BLD-05-0723City of Yelm
Community Development Department
Builtling Division
Phone: 1360)458-890]
Fax: 1360)4583144
Applicant
Permit NO: BLD-OS-0723-YL
Issue Date: 09/28/2006
(Work must be stoned Within 180 tlays)
Receipt No: 43908
Name: Ouatlrant HOmes Phone: 426382-0332
Atltlress. P.O. Box 130 Ciry. Bellevue State: WA Zip 98009
Property Information:
Site Atltlress: 9902 Terra Glenn SL SE
Assessor Parcel No. ]8810002300 Subtlivision: Tahoma Terra Lot: 23
Contractor Information:
Name. quatlrant Homes ContacC. Phone: 425E468363
Atltlress: P.D. Boz 130 Ciry: Bellevue State: WA Zip'. 98009
Contractor License Nc'. GUADRD•221DF Expires: 09110/0)283 Business License
Project Information:
Project: Tahoma Terra, Division I
Description of Work: 2421 B, Lot 23
Sq. Ft. per DOOr (lst) 1034 (2ntl) 1400 (3b) 0 Garage 41] Basement 0
Heat Type (Electric, Gas, Other): GAS
Fees:
Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
Builtling Permit 100-SOOk 1,689.83 993.75 fi96.08 5.6000 12x.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 0.00 145.00 145.0000 1.p000 ERU
Water ERU 1,500.00 0.00 1,500.00 1.500.0000 1.0000 ERU
Water MHe( (SFO) 300.D0 300.00 0.00 0.0000 0.0000
Water Deposit 80.00 60.00 0.00 0.0000 0.0000
Tragic Facilities Charge 757.50 0.00 757.50 ]50.0000 1.0100 Peak PM Trip
Sewer Deposit 50.00 50.00 0.00 0.0000 0.0000
State Builtling Fee 4.50 4.50 0.00 0.0000 0.0000
Sewer ERU (LIDj 2,847.00 0.00 2,847.00 2,847.0000 1.0000 ERU
Fire District Impact Fee 615.62 0.00 615.82 0.21fi0 2.851.0000 square foot
Police Mitigation-Tahoma 310.00 310.00 0.00 0.0000 0.0000
Terra
TOTAL FEEB: $9,189.86
ApplicanPS Affadavit
OFFICIAL USE ONLV
I ceRiry that I have reatl and examined the information contained within the application and know the same
to be true and correct. I also cedify that the proposed structure is in conformity with all applicable City Ot g Sets of Prints:
Velm regulations including those governing zoning antl lantl Subtlivision, antl in a0tlition, all covenants,
easements antl restridicns o1 record. If applying as a contractor, I father cenify that I am currency
registeretl in the State of Washin/g~ton. "Final Insp ctlon:
SignatureM a~ -.i n.. 'V..~-r0 / 1 it Date ~.'Y~_/r n Date: ~ ZZ- ~7
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Tax ~ 7864000230
RELATED '1'0 THE PROPBRTY
LEGEND
O Concrcie
-- Flow arrows
LPE Sawn Foologes ~ ~ Silt Fence
Froni '(ard 867 SF Lat Size 6,380 <F
Corner Yard n~a SF Footpr'mt 1,457 SF
Dllveway 480 SF Porch 106 SF
Walkway 61 SF Lot Coverage 16
9902 Terra Glenn St. SE
ONLY [T IS NOT INTENDED TO SHOW ALL MATTERS
TO AGTUAI. ^OCUMENTS,
FURTHER 7NFORMA'CION.
Tahoma Meadow Div 1 DATE: ~/11/os
~ ~ . , ~ REVISIONS:
MORE HOUSE. LE55 MONEY.
