20080326 Permit Pkg 091708~Of T~P~ City of Yelm
0
Property Information:
Site Address: 10756 Palisades Street SE
Assessor Parcel No. 67110001500
Community Development Department
4 ~
Building Division
Phone: (360) 458-8407
LM Fax: (360) 458-3144
,...,.
Applicant:
Name: Triance Homes
Address: 4200 6th Ave SE # 301 City: Lacey
Contractor Information:
Name: Triancw Homes
Address: 4200 6th Ave SE #301
Contractor License No: TRIANG144600
Project: Palisades West
Description of Work: SFR lot 15, plan 22122U
Subdivision: Palisades West
Contact: Lee, Dan
City: Lacey
Expires: 09!01 /08245
Sq. Ft. per floor: (1st) 1828 (2nd) 1298 (3rd) 0 Garage 719
Heat Type (Electric, Gas, Other): GAS
Fees:
Item Item Fee Base Amt Unit Fee Unit Rate
Building Permit 100-500k 2,263.05 993.75 1,269.30 5.6000
Building Plan Review 1,470.98 0.00 0.00 0.0000
Mechanical Permit 78.25 0.00 0.00 0.0000
Plumbing Permit 118.00 20.00 98.00 7.0000
Sewer ERU 5,885.00 0.00 5,885.00 5,885.0000
Sewer Inspection 145.00 0.00 145.00 145.0000
Water ERU 1,500.00 0.00 1,500.00 1,500.0000
Water Meter (SFD) 300.00 300.00 0.00 0.0000
Consumer Dep 90.00 90.00 0.00 0.0000
Traffic Facilities Charge 1,334.21 0.00 1,334.21 1,321.0000
Fire District Impact Fee 1,230.40 0.00 1,230.40 0.3200
State Building Fee 4.50 4.50 0.00 0.0000
TOTAL FEES: $14,419.39
Applicant's Affadavit:
Permit No: BLD-08-0326-YL
Issue Date: 09/17/2008
(Work must be started within 180 days)
Receipt No: 56169
Phone: 360-493-6002
State: WA Zip 98503
Lot: 15
Phone: 360-493-6002
State: WA Zip: 98503
Business License: 002940.0
Basement 0
No. Units Unit Desc
226.6610 $1,000 _
0.0000
0.0000
14.0000 Fixture
1.0000 ERU
1.0000 ERU
1.0000 ERU
0.0000
0.0000
1.0100 Peak PM Trip
3,845.0000 square foot
0.0000
I certify that I have read and examined the information contained within the application and know the sa
to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of
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 fate of Washington.
Signature Date
Firm />~~ ~171~~(~~ / /U~
OFFICIAL USE
me
# Sets of Prints:
Final Inspection:
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City of Yelm Permit Fees Schedule
Community Development Department ~~~~ Permit No: BLD-08-0326-YL
Building Division
Phone: (360) 458-8407 S E P 17 2008
Fax: (360) 458-3144 ~'~ ®~ ~~~~
Applicant
Name: Triance Homes Phone: 360-493-6002
Address: 4200 6th Ave SE # 301 City: Lacey State: WA Zip 98503
Project Information:
Project: Palisades West
Description of Work: SFR lot 15, plan 22122U
Site Address: 10756 Palisades Street SE Assessor Parcel No. 67110001500
Fees:
Item
------ Acct Code
---------- Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
Building Permit 100-500k -
032 001-322-10-00 -----
2,263.05 --------
993.75 ---
1,269.30 -------
5.6000 -------
226.6610 ----------
$1,000
Building Plan Review 100 001-345-83-00 1,470.98 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 032 001-322-10-00 118.00 20.00 98.00 7.0000 14.0000 Fixture
Sewer ERU 802 412-343-50-01 5,885.00 0.00 5,885.00 5,885.0000 1.0000 ERU
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
Traffic Facilities Charge 420 120-345-85-00 1,334.21 0.00 1,334.21 1,321.0000 1.0100 Peak PM Trip
Fire District Impact Fee 105 001-345-85-00 1,230.40 0.00 1,230.40 0.3200 3, 845.0000 square foot
State Building Fee 160 001-386-00-00 4.50 4.50 0.00 0.0000 0.0000
TOTAL FEES: $14,419.39
CITY OF
YELM
P.O. Box 479
Yelm. WA 98597 RECEIPT No. 5 616 9
360-458-3244
RE~FI,~I,~CURTEEN THOUSAND FOUR HUNDRED NINETEEN DOLLARS & 39 CENTS
RECEIVED FROM DATE REC. NO. AMOUNT REF. NO.
TRIANCE HOMES 09/17/08 56167 14,419.39 CHECK 12.134
4200 6TH AVE SE tk301
LACEY, WA 98503 BUDGETARY
360-493-6002
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: ~r~7S~ PLl ~~/~l`S ST 5 t Parcel #: ~ ~~~/0'p~' ~' ~ ~ ~'~'
Subdivision: 1 ALl SfIt~~S uJ~ S 1' Lot #: !S Zoning; /~ ES,G~~~C
New Construction f_ Re-Model / Re-Roof /Addition f, Home Occupation Sign
Plumbing ~~ Mechanical -i Mobile /Manufactured Home Placement -~ Other
Project Description/Scope of Work: I~~t:~' 2-STe~etn1 l~c./I E
Project Value:~~r7~ G%OC>
Building Area (sq. ft) 1 g~ Floors 2"d Floor `TD / Garage ~7/ Deck
Basement Carport Patio
# Bedrooms ~ # Bathrooms Z'/Z Heating:~OTHER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? ,y ~ If yes, a
completed environmental checklist must accompany permit application.
BUILDING OWNER NAME: ijA/~IPi~1 ~ ~NT~I/ SNI lTN
ADDRESS_!4~f='~ ;:~c~~,~,~,~ 1-1b~ EMAIL
CITY x ~ STATE_1Z?C ZIP E S¢~" j TELEPHONE ` 6 -
ARCHITECT/ENGINEER C~Jt<LL EA,'6/AJ~E~( /.lea LICENSE #
ADDRESS~'~ ; 7C' >~ ~~SH~'L'~,~t~U ;i ~2ic, EMAIL
CITY f''-= ~-~)~v ~) STATE~ZIP T7Z/~ TELEPHONE ~ Z - ' < <r Z
PLUMBING CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
MECHANICAL CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'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 Yelm.
Applicant's Signature Date
Owner /Contractor /Owner's Agent / C tractor'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 Yeln~ Avenue West (360) 458-3835 ,
PO Box 47.9 (360) 458-3144 FA~ F C E I V E D
}'el»,, YVA 98597 www.ci. elm.wa.us
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PALISADES
WEST
PHASE I
YELM WASHINGTON
PLAT MAP
oEwaw[gr ac~cw cnarmt
YELM COMMUNITY SCHOOLS
PO BOX 476
YELM WA 98597
Clerk: Croy
Terminal: 1
Receipt; 78515
Manual Receipt:
NTRIANCE
N206-618-~U483
TRIANCE GROUP INCORPORATED
12639 S~ 307TH ST
AUBURN, WA 98092
9/17/2008 8:50 AM
Qty Item ___~___ _ _ Price
1 MITIGATION 2675.00
06-023 - LOT 15 - FORRESTER HEIGHTS
Subtotal: 2675.00
Tax: 0.00
Total: 2675.00
Check 2675.00
12133
Change Due: 0.00
THANK YOU
CITY OF YELM
REQUEST FOR ACCESS TO PUBLIC RECORDS
The following information is to be filled out by the person requesting records:
Date of Request: Z.~ ~~ ~ ~4(
Name of Person Making Request: ~0~~ `,m ~~~
Address: (S .3.01 IO~~' `4~U 1-~
City: ~1 L-L-Vv~ State: ~ ~ Zip: ~)~.~' Phone: ~,to SZc~ ' ~ 71 O
1l~thi,c is an emergency request, indicate tl:e date desired and please describe the nature ol~the
emergencv:
RECORDS REQUESTED: (Please state the title and date of the record(s) being
reguested): \ <
1~M.7~1C-~- ~ `~ 1M ~~'.x-'Yv~n ~ (l n. e \C o T ~ r ~ 11 ~J.~n ~i:
Please describe any additional information that will help us locate the records as quickly as
possible:
Requestor's
Date: ~ ~n ~~
For City Use Only
Staff person receiving request: Date:
Number of Copies: Total Charge:
Staff person who provided records:
Date: Client name receiving records:
ds-word/forms/publicrecordsrequest form.doc
CEIV
JN2b 1009
�,�� THFA,� City of Yelm
O �a�.
105 Yetm Avenue West
Yelm, WA 98597
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WASH�NOTON
June 27, 2014
Goldstein Law Office PLLC
1800 Cooper Point Rd SW
Ste 8
Olympia, WA 98501
Attn: Chris Medrzycki
Re: 10756 Palisades St SE
Mr. Medrzycki,
The City of Yelm has not issued a Certificate of Occupancy for the residence iocated at
10756 Palisades St SE, Assessor's Parcel number 67110001500. To date the
residence has not met the conditions of the buiiding permit.
Sincerely,
�
�_ ___��__ -
Gary Carlson
Building Official
City of Yelm
(360)458-3835
(360)458-3144 FAX
www.ci.yelm.wa.us