10/2006 Reportu~ ~H~ a
,.a,.~.~....,~
City of Yelm
Community Development Department
P.O. Box 479
Yelm, WA 98597
(360) 458-3835
(360) 458-3144 FAX
Memorandum
To: Thurston County Assessor and Thurston Regional Planning Council
From: Roberta Allen, Administrative Assistant
Date: November 1, 2006
Re: Building Permits Issued for the Month of October 2006
Enclosed are copies of the Building Permits issued.
Permit numbers:
BLD-OS-0713-YL (VOID), 0714 (VOID), 0715 (VOID), 0736, 0737, 0738, 0739 (was 0713),
0740 (was 0714), 0741 (was 0715), 0743, 0744, 0746, 0747, 0751, 0752, 0765
M-OS-0758-YL
PL-OS-0766-YL
DEMO-OS-0742-YL, 0764
If you have any questions, please contact Roberta Allen at (360) 458-3835.
Thank You,
cc: Gary Carlson, Building Official
~" R:\Building Folder\2006 Reports\10-06 Permit Report.doc
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:
Name: Lubbesmeyer Construction, Inc.
Address: 1151 112th St.
Property Information:
Site Address: 14939 Mt. View Ct. SE
Assessor Parcel No. 42990000600
Contractor Information:
Name: Lubbesmeyer Construction, Inc.
Address: 1151 112th St.
Contractor License No: LUBBECI110DM
Project Information:
Project: Country Vista
Description of Work: 2034 SFR-L 6-VOID
See Permit -0739
Sq. Ft. per floor: (1st) 828 1206
Heat Type (Electric, Gas, Other): GAS
City: Tacoma
Subdivision: Country Vista
Contact: Lubbesmeyer, Paul
City: Tacoma
Expires: 03/21 /0881
Permit No: BLD-05-0713-YL
Issue Date: 10/04/2006
(Work must be started within 180 days)
Receipt No: 43947
(3rd) 0 Garage 440
Fees:
Item Item Fee Base Amt Unit Fee Unit Rate
---------------------------
Building Permit 100-500k -----------
1,500.55 -----------
993.75 -----------
506.80 -----------
5.6000
Building Plan Review 633.98 0.00 0.00 0.0000
Mechanical Permit 78.25 0.00 0.00 0.0000
Plumbing Permit 125.00 20.00 105.00 7.0000
Sewer ERU 5,569.00 0.00 5,569.00 5,569.0000
Sewer Inspection 145.00 0.00 145.00 145.0000
Water ERU 1,500.00 0.00 1,500.00 1,500.0000
Water Meter (SFD) 300.00 300.00 0.00 0.0000
Water Deposit 40.00 40.00 0.00 0.0000
Traffic Facilities Charge 757.50 0.00 757.50 750.0000
Sewer Deposit 50.00 50.00 0.00 0.0000
State Building Fee 4.50 4.50 0.00 0.0000
Fire District Impact Fee 534.38 0.00 534.38 0.2160
TOTAL FEES: $11,238.16
Applicant's Affadavit:
Phone: 253-537-6370
State: WA Zip 98445
Lot: 6
Phone: 253-537-8370
State: WA Zip: 98445
Business License:
Basement 0
No. Units Unit Desc
-----------
90.5000 -------------
$1,000
0.0000
0.0000
15.0000 Fixture
1.0000 ERU
1.0000 ERU
1.0000 ERU
0.0000
0.0000
1.0100 Peak PM Trip
0.0000
0.0000
2,474.0000 square foot
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
OFFICIAL USE ONLY
# Sets of Prints:-
Final Inspection:
Date:
By:
City of Yelm
Community Development Department
Building Division
Phone: (360)458-8407
Fax: (360)458-3144
Applicant:
Name: Lubbesmeyer Construction, Inc.
Address: 1151 112th St.
Property Information:
Site Address: 14933 Mt. View Ct. SE
Assessor Parcel No. 42990000700
Contractor Information:
Name: Lubbesmeyer Construction, Inc.
Address: 1151 112th St.
Contractor License No: LUBBEC1110DM
Project Information:
Project: Country Vista ~-
Description of Work: 1320 SFR, Lot -VOID
See 05-0740
Sq. Ft. per floor: (1st) 1320 (2n 0
Heat Type (Electric, Gas, Other): GAS
Fees:
Item
---------------------------
Building Permit 100-500k
Building Plan Review
Mechanical Permit
Plumbing Permit
Sewer ERU
Sewer Inspection
Water ERU
Water Meter (SFD)
Water Deposit
Traffic Facilities Charge
Sewer Deposit
State Building Fee
Fire District Impact Fee
TOTAL FEES
Applicant's Affadavit:
City: Tacoma
Subdivision: Country Vista
Contact: Lubbesmeyer, Paul
City: Tacoma
Expires: 03/21/0881
Permit No: BLD-05-0714-YL
Issue Date: 10/04/2006
(Work must be started within 180 days)
Receipt No: 43949
(3rd) 0 Garage 430
Item Fee Base Amt Unit Fee Unit Rate
-----------
1,500.55 -----------
993.75 -----------
506.80 -----------
5.6000
633.98 0.00 0.00 0.0000
78.25 0.00 0.00 0.0000
125.00 20.00 105.00 7.0000
5,569.00 0.00 5,569.00 5,569.0000
145.00 0.00 145.00 145.0000
1,500.00 0.00 1,500.00 1,500.0000
300.00 300.00 0.00 0.0000
40.00 40.00 0.00 0.0000
757.50 0.00 757.50 750.0000
50.00 50.00 0.00 0.0000
4.50 4.50 0.00 0.0000
534.38 0.00 534.38 0.2160
$11,238.16
Phone: 253-537-6370
State: WA Zip 98445
Lot: 7
Phone: 253-537-6370
State: WA Zip: 98445
Business License:
Basement 0
No. Units Unit Desc
-----------
90.5000 -------------
$1,000
0.0000
0.0000
15.0000 Fixture
1.0000 ERU
1.0000 ERU
1.0000 ERU
0.0000
0.0000
1.0100 Peak PM Trip
0.0000
0.0000
2,474.0000 square foot
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 # Sets of Prints:
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. ;Final Inspection:
9
Si nature __ _ _-- ----_-- - - - _ Date - - Byte:
Firm - J
--__ _ - ~I
City of Yelm
Community Development Department
Building Division
Phone: (360)458-8407
Fax: (360)458-3144
Applicant:
Name: Lubbesmeyer Construction, Inc.
