BLD-05-0220
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Bui\din9 A.ddress
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p\an Number
owner Name
owner A.ddress
BUi\din9 permit Number
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specia\ conditions
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CITY OF YELi\1INSPECTION LOG
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PER."llT NUMBER
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~-c: -~ YELM SEI,JER DEPT
FRX NO 360-458-E!166
Nov 15 2005 04 51PM Pi
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FAX TRANSMISSION
CITY OF YELIvI
P.O. BOX 479 - 93 I NP ROAD NE
YELM, W A 98597
360-458-8411
FAX 360-458-8] 66
GAfv~
TO'
DATE: ) I-)b -t)J)
PAGES: 1 , including this
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Cover sheet T
FAX#
From, ~NO'1
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Subject Hc.lI..A$E l:::I/^JA-Yil~TtA.V'1A) \..h LL 1J:
COMMENTS' .L oT ~ I (.. ~&-"5 ~ ,'R-elL-LA),) D
()1- ()~ras. DO
i lll'illJ do no! receIve all copies or any copy IS no lqpblc, pk<ls\.- call (~(.O) 45g.8411
as Soon as po~sib]e.
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City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360)458-3144
Permit No
BLD-05-0220- YL
Issue Date 07/19/2005
(Work must be started within 180 days)
Receipt No
37377
AppllcaQt:.
Name. Landshapes NW, Inc.
Phone.
253.537.6370
Address. 1151 E 112th Street
City' Tacoma
State. WA Zip 98445
Prop~rty Information:
Site Address. 16223 Birkland St. SE
Assessor Parcel No. 32660000300
Subdivision. Autumn Hill, phase II
Lot: 3
Contractor Information:
Name. Landshapes NW
Contact: Lubbesmeyer, John
City' Tacoma
Phone. 253-537-6370
Address. 1151 East 112th Street
State. WA Zip. 98445
Contractor License No. LANDSN1965MT
Expires. 08/13/06225
Business License. 1673.0
Proje~t InforrnCition.
Project: Autumn Hill, phase II
Description of Work: 1504 sf SFR, Lot 3
Sq. Ft. per floor' (1 st) 1504
(2nd) 0
(3rd) 0
Garage 470
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 1,233.99 993.75 240.24 5.6000 42.9000 $1,000
Building Plan Review 802.09 000 000 o 0000 o 0000
Mechanical Permit 7175 000 000 o 0000 0.0000
Plumbing Permit 90.00 2000 70.00 7 0000 10 0000 Fixture
Sewer ERU 5,41700 0.00 5,41700 5,417 0000 1 0000 ERU
Sewer Inspection 145.00 000 145.00 145 0000 1 0000 ERU
Water ERU 1,50000 000 1,50000 1,500.0000 1 0000 ERU
Water Meter (SFD) 300.00 300 00 0.00 o 0000 o 0000
Water Deposit 4000 4000 000 o 0000 o 0000
Traffic Facilities Charge 757.50 000 757.50 7500000 1 0100 Peak PM Trip
Sewer Deposit 5000 50.00 000 o 0000 o 0000
State Building Fee 4.50 450 000 o 0000 0.0000
TOTAL FEES $10,411.83
Appncanr~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
Yelm regulations including those governing zoning and land subdivision, and in addition all covenants,
easements and restrictions of record. If applying as a c ntractor, I futher certify that I am currently
registered in th t te of W hing
# Sets of Prints.
Final Inspection:
D"e~
By' ___
RECEIPT No.3 7 3 7 6
RE€E~N THOUSAND SEVEN HUNDRED ELEVEN DOLLARS & 91 CENTS
RECEIVED FROM
LANDSHAPES NW INC
1151 E 112TH STREET
TACOMA. WA 98445
253-537-6370
SITE 16205 BIRKLAND ST SE
DATE REC. NO.
07/19/05 37376
AMOUNT
10.711.91 CHECK
REF NO.
2476
BUDGETARY
DIANA
,SEWINS145
WAT ERU 1500, WAT MET 300, CONS DEP 90, TRAF 757.50, BLD FEE 4.50
RECEIPT No.3 7 37 7
R8CE1~N THOUSAND FOUR HUNDRED ELEVEN DOLLARS & 83
RECEIVED FROM
LANDSHAPES NW INC
1151 E 112TH STREET
TACOMA, WA 98445
253-537-6370
SITE 16223 BIRKLAND ST SE
DATE
07/19/05
REF NO.
2476
BUDGETARY
DIANA
99,PLN REV 802 09, MECH 71 75,PLM 90, SEW ERU 5417,SEWINS145
WAT ERU1500, WAT MET 300, CONS DEP 90,TRAF 757.50,BLD FEE 4.50
RECEIPT No.3 7 3 7 8
R8OE*~N THOUSAND TWO HUNDRED FIFTY FIVE DOLLARS & 67 CENTS
RECEIVED FROM
LAND SHAPES NW INC
1151 E 112ST ST
TACOMA, WA 98445
SITE: 16217 BIRKLAND
BLD-05-0221-YL
DATE REC. NO.
07/19/05 37378
AMOUNT
10,255.67
~
REF NO.
2476
BUDGETARY
ST SE
DIANA
R T71.75, PLMBPRMT90,S/ERU5417, S/INS14
W/ERU1500, W/MTR300, W/DEP40, TRAFF757.50, S/DEP50,STFEE4.50,
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Permit Fees Schedule
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:
Name: Landshapes NW, Inc.
Address. 1151 E 112th Street
Project Information:
Project: Autumn Hill, phase II
Description of Work: 1504 sf SFR, Lot 3
Site Address. 16223 Birkland S1. SE
Fees:
Item Acct Code
Building Permit 100-500k 032001-322-10-00
Building Plan Review 100001-345-83-00
Mechanical Permit 032001-322-10-00
Plumbing Permit 032 001-322-10-00
Sewer ERU 802412-343-50-01
Sewer Inspection 805 412-343-80-00
Water ERU 712401-343-80-01
Water Meter (SFD) 712401-343-80-01
Water Deposit 740402-389-00-00
Traffic Facilities Charge 420 120-345-85-00
Sewer Deposit 742402-389-01-00
State Building Fee 160001-386-00-00
TOTAL FEES
Permit No BLD-05-0220-YL
Phone:
253.537.6370
City' Tacoma
State: WA Zip 98445
Assessor Parcel No 32660000300
Item Fee Base Amt Unit Fee Unit Rate No Units Unit Desc
-------------
1,233.99 993.75 240.24 5 6000 42.9000 $1,000
802.09 0.00 000 o 0000 o 0000
7175 000 000 o 0000 o 0000
90.00 2000 70.00 7 0000 10 0000 Fixture
5,41700 0.00 5 417 00 5.417 0000 1 0000 ERU
145 00 000 145 00 145.0000 1 0000 ERU
1 500.00 000 1,500.00 1,500.0000 1 0000 ERU
300 00 300 00 000 0.0000 o 0000
4000 4000 0.00 o 0000 0.0000
75750 0.00 757 50 750.0000 1 0100 Peak PM Trip
5000 5000 000 o 0000 0.0000
450 450 000 o 0000 o 0000
$10,411.83
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YELM COMMUNITY SCHOOLS
LOCAL RECEIPT DATE -, /) '1 /;:,~ 19
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25548
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