20090055 Permit Pkg 040909~~pF 'itiFAQ~ City of Yelm Permit No: BLD-09-0055-YL
Community Development Department Issue Date: 04/09/2009
d (Work must be started within 180 days)
Building Division
Phone: (380) 458-8407 Receipt No: 59463
I, Fax: (380) 458-3144
Applicant:
Name: Yelm Property Development, LLC Phone:
Address: City: State: Zip
Property Information:
Site Address: 18832 Greenleaf Avenue SE
Assessor Parcel No. 84070008200 Subdivision: Willow Glenn III Lot: 82
Contractor Information:
Name: Yelm Property Development, LLC Contact: Phone:
Address: City: State: Zip:
Contractor License No: YELMPDL00302 Expires: Business License:
Project Information:
Project: 18832 Greenleaf Avenue SE
Description of Work: SFR Lot 82, Plan #1574
Sq. Ft. per floor: (1st) 838 (2nd) 738 (3rd) 0 Garage 403 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 1,363.41 993.75 369.66 5.6000 66.0100 $1,000
Building Plan Review 576.04 0.00 0.00 0.0000 0.0000
Mechanical Permit 78.25 0.00 0.00 0.0000 0.0000
Plumbing Permit 97.00 20.00 77.00 7.0000 11.0000 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
State Building Fee 4.50 4.50 0.00 0.0000 0.0000
Traffic Facilities Charge 1,334.21 0.00 1,334.21 1,321.0000 1.0100 Peak PM Trip
Fire District Impact Fee 632.64 0.00 632.64 0.3200 1,977.0000 square foot
Sewer ERU 6,050.00 0.00 6,050.00 6,050.0000 1.0000 ERU
TOTAL FEES: 512,081.05
Applicant's Affadavit:
I certify that I have read and examined the information contained within the application and know the same OFFICIAL USE
to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of # Sets of Prints:
Yelm regulations inGuding 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. Final Inspection:
Signature ,~pMyt~~ ~~,~~~ Date L~ /~ ~ /~ ra Date:
Firm U By
04/U9/lUU'J THU tf: ~tl KAX .JOU4~ti~144 l:1Cy OI YClm VVU ~vvii vv~
City of Yelm Permit Fees Schedule
Community Development Department Permit No: BLD-09.0055-YL
Building Division
Phone: (360) 458-8407 r'yp.,~ i~') ~
Fax: (360) 458.3144
Applicant:
Name: Yelm Property Development, LLC
Address
Project Information:
Project 16632 Greenleaf Avenue SE
Description of Work: SFR Lot 82, Plan #1574
Site Address: 16632 Greenleaf Avenue SE
Fees
APR 9 ~ ppg
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r ~ _ ~ ~ ~ Phone:
City: ~~ State:
C~~
Assessor Parcel No. 84070008200
Item Accl Code Item Fee
Building Permit 100•SOOk 032001-322-10-00 1,363.41
Building Plan Review 100001-345-83-00 576.04
Mechanical Permit 032 001-322-10-00 78.25
Plumbing Permit 032 001-322-10-00 97.00
Sewer Inspection 805 412.343.80-00 145.00
Water ERU 715401-343.8Q-02 1,500.00
Water Meter (SFD) 712 401-343-80-01 300.00
State Building Fee 160 001-386-00-00 4.50
Traffic Facilities Charge 420 120-345-85-00 1,334.21
Fire District Impact Fee 105 001-345.85-00 632 64
Sewer ERU 802 412-343.50-01 6,050.00
TOTAL FEES: 8'12,081.05
Zip
Base Amt Unit Fee Unit Rate No. Units Unit Desc
993.75 369.66 5.6000 66.0100 =1,000
o.oo o.oo o.oooo o.oooo
0.00 0.00 0.0000 0.0000
20.00 77.00 7.0000 11.0000 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
0.00 632.64 0.3200 1,977.0000 square foot
0.00 6,050.00 6,050.0000 1.0000 ERU
~~":°`'"Ep~CI CITY OF
4 M YELM
105 Yelm Ave. W.
Yolm, WA 98597
z 36x1-458-3244
~~~~~WELVE THOUSAN
D EIGHTY ONE DOLLARS & 05 CENTS
faC!:;Ei1/ED r=R0~~4 DATE REC. NO.
YELM PROPERTY DEVELPMENT 04/09/09 59463
P.O. BOX 2950
YELM, WA 98597 BUDGETARY
GRETCHEN
_ _
BLD-09-0055-YL -- -
RECEIPT No. 5 ~ 4 6 3
AMOUNT R!: F PdC}
12,081.05 CHECK 6300
~~~t ~,rF,~~~ City of Yelm Permit Fees Schedule
9~ Community Development Department Permit No: BLD-09-0055-YL
Building Division
Phone: (360) 458-8407
YELM Fax: (360) 458-3144
Applicant:
Name: Yelm Property Development, LLC Phone:
Address: City: State: Zip
Project Information:
Project: 16632 Greenleaf Avenue SE
Description of Work: SFR Lot 82, Plan #1574
Site Address: 16632 Greenleaf Avenue SE
Fees:
Item Acct Code
Building Permit 100-500k 032 001-322-10-00
Building Plan Review 100 001-345-83-00
Mechanical Permit 032 001-322-10-00
Plumbing Permit 032 001-322-10-00
Sewer Inspection 805 412-343-80-00
Water ERU 715 401-343-80-02
Water Meter (SFD) 712 401-343-80-01
State Building Fee 160 001-386-00-00
Traffic Facilities Charge 420 120-345-85-00
Fire District Impact Fee 105 001-345-85-00
Sewer ERU 802 412-343-50-01
TOTAL FEES:
Assessor Parcel No. 84070008200
Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
1,363.41 993.75 369 .66 5.6000 66.0100 $1,000
576.04 0.00 0 .00 0.0000 0.0000
78.25 0.00 0 .00 0.0000 0.0000
97.00 20.00 77 .00 7.0000 11.0000 Fixture
145.00 0.00 145 .00 145.0000 1.0000 ERU
1,500.00 0.00 1,500. 00 1,500.0000 1.0000 ERU
300.00 300.00 0. 00 0.0000 0.0000
4.50 4.50 0. 00 0.0000 0.0000
1,334.21 0.00 1,334. 21 1,321.0000 1.0100 Peak PM Trip
632.64 0.00 632. 64 0.3200 1 ,977.0000 square foot
6,050.00 0.00 6,050. 00 6,050.0000 1.0000 ERU
$12,081.05
~ FIL'
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: ~~O rio~1 ~L ~ ~ Parcel #:
Subdivision: !~U ~ ~~~,~ GIF,~~1 3 Lot #: 8L Zoning;
~( New Construction [ I Re-Mode{ ! Re-Roof /Addition ^ Home Occupation Sign
^ Plumbing ^ Mechanical ^ Mobile /Manufactured Home Placement ^ Other
Project Description/Scope of
Building Area (sq. ft) 1 g' Floor B.~o 2nd Floor 73 ~ Garage ~0 3 Deck
Basement Carport Patio
# Bedrooms # Bathrooms Z,~ Heatin :GAS/OTHE r ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? ~~ If yes, a
completed environmental checklist must accompany permit application.
GENERAL CONTRACTOR J LAC TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
MECHANICAL CONTRACTOR LLNj1S•i rE-t2 TELEPHONE ~lS~--~95~
ADDRESS ~~ i0 L. C ~ =' EMAIL
CITY L ~ ~-~ STAT ~ ZIP `~ ~ SC'j FAX
CONTRACTO '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 with the laws, rules and regulations of the State of Washington and the
City of Yelm.
~~/~!4Z.G-~~GC~CPL~I~f~ ~/8~09
Applicant's Sig re 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
10.5 }'elm Auenrre West (360) -I58-3835 RECEIVE ~
1'C! l3ox 979 (360) 458-3144 FAX
}'elrn, P{'A 98597 ~ ~~ ~ ~ wwm.ciyelm.wo.us
~. APR 0 01009
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LOCAL RECEIPT DATE ' ' ~1 2oQ~
Received from ~~~ ~L~ ~ ~.- 1 V ~ C .
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ACCOUN'.;OU _ Ah10UN7 CASH CHECK
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