Address: 1151 112th St.
Property Information:
Site Address: 14927 Mt. View Ct. SE
Assessor Parcel No. 42990000800
Contractor Information:
Name: Lubbesmeyer Construction, Inc.
Address: 1151 112th St.
Contractor License No: LUBBECI110DM
Project Information:
Project: Country Vista
Description of Work: 1320 SFR, Lo 8 -VOID
See 05-0741
Sq. Ft. perfloor: (1st) 828 (2n 206
Heat Type (Electric, Gas, Other): GAS
City: Tacoma
Subdivision: Country Vista
Contact: Lubbesmeyer, Paul
City: Tacoma
Expires: 03/21 /0881
Permit No: BLD-05-0715-YL
Issue Date: 10/04/2006
(Work must be started within 180 days)
Receipt No: 43952
(3rd) 0 Garage 0
Fees:
Item Item Fee Base Amt Unit Fee Unit Rate
Building Permit 100-500k 1,500.55 993.75 506.80 5.6000
Building Plan Review 633.98 0.00 0.00 0.0000
Mechanical Permit 78.25 0.00 0.00 0.0000
Plumbing Permit 125.00 20.00 105.00 7.0000
Sewer ERU 5,569.00 0.00 5,569.00 5,569.0000
Sewer Inspection 145.00 0.00 145.00 145.0000
Water ERU 1,500.00 0.00 1,500.00 1,500.0000
Water Meter (SFD) 300.00 300.00 0.00 0.0000
Water Deposit 40.00 40.00 0.00 0.0000
Traffic Facilities Charge 757.50 0.00 757.50 750.0000
Sewer Deposit 50.00 50.00 0.00 0.0000
State Building Fee 4.50 4.50 0.00 0.0000
Fire District Impact Fee 534.38 0.00 534.38 0.2160
TOTAL FEES: $11,238.16
Applicant's Affadavit:
Phone: 253-537-6370
State: WA Zip 98445
Lot: 8
Phone: 253-537-6370
State: WA Zip: 98445
Business License:
Basement 0
No. Units Unit Desc
-----------
90.5000 -------------
$1,000
0.0000
0.0000
15.0000 Fixture
1.0000 ERU
1.0000 ERU
1.0000 ERU
0.0000
0.0000
1.0100 Peak PM Trip
0.0000
0.0000
2,474.0000 square foot
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
Firm
Date
OFFICIAL USE ONLY
# Sets of Prints:
i
Finallnspection:
Date:
By:
'~'rpi<THFp~ City of Yelm
~ ~~ Community Development Department
Building Division
Phone: (360) 458-8407
ELM Fax: (360) 458-3144
Applicant:
Name: Comfort H omes
Address: 8306 Quinalt Dr. NE City: Lacey
Property Information:
Site Address: 10018 Cascadian Ave. SE
Assessor Parcel No. 37580002800
Contractor Information:
Name: Owner
Address:
Contractor License No:
Project Information:
Project: Oakridge
Description of Work: Plan 2201, Lot 28
Subdivision: Oakridge
Contact:
City:
Expires:
Permit No: BLD-05-0736-YL
Issue Date: 10/04/2006
(Work must be started within 180 days)
Receipt No: 43959
Phone: 360-486-0161
State: WA Zip 98516
Sq. Ft. per floor: (1st) 1301 (2nd) 900 (3rd) 0 Garage 454
Heat Type (Electric, Gas, Other): GAS
Fees:
Item Item Fee Base Amt Unit Fee Unit Rate
Building Permit 100-500k 1,584.27 993.75 590.52 5.6000
Building Plan Review 669.35 0.00 0.00 0.0000
Mechanical Permit 84.75 0.00 0.00 0.0000
Plumbing Permit 118.00 20.00 98.00 7.0000
Sewer ERU 5,569.00 0.00 5,569.00 5,569.0000
Sewer Inspection 145.00 0.00 145.00 145.0000
Water ERU 1,500.00 0.00 1,500.00 1,500.0000
Water Meter (SFD) 300.00 300.00 0.00 0.0000
Water Deposit 40.00 40.00 0.00 0.0000
Traffic Facilities Charge 757.50 0.00 757.50 750.0000
Sewer Deposit 50.00 50.00 0.00 0.0000
Fire District Impact Fee 573.48 0.00 573.48 0.2160
State Building Fee 4.50 4.50 0.00 0.0000
TOTAL FEES: $11,395.85
Applicant's Affadavit:
Lot: 28
Phone:
State: Zip:
Business License:
Basement 0
No. Units Unit Desc
105.4500 $1,000
0.0000
0.0000
14.0000 Fixture
1.0000 ERU
1.0000 ERU
1.0000 ERU
0.0000
0.0000
1.0100 Peak PM Trip
0.0000
2,655.0000 square foot
0.0000
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 ', # Sets of Prints:
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. Final Inspection:
Signature
Firm
Date
', Date:
I BY~
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360)458-3144
Applicant:
Name: Comfort Homes
Address: 8306 Quinalt Dr. NE
Property Information:
Site Address: 10012 Cascadian Ave. SE
Assessor Parcel No. 37580002900
Contractor Information:
Name: Owner
Address:
Contractor License No:
Project Information:
Project: Oakridge
Description of Work: Plan 2201, Lot 29
City: Lacey
Subdivision: Oakridge
Contact:
City:
Expires:
Permit No: BLD-05-0737-YL
Issue Date: 10/04/2006
(Work must be started within 180 days)
Receipt No: 43960
Sq. Ft. perfloor: (1st) 1301 (2nd) 900 (3rd) 0 Garage 454
Heat Type (Electric, Gas, Other): GAS
Fees:
Item Item Fee Base Amt Unit Fee Unit Rate
Building Permit 100-500k 1,584.27 993.75 590.52 5.6000
Building Plan Review 669.35 0.00 0.00 0.0000
Mechanical Permit 84.75 0.00 0.00 0.0000
Plumbing Permit 118.00 20.00 98.00 7.0000
Sewer ERU 5,569.00 0.00 5,569.00 5,569.0000
Sewer Inspection 145.00 0.00 145.00 145.0000
Water ERU 1,500.00 0.00 1,500.00 1,500.0000
Water Meter (SFD) 300.00 300.00 0.00 0.0000
Water Deposit 40.00 40.00 0.00 0.0000
Traffic Facilities Charge 757.50 0.00 757.50 750.0000
Sewer Deposit 50.00 50.00 0.00 0.0000
Fire District Impact Fee 573.48 0.00 573.48 0.2160
State Building Fee 4.50 4.50 0.00 0.0000
TOTAL FEES: $11,395.85
Applicant's Affadavit:
Phone: 360-486-0161
State: WA Zip 98516
Lot: 29
Phone:
State: Zip:
Business License:
Basement 0
No. Units Unit Desc
105.4500 $1,000
0.0000
0.0000
14.0000 Fixture
1.0000 ERU
1.0000 ERU
1.0000 ERU
0.0000
0.0000
1.0100 Peak PM Trip
0.0000
2,655.0000 square foot
0.0000
OFFICIAL USE ONLY I~
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 # Sets of Prints:
Yelm regulations including those governing zoning and land subdivision, and in addition, all covenants, i
easements and restrictions of record. If applying as a contractor, I futher certify that I am currently
registered in the State of Washington. Final Inspection:
I Date:
Signature Date
Firm ', By.
~pF THEpA~ City of Yelm
~~ ~'~
d Community Development Department
Building Division
Phone: (360) 458-8407
YELM Fax: (360) 458-3144
Applicant:
Name: Knight Construction
Address: PO Box 28 30 City: Yelm
Property Information:
Site Address: 110 View Drive
Assessor Parcel No. 81620000900 Subdivision:
Contractor Information:
Name: Contact:
Address: City:
Contractor License No: Expires:
Project Information:
Project: Blankenship
Description of Work: Residential Re-roof
Permit No: BLD-05-0738-YL
Issue Date: 10/03/2006
(Work must be started within 180 days)
Receipt No: 43939
Phone: 360-8949398
State: WA Zip 98597
Lot:
Phone:
State: Zip:
Business License:
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 25.00 0.00 0.00 0.0000 0.0000 $1,000
TOTAL FEES: $25.00
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 # Sets of Prints:
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. i~ Final Inspection:
Signature
Firm
Date
Date:
By:
'~'r
pF TH@p~ City of Yelm
~
~~ Community Development Department
Building Division
Phone: (360) 458-8407
YELM Fax: (360) 458-3144
Applicant:
Name: Lubbesmeyer Construction, Inc.
Address: 1151 112th St. City: Tacoma
Property Information:
Site Address: 14939 Mt. View Ct. SE
Assessor Parcel No. 42990000600
Contractor Information:
Name: Lubbesmeyer Construction, Inc.
Address: 1151 112th St.
Contractor License No: LUBBECI110DM
Subdivision: Country Vista
Contact: Lubbesmeyer, Paul
City: Tacoma
Expires: 03/21/0881
Lot: 6
Phone: 253-537-6370
State: WA Zip: 98445
Business License:
Project Information:
Project: Country Vista ~) ~,
~.
Description of Work: 2034 SFR-Lot 6 ~~~ ~ ~
Sq. Ft. perfloor: (1st) 828 (2nd) 1206 (3rd) 440 Garage 0 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 -----------
1,500.55 -----------
993.75 -----------
506.80 -----------
5.6000 -----------
90.5000 -------------
$1,000
Building Plan Review 633.98 0.00 0.00 0.0000 0.0000
Mechanical Permit 78.25 0.00 0.00 0.0000 0.0000
Plumbing Permit 125.00 20.00 105.00 7.0000 15.0000 Fixture
Sewer ERU 5,569.00 0.00 5,569.00 5,569.0000 1.0000 ERU
Sewer Inspection 145.00 0.00 145.00 145.0000 1.0000 ERU
Water ERU 1,500.00 0.00 1,500.00 1,500.0000 1.0000 ERU
Water Meter (SFD) 300.00 300.00 0.00 0.0000 0.0000
Water Deposit 40.00 40.00 0.00 0.0000 0.0000
Traffic Facilities Charge 757.50 0.00 757.50 750.0000 1.0100 Peak PM Trip
Sewer Deposit 50.00 50.00 0.00 0.0000 0.0000
State Building Fee 4.50 4.50 0.00 0.0000 0.0000
Fire District Impact Fee 534.38 0.00 534.38 0.2160 2,474.0000 square foot
TOTAL FEES: $11,238.16
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
~ \~
Permit No: BLD-05-0739-YL
Issue Date: 10/05/2006
(Work must be started within 180 days)
Receipt No: 43984
Phone: 253-537-6370
State: WA Zip 98445
OFFICIAL USE ONLY ~,
!,' # Sets of Prints:
'~ Final Inspection:
i Date:
By.
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:
Name: Lubbesmeyer Construction, Inc.
Address: 1151 112th St.
Property Information:
Site Address: 14933 Mt. View Ct. SE
Assessor Parcel No. 42990000700
Contractor Information:
Name: Lubbesmeyer Construction, Inc.
Address: 1151 112th St.
Contractor License No: LUBBECI110DM
City: Tacoma
Subdivision: Country Vista
Contact: Lubbesmeyer, Paul
City: Tacoma
Expires: 03/21/0881
Permit Ivo: BLD-05-0740-YL
Issue Date: 10/05/2006
(Work must be started within 180 days)
Receipt No: 43985
Phone: 253-537-6370
State: WA Zip 98445
Lot: 7
Phone: 253-537-6370
State: WA Zip: 98445
Business License:
Project Information:
Project: Country Vista
,\
~
,~ ~
Description of Work: 1320 SFR, Lot 7 ~ C,`
Sq. Ft. per floor: (1st) 1320 (2nd) 0 (3rd) 0 Garage 430 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 -----------
1,153.91 -----------
993.75 -----------
160.16 -----------
5.6000 -----------
28.6000 -------------
$1,000
Building Plan Review 487.52 0.00 0.00 0.0000 0.0000
Mechanical Permit 71.75 0.00 0.00 0.0000 0.0000
Plumbing Permit 90.00 20.00 70.00 7.0000 10.0000 Fixture
Sewer ERU 5,569.00 0.00 5,569.00 5,569.0000 1.0000 ERU
Sewer Inspection 145.00 0.00 145.00 145.0000 1.0000 ERU
Water ERU 1,500.00 0.00 1,500.00 1,500.0000 1.0000 ERU
Water Meter (SFD) 300.00 300.00 0.00 0.0000 0.0000
Water Deposit 40.00 40.00 0.00 0.0000 0.0000
Traffic Facilities Charge 757.50 0.00 757.50 750.0000 1.0100 Peak PM Trip
Sewer Deposit 50.00 50.00 0.00 0.0000 0.0000
State Building Fee 4.50 4.50 0.00 0.0000 0.0000
Fire District Impact Fee 378.00 0.00 378.00 0.2160 1,750.0000 square foot
TOTAL FEES: $10,547.18
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
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
I, Date:
By.
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:
Name: Lubbesmeyer Construction, Inc.
Address: 1151 112th St.
Property Information:
Site Address: 14927 Mt. View Ct. SE
Assessor Parcel No. 42990000800
Contractor Information:
Name: Lubbesmeyer Construction, Inc.
Address: 1151 112th St.
Contractor License No: LUBBECI110DM
City: Tacoma
Subdivision: Country Vista
Contact: Lubbesmeyer, Paul
City: Tacoma
Expires: 03/21 /0881
Project Information: ~~
Project: Country Vista
~ `~\
~~ ~ ~J
Description of Work: 1320 SFR, Lot 8 ~ ~ ~
Sq. Ft. per floor: (1st) 1320 (2nd) 0 (3rd) 0
Heat Type (Electric, Gas, Other): GAS
Fees:
Item
---------------------------
Building Permit 100-500k
Building Plan Review
Mechanical Permit
Plumbing Permit
Sewer ERU
Sewer Inspection
Water ERU
Water Meter (SFD)
Water Deposit
Traffic Facilities Charge
Sewer Deposit
State Building Fee
Fire District Impact Fee
TOTAL FEES:
Applicant's Affadavit:
Permit No: BLD-05-0741-YL
Issue Date: 10/05/2006
(Work must be started within 180 days)
Receipt No: 43986
Garage 430
Item Fee Base Amt Unit Fee Unit Rate
-----------
1,153.91 ----------
993.75 -----------
160.16 -----------
5.6000
487.52 0.00 0.00 0.0000
71.75 0.00 0.00 0.0000
90.00 20.00 70.00 7.0000
5,569.00 0.00 5,569.00 5,569.0000
145.00 0.00 145.00 145.0000
1,500.00 0.00 1,500.00 1,500.0000
300.00 300.00 0.00 0.0000
40.00 40.00 0.00 0.0000
757.50 0.00 757.50 750.0000
50.00 50.00 0.00 0.0000
4.50 4.50 0.00 0.0000
378.00 0.00 378.00 0.2160
$10,547.18
Phone: 253-537-6370
State: WA Zip 98445
Lot: 8
Phone: 253-537-6370
State: WA Zip: 98445
Business License:
Basement 0
No. Units Unit Desc
-----------
28.6000 -------------
$1,000
0.0000
0.0000
10.0000 Fixture
1.0000 ERU
1.0000 ERU
1.0000 ERU
0.0000
0.0000
1.0100 Peak PM Trip
0.0000
0.0000
1,750.0000 square foot
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 ', # Sets of Prints:
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. Final Inspection:
Signature Date ', Date:
Firm By.
~oF THEp~~ City of Yelm
~ Z~ Community Development Department
~
Building Division
Phone: (360)458-8407
YELM Fax: (360) 458-3144
Applicant:
Name: Sunrise Homes
Address: P.O. Box 727 City: YELM
Property Information:
Site Address: 609 Yelm Ave. West
Assessor Parcel No. 82800001400 Subdivision:
Contractor Information:
Name: Applicant Contact:
Address: City:
Contractor License No: Expires:
Project Information:
Project: Baker
Description of Work: RE-Roof
Permit No: BLD-05-0743-YL
Issue Date: 10/11/2006
(Work must be started within 180 days)
Receipt No: 44038
Phone: 458-3200
State: WA Zip
Lot:
Phone:
State: Zip:
Business License:
Sq. Ft. per floor: (1st) 0 (2nd) 0 (3rd) 0 Garage 0 Basement 0
Heat Type (Electric, Gas, Other): OTHER
Fees:
Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
-------------------------- ----------- ----------- ----------- ----------- ----------- -------------
Building Permit -Other 83.25 0.00 0.00 0.0000 0.0000 $1,000
TOTAL FEES: $83.25
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. 1 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
OFFICIAL USE ONLY ~,
# Sets of Prints:
Final Inspection:
Date:
i
By:
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360)458-3144
Applicant:
Name: Quadrant Homes
Address: P.O. Box 130
Property Information:
Site Address: 9986 Terra Glenn St. SE
Assessor Parcel No. 78640001000
Contractor Information:
Name: Quadrant Homes
Address: P.O. Box 130
Contractor License No: QUADRC*221OF
Project Information:
Project: Tahoma Terra, Division
Description of Work: 1975 B, lot 10
Sq. Ft. per floor: (1st) 798 (2nd) 1157
Heat Type (Electric, Gas, Other): GAS
Fees:
City: Bellevue
Subdivision: Tahoma Terra
Contact:
City: Bellevue
Expires: 09/10/07253
Phone: 425-452-0332
State: WA Zip 98009
Lot: 10
Phone: 425-646-8363
State: WA Zip: 98009
Business License:
(3rd) 0 Garage 400 Basement 0
Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
---------------------------
Building Permit 100-500k -----------
1,455.19 -----------
993.75 -----------
461.44 -----------
5.6000 -----------
82.4000 -------------
$1,000
Building Plan Review 614.81 0.00 0.00 0.0000 0.0000
Mechanical Permit 78.25 0.00 0.00 0.0000 0.0000
Plumbing Permit 118.00 20.00 98.00 7.0000 14.0000 Fixture
Sewer ERU (LID) 2,847.00 0.00 2,847.00 2,847.0000 1.0000 ERU
Sewer Inspection 145.00 0.00 145.00 145.0000 1.0000 ERU
Water ERU 1,500.00 0.00 1,500.00 1,500.0000 1.0000 ERU
Water Meter (SFD) 300.00 300.00 0.00 0.0000 0.0000
Water Deposit 40.00 40.00 0.00 0.0000 0.0000
Traffic Facilities Charge 757.50 0.00 757.50 750.0000 1.0100 Peak PM Trip
Sewer Deposit 50.00 50.00 0.00 0.0000 0.0000
State Building Fee 4.50 4.50 0.00 0.0000 0.0000
Fire District Impact Fee 508.68 0.00 508.68 0.2160 2,355.0000 square foot
Police Mitigation -Tahoma 310.00 310.00 0.00 0.0000 0.0000
Terra
TOTAL FEES: $8,728.93
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
Permit No: BLD-05-0744-YL
Issue Date: 10/18/2006
(Work must be started within 180 days)
Receipt No: 44182
OFFICIAL USE ONLY ~I
# Sets of Prints:
Final Inspection:
Date:
'il By:
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:
Name: Quadrant Homes
Address: P.O. Box 130
Property Information:
Site Address: 14910 99th Avenue SE
Assessor Parcel No. 78640005200
Contractor Information:
Name: Quadrant Homes
Address: P.O. Box 130
Contractor License No: QUADRC`221OF
Project Information:
Project: Tahoma Terra, Division
Description of Work: 2141 C, Lot 52
City: Bellevue
Subdivision: Tahoma Terra
Contact:
City: Bellevue
Expires: 09/10/07253
Permit No: BLD-05-0746-YL
Issue Date: 10/18/2006
(Work must be started within 180 days)
Receipt No: 44184
Phone: 425-452-0332
State: WA Zip 98009
Lot: 52
Phone: 425-646-8363
State: WA Zip: 98009
Business License:
Sq. Ft. per floor: (1st) 869 (2nd) 1309 (3rd) 0 Garage 422 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
Building Plan Review
Mechanical Permit
Plumbing Permit
Sewer Inspection
Water ERU
Water Meter (SFD)
Water Deposit
Traffic Facilities Charge
Sewer Deposit
State Building Fee
Sewer ERU (LID)
Fire District Impact Fee
Police Mitigation -Tahoma
Terra
TOTAL FEES:
Applicant's Affadavit:
1,567.19 993.75 573.44 5.6000 102.4000 $1,000
662.13 0.00 0.00 0.0000 0.0000
78.25 0.00 0.00 0.0000 0.0000
118.00 20.00 98.00 7.0000 14.0000 Fixture
145.00 0.00 145.00 145.0000 1.0000 ERU
1,500.00 0.00 1,500.00 1,500.0000 1.0000 ERU
300.00 300.00 0.00 0.0000 0.0000
40.00 40.00 0.00 0.0000 0.0000
757.50 0.00 757.50 750.0000 1.0100 Peak PM Trip
50.00 50.00 0.00 0.0000 0.0000
4.50 4.50 0.00 0.0000 0.0000
2,847.00 0.00 2,847.00 2,847.0000 1.0000 ERU
561.60 0.00 561.60 0.2160 2,600.0000 square foot
310.00 310.00 0.00 0.0000 0.0000
$8,941.17
I certify that I have read and examined the information contained within the application and know the same
to be true and correct. 1 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
OFFICIAL USE ONLY
~ # Sets of Prints: j
'Final Inspection:
Date:
By:
~o><THFA~~' City of Yelm
~ '~ Community Development Department
Building Division
Phone: (360) 458-8407
YELM Fax: (360) 458-3144
Applicant:
Name: Quadrant Homes
Address: P.O. Box 1 30 City: Bellevue
Property Information:
Site Address: 14944 Terra View St. SE
Assessor Parcel No. 78640002400
Contractor Information:
Name: Applicant
Address:
Contractor License No:
Project Information:
Project: Tahoma Terra Phase I, Division I
Description of Work: 2565-30 A, Lot 24
Permit No: BLD-05-0747-YL
Issue Date: 10/18/2006
(Work must be started within 180 days)
Receipt No: 44183
Phone: 425-452-0332
State: WA Zip 98009
Subdivision: Tahoma Terra
Phone:
State: Zip:
Business License:
Contact:
City:
Expires:
Sq. Ft. per floor: (1st) 1095 (2nd) 1495 (3rd) 0 Garage 394 Basement 0
Heat Type (Electric, Gas, Other): GAS
Lot: 24
Fees:
Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
---------------------------
Building Permit 100-500k -----------
1,760.95 -----------
993.75 -----------
767.20 -----------
5.6000 -----------
137.0000 -------------
$1,000
Building Plan Review 744.00 0.00 0.00 0.0000 0.0000
Mechanical Permit 78.25 0.00 0.00 0.0000 0.0000
Plumbing Permit 118.00 20.00 98.00 7.0000 14.0000 Fixture
Sewer Inspection 145.00 0.00 145.00 145.0000 1.0000 ERU
Water ERU 1,500.00 0.00 1,500.00 1,500.0000 1.0000 ERU
Water Meter (SFD) 300.00 300.00 0.00 0.0000 0.0000
Water Deposit 40.00 40.00 0.00 0.0000 0.0000
Traffic Facilities Charge 757.50 0.00 757.50 750.0000 1.0100 Peak PM Trip
Sewer Deposit 50.00 50.00 0.00 0.0000 0.0000
Fire District Impact Fee 644.54 0.00 644.54 0.2160 2,984.0000 square foot
Sewer ERU (LID) 2,847.00 0.00 2,847.00 2,847.0000 1.0000 ERU
State Building Fee 4.50 4.50 0.00 0.0000 0.0000
Police Mitigation -Tahoma 310.00 310.00 0.00 0.0000 0.0000
Terra
TOTAL FEES: $9,299.74
Applicant's Affadavit:
OFFICIAL USE ONLY
1 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 'i # Sets of Prints:
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 ~I
registered in the State of Washington. 'Final Inspection:
i Date:
Signature Date
By: '~
Firm i
~
pf T~p~~ City of Yelm
~
~' Community Development Department
~
Building Division
Phone: (360) 458-8407
YELM Fax: (360) 458-3144
Applicant:
Name: Triance Homes
Address: 12639 SE 307th St. City: Auburn
Property Information:
Site Address: 10142 Terra Glenn St. SE
Assessor Parcel No. 81780003400
Contractor Information:
Name: Triance Homes
Address: 12639 DR 307th St.
Contractor License No: TRIANG19400
Project Information:
Project: Terra Valley
Description of Work: Landes Plan, Lot 34
Sq. Ft. per floor: (1st) 1702 (2nd) 0
Heat Type (Electric, Gas, Other): GAS
Subdivision: Terra Valley
Contact: Sakai, Tod
City: Auburn
Expires: 09/20/08264
Permit Ivo: BLD-05-0751-YL
Issue Date: 10/19/2006
(Work must be started within 180 days)
Receipt No: 44195
Phone: 206-618-0483
State: WA Zip 98092
Lot: 34
Phone: 206-618-0483
State: WA Zip: 98092
Business License:
(3rd) 0 Garage 552 Basement 0
Fees:
Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
---------------------------
Building Permit 100-500k -----------
1,361.67 -----------
993.75 -----------
367.92 -----------
5.6000 -----------
65.7000 -------------
$1,000
Building Plan Review 885.08 0.00 0.00 0.0000 0.0000
Mechanical Permit 78.25 0.00 0.00 0.0000 0.0000
Plumbing Permit 125.00 20.00 105.00 7.0000 15.0000 Fixture
Sewer ERU 5,569.00 0.00 5,569.00 5,569.0000 1.0000 ERU
Sewer Inspection 145.00 0.00 145.00 145.0000 1.0000 ERU
Water ERU 1,500.00 0.00 1,500.00 1,500.0000 1.0000 ERU
Water Meter (SFD) 300.00 300.00 0.00 0.0000 0.0000
Water Deposit 40.00 40.00 0.00 0.0000 0.0000
Traffic Facilities Charge 757.50 0.00 757.50 750.0000 1.0100 Peak PM Trip
Sewer Deposit 50.00 50.00 0.00 0.0000 0.0000
Fire District Impact Fee 486.86 0.00 486.86 0.2160 2,254.0000 square foot
State Building Fee 4.50 4.50 0.00 0.0000 0.0000
TOTAL FEES: $11,302.86
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 i # Sets of Prints:
Yelm regulations including those governing zoning and land subdivision, and in addition, all covenants, i
easements and restrictions of record. If applying as a contractor, I futher certify that I am currently
registered in the State of Washington. i Final Inspection:
Signature
Firm
Date
Date:
By:
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:
Name: Triance Homes
Address: 12639 SE 307th St.
Property Information:
Site Address: 10133 Terra Valley St. SE
Assessor Parcel No. 81780000500
Contractor Information:
Name: Triance Homes
Address: 12639 DR 307th St.
Contractor License No: TRIANG19400
Project Information:
Project: Terra Valley
Description of Work: Jura Plan, Lot 5
Sq. Ft. per floor: (1st) 943 (2nd) 957
Heat Type (Electric, Gas, Other): GAS
City: Auburn
Subdivision: Terra Valley
Contact: Sakai, Tod
City: Auburn
Expires: 09/20/08264
Permit Ivo: BLD-05-0752-YL
Issue Date: 10/20/2006
(Work must be started within 180 days)
Receipt No: 44234
Phone: 206-618-0483
State: WA Zip 98092
Lot: 5
Phone: 206-618-0483
State: WA Zip: 98092
Business License:
(3rd) 0 Garage 432 Basement 0
Fees:
Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
---------------------------
Building Permit 100-500k -----------
1,434.47 ----------
993.75 -----------
440.72 -----------
5.6000 -----------
78.7000 -------------
$1,000
Building Plan Review 932.40 0.00 0.00 0.0000 0.0000
Mechanical Permit 84.75 0.00 0.00 0.0000 0.0000
Plumbing Permit 118.00 20.00 98.00 7.0000 14.0000 Fixture
Sewer ERU 5,569.00 0.00 5,569.00 5,569.0000 1.0000 ERU
Sewer Inspection 145.00 0.00 145.00 145.0000 1.0000 ERU
Water ERU 1,500.00 0.00 1,500.00 1,500.0000 1.0000 ERU
Water Meter (SFD) 300.00 300.00 0.00 0.0000 0.0000
Water Deposit 40.00 40.00 0.00 0.0000 0.0000
Traffic Facilities Charge 757.50 0.00 757.50 750.0000 1.0100 Peak PM Trip
Sewer Deposit 50.00 50.00 0.00 0.0000 0.0000
Fire District Impact Fee 503.71 0.00 503.71 0.2160 2,332.0000 square foot
State Building Fee 4.50 4.50 0.00 0.0000 0.0000
TOTAL FEES: $11,439.33
Applicant's Affadavit:
1 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, 1 futher certify that I am currently
registered in the State of Washington.
Signature Date
Firm
OFFICIAL USE ONLY
III # Sets of Prints:
Final Inspection:
Date:
I By:
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:
Name: Triance Homes
Address: 12639 SE 307th St.
Property Information:
Site Address: 10145 Terra Valley St. SE
Assessor Parcel No. 81780000300
Contractor Information:
Name: Triance Homes
Address: 12639 DR 307th St.
Contractor License No: TRIANG19400
Project Information:
Project: Terra Valley
Description of Work: Chambery, Lot 3
City: Auburn
Subdivision: Terra Valley
Contact: Sakai, Tod
City: Auburn
Expires: 09/20/08264
Permit No: BLD-05-0765-YL
Issue Date: 10/30/2006
(Work must be started within 180 days)
Receipt No: 44417
Phone: 206-618-0483
State: WA Zip 98092
Lot: 3
Phone: 206-618-0483
State: WA Zip: 98092
Business License:
Sq. Ft. per floor: (1st) 943 (2nd) 957 (3rd) 432 Garage 0 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 ----------
1,576.15 -----------
993.75 -----------
582.40 -----------
5.6000 -----------
104.0000 -------------
$1,000
Building Plan Review 1,024.49 0.00 0.00 0.0000 0.0000
Mechanical Permit 84.75 0.00 0.00 0.0000 0.0000
Plumbing Permit 118.00 20.00 98.00 7.0000 14.0000 Fixture
Sewer ERU 5,569.00 0.00 5,569.00 5,569.0000 1.0000 ERU
Sewer Inspection 145.00 0.00 145.00 145.0000 1.0000 ERU
Water ERU 1,500.00 0.00 1,500.00 1,500.0000 1.0000 ERU
Water Meter (SFD) 300.00 300.00 0.00 0.0000 0.0000
Water Deposit 40.00 40.00 0.00 0.0000 0.0000
Traffic Facilities Charge 757.50 0.00 757.50 750.0000 1.0100 Peak PM Trip
Sewer Deposit 50.00 50.00 0.00 0.0000 0.0000
Fire District Impact Fee 581.04 0.00 581.04 0.2160 2,690.0000 square foot
State Building Fee 4.50 4.50 0.00 0.0000 0.0000
TOTAL FEES: $11,750.43
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 # Sets of Prints:
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. ~ Final Inspection:
Signature
Firm
Date
Date:
By:
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:
Name: MCS Inc.
Address: 4624 16th Street E., Ste. A-5
Property Information:
Site Address: 16533 SR 507
Assessor Parcel No. 64303200704
Contractor Information:
Name:
Address:
Contractor License No:
City: Fife
Subdivision:
Contact:
City:
Expires:
Project Information:
Project: Del's Furnace
Description of Work: Replace gas furnace with gas unit heater
Sq. Ft. per floor: (1st) 0 (2nd) 0 (3rd) 0
Heat Type (Electric, Gas, Other): OTHER
Fees:
Item
---------------------------
Mechanical Permit
TOTAL FEES
Applicant's Affadavit:
Permit No: M-05-0758-YL
Issue Date: 10/18/2006
(Work must be started within 180 days)
Receipt No: 44177
Phone: 253.926.9777
State: WA Zip 98424
Lot:
Phone:
State: Zip:
Business License:
Garage 0 Basement 0
Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
----------- ----------- ----------- ----------- ----------- -------------
33.25 0.00 0.00 0.0000 0.0000
$33.25
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
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date: ~'
~~
I By: ~
'~~pf TNep~ City of Yelm
9~ Community Development Department
d ~
Building Division
Phone: (360) 458-8407
YELM Fax: (360) 458-3144
Applicant:
Name: Fast Water Heater
Address: 12601 132nd Ave. NE City: Kirkland
Property Information:
Site Address: 802 Mt. Aire
Assessor Parcel No. 63420000100 Subdivision:
Contractor Information:
Name: Contact:
Address: City:
Contractor License No: Expires:
Permit No: PL-05-0766-YL
Issue Date: 10/30/2006
(Work must be started within 180 days)
Receipt No: 44373
Phone: 425-814-3124
State: WA Zip 98034
Lot:
Phone:
State: Zip:
Business License:
Project Information:
Project: Schmitt H2O tank
Description of Work: Replace gas hot water tank
Sq. Ft. per floor: (1st) 0 (2nd) 0 (3rd) 0
Heat Type (Electric, Gas, Other): OTHER
Fees:
Item Item Fee Base Amt Unit Fee
--------------------------- ----------- ----------- -----------
Plumbing Permit 27.00 20.00 7.00
TOTAL FEES: $27.00
Garage 0 Basement 0
Unit Rate No. Units Unit Desc
----------- ----------- -------------
7.0000 1.0000 Fixture
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 # Sets of Prints: ~~~
Yelm regulations including those governing zoning and land subdivision, and in addition, all covenants, i
easements and restrictions of record. If applying as a contractor, I futher certify that I am currently
registered in the State of Washington. ~ Final Inspection:
Date:
Signature Date
Firm I By'
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:
Name: Lee, Wen Wu
Address: P.O. Box 13253
Property Information:
Site Address: 1412 Crystal Springs Rd.
Assessor Parcel No. 22718310100
Contractor Information:
Name: Applicant
Address:
Contractor License No:
Project Information:
Project: Loop
Description of Work: Remove Mfg. Home
City: Des Moines
Subdivision: N/A
Contact:
City:
Expires:
Sq. Ft. perfloor: (1st) 0 (2nd) 0 (3rd) 0
Heat Type (Electric, Gas, Other): OTHER
Fees:
Item Item Fee Base Amt Unit Fee
--------------------------- ----------- ----------- -----------
Building Permit -Other 50.00 0.00 0.00
TOTAL FEES: $50.00
Applicant's Affadavit:
Permit No: DEMO-05-0742-YL
Issue Date: 10/05/2006
(Work must be started within 180 days)
Receipt No: 43970
Phone: 206-683-5688
State: WA Zip 98198
Lot:
Phone:
State: Zip:
Business License:
Garage 0 Basement 0
Unit Rate No. Units Unit Desc
----------- ----------- -------------
0.0000 0.0000 $1, 000
~ 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 # Sets of Prints:
Yelm regulations including those governing zoning and land subdivision, and in addition, all covenants, ~i
easements and restrictions of record. If applying as a contractor, I futher certify that I am currently ~~
registered in the State of Washington. ~~ Final Inspection:
Signature Date Date:
Firm _ By.
Permit Ivo: DEMO-05-0764-YL
Issue Date: 10/25!2006
(Work must be started within 180 days)
Receipt No: 44320
Phone: 360.458.1502
State: WA Zip 98597
Property Information:
Site Address: 1412 Crystal Springs Road
Assessor Parcel No. 22718310100 Subdivision:
Contractor Information:
Name: Contact:
Address: City:
Contractor License No: Expires:
Lot:
Phone:
State: Zip:
Business License:
Project Information:
Project: Kempinski Demo
Description of Work: Remove garage in bypass right of way out of the City
Sq. Ft. per floor: (1st) 0 (2nd) 0 (3rd) 0 Garage 0 Basement 0
Heat Type (Electric, Gas, Other): OTHER
Fees:
Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
--------------------------- ----------- ----------- ----------- ----------- ----------- -------------
Building Permit -Other 50.00 0.00 0.00 0.0000 0.0000 $1,000
TOTAL FEES: $50.00
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 ; # Sets of Prints:
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. Final Inspection:
Signature
Firm
Date
Date:
By: