20050661 Permit Pkg 080206CITY OF YELM
F 'DENTIAL BUILDING PERMIT APPLICA ~N FORM
Project Address: ~~J fyl ~ ~ ~ ~~,~ Parcel #: ~PrPIV~d
~.-. Subdivision: Lot #: Zoning; ~l~ ; 1 2006
u New Construction u Re-Model / Re-Roof /Addition u Home Occupation Sign
u Plumbing u Mechanical u Mobile /Manufactured Home Placement u Other
Project Description/Scope of Work:
Project Value:
Building Area (sq. ft) 1~' Floor 2"d Floor Garage Deck
Basement Carport Patio
# Bedrooms- # Bathrooms- Heating: GAS/OTHER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? If yes, a
completed environmental checklist must accompany permit application.
MECHANICAL CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP 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 property will be in accordance wkh the laws, rules and regulations of the State of Washington and the
City of Yelm.
/'~
`
~
A i s I n Dat -
P 9 ~-
Owner /Contractor /Owner's Agent /Contractor's Agent (Please circle one.)
1
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 ~ r ' `
W
105 Yelm Auenue West (360) 458-3835 ~-+~
PO Bos 479 (360) 458-3144 FAX
Yelm, WA 98597 wivw.ci.yelm.wa.us \
~~
City of Yelm
Community Development Department
Building Division
Phone: (380) 488-8407
Fax: (380) 458-3144
Permit Fees Schedule
Permit No: BLD-05-0661-YL
appUt~irtt:
Name: DGR Capital
Address: P,O, Box 1791 Phone: 458-1502
City: Yelm State: WA Zip 98597
Protlntvrm~tl~p; :_
Project: Mt. Aire Short Plat _ _ . '
Description of Work: 3002 sf SFR
Site Address: 805 Mt. Aire Lane
Assessor Parcel No.
~ .. ..
...
_~
Item
Building Permit 100-500k Acct Code -
Item Fee
Base Amt
Unft Fee
Unit Rate
No. Units Unit Desc
Building Plan Revie 032 001-322-10-00
2,121.03
993.75
1,127.28
5.6000
201.3000 51,000
w 100 001-345-83.00
896.13
0.00
0
00
Mechanical Permit
032 001-322-10-00 . 0.0000 0.0000
Plumbing Permit
032 001-322-10-00 91.25 0.00 0.00 0.0000 0.0000
Sewer ERU 146.00 20.00 126.00 7.0000 18.0000 Fixture
Sewer Inspection 802 412-343-50-01
5,569.00
0.00
5,569.00
5,569.0000
1.0000 ERU
Water ERU 805 412-343-80.00
145.00
0.00
145.00
145.0000
1.
0000 ERU
Water Meter SFD
( ) 715 401-343-80-02
71 1,500.00 0.00 1,500.00 1,500.0000 1.
0000 ERU
2 401-343-80-01 300,00 300.00
0
00
Water Deposit
740 402-389-00-00 . 0.0000 0.0000
Traffic Facilities Charge
420 120-345-85.00 40.00 40.00 0.00 0.0000 0.0000
Sewer Deposit
742 402-389-01-00 757.50 0.00 757.50 750.0000 1.0100 Peak PM Trip
Fire District Impact Fee
105 001-345-85_pp 50.00 50.00 0.00 0.0000 0.0000
State Building Fee
160 001-386-00.00 782.57 0.00 782.57 0.2160 3,623.0000 square foot
4.50 4.50 0.00 0.0000 0.0000
TOTAL FEES: 112,402.98
•
°f T~ CITY OF ..
.: -.
- . .
YELIVI
P.O. Box 479
Yelm, WA 98597
s6o-ass-aaos ~ RECEIPT No. 4 3 3 O JC'
R~~~'v
ELVE THOUSAND FOUR HUNDRED T WO DOLLARS &
98
.CENTS
RECEIVED FROM
DGR INC DATE
REC. NO.
AMOUNT
PO BO%.1791 08 /02 /06 43305
12.402.98 REF. NO.
CHECK
YELM KA 98597 . 3082
805 HT AIRS LANE SITE BUDGETARY
F ~ 'DENTIAL BUILDING PERM T APPLICA
Project Address: ~'~/'-~ nl'~ _ ~"~N FORM
1 ~"" Parcel #:
,.,~.,, Subdivision: IVed
Lot #:~_ Zoning;
1 New Construction u Re-Model / Re-Roof /Addition ~ 2006
u Plumbing u Mechanical u Home Occupation Sign
u Mobile /Manufactured Home Placement u Other
Project DescriptioMScope of Work:
Project Value:
Building Area (sq. ft) 1 ~' Floor
2"d Floor______ Garage
Basement Deck_
Carport__patio___
# Bedrooms- # Bathrooms_
Are there any environmentally sensitive areas located og. GAS/OTHER or ELECTRIC (Circle One)
completed environmental checklist must accom an the parcel? If yes, a
P y permit application~-
BUILDING OWNER NAME:
ADDRESS
CITY STATE EMAIL
ZIP~_TELEPHONE
ARCHITECT/ENGINEER
ADDRESS LICENSE #
CITY STATE EMAIL
ZIP~_TELEPHONE
GENERAL CONTRACTOR
ADDRESS TELEPHONE
CITY STATE EMAIL
"~' CONTRACTOR'S LICENSE # ZIP__--F~
EXP DATE CITY LICENSE #
PLUMBING CONTRACTOR
ADDRESS TELEPHONE ~ J
CITY STATE EMAIL
CONTRACTOR'S LICENSE # ZIP-------FAX
EXP DATE CITY LICENSE #
MECHANICAL CONTRACTOR
ADDRESS TELEPHONE
CITY STATE EMAIL
CONTRACTOR'S LICENSE # ZIP__---F~
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
City of Yelm.
above described property will be in accordance with the Taws, rules and regulations of the State of Washington and the
Owner /Contractor Owner's Agent /Contractor's Agent
'`~
Dat
(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 West
PO Box 479
Yelm, WA 98597
(360) 458-3835
(360) 458-3144 FAX
mwrv. ci.yelm.wa. us
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