20080399 Permit Pkg 120808pF Te~p~~ City Of Yelm
~ Permit No: BLD-08-0399-YL
~' Community Development Department
.~
~ Issue Date: 12/08/2008
4
Building Division (Work must be started within 180 days)
Phone: (360) 458-8407 Receipt No: 57419
EL Fax: (360) 458-3144
Applicant:
Name: Yelm Property Development, LLC Phone: 458-0544
Address: PO Box 2950 City: Yelm State: WA Zip 98597
Property Information:
Site Address: 16614 Greenleaf Ave., SE
Assessor Parcel No. 84070007800 Subdivision : Willow Glenn III Lot: 78
Contractor Information:
Name: Yelm Property Development, LLC
Contact:
Phone:
Address: City: State: Zip:
Contractor License No: YELMPDL00302 Expires: Business License:
Project Information:
Project: Yetm Property Dev.
Description of Work: SFR lot 78, Plan 1579
Sq. Ft. per floor: (1st) 829 (2nd) 745 (3rd) 0 Garage 420 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 1,366.96 --------
993.75 ------
373.21 5.6000 66.6450 $1,000
Building Plan Review 577.54 0.00 0.00 0.0000 0.0000
Mechanical Permit 84.75 0.00 0.00 0.0000 0.0000
Plumbing Permit 104.00 20.00 84.00 7.0000 12.0000 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 90.00 0.00 0.0000 0.0000
Sewer ERU (LID) 3,009.00 0.00 3,009.00 3,009.0000 1.0000 ERU
State Building Fee 4.50 4.50 0.00 0.0000 0.0000
Fire District Impact Fee 638.08 0.00 638.08 0.3200 1,994.0000 square foot
Traffic Facilities Charge 1,334.21 0.00 1,334.21 1,321.0000 1.0100 Peak PM Trip
TOTAL FEES: $9,154.04
XANNED
Applicant's Affadavit: V ~ U~
I certify that I have read and examined the information contained within the application and noT~ w the same
to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of # Sets of Prinl
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. ~ Final Inapecti
/~ / ~ Date:
Signature ,yLY,_„ (fin Qy,~~~t Date ~ ,2 ~ ~,/
Firm "(jJt'-*,,"~ By.
L.
`J / `"1 I ~
~~oF TFIFp~~ City of Yelm Permit Fees Schedule
. ..,,,. ;,,-~.~ M Community Development Department ~ Permit No: BLD-08-0399-YL
Building Division 1~ ~~~ "
Phone: (360) 458-8407 OEC g 2008
YELM Fax: (360) 458-3144
Applicant:
Name: Yelm Property Development, LLC Phone: 458-0544
Address: PO Box 2950 City: Yelm State: WA Zip 98597
Project Information:
Project: Yelm Property Dev.
Description of Work: SFR lot 78, Plan 1579
Site Address: 16614 Greenleaf Ave., SE Assessor Parcel No. 84070007800
Fees:
Acct Code
Item Fee
Base Amt
Unit Fee
Unit Rate
No^Units
Unit Desc
Item
--------------------------
Building Permit 100-500k ------------
032 001-322-10-00
1,366.96
993.75
373.21
5.6000
66.6450
$1,000
Building Plan Review 100 001-345-83-00 577.54 0.00 0.00 0.0000 0.0000
MechanicalPermil 032 001-322-10-00 84.75 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 715 401-343-80-02 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
Consumer Dep 740 402-389-00-00 90.00 90.00 0.00 0.0000 0.0000
Sewer ERU (LID) 802 412-343-50-01 3,009.00 0.00 3,009.00 3,009.0000 1.0000 ERU
State Building Fee 160 001-386-00-00 4.50 4.50 0.00 0.0000 0.0000
Fire District Impact Fee 105 001-345-85-00 638.08 0.00 638.08 0.3200 1 ,994.0000 square foot
Traffic Facilities Charge 420 120-345-85-00 1,334.21 0.00 1,334.21 1,321.0000 1.0100 Peak PM Trip
TOTAL FEES: $9,154.04
CITY OF
YELM
P.O Box a7s RECEIPT No. 5 7 419
Yelm, WA 98597
360-458-324a
RECEIVEQ
****NINE THOUSAND ONE HUNDRED FIFTY FOUR DOLLARS & 04 CENTS
Rt`'F!'~ir:_D FROM DATE REC. NO AMOUNT RAF NO
YELM PROPERTY DEVELOPMENT 12/08/08 57419 9.154.04 CHECK 6280
PO BOX 2950
YELM. WA 98597 BUDGETARY
360-458-0544
L4RL
16614 GREENLEAF AVE. SE
BLD-08-0399-YL
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
ProectAddress: G. `. ~ SE Parcel #: >~IQM IJ 7S Received
Subdivision- ~ •!-;-:: 3 Lot#:~_ Zoning; ~,- '- N0~ 1 ~ 2008
New Construction -; Re-Model / Re-Roof /Addition ~: Home Occupation Sign
Plumbing Mechanical ~ ~ Mobile /Manufactured Home Placement C'. Other
Project Description/Scope of Work: ~ •?-.~ `
Project Value:/ d 6 x'
Building Area (sq- ft) 15' Floor g~_ 2"d Floor 7~/ Garage tFO~ Deck
Basement Carport Patio
_--~
# Bedrooms _.~ # Bathrooms ~~ . a ~ Heatin :GAS/OTHER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? ,U~~ If yes, a
completed environmental checklist must accompany permit application-
ARCHITECT/ENGINEER r- r -.i ~ L r ti- %- LICENSE #
ADDRESS ~ ~ r~. L-' a 'r h EMAIL _
CITY~•yi,O;R STATE+ti%'1 ZIP ;"1•=~ TELEPHONE ~5G 'Ef~'~-:
MECHANICAL CONTRACTOR ,Jiti.va:l ~i« TELEPHONE ~lSL- ~i'~SL
ADDRESS '. -~ !+_. ~- ~ < < '= ~ ~ 'c ' EMAIL
CITY - -f ~ -- ~ STAT .~~ ;~_ZIP ~1 i` ~.~ => FAX
CONTRACTO~t'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 Yte~lm. /~ I _
Applicant's Signature Date
Owner 1 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
105 Yelm Avenue It~est (360) -158-3535
l'U Box 179 (360) /58-31.fd F.-L~1
Yelnr, b1'A 98597 tou~u•.ci;yelnr.ea~n.us ~'
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APPROVED
Z ~ o .Y
F~~.r
YELH CFO BOX 476CHOOlS
YELM WA 98597
Clerk: Croy
Terminal: 85374
Receipt:
Manua Receipt:
N6ROCKTON
NBROCKTON
BROCKTON CON LCIJCTION LLC, YELM PROPER
DEVELOPMENT
12/8/2008 10:49 AM
Price
Q~ __ Item __~-- _---- --
2780.00
1 CPF290U
MITIGATION
07-015 WILLOW GLENN III - LOT 77 2780,00
1 CPF2900
MITIGATION
O1-U15 WILLOPJ GLENN III - LOT 78
Subtotal: 5560.00
Tax: 0.00
Total: 5560.00
Gheck 5560.00
6279
Change Due: 0.00
THANK YOU