20170141 Permit Pkg 03172017City 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: 9504 TYLER TERRACE CT SE
Assessor Parcel No.: Subdivision:
Contractor Information:
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 11, PLAN 1922
Permit No.: 20170141
Issue Date: 3/17/2017
(Work must be completed within 180 days)
Phone: 360- 458 -1502
Owner: MT TERRACE BUILDERS
TYLER TERRACE Lot: 11
Phone:
Expires: 12/31/2017
Sq. Ft. per floor:
Heat Type (Electric, Gas, Other)
First
814
Second
1108
Third
Garage
486
Basement
Fees:
Item
Contractor
NEW RESIDENTIAL BUILDING
MOUNTAIN TERRACE BUILDERS, LLC
MECHANICAL
PREMIER GENERAL CONTRACTING
PLUMBING
JR'S PLUMBING
TOTAL FEES:
GAS
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 v� f -_ Date
1
Firm f'�-r jr
Fees
$17,587.34
$ 84.75
$ 125.00
$ 17,797.09
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: 1'� Parcel #:
Subdivision:-T�l�gt t`a (, 9- Lot #: Plan #:_ q a , Zoning:
New Construction [❑ Re -Model / Re -Roof / Addition -1 Home Occupation Sign
❑ Plumbing ❑ Mechanical ❑ Mobile / Manufactured Home Placement ❑ Other
Project Description /Scope of Work: �Vw �IK-
Project ValueA US. U,)U
Building Area (sq. ft) 1St Floor 2 "d Floor 3'd Floor Garage -2 car, 3 car
Covered Patio Covered Porch Patio Deck
# Bedrooms # Bathrooms? `> Heating. GA THER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? N(3
If yes, a completed environmental checklist must accompany permit application.
BUILDING OWNER NAME: %Vl V\ i n TCY r ac k' ,i 1 A I M
ADDRESS)�,I E- r \Cn i V{ Sig 160 EMAIL -(tm
CITY=", ZIPqY-,YJ-3_TELEPHONE 2JW - Z�6Z °I(-,h
ARCHtTECTJEN 1. LICENSE #
ADDRESS �� EMAIL
CITY STATE \� „A�ZIP __TELEPHONE r .S'_ ZS4 3111)
615N�AL CONT RACTC?R,' cy �UJ1Uk TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE A1C,V�/tT ,R�11S EXP DATE CITY LICENSE #
PLVMO�� OR,)12 1PVimi,xtb, MC TELEPHONE 25 3 - 4)r(-) 1, - 24c1 Ch
ADDRESS 1AC0k �A U-\ SC- EMAIL
CITY y i\YY\ STATE W Ac ZIP q� '�,C1-1 FAX
CONTRACTOR'S LICENSE #��RSt�LI�i'isDS EXP DATEM1 CITY LICENSE #
MECHANICAL CONTRACTOR rCL TELEPHONE
ADDRESS 116 E Lo EMAIL
CITY it\M STATE VV k- ZIP SC-1 FAX
CONTRACTOR'S LICENSE EXP DATEfJhaCITY LICENSE #
Copy of mitigation agreement with Yelm Community Schools, if applicable.
I 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.
Ap pA i ija�rW s i gh4u re Date
Owner / Contractor / Owner's Agent Contractor's Agent 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
J FEB. 0 9 201
105 Yelm Avenue West (360)458- Qj�+
Yelm, WA 98597 (360) 458 -�%FA*---------- -sW,lt
www.ci.yelm,.wa.us
Clt�r Of Mm
(361) 458 -3244
RECA': 00263363 311712017 3:07 PM
OPER: CO TERM: 001
REFS': 25383
PAID BY:
IRAN: 33.0000 BUILDING PERMIT3
20170139 17,966.1ECR
MT TERRACE BUILDERS
9552 TYLER TERRACE (T SE
6LD -RES1 17,762.9(CR
TECH 78.2ECR
125.0(CR
TRAM: 33.0000 BUILDING PERMITS
20170140 18,249.8ECR
MT TERRACE BUILDERS
9546 TYLER TERRACE (T SE
E;LD -RES1 18,040.1(CR
FIE CH 84.7E CR
125.0(CR
TRAN: 33.0000 BUILDING PERMITS
20170141 17,797.01CR
MT TERRACE BUILDERS
9504 TYLER TERRACE (T SE
6LD -RES1 17,587.31CR
MECH 84.7ECR
F'L 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
311712017 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 0100
THANK YOU
LM
coMn" vrvi ry
IN LIEU OF MITIGATION FORM
360.458.6104
FAX: 360.458.2469
107 HRSTSTREETNoRTH
PO Box 476
YELM, WA 98597 -0476
l role @ycs.wednet.ed u
_�)� V- :72X tac e- (Development) creates an
adverse impact on Yelm Community Schools capital facilities.
M o tj w7 Li i Ten-ace., -c. d&aName 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
$ 131 35, 6 c0
( 3 unit count x gzl5Q "p mitigation fee) to mitigate
impacts from development upon Yelm Community Schools.
Address
Lot numbers Lo-{ s 3, 43 11
�IZJ4 1 1 -, �
S re (developer)
3.� -I - 2.0i -1
Date
YELM COMMUNITY SCHOOLS 15 AN EQUAL OPPORTUNITY EMPLOYER AND FOLLOWS TITLE IX REQUIREMENTS.