20090062 Permit Pkg 050609~~oF T~p,A~' City of Yelm Permit No: BLD-09-0062-YL
o~'
Community Development Department Issue Date: 05/06/2009
Building Division (Work must be started within 180 days)
Phone: (360) 458-8407 Receipt No: 60135
y 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: 16645 Greenleaf Ave. SE
Assessor Parcel No. 84070010400 Subdivision: Willow Glenn III Lot: 104
Contractor Information:
Name: Yelm Property Development, LLC Contact: Phone:
Address: City: State: Zip:
Contractor License No: YELMPDL00302 Expires: Business License
Project Information:
Project: Willow Glenn III
Description of Work: SFR Lot 104, Plan #1596
Sq. Ft. per floor: (1st) 730 (2nd) 866 (3rd) 0 Garage 400 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 1,374.55 993.75 380.80 5.6000 68.0000 $1,000
Building Pfan Review 580.52 0.00 0.00 0.0000 0.0000
Mechanical Permit 78.25 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
State Building Fee 4.50 4.50 0.00 0.0000 0.0000
Fire District Impact Fee 643.20 0.00 643.20 0.3200 2,010.0000 square foot
Traffic Facilities Charge 1,334.21 0.00 1,334.21 1,321.0000 1.0100 Peak PM Trip
Sewer ERU 6,050.00 0.00 6,050.00 6,050.0000 1.0000 ERU
TOTAL FEES: $12,114.23
Applicant's Affadavit:
OFFICIAL USE
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 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:
.- Q~~. -~ - / ~~ Date
Signature ~~ ~ ~ Q Date S/6
Firm
C~~S• ~ •01
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Applicant
City of Yelm Permit Fees Schedule
Community Development Department Permit No: BLD-09-0062•YL
Building Division
Phone: (360) 458.8407
Fax: (360) 458.3144
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 104, Plan p1596
Site Address' 16645 Greenleaf Ave. SE Assessor Parcel No. 84070010400
Fees:
Item Acd Code Item Fee Base Amt Unil Fee Unit Rate No. Units Unit Desc
Building Permit 100-500k 032001-322-10-00 1,374.55 993.75 380.80 5.6000 68.0000 $1,000
Building Plan Review 100 001-345-83-00 580.52 0.00 0.00 0.0000 0,0000
Mechanical Permit 032 001-322-10-00 78.25 0.00 0.00 0.0000 0.0000
Plumbing Permit 032001-322-10-00 104.00 20.00 84.00 7.0000 12.0000 Fixture
Sewer Inspection 805 412-343.80.00 145.00 0.00 145.00 145.0000 , 1.0000 ERU
Water ERU 715 401-343-60-02 1,500.00 0.00 1,500.00 1,500.0000 1.0000 ERU
Water Meter (SFD) 712 401-343-80-01 300.00 300.00 0.00 0.0000 0.0000
State Building Fee 160 001-386-00-00 4.50 4.50 0.00 0.0000 0.0000
Fire District Impact Fee 105 001-345-85-00 643.20 0.00 643.20 0.3200 2,010.0000 square foot
Traffic Facilities Charge 420 120-345-85-00 1,334.21 0.00 1,334.21 1,321.0000 1.0100 Peak PM Trip
Sewer ERU 802 412-343-50-01 6,050.00 0.00 6,050.00 6.050.0000 1.0000 ERU
TOTAL FEES: 512,114.23
CITY OF .
YELM
toSYelm Ave. W. RECEIPT NO. ~? ~~ 1 ~ cJ
Yelm. WA 98597
360-458-3244
FEE*C,,~,~LVE THOUSAND ONE HUNDRED FOURTEEN DOLLARS & 23 CENTS
RECEIVED FROM DATE REC. NO. AMOUNT REF. NO.
YELM PROPERTY DEVELOPMENT LLC 05/06/09 60135 12,114.23 CHECK 6305
PO BOX 2950
YELM WA 98597 BUDGETARY
I
09-0062-YL
~ 59b
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
•`
Project Address:. /(O~oS~S G, ~. 7IV~ .SLC - Parcel #: ~~ • % ~- '- ~'~- ~~/ ~ C'
Subdivision:+~~/~O~ Cle;~~ 3 Lot# /O Zoning; 1j - ~
~( New Construction ^ Re-Model ! Re-Roof J Addition ^ Home Occupation Sign
^ Plumbing ^ Mechanical ^ Mobile /Manufactured Home Placement ^ Other
Project Description/Scope of Work 3Fk`-' r - ~ C
Building Area (sq. ft) 1$' Floors 2nd Floor x/06 Garage ~~ Deck
Basement Carport Patio
# Bedrooms. # Bathrooms~j Heatin :GAS/OTH 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.
GENERAL CONTRACTOR t LiC TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE # ~
MECHANICAL CONTRACTOR Ltnl j€'i ~H1L TELEPHONE <IS6 -~ ~gS~
ADDRESS ~,~2f0 ~..~C '~' EMAIL
CITY LlfC~ STAT t~ZIP ~SG'3 FAX
CONTRACTO 'S LICENSE # EXP DATE CITY LICENSE #
Copy of mitigation agreement with Yelm Community Schools, if applicable.
1 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.
~ ~ f 27/17
Applicant's nature D to e
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
105 Ye.[m Avenue ti{'est
PO B
479 (360) ~f58-3835
ox (360) 45&-3144 FAX
}etn+, WA 98597 mmu•.ci.vetm.u+a.us
~~oF T~A.p~ City of Yelm Permit Fees Schedule
7~ Community Development Department Permit No: BLD-09-0062-YL
Building Division
Phone: (360) 458-8407
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: Willow Glenn III
Description of Work: SFR Lot 104, Plan #1596
Site Address: 16645 Greenleaf Ave. SE
Fees:
Item Acct Code
Building Permit 100-500k 032 001-322-10-00
Building Plan Review 100001-345-83-00
Mechanical Permit 032 001-322-10-00
Plumbing Permit 032 001-322-10-00
Sewerlnspection 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
Fire District Impact Fee 105 001-345-85-00
Traffic Facilities Charge 420 120-345-85-00
Sewer ERU 802 412-343-50-01
TOTAL FEES:
Assessor Parcel No. 84070010400
Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
1,374.55 993.75 ^380.80 5.6000 68.0000 $1,000
580.52 0.00 0.00 0.0000 0.0000
78.25 0.00 0.00 0.0000 0.0000
104.00 20.00 84.00 7.0000 12.0000 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
643.20 0.00 643.20 0.3200 2 ,010.0000 square foot
1,334.21 0.00 1,334.21 1,321.0000 1.0100 Peak PM Trip
6,050.00 0.00 6,050.00 6,050.0000 1.0000 ERU
$12,114.23
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FILE
APP OVEN
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YELM COMMUNITY SCHOOLS
PO BOX 476
YELM WA 98597
Clerk: Croy
Terminal: 1
Receipt: 97145
Manual Receipt:
NbROCKTON
NBROCKTON
BROCKTON CONSTRUCTION LLC, YELM PROPERTY
DEVELOPMENT LLC
/6/2009 6:56 AM
w~____ Item ~~~.~_ Price
1 CPF2900 2780.00
MITIGATION
07-015 - WILLOW GLENN III - LOT 104
Subtotal: 2780.00
Tax: 0.00
Total: 2780.00
Check 2780.00
6304
Change Due: 0.00
THANI( YOU