BLD-05-0563o T"Ey, City of Yelm
`
~
~ Community Development Department
d
e
Building Division
Phone: 1760)456-6107
Fax: (36014564140
Applicant:
Noma: puatlran[ Homes
Adtlress: P.O. Boz 130 City: Bellevue
Property Information:
Site Adtlress: 11919 99N Way SE
Assessor Parcel No. 78640007900 Subtlivision: Tahoma Tama
Contractor Information: _
Noma: puatlrent Homes Conrad:
Adtlress: P.O. Boz 130 Ciry: Bellevue
Contractor License Np: OUADRC'221OF Expires: 09110/07257
Project lnfortnation:
Project: Tahoma Terra, Division I, Phase I
Description of Work: 1719 C, Lot 79
Permit No: BLD-05-0563-YL
Issue Dale: 05/22/2006
(Work must be stoned within 160 tlays)
Receipt No: 42192
Phone: QS<52-0332
State: WA Zip 98009
LaC 79
Phone: 425fi463761
State: WA Zip: 98009
Business License:
Sq. Fl. per floor: (1st) 812 (2ntl) 740 (3rdJ 0 Garage 200 Basement 0
Heat Type (Elegdc, Gas. Other): ELECTRIC
Fees:
Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unil Desc
Builtling Permi1100-SOOk 1,125.35 993.75 131.60 5.6000 23.5000 41,000
Builtling Plan Review 475.4fi 0.00 0.00 0.0000 0.0000
Mechanical Permit 96.50 0.00 0.00 0.0000 0.0000
Plumbing Permit 90.00 20.00 70.00 7.0000 10.0000 Fixlura
Sewer Inspection 145.00 0.00 145.00 145.0000 1.0000 ERU
WaterERU 1,500.00 0.00 1,500.00 1,500.0000 7.0000 ERU
Water Mater (SFD) 300.00 300.00 0.00 0.0000 0.0000
Water Depos4 40.00 60.00 0.00 0.0000 0.0000
Tragic Faulities Charge 75].50 0.00 757.50 750.0000 L0100 Peak PM Trip
Sewer ERU (LID) 2,847.00 0.00 2,847.00 2,847.0000 1.0000 ERU
Sewer Deposit 50.00 50.00 0.00 0.0000 0.0000
Fire Distric! 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
Tera 4.50 4.50 0.00 0.01100 0.0000
State Builtling Fee
TOTAL FEES: 58,078.54
Applicant's Affatlavit:
OFFICIAL USE ONLY
I cenity that I have read antl examinetl the information contained within the application and know the same
to be true and correct I also ceniry that the proposetl stmtlure is in conformity with all applicable Ciry of g Sets of Prints:
Yelm regulations including those governing zoning antl land subdivision, antl in atldilion, all covenants,
easements antl restrictions of recortl. If apptying as a contractor, I father cetlity that I am currently
regisleretl b t9e State of WashiyRton. , Flnal IO6pecerpm~
Signature ~ l U~V ~W V Date
Firm
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S E 0 Concrete
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- - - -- Flew arrows
Water
m . . SiR Fence
LPE Square Foolages Lat Size 3,400 SF
5 15 Front Yard 897 SF Footprint 812 SF
Driveway 369 SF Porch 56 SF
0 10 20 40 W°Ikway 29 SF Let Coverage 26
T°' ~ 14919 99th Way S r
RELATED TO THE PROPERTY FOR FURTHER INFORMATIO\.
'1'ahoma Meadow lliv 1 ~ /s/os ,
~ E . , ~ REVISION /
MORE HOUSE. LE55 MONEY.
by: jm sk kt
Drawn PPRD
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JOB A: 21241U79 el ryCar :3>pm, YtL66
~•~ scnLe 1"=20' IPIaN:1319 C~1L Lor: 79
Y°""` CITY OF
~ ~ YELM
P.O. Baz 4]9
Velm, WA 9&59]
360~a58-8603
RECEIVEO•••EIGHT THOUSAND SEVENTY SI% DOLLARS & 54 CENTS
RECEIVED FR GATE REC. N0.
QUADRANT NO S 05/22/06 42192
PO BO% 13
BELLEVUE, NA 98 09 BUDGETARY
NAY SE
RECEIPT No. 4 219 2
AMOUNT REF. NO.
0,076.54 CHECK 11198
DIANA
N/DEP740, TRAFF757.50, S/ERU2847, S/DEP50,~FIAE335.23, PD310, STFEE4. 50
~~ '"` .~ CITY OF
® YELM
Velm, WAx 9859] RECEIPT No. 4 219 3
360158-8403
RECEIVED•••NINE THOUSAND ONE HUNDRED NINETY ONE DOLLARS b 34 CENTS
RECENED FROM DATE REC.NO. AMOUNT
QUADRANT NOHES 05/22/06 42193 9,191.34 CHECK
PO BO% 130
BELLEVUE, NA 98009 BUDGETARY
B LD-05-0562-YL
SITE, 14855 99TH AVE SE
DIANA
N/DEP40, TAAFF757,50, S/DEP50, FIRE536.54, S/ERU2847, STFEE4.50, PD310
REF. NO.
11197
~~ "`~ CITY OF
YELM
RO. B~. 4]9 4 219 4
Yelm, WA 9659] RECEIPT No.
asowse-8403
RECEIVED•.•NINE THOUSAND THREE HUNDRED TWO DOLLARS & 07 CENTS
RECEIVED FROM DATE REC.NO. AMOUNT
QUADRANT HOMES 05/22/06 42194 9,302.07 CHECK
PO BO% 130
BELLEVUE, NA 98009 BUDGETARY
BLD-05-0561-YL
SITE: 14949 99TH NAY SE
REF. NO.
11195
DIANA
N/DEP40, TRAFF757.50, S/DEP50, FIRE555.98, S/ERU2847, STFEE4. 50 PD310
oQ THep City of Yelm ~~Id Permit Fees Schedule
~
~
9 Community Development Department
' permit No: BLD-OS-0563-YL
Building Division ~~l(1F.
ghGl' ~ 2
Phone: (3601650-0407
G1~' OF YELNi
Faz: 1360)460-314-0
Applicant:
Name' puatlranl HOmes Phone: 425-162-0]]2
Atltlress: P.D. Box 1 ]0 City. Bellevue State: WA Zip 90009
Prriject Information:
ProjeR: Tahoma Terra, Division I, Phase I
Description of Wodc: 1319 C, Lot 79
Site Adtlress: 14919 99th Way BE Assessor Parcel No. ]6640007900
Feea•
11em Acct Code Item Fee Base Amt Unit Fee Unil Rate Nc. Units Un0 Desc
Builtling Permit 100-SOOk 032 001-322-10- 00 1,125.35 993]5 131.60 5.60D0 23.500D $1,000
Builtling Plan Review 700001-345-83- 00 4]5.46 0.00 0.00 0.0000 0.000D
Mechanical PermO 032001-322.10- 00 96.50 0.00 0.00 0,0000 0.0000
Plumbing Permit 032001-322-10- 00 90.00 20.00 70.00 7.0000 10.0000 Firture
Sewer Inspection 605612-343-00- 00 145.00 0.00 145.00 145.0000 1.0000 ERU
Water ERU 715601-343-80- 02 1,SOOAO 0.00 1,500.00 1,500.0000 1.0000 ERU
Water Meter (SFD) 712601-343-00- 01 300A0 300.00 0.00 0.0000 0.0000
Water Deposit 740602-369-DD -00 40.00 40.00 0.00 0.0000 0.0000
Traffic Facilities Charge 42012D-345-65 -00 757.50 0.00 757.50 750.0000 1.0100 Peak PM Trip
Sewer ERU (LID) 602612-343-50 -01 2,647.00 0.00 2,647.00 2,647.0000 1.0000 ERU
Sewer Depcsit 742602-389-Ot -00 50.00 50.00 0.00 0.0000 0.0000
Fire Districtlmpact Fee 105001-345-85 -00 335.23 0.00 335.23 0.21601 ,552.0000 square loot
Police Mitigation- 625302-368-10 -01 310.00 310.00 0.00 0.0000 0.0900
Tahoma Terra
160001-366-00 -00 4.50 4.50 0.00 0.0000 0.0000
State Building Fee
TOTAL FEES: $6,076.54
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: 1491999th Wav SE Yelm Parcel#:
Suhdivision~. Tahoma Meadow Div 1 Lof #~. 1079 Zoning{ R2
~ New Construction ^ Re-Model / Re-Roof /Addition ^ Home Occupation Sign
~ Plumbing ~ Mechanical ^ Mobile /Manufactured Home Placement ^ Other
Project Description/Scope of Work: SFR (Basic Plan Series LS 1390-24 Plan # 1319 C1
Project Value
Builtling Area (sq. #) 181 Floor 612 2n° Floor 740 Garage 200 Deck 56 (porch)
Basement 0 Carport 0 Patio 150 (opt.)
# Bedrooms 3 # Bathrooms 2 Heating: AS THER 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.
BUILOING'OWNER+NAME: Quadrant Homes
ADDRESS PO Box 130 EMAIL Jeff maddenCa)guadranthomes.com
CITY Bellevue STATE WA ZIP 98009 TELEPHONE 425688-3706
ARCHITECT/ENGINEER BTL Engineering LICENSE #CT165206TL35666SSF38567
ADDRESS _ 8417 NE 139th Street EMAIL brianl. btlenq(n)comcast.ne[
CITY Kirkland STATE WA ZIP 98034- TELEPHONE (4251818-8448
GENERAL-CONTRACTOR Quadrant Homes
ADDRESS PO Box 130 EMAIL leff.maddenlalguadranthomes.com
CITY Bellevue STATE WA ZIP 96009 FAX 425.452-6535
CONTRACTOR'S LICENSE # OOADRC'2210F EXP DATEOSr>~Cll"Y LICENSE #
PLUMBINGCONTRACTOR Pelham Plumbing TELEPHONE 253-891-8781
ADDRESS 164 Stewart Road SW EMAIL
CITY Pacific STATE WA ZIP 98047 FAX 253-891-9248
CONTRACTOR'S LICENSE # PELTRPI075DZ EXP DATEavoz/asCITY LICENSE #
MECHANICAL"~GONTRACTOR Boss NewcoNSTeucnoN iNC. TELEPHONE 425-889-9345
ADDRESS 13633 NE 126 Place Suite 350 EMAIL
CITY Kirkland STATE WA ZIP 98034 FAX 425-889-0630
CONTRACTOR'S LICENSE # 1306sNNC97766 EXP DATEOSfozrosClTY LICENSE #
Copy of mitigation agreement with Yelm Community Schools, if applicable.
I hereby certify that Iha above Information is correct and [ha[ [he construction on, an4 [he ottupancy antl the use of the
above tlescribatl property will be In accordance with tho laws, rules antl regulations of the Stale or Washington and the
Liry of Yelm.
~(l1~ ~~ on behalf of Ouadrant Homes 5/5/2006
Applicant's Signature Date
Owner (Contractor / wner'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 100 days of issuance, or if work is suspended or abantloned for a period of 100 days
185 Yelm Avenue Wesr (360J 458.3833
PO Box 479 ~ (36'0) 9583144 FAX
Yelm, WA 96591 www.cl.yelm.wa.us
05/15/2006 02:16 3604502469
1
~ ~ - •
.MORE HOUSE. LE55 MOntEy
05 May 2006
Vann Community Schools
PO Bov 467
Velm. WA 96597
Attn Bonnie Gerber
VEIM COMN SCFmOLS PAGE 82/02
11175 S[ 76Th Street Su1te a700
P0. Bor IDO
Bellevue, WA 98009
RF(`F.:~rF-U
rera5lssnoo
A4nY ~ _ ;~~~ Far4756e6B177
BY: OuaNnMOmescom
Re: Scholl Mitigation Fees
Reese toll endased a check in the annuM of S66,gB0.00 br scho0l mltigalion fee(s) for the !allowing bl(s)
located in the Tahoma Tens (Tahoma Meatlow Div. 1) mmmunlry, Cily of Venn: OS027
Lot
Address Varcel
Check Number
Number
58 14855 99th Avenue SE of rec. 11152
59 74861 99th Avenue SE Not rec. 11752
60 74905 99tn Avenue SE Not rec. 11152
61 14971 99th Avenue SE Not rec. 11152
62 14917 99th Avenue SE Not rec. 11152
63 14923 99th Avenue SE Not rec. 7 7 t 52
64 14929-99th Avenue SE Nol rec: 11152 -
65 ~ 1493599th Avenue SE -- Not rec. 11152
66 ~ 14941 99th Avenue SE ~ Not rec. 11152
67 ~ t 4947 99th Avenue SE Not rec: 11152
68 .14948 99th W a SE Not rec. 11152
69 1494299th Wa SE Not rec. 11152
70 1493699th Way SE Not rec. 11152
71 14930 99th Wa SE Nat rec. 17152
72 14924 99th W a SE Not rec. 1 n52
73 1491899UWay SE Nol rec. 17152
74 14912 99N Wa SE of rec. 71152
75 14906 99th Wa SE Nol rec. 11152
76 14866 99th W a SE Not rec. t 1152
77 14860 99th W a SE Nol rec. 11152
78 14913 99N Wa SE Nat rec. 11153
7g 14919 99th Way SE Not rec. 11153
BO 1493199th Wa SE Not rec. 11153
61 74937 99th W a SE Not rec. 11153
82 14943 99th W SE Not rec. 11153
B3 14449 99th Way SE Not rec. 11157
84 74950 100th Avenue SE Not rec. 11153
BS 14944 100th Avenue SE Not rec. 71153
.... B6 ~ ~ ~ ~t4938100th Avenue~SE Not rec:- 11153
87 14932 100th Avenue SE Not rec: 11153 ~ -
gg 94920 100th Avenue SE Not rec. -1115) ~ ~ -
gg t 4914 t00lh.Avenue SE Not rec.- ~ 11153
Q
05/15/2006 02:16 3604502x69
i /
• ~- • ~~5
MORE HOUSE. LE55 MONEY. ~ v~f
~~,5 I~
VELM CORA SC1-00.5
Rrc r•, F.,r,-
AdG; T :7(106
IIY:~L=-_
Please tar and mail all rernipts to my anention at the address below. Thank you.
Thank you for your time and consideration.
SinrRrely,
YELM~COMNIBBITY SCHOOLS
PO BOX 478
YELN, NA 98597
Jeffrey Matltlen
Permit Coordinator
YELM C ~ 4TY~S010015
YELM. MA 98597
Llerk: Croy
Terminal; 1
Receipt: 20199
Manual Receipt:
NWAORANT
N425-8R8-370R
OOAf1RANT HONES
5/11/2008 2:09 PM
Otv Item Price
1 CPF2900 428.00
MITIGATION
TAHOMA TERRA -LOTS 58-77 (SEE PAPERWORK)
1 CPF2900 25fi80.00~
MITIGATION
TAHOMA TERRA -LOTS 7B - 89 (SEE PAPERNORK
)
Subtotal 88480.00
Tax: 0,00
Total: 68480.00
Ch~152 (42800.00)08
11153 (25860.00)
Clerk: Croy
terminal: 1
Receipt: 20499
Manual Receipt:
NOOAORAHT
N425-BRB-3708
OIlAORANT ,HONES
Y
5/11/2006 2:09 PM
Otv Item Price
1 CPF2900 42800,00
MTTIGATION
TAHOMA TERRA -LOTS 58-77 (SEE PAPEAWDRK)
1 CPF2900 25680.00
NTTIGATION
TAMOMA TERRA -LOTS 78 - 09 (SEE PAPERWORK
Subtdtel: 68460.00
Tax: 0.00
Total; W480.00
Check fi6480,00
11152 (42800.00) A
11153 (25080.00)
Change Due: ~ 0.00
THAKK YON
Change Due: 0.00 ~' ..~ ~~ 1 e' 7\7F, [~
!7n~ T 2PD6
113 t':
PAGE 01/02
kR5 Sf 3filn Sneel. Suitt tl).OD
D O. Bow 130
Bellevue. wA 98009
iN.uBa552900
ra. saBaBem
OwArent0ome5 cam
THANK YDu
Q
CITY OF YELM -BUILDING DEPARTMENT
RESIDENTIAL CERTIFICATE OF OCCUPANCY
Building Address
Owner Name
Owner Address
Building Permit Number BLD-05-0563-YL Plan Number Plan 1319 C
Areas Inspected: All Code required
Special Conditions:
Building O(ticial: G. Carlson Date: Seolember 8. 2006
This structure is in compliance 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, etteclive July 1, 200A
FROM :VELM SEWEP. DEPT
w
FRX N0. :360-458-E3i66 Sep. 08 2006 10:49gM PS
FAX TRANSMISSION
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1Y V4.l1,YM,µ -
CITY OF YCLM
P.O. BOX 479 - 931 NP.ROAD NE
YELM, WA 98597
~~~
~~) 360-458-8411
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FAX#: 45~-~3~ 8"
From: ~~,,,` ~~
DATE: 9~~'/° ~
PAG)/S: / ,including this
Cover sheet
Subject: G~>~:„jam ~ S~we.. -~'~.4/S
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ns soon nxpussible.
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