BLD-05-0570roe*"e City of Y2lm Permh NO: BLD-05-0570-YL
r$ Community Development Department Issue Date: 05/24/2006
~ (Work must be startetl within 180 tlays)
Building Division
Phone: 1360)468-860] Receipt No: 42230
EL Fax: p60) 458J144
Applicant___ ___ --
Name: Ouatlrant HOmes Phone: d25d52-0332
Address'. P.O. Boz 130 City: Bellevue Slate: WA Zip 98009
Pro a Information:
_P_lry.._ __ __.. _
Site Atltlress: 16944100th Ave. SE
Assessor Parcel No. ]8640006500 Subtlivision: Tahoma Terra Lot: 66
Contractor Inf_rmation: ----~
Name: Applicant Contact Phone:
Atltlress: City: State: Zip:
Contractor License No: Expires: Business License:
Project lnformation:____ -- ---'~
Project: Tahoma Terra Phase 1, Division I
Description of Work: 1]21-30 AI2R, Lot e6
6q. FL per floor (tsQ 120T (2ntl) 1646 (3rtl) D Garage 4D3 Basement 0
Heal Type (Electric, Gas, Other): GAS
Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
Building Permit 100-SOOk 7,853.91 993.75 660.16 5.6000 153.6000 $1 000
Building Plan Review 1,205.04 0.00 0.00 0.0000 0.0000
Mechanical Permit 78.25 0.00 0.00 0.0000 0.0000
Plumbing Permit 132.00 20.00 112.00 7.0000 16.0000 Fixture
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) 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 ]57.50 0.00 75].50 ]50.0000 1.0100 Peak PM Trip
Sewer Deposit 50.00 50.00 0.00 D.ooga 0.0000
Fire District Impact Fee 682.13 0.00 682.13 0.2160 3,158.0000 sq Uare (oat
Sewer ERU (LIDJ 2.84].00 0.00 2,84].00 2,84].0000 LOOW ERU
Slate Builtling Fee 4.50 4.50 0.00 0.0000 0.0000
Police Mhigalion -Tahoma 310.00 310.00 0.00 0.0000 0.0000
Terra
TOTAL FEES: $9.905.33
Applicant's Affatlavit
I certify that I have reatl antl examinetl the information containetl within the application and know the same
to be true an4 correct. 1 also cedity that the proposetl structure is in conformity with all applicable CHy of
Yelm regulations inclutling those governing zoning and lantl subtlivisioo antl in atltlition, all covenants,
easements antl restrictions of recom. If applying as a contractor, I (other certify that I am currently
registeretl in the State of Washington.
~~ A
Signature X~
~~
Firm w a
Date
# Sets of Prints:
'final lpspection:
Date:
ey:
S89'L3'10"F X0.00' _
mmr~naen 4,000 Sf
Trench-~ ,;4Q3 FFF~„
I~'~' ,T.~ ,1 I
~ 20' Reat Yard 5' ~
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SEptIQ p~
Tank ~,,, tk~~ ~~ ~`
pjp 583'4370°C
40.OC'
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w O Concrete
100Lh Avenue SE
N GL of
z - - - - Flaw arrows
~~ Sanitary __ __ SBt Fence
_'Lo
LPE Sq are Foolaaes Lot Size 4,D00 SF
5 1.5 Ronf Yard 575 SF Foolprira 161D SF
~ ~~ Drivexa 521 SF ( Porch 20. SF
~ 10 L~ 40 W9lkway 55 SF~i Lot Cavei age 41
Taxis 14944 100th Avenue SE
YOOR INFORMATION
BUT NOT LIhfITEll
WE
~F.ARCHGF AVD
Taholna Meadow Div 1 ~ 5/oa/o6
• .. • . ~EVisloNS:
MORE HOUSE. LE55 MONEY.
Drawn by: jm sk kt APPR VE
JOB ~: 21241085 Ey Cify o/ mGa son at 10:59 am, 5/19/96
~~~ scnLe 1"=20' PLnrv:2721 A~2R LoT: 85
CITY OF
YELM
P.O. Box 919
Yelm, WA 98591
360-458-8403
RECEIPT No. Q 22 3
RECEIVED..+NINE THOUSAND NINE HUNDRED FIVE DOLLARS & 33 CENTS
RECEIVED FROM DATE REC. NO. AMOUNT REF. NO.
QUADRANT CORPORATION IHPREST 05/24/06 42230 9,905.33 CHECK 11221
P.O. BOB 130 '
LL E WA 98009-0130 BUDGETARY
LOT 85
MICHELLE
NTDEP40.,TRAFF757.50,SERDEP50 ~FIRE682.13,SEWERU2847.STFEE4.50POLICEV310.
?~ '"`°e'~l CITY OF
~ YELM
P.O. Boz 419
Yelm, WA 98591 RECEIPT No. Q 2 2 31
360-458-8403
RECEIVER.+EIGHT THOUSAND SI% HUNDRED THIRTY NINE DOLLARS & 15 CENTS
RECEIVED FROM DATE REC.NO. AMWNT REF.NO.
QUADRANT CORPORATION IHPREST 05/24/06 42231 8,639.15 CHECK ~t2220
P.D. BO% 130 « a`Q
BELLEVUE NA 98009-0130 BUDGETARY
LOT 77
MICHELLE
NTDEP40.TRAFF757.50,SEWDEP50.,FIRE420.SS,SENERU2847.STFEE4. 50.POLICE310.
ago '"`• CITY OF
YELM
® Po. eox 4ls
Yelm, WA 985W RECEIPT NO. 'i2 C3G
360-458-8403
RECEIVEO'wwEIGHT THOUSAND THREE HUNDRED FIFTY THREE DOLLARS & 00 CENTS
RECEIVED FROM GATE REC. NO. AMOUNT REF. NO.
QUADRANT HONES 05/24/06 42232 8,353.00 CHECK 11220
P.O. BO% 130
BELLEVUE WA 98009 BUDGETARY
LOT 87
MICHELLE
NTDEPaO.TRAF757.50,SEWDEP50.00,FIRE420.SSSEWERU2847.STFEE4.50POLICE310.
City of Yelm
Community Development Department
Building Division
Phone: 13601456-640]
Faz: 13601458-3144
Applicant: - , '
Name: puadmn[ Homes
Address: P.O. Boz 130
Project lnformatlon:
Ptgect'. Tahoma Tertt Phase V, Division 1
Description of Work: Plan 2]2130 AI2R, Lo[ 65
Site Address: 14944 100th Ave. SE
Fees
Item Acct Cade
Builtling Permit 700-SOOk 032001-322-f0-00
Builtling Plan Review 100 001-345-83-00
Mechanical Permit 032001-322-10-00
Plumbing Permit 032001-322-10-00
Sevrer Inspection 805412-343-60-00
Water ERU 715401-343-60-D2
Water Meier (SFD) ]12401-343-80-01
Water Deposit ]40402-389-00-OD
TrafSC Facilities Charge 420120-345-85-00
Sewer Deposit 742402-389-07-00
Fire Distrip Impact Fee 105 001-345-65-00
Sewer ERU (LID) 802412-343-50-01
State Building Fee 160 001-366-DO-OD
Police Mitigation- 625302-368-10-01
Tahoma Terra
City: Bellevue
Permit Fees Schedule
Permit No: BLD4)5-0570-YL
Phone: 425452-0332
State: WA Zip 90009
Assessor Parcel NO. 76690008500
Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
1,653 .91 993.]5 660.76 5.6000 153.6000 81,000
1,zos .o4 a.oo a.ao a.oo6o o.oaoo
]8 .25 0.00 0.00 0.0000 0.0000
132 .00 20.00 112.00 ].0000 16.0000 Fixture
145. 00 0 DO 14100 145.0000 1 0000 ERU
1,500 .00 0.00 1,500.00 1,500.0000 1.0000 ERU
300 .00 300.00 0.00 0.0000 0.0000
4o .oa bo.ao O.oo o.oooo o.oooo
]5] .50 0.00 757.50 ]50.0000 1.0100 Peak PM Trip
50 .00 50.00 0.00 0.0000 0.0000
682 .73 0.00 682.13 0.2160 3,158.0000 square toot
2,64] .00 0.00 2,64].00 2,847.0000 1.OOOD ERU
4 .50 4.50 0.00 0.0000 0.0000
310. 00 310.00 0.00 0.0000 0.0000
