5/2006 Reporto~ ~rH~ City of Yelm
Community Development Department
a 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: June 1, 2006
Re: Building Permits Issued for the Month of May 2006
Enclosed are copies of the Building Permits issued.
(Hard copies of permits issued through 5/22/2006 already given to Assessor's Office. Only those
subsequently issued are enclosed for the Assessor's Office.)
Permit numbers:
BLD-OS-0512-YL, 0539, 0543, 0544, 0546, 0547, 0548, 0549, 0550, 0556, 0561, 0562, 0563,
0564, 0565, 0567, 0568, 0569, 0570, 0572, 0573, 0574, 0576, 0579
SIGN-OS-0545-YL, 0555, 0558, 0559
FIRE-OS-0551-YL
M-OS-0553-YL
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\OS-06 Permit Report.doc
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360)458-3144
Applicant:
Name: Arch Drafting 8 Design
Address: 12823 Maxwell Dr.
Property Information:
Site Address: 902 Algiers Dr., Ste 1_A
Assessor Parcel No. 22730110203
Contractor Information:
Name: Great Northwest Builders
Address: P.O. Box 3194
Contractor License No: GREATNB0136J
City: Tustin
Subdivision:
Contact:
City: Silverdale
Expires: 02/0310834
Project Information:
Project: Parker Paint TI
Description of Work: Tenant Improvement at Niqually Plaza
Suite 1-A
Sq. Ft. per floor: (1st) 0 (2nd) 0 (3rd) 0
Heat Type (Electric, Gas, Other): OTHER
Fees:
Item
Building Permit -Other
Building Plan Review
TOTAL FEES:
Applicant's Affidavit:
Permit No: BLD-05-0512-YL
Issue Date: 05/18/2006
(Work must be started within 180 days)
Receipt No: 42140
Phone: 714-404-3897
State: CA Zip 92782
Lot:
Phone: 360-337-2464
State: WA Zip: 98383
Business License:
Garage 0 Basement 0
Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
234.45 0.00 0.00 0.0000 0.0000 $1,000
152.39 0.00 0.00 0.0000 0.0000
5386.84
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:
oF TeFp~~
~' City of Yelm
~
~~
4 en Community Development Department
Building Division
Phone: (360) 458-8407
YELM Fax: (360) 458-3144
Applicant:
Name: Johnson Custom Homes
Address: 18741 Nutmeg St. SW City: Rochester
Property Information:
Site Address:
Assessor Parcel No.
Contractor Information:
Name: Johnson Custom Homes
Address: 18741 Nutmeg St. SW
Contractor License No: JOHNSCH976DC
Project Information:
Project: Terra Valley Demo Home
Description of Work: 2250 SFR
Sq. Ft. perfloor: (1st) 956 (2nd) 1294
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
Fire District Impact Fee
State Building Fee
TOTAL FEES:
Applicant's Affadavit:
Subdivision: Tahoma Valley
Contact: Johnson, John
City: Rochester
Expires: 03/03/0762
Permit No: BLD-05-0539-YL
Issue Date: 05122/2006
(Work must be started within 180 days)
Receipt No: 42195
Phone: 360-273-6666
State: WA Zip 98579
Lot: 10
Phone: 360-273-6666
State: WA Zip: 98579
Business License:
(3rd) 0 Garage 576 Basement 0
Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
1,631.03 993.75 637.28 5.6000 113.8000 $1,000
1,060.16 0.00 0.00 0.0000 0.0000
78.25 0.00 0.00 0.0000 0.0000
125.00 20.00 105.00 7.0000 15.0000 Fixture
5,569.00 0.00 5,569.00 5,569.0000 1.0000 ERU
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
610.42 0.00 610.42 0.2160 2,826.0000 square foot
4.50 4.50 0.00 0.0000 0.0000
511,s7o.ss
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, 1 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: Comfort Homes
Address: 8306 Quinalt Dr. NE
Property Information:
Site Address: 16426 Oakridge Ct. SE
Assessor Parcel No. 37580003900
Contractor Information:
Name: Comfort Homes
Address: 8306 Quinalt Dr. NE
Contractor License No: COMFOHL957D5
Project Information:
Project: Oakridge
Description of Work: Plan 1818 S/2 ,Lot 39
City: Lacey
Subdivision: Oakridge
Contact: Bayless, Greg
City: Lacey
Expires: 03/25/0784
Permit No: BLD-05-0543-YL
Issue Date: 05/09/2006
(Work must be started within 180 days)
Receipt No: 41913
Phone: 36086-0161
State: WA Zip 98516
Lot: 39
Phone: 36086-0161
State: WA Zip: 98516
Business License: OS-000730.0
Sq. Ft. perfloor: (1st) 547 (2nd) 1271 (3rd) 0 Garage 585 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-SOOk 1,424.95 993.75 431.20 5.6000 77.0000 $1,000
Building Plan Review 926.21 0.00 0.00 0.0000 0.0000
Mechanical Permit 78.25 0.00 0.00 0.0000 0.0000
Plumbing Permit 132.00 20.00 112.00 7.0000 16.0000 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 519.05 0.00 519.05 0.2160 2,403.0000 square foot
TOTAL FEES: E11,446.46
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
Firm
Date
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
pF7HFp~~
~ City of Yelm
~
7~ Community Development Department
d ~
Building Division
Phone: (360) 458-8407
YELM Fax: (360) 458-3144
Applicant:
Name: Landshapes NW, Inc.
Address: 1151E 112th Street City: Tacoma
Property Information:
Site Address:
Assessor Parcel No.
Contractor Information:
Name: Landshapes NW
Address: 1151 East 112th Street
Contractor License No: LANDSN1965MT
Project Information:
Project: Country Vista Estates
Description of Work: Single Family Model Home
Sq. Ft. per floor: (1st) 0 (2nd) 0
Heat Type (Electric, Gas, Other):
Fees:
Subdivision:
Contact: Lubbesmeyer, John
City: Tacoma
Expires: 08/13/06225
(3rd) 0
Item Item Fee Base Amt Unit Fee
Building Permit 100-500k 1,419.91 993.75 426 16
Building Plan Review 599.91 0.00 0.00
Mechanical Permit 78.25 0.00 0.00
Plumbing Permit 111.00 20.00 91.00
Sewer Inspection 145.00 0.00 145.00
Water ERU 1,500.00 0.00 1,500.00
Water Meter (SFD) 300.00 300.00 0.00
Water Deposit 40.00 40.00 0.00
Traffic Facilities Charge 757.50 0.00 757 50
Sewer Deposit 50.00 50.00 0.00
State Building Fee 4.50 4.50 0.00
Fire District Impact Fee 511.49 0.00 511.49
Sewer ERU 5,569.00 0.00 5,569.00
TOTAL FEES: b11,086.56
Applicant's Affadavit:
Permit No: BLD-05-0544-YL
Issue Date: 05/02/2006
(Work must be started within 180 days)
Receipt No:
Phone: 253.537.6370
State: WA Zip 98445
Lot: 2
Phone: 253-537-6370
State: WA Zip: 98445
Business License: 1673.0
Garage 0 Basement 0
Unit Rate No. Units Unit Desc
5.6000 76.1000 $1,000
0.0000 0.0000
0.0000 0.0000
7.0000 13.0000 Fixture
145.0000 1.0000 ERU
1,500.0000 1.0000 ERU
0.0000 0.0000
0.0000 0.0000
750.0000 1.0100 Peak PM Trip
0.0000 0.0000
0.0000 0.0000
0.2160 2,368.0000 square foot
5,569.0000 1.0000 ERU
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: Comfort Homes
Address: 8306 Quinalt Dr. NE City: Lacey
Property Information:
Site Address: 16323 Richmont Ct SE
Assessor Parcel No. 37580000400 Subdivision: Oakridge
Contractor Information:
Name: Owner Contact:
Address: City:
Contractor License No: Expires:
Project Information:
Project: Oakridge
Description of Work: Plan 2211, Lot 4
Permit rvo: BLD-05-0546-YL
Issue Date: 05/0912006
(Work must be started within 180 days)
Receipt No: 41909
Phone: 360.486-0161
State: WA Zip 98516
Phone:
State: Zip:
Business License:
Sq. Ft. per floor: (1st) 1071 (2nd) 1140 (3rd) 0 Garage 434 Basement 0
Heat Type (Electric, Gas, Other): GAS
Lot: 4
Fees:
Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
Building Permit 100-500k 1,585.67 993.75 591.92 5.6000 105.7000 $1,000
Building Plan Review 669.94 0.00 0.00 0.0000 0.0000
Mechanical Permit 84.75 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 571.32 0.00 571.32 0.2160 2,645.0000 square foot
State Building Fee 4.50 4.50 0.00 0.0000 0.0000
TOTAL FEES: $11,402.68
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:
Date:
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 City: Lacey
Property Information:
Site Address: 16324 Richmont Ct SE
Assessor Parcel No. 37580000300 Subdivision: Oakridge
Contractor Information:
Name: Owner Contact:
Address: City:
Contractor License No: Expires:
Project Information:
Project: Oakridge
Description of Work: Plan 2211, Lot 3
Sq. Ft. per floor: (1st) 1071 (2nd) 1140 (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
Fire District Impact Fee
State Building Fee
TOTAL FEES
Applicant's Affadavit:
Permit No: BLD-05-0547-YL
Issue Date: 05109/2006
(Work must be started within 180 days)
Receipt No: 41915
Phone: 36086-0161
State: WA Zip 98516
Garage 434
Lot: 3
Phone:
State: Zip:
Business License:
Basement 0
Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
1,585.67 993.75 591.92 5.6000 105.7000 $1,000
669.94 0.00 0.00 0.0000 0.0000
84.75 0.00 0.00 0.0000 0.0000
125.00 20.00 105.00 7.0000 15.0000 Fixture
5,569.00 0.00 5,569.00 5,569.0000 1.0000 ERU
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
571.32 0.00 571.32 0.2160 2,645.0000 square foot
4.50 4.50 0.00 0.0000 0.0000
$11,402.68
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:
f~
pF THFpq~' City of Yelm
~
4 ~~~ Community Development Department
4 to
Building Division
Phone: (360)458-8407
YELM Fax: (360) 458-3144
Applicant:
Name: Comfort H omes
Address: 8306 Quinalt Dr. NE City: Lacey
Property Information:
Site Address: 16335 Richmont Ct SE
Assessor Parcel No. 37580000600 Subdivision: Oakridge
Contractor Information:
Name: Owner Contact:
Address: City:
Contractor License No: Expires:
Project Information:
Project: Oakridge
Description of Work: Plan 2211, Lot 6
Permit No: BLD-05-0548-YL
Issue Date: 05109/2006
(Work must be started within 180 days)
Receipt No: 41910
Phone: 360-486-0161
State: WA Zip 98516
Phone:
State: Zip'
Business License:
Sq. Ft. per floor: (1st) 1071 (2nd) 1140 (3rd) 0 Garage 434 Basement 0
Heat Type (Electric, Gas, Other): GAS
Lot: 6
Fees:
Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
Building Permit 100-500k 1,585.67 993.75 591.92 5.6000 105.7000 $1 000
Building Plan Review 669.94 0.00 0.00 0.0000 0.0000
Mechanical Permit 84.75 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 571.32 0.00 571.32 0.2160 2,645.0000 square foot
State Building Fee 4.50 4.50 0.00 0.0000 0 0000
TOTAL FEES: 511,402.68
Applicant's Affadavit:
I certify that 1 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
# 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: Comfort Homes
Address: 8306 Quinalt Dr. NE
Property Information:
Site Address: 16339 Cascadian Ct. SE
Assessor Parcel No. 37580001500
Contractor Information:
Name: Owner
Address:
Contractor License No:
Project Information:
Project: Oakridge
Description of Work: Plan 1781, Lot 15
City: Lacey
Subdivision: Oakridge
Contact:
City:
Expires:
Permit No: BLD-05-0549-YL
Issue Date: 05109/2006
(Work must be started within 180 days)
Receipt No: 41914
Phone: 360486-0161
State: WA Zip 98516
Lot: 15
Phone:
State: Zip:
Business License:
Sq. Ft. per floor: (1st) 951 (2nd) 817 (3rd) 0 Garage 436 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 1,371.47 993.75 377.72 5.6000 67.4500 $1,000
Building Plan Review 579.44 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 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 476.06 0 00 476.06 0.2160 2,204.0000 square foot
State Building Fee 4.50 4.50 0.00 0.0000 0.0000
TOTAL FEES: 510,989.22
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:
Date:
By:
~
pF TeEp
~ City of Yelm
~
~
~~ Community Development Department
Building Division
Phone: (360) 458-8407
YELM Fax: (360) 458-3144
Applicant:
Name: Comfort Homes
Address: 8306 Quinalt Dr. NE City: Lacey
Property Information:
Site Address: 10024 Cascadian Ave SE
Assessor Parcel No. 37580002700 Subdivision: Oakridge
Contractor Infonnation:
Name: Owner Contact:
Address: City:
Contractor License No: Expires:
Project Information:
Project: Oakridge
Description of Work: Plan 2211, Lot 27
Permit No: BLD-05-0550-YL
Issue Date: 05/0912006
(Work must be started within 180 days)
Receipt No: 41912
Phone: 36086-0161
State: WA Zip 98516
Phone:
State: Zip:
Business License:
Sq. Ft. per floor: (1st) 1071 (2nd) 1140 (3rd) 0 Garage 434 Basement 0
Heat Type (Electric, Gas, Other): GAS
Lot: 27
Fees:
Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
Building Permit 100-500k
1,585.67
993.75 - ------
591.92 ----------
5.6000 -----------
105.7000 ----------
$1,000
Building Plan Review 669.94 0.00 0.00 0.0000 0.0000
Mechanical Permit 84.75 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 571.32 0.00 571.32 0.2160 2,645.0000 square foot
State Building Fee 4.50 4.50 0.00 0.0000 0.0000
TOTAL FEES: 511,402.68
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:
Date:
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 City: Lacey
Property Information:
Site Address: 16414 Oakridge Ct. SE
Assessor Parcel No. 37580003700 Subdivision: Oakridge
Contractor Information:
Name: Owner Contact:
Address: City:
Contractor License No: Expires:
Project Information:
Project: Oakridge
Description of Work: Plan 2326, Lot 37
Permit No: BLD-05-0556-YL
Issue Date: 05!0912006
(Work must be started within 180 days)
Receipt No: 41916
Phone: 360.486-0161
State: WA Zip 98516
Phone:
State: Zip:
Business License:
Sq. Ft. per floor: (1st) 1071 (2nd) 1140 (3rd) 434 Garage 0 Basement 0
Heat Type (Electric, Gas, Other): GAS
Lot: 37
Fees:
Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
Building Permit 100-500k ----------
1,641.11 --------
993.75 -----------
647.36 ----------
5.6000 -----------
115.6000 -----------
$1,000
Building Plan Review 1,066.72 0.00 0.00 0.0000 0.0000
Mechanical Permit 84.75 0.00 0.00 0.0000 0.0000
Plumbing Permit 132.00 20.00 112.00 7.0000 16.0000 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 596.16 0.00 596.16 0.2160 2,760.0000 square foot
State Building Fee 4.50 4 50 0.00 0.0000 0.0000
TOTAL FEES: 511,886.74
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:
Date:
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: 14949 99th Way SE
Assessor Parcel No. 78640008300
Contractor Information:
Name: Applicant
Address:
Contractor License No:
Project Information:
Project: Tahoma Terra Phase I, Division
Description of Work: 2165 A/2R, Lot 83
City: Bellevue
Subdivision: Tahoma Terra
Contact:
City:
Expires:
Permit No: BLD-05-0561-YL
Issue Date: 05/22/2006
(Work must be started within 180 days)
Receipt No: 42194
Phone: 425-452-0332
State: WA Zip 98009
Phone:
State: Zip:
Business License:
Sq. Ft. per floor: (1st) 888 (2nd) 1270 (3rd) 0 Garage 416 Basement 0
Heat Type (Electric, Gas, Other): GAS
Lot: 83
Fees:
Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
Building Permit 100-500k 1,556.27 993.75 562.52 5.6000 100.4500 $1,000
Building Plan Review 1,011.57 0.00 0.00 0.0000 0.0000
Mechanical Permit 78.25 0.00 0.00 0.0000 0.0000
Plumbing Permit 146.00 20.00 126.00 7.0000 18.0000 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 555.98 0.00 555.98 0.2160 2,574.0000 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: $9,302.07
Applicant's Affadavit:
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: Quadrant Homes
Address: P.O. Box 130
Property Information:
Site Address: 14855 99th Ave. SE
Assessor Parcel No. 78640005800
Contractor Information:
Name: Applciant
Address:
Contractor License No:
Project Information:
Project: Tahoma Terra, Phase I Division I
Description of Work: 2011 A, Lot 58
Sq. Ft. per floor: (1st) 866 (2nd) 1220
Heat Type (Electric, Gas, Other): GAS
Fees:
Item
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
Fire District Impact Fee
Sewer ERU (LID)
State Building Fee
Police Mitigation -Tahoma
Terra
TOTAL FEES:
Applicant's Affadavit:
City: Bellevue
Subdivision: Tahoma Terra
Contact:
City:
Expires:
Permit No: BLD-05-0562-YL
Issue Date: 05/22/2006
(Work must be started within 180 days)
Receipt No: 42193
Phone: 425-452-0332
State: WA Zip 98009
Phone:
State: Zip:
Business License:
(3rd) 0 Garage 598 Basement 0
Lot: 58
Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
1,517.91 993.75 524.16 5.6000 93.6000 $1,000
986.64 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
536.54 0.00 536 54 0.2160 2,484.0000 square foot
2,847.00 0.00 2,847.00 2,847.0000 1.0000 ERU
4.50 4.50 0.00 0.0000 0.0000
310.00 310.00 0.00 0.0000 0.0000
$9,191.34
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:
pF THFpA~
~ City of Yelm
~
a ~~ Community Development Department
4 ~
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: 14919 99th Way SE
Assessor Parcel No. 78640007900
Contractor Information:
Name: Quadrant Homes
Address: P.O. Box 130
Contractor License No: QUADRC"2210F
Project Information:
Project: Tahoma Terra, Division I, Phase
Description of Work: 1319 C, Lot 79
Sq. Ft. per floor: (1st) 612 (2nd) 740
Heat Type (Electric, Gas, Other): ELECTRIC
Fees:
Item
Building Permit 100-500k
Building Plan Review
Mechanical Permit
Plumbing Permit
Sewer Inspection
Water ERU
Water Meter (SFD)
Water Deposit
Traffic Facilities Charge
Sewer ERU (LID)
Sewer Deposit
Fire District Impact Fee
Police Mitigation -Tahoma
Terra
State Building Fee
TOTAL FEES:
Applicant's Affadavit:
Subdivision: Tahoma Terra
Contact:
City: Bellevue
Expires: 09/10/07253
Permit rvo: BLD-05-0563-YL
Issue Date: 05122/2006
(Work must be started within 180 days)
Receipt No: 42192
Phone: 425-452-0332
State: WA Zip 98009
Lot: 79
Phone: 425-646-8363
State: WA Zip: 98009
Business License:
(3rd) 0 Garage 200 Basement 0
Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
1,125.35 993.75 131.60 5.6000 23.5000 $1,000
475.46 0.00 0.00 0.0000 0.0000
96.50 0.00 0.00 0.0000 0.0000
90.00 20.00 70.00 7.0000 10.0000 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
2,847.00 0.00 2,847.00 2,847.0000 1.0000 ERU
50.00 50.00 0.00 0.0000 0.0000
335.23 0.00 335.23 0.2160 1,552.0000 square foot
310.00 310.00 0.00 0.0000 0.0000
4.50 4.50 0.00 0.0000 0.0000
$8,076.54
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:
pFTHFp~~-
'~ City of Yelm
~
~~ Community Development Department
d ~
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: 14943 99th Way SE
Assessor Parcel No. 78640008200
Contractor Information:
Name: Quadrant Homes
Address: P.O. Box 130
Contractor License No: QUADRC"2210F
Project Information:
Project: Tahoma Terra, Division I, Phase 1
Description of Work: 1617 A, Lot 82
Sq. Ft. per floor: (1st) 731 (2nd) 917
Heat Type (Electric, Gas, Other): ELECTRIC
Fees:
Item
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
Sewer ERU (LID)
Police Mitigation -Tahoma
Terra
Fire District Impact Fee
State Building Fee
TOTAL FEES:
Applicant's Affadavit:
Subdivision: Tahoma Terra
Contact:
City: Bellevue
Expires: 09/10/07253
Lot: 82
Phone: 425-646-8363
State: WA Zip: 98009
Business License:
(3rd) 0 Garage 220 Basement 0
Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
1,272.63 993.75 278.88 5.6000 49.8000 $1,000
537.68 0.00 0.00 0.0000 0.0000
103.00 0.00 0.00 0.0000 0.0000
111.00 20.00 91.00 7.0000 13.0000 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
2,847.00 0.00 2,847.00 2,847.0000 1.0000 ERU
310.00 310.00 0.00 0.0000 0.0000
403.49 0.00 403.49 0.2160 1,868.0000 square foot
4.50 4.50 0.00 0.0000 0.0000
58,381.80
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-05-0564-YL
Issue Date: 05/2212006
(Work must be started within 180 days)
Receipt No: 42190
Phone: 42552-0332
State: WA Zip 98009
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: Quadrant Homes
Address: P.O. Box 130
Property Information:
Site Address: 14950 100th Ave. SE
Assessor Parcel No. 78640008400
Contractor Information:
Name: Quadrant Homes
Address: P.O. Box 130
Contractor License No: QUADRC*221 OF
Project Information:
Project: Tahoma Terra, Division
Description of Work: 2411 B, Lot 84
Sq. Ft. per floor: (1st) 1034 (2nd) 1400
Heat Type (Electric, Gas, Other): GAS
City: Bellevue
Subdivision: Tahoma Terra
Contact:
City: Bellevue
Expires: 09/10/07253
Permit No: BLD-05-0565-YL
Issue Date: 05122/2006
(Work must be started within 180 days)
Receipt No: 42191
Phone: 425.452-0332
State: WA Zip 98009
Lot: 84
Phone: 425-646-8363
State: WA Zip: 98009
Business License:
(3rd) 417 Garage 0 Basement 0
Fees:
Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
Building Permit 100-500k 1,689.83 993.75 696.08 5.6000 124.3000 $1,000
Building Plan Review 713.95 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 2,030.00 145.0000 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
Sewer ERU (LID) 2,847.00 0.00 2,847.00 2,847.0000 1.0000 ERU
Fire District Impact Fee 615.82 0.00 615.82 0.2160 2,851.0000 square foot
Police Mitigation -Tahoma 310.00 310.00 0.00 0.0000 0.0000
Terra 4.50 4.50 0.00 0.0000 0.0000
State Building Fee
TOTAL FEES: $9,169.85
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:
Date:
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: 14937 99th Way SE
Assessor Parcel No. 78640008100
Contractor Information:
Name: Applicant
Address:
Contractor License No:
Project Information:
Project: Tahoma Terra Phase I, Division I
Description of Work: 2585-30 A/2R, Lot 81
City: Bellevue
Subdivision: Tahoma Terra
Contact:
City:
Expires:
Permit No: BLD-05-0567-YL
Issue Date: 05122/2006
(Work must be started within 180 days)
Receipt No:
Sq. Ft. per floor: (1st) 1095 (2nd) 1495 (3rd) 0 Garage 394
Heat Type (Electric, Gas, Other): GAS
Fees:
Item Item Fee Base Amt Unit Fee Unit Rate
Building Permit 100-500k 1,760.95 993.75 767.20 5.6000
Building Plan Review 1,144.61 0.00 0.00 0.0000
Mechanical Permit 78.25 0.00 0.00 0.0000
Plumbing Permit 118.00 20.00 98.00 7.0000
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 644.54 0.00 644 54 0.2160
Sewer ERU (LID) 2,847.00 0.00 2,847.00 2,847.0000
State Building Fee 4.50 4.50 0.00 0.0000
Police Mitigation -Tahoma 310.00 310.00 0.00 0.0000
Terra
TOTAL FEES: 59,700.35
Applicant's Affadavit:
Phone: 425-452-0332
State: WA Zip 98009
Phone:
State: Zip:
Business License:
Basement 0
Lot: 81
No. Units Unit Desc
137.0000 $1,000
0.0000
0.0000
14.0000 Fixture
1.0000 ERU
1.0000 ERU
0.0000
0.0000
1.0100 Peak PM Trip
0.0000
2,984.0000 square foot
1.0000 ERU
0.0000
0.0000
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: Quadrant Homes
Address: P.O. Box 130
Properly Information:
Site Address: 14860 99th Way SE
Assessor Parcel No. 78640007700
Contractor Information:
Name: Applicant
Address:
Contractor License No:
Project Information:
Project: Tahoma Terra Phase I, Division I
Description of Work: 1511-30 A/2L, Lot 77
City: Bellevue
Subdivision: Tahoma Terra
Contact:
City:
Expires:
Permit rvo: BLD-05-0568-YL
Issue Date: 05/24/2006
(Work must be started within 180 days)
Receipt No: 42231
Phone: 425-452-0332
State: WA Zip 98009
Phone:
State: Zip:
Business License:
Sq. Ft. perfloor: (1st) 583 (2nd) 964 (3rd) 394 Garage 400 Basement 0
Heat Type (Electric, Gas, Other): GAS
Fees:
Lot: 77
Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
Building Permit 100-500k 1,257.79 993.75 264.04 5.6000 47.1500 $1,000
Building Plan Review 817.56 0.00 0.00 0.0000 0.0000
Mechanical Permit 78.25 0.00 0.00 0.0000 0.0000
Plumbing Permit 111.00 20.00 91.00 7.0000 13.0000 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 420.55 0.00 420.55 0.2160 1,947.0000 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: $8,639.15
Applicant's Affadavit:
OFFICIAL USE ONLY
I certify that I have read and examined the information contained within the application and know the same I,
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: i
i
'~ Date:
Signature Date
Firm 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: 14932 100th Ave SE
Assessor Parcel No. 78640008700
Contractor Information:
Name: Applicant
Address:
Contractor License No:
Project Information:
Project: Tahoma Terra Phase I, Division 1
Description of Work: 1511-30 A/2R, Lot 87
City: Bellevue
Subdivision: Tahoma Terra
Contact:
City:
Expires:
Permit No: BLD-05-0569-YL
Issue Date: 05/24/2006
(Work must be started within 180 days)
Receipt No: 42232
Sq. Ft. per floor: (1st) 583 (2nd) 964 (3rd) 0 Garage 400
Heat Type (Electric, Gas, Other): GAS
Fees:
Item Item Fee Base Amt Unit Fee Unit Rate
Building Permit 100-500k 1,257.79
Building Plan Review 531.41
Mechanical Permit 78.25
Plumbing Permit 111.00
Sewer Inspection 145.00
Water ERU 1,500.00
Water Meter (SFD) 300.00
Water Deposit 40.00
Traffic Facilities Charge 757.50
Sewer Deposit 50.00
Fire District Impact Fee 420.55
Sewer ERU (LID) 2,847.00
State Building Fee 4.50
Police Mitigation -Tahoma 310.00
Terra
TOTAL FEES: 58,353.00
993.75 264.04 5.6000
0.00 0.00 0.0000
0.00 0.00 0.0000
20.00 91.00 7.0000
0.00 145.00 145.0000
0.00 1,500.00 1,500.0000
300.00 0.00 0.0000
40.00 0.00 0.0000
0.00 757.50 750.0000
50.00 0.00 0.0000
0.00 420.55 0.2160
0.00 2,847.00 2,847.0000
4.50 0.00 0.0000
310.00 0.00 0.0000
Phone: 425-452-0332
State: WA Zip 98009
Lot: 87
Phone:
State: Zip:
Business License:
Basement 0
No. Units Unit Desc
47.1500 $1,000
0.0000
0.0000
13.0000 Fixture
1.0000 ERU
1.0000 ERU
0.0000
0.0000
1.0100 Peak PM Trip
0.0000
1,947.0000 square foot
1.0000 ERU
0.0000
0.0000
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 Date ~ Date: Iii
-----
Firm By.
~~ i
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: 14944100th Ave. SE
Assessor Parcel No. 78640008500
Contractor Information:
Name: Applicant
Address:
Contractor License No:
Project Information:
Project: Tahoma Terra Phase I, Division I
Description of Work: 2721-30 AI2R, Lot 85
City: Bellevue
Subdivision: Tahoma Terra
Contact:
City:
Expires:
Permit No: BLD-05-0570-YL
Issue Date: 05/24/2006
(Work must be started within 180 days)
Receipt No: 42230
Sq. Ft. perfloor: (1st) 1207 (2nd) 1548 (3rd) 0 Garage 403
Heat Type (Electric, Gas, Other): GAS
Fees:
Item Item Fee Base Amt Unit Fee Unit Rate
Building Permit 100-500k 1,853.91
Building Plan Review 1,205.04
Mechanical Permit 78.25
Plumbing Permit 132.00
Sewer Inspection 145.00
Water ERU 1,500.00
Water Meter (SFD) 300.00
Water Deposit 40.00
Traffic Facilities Charge 757.50
Sewer Deposit 50.00
Fire District Impact Fee 682.13
Sewer ERU (LID) 2,847.00
State Building Fee 4.50
Police Mitigation -Tahoma 310.00
Terra
TOTAL FEES: $9,905.33
Applicant's Affadavit:
993.75 860.16 5.6000
0.00 0.00 0.0000
0.00 0.00 0.0000
20.00 112.00 7.0000
0.00 145.00 145.0000
0.00 1, 500.00 1, 500.0000
300.00 0.00 0.0000
40.00 0.00 0.0000
0.00 757.50 750.0000
50.00 0.00 0.0000
0.00 682.13 0.2160
0.00 2,847.00 2,847.0000
4.50 0.00 0.0000
310.00 0.00 0.0000
Phone: 425-452-0332
State: WA Zip 98009
Lot: 85
Phone:
State: Zip:
Business License:
Basement 0
No. Units Unit Desc
153.6000 $1,000
0.0000
0.0000
16.0000 Fixture
1.0000 ERU
1.0000 ERU
0.0000
0.0000
1.0100 Peak PM Trip
0.0000
3,158.0000 square foot
1.0000 ERU
0.0000
0.0000
' OFFICIAL USE ONLY
certify that I have read and examined the information contained within the application and know the same I~~
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 1 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: Quadrant Homes
Address: P.O. Box 130
Property Information:
Site Address: 14861 99th Ave SE
Assessor Parcel No. 78640005900
Contractor Information:
Name: Applicant
Address:
Contractor License No:
Project Information:
Project: Tahoma Terra Phase I, Division I
Description of Work: 1531-30 A/2L, Lot 59
City: Bellevue
Subdivision: Tahoma Terra
Contact:
City:
Expires:
Permit No: BLD-05-0572-YL
Issue Date: 05/24/2006
(Work must be started within 180 days)
Receipt No: 42235
Sq. Ft. perfloor: (1st) 583 (2nd) 964 (3rd) 0 Garage 400
Heat Type (Electric, Gas, Other): GAS
Fees:
Item Item Fee Base Amt Unit Fee Unit Rate
Building Permit 100-500k 1,257.79 993.75 264.04 5.6000
Building Plan Review 531.41 0.00 0.00 0.0000
Mechanical Permit 78.25 0.00 0.00 0.0000
Plumbing Permit 111.00 20.00 91.00 7.0000
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 420.55 0.00 420.55 0.2160
Sewer ERU (LID) 2,847.00 0.00 2,847.00 2,847.0000
State Building Fee 4.50 4.50 0.00 0.0000
Police Mitigation -Tahoma 310.00 310.00 0.00 0.0000
Terra
TOTAL FEES: $8,353.00
Applicant's Affadavit:
Phone: 425-452-0332
State: WA Zip 98009
Lot: 59
Phone:
State: Zip:
Business License:
Basement 0
No. Units Unit Desc
47.1500 $1,000
0.0000
0.0000
13.0000 Fixture
1.0000 ERU
1.0000 ERU
0.0000
0.0000
1.0100 Peak PM Trip
0.0000
1,947.0000 square foot
1.0000 ERU
0.0000
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:
'~ Date:
Signature Date
Firm 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: 14938 100th Ave. SE
Assessor Parcel No. 78640008600
Contractor Information:
Name: Applciant
Address:
Contractor License No:
Project Information:
Project: Tahoma Terra, Phase I Division I
Description of Work: 2031 A, Lot 86
City: Bellevue
Subdivision: Tahoma Terra
Contact:
City:
Expires:
Permit No: BLD-05-0573-YL
Issue Date: 05/24/2006
(Work must be started within 180 days)
Receipt No: 42234
Phone: 425-452-0332
State: WA Zip 98009
Lot: 86
Phone:
State: Zip:
Business License:
Sq. Ft. perfloor: (1st) 866 (2nd) 1220 (3rd) 0 Garage 398 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 ----------
1,517.91 -----------
993.75 ---------
524.16
5.6000
93.6000
$1,000
Building Plan Review 641.31 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 536.54 0.00 536.54 0.2160 2,484.0000 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: 58,846.01
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 II
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
Permit No: BLD-05-0574-YL
Issue Date: 05/24/2006
(Work must be started within 180 days)
Receipt No: 42233
Applicant:
Name: Quadrant Homes Phone: 425-452-0332
Address: P.O. Box 130 City: Bellevue State: WA Zip 98009
Property Information:
Site Address: 14931 99th Way SE
Assessor Parcel No. 78640008000 Subdivision: Tahoma Terra Lot: 80
Contractor Information:
Name: Quadrant Homes Contact: Phone: 425-646-8363
Address: P.O. Box 130 City: Bellevue State: WA Zip: 98009
Contractor License No: QUADRC"221 OF Expires: 09/10/07253 Business License:
Project Information:
Project: Tahoma Terra, Division I
Description of Work: 1811 A, lot 80
Sq. Ft. perfloor: (1st) 718 (2nd) 1132 (3rd) 0 Garage 456 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 1,414.87 993.75 421.12 5.6000 75.2000 $1,000
Building Plan Review 597.78 0.00 0.00 0.0000 0.0000
Mechanical Permit 78.25 0.00 0.00 0.0000 0.0000
Plumbing Permit 132.00 20.00 112.00 7.0000 16.0000 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 498.10 0.00 498.10 0.2160 2,306.0000 square foot
Police Mitigation -Tahoma 310.00 310.00 0.00 0.0000 0.0000
Terra
TOTAL FEES: $8,675.00
Applicant's Affidavit:
OFFICIAL USE ONLY
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 1 am currently i
I
registered in the State of Washington. I Final Inspection: ~,
~
Date: ~
Signature Date i
-- --- By:
Firm
- -
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: 14913 99th Way SE
Assessor Parcel No. 78640007800
Contractor Information:
Name: Quadrant Homes
Address: P.O. Box 130
Contractor License No: QUADRC" 221 OF
Project Information:
Project: Tahoma Terra, Division I
Description of Work: 1319 -24 A, Lot 78
City: Bellevue
Subdivision: Tahoma Terra
Contact:
City: Bellevue
Expires: 09/10/07253
Permit No: BLD-05-0576-YL
Issue Date: 05/24/2006
(Work must be started within 180 days)
Receipt No: 42236
Phone: 425-452-0332
State: WA Zip 98009
Lot: 78
Phone: 425-646-8363
State: WA Zip: 98009
Business License:
Sq. Ft. perfloor: (1st) 612 (2nd) 740 (3rd) 0 Garage 200 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 ---------
1,125.35 --- - -
993.75
131.60
5.6000
23.5000
$1,000
Building Plan Review 475.46 0.00 0.00 0.0000 0.0000
Mechanical Permit 106.00 0.00 0.00 0.0000 0.0000
Plumbing Permit 90.00 20.00 70.00 7.0000 10.0000 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
State Building Fee 4.50 4.50 0.00 0.0000 0.0000
Sewer ERU (LID) 2,847.00 0.00 2,847.00 2,847.0000 1.0000 ERU
Fire District Impact Fee 335.23 0.00 335.23 0.2160 1,552.0000 square foot
Police Mitigation -Tahoma 310.00 310.00 0.00 0.0000 0.0000
Terra
TOTAL FEES: $8,086.04
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 1 am currently
registered in the State of Washington.
Signature
Date
Firm
# 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: Tahoma Terra LLC
Address: P.O. Box 627 City: Rainier
Property Information:
Site Address: 12545 Mossman
Assessor Parcel No. 21724440100 Subdivision:
Contractor Information:
Name: Rainier General Development Contact: Blume, Doug
Address: P.O. Box 627 City: Rainier
Contractor License No: RAINIGD115QL Expires: 01/01/071
Project Information:
Project: Tahoma Valley Golf & Country
Description of Work: Temporary Modualr Office
Sq. Ft. per floor: (1st) 0 (2nd) 0 (3rd) 0
Heat Type (Electric, Gas, Other):
Fees:
Item
Building Permit -Other
Fire District Impact Fee
TOTAL FEES
Applicant's Affadavit:
Permit No: BLD-05-0579-YL
Issue Date: 05/30/2006
(Work must be started within 180 days)
Receipt No: 42264
Garage 0
Item Fee Base Amt Unit Fee Unit Rate
Phone: 360-446-3083
State: WA Zip 98576
Lot:
Phone: 448-3083
State: WA Zip: 98576
Business License:
Basement 0
No. Units Unit Desc
150.00 0.00 0.00 0.0000 0.0000 $1,000
362.88 0.00 362.88 0.2160 1,680.0000 square foot
$512.88
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:
Date:
Signature Date
Firm By'
-- ----
- _ -- - J
City of Yelm
Community Development Department
Building Division
Phone: (360)458-8407
Fax: (360)458-3144
Applicant:
Name: Island Signs
Address: 796 Scheer Ln.
Property Information:
Site Address: 902 Yelm Ave. E.
Assessor Parcel No. 22730110203
Contractor Information:
Name:
Address:
Contractor License No:
Project Information:
Project: Parker Paint
Description of Work: Sign on Building
Sq. Ft. perfloor: (1st) 0 (2nd) 0
Heat Type (Electric, Gas, Other):
Fees:
City: Oak Harbor
Subdivision:
Contact:
City:
Expires:
(3rd) 0
Item Item Fee Base Amt Unit Fee
Building Permit -Other 20.00 0.00 0.00
TOTAL FEES: 520.00
Applicant's Affadavit:
Permit No: SIGN-05-0545-YL
Issue Date: 05/23/2006
(Work must be started within 180 days)
Receipt No:
Phone: 360-675-3918
State: WA Zip 98277
Lot:
Phone:
State: Zip:
Business License:
Garage 0 Basement 0
Unit Rate No. Units Unit Desc
0.0000 0.0000 $1,000
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
vrri~,ir~~ ~~~ vrv~r
# Sets of Prints: !~
Finallnspection:
Date:
By:
Applicant:
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Permit No: SIGN-05-0555-YL
Issue Date: 05/04/2006
(Work must be started within 180 days)
Receipt No: 41860
Name: Maple Park Digital Phone: 360-400-5599
Address: 103 Yelm Ave. E. City: Yelm State: WA Zip 98597
Property Information:
Site Address: 103 Yelm Ave. E.
Assessor Parcel No. 64400500200 Subdivision: Lot:
Contractor Information:
Name: Contact: Phone:
Address: City: State: Zip:
Contractor License No: Expires: Business License:
Project Information:
Project: Sign
Description of Work: New sign on Bld.
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 20.00 ----------- ---------- -------
0.00 0.00 0.0000 -------- -----------
0 0000 $1,000
TOTAL FEES: $20.00
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:
Date:
By:
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360)458-3144
Applicant:
Name: Plumb Sign Inc.
Address: 909 S. 28th Street City: Tacoma
Property Information:
Site Address: 509 Yelm Ave E.
Assessor Parcel No. 22719342901 Subdivision:
Contractor Information:
Name: Contact:
Address: City:
Contractor License No: Expires:
Permit No: SIGN-05-0558-YL
Issue Date: 05!12/2006
(Work must be started within 180 days)
Receipt No: 42052
Phone: 25373-3323 Ext 10
State: WA Zip 98409
Lot:
Phone:
State: Zip:
Business License:
Project Information:
Project: Walt's Tire
Description of Work: Sign on side of building
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 20.00 0.00 0.00 0 0000 0.0000 $1,000
TOTAL FEES: b20.00
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:
Date:
By:
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360)458-3144
Applicant:
Name: plumb Signs Inc.
Address: 909 South 28th Street City: Tacoma
Property Information:
Site Address: 1105 Yelm Ave. W.
Assessor Parcel No. 21724120300 Subdivision:
Contractor Information:
Name: Contact:
Address: City:
Contractor License No: Expires:
Project Information:
Project: Twin Star Credit Union Building Sign
Description of Work: New signs on building
Permit No: SIGN-05-0559-YL
Issue Date: 05/12/2006
(Work must be started within 180 days)
Receipt No: 42053
Phone: 253-473-3323 Ext10
State: WA Zip 98409
Phone:
State: Zip:
Business License:
Sq. Ft. per floor: (1st) 0 (2nd) 0 (3rd) 0 Garage 0 Basement 0
Heat Type (Electric, Gas, Other):
Lot:
Fees:
Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
---------- ---------- ---------- ------- --------- -----------
Building Permit -Other 20.00 0.00 0.00 0.0000 0.0000 $1,000
TOTAL FEES: $20.00
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 Date Date:
Firm By
Applicant:
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Permitrvo: FIRE-05-0551-YL
Issue Date: 05104/2006
(Work must be started within 180 days)
Receipt No: 41849
Name: Nisqually Valley Moose Phone: 458-3381
Address: P.O. Box 757 City: Yelm State: WA Zip 98597
Property Information:
Site Address: 1117 Yelm Ave. West
Assessor Parcel No. 21744120301 Subdivision: Lot:
Contractor Information:
Name: Contact: Phone:
Address: City: State: Zip:
Contractor License No: Expires: Business License:
Project Information:
Project: Nisqually Valley Moose
Description of Work: License Number WSPEL-00224
S N-01054
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 30.00 0.00 0.00 0.0000 0.0000 $1.000
TOTAL FEES: 530.00
Applicant's Affadavit:
I certify that 1 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: Sunset Air
Address: 5210 Lacey Blvd.
Property Information:
Site Address: 104 Stevens Avenue NE
Assessor Parcel No. 64421500100
Contractor Information:
Name: Applicant
Address:
Contractor License No:
Project Information:
Project: Yelm Education Assoc. A/C
Description of Work: Install 5-ton air conditioner
City: Lacey
Subdivision:
Contact:
City:
Expires:
Sq. Ft. per floor: (1st) 0 (2nd) 0 (3rd) 0
Heat Type (Electric, Gas, Other): OTHER
Fees:
Item Item Fee Base Amt Unit Fee
------- ----------- -----------
Mechanical Permit 29.50 0.00 0.00
TOTAL FEES: 529.50
Applicant's Affadavit:
Permit No: M-05-0553-YL
Issue Date: 05/04/2006
(Work must be started within 180 days)
Receipt No: 41859
Phone: 360.456.4956
State: WA Zip 98503
Phone:
State: Zip:
Business License:
Garage 0 Basement 0
Lot:
Unit Rate No. Units Unit Desc
0.0000 0.0000
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:
Bv: