20160144 Permit Pkg 04072016of tip City of Yelm
q Community Development Department
Building Division
Phone:(360)458-8407
YELM
Fax: (360) 458 -3144
Applicant:
Name: PUGET SOUND HOMES, LLC
Address: PO BOX 58294
RENTON WA 98058
Property Information:
Site Address: 1RAIR rZRFFNRRIFR -RT SF
Assessor Parcel No.: 56510001000
Contractor Information:
Name: PUGET SOUND HOMES, LLC
Address:
PO BOX 58294
RENTON WA 98058
Contractor License No.: 10791
Permit No.: 20160144
Issue Date: 4/07/2016
(Work must be completed within 180 days)
Phone: 206 - 391 -3691
Owner: PUGET SOUND HOMES LLC
Subdivision: JOHNS MEADOWS
Phone:
Expires: 12/31/2015
Project Information:
Project: NEW RESIDENTIAL BUILDING
Description of Work: LOT 10, PLAN 1800A
Sq. Ft. per floor: First 792 Heat Type (Electric, Gas, Other): GAS
Second
Third
Garage
Basement
Fees:
Item
NEW RESIDENTIAL BUILDING
MECHANICAL
PLUMBING
1008
348
Contractor
PUGET SOUND HOMES, LLC
SOUND HEATING & AC
RICK THE PLUMBER
TOTAL FEES:
Applicant's Affidavit:
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 further certify that I am currently
registered in the State of Washington.
Signature /,ivjr s�(/t / Date �%' 7
Firm �,r(y�;r�}T7t5 /►��tGYC G�%5�
Lot: 10
Fees
$17,190.02
$ 84.75
$ 118.00
$ 17,392.77
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
City of Mm
(36 ) 458 -3244
REC #: 00227524 4/07/2016 9:51 AM
OPER: CO TERM: 001
REF #: 1096
PAID BY:
TRAN: 33.0000 BUILDING PERMITS
20160143 16,809.56CR
PUGET SOUND HOMES, LLC
16412 GREENBRIER ST E
BLD -RES1 16,606.81CR
MECH 84.7SCR
PL 118.00CR
TRAN: 33.0000 BUILDING PERMITS
20160144 16,339.1ECR
PUGET SOUND HOMES, [LC
16418 GREENBRIER ST SE
BLD -RES1 16,136.41CR
MECH 84.75CR
PL 118.00CR
TRAN: 33.0000 BUILDING PERMITS
20160147 16,909.56CR
PUGET SOUND HOMES, I.LC
10016 COCHRANE AVE SE
BLD -RES1 16,706.81CR
MECH 84.75CR
PL 118.000R
TRAN: 33.0000 BUILDING PERMITS
20160146 16,271.9EiCR
PUGET SOUND HOMES, LLC
10010 COCHRANE AVE 4E
BLD -RES1 16,069.21CR
MECH 84.75CR
PL 118.00CR
TRAN: 33.0000 BUILDING PERMITS
20160148 17,61139CR
PUGET SOUND HOMES, ILC
16422 GREENBRIER ST SE
BLD -RES1 17,175.04CR
MECH 318.7KR
PL 118.0O5
TENDERED: 83,942.03 CHECK
APPLIED: 83,942.03 -
CHANGE: 0.00
YELM COMMUNITY SCHOOLS
PO BOX 476
YELM WA 98597
Receipt #: 344694 Clerk: Croy
Manual #: Terminal: 1
4%1/2016 9:49 AM
NPS BLD ASSOC
NPS BLD ASSOC
PUGET SOUND, BUILDERS ASSOC
3
Qty Item
Price
1 CPF MITIGATION
3015.00
MITIGATION
07- 017 /LOT 9/16412 GREENBRIER ST
SE;YELM
1 CPF MITIGATION
3015.00
MITIGATION
07- 017 /L.01 10/16418 GREENBRIER ST
SE;YEL
1 CPF MITIGATION
3015.00
MITIGATION
07-017 /LOT 11/16422 GREENBRIER ST
SE;YEL
1 CPF MITIGATION
3015.00
MITIGATION
01- 017 /LOT 22/10010 COCHRANE AVE
SE;YELM
1 CPF MITIGATION
3015.00
MITIGATION
07- 017 /LOT 23/10016 COCHRANE AVE
SE;YELM
Subtotal
15075.00
Tax
0.00
Total
15075.00
Check
15075.00
1099
Change Due
0.00
CITY OF YELM Aol�cqqq
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: 16418 Greenbrier St E
Subdivision: Johns Meadow
Parcel #: 56510001000
Lot #: 10 Plan #: 1800 -A Zoning:
❑ New Construction ❑ Re -Model / Re -Roof / Addition ❑ Home Occupation Sign
❑ Plumbing ❑ Mechanical ❑ Mobile / Manufactured Home Placement ❑ Other
Project Description /Scope of Work: We are building a new SFR
Project Value: $125,000.00 a[[ , (In, CO
Building Area (sq. ft) 15t Floor 792 2nd Floor 1,008 3rd Floor Garage -2 car 348 3 car
Covered Patio Covered Porch 167 Patio Deck
# Bedrooms # Bathrooms25 Heating ';GAS /OTHER. .or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? No
If yes, a completed environmental checklist must accompany permit application.
BUILDING OWNER NAME: Puget Sound Homes, t-Lc
ADDRESS P.D. Box 58294 EMAIL PSHMGMT @gmail.com
CITY Renton STATE WA ZIP 96058 TELEPHONE (206) 391 -3691
ARCHITECT /ENGINEER Rueppell Inc. LICENSE #
ADDRESS 42429th St NE #e EMAIL Darin@rueppell.com
CITY Puyallup STATE WA ZIP 98372 TELEPHONE (253)297 -8040
GENERAL CONTRACTOR Puget Sound Homes, LLc TELEPHONE (206) 391 -3691
ADDRESS P.O. Box 58298 EMAIL PSHMGMT @gmail.com
CITY Renton STATE WA ZIP 98058 FAX
CONTRACTOR'S LICENSE # PUGETSH877NR EXP DATE CITY LICENSE #
PLUMBING CONTRACTOR Rick the Plumber TELEPHONE(253)847 -7239
ADDRESS P.D. Box 792 EMAIL
CITY Graham STATE WA ZIP 98338 FAX
CONTRACTOR'S LICENSE # RICKPCIO32KN EXP DATE CITY LICENSE #
MECHANICAL CONTRACTOR sound Heating TELEPHONE (253) 875 -3350
ADDRESS 5526184th St E EMAIL
CITY Puyallup STATE WA ZIP 98372 FAX
CONTRACTOR'S LICENSE # SOUNDHAO66BM 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.
2/25/16
Applicant's Signature , Date
Owner / Contractor / Owner's Agent / Contractor'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 p �riod of days
105 Yelm Avenue West 015(58= 3835...........
Yelm, WA 98597
(360) 458 -3144 FAX
www.ci.yelm.wa.us
City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: PUGET SOUND HOMES, LLC
Address: PO BOX 58294
RENTON WA 98058
Property Information:
Site Address: 16418 GREENBRIER ST SE
Assessor Parcel No.: 56510001000 Subdivision:
Project Information:
Project: NEW RESIDENTIAL
BUILDING
Description of Work:
LOT 10, PLAN 1800A
Sq. Ft. per floor:
First 792
Second 1008
Third
Garage 348
Basement
Fees:
Item
WATER METER (SFD)
WATER ERU
SEWER ERU
SEWER INSPECTION FEE
BUILDING PERMIT ESTIMATED VALUE
BUILDING PLAN REVIEW
STATE BUILDING FEE
TRAFFIC FACILITIES CHARGE
Permit No.: 20160144
Fee Calculation Worksheet
Phone: 206 - 391 -3691
Owner: PUGET SOUND HOMES
LLC
JOHNS MEADOWS Lot: 10
Heat Type (Electric, Gas, Other): GAS
Units
1
1
1
1
211,186
0
1
1
TOTAL FEES:
PAYMENTS MADE:
BALANCE DUE:
Fees
$ 300.00
$ 6,159.99
$ 6,394.00
$ 145.00
$ 1,620.95
$ 1,053.61
$ 4.50
$ 1,511.97
$ 17,190.02
$ 0.00
$ 17,190.02
City of Mi
(36 ) 458 -3244
REC #: 00224536 3/07/2016 1:49 PM
OPER: CO TERM: 001
REF #: 1081
PAID BY:
TRAN: 33.0000 BUILDING PERMITS
20160143 1,359.37CR
PUGET SOUND HOMES, LLC
16412 GREENBRIER ST E
BLD -RES1 1,359.31CR
TRAN: 33.0000 BUILDING PERMITS
20160146 1,009.95CR
PUGET SOUND HOMES, 11C
10010 COCHRANE AVE SE
BLD -RES1 1,009.93CR
TRAN: 33.0000 BUILDING PERMITS
20160144 1,053.61CR
PUGET SOUND HOMES, [LC
16418 GREENBRIER ST SE
BLD -RES1 1,053.61CR
TENDERED: 3,422.91 CHECK
APPLIED: 3,422.91-
CHANGE: ��� 0.00
JOHNS MEADOW LOT 10
ADDRE55: I G4 i 8 Greenbrier 5T E, Yejm, WA Al-
PARCEL:
PLAN # 1 800 -A j a!-
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APPLICANT PKEPAKff K
KUEPFELL, INC.
424 29TI-1 5T. NE
5UITE 5
PUYALLUP, WA. 98372
(253) 297-8040
CONTRACTOR
FUGET 5OUNID 1-10ME5
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5UMNEK, WA
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