TOTAL FEES: 59,905.33
v~ 05/15/2006 02:16 36045132469
r
~ ^ •
MORE HOUSE. LESS MONEY
OS May 2006
Yelm Community Schools
PO Box a67
Yelm. WA 98597
Atln~ Bonnie Geroer
Ra: School Mitigation Fees
VtLM CUMM pGHUULb "'°:- °" °`
1aR5 SC 36tH Street. Suite 8200
PO. BOr 130
Aelleove. WA 98009
RF,C F7\Jr. U iel. Q5.4552900
d4n1' 1 ; CUU6 1a, 42, c4sem
BX1 OuaOranMames mm
%ease find enclosed a check in the amount of 568,460.00 br school mttgation lee(s) tar the iollowin9 lot(s)
located in the Tahoma Terra (Tahoma Meadow Div. 1) commonly, City or Velm: 05-027
AIL L/DO ~
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Lot Address Parcel
Number Check Number
58 14855 99th Avenue SE of rec. 11152
59 14861 99th Avenue SE Not rac. 11152
60 14905 99th Avenue SE Not rec. 11 t 52
61 14911 99th Avenue SE Not rec. 11152
fit 14917 99th Avenue SE Nat rec. 11152
63 14923 99th Avenue SE Not rec. 11152
64 1492999th Avenue SE Not rec. 11152
65 - ~ 14935 99th Avenue SE - - Not rec. 11152
fib 14941 99th Avenue SE ~NOt rec. 11152
67 ~ ta947 99th Avenue SE Not rec: 11152
68 .7494899th Wa SE Not rec. 11152
69 14942 99th Wa SE Not rec. 11152
70 14936 99th Way SE Not rec. 11152
71 14930 99th W a SE Not rec. 11152
72 14924 99th Wa SE Not rec. 7 t 152
73 14918 99N Way SE Not rec. 11152
74 1491299th Wa SE of rec. 71152
75 1490699th Wa SE Not rec. 11752
76 14666 99th Wa SE Nal rec. 11152
77 14860 99th W a SE Not rec. 71152
78 1491399th Wa SE Not rac. 11753
79 14979 99th Way SE Not rec. 71153
80 14931 99th W a SE Not rec. 11 t 53
Bt 14937 99th W a SE Nol rec. 17153
82 1494399th Wa SE Not rec. 11153
B3 ia949 99th Way SE Not rec. 11153
84 14950 100th Avenue SE Not rec. 11153
- 85 14944 100th Avenue SE Not rec. 11153
- 86 ~ - 14938100th.gvenueSE Not reic:~ 11153
- 87 14932 100th Avenue SE Nol rec: - 11153
88 -t a920 100th Avenue SE Nat rec. ~ 11153 ~ -
69 14914 100th.Avenue SE Nol rec. ~ 11153
Q
~ 05/15/2006 02:16 3604582469
• ~' • ~7,5
MORE HOUSE. LESS MONEY. ~ , If
~~~ ~~5
YCLM l.lMil•I 7l.rvJV~7
Rr.,~r--s., r,'~j-1
NRCIY t znnr,
BY:_-~.__-:~
Please tax and mail all receipts to my anention at the address below. Thank you.
Thank you br your time and consitleratien.
Sincerely,
Clerk: Croy
Terminal: 1
Receipt: 20499
Manual Receipt
NOUADRANT
N425-868-3706
QUADRANT HDMES
YELN~COHMINETY SCHOOLS
PO BO% 476
YELN, NA 96597
Jeffrey Matltlen
Permit Coordinator
YELM CPo ~NI( 47~
YELN. NA 96597
Clerk: Croy
Terminal: 1
Receipt; 20499
Manual Aeceip[~
NgUADRANT
N425-886-3706
QUADRANT .HOMES
5/11/2006 2:09 PH
Dtv item Price
1 CPF290D 42800.00
TAHOHA TERRA GALO S 58-77 (SEE PAPERWORK?
1 CPF290D 25680.00
TAHOMA TERRAIGALDTS 70 - 89 (SEE PAPERWORK
Suhtatel: 68480.00
Taz: 0.00
Total: 68480.00
Che~152 (42800 00)06
11153 (25680.00)
5/11/2006 2:09 PM
qty item price
1 CPF2900 42600,00
MITIGATION
IAHCMA TERRA - LOTS 58-77 (SEE PAPERWORK)
1 CPF2900 25680.00
MITIGATION
TAHOMA TERRA - LOTS 70 - 89 (SEE PAPERWORK
1
Subtotal: fi8460.00
Taz; 0.00
Totat; 66480.00
Check 66480,00
11152 (42600.00) 8
11153 (25660,00)
10725 S[ 3b1I1 Street. Suar gt00
P O. BOn 170
Bellevue, wA 98009
7a aaasszsao
Fa. 425606.B3T7
OuaArantnomea Cam
Y
Change Due: - 0.00
THANK YOU
u•''"T~ iVFp
Change Due: 0.00
,13 Y:__
THANK YOU
Q
i
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: 14944 100th Avenue SE Yeim Parcel #:
Subdivision: Tahoma Meadow Div 1 Lot #: 1085 Zoning; R3
D 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 2700-30 Plan # 2721 A)
Project Value:
Building Area (sq. ft) 1'I Floor 1 207 2n0 Floor 1 548 Garage 611 Deck 0 orch
Basement 0 Carport 0 Patio 150 (oot.)_
# Bedrooms 6 # Bathrooms 4_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.
ARCHITECT/ENGINEERCT Enoineerino LICENSE #CT16520BTL35666SSF36567
ADDRESS ~ 180 Nickerson SL. Suite 302 EMAIL irei(e~cteneineerine.com
CITY Seattle STATE WA ZIP 98109- TELEPHONE (2061285-4512
GENERAL CON_Tf2ACTOR Quadrant Homes
ADDRESS PO Box 130 EMAIL ieif.maddenroleuadranthomescom
CITY Bellevue STATE WA ZIP 98009 FAX 425-452-6535
CONTRACTOR'S LICENSE # OUADRC'2210F EXP DATEoenormClTY LICENSE #
PLUMBING CONTRACTOR Peltram Plumbino 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 DATEOV021 CITY LICENSE #
.... ..._
MECHANICAL CONTRACTOR soss urwcousTaucTloe me 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 # BOBSNNC9776B EXP DATE 91 zl CITY LICENSE #
Copy of mitigation agreement with Yelm Community Schools, if applicable.
I hereby cenify that the above intorma[lon Is correct antl [hat tha cons[ructlon on, antl the occupancy antl the use of the
above tlescribetl property wlll be In accortlance with [he laws, rules antl regulations of the Stata of Washington antl the
Clty of yelm.
~l/~~~ .. - _. -
on behalf of Quadrant Homes 5/5/2006
Applicant's Signature Date
Owner/Contractor/ ner'sA 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 160 days
105 Ye/m Avenue West (360/ 4583X35
PO Box 479 (360/ 9583144 FAX
Yclm, WA 98597 www.ci.yelm.wa.us
CITY OF YELM -BUILDING DEPARTMENT
RESIDENTIAL CERTIFICATE OF OCCUPANCY
Building Address 14944 100" WaV SE
Owner Name
Owner Address
Building Permit Number BLD-O5-0570-YL Plan Number Plan 1811 A
Areas Inspected: All Code required
Special Contlitions:
Building Official: G. Carlson Date: September 29 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
CITY OF YELM INSPECTION LOG
PROJECT Lot 85 Tahoma Terra 2721 30 N2R
PERMIT NUMBER OS-0570
ADDRESS 14944 100`" Ave. SE
SET BACKS Date:
Corrections
UNDER FLOOR ^ Corrections
DRY WELL ^ Corrections
FOOTING REBAR _^Date:_
Footing ^ 12"
Wall ^ 6"
Required vents_
Corrections
WALL REBAR ^Date:_
® 16" Other
® 8" Other_
COMBINED FRAME/ EXTERIOR SHEAR WALL INSPECTION
Hold downs ^ Sheaz Nailing ^ _
Frame ^ Gas/Propane ^ _
Plumbing ^ Mechanical ^ _
Corrections:
INSULATION ^Gas ^Electric ^Other
^Foam and Seal ^Vapor barrier ^PVA
Corrections:
SHEET ROCK/SHEAR WALL NAIL
Corrections:
FINAL
^Sewer Final ^Electrical ^ Civil Final ^Landscape Final ^C of O
^Address ^ Insulation ^ Site Drainage ^ Sidewalk
Corrrections: