20170187 Permit Pkg 09062017City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: BELLANCA HOMES, INC.
Address: 27209 162ND ST E
BUCKLEY WA 98321
Property Information:
Site Address: 1n7AA PAI ICAI'1FC CT CF
Assessor Parcel No.: 67110001300 Subdivision
Contractor Information:
Name: BELLANCA HOMES, INC
Address:
27209 162ND ST E
BUCKLEY WA 98321
Contractor License No.: 11518
Project Information:
Project: NEW RESIDENTIAL BUILDING
Description of Work: LOT 13, PLAN 2075
Sq. Ft. per floor: First 2075
Second
Third
Garage
Basement
Fees:
Item
NEW RESIDENTIAL BUILDING
MECHANICAL
PLUMBING
447
Permit No.: 20170187
Issue Date: 6/09/2017
(Work must be completed within 180 days)
Phone: 425 - 988 -4322
Owner: BELLANCA HOMES, INC.
PALISADES WEST Lot: 13
Phone:
Expires: 12/31/2017
Heat Type (Electric, Gas, Other): GAS
Contractor Fees
BELLANCA HOMES, INC. $21,794.16
BELLANCA HOMES, INC. $ 78.25
BELLANCA HOMES, INC. $ 118.00
TOTAL FEES: $ 21,990.41
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 l (J(G iup — Date
Firm
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
tit of ge1m44
(36�) 17 12 ;04 PM
0027132'L 6109120
RECt� c TERM; 001
OPEF' � 5
REFS 293
P AIG BY
33.0000 BUILDING PE RMII'S
TRAM; 33,0000
20110181
BELLANCA HOMES, INC�E
10144 PALISADES ST `
20 ,995.7 0
E'LD -RES1 18 T CR
MIECH 11 B .O(CR
PL
0
33.0000 BUILDING . 1,
TRAPI: 21,192..
20170186 E
110138 PALISADES ST
20,995.7 0
BLD-RES1 18 ,2r CR
NIECH 118.00
F'L
42,3B4.04 (HECK.
1 E.NDEREO : 42)384,04-
OyLIED'. __--
.00
CHANGE:
0
ok fqo 197
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address.
107 u t7 1: �. L. t; 5 } Se Parcel #:
Subdivision: P„_Cc� .�r.3 Lot #:_11!__ Plan #: ' 2-0_7Sl Zoning:
g New Construction
Re -Model I Re -Roof I Addition Home Occupation Sign
Plumbing Mechanical Mobile / Manufactured Home Placement Other
Project Description /Scope of Work: �v
Project value:, cri
V
y
Building Area (sq. ft) I" Floor ZvS 2nd Floor 3r° Floor Garage -2 car Y 3 car
Covered Patio Covered Porch ? Patio Deck
# Bedroomsa # Bathrooms
Heating: UDOTHER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? _ L-O
If yes, a completed environmental checklist must accompany permit application.
BUILDING OWNER NAME: (•
ADDR SS �. EMAIL
CITY STATE ZIP W-2 1 TELEPHONE
ARCHITECTIENGINEER
ADDRESS . Fs.
CITY vt STATEJI(&_ZIP
LICENSE #
EMAIL i4 ufl. 1•SG GtAh+
TELEPHONE
GENERAL CONTRACTOR tac+e- . 82&,"
ADDRESS :27209 14"U4 St t
Je, TELEPHOQNE 4
EMAIL 0'_alv+cu L,a..►r�,iw ��• Gc+•s
CITY ff}uak1!J STATE WA
CONTRACTOR'S LICENSE # Sc&.[s iti
/ FAX
EXP DATE OWITY LICENSE #
PLUMBING CONTRACTOR Aro I�.� I r h,
ADDRESS 'C+ F
CITYs w STATE a A_ZIP
CONTRACTOR'S LICENSE #%Fesua 0 tMHoYEX
(►;,,.TELEPHONE
EMAIL
S V FAX
DATE T*CITY LICENSE #
MECHANICAL CONTRACTOR 1; TELEPHONE 1S 73
ADDRESS_ 1! Kti ,� -6L ► t EMAIL tins. a a.c er+L(I.GGi�t
CITY. STATE--VA4,_ZIP2riFAX
CONTRACTOR'S LICENSE # 26.11 EXP DATECITY 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.
l_ It 17
Ap ant's Signature Date
Owner / Contractor I 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
105 Yelm Avenue West
Yelm, W.4 98597
www.ci.velm.wa.us
(360) 453 -3835
(360) 458 -3144 FAX
City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458-3144
Applicant:
Name: BELLANCA HOMES, INC.
Address: 27209 162ND ST E
BUCKLEY WA 98321
Permit No.: 20170187
Fee Calculation Worksheet
Phone: 42- 988 -4322
Property Information:
Site Address: 10744 PALISADES ST SE Owner: BELLANCA HOMES, INC.
Assessor Parcel No.: 67110001300 Subdivision: PALISADES WEST Lot: 13
Project Information:
Project: NEW RESIDENTIAL BUILDING
Description of Work: LOT 13, PLAN 2075
Sq. Ft. per floor: First 2075 Heat Type (Electric, Gas, Other): GAS
Second
Third
Garage 447
Basement
Fees:
Item
WATER METER (SFD)
WATER ERU
SEWER ERU
SEWER INSPECTION FEE
BUILDING PERMIT ESTIMATED VALUE
STATE BUILDING FEE
TRAFFIC FACILITIES CHARGE
BUILDING PLAN REVIEW -STOCK 55%
SCHOOL IMPACT FEE SFR
Units
1
1
1
1
261,874
1
1
0
1
TOTAL FEES:
PAYMENTS MADE:
BALANCE DUE:
Fees
$ 300.00
$ 6,289.35
$ 6,394.00
$ 145.00
$ 1,900.95
$ 4.50
$ 1,511.97
$ 798.39
$ 4,450.00
$ 21,794.16
$ 0.00
$ 21,794.16
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$ 300.00
$ 6,289.35
$ 6,394.00
$ 145.00
$ 1,900.95
$ 4.50
$ 1,511.97
$ 798.39
$ 4,450.00
$ 21,794.16
$ 0.00
$ 21,794.16
NOTES:
1. FRONT PORCH FOUNDATION AND
STEP TANK LOCATION SHALL BE
STAKED OUT FOR SET BACK
INSPECT /ON.
2. STEP TANK IN VIOLATION OF THE
REQUIRED 5' MINIMUM SETBACK TO
FOUNDATION SHALL BE BACK FILLED
WITH COF.
J. CONNECT PVC ROOF DRAINS TO
DRYWELL.
CONTACT INFO
ANTHONY- (509) 674 -8087 C -1
CURVE TABLE
C -1
L= 38.40'
R= 128.09' „
0 =17 °11 17
C -2
L= 19.98'
R= 19.00'
X60 °14'21 "
C -3
L=7.45'
R=44.00'
A=09'42'03"
IMPERVIOUS AREA
ROOF= 2888 S.F.
DRIVEWAY &
SIDEWALK= 555 S.F.
TOTAL= 3443 S.F.
LOT S.F.= 9859.83'
h
. I
a
U77UTY
O EASEMENT
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5 �P
4!
`DRIVEWAY:.
1 (CONSTRUCTION
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GARAGE
e ,
APPROVED by City of Yelm
_ - --Jobn Rowland
06/08/2017 9. 2-0.2 AM
SIDE
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k
C -3
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1
4, 10' S,Ep
0,1,
PORCH I1 0,�3,�
c.o.
USE INLINE C.O. I 1
2075
(1 STORY) I
3 BDRM v
W C
h � �� c
50' -6" �r
2' MIN. SETBACK BETWEEN i
SIDEWALKS, EASEMENTS & STEP I 1
TANKS W /5' MIN. FROM PROPERTY 1
LINES, HOUSE & PORCH
FOUNDATION & 2' MIN. FROM UTILITY
EASEMENTS.
COVERED
PATIO
L— — — — — — — — — — — — — — —
25' BSBL
May be required to
connect to storm — ;
system
C.D.
15'Lx5'Wx4'D
DRYWELL
I PPROVED N 88°16
107.E
y Randy at 2:10 pm, May 12, 2017
6ELLANCA
HOMES L.L.C.
SCALE: 1 " =20' 2182 UCKLEYE WAUC9821HWY.
PH: (509) 674 -8087
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THURSTON COUNTY
10744 Palisades St. SE.
Yelm. WA 98597
PARCEL# 67110001300
PZ 04/06/17
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