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Building Permit Bld BCity of Yelm Community Development Department Building Division Phone: (360) 458-8407 Fax: (360) 458-3144 Applicant: Name: SCA Group Address: 4200 6th ave. SE. Ste. 301 Property Information: Site Address: 9144 Burnett Road SE, Bldg. B Assessor Parcel No. 21713340601 Contractor Information: Name: SCA Design Build Address: 4200 6th Ave. SE Contractor License No: SCADE11401KM Project Information: Project: Burnett Road Phase II Description of Work: 3600 sf Retail City: Lacey Subdivision: Contact: Lee, Dan City: Lacey Expires: 05/07/05127 Permit No: BLD-07-0254-YL Issue Date: 07/31/2007 (Work must be started within 180 days) Receipt No: 49603 Sq. Ft. per floor: (1st) 3600 (2nd) 0 (3rd) 0 Garage 0 Heat Type (Electric, Gas, Other): GAS Fees: Item Item Fee Base Amt Unit Fee Unit Rate Building Permit 100-500k 2,248.15 993.75 1,254.40 5.6000 Building Plan Review 1,416.29 0.00 0.00 0.0000 Mechanical Permit 111.00 0.00 0.00 0.0000 Plumbing Permit 118.00 20.00 98.00 7.0000 Fire District Impact Fee 777.60 0.00 777.60 0.2160 Traffic Facilities Charge 0.00 0.00 0.00 750.0000 Sewer ERU 0.00 0.00 0.00 5,725.0000 Sewer Inspection 0.00 0.00 0.00 145.0000 Sewer Deposit Commercial 0.00 0.00 0.00 50.0000 Water ERU 0.00 0.00 0.00 1,500.0000 Water Meter (Commercial) 300.00 300.00 0.00 0.0000 State Building Fee 4.50 4.50 0.00 0.0000 TOTAL FEES: $4,975.54 A Phone: 36093-6002 State: WA Zip 98503 Lot: Phone: 36093-6002 State: WA Zip: 98503 Business License: 0004552 Basement 0 No. Units Unit Desc 224.0000 $1,000 0.0000 0.0000 14.0000 Fixture 3,600.0000 square foot 0.0000 Peak PM Trip 0.0000 ERU 0.0000 ERU 0.0000 ERU 0.0000 ERU 0.0000 0.0000 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 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. Signature Date Firm OFFICIAL USE ONLY # Sets of Prints: Final Inspection: Date: By: