3/2005 ReportMemorandum
City of Yelm
Community Development Department
P.O. Box 479
Yelm, WA 98597
(360) 458 -3835
(360) 458 -3144 FAX
To: Thurston County Assessor and Thurston Regional Planning Council
From: Roberta Allen, Administrative Assistant
Date: April 5, 2005
Re: Building Permits Issued for the Month of March 2005
~-J Enclosed are copies of the Building Permits issued.
Permit numbers:
BLD -05- 0051, 0059, 0061, 0062, 0063, 0064, 0065, 0066, 0070, 0071, 0072, 0073, 0074,
0075, 0076, 0080, 0082, 0083, 0087, 0089, 0092
PL -05 -0093
If you have any questions, please contact Roberta Allen at (360) 458 -3835.
Thank You,
cc: Gary Carlson, Building Official
�_� R:\Building Folder\2005 Reports \03 -05 Permit Report.doc
City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458-3144
Applicant:
Name: Soundbuilt
Address: P.O. Box 73790 City: Puyallup
Permit No: BLD -05- 0051 -YL
Issue Date: 03/16/2005
(Work must be started within 180 days)
Receipt No: 35908
Phone: 253 - 848 -0820
State: WA Zip 98373
Property Information.
Site Address: 9148 Mountain Sunrise St. SE
Assessor Parcel No. Subdivision: Mountain Sunrise Lot: 44
Contractor Information:
Name: Applicant Contact: Phone:
Address: City: State: Zip: 98373
Contractor License No: Expires: Business License:
Project Information:
Project: Mountain Sunrise
Description of Work: 2068, elevation B Demo
Sq. Ft. perfloor: (1st) 1134 (2nd) 926 (3rd) 0
Heat Type (Electric, Gas, Other): GAS
Fees:
Item _
---------------------------
Building Permit 100 -500k
Building Plan Review
Mechanical Permit
Plumbing Permit
Sewer ERU
Sewer Inspection
Water ERU
Water Meter (SFD)
Water Deposit
Traffic Facilities Charge
Sewer Deposit
State Building Fee
TOTAL FEES:
Applicant's Affadavit:
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.
Garage 430 Basement 0
Item Fee
Base Amt
Unit Fee
Unit Rate
No. Units
Unit Desc
- - - --
----- - -- - --
1,243.51
----- - - - - --
993.75
-- --- - - - - --
249.76
----- - - ----
5.6000
----- - - - - --
44.6000
------ --
$1,000
808.29
0.00
0.00
0.0000
0.0000
78.25
0.00
0.00
0.0000
0.0000
118.00
20.00
98.00
7.0000
14.0000
Fixture
5,417.00
0.00
5,417.00
5,417.0000
1.0000
ERU
145.00
0.00
145.00
145.0000
1.0000
ERU
1,500.00
0.00
1,500.00
1,500.0000
1.0000
ERU
300.00
300.00
0.00
0.0000
0.0000
40.00
40.00
0.00
0.0000
0.0000
757.50
0.00
757.50
750.0000
1.0100
Peak PM Trip
50.00
50.00
0.00
0.0000
0.0000
4.50
4.50
0.00
0.0000
0.0000
$10,462.05
Signature
Firm
Date
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: Evergreen State Builders
Address: P.O. Box 39753 City: Lakewood
Permit No: BLD -05- 0059 -YL
Issue Date: 03102/2005
(Work must be started within 180 days)
Receipt No: 35791
Phone: 253 -475 -6622
State: WA Zip 98499
Property Information:_ "
Site Address: 15773 104th Ave SE
Assessor Parcel No. 85840007100 Subdivision: Yelm Terra Lot: 71
Contractor Information:
Name: Evergreen State Builders Contact: McCullem, Tom Phone: 253 -475 -6622
Address: P.O. Box 39753 City: Lakewood State: WA Zip: 98499
Contractor License No: EVERGSB980PB Expires: 10/02/06275 Business License: 1042.0
Project Information:
Project: Yelm Terra
Description of Work: Plan 222912, Lot 71
Sq. Ft. per floor: (1st) 1038 (2nd) 1191 (3rd) 440 Garage 0 Basement 0
Heat Type (Electric, Gas, Other): GAS
Fees:
Item
Item Fee
Base Amt
-------- ------------- - - - - --
Building Permit 100 -500k
----- - - - ---
1,306.79
----- - - - - --
993.75
Building Plan Review
552.12
0.00
Mechanical Permit
78.75
0.00
Plumbing Permit
118.00
20.00
Sewer Inspection
145.00
0.00
Water ERU
1,500.00
0.00
Water Meter (SFD)
300.00
300.00
Water Deposit
40.00
40.00
Traffic Facilities Charge
757.50
0.00
Sewer Deposit
50.00
50.00
State Building Fee
4.50
4.50
Sewer ERU
5,417.00
0.00
TOTAL FEES:
$10,269.66
0.0000
Applicant's Affadavit:
Unit Fee
Unit Rate
No. Units
Unit Desc
----- - - - ---
313.04
----- - - - - --
5.6000
----- - - - - --
55.9000
------- - - - - --
$1,000
0.00
0.0000
0.0000
0.00
0.0000
0.0000
98.00
7.0000
14.0000
Fixture
145.00
145.0000
1.0000
ERU
1,500.00
1,500.0000
1.0000
ERU
0.00
0.0000
0.0000
0.00
0.0000
0.0000
757.50
750.0000
1.0100
Peak PM Trip
0.00
0.0000
0.0000
0.00
0.0000
0.0000
5,417.00
5,417.0000
1.0000
ERU
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
Firm
Date
# Sets of Prints:
Final Inspection:
Date:
By:
Y
City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: Comfort Homes
Address: 8306 Quinault Drive NE
Property Information:
Site Address: 15708 104th Ave SE
Assessor Parcel No. 85840003300
Permit No: BLD -05- 0061 -YL
Issue Date: 03/22/2005
(Work must be started within 180 days)
Receipt No: 35948
Phone: 360.486.0161
City: Lacey State: WA Zip 98516
Subdivision: Yelm Terra Lot: 33
Contractor Information: - -- -
Name: Comfort Homes Contact: Bayless, Greg Phone: 360 -486 -0161
Address: 8306 Quinalt Dr. NE City: Lacey State: WA Zip: 98516
Contractor License No: KERZIHL970M3 Expires: 07/06105187 Business License: 05- 000730.0
Project Information: _ --
Project: Yelm Terra
Description of Work: Plan 2211/2, Lot 33
Do Not Copy
Sq. Ft. per floor: (1st) 1071 (2nd) 1140
Heat Type (Electric, Gas, Other): GAS
Fees:
Item
---------------------------
Building Permit 100 -500k
Building Plan Review
Mechanical Permit
Plumbing Permit
Sewer ERU
Sewer Inspection
Water ERU
Water Meter (SFD)
Water Deposit
Traffic Facilities Charge
Sewer Deposit
State Building Fee
TOTAL FEES
(3rd) 0 Garage 434 Basement 0
Item Fee
Base Amt
Unit Fee
Unit Rate
No. Units
----- - - - - --
Unit Desc
------ - -- - - --
-- --- - -- - --
1,297.05
----- - - - - --
993.75
----- -- -- --
303.30
--- -- - - -- --
5.6000
54.1600
$1,000
548.00
0.00
0.00
0.0000
0.0000
84.75
0.00
0.00
0.0000
0.0000
118.00
20.00
98.00
7.0000
14.0000
Fixture
5,417.00
0.00
75,838.00
5,417.0000
1.0000
ERU
145.00
0.00
145.00
145.0000
1.0000
ERU
1,500.00
0.00
1,500.00
1,500.0000
1.0000
ERU
300.00
300.00
0.00
0.0000
0.0000
40.00
40.00
0.00
0.0000
0.0000
757.50
0.00
757.50
750.0000
1.0100
Peak PM Trip
50.00
50.00
0.00
0.0000
0.0000
4.50
4.50
0.00
0.0000
0.0000
$10,261.80
Appncanrs farrauavn:
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
Firm
Date
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
Cj
Permit No: BLD -05- 0062 -YL
Issue Date: 03/09/2005
(Work must be started within 180 days)
Receipt No: 3580
Applicant: -_-
Name: Comfort Homes Phone: 360 -486 -0161
Address: 8306 Quinalt Dr. NE City: Lacey State: WA Zip 98516
Property Information:
Site Address: 10509 Yelm Terra Street SE
Assessor Parcel No. 85840002500 Subdivision: Yelm Terra Lot: 25
Contractor Information:
Name: Comfort Homes Contact: Bayless, Greg Phone: 360 -486 -0161
Address: 8306 Quinalt Dr. NE City: Lacey State: WA Zip: 98516
Contractor License No: KERZIHL970M3 Expires: 07106/05187 Business License: 05- 000730.0
Project Information:
Project: Yelm Terra
Description of Work: Plan 1781/2, Lot 25
Sq. Ft. per floor: (1st) 951 (2nd) 817
Heat Type (Electric, Gas, Other): GAS
Fees_
Item
Building Permit 100 -500k
Building Plan Review
Mechanical Permit
Plumbing Permit
Sewer ERU
Sewer Inspection
Water ERU
Water Meter (SFD)
Water Deposit
Traffic Facilities Charge
Sewer Deposit
State Building Fee
TOTAL FEES:
(3rd) 436 Garage 0 Basement 0
Item Fee
THLA City of Yelm
Unit Fee
�M
�.9 Community Development Department
CBuilding
Division
----- - - - - --
1,137.67
Phone: (360) 458 -8407
----- - - - - --
143.92
YELM Fax: (360) 458 -3144
Cj
Permit No: BLD -05- 0062 -YL
Issue Date: 03/09/2005
(Work must be started within 180 days)
Receipt No: 3580
Applicant: -_-
Name: Comfort Homes Phone: 360 -486 -0161
Address: 8306 Quinalt Dr. NE City: Lacey State: WA Zip 98516
Property Information:
Site Address: 10509 Yelm Terra Street SE
Assessor Parcel No. 85840002500 Subdivision: Yelm Terra Lot: 25
Contractor Information:
Name: Comfort Homes Contact: Bayless, Greg Phone: 360 -486 -0161
Address: 8306 Quinalt Dr. NE City: Lacey State: WA Zip: 98516
Contractor License No: KERZIHL970M3 Expires: 07106/05187 Business License: 05- 000730.0
Project Information:
Project: Yelm Terra
Description of Work: Plan 1781/2, Lot 25
Sq. Ft. per floor: (1st) 951 (2nd) 817
Heat Type (Electric, Gas, Other): GAS
Fees_
Item
Building Permit 100 -500k
Building Plan Review
Mechanical Permit
Plumbing Permit
Sewer ERU
Sewer Inspection
Water ERU
Water Meter (SFD)
Water Deposit
Traffic Facilities Charge
Sewer Deposit
State Building Fee
TOTAL FEES:
(3rd) 436 Garage 0 Basement 0
Item Fee
Base Amt
Unit Fee
Unit Rate
No. Units
----- - - -- --
Unit Desc
--- ---- - - - - --
----- - - - - --
1,137.67
---- - - - - - --
993.75
----- - - - - --
143.92
----- - - - - --
5.6000
25.7000
$1,000
480.67
0.00
0.00
0.0000
0.0000
78.25
0.00
0.00
0.0000
0.0000
118.00
20.00
98.00
7.0000
14.0000
Fixture
5,417.00
0.00
5,417.00
5,417.0000
1.0000
ERU
145.00
0.00
145.00
145.0000
1.0000
ERU
1,500.00
0.00
1,500.00
1,500.0000
1.0000
ERU
300.00
300.00
0.00
0.0000
0.0000
40.00
40.00
0.00
0.0000
0.0000
757.50
0.00
757.50
750.0000
1.0100
Peak PM Trip
50.00
50.00
0.00
0.0000
0.0000
4.50
4.50
0.00
0.0000
0.0000
$10,028.59
Applicant's Arraaavit:
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
Firm
Date
#Sets of Prints:
Final Inspection:
Date:
By:
City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: Comfort Homes
Address: 8306 Quinault Drive NE City: Lacey
Prope__rty Information: _
Site Address: 15702 104th Ave SE
Assessor Parcel No. 85840003200
Subdivision: Yelm Terra
Permit No: BLD -05- 0063 -YL
Issue Date: 03/09/2005
(Work must be started within 180 days)
Receipt No: 35846
Phone: 360.486.0161
State: WA Zip 98516
Lot: 32
Contractor Information:
- - -
--
Name: Comfort Homes
Contact:
Bayless, Greg
Phone: 360
-486 -0161
Address: 8306 Quinalt Dr. NE
City: Lacey
State: WA
Zip: 98516
Contractor License No: KERZIHL970M3
Expires:
07/06105187
Business License: 05- 000730.0
Project Information:
Project: Yelm Terra
Description of Work: Plan 160812
Great Room Nook Option, Lot 32
CSq. Ft. per floor: (1st) 1735
(2nd) 0
(3rd)
0
Garage 450
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
----- -- - - --
1,127.42
----- - - - - --
993.75
----- - - - - --
133.67
----- - - - - --
5.6000
23.8700
$1,000
Building Plan Review
476.33
0.00
0.00
0.0000
0.0000
Mechanical Permit
71.75
0.00
0.00
0.0000
0.0000
Plumbing Permit
104.00
20.00
84.00
7.0000
12.0000
Fixture
Sewer ERU
5,417.00
0.00
5,417.00
5,417.0000
1.0000
ERU
Sewer Inspection
145.00
0.00
145.00
145.0000
1.0000
ERU
Water ERU
1,500.00
0.00
1,500.00
1,500.0000
1.0000
ERU
Water Meter (SFD)
300.00
300.00
0.00
0.0000
0.0000
Water Deposit
40.00
40.00
0.00
0.0000
0.0000
Traffic Facilities Charge
757.50
0.00
757.50
750.0000
1.0100
Peak PM Trip
Sewer Deposit
50.00
50.00
0.00
0.0000
0.0000
State Building Fee
4.50
4.50
0.00
0.0000
0.0000
TOTAL FEES:
$9,993.50
Applicant's Affadavit:
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:
City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Permit No: BLD -05- 0064 -YL
Issue Date: 03/09/2005
(Work must be started within 180 days)
Receipt No: 35819
Applicant:
Name: Comfort Homes Phone: 360 -486 -0161
Address: 8306 Quinalt Dr. NE City: Lacey State: WA Zip 98516
Property Information:
Site Address: 10445 Yelm Terra Street SE
Assessor Parcel No. 85840003100 Subdivision: Yelm Terra Lot: 31
Contractor Information: -
Name: Comfort Homes Contact: Bayless, Greg Phone: 360 -486 -0161
Address: 8306 Quinalt Dr. NE City: Lacey State: WA Zip: 98516
Contractor License No: KERZIHL970M3 Expires: 07106105187 Business License: 05- 000730.0
Project Information:
Project: Yelm Terra
Description of Work: Plan 221112A, Lot 31
Sq. Ft. per floor: (1st) 1071 (2nd) 1140 (3rd) 434 Garage 0 Basement 0
Heat Type (Electric, Gas, Other): GAS
Fees:
It
Item Fee
Base Amt
Unit Fee
Unit Rate
----- - - - - --
No. Units
----- - -- - --
Unit Desc
------- - - - - --
---------------------------
Building Permit 100 -500k
----- -- - - --
1,299.34
- --- - - - - - --
993.75
----- - - - - --
305.59
5.6000
54.5700
$1,000
Building Plan Review
548.97
0.00
0.00
0.0000
0.0000
Mechanical Permit
84.75
0.00
0.00
0.0000
0.0000
Plumbing Permit
125.00
20.00
105.00
7.0000
15.0000
Fixture
Sewer ERU
5,417.00
0.00
5,417.00
5,417.0000
1.0000
ERU
Sewer Inspection
145.00
0.00
145.00
145.0000
1.0000
ERU
Water ERU
1,500.00
0.00
1,500.00
1,500.0000
1.0000
ERU
Water Meter (SFD)
300.00
300.00
0.00
0.0000
0.0000
Water Deposit
40.00
40.00
0.00
0.0000
0.0000
Traffic Facilities Charge
757.50
0.00
757.50
750.0000
1.0100
Peak PM Trip
Sewer Deposit
50.00
50.00
0.00
0.0000
0.0000
State Building Fee
4.50
4.50
0.00
0.0000
0.0000
TOTAL FEES:
$10,272.06
Appucant s Hrraaavii; -- -- _ _ - -- - -- - .
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
Firm
Date
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
0
0
City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:,
Name: Comfort Homes
Address: 8306 Quinalt Dr. NE
Permit No: BLD -05- 0065 -YL
Issue Date: 03/09/2005
(Work must be started within 180 days)
Receipt No: 35851
Phone: 360 -486 -0161
City: Lacey State: WA Zip 98516
Property In
Site Address: 10515 Yelm Terra Street SE
Assessor Parcel No. 85840002400 Subdivision: Yelm Terra Lot: 24
Contractor Information:
Name: Comfort Homes Contact: Bayless, Greg Phone: 360 -486 -0161
Address: 8306 Quinalt Dr. NE City: Lacey State: WA Zip: 98516
Contractor License No: KERZIHL970M3 Expires: 07/06/05187 Business License: 05- 000730.0
Project Information:
Project: Yelm Terra
Description of Work: Plan 2211/2A, Lot 24
Sq. Ft. per floor: (1st) 1071 (2nd) 1140
Heat Type (Electric, Gas, Other): GAS
Fees_:
Item
Building Permit 100 -500k
Building Plan Review
Mechanical Permit
Plumbing Permit
Sewer ERU
Sewer Inspection
Water ERU
Water Meter (SFD)
Water Deposit
Traffic Facilities Charge
Sewer Deposit
State Building Fee
TOTAL FEES:
(3rd) 0
Item Fee Base Amt
----- - - - - -- ----- - - - - --
1,299.34 993.75
548.97
Unit Rate
0.00
84.75
----- - - - - --
305.59
0.00
125.00
$1,000
20.00
5,417.00
0.0000
0.00
145.00
0.0000
0.00
1,500.00
105.00
0.00
300.00
Fixture
300.00
40.00
1.0000
40.00
757.50
145.0000
0.00
50.00
1,500.00
50.00
4.50
ERU
4.50
$10,272.06
0.0000
Garage 434 Basement 0
Unit Fee
Unit Rate
No. Units
Unit Desc
------- - - - - --
----- - - - - --
305.59
----- - - - - --
5.6000
----- -- - - --
54.5700
$1,000
0.00
0.0000
0.0000
0.00
0.0000
0.0000
105.00
7.0000
15.0000
Fixture
5,417.00
5,417.0000
1.0000
ERU
145.00
145.0000
1.0000
ERU
1,500.00
1,500.0000
1.0000
ERU
0.00
0.0000
0.0000
0.00
0.0000
0.0000
757.50
750.0000
1.0100
Peak PM Trip
0.00
0.0000
0.0000
0.00
0.0000
0.0000
App icanrs Arraaavit: - --
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
Firm
Date
# Sets of Prints:
Final Inspection:
Date:
By:
0
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Permit No: BLD -05- 0066 -YL
Issue Date: 03/07/2005
(Work must be started within 180 days)
Receipt No: 35839
Applicant:
Name: Yelm Eagles Phone: 360 -446 -1453
Address: 2120 Milwaukee Way City: Tacoma State: WA Zip 98421
Property Information:
Site Address: 1109 Yelm Ave. East
Assessor Parcel No. 85810000100 Subdivision: NIA Lot: N/A
Contractor Information: -- -
Name: Contact: Phone:
Address: City: State: Zip:
Contractor License No: Expires: Business License:
P ro j e ct_ I nfo rm at i o n:
Project: Eagles Fireworks Stand
Description of Work: Stand Number SN- 0001121
License #00453
Sq. Ft. per floor: (1st) 0 (2nd) 0
Heat Type (Electric, Gas, Other): OTHER
Fees:
Item
---------------------------
Building Permit - Other
TOTAL FEES
(3rd) 0
Item Fee Base Amt Unit Fee
----- - - - - -- ----- -- - - -- ----- - - - - --
30.00 0.00 0.00
$30.00
Garage 0 Basement 0
Unit Rate No. Units Unit Desc
----- - - -- -- ----- - - - - -- -- ----- - - - - --
0.0000 0.0000 $1,000
Applicant's 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 # Sets of Prints:
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. Final Inspection:
Signature
Firm
Date
Date:
By:
0
City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant
Name: Jeff Marshall
Address: P.O. Box 769
Property Information:
Site Address: 202 Cullens
Assessor Parcel No. 21724241200
Permit No: BLD -05- 0070 -YL
Issue Date: 03/09/2005
(Work must be started within 180 days)
Receipt No: 35838
Subdivision: NIA
Lot: NIA
Contractor Information: ___ _
Name: Jeff Marshall Contact: Phone: 446 -4949
Address: P.O. Box 769 City: Rainier State: WA Zip: 98576
Contractor License No: BLUEFC *016C4 Expires: 07117105198 Business License:
Project Information: — _ -- __ - --
Project: Yelm Family Medicine T.I
Description of Work: Tenant Improvement of old Theraputic Associates wing
Sq. Ft. perfloor: (1st) 0 (2nd) 0 (3rd) 0 Garage 0 Basement 0
Heat Type (Electric, Gas, Other):
Fees:
Item
---------------------------
Building Permit 50 -100k
Building Plan Review
Mechanical Permit
Plumbing Permit
TOTAL FEES:
Applicant's Aff_adavit:
Item Fee Base Amt
888.75
643.75
577.68
0.00
53.25
0.00
34.00
20.00
$1,553.68
0.00
Unit Fee
Unit Rate
No. Units Unit Desc
- - - - --
----- - - - - --
245.00
----- - - - - --
7.0000
----- - -- - -- ----- --
35.0000 $1,000
0.00
0.0000
0.0000
0.00
0.0000
0.0000
14.00
7.0000
2.0000 Fixture
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
Firm
Date
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
0
0
City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant: _
Name: Parkinson
Address: 407 West Road City: Yelm
Property_ Information_
Site Address: 407 West Road
Assessor Parcel No. 64203760202 Subdivision:
Contractor Information:
Name: Applicant
Address:
Contractor License No:
Project Information:
Project: Parkinson Addition
Description of Work: 288 sf remodel
Sq. Ft. per floor: (1st) 288 (2nd) 0
Heat Type (Electric, Gas, Other): OTHER
Fees:
Permit No: BLD -05- 0071 -YL
Issue Date: 03/14/2005
(Work must be started within 180 days)
Receipt No: 35884
Contact: Phone:
City: State: Zip:
Expires: Business License:
(3rd) 0 Garage 0 Basement 0
Lot:
Item
Item Fee
Base Amt
Unit Fee
Unit Rate
No. Units Unit Desc
----- - - - - -- -- ----- - - - - --
---- ----------------- - - - ---
Building Permit - Other
----- -- - - --
139.25
----- - - -- --
0.00
----- - - - - --
0.00
--- -- - - - ---
0.0000
0.0000 $1,000
Building Plan Review
90.51
0.00
0.00
0.0000
0.0000
Plumbing Permit
48.00
20.00
28.00
7.0000
4.0000 Fixture
State Building Fee
4.50
4.50
0.00
0.0000
0.0000
TOTAL FEES:
$282.26
Applicant's Affadavit:_
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:
0
pF Tp City of Yelm
Item Fee
Community Development Department
4
Building Division
Unit Rate
Phone: (360) 458 -8407
-------- ------------- - - -- --
Building Permit - Other
YELM Fax: (360) 458 -3144
----- - - - - --
0.00
Applicant:
--- -- - - - - --
0.0000
Name: Alfred Wallace
Building Plan Review
Address: 15921 Quail Meadows Ct.
City: YE
Property Information:
0.0000
Site Address: 15921 Quail Meadows Ct.
Plumbing Permit
Assessor Parcel No. 57630101400
Subdivision:
Contractor Information:
7.0000
Name: Applicant
Contact:
Address:
City:
Contractor License No:
Expires:
Project Information:
TOTAL FEES:
Project: Wallace Addition
Description of Work: 648 sf. Addition
Permit No: BLD -05- 0072 -YL
Issue Date: 03/11/2005
(Work must be started within 180 days)
Receipt No: 35868
Phone: 458 -9671
Im State: WA Zip 98597
Lot:
Sq. Ft. per floor: (1st) 0 (2nd) 0 (3rd) 0 Garage 0 Basement 0
Heat Type (Electric, Gas, Other): OTHER
Fees:
Item
Item Fee
Base Amt
Unit Fee
Unit Rate
No. Units Unit Desc
----- - -- - -- ------- - - - - --
-------- ------------- - - -- --
Building Permit - Other
----- - - -- --
565.98
----- - - - - --
0.00
---- - - - - - --
0.00
--- -- - - - - --
0.0000
0.0000 $1,000
Building Plan Review
367.88
0.00
0.00
0.0000
0.0000
Plumbing Permit
48.00
20.00
28.00
7.0000
4.0000 Fixture
State Building Fee
4.50
4.50
0.00
0.0000
0.0000
TOTAL FEES:
$986.36
Applicant's Affidavit;
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 # Sets of Prints:
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. Final Inspection:
Date:
Signature Date
Firm
By:
0
THe Cit y Of Yelm
(2nd) 0
Permit No: BLD -05- 0073 -YL
Community Development Department
W
Issue Date: 03/14/2005
Basement 0
Heat Type (Electric, Gas, Other):
(Work must be started within 180 days)
Division
amBuilding
Phone: (360) 458 -8407
Fees:
Receipt No: 35883
YELM Fax: (360) 458 -3144
Applicant:
Item
Item Fee
Name: Parkinson
Unit Fee
Phone: 458 -5697
Address: 407 West Road
City: Yelm
State: WA Zip 98597
Property Information:_
----- - -- - --
0.00
-----
0.0000
Site Address: 407 West Road
Building Plan Review
72.31
Assessor Parcel No. 64203760202
Subdivision:
Lot:
Contractor Information:
State Building Fee
-
Name: B &H Builders
Contact: Hunt, David
Phone: 458 -3277
Address: P.O. Box 1959
City: Yelm
State: WA Zip: 98597
Contractor License No: BHBUII *09306
Expires: 07/01/05182
Business License:
Project Information: __
Project: Parkinson Addition
Description of Work: 20x24 RV Cover
Sq. Ft. per floor: (1st) 480
(2nd) 0
(3rd)
0
Garage 0
Basement 0
Heat Type (Electric, Gas, Other):
OTHER
Fees:
Item
Item Fee
Base Amt
Unit Fee
Unit Rate
- - - - --
No. Units Unit Desc
--- -- - - - - -- ------- - - - - --
---------------------------
Building Permit - Other
----- - - - - --
111.25
----- - - -- --
0.00
----- - -- - --
0.00
-----
0.0000
0.0000 $1,000
Building Plan Review
72.31
0.00
0.00
0.0000
0.0000
State Building Fee
4.50
4.50
0.00
0.0000
0.0000
TOTAL FEES:
$188.06
Applicant's Affadavit:_
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:
OF THe p
YELM
Applicant:
Name: Evergreer
City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458-3144
State Builders
Address: P.O. Box 39753 City: Lakewood
Permit No: BLD -05- 0074 -YL
Issue Date: 03/16/2005
(Work must be started within 180 days)
Receipt No: 35902
Phone: 253 -475 -6622
State: WA Zip 98499
Propert y Information:_ _
Site Address: 15874 104th Ave SE
Assessor Parcel No. 85840005700 Subdivision: Yelm Terra Lot: 57
Contractor Information:
Name: Evergreen State Builders Contact: McCullem, Tom Phone: 253 -475 -6622
Address: P.O. Box 39753 City: Lakewood State: WA Zip: 98499
Contractor License No: EVERGSB980PB Expires: 10102/06275 Business License: 1042.0
Project Information: _
Project: Yelm Terra
Description of Work: Plan 1530 S /2, Lot 57
Sq. Ft. perfloor: (1st) 1530 (2nd) 0
Heat Type (Electric, Gas, Other): GAS
Fees:
Item
Building Permit 100 -500k
Building Plan Review
Mechanical Permit
Plumbing Permit
Sewer Inspection
Water ERU
Water Meter (SFD)
Water Deposit
Traffic Facilities Charge'
Sewer Deposit
State Building Fee
Sewer ERU
TOTAL FEES:
Applicant's Aff_adavit:
(3rd) 582 Garage 0 Basement 0
Item Fee
Base Amt
Unit Fee
Unit Rate
No. Units
Unit Desc
------- - - - - --
----- - - - ---
1,069.91
----- - - - - --
993.75
----- - - - - --
76.16
--- -- - - - - --
5.6000
---- - - - - - --
13.6000
$1,000
452.03
0.00
0.00
0.0000
0.0000
71.75
0.00
0.00
0.0000
0.0000
111.00
20.00
91.00
7.0000
13.0000
Fixture
145.00
0.00
145.00
145.0000
1.0000
ERU
1,500.00
0.00
1,500.00
1,500.0000
1.0000
ERU
300.00
300.00
0.00
0.0000
0.0000
40.00
40.00
0.00
0.0000
0.0000
757.50
0.00
757.50
750.0000
1.0100
Peak PM Trip
50.00
50.00
0.00
0.0000
0.0000
4.50
4.50
0.00
0.0000
0.0000
5,417.00
0.00
5,417.00
5,417.0000
1.0000
ERU
$9,918.69
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
Firm
Date
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
0
City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: Evergreen State Builders
Address: 3815 100th St. SW, Ste. 2A City: Lakewood
Property Information:
Site Address: 15774 104th Ave SE
Assessor Parcel No. 85840004200 Subdivision: Yelm Terra
Permit No: BLD -05- 0075 -YL
Issue Date: 03/16/2005
(Work must be started within 180 days)
Receipt No: 35904
Phone: 253.475.6622
State: WA Zip 98499
Lot: 42
Contractor Information: _
Name: Evergreen State Builders Contact: McCullem, Tom Phone: 253 -475 -6622
Address: P.O. Box 39753 City: Lakewood State: WA Zip: 98499
Contractor License No: EVERGSB980PB Expires: 10/02106275 Business License: 1042.0
Project Information:
Project: Yelm Terra
Description of Work: Plan 2200 /2A Lot 42
Sq. Ft. per floor: (1st) 1172 (2nd) 1028 (3rd) 480 Garage 0
Heat Type (Electric, Gas, Other): GAS
Fees:
Item _
Building Permit 100 -500k
Building Plan Review
Mechanical Permit
Plumbing Permit
Sewer Inspection
Water ERU
Water Meter (SFD)
Water Deposit
Traffic Facilities Charge
Sewer Deposit
State Building Fee
Sewer ERU
TOTAL FEES:
Item Fee
Base Amt
Unit Fee
Unit Rate
----- - - - - --
1,301.19
----- - - ----
993.75
- ---- - - - - --
307.44
----- - - - - --
5.6000
549.75
0.00
0.00
0.0000
84.75
0.00
0.00
0.0000
118.00
20.00
98.00
7.0000
145.00
0.00
145.00
145.0000
1,500.00
0.00
1,500.00
1,500.0000
300.00
300.00
0.00
0.0000
40.00
40.00
0.00
0.0000
757.50
0.00
757.50
750.0000
50.00
50.00
0.00
0.0000
4.50
4.50
0.00
0.0000
5,417.00
0.00
5,417.00
5,417.0000
$10,267.69
Applicants Affadavit: _
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.
Basement 0
No. Units Unit Desc
54.9000
$1,000
0.0000
0.0000
14.0000
Fixture
1.0000
ERU
1.0000
ERU
0.0000
0.0000
1.0100
Peak PM Trip
0.0000
0.0000
1.0000
ERU
Signature
Firm
Date
USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
Applicant:
City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Permit No: BLD -05- 0076 -YL
Issue Date: 03/16/2005
(Work must be started within 180 days)
Receipt No: 35903
Name: Evergreen State Builders Phone: 253 -475 -6622
Address: P.O. Box 39753 City: Lakewood State: WA Zip 98499
Property Information:
Site Address: 15856 104th Ave SE
Assessor Parcel No. 85840005400 Subdivision: Yelm Terra Lot: 54
Contractor Information:
Name: Evergreen State Builders Contact: McCullem, Tom Phone: 253 -475 -6622
Address: P.O. Box 197 City: Lakewood State: WA Zip: 98499
Contractor License No: EVERGSB980PB Expires: 10/02/06275 Business License: 1042.0
Project nformation: .
Project: Yelm Terra
Description of Work: Plan 1610 R/2B , Lot 54
Sq. Ft. per floor: (1st) 1610 (2nd) 0 (3rd) 470 Garage 0 Basement 0
Heat Type (Electric, Gas, Other): GAS
Fees:
Item
Item Fee
Base Amt
- --
- ------------------ -- - - - - --
Building Permit 100 -500k
----- - - - - --
1,090.90
- ---- - --
993.75
Building Plan Review
460.90
0.00
Mechanical Permit
71.75
0.00
Plumbing Permit
111.00
20.00
Sewer Inspection
145.00
0.00
Water ERU
1,500.00
0.00
Water Meter (SFD)
300.00
300.00
Water Deposit
40.00
40.00
Traffic Facilities Charge
757.50
0.00
Sewer Deposit
50.00
50.00
State Building Fee
4.50
4.50
Sewer ERU
5,417.00
0.00
TOTAL FEES:
$9,948.55
0.0000
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 futher certify that I am currently
registered in the State of Washington.
Unit Fee
Unit Rate
No. Units
Unit Desc
----- - - - - --
97.15
--- -- - - - - --
5.6000
----- - - - - --
17.3490
------- - - - - --
$1,000
0.00
0.0000
0.0000
0.00
0.0000
0.0000
91.00
7.0000
13.0000
Fixture
145.00
145.0000
1.0000
ERU
1,500.00
1,500.0000
1.0000
ERU
0.00
0.0000
0.0000
0.00
0.0000
0.0000
757.50
750.0000
1.0100
Peak PM Trip
0.00
0.0000
0.0000
0.00
0.0000
0.0000
5,417.00
5,417.0000
1.0000
ERU
Signature
Firm
Date
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
0
City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Permit No: BLD -05- 0080 -YL
Issue Date: 03116/2005
(Work must be started within 180 days)
Receipt No: 35905
Applicant: _
Name: Evergreen State Builders Phone: 253 -475 -6622
Address: P.O. Box 39753 City: Lakewood State: WA Zip 98499
Property, Information:
Site Address: 15892 104th Ave SE
Assessor Parcel No. 85840006000 Subdivision: Yelm Terra Lot: 60
Contractor Information: --
Name: Evergreen State Builders Contact: McCullem, Tom Phone: 253 -475 -6622
Address: P.O. Box 39753 City: Lakewood State: WA Zip: 98499
Contractor License No: EVERGSB980PB Expires: 10/02/06275 Business License: 1042.0
Project Information: _ _
Project: Yelm Terra
Description of Work: Plan 2229/2, Lot 60
Sq. Ft. per floor: (1st) 1038 (2nd) 1191 (3rd) 0 Garage 440 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
----- - - - - --
1,306.79
----- - - - - --
993.75
----- - - - - --
313.04
-----
5.6000
55.9000
$1,000
Building Plan Review
552.12
0.00
0.00
0.0000
0.0000
Mechanical Permit
78.75
0.00
0.00
0.0000
0.0000
Plumbing Permit
118.00
20.00
98.00
7.0000
14.0000
Fixture
Sewer Inspection
145.00
0.00
145.00
145.0000
1.0000
ERU
Water ERU
1,500.00
0.00
1,500.00
1,500.0000
1.0000
ERU
Water Meter (SFD)
300.00
300.00
0.00
0.0000
0.0000
Water Deposit
40.00
40.00
0.00
0.0000
0.0000
Traffic Facilities Charge
757.50
0.00
757.50
750.0000
1.0100
Peak PM Trip
Sewer Deposit
50.00
50.00
0.00
0.0000
0.0000
State Building Fee
4.50
4.50
0.00
0.0000
0.0000
Sewer ERU
5,417.00
0.00
5,417.00
5,417.0000
1.0000
ERU
TOTAL FEES:
$10,269.66
Applicant's Affadavit:
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
Firm
Date
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: Evergreen State Builders
Address: P.O. Box 39753
Property Information:
Site Address: 15826 104th Ave SE
Assessor Parcel No. 85840004900
Permit No: BLD -05- 0082 -YL
Issue Date: 03/16/2005
(Work must be started within 180 days)
Receipt No: 35907
Phone: 253 -475 -6622
City: Lakewood State: WA Zip 98499
Subdivision: Yelm Terra
Lot: 49
Contractor Information:
Name: Evergreen State Builders Contact: McCullem, Tom Phone: 253 -475 -6622
Address: P.O. Box 39753 City: Lakewood State: WA Zip: 98499
Contractor License No: EVERGSB980PB Expires: 10/02106275 Business License: 1042.0
Project Information:
Project: Yelm Terra
Description of Work: Plan 215O S/2 Lot 49
Sq. Ft. per floor: (1st) 888 (2nd) 1262 (3rd) 432 Garage 0 Basement 0
Heat Type (Electric, Gas, Other): GAS
Fees:
Item
---------------------------
Building Permit 100 -500k
Building Plan Review
Mechanical Permit
Plumbing Permit
Sewer Inspection
Water ERU
Water Meter (SFD)
Water Deposit
Traffic Facilities Charge
Sewer Deposit
State Building Fee
Sewer ERU
TOTAL FEES
Item Fee
Base Amt
Unit Fee
Unit Rate
- - - ---
--- -- - - - - --
1,276.77
----- - - - - --
993.75
----- - -
283.02
- - --
-----
5.6000
539.44
0.00
0.00
0.0000
0.0000
78.75
0.00
0.00
Peak PM Trip
0.0000
132.00
20.00
112.00
1.0000
7.0000
145.00
0.00
145.00
145.0000
1,500.00
0.00
1,500.00
1,500.0000
300.00
300.00
0.00
0.0000
40.00
40.00
0.00
0.0000
757.50
0.00
757.50
750.0000
50.00
50.00
0.00
0.0000
4.50
4.50
0.00
0.0000
5,417.00
0.00
5,417.00
5,417.0000
$10,240.96
No. Units Unit Desc
50.5400
$1,000
0.0000
0.0000
16.0000
Fixture
1.0000
ERU
1.0000
ERU
0.0000
0.0000
1.0100
Peak PM Trip
0.0000
0.0000
1.0000
ERU
App lcanrs Arraaayn;
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
Firm
Date
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
0
City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458-3144
Applicant: _
Name: Evergreen State Builders
Address: P.O. Box 39753 City: Lakewood
Permit No: BLD -05- 0083 -YL
Issue Date: 03/16/2005
(Work must be started within 180 days)
Receipt No: 35906
Phone: 253 -475 -6622
State: WA Zip 98499
Property Information:
Site Address: 15819 104th Ave SE
Assessor Parcel No. 85840006500 Subdivision: Yelm Terra Lot: 65
Contractor Information:
Name: Evergreen State Builders Contact: McCullem, Tom Phone: 253 -475 -6622
Address: P.O. Box 39753 City: Lakewood State: WA Zip: 98499
Contractor License No: EVERGSB980PB Expires: 10102106275 Business License: 1042.0
Project Information:
Project: Yelm Terra
Description of Work: Plan 2150 S/2 Lot 65
Sq. Ft. perfloor: (1st) 888 (2nd) 1262 (3rd) 0 Garage 432 Basement 0
Heat Type (Electric, Gas, Other): GAS
Fees:
Item
---------------------------
Building Permit 100 -500k
Building Plan Review
Mechanical Permit
Plumbing Permit
Sewer Inspection
Water ERU
Water Meter (SFD)
Water Deposit
Traffic Facilities Charge
Sewer Deposit
State Building Fee
Sewer ERU
TOTAL FEES
Item Fee
Base Amt
Unit Fee
Unit Rate .
No. Units
Unit Desc
- ----- - - - - - --
----- - - - - --
1,276.77
-- --- - - -- --
993.75
----- - - - - --
283.02
----- - - - - --
5.6000
-- --- - - - - --
50.5400
$1,000
539.44
0.00
0.00
0.0000
0.0000
78.75
0.00
0.00
0.0000
0.0000
132.00
20.00
112.00
7.0000
16.0000
Fixture
145.00
0.00
145.00
145.0000
1.0000
ERU
1,500.00
0.00
1,500.00
1,500.0000
1.0000
ERU
300.00
300.00
0.00
0.0000
0.0000
40.00
40.00
0.00
0.0000
0.0000
757.50
0.00
757.50
750.0000
1.0100
Peak PM Trip
50.00
50.00
0.00
0.0000
0.0000
4.50
4.50
0.00
0.0000
0.0000
5,417.00
0.00
5,417.00
5,417.0000
1.0000
ERU
$10,240.96
Applicant's Affadavit: _
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
Firm
Date
OFFICIAL USE ONLY
# Sets of Prints:
Final inspection:
Date:
By:
0
City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: Lester Caldwell
Address: 1502 Yelm Ave West, #9
Property Information:
Site Address: 1502 Yelm Ave. West
Assessor Parcel No. 21713340404
Contractor Information:
Name: DB &R
Address: 316 Jackson St.
Contractor License No: DBRIN * *044JQ
Project Information:
Project: Sunrise Vista
Description of Work: 41x66 Mfg. Home
Sq. Ft. per floor: (1st) 0
Heat Type (Electric, Gas, Other):
Fees:
Item
---------------------------
Building Permit - Other
TOTAL FEES:
Applicant's_Affadavit:
(2nd) 0
City: Yelm
Subdivision: Sunrise Vista
Contact:
City: Centralia
Expires: 04/10/06100
Permit No: BLD -05- 0087 -YL
Issue Date: 03/30/2005
(Work must be started within 180 days)
Receipt No: 36011
Phone: 458 -1565
State: WA Zip 98597
Lot: 9
Phone: 360 - 269 -3877
State: WA Zip: 98531
Business License: 846.0
(3rd) 0 Garage 0 Basement 0
Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
----- - - - - -- ----- -- - - -- ----- - - - - -- -- --- - - - - -- ----- - -- - -- ------- - - - - --
150.00 0.00 0.00 0.0000 0.0000 $1,000
$150.00
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:
0
0
City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant: -
Name: Dave Asher
Address: 404 West Rd.
City: Y
Property Information:
Site Address: 404 West Rd.
Assessor Parcel No. 22719310901
Subdivision:
Contractor Information:
Name: owner
Contact:
Address:
City:
Contractor License No:
Expires:
Project Information:
Project: Asher Storage shed
Description of Work: Storage Shed
Sq. Ft. per floor: (1st) 0 (2nd) 0
Heat Type (Electric, Gas, Other): OTHER
Permit No: BLD -05- 0089 -YL
Issue Date: 03/24/2005
(Work must be started within 180 days)
Receipt No: 35969
Phone: 360 -458 -8505
elm State: Wa Zip 98597
(3rd) 0 Garage 0 Basement 0
Fees:
Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
------------------ --- - - - --- ----- - - -- -- ---- - - - - - -- ----- - - - - -- ----- - - - - -- ----- - -- - -- ------- - -- - --
Building Permit - Other 54.00 0.00 0.00 0.0000 0.0000 $1,000
TOTAL FEES: $54.00
Applicant's Affadavit:
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
# Sets of Prints:
Final Inspection:
Date:
By:
Applicant:
City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Permit No: BLD -05- 0092 -YL
Issue Date: 03/21/2005
(Work must be started within 180 days)
Receipt No: 35938
Name: Chris Gourley Phone: 400 -0667
Address: 1563891st Way SE City: Yelm State: WA Zip 98597
Property Information:
Site Address: 15638 91st Way SE
Assessor Parcel No. 43380001300 Subdivision: Chrystal Creek Estates Lot: 13
Contractor Information:
Name: Applicant
Address:
Contractor License No:
Project Information:
Project: Gourley Deck
Description of Work: 12x17 deck
Sq. Ft. per floor: (1st) 0
Heat Type (Electric, Gas, Other):
Fees:
Contact: Phone:
City: State: Zip:
Expires: Business License:
(2nd) 0 (3rd) 0 Garage 0 Basement 0
Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
-------- -- ----------- - - - - -- ----- - - - - -- ----- - - - - -- ----- - - - - -- ----- - - - - -- ----- - - - - -- - ------ - - - - --
Building Permit - Other 83.25 0.00 0.00 0.0000 0.0000 $1,000
Building Plan Review 54.11 0.00 0.00 0.0000 0.0000
TOTAL FEES: $137.36
Applicant's Affadavit:
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:
0
of Tea City of Ye lm
Community Development Department
4
Building Division
Phone: (360) 458 -8407
YELM Fax: (360) 458 -3144
Applicant: _
Name: Washington Energy Service
Address: 2800 Thorndyke Ave. W
City: ;
Property Information:
Site Address: 502 103rd Ave. NE
Assessor Parcel No. 22730110100
Subdivisio
Contractor Information:
Name: Washington Energy Service
Contact:
Address: 2800 Thorndyke Ave. W
City: Sea
Contractor License No: WASHIES9710B
Expires:
Project Information:_
Project: Marilyn Ziebell
Description of Work: Gas Water Heater
Sq. Ft. per floor: (1st) 0 (2nd) 0
(3rd)
Heat Type (Electric, Gas, Other):
Fees: _
Item Item Fee
Base Amt
- - - - --
--------------------------- - ---- - - - - --
Plumbing Permit 25.00
-----
20.00
TOTAL FEES: $25.00
Permit No: PL -05- 0093 -YL
Issue Date: 03125/2005
(Work must be started within 180 days)
Receipt No: 35970
Phone: 206.282.4700
rattle State: WA Zip 98199
n: N/A Lot:
Phone: 206.282.4700
ttle State: WA Zip: 98199
04/02/0592 Business License: 3050.1
0 Garage 0 Basement 0
Unit Fee Unit Rate No. Units Unit Desc
----- - - - - -- ----- - - - - -- ----- - - - - -- ------- - - - - --
0.00 7.0000 0.0000 Fixture
Applicant's Aff. --Clv
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: