BLD-05-0594City of Yelm
Community Development Department
Building Division
Phone: (360)458-640]
Faz: (760)458-7144
Applicant
Permit No: BLD-O5-0594-YL
Issue Date: 06/09/2006
(Wo rk must be started within 180 tlays)
Receipt No: 4T352
Name: puatlrent Homes Phone: 425J52-0312
Atltlress: P.O. Box 13o City: Bellevue State: WA Zip 96009
Property lnfonnatlon:
Site Atltlress: 11906 99th Way SE
Assessor Parcel No. ]6640007500 Subtlivision: Tahoma Terra Lot: ]5
Contractor Information
Name'. Applicant Contact: Phone:
Atltlress: City: S[a[e: Zip:
Contractor License No: Expires Business License:
Project lnfonnation:
Prolep: Tahoma Tena Phase I, Division I
Desorption of Work: 1531-30 A, Lot 75
Sq. FL per OOOr: (751) 583 (2nd) 964 (3rtl) 0 Garage 400 Basement 0
Heat Type (Eletlric. Gas, Other): GAS
Fees
Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
BuiMing Permit 100-500k 1,25779 993.75 264.04 5.6000 47.1500 E1,000
BuiMing Plan Review 531.41 0.00 0.00 0.0000 0.0000
Mechanical Permit ]8.25 0.00 0.00 0.0000 0.0000
Plumbing Permit 171.00 20.00 91.00 ].0000 13.0000 Fixture
Sewer Inspetlion 145.00 0.00 145.00 745.0000 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 ]5].50 ]50.0000 1.0100 Peak PM Trip
Sewer Deposit 50.00 50.00 0.00 0.0000 0.0000
Fire District ImpaIX Fee 420.55 0.00 420.55 0.2160 1,94].0000 square foot
hewer ERU (LID) 2,84].00 0.00 2,847.00 2,847.0000 1.0000 ERU
Blate Building Fee 4.50 4.50 0.00 0.0000 0.0000
Police M4gation-Tahoma 310.00 310.00 0.00 0.0000 0.0000
Tena
TOTAL FEES: E8,353.00
Applicant's Affadavit:
OFFICIAL USE ONLY
I certify that I have read and examinetl the information wntainetl within the application antl know the same
to be true and cenect. I also certify that the proposetl structure is in conformity with all applicable City of p Sets of Prints:
Yelm regulations including those governing zoning antl land subdivision, antl in adtlition, all covenants,
easements antl restdGions of recertl. If applying as a contradoq I hRher certify that I am currently
registeretl in the Slate of Washington. Final Inspection:
' O` Date:
Signature Date (~~ 2~
By:
Fim~ n.xe.1~2A.1T
~_
0
Q
N 88'15'14 ' W 40.00'
~ 4,000 SF ~
J~/.' fFE
20' Reor YoN I / Intillratior.
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0 0
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ti ~ N1'A <i. C 'p~
~ 38 15 14' W 40 00 C
N ~ ~~,
~~ Water ~
~; -~
~L of 99th Way SF ~
~Saoita:y _.
J 15
r-~~~
0 1G 20 a0
Tax N
THE ABOVE SKETCH IS PROVIDED FOR YOOR
RELATED 'TO THE PROPERTY. INCLUDING HUT
tank
QO LPE Sauare FooLages
D -r Front Yard 741 SF
,_ Driveway 505
Walkway '7 cr
LEGEhO
Concrete
- Flaw orrovls
s Silt Fence
Lot Ske 4,000 SF
Footprint 98S SF
?arch 20 SF
Lat Coverage 25 y
14906 99th Way SE
INTENllED TO SHOR' ALL MATTERS
rI'ahoma ~Ieado~w Div 1 ~ 31/os
~ ~ .. ~
HOUSE
Y
L REVISIONS:
MOPE
.
ESS MONE
.
-
oravm ay-. r~ ~k gi
_- APP OVE
dee # ztzato7s
1531 A/2L~ 75 eYa+ro~ a , aryCadsonaH9:62am,WU06
pLCN
scale 1"=20' iLOT:
05/15/2006 02:16 3604` 69
® ~ 0
MORE HOUSE. LE55 MONEY.
os raay zoos
VELM COtM1 SCIif
RFC :F:~tF,U
AQnp t ' CU6
Bx:
-->>..
PAGE 02/02
N7255L3rr61 greet Lute blW
P,0. Box 130
BeB¢vue, WA 90009
h1.425.4552900
Fdx 4256469377
OuatllanfNOm¢s¢om
YelmCOmmuniry Schools
PO Rot 467
Yelm. WA 98597
A6n- Ronnie Gerber
Ra: School MRi9aNOn Fees
%ease Md enclosed a check in Bra amount of 568,480.00 for school mltgation fee(s) for the fo9owinp lot(s)
locatetl in tha Tarroma Terra (Tatroma Meadow Div. 1) commonly, Lily of Velm: DS-02)
rl ~it 10~ ~
+r/sL/o6
s, L ~ /
Lot Address Parcel
Number Check Number
58 1485599th Avenue SE of rec. 11752
59 19861 99th Avenue SE Not rec. 71152
60 74905 99th Avenue SE Not rec. 11752
61 14911 99th Avenue SE Not rec. 17152
62 14917 99th Avenue SE Nat rec. 11152
63 14923 99th Avenue SE Not rec. 7 f 752
64 14929~99N Avenue SE Not rec: 11152
65 - - 7493599th Avenue SE -- Not rec. 11152 -
66 ~ 14941 99th Avenue SE ~NOf rec. 11152
67 ~ 14947 99th Avenue SE Not rec: 11152
68 .7494899th Wa SE Not rec. 11752
69 14942 99th Wa SE Not rec. 11152
7D 14936 99N Way SE Not rec. 11152
71 14930 9961 W a SE Nat rec. 11152
72 74924 99th W SE Nat rec. 7 t 752
73 ~14918991h Way.SE_ .NOl rec._ _11152 _--..--^
74972.99m Wa SE of rec. 71152 _.-~
75 14906991hW SE Not rec. 17152
7 14866 99th W a SE Not rec. 71152
77 14860 99th W SE Not rec. 11152
78 1491399m Wa SE Not rec, 11 153
79 14919 99It1 Way SE Not rec. 71153
80 14931 99th Wa SE Not rec. 11753
B7 14937 99th W SE Not rec. 17153
82 14943 99111 W SE Nof rec. 71153
83 74949 99th Way SE Not rec. 11153
84 14950 100th Avenue SE Not rec. 71153
85 14944100th Avenue SE Nol rec. 11153
-~~ B6 ~~ ~ 74938 t00th,gvenueSE Not ree:- 11153
- 87 14932 100th Avenue SE Not rec: 11153
88 44920 100th Avenue SE Not rec. 17153
89 14974 100th Avenue SE Not rec:. 17753
17
05/15/2086 02:16 3604r '69
~ • ~ • ,~S
MORE HOUSE. LESS MONEY. ~ , I6~
~~S It~S
sax: 0.00
Total: 68480.00
Ch
~ 0
0
0
52
1 (42800
0
)
&
Please fax antl mail all receipts k my amention ffi the atldress below. Thank you.
Thank you ror your lime and wnsitlemtion.
Sincerely,
YELM COMM SCFr ;
RF:~rE~rr,.,
~~!) I :zoos ~
BY:~_4 f
"YElli CDIBIUNITY SCFAIOLS
PO BOX 476
YELM, NA 98597
Je6rey Madden
Permit Coordinator
YELM POBDit 4TM76~~~
VEI.M. MA 98597
Clerk: Croy
Terminal: 1
Receippt: 20499
Nanuai Receipt:
NAIIADRANT
N425-A80-37~
AUACAANT ,HONES
5/11/2000 2:09 PN
Qtv Item Price
1 ~T2~ ~ 42000.00
TAHDNA TERRA -LOTS 58-77 (SEE PAPERWOPoI)
1 NITIG~ATION 25680.00
T1U(OHA iERRA -LOTS 78 - 89 (SEE PAPERWORK
1
Suhtmtal: 88480,00
11153 (45e00.00)
Clerk; Croy
terminal: 1
Receipt: 20499
Manua Receipt:
NOUAOftANT
N425-800-3700
AUAORANT ,HONES
5/11/2006 2:09 PM
BtY Item Price
1 CPF29P0 42000,00
NTTIGATION
TAFUMA TERRA -LOTS 56-77 (SEE PAPERWORK)
1 CPE2900 25600.00
TAHOMA TERRAIGALOTS 70 - 89 (SEE PAPERNORK
1
_ ~Subtotel: 66480,00
Taz: O,Op
Total; 66400.00
Cf~ck~ fi0460,00
71152 (42800,00) $
11153 (25BBD.00)
PAGE 01/02
i/rj5 Sr 3aM Street. SUal k200
v0. Box 130
Bellevue, WA 90009
iel.42BaS51900
em &25.676 B3R
Ounaranliromes com
N
Change Due: - 0.00
THAKK YOU
~; ;.-~~;. avF~
Change 01~: D.00
Iffi', ~ 1 zone
)3 X:
1X&16( rou ....`---
Q
CITY OF
YELM
P.O. Box d]0
YeIm, WA 9959]
360-458-9403
RECEIPT No.4 2 3 51
RECEIVFeD ..BIGHT THOUSAND THAEE HUNDRED FIFTY THREE DOLLAR9 6 00 CENTS
RECEIVED FROM DATE REC.NO. AMOUNT
QYADRANT HOMES 06/09/06 42351 8,353.00 CHECK
P.0. BU% 130
BELLEVUE 11A 98009 BUDGETARY
LOT71
MICHELLE
TRAFF757.50,SDEP50.FIREDIST420.SERU2847.STFEE4.50POLICE310.00
CITY OF
YELM
P.O. Bax 4]9
Velm, WA 9059]
360-458-0403
REF. NO.
PENDING
RECEIPT No.42352
RECEIVGt).•EIGHT THOUSAND THREE HUNDRED FIFTY THREE DOLLARS 6 00 CENTS
RECEIVED FROM
"QUAD. T HONES
'P.0. BO 130
'~BELLEYUS NA 98009
LOT 75
DATE REC.NO.
06/09/06 42352
BUDGBTARY
AMOUNT
8,353.00 CNECE
REF NO.
PENDING
MICHELLE
SEDEP50.,FIRE420.SS,SERU2847.,STFEE4. 50 POLICE310.
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: 1490699th Wav SE, YeIm Parcel#:
Subdivision: Tahoma Meadow Div I Lot #: 1075 Zoning; R3
~ New Construction ^ Re-MOtlel / Re-Roof /Addition ^ Home Occupation Sign
~ Plumbing D Mechanical O 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 Carpon 0 Patio 150 (pot.)
# Bedrooms 3 # Bathrooms 2_5 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.
P.LI'1MBING~GONTRAQTOR Peltram Plumbing TELEPHONE 253-891-8781
ADDRESS 164 Stewed Road SW EMAIL
CITY Pacific STATE WA ZIP 98047 FAX 253-891-9248
CONTRACTOR'S LICENSE # PELTRPI075D2 EXP DATECt~CITY LICENSE #
MECH9NIGAL"CONTRACTOR eons new cousTeucnoly we 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 # BOBSNNC9776B EXP DATEgg-Q~p~CITY LICENSE #
Copy of mitigation agreement with Yelm Community Schools, if applicable.
I hereby certify that the above Information Is corrocl and that the construcllon on, antl the occupancy antl the use of the
above tlescrlDOtl property will fre In accortlanco with the laws, rules antl regulations of the fifers of Washlneton and [ha
Clly of YeIm.
~~~~ on behalf of Ouadran[ Homes 61112006
Applicant's Signature Data
Owner / Contrector / oar's A ant Contractor's Agent (Please circle anti.)
All permits era non-transferable and will expire if work authorized by such permit is not begun
within 180 days of issuance, ar if work is suspended or abandoned for a period of 180 days
1a5 Yelm Avenue Wes[ (360) 4583835
PO Box 4]9 (36aJ 458-3114 FAX
Yclm, WA 9859] www. clyclm. wa.us
CITY OF YELM -BUILDING DEPARTMENT
RESIDENTIAL CERTIFICATE OF OCCUPANCY
Building Address
Owner Name
Owner Address
Building Permit Number BLD-OS-0594-YL Plan Number Plan 1531-30 A
Areas
Special
Building Official: G. Carlson Date: September 27 2006
This structure is in compliance with the International Residential Code (Chapter
51-51 WAC) as adopted by the Washington State Building Cotle Council pursuant
to Chapters 19.27 and 70.92 RCW, effective July 1, 2004
CITY OF YELM INSPECTION LOG
PROJECT Lot 75 Tahoma Terra
PERMIT NUMBER OS-0594
ADDRESS 14906 99`h Wav SE
SET BACKS Date:
Corrections
UNDER FLOOR_
DRY WELL
FOOTING REBAR _
Footing
Wall
Required vents
Corrections
^_
_^I
Corrections
Corrections
)ate:
12"-
6"
WALL REBAR ^Date:
® 16" Other_
® 8" Other
COMBINED FRAME/ EXTERIOR SHEAR WALL INSPECTION
Hold downs ^ Shear Nailing ^ _
Frame ^ Gas/Propane ^
Plumbing
^
Mechanical _
^
Corrections: _
INSULATION ^Gas ^Electric ^Other
^Foam and Seal ^Vapor barrier ^PVA
Corrections:
SHEET ROCWSHEAR WALL NAIL
Corrections:
FINAL
^Sewer Final ^Electrical ^ Civil Final ^Landscape Final ^C of O
^Address ^ Insulation ^ Site Drainage ^ Sidewalk
Corrrections:
FROM :YELM SEWER DEPT. FRX N9. :360-458-8166 Sep. 22 2906 03: 09PM Pl
FAX TRANSMISSION
CITY OF YELM
P.O. BOX 479 - 931 NP RO~.D NE
YELM, WA 98597 ;
~~~ 360-458-8411
FAX 360-458-8166
TO: G-,L FN DATE:. 9-a~-0 ~
FAX#: PAGIrS: l ,including this
Cover sheet
From: l~flNd`~
Subject: l-{dusC FI~A~-7;gNr7iylq .-~~k,4
COMMENTS: Go i 75 ~ ~f~iD~ 99 ~a WAY S, C- ,
** II'you do not receive all copies or any copy is not legible, please call (3C0) 468-841 l
35 SOOP 8S n0951VIC.