4/2005 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: May 2, 2005
Re: Building Permits Issued for the Month of April 2005
Enclosed are copies of the Building Permits issued.
Permit numbers:
BLD -05- 0098, 0099, 0102, 0103, 0104, 0105, 0106, 0107, 0108, 0109, 0110, 0111, 0116
M -05 -0113, 0114
SIGN -05 -0095
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 \04 -05 Permit Report.doc
City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458-3144
Applicant:
Name: Forbest Partners
Address: P.O. Box 12540 City: Olympia
Property Information:
Site Address: 1202 Yelm Ave. E, Ste. B
Permit No: BLD -05- 0098 -YL
Issue Date: 04/07/2005
(Work must be started within 180 days)
Receipt No: 36101
Phone: 360 - 352 -2004
State: WA Zip 98508
Assessor Parcel No. 22730110103 Subdivision: N/A Lot: N/A
Contractor Information:
Name: PBJ Contracting, Inc. Contact: Berchaurer, Patrick Phone: 754 -5788
Address: P.O. Box 11489 City: Olympia State: WA Zip: 98508
Contractor License No: PBJCOI *160KU Expires: 08/09/05221 Business License:
Project Information;
Project: Pay Day Loans TI
Description of Work: 1106 Square foot TI
Sq. Ft. per floor: (1st) 1106 (2nd) 0 (3rd) 0 Garage 0 Basement 0
Heat Type (Electric, Gas, Other): GAS
Fees:
Item
Item Fee
Base Amt
Unit Fee
Unit Rate
- - --
No. Units
----- - - -- --
Unit Desc
------- - - - - --
--- ------------------ - - - - --
Building Permit - Other
----- - - - - --
231.58
----- - - - - --
0.00
----- - - - - --
0.00
----- --
0.0000
0.0000
$1,000
Building Plan Review
150.52
0.00
0.00
0.0000
0.0000
Plumbing Permit
34.00
20.00
14.00
7.0000
2.0000
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
Sewer Deposit
50.00
50.00
0.00
0.0000
0.0000
Water Meter (Commercial)
300.00
300.00
0.00
0.0000
0.0000
Water ERU
1,500.00
0.00
1,500.00
1,500.0000
1.0000
ERU
Water Deposit
40.00
40.00
0.00
0.0000
0.0000
Traffic Facilities Charge
3,052.50
0.00
3,052.50
750.0000
4.0700
Peak PM Trip
State Building Fee
4.50
4.50
0.00
0.0000
0.0000
TOTAL FEES:
$10,925.10
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.
Signature
Firm
Date
#'Sets of Prints:
inal Inspection:
Date:
By
L
0
0
City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458-3144
Applicant...
Name: Forbest Partners
Address: P.O. Box 12540 City: Olympia
Property Information:
Site Address: 1202 Yelm Ave. E, Ste. C
Assessor Parcel No. 22730110103 Subdivision: N/A
Permit No: BLD -05- 0099 -YL
Issue Date: 04/0712005
(Work must be started within 180 days)
Receipt No: 36102
Phone: 360 - 352 -2004
State: WA Zip 98508
Lot: N/A
Contractor Information:
Name: PBJ Contracting, Inc. Contact: Berchaurer, Patrick Phone: 754 -5788
Address: P.O. Box 11489 City: Olympia State: WA Zip: 98508
Contractor License No: PBJCOI *160KU Expires: 08/09/05221 Business License:
Project Information;
Project: John L Scoff TI
Description of Work: 2594 Square foot TI
Sq. Ft. per floor: (1st) 2594 (2nd) 0 (3rd) 0 Garage 0 Basement 0
Heat Type (Electric, Gas, Other): GAS
Fees:
Item
---------------------------
Building Permit - Other
Building Plan Review
Plumbing Permit
Sewer ERU
Sewer Inspection
Sewer Deposit
Water Meter (Commercial)
Water ERU
Water Deposit
Traffic Facilities Charge
State Building Fee
TOTAL FEES:
Applicant's Affadavit:
Item Fee Base Amt Unit Fee
594.46
No. Units
0.00
0.00
386.40
--- ---- - - - - --
$1,000
0.00
0.00
34.00
7.0000
20.00
14.00
10,834.00
2.0000
0.00
10,834.00
290.00
ERU
0.00
290.00
100.00
0.0000
50.00
0.00
300.00
2.0000
300.00
0.00
3,000.00
0.00
3,000.00
80.00
0.0000
40.00
0.00
7,117.50
0.00
7,117.50
4.50
4.50
0.00
$22,740.86
Unit Rate
No. Units
Unit Desc
- --- - - - - - --
0.0000
-- --- - - - - --
0.0000
--- ---- - - - - --
$1,000
0.0000
0.0000
7.0000
2.0000
Fixture
5,417.0000
2.0000
ERU
145.0000
2.0000
ERU
0.0000
0.0000
0.0000
0.0000
1,500.0000
2.0000
ERU
0.0000
0.0000
750.0000
9.4900
Peak PM Trip
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
Firm
Date
# Sets of Prints:
inal Inspection:
Date:
By:
0
0
City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Permit No: BLD -05- 0102 -YL
Issue Date: 04/15/2005
(Work must be started within 180 days)
Receipt No: 36180
Applicant.
