07-0211 Permit Pkg 060507pF Tip City of Yelm Permit No: BLD-07-0211-YL
Community Development Department Issue Date: 06/0512007
4 (Work must be started within 180 days)
Building Division
Phone: (360) 458-8407 Receipt No: 48828
L Fax: (360) 458-3144
Applicant:
Name: Bright Haven Builders Phone: 425-251-6175
Address: 18062 72nd Ave. S City: Kent State: WA Zip 98032
Property Information:
Site Address: 9142 Larissa St. SE
Assessor Parcel No. 41610017200 Subdivision: Cherry Meadows Lot: 172
Contractor Information:
Name: Bright Haven Builders Contact: Phone: 425-251-6175
Address: 18062 72nd Ave. S City: Kent State: WA Zip: 98032
Contractor License No: BRIGHT6971RT Expires: 12101107335 Business License:
Project Information:
Project: Cherry Meadows
Description of Work: Plan 22126, lot 172
4 Sq. Ft. perfloor: (1st) 1252 (2nd) 1168 (3rd) 0 Garage 418 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 1,683.39 993.75 689.64 5.6000 123.1500 $1,000
Building Plan Review 711.23 0.00 0.00 0.0000 0.0000
Mechanical Permit 78.25 0.00 0.00 0.0000 0.0000
Plumbing Permit 139.00 20.00 119.00 7.0000 17.0000 Fixture
Sewer ERU 5,725.00 0.00 91,600.00 5,725.0000 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
Consumer Dep 90.00 90.00 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 613.01 0.00 613.01 0.2160 2,838.0000 square foot
Q State Building Fee 4.50 4.50 0.00 0.0000 0.0000
TOTAL FEES: $11,746.88
A
O
Applicants Affadavit: _
OFFICIAL USE ONLY
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 # Sets of Prints:
Yelm regulations in ding those verning zoning and land subdivision, and in addition, all covenants,
easements and re ictio o co If ap /yin s a contractor, I futher certify that I am currently
registered in the o sh to Final Inspection:
Signature Date ~ ~ 7 Date:
Firm By.
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P~bD T'~~. S S ; ~ I ~-1 Z CA~,1 ~~ i-~ ST, S~
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YELM
P.O. Box 479
Yelm, WA 98597 RECEIPT No. 4 8 8 2 7
360-458-3244
RECEIVED
****ELEVEN THOUSAND FIVE HUNDRED SEVENTY EIGHT DOLLARS & 11 CENTS
RECEIVED FROM DATE REC. NO. AMOUNT REF. NO.
BRIGHT HAVEN BUILDERS 06/05/07 48827 11,578.11 CHECK 3635
18062 72ND AVE S
KENT WA 98032 BUDGETARY
BLD-07-0205-YL PERM1591.83,PLREV672.54,MECH84.75,PLUM132.SERU5725.SINSP145
WERU1500.WMET300.CONDEP90.TRAFF757.50.FIRE574.99.STFEE4.50
CITY OF
YELM
P.O. Box 479
Yelm, WA 98597
360-458-3244
RECEIVED
****ELEVEN THOUSAND SEVEN HUNDRED FORTY SI% DOLLARS & 88 CENTS
RECEIVED FROM DATE REC. NO. AMOUNT
BRIGHT HAVEN BUILDER 06/05/07 48828 11.746.88 CHECK
18062 72ND AVE S
KENT WA 98032 BUDGETARY
RECEIPT No. 4 8 8 2 $ .
REF. NO.
3635
BLD-07-0211-YL PERM1683.39,PLREV711.23.MECH78.25PLUM139.SERU5725.SINSP145
WERU1500.WMET300.CONDEP90.TRAFF757.50.FIRE613.01STFEE4.50
CITY OF
YELM
P.o. Box a7s
Yelm, WA 98597
360-458-3244
RECEIPT No. 4 8 8 2 9
RECEIVED
****TWELVE THOUSAND ONE HUNDRED TWENTY NINE DOLLARS & 85 CENTS
RECEIVED FROM DATE REC. NO. AMOUNT REF. NO.
BRIGHT HAVEN BUILDER 06/05/07 48829 12,129.85 CHECK 3635
18062 72ND S
KENT WA 98032 BUDGETARY
BLD-07-0210-YL PERM1683.39,PLREV1094.20,MECH78.25PLUM139.00SERU5725.SINSOP145
WERU1500.WMET300.CONDEP90.TRAFF757.50,FIRE613.01 ST FEE4.50
o~oF THFA~~r City of Yelm
a ~ Community Development Department
Building Division
Phone: (360)458-8407
YELM Fax: (360) 458-3144
Applicant:
Name Bright Haven Builders
Address. 18062 72nd Ave. S
Project Information:
Project: Cherry Meadows
Description of Work: Plan 22126, Lot 172
Site Address: 9142 Larissa St. SE
Fees
Item Acct Code
--------------------
Building Permit 100-500k 032 001-322-10-00
Building Plan Rewew 100 001-345-83-00
Mechanical Permit 032 001 -322-10 -00
Plumbing Permit 032 001 -322-10 -00
Sewer ERU 802 412 -343-50 -01
Sewer Inspection 805 412 -343-80 -00
Water ERU 715 401 -343-80- 02
Water Meter (SFD) 712 401 -343-80- 01
Consumer Dep 740 402- 389-00- 00
Traffic Facilities Charge 420 120- 345-85- 00
Fire District Impact Fee 105 001- 345-85- 00
State Building Fee 160 001- 386-00- 00
TOTAL FEES:
City: Kent
Permit Fees Schedule
Permit No: BLD-07-0211-YL
Phone: 425-251-6175
State: WA Zip 98032
Assessor Parcel No. 41610017200
Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
1,683.39 993.75 689.64 5.6000 123.1500 51,000
711.23 0.00 0.00 0.0000 0.0000
78.25 0.00 0.00 0.0000 00000
139.00 20.00 119.00 7.0000 17.0000 Fixture
5,725.00 0,00 91.600.00 5.725.0000 1.0000 ERU
145.00 0.00 145.00 145.0000 1.0000 ERU
1, 500.00 0.00 1, 500.00 1, 500.0000 1.0000 E R U
300,00 300.00 0.00 0.0000 0.0000
90.00 90.00 0.00 0.0000 0.0000
757.50 0.00 75250 750,0000 1 0100 Peak PM Trip
613.01 0.00 613.01 0.2160 2, 838.0000 square foot
4.50 4.50 0,00 0 0000 0,0000
511,7as.sa
CITY OF YtLM
R )ENTIAL BUILDING PERMIT APPLICA- V FOR
~~~Z ~~ ~~PiV~(~
Pro ect Address: ~ t~~ ~'~ ~~ Parcel #:
Subdivision~l--i F_ TZ1Cy I'VI F~P10C~: ~1 Z Zoning; MAY 2 9 2007
New Construction U Re-Model / Re-Roof /Addition ~.~ Home Occupation Sign
U Plumbing U Mechanical L1 Mobile /Manufactured Home Placement a Other
Project Description/Scope of Work: 5 F t-+
~~ZS~{LL ~~~.
Project Valu
Building Area (sq. ft) 1~' Floor IZSZ 2nd Floor~_ Garage~_ Deck
~~~ ~Z IZ(, basement y-' Carport ~l~atio
# Bedrooms # Bathrooms2 ~7J Heating: GA ;. THER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? N ~ If yes, a
completed environmental checklist must accompany permit application.
BUILDING OWNER NAME: ~ C~
ADDRESS - -• EMAIL
CITY ~~i`1~ STATE~~~ZIP '` TELEPHONE ~<~ --BSI -Lv175
GENERAL CONTRACTOR ~ ~"(f;ELEPHONE~-f~ -~~~~~1-i_vl-JS
ADDRF~SS ~~CYn`' 7. S EMAIL
CITY ;tip eta STATE-~ 4`t~ --ZIP k(.~ :5:~ FAX'-' ~`~~ •~~-~I --(~~! 7`~
CONTRACTOR'S LICENSE #; ~~;___.: - -- EXP DATE~~'? ` CITY LICENSE #
PLUMBING CONTRACTOR ~~'~ ~' t~~? nc TELEPHONE ~:3 -Sk'.? -ca4;3y
ADDRESS 1 ~ i-h ~ t ~°• '- EMAIL •~ .jculd~.l~? C,S('Iu.m.Coiri
CITY i l~~ vr'v~r;~. 1 STATE.~1~ ZIP ~F' S FAX ~~Z`5 ~ • `~~'~~. -L~ R~ 1
CONTRACTOR'S LICENSE #i'.~` ti'r. ~~ ~ 175 .~ EXP DATE'~~CITY LICENSE #
MECHANICAL CONTRACTOR('c~,~~I/I~ 1-~c~rw.tl~'l~~_-_ TELEPHONE.~iu-C.~~-.~t~i~- ~tc~~
`~c EMAIL C ~ :~f 12h2 ct~1 t~01:~tCX3c" u.; u~ ~71'ry
ADDRES~.:?ui, ~1 t u a1(; ~^ Lt 1v - ('!) ~ ~X f~:~ ~,~
CITY ;~ • 1 ~,rxx it STATE u_:r~ ZIP c~~ ^, ~' `~ FAX I; ('~ ~- .k~~f 7 -,_~:3` 7~
CONTRACTOR'S LICENSE #~ ~~`;~ ~r-ln ~~~: ~ ~!.! r EXP DATE~CITY LICENSE #
Copy of mitigation agreement with Yelm Community Schools, if applicable.
I hereb certify that the above information is correct and that the construction on, and the occupancy and the use of the
above~escribed pr~p~@rty w~ll be in;,accordance with the laws, rules and regulations of the State of Washington and the
City o e)m./ ~ ~ /
f ~t~ .~ ~-
App icant's ignature Da
Owtper 1 Contractor / er'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 1$0 days of issuance, or if work is suspended or abandoned for a period of 180 days
l05 Ye1m Au¢nue WeBt ~aov/ v~o-~oaa
PO Box 479 (360) 458-3144 FAX
Ye1-n, WA 98597 uimw.ci.yelm.wo.wr