Drawn Cy: em sk gl APPROV
JOB b: 21241023 n
PLnN'Z421 n/2~~ LOT 23
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bated in the Tahoma Temd (faMma Meadow Oiv. 1) mmmun4y, City 01 Ye4m; 05.027
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Address
9932 Terra Glenn SL SE
9926 errs GIGIn SI. SE
9920 Tera Glenn St. SE
9914 Terta Glenn St. SE
9908 Terra Glenn St. SE
9902 Tema Glenn St. SE
Parcel Numbor
786400-01800
786400-0'1900
786400-02000
786400-0210D
788400-02200
786400-02300 Check
Number
257192
257192
257192
257182
257192
257192
24
25
26
27
2fl 14944 Tera View SI. SE
14938 Terre View St. SE
74932 Terra vaw SL SE
14926 Tara Yew St. SE
14920 Terre view St. 9E 186400-02400
786400.02500
78 400-02600
788400-02700
786400-02800 257192
257192
257192
257192
257192
36 ia835 Terra VlOW Sl. SE 786400A3600 257192
37 74843 Terra View Sl. SE 786400-03700 2571
36 14849 Tema View St. SE 786400-03800 257192
39 14855 Terra View St. SE 786400-03900 267192
40 14903 Terra Vlew St. SE 788400-04000 257192
41 14909 TMa View St. SE 78fi400.0410D 257192
42 14915 Terre View St. SE 786400-D4200 257192
43 14927 Terra View SL SE 786400-04300 257192
49 14927 Terta View 6t. SE 786400-0ag00 257182
45 14833 Terre View Bt. SE 786400-04500 267192
48 14939 Tern Vlew St. SE 786400A6600 257192
47 149409ath Avenue SE 786400-04700 257182
48 14B34991n Avenue SE 786400.0ae0D 257192
- A9 14928 99x1 Avenue SE 786400-04900 257192
50 14922 9981 Ave ue SE 78fi400-05000 257192
51 14918 9991 Avenue SE ~ 786400-05100 267192
52 14910 991h Avenue SE 786400-05200 257192
53 1g90499UI Avenue SE 786400-05300 257192
54 14870 B9N Avenue SE 786400-05400 257182
55 14B6d 99m Avenue SE 786gD0.O5500 257192
56 14858991h Avenue SE 786400-OS60D 257/92
$7 14852 99th Avenue SE 786400-05700 257192
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17
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CITY OF
YELM
eo. ~ aTs
'!?h. bVA 9653]
_'p~a o3-0403
RECEIPTNo.[,I ~9~g
R EGEIVE~*,,NINE THOUSAND ONE HUNDRED SIXTY NINE DOLLARS & 85 CENTS
BEG EIVED FROM
QUADRANT CORPORATION IMPREST
PO BOX 130
BELLEVUE WA 98009-0130
GATE REC.NO.
09/28/06 43908
AMOUNT BEE NO.
9,169.85 CHECK 11734
BUDGETARY
PERM1689.83,PL713.95,MECH78.25,PLUPt118.,SINSP145.,WERU1500. , Y7MET300.00
WDEP40.00,TRAFF757.50,SDEP50.,STFEE 4.50,SERU2847.,FIRE615.82,POLICE310.00
Is,o""` ~' CITY OF
YELM
RO. 9cx aTS
v9i,~, wA 3ese- RECEIPT No. 4 3 9 (~ g
Y ECM _ 360-c3-EVGj
R ECEIVeD
`**,SEVEN THOUSAND NINE HUNDRED SEVENTEEN DOLLARS & 23 CENTS
REO DIVED FnOM GATE BEG. NO. AM OUNi .9 EF. N0.
QUADRANT CORORATION IMPREST 09/28/05 43909 7,917.23 CHECK 11736
PO BOX 130
BELLEVUE WA 98009-0130 BUDGETARY
MICHELLE
PERM1041.91,PL440.20,MECH96.50,PLUM90,SINSP145.,WERU1500.,WMET300
WDEP40.TRAFF757.50SDEP50.SERU2847.00STFEE4.50,POLI310.FIRE294.62
CITY OF
YELM
Aix „R
Vblm. 4VA 9d-3T
360-J53-3403
RECeveo
RECEIPT No. ~F 3 ~ 1
** "EIGHT THOUSAND THREE HUNDRED NINETY SEVEN DOLLARS 6 45 CENTS
FECEP/=O FBOhI DATE REC. NO. AMOUNT REF .:O.
QUADRANT CORORATIOM IMPREST 09/28/06 43910 8,397.45 CHECK 11737
PO BOX 130
BELLEVUE WA 98009-0130 BUDGETARY
MICHELLE
PERPI 1133.75,PL736.93.t1ECH122..PLUM111.SINSP145.WERU1500.WMET300.WDEP40
TRAFF757,50,SDEP50.00,SERU2847.STFEE4.50.POLICE310. FIRE339.77
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: 9902 Terta Glenn St. SE Yelm Parcel #
Subdivision: Tahoma Meadow Div 1 Lot #: 1023
~ New Construction Re-Motlel / Re-Roof /Addition Home Occupation Sign
~ Plumbing ~ Mechanical Mobile /Manufactured Home Placement - Other
Project Description/Scope of Work. SFR (Basic Plan Series LS 240040 Plan # 2421 B)
Project Value.
Building Area (sq. ft) 1" Floor 1 034 2n° Floor 1 400 Garage 417 Deck 106 (porch)
Basement 0 Carpon 0 Patio 150 (oot.1
# Bedrooms 4 # Bathrooms 3_5 Heating: GAS OTHER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? No If yes, a
completed environmental checklist must accompany permit application
ARCHITECT/ENGINEER Swenson Sav Faoet LICENSE # CT16520BTL35666SSF38567
ADDRESS 2124 Third Avenue. Suite 100 EMAIL dbuker(u~swensonsavfaoetcom
CITY Seattle STATE WA ZIP 98121- TELEPHONE (2061443-6212
GENERAL CONTRACTOR Quadrant Homes
ADDRESS PO Box 130 EMAIL ieff.maddenCa)euadranthomes com ~,
CITY Bellevue STATE WA ZIP 98009 FAX 425452-6535
CONTRACTOR'S LICENSE # OUADIic•2210F EXP DATEOSI»>~CITY LICENSE #
PLUMBINGCONTRACTOR Peltram Plumbino TELEPHONE 253-891-8781
ADDRESS 164 Stewan Road SW EMAIL '
CITY Pacigc STATE WA ZIP 96047 FAX 253-891-9248
CONTRACTOR'S LICENSE # PELTRPI075DZ EXP DATEOVOVOSCITY LICENSE #
MECHANICAL CONTRACTOR saesrvewcorvsTeucnorv mc. TELEPHONE 425-889-9345
ADDRESS 13633 NE 12611TPlace Suite 350 EMAIL
CITY Kirkland STATE WA ZIP 96034 FAX 425-889-0630
CONTRACTOR'S LICENSE # 6a65NNC9//s8 EXP DATEOSIavosClTY LICENSE #
Copy of mitigation agreement with Yelm Community Schools, if applicable.
I hereby certify that [he above Information is correct antl that the construction on, antl the occupancy antl the use of [he
above describetl property will be In accortlance with the laws, rules antl regulations of the State of Washington antl the
City of Yelm.
~j
X ~~~~ on behalf of Quadrant HOmes 9/11/2006
Applicant's Signature Date
Owned Contractor / wner's A ent Contractor's Agent (Please circle one.)
All permits are non-transferable antl will expire if work authorized by such permit is not begun
within 160 days of issuance, or if work is suspended or abantloned for a period of 180 days
t95 Ye/m Avenue Wes! (8G0) 958-3835
PO Box 419 (3G9) 458-3199 FAX
Yelm, WA 98595' www.N.yelm.we.os
BACKFLOW PREVENTION ASSEMBLY TEST REPORT
CERTIFIED BACKFLDW ASSEMBLY TESTING
253.565-2728 OFG 888-ZIS-0500 TOLL FREE
WA. ST. CONT. L(C. # GERTIBA982M2
SPED. PLM6. LIC. # FREOEPE980P1
AccT / FILES METER u 5374378 PERMIT. OS^ 672J
PREMISe QUADRANT HOMES-TAHOMA MEADOW-LOT 23 ooMMERaAL ~ RESIDeNnaL
SERVICE ADDDRESS, 9902 TERRA GLEN 5T. 5. E. arr: YELM ZIP 98597
CONTACT
assn !ocnnoN~ ACROSS SIDEWALK FROM METER
HAZARD TYPE: IRRIGATION DCVa ~ RPBA ^ P`!eA ^ sveA ^ GGDA ^
NE'JJ RJSTP.LL-. ~ EXI~ING.~ REPLACEC. ^ ULD SNN: PRGPER INSTALL YES ^X NG ^
MAKE Asst: FEBCO Mooe_: 850 sER. No: HAO3786 si<E; 1 . 0
INITIAL TES`i OCVA/RPBA DCVA/RPBA RPaA PVEAlSJBA
CHECK VALVE #1 CHECK VALVE #2 RELIEF b~ALVE AIR IIJL ET
PASSED Q LEAKED ^ LEAKED ^ OPENED:" PSID
OPENED
P51D
:
FAILED ^ CLCSED TIGHT X^. CLOS`cD TIGHT X^ FAILED TG OPEN: ^
FAILED TO GPEr:: ^
2.5 pSlp 2.7 pSp AIR GAP: OK% ^
CLEA.NI REPLACE PAS CLEAN/REPLACE PART CLEP.PI/REPLACE PART PVBA/SVBA CHECK
^ ^ ^ ^ ^ ^
HELD AT_ PSD
NE`f/ PARTS ~ ~ ~ ~ ~ ^
'AND
~ ^
^ ^
^ ^ !FAKED ^
REPAIRS
^ ^ ^ ^ ^ ^ CLEANED ^
REPAIRED ^
LEST AFTEk LEAKED ^ LEAKED ^
REPAIRS
pgsgcp ^
CLOSED TIGHT
~
CLGSED TIGHT
^
GPEPIED AT:
PSID AIR INLET; FSID
CHK VAD/E: PSID
FAILED ~ PSID P9D
AIR GAP INSPEC'i IGN: SUPPLY PIPE DIAMETEF. '-~ "SEPARATION'. ~ PASS ^ FAIL
\ \
GOOD INSTALLATION ~~;/
i
r ~
i /-'~' DEi ECTv.R ME7 EF. READING:
1 11 ~
WATER FOUND. ON'~ OFF ^ EF'~ dfJ/ )>; ~O ~ ~ LINE PRESSURE: ~
I ceni(y tiler this r?port is c I ate, 111and• avz used W C 24&290-:AO approved rrethWs and rest equipmen7.
TESTER SIGNATLRE ~ ..l'~-l.I ~~~~ ~ CERT.NO.: B3415 DATE 22 JAN O7
TEL N'] : (253 j 565-2728
n EPAIRED BV PAUL E. FREDERICK ':W' CERT. htG.: FREDEPE980P1 DA7B
!' °'i
FINALTEST BY CERT.NO.; 83415 DATE: _
M1IETER CAL CATS: 9-J 2-06 MAKE !MODEL: MIDWEST 830 Mci ER SERIAL NO: 330247
CITY OF YELM -BUILDING DEPARTMENT
RESIDENTIAL CERTIFICATE OF OCCUPANCY
Building Address
Owner Name
Owner Address
Building Permit Number BLD-05-0723-YL Plan Number Plan 2421 B. Lot 23
Areas
Special
Building Official: G. Carlson Date: Jan. 22 2007
This structure is in compliance with the International Residential Code (Chapter
51-51 WAC) as atlopted by the Washington State Building Code Council pursuant
to Chapters 19.27 and 70.92 RCW, effective July 1, 2004
CITY OF YELM INSPECTION LOG
PROJECT Log Lot 23 2421
PERMIT NUMBER OS-0723
ADDRESS 9902 Terra Glenn SL SE
SET BACKS Date:
Corrections
UNDER FLOOR_ ® Corrections ok 10-27 .
DRY WELL ® Corrections 11-14-06
FOOTINGREBAR ®Date: ]0-5 WALLREBAR ®Date:
10-9
Footing _ _
^ l2" ®16" Other _
Wall ^ 6" ®8" Other
Required vents_
Corrections
COMBINED FRAME/ EXTERIOR SHEA R WALL INSPECTION
Hold downs ® II-21-06 Shear Nailing ® 11-08-06
Frame ® 11-21-06 _
Gas/Propane ® l 1-21-06
Plumbing ® 11-21-06 ~ Mechanical ® _
_ 11-21-06
Corrections:
INSULATION ®Gas ^Electric ^Other
®Foam and Seal ®Vapor barrier ^PVA
Corrections: 1 ! -30-06
SHEET ROCK/SHEAR WALL NAIL
Corrections:
FINAL
®Sewec Final ®Eleetrical ^ Civil Final ^Landseape Final ®C of O
®Address ®Insulation ^ Site Drainage ^ Sidewalk
Comec[ions: 1-22-07
FROM :YELM SEWER DEPT. FRX N0. :360-458-0166 San. 22 2007 11:49RM PI
FAX TRANSMISSION
CITY OF YELM
P,O. BOX 479 - 93 I NP ROAD NE
YELM, WA 98597
~ v .360-458-8411'
~~~ ~ ~ FAX 360-458-8166
TO: (y26 )~~/tJ
FAX#:
From: 7~HN p ~
Subject: J-JauS~ HI~/AL/jgHOmA 7~niz.9
COMMENTS: T ~ g~ 99/va ~rznr~
DATE: j - ~, ~ _ ~ ~
PAGES: 1 ,including this
Cover sheet
GZ.c=Nr~ s7, s, ~.
•• If you do not receive all copies or any copy is not legible, please call (360) 456•Ba t I
as soon as pos.~ble. ~ '