TRIANCE GROUP INCORP 05/02/07 48401 11.655.81 CHECK 1319
12639 SE 307TH ST
AUBURN WA 98092 BUDGETARY
DIANA
PERMIT 1631.03,PLREV689.11,MECH78.25,PLUM 125,SEWINSP145.,WERU1500.,WMET 300,
CONDEP 90,TRAFF 757.50,FIRE610.42, ST 4.50, SERU 5725.00
~.~~ T„~ CITY OF
d ~ YELM
P.O. Box 479
Yelm, wA 98597 RECEIPT NO. 4 8 4 0 2
vv,.~~~~ 360-458-3244
R~LEVEN THOUSAND SI% HUNDRED FIFTY FIVE DOLLARS & 81 CENTS
RECEIVED FROM DATE REC. NO. AMOUNT REF. NO.
TRIANCE GROUP INC 05/02/07 48402 11.655.81 CHECK 1319
12639 SE 307TH ST
AUBURN WA 98092 BUDGETARY
206-618-0483
DIANA
PERMIT1631.03, PLREV689.11,MECH78.25,PLUM125.,SINSP145.WERU1500.WMET300.
CONSDEP90.TRAFFIC757.50.FIRE610.42.ST 4.50,SERU5725.00 BLD-07-0185-YL
YELM C~l1NITY SCHOOLS
PO BOX 476
YELN MA 98597
Clerk: Croy
Terminal: 1
Receipt: 42740
Manual Receipt:
NTRIANCE
N206-618-0483
12639CS~ 30TH STCORPORATED
AUBURN, WA 98092
5/2/2007 10;38 AM
Qtv Item Price
1 CPF2900 4280.00
TERRA VALLEYI(VIN~AGE GREEN) LOTS 17 & 26
_ ~~
1~ ~
Q~~~ ` \ ~ Check
t'1 ~ 1315
Subtotal: 4280.00
Total: 4280.00
4280.00
~,(~ Change Due: 0.00
V~
THANK YOU
~~
~. ~'~- ~ ~ ~, ~ , /d
CITY OF YELM
RESIDENTIAL BUILDINGa PERMIT APPLICATION FORM
Project Address:- 14952 lO1S` Way SE (Avignon) Parcel #:• Part Of 3871786
Subdivision: ~N1''~ 4G-G~.l'l_~r/-n/~ Lot #:_ #26 _ Zoning; ~° ~" .q~
~' New Construction ^ Re-Model / Re-Roof /Addition ^ Home Occupation Sign
^ Plumbing ^ Mechanical ^ Mobile /Manufactured Home Placement ^ Other
Project Description/Scope of Work: S~c~4 L ~-/-~"~i ~L~ 'C~~- ~ ~~-~t1c-~'
Project Value:
Suilding Area (sq. ft) 1~` Floor 956 _ 2"d Floor 1294 Garage _ 576 Deck
Basement Carport Patio
Bedrooms- 3 # Bathrooms. 2.5 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.
BUILDING OWNER NAME: ~%/iFi/~L- ~ Ju rrc:..
ADDRESS d3t 5°' 3~ ~i ~ EMAIL _,~st.~nT ~7`r,'~xci_ d-,~tet. ~~
CITY- +4ubt~~e<•~ STATE- ti%/4- ZIP ~ Z TELEPHONE-? 06 ._ G!'~..~~?~cC~-~'
ARCHITECT/ENGINEER_Sw~~~vN' yd't~ 'F~]" LICENSE #
ADDRESS ~.~''•= ~i'~~':'~iy%~~ EMAILc?5l itsi°' S % ..~~,
CITY '/~i -Cc+.+.C,cF STATE. LI(,~__Z1P~ TELEPHONE L --~. -
GENERAL CONTRACTOR '/~'s;sfsi'~~ ~i'~c3Zf,~ /~/~TELEPHONE ~j` Ala' -~~~.~
ADDRESSS' Sc-- ~G i~''`~ ..~~~ EMAIL 'sZ~- •~+~ `"~'•~ ~~L~'~s:-~~v1.~
CITY ~'4~it.~+-r~u ~ STA7E~_ZIP yJe~9z_--FAX ~ 3 - &'7 d•-- •7.3`3"
CONTRACTOR'S LICENSE # T,E.'~i~-,~y<a"-fiTfy~c7OEXP DATE CITY LICENSE #
PLUMBING CONTRACTOR "i' TELEPHONE ~`3- ~1J~~ ^ ~`L
ADDRESS <2~ Gf/, Y~ - tom' EMAIL
CITY ~4-k/~GriE'~/ STATE ZIP f~c` FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
MECHANICAL CONTRACTOR S~''Gc~,l.~ fr`E.4f~::~ ~_TELEPHONE 'Z~3~--?~7S = .~s'S'~1
ADDRESS SSz~ r~~~ Sr; ~- EMAIL
CITY ~trYT ~~~c~~ -STATE ,/ ZIP 9~~'7~ FAX
CONTRACTOR'S LICENSE # EXP DATE CITY 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 prooertv writ! be in accordance with the laws, rules and regulations of the Stat$ of Washington and tine
City of Yelm. /
4 ` '~
~~ `~ -~ ~• 3/29/07
Appiicant's Signature Date
Owner 1 Contraator / OWner's Agent !Contractor's Agent (Ptease circle one.)
Ail permits are non-transferable and will expire if worn arftttorixed by staoh perrrtit is not lsegun
within 180 days of issuance, or if work is suspended or abandoned far a period of 18g days
105 Yetm Avenue West (360) 458-3835
PO Bax 479 (360) 458-3144 FAX
Yelm, WA 98597 wu~w.ei.yelm.wa.us
Vintage Greens Lot#26 (Avignon) Site Plan
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