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5/2005 Report (1st half)Roberta Allen From: Gary Carlson OSent: Thursday, May 05, 2005 10:50 AM To: Roberta Allen Subject: FW: Permits - - - -- Original Message---- - From: Mickey Nelson ( mailto :NELSONM @co.thurston.wa.us] Sent: Thursday, May 05, 2005 10:33 AM To: Marci Price; Julie Dufresne; KELLY KNUTSON; Gary Carlson; Kathy Clayton Subject: Permits Hello folks, This is to let you know that 31 May is the last day for me to input building permits to the system for the 2005 New Construction Period. So in order for the revenue to keep rolling in to your offices, May 20th I will be coming around to pick up all permits that have been issued to that point . Thank you for your cooperation in this. Mickey Nelson TC Assessor's Office Appraisal Support 1 Applicant: City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Permit No: M -05- 0122 -YL Issue Date: 05/1312005 (Work must be started within 180 days) Receipt No: 36736 Name: Washington Energy Service Phone: 206.282.4700 Address: 2800 Thorndyke Ave. W City: Seattle State: WA Zip 98199 Property Information: Site Address: 1307 Chrystal Springs Road Assessor Parcel No. 22718330302 Subdivision: Lot: Contractor Information: Name: Applicant Contact: Phone: Address: City: State: Zip: Ouniidciui License Nu. Expires: business License: Project Information: Project: Mark Ziebell Description of Work: 2.5 Ton Heat Pump 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 — ----------------------- — ----- - - - - -- Mechanical Permit 33.25 ----- --- --- ----- - - - - -- ----- - - - - -- 0.00 0.00 0.0000 ----- - - ---- 0.0000 ------ - - - - - -- TOTAL FEES: $33.25 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- 0125 -YL Issue Date: 05118/2005 (Work must be started within 180 days) Receipt No: 36781 Applicant: Name: Woore, Tony Phone: 458 -8972 Address: 15909 Quail Meadows Ct. SE City: Yelm State: WA Zip 98597 Property Information: Site Address: 15909 Quail Meadows Ct. SE Assessor Parcel No. 57630101100 Subdivision: Lot: Contractor Information: Name: Applicant Contact: Phone: Address: City: State: Zip: _on tractor L�censa .:o: cxNiica. business License: Project Information: Project: Tony Woore Addition Description of Work: 324 Family Room Addition CSq. Ft. per floor: (1st) 324 (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 181.25 0.00 0.00 0.0000 0.0000 $1,000 Building Plan Review 117.81 0.00 0.00 0.0000 0.0000 TOTAL FEES: $299.06 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 Cregistered in the State of Washington. Signature Date Firm OFFICIAL USE ONLY # Sets of Prints: Final Inspection: Date: By: 0 Applicant: City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Permit No: BLD -05- 0126 -YL Issue Date: 05/09/2005 (Work must be started within 180 days) Receipt No: 36710 Name: Woodring, David Phone: 259 -3629 Address: 15708 92nd Ct. SE City: Yelm State: WA Zip 98597 Property Information: Site Address: 15708 92nd Ct. SE Assessor Parcel No. 55360003300 Subdivision: Lot: Contractor Information: Name: Applicant Contact: Phone: Address: City: State: Zip: vullUGl.lul Llucll C Nu. CAf/11CJ. DUDIIIC55 LIGCIIJC. Project Information: Project: Woodring Deck Description of Work: 280 sf covered deck Sq. Ft. per floor: (1 st) 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 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 TOTAL FEES: $183.56 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 City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Applicant: Name: Michaelis, Connie Address: 513 Van Trump NW Property Information: Site Address: 513 Van Trump NW Assessor Parcel No. 22719231801 Contractor Information: Name: Address: Gontractor License NO: Project Information: Project: Michaelis Re -Roof Description of Work: Re -roof porch Sq. Ft. per floor: (1st) 0 (2nd) 0 Heat Type (Electric, Gas, Other): OTHER Fees: City: Yelm Subdivision: Contact: City: txpires: (3rd) 0 Item Item Fee Base Amt Unit Fee ---- --- -------------- ---- -- ----- - - ---- ----- - - - - -- --- ---- - - -- Building Permit - Other 25.00 0.00 0.00 TOTAL FEES: $25.00 Applicant's Affadavit: Permit No: BLD -05- 0131 -YL Issue Date: 05/1112005 (Work must be started within 180 days) Receipt No: 36724 Phone: 360.458.4624 State: WA Zip 98597 Lot: Phone: State: Zip: business License: Garage 0 Basement 0 Unit Rate No. Units Unit Desc - --- - - - - -- - ---- - - - - -- ------- - - - --- 0.0000 0.0000 $1,000 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 Applicant: Name: Comfort Homes Address: 8306 Quinalt Dr. NE Property Information: Site Address: 10463 Yelm Terra Street SE Assessor Parcel No. 85840002800 Contractor Information: Name: Comfort Homes Address: 8306 Quinalt Dr. NE Contractor License No: KERZIHL970M3 Project Information: Project: Yelm Terra Description of Work: Plan 2211/2A, Lot 28 Sq. Ft. per floor: (1 st) 1071 (2nd) 1140 Heat Type (Electric, Gas, Other): GAS Fees: City: Lacey Subdivision: Yelm Terra Contact: Bayless, Greg City: Lacey Expires: 07106/05187 Permit No: BLD -05- 0135 -YL Issue Date: 05118/2005 (Work must be started within 180 days) Receipt No: 36777 Phone: 360 -486 -0161 State: WA Zip 98516 Lot: 28 Phone: 360 -486 -0161 State: WA Zip: 98516 Business License: 05- 000730.0 (3rd) 0 Garage 434 Basement 0 Item Item Fee Base Amt Building Permit 100 -500k 1,299.34 993.75 Building Plan Review 548.97 0.00 Mechanical Permit 84.75 0.00 Plumbing Permit 125.00 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 (LID) 2,769.00 0.00 TOTAL FEES: $7,624.06 0.0000 Applicant's Affadavit: 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 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 2,769.00 2,769.0000 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 0 0 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: 10469 Yelm Terra St. SE Assessor Parcel No. 85840002700 Contractor Information: Name: Comfort Homes Address: 8306 Quinalt Dr. NE Contractor License No: KERZIHL970M3 Project Information: Project: Yelm Terra Description of Work: Plan 2201T/2b/2, Lot 27 Sq. Ft. per floor: (1st) 1301 (2nd) 900 Heat Type (Electric, Gas, Other): OTHER 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 (LID) TOTAL FEES: Applicant's Affadavit: City: Lacey Subdivision: Yelm Terra Contact: Bayless, Greg City: Lacey Expires: 07106105187 Permit No: BLD -05- 0136 -YL Issue Date: 05/18/2005 (Work must be started within 180 days) Receipt No: 36776 Phone: 360.486.0161 State: WA Zip 98516 Lot: 27 Phone: 360 -486 -0161 State: WA Zip: 98516 Business License: 05- 000730.0 (3rd) 0 Garage 454 Basement 0 Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc -- - --- -- ----- - - -- -- 1,298.33 ------ - --- 993.75 ----- - - - - -- 304.58 ---- - - - - -- 5.6000 ---- -- - - - -- 54.3900 ----- $1,000 548.54 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 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 2,769.00 0.00 2,769.00 2,769.0000 1.0000 ERU $7,615.62 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 Quinault Drive NE Property Information: Site Address: 10451 Yelm Terra St. SE Assessor Parcel No. 85840003000 Contractor Information: Name: Comfort Homes Address: 8306 Quinalt Dr. NE Contractor License No: KhKLIHL97um3 Project Information: Project: Yelm Terra Description of Work: Plan 2201T/2b/2, Lot 30 City: Lacey Subdivision: Yelm Terra Contact: Bayless, Greg City: Lacey expires: u7/u61ub9tS7 Permit No: BLD -05- 0137 -YL Issue Date: 0511812005 (Work must be started within 180 days) Receipt No: 36774 Phone: 360.486.0161 State: WA Zip 98516 Lot: 30 Phone: 360 -486 -0161 State: WA Zip: 98516 business License: u5- uuutsu.0 Sq. Ft. perfloor: (1st) 1301 (2nd) 900 (3rd) 0 Garage 454 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 ---- - -- - - -- 1,298.33 ----- --- - -- 993.75 - --- - - - - -- 304.58 -- - - - - - -- 5.6000 54.3900 $1,000 Building Plan Review 548.54 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: $7,615.62 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 Yeim Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Permit No: BLD -05- 0138 -YL Issue Date: 05116/2005 (Work must be started within 180 days) Receipt No: 36746 Applicant: Name: Scott Lisonbee Phone: 360.400.3475 Address: P.O. Box 1891 City: Yelm State: WA Zip 98597 Property Information: Site Address: 206 Yelm Avenue West Assessor Parcel No. 85800200300 Subdivision: Lot: Contractor Information: Name: Contact: Phone: Address: City: State: Zip: Contractor License No: Expires: Business License: Project Information: Project: Cynthia Schmier Remodel Description of Work: Re -roof with new truss system with covered walkways CSq. Ft. per floor: (1st) 2187 (2nd) 0 (3rd) 0 Garage 0 Basement 0 Heat Type (Electric, Gas, Other): ELECTRIC Fees: Item Item Fee Base Amt Unit Fee Unit Rate No. Units ---- - - - --- Unit Desc ------- - - -- -- -- ---- ------ ------ - - - --- ----- - - - - -- Building Permit 100 -500k 1,060.95 ----- -- - - -- ----- - - - - -- 993.75 67.20 --- -- - - - - -- 5.6000 12.0000 $1,000 Building Plan Review 689.62 0.00 0.00 0.0000 0.0000 TOTAL FEES: $1,750.57 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 Cregistered in the State of Washington. Signature Date Firm 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: Comfort Homes Address: 8306 Quinault Drive NE Property Information: Site Address: 10457 Yelm Terra St. SE Assessor Parcel No. 85840002900 Contractor Information: Name: Comfort Homes Address: 8306 Quinalt Dr. NE Contractor License NO: KhKZ- 1HLyiums Project Information: Project: Yelm Terra Description of Work: Plan 2201T12b12, Lot 29 Sq. Ft. per floor: (1st) 1301 (2nd) 900 Heat Type (Electric, Gas, Other): GAS City: Lacey Subdivision: Yelm Terra Contact: Bayless, Greg City: Lacey Expires: U71Ub /U51S7 Permit No: BLD -05- 0141 -YL Issue Date: 0511812005 (Work must be started within 180 days) Receipt No: 36775 Phone: 360.486.0161 State: WA Zip 98516 Lot: 29 Phone: 360 -486 -0161 State: WA Zip: 98516 business License: 05- 000730.0 (3rd) 0 Garage 454 Basement 0 Fees: Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc ---------- - ------------- - Building Permit 100 -500k ------- - -- 1,298.33 --- - ------ 993.75 ----- - - - - -- 304.58 -- --- - -- 5.6000 54.3900 $1,000 Building Plan Review 548.54 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: $7,615.62 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: 15752 Yelm Terra Way SE Assessor Parcel No. 85840008900 Contractor Information: Name: Evergreen State Builders Address: P.O. Box 39753 Contractor License No: EVERGSB980PB Project Information: Project: Yelm Terra Description of Work: Plan 2502 S /2, Lot 89 Sq. Ft. per floor: (1 st) 1034 (2nd) 1467 Heat Type (Electric, Gas, Other): GAS City: Lakewood Subdivision: Yelm Terra Contact: McCullem, Tom City: Lakewood Expires: 10102/06275 Permit No: BLD -05- 0142 -YL Issue Date: 0511812005 (Work must be started within 180 days) Receipt No: 36769 Phone: 253 -475 -6622 State: WA Zip 98499 Lot: 89 Phone: 253 -475 -6622 State: WA Zip: 98499 business License: 1042.0 (3rd) 0 Garage 461 Basement 0 Fees: Item Item Fee Base Amt Unit Fee Unit Rate ---- - - - -- No. Units --- -- - - - --- Unit Desc ------ - - - - -- ----- - ------ ------------- Building Permit 100 -500k ----- - - - --- 1,408.90 -- --- - - - - -- 993.75 ----- - -- - -- 415.15 -- 5.6000 74.1340 $1,000 Building Plan Review 595.26 0.00 0.00 0.0000 0.0000 Mechanical Permit 78.75 0.00 0.00 0.0000 0.0000 Plumbing Permit 132.00 20.00 112.00 7.0000 16.0000 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: $10,428.91 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 Permit No: BLD -05- 0143 -YL Issue Date: 05/1812005 (Work must be started within 180 days) Receipt No: 36768 Applicant: Name: Evergreen State Builders Phone: 253.475.6622 Address: P.O. Box 39753 City: Lakewood State: WA Zip 98499 Property Information: Site Address: 15845 Yelm Terra Way SE Assessor Parcel No. 85840000300 Subdivision: Yelm Terra Lot: 3 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: EVERGSU98oP6 Lxpires: 10/02/06275 ttusiness License: 1042.0 Project Information: Project: Yelm Terra Description of Work: Plan 220012A Lot 3 Sq. Ft. per floor: (1st) 1172 (2nd) 1028 (3rd) 0 Garage 480 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 ---- -- - - - -- 1,301.19 --- ---- - -- 993.75 --- - - - - -- 307.44 5.6000 54.9000 $1,000 Building Plan Review 549.75 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 5,417.00 0.00 5,417.00 5,417.0000 1.0000 ERU TOTAL FEES: $10,267.69 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 OFFF I C I AL 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: 15769 Yelm Terra Way SE Assessor Parcel No. 85840001400 Contractor Information: Name: Evergreen State Builders Address: P.O. Box 39753 Contractor License No: EVERGSB980PB Project Information: Project: Yelm Terra Description of Work: Plan 2200 12A Lot 14 Sq. Ft. per floor: (1st) 1172 (2nd) 1028 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 TOTALFEES Applicant's Affadavit: City: Lakewood Subdivision: Yelm Terra Contact: McCullem, Tom City: Lakewood Expires: 10102106275 Permit No: BLD -05- 0144 -YL Issue Date: 0511812005 (Work must be started within 180 days) Receipt No: 36767 Phone: 253.475.6622 State: WA Zip 98499 Lot: 14 Phone: 253 -475 -6622 State: WA Zip: 98499 Business License: 1042.0 (3rd) 0 Garage 480 Basement 0 Item Fee Base Amt Unit Fee Unit Rate No. Units ----- - - - - -- Unit Desc - ----------- ----- - - - - -- 1,301.19 - ---- - -- - -- 993.75 ----- - - - - -- 307.44 -------- -- 5.6000 54.9000 $1,000 549.75 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 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 $10,267.69 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 FInspection: ONLY Date: By: 0 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 Property Information: Site Address: 15833 Yelm Terra Way SE Assessor Parcel No. 85840000500 Contractor Information: Name: Evergreen State Builders Address: P.O. Box 39753 Contractor License No: EVERGSB980PB City: Lakewood Subdivision: Yelm Terra Contact: McCullem, Tom City: Lakewood Expires: 10102106275 Permit No: BLD -05- 0145 -YL Issue Date: 05118/2005 (Work must be started within 180 days) Receipt No: 36766 Phone: 253.475 -6622 State: WA Zip 98499 Lot: 5 Phone: 253 -475 -6622 State: WA Zip: 98499 Business License: 1042.0 Project Information: Project: Yelm Terra Description of Work: Plan 1530 S /2, Lot 5 Sq. Ft. per floor: (1st) 1530 (2nd) 0 (3rd) 0 Garage 582 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 ---- - -- - -- 1,069.91 ----- - - - - -- 993.75 ----- -- - - -- 76.16 5.6000 13.6000 $1,000 Building Plan Review 695.44 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: $10,162.10 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: