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07-0381 Permit Pkg 110707F THE City of Yelm Community Development Department 6 Building Division Phone: (360)45 -8407 YELM Fax: (360)458 -3144 Applicant: Name: Development @Y91m, LLC Address : 315 39th Avg. S, Ste. B City: P Property Information: Site Address : 1304 Yelm Ave. East Assessor Parcel No 22730140100 Subdivision Contractor Information: Name: Hebert Construction Inc. Contact. Address: 2020 A SL SE #101 City: Aubu Contractor License No. HEBERC1131DS Expires: 1 Project Information: Project: Creek St. Plan Description of We*: Permit for Building Permit No BLD -07- 0381 -YL Issue Date: 11107/2007 (Work must be started within 180 days) Receipt No: 51284 12,128.55 uyallup 0.00 0.0000 0.0000 $1,000 Building Plan Review 7,883.55 0.00 0.00 0.0000 0.0000 rn 1,000.00 2104/07338 Permit No BLD -07- 0381 -YL Issue Date: 11107/2007 (Work must be started within 180 days) Receipt No: 51284 Phone: 253- 9613305 State: WA Zip 98343 Lot: Phone: 253- 9314888 State: WA Zip: 98002 Business License: Sq. Ft. per floor: (1st) 15858 (2nd) 0 (3rtl) 0 Garage 0 Basement 0 Heat Type (Electric, Gas, Other): GAS Fees Item -. __ Item Fee Base Amt Unit Fee Unit Rate No Units Unit Dirac Building Permit - Other 12,128.55 0.00 0.00 0.0000 0.0000 $1,000 Building Plan Review 7,883.55 0.00 0.00 0.0000 0.0000 Water Meter (Commercial) 1,000.00 300.00 0.00 0.0000 0.0000 Fire District Impact Fee 3,425.33 000 3,425.33 0.2160 15,858.0000 square foot TOTAL FEES: $24,437.43 APPIICa rrs Affadavit: I certify that I have read and examined the information contained within the application and know the same OFFICIAL USE ONLY to W true and coine d re. I also certify that the proposed structure is in conformity with all applicable City of M Sets of Par s: 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 further certify that I am currently registered in the State of Washington. Final Inspection: yp E Signature �I \ /� �y� Date ��� 07— 0-7 Date: FI�ek eiEr..ri C- F-a" — City of Yelm Community Development Department Building Division Phone: (360) 458-8407 Fax: (360) 458-3144 Applicant: Name: Development t @Yelm, LLC Address: 315 39th Ave. S, Ste. 8 Project Information: Project: Creek St. Plaza Description of Work: Permit for Building Site Address: 1304 Yelm Ave. East Fees: Item Acct Code Building Permit - Other 032001- 322 -10 -00 Building Plan Review 100 001- 345 -83 -00 Water Meter 712401- 843 -80 -01 (Commercial) 105 001- 345 -85 -00 Fire District Impact Fee TOTAL FEES: City: Puyallup Permit Fees Schedule Permit No: BLD -07 -0381 -YL Phone: 253 - 9614305 State: WA Zip 98343 Assessor Parcel No. 22730140100 Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Dead 12,128.55 0.00 0.00 0.0000 0.0000 $1,000 7,883.55 0.00 0.00 0.0000 0.0000 1,000.00 300.00 000 0.0000 0.0000 3,425.33 0.00 3,425.33 0.2160 15,858.000 square foot 0 $24,437.43 CITY OF _ -- - - - - - -- - -- - YELM P.O. Box 479 Velm WA 98597 RECEIPT No. 51284 360 - 458.3244 REG WgWENTY FOUR THOUSAND FOUR HUNDRED THIRTY SEVEN DOLLARS & 43 CENTS RECEIVED FROM DATE REC. NO, AMOUNT REF NO DEVELOPEENT @ YELM LLC 11/07/07 51284 24,437.43 CHECK 3071 315 39TH AVE SW STE 8 PUYALLUP WA 98373 BUDGETARY CITY OF YELM P.O. Box 479 Velm, WA 98597 360358 -3244 RECEIPT No. 51285 REG;Iyj?HIRTY TWO THOUSAND EIGHT HUNDRED SEVENTY FIVE DOLLARS & 07 CENTS RECEIVED FROM DATE REC. NO. AMOUNT REF NO. DEVELOPMENT @ YELM LLC 11/07/07 51285 32,875.07 CHECK 3072 315 39TH AVE SW STE 8 PUYALLUP WA 98373 BUDGETARY 253- 286 -5600 BLD -07- 0379 -YL PERMIT AUTO ZONE CITY OF YELM P.O. Box 479 Velm, WA 98597 360 -458 -3244 RECEIPT No. 51286 RE9"Vf?WELVE THOUSAND NI E HUNDRED T NTY SEVEN DOLLARS & 22 CENTS RECEIVED FROM DATE REC. NO. AMOUNT REF. NO. DEVELOPEMENT @ YELH LLC 11/07/07 51286 12,927.22 CHECK 3070 315 39TH AVE SE STE 8 PUYALLUP WA 98373 BUDGETARY BUILDING C CITY OF YELM Y - 'IN FORM I Pm)ect Address: x'04 14 Y+*�-ey �^- - -Anal #: Zoning; Current Use: Proposed Use : A1MIM01F 114G r� XNew Construction u Re -Model I Re -Roof I Tenant Improvement Li Plumbing a Mechanical U Fire Prevent/Suppress/Ala" u Other Received Project Description/Scope of Work /5 8�¢'31Fc� L- JUN 1 1 2007 Project Building Area (sq. ft) Parking Garage 1” Flaor 2 loor 3'" Floor_ Building Height 241 6 �5 � 0 SM V/t Are there any environmentally sensitive areas located on the parcel? vO If yes, a completed environmental checklist must accompany permit application. BUILDING OWNE NANT NAME: 0 LLC ADDRESS ie SiXF4 °50um /'yJ2 EMAIL M (C44,sci. • ytA G. NET CITY 77 v „14 STATE ZIP 'IM GENERAL CONTRACTOR -Ri> TELEPHONE ADDRESS EMAIL CITY STATE ZIP FAX CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE # MECHANICAL CONTRACTOR P°5/ Oy TELEPHONE ADDRESS EMAIL CITY STATE ZIP FAX CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE # —Copy of City Museum documentation (TFC). 1 hereby certify that the above Inf arrunion I. correct and that the construction on, and the occupancy and the use of the above described pmp.dy will be In accord.... with the laws, rules and regulations of the State of Washington and the Cfty of 1 Ap scant' gnatur Date Owner Contra r I Owner's Agent onlractor's Agent I Tenant (Please circle one.) All permits are non - transferable and will expire if work authorized by such permit is notbegun within 180 days of issuance, or if work is suspended or abandoned for a period of 180 days 105 Yelm Avenue PO Box 479 Yelm, WA 96597 (360) 45 &3144 FAX .unuxi.yelm....ue FILL. m