20170140 Permit Pkg 03172017m
A m
YELM
City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: MT TERRACE BUILDERS
Address: 301 YELM AVE E
YELM WA 98597
Property Information:
Site Address: Qr%AR TVI FR TI= RRA(`G r`T CG
Assessor Parcel No.:
Contractor Information:
Permit No.: 20170140
Issue Date: 3/17/2017
(Work must be completed within 180 days)
Phone: 360- 458 -1502
Owner: MT TERRACE BUILDERS
Subdivision: TYLER TERRACE Lot: 4
Name: MOUNTAIN TERRACE BUILDERS, LLC
Address:
301 YELM AVE E
YELM WA 98597
Contractor License No.: 11031
Project Information:
Project: NEW RESIDENTIAL BUILDING
Description of Work: LOT 4, PLAN 2319
Sq. Ft. per floor:
First ASR
Second
Third
Garage
Basement
Fees:
Item
NEW RESIDENTIAL BUILDING
MECHANICAL
PLUMBING
1381
430
Expires
Phone:
12/31/2017
Heat Type (Electric, Gas, Other): GAS
Contractor
MOUNTAIN TERRACE BUILDERS, LLC
PREMIER GENERAL CONTRACTING
JR'S PLUMBING
TOTAL FEES:
Applicant's Affidavit:
I certify that I have read and examined the information contained within the application and know the same
to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of
Yelm regulations including those governing zoning and land subdivision, and in addition, all covenants,
easements and restrictions of record. If applying as a contractor, I further certify that I am currently
registered in the State of Washington.
Signature /�/— Date 3
Firrn' '
Fees
$18,040.10
$ 84.75
$ 125.00
$ 18,249.85
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
r
Project Address: O J`W' ��k,�r _V(' I Q( _ C� SL Parcel #:
r
Subdivision -k1 �,ac e Lot #: '�V Plan #: Zoning:
New Construction Re -Model / Re -Roof / Addition Home Occupation Sign
.-I Plumbing I i Mechanical Mobile / Manufactured Home Placement Ll Other
Project Description /Scope of Work:
Project Value: ,I 12,t L
Building Area (sq. ft) I" Floor 2 r Floor_ 3`d Floor Garage -2 car 412'1'N3 car
Covered Patio Covered Porch S-% Patio Deck
YxiE:
# Bedrooms # Bathrooms2 �� Heatin AS THER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? W.
If yes, a completed environmental checklist must accompany permit application.
BUILDING OWNER NAME: M T 6k�ocWs
ADDRESS N EMAIL Q,rn
CITY STATE �I�ZIP Ci-1 TELEPHONE �- 41:,�', I SU 4
ARCHITECT /ENGINEER LICENSE #
ADDRESS U,2k _-� EMAIL
CITY TATE_ZIP t' TELEPHONE
GENERAL CONTRACTORS,RDU QS TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE DATE CITY LICENSE #
PLUMBING CONTRACTOR S w\C TELEPHONE T 40v - 0`\C1CI
ADDR SS no'�If'i 6 �u A Ln SE I EMAIL
CITY r STATE�_ZIP S( FAX
CONTRACTOR'S LICENSE #,\"p 15b�j EXP DATE W CITY LICENSE #
MECHANICAL CONTRACTOR r TELEPHONE
ADDRESS'M\, E V(Ir'n -�4f I�t_P EMAIL
CITY I STATE W& ZIP (11'x Q-J FAX
CONTRACTOR'S LICENSE # ?Zf t.M( ;,LA_4' 3 EXP DATEZaCITY LICENSE #
Copy of mitigation agreement with Yelm Community Schools, if applicable.
1 hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the
above described property will be in accordance with the laws, rules and regulations of the State of Washington and the
City of Yelm.
U
Ap li a 's igna ure Date
O n / Contractor / Owner's Agen6 Contractor's Agen (Please circle one.)
All permits are non - transferable and will expire if work authorized by such permit is not begun
within 180 days of issuance, or if work is suspended or abandoned for a period of 180 days
p �C EWM
FEB 0 9 201 r
105 Yelm Avenue West (360)458- "
Yelnt, WA 98597 (360) 458I AK-----------------
www.ei.yelm.wa.us
Cite of N,
(361) 458 -3244
REC #: 00263363 3/17/2017 3:07 PM
OPER: CO TERM: 001
REEF: 25383
PAID BY:
TRAM: 33.0000 BUILDING PERMITS
20170139 17,966.1FCR
MT TERRACE BUILDERS
9552 TYLER TERRACE (T SE
6LD -RES1 17,762.9(CR
N CH 78.2`CR
125.0(CR
TRAM: 33.0000 BUILDING PERMITS
20170140 18,249.8ECR
MT TERRACE BUILDERS
9546 TYLER TERRACE (T SE
6LD -RES1 18,040.1(CR
M CH 84.7`CR
125.0(CR
TRAM: 33.0000 BUILDING PERMIT'S
20170141 17,797.O'CR
MT TERRACE BUILDERS
9504 TYLER TERRACE (T SE
SLO -RES1 17,587.31CR
FILCH 84.7C CR
125.0(CR
TENDERED: 54,013.09 (HECK
APPLIED: 54,013.09 -
CHANGE: 0.00
YELM COMMUNITY SCHOOLS
PO BOX 476
YELM WA 98597
Receipt #: 389016 Clerk: Croy
Manual #: Terminal: 1
3/17/2017 2 :57 PM
NMOUNTAIN TERRAC
NMOUNTAIN TERRAC
MOUNTAIN, TERRACE BUILDERS
14730 SR 507 SE
YELM , WA 98597
Qty Item
1 CpF _ MITIGATION Price
MITIGATION 4450.00
9546 TYLER TERRACE CT SE;YELM LOT 4
1 CPF MITIGATION
MITIGATION 4450.00
9504 TYLER TERRACE CT SE;YELM LOT 11
1 CPF MITIGATION
MITIGATION 4450.00
9552 TYLER TERRACE CT SE;YELM LOT 3
Subtotal 13350.00
Tax 0.00
Total 13350.00
Check 13350.00
25382
Change Due 0.00
THANK YOU
A A AA- A - A
LMT
coMM vrvi nY
IN LIEU OF MITIGATION FORM
360.458.6104
FAX: 360.458.2469
107 FIRST STREET NORTH
PO Box 476
YEtM, WA 98597 -0476
irolec@yc5.wednet.edu
—�� :kY V-C e (Development) creates an
adverse impact on Yelm Community Schools capital facilities.
Mnf4kl�aL,n Jew -r-a -« T�u t ide, &Name of developer) of
Project has agreed that Development
creates an impact upon the capital facilities of Yelm Community
Schools. Developer has agreed to and has fully paid the sum of
$-/3, 3,56. 00
( 3 unit count x ! /Z/ mitigation fee) to mitigate
impacts from development upon Yelm Community Schools.
Address
5-0 f, (? 55Z
Lot numbers LD -f s 4) f 1
7, ure (developer)
3.1-I -2,bi-1
Date
YELM COMMUNITY SCHOOLS 15 AN EQUAL OPPORTUNITY EMPLOYER AND FOLLOWS TITLE IX REQUIREMENTS.