Name: Evergreen State Builders Phone: 253 -475 -6622
Address: P.O. Box 39753 City: Lakewood State: WA Zip 98499
Property Information:
Site Address: 15868 104th Ave SE
Assessor Parcel No. 85840005600 Subdivision: Yelm Terra Lot: 56
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 2502 S12, Lot 56
Sq. Ft. per floor: (1st) 1034 (2nd) 1467 (3rd) 461 Garage 0
Heat Type (Electric, Gas, Other): GAS
Fees:
Item
Item Fee
Base Amt
Unit Fee
Unit Rate
----- - - - - --
--------------------- --- - --
Building Permit 100 -500k
----- - - - - --
1,408.90
- ---- - - - - --
993.75
----- - - - - --
415.15
5.6000
Building Plan Review
595.26
0.00
0.00
0.0000
Mechanical Permit
78.75
0.00
0.00
0.0000
Plumbing Permit
132.00
20.00
112.00
7.0000
Sewer Inspection
145.00
0.00
145.00
145.0000
Water ERU
1,500.00
0.00
1,500.00
1,500.0000
Water Meter (SFD)
300.00
300.00
0.00
0.0000
Water Deposit
40.00
40.00
0.00
0.0000
Traffic Facilities Charge
757.50
0.00
757.50
750.0000
Sewer Deposit
50.00
50.00
0.00
0.0000
State Building Fee
4.50
4.50
0.00
0.0000
Sewer ERU
5,417.00
0.00
5,417.00
5,417.0000
TOTAL FEES:
$10,428.91
Basement 0
No. Units Unit Desc
74.1340
$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
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
Dater
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
property Information;
Site Address: 15880 104th Ave SE
Assessor Parcel No. 85840005800
Contractor Information:
Subdivision: Yelm Terra
Permit No: BLD -05- 0103 -YL
Issue Date: 04/15/2005
(Work must be started within 180 days)
Receipt No: 36179
Phone: 253 -475 -6622
State: WA Zip 98499
Lot: 58
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 1819/2, Lot 58
Sq. Ft. perfloor: (1st) 1363 (2nd) 456 (3rd) 434 Garage 440 Basement 0
Heat Type (Electric, Gas, Other): GAS
Fees:
Item
Item Fee
Base Amt
Unit Fee
----- - - - - --
--------------------- - - - - --
Building Permit 100 -500k
----- - - - - --
1,230.63
--- -- - - - - --
993.75
236.88
Building Plan Review
519.67
0.00
0.00
Mechanical Permit
84.75
0.00
0.00
Plumbing Permit
132.00
20.00
112.00
Sewer Inspection
145.00
0.00
145.00
Water ERU
1,500.00
0.00
1,500.00
Water Meter (SFD)
300.00
300.00
0.00
Water Deposit
40.00
40.00
0.00
Traffic Facilities Charge
757.50
0.00
757.50
Sewer Deposit
50.00
50.00
0.00
State Building Fee
4.50
4.50
0.00
Sewer ERU
5,417.00
0.00
5,417.00
TOTAL FEES:
$10,181.05
Unit Rate
No. Units
Unit Desc
----- - - - - --
5.6000
----- - - - - --
42.3000
------- -- - - --
$1,000
0.0000
0.0000
0.0000
0.0000
7.0000
16.0000
Fixture
145.0000
1.0000
ERU
1,500.0000
1.0000
ERU
0.0000
0.0000
0.0000
0.0000
750.0000
1.0100
Peak PM Trip
0.0000
0.0000
0.0000
0.0000
5,417.0000
1.0000
ERU
Applicants 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:
City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant: _
Name: Micheal & Diane Diggins
Permit No: BLD -05- 0104 -YL
Issue Date: 04/18/2005
(Work must be started within 180 days)
Receipt No: 36197
Phone: 458 -9327
Address: 9836 Ramsay Drive SE City: Yelm State: WA Zip 98597
Property_Information:
Site Address: 9836 Ramsay Drive SE
Assessor Parcel No. 69240000200 Subdivision: Prairie Creek Lot: 2
Contractor Information:
Name: Applicant Contact: Phone:
Address: City: State: Zip:
Contractor License No: Expires: Business License:
Project Information:
Project: Diggins Porch
Description of Work: Replace wood porch with concrete
Sq. Ft. per floor: (1st) 0
Heat Type (Electric, Gas, Other)
Fees:
Item
---------------------------
Building Permit - Other
Building Plan Review
TOTAL FEES:
Applicant's Affadavitc
(2nd) 0 (3rd) 0 Garage 0 Basement 0
Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
----- - - - - -- ----- - - - - -- ----- - - -- -- ----- - - - - -- ---- - - - - - -- ------- - - - ---
23.50 0.00 0.00 0.0000 0.0000 $1,000
15.27 0.00 0.00 0.0000 0.0000
$38.77
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:
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- 0105 -YL
Issue Date: 04/15/2005
(Work must be started within 180 days)
Receipt No: 36182
Phone: 253 -475 -6622
State: WA Zip 98499
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 1819/2, Lot 41
Sq. Ft. perfloor: (1st) 1363 (2nd) 456 (3rd) 0 Garage 440 Basement 0
Heat Type (Electric, Gas, Other): GAS
Fees:
Item
Item Fee
Base Amt
- - --
---------------------------
Building Permit 100 -500k
----- - - - - --
1,230.63
- ---- - -
993.75
Building Plan Review
519.67
0.00
Mechanical Permit
84.75
0.00
Plumbing Permit
132.00
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:
$10,181.05
0.0000
Applicant's Affadavit:_
Unit Fee
Unit Rate
No. Units
Unit Desc
----- - - - - --
236.88
----- - - - - --
5.6000
-- --- - - - - --
42.3000
------- - - - - --
$1,000
0.00
0.0000
0.0000
0.00
0.0000
0.0000
112.00
7.0000
16.0000
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
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
0
City of Yelm Permit No: BLD -05- 0106 -YL
Community Development Department Issue Date: 04/1512005
Building Division (Work must be started within 180 days)
Phone: (360) 458 -8407 Receipt No: 36177
Fax: (360) 458 -3144
Applicant:
Name: Evergreen State Builders Phone: 253.475.6622
Address: P.O. Box 39753 City: Lakewood State: WA Zip 98499
Property Information:
Site Address: 15886 104th Ave SE
Assessor Parcel No. 85840005900 Subdivision: Yelm Terra
Lot: 59
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 2200 /2A Lot 59
Sq. Ft. perfloor: (1st) 1172 (2nd) 1028
Heat Type (Electric, Gas, Other): GAS
Fees:
Item Item Fee
Building Permit 100 -500k
1,301.19
Building Plan Review
549.75
Mechanical Permit
84.75
Plumbing Permit
118.00
Sewer Inspection
145.00
Water ERU
1,500.00
Water Meter (SFD)
300.00
Water Deposit
40.00
Traffic Facilities Charge
757.50
Sewer Deposit
50.00
State Building Fee
4.50
Sewer ERU
5,417.00
TOTAL FEES:
$10,267.69
Applicant's Affadavit:
(3rd) 0 Garage 480 Basement 0
Base Amt
Unit Fee
Unit Rate
No. Units
Unit Desc
-- - - --
--- -- - - - - --
993.75
- ---- -- - - --
307.44
----- - - - - --
5.6000
--- -- - - - - --
54.9000
----- --
$1,000
0.00
0.00
0.0000
0.0000
0.00
0.00
0.0000
0.0000
20.00
98.00
7.0000
14.0000
Fixture
0.00
145.00
145.0000
1.0000
ERU
0.00
1,500.00
1,500.0000
1.0000
ERU
300.00
0.00
0.0000
0.0000
40.00
0.00
0.0000
0.0000
0.00
757.50
750.0000
1.0100
Peak PM Trip
50.00
0.00
0.0000
0.0000
4.50
0.00
0.0000
0.0000
0.00
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 Pints:
Final inspection:
Date:,
By:
�OFTHFp� City of Yelm
a� Community Development Department
4
Building Division
Phone: (360) 458 -8407
YELM Fax: (360) 458 -3144
Permit No: BLD -05- 0107 -YL
Issue Date: 04/05/2005
(Work must be started within 180 days)
Receipt No: 36066
Applicant: __ __ -
Name: Comfort Homes Phone: 360.486.0161
Address: 8306 Quinault Drive NE City: Lacey State: WA Zip 98516
Properly_ Information:
Site Address: 10503 Yelm Terra St. SE
Assessor Parcel No. 85840002600 Subdivision: Yelm Terra Lot: 26
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 219912, Lot 26
Sq. Ft. per floor: (1st) 1089 (2nd) 1110 (3rd) 450 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
---- - - - - - --
1,297.05
----- - - - - --
993.75
----- - - - - --
303.30
----- - - -
5.6000
54.1600
$1,000
Building Plan Review
548.00
0.00
0.00
0.0000
0.0000
Mechanical Permit
84.75
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 (LID)
2,769.00
0.00
2,769.00
2,769.0000
1.0000
ERU
TOTAL FEES:
$7,613.80
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
# -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: Roush Environmental LLC
Permit No: BLD -05- 0108 -YL
Issue Date: 04/11/2005
(Work must be started within 180 days)
Receipt No: 36121
Phone: 253 - 606 -7572
Address: 11409 66th Ave. E City: Puyallup State: WA Zip 98373
Property Information:
Site Address: 509 -B Yelm Avenue East
Assessor Parcel No. 22719342901 Subdivision: N/A
Lot: N/A
Contractor Information:
Name: Osburn Steel Buildings Contact: Phone: 253 - 847 -9830
Address: 216 Puyallup Ave. #149 City: Tacoma State: WA Zip: 98421
Contractor License No: OSBURNSBO54LN Expires: 11/15106319 Business License:
Project Information;
Project: Walt's Muffler
Description of Work: 3240 sf Automotive Repair
Sq. Ft. per floor: (1st) 3240 (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
----- - - - - --
1,027.35
- ---- - -- - --
993.75
----- - - - - --
33.60
5.6000
Building Plan Review
667.77
0.00
0.00
0.0000
Mechanical Permit
72.75
0.00
0.00
0.0000
Plumbing Permit
48.00
20.00
28.00
7.0000
Sewer ERU
5,417.00
0.00
5,417.00
5,417.0000
Sewer Inspection
145.00
0.00
145.00
145.0000
Traffic Facilities Charge
6,967.50
0.00
6,967.50
750.000C
Sewer Deposit
50.00
50.00
0.00
0.000C
Water Deposit
40.00
40.00
0.00
0.000C
State Building Fee
4.50
4.50
0.00
0.000C
TOTAL FEES:
$14,439.87
Basement 0
No. Units
Unit Desc
--- -- - - - - --
6.0000
------- - - - - --
$1,000
0.0000
0.0000
4.0000
Fixture
1.0000
ERU
1.0000
ERU
9.2900
Peak PM Trip
0.0000
0.0000
0.0000
Applicant's Affadavitt
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: Roush Environmental LLC
Address: 11409 66th Ave. E City: Puyallup
Permit No: BLD -05- 0109 -YL
Issue Date: 04/11/2005
(Work must be started within 180 days)
Receipt No: 36120
Phone: 253 - 606 -7572
State: WA Zip 98373
Property Information: -- - -
Site Address: 509 -A Yelm Avenue East
Assessor Parcel No. 22719342901 Subdivision: N/A Lot: N/A
Contractor Information:
Name: Osburn Steel Buildings Contact: Phone: 253 - 847 -9830
Address: 216 Puyallup Ave. #149 City: Tacoma State: WA Zip: 98421
Contractor License No: OSBURNSBO54LN Expires: 11/15106319 Business License:
Project Information: _
Project: NAPA Auto Parts
Description of Work: 6300 sf NAPA Auto Parts
Sq. Ft. per floor: (1st) 6300 (2nd) 0 (3rd) 0 Garage 0 Basement 0
Heat Type (Electric, Gas, Other): GAS
Fees:
Item
---------------------------
Building Permit 100 -500k
Building Plan Review
Mechanical Permit
Plumbing Permit
Sewer ERU
Sewer Inspection
Sewer Deposit
Water Meter (Commercial)
Water Meter (Irrigation)
Water Deposit
Water ERU
Traffic Facilities Charge
State Building Fee
TOTAL FEES:
Applicant's Affadavit:
Item Fee
Base Amt
Unit Fee
Unit Rate
No. Units
Unit Desc
-- - - --
----- - - - - --
1,833.75
----- - -- - --
993.75
----- - - - - --
840.00
----- - - - - --
5.6000
----- - - - - --
150.0000
-------
$1,000
1,191.93
0.00
0.00
0.0000
0.0000
86.00
0.00
0.00
0.0000
0.0000
48.00
20.00
28.00
7.0000
4.0000
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
50.00
50.00
0.00
0.0000
0.0000
300.00
300.00
0.00
0.0000
0.0000
650.00
300.00
0.00
0.0000
0.0000
40.00
40.00
0.00
0.0000
0.0000
1,500.00
0.00
1,500.00
1,500.0000
1.0000
ERU
4,140.00
0.00
4,140.00
750.0000
5.5200
Peak PM Trip
4.50
4.50
0.00
0.0000
0.0000
$15,406.18
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
Permit No: BLD-05-01 1 0-YL
Issue Date: 04/15/2005
(Work must be started within 180 days)
Receipt No: 36181
Applicant
Name: Evergreen State Builders Phone: 253 -475 -6622
Address: P.O. Box 39753 City: Lakewood State: WA Zip 98499
Property Information:
Site Address: 15808 104th Ave SE
Assessor Parcel No. 85840004600 Subdivision: Yelm Terra Lot: 46
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 Information
Project: Yelm Terra
Description of Work: Plan 1610 R/2B , Lot 46
Sq. Ft. perfloor: (1st) 1610 (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
----- - - - - --
1,090.90
----- - - - - --
993.75
----- - - - - --
97.15
--- -- - - - - --
5.6000
17.3490
$1,000
Building Plan Review
460.90
0.00
0.00
0.0000
0.0000
Mechanical Permit
71.75
0.00
0.00
0.0000
0.0000
Plumbing Permit
111.00
20.00
91.00
7.0000
13.0000
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:
$9,948.55
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
# 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-05-011 1 -YL
Issue Date: 04/11/2005
(Work must be started within 180 days)
Receipt No: 00000
Applicant: _
Name: Yelm Senior Center Phone: 458 -7733
Address: P.O. Box 474 City: Yelm State: WA Zip 98597
Property Information:
Site Address: 13530 103rd Ave. SE
Assessor Parcel No. 64303600302 Subdivision: NIA Lot: N/A
Contractor Information:
Name: WE&B Ltd Contact: Wood, Dale Phone: 360 - 458 -5540
Address: 15708 123 Ave City: Yelm State: WA Zip: 98597
Contractor License No: WEBL *133MG Expires: 12119106353 Business License: 3029.0
Project Information:
Project: New Senior Center
Description of Work: Early Foundation Permit
Sq. Ft. perfloor: (1st) 0 (2nd) 0 (3rd) 0 Garage 0 Basement 0
Heat Type (Electric, Gas, Other):
Fees: -
Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
--------- ------------ - - - - -- ----- - - - - -- ----- - - - - -- ----- - - - - -- ----- - - - - -- ----- - - - - -- ------- - - - - --
Building Permit - Other 0.00 0.00 0.00 0.0000 0.0000 $1,000
TOTAL FEES: $0.00
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
Permit No: BLD -05- 0116 -YL
Issue Date: 04/27/2005
(Work must be started within 180 days)
Receipt No: 36356
Applicant:
Name: Comfort Homes Phone: 360 -486 -0161
Address: 8306 Quinalt Dr. NE City: Lacey State: WA Zip 98516
Property Information:_
Site Address: 15308 104th Way SE
Assessor Parcel No. 62320003900 Subdivision: Mill Pond Estates Lot: 39
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: Mill Pond Estates
Description of Work: Plan 221112A, Lot 39
Sq. Ft. per floor: (1st) 1071 (2nd) 1140 (3rd) 434 Garage 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:
Item Fee
Base Amt
Unit Fee
Unit Rate
----- - -
1,299.34
- - --
----- - - -- --
993.75
----- - -
305.59
- - --
----- - -- - --
5.6000
548.97
ERU
0.00
0.00
0.0000
0.0000
84.75
0.00
0.00
0.0000
0.0000
125.00
20.00
105.00
7.0000
5,417.00
0.00
5,417.00
5,417.0000
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
$10,272.06
Applicants Aff_adavit:
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
54.5700
$1,000
0.0000
0.0000
15.0000
Fixture
1.0000
ERU
1.0000
ERU
1.0000
ERU
0.0000
0.0000
1.0100
Peak PM Trip
0.0000
0.0000
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: Advanced Filter & Mechanical
Permit No: M -05- 0113 -YL
Issue Date: 04/13/2005
(Work must be started within 180 days)
Receipt No: 36147
Phone: 253.770.2440
Address: 418 Valley Ave. NW Ste. 8115 City: Puyallup State: WA Zip 98371
Property Information:
Site Address: 16410 Cascadian Ave. SE
Assessor Parcel No. 84070000800 Subdivision: Lot:
Contractor Information:
Name:
Contact: Phone:
Address:
City: State: Zip:
Contractor License No:
Expires: Business License:
Project Information:
Project: Ramirez A/C
Description of Work: 1 1/2 ton A/C and
Electronic Air Cleaner
CSq. Ft. per floor: (1st) 0 (2nd) 0 (3rd) 0 Garage 0 Basement 0
Heat Type (Electric, Gas, Other):
Fees:
Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
-- ------- ------------ - - - - -- ----- - - - - -- -- --- - - - - -- ----- - - - - -- ----- - - - - -- ----- - - - - -- ------- - - - - --
Mechanical Permit 39.00 0.00 0.00 0.0000 0.0000
TOTAL FEES: $39.00
Applicants 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 nspection:
'Date:
Signature Date
By:
Firm
City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458-3144
Applicant:
Name: Brazil's Stove & Hearth
Permit No: M -05- 0114 -YL
Issue Date: 04/1412005
(Work must be started within 180 days)
Receipt No: 36164
Phone:
Address: 125 Sussex Ave E. City: Tenino State: WA Zip
Prop" _lnformation _
Site Address: 815 Mountain Aire Lane NW
Assessor Parcel No. 22719210304 Subdivision: Lot:
Contractor Information:
Name: Contact: Phone:
Address: City: State: Zip:
Contractor License No: Expires: Business License:
Project Information:_
Project: Davis Fireplace
Description of Work: Installation of gas fireplace, gas piping
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
--------------------- - - - - -- ----- - - - - -- ----- - - - - -- ----- - - - - -- ----- - - - - -- ----- - - - - -- ------- - - - - --
Mechanical Permit 20.00 0.00 0.00 0.0000 0.0000
TOTAL FEES: $20.00
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
Firm
Date
FFICIAL 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: SIGN -05- 0095 -YL
Issue Date: 04/27/2005
(Work must be started within 180 days)
Receipt No: 36379
Applicant
Name: Yelm Martial Arts Fitness Center Phone: 458 -5988
Address: 4041st.E. City: Yelm State: WA Zip 98597
Property Information:
Site Address: 404 First Street SE.
Assessor Parcel No. 22719332300 Subdivision: Lot:
Contractor Information: _
Name: Contact: Phone:
Address: City: State: Zip:
Contractor License No: Expires: Business License:
Project Information: _
Project: New sign
Description of Work: Lighted Cabinet sign
Sq. Ft. per floor: (1st) 0 (2nd) 0 (3rd) 0 Garage 0 Basement 0
Heat Type (Electric, Gas, Other):
Fees: -
Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
------- ----------- --- - - - - -- ----- - - - --- ----- -- - - -- ----- - - - - -- ----- - - - --- -- --- - - -- -- ------- - - - - --
Building Permit - Other 20.00 0.00 0.00 0.0000 0.0000 $1,000
TOTAL FEES: $20.00
Applicant's A_ffadavit:
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
-FICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By: