10/2004 Report
c
City of Yelm
Community Development Department
P.o. Box 479
Yelm, W A 98597
(360) 458-3835
(360) 458-3144 FAX
Memorandum
To: Thurston County Assessor and Thurston RegIOnal Planmng CouncIl
From: Roberta Allen, AdmlmstratIve AssIstant
Date: November 2,2004
Re: BUIldmg PermIts Issued for the Month of October 2004
(~
'--J
Enclosed are copIes of the BUIldmg PermIts Issued.
PermIt numbers
0134,0142,0143,0151,0152,0153,0158,0159,0160,0162,0163,0164,0165,0167,0168,
0169,0170,0171
If you have any questIOns, please contact Gary Carlson at (360) 458-8407
Thank You,
TamI
cc Gary Carlson, BUIldmg OfficIal
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R.\Building Folder\2004 Reports\lO 04 PermIt Report.doc
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Permit No
M-04-0134-YL
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Issue Date 10/14/2004
(Work must be started within 180 days)
Receipt No
33460
Ap'pJl~ant:
Name. AAA Fire and Safety
Phone
206-284-1721
Address 3013 3rd Ave. North
City' Seattle
State. WA Zip
Propertylllformati on
Site Address. 1202 Yelm Ave. E
Assessor Parcel No 22730110103
Subdivision:
Lot:
Contractor Information
Name Applicant
Contact:
Phone.
Address
City'
State
Zip:
Contractor License No AAAFISI140DS
Expires. 01/05/055
Business License
Project Ir:lformation
Project: Dairy Queen
Description of Work: Hood Suspression System
Sq Ft. per floor' (1 st) 2640
(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
Mechanical Permit
TOTAL FEES
2950
$29.50
000
0.00
o 0000
o 0000
~/
Applicant's Affadavit:
OFFICIAL USE'ONj:.Y
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.
# Sets of Prints:
Finallnspectioli:
Date:
Signature
Date
By'
Firm
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BLD-04-0142-YL
Permit No
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Issue Date 10/25/2004
(Work must be started within 180 days)
Receipt No
33608
Applicant: ... ,
Name: Baker, Manace E
Phone
253-261-0572
Address 390 4th Ave. SE
City' Pacific
State: WA Zip 98047
Prope.rty Informatiol1.
Site Address 10434 Grove Road
Assessor Parcel No 64303100700
Subdivision: N/A
Lot: A
Contractor Information.
Name. American Dream Construction
Contact:
Phone' 360-882-3218
Address. 390 4th Ave SE
City' Pacific
State WA Zip'
Contractor License No AMERIDC004BL
Expires 01/15/0515
Business License
Project Inforn:!ation:
Project: Mannace E Baker
Description of Work: 2240 SFR
Sq. Ft. per floor' (1 st) 1344 (2nd) 1344 (3rd) 0 Garage 0 Basement 0
Heat Type (Electric, Gas, Other) ELECTRIC
Fl:ll:ls
Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
--------------------------- -------------
Building Permit 100-500k 1,252.64 99375 258.89 5.6000 46.2300 $1,000
Building Plan Review 529.24 000 000 o 0000 o 0000
Mechanical Permit 159 50 000 000 o 0000 o 0000
Plumbing Permit 104 00 2000 8400 7 0000 12.0000 Fixture
Water ERU 1,50000 0.00 1,50000 1,500 0000 1 0000 ERU
Water Meter (SFD) 300 00 300 00 000 o 0000 o 0000
Water Deposit 4000 4000 0.00 o 0000 o 0000
State Building Fee 450 450 000 o 0000 o 0000
TOTAL FEES $3,889.88
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
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.
# Sets of Prints.
Final Inspection.
Date'
Signature
Date
By'
Firm
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Permit No
BLD-04-0143-YL
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Issue Date. 10/25/2004
(Work must be started within 180 days)
Receipt No
33607
Applicant:
Name. Baker, Manace E
Phone:
253-261-0572
Address 390 4th Ave SE
City' Pacific
State. WA Zip 98047
Property Inform ati on
Site Address. 10440 Grove Road
Assessor Parcel No 64303100704
Subdivision' N/A
Lot: D
Contractor !nformation
Name American Dream Construction
Contact:
Phone 360-882-3218
Address. 390 4TH Ave SE
City' Pacific
State. WA Zip
Contractor License No AMERIDC004BL
Expires. 01/15/0515
Business License:
Project Information
Project: Mannace E Baker
Description of Work: 2240 SFR
Sq. Ft. per floor' (1 st) 1344 (2nd) 1344 (3rd) 0 Garage 0 Basement 0
Heat Type (Electric, Gas, Other) ELECTRIC
Fees.
Item Item Fee Base Amt Unit Fee Unit Rate No Units Unit Desc
--------------------------- -------------
Building Permit 100-500k 1,252.64 993.75 258.89 5 6000 46.2300 $1,000
Building Plan Review 529.24 000 0.00 o 0000 o 0000
Mechanical Permit 159 50 000 000 o 0000 o 0000
Plumbing Permit 1 04 00 2000 8400 7 0000 12.0000 Fixture
Water ERU 1,50000 000 1,500 00 1,5000000 1 0000 ERU
Water Meter (SFD) 300 00 300.00 000 o 0000 o 0000
Water Deposit 4000 4000 000 o 0000 0.0000
State Building Fee 450 450 000 0.0000 o 0000
TOTAL FEES $3,889.88
Appficant'~ A:Ff~davit:
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
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.
#:Setsof Prints
Final Inspection'
Signature
Date
. Date.
By'
Firm
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Permit No
BLD-04-0151-YL
City ofYelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Issue Date 10/04/2004
(Work must be started within 180 days)
Receipt No
33318
Applicant:
Name. Yelm Property Development
Phone'
458.0544
Address 16422 Middle Road SE
City' Yelm
State' WA Zip 98597
Pro pertylhfgrthation
Site Address. 9910 Greenleaf Loop SE
Assessor Parcel No 84070004700
Subdivision. Willow Glen Phase II
Lot: 47
Contractor Information
Name: Yelm Property Development
Contact: Belasero, D M
Phone 458.0554
Address. 16422 Middle Rd SE
City' Yelm
Expires. 02/22/0553
State WA Zip
Contractor License No YELMPD00302
Business License:
Project Inforn:!~i:!Hon
Project: Willow Glen Phase II
Description of Work: 1565 SFR, Lot 47
Sq. Ft. per floor (1st) 810 (2nd) 755 (3rd) 0 Garage 400 Basement 0
Heat Type (Electric, Gas, Other) GAS
Fl:les
Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
--------------------------- -------------
Building Permit 100-500k 1,059.24 99375 6549 5 6000 11 6950 $1,000
Building Plan Review 44752 000 000 o 0000 o 0000
Mechanical Permit 78.25 0.00 000 o 0000 0.0000
Plumbing Permit 111 00 20.00 9100 7 0000 13 0000 Fixture
Sewer ERU 5,269 00 000 5,269 00 5,269 0000 1 0000 ERU
Sewer Inspection 145 00 145 00 000 o 0000 o 0000 ERU
Sewer Deposit 5000 5000 000 o 0000 o 0000
Water ERU 1,50000 0.00 1,50000 1,500 0000 1 0000 ERU
Water Meter (SFD) 300 00 300 00 000 o 0000 o 0000
Water Deposit 4000 4000 000 o 0000 o 0000
Traffic Facilities Charge 757 50 000 757 50 7500000 1 0100 Peak PM Trip
State Building Fee 450 450 000 o 0000 o 0000
TOTAL FEES $9,762.01
Applicant's Affadavit:
OFFICIAL USE ONLY
I certify that I have read and examined the information contained within the application and know the same
to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of
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
# Sets of Prints.
Final Inspection:
Date
Signature
Date
By'
Firm
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BLD-04-0152-YL
Permit No
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Issue Date 10/07/2004
(Work must be started within 180 days)
Receipt No
33393
Applicant:
Name: Yelm Property Development
Phone.
458.0544
Address 16422 Middle Road SE
City' Yelm
State' WA Zip 98597
Property Inforl11ation
Site Address. 9915 Greenleaf Loop SE
Assessor Parcel No 94070002400
Subdivision. Willow Glen Phase II
Lot: 24
Contractor Information.
Name. Applicant
Contact: Balascio, D M
Phone
Address.
City'
Expires. 02/20/0551
State:
Zip'
Contractor License No YELMPDL00302
Business License
Project Information
Project: Yelm Property Development
Description of Work: 1559 S FR, Lot 24
Sq Ft. per floor' (1st) 983 (2nd) 576 (3rd) 0 Garage 401 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 1,05748 99375 6373 5 6000 11 3800 $1,000
Building Plan Review 446 78 000 000 o 0000 0.0000
Mechanical Permit 78.25 000 0.00 o 0000 o 0000
Plumbing Permit 104 00 2000 8400 7 0000 12.0000 Fixture
Sewer ERU 5,269 00 000 5,269 00 5,2690000 1 0000 ERU
Sewer Inspection 145 00 145 00 000 0.0000 0.0000 ERU
Sewer Deposit 5000 5000 000 o 0000 o 0000
Water ERU 1,50000 000 1,500 00 1,500 0000 1 0000 ERU
Water Meter (SFD) 300 00 300 00 000 o 0000 o 0000
Water Deposit 4000 4000 000 o 0000 o 0000
Traffic Facilities Charge 757 50 000 757 50 7500000 1 0100 Peak PM Trip
State Building Fee 450 450 000 o 0000 o 0000
TOTAL FEES $9,752.51
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
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.
.# Sets of Pril1ts
Final Inspection"
Date
Signature
Date
By'
Firm
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BLD-04-0153-YL
Permit No
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Issue Date 10/07/2004
(Work must be started within 180 days)
Receipt No
33392
Applicant:
Name Yelm Property Development
Phone.
458-0544
Address 16422 Middle Road SE
City' Yelm
State' WA Zip 98597
Property fD.formation
Site Address. 9982 Greenleaf Loop SE
Assessor Parcel No 84070004600
Subdivision. Willow Glen Phase II
Lot: 46
Contractor Information
Name Applicant
Contact:
Phone.
Address.
City'
State.
Zip
Contractor License No YELMPDL00302
Expires 02/22/0553
Business License.
Project Information
Project: Willow Glen, Phase II
Description of Work: 1596 SFR, lot 46
Sq Ft. per floor' (1st) 730 (2nd) 866 (3rd) 0 Garage 403 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 1,07040 99375 7665 5 6000 13 6880 $1,000
Building Plan Review 695.76 000 000 o 0000 o 0000
Mechanical Permit 8475 000 000 o 0000 o 0000
Plumbing Permit 104 00 20.00 8400 7 0000 12.0000 Fixture
Sewer ERU 5,269 00 000 5,26900 5,269 0000 1 0000 ERU
Sewer Inspection 145 00 000 14500 145 0000 1 0000 ERU
Water ERU 1,500 00 000 1 500 00 1,5000000 1 0000 ERU
Water Meter (SFD) 300 00 300 00 000 o 0000 o 0000
Water Deposit 4000 4000 000 o 0000 0.0000
Traffic Facilities Charge 75750 000 757 50 7500000 1 0100 Peak PM Trip
Sewer Deposit 5000 5000 000 o 0000 o 0000
State Building Fee 450 450 000 o 0000 o 0000
TOTAL FEES $10,020.91
Applicant's Affadavit:
OFFI91AL USE ONl,.Y
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.
# Sets of Prints.
Final Inspection:
Date:
Signature
Date
By:
Firm
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Permit No
BLD-04-0158-YL
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Issue Date 10/05/2004
(Work must be started within 180 days)
Receipt No
33330
Applicant:
Name: Alarm Center Inc.
Phone
360-413-6707
Address. POBox 3407
City' Lacey
State. WA Zip 98597
Prope.rty ;ihf()rm ation
Site Address 404 Yelm Avenue West
Assessor Parcel No 75300100000
Subdivision. N/A
Lot: N/A
Contractor Information
Name. B&H Builders
Contact: Hunt, David
Phone. 458-3277
Address POBox 1959
City' Yelm
State. WA Zip
Contractor License No: BHBUII*093C6
Expires. 07/01/05182
Business License.
Project Information;
Project: Administration Annex
Description of Work: Remodel YCS Annex to Class Rooms-Fire Alarm
Sq. Ft. per floor' (1 st) 0 (2nd) 0 (3rd) 0 Garage 0 Basement 0
Heat Type (Electric, Gas, Other) OTHER
Fees
Item Item Fee Base Amt Unit Fee Unit Rate No Units Unit Desc
--------------------------- -------------
Building Permit - Other 105 63 000 000 0.0000 o 0000 $1,000
Building Plan Review 68.66 000 000 o 0000 o 0000
TOTAL FEES $174.29
Applicant's AftCidavit:
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
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.
ft. Sets of Prints.
Final Inspection
Date
Signature
Date
By'
Firm
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Permit No
BLD-04-0159-YL
City of Yelm
Community Development Department
~uilding Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Issue Date 10/12/2004
(Work must be started within 180 days)
Receipt No
33409
Appiicant:
Name Evergreen State Builders
Phone.
253-475-6622
Address POBox 197
City' Lakewood
State WA Zip 98499
P"OI?~rty JnfQl"mati e>n
Site Address. 15862 104th Ave SE
Assessor Parcel No
Subdivision. Yelm Terra
Lot: 55
Contractor Information
Name Evergreen State Builders
Contact: McCullem, Tom
Phone. 253-475-6622
Address. POBox 197
City' Lakewood
State W A Zip
Contractor License No EVERGSB980PB
Expires 10/02/06275
Business License.
Project Information
Project: Yelm Terra
Description of Work: Plan 1740B/2, Lot 55
Sq. Ft. per floor' (1 st) 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 1,14915 993 75 155 40 5 6000 277500 $1,000
Building Plan Review 74694 000 000 o 0000 o 0000
Mechanical Permit 78.75 000 000 o 0000 o 0000
Plumbing Permit 111 00 20.00 9100 7 0000 13.0000 Fixture
Sewer ERU 5,269 00 000 5,269 00 5,269 0000 1 0000 ERU
Sewer Inspection 145 00 000 145 00 145 0000 1 0000 ERU
Water ERU 1,50000 000 1,50000 1,5000000 1 0000 ERU
Water Meter (SFD) 300 00 300 00 000 o 0000 o 0000
Water Deposit 4000 4000 000 o 0000 0.0000
Traffic Facilities Charge 757 50 000 75750 7500000 1 0100 Peak PM Trip
Sewer Deposit 5000 5000 000 o 0000 o 0000
State Building Fee 450 4.50 000 o 0000 o 0000
TOTAL FEES $10,151.84
Applicant's Affadaviti
OFFICIAL USEONL Y
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
# Sets of Prints.
Final Inspection.
Date:
Signature
Date
By'
Firm
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M-04-0160-YL
Permit No
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Issue Date 10/08/2004
(Work must be started within 180 days)
Receipt No
33411
Applicant:
Name. Temp. Control Mechanical Service
Phone
360-493-8870
Address. 8310 30th Ave. NE
City' Lacey
State. W A Zip 98576
Property IQformation
Site Address 208 Washington St
Assessor Parcel No 64400801200
Subdivision
Lot:
Contractor Information
Name Temp. Control Mechanical Service
Contact:
Phone 360-493-8870
Address. 8310 30th Ave. NE
City' Lacey
Expires 10/23/05296
State WA Zip
Contractor License No TEMPCMS065QP
Business License:
Project Information
Project: Ycom Tower
Description of Work: Package cooling system for control room
Sq. Ft. per floor' (1 st) 0
(2nd) 0
(3rd)
Garage 0
Basement 0
o
Heat Type (Electric, Gas, Other)' OTHER
Fees
Item
Item Fee
Base Amt
Unit Fee
Unit Rate
No Units Unit Desc
Mechanical Permit
TOTAL FEES
33.25
$33.25
0.00
000
o 0000
o 0000
Applicant's Affadavit:
OFFICIAL'USE ONLY
I certify that I have read and examined the information contained within the application and know the same
to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of
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
# Sets of Prints.
Final Inspection
Date;
Signature
Date
By'
Firm
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Permit No
SE-04-0162-YL
Issue Date 10/07/2004
(Work must be started within 180 days)
Name Childs Fireworks
Phone.
State: WA Zip 98445
253-531-1658
Address POBox 45637
City' Tacoma
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Receipt No
Lot:
Address
City'
State
Business License.
Zip
Contractor License No
Expires
Applicant:
Property Information
Site Address 1315 Yelm Ave. West
Assessor Parcel No 21724210500
Subdivision'
Basement 0
Fees.
Item
Item Fee
Base Amt
Unit Fee
Unit Rate
No Units Unit Desc
OFFICIAL USE ONLY
# Sets of Prints:
Co niracto r.lnfdrrnation
Name.
Contact:
Phone:
Final Inspection
Date:
ProjeHTnf9rrh@()n '
Project: Yelm High School Home Coming
Description of Work: Aireal Fireworks Display
License #P-4019
Sq. Ft. per floor' (1 st) 0
(2nd) 0
(3rd) 0
Garage 0
By'
Heat Type (Electric, Gas, Other)
TOTAL FEES
$0.00
Firm
Applicant's Affaciiwit:
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
o
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Permit No
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
SE-04-0163-YL
Issue Date 10/12/2004
(Work must be started within 180 days)
Receipt No
Name. Key Bank
Phone
State. WA Zip 98597
360-458-2090
Address. PO Box 574
City' Yelm
Applicant:
Property Informcltion
Site Address 1100 Yelm Avenue E
Assessor Parcel No. 99000339400
Subdivision.
Lot:
Address.
City'
State.
Business License
Zip.
Contractor License No'
Expires
Contractor Information.
Name
Contact:
Phone.
Basement 0
Fees
Item
Item Fee
Base Amt
Unit Fee
Unit Rate
No Units Unit Desc
OFFICIAL USE ONLY
# Sets of Prints
Project rnformatio!l_~
Project: Key Bank Banner
Description of Work: Free Checking Banner 10/12 - 10/26/04
Sq. Ft. per floor' (1 st) 0
(2nd) 0
(3rd)
Garage 0
Final Inspection.
Date.
o
Heat Type (Electric, Gas, Other)'
TOTAL FEES
$0.00
By'
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
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Permit No
SE-04-0164-YL
I ssue Date 10/12/2004
(Work must be started within 180 days)
Name. Yelm Nails Spa
Phone.
State WA Zip 98597
360-400-5437
Address 510 Yelm Ave W
City' Yelm
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Receipt No
Lot:
Address
City'
State.
Business License'
Zip
Contractor License No'
Expires.
Applicant:
Propertylnformatiol1
Site Address. 510 Yelm Ave W
Assessor Parcel No 21724141202
Subdivision.
Basement 0
Fees.
Item
Item Fee
Base Amt
Unit Fee
Unit Rate
No Units Unit Desc
OFFICIAL USE ONLY
# Sets of Prints.
Final Inspection
Date:
Contractor Information
Name
Contact:
Phone'
By'
Project Irlforlllaticm
Project: Yelm Nails spa
Description of Work: Nails Sale Banner to advertise "special" sales 10/13 - 10/28/04
Sq. Ft. per floor' (1st) 0
(2nd) 0
(3rd) 0
Garage 0
Firm
Heat Type (Electric, Gas, Other)'
TOTAL FEES
$0.00
Applicant's Affiidavit:
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
o
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Permit No
SE-04-0165-YL
Issue Date 10/13/2004
(Work must be started within 180 days)
Receipt No
~pplicant:
Name Burger King
Phone
360-458-8117
Address 902 Yelm Avenue E
City' Yelm
State' WA Zip 98597
Property Information:
Site Address. 902 Yelm Ave E.
Assessor Parcel No 99001818300
Subdivision.
Lot:
Contractor fflformation
Name.
Contact:
Phone.
Address
City'
State
Zip'
Contractor License No
Expires,
Business License
Project Information
Project: Sponge Bob Square Pants
c
Description of Work: Roof inflatable at east end of building of Burger King.
Start mid November - for 2 weeks.
Sq. Ft. per floor' (1 st) 0
(2nd) 0
(3rd) 0
Garage 0
Basement 0
Heat Type (Electric, Gas, Other)
Fees.
Item
Item Fee
Base Amt
Unit Fee
Unit Rate
No Units Unit Desc
TOTAL FEES
$0.00
Applicant's Aff'adavit:
OFFICIAL USE ONLY
o
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
# sets of Prints.
Final Inspection:
Date.
Signature
Date
By'
Firm
c
c
o
Permit No
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
SE-04-0167 -YL
Issue Date 10/21/2004
(Work must be started within 180 days)
Receipt No
Applicant:
Name Our Redeemer Lutheran Church & School
Address POBox 2169
City' Yelm
Property Information
Site Address 805 Yelm Ave. E
Assessor Parcel No 22730120902
Subdivision
Contractor Information
Name
Contact:
Address.
City'
State.
Business License.
Zip'
Contractor License No
Expires
Project Information
Project: Registration
Description of Work: School enrollment banner
10-15-04 to 10-29-04
Sq. Ft. per floor' (1 st) 0 (2nd) 0
Heat Type (Electric, Gas, Other)
(3rd) 0
Garage 0
Fees.
Item
Item Fee
Base Amt
Unit Fee
Unit Rate
No Units Unit Desc
TOTAL FEES
$0.00
Applic~l'lt's Aftadayit:
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
Phone
360-458-7310
State. WA Zip 98597
Lot:
Phone
Basement 0
OFFICIAL USE ONLY
# Sets of Prints.
Final Inspection
Date
By'
c
o
o
BLD-04-0168-YL
Permit No
City ofYelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Issue Date 10/15/2004
(Work must be started within 180 days)
Receipt No
33497
Applicant:
Name Mattocks, Greg
Phone.
400-1588
Address 204 Jefferson
City' Yelm
State' WA Zip
Property InformatiQn
Site Address. 204 Jefferson
Assessor Parcel No 75301400900
Subdivision:
Lot:
Contractor Information
Name: Applicant
Contact:
Phone:
Address,
City'
State:
Zip'
Contractor License No
Expires
Business License
Project Info"rmation
Project: Greg Mattocks
Description of Work: Residential Re-roof
Sq Ft. per floor' (1 st) 1000 (2nd)
(3rd)
o
Garage 0
Basement 0
400
Heat Type (Electric, Gas, Other) OTHER
Fees
Item Item Fee Base Amt Unit Fee Unit Rate No Units Unit Desc
--------------------------- -------------
Building Permit - Other 2500 000 000 o 0000 o 0000 $1,000
TOTAL FEES $25.00
ApplicanesAffadavit:
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.
OFFICIAL USE ONLY
# Sets of Prints.
Final Inspection.
Signature
Date:
Date
By'
Firm
c
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Permit No
BLD-04-0169-YL
I ssue Date 10/28/2004
(Work must be started within 180 days)
Receipt No
33727
AppliCclnt:
Name Yelm Property Development
Phone
458.0544
Address, 16422 Middle Road SE
City' Yelm
State. WA Zip 98597
Pt(j'pl:lrtyl ni()rn'l~Hon.
Site Address. 9976 Greenleaf Loop SE
Assessor Parcel No 84070004400
Subdivision. Willow Glen, Phase II
Lot: 44
Contractor Information:.
Name Applicant
Contact:
Phone
Address
City'
Expires. 02/20/0551
State
Zip
Contractor License No YELMPDL00302
Business License
Project Information,
Project: Willlow Glen, Phase II
c
Description of Work: 1296 SFR-Lot 44
Sq. Ft. per floor' (1 st) 1296 (2nd)
o
(3rd)
o
Garage 398
Basement 0
Heat Type (Electric, Gas, Other)' GAS
Fees
Item Item Fee Base Amt Unit Fee Unit Rate No Units Unit Desc
--------------------------- -------------
Building Permit 50-1 OOk 951 65 643 75 307 90 7 0000 43.9850 $1,000
Building Plan Review 397 08 000 000 o 0000 o 0000
Mechanical Permit 7175 0.00 000 o 0000 o 0000
Plumbing Permit 9000 2000 7000 7 0000 1 0 0000 Fixture
Sewer ERU 5,26900 000 5,26900 5,269 0000 1 0000 ERU
Sewer Inspection 14500 0.00 14500 145 0000 1 0000 ERU
Water ERU 1,50000 000 1,50000 1,5000000 1 0000 ERU
Water Meter (SFD) 300.00 300 00 000 o 0000 o 0000
Water Deposit 4000 4000 000 o 0000 o 0000
Sewer Deposit 5000 5000 000 o 0000 o 0000
State Building Fee 450 450 000 o 0000 o 0000
Traffic Facilities Charge 75750 000 000 7500000 1 0100 Peak PM Trip
TOTAL FEES $9,576.48
Applicant's Affadavit:
OFFICIAL USE ONLY
o
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.
# Sets of Prints.
Final Inspection
Signature
Date
Date
By:
Firm
c
c
o
Permit No
BLD-04-0170- YL
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
I ssue Date 10/28/2004
(Work must be started within 180 days)
Receipt No
33726
Applicant:
Name Yelm Property Development
Phone.
458.0544
Address 16422 Middle Road SE
City' Yelm
State WA Zip 98597
Property Information
Site Address 9921 Greenleaf Loop SE
Assessor Parcel No 84070002500
Subdivision. Willow Glen Phase II
Lot: 25
Contractor .information.
Name Applicant
Contact: Balascio, D M
Phone'
Address.
City'
Expires 02/20/0551
State.
Zip'
Contractor License No YELMPDL00302
Business License
ProJe~flnformation.
Project: Yelm Property Development
Description of Work: 1559 SFR, Lot 25
Sq Ft. per floor. (1 st) 983 (2nd) 576 (3rd) 0 Garage 401 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 1,05748 99375 6373 5 6000 11 3800 $1,000
Building Plan Review 446 78 000 000 o 0000 o 0000
Mechanical Permit 78.25 000 000 o 0000 0,0000
Plumbing Permit 10400 2000 8400 7 0000 12.0000 Fixture
Sewer ERU 5,269 00 000 5,26900 5,2690000 1 0000 ERU
Sewer Inspection 145 00 145 00 000 o 0000 o 0000 ERU
Sewer Deposit 5000 5000 000 o 0000 o 0000
Water ERU 1,50000 000 1,50000 1,500 0000 1 0000 ERU
Water Meter (SFD) 300 00 300 00 000 o 0000 o 0000
Water Deposit 4000 4000 000 o 0000 o 0000
Traffic Facilities Charge 757 50 000 757.50 7500000 1 0100 Peak PM Trip
State Building Fee 450 450 000 o 0000 o 0000
TOTAL FEES $9,752.51
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
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
# Sets of Prints
Fina"nspection
Date'
Signature
Date
By'
Firm
c
c
c
Permit No
BLD-04-0171-YL
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Issue Date 10/28/2004
(Work must be started within 180 days)
Receipt No
33728
Applicant:
Name Yelm Property Development
Phone'
458-0544
Address 16422 Middle Road SE
City' Yelm
State. WA Zip 98597
Property Information'
Site Address. 9916 Greenleaf Loop SE
Assessor Parcel No 84070004500
Subdivision. Willow Glen Phase II
Lot: 45
Contractor Information
Name Applicant
Contact:
Phone.
Address
City'
State
Zip'
Contractor License No: YELMPDL00302
Expires. 02/20/0551
Business License.
Project Information.
Project: Willow Glen, Phase II
Description of Work: 1622 SFR, lot 45
Sq. Ft. per floor' (1st) 787 (2nd) 835 (3rd) 0 Garage 432 Basement 0
Heat Type (Electric, Gas, Other) GAS
Fees.
Item Item Fee Base Amt Unit Fee Unit Rate No Units Unit Desc
--------------------------- -------------
Building Permit 100-500k 1,08373 993.75 8998 5 6000 16 0680 $1,000
Building Plan Review 704 42 000 000 o 0000 o 0000
Mechanical Permit 7875 000 000 o 0000 o 0000
Plumbing Permit 111 00 2000 9100 7 0000 13 0000 Fixture
Sewer ERU 5,26900 0.00 5,269 00 5,269 0000 1 0000 ERU
Sewer Inspection 145 00 0.00 145 00 145 0000 1 0000 ERU
Water ERU 1,50000 000 1,50000 1,5000000 1 0000 ERU
Water Meter (SFD) 300 00 300 00 000 0.0000 o 0000
Water Deposit 4000 4000 000 o 0000 o 0000
Traffic Facilities Charge 757 50 000 757 50 7500000 1 0100 Peak PM Trip
Sewer Deposit 5000 5000 000 o 0000 o 0000
State Building Fee 450 450 000 0.0000 0.0000
TOTAL FEES $10,043.90
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
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.
# $ets of Prints
Finalllispection.
Signature
Date
Date:_
By'
Firm