The URL can be used to link to this page

20090045 Permit Pkg 040905pf 7HFp~~' City of Yelm c~ ~ Community Development Department ~/ \t~ Building Division Phone: (360)458-84 Y E L M Fax: (360)458-3144 Applicant: Name: Yelm Property Development, L Address: PO Box 2950 Property Information: Site Address: 16639 Greenleaf Ave, SE Assessor Parcel No. 84070010500 Contractor Information: 07 LC City: Yelm Subdivision: Willow Glenn III Permit rvo: BLD-09-0045-YL Issue Date: 04/06/2009 (Work must be started within 180 days) Receipt No: 59410 Phone: 360-458-0544 State: WA Zip 98597 Lot: 105 Name: Yelm Property Development, LLC Contact: Phone: Address: City: State: Zip: Contractor License No: YELMPDL00302 Expires: Business License: Project Information: Project: 16639 Greenleaf Ave, SE Description of Work: SFR Lot 105, Plan #1568 Sq. Ft. per floor: (1st) 868 (2nd) 700 (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 --------- 1,359.55 --------- 993.75 -- 365.80 -- 5.6000 65.3220 $1,000 Building Plan Review 574.41 0.00 0.00 0.0000 0.0000 Mechanical Permit 71.75 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 State Building Fee 4.50 4.50 0.00 0.0000 0.0000 Fire District Impact Fee 629.76 0.00 629.76 0.3200 1,968.0000 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: $12,073.18 Applicant's 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 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 Inspection: Signature ~ ~ Date: ~~ti2~2c~ G1-~_y~-~.~-~ Date `/ G ~o~ nfi Firm ~_ 1'~~- - By. !/7 ~4t .-~~ City of Yelm Community Development Department Building Division Phone: (360)458-8407 Fax: (360)458-3144 Permit Fees Schedule Permit No: BLD-09-0045-YL Applicant: Name: Yelm Property Development, LLC Phone: 360-458-0544 Address: PO Box 2950 City: Yelm State: WA Zip 98597 Project Information: Project: 16639 Greenleaf Ave, SE Description of Work: SFR Lot 105, Plan #1568 Site Address: 16639 Greenleaf Ave, SE Assessor Parcel No. 84070010500 Fees: Item Acct Code Item Fee Base Amt Unit F ee Unit Rate No. Units Unit Desc ----------------------- Building Permit 100-500k ------------ 032 001-322-10-00 ---------- 1,359.55 ---------- 993.75 ------- 365. -- 80 5.6000 65.3220 $1,000 Building Plan Review 100 001-345-83-00 574.41 0.00 0. 00 0.0000 0.0000 Mechanical Permit 032 001-322-10-00 71.75 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 State Building Fee 160 001-386-00-00 4.50 4.50 0. 00 0.0000 0.0000 Fire District Impact Fee 105 001-345-85-00 629.76 0.00 629. 76 0.3200 1 ,968.0000 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: $12,073.18 CITY OF YELM 105 Yetm Ave W. Yelm, WA 98597 RECEIPT No. v ~ !