12/2004 Report
o
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 Plannmg CouncIl
From: Roberta Allen, AdmmIstratIve AssIstant
Date: January 4, 2005
Re: Bmldmg PermIts Issued for the Month of December 2004
c
Enclosed are COpleS of the BuIldmg PermIts Issued.
PermIt numbers
0123,0179,0195,0196,0197,0198,0199,0201,0202,0204,0206,0208,0209,0211,0212
If you have any questIOns, please contact Gary Carlson at (360) 458-8407
Thank You,
Taml
cc Gary Carlson, Bmldmg OffiCial
c
R.\Building Folder\2004 Reports\12 04 Permit Report.doc
o
City of Yelm
Community Development Department
Building Division
Phone. (360) 458-8407
Fax: (360) 458-3144
Permit No
PL-04-0123-YL
Issue Date 12/29/2004
(Work must be started within 180 days)
Receipt No
34336
Applicant:
Name Easthaven Villa
Phone
458-2800
Address 311 Cullens Rd NW
City' Yelm
State W A Zip 98597
Property Information
Site Address 311 Cullens
Assessor Parcel No 21724140502
Subdivision. N/A
Lot: N/A
Contractor Information
Name
Contact:
Phone
Address
City
State.
Zip
Contractor License No
Expires
Business License'
Projecflnformation
Project: Easthaven Laundry Room Upgrade
o
Description of Work. Remodel Laundry Room & Kitchen
Sq Ft. per floor. (1 st) 0
(2nd) 0
(3rd)
o
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
TOTAL FEES
3400
$34.00
2000
1400
7 0000
2.0000 Fixture
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:
Date
Signature
Date
By.
Firm
o
c
o
Permit No
BLD-04-0179-YL
City of Yelm
Community Development Department
Building Division
Phone' (360) 458-8407
Fax: (360) 458-3144
Issue Date 12/08/2004
(Work must be started within 180 days)
Receipt No
34224
Applicant:
Name Peck Espresso
Phone.
894-3333
Address POBox 400
City. Yelm
State W A Zip 98503
Property Information
Site Address 702 Yelm Avenue West
Assessor Parcel No 21714141100
Subdivision N/A
Lot: N/A
Contractor Information
Name Noble, William M
Contact: Noble, W
City. Lacey
Expires 07/21/06202
Phone 360-491-1840
Address 6021 7th Ave. SE
State WA Zip
Contractor License No NOBLEWM007NJ
Business License.
Project Information
Project: Peck Drive Thru Espresso
Description of Work: 282 sJ espresso stand
Sq Ft. per floor' (1st) 282
(2nd) 0
(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 - Other 298 99 000 000 o 0000 o 0000 $1,000
Building Plan Review 194 34 000 000 o 0000 o 0000
Mechanical Permit 3900 000 000 o 0000 o 0000
Plumbing Permit 5500 2000 3500 7 0000 5 0000 Fixture
Sewer ERU 000 000 000 5,2690000 o 0000 ERU
Sewer Inspection 145 00 000 145 00 145 0000 1 0000 ERU
Water ERU 1 500 00 000 1 500 00 1,5000000 1 0000 ERU
Water Meter (Commercial) 300 00 300 00 000 o 0000 o 0000
Water Deposit 4000 4000 000 o 0000 o 0000
Traffic Facilities Charge 3,864 75 000 3,864 75 750 0000 5 1530 Peak PM Trip
Sewer Deposit 9000 5000 000 o 0000 o 0000
State Building Fee 450 450 000 o 0000 o 0000
Civil Plan Review 756 00 000 756 00 54 0000 14 0000 Hour
TOTAL FEES $7,287.58
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
OFFICIAL USE ONLY
# Sets of Prints
Fiilallnspection
Signature
Date.
Date
By'
Firm
o
c
o
Permit No
BLD-04-0195-YL
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Issue Date 12/07/2004
(Work must be started within 180 days)
Receipt No
34222
Applicant:
Name Evergreen State Builders
Phone
253-475-6622
Address POBox 39753
City. Lakewood
State. WA Zip 98499
ProJ)ertylnformation
Site Address 15801 104th Ave SE
Assessor Parcel No 85840006800
Subdivision. Yelm Terra
Lot: 68
Contractor Information
Name. Evergreen State Builders
Contact: McCullem, Tom
Phone 253-475-6622
Address POBox 39753
City' Lakewood
State. WA Zip
Contractor License No EVERGSB980PB
Expires 10/02/06275
Business License 1042.0
Project Information
Project: Yelm Terra
Description of Work: 1819/02, Lot 68
Sq Ft. per floor (1 st) 1363 (2nd) 658
(3rd) 0
Garage 440
Basement 0
Heat Type (Electric, Gas, Other) GAS
Fees
Item Item Fee Base Amt Unit Fee Unit Rate No Units Unit Desc
--------------------------- -------------
Building Permit 1 00-50 Ok 1,229 14 993 75 235 39 5 6000 42.0340 $1,000
Building Plan Review 798 94 000 000 o 0000 o 0000
Mechanical Permit 8475 000 000 o 0000 o 0000
Plumbing Permit 132.00 2000 112.00 7 0000 16 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 1 500 00 1,5000000 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
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 o 0000 o 0000
TOTAL FEES $10,310.83
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
o
o
c
Permit No
BLD-04-0196-YL
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Issue Date 12/29/2004
(Work must be started within 180 days)
Receipt No
34343
Applicant:
Name Evergreen State Builders
Phone
253-475-6622
Address POBox 39753
City. Lakewood
State WA Zip 98499
Property Information
Site Address 15807 104th Ave SE
Assessor Parcel No 85840006700
Subdivision Yelm Terra
Lot: 67
Contractor Information
Name Evergreen State Builders
Contact: McCullem, Tom
Phone 253-475-6622
Address POBox 39753
City. Lakewood
State W A Zip
Contractor License No EVERGSB980PB
Expires 10/02/06275
Business License 1042.0
Project Information
Project: Yelm Terra
Description of Work. 1528/2, Lot 67
Sq Ft. per floor. (1st) 788 (2nd) 740 (3rd) 0 Garage 375 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 1,041 85 993 75 4810 5 6000 8 5900 $1,000
Building Plan Review 677.20 000 000 o 0000 o 0000
Mechanical Permit 78.25 000 000 o 0000 0.0000
Plumbing Permit 125 00 2000 105 00 7 0000 15 0000 Fixture
Sewer ERU 5,269 00 000 5,269 00 5,2690000 1 0000 ERU
Sewer Inspection 14500 000 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
Traffic Facilities Charge 757 50 000 757 50 750 0000 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 $9,988.30
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.
OFFICIAL USE ONLY
# Sets of Prints
Final Inspection
Signature
Date:
Date
By.
Firm
o
o
o
Permit No
BLD-04-0197 - YL
City of Yelm
Community Development Department
Building Division
Phone" (360) 458-8407
Fax: (360) 458-3144
Issue Date 12/07/2004
(Work must be started within 180 days)
Receipt No
34221
Applicant:
Name Evergreen State Builders
Phone
253-475-6622
Address POBox 39753
City. Lakewood
State. WA Zip 98499
Property Information
Site Address. 15843 104th Ave SE
Assessor Parcel No 85840006300
Subdivision' Yelm Terra
Lot: 63
Contractor Information
Name Evergreen State Builders
Contact: McCullem, Tom
Phone 253-475-6622
Address. POBox 39753
City. Lakewood
State WA Zip
Contractor License No EVERGSB980PB
Expires. 10/02/06275
Business License. 1042.0
Project Information:
Project: Yelm Terra
Description of Work: 1675/3 Lot 63
Sq Ft. per floor' (1st) 908 (2nd) 767 (3rd) 0 Garage 701 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 1 138 62 99375 14487 5 6000 25 8690 $1 000
Building Plan Review 740 10 000 000 o 0000 o 0000
Mechanical Permit 78.25 000 000 o 0000 o 0000
Plumbing Permit 118.00 2000 98.00 7 0000 14 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 1 500 00 000 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
Traffic Facilities Charge 757 50 000 757 50 750 0000 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 $10,140.97
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.
OFFICIAL USE ONLY
# Sets of Prints
Final Inspection
Signature
Date
Date
Firm
By'
o
o
o
BLD-04-0198-YL
Permit No
City of Yelm
Community Development Department
Building Division
Phone. (360) 458-8407
Fax: (360) 458-3144
I ssue Date 12103/2004
(Work must be started within 180 days)
Receipt No
34197
Applicant:
Name Yelm Property Development
Phone
458-0544
Address 16422 Middle Road SE
City' Yelm
State WA Zip 98597
Property Information
Site Address 9922 Greenleaf Loop SE
Assessor Parcel No 84070004300
Subdivision Willow Glen, Phase II
Lot: 43
Contractor Information
Name Applicant
Contact:
Phone
Address.
City.
State
Zip'
Contractor License No YELMPDL00302
Expires 02/20/0551
Business License
Project Information
Project: Willlow Glen, Phase II
Description of Work: 1296 SFR-Lot 43
LID Sewer Connection
Sq Ft. per floor. (1st) 1296 (2nd)
(3rd)
o
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 50-100k 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 000 000 o 0000 o 0000
Plumbing Permit 9000 2000 7000 7 0000 10.0000 Fixture
Sewer ERU (LID) 2,694 00 000 2,694 00 2,694 0000 1 0000 ERU
Sewer Inspection 145 00 000 145 00 145 0000 1 0000 ERU
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
Sewer Deposit 5000 5000 000 o 0000 o 0000
Water Deposit 4000 4000 000 o 0000 o 0000
Traffic Facilities Charge 757 50 000 757 50 750 0000 1 0100 Peak PM Trip
State Building Fee 450 450 000 o 0000 o 0000
TOTAL FEES $7,001 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
OFFICIAL USE ONLY
# Sets of Prints
Final Inspection.
Signature
Date'
Date
By'
Firm
o
c
c
Permit No
BLD-04-0199- YL
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Issue Date 12/07/2004
(Work must be started within 180 days)
Receipt No
34220
Applicant:
Name Evergreen State Builders
Phone
253-475-6622
Address POBox 39753
City. Lakewood
State WA Zip 98499
Property Information
Site Address 15855 104th Ave SE
Assessor Parcel No 85840006100
Subdivision. Yelm Terra
Lot: 61
Contractor Information
Name Evergreen State Builders
Contact: McCullem, Tom
Phone 253-475-6622
Address POBox 39753
City. Lakewood
State. WA Zip
Contractor License No EVERGSB980PB
Expires. 10/02/06275
Business License 1042.0
Project information
Project: Yelm Terra
Description of Work. Plan 2229/2, Lot 61
Sq Ft. per floor (1 st) 1038 (2nd) 1191 (3rd) 0 Garage 440 Basement 0
Heat Type (Electric, Gas, Other) GAS
Fees
Item Item Fee Base Amt Unit Fee Unit Rate No Units Unit Desc
------------- -------------- -------------
Building Permit 100-500k 1,30679 99375 .313.04 5 6000 55 9000 $1,000
Building Plan Review 849 41 000 000 o 0000 o 0000
Mechanical Permit 7875 000 000 o 0000 o 0000
Plumbing Permit 118.00 2000 9800 7 0000 140000 Fixture
SewerERU 5,26900 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 1 500 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
Sewer Deposit 5000 5000 000 o 0000 o 0000
State Building Fee 450 450 000 o 0000 o 0000
TOTAL FEES $10,418.95
Appiicant'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
OFFICIAL USE ONLY
# Sets of Prints
Final Inspection
Signature
Date.
Date
By'
Firm
o
o
o
BLD-04-0201- YL
Permit No
City of Yelm
Community Development Department
Building Division
Phone (360) 458-8407
Fax: (360) 458-3144
Issue Date 12/07/2004
(Work must be started within 180 days)
Receipt No
34218
Applicant:
Name Evergreen State Builders
Phone
253-475-6622
Address POBox 39753
City' Lakewood
State W A Zip 98499
Property Information
Site Address 15832 10'Jth Ave SE
Assessor Parcel No 85840005000
Subdivision Yelm Terra
Lot: 50
Contractor Information
Name. Evergreen State Builders
Contact: McCullem, Tom
Phone 253-475-6622
Address. POBox 39753
City' Lakewood
State WA Zip
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 50
Sq Ft. per floor. (1 st) 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 1,17558 993 75 181 83 5 6000 32 4700 $1,000
Building Plan Review 764 12 000 000 o 0000 o 0000
Mechanical Permit 78.75 000 000 o 0000 o 0000
Plumbing Permit 132.00 2000 112.00 7 0000 16 0000 Fixture
Sewer ERU 5,26900 000 5,26900 5,269 0000 1 0000 ERU
Sewer Inspection 14500 000 145 00 145 0000 1 0000 ERU
Water ERU 1,50000 000 1,50000 1 500 0000 1 0000 ERU
Water Meter (SFD) 300 00 300 00 0.00 o 0000 o 0000
Water Deposit 4000 4000 000 o 0000 o 0000
Traffic Facilities Charge 757 50 000 757 50 750 0000 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 $10,216.45
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' am currently
registered in the State of Washington
OFFICIAL USE ONLY
# Sets of Prints
Final Inspection
Signature
Date.
Date
By'
Firm
o
City of Yelm
Community Development Department
Building Division
Phone. (360) 458-8407
Fax: (360) 458-3144
Permit No
BLD-04-0202-YL
Issue Date 12/07/2004
(Work must be started within 180 days)
Receipt No
34219
Applicant:
Name Evergreen State Builders
Phone
253-475-6622
Address POBox 39753
City' Lakewood
State W A Zip 98499
Property Information
Site Address 15820 104th Ave SE
Assessor Parcel No 85840004800
Subdivision. Yelm Terra
Lot: 48
Contractor Info rm ati on
Name Evergreen State Builders
Contact: McCullem, Tom
Phone 253-475-6622
Address. POBox 39753
City' Lakewood
State W A Zip
Contractor License No EVERGSB980PB
Expires 10/02/06275
Business License 1042.0
Project Information
Project: Yelm Terra
o
Description of Work: Plan 2200 /2A Lot 48
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
_____w_ ________________ ____ -------------
Building Permit 100-500k 1,30119 993 75 307 44 5 6000 54 9000 $1,000
Building Plan Review 845 77 000 000 o 0000 o 0000
Mechanical Permit 8475 000 000 o 0000 o 0000
Plumbing Permit 118 00 2000 98.00 7 0000 14 0000 Fixture
SewerERU 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 1,500 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
Sewer Deposit 5000 5000 000 o 0000 o 0000
State Building Fee 450 450 000 o 0000 o 0000
TOTAL FEES $10,415.71
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
Date.
Signature
Date
By'
Firm
o
o
o
Permit No
BLD-04-0204-YL
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Issue Date 12/29/2004
(Work must be started within 180 days)
Receipt No
34344
Applicant:
Name Evergreen State Builders
Phone.
253-475-6622
Address POBox 39753
City. Lakewood
State. WA Zip 98499
Property Information
Site Address 15814 104th Ave SE
Assessor Parcel No 85840004700
Subdivision Yelm Terra
Lot: 47
Contractor Information
Name Evergreen State Builders
Contact: McCullem, Tom
Phone 253-475-6622
Address POBox 39753
City. Lakewood
State' WA Zip
Contractor License No EVERGSB980PB
Expires 10/02/06275
Business License. 1042.0
Project Information
Project: Yelm Terra
Description of Work: Plan 1530 S/2, Lot 47
Sq Ft. per floor. (1st) 1530 (2nd)
(3rd)
Garage 582
o
o
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 1,06991 99375 7616 5 6000 13 6000 $1,000
Building Plan Review 695 44 000 000 o 0000 o 0000
Mechanical Permit 7175 000 000 o 0000 o 0000
Plumbing Permit 111 00 2000 9100 7 0000 13 0000 Fixture
Sewer ERU 5,26900 000 5,269 00 5,269 0000 1 0000 ERU
Sewer Inspection 145 00 000 145 00 145 0000 1 0000 ERU
Water ERU 1 500 00 000 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
Sewer Deposit 5000 5000 000 o 0000 o 0000
State Building Fee 450 450 000 o 0000 o 0000
TOTAL FEES $10,01410
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
OFFICIAL USE ONLY
# Sets of Prints
Final Inspection.
Signature
Date:
Date
By'
Firm
o
City of Yelm
Community Development Department
Building Division
Phone. (360) 458-8407
Fax: (360) 458-3144
Permit No
BLD-04-0206-YL
I ssue Date 12/10/2004
(Work must be started within 180 days)
Receipt No
34240
Applicant:
Name. Yelm Property Development
Phone.
458-0544
Address. 16422 Middle Road SE
City' Yelm
State. WA Zip 98597
Property Information
Site Address 9970 Greenleaf Loop SE
Assessor Parcel No 84070004200
Subdivision. Willow Glen Phase II
Lot: 42
Contractor Information
Name Yelm Property Development
Contact: Belasero, D M
Phone 458.0554
Contractor License No YELMPD00302
City. Yelm
Expires 02/22/0553
State W A Zip'
Address 16422 Middle Rd SE
Business License
Project Information
Project: Willow Glen Phase II
o
Description of Work. 1565 SFR, Lot 42
Sq Ft. per floor. (1 st) 810 (2nd) 755 (3rd) 0 Garage 400 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 1,059.24 993 75 6549 5 6000 11 6950 $1,000
Building Plan Review 44752 000 000 o 0000 o 0000
Mechanical Permit 78.25 000 000 o 0000 o 0000
Plumbing Permit 111 00 2000 91 00 7 0000 13 0000 Fixture
Sewer ERU (LID) 2,694 00 000 2,694 00 2,694 0000 1 0000 ERU
Sewer Inspection 14500 14500 000 o 0000 o 0000 ERU
Sewer Deposit 5000 5000 000 o 0000 o 0000
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
Traffic Facilities Charge 757 50 000 757 50 750 0000 1 0100 Peak PM Trip
State Building Fee 450 450 000 o 0000 o 0000
TOTAL FEES $7,187.01
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:
Date.
Signature
Date
By'
Firm
o
o
o
Permit No
BLD-04-0208-YL
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Issue Date 12/10/2004
(Work must be started within 180 days)
Receipt No
34241
Applicant:
Name Yelm Property Development
Phone
458-0544
Address 16422 Middle Road SE
City. Yelm
State W A Zip 98597
Property Information
Site Address 9927 Greenleaf Loop SE
Assessor Parcel No 84070002600
Subdivision Willow Glen Phase II
Lot: 26
Contractor Information
Name Applicant
Contact:
Phone
Address
City.
Expires. 02/20/0551
State
Zip
Contractor License No YELMPDL00302
Business License.
Project information
Project: Willow Glen Phase II
Description of Work. 1568 SFR, Lot 26
Sq Ft. per floor. (1st) 868 (2nd) 700 (3rd) 0 Garage 396 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 1,056.29 993 75 62.54 5 6000 11 1670 $1,000
Building Plan Review 446.28 000 000 o 0000 o 0000
Mechanical Permit 78.25 000 000 o 0000 o 0000
Plumbing Permit 10400 2000 8400 7 0000 12.0000 Fixture
Sewer ERU (LID) 2,694 00 000 2,694 00 2,694 0000 1 0000 ERU
Sewer Inspection 145 00 145 00 000 o 0000 o 0000 ERU
Water ERU 1 500 00 000 1 500 00 1 500 0000 1 0000 ERU
Water Meter (SFD) 300 00 300 00 000 o 0000 o 0000
Traffic Facilities Charge 757 50 000 757 50 7500000 1 0100 Peak PM Trip
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
TOTAL FEES $7,175.82
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
OFFICIAL USE ONLY
# Sets of Prints.
Finall~spection.
Date'
Signature
Date
By'
Firm
o
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Permit No
M-04-0209-YL
I ssue Date 12/10/2004
(Work must be started within 180 days)
Receipt No
34246
Applicant:
Name Willy Kimbrough
Phone
Address 14508 Berry Valley Rd
City. Yelm
State WA Zip 98597
Property Information
Site Address 14508 Berry Valley Rd SE
Assessor Parcel No 21724230105
Subdivision N/A
Lot: NIA
Contractor Information
Name
Contact:
Phone
Address
City.
State
Zip
Contractor License No
Expires
Business License
Project Information
Project: Kimbrough Wood Stove
o
Description of Work: Install Country Stoves model # S160
Sq Ft. per floor' (1st) 0
Heat Type (Electric, Gas, Other)
(2nd) 0
(3rd)
o
Garage 0
Basement 0
Fees
Item
Item Fee
Base Amt
Unit Fee
Unit Rate
No Units Unit Desc
Mechanical Permit
TOTAL FEES
2950
$29.50
000
000
o 0000
o 0000
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
o
o
o
Permit No
City of Yelm
Community Development Department
Building Division
Phone (360) 458-8407
Fax: (360) 458-3144
SIGN-04-0211-YL
Issue Date 12/20/2004
(Work must be started within 180 days)
Receipt No
Zip
Lot:
Address.
State
Business License
Zip'
Contractor License No
Expires.
Applicant:
Name Bobs Auto Repair
Phone'
Basement 0
Building Permit - Other
TOTAL FEES
o 0000
No Units Unit Desc
00000 $1,000
OFFICIAL USE ONLY
# Sets of Prints
Address.
City.
State
Final Inspection.
Date
Property Information
Site Address 801 Yelm Ave.
Assessor Parcel No 99000512400
Subdivision
By'
Contractor Information
Name
Contact:
Phone
City.
Project Information
Project: Bobs Auto Repair
Description of Work: Wall mount sign
Sq Ft. per floor. (1st) 0
(2nd)
(3rd)
o
Garage 0
o
Heat Type (Electric, Gas, Other)
Fees
Item
Item Fee
Base Amt
Unit Fee
Unit Rate
2000
$20 00
000
000
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
o
City of Yelm
Community Development Department
Building Division
Phone (360) 458-8407
Fax: (360) 458-3144
Permit No
SIGN-04-0212-YL
Issue Date 12/20/2004
(Work must be started within 180 days)
Receipt No
Applicant:
Name RSE Outback
Phone
Address
City
State.
Zip
Property Information
Site Address 207 First Street S.E.
Assessor Parcel No 64420100400
Subdivision.
Lot:
Contractor Information
Name
Contact:
Phone.
Address
City.
State
Zip
Contractor License No
Expires
Business License
Project Information
Project: Neon Sign
o
Description of Work: Add one Neon Sign 24x28
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
TOTAL FEES
2000
$20 00
000
000
o 0000
00000 $1,000
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