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7/2005 Report0 U U Memorandum 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: August 2, 2005 Re: Building Permits Issued for the Month of July 2005 Enclosed are copies of the Building Permits issued. Permit numbers: BLD -05- 0152 -YL, 0188, 0189, 0190, 0191, 0192, 0193, 0194, 0199, 0200, 0208, 0210, 0211, 0214, 0217, 0219, 0220, 0221, 0223, 0224, 0225, 0226, 0227, 0229, 0230, 0231, 0233 FIRE -05- 0195 -YL SIGN -05- 0209 -YL, 0213, 0228 M -05- 0206 -YL DEMO -05- 0234 -YL 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 \07 -05 Permit Report.doc 0 - "I I Applicant: City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Permit No: BLD -05- 0152 -YL Issue Date: 07/01/2005 (Work must be started within 180 days) Receipt No: 37178 Name: Yelm Community Schools Phone: 458 -6128 Address: P.O. Box 476 City: Yelm State: WA Zip 98597 Property Information: Site Address: 10605 Carter St. SE Assessor Parcel No. 21725140100 Subdivision: N/A Lot: N/A contractor Information: Name: Jody Miller Construction Contact: Phone: 253 - 537 -6116 Address: P.O. Box 44628 City: Tacoma State: WA Zip: 98444 Contractor License No: JODYMCL160D3 Expires: 05/18107138 Business License: 1595.0 Project Information:_ ___ -- __. _ .__.. __- Project: Ridgeline Jr High Description of Work: Jr. High School 71146 sf, Gym 13840 sf Field House 600 Total 85586 sf. Sq. Ft. per floor: (1st) 85586 (2nd) 0 (3rd) 0 Garage 0 Basement 0 Heat Type (Electric, Gas, Other): OTHER Fees:__ It Item Fee Base Amt Unit Fee Unit Rate ----- - - - - -- No. Units ---- - - - - - -- Unit Desc ------- - - - - -- --------------------------- Building Permit - Other ----- - - - - -- 46,818.75 ----- - - - - -- 0.00 - ---- - - - - -- 0.00 0.0000 0.0000 $1,000 Building Plan Review 30,432.18 0.00 0.00 0.0000 0.0000 Mechanical Permit 762.30 0.00 0.00 0.0000 0.0000 Plumbing Permit 1,833.00 20.00 1,813.00 7.0000 259.0000 Fixture Sewer Inspection 1,740.00 0.00 1,740.00 145.0000 12.0000 ERU Water ERU 18,000.00 0.00 18,000.00 1,500.0000 12.0000 ERU Water Deposit 0.00 40.00 0.00 0.0000 0.0000 Traffic Facilities Charge 0.00 0.00 0.00 750.0000 0.0000 Peak PM Trip Sewer Deposit 0.00 50.00 0.00 0.0000 0.0000 State Building Fee 4.50 4.50 0.00 0.0000 0.0000 Water Meter (Irrigation) 1,000.00 300.00 0.00 0.0000 0.0000 Water Meter (Commercial) 2,096.00 300.00 0.00 0.0000 0.0000 Sewer ERU 37,919.00 0.00 37,919.00 5,417.0000 7.0000 ERU TOTAL FEES: $140,605.73 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 0 Applicant: City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Permit No: BLD -05- 0188 -YL Issue Date: 07/05/2005 (Work must be started within 180 days) Receipt No: 37156 Name: Comfort Homes Phone: 360 -486 -0161 Address: 8306 Quinalt Dr. NE City: Lacey State: WA Zip 98516 Property_ Information: Site Address: 10406 Barry Bridges St SE Assessor Parcel No. 62320003000 Subdivision: Mill Pond Lot: 30 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: Mill Pond Description of Work: Plan 221112A Lot 30 Sq. Ft. per floor: (1st) 1071 (2nd) 1140 (3rd) 0 Garage 434 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 (LID) TOTAL FEES, 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 20.00 145.00 0.0000 0.00 1,500.00 0.0000 0.00 300.00 105.00 300.00 40.00 Fixture 40.00 757.50 1.0000 0.00 50.00 1,500.0000 50.00 4.50 0.00 4.50 2,769.00 0.00 $7,624.06 0.0000 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 Appucanvs Arraaav_ir. 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 Applicant: Permit No: BLD -05- 0189 -YL Issue Date: 07/05/2005 (Work must be started within 180 days) Receipt No: 37153 Name: Comfort Homes Phone: 360 -486 -0161 Address: 8306 Quinalt Dr. NE City: Lacey State: WA Zip 98516 Oro-p­ --- erty_Informatiow Site Address: 10424 Barry Bridges St SE Assessor Parcel No. 62320002700 Subdivision: Mill Pond Lot: 27 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 Description of Work: Plan 221112A Lot 27 Sq. Ft. perfloor: (1st) 1071 (2nd) 1140 (3rd) 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 (LID) TOTAL FEES Garage 434 Basement 0 Item Fee Base Amt Unit Fee Unit Rate No. Units - - - - -- Unit Desc ------- - - - - -- ----- - -- --- 1,299.34 ----- - - - - -- 993.75 ----- - --- -- 305.59 --- -- - - - - -- 5.6000 --- -- 54.5700 $1,000 548.97 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 15.0000 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 $7,624.06 Applicant's Attaaavlt: -_. __ _ __ _- - -.. _ �__.. __._.T.. _ 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 Permit No: BLD -05- 0190 -YL Issue Date: 07/0512005 (Work must be started within 180 days) Receipt No: 37152 Phone: 360.486.0161 City: Lacey State: WA Zip 98516 Property Information: Site Address: 10430 Barry Bridges St SE Assessor Parcel No. 62320002600 Subdivision: Mill Pond 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: 07106/05187 Business License: 05- 000730.0 Pro�ect_Information: Project: Mill Pond Description of Work: Plan 2199/2, Lot 26 Sq. Ft. per floor: (1st) 1089 (2nd) 1110 (3rd) 450 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 (LID) TOTAL FEES: 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 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 $7,613.80 Applicant's Attaaavn: 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: Applicant: City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Permit No: BLD -05- 0191 -YL Issue Date: 07105/2005 (Work must be started within 180 days) Receipt No: 37154 Name: Comfort Homes Phone: 360.486.0161 Address: 8306 Quinault Drive NE City: Lacey State: WA Zip 98516 Properly Information: Site Address: 10418 Barry Bridges St SE Assessor Parcel No. 62320002800 Subdivision: Mill Pond Lot: 28 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: Mill Pond Description of Work: Plan 2199/2, Lot 28 Sq. Ft. per floor: (1st) 1089 (2nd) 1110 (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 Inspection Water ERU Water Meter (SFD) Water Deposit Traffic Facilities Charge Sewer Deposit State Building Fee Sewer ERU (LID) TOTAL FEES: Applicant's Aff_adavit: 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 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 $7,613.80 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 Property Information: _ Site Address: 10412 Barry Bridges St SE Assessor Parcel No. 62320002900 City: Lacey Subdivision: Mill Pond Permit No: BLD -05- 0192 -YL Issue Date: 07/05/2005 (Work must be started within 180 days) Receipt No: 37155 Phone: 360 -486 -0161 State: WA Zip 98516 Lot: 29 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: Mill Pond Description of Work: Plan 1781/2 Lot 29 Sq. Ft. per floor: (1st) 951 (2nd) 817 (3rd) 0 Garage 436 Basement 0 Heat Type (Electric, Gas, Other): GAS Fees: Item Building Plan Review Mechanical Permit Plumbing Permit Sewer Inspection Water ERU Water Meter (SFD) Water Deposit Traffic Facilities Charge Sewer Deposit State Building Fee Building Permit 100 -500k Sewer ERU (LID) TOTAL FEES: Item Fee Base Amt Unit Fee Unit Rate ----- - - - - -- 480.67 - ---- - - - - -- 0.00 ----- -- - - -- 0.00 ---- - - - - - -- 0.0000 78.25 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 1,137.67 993.75 143.92 5.6000 2,769.00 0.00 2,769.00 2,769.0000 $7,380.59 No. Units Unit Desc 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 25.7000 $1,000 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: c City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Applicant: , , ._ Name: Northstar Address: 4304 77th Ave. Ct. NW City: Gig Harbor Property Information: Site Address: 1315 Yelm Ave. West Assessor Parcel No. 21724210500 Subdivision: N/A Permit No: BLD -05- 0193 -YL Issue Date: 07/13/2005 (Work must be started within 180 days) Receipt No: 37293 Phone: 253 - 265 -3473 State: WA Zip 98335 Lot: NIA Contractor information: Name: Berschauer - Philips Contact: Phone: 754 -5788 Address: P.O. Box 11489 City: Olympia State: WA Zip: 98508 -1489 Contractor License No: BERSCPC148CD Expires: 08/09/06221 Business License: Project Information:_ Project: Yelm High School Description of Work: Fire Supression System Sq. Ft. perfloor: (1st) 0 (2nd) 0 Heat Type (Electric, Gas, Other): Fees: (3rd) 0 Garage 0 Basement 0 Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc ----- - - - - -- ----- - - - --- ------- - - - - -- --------------------- - -- - -- Building Permit 100 -500k --- -- - - - - -- ----- - -- - -- ----- - - - - -- 2,253.75 993.75 1,260.00 5.6000 225.0000 $1,000 Building Plan Review 1,464.93 0.00 0.00 0.0000 0.0000 TOTAL FEES: $3,718.68 Applicant's 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. Signature Firm Date OFFICIAL USE ONLY # Sets of Prints: _ Final Inspection: Date By: 0 (rte \J City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458-3144 Applicant - -- - - Name: Street, Lundgren & Foster Address: 200 South First Street City: Montesano Permit No: BLD -05- 0194 -YL Issue Date: 07/0112005 (Work must be started within 180 days) Receipt No: 37172 Phone: 360- 249 -4011 State: WA Zip 98563 Propepy_Information: Site Address: 101 First Street Assessor Parcel No. 64400200100 Subdivision: NIA Lot: NIA Contractor Information: - - - -- - -- Name: Rognlins Inc. Contact: Phone: 360 - 532 -5220 Address: P.O. Box 307 City: Aberdeen State: WA Zip: 98520 -0078 Contractor License No: ROGNL * *324LF Expires: 08101107213 Business License: Project _Information: - - Project: Timberland Bank TI Description of Work: Bank TI Sq. Ft. per floor: (1st) 2370 (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 100 -500k ----- - - - - -- ----- - - - - -- ----- - -- - -- --- -- 2,001.75 993.75 1,008.00 5.6000 180.0000 $1,000 Building Plan Review 1,301.13 0.00 0.00 0.0000 0.0000 TOTAL FEES: $3,302.88 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: .Y 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 City: Lacey Permit No: BLD -05- 0199 -YL Issue Date: 07/05/2005 (Work must be started within 180 days) Receipt No: 37150 Phone: 360 -486 -0161 State: WA Zip 98516 Properly Information: _ -- Site Address: 15430 104th Way SE Assessor Parcel No. 62320001600 Subdivision: Mill Pond Lot: 16 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: Mill Pond Description of Work: Plan 2211/2A Lot 16 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 ----- - - - - -- 1,299.34 ----- - - - - -- 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 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: $7,624.06 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: 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: 15352 104th Ave. SE Assessor Parcel No. City: Lacey Subdivision: Mill Pond Permit No: BLD -05- 0200 -YL Issue Date: 07/05/2005 (Work must be started within 180 days) Receipt No: 37151 Phone: 360.486.0161 State: WA Zip 98516 Lot: 49 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: Mill Pond Description of Work: Plan 2201T/2b/2, Lot 49 Sq. Ft. per floor: (1st) 1301 (2nd) 900 (3rd) 454 Garage 0 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 Item Fee Base Amt Unit Fee Unit Rate --- -- - - - - -- ----- - - - - -- 1,298.33 ----- - - - - -- 993.75 ----- - - - - -- 304.58 5.6000 548.54 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 2,769.00 0.00 2,769.00 2,769.0000 $7,615.62 Basement 0 No. Units Unit Desc 54.3900 $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 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: Date: Signature Date By; Firm 0 City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458-3144 Permit No: BLD -05- 0208 -YL Issue Date: 07/11/2005 (Work must be started within 180 days) Receipt No: 37240 Applicant: Name: Eatonville Roofing Phone: 253 - 686 -1645 Address: 34767 39th Ave. Ct. E City: Eatonville State: WA Zip 98383 Property_ Information: Site Address: 15425 Mosman Assessor Parcel No. 21724440200 Subdivision: Lot: Contractor Information: Name: Applicant Contact: Phone: Address: City: State: Zip: Contractor License No: Expires: Business License: Project: Nisqually Valley Golf Course Tractor Garage Description of Work: Reroof 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 25.00 0.00 0.00 0.0000 0.0000 $1,000 TOTAL FEES: $25.00 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 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: Comfort Homes Address: 8306 Quinalt Dr. NE Permit No: BLD -05- 0210 -YL Issue Date: 07/2512005 (Work must be started within 180 days) Receipt No: 37501 Phone: 360 -486 -0161 City: Lacey State: WA Zip 98516 Property Inform atiorr Site Address: 15307 104th Way SE Assessor Parcel No. 62320000200 Subdivision: Mill Pond Lot: 2 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: Mill Pond Estates Description of Work: Plan 1781/2 Lot 2 Sq. Ft. per floor: (1st) 951 (2nd) 817 (3rd) 0 Heat Type (Electric, Gas, Other): GAS Fees: Item Building Permit 100 -500k Building Plan Review Mechanical Permit Sewer Inspection Plumbing Permit Water ERU Water Meter (SFD) Water Deposit Traffic Facilities Charge Sewer Deposit State Building Fee Sewer ERU (LID) 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. Item Fee Base Amt Unit Fee 1,137.67 993.75 143.92 480.67 0.00 0.00 78.25 0.00 0.00 145.00 0.00 2,030.00 118.00 20.00 7.00 1,500.00 0.00 1,500.00 300.00 300.00 0.00 40.00 40.00 0.00 757.50 0.00 10,500.00 50.00 50.00 0.00 4.50 4.50 0.00 2,769.00 0.00 2,769.00 $7,380.59 1.0000 ERU Garage 436 Basement 0 Unit Rate No. Units Unit Desc ----- - - - - -- 5.6000 - ---- - - - - -- 25.7000 ------- - - - - -- $1,000 0.0000 0.0000 0.0000 0.0000 145.0000 1.0000 ERU 7.0000 14.0000 Fixture 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 2,769.0000 1.0000 ERU 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 Permit No: BLD-05-021 1 -YL Issue Date: 07/25/2005 (Work must be started within 180 days) Receipt No: 37502 Phone: 360 -486 -0161 Address: 8306 Quinalt Dr. NE City: Lacey State: WA Zip 98516 Property Information: Site Address: 15301 104th Way SE Assessor Parcel No. 62320000100 Subdivision: Mill Pond Lot: 1 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: Mill Pond Description of Work: Plan 2211/2A Lot 1 Sq. Ft. perfloor: (1st) 1071 (2nd) 1140 (3rd) 434 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 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 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: $7,624.06 Applicant's 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. Signature Firm Date # Sets of Prints: Final Inspection: Date: By: u 0 City Of Yellm Permit No: BLD -05- 0214 -YL Community Development Department Issue Date: 07/14/2005 Building Division (Work must be started within 180 days) Phone: (360) 458 -8407 Receipt No: 37311 Fax: (360) 458 -3144 Applicant: Name: Landshapes NW, Inc. Phone: 253.537.6370 Address: 1151 E 112th Street City: Tacoma State: WA Zip 98445 Property Information: -� Site Address: 16190 Birkland Street Assessor Parcel No. Subdivision: Lot: Contractor lnformation: Name: Contact: Phone: Address: City: State: Zip: Contractor License No: Expires: Business License: Project Information: _ Project: Landshapes Reroof Description of Work: Tearoff and reroof Sq. Ft. per floor: (1st) 0 Heat Type (Electric, Gas, Other): Fees: Item --------------------------- Building Permit - Other TOTAL FEES: Applicants Affaclav_it: (2nd) 0 (3rd) 0 Garage 0 Basement 0 Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc ----- - - - - -- ---- - - - - - -- -- --- - - - - -- ----- - - - - -- ----- - - - - -- -- ----- -- - - -- 25.00 0.00 0.00 0.0000 0.0000 $1,000 $25.00 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: City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Permit No: BLD -05- 0217 -YL Issue Date: 07/15/2005 (Work must be started within 180 days) Receipt No: 37340 Applicant: _ Name: Halverson, Barry Phone: 458 -0783 Address: 10648 Mill Rd. SE City: Yelm State: WA Zip 98597 Property, Information: Site Address: 10648 Mill Rd. SE Assessor Parcel No. 22730230501 Subdivision: Contractor Information: Name: Applicant Address: Contractor License No: Project Information: Project: RV & Garden Shed Description of Work: Pole Barn Sq. Ft. perfloor: (1st) 1368 (2nd) 0 Heat Type (Electric, Gas, Other): OTHER Fees: 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 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 Applicanrs_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: City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458-3144 Applicant Permit No: BLD -05- 0219 -YL Issue Date: 07/19/2005 (Work must be started within 180 days) Receipt No: 37376 Name: Landshapes NW, Inc. Phone: 253.537.6370 Address: 1151 E 112th Street City: Tacoma State: WA Zip 98445 Property information: Site Address: 16205 Birkland St. SE Assessor Parcel No. 32660000600 Subdivision: Autumn Hill, phase II Lot: 6 c6n'tracto'r Information: Name: Landshapes NW Contact: Lubbesmeyer, John Phone: 253 - 537 -6370 Address: 1151 East 112th Street City: Tacoma State: WA Zip: 98445 Contractor License No: LANDSN1965MT Expires: 08/13/06225 Business License: 1673.0 Project Information: Project: Autumn Hill, phase II Description of Work: 1830 sf SFR, Lot 6 Sq. Ft. per floor: (1st) 894 (2nd) 936 (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: Item Fee Base Amt Unit Fee 1,399.19 993.75 405.44 909.47 0.00 0.00 78.25 0.00 0.00 111.00 20.00 91.00 5,417.00 0.00 5,417.00 145.00 0.00 145.00 1,500.00 0.00 1,500.00 300.00 300.00 0.00 40.00 40.00 0.00 757.50 0.00 757.50 50.00 50.00 0.00 4.50 4.50 0.00 $10,711.91 0.0000 Garage 538 Basement 0 Unit Rate No. Units Unit Desc ----- - -- - -- 5.6000 ----- - - - - -- 72.4000 ------ - - - - - -- $1,000 0.0000 0.0000 0.0000 0.0000 7.0000 13.0000 Fixture 5,417.0000 1.0000 ERU 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 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: Landshapes NW, Inc. Address: 1151 E 112th Street City: Tacoma Property Information: Site Address: 16223 Birkland St. SE Permit No: BLD -05- 0220 -YL Issue Date: 07/19/2005 (Work must be started within 180 days) Receipt No: 37377 Phone: 253.537.6370 State: WA Zip 98445 Assessor Parcel No. 32660000300 Subdivision: Autumn Hill, phase II Lot: 3 Contractor Information: Name: Landshapes NW Contact: Lubbesmeyer, John Phone: 253 - 537 -6370 Address: 1151 East 112th Street City: Tacoma State: WA Zip: 98445 Contractor License No: LANDSN1965MT Expires: 08/13/06225 Business License: 1673.0 Project Information:_ Project: Autumn Hill, phase 11 Description of Work: 1504 sf SFR, Lot 3 Sq. Ft. per floor: (1st) 1504 (2nd) 0 (3rd) 0 Garage 470 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: Item Fee Base Amt Unit Fee ----- - - - - -- 1,233.99 ----- - - - --- 993.75 ----- - - - - -- 240.24 802.09 0.00 0.00 71.75 0.00 0.00 90.00 20.00 70.00 5,417.00 0.00 5,417.00 145.00 0.00 145.00 1,500.00 0.00 1,500.00 300.00 300.00 0.00 40.00 40.00 0.00 757.50 0.00 757.50 50.00 50.00 0.00 4.50 4.50 0.00 $10,411.83 Unit Rate 5.6000 0.0000 0.0000 7.0000 5,417.0000 145.0000 1,500.0000 0.0000 0.0000 750.0000 0.0000 0.0000 Basement 0 No. Units Unit Desc ----- -- - - -- 42.9000 ------- -- - - -- $1,000 0.0000 0.0000 10.0000 Fixture 1.0000 ERU 1.0000 ERU 1.0000 ERU 0.0000 0.0000 1.0100 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: Final Inspection: Date: By: 0 City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Applicant: - _ Name: Landshapes NW, Inc. Address: 1151 E 112th Street Property Information: _ Site Address: 16217 Birkland St. SE Assessor Parcel No. 32660000400 City: Tacoma Permit No: BLD -05- 0221 -YL Issue Date: 07/19/2005 (Work must be started within 180 days) Receipt No: 37378 Phone: 253.537.6370 State: WA Zip 98445 Subdivision: Autumn Hill, phase II Lot: 4 Contractor Information: Name: Landshapes NW Contact: Lubbesmeyer, John Phone: 253 - 537 -6370 Address: 1151 East 112th Street City: Tacoma State: WA Zip: 98445 Contractor License No: LANDSN1965MT Expires: 08/13/06225 Business License: 1673.0 Project Information:___ Project: Autumn Hill, phase II Description of Work: 1320 sf SFR, Lot 4 Sq. Ft. perfloor: (1st) 1320 (2nd) 0 (3rd) 0 Garage 430 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 Water ERU Water Meter (SFD) Water Deposit Traffic Facilities Charge Sewer Deposit State Building Fee TOTAL FEES: Item Fee Base Amt --- -- - - - - -- ----- - - - - -- 1,139.35 993.75 740.57 0.00 71.75 0.00 90.00 20.00 5,417.00 0.00 145.00 0.00 1,500.00 0.00 300.00 300.00 40.00 40.00 757.50 0.00 50.00 50.00 4.50 4.50 $10,255.67 ERU Unit Fee Unit Rate No. Units Unit Desc ----- - - - - -- 145.60 ----- - - - - -- 5.6000 ----- - - -- -- 26.0000 ------- - - - - -- $1,000 0.00 0.0000 0.0000 0.00 0.0000 0.0000 70.00 7.0000 10.0000 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 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: Landshapes NW, Inc. Address: 1151 E 112th Street City: Tacoma Permit No: BLD -05- 0223 -YL Issue Date: 07/2612005 (Work must be started within 180 days) Receipt No: 37540 Property Information: Site Address: 16235 Birkland St. SE Assessor Parcel No. 32660000100 Subdivision: Autumn Hill, phase II Phone: 253.537.6370 State: WA Zip 98445 Lot: 1 Contractor Information: Name: Applicant Contact: Phone: Address: City: State: Zip: Contractor License No: Expires: Business License: Project lnformation; Project: Autumn Hill, phase II Description of Work: 1924 SFR, Lot 1 Sq. Ft. per floor: (1st) 1418 (2nd) 506 Heat Type (Electric, Gas, Other): GAS Fees: Item Item Fee Building Permit 100 -500k 1,431.67 Building Plan Review 930.58 Mechanical Permit 7825 Plumbing Permit 118.00 Sewer ERU 5,417.00 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 TOTAL FEES: $10,772.50 Applicant's Affadav_it (3rd) 0 Garage 462 Base Amt Unit Fee Unit Rate 993.75 437.92 5.6000 0.00 0.00 0.0000 0.00 0.00 0.0000 20.00 98.00 7.0000 0.00 5,417.00 5,417.0000 0.00 145.00 145.0000 0.00 1,500.00 1,500.0000 300.00 0.00 0.0000 40.00 0.00 0.0000 0.00 757.50 750.0000 50.00 0.00 0.0000 4.50 0.00 0.0000 Basement 0 No. Units Unit Desc 78.2000 $1,000 0.0000 0.0000 14.0000 Fixture 1.0000 ERU 1.0000 ERU 1.0000 ERU 0.0000 0.0000 1.0100 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 OFFICIAL USE ONLY # Sets of Prints: Inspection: Date: By: 0 0 City of Yelm Permit No: BLD -05- 0224 -YL Community Development Department Issue Date: 07/26/2005 Building Division (Work must be started within 180 days) Phone: (360) 458 -8407 Receipt No: 37543 Fax: (360) 458 -3144 Applicant: Name: Landshapes NW, Inc. Address: 1151 E 112th Street City: Tacoma Phone: 253.537.6370 State: WA Zip 98445 Property Information: Site Address: 16211 Birkland St. SE Assessor Parcel No. 32660000500 Subdivision: Autumn Hill, phase II Lot: 5 Contractor Information: Name: Applicant Contact: Phone: Address: City: State: Zip: Contractor License No: Expires: Business License: f rojectInformation:_ Project: Autumn Hill, phase II Description of Work: 1924 SFR, Lot 5 Sq. Ft. perfloor: (1st) 1418 (2nd) 506 (3rd) 0 Garage 462 Basement 0 Heat Type (Electric, Gas, Other): GAS Fees: Item Item Fee Base Amt ----- - - - - -- ------ --------------- --- - -- Building Permit 100 -500k - ---- - - - - -- 1,431.67 993.75 Building Plan Review 604.88 0.00 Mechanical Permit 78.25 0.00 Plumbing Permit 118.00 20.00 Sewer ERU 5,417.00 0.00 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 TOTAL FEES: $10,446.80 750.0000 Unit Fee Unit Rate No. Units Unit Desc ----- - - - - -- 437.92 ----- - -- - -- 5.6000 ----- - - - - -- 78.2000 ---- --- - - - - -- $1,000 0.00 0.0000 0.0000 0.00 0.0000 0.0000 98.00 7.0000 14.0000 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 Applicant's Affadavt:_ 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: Landshapes NW, Inc. Address: 1151 E 112th Street Property_ Information: Site Address: 16189 Birkland St. SE Assessor Parcel No. 32660000700 Permit No: BLD -05- 0225 -YL Issue Date: 07/26/2005 (Work must be started within 180 days) Receipt No: 37544 Phone: 253.537.6370 City: Tacoma State: WA Zip 98445 Subdivision: Autumn Hill, phase II Lot: 7 Contractor Information: Name: Landshapes NW Contact: Lubbesmeyer, John Phone: 253 - 537 -6370 Address: 1151 East 112th Street City: Tacoma State: WA Zip: 98445 Contractor License No: LANDSN1965MT Expires: 08113106225 Business License: 1673.0 Project Information:_ Project: Autumn Hill, phase II Description of Work: 2122 SFR, Lot 7 Sq. Ft. per floor: (1st) 656 (2nd) 1462 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: (3rd) 0 Garage 654 Basement 0 Item Fee Base Amt Unit Fee Unit Rate No. Units --- -- - - - - -- Unit Desc ----- -- -- - - -- ----- - - - - -- 1,639.99 ----- - -- - -- 993.75 ---- -- - - - -- 646.24 --- -- - - -- -- 5.6000 115.4000 $1,000 1,065.99 0.00 0.00 0.0000 0.0000 78.25 0.00 0.00 0.0000 0.0000 125.00 20.00 105.00 7.0000 15.0000 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 $11,123.23 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: Landshapes NW, Inc. Address: 1151 E 112th Street City: Tacoma Permit No: BLD -05- 0226 -YL Issue Date: 07/26/2005 (Work must be started within 180 days) Receipt No: 37542 Phone: 253.537.6370 State: WA Zip 98445 Property__Information: Site Address: 16229 Birkland St. SE Assessor Parcel No. 32660000200 Subdivision: Autumn Hill, phase II Lot: 2 contractor-- information: Name: Landshapes NW Contact: Lubbesmeyer, John Phone: 253- 537 -6370 Address: 1151 East 112th Street City: Tacoma State: WA Zip: 98445 Contractor License No: LANDSN1965MT Expires: 08113106225 Business License: 1673.0 Project_Information: Project: Autumn Hill, phase II Description of Work: 2122 SFR, Lot 2 Sq. Ft. perfloor: (1st) 656 (2nd) 1462 Heat Type (Electric, Gas, Other): GAS Fees: (3rd) 0 Garage 654 Basement 0 Item Item Fee Base Amt ----- - - - - -- --------------------------- Building Permit 100 -500k --- -- - - - - -- 1,639.99 993.75 Building Plan Review 692.89 0.00 Mechanical Permit 78.25 0.00 Plumbing Permit 125.00 20.00 Sewer ERU 5,417.00 0.00 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 TOTAL FEES: $10,750.13 750.0000 Unit Fee Unit Rate No. Units Unit Desc - - - - -- - ---- - - - --- 646.24 ---- -- - -- -- 5.6000 ----- - -- - -- 115.4000 - ------ $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 Appucant s Anaaavic: 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 Final Inspection: Date: By: 0 0 City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458-3144 Applicant: Name: PAR Homes Address: 10749 South A St. Property Information: _ Site Address: 16302 Vancil Ct. SE Assessor Parcel No. Permit No: BLD -05- 0227 -YL Issue Date: 07/21/2005 (Work must be started within 180 days) Receipt No: 37395 Phone: 253 -535 -6504 City: Tacoma State: WA Zip 98444 Subdivision: Timber Estates Lot: 3 Contractor information: Name: PAR Homes Contact: , Craig Phone: 253 - 535 -6504 Address: 10749 South A St. City: Tacoma State: WA Zip: 98444 Contractor License No: PARHOI *972PT Expires: 03/07/0766 Business License: Project Information: _ Project: Timber Estates Lot 1 Description of Work: Plan M2590A2F -11 Sq. Ft. per floor: (1st) 1174 (2nd) 1418 (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: Garage 609 Basement 0 Item Fee Base Amt Unit Fee Unit Rate --- - ---- - - - - -- 1,775.51 --- -- -- - - -- 993.75 - ---- - - - - -- 781.76 ----- - -- 5.6000 1,154.08 0.00 0.00 0.0000 78.25 0.00 0.00 0.0000 132.00 20.00 112.00 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 $11,353.84 No. Units Unit Desc 139.6000 $1,000 0.0000 0.0000 16.0000 Fixture 1.0000 ERU 1.0000 ERU 1.0000 ERU 0.0000 0.0000 1.0100 Peak PM Trip 0.0000 0.0000 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- 0229 -YL Issue Date: 07/22/2005 (Work must be started within 180 days) Receipt No: 37469 Applicant: _- Name: Ruiz, Jim Address: 14823 Prairie Vista Loop City: Yelm Property Information: Site Address: 14823 Prairie Vista Loop Assessor Parcel No. 81860002800 Subdivision: Vista View Phone: 458 -1244 State: WA Zip 98597 Lot: 28 Contractor Information: Name: Applicant Contact: Phone: Address: City: State: Zip: Contractor License No: Expires: Business License: Protect Information: Project: Ruiz Deck cover Description of Work: 10x20 Deck Cover 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 23.50 0.00 0.00 0.0000 0.0000 $1,000 TOTAL FEES: $23.50 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 OFFICIAL USE ONLY # Sets of Prints: Final Inspection: Date: By: 0 0, 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. Signature Date Firm Final Inspection: Date: By: Permit No: BLD -05- 0230 -YL City of Yelm �p1<TxFA Community Development Department Issue Date: 07/27/2005 (Work must be started within 180 days) Building Division Phone: (360) 458 -8407 Receipt No: 37579 YELL Fax: (360) 458 -3144 - t: Applican Name: E2 Systems Phone: 253- 846 -5400 Address: P.O. Box 731227 City: Puyallup State: WA Zip 98373 Propertylnformation: Site Address: 1315 Yelm Avenue West Assessor Parcel No. 21724210500 Subdivision: Lot: Contractor Information: . _ ___. . Name: Berschauer - Philips Contact: Phone: 754 -5788 Address: P.O. Box 11489 City: Olympia State: WA Zip: 98508 -1489 Contractor License No: BERSCPC148CD Expires: 08/09/06221 Business License: Project Information;___ Project: Yelm High School Description of Work: Fire Alarm Aystem 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 50 -100k 785.85 ----- - - - - -- ----- - - - - -- 643.75 142.10 7.0000 20.3000 $1,000 Building Plan Review 510.80 0.00 0.00 0.0000 0.0000 TOTAL FEES: $1,296.65 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. Signature Date Firm Final Inspection: Date: By: l� City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Applicant: __ Name: Edwards Construction Address: 13347 Solberg Rd SE City: Yelm Permit No: BLD -05- 0231 -YL Issue Date: 07/25/2005 (Work must be started within 180 days) Receipt No: 37488 Phone: 458 -2524 State: WA Zip 98597 Property�lnformation: Site Address: 16440 Middle Road SE Assessor Parcel No. 64303600600 Subdivision: Lot: Contractor Information: — - Name: Applicant Contact: Phone: Address: City: State: Zip: Contractor License No: Expires: Business License: Project Information: - - - -- Project: Dotson Cover Description of Work: 480 sf. cover 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 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 Firm Date # Sets of Prints: Final Inspection: Date: By: ONL 0 Applicant: City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Permit No: BLD -05- 0233 -YL Issue Date: 07/28/2005 (Work must be started within 180 days) Receipt No: 37600 Name: All Purpose Structures Phone: 253 - 862 -1255 Address: P.O. Box 367 City: Sumner State: WA Zip 98390 Property Information: Site Address: 16533 SR 507 SE Assessor Parcel No. 64303200704 Subdivision: Lot Contractor Information: Name: Applicant Contact: Phone: Address: City: State: Zip: Contractor License No: Expires: Business License: Or Information: Project: Del's Description of Work: new 6x60 loading dock cover 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 - ---- - - - - -- 153.25 ----- - - - - -- ----- - - - - -- 0.00 0.00 0.0000 0.0000 $1,000 Building Plan Review 99.61 0.00 0.00 0.0000 0.0000 TOTAL FEES: $252.86 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: 0 Applicant: City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Permit No: FIRE -05- 0195 -YL Issue Date: 07/01/2005 (Work must be started within 180 days) Receipt No: 37171 Name: Kids Teaching Kids Phone: 458 -9812 Address: P.O. Box 1436 City: Tacoma State: WA Zip 98401 Property , Information: Site Address: 906 Algiers Assessor Parcel No. 22730110204 Subdivision: Contractor Information: Lot: Name: Contact: Phone: Address: City: State: Zip: Contractor License No: Expires: Business License: Project Information: Project: Kids Teaching Kids fire work stand Description of Work: Stand Number SN- 0001534 License #00467 Sq. Ft. per floor: (1st) 0 (2nd) 0 (3rd) 0 Heat Type (Electric, Gas, Other): Garage 0 Fees: Item Item Fee Base Amt Unit Fee Unit Rate --------------------------- ----- - - - - -- ----- - - - - -- ----- - - - - -- ----- - - - --- Building Permit - Other 30.00 0.00 0.00 0.0000 TOTAL FEES: $30.00 Basement 0 No. Units Unit Desc ----- - - - - -- ------- - - - - -- 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 C registered in the State of Washington. Final Inspection: Date: Signature Date By: Firm 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, C 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 By: Firm Permit No: SIGN -05- 0209 -YL oc THEA City of Yelm Community Development Department Issue Date: 07/19/2005 o (Work must be started within 180 days) Building Division Phone: (360) 458 -8407 Receipt No: YELM Fax: (360) 458 -3144 Applicant: Name: Brown's car care Phone: Address: City: State: Zip Property Information: Site Address: 16510 106th. ave SE. Assessor Parcel No. 64303400504 Subdivision: Lot: Contractor Information: _ Name: Contact: Phone: Address: City: State: Zip: Contractor License No: Expires: Business License: Project Information: Project: Yelm Auto Mall Description of Work: Refacing of signs.. Code 15.24.080 Sign to be text only. 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 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, C 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 By: Firm 0 0 City of Yelm Permit No: 0IGN -05- 0213 -YL Community Development Department Issue Date: 07119/2005 Building Division (Work must be started within 180 days) Phone: (360) 458 -8407 Receipt No: 37381 Fax: (360) 458 -3144 Applicant.__ Name: Plumb Signs Inc. Address: 909 South 28th. Street City: Tacoma Property Information: Site Address: 1202 Yelm Ave E. #B Assessor Parcel No. 22730110103 Subdivision: Contractor Information: Phone: 253 -473 -3323 State: wa Zip 98409 Lot: Name: Plumb Signs Inc. Contact: Guffey, Connie Phone: 253 -473 -3323 Address: 909 28th. Street South City: Tacoma State: wa Zip: 98409 Contractor License No: plumbs1077gs Expires: Business License: Project Information: Project: Allied Cash Advance Description of Work: Wall mounted sign on Building Sq. Ft. perfloor: (1st) 0 Heat Type (Electric, Gas, Other): Fees: Item --------------------------- Building Permit - Other TOTAL FEES: Applicant's Affadav_it: _ _ _ _, 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 (2nd) 0 (3rd) 0 Garage 0 Basement 0 Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc ----- - - - - -- ----- - -- - -- ----- - - - - -- ---- -- - - - -- --- -- - - - - -- ------- - - - - -- 20.00 0.00 0.00 0.0000 0.0000 $1,000 $20.00 Firm #'Sets of Prints: Final Inspection: Date By: 0 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: Permit No: SIGN -05- 0228 -YL City of Yelm WA Community Development Department Issue Date: 07/20/2005 (Work mus t be started within 180 days) Building Division Phone: (360) 458 -8407 Receipt No: 37408 YELM Fax: (360) 458 -3144 Applicant_. - Name: Ronda's Coffee House Phone: 360 - 894 -7872 Address: P.O. Box 2710 City: Yelm State: wa Zip 98597 Property _ Information: Site Address: 702 Yelm Ave West Assessor Parcel No. 21724141100 Subdivision: Lot: Contractor Information: Name: William Noble Contact: Noble, William Phone: 360- 894 -3333 Address: City: Yelm State: wa Zip: 98597 Contractor License No: Expires: Business License: noblewm007ni Project_Information: Project: Ronda's Coffee House Description of Work: Freestanding Sign.Espresso 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 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 Project Information: Project: Autumn Hill, p. II Description of Work: Gas Piping for furnace Sq. Ft. per floor: (1st) 0 Heat Type (Electric, Gas, Other): Fees: _ Item --------------------------- Mechanical Permit TOTAL FEES: (2nd) 0 (3rd) 0 Garage 0 Basement 0 Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc --- -- - - - - -- ----- -- - - -- ----- - -- - -- ----- - - - --- ----- -- - - -- --- ---- - - - - -- 25.00 0.00 0.00 0.0000 0.0000 $25.00 Applicant's Affadavt_ - -. 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 By: Firm Permit No: M -05- 0206 -YL Tp City of Yelm Cpl .9 Community Development Department Issue Date: 07/06/2005 � (Work must be started within 180 days) Building Division Phone: (360) 458 -8407 Receipt No: 37202 YELM Fax: (360) 458 -3144 Applicant: _ Name: Landshapes NW Phone: 253- 537 -6370 Address: 1151 East 112th Street City: Tacoma State: WA Zip 98445 Property Information: Site Address: 16190 Birkland St. SE Assessor Parcel No. Subdivision: Autumn Hill p. II Lot: 20 Contractor Information: Name: Contact: Phone: Address: City: State: Zip: Contractor License No: Expires: Business License: Project Information: Project: Autumn Hill, p. II Description of Work: Gas Piping for furnace Sq. Ft. per floor: (1st) 0 Heat Type (Electric, Gas, Other): Fees: _ Item --------------------------- Mechanical Permit TOTAL FEES: (2nd) 0 (3rd) 0 Garage 0 Basement 0 Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc --- -- - - - - -- ----- -- - - -- ----- - -- - -- ----- - - - --- ----- -- - - -- --- ---- - - - - -- 25.00 0.00 0.00 0.0000 0.0000 $25.00 Applicant's Affadavt_ - -. 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 By: Firm City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Permit No: DEMO -05- 0234 -YL Issue Date: 07128/2005 (Work must be started within 180 days) Receipt No: 37621 Applicant: Name: Julson, Leonard Phone: 458 -7696 Address: P.O. Box 1687 City: Yelm State: WA Zip 98597 Property Information: Site Address: 9211 Wilkerson Rd. SE Assessor Parcel No. 22718440600 Subdivision: Contractor Information: Lot: Name: Dent National Inc. Contact: Phone: 206 - 246 -5999 Address: P.O Box 231 City: Pacific State: WA Zip: 98047 -231 Contractor License No: DENTNI *077JR Expires: 08/15/06227 Business License: Project information: Project: Leonard Julson Description of Work: Move House out of County Sq. Ft. per floor: (1st) 0 (2nd) 0 (3rd) 0 Heat Type (Electric, Gas, Other): Fees: Item --------------------------- Building Permit - Other TOTAL FEES: Applicant's Affadavit: Item Fee Base Amt Unit Fee - ---- - - - - -- ----- - - - - -- ----- - --- -- 50.00 0.00 0.00 $50.00 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: