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20170186 Permit Pkg 06092017City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458-3144 Applicant: Name: BELLANCA Address: 27209 162ND ST E BUCKLEY WA 98321 Property Information: Site Address: 10738 PALISADES ST SE Assessor Parcel No.: 6711000120 Subdivision Contractor Information: Name: BELLANCA HOMES, INC. Address: 27209 162ND ST E BUCKLEY WA 98321 Contractor License No.: 11518 Permit No.: 201 70186 Issue Date: 6/0912017 (Work must be completed within 180 days) Phone: 425 - 988 -4322 Owner: BELLANCA HOMES LLC PALISADES WEST Lot: 12 Phone: Expires: 12/31/2017 Project Information: Project: NEW RESIDENTIAL BUILDING Description of Work: LOT 12, PLAN 2075 Sq. Ft. per floor: First 2075 Heat Type (Electric, Gas, Other): GAS Second Third Garage Basement Fees: Item NEW RESIDENTIAL BUILDING MECHANICAL PLUMBING 447 Contractor Fees BELLANCA HOMES, INC. $22,231.38 BELLANCA HOMES, INC. $ 78.25 BELLANCA HOMES, INC. $ 118.00 TOTAL FEES: $ 22,427.63 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 8 %' Date v1 / d 111 Firm OFFICIAL USE ONLY # Sets of Prints: Final Inspection: Date: By: tit6 of $e1�44 (36C�) RED. 002113 2 OPEF' � 5 NO RE 293 FS Y& 6/0912017 12:04 PM 001 PAIL' B ' poll's 0000 33. BUILDING 01 CR IRAN: 21,192. 2'0170187 BELLANCA NOMES, INC�E 10744 PALISADES SA ` 20 CR ,995.7 � �02`. CR MECH 118.0(CR PL 33.0000 BUILDING �E CR 1'� ARAN: 21,192• 70170186 E 6p 38 PALISADES SA E 20,9,95.7-, CR ELD-RES1 78 ,2, CR rIECN 118.0(CR PL (NECK. it ERE .NDD : 42 ,384.04 F,F'PLIED'. 42,364.04 - ,RGE : q Girlo (eq (D CITY OF YELM RESIDENTIAL BUILDING PERMIT APPLICATION FORM Project Address: t0711$ Pali Ste;C& 5� se- Parcel # � Z 000 l 100 Subdivision Pain', J us Lot #: 11 Plan # AV75 Zoning: r&Q" 75 New Construction Re -Model / Re -Roof /Addition Home Occupation Sign Plumbing Mechanical Mobile / Manufactured Home Placement Other Project Description /Scope of Work: Ne--,) kan.A Project Value. al , Si 7L1 Building Area (sq. ft) 1" Floor 1015 2nd Floor 3f' Floor Garage -2 car 1447 3 car Covered Patio Covered Porch I39 _ Patio Deck # Bedrooms I # Bathrooms Heating: ®OTHER or ELECTRIC (Circle One) Are there any environmentally sensitive areas located on the parcel? A&_ K yes. a completed environmental checklist must accompany permit application. BUILDING OWNER NAME: AA %, 84010nLc, ADDRESS EMAIL r+ CITY J3 L. c, k I-e-V STATE M /� ZIP "3-21 TELEPHONE - ARCHITECT /ENGINEER n z LICENSE # ADDRESS w t EMAIL kr, G- *.GP- COM CITY STATEA _ZIP TELEPHONE Ly�S" Hl1i- LLO/ GENERAL CONTRACTOR _1110 TELEPHONE ADDRESS., 27201t 1G2ne 3� EMAIL /lana tw k .w.s.s (+ate/. ca 'I CITYBua I ly. X STATE -VA —ZIP ?,%&2.1 FAX CONTRACTOR'S LICENSE #SASC.&GS #fG01EXP DATE4L LICENSE # PLUMBING CONTRACTOR P Givo., i TELEPHONE s ADDRESS 240GS 496% Ave. G EMAIL 5"Cnu 1,rw,r�321& to.+, CITY SI?c a&MT r STATE ZIP 9$357 FAX _ CONTRACTOR'S LICENSE # Atl[1Pill JJOEXP DATEc7 ,CITY LICENSE # MECHANICAL CONTRACTOR Q6khaj J4c&k -ti l a4 TELEPHONE Z - ADDRESS N EMAIL e' CITY Q%X STATE-VA—ZIP V O FAX CONTRACTOR'S LICENSE # %34Ai1%a.b6 EXP DATE_f&CITY 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. Applicant's Signature Date Owner I Contractor / Owner's Agent I 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 105 Yelm Avenue West (360) 158 -3835 Yelm, WA 98597 (360) 458 -3144 FAX www.ciyelm.wa.us PALI5ADE5 5T. 5E. CURB SIDE WALK Un <;.f. C— 1 < EASEMENT LOT- 12 APPROVED By Randy at 2:25 pm, May 12, 2017 FENCE TYP / \ SLR cam.. ''(CQNSTRUCn6N . 1 '� I °: ,ENTRANCE). NOTES. 1. FRONT PORCH FOUNDATION AND STEP TANK LOCATION SHALL BE STAKED OUT FOR SET BACK INSPECTION. 2. STEP TANK IN VIOLATION OF THE REQUIRED 5' MINIMUM SETBACK TO FOUNDATION SHALL BE BACK FILLED WITH COF. 3. CONNECT PVC ROOF DRAINS TO DRYWELL. CONTACT INFO ANTHONY.• (509) 674 -8087 CURVE TABLE C -1 L=42.82' R=44.00' A= 5.5 °4.5'22„ 1�M 1 11 11 11 11 5,11 E �p f 1� f rn I 1� IMPERVIOUS AREA ROOF= 2888 S.F. DRIVEWAY & SIDEWALK= 708 S.F. TOTAL= 3569 S.F. LOT S.F.= 9039.857 50' -6 �, \ 2 \ -_ \ o% COVERED PATIO _ _ _ _ 25' BSBL C.O. MIN SETBACK BETWEEN IDEWALKS, DRIVEWAYS, 15'Lx5'Wx4'0 ASEMENTS & STEP TANK W /5' MIN DRYWELL ROM PROPERTY LINES, HOUSE & Connection to storm ORCH FOUNDATION & 2' MIN FROM TILITY EASEMENTS. may be required APPROVED by City of Yelm John Rowland 06/08/2017 8:50:15 AM SCALE: 1 " =20' 0 10 20 40 N 88 <16'C 107.38 BELLANCA HOMES L.L.C. 21824 SUMNER /BUCKLEY HWY. BUCKLEY, WA. 98321 PH: (509) 674 -8087 THURSTON COUNTY 10738 Palisades St. SE. Yelm. WA 98597 PARCEL# 67110001200 PZ 04/06/17 PORCH f 1 GARAGE USE INLINE C.O. 11 2075 (1 STORY) 1 \ II 3 BDRM 1 \ 11 \ 1�M 1 11 11 11 11 5,11 E �p f 1� f rn I 1� IMPERVIOUS AREA ROOF= 2888 S.F. DRIVEWAY & SIDEWALK= 708 S.F. TOTAL= 3569 S.F. LOT S.F.= 9039.857 50' -6 �, \ 2 \ -_ \ o% COVERED PATIO _ _ _ _ 25' BSBL C.O. MIN SETBACK BETWEEN IDEWALKS, DRIVEWAYS, 15'Lx5'Wx4'0 ASEMENTS & STEP TANK W /5' MIN DRYWELL ROM PROPERTY LINES, HOUSE & Connection to storm ORCH FOUNDATION & 2' MIN FROM TILITY EASEMENTS. may be required APPROVED by City of Yelm John Rowland 06/08/2017 8:50:15 AM SCALE: 1 " =20' 0 10 20 40 N 88 <16'C 107.38 BELLANCA HOMES L.L.C. 21824 SUMNER /BUCKLEY HWY. BUCKLEY, WA. 98321 PH: (509) 674 -8087 THURSTON COUNTY 10738 Palisades St. SE. Yelm. WA 98597 PARCEL# 67110001200 PZ 04/06/17 City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360)458 -3144 Applicant: Name: BELLANCA HOMES, LLC Address: 27209 162ND ST E BUCKLEY WA 98321 Property Information: Site Address: 10738 PALISADES ST SE Assessor Parcel No 6711000120 Subdivision Project Information: Project: NEW RESIDENTIAL BUILDING Description of Work: LOT 12, PLAN 2075 Sq. Ft. per floor: First 2075 Second Third Garage Basement Fees: Item WATER METER (SFD) WATER ERU SEWER ERU SEWER INSPECTION FEE BUILDING PERMIT ESTIMATED VALUE - -#BUILDING PLAN REVIEW STATE BUILDING FEE TRAFFIC FACILITIES CHARGE SCHOOL IMPACT FEE SFR 447 Permit No.: 20170186 Fee Calculation Worksheet .E,--*! N(.FZt- -2 Phone: 425 - 988 -4322 Owner: RGi i onir.A Hr1MFS I_LC PALISADES WEST Lot: 12 Heat Type (Electric, Gas, Other): GAS Units Fees 1 $ 300.00 1 $ 6,289.35 1 $ 6,394.00 1 $ 145.00 261,874 $ 1,900.95 0 $ 1,235.61 1 $ 4.50 1 $ 1,511.97 1 $ 4,450.00 TOTAL FEES: $ 22,231.38 PAYMENTS MADE: $ 0.00 i- $ 22,231.38 �U �t�3 wU LW C-) 2lD �0 �criz�c3 p CL5 Ln C!1 CC-"; 00 M--i CO N z� M C' r- C17 N !-5 ice- ^ U1 r- LIJ __J fir- Q a g Q oCn Ln CD co C/') m = H L.L J J F LL. Q Q Q Q �_ � U 0- .zl- 00 CD co O ID O J '- CD — rte co O 00 r -- O co w o w -co N Ln M co �� OCO�� Ln o o r- cj- CJ O ^� m O a � J iv u +t W u u LL- H Q d C*3 n W � = 0-1 Units Fees 1 $ 300.00 1 $ 6,289.35 1 $ 6,394.00 1 $ 145.00 261,874 $ 1,900.95 0 $ 1,235.61 1 $ 4.50 1 $ 1,511.97 1 $ 4,450.00 TOTAL FEES: $ 22,231.38 PAYMENTS MADE: $ 0.00 BALANCE DUE: $ 22,231.38 L S 0 0 to (Q 0o j N N i i LLS D {i W LU co w l.L 1 ci u Docu&ign Envelope ID: CA6E9B2F -A3AD- 4132- BF5E- 10EADC37B622 Sale /Settlement Dace ................ .... .... 07/05/2012 03125/2010 Sate Price ................. _ ........ $635,000 ................ Nominal .. ... ...... ............. ..... ........ .. ......... Y ...... buyer blame ......... ................. .... ........................... .._...............- - ........ . Northwest Family Homes Inc . ..�..- Sapphire Re Props Holdings 3 L Seiler Flame p..... y............... ..........- Sa hire Re Pro ert Holdings 3 .....,...,.......... - ............., ........ Fhl LLC Auditor Nn 4775536 4145389 ... ....... ......... H St. Document No. .......................... ........ ................. . ...... .... ......... .......... ............ ..._..... 517040 --.........-................. ..,............................ 511292 ...........,........... Dotument Type - Warranty Deed _ . QuFt Clalm Deed Property p 25 yards - Lot Dimensions are Estimated F,&ec,- xv 6 7 ISa0 F.,h ig) 20,7iiZ-z�E Ca "wtecy Ca' the j i i.an 1 iedel Property Detail Generated an 03107/2017 Page 2 of 2 DocuSign Envelope 10: CA6E9B2F -A3AD- 4132- BF5E- 10EADC37B622 Sale /Settlement Date ........ 07/05/2012 03/25/2010 Sale Price $fi ............... ........... ..... .....,.... 35,4IIII _ .... Nominal - y . Buyer Name Northwest FarniIy Homes Inc Sapphire Re Props Holdings 3 L Seller Name Saphire Re Property Holdings 3 Fhi LLC Audito r fro ............... ............. 4275536 4145389 .................. Nlst. Document No. . ...... ...... ......I .... ...1........... -,... .................. ..... ............... ........... ................................_...,...... 517040 ............................... 511292 Document Type ........................ ...... ... ... „ ....- ,...... I Warranty Deed .........,..- ......... -..... .... _._.- ... -.- _- .- Quit Claim Deed 1p 21, 22` 120' 152' �. 10- .er..w.. 13e Lxng " Lol Dimcrn5io ^5 are Estiu)3 itvd Lo7` /;!— 7.6 yards , E ° 7 Pair cots 70Ta -ague F 23� t H €O .. 244 yard{. 61 c1 7 A14; ascfl ti.pr rd+: 9- i::'7 HERE Property Detail Generated on 03(C7J2917 Page 2 of 2