BLD-05-0562City of Yelm
Community Development Department
Building Division
Phone: (3601458-840]
Fax: (3601458-3144
Applicant
Permit No: BLD-O$-0562-YL
Issue Date: 05/22/2006
(Wo rk must be startetl within 180 tlays)
Receipt No: 42193
Name: puatlrant HOmes Phone: 425452-0332
Atltlress'. P.0. Box 130 City. Bellevue State' WA Zip 98099
Property Information:
Site Atltlress: 14855 99th Ave. SE
Assessor Parcel No. ]8640005600 Subtlivisicn'. Tahoma Terra Lol: 58
Contractor Information:
Name'. Applciant Contact: Phone'
Atltlress: City: State: Zip:
Contractor License No: Expires'. Business License
Project Information:
ProjecC Tahoma Terra. Phase I Division I
Description of Work: 2011 A, Lot 58
Sq. Ft. per OOOr: (1 st) 866 (2ntl) 1220 (3rtl) 0 Garage 598 Basement 0
Heat Type (Electric Gas, Other)'. GAS
Fees
Item Item Fee Base Aml Unit Fee Unit Rate No. Untls Unit Desc
Builtling Permi1100-500k 1,51].91 993.75 524.16 56000 93.6000 31,000
Builtling Plan Review 986.64 0.00 0.00 0 0000 0.0000
Mechanical Permit ]8.25 0.00 0.00 0.0000 OOWO
Plumbing Permit 118.00 20.00 98.00 ].0000 14.0000 Fixture
hewer Inspection 145.00 0.00 145.00 1450000 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 00000 0.0000
Water Deposit 40.00 40.00 0.00 00000 0.0000
TraRC Facilities Charge ]5].50 0.00 757.50 7500000 1.0100 Peak PM Trip
Sewer Deposit 50.00 50.00 0.00 00000 0.0000
Fire District Impact Fee 536.54 0.00 536.54 0.2160 2,484.0000 square fool
Sewer ERU (LID) 2,84].00 0.00 2,84].00 2,84] 0000 1.0000 ERU
State Builtling Fee 4.50 4.50 0.00 0.0000 0.0000
Police Mitigation-Tahoma 310.00 310.00 0.00 00000 0.0000
Terra
TOTAL FEES: 58,191.34
Applicant's Affatlavit
I wrtify that I have read antl examined the information cpnlainetl within the application antl know the same OFFICIAL USE ONLY
to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of ~
Velm regulations including those governing zoning antl land subdivision, and In atlditi0n, all covenants, g Sets of Prints:
~
easements d restrictions of record. If applying as a contractor, I father certify that I am curtently
registeretli rate o(Washi t /r~~~~ /n/~ II
~~~
Signature Date
~ l~
Flnal Inspection:
Date: P~3f Ofo
- - BY' o
Firm
N88'151_4"W 40.00'
Infif~rction
I ~ Trench
20' Rear Yard
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_~Cl of 89th Avenue SE
_~ Water ~ LE6EN~
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~__ 0 Concrete
' ' '~ ~ ~ Silt Fence
i - ..
14855 99th Avenue SE
OUR INFORb1ATlON ONLY. IT IS NOT INTENDED TO StIO}Y ALL MATTERS
Tahoma Meadow Terra Div. 1 °A o~/zs'/,os
. ....
MORE HOUSE
LEST MONEK REVlslo~s:
.
Drawn by. ;m sk kt APPROVED +~" ~. ~
JOB ~: 21241058
I
PIaN
2011 A
2R
I oT
5b
By City of YelmGa ,
Carlson aH0:5B am,5HP/O6
="'
scnLe 1"=20'
:
/
:
CITY OF
YELM
P.O. Box 4]9
Yelm, WA 9659]
360<58-8403
RECEIVEEH +•EIGNT THOUSAND SEVENTY SI% DOLLARS 6 54 CENTS
RECEIVED FROM DATE REC. NO.
QUADRANT HOMES 05/22/06 42192
PO BO% 130
BELLEVUE, NA 98009 BUDGETARY
BLD-05-0563-YL
SITE, 14919 99TH NAY SE
RECEIPT No. 4 219 2
AMOUNT REF NO.
8,076.54 CHECK 11198
DIANA
N/DEP740, TRAFF757. 50, S/ERU2847, S/DEP50,~FIRE335.23, PD310, STFEE4.50
CITY OF
YELM
P.O. Boz 4]9
Velm, WA 9859]
360-058-6403
RECEIPT No. 4 219 3'
RECEIVEiH'••NINE THOUSAND ONE HUNDRED NINETY ONE DOLLARS & 34 CENTS
RECEIVED FROM DATE REC. NO. AMOUNT REF. NO.
QUADRANT HO 05/22/06 42193 9,191.34 CHECK 11197
PO BO% 13
BELLEVU NA 98009 ~ ~ BUDGETARY
B LD-0 -0562-YL
SITE, 14855 99T VE SE ~ - .
DIANA
N/DEP40, TRAFF757.50, S/DEP50, FZRE536.54, S/ERU2847, STFEE4.50, PD310
CITY OF
YELM
P.O. Boz 4]9
Yelm, WA 9859]
360-458-8403
RECEIPT No. Q 219 4
RECEIVED•••NINE THOUSAND THREE HUNDRED TNO DOLLARS 6 07 CENTS
RECEIVED FROM DATE REC. NO. AMOUNT
QUADRANT HONES 05/22/06 42194 9,302.07 CHECK
PO BO% 130
BELLEVUE, NA 96009 BUDGETARY
BLD-05-0561-YL
SITE, 14949 99TH NAY SE
DIANA
REF NO.
11195
W/DEP40, TRAFF757.50, S/DEP50, FIRE555.96, S/ERU2847, STFEE4.50 PD310
f TlrE City of Yelm PAID Permit Fees Schedule
p
p
e
~~ F~ Community Development Department M/11
r Permit No: BLD-OS-0562-VL
ra Builtling Division -
~ ~~
Phone: 1360)458-84W (,~T~' ~F YEL~
l
Y LM Fax: 13601456-3144
Apptfcant- '
Name: Ouatlmnt ROmes Phone: 425A52-0332
Atldress'. P.O. Box 13o City: Bellevue State: WA Zip 96009
Project lnformatlon:
Project: Tahoma Tefm, Phase I Division I
Desniption of WoA: PLan 2011 A
Sile Address: 148551~SS99[h Ave. SE Assessor Parcel No. 76640005600
Fees: `
Accl Cotle
Item Fee
Base Amt
Unit Fee
Unit Rate
No
UnOS
Unit Desc
Item -
Builtling Permit 100-SOOk 032001-322-10-00 1,51].91 993.75 524.16 56000 936000 81,000
Building Plan Review 100 001-345-83-00 986.64 O.DO 0.00 O.OD00 0.0000
Mechanical Permit 032001-322-10-00 78.25 0.00 0.00 0.0000 O.OODO
Plumbing Permit 032001-322-10-OD 118.00 20.00 98.00 7.0000 14.0000 Figure
Sewer Inspection 805412-343-80-00 145.00 0.00 145.00 145.0000 1.0000 ERU
Water ERU ]15401-303-60-02 1,500.00 0.00 1,500.00 1,500.0000 1.0000 ERU
Wa[er Meter (SFD) 712407-343-80-Ot 300.00 300.00 0.00 0.0000 0.0000
Water Deposit 740402-389-00-0D 4400 00A0 000 4000p 00000
Tratec Facilities Charge 420120-345-85-DO 757.50 0.00 757.50 750.0000 1.0100 Peak PM Trip
Sewer Oepasit 742402-389-01-00 50.00 50.00 0.00 0.0000 0.0000
Fire District Impact Fee 105 001-345-85-00 536.54 0.00 536.54 0.2160 2 .484.0000 square foot
Sewer ERU (LID) 802 d12-343-50-01 2.807.00 0.00 2.847.00 2.64].0000 1.0000 ERU
State Building Fee 160001-386-00-00 4.50 4.50 0.00 00000 0.0000
Police Mitigation- 625302-366-10-01 310.00 31400 0.00 0.0000 0.0000
Tahoma Terra
TOTAL FEES: 69.191.34
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: 14855 99th Avenue SE Yelm Parcel #:
Subdivision: Tahoma Meadow Div 1 Lot #: 1058 Zoning; R3
~ New Construction ^ Re-Model / Re-Roof /Addition 0 Home Occupation Sign
~ Plumbing ