BLD-05-0637City of Yelm
Community Development Department
euiltling Division
Phone: 1360)468-640]
Fax: 13601458-3144
Applicant
Permu No: BLD-05-0637-YL
Issue Date: 07/17/2006
(Work must be startetl within 180 tlays)
Receipt No: I
~LsSC
Name: Guadront NOn1@S Phone: 625•52-0382
Address: P.O. Box 130 City: Bellevue State: WA Zip 98009
Property Information:
Site Adtlress'. 16960 99th Ave SE
AssesSOr Parcel No. ]8610004700 Subtlivision'. Tahoma Tam Lot' 9]
Contractor Information:
Name: Applicant Contact: Phone'
Atltlress: City. State: Zip:
Contractor License Nc: Expires: Business License
Project lnfomation:
ProjecC Tahoma Terra Phase I, Division I
Description of Work'. 753140 A, Lot 47
Sq. Ft. per Floor: (1st) 593 (2ntl) 966 (3rtl) 0 Garage 600 Basement 0
Heat Type (Electric, Gas, Other): GAS
Fees
Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
Building Permh 100-SOOk 1,25].79 993.]5 264.04 5.6000 47.1500 $1,000
Building Plan Review 531 61 0.00 0.00 0.0000 0.0000
Mechanical Permit ]8.25 0.00 0.00 0.0000 0.0000
Plumbing Permit 111.00 20.00 91.00 ].0000 13.0000 Flxlure
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 (SFO) 30000 300W OAO 0.0000 0.0000
Water Deposit 40.00 40.00 0.00 0.0000 0.0000
Trafhc Facilities Charge ]5].50 0.00 ]5].50 ]50 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 1,94].0000 square foot
Sevrer ERU (LID) 2,847.00 0.00 2,847.00 2,84].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 00000 0.0000
Terra
TOTAL FEES: $8,3$3.00
Applicant's Affadavit:
I certify that I have read antl examined the information contained within the application antl know the same
to be true and correct. I also certify that the proposed shuctute is in conformity wdh all applicable City of
Velm regulations including those governing zoning and land subtlivi5ipn, and in atldilion, all covenants,
easements antl restrictions of record. If applying as a contractor, I futher certify that I am currently
registeretl in the State of Wash'ngton.
6ignature '//U~`r ~NV6ti) Date ~ I IC~L/~~~~
Firm ~~
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection: //
Date: O !~
9Y.
SP~'43'1 O"E 50 00_
.S4Q. J(! 'FL ~ I
I Infiltration)
o ~ 2D' Rear Yord _ _ Trench I I I
n I I
~ - ' l ~~,
LPE Square Footac~es ~. ~
I I '
Front Ynrd 1,195 SF _ 5' I .I ~I
Corner Yard 669 SF -
Driveway 505 SF of Ia
Wclkway 54 5; op _ o
30' / v
Loi Size 5,000 SF ~ r, v - v, In ° I
m ' i
Footprint 983 SF " LD ;n "' `'~ - °'
Porch 20 SF ~~ to n ~~~ ~ I
~ Lot Coverage 2D ~ of EuBdinq I ° m°
Envelope ~ ~ v
LEGEND ~' - ~ ~ ,
Concrete ZO t Yard ~
o ~ ~ I I '~'
'vW GROWS ~ ~ ~ - _~
h
Silt Fence '- ;~ I 0'~~_ ~ O - ~ ~ ~
~ ~ A~P~:_ S~ ~ ~
J 0.1/,O //?~~
- S89'43~10° 50.00' ~ t, ~
~~ ,I\ /' ~
~ ~ \I z
-Water ~
I ( i
~ CL o. 49th Avenue ~~~- w ~~
~- s I
v 15 p/Sandrr~v - - -
~ 15 L~ X10
Tax ~ ~aeaoooo4yo 14940 99th Avenue SZ
THE AB04D SKETCH IS PROVIDED FOR YOUR INFORMATION ONLY. IT IS NOT INTENDED TO SHOW ALL MATTERS
RELATED TO THE PROPERTY, INCLUDING BU'f NOT LIMITED T0. AREA. DIMENSIONS, EASEMENTS, ENCROACHMENTS
OR BOUNDARY LOCA'1'lONS NOR IS IT INTENDED TO BE USED POR LEGAL DESCRIY'I'ION OR SURVE]' PURPOSES.
WE ENCOURAGE YOUR REFERENCE TO ACTUAL DOCUMENTS, TITLE SEARCHES AND COMMITMENTS OR SURVEI'S
RELATED TO THE PROPERTY FOR FORTHPR /NFnRUnnnn
Tahoma l~eadovv Div 1 07/1o/os
• .. • . RevisloNS.
MORE HOUSE. LESS MONEY. ,
Drawn bY: ;m sk kt APP VE
JOB ~: 21241047 By City o/Yelm ryCarlson at 3:34 pm, ]H1N6
scnLe 1 "=20' Pte'" 1531 A/2L LoT: 47
-met'.,'Rte.9~`.4~'!d1U E«k''.°~.'!wi~n I 1.
~ ~~/~; crrY of i
~ 1 YrLM
.. ~. ~„
~^ "~~"~ RECEIPT N0.4 ~~~~
~ 4 lM-~ ISH: L~
RLCf IVf I~
"" 'EIGHT THOUSAND THREE HUNDRED FIFTY THREE DOLLARS & 00 CENTS
t.~... nn sl i nono on1F nrr n~o nmouNJ ~+u Nn
QUADR HOHES-~ 07/18/06 42801 8,353.00 CHECK 11434
P BOX 130
ELLEVUE WA 98009 BUDGETARY
BLD-05-0637-YL
~. -.. _ _._. - HICHELLE _ _.
PER1257.79,PL531.41,NECH78.25,PLUH111.SINSP145.WERU1500.WMET300.
WDEP40.TRAFF757.50,SDEP50.FIRE420.55,SERU2847.ST4.50,POLICE310.
~~~ ~~~', e~~~
iI ~ "~~" REC EIPT No. [~~~'(~Q
L J ^ Ill
~t~_. ~. ~~'~.I I
" '"TEN THOUSAND EIGHT HUNDRED TWELVE DOLLARS & 05 CENTS
I,~~. v: ~. il~n,.~, onlr I~rc ull nnullivl mI•Ir.
QUADRANT CORPORATION IHPREST 07/18/06 42800 10,812.05 CHECK 11433
P.O. 80X 130
BELLEVUE WA 98009-0130 BUDGETARY
BLD-05-0636-YL
--- MICHELLE - - - - - - -
PER2250.39,PLREV1462.75MECH97.75,PLUM181.,SINSP195.WERU1500.,WTMET300.
WDEP40.,TRAFF757.50,SDEP50.,SERU2847.FIRE866.16,POLICE310.STFE4.50
~oTT"e. Cit'• of Yelm Permit Fees Schedule
Cor, ,nity Development Department
s Permit NO: BLD-OS-0637-YL
Building Division PA I D
Phone: 13601456-6407
JUl ] i ,':IiIF
Faz: (360)458.3144
npancsm.'_~... CITY OF YELM
Name: Ouatlrant Homes Phone: 425152-0332
Adtlress: P.O. Boz 730 City: Bellevue State: WA Zip 96009
Project Information: ~,
Project: Tahoma Terra Phase I, Division I
Description of Work: 1537-30 A, Lot 47
Site Address: 74990 99th Ava SE Assessor Parcel No. 76640004700
Fees„'' -_ c;.;=i
~~L 'uz
-
Item ACCt Code Item Fee Base Aml Un@Fee Unit Rate NO. Units Unit Oesc
Builtling Permit 100-SOOk 032001-322-10-00 7,25].]9 993.]5 264.00 5.6000 47.1500 51,000
Builtling Plan Review 100 001-345-83-00 531.41 0.00 O.DO O.ODOD O.ODDO
Mechanical PermO 032001-322-10-00 78.25 0.00 0.00 0.0000 00000
Plumbing Permit 032001-322-70-00 111.00 20
00 97
00 ]
0000
. . . 13.0000 Future
Sewer lnslJection 805412-34380-00 145.00 0.00 145.00 1d5.0000 10000 ERU
Water ERU 715401-343-80.02 7,500.00 0.00 7,500.00 1,500.0000 1.0000 ERU
Water Mater (SFD) ]12401-3d3-BO-01 300.00 300.00 0.00 0.0000 0.0000
Water Deposit ]40402-389-OD-00 40.00 40.00 0.0g 0.0000 o.DDDD
TraRlc Facilities Charge 420 120-345-85-OD ]57.50 0.00 757.50 ]50.0000 1.0100 Peak PM Trip
Sewer Deposit 742402-389-01-00 50.00 50.00 O.OD O.000D O.DD00
Fire District Impact Fee 105007-395-85-00 420.55 0.00 420.55 0.21601 ,9d].0000 square foot
Sewer ERU (LID) 802412-343-50-07 2,847.00 0.00 2,847.00 2,847.0000 1.0000 ERU
State Builtling Fee 160 001-386-00-00 4.50 4.50 0.00 0.0000 o.DOOo
Police Mitigation- 625302-368-10-01 310.00 310.00 0.00 0.0000 0
0000
Tahoma Ttrro .
TOTAL FEES: §8,353.00
QUADRANT CORPORATION IMPREST
c o. eox 130. 11434
9ELLEWE, WA 98009-m 30
1ABN/tR50J01]
~] 59J9]495
n ( DATE [ i I ~~Q'
DRUEF OF le ~ f lY ~~m
~~~ ~.~ .~ ~~ ~„ o ~~R ~ mss. .~ gyp,, ry1 µ\\ r--yl ~ $ ~ 3~ 3 .[a,
®.w ,row. U "~~'~1y~`~k 1104 ~- LJ :...
uuew xw
FOR * - ~ ^
IPD00001143 n• 7:1 2 5008 54 77: 583974157511' y I
' 05/15/2006 02:16 36045 469
' • s •
MORE F10USE. LEA MONEY.
OS May 2006
Yelm Convnun'rty ScMds
PO Box 467
Velm. WA 98597
Atln~ Bonrtie Gerber
W: Scholl NiOgahon Fees
YELM COMA SCe3DJL5 PAGE 02/02
1a7n se 16m street w8e a7oB
P,O. Bor 730
RF,C:F:';IFU 8e8wue WA 98009
rd.4u.4ssz9Ba
dgAy j j CL!()~i Faa @56x66371
Bx.
~4 Ouasranl6mmes tom
Please Bnd entlosed a chede in the amourd of S6aga0.00 for school mllgation lee(s) for the fodowin9 bt(s)
bcated in the Talroma Tens (Tahoma Meadow Div. 1) communlry, City of Yelm: 05-027
,~~Ll~oo r
3 /LL/O 4. y
4 /LL /O(. r
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S'/1~ 4 v'
Lot Addresz Darcel
Number Lheck Number
58 t 4855 99M Avenue SE of rec. 11152
59 14861 99th Avenue SE Not rec. 11152
60 14905 99m Avenue SE Not rec. 11152
61 14911 99th Avenue SE Not rec. 11152
62 14917 99m Avenue SE Nat rec. 11152
63 14923 99th Avenue SE Not rec. t 1152
64 14929~99N Avenue SE Nolrec, 17152
65 1493599th Avenue SE -- Not rr?c. 11152 -
66 ~ 14941 99th Avenue SE ~ ~NOf rec. 11152
67 ~ 14947 99th Avenue SE Not rec: 11152
68 .14948 99th W SE Not rec. 11152
69 7494299th Wa SE Not rec. 71152
7D 14936 99th Way SE Not rec. 17152
71 1493099N Wa SE Not rec. 1t 152
72 14924 99th W SE Not rec. 71152
73 14918 99th Way SE Nol rec. 11152
74 14912 99th Wa SE of rec. 11152
75 14906 99th W a SE Not rec. 11152
76 1486699th Wa SE Not rec. 71152
77 14860 99th W SE Not rec. 11152
7B 14913 99th Wa SE Not rec. 11153
79 1491999th Wa SE Not rec. 11153
80 1493199th Wa 5E Not rec. 11153
81 14937 99th W SE Not rec. 17153
82 14943 99th W SE Not rec. 11153
83 1494999th Way SE Not rex. 11753
89 14950 100th Avemae SE Not rec. 11153
85 14944100th Avenue SE Not rec. 17153
86 ~ - ~ 14938100th.gverlue~SE Not rec:- ~ 11153
- 87 14932 t00th Avenue SE Not rec: ~ 11153
88 -04920 t00U Avenue SE Nat rec. -11153
ti9 14914100th.Avenue SE Nut rec.-- 11753
fl
' 05/15/2006 02:16 36045 469 'ELM CCAM SCFD[LS
MORE HOUSE. LESS MONEN ,If-
(/ BY:
---~~_
Please hx and maiV 811 receipts b my amention Bt me ad6es5 Dekaw_ Thank you.
Thank you br your 8me and consideration.
t
Sinwrely,
PAGE evez
arzs sr. wm suit was azoo
oo.emno
BNlerue, WA 98009
rei. as.as9z9ao
lae R5(d4.a7T7
duaarandfomescom
Y
~YELN CDPAIJIRTY SgWOLS
PO 801( 478
YE(N, NA 9&597
Jeffrey Madden
Permit Coordinator
YEUiC ~I 41Y,~SCHDOIS
YE1M. NA 9859T
Clerk: Cray
Terminal; 1
Receipt; 20499
Manual Receipt:
NQUADRANT
N425-883708
OUACRANT ,HONES
5/11/2008 2:09 PN
Otv Item Price
1 fPF290D 42800.00
MITIGATION
TAHOMA TERRA - LOT9 58-77 (SEE PAPERWOFa)
1 ~TI~GATION 25600.00
TAHOHp TERRA -LOTS 78 - 89 (SEE PAPERNORx
)
Suhtdtal: 88480.00
Tax: 0.00
Tmtal: 6&00.00
C11152 (42 68~OOj~6
11153 (25Bm0.00)
Charms Due: D.00
TXARf YOU
eninal: 1~y
Receipt; 20499
Manual Receipt:
xauADRAxT
X425-880-3708
QUADRANT , HIES
5/11/2008 2:09 PM
Qty Item Price
7 CPF29C0 42000,00
MITIGATION
TAH(WA TEARA -LOTS SB-77 (SEE PAPERVIORN)
1 CPF29D0 25fiB0.00
TpHONp TERRAIGAL0~5 70 - 89 (SEE PAPERNORK
)
SubtOtml: fi8480.00
TaX; 0.00
Tdtal; 88480. C0
~1ii52 (428a040p)~
11153 (2588D.00)
ChanrN: Due: ~ 0,00
7NAIA( YOU
~; ;.-~~.~. T~~Fn
I va" T 2RDG
rriX:
Q
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: 14940 99th Avenue SE Yelm Parcel #:
Subdivision: Tahoma Meadow Divl Lot#: 1047 Zoning; R3
~ New Construction ^ Re-Model / Re-Roof /Addition ^ Home Occupation Sign
D Plumbing ~ Mechanical ^ Mobile /Manufactured Home Placement ^ Other
Project Description/Scope of Work: SFR (Basic Plan Series LS 1500-30 Plan # 1531 A
Project Value:
Building Area (sq. ft) 1" Floor 583 2n° Floor 964 Garage 400 Deck 20 (porch)
Basement 0 Carpod0 Patio 150 foot.)
# Bedrooms 3 # Bathrooms 2_5 Heating: AS 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.
~ GENERAL,CONTRACTOR Quadrant Homes
ADDRESS PO Box 130 EMAIL ieff maddenCa)c ad anth es co
CITY Bellevue STATE WA ZIP 98009 FAX 425-452-6535
CONTRACTOR'S LICENSE # aDADRC'221 OF EXP DATEOSnoro7CITY LICENSE #
LUMBING3GONTRACTOR Peltram Plumbinc TELEPHONE 253-891$781
ADDRESS 164 Stewart Road SW EMAIL
CITY Pacifc STATE WA ZIP 98047 FAX 253-891-9248
CONTRACTOR'S LICENSE # PELTRPI075D2 EXP DATEOVO~r2ro CITY LICENSE #
MEGHANIGAL-''CONTRACTOR eons sew consTnucnoru me TELEPHONE 425-889-9345
ADDRESS 13633 NE 1261 Place Suite 350 EMAIL
CITY Kirkland STATE WA ZIP 98034 FAX 425-889-0630
CONTRACTOR'S LICENSE # BOBSNNC97766 EXP DATEOSrozrosClTY LICENSE #
Copy of mitigation agreement with Yelm Community Schools, if applicable.
I hereby certify that [he above Information Is correct antl \har fhe construction on, antl the occupancy and lha use of [he
above described property will be In attortlance with the laws, rules antl ragulatlons or the Slala of Washington and the
Ciry of Yelm.
~iv ' ~~ on hehalf of Quadrant Homes 7/7/2006
Applicant's Signature Date
Owner (Contractor / ner's A ent Contractor's Agent (Please circle one.)
All permits are non-transferable and will expire if work authorized by such permit is not begun
within 180 days of issuance, or if work is suspended or abandoned for a period of 700 days
I05 Ye4m Avenue Wesr (3G8) 958-3835
PO Box 499 (360J 458 3144 FAX
Yelm, WA 98599 www.clyelm. wa. us
CITY OF YELM -BUILDING DEPARTMENT
RESIDENTIAL CERTIFICATE OF OCCUPANCY
Building Address
Owner Name
Owner Address
Building Permit Number BLD-05-0637-YL Plan Number Plan 1531-30 A. lot 47
Areas
Special
Building Official: G. Carlson Date: Nov.19. 2006
This structure is incompliance with the International Residential Code (Chapter
51-51 WAC) as adopted 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 Lot 47 0637
PERMIT NUMBER OS-0637
ADDRESS 14940 99th Ave. SE
SET BACKS Date: 7/25/06
Corrections
UNDER FLOOR_® Corrections 8/31/06
DRY WELL ® Corrections R/3/06
FOOTING RF.BAR _ _®Date:_7/25/06 WALL REBAR
Date:_7/26/06
Footing ^ I2" ®16" Other
Wall ^ 6" ®8" Other
Required vents_
Corrections
COMBINED FRAME/ EXTERIOR SHEAR WALL INSPECTION
Hold downs ® 9-IS Shear Nailing ®
9-15
Frame ® ok 10-2 Gas/Propane _
^ _ coa 9-26 ok 10-2
Plumbing ~ ok9-26 Mechanical ^ __
Corrections:_plumbing straps 9-36
INSULATION ®Oas ^Electric ^Other
®Foam and Seal ®Vapor barrier ®PVA
Corrections: ok 10-2-06
SHEET ROCK/SHEAR WALL NAIL
Corrections: ok 10-5-06
FINAL
®Sewer Final ®Electrical ^ Civil Pinal ^Landscape Final ®C of O
®Address ®Insulation ^ Site Drainage ^ Sidewalk
Corrrections: 11-17-06
FROM :YELM SEWER DEPT. FR>f N0. :369-458-8166 Nov. 17 2006 Ili 21RM PI
~,~~ ~1
TO: (7-r~(; N EN
FAX#:
From: {~,t)p~'
FAX TRANSMISSION
CITY OF YELM
P.O. BOX. 479 - 931 NP ROAD NE
YELM, WA 98597
360-458-8411
FAX 360-458-8166
DATE: /J~17-o (~
PAGES: f ,including this
'Cover sheet
Subject: )-4o>a5~ 1=ruAc/-Ggµam~ -~~
. COMMENTS: ~o j y 7~ Ik 4 ~i ~~ 9 9~ .ASE. 5. ~ _
~~~, .CD ~~ 7 D~
** IY you do not receive nll copies or any copy is not legible, please call (360) 458-8411 .
ns soon as possible.