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BLD-05-0589City Of Yelm Permit No: BLD-OS-0589-YL Community Development Department Issue Date: 06/09/2006 Building Division (WOM must be startetl within t80 days) Phone: (360) 458-840] Receipt No: 42350 Fax: (3601458-3144 Applicant Name: Quadrant Homes Phone: 425452-0332 Atltlress: P.O. Box 130 City: Bellevue State: WA Zip 98009 Property Information: Site Atltlress: 1493599th Ave. SE Assessor Parcel No. 78640006500 Subtlivision: Tahoma Terra Lot 65 Contractor Information Name: Quadrant Homes Contact: Phone: 425-646-8363 Adtlress. P.O. Box 130 Ciry. Bellevue State: WA Zip: 99009 Contractor Llcense Nc: QDADRC221DF Expires: 09/10/0]253 Business License: Project Information: Project Tahoma Terra, Division 1 Description of Work: 2141 B, Lot 65 Sq. FL perfloor. (1st) 669 (2ntl) 1309 (3rtl) 0 Garage 422 Basement 0 Heet Type (Electric, Ges, ONeq: GAS Fees: Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc BuiMing Permit 100-500k 1,56].19 993.]5 5]344 56000 102.4000 $1,000 Builtling Plan Review 662.13 0.00 0.00 0.0000 0.0000 Mechanical Permit ]8.25 0.00 0.00 0.0000 D.DDDD Plumbing Permit 118.D0 20.00 98.00 ].0000 140000 Fixture Sewer inspection 145.00 0.00 145.00 145.OOD0 1.0000 ERU Water ERU 1,SOO.OD 0.00 1,500.00 1,SOO.000O 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 ]5].50 0.00 75].50 ]50.0000 1 0100 Peak PM Trip Sewer Deposit 50.00 50.OD 0.00 0.0000 0.0000 State Building Fee 4.50 4.50 0.00 0.0000 0.0000 Sewer ERU (LID) 2,84] 00 000 2,64] 00 2,84].DDDD 1.0000 ERU Flre District Impact Fee 561.60 0.00 561 60 0.2160 2,600.0000 square foot Police Mitigation-Tahoma 3100D 310.00 0.00 00000 0.0000 Terra TOTAL FEES: 58,941.17 Applicant's Affatlavit I certify that I have reatl antl examinetl the information contained within the application antl know the same to be [rue antl correct. 1 also certify that the proposed structure is in conformity with all applicable City of Yelm regulations indutling those governing zoning antl ]antl subdivision, antl in addition, all covenants, easements antl restrictions of recortl. If applying as a contractor, I father cetliry that I am cunen0y registered in the fate of Washington. Signature Oate Q!i-~~-~0(O Firm t/ C>ZV1R~Zhr1T - OFFIOIACUSEONLV # Sets of Prints: Final lnspecdon: Date: ' By: r,a~s'as"w ao ~c' 4~ 000 SF~ ;42.7 FFE Infiltration _ ~-Trench ~ 20' Rearr Yard _ N t I 5 ~ I I_ o I 30' ° ° rI4 0 0 ~ r o_ N W N \ry /l W ~ ~ ~ 7 Nl y ~ O OI 7 dl _ Building { I5 1 - 20_7 1~2., I 20 Front 20•_ ~ ~ ~ . 7 ~ 2 O le 10 E M - ~~ o - eptic Ton ,~ ~l , 0.,1 14p` ' I LPE Square Footac~es S°. / I Front Yard 587 SF th Sepli T k s N s"s~'as"w aa.oo c• ~ Driveway h76 SF need tob Bearing - - Walkway Bt SF ~~ I\ LEGEND Sanitary - ~ Concrete ~ - Div: f. - i ~o( 99th Avenue SE - Flow arrows Woter ~~ -N ~ ~ Silt Fence , Loi Size 4,000 SF 5 15 Footprint 1,291 SF Porch 150 SF 0 10 20 a0 Lot Coverage 36 r°"~ 14935 99th Avenue SF THE AHOVE SKETCH IS PROVIDED FOR YOUR INFORMATION ONLY. IT IS NOT INTENDED TO SHOW ALL MATTERS RELATED TO THE PROPERTY. INCLUDING BUT NOT WMITED T0, AREA, DIMENSIONS . EASEMENTS, ENCROACHMENTS OR BOUNDARY LOCATIONS NOR IS IT INTENDED TO BE USED FOR LEGAL DESCRIPTION OR SURVEY PURPOSES. YPE ENCOURAGE YOUR REFERENCE TO ACTUAL DOCUMENTS. TITLE SEARCHES AND COMMITMENTS OR SURVEYS RELATED TO THE PROPERTY FOR FURTHER INFORMATION. Tahoma Meadow Div 1 °AT-' o5/zs/o6 ~ ~ • . ~ MOVE HOUSE LESS MONEY REVISIONS: . . Drawn by: ~~' sk g~ PROVE JOB ~: 212x1065 R 2141 B/2L oT 65 City o/Yelm on aH:49 pm, 6/Y06 • scale 1"=20' u": : L CITY OF YELM P.O. Box 4]8 Velm, WA 9859] 360458-8x03 RECEIPT No. 4 2 3 4 9 RECEIV6Q+.EIGHT THOUSAND FOUR HURDAED TWELVE DOLLARS & 45 CENTS RECEIVED FROM QUADRANT HOMES P.O. BOB 130 BELLEVUE WA 98009 DATE REC.NO. 06/09/06 42349 BUDGETARY AMOUNT REF NO. 8,412.45 CHECR PENDING LOT 61 MICHELLE WDEP40,TRAFF757 ~50,SEWDEP50.00,SERU2847 0 STFEE 4'~50POLIC310 ~FIRE368~93~ ~a .„e„~ CYELMF ram°wnsasw RECEIPTNo.Q2350 360-458-6403 RECEIV6P ..EIGHT THOUSAND NINE HUNDRED FORTY ONE DOLLARS & 17 CENTS RECEIVED FROM DATE REC. NO. AMOUNT REF. NO. QUADRANT HONES 06/09/06 42350 8,941.17 CHECK PERDIRG P.O-.--BO% 130 ~ELLEVU~\A 98009 BUDGETARY ` LOT 65 MICHELLE WDEP40.,7RAFP757.50,SEDEP50.00,STFEE4. 50,WERU2897.,FIRE561.60,POL310. 05/15/2086 02:16 3604' 769 ~ ^ • MORE HOUSE. LE55 MONEY. OS Nay 2986 Yalm Community Schods PO Box 467 Ydm. WA 98597 Alm' Bonnie Oerber RB_ School Mlti9a6on Fees YEIM CCOtd Sp' RFt~F:~rFU A4nY ~ i ZC06 PAGE 02/02 M175 SC 76m Street Suite 0)00 P.O.Oor BO OeOgn~e. WA 98009 1n. auas529oo tarus.ws.aan OuaOranlHOmes.cam %ease lino enclosetl a cnerx in lire amount al S68ga0,00 /or school Mtigation lee(s) for Me fa0owing bt(s) bW[ed in the Tahoma Tema (TahOma Meatlaw Div. t) communlN. GiN of YeOn: 05-027 f /L1-`OO S~La-~Ob t/ Y ~a4 ~oL ,, s^~ ~' / Lot Address Parcel Number Check Number 58 74855 99U Avenue SE of rec. 11152 59 14861 99th Avenue SE Not rec. 1 f t 52 60 74905 99U Avenue SE Not rea 17 t 52 61 14911 99th Avenue SE Not rec. 11152 62 14917 99th Avenue SE Nat rec. 11152 63 14923 99U Avenue SE Not rec. 11752 14929~99U Avenue SE Not rec. 11152 65 ' ' 14935 99th Avenue SE - - Not rec. 11152 : 14941 99U Avenue SE' 'Nat rec. 11152 67 - 74997 99U Avenue SE Nat rec: 11752 68 1494899th Wa SE Not rec. 11752 69 14942991h Wa SE Not rec. 11752 70 14936 99U Way SE Noi rec. 11152 71 1493099U Wa SE Not rec. 17152 72 1492499th Wa SE Not rec. 17752 73 14918 991h Way SE Not rec. 17152 74 14972 99U Wa SE of rec. 71152 75 1690699U Wa SE Not rec. 17152 76 14866 991h W SE Nol rec. 11152 77 14860 99th W SE Not rec. 11152 78 1491399U Wa SE Nat rec. 11153 79 1497999U Way SE Not rec. 11753 80 14937 99U Wa SE Nol rec. 1N53 81 t4937991hW SE Not rea 77753 82 14943 991n W SE Not rec. 11153 83 1494999th Way SE Nol rec. 11753 84 14950 t OOU Avenue SE Not rec. 11153 85 14994100U Avenue SE Nol rec. 11153 ~~~~ e6 ~ ~~ ' 74938100U AvenueSE Not rec:~~ 71153 87 14932 100th Avenue SE Not rec: ~ 111 S3 - 88 -14920100U Avenue SE Nat rec. ~ 11153" 69 149147WIh Avenue SE Not rea.. 77753 1~ 05/15/2006 02:16 360 169 yELM COMN SCh S X35 RF'~'t'r~rr-; SE. LE55 MONEY. .If' 5 ~.(~ twat x :zone ~~ ~7 ~Y: J ~~-~ Please hx and mail all recbipts ro my alren0on et the atldrebs bebuv. Thank you. Thank you (pr your time and wnsidemtinn. Sincerely, "YELX~C0141ONI'ry SCJWOLS PD BIIX 476 YELX, XA 98597 Jeffrey Madeen Permit Caordinator YEIN PO ~ 4~SOt00IS YELI(. XA 96597 Clerk: Cray Termiwl; t Recei t: 211499 Namlapl Aeceipt: NgUAORANT N425-B88-370A gUAORANT , FNM(ES 5/11/20 2: D9 PR qty Ite® Price 7 CPF2900 42800.00 MITIGATION TAH~tA TERRA -LOTS 58-77 (SEE PAPERWORK) 1 NITI~GATIDM 25560.00 TAHONA TERRA -LOTS 713 - 89 (BEE PAPERWORK ) Suhtatel: fi8480, 00 Tntzl: 68480,E ~11~752 (42800.00)0& 1 r153 (25000.00) Chal3ge hue: 0.00 Clerk: Cray Terminal: 1 R~eipt: 20499 Ranual Receipt: N425-BBBT370A 011N)RAMT ,HOMES Y 5/11/2008 2:09 PM qtY Item price 1 CPF2900 42800,00 MITIGATION TAtNNW TERRA -LOTS 58-77 (SEE PAPERNDRNI 1 CPF2900 25680.00 MITIGATION TANOMA TERRA -LOTS 78 - 89 (SEE PAPERWOAN 1 -Subtotal: 66460,00 iptzl; 66460,00 Check fi6480,W 11152 (42800.00) $ 11753 (2506D.00) Change Due: - D, DD 7HAKK Y00 vn:~ ? 12n(1G ~) il': PAGE 01/02 H775 s[ 36t0 street. wife 1t20D P0. Bon 130 BNlerue, WA 90009 ie1. 415455 Z90D ra+ 4564fi 0377 OuanraetNOmBmm TNANN YOO t~ CITY OF YELM RESIDENTIAL BUILDING PERMIT APPLICATION FORM Project Address: 14935 99th Avenue SE Yelm Parcel # Subdivision: Tahoma Meadow Div 1 Lot #: 1065 D New Construction G Re-Model / Re-Roof /Addition i ~. Home Occupation Sign ~ Plumbing ~ Mechanical J Mobile /Manufactured Home Placement a Other Project Description/Scope of Work: SFR (Basic Plan Sedes LS 2100-30 Plan # 2141 B Project Value: Building Area (sq. ft) 1" Floor 869 2ntl Floor 1 309 Garage 422 Deck 150 !porch) Basement 0 Carport 0 Patio 150 (oot ) # Bedrooms 4 # Bathrooms 3_5 Healing: 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. BUILDING OWNERNAME: Quadrant Homes ADDRESS PO Box 130 EMAIL Leff.madden(a~ouadranthomes.com CITY Bellevue STATE WA ZIP 98009 TELEPHONE 425-686-3708 GENERAL CONTRACTOR Quadrant Homes ADDRESS PO Box 130 EMAIL ieff maddenCa)a tl a th CITY Bellevue STATE WA ZIP 98009 FAX 42552-6535 CONTRACTOR'S LICENSE # DUADRC'221DF EXP DATE gt9 to/o~CITY LICENSE # PLU,MBINGC.ONTRACTOR 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 # PELTRPI075oZ EXP DATEOV~CITY LICENSE # MECHANICALCONTRACTOR eons New comsTgnalou we 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 # BOBSNNC97]s6 EXP DATEO IozrosClTV LICENSE # Copy of mitigation agreement with Yelm Community Schools, if applicable. I hereby certify that the above Information is correct antl that the construction on, and [he occupancy and the use of the above tlesctlbetl property will be In accordance with the laws, rules antl ragulatlons of the Stale of Washington and the City of Y¢Im. /~~~ on behalf of Quadrant Homes 6/1/2006 Applicant's Signature Date Owner /Contractor / naps A ant 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 abantloned for a periotl of 100 days 105 Yelm Avenue West (360) 458-3835 PO Hax 479 (36a) 458-3144 FAX Yelm. WA 98599 www.ei.yelm.wa.us FROM :YELM SEWER DEPT. FPX N8. :360-458-8166 Oct. 20 2006 83: 13PM P1 FAX.TRANSMISSION CITY OF YELM P.O. BOX 479 - 931 NP. ROAD NE YELM, WA 98597 ~~(~, ` 360-458-8411 \ PAX360-458-8166 TO: GfZL-'C~ DATE: /o-~~'o(e FAX#~: PAGES: ~ ,including this Cover sheet From: 1~ N D Y Suhject: ~-lvuSE FIn~AC~I"fgf~nn,~ Tt(ZazA COMMENTS: L o ~ fo~ J ~l9 ~,~_ 9 9 ~ /-1 t/E, S, C' dpi ~ ~c~ (D *" 11'you do not receive all copies or any copy is nnl legible, please call (360) 458.8411 as soon as possible. - CITY OF YELM -BUILDING DEPARTMENT RESIDENTIAL CERTIFICATE OF OCCUPANCY Building Address Owner Name Owner Address Building Permit Number BLD-OS-0589-YL Plan Number Plan 2141 B Areas Inspectetl: All Code required Special Conditions: Building Official: G. Carlson Date: October 24. 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, effective July 1, 2004