~ ~ 360-958-32=14 ~~~~i~~4~LVE THOUSAND SEVENTY THREE DOLLARS & 18 CENTS RECEIVED F!iC)Pv1 YELM PROPERTY DEVELOPMENT PO BOX 2950 YELM WA 98597 -BLD-09-0045.YL DATE REC NG AMOUt~1T HEF NO 04/06/09 59410 12 073.18 CHECK 6298 BUDGETARY MICHELLE YELH COMMUNITY SCHOOLS PO BOX 476 YELH WA 98597 Clerk: Croy Terminal: 1 Receipt: 93824 rlanual Receipt: NBROCKTON NBROCKTON BROCKTUN CONSTRUCTION LLC, YELM PROPERTY DEVELOPMENT LLC 4/6/2009 6:41 P,h1 ~~ Item ______ _ _ Price_ 1 CPF2900 2780.00 MITIGATIJN 07-015 U~ILLOW GLENN III - LOT 105 Subtotal: 2780.00 Tax: 0,00 Total: 2780,00 Check 2780.00 6297 Change Due: 0.00 THANK YOU RP~eived CITY OF YELM MAR ~ -:~ 2009 RESIDENTIAL BUILDING PERMIT APPLICATION FORM Parcel #: ~1 G ~F G % ~S a G Project Address: ~l ~/~19 G• L Subdivision: l~ ~ 1IOr.+) G/~:~ln 3 Lot #: /Q ~ Zoning; ~j ~( New Construction ^ Re-Model / Re-Roof /Addition ^ Home Occupation Sign ^ Plumbing ^ Mechanical ^ Mobile /Manufactured Home Placement ^ Other Project Description/Scope of Work: F ~Uf ~C'~ ~~°`~"L ~~~ ~` `~ Project Value: Building Area (sq. ft) 1~' Floor ~~ ~ 2nd Floor7~ Garage ~ Oeck Basement Carport Patio # Bedrooms: # Bathrooms 2 ~7 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. BUILDING OWNER NAME: ELM r'KGf/ SS u~'K .2~'S~ " t vcc.c-s ~ ~~~ EMAIL ADDRE CITY ' •~ STATEI.c)if ZIP ''d TELEPHONE •5ISf3 -~S ARCHITECT/ENGINEER ~1rJ E L~ iVF ~ EMA LSE # ADDRESS ~ 1 ~ ~ ~ CITY STATE u.' ~'~ ZIP ~ B SL' 1 TELEPHONE y ~ 6 'E'hP~ GENERAL CONTRACTOR LiC TELEPHONE ADDRESS EMAIL CITY STATE ZIP CONTRACTOR'S LICENSE # FAX EXP DATE CITY LICENSE # PLUMBING CONTRACTOR ~ IJL~ i C f~ TELEPHONE ~`t(~' ~8~3 ADDRESS my L( EMAIL ' CITY ~~~r Nl~r2 STATE~IF ZIP ` ~•~ F~ CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE # MECHANICAL CONTRACTOR `u,V~€; k tti; TELEPHONE ~5~--4gS-~ ADDRESS S~fO L..,4CEY ; = EMAIL STAY b/r4 _ZIP Y CITY L~C ~ ~ SC FAX T ~- i.rw~nc ~a FxP HATE CITY LICENSE # GUN I l'<Al.~ I Vr(A LII~CIVJC rr 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 descrit-ed property will be in accordance with the laws, rules and regulations of the State of Washington and the City of Yelm. / Applicant's ignature 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 (360) J58-3835 105 Yehn Auenrie Hest (360) 455-31~td FtLf ~~ pO Box 479 rcmu~.ci.yelnr.ua.us }'clnl, WA 98597 '~pFTHFp9~' City of Yelm Permit Fees Schedule ~~ 9~ Community Development Department Permit No: BLD-09-0045-YL a M Building Division Phone: (360)458-8407 ELM Fax: (360) 458-3144 Applicant: Name: Yelm Property Development, LLC Phone: 360-458-0544 Address: PO Box 2950 City: Yelm State: WA Zip 98597 Project Information: Project: 16639 Greenleaf Ave, SE Description of Work: SFR Lot 105, Plan #1568 Site Address. 16639 Greenleaf Ave, SE Assessor Parcel No. 84070010500 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 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: Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc 1,359.55 993.75 365. 80 5.6000 65.3220 $1,000 574.41 0.00 0. 00 0.0000 0.0000 71.75 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 629.76 0.00 629. 76 0.3200 1,968.0000 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 $12,073.18 ~ FILE I~ F ~~ ~! ~ " ! l 1 1 .. -~-_, ~j ~ ~ •~ ~ ~ / - r .. .. , _ ~~ d' c,~ y- I ~o~1s~ ~~ ~~ ~ ;~ `~,,~' a ~ ~ 1 s,a w ~~~ ~ ... ~.. .rte ...r- l ~~_~ ~--~, ~ v`~~o`v~eV.f .,~+~~~`~ .~' Wit`' kr, ~;• APPROVED ~Z~fG ~ FILE