07-0254 Permit Pkg 073107'y~oF T}+FP~' City Of Yelm Permit No: BLD-07-0254-YL
'~ Community Development Department Issue Date: 07/31/2007
Building Division (Work must be started within 180 days)
Phone: (360) 458-8407 Receipt No: 49603
YEL Fax: (360) 458-3144
Applicant:
Name: SCA Group Phone: 360-493-6002
Address: 4200 6th ave. SE. Ste. 301 City: Lacey State: WA Zip 98503
Property Information:
Site Address: 9144 Burnett Road SE, Bldg. B
Assessor Parcel No. 21713340601 Subdivision: Lot
Contractor Information:
Name: SCA Design Build Contact: Lee, Dan Phone: 360-493-6002
Address: 4200 6th Ave. SE City: Lacey State: WA Zip: 98503
Contractor License No: SCADEI1401KM Expires: 05/07/05127 Business License: 0004552
Project Information:
Project: Burnett Road Phase II
Description of Work: 3600 sf Retail
Sq. Ft. per floor: (1st) 3600 (2nd) 0 (3rd) 0 Garage 0 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 2,248.15 993.75 1,254.40 5.6000 224.0000 $1,000
Building Plan Review 1,416.29 0.00 0.00 0.0000 0.0000
Mechanical Permit 111.00 0.00 0.00 0.0000 0.0000
Plumbing Permit 118.00 20.00 98.00 7.0000 14.0000 Fixture
Fire District Impact Fee 777.60 0.00 777.60 0.2160 3,600.0000 square foot
Traffic Facilities Charge 0.00 0.00 0.00 750.0000 0.0000 Peak PM Trip
Sewer ERU 0.00 0.00 0.00 5,725.0000 0.0000 ERU
Sewer Inspection 0.00 0.00 0.00 145.0000 0.0000 ERU
Sewer Deposit Commercial 0.00 0.00 0.00 50.0000 0.0000 ERU
Water ERU 0.00 0.00 0.00 1,500.0000 0.0000 ERU
Water Meter (Commercial) 300.00 300.00 0.00 0.0000 0.0000
State Building Fee 4.50 4.50 0.00 0.0000 0.0000
TOTAL FEES: $4,975.54
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:
Date:
Signature ~ (` Date 7 ~ 'S ~ - p '~ I
Firm SC ~ By