BLD-05-0568City of Yelm
Community Development Department
Building Division
Phone: (780)458-Ba0]
Fax: (360)458-3144
Applicant:
Name: puatlran[ Homes
Atldress: P.O. Box 130
Propertylnfortnatlon:
Site Adtlress: 14860 99th Way $E
Assessor Parcel No. ]8640007]00
Contrsctor Information:
Name: Applicant
Atldress:
Contractor License No:
Project Information: _
Project: Tahoma Terra Phase I, Division I
Description of Wod: 1511J0 A12L, La177
$q. Ft. per BOOT. (1 St) 583 (2nd) 9&1
Heal Type (Electrk, Gas, Other): GAS
Fees
Builtling Permit 100-SOOk
Builtling Plan Review
Mechanical Permit
Plumbing Permit
Sevrer Inspection
Water ERU
Water Meter (SFD)
Water Depasil
Traffic Facilities Charge
Sevrer Deposit
Fire District Impact Fee
Sewer ERU (LID)
State BuiWing Fea
Police MM1igalion -Tahoma
Tena
TOTAL FEES:
Applicant's Affatlavit
Permit No: BLD-OS-0568-YL
Issue Date: OS/24/2006
(Work must be startetl within 180 tlays)
Receipt No: 42237
Phone: 425<52-0332
City: Bellevue State: WA Zip 98009
$ubtlivision: Tahoma Terra Lot: ]7
Contact: Phone:
City: Slate: Zip:
Expires: Business License:
(3rd) 394 Garage 400
1,257.79 993.]5
81].56 0.00
]8.25 0.00
111.00 20.00
165.00 0.00
1,500.00 0.00
300.00 300.00
4D.oo ag.oo
]5].50 0.00
50.00 50.00
420.55 0.00
2,84].00 0.00
4.50 4.50
310.00 310.00
98,639.15
Unit Fee
264.04
0.00
0.00
91.00
145.00
7,500.00
0.00
o.oo
]5].50
0.00
420.55
2,84].00
0.00
0.00
Unit Rate
5 6000
0.0000
0.0000
].ocoo
145.0000
7,500.0000
0.0000
o.oooo
]50.0000
0.0000
0.2160
z,ea].cogo
0.0000
0.0000
Basement 0
No. Units Unit Desc
6].1500 91,000
0.0000
0.0000
13.0000 Fixture
1.0000 ERU
1.0000 ERU
0.0000
o.oooo
1.0100 Peak PM Trip
0.0000
1,94].0000 square foot
1.0000 ERU
0.0000
0.0000
I certity that I have reatl and examinetl the information containetl within the applinticn and know the same
to ba true and correct. I also certify that the proposed structure is in conformity with all applicable City of
Velm regulation including those governing zoning antl lantl su0tlivisicn, and in a0tlition, all covenants,
easements antl restrictions of recortl. If applying as a contractor, I futher certiry that I am currantty
registeretl In the State of Washington.
Signature Date ~ /~~ , /~s_
Firm ..~_ .~ _ - f ~7-/
# Sets of Prints'
By:
N88'15'14"W 40.00'
4.000 ~F
3~i ,i IniiFl anon
I french
20~ Rear Yord
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Tax n
THE ADOIrE SKETCH IS PROVIDED FOR YOUR
RELATED TO THE PROPEk'I'Y, INCLUDING BUT
OR BOUNDARY LOCATIONS FOR IS IT INTCNDE
WE ENCOURAGE YOUR REFEREVCE TO ACTUAL
RELATED TO THE PROPERTY FOR FURTHER iN
0
0
w
~' in
J~^ ~'
' N
- a Bwlding
Envelop
_ N
~ o-
Sepik
514"l 40.00' ~ Tank
-Water
vy
of 99th Way SE ~EGENC
°nitary ~ Canc=ete
~P ~-
- aow arrows
Silt Feace
LPE Scuare Footages ~~ LoL Size A,000 SF
Front Yard 621 SF ~ Footprint 980 SF
Driveway 541 SF Porch 40 SF
Nlalkway 64 SF Lat Coverage 2G
14880 99th Way SE
Tahoma Meadow rl'erra Div. 1. °AT~: o_ 5/oa/oe
~ ~ . , ~
MORE HOUSE. LE55 MONEY. P,EVISIO NS:
oraw~ by: i~ ek kc A ROVED/
JCB #: 21241 D77 ,
1511 9
2L
°N
P
Loi: 7"r ey of Yelm Q3 9:14 am, 5/f9/Ofi
wa..m.m,.m scnL_: 1°-20' :
~
L
CITY OF
YELM
PO. Box 4]9
Yelm, WA 9859]
360-458-8403
RECEIPT No. Q 22 3
RECEIVEik++NINE THOUSAND NINE HUNDRED FIVE DOLLARS fi 33 CENTS
RECEIVED FROM DATE REC. N0. AMOUNT REF. NO.
QUADRANT CORPORATIOH IHPREST 05/24/06 42230 9,905.33 CHECR 11221
P.0. 80% 130 '
BELLEVUE WA 98009-0130 BUDGETARY
LOT 85
MICHELLE -
NTDEP90.,TRAFF757.50 ,SEADEP50~FIRE682.13,SEWERU2847 STFEE4.50POLICEV310.
doe me1m CITY OF
~ YELM
P.O. Boz 4]9
Velm, WA 9859] RECEIPT No. Q 2 2 31
L _ 360-058-8403
RECEIVED.++EIGNT THOUSAND SIB HUNDRED THIRTY NINE DOLLARS & 15 CENTS
.D FROM DATE REC. N0. AMOUNT REF. NO.
CORPORATION IHPREST 05/24/06 42231 0,639.15 CHECK 4l~T20
13 a atR
NA 9 009-0130 BUDGETARY
LOT 77
~~ MICHELLE
WTDEP40.TRAFF757.50,SENDEP50.,FIRE420.55,SEWERU2847.STFEE4.50,POLICE310.
CITY OF
YELM
PO. Box 4]9
Yelm, WA 9859]
360-458-8403
RECEIPT No.42232
RECEIVEO•••EIGHT THOUSAND THREE HUNDRED FIFTY THREE DOLLARS 6 00 CENTS
RECEIVED FROM
QUADRANT HOMES
P.0. BO% 130
BELLEVUE WA 98009
LOT 67
DATE REC.NO. AMOUNT REF.NO.
05/24/06 42232 8,353.00 CHECK 11220
BUDGETARY
NICHELLE
WTDEP40.TRAF757.50,SENDEP50.00,FIRE420.SSSEWEAU2847.STFEE4.50POLICE310.
City of Yelm
Community Development Department
Builtling Division
Phone: 1]601456-840]
Fax: 13601456-3149
Permit Fees Schedule
Permit No: BLDAS-OSfiB-VL
Applicant:
Name: quadrant HOmes Phone: 4251 52-0732
Atltlress: P.q. Box 130 Cily: Bellevue State' WA Zip 98009
Project lnformatlon:
Project: Tahoma Tera Phase I, Divisio
n
I
Description of Work: Plan "
~
1511-30 Akan Lot 77
Site Atltlress: 1486099t h Way SE Assessor Parcel NO. ]8640007]00
Fees:
Item Acd Cotle Item Fee Base Aml Unit Fee Unit Rate No. Units Unit Oesc
Building Pertni1100-500k 032001-322-10-00 1257.79 993.75 264.04 5.6000 4].1500 $1,000
Builtling Plan Review 100001-345-83.00 817.56 0.00 0.00 O.OWO 00000
Mechanical Permit 032001-322-10-00 76.25 0
00 0
00 0
0000
. . . 0.0000
Plumbing Permit 032001-322-10-00 111.OD 20.00 91.00 ].0000 13.0000 Fixture
Sewer Inspection 605 972-343-BD-00 145.00 0.00 145.00 145.0000 1.0000 ERU
WaterERU ]15401-393-80-02 1,500.00 0.00 1,500.00 1,500.0000 1.0000 ERU
Water Meter (SFD) 712 907-343-80-Oi 300.00 300.04 0.00 0.0000 0.0000
Water Deposit 7404D2-389-Op-00 40.00 40.00 0.00 0.0000 0.0000
Traffic Facilities Charge 920120-395-85-00 757.50 0.00 757.50 750.0000 1.0100 Peak PM Trip
Sewer Deposit 792402-369-01-00 50.00 50.00 0.00 0.0000 0.0000
Fire District Impact Fee 105 p01 -345-85-p0 420.55 0.00 420.55 02160 1, 947.0000 square loot
Sewer ERU (LID) 802412-343-50-01 2,847.00 0.00 2,847.00 2,847.OD00 1.0000 ERU
State Builtling Fee 160001-386-00-00 9.50 4.50 0.00 p.poop 0.0000
Police Mitigation- 625302-368-10-Ot 310.00 310.00 0.00 0.0000 0
0000
Tahoma Terra .
TOTAL FEES: E8,639.15
05/15/2006 02:16 3604582469 Vt~m cumin o~nuu~o ~~~ ~ ~~
~ Y •
MORE HOUSE. LESS MONEY.
05 May 2006
Velm COmmuniry Schools
PO Box 467
Velm. WA 98597
Atln~ Bonnie Gerber
Re: School M{tigation Fees
RF~F-:~rFrj
d?q~ 1 i 2[!06
BX:~__--_..
1dR5 S[ 3610 Street. Spite R200
vp. Bar 00
Bellevue. WA 9Bp09
rel. aas.as5 eROo
la, ai, sae Ran
puaRranlHOmesmm
%ease fntl enclosed a c0eck in the amount o! 568,480.00 br school mitigation fee(s) for the lollowin9 bt(s)
bcated .n the Tahoma Tema (Tahoma Meadaw Div. 1) commuMly. City W vekn'. OSA2T
,~I1 i/04 ~
~~Wl°Y v
s ~a /~cu
Sh.r~od~-
5 ~i+-~°b ~
~ ~14'ob ~
Y,ii /O(. r
r/ss/°~
T~si/° ~ /
5 ~3`1~CIF '~
sl Lv//ob
s I w I°~
Lof Address Parcel
Number Check Number
58 14855 99th Avenue SE of rec. 11152
59 14861 99th avenue SE Not rec. 11152
60 14905 99th Avenue SE Not rec. 11152
61 14911 99th Avenue SE Not rec. 11152
62 14917 99th Avenue SE Not rec. 11152
63 14923 94th Avenue SE Not rec. 1 t 752
64 14929-99th Avenue SE Not rec.- 11152- -
65 - ~ 1493599th Avenue SE ~ - Not rec. 11152
-66 ~ 14941 99th Avenue SE ~ NOt rec. 11152
67 74947 99th Avenue SE Not rec: 11152
68 .1494899th Wa SE Not rec. 71752
69 1494299th Wa SE Not rec. 11152
7D 14936 99th Way SE Not rec. 17152
71 1493099[h Wa SE Not rec. 11152
72 14924 99th Wa SE Not rec. 71152
73 14918 99117 Way SE Nol rec. 17152
74 14912 99th Wa SE of rec. 11152
75 1490699th Wa SE Not rec. 11752
76 14866 99th Wa SE Not rec. 11152
77 14860 99th Wa SE Not rec. 11152
78 14913 99th Wa SE Not rec. 11153
79 14919 99th Way SE Not rec. 11153
80 7d93t 99th Wa SE Nol rec. 11153
Bt 1493799th Wa SE Nol rec. 11753
82 14943 99th W a SE Not rec. 11153
83 14949 99th Way SE Not rec. 11153
e4 14950 100th Avenue SE Not rec. 11153
- 85 14944 100th Avenue SE Not rec. 11153
86 ~ ~ 14938 100[h.AvenueSE Not reu- 1H53
- 87 14932 100th Avenue SE Not rec: 11153
88 ~ 14920 100th Avenue SE Not rec. 11153
89 74914 100th Avenue SE Nol rec: - 71153
, 05/15/2006 02:16 3604582469 rt~m wrvun x.nuuu
R-~'~t~ r~r,,
MORE HOUSE. LESS MONEY. //'S ~S ~ .ILA ~~~ i '. Z(1liG
~I
ly 11 BY:~__.-~
Please fax aid mail all recoipts to my anention al the address below. Thank you.
Thank you br your lime and consideration.
Sincerely,
Clerk: Cray
terminal: 1
Receipt: 20499
Manual Recelptr
NOUADRANT
N425-ORB-3700
OUADR0.NT HDMES
YELN~CDMMINITY SCR]OLS
PO DOX 478
YELN, NA 90597
Jeffrey Matltlen
Permil Coordinator
YELM CPo ~MII 47~~
YELM, NA 98597
Clerk: Croy
Terminal: 1
Receipt: 20499
Manual Receipt
Ngl1ADRANT
N425-BOB-3700
gUAORANT HOHES
5/11/2000 2:09 PM
qtv Item Price
1 CPF2900 42800.00
MITIGATION
TAHOMA TERRA -LOTS 58-77 (SEE PAPERWORK)
1 CPF2900 256BD.00
MITIGATIDN
TAHOMA TERRA -LOTS 78 - O9 (SEE PAPERWORK
)
Subtotal; 08400.00
Tax: 0.00
Total: fiO4O0.00
Ch~~152 (42800 00)08
11153 (25O8D.00)
5/11/2008 2:09 PM
Oty Item Price
1 CPF2900 42000,00
MITIGATION
TAHOMA TEARA - LOTS 58-77 (SEE PAPERWORK)
1 CPF2900 25fiO0.0O
MITIGATION
TAHOMA TERRA - LOTS 7O - 89 (SEE PAPERWORK
1
Subtotml: fi8480.00
Taz: 0,00
Tntal: s9aeD.oD
Check fi8480,00
11152 (42800,00) $
11153 (25800.00)
u715 SE 361h Sbeet. Suilr bi00
D0. Bog 130
Bellevue, WA 98009
tel.@54592900
rav 425 BaeBl77
OvaaranlNOmP3.[4m
1
Change Due: ~ 0.00
1HANK YW
Change Oue: 0.00
'?<'` 1 F 20pG
J3Y:__
iMANN VOU
Q
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: 1486099th Wav SE Yelm Parcel#:
Subdivision: Tahoma Meadow Div 1 Lol #: 1077 Zoning; R3
D New Construction ^ Re-MOtlel / Re-Root /Addition ^ Home Occupation Sign
~ Plumbing D Mechanical ^ Mobile /Manufactured Home Placement ^ Other
Project Descdption/Scope of Work: SFR (Basic Plan Series LS 1500-30 Plan # 1511 Al
Building Area (sq. H) 1a1 Floor 583 2n° Floor 964 Garage 600 Deck 20 (oorchl
Basement 0 Carport0 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.
__
GE_NERALECONTRACTOR Quadrant Homes
ADDRESS PO Box 130 EMAIL ieff.madden(~euadranthomes.com
CITY Bellevue STATE WA ZIP 98009 PAX 425-052-6535
CONTRACTOR'S LICENSE # G1uADRC'2210F EXP DATEOSn f 7CITY LICENSE #
PLUMBINOCONTRACTOR Peltram Plumbing TELEPHONE 253-891-8781
ADDRESS 164 Stewart Road SW EMAIL
CIN Pacifc STATE WA ZIP 98047 FAX 253-891-9248
CONTRACTOR'S LICENSE # PELTRPIO75DZ EXP DATEOVO2rosCITY LICENSE #
MECHANICAG?CONTRACTOR eons New coesraucnoN INC. TELEPHONE 425-889-9345 ~I
ADDRESS 13633 NE 126 Place Suite 350 EMAIL
CITY Kirkland STATE WA ZIP 98034 FAX 425-889-0630
CONTRACTOR'S LICENSE # BoBSNNC97768 EXP DATEOSmzrosClTY LICENSE #
Copy of mitigation agreement with Yelm Community Schools, if applicable.
I hereby certify that the above Informallon Is correct antl that [he construction on, and [he occupancy and the use of iha
above tlescribetl property will be In accortlanca with the laws, rules antl regulations of the Stale of Washington antl the
City of Yalm.
~U~ ~~ on behalf of Quadrant Homes 5/5/2006
Applicant's Signature Date
Owner I Contractor I net'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 180 days
105 Yelm Avenue West (3G0) 958-3835
PO Box 419 (360) 958-3r49 FAX
Yelm, WA 98591 www.ci.yelm.wa.us
CITY OF YELM -BUILDING DEPARTMENT
RESIDENTIAL CERTIFICATE OF OCCUPANCY
Building Address 1486099'"Wav SE
Owner Name
Owner Address
Building Permit Number BLD-05-0568-YL Plan Number Plan 1511-30 A/2L
Areas
Special
Building Official: G. Carlson Date: Seotember 6. 2006
This structure Is in compliance with the International Residential Code (Chapter
51-51 WAC) as adopted by the Washington Slate Building Code Council pursuant
to Chapters 19.27 and 70:92 RCW, effective July 1, 2004
FROM :YELM SEWER DEPT. FPX N0. :360-458-8166 Sep. 07 2006 09: S1F1M P1
SAX TRANSMISSION
CITY OF YELM
~\\ P.O. BOX 479 - 93 I NP ROAD ND
\~v Y3 0 458 8418597
~~ .~ FAX360-458-8166
TO: Fz,~
FAX#: s~,y~-y~~
Fmm: ,11~... -D.
SuhjecC ~~,.,~~ ~n~
PACES: ~ ,including this
.Cover sheet
,OV
COMMENTS: I ~ ~ ~~~
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*' If you do not receive ali copies or any copy is not legi~ble~, plea c 14~S R-8411
as soon as possible.