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8/2005 ReportMemorandum City of YOM 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: September 6, 2005 Re: Building Permits Issued for the Month of August 2005 Enclosed are copies of the Building Permits issued. Permit numbers: BLD -05- 0175 -YL, 0182, 0184, 0202, 0205, 0236, 0242, 0243, 0244, 0245, 0246, 0247, 0248, 0249, 0250, 0253, 0255, 0256, 0258, 0259, 0261, 0262, 0263, 0264, 0265, 0267, 0268, 0269 SIGN -05- 0026 -YL, 0238 M -05- 0204 -YL, 0232, 0254 If you have any questions, please contact Roberta Allen at (3 60) 458 -3835. Thank You, cc: Gary Carlson, Building Official 0 RABuilding Folder\2005 Reports \08 -05 Permit Report.doc 0 City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Applicant, Name: Evergreen State Builders Address: P.O. Box 39753 City: Lakewood Permit No: BLD -05- 0175 -YL Issue Date: 08110/2005 (Work must be started within 180 days) Receipt No: 37957 Phone: 253 -475 -6622 State: WA Zip 98499 Property Information: Site Address: 15728 Yelm Terra Way SE Assessor Parcel No. 85840008500 Subdivision: Yelm Terra Lot: 85 Contractor Information: Name: Evergreen State Builders Contact: McCullem, Tom Phone: 253 -475 -6622 Address: P.O. Box 39753 City: Lakewood State: WA Zip: 98499 Contractor License No: EVERGSB980PB Expires: 10/02106275 Business License: 1042.0 Proiect'Information: Project: Yelm Terra Description of Work: Plan 2150S12, Lot 85 Sq. Ft. perfloor: (1st) 888 (2nd) 1262 (3rd) 0 Garage 432 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 - ---- - - - - -- 1,276.77 ----- - - - - -- 993.75 ----- - - - - -- 283.02 ----- - - - - -- 5.6000 50.5400 $1,000 Building Plan Review 539.44 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: $10,240.96 Appncant s Htraaaviz: 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 City: Lakewood Permit No: BLD -05- 0182 -YL Issue Date: 08/22/2005 (Work must be started within 180 days) Receipt No: 38053 Phone: 253.475.6622 State: WA Zip 98499 Property Information: 11 Site Address: 10468 Yelm Terra St SE Assessor Parcel No. 85840008100 Subdivision: Yelm Terra Lot: 81 Contractor Information: Name: Evergreen State Builders Contact: McCullem, Tom Phone: 253 -475 -6622 Address: P.O. Box 39753 City: Lakewood State: WA Zip: 98499 Contractor License No: EVERGSB980PB Expires: 10/02/06275 Business License: 1042.0 Prox-o information: , _ Project: Yelm Terra Description of Work: Plan 2200 l2 Lot 81 Sq. Ft. per floor: (1st) 1172 (2nd) 1028 (3rd) 0 Garage 480 Basement 0 Heat Type (Electric, Gas, Other): GAS Fees: Item --------------------------- Building Permit 100 -500k Building Plan Review Mechanical Permit Plumbing Permit Sewer Inspection Water ERU Water Meter (SFD) Water Deposit Traffic Facilities Charge Sewer Deposit State Building Fee Sewer ERU TOTAL FEES Applicant's Affadavit: Item Fee Base Amt Unit Fee Unit Rate ----- - - - - -- 1,301.19 ----- - - - - -- 993.75 ----- - - - - -- 307.44 --- -- - - - - -- 5.6000 549.75 0.00 0.00 0.0000 84.75 0.00 0.00 0.0000 118.00 20.00 98.00 7.0000 145.00 0.00 145.00 145.0000 1,500.00 0.00 1,500.00 1,500.0000 300.00 300.00 0.00 0.0000 40.00 40.00 0.00 0.0000 757.50 0.00 757.50 750.0000 50.00 50.00 0.00 0.0000 4.50 4.50 0.00 0.0000 5,417.00 0.00 5,417.00 5,417.0000 $10,267.69 No. Units Unit Desc 54.9000 $1,000 0.0000 0.0000 14.0000 Fixture 1.0000 ERU 1.0000 ERU 0.0000 0.0000 1.0100 Peak PM Trip 0.0000 0.0000 1.0000 ERU 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 ONL 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- 0184 -YL Issue Date: 08/10/2005 (Work must be started within 180 days) Receipt No: 37958 Applicant: Name: Evergreen State Builders Phone: 253.475.6622 Address: P.O. Box 39753 City: Lakewood State: WA Zip 98499 Property Information: Site Address: 15740 Yelm Terra Way SE Assessor Parcel No. 85840008700 Subdivision: Yelm Terra Lot: 87 Contractor Information: Name: Evergreen State Builders Contact: McCullem, Tom Phone: 253 -475 -6622 Address: P.O. Box 39753 City: Lakewood State: WA Zip: 98499 Contractor License No: EVERGSB980PB Expires: 10102106275 Business License: 1042.0 Project Information: Project: Yelm Terra Description of Work: Plan 217012 Lot 87 Sq. Ft. per floor: (1st) 1363 (2nd) 456 (3rd) 0 Garage 440 Basement 0 Heat Type (Electric, Gas, Other): GAS Fees: Item Item Fee Base Amt Unit Fee Unit Rate No. Units -- --- - - - - -- Unit Desc -- ----- - - - - -- ---- -------- --------- - - - - -- Building Permit 100 -500k ----- - - - - -- 1,282.71 ----- -- - - -- 993.75 --- -- - - - - -- 288.96 ----- - - - - -- 5.6000 51.6000 $1,000 Building Plan Review 542.02 0.00 0.00 0.0000 0.0000 Mechanical Permit 84.75 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: $10,255.48 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 E # 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: Yelm Senior Center Address: P.O. Box 474 City: Yelm p roperty_I nformation Site Address: 16530 103rd Ave. SE Assessor Parcel No. 64303600302 Subdivision: N/A Permit No: BLD -05- 0202 -YL Issue Date: 08/15/2005 (Work must be started within 180 days) Receipt No: 319830 Phone: 458 -7733 State: WA Zip 98597 Lot: N/A Contractor Information: Name: Williams Scotsman Contact: Phone: 360 - 653 -5790 Address: 14219 Smokey Point Blvd. City: Marysville State: WA Zip: 98271 Contractor License No: Expires: 12119106353 Business License: Project Information:---,--,- Project: New Senior Center Description of Work: Modular Building Permit Sq. Ft. per floor: (1st) 5677 (2nd) 0 (3rd) 0 Garage 0 Heat Type (Electric, Gas, Other): OTHER Fees: Item Item Fee Base Amt Unit Fee Unit Rate ----- - - - - -- ----------------- ---- - - - - -- Building Permit - Other ----- - - - - -- 1,050.00 ----- - - - - -- 0.00 ----- - - - - -- 0.00 0.0000 Building Plan Review 682.50 0.00 0.00 0.0000 State Building Fee 4.50 4.50 0.00 0.0000 Water Meter (Commercial) 650.00 300.00 0.00 0.0000 Sewer ERU (LID) 8,307.00 0.00 8,307.00 2,769.0000 Sewer Inspection 435.00 0.00 435.00 145.0000 Water ERU 4,500.00 0.00 4,500.00 1,500.0000 Traffic Facilities Charge 7,447.50 0.00 7,447.50 750.0000 TOTAL FEES: $23,076.50 Basement 0 No. Units Unit Desc 0.0000 $1,000 0.0000 0.0000 0.0000 3.0000 ERU 3.0000 ERU 3.0000 ERU 9.9300 Peak PM Trip Applicants Affadavit OFFICIAL USE ONLY I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of # Sets of Prints: Yelm regulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I futher certify that I am currently registered in the State of Washington. Final Inspection: Signature Firm Date Date: By: City of Yelm Permit No: BLD -05- 0205 -YL • `�► Community Development Department Issue Date: 08/23/2005 a+ (Work must be started within 180 days) Building Division Phone: (360) 458 -8407 Receipt No: 38073 YELM Fax: (360) 458 -3144 Applicant: - _ Name: Baker, Manace E Phone: 253 - 261 -0572 Address: 390 4th Ave SE City: Pacific State: WA Zip 98047 Property Information:,,. Site Address: 10440 Grove Road Assessor Parcel No. 64303100704 Subdivision: N/A Lot: D Contractor Information: Name: American Dream Construction Contact: Phone: 360 - 882 -3218 Address: 390 4TH Ave SE City: Pacific State: WA Zip: 98047 Contractor License No: AMERIDC004BL Expires: 01/15/0515 Business License: Project; Information: Project: Mannace E Baker Description of Work: 256 sq. ft. added to permit 04 -0143 Sq. Ft. per floor: (1st) 0 (2nd) 256 (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 275.80 ----- - - - - -- ----- - - - - -- 0.00 0.00 ----- - - - - -- 0.0000 0.0000 $1,000 Building Plan Review 179.27 0.00 0.00 0.0000 0.0000 State Building Fee 4.50 4.50 0.00 0.0000 0.0000 TOTAL FEES: $459.57 Applicants Affadayit: 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 /l \ registered in the State of Washington. Final' Inspection: �J Date: Signature Date By: Firm Applicant: City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Permit No: BLD -05- 0236 -YL Issue Date: 08/01/2005 (Work must be started within 180 days) Receipt No: 37707 Name: Groeschel, Paul Phone: 458 -7646 Address: 514 Yelm Ave. West City: Yelm State: WA Zip 98597 Property Information: Site Address: 514 Yelm Ave. West Assessor Parcel No. 21724141502 Subdivision: Lot: Contractor 'Information: Name: JKC Roofing Contact: Phone: 790 -7770 Address: 11919 Shoreview City: Olympia State: WA Zip: 98512 Contractor License No: JKCROR'961DW Expires: 03/16/0675 Business License: Project Information: _. Project: Theroputic Accociates Description of Work: Re -roof 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 111.25 0.00 0.00 0.0000 0.0000 $1,000 TOTAL FEES: $111.25 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: Date: Signature Date By: Firm City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Applicant. Name: Evergreen State Builders Address: P.O. Box 39753 City: Lakewood Permit No: BLD -05- 0242 -YL Issue Date: 08/10/2005 (Work must be started within 180 days) Receipt No: 37959 Phone: 253 -475 -6622 State: WA Zip 98499 Property Information: Site Address: 15810 Yelm Terra Way SE Assessor Parcel No. 85840009500 Subdivision: Yelm Terra Lot: 95 Contractor Information: Name: Evergreen State Builders Contact: McCullem, Tom Phone: 253 -475 -6622 Address: P.O. Box 39753 City: Lakewood State: WA Zip: 98499 Contractor License No: EVERGSB980PB Expires: 10/02/06275 Business License: 1042.0 Project Information_ Project: Yelm Terra Description of Work: Plan 2502 S12, Lot 95 Sq. Ft. per floor: (1st) 1034 (2nd) 1467 (3rd) 0 Garage 461 Basement 0 Heat Type (Electric, Gas, Other): GAS Fees: Item Item Fee Base Amt ---- ----------------- - - - - -- Building Permit 100 -500k ----- - - - - -- 1,408.90 ----- - - - - -- 993.75 Building Plan Review 595.26 0.00 Mechanical Permit 78.75 0.00 Plumbing Permit 132.00 20.00 Sewer Inspection 145.00 0.00 Water ERU 1,500.00 0.00 Water Meter (SFD) 300.00 300.00 Water Deposit 40.00 40.00 Traffic Facilities Charge 757.50 0.00 Sewer Deposit 50.00 50.00 State Building Fee 4.50 4.50 Sewer ERU 5,417.00 0.00 TOTAL FEES: $10,428.91 Applicant's Affadavit: Unit Fee Unit Rate 415.15 5.6000 0.00 0.0000 0.00 0.0000 112.00 7.0000 145.00 145.0000 1,500.00 1,500.0000 0.00 0.0000 0.00 0.0000 757.50 750.0000 0.00 0.0000 0.00 0.0000 5,417.00 5,417.0000 No. Units Unit Desc 74.1340 $1,000 0.0000 0.0000 16.0000 Fixture 1.0000 ERU 1.0000 ERU 0.0000 0.0000 1.0100 Peak PM Trip 0.0000 0.0000 1.0000 ERU 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 City: Lakewood Permit No: BLD -05- 0243 -YL Issue Date: 08/10/2005 (Work must be started within 180 days) Receipt No: 37954 Phone: 253 -475 -6622 State: WA Zip 98499 Property nformat�on� . _. _. Site Address: 15781 Yelm Terra Way SE Assessor Parcel No. 85840001200 Subdivision: Yelm Terra Lot: 12 Contractor Information: Name: Evergreen State Builders Contact: McCullem, Tom Phone: 253 -475 -6622 Address: P.O. Box 197 City: Lakewood State: WA Zip: 98499 Contractor License No: EVERGSB980PB Expires: 10102/06275 Business License: 1042.0 Project Information: _ Project: Yelm Terra Description of Work: Plan 1610 R/2B , Lot 12 Sq. Ft. per floor: (1st) 1640 (2nd) 0 (3rd) 0 Garage 470 Heat Type (Electric, Gas, Other): GAS Fees: Item Item Fee Base Amt Unit Fee Unit Rate - - - -- -------- ------------- - - - --- Building Permit 100 -500k ----- -- - - -- 1,090.90 ----- - - - - -- 993.75 ----- - - - - -- 97.15 ----- - 5.6000 Building Plan Review 460.90 0.00 0.00 0.0000 Mechanical Permit 71.75 0.00 0.00 0.0000 Plumbing Permit 111.00 20.00 91.00 7.0000 Sewer Inspection 145.00 0.00 145.00 145.0000 Water ERU 1,500.00 0.00 1,500.00 1,500.0000 Water Meter (SFD) 300.00 300.00 0.00 0.0000 Water Deposit 40.00 40.00 0.00 0.0000 Traffic Facilities Charge 757.50 0.00 757.50 750.0000 Sewer Deposit 50.00 50.00 0.00 0.0000 State Building Fee 4.50 4.50 0.00 0.0000 Sewer ERU 5,417.00 0.00 5,417.00 5,417.0000 TOTAL FEES: $9,948.55 Applicant's Affadavit: Basement 0 No. Units Unit Desc 17.3490 $1,000 0.0000 0.0000 13.0000 Fixture 1.0000 ERU 1.0000 ERU 0.0000 0.0000 1.0100 Peak PM Trip 0.0000 0.0000 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: City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Applicant: _ Name: Evergreen State Builders Address: P.O. Box 39753 City: Lakewood Permit No: BLD -05- 0244 -YL Issue Date: 08/10/2005 (Work must be started within 180 days) Receipt No: 37952 Phone: 253 -475 -6622 State: WA Zip 98499 Property Information: Site Address: 15857 Yelm Terra Way SE Assessor Parcel No. 85840000100 Subdivision: Yelm Terra Lot: 1 Contractor Information: Name: Evergreen State Builders Contact: McCullem, Tom Phone: 253 -475 -6622 Address: P.O. Box 39753 City: Lakewood State: WA Zip: 98499 Contractor License No: EVERGSB980PB Expires: 10/02/06275 Business License: 1042.0 Project Information: Project: Yelm Terra Description of Work: Plan 1818 S/2 Lot 1 CSq. Ft. per floor: (1st) 547 (2nd) 1271 (3rd) 0 Garage 585 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 -- --- - - - - -- 1,175.58 ----- - - - - -- 993.75 ----- - - - - -- 181.83 ----- - - - - -- 5.6000 - ---- - - - - -- 32.4700 $1,000 Building Plan Review 496.68 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: $10,097.01 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 Permit No: 0LD -05- 0245 -YL Community Development Department Issue Date: 08/10/2005 Building Division (Work must be started within 180 days) Phone: (360) 458 -8407 Receipt No: 37955 Fax: (360) 458 -3144 Applicant: Name: Evergreen State Builders Phone: 253 -475 -6622 Address: P.O. Box 39753 City: Lakewood State: WA Zip 98499 Properly Information: Site Address: 15775 Yelm Terra Way SE Assessor Parcel No. 85840001300 Subdivision: Yelm Terra Lot: 13 Contractor Information: Name: Evergreen State Builders Contact: McCullem, Tom Phone: 253 -475 -6622 Address: P.O. Box 39753 City: Lakewood State: WA Zip: 98499 Contractor License No: EVERGSB980PB Expires: 10/02/06275 Business License: 1042.0 Project Information: Project: Yelm Terra Description of Work: 1675/3 Lot 13 Sq. Ft. per floor: (1st) 908 (2nd) 767 (3rd) 0 Garage 413 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 ----- - - - - -- 1,149.15 ----- -- - - -- 993.75 ----- - - - - -- 155.40 ----- - - - - -- 5.6000 - ---- 27.7500 $1,000 Building Plan Review 485.66 0.00 0.00 0.0000 0.0000 Mechanical Permit 78.25 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: $10,045.06 p►ppucani s An- aaavt: 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... _ m Name: Evergreen State Builders Address: 3815 100th St. SW, Ste 2A City: Lakewood Permit No: BLD -05- 0246 -YL Issue Date: 08/10/2005 (Work must be started within 180 days) Receipt No: 37956 Phone: 253.475.6622 State: WA Zip 98499 Property Information. Site Address: 15725 104th Ave SE Assessor Parcel No. 85840007700 Subdivision: Yelm Terra Lot: 77 Contractor Information: Name: Evergreen State Builders Contact: McCullem, Tom Phone: 253 -475 -6622 Address: P.O. Box 197 City: Lakewood State: WA Zip: 98499 Contractor License No: EVERGSB980PB Expires: 10/02/06275 Business License: Project in- formation: Project: Yelm Terra Description of Work: Plan 17406/3, Lot 77 Sq. Ft. per floor: (1st) 854 (2nd) 952 (3rd) 0 Garage 418 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 ----- - - - - -- 1,149.15 ----- - - - - -- 993.75 ----- - - - - -- 155.40 ----- - - - - -- 5.6000 --- -- 27.7500 $1,000 Building Plan Review 485.51 0.00 0.00 0.0000 0.0000 Mechanical Permit 78.75 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: $10,038.41 Applicant's Affadavit: _ I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm regulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I futher certify that I am currently registered in the State of Washington. Signature Firm Date # Sets of Prints: Final Inspection: Date: By: City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Applicant Name: Evergreen State Builders Address: 3815 100th St. SW, Ste 2A City: Lakewood Property Information: Site Address: 15839 Yelm Terra Way SE Assessor Parcel No. 85840000400 Subdivision: Yelm Terra Permit No: BLD -05- 0247 -YL Issue Date: 08/10/2005 (Work must be started within 180 days) Receipt No: 97953 Phone: 253.475.6622 State: WA Zip 98499 Lot: 4 Contractor Information Name: Evergreen State Builders Contact: McCullem, Tom Phone: 253 -475 -6622 Address: P.O. Box 197 City: Lakewood State: WA Zip: 98499 Contractor License No: EVERGSB980PB Expires: 10/02/06275 Business License: project Information: _ Project: Yelm Terra Description of Work: Plan 1740113/3, Lot 4 Sq. Ft. per floor: (1st) 854 (2nd) 952 (3rd) 0 Garage 418 Basement 0 Heat Type (Electric, Gas, Other): GAS Fees: Item Item Fee Base Amt ------------ -------- - - - - - -- Building Permit 100 -500k ----- - - - - -- 1,149.15 ----- - - - - -- 993.75 Building Plan Review 485.51 0.00 Mechanical Permit 78.75 0.00 Plumbing Permit 111.00 20.00 Sewer Inspection 145.00 0.00 Water ERU 1,500.00 0.00 Water Meter (SFD) 300.00 300.00 Water Deposit 40.00 40.00 Traffic Facilities Charge 757.50 0.00 Sewer Deposit 50.00 50.00 State Building Fee 4.50 4.50 Sewer ERU 5,417.00 0.00 TOTAL FEES: $10,038.41 0.0000 Applicant`s Affadavit: Unit Fee Unit Rate No. Units Unit Desc ----- - - - - -- 155.40 - ---- - - -- -- 5.6000 ----- - - - - -- 27.7500 ------- - - - - -- $1,000 0.00 0.0000 0.0000 0.00 0.0000 0.0000 91.00 7.0000 13.0000 Fixture 145.00 145.0000 1.0000 ERU 1,500.00 1,500.0000 1.0000 ERU 0.00 0.0000 0.0000 0.00 0.0000 0.0000 757.50 750.0000 1.0100 Peak PM Trip 0.00 0.0000 0.0000 0.00 0.0000 0.0000 5,417.00 5,417.0000 1.0000 ERU 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: a 0 City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Permit No: BLD -05- 0248 -YL Issue Date: 08115/2005 (Work must be started within 180 days) Receipt No: 38008 ,Applicant: Name: Landshapes NW, Inc. Phone: 253.537.6370 Address: 1151 E 112th Street City: Tacoma State: WA Zip 98445 Property Information: Site Address: 16204 Birkland St. SE Assessor Parcel No. 32660002100 Subdivision: Autumn Hill, phase II Contractor information: Name: Applicant Contact: Phone: Address: City: State: Zip: Contractor License No: Expires: Business License: Project Information: Project: Autumn Hill, phase II Description of Work: 1924 SFR, Lot 21 Sq. Ft. per floor: (1st) 1418 (2nd) 506 (3rd) 0 Garage 462 Basement 0 Heat Type (Electric, Gas, Other): GAS Fees: Lot: 21 Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc - - - - -- ------------ --------- - - - - -- Building Permit 100 -500k ----- - - - - -- 1,431.67 ----- - - - - -- 993.75 ----- - - -- -- 437.92 ----- - - - - -- 5.6000 ----- - - - - -- 78.2000 ------- $1,000 Building Plan Review 604.88 0.00 0.00 0.0000 0.0000 Mechanical Permit 78.25 0.00 0.00 0.0000 0.0000 Plumbing Permit 118.00 20.00 98.00 7.0000 14.0000 Fixture Sewer ERU 5,417.00 0.00 5,417.00 5,417.0000 1.0000 ERU Sewer Inspection 145.00 0.00 145.00 145.0000 1.0000 ERU Water ERU 1,500.00 0.00 1,500.00 1,500.0000 1.0000 ERU Water Meter (SFD) 300.00 300.00 0.00 0.0000 0.0000 Water Deposit 40.00 40.00 0.00 0.0000 0.0000 Traffic Facilities Charge 757.50 0.00 757.50 750.0000 1.0100 Peak PM Trip Sewer Deposit 50.00 50.00 0.00 0.0000 0.0000 State Building Fee 4.50 4.50 0.00 0.0000 0.0000 TOTAL FEES: $10,446.80 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 City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Permit No: BLD -05- 0249 -YL Issue Date: 08/1512005 (Work must be started within 180 days) Receipt No: 38008 Applicant:. - Name: Landshapes NW, Inc. Phone: 253.537.6370 Address: 1151 E 112th Street City: Tacoma State: WA Zip 98445 Property information: Site Address: 16210 Birkland St. SE Assessor Parcel No. 32660002200 Subdivision: Autumn Hill, phase II Lot: 22 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: 1830 sf SFR, Lot 22 Sq. Ft. perfloor: (1st) 894 (2nd) 936 (3rd) 0 Garage 538 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 ----- - - - - -- 1,399.19 ----- - -- - -- 993.75 ----- - - - - -- 405.44 ----- - - - - -- 5.6000 72.4000 $1,000 Building Plan Review 591.16 0.00 0.00 0.0000 0.0000 Mechanical Permit 78.25 0.00 0.00 0.0000 0.0000 Plumbing Permit 111.00 20.00 91.00 7.0000 13.0000 Fixture Sewer ERU 5,417.00 0.00 5,417.00 5,417.0000 1.0000 ERU Sewer Inspection 145.00 0.00 145.00 145.0000 1.0000 ERU Water ERU 1,500.00 0.00 1,500.00 1,500.0000 1.0000 ERU Water Meter (SFD) 300.00 300.00 0.00 0.0000 0.0000 Water Deposit 40.00 40.00 0.00 0.0000 0.0000 Traffic Facilities Charge 757.50 0.00 757.50 750.0000 1.0100 Peak PM Trip Sewer Deposit 50.00 50.00 0.00 0.0000 0.0000 State Building Fee 4.50 4.50 0.00 0.0000 0.0000 TOTAL FEES: $10,393.60 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: Date: Signature Date By: Firm 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- 0250 -YL Issue Date: 08/15/2005 (Work must be started within 180 days) Receipt No: 38009 Phone: 253.537.6370 State: WA Zip 98445 Property Information: Site Address: 16216 Birkland St. SE Assessor Parcel No. 32660002300 Subdivision: Autumn Hill, phase II Lot: 23 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 Informatiorr _ Project: Autumn Hill, phase II Description of Work: 1504 sf SFR, Lot 23 Sq. Ft. per floor: (1st) 1504 (2nd) 0 (3rd) 0 Garage 470 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 Applicants Affadavit: Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc - - - - -- --- -- - -- - -- 1,233.99 ----- -- - - -- 993.75 ----- - - - - -- 240.24 ----- - - - - -- 5.6000 ----- - - - - -- 42.9000 ------- $1,000 521.36 0.00 0.00 0.0000 0.0000 71.75 0.00 0.00 0.0000 0.0000 90.00 20.00 70.00 7.0000 10.0000 Fixture 5,417.00 0.00 5,417.00 5,417.0000 1.0000 ERU 145.00 0.00 145.00 145.0000 1.0000 ERU 1,500.00 0.00 1,500.00 1,500.0000 1.0000 ERU 300.00 300.00 0.00 0.0000 0.0000 40.00 40.00 0.00 0.0000 0.0000 757.50 0.00 757.50 750.0000 1.0100 Peak PM Trip 50.00 50.00 0.00 0.0000 0.0000 4.50 4.50 0.00 0.0000 0.0000 $10,131.10 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 Permit No: BLD -05- 0253 -YL Issue Date: 08/24/2005 (Work must be started within 180 days) Receipt No: 38084 A pplicant: Name: SCA Design Build Phone: 360 -493 -6002 Address: 4200 6th Ave. SE City: Lacey State: WA Zip 98503 Property Information: Site Address: 9138 Burnett St. SE Assessor Parcel No. 21713340600 Subdivision: Lot: Contractor Information: Name: SCA Design Build Contact: Lee, Dan Phone: 360 -493 -6002 Address: 4200 6th Ave. SE City: Lacey State: WA Zip: 98503 Contractor License No: SCADE11401KM Expires: 05/07/05127 Business License: 0004552 Project Information: _ Project: Burnett Road Commercial Park Description of Work: Phase 1 24 mini storage buildings Sq. Ft. per floor: (1st) 66540 (2nd) 0 (3rd) 0 Garage 0 Heat Type (Electric, Gas, Other): OTHER Fees: Item Item Fee Base Amt Unit Fee - - - -- Unit Rate ----- - - - - -- --------------------- - - - - -- Building Permit - Other ----- - - - - -- 8,758.75 ----- - - - - -- 0.00 ----- - 0.00 0.0000 Building Plan Review 5,693.18 0.00 0.00 0.0000 Mechanical Permit 67.50 0.00 0.00 0.0000 Plumbing Permit 48.00 20.00 28.00 7.0000 Sewer ERU 5,417.00 0.00 5,417.00 5,417.0000 Sewer Inspection 145.00 0.00 145.00 145.0000 Water ERU 1,500.00 0.00 1,500.00 1,500.0000 Water Deposit 40.00 40.00 0.00 0.0000 Water Meter (Commercial) 300.00 300.00 0.00 0.0000 Traffic Facilities Charge 36,922.50 0.00 36,922.50 750.0000 State Building Fee 4.50 4.50 0.00 0.0000 TOTAL FEES: $58,896.43 Applicant's Affadavit: Basement 0 No. Units Unit Desc ----- - - -- -- 0.0000 ------- - - - - -- $1,000 0.0000 0.0000 4.0000 Fixture 1.0000 ERU 1.0000 ERU 1.0000 ERU 0.0000 0.0000 49.2300 Peak PM Trip 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: City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 A , _pplicant: _ Name: Yelm Senior Center Address: P.O. Box 474 City: Yelm Property Information: Site Address: 16530 103rd Ave. SE Assessor Parcel No. 64303600302 Subdivision: NIA Permit No: BLD -05- 0255 -YL Issue Date: 08/16/2005 (Work must be started within 180 days) Receipt No: 38021 Phone: 458 -7733 State: WA Zip 98597 Lot: N/A Contractor Information: _ Name: Triad Service Electric Contact: Phone: 360 - 671 -3000 Address: 2020 Humboldt St. City: Bellingham State: WA Zip: 98225 Contractor License No: TRIADEC111QG Expires: 11107/05311 Business License: Project Information: _ Project: New Senior Center Description of Work: Fire Alarm Permit 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 Firm Date JS -ONLY # Sets of Prints: inal'Inspection: Date: By: City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Applicant Name: Yelm Senior Center Address: P.O. Box 474 City: Yelm Prop_erty Information: Site Address: 16530 103rd Ave. SE Assessor Parcel No. 64303600302 Subdivision: N/A Permit No: BLD -05- 0256 -YL Issue Date: 08/16/2005 (Work must be started within 180 days) Receipt No: 38020 Phone: 458 -7733 State: WA Zip 98597 Lot: N/A Contractor Information: Name: Triad Service Electric Contact: Phone: 360 - 671 -3000 Address: 2020 Humboldt St. City: Bellingham State: WA Zip: 98225 Contractor License No: TRIADEC111OG Expires: 11/07/05311 Business License: Project Information: Project: New Senior Center Description of Work: Fire Sprinkler Permit Sq. Ft. perfloor: (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 ----- - - - - -- - ---- -- - - -- --- -- - - - - -- ----- - - - - -- 247.89 0.00 0.00 0.0000 0.0000 $1,000 Building Plan Review 161.12 0.00 0.00 0.0000 0.0000 TOTAL FEES: $409.01 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: Applicant: City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Permit No: BLD -05- 0258 -YL Issue Date: 08/2212005 (Work must be started within 180 days) Receipt No: 38054 Name: Evergreen State Builders Phone: 253 -475 -6622 Address: P.O. Box 39753 City: Lakewood State: WA Zip 98499 Property Information: Site Address: 15815 Yelm Terra Way SE Assessor Parcel No. 85840000800 Subdivision: Yelm Terra Lot: 8 co- t ractor Information: Name: Evergreen State Builders Contact: McCullem, Tom Phone: 253 -475 -6622 Address: P.O. Box 39753 City: Lakewood State: WA Zip: 98499 Contractor License No: EVERGSB980PB Expires: 10102/06275 Business License: 1042.0 Project information:_ Project: Yelm Terra Description of Work: Plan 1530 R/2, Lot 8 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 452.04 0.00 0.00 0.0000 0.0000 Mechanical Permit 71.75 0.00 0.00 0.0000 0.0000 Plumbing Permit 111.00 20.00 91.00 7.0000 13.0000 Fixture Sewer Inspection 145.00 0.00 145.00 145.0000 1.0000 ERU Water ERU 1,500.00 0.00 1,500.00 1,500.0000 1.0000 ERU Water Meter (SFD) 300.00 300.00 0.00 0.0000 0.0000 Water Deposit 40.00 40.00 0.00 0.0000 0.0000 Traffic Facilities Charge 757.50 0.00 757.50 750.0000 1.0100 Peak PM Trip Sewer Deposit 50.00 50.00 0.00 0.0000 0.0000 State Building Fee 4.50 4.50 0.00 0.0000 0.0000 Sewer ERU 5,417.00 0.00 5,417.00 5,417.0000 1.0000 ERU TOTAL FEES: $9,918.70 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 City of Yelm Permit No: BLD -05- 0259 -YL Community Development W-46obt, Department Issue Date: 08/16/2005 (Work must be started within 180 days) Building Division Phone: (360) 458 -8407 Receipt No: 38017 YELM Fax: (360) 458 -3144 Applicant Name: Tahoma Valley Golf & Country Club Phone: 360 - 951 -7868 Address: 4200 6th Ave. SE City: Lacey State: WA Zip 98503 Property Information: Site Address: 15425 Mosman Assessor Parcel No. 21724440200 Subdivision: N/A Lot: N/A Contractor Information: Name: Rainier General Development Contact: Blume, Doug Phone: 446 -3083 Address: P.O. Box 627 City: Rainier State: WA Zip: 98576 Contractor License No: RAINIGD115QL Expires: 01/01/071 Business License: Project nformation: Project: Tacoma Valley Golf & Country Club Description of Work: Remodel Existing Golf Course Bathrooms Sq. Ft. per floor: (1st) 144 (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 127.21 ----- - - -- -- ----- - - - - -- 0.00 0.00 ----- - - - - -- 0.0000 0.0000 $1,000 Building Plan Review 82.68 0.00 0.00 0.0000 0.0000 TOTAL FEES: $209.89 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 Cregistered in the State of Washington. Final Inspection: Date: Signature Date By: Firm 0 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 Date Firm OFFICIAL USE ONLY # Sets of Prints: Final Inspection: . Date: By: Permit No: BLD -05- 0261 -YL �pF THFp City Of Yelm Community Development Department Issue Date: 08122/2005 4 (Work must be started within 180 days) Building Division Phone: (360) 458 -8407 Receipt No: 38061 YELM Fax: (360) 458 -3144 Applicant: - ------ Name: Malan, Mike & Bev Phone: 701 -9783 Address: P.O. Box 747 City: Yelm State: WA Zip 98597 Property Information: Site Address: 1502 Yelm Ave. West, Lot 16 Assessor Parcel No. 21713304040 Subdivision: Lot: Contractor Information: Name: Contact: Phone: Address: City: State: Zip: Contractor License No: Expires: Business License: Project Information: Project: Sunrise Vista Description of Work: Set 1400 s.f. Mfg. Home 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 150.00 ----- - - - - -- ----- - - - - -- 0.00 0.00 ----- - - - - -- 0.0000 0.0000 $1,000 Water Deposit 40.00 40.00 0.00 0.0000 0.0000 State Building Fee 4.50 4.50 0.00 0.0000 0.0000 TOTAL FEES: $194.50 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 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- 0262 -YL Issue Date: 08/26/2005 (Work must be started within 180 days) Receipt No: 38099 Name: Comfort Homes Phone: 360 -486 -0161 Address: 8306 Quinalt Dr. NE City: Lacey State: WA Zip 98516 Property Information: Site Address: 15408 104th Ave SE Assessor Parcel No. 62320001300 Subdivision: Mill Pond Lot: 13 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 221112A Lot 13 Sq. Ft. perfloor: (1st) 1071 (2nd) 1140 (3rd) 0 Garage 434 Basement 0 Heat Type (Electric, Gas, Other): GAS Fees: 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: Inspection: Date: By: _ City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Applicant_ Name: Comfort Homes Address: 8306 Quinault Drive NE City: Lacey Property Information: Site Address: 15310 104th Ave SE Assessor Parcel No. Permit No: BLD -05- 0263 -YL Issue Date: 08/26/2005 (Work must be started within 180 days) Receipt No: 38100 Subdivision: Mill Pond Division 2 Phone: 360.486.0161 State: WA Zip 98516 Lot: 42 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 - 2 Description of Work: Plan 1608/2 Great Room Nook Option, Lot 42 Sq. Ft. per floor: (1st) 1735 (2nd) 0 (3rd) 0 Garage 450 Basement 0 Heat Type (Electric, Gas, Other): GAS Fees: Item Item Fee Base Amt Unit Fee Unit Rate No. Units -- --- - - - - -- Unit Desc ------- - - - - -- --------------------- - - - - -- Building Permit 100 -500k ----- - - - - -- 1,127.42 ---- - - -- - -- 993.75 -- --- - - - - -- 133.67 --- -- - - - - -- 5.6000 23.8700 $1,000 Building Plan Review 476.33 0.00 0.00 0.0000 0.0000 Mechanical Permit 71.75 0.00 0.00 0.0000 0.0000 Plumbing Permit 104.00 20.00 84.00 7.0000 12.0000 Fixture Sewer ERU 2,769.00 0.00 5,417.00 5,417.0000 1.0000 ERU Sewer Inspection 145.00 0.00 145.00 145.0000 1.0000 ERU Water ERU 1,500.00 0.00 1,500.00 1,500.0000 1.0000 ERU Water Meter (SFD) 300.00 300.00 0.00 0.0000 0.0000 Water Deposit 40.00 40.00 0.00 0.0000 0.0000 Traffic Facilities Charge 757.50 0.00 757.50 750.0000 1.0100 Peak PM Trip Sewer Deposit 50.00 50.00 0.00 0.0000 0.0000 State Building Fee 4.50 4.50 0.00 0.0000 0.0000 TOTAL FEES: $7,345.50 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: inal 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- 0264 -YL Issue Date: 08/2612005 (Work must be started within 180 days) Receipt No: 38101 Name: Comfort Homes Phone: 360 -486 -0161 Address: 8306 Quinalt Dr. NE City: Lacey State: WA Zip 98516 Properly Information: Site Address: 15346 104th Ave SE Assessor Parcel No. Subdivision: Mill Pond Division 2 Lot: 48 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 2 Description of Work: Plan 221112A Lot 48 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 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 Affadavit: - - -- OFFICIAL USE ONLY I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of # Sets of Prints: Yelm regulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I futher certify that I am currently registered in the State of Washington. final Inspection: Signature Firm Date Date: By: City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Applicant: Name: Comfort Homes Address: 8306 Quinault Drive NE City: Lacey Permit No: BLD -05- 0265 -YL Issue Date: 08/26/2005 (Work must be started within 180 days) Receipt No: 38102 Phone: 360.486.0161 State: WA Zip 98516 Property Information: _ Site Address: 15356 104th Way SE Assessor Parcel No. 62320001000 Subdivision: Mill Pond Lot: 10 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_Informatiow Project: Mill Pond Description of Work: Plan 219912, Lot 10 Sq. Ft. perfloor: (1st) 1089 (2nd) 1110 (3rd) 0 Heat Type (Electric, Gas, Other): GAS Fees: Item Item Fee Base Amt Unit Fee -- ---------------- ----- - - - - -- Building Permit 100 -500k ----- - - - - -- 1,297.05 ----- - - - - -- 993.75 ----- - - - - 303.30 Building Plan Review 548.00 0.00 0.00 Mechanical Permit 84.75 0.00 0.00 Plumbing Permit 118.00 20.00 98.00 Sewer Inspection 145.00 0.00 145.00 Water ERU 1,500.00 0.00 1,500.00 Water Meter (SFD) 300.00 300.00 0.00 Water Deposit 40.00 40.00 0.00 Traffic Facilities Charge 757.50 0.00 757.50 Sewer Deposit 50.00 50.00 0.00 State Building Fee 4.50 4.50 0.00 Sewer ERU (LID) 2,769.00 0.00 2,769.00 TOTAL FEES: $7,613.80 Applicant's Affadavit: Garage 450 Basement 0 Unit Rate No. Units Unit Desc ----- - - - - -- 5.6000 ----- - - - - -- 54.1600 --- ---- - - - - -- $1,000 0.0000 0.0000 0.0000 0.0000 7.0000 14.0000 Fixture 145.0000 1.0000 ERU 1,500.0000 1.0000 ERU 0.0000 0.0000 0.0000 0.0000 750.0000 1.0100 Peak PM Trip 0.0000 0.0000 0.0000 0.0000 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 # 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- 0267 -YL Issue Date: 08/26/2005 (Work must be started within 180 days) Receipt No: 38103 Name: Comfort Homes Phone: 360.486.0161 Address: 8306 Quinault Drive NE City: Lacey State: WA Zip 98516 Property Information: Site Address: 15414 104th Way SE Assessor Parcel No. 62320001400 Subdivision: Mill Pond Lot: 14 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 Projectlnformation: Project: Mill Pond Description of Work: Plan 2199/2, Lot 14 Sq. Ft. perfloor: (1st) 1089 (2nd) 1110 (3rd) 0 Garage 450 Basement 0 Heat Type (Electric, Gas, Other): GAS Fees: Item Item Fee Base Amt Unit Fee Unit Rate No. Units ----- - - - --- Unit Desc ------- - - - - -- ------ --------------- - -- - -- Building Permit 100 -500k ----- - - - - -- 1,297.05 ----- - - - - -- 993.75 ----- - - - - -- 303.30 --- -- - - - - -- 5.6000 54.1600 $1,000 Building Plan Review 548.00 0.00 0.00 0.0000 0.0000 Mechanical Permit 84.75 0.00 0.00 0.0000 0.0000 Plumbing Permit 118.00 20.00 98.00 7.0000 14.0000 Fixture Sewer Inspection 145.00 0.00 145.00 145.0000 1.0000 ERU Water ERU 1,500.00 0.00 1,500.00 1,500.0000 1.0000 ERU Water Meter (SFD) 300.00 300.00 0.00 0.0000 0.0000 Water Deposit 40.00 40.00 0.00 0.0000 0.0000 Traffic Facilities Charge 757.50 0.00 757.50 750.0000 1.0100 Peak PM Trip Sewer Deposit 50.00 50.00 0.00 0.0000 0.0000 State Building Fee 4.50 4.50 0.00 0.0000 0.0000 Sewer ERU (LID) 2,769.00 0.00 2,769.00 2,769.0000 1.0000 ERU TOTAL FEES: $7,613.80 Applicant's Affadavit: _.. I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm regulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I futher certify that I am currently registered in the State of Washington. Signature Firm Date # Sets of Prints: Final Inspection:. Date: By: 1 0 City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458-3144 Permit No: BLD -05- 0268 -YL Issue Date: 08/26/2005 (Work must be started within 180 days) Receipt No: 38104 Applicant_ Name: Comfort Homes Phone: 360.486.0161 Address: 8306 Quinault Drive NE City: Lacey State: WA Zip 98516 Property Information Site Address: 15304 104th Ave SE Assessor Parcel No. Subdivision: Mill Pond Division 2 Lot: 41 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 2 Description of Work: Plan 219912, Lot 41 Sq. Ft. per floor: (1st) 1089 (2nd) 1110 (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 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 -- --- - - - - -- 1,297.05 ----- - - - - -- 993.75 ----- - - - - -- 303.30 548.00 0.00 0.00 84.75 0.00 0.00 118.00 20.00 98.00 145.00 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 2,769.00 0.00 2,769.00 $7,613.80 Garage 450 Basement 0 Unit Rate No. Units Unit Desc ----- - - - - -- 5.6000 ----- - - - - -- 54.1600 -- ----- - - - - -- $1,000 0.0000 0.0000 0.0000 0.0000 7.0000 14.0000 Fixture 145.0000 1.0000 ERU 1,500.0000 1.0000 ERU 0.0000 0.0000 0.0000 0.0000 750.0000 1.0100 Peak PM Trip 0.0000 0.0000 0.0000 0.0000 2,769.0000 1.0000 ERU 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: Comfort Homes Permit No: BLD -05- 0269 -YL Issue Date: 08/26/2005 (Work must be started within 180 days) Receipt No: 38105 Phone: 360.486.0161 Address: 8306 Quinault Drive NE City: Lacey State: WA Zip 98516 Property Information: Site Address: 15430 104th Ave SE Assessor Parcel No. 62320001700 Subdivision: Mill Pond Lot: 17 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 17 Sq. Ft. per floor: (1st) 1301 (2nd) 900 (3rd) 0 Garage 454 Basement 0 Heat Type (Electric, Gas, Other): GAS Fees: Item Item Fee Base Amt - - - -- ------- -------------- - - - - -- Building Permit 100 -500k ----- - - - --- 1,298.33 ----- - 993.75 Building Plan Review 548.54 0.00 Mechanical Permit 84.75 0.00 Plumbing Permit 118.00 20.00 Sewer Inspection 145.00 0.00 Water ERU 1,500.00 0.00 Water Meter (SFD) 300.00 300.00 Water Deposit 40.00 40.00 Traffic Facilities Charge 757.50 0.00 Sewer Deposit 50.00 50.00 State Building Fee 4.50 4.50 Sewer ERU (LID) 2,769.00 0.00 TOTAL FEES: $7,615.62 0.0000 Unit Fee Unit Rate No. Units Unit Desc ----- - - - - -- 304.58 ----- - - - - -- 5.6000 ----- -- - - -- 54.3900 ------- - - - - -- $1,000 0.00 0.0000 0.0000 0.00 0.0000 0.0000 98.00 7.0000 14.0000 Fixture 145.00 145.0000 1.0000 ERU 1,500.00 1,500.0000 1.0000 ERU 0.00 0.0000 0.0000 0.00 0.0000 0.0000 757.50 750.0000 1.0100 Peak PM Trip 0.00 0.0000 0.0000 0.00 0.0000 0.0000 2,769.00 2,769.0000 1.0000 ERU 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: City Of Yelm Permit No: SIGN -05- 0026 -YL Community Development Department Issue Date: 08/08/2005 Building Division (Work must be started within 180 days) Phone: (360) 458 -8407 Receipt No: Fax: (360) 458 -3144 Applicant _ _.__ . . _- Name: Yelm Smoke Plus Phone: Address: City: State: Zip Property Information: Site Address: 508 Yelm Ave. West Assessor Parcel No. 21724141202 Subdivision: Lot: Contractor Information: Name: Contact: Phone: Address: City: State: Zip: Contractor License No: Expires: Business License: Project Information:__ Project: Yelm Smoke Plus Description of Work: Business Sign CSq. Ft. per floor: (1st) 0 (2nd) 0 (3rd) 0 Garage 0 Basement 0 Heat Type (Electric, Gas, Other): Fees: Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc ---- --------------- -- - - - - -- ----- - - - - -- ----- - - - - -- ----- - - - - -- ----- - - - - -- ----- - - - - -- ------- - - - - -- Building Permit - Other 20.00 0.00 0.00 0.0000 0.0000 $1,000 TOTAL FEES: $20.00 Applicant's A_ff_adavit 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 O registered in the State of Washington. Final Inspection: Date: Signature Date By: Firm Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm regulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I futher certify that I am currently registered in the State of Washington. Signature Date Firm # Sets of Prints: Final Inspection: Date: By: Permit No: SIGN -05- 0238 -YL Tfte0, �' C ity of Yelm Community Development Department P Issue Date: 08/04/2005 (Work must be started within 180 days) Building Division Phone: (360) 458 -8407 Receipt No: 38048 YELM Fax: (360) 458 -3144 Applicant: — — Name: Tacos Gaby Phone: 458 -2342 Address: P.O. Box 1473 City: Yelm State: WA Zip 98597 Property Information: Site Address: 706 Yelm Ave. East Assessor Parcel No. 22730121600 Subdivision: Lot: Contractor Information: _ Name: Contact: Phone: Address: City: State: Zip: Contractor License No: Expires: Business License: Project_ Information: Project: Tacos Gaby Description of Work: Signs on Building 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 Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm regulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I futher certify that I am currently registered in the State of Washington. Signature Date Firm # Sets of Prints: Final Inspection: Date: By: 0 City of Yelm Permit No: 111VII-05- 0204 -Y111- Community Development Department Issue Date: 08/12/2005 Building Division (Work must be started within 180 days) Phone: (360) 458 -8407 Receipt No: 37996 Fax: (360) 458 -3144 Applicant Name: All Seasons Inc. Phone: 253 - 879 -9143 Address: 5001 N 28th St City: Tacoma State: WA Zip 98407 Property Information. Site Address: 15037 105th Ave SE Assessor Parcel No. 65080003400 Subdivision: Lot: Contractor Information: Name: Applicant Contact: Phone: Address: City: State: Zip: Contractor License No: Expires: Business License: Project Information: _ Project: Smith A/C Description of Work: 2 -1/2 Ton Air Conditioner CSq. Ft. per floor: (1st) 0. (2nd) 0 (3rd) 0 Garage 0 Basement 0 Heat Type (Electric, Gas, Other): Fees:. � - - -_ - Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc --------------- ---- -- - - - - -- ----- - - - - -- ----- - -- - -- ----- - - - - -- ----- - - - - -- ---- - - - - - -- ------- - - - - -- Mechanical Permit 33.25 0.00 0.00 0.0000 0.0000 TOTAL FEES: $33.25 Applicant's Affadav_it: - 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 0 registered in the State of Washington. Final Inspection: Date: Signature Date By: Firm 0 0 City of Yelm Permit No: M -05- 0232 -YL Community Development Department Issue Date: 08/10/2005 Building Division (Work must be started within 180 days) Phone: (360) 458 -8407 Receipt No: 37986 MMM Y— jk Fax: (360) 458 -3144 - - -- Ap - plicant: Name: BC Gas Repair Address: P.O. Box 8610 City: Lacey Property_ Information. Site Address: 16314 Railway Road Assessor Parcel No. 64300700501 Subdivision Contractor Information: Name: Applicnt Contact: Address: City: Contractor License No: Expires: Project Information: Project: Dewey Clawson Description of Work: Gas Pipoing Sq. Ft. per floor: (1st) 0 (2nd) 0 Heat Type (Electric, Gas, Other): (3rd) 0 Garage 0 Phone: 491 -9303 State: WA Zip 98509 Lot: Basement 0 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 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: City Of Yelm Permit No: M -05- 0254 -YL Community Development Department Issue Date: 08/18/2005 Building Division (Work must be started within 180 days) Phone: (360) 458 -8407 Receipt No: 38032 Fax: (360) 458 -3144 Name: Knight Fire Phone: 786 -8609 Address: 9702 Lathrop Industrial Drive SW City: Olympia State: WA Zip 98512 -9188 Property Information: Site Address: 16530 103rd Ave. SE Assessor Parcel No. 64303600302 Subdivision: N/A Lot: N/A Contractor Information: Name: Knight Fire Contact: Kemmer, Karen Address: 9702 Lathrop Industrial Drive SW City: Olympia Contractor License No: KNIGHFP044LK Expires: 05/24/06144 Project information: Project: New Senior Center Description of Work: Hood Supression System Phone: 786 -8609 State: WA Zip: 98512 -9188 Business License: 1659 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 54.00 0.00 0.00 0.0000 0.0000 $1,000 Building Plan Review 35.10 0.00 0.00 0.0000 0.0000 TOTAL FEES: $89.10 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 # Sets of Prints: Final Inspection: Date: By: