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9/2005 Report0 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: October 3, 2005 Re: Building Permits Issued for the Month of September 2005 Enclosed are copies of the Building Permits issued. Permit numbers: BLD -05- 0178 -YL, 0179, 0180, 0183, 0187, 0212, 0266, 0276, 0277, 0278, 0280, 0281, 0282, 0283, 0284, 0285, 0287, 0288, 0289, 0293, 0296, 0297, 0298, 0299, 0300, 0301, 0302, 0303, 0308, 0309 SIGN -05- 0306 -YL M -05- 0292 -YL, 0310 PL -05- 0272 -YL FIRE -05- 0307 -YL If you have any questions, please contact Roberta Allen at (360) 458 -3835. Thank You, cc: Gary Carlson, Building Official RABuilding Folder\2005 Reports \09 -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: 3815 100th St. SW, Ste. 2A City: Lakewood Permit No: BLD -05- 0178 -YL Issue Date: 09/23/2005 (Work must be started within 180 days) Receipt No: 38325 Phone: 253.475.6622 State: WA Zip 98499 Property Information: _ Site Address: 10504 Yelm Terra St SE Assessor Parcel No. 85840008200 Subdivision: Yelm Terra Lot: 82 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 16101112B, Lot 82 Sq. Ft. per floor: (1st) 1640 (2nd) 0 (3rd) 0 Garage 470 Basement 0 Heat Type (Electric, Gas, Other): GAS Fees: Item Item Fee Base Amt Unit Fee Unit Rate No. Units ----- - - - - -- Unit Desc ------- - - - - -- -------- ------------- - - - - -- Building Permit 100 -500k ----- - - - - -- 1,090.90 ----- - - - - -- 993.75 - ---- - - - - -- 305.59 ---- - - - - - -- 5.6000 54.5700 $1,000 Building Plan Review 460.90 0.00 0.00 0.0000 0.0000 Mechanical Permit 71.75 0.00 0.00 0.0000 0.0000 Plumbing Permit 111.00 20.00 91.00 7.0000 13.0000 Fixture Sewer Inspection 145.00 0.00 145.00 145.0000 1.0000 ERU Water ERU 1,500.00 0.00 1,500.00 1,500.0000 1.0000 ERU Water Meter (SFD) 300.00 300.00 0.00 0.0000 0.0000 Water Deposit 40.00 40.00 0.00 0.0000 0.0000 Traffic Facilities Charge 757.50 0.00 757.50 750.0000 1.0100 Peak PM Trip Sewer Deposit 50.00 50.00 0.00 0.0000 0.0000 State Building Fee 4.50 4.50 0.00 0.0000 0.0000 Sewer ERU 5,417.00 0.00 5,417.00 5,417.0000 1.0000 ERU TOTAL FEES: $9,948.55 Applicant's. Affadavit: I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm regulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I futher certify that I am currently registered in the State of Washington. Signature Firm Date OFFICIAL USE ONLY #Sets of Prints: Final Inspection: Date: By: 0 City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Applicant: _ Name: Evergreen State Builders Address: 3815 100th St. SW, Ste. 2A City: Lakewoo Permit No: BLD -05- 0179 -YL Issue Date: 09/23/2005 (Work must be started within 180 days) Receipt No: 38323 Phone: 253.475.6622 d State: WA Zip 98499 Property Information: Site Address: 15719 104th Ave SE Assessor Parcel No. 85840007800 Subdivision: Yelm Terra Lot: 78 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 1610R/26, Lot 78 Sq. Ft. per floor: (1st) 1670 (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 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 - - - - -- ---- - - - - - -- 1,090.90 ----- - - - --- 993.75 ----- -- -- -- 305.59 ----- 5.6000 460.90 0.00 0.00 0.0000 71.75 0.00 0.00 0.0000 111.00 20.00 91.00 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 $9,948.55 Basement 0 No. Units Unit Desc 54.5700 $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) 4584407 Fax: (360) 458 -3144 Applicant:. Name: Evergreen State Builders Address: P.O. Box 39753 City: Lakewood Property . Information: Site Address: 15737 104th Ave SE Assessor Parcel No. 85840007500 Subdivision: Yelm Terra Permit No: BLD -05- 0180 -YL Issue Date: 09/23/2005 (Work must be started within 180 days) Receipt No: 38324 Phone: 253.475.6622 State: WA Zip 98499 Lot: 75 Contractor information: Name: Evergreen State Builders Contact: McCullem, Tom Phone: 253 -475 -6622 Address: P.O. Box 39753 City: Lakewood State: WA Zip: 98499 Contractor License No: EVERGSB980PB Expires: 10102/06275 Business License: 1042.0 Project Information:, Project: Yelm Terra Description of Work: Plan 18185/2 Lot 75 Sq. Ft. per floor: (1st) 547 (2nd) 1271 (3rd) 0 Garage 585 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 No. Units Unit Desc ------ - - - - - -- ----- - - - - -- 1,175.58 ----- - - - - -- 993.75 ----- - - - - -- 307.44 ----- - - - - -- 5.6000 - ---- - - - - -- 54.9000 $1,000 496.68 0.00 0.00 0.0000 0.0000 78.75 0.00 0.00 0.0000 0.0000 132.00 20.00 112.00 7.0000 16.0000 Fixture 145.00 0.00 145.00 145.0000 1.0000 ERU 1,500.00 0.00 1,500.00 1,500.0000 1.0000 ERU 300.00 300.00 0.00 0.0000 0.0000 40.00 40.00 0.00 0.0000 0.0000 757.50 0.00 757.50 750.0000 1.0100 Peak PM Trip 50.00 50.00 0.00 0.0000 0.0000 4.50 4.50 0.00 0.0000 0.0000 5,417.00 0.00 5,417.00 5,417.0000 1.0000 ERU $10,097.01 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 Permit No: OLD -OO- 0183 -YL Community Development Department Issue Date: 09/19/2005 Building Division (Work must be started within 180 days) Phone: (360) 458 -8407 Receipt No: 38267 Fax: (360) 458 -3144 Applicant: Name: Evergreen State Builders Phone: 253.475.6622 Address: P.O. Box 39753 City: Lakewood State: WA Zip 98499 Property Information: Site Address: 15722 Yelm Terra Way SE Assessor Parcel No. 85840008400 Subdivision: Yelm Terra Lot: 84 Contractor Information: Name: Evergreen State Builders Contact: McCullem, Tom Phone: 253 -475 -6622 Address: P.O. Box 39753 City: Lakewood State: WA Zip: 98499 Contractor License No: EVERGSB980PB Expires: 10/02106275 Business License: 1042.0 Project Information: _ Project: Yelm Terra Description of Work: Plan 1740/3B Lot 84 Sq. Ft. per floor: (1st) 1172 (2nd) 1028 (3rd) 0 Garage 480 Basement 0 Heat Type (Electric, Gas, Other): GAS Fees: Item Item Fee Base Amt Unit Fee Unit Rate - - - -- No. Units -- --- - - - - -- Unit Desc ------- - - - - -- ---- -------------- --- - - - - -- Building Permit 100 -500k -- --- - - - - -- 1,147.75 ----- - - - - -- 993.75 ----- - - - - -- 154.00 ----- - 5.6000 27.5000 $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: $10,037.01 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: City Of Yelm Permit No: BLD -05- 0187 -YL Community Development Department Issue Date: 09/19/2005 Building Division (Work must be started within 180 days) Phone: (360) 458 -8407 Receipt No: 38266 Fax: (360) 458 -3144 Applicant: _ Name: Evergreen State Builders Phone: 253 -475 -6622 Address: P.O. Box 39753 City: Lakewood State: WA Zip 98499 Property Information: Site Address: 10462 Yelm Terra Street SE Assessor Parcel No. 85840008000 Subdivision: Yelm Terra Lot: 80 Contractor information: Name: Evergreen State, Builders Contact: McCullem, Tom Phone: 253 -475 -6622 Address: P.O. Box 39753 City: Lakewood State: WA Zip: 98499 Contractor License No: EVERGSB980PB Expires: 10102/06275 Business License: 1042.0 Project Information: Project: Yelm Terra Description of Work: Plan 2170/2, Lot 80 Sq. Ft. per floor: (1st) 1363 (2nd) 658 (3rd) 0 Garage 440 Basement 0 Heat Type (Electric, Gas, Other): GAS Fees: Item --------------------------- Building Permit 100 -500k Building Plan Review Mechanical Permit Plumbing Permit Sewer Inspection Water ERU Water Meter (SFD) Water Deposit Traffic Facilities Charge Sewer Deposit State Building Fee Sewer ERU TOTAL FEES: Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc ------- - - - - -- ----- -- - - -- 1,282.71 ----- - - - - -- 993.75 ----- - - - 288.96 - -- ----- - -- - -- 5.6000 - ---- - - - - -- 51.6000 $1,000 542.02 0.00 0.00 0.0000 0.0000 84.75 0.00 0.00 0.0000 0.0000 132.00 20.00 112.00 7.0000 16.0000 Fixture 145.00 0.00 145.00 145.0000 1.0000 ERU 1,500.00 0.00 1,500.00 1,500.0000 1.0000 ERU 300.00 300.00 0.00 0.0000 0.0000 40.00 40.00 0.00 0.0000 0.0000 757.50 0.00 757.50 750.0000 1.0100 Peak PM Trip 50.00 50.00 0.00 0.0000 0.0000 4.50 4.50 0.00 0.0000 0.0000 5,417.00 0.00 5,417.00 5,417.0000 1.0000 ERU $10,255.48 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 Permit No: 0LD -05- 0212 -YL Community Development Department Issue Date: 09/19/2005 Building Division (Work must be started within 180 days) Phone: (360) 458 -8407 Receipt No: 38270 Fax: (360) 458 -3144 Applicant: Name: Evergreen State Builders Phone: 253 -475 -6622 Address: P.O. Box 39753 City: Lakewood State: WA Zip 98499 Property Information: _ Site Address: 15837 104th Ave. SE Assessor Parcel No. 85840006400 Subdivision: Yelm Terra Lot: 64 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 2161/2 Lot 64 Sq. Ft. per floor: (1st) 973 (2nd) 1188 (3rd) 0 Garage 426 Basement 0 Heat Type (Electric, Gas, Other): GAS Fees: Item Item Fee Building Permit 100 -500k 1,536.95 Building Plan Review 999.01 Mechanical Permit 78.25 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: $10,946.21 A 1' lean t' Affadavit• Base Amt Unit Fee Unit Rate No. Units Unit Des - -- ----- - -- - -- 993.75 - ---- - - - - -- 543.20 ----- - - - --- 5.6000 ----- - - - - -- 97.0000 ------- - - - $1,000 0.00 0.00 0.0000 0.0000 0.00 0.00 0.0000 0.0000 20.00 98.00 7.0000 14.0000 Fixture 0.00 5,417.00 5,417.0000 1.0000 ERU 0.00 145.00 145.0000 1.0000 ERU 0.00 1,500.00 1,500.0000 1.0000 ERU 300.00 0.00 0.0000 0.0000 40.00 0.00 0.0000 0.0000 0.00 757.50 750.0000 1.0100 Peak PM Trip 50.00 0.00 0.0000 0.0000 4.50 0.00 0.0000 0.0000 PP s I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm regulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I futher certify that I am currently registered in the State of Washington. Signature Firm Date OFFICIAL USE ONLY # Sets of Prints: Final Inspection: Date: By: 0 City Of Yelm Permit No: BLD =05- 0266 -VII Community Development Department Issue Date: 09/07/2005 Building Division (Work must be started within 180 days) Phone: (360) 458 -8407 Receipt No: 38184 Fax: (360) 458-3144 Applicant: Name: Comfort Homes Phone: 360.486.0161 Address: 8306 Quinault Drive NE City: Lacey State: WA Zip 98516 Property Information: Site Address: 15322 104th Ave SE Assessor Parcel No. Subdivision: Mill Pond Division 2 Lot: 44 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 44 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 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 City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Permit No: BLD -05- 0276 -YL Issue Date: 09/20/2005 (Work must be started within 180 days) Receipt No: 38287 Applicant: Name: Landshapes NW, Inc. Phone: 253.537.6370 Address: 1151 E 112th Street City: Tacoma State: WA Zip 98445 Property Information: Site Address: 10721 Umatanum St. SE Assessor Parcel No. 32660000900 Subdivision: Autumn Hill, phase II Lot: 9 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: 08113/06225 Business License: 1673.0 Project Information: Project: Autumn Hill, phase 11 Description of Work: 1830 sf SFR, Lot 9 Sq. Ft. per floor: (1st) 894 (2nd) 936 (3rd) 538 Garage 0 Heat Type (Electric, Gas, Other): GAS Fees: Item --------------------------- Building Permit 100 -500k Building Plan Review Mechanical Permit Plumbing Permit Sewer ERU Sewer Inspection Water ERU Water Meter (SFD) Water Deposit Traffic Facilities Charge Sewer Deposit State Building Fee TOTAL FEES: Item Fee Base Amt Unit Fee Unit Rate ---- - - - - - -- 1,399.19 ---- - -- - - -- 993.75 ----- -- - - -- 405.44 ----- - - - --- 5.6000 591.15 0.00 0.00 0.0000 78.25 0.00 0.00 0.0000 111.00 20.00 91.00 7.0000 5,417.00 0.00 5,417.00 5,417.0000 145.00 0.00 145.00 145.0000 1,500.00 0.00 1,500.00 1,500.0000 300.00 300.00 0.00 0.0000 40.00 40.00 0.00 0.0000 757.50 0.00 757.50 750.0000 50.00 50.00 0.00 0.0000 4.50 4.50 0.00 0.0000 $10,393.59 Applicants 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. Basement 0 No. Units Unit Desc 72.4000 $1,000 0.0000 0.0000 13.0000 Fixture 1.0000 ERU 1.0000 ERU 1.0000 ERU 0.0000 0.0000 1.0100 Peak PM Trip 0.0000 0.0000 Signature Firm Date OFFICIAL USE ONLY # Sets of Prints: Final Inspection: Date: By: 0- City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Permit No: BLD -05- 0277 -YL Issue Date: 09/20/2005 (Work must be started within 180 days) Receipt No: 38289 Applicant: Name: Landshapes NW, Inc. Phone: 253.537.6370 Address: 1151 E 112th Street City: Tacoma State: WA Zip 98445 Property Information: Site Address: 10717 Umatanum St. SE Assessor Parcel No. 32660001000 Subdivision: Autumn Hill, phase II Lot: 10 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 10 Sq. Ft. per floor: (1st) 894 (2nd) 936 (3rd) 0 Garage 0 Heat Type (Electric, Gas, Other): GAS Fees: Item --------------------------- Building Permit 100 -500k Building Plan Review Mechanical Permit Plumbing Permit Sewer ERU Sewer Inspection Water ERU Water Meter (SFD) Water Deposit Traffic Facilities Charge Sewer Deposit State Building Fee TOTAL FEES: Applicant's Affadavit; Item Fee Base Amt Unit Fee Unit Rate - ---- --- --- 1,399.19 ----- - - - - -- 993.75 ----- - - - - -- 405.44 ----- - - - - -- 5.6000 591.15 0.00 0.00 0.0000 78.25 0.00 0.00 0.0000 111.00 20.00 91.00 7.0000 5,417.00 0.00 5,417.00 5,417.0000 145.00 0.00 145.00 145.0000 1,500.00 0.00 1,500.00 1,500.0000 300.00 300.00 0.00 0.0000 40.00 40.00 0.00 0.0000 757.50 0.00 757.50 750.0000 50.00 50.00 0.00 0.0000 4.50 4.50 0.00 0.0000 $10,393.59 Basement 0 No. Units Unit Desc 72.4000 $1,000 0.0000 0.0000 13.0000 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: Final Inspection: Dater By. 0 City of Yelim Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Permit No: BLD -05- 0278 -YL Issue Date: 09/20/2005 (Work must be started within 180 days) Receipt No: 38288 Applicant: Name: Landshapes NW, Inc. Phone: 253.537.6370 Address: 1151 E 112th Street City: Tacoma State: WA Zip 98445 Property_Information: Site Address: 10713 Umtanum St. SE Assessor Parcel No. 32660001100 Subdivision: Autumn Hill, phase II Lot: 11 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: 08113/06225 Business License: 1673.0 Project Information: Project: Autumn Hill, phase II Description of Work: 1504 sf SFR, Lot 11 Sq. Ft. per floor: (1st) 1504 (2nd) 0 (3rd) 0 Garage 470 Basement 0 Heat Type (Electric, Gas, Other): ELECTRIC Fees: Item Item Fee Base Amt Unit Fee Unit Rate --- - - - - -- No. Units --- -- - - - - -- Unit Desc ----- -- - - - - -- --------------------------- Building Permit 100 -500k ----- - -- - -- 1,233.99 ----- - - - - -- 993.75 ----- - - - - -- 240.24 -- 5.6000 42.9000 $1,000 Building Plan Review 521.36 0.00 0.00 0.0000 0.0000 Mechanical Permit 71.75 0.00 0.00 0.0000 0.0000 Plumbing Permit 90.00 20.00 70.00 7.0000 10.0000 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: $10,131.10 Applicant's Aff - avit; _ - -- __. _ - -_ 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: oC THFA City of Yelm a� Community Development Department CBuilding Division Phone: (360) 458 -8407 YELM Fax: (360) 458 -3144 Applicant: Name: PAR Homes Address: 10749 South A St. City: Tacoma 0 Property Information: Site Address: 16320 Vancil Ct. SE Assessor Parcel No. Subdivision: Timber Estates Permit No: BLD -05- 0280 -YL Issue Date: 09/13/2005 (Work must be started within 180 days) Receipt No: 38239 Phone: 253 -535 -6504 State: WA Zip 98444 Lot: 6 Contractor Information: Name: PAR Homes Contact: Thompson, 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 6 Description of Work: Plan M2590A2F -11 Lot 6 Sq. Ft. per floor: (1st) 1174 (2nd) 1418 (3rd) 0 Garage 587 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 ----- - - - - -- 1,775.51 ----- - - - - -- 993.75 - ---- - - - - -- 781.76 ----- - - - 5.6000 139.6000 $1,000 Building Plan Review 750.15 0.00 0.00 0.0000 0.0000 Mechanical Permit 78.25 0.00 0.00 0.0000 0.0000 Plumbing Permit 132.00 20.00 112.00 7.0000 16.0000 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: $10,949.91 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 1, 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. City: Tacom Permit No: BLD -05- 0281 -YL Issue Date: 09/13/2005 (Work must be started within 180 days) Receipt No: 38238 Phone: 253- 535 -6504 a State: WA Zip 98444 Property Information: Site Address: 16314 Vancil Ct. SE Assessor Parcel No. Subdivision: Timber Estates Lot: 5 Contractor Information: _. Name: PAR Homes Contact: Thompson, 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 5 Description of Work: Plan M3049B3F -0 Lot 5 Sq. Ft. per floor: (1st) 1475 (2nd) 1574 (3rd) 655 Garage 0 Basement 0 Heat Type (Electric, Gas, Other): GAS Fees_: Item --------------------------- Building Permit 100 -500k Building Plan Review Mechanical Permit Plumbing Permit Sewer ERU Sewer Inspection Water ERU Water Meter (SFD) Water Deposit Traffic Facilities Charge Sewer Deposit State Building Fee TOTAL FEES: Applicant's Affadavit: I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm regulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I futher certify that I am currently registered in the State of Washington. Item Fee Base Amt Unit Fee Unit Rate No. Units -- Unit Desc --- ---- - - - - -- - ---- - - - - -- 1,880.79 -- --- - - - - -- 993.75 ----- -- - 887.04 - -- --- -- - - - - -- 5.6000 - ---- - - -- 158.4000 $1,000 794.63 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 $11,092.67 Signature Firm Date OFFICIAL USE ONLY # Sets of Prints: Final Inspection: Date: By: �Oc THFP� City of Yelm 9 Community Development Department CBuilding Division Phone: (360) 458 -8407 YELM Fax: (360) 458 -3144 Applicant: Name: PAR Homes Address: 10749 South A St. City: Permit No: BLD -05- 0282 -YL Issue Date: 09/13/2005 (Work must be started within 180 days) Receipt No: 38237 Phone: 253 - 535 -6504 Tacoma State: WA Zip 98444 Property Information: _ Site Address: 16338 Vancil Ct. SE Assessor Parcel No. Subdivision: Timber Estates Lot: 8 Contractor Information: Name: PAR Homes Contact: Thompson, Craig Phone: 253 - 535 -6504 Address: 10749 South A St. City: Tacoma State: WA Zip: 98444 Contractor License No: PARH0I.972PT Expires: 03/07/0766 Business License: Project_ Information: Project: Timber Estates Lot 8 Description of Work: Plan M3049133F -0 Lot 8 CSq. Ft. per floor: (1st) 1475 (2nd) 1574 (3rd) 0 Garage 0 Heat Type (Electric, Gas, Other): GAS Fixture 1.0000 ERU Fees: ERU 1.0000 ERU 0.0000 Item Item Fee Base Amt Unit Fee - - - - -- Unit Rate ----- - - - - -- -- ----------- -------- - -- - -- Building Permit 100 -500k ----- - - - - -- 1,880.79 ----- - - - - -- 993.75 - ---- 887.04 5.6000 Building Plan Review 794.63 0.00 0.00 0.0000 Mechanical Permit 78.25 0.00 0.00 0.0000 Plumbing Permit 125.00 20.00 105.00 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 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 TOTAL FEES: $11,092.67 Applicant's Affad ;4- 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 C registered in the State of Washington. Signature Date Firm Basement 0 No. Units Unit Desc 158.4000 $1,000 0.0000 0.0000 15.0000 Fixture 1.0000 ERU 1.0000 ERU 1.0000 ERU 0.0000 0.0000 1.0100 Peak PM Trip 0.0000 0.0000 OFFICIAL USE ONLY # Sets of Prints: Final Inspection: Date: By: 0 0 0 Applicant: City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458-3144 Permit No: BLD -05- 0283 -YL Issue Date: 09/13/2005 (Work must be started within 180 days) Receipt No: 38236 Name: PAR Homes Phone: 253- 535 -6504 Address: 10749 South A St. City: Tacoma State: WA Zip 98444 Property Information: Site Address: 16326 Vancil Ct. SE Assessor Parcel No. Subdivision: Timber Estates Lot: 7 Contractor Information: Name: PAR Homes Contact: Thompson, 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 7 Description of Work: Plan M304963F -0 Lot 7 Sq. Ft. per floor: (1st) 1475 (2nd) 1574 (3rd) 0 Garage 0 Basement 0 Heat Type (Electric, Gas, Other): GAS Fees: Item --------------------------- Building Permit 100 -500k Building Plan Review Mechanical Permit Plumbing Permit Sewer ERU Sewer Inspection Water ERU Water Meter (SFD) Water Deposit Traffic Facilities Charge Sewer Deposit State Building Fee TOTAL FEES Item Fee Base Amt ----- - -- - -- ----- - - - - -- 1,880.79 993.75 794.63 Unit Rate 0.00 78.25 ----- - - - - -- 887.04 0.00 125.00 ------- $1,000 20.00 5,417.00 0.0000 0.00 145.00 0.0000 0.00 1,500.00 105.00 0.00 300.00 Fixture 300.00 40.00 1.0000 40.00 757.50 145.0000 0.00 50.00 1,500.00 50.00 4.50 ERU 4.50 $11,092.67 0.0000 Unit Fee Unit Rate No. Units Unit Desc - - - - -- ----- - - - - -- 887.04 ----- - - - - -- 5.6000 ----- -- - - -- 158.4000 ------- $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 Applicant's Affadavit: _ . I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm regulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I futher certify that I am currently registered in the State of Washington. Signature Firm Date OFFICIAL USE ONLY #Sets of Prints: Final Inspection: Date: By: City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Applicant: Name: PAR Homes Address: 10749 South A St. Property_ Information: Site Address: 16344 Vancil Ct. SE Assessor Parcel No. City: Tacoma Subdivision: Timber Estates Permit No: BLD -05- 0284 -YL Issue Date: 09113/2005 (Work must be started within 180 days) Receipt No: 38234 Phone: 253 - 535 -6504 State: WA Zip 98444 Lot: 9 Contractor Information: Name: PAR Homes Contact: Thompson, Craig Phone: 253 -535 -6504 Address: 10749 South A St. City: Tacoma State: WA Zip: 98444 Contractor License No: PARHOI *972PT Expires: 03107/0766 Business License: Project Information:_ Project: Timber Estates Lot 9 Description of Work: Plan M3049133F -0 Lot 9 Sq. Ft. perfloor: (1st) 1475 (2nd) 1574 (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 100 -500k ----- - - - - -- 1,880.79 ---- - - - - - -- 993.75 ----- - - - - -- 887.04 ----- 5.6000 158.4000 $1,000 Building Plan Review 794.63 0.00 0.00 0.0000 0.0000 Mechanical Permit 78.25 0.00 0.00 0.0000 0.0000 Plumbing Permit 125.00 20.00 105.00 7.0000 15.0000 Fixture Sewer ERU 5,417.00 0.00 5,417.00 5,417.0000 1.0000 ERU Sewer Inspection 145.00 0.00 145.00 145.0000 1.0000 ERU Water ERU 1,500.00 0.00 1,500.00 1,500.0000 1.0000 ERU Water Meter (SFD) 300.00 300.00 0.00 0.0000 0.0000 Water Deposit 40.00 40.00 0.00 0.0000 0.0000 Traffic Facilities Charge 757.50 0.00 757.50 750.0000 1.0100 Peak PM Trip Sewer Deposit 50.00 50.00 0.00 0.0000 0.0000 State Building Fee 4.50 4.50 0.00 0.0000 0.0000 TOTAL FEES: $11,092.67 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 Permit No: B1 117% -05- 0285 -YL Community Development Department Issue Date: 09/13/2005 Building Division (Work must be started within 180 days) Phone: (360) 458 -8407 Receipt No: 38233 Fax: (360) 458 -3144 Applicant: _ Name: Bennett, Jackie Phone: Address: City: State: Zip Property Information: Site Address: 15432 107th Loop SE Assessor Parcel No. Subdivision: Lot: Contractor Information: Name: Contact: Phone: Address: City: State: Zip: Contractor License No: Expires: Business License: Project Information; Project: Bennett Covered Porch Description of Work: 8x12 detached covered porch Sq. Ft. per floor: (1st) 0 Heat Type (Electric, Gas, Other): Fees: Item _ --------------------------- Building Permit - Other TOTAL FEES: (2nd) 0 (3rd) 0 Garage 0 Basement 0 Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc ----- - - - --- ----- -- - - -- ----- -- - - -- ---- - - - - - -- - ---- - -- - -- ------- - - - - -- 23.50 0.00 0.00 0.0000 0.0000 $1,000 $23.50 Applicant's Affadayit: _. 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- 0287 -YL Issue Date: 09/26/2005 (Work must be started within 180 days) Receipt No: 38342 Applicant: Name: Paigen, Randy Phone: 458 -2751 Address: P.O. Box 625 City: Yelm State: WA Zip 98597 Property Information: Site Address: 10615 Bald Hill Road Assessor Parcel No. 64303300100 Subdivision: NIA Lot: Contractor Information: Name: Applicant Contact: Phone: Address: City: State: Zip: Contractor License No: Expires: Business License: Project Information; Project: J & I Saw Shop Description of Work: 7000 sf retail Building Sq. Ft. per floor: (1st) 7000 (2nd) 0 (3rd) 0 Garage 0 Basement 0 Heat Type (Electric, Gas, Other): GAS Fees: - Item Item Fee Base Amt Unit Fee Unit Rate -- No. Units ----- - - - - -- Unit Desc ------- - - - - -- ------- -------------- - - - - -- Building Permit - Other ----- - - - - -- 3,473.62 ----- - - - - -- 0.00 ----- - - - - -- 0.00 - ---- - - -- 0.0000 0.0000 $1,000 Building Plan Review 2,257.85 0.00 0.00 0.0000 0.0000 Mechanical Permit 80.50 0.00 0.00 0.0000 0.0000 Plumbing Permit 55.00 20.00 35.00 7.0000 5.0000 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 Meter (Commercial) 300.00 300.00 0.00 0.0000 0.0000 Water ERU 1,500.00 0.00 1,500.00 1,500.0000 1.0000 ERU Water Deposit 40.00 40.00 0.00 0.0000 0.0000 Sewer Deposit 50.00 50.00 0.00 0.0000 0.0000 Traffic Facilities Charge 12,525.00 0.00 12,525.00 750.0000 16.7000 Peak PM Trip TOTAL FEES: $25,843.97 Applicant's Affadavit: I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm regulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I futher certify that I am currently registered in the State of Washington. Signature Firm Date OFFICIAL USE ONLY # Sets of Prints: Final Inspection: Date: By: City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Applicant: Name: Evergreen State Builders Address: P.O. Box 39753 Property Information:_ Site Address: 15746 Yelm Terra Way SE Assessor Parcel No. 85840008800 City: Lakewood Permit No: BLD -05- 0288 -YL Issue Date: 09/19/2005 (Work must be started within 180 days) Receipt No: 38268 Phone: 253.475.6622 State: WA Zip 98499 Subdivision: Yelm Terra Lot: 88 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 1740/3B Lot 88 Sq. Ft. per floor: (1st) 1172 (2nd) 1028 (3rd) 0 Garage 480 Basement 0 Heat Type (Electric, Gas, Other): GAS Fees: Item Item Fee Base Amt Unit Fee Unit Rate - - - - -- No. Units ----- -- - - -- Unit Desc ------- - - - - -- --------------------- - - - - -- Building Permit 100 -500k ----- - - - - -- 1,147.75 ----- - - - - -- 993.75 ---- - - - - - -- 154.00 -- --- 5.6000 27.5000 $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: $10,037.01 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 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- 0289 -YL Issue Date: 09/19/2005 (Work must be started within 180 days) Receipt No: 38269 Phone: 253.475.6622 State: WA Zip 98499 Property information: Site Address: 15738 104th Ave SE Assessor Parcel No. 85840003800 Subdivision: Yelm Terra Lot: 38 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 174013B Lot 38 Sq. Ft. per floor: (1st) 1172 (2nd) 1028 (3rd) 0 Garage 0 Basement 0 Heat Type (Electric, Gas, Other): GAS Fees: Item Item Fee Base Amt - - - - -- --------------------- - - - - -- Building Permit 100 -500k ----- -- - - -- 1,147.75 ----- 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: $10,037.01 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. Unit Fee Unit Rate No. Units Unit Desc ----- - - - - -- 154.00 ----- - - - - -- 5.6000 ----- - - - - -- 27.5000 ------- - - - - -- $1,000 0.00 0.0000 0.0000 0.00 0.0000 0.0000 91.00 7.0000 13.0000 Fixture 145.00 145.0000 1.0000 ERU 1,500.00 1,500.0000 1.0000 ERU 0.00 0.0000 0.0000 0.00 0.0000 0.0000 757.50 750.0000 1.0100 Peak PM Trip 0.00 0.0000 0.0000 0.00 0.0000 0.0000 5,417.00 5,417.0000 1.0000 ERU Signature Firm Date OFFICIAL USE ONLY # Sets of Prints: Final Inspection: Date: By: 0 Applicant:. City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 468-3144 Permit No: BLD -05- 0293 -YL Issue Date: 09/21/2005 (Work must be started within 180 days) Receipt No: 38301 Name: Groldschmidt, Grazyna Phone: 458 -5785 Address: 15131 Carter Lp. SE City: Yelm State: WA Zip 98597 Property Information: Site Address: 15131 Carter Loop SE Assessor Parcel No. 52920002700 Subdivision: Hawks Landing Lot: 27 Contractor Information: Name: Appliant Contact: Phone: Address: City: State: Zip: Contractor License No: Expires: Business License: Project Information: Project: Goldschmidt Deck Description of Work: Deck addition 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 83.25 0.00 0.00 0.0000 0.0000 $1,000 TOTAL FEES: $83.25 Applicant's Affadavit: I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm regulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I futher certify that I am currently registered in the State of Washington. Signature Date Firm OFFICIAL USE ONLY # Sets of Prints: Final Inspection: Date: By: 0FTHFp City of Yelm %A Community Development Department C 4 Building Division Phone: (360) 458 -8407 YELM Fax: (360) 458 -3144 Applicant: Name: Evergreen State Builders Address: P.O. Box 39753 City: Lakewood Permit No: BLD -05- 0296 -YL Issue Date: 09/23/2005 (Work must be started within 180 days) Receipt No: 38327 Phone: 253 -475 -6622 State: WA Zip 98499 Property Information: Site Address: 15827 Yelm Terra Way SE Assessor Parcel No. 85840000600 Subdivision: Yelm Terra Lot: 6 Contractor Information: Name: Evergreen State Builders Contact: McCullem, Tom Phone: 253 -475 -6622 Address: P.O. Box 197 City: Lakewood State: WA Zip: 98499 Contractor License No: EVERGSB980PB Expires: 10/02/06275 Business License: 1042.0 Project Information: Project: Yelm Terra Description of Work: Plan 1610 R/2B , Lot 6 Sq. Ft. per floor: (1st) 1640 (2nd) 0 Heat Type (Electric, Gas, Other): GAS Fees: Item --------------------------- Building Permit 100 -500k Building Plan Review Mechanical Permit Plumbing Permit Sewer Inspection Water ERU Water Meter (SFD) Water Deposit Traffic Facilities Charge Sewer Deposit State Building Fee Sewer ERU TOTAL FEES: Applicant's Affadavit: (3rd) 0 Garage 470 Basement 0 Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc ------- - - - - -- ----- - - - - -- 1,090.90 --- -- - - - - -- 993.75 ----- -- - - -- 97.15 ----- - - - - -- 5.6000 -- --- - - - - -- 17.3490 $1,000 460.90 0.00 0.00 0.0000 0.0000 71.75 0.00 0.00 0.0000 0.0000 111.00 20.00 91.00 7.0000 13.0000 Fixture 145.00 0.00 145.00 145.0000 1.0000 ERU 1,500.00 0.00 1,500.00 1,500.0000 1.0000 ERU 300.00 300.00 0.00 0.0000 0.0000 40.00 40.00 0.00 0.0000 0.0000 757.50 0.00 757.50 750.0000 1.0100 Peak PM Trip 50.00 50.00 0.00 0.0000 0.0000 4.50 4.50 0.00 0.0000 0.0000 5,417.00 0.00 5,417.00 5,417.0000 1.0000 ERU $9,948.55 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, C 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: ONLY 0 Applicant: City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Permit No: BLD -05- 0297 -YL Issue Date: 09/23/2005 (Work must be started within 180 days) Receipt No: 38328 Name: Evergreen State Builders Phone: 253 -475 -6622 Address: P.O. Box 39753 City: Lakewood State: WA Zip 98499 Property , Information: Site Address: 15821 Yelm Terra Way SE Assessor Parcel No. 85840000700 Subdivision: Yelm Terra Lot: 7 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 1530 R/2, Lot 7 Sq. Ft. per floor: (1st) 1530 (2nd) 0 (3rd) 0 Garage 582 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 No. Units -- Unit Desc ------- - - - - -- ----- - - - - -- 1,069.91 ----- - - - - -- 993.75 ----- - - - - -- 76.16 ----- - - - - -- 5.6000 ----- - - - - 13.6000 $1,000 452.04 0.00 0.00 0.0000 0.0000 71.75 0.00 0.00 0.0000 0.0000 111.00 20.00 91.00 7.0000 13.0000 Fixture 145.00 0.00 145.00 145.0000 1.0000 ERU 1,500.00 0.00 1,500.00 1,500.0000 1.0000 ERU 300.00 300.00 0.00 0.0000 0.0000 40.00 40.00 0.00 0.0000 0.0000 757.50 0.00 757.50 750.0000 1.0100 Peak PM Trip 50.00 50.00 0.00 0.0000 0.0000 4.50 4.50 0.00 0.0000 0.0000 5,417.00 0.00 5,417.00 5,417.0000 1.0000 ERU $9,918.70 I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm regulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I futher certify that I am currently registered in the State of Washington. Signature Firm Date OFFICIAL USE ONLY # Sets of Prints: Final Inspection: Date: By: 0 City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Applicant: Name: Evergreen State Builders Address: P.O. Box 39753 City: Lakewood Permit No: BLD -05- 0298 -YL Issue Date: 09/23/2005 (Work must be started within 180 days) Receipt No: 38329 Phone: 253.475.6622 State: WA Zip 98499 Property Information: Site Address: 15809 Yelm Terra Way SE Assessor Parcel No. 85840000900 Subdivision: Yelm Terra Lot: 9 Contractor Information: _ Name: Evergreen State Builders Contact: McCullem, Tom Phone: 253 -475 -6622 Address: P.O. Box 39753 City: Lakewood State: WA Zip: 98499 Contractor License No: EVERGSB980PB Expires: 10102/06275 Business License: 1042.0 Project Information: Project: Yelm Terra Description of Work: Plan 1740/3B Lot 9 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 ----- - - - - -- 1,147.75 ----- - - - - -- 993.75 ----- - - - - -- 154.00 5.6000 27.5000 $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: $10,037.01 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 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 Permit No: BLD -05- 0299 -YL Issue Date: 09/23/2005 (Work must be started within 180 days) Receipt No: 38330 Phone: 253 -475 -6622 City: Lakewood State: WA Zip 98499 Property Information: Site Address: 15803 Yelm Terra Way SE Assessor Parcel No. 85840001000 Subdivision: Yelm Terra Lot: 10 Contractor Information: Name: Evergreen State Builders Contact: McCullem, Tom Phone: 253 -475 -6622 Address: P.O. Box 197 City: Lakewood State: WA Zip: 98499 Contractor License No: EVERGSB980PB Expires: 10/02/06275 Business License: 1042.0 Project information: Project: Yelm Terra Description of Work: Plan 1610 R/213, Lot 10 Sq. Ft. per floor: (1st) 1640 (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 Inspection Water ERU Water Meter (SFD) Water Deposit Traffic Facilities Charge Sewer Deposit State Building Fee Sewer ERU TOTAL FEES Item Fee Base Amt Unit Fee Unit Rate ----- - - - - -- 1,090.90 ----- - - -- -- 993.75 ----- - - -- -- 97.15 ----- - - - - -- 5.6000 460.90 0.00 0.00 0.0000 71.75 0.00 0.00 0.0000 111.00 20.00 91.00 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 $9,948.55 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 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 City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Applicant: Name: Evergreen State Builders Address: P.O. Box 39753 City: Lakewood Property Information: Site Address: 15787 Yelm Terra Way SE Assessor Parcel No. 85840001100 Subdivision: Yelm Terra Permit No: BLD -05- 0300 -YL Issue Date: 09123/2005 (Work must be started within 180 days) Receipt No: 38326 Phone: 253.475.6622 State: WA Zip 98499 Lot: 11 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 2200 /2 Lot 11 Sq. Ft. perfloor: (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 No. Units - - -- Unit Desc ------- -- - - -- ----- - - - - -- 1,301.19 ----- - - - - -- 993.75 ----- - - - - -- 307.44 ----- - - - --- 5.6000 ----- - - 54.9000 $1,000 549.75 0.00 0.00 0.0000 0.0000 84.75 0.00 0.00 0.0000 0.0000 118.00 20.00 98.00 7.0000 14.0000 Fixture 145.00 0.00 145.00 145.0000 1.0000 ERU 1,500.00 0.00 1,500.00 1,500.0000 1.0000 ERU 300.00 300.00 0.00 0.0000 0.0000 40.00 40.00 0.00 0.0000 0.0000 757.50 0.00 757.50 750.0000 1.0100 Peak PM Trip 50.00 50.00 0.00 0.0000 0.0000 4.50 4.50 0.00 0.0000 0.0000 5,417.00 0.00 5,417.00 5,417.0000 1.0000 ERU $10,267.69 I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm regulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I futher certify that I am currently registered in the State of Washington. Signature Firm Date OFFICIAL USE ONLY # Sets of Prints: Final Inspection: Date: By: 0 City Of Y @1111 Permit No: 0LD -05- 0301 -YL Community Development Department Issue Date: 09/23/2005 Building Division (Work must be started within 180 days) Phone: (360) 458 -8407 Receipt No: 38331 Fax: (360) 458 -3144 Applicant: Name: Evergreen State Builders Phone: 253 -475 -6622 Address: P.O. Box 39753 City: Lakewood State: WA Zip 98499 Property Site Address: 15714 104th Ave SE Assessor Parcel No. 85840003400 Subdivision: Yelm Terra Lot: 34 Contractor Information: Name: Evergreen State Builders Contact: McCullem, Tom Phone: 253 -475 -6622 Address: P.O. Box 39753 City: Lakewood State: WA Zip: 98499 Contractor License No: EVERGSB980PB Expires: 10/02/06275 Business License: 1042.0 Project Information: Project: Yelm Terra Description of Work: Plan 2229/2, Lot 34 Sq. Ft. per floor: (1st) 1038 (2nd) 1191 (3rd) 0 Garage 440 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 No. Units Unit Desc -- ----- - - - - -- 1,306.79 -- --- - - - - -- 993.75 ----- - - - - -- 313.04 ----- -- - - -- 5.6000 ----- - - - - -- 55.9000 ------- - - - - $1,000 552.12 0.00 0.00 0.0000 0.0000 78.75 0.00 0.00 0.0000 0.0000 118.00 20.00 98.00 7.0000 14.0000 Fixture 145.00 0.00 145.00 145.0000 1.0000 ERU 1,500.00 0.00 1,500.00 1,500.0000 1.0000 ERU 300.00 300.00 0.00 0.0000 0.0000 40.00 40.00 0.00 0.0000 0.0000 757.50 0.00 757.50 750.0000 1.0100 Peak PM Trip 50.00 50.00 0.00 0.0000 0.0000 4.50 4.50 0.00 0.0000 0.0000 5,417.00 0.00 5,417.00 5,417.0000 1.0000 ERU $10,269.66 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 THEP City of Yelm �� Community Development Department 1) C Building Division Phone: (360) 458 -8407 YELM Fax: (360) 458 -3144 Applicant: Name: Evergreen State Builders 0 Address: P.O. Box 39753 City: Lakewood Property Information: Site Address: 15720 104th Ave SE Assessor Parcel No. 85840003500 Subdivision: Yelm Terra Permit No: BLD -05- 0302 -YL Issue Date: 09123/2005 (Work must be started within 180 days) Receipt No: 38332 Phone: 253 -475 -6622 State: WA Zip 98499 Lot: 35 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 35 Sq. 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 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- 0303 -YL Issue Date: 09/23/2005 (Work must be started within 180 days) Receipt No: 38333 Phone: 253.475.6622 State: WA Zip 98499 Property Information: Site Address: 15726 104th Ave SE Assessor Parcel No. 85840003600 Subdivision: Yelm Terra Lot: 36 Contractor Information: Name: Evergreen State Builders Contact: McCullem, Tom Phone: 253 -475 -6622 Address: P.O. Box 39753 City: Lakewood State: WA Zip: 98499 Contractor License No: EVERGSB980PB Expires: 10102/06275 Business License: 1042.0 Project Information: Project: Yelm Terra Description of Work: Plan 2170 l2 Lot 36 Sq. Ft. per floor: (1st) 1363 (2nd) 896 (3rd) 0 Garage 440 Basement 0 Heat Type (Electric, Gas, Other): GAS Fees: Item Item Fee Base Amt --------------------- - -- - -- Building Permit 100 -500k ----- - - - - -- 1,282.71 ----- - - - - -- 993.75 Building Plan Review 542.02 0.00 Mechanical Permit 84.75 0.00 Plumbing Permit 132.00 20.00 Sewer Inspection 145.00 0.00 Water ERU 1,500.00 0.00 Water Meter (SFD) 300.00 300.00 Water Deposit 40.00 40.00 Traffic Facilities Charge 757.50 0.00 Sewer Deposit 50.00 50.00 State Building Fee 4.50 4.50 Sewer ERU 5,417.00 0.00 TOTAL FEES: $10,255.48 0.0000 Applicant's Affadavit: Unit Fee Unit Rate No. Units Unit Desc ----- - -- - -- 288.96 ----- -- - - -- 5.6000 ----- -- - - -- 51.6000 ---- --- - - - - -- $1,000 0.00 0.0000 0.0000 0.00 0.0000 0.0000 112.00 7.0000 16.0000 Fixture 145.00 145.0000 1.0000 ERU 1,500.00 1,500.0000 1.0000 ERU 0.00 0.0000 0.0000 0.00 0.0000 0.0000 757.50 750.0000 1.0100 Peak PM Trip 0.00 0.0000 0.0000 0.00 0.0000 0.0000 5,417.00 5,417.0000 1.0000 ERU I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm regulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I futher certify that I am currently registered in the State of Washington. Signature Firm Date # 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- 0308 -YL Issue Date: 09/26/2005 (Work must be started within 180 days) Receipt No: 38341 Name: Sunrise Homes Phone: 360.458.3200 Address: PO Box 727 City: Yelm State: WA Zip 98597 Property Information: _ Site Address: 609 Yelm Avenue West Assessor Parcel No. 82800001400 Subdivision: Lot: Contractor Information: Name: Sunrise Homes Contact: Phone: Address: City: State: Zip: Contractor License No: Expires: Business License: Project Information: Project: Sunrise Homes Re -roof Description of Work: Tear -Off and 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 181.25 -- --- - - - - -- ----- - - - - -- ----- - - - - -- 0.00 0.00 0.0000 ---- - - 0.0000 $1,000 TOTAL FEES: $181.25 Applic`ant'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 Applicant: City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Permit No: BLD -05- 0309 -YL Issue Date: 09/27/2005 (Work must be started within 180 days) Receipt No: 38352 Name: Carter, James Phone: 458 -2526 Address: 1018 Kingsview Ct. NW City: Yelm State: WA Zip 98597 Property Information: Site Address: 1018 Kingsview Ct. NW Assessor Parcel No. 57630000800 Subdivision: Lot: Contractor Information: Name: Applicant Contact: Phone: Address: City: State: Zip: Contractor License No: Expires: Business License: Project Information: Project: 1018 Kingsview Storage Unit Description of Work: 12x24 storage kit 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 97.25 0.00 0.00 0.0000 0.0000 $1,000 TOTAL FEES: $97.25 Applicant's Affadavit: I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm regulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I futher certify that I am currently registered in the State of Washington. Signature Date Firm # 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: SIGN -05- 0306 -YL Issue Date: 09122/2005 (Work must be started within 180 days) Receipt No: 38346 Applicant: Name: Plumb Signs Phone: 253 -473 -3323 Address: 909 South 28th. Street City: Tacoma State: Wa Zip 98409 Property Information: Site Address: 509 Yelm Ave.East Assessor Parcel No. 22719342901 Subdivision: Contractor Information: Lot: Name: Osburn Steel Buildings Contact: Tissell, John Phone: 360 -458 -5100 Address: City: State: Zip: Contractor License No: Expires: Business License: Project Information: Project: NAPA Auto Parts Description of Work: Signs on new building and site. 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 ----- -- - - -- ----- - - - - -- 20.00 0.00 $20.00 Garage 0 Basement 0 Unit Fee Unit Rate No. Units Unit Desc ----- - - - - -- 0.00 ----- - - - - -- 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: 0 City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458-3144 Applicant; Name: Pacific Marine Repair Address: 1629 EAst Alexander Ave. City: Tacoma Property Information: Site Address: 16533 Hwy 507 SE Assessor Parcel No. 64303200704 Subdivision: Contractor Information: Permit No: M -05- 0292 -YL Issue Date: 09/21/2005 (Work must be started within 180 days) Receipt No: 38302 Phone: 253 - 272 -4302 State: WA Zip 98421 Lot: Name: Contact: Phone: Address: City: State: Zip: Contractor License No: Expires: Business License: Project Information: Project: Del's Farm Supply Propane Tank Description of Work: 3950 gallon Propane Tank for resale Sq. Ft. per floor: (1st) 0 (2nd) 0 (3rd) 0 Heat Type (Electric, Gas, Other): Fees: Item --------------------------- Mechanical Permit TOTAL FEES Applicant's Affadavit: 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 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- 0310 -YL Community Development Department Issue Date: 09/27/2005 Building Division (Work must be started within 180 days) Phone: (360) 458 -8407 Receipt No: 38351 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: 15738 91st Way SE Assessor Parcel No. 43380000300 Subdivision: Lot: Contractor Information: Name: Applicant Add ress: Contractor License No: Project_Information: Project: Burkhardt A/C Description of Work: 2.5 Ton A/C Sq. Ft. per floor: (1st) 0 Heat Type (Electric, Gas, Other): Fees: Item --------------------------- Mechanical Permit TOTAL FEES: Applicant's Affadavit: Contact: Phone: City: State: Zip: Expires: Business License: (2nd) 0 (3rd) 0 Garage 0 Basement 0 Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc ----- - -- - -- ----- - - - - -- ----- - - - --- --- -- - - - - -- ----- - - -- -- ------- - - - - -- 33.25 0.00 0.00 0.0000 0.0000 $33.25 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: PL -05- 0272 -YL Issue Date: 09/07/2005 (Work must be started within 180 days) Receipt No: 38181 Name: Fast Water Heater Phone: 425.814.3124 Address: 12601 132nd Ave NE City: Kirkland State: WA Zip 98034 Property Information: Site Address: 16136 Prairie Creek Lp Assessor Parcel No. 69240002100 Subdivision: Lot: Contractor Information: Name: Contact: Phone: Address: City: State: Zip: Contractor License No: Expires: Business License: Project Information: Project: Conley Description of Work: Gas Hot water tank 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 ----- - - - - -- ------- -- - - -- --- --------------- --- - - - - -- ----- - - - - -- Plumbing Permit 27.00 ----- - - -- -- ----- - -- - -- ----- - - - - -- 20.00 7.00 7.0000 1.0000 Fixture TOTAL FEES: $27.00 Applicants Affadavit: _ OFFICIAL USE ONLY I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of # Sets of Prints: Yelm regulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I futher certify that I am currently registered in the State of Washington. Final Inspection: Date: Signature Date By: Firm City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Permit No: FIRE -05- 0307 -YL Issue Date: 09/27/2005 (Work must be started within 180 days) Receipt No: Applicant: _ Name: Childs Fireworks Phone: 253 - 531 -1658 Address: P.O. Box 45637 City: Tacoma State: WA Zip 98445 Property Information: Site Address: 1315 Yelm Ave. West Assessor Parcel No. 21724210500 Subdivision Contractor Information: Name: Contact: Address: City: Contractor License No: Expires: Project Information: Project: YHS Home Coming Description of Work: Fireworks display at Home Coming License # C -04188 Sq. Ft. per floor: (1st) 0 (2nd) 0 (3rd) 0 Heat Type (Electric, Gas, Other): Lot: Phone: State: Zip: Business License: Garage 0 Basement 0 Fees: Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc TOTAL FEES: $0.00 Appl icant'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: