20090015 Permit Pkg 022609City of Yelm
Community Development Department
Building Division
Phone: (360)458-8407
Fax: (360)458-3144
Appl Icant:
Name: Yelm Property Development, LLC
Address: PO Box 2950
Property Information:
Site Address: 16615 Greenleaf Ave, SE
Assessor Parcel No. 84070010900
Name: Yelm Property Development, LLC
Address:
Contractor License No: YELMPDL00302
Project: Willow Glenn Ill
Description of Work: SFR lot 109, Plan #1557
Sq. Ft. per floor: (1st) 784 (2nd) 773
Heat Type (Electric, Gas, Other): GAS
Fees:
Item Item Fee
Building Permit 100-500k 1,364.73
Building Plan Review 576.60
Mechanical Permit 78.25
Plumbing Permit 104.00
Sewer Inspection 145.00
Water ERU 1,500.00
Water Meter (SFD) 300.00
State Building Fee 4.50
Traffic Facilities Charge 1,334.21
Fire District Impact Fee 643.20
Sewer ERU (LID) 3,093.00
TOTAL FEES: $9,143.49
Applicant's Affadavit
City: Yelm
Subdivision: Willow Glenn III
Contact:
City:
Expires:
Permit No: BLD-09-0015-YL
Issue Date: 02/26/2009
(Work must be started within 180 days)
Receipt No: 59155
(3rd) 0 Garage 453
Phone: 458-0544
State: WA Zip 98597
Lot: 109
Phone:
State: Zip:
Business License:
Basement 0
Base Amt Unit Fee Unit Rate No. Units Unit Desc
993.75 370.98 5.6000 66.2460 $1,000
0.00 0.00 0.0000 0.0000
0.00 0.00 0.0000 0.0000
20.00 84.00 7.0000 12.0000 Fixture
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
4.50 0.00 0.0000 0.0000
0.00 1,334.21 1,321.0000 1.0100 Peak PM Trip
0.00 643.20 0.3200 2,010.0000 square foot
0.00 3,093.00 3,093.0000 1.0000 ERU
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.
~' > ~
Signature ~ , : ~ i ~ .~ CL f's2-~ c ~_y Date ~ l1 ~ /C /
Firm
Final Inspection:
Date:
By:
City of Yelm ~~~ Permit Fees Schedule
Community Development Department Permit No: BLD-09-0015-YL
Building Division ~-F~ ~ s )Q(~~
Phone: (360) 458-8407 ~~/ '~{/~fl~
Fax: (360) 458-3144 ~~ s ^ ®~ ~~~'""
Applicant
Name: Yelm Property Development, LLC Phone: 458-0544
Address: PO Box 2950 City: Yelm State: WA Zip 98597
Project Information:
Project: Willow Glenn III
Description of Work: SFR Lot 109, Plan #1557
Site Address: 16615 Greenleaf Ave, SE Assessor Parcel No. 84070010900
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 1,364 .73 993.75 370.98 5.6000 66.2460 $1,000
Building Plan Review 100 001-345-83-00 576 .60 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 032 001-322-10-00 104. 00 20.00 84.00 7.0000 12.0000 Fixture
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
State Building Fee 160 001-386-00-00 4. 50 4.50 0.00 0.0000 0.0000
Traffic Facilities Charge 420 120-345-85-00 1,334. 21 0.00 1,334.21 1,321.0000 1.0100 Peak PM Trip
Fire District Impact Fee 105 001-345-85-DO 643. 20 0.00 643.20 0.3200 2 ,010.0000 square toot
Sewer ERU (LID) 802 412-343-50-01 3,093. 00 0.00 3,093.00 3,093.0000 1.0000 ERU
TOTAL FEES: $9,143. 49
I~Q o~ T„tpH~ CITY OF - - ---- _--------
i M YELM
105 Yelm Ave. W.
Yelm. WA 98597
z 360.458-3244 RECEIPT No. ~j 9 ~ ~i 5
,~
RECEI~~Q'`NINE THOUSAN
D ONE HUNDRED FORTY THREE DOLLARS & 49 CENTS
RECEIVE l.i 1=;?OIN DATE REC. NO AMOUNT REF
Nei
YELM PROPERTY DEVELOPMENT 02/26/09 59155 9.143.49 CHECK ,
PENDING
P.O. BOX 2950
YELM WA 98597 BUDGETARY
GRETCHEN
BZD-0~3=0013~L -
CTTL+ 9 Lc ~ ~ nnnn~~r *+
492.55
YELM COMMUNITY SCHO~OL~2o_o_9__
LOCAL RECEIPT SATE __~2
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Received from _~~- _
FOR _~L~ L`~-~ ~~ _ __ DOLLARS
4Gf.0UN1 GOpE ~ ~ - ~~ ~ ~ 1t'H(~UL~_____
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By~-~ ~ -- -~--------
CITY OF YELM ~'~ ~ ~~ 5
4FSIDENTIAL BUILDING PERMIT APPLICATIO{,N FORM
Project Addresss: /~G,!'is G. L . ~ SC Parcel # `p ! v ~ ~C' ~~' ~ ~C'
Subdivision: iN i~IDt.J G/P:9d1 3 Lot #:~_ Zoning; ~j
New Construction ! ] Re-Model / Re-Roof /Addition ^ Home Occupation Sign
Cl Plumbing ^ Mechanical ^ Mobile /Manufactured Home Placement [.J Other
Project Description/ cope of
Project Value: ~ -~~
Building Area (sq. ft) 1" Floor 7gN, 2"0 Floor~73 Garage `~5.3 Deck
Basement Carport Patio
# Bedrooms. # Bathrooms~~ Heatin :GAS/OTHE r ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? c;~ If yes, a
completed environmental checklist must accompany permit application.
ARCHITECTIENGINEER F/l`i E L~ ivy LICENSE #
ADDRESS ~ i ~F E c.l `tom EMAIL
CITY L7/vyYt~O)/!- STATE;,~)y1 ZIP ~BSOI -TELEPHONE q~6 'E)~P,~~
GENERAL CONTRACTOR 1 LLC TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITI' I_IC! NSF ;_
CITY
EXP
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.
Applicant's Signature Date
Owner /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
fU.S Yehn Anentae YYesR (36U) 458-311.35
PO Box 479 (360) 438-37A4 FAX
Yelrn, 4i'A 98397 urwro.ci.yelm.wu.us
-~ FI LE
JAN 2 "r 9009
Copy of mitigation agreement with Yelm Community Schools, if applicable.
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