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12/2005 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: January 4, 2006 Re: Building Permits Issued for the Month of December 2005 Enclosed are copies of the Building Permits issued. Permit numbers: BLD -05- 411 -YL, 0412, 0414, 0415, 0416, 0422, 0423, 0424, 0425, 0427, 0428, 0429 M -05 -0421 -YL. If you have any questions, please contact Roberta Allen at (360) 458 -3835. Thank You, cc: Gary Carlson, Building Official U RABuilding Folder\2005 Reports \12 -05 Permit Report.doc 0 0 City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458-3144 Applicant: -- Name: Sunridge Homes, Inc. Address: P.O. Box 73790 City: Puyallup Permit No: BLD -05- 0411 -YL Issue Date: 12/05/2005 (Work must be started within 180 days) Receipt No: 39407 Phone: 253 - 848 -0820 State: WA Zip 98373 Property Information: Site Address: 16670 Rainier View Dr. SE Assessor Parcel No. 63540001300 Subdivision: Mountain Sunrise, Div. I Lot: 13 Contractor Information: Name: Sunridge Homes, Inc. Contact: Dye, Kelli Phone: 253 - 848 -0820 Address: P.O. Box 73790 City: Puyallup State: WA Zip: 98373 Contractor License No: SUNRIH1005QH Expires: 09127/06270 Business License: Project Information: Project: Mountain Sunrise, Division I Description of Work: Plan 1870/2, lot 13 Sq. Ft. per floor: (1st) 1125 (2nd) 745 (3rd) 0 Garage 453 Basement 0 Heat Type (Electric, Gas, Other): GAS Fees: Item Item Fee Base Amt --------------------- - - ---- Building Permit 100 -500k - --- - - - - - -- 1,404.37 ----- - - - - -- 993.75 Building Plan Review 593.34 0.00 Mechanical Permit 78.25 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 Fire District Impact Fee 501.77 0.00 TOTAL FEES: $8,268.73 0.00 Applicant's Affadavit: Unit Fee Unit Rate No. Units Unit Desc ----- - - - - -- 410.62 ----- - - - - -- 5.6000 ----- - - - - -- 73.3250 ------- - - - - -- $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 501.77 0.2160 2,323.0000 square foot I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm regulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I futher certify that I am currently registered in the State of Washington. Signature Firm Date # Sets of Prints: Final Inspection: Date: By: 0 0 �oF THFp� City of Yelm �9 Community Development Department 4 Building Division Phone: (360) 458 -8407 YELM Fax: (360) 458 -3144 Applicant: Name: Bircher, Russ Address: 310 Edwards St. NW C City: Property Information: Site Address: 310 Edwards St. NW Assessor Parcel No. 75301300300 S Subdivisio n Permit No: BLD -05- 0412 -YL Issue Date: 12/05/2005 (Work must be started within 180 days) Receipt No: 39410 Phone: 458 -1833 Yelm State: WA Zip 98597 N/A Lot: Nla Phone: State: Zip: Business License: Sq. Ft. perfloor: (1st) 0 (2nd) 0 (3rd) 0 Garage 384 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 209.25 0.00 0.00 0.0000 0.0000 $1,000 Building Plan Review 136.01 0.00 0.00 0.0000 0.0000 Fire District Impact Fee 82.94 0.00 82.94 0.2160 384.0000 square foot TOTAL FEES: $428.20 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 # Sets of Prints: Final Inspection: Date: By. 0 0 City of Yelm Permit No: BLD -05- 0414 -YL Community Development Department Issue Date: 12/12/2005 Building Division (Work must be started within 180 days) Phone: (360) 458 -8407 Receipt No: 39459 Fax: (360) 458 -3144 Applicant: Name: Yelm Senior Center Phone: 458 -7733 Address: P.O. Box 474 City: Yelm State: WA Zip 98597 Property Information: Site Address: 16530 103rd Ave. SE Assessor Parcel No. 64303600302 Subdivision: N/A Lot: N/A Contractor Information: Name: Yelm Senior Center Contact: Sherrill, Fran Phone: Address: City: State: Zip: Contractor License No: Expires: 12/19/06353 Business License: Project Information: --------------------- - - - - -- Building Permit - Other Project: New Senior Center ----- - - - - -- 0.00 Description of Work: Walkin Cooler /Freezer Foundation Sq. Ft. per floor: (1st) 320 (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 ----- - - - - -- 104.25 ----- - - - - -- 0.00 ----- - - - - -- 0.00 ----- - - - - -- 0.0000 ----- - - - - -- 0.0000 -- ----- - - - - -- $1,000 Building Plan Review 67.76 0.00 0.00 0.0000 0.0000 State Building Fee 4.50 4.50 0.00 0.0000 0.0000 Fire District Impact Fee 69.12 0.00 69.12 0.2160 320.0000 square foot TOTAL FEES: $245.63 Applicant's Affadavit: _ I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm regulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I futher certify that I am currently registered in the State of Washington. Signature Date Firm OFFICIAL USE ONLY # Sets of Prints: Final Inspection: Date: By: 0 City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458-3144 Applicant: Permit No: SIGN -05- 0415 -YL Issue Date: 12/06/2005 (Work must be started within 180 days) Receipt No: 39428 Name: Jiggens Networks Phone: 360 - 259 -2558 Address: 15844 104th Ave SE. City: Yelm State: WA Zip 98597 Property Information: Site Address: 15844 104th. Ave SE. Assessor Parcel No. 85840005200 Subdivision: Contractor information: Name: Contact: Phone: Address: City: State: Zip: Contractor License No: Expires: Business License: Project Information: Project: Jiggens Networks Description of Work: Wall mounted sign. Flush mounted sign. 2'X2' Sq. Ft. per floor: (1st) 0 (2nd) 0 (3rd) 0 Heat Type (Electric, Gas, Other): OTHER Garage 0 Basement 0 Lot: Fees: Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc --------------------- - - - - -- ----- - - - - -- ----- - - - - -- ----- - - - - -- ----- - - - - -- ----- - - - - -- ------- - - - - -- Building Permit - Other 20.00 0.00 0.00 0.0000 0.0000 $1,000 TOTAL FEES: $20.00 Applicant's A_ffadavit: _ I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm regulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I futher certify that I am currently registered in the State of Washington. Signature Date Firm # Sets of Prints: Final Inspection: Date: By: 0 0 Applicant: City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Permit No: BLD -05- 0416 -YL Issue Date: 12/09/2005 (Work must be started within 180 days) Receipt No: 39445 Name: Comfort Homes Phone: 360 -486 -0161 Address: 8306 Quinalt Dr. NE City: Lacey State: WA Zip 98516 Property _ Information: Site Address: 10423 Barry Bridges St SE Assessor Parcel No. 62320003400 Subdivision: Mill Pond Lot: 34 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 2211/2A Lot 34 Sq. Ft. perfloor: (1st) 1071 (2nd) 1140 (3rd) 0 Heat Type (Electric, Gas, Other): GAS Fees: Item --------------------------- Building Permit 100 -500k Building Plan Review Mechanical Permit Plumbing Permit Sewer Inspection Water ERU Water Meter (SFD) Water Deposit Traffic Facilities Charge Sewer Deposit State Building Fee Sewer ERU Fire District Impact 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. Garage 434 Basement 0 Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc ----- - - - - -- 1,299.34 ----- - - - - -- 993.75 ----- - -- - -- 305.59 -- --- - - - - -- 5.6000 ----- - - - - -- 54.5700 ---- -- -- -- - -- $1,000 548.97 0.00 0.00 0.0000 0.0000 84.75 0.00 0.00 0.0000 0.0000 125.00 20.00 105.00 7.0000 15.0000 Fixture 145.00 0.00 145.00 145.0000 1.0000 ERU 1,500.00 0.00 1,500.00 1,500.0000 1.0000 ERU 300.00 300.00 0.00 0.0000 0.0000 40.00 40.00 0.00 0.0000 0.0000 757.50 0.00 757.50 750.0000 1.0100 Peak PM Trip 50.00 50.00 0.00 0.0000 0.0000 4.50 4.50 0.00 0.0000 0.0000 5,417.00 0.00 5,417.00 5,417.0000 1.0000 ERU 571.32 0.00 571.32 0.2160 2,645.0000 square foot $10,843.38 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: Evergreen State Builders Address: P.O. Box 39753 City: Lakewood Property Information: Site Address: 14912 89th Ave. SE Assessor Parcel No. 37540001500 Subdivision: Buckhorn Estates Permit No: BLD -05- 0422 -YL Issue Date: 12/20/2005 (Work must be started within 180 days) Receipt No: 39514 Phone: 253 -475 -6622 State: WA Zip 98499 Lot: 15 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: Buckhorn Estates Description of Work: 1528/2 SFR, Lot 15 Sq. Ft. perfloor: (1st) 788 (2nd) 740 Heat Type (Electric, Gas, Other): GAS Fees: (3rd) 0 Garage 375 Item Item Fee Base Amt Unit Fee Unit Rate --------------------- - - - - -- Building Permit 100 -500k ----- - - - - -- 1,223.35 ----- - - - - -- 993.75 ----- - - - - -- 229.60 ----- - - - - -- 5.6000 Building Plan Review 516.86 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 Fire District Impact Fee 411.05 0.00 411.05 0.2160 TOTAL FEES: $10,568.51 Applicants Affadavit: Basement 0 No. Units Unit Desc ----- - - - - -- 41.0000 ------- ---- -- $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 1,903.0000 square foot 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 0 City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Applicant: Name: Evergreen State Builders Address: P.O. Box 39753 Property Information: Site Address: 14858 89th Ave. SE Assessor Parcel No. 37540001200 City: Lakewood Subdivision: Buckhorn Estates Permit No: BLD -05- 0423 -YL Issue Date: 12/20/2005 (Work must be started within 180 days) Receipt No: 39517 Phone: 253.475.6622 State: WA Zip 98499 Lot: 12 Contractor Information: Name: Evergreen State Builders Contact: Medina, Ed Phone: 253 -475 -6622 Address: P.O. Box 197 City: Lakewood State: WA Zip: 98499 Contractor License No: EVERGSB980PB Expires: 10/02106275 Business License: Project Information: Project: Buckhorn Estates Description of Work: 2161/2 SFR, Lot 12 Sq. Ft. per floor: (1st) 973 (2nd) 1188 (3rd) 0 Garage 426 Basement 0 Heat Type (Electric, Gas, Other): GAS Fees: Item Item Fee Base Amt --- ------------------ -- - - -- Building Permit 100 -500k - ---- - - - --- 1,539.75 ----- - - - - -- 993.75 Building Plan Review 650.54 0.00 Mechanical Permit 78.25 0.00 Plumbing Permit 118.00 20.00 Sewer ERU 5,417.00 0.00 Sewer Inspection 145.00 0.00 Water ERU 1,500.00 0.00 Water Meter (SFD) 300.00 300.00 Water Deposit 40.00 40.00 Sewer Deposit 50.00 50.00 Traffic Facilities Charge 757.50 0.00 State Building Fee 4.50 4.50 Fire District Impact Fee 565.27 0.00 TOTAL FEES: $11,165.81 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 546.00 5.6000 0.00 0.0000 0.00 0.0000 98.00 7.0000 5,417.00 5,417.0000 145.00 145.0000 1,500.00 1,500.0000 0.00 0.0000 0.00 0.0000 0.00 0.0000 757.50 750.0000 0.00 0.0000 565.27 0.2160 No. Units Unit Desc ----- - - - - -- 97.5000 ------- - - - - -- $1,000 0.0000 0.0000 14.0000 Fixture 1.0000 ERU 1.0000 ERU 1.0000 ERU 0.0000 0.0000 0.0000 1.0100 Peak PM Trip 0.0000 2,617.0000 square foot Signature Firm Date # 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- 0424 -YL Issue Date: 12/20/2005 (Work must be started within 180 days) Receipt No: 39515 Applicant:_ Name: Evergreen State Builders Phone: 253 -475 -6622 Address: P.O. Box 39753 City: Lakewood State: WA Zip 98499 Properly Information: Site Address: 14906 89th Avenue SE Assessor Parcel No. 37540001400 Subdivision: Buckhorn Estates Lot: 14 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: Buckhorn Estates Description of Work: Plan 2150S12, lot 14 Sq. Ft. perfloor: (1st) 888 (2nd) 1262 (3rd) 0 Garage 432 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 Fire District Impact 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 ----- -- - - -- 1,533.31 ----- --- - -- 993.75 ----- - - - - -- 539.56 ----- - - - - -- 5.6000 ----- - - - - -- 96.3500 ------- - - - - -- $1,000 647.82 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 557.71 0.00 557.71 0.2160 2,582.0000 square foot $11,163.59 Signature Firm Date # 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- 0425 -YL Issue Date: 12/20/2005 (Work must be started within 180 days) Receipt No: 39516 Name: Evergreen State Builders Phone: 253.475.6622 Address: P.O. Box 39753 City: Lakewood State: WA Zip 98499 Property Information: Site Address: 14864 89th Ave. SE Assessor Parcel No. 37540001300 Subdivision: Buckhorn Estates Lot: 13 Contractor Information: Name: Evergreen State Builders Contact: Medina, Ed 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: Buckhorn Estates Description of Work: 2502S/213 SFR, Lot 13 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 Unit Fee Unit Rate No. Units Unit Desc ------------- ---- ---- - - - - -- Building Permit 100 -500k ----- - - - - -- 1,676.95 - ---- --- --- 993.75 ----- - - - - -- 683.20 ----- - - - - -- 5.6000 ----- - - - - -- 122.0000 ------- - - - --- $1,000 Building Plan Review 708.51 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 Fire District Impact Fee 639.79 0.00 639.79 0.2160 2,962.0000 square foot TOTAL FEES: $11,449.50 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. 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) 458 -3144 Permit No: BLD -05- 0427 -YL Issue Date: 12/27/2005 (Work must be started within 180 days) Receipt No: 39534 Name: Evergreen State Builders Phone: 253.475.6622 Address: P.O. Box 39753 City: Lakewood State: WA Zip 98499 Property Information: Site Address: 14871 89th Ave. SE Assessor Parcel No. 37540000700 Subdivision: Buckhorn Estates Lot: 7 Contractor Information: Name: Evergreen State Builders Contact: Medina, Ed 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: Buckhorn Estates Description of Work: 1740/3 SFR, Lot 7 Sq. Ft. perfloor: (1st) 854 (2nd) 952 (3rd) 0 Garage 418 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 Sewer Deposit Traffic Facilities Charge State Building Fee Fire District Impact Fee Sewer ERU TOTAL FEES: Applicant's Affadavit: Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Des ----- - - - - -- 1,413.75 ----- - - - - -- 993.75 ----- -- - - -- 420.00 --- -- ---- -- 5.6000 ----- - - - - -- 75.0000 ------- - - - - -- $1,000 597.30 0.00 0.00 0.0000 0.0000 78.25 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 50.00 50.00 0.00 0.0000 0.0000 757.50 0.00 757.50 750.0000 1.0100 Peak PM Trip 4.50 4.50 0.00 0.0000 0.0000 480.38 0.00 480.38 0.2160 2,224.0000 square foot 5,417.00 0.00 5,417.00 5,417.0000 1.0000 ERU $10,901.68 I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm regulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I futher certify that I am currently registered in the State of Washington. Signature Firm Date # Sets of Prints: Final Inspection: Date: By: 0 City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Applicant: Name: Evergreen State Builders Address: P.O. Box 39753 Property Information: Site Address: 14852 89th Ave. SE Assessor Parcel No. 37540001100 City: Lakewood Subdivision: Buckhorn Estates Permit No: BLD -05- 0428 -YL Issue Date: 12/27/2005 (Work must be started within 180 days) Receipt No: 39535 Phone: 253.475.6622 State: WA Zip 98499 Lot: 11 Contractor Information: Name: Evergreen State Builders Contact: Medina, Ed 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: Buckhorn Estates Description of Work: 1740/3 SFR, Lot 11 Sq. Ft. per floor: (1st) 854 (2nd) 952 Heat Type (Electric, Gas, Other): GAS Fees: (3rd) 0 Item --------- Item Fee Base Amt ----- ------- - - - - -- Building Permit 100 -500k ----- - - - - -- 1,413.75 - ---- - - - - -- 993.75 Building Plan Review 597.30 0.00 Mechanical Permit 78.25 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 Sewer Deposit 50.00 50.00 Traffic Facilities Charge 757.50 0.00 State Building Fee 4.50 4.50 Fire District Impact Fee 480.38 0.00 Sewer ERU 5,417.00 0.00 TOTAL FEES: $10,901.68 0.00 Applicant's Affadavit: Garage 418 Basement 0 Unit Fee ----- - - Unit Rate No. Units Unit Desc - - -- 420.00 ----- - - - --- 5.6000 - ---- - - - - -- 75.0000 ---- --- - -- - -- $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 0.00 0.0000 0.0000 757.50 750.0000 1.0100 Peak PM Trip 0.00 0.0000 0.0000 480.38 0.2160 2,224.0000 square foot 5,417.00 5,417.0000 1.0000 ERU I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm regulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I futher certify that I am currently registered in the State of Washington. Signature Firm Date OFFICIAL USE ONLY # Sets of Prints: Final Inspection: Date: By: 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- 0429 -YL Issue Date: 12/27/2005 (Work must be started within 180 days) Receipt No: 39536 Phone: 253.475.6622 State: WA Zip 98499 Property Information: Site Address: 14846 89th Ave. SE Assessor Parcel No. 37540001000 Subdivision: Buckhorn Estates Lot: 10 Contractor Information: Name: Evergreen State Builders Contact: Medina, Ed 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: Buckhorn Estates Description of Work: 1818S/2 SFR, Lot 10 Sq. Ft. perfloor: (1st) 547 (2nd) 1271 (3rd) 0 Heat Type (Electric, Gas, Other): GAS Fees: Item Item Fee Base Amt ------------- -- ------ - - - - -- Building Permit 100 -500k ----- - - - - -- 1,403.95 ----- - - - - -- 993.75 Building Plan Review 593.16 0.00 Mechanical Permit 78.25 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 Sewer Deposit 50.00 50.00 Traffic Facilities Charge 757.50 0.00 State Building Fee 4.50 4.50 Fire District Impact Fee 519.05 0.00 Sewer ERU 5,417.00 0.00 TOTAL FEES: $10,940.41 0.00 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. Garage 585 Basement 0 Unit Fee Unit Rate No. Units Unit Desc --- -- - - - - -- 410.20 ----- - - - - -- 5.6000 - ---- -- - - -- 73.2500 ----- -- - - - - -- $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 0.00 0.0000 0.0000 757.50 750.0000 1.0100 Peak PM Trip 0.00 0.0000 0.0000 519.05 0.2160 2,403.0000 square foot 5,417.00 5,417.0000 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 Permit No: M -05- 0421 -YL Issue Date: 12/29/2005 (Work must be started within 180 days) Receipt No: 39551 Applicant: Name: Robbins Air Inc. Phone: 360 - 538 -7003 Address: P.O. Box 2233 City: Aberdeen State: WA Zip 98520 Property Information: Site Address: 101 Yelm Ave. West Assessor Parcel No. 64400200100 Subdivision: N/A Contractor Information: Lot: Name: Applicant Contact: Phone: Address: City: State: Zip: Contractor License No: Expires: Business License: Project Information: Project: Timberland Bank Description of Work: Heat Pump Sq. Ft. per floor: (1st) 0 (2nd) 0 Heat Type (Electric, Gas, Other): Fees: Item --------------------------- Mechanical Permit TOTAL FEES (3rd) 0 Item Fee Base Amt ----- - - - - -- ----- - - - - -- 29.50 0.00 $29.50 Garage 0 Basement 0 Unit Fee Unit Rate No. Units Unit Desc ----- - - - - -- ----- - - - - -- --- -- - ----- --- ---- - - - - -- 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 Date Firm # Sets of Prints: Final Inspection: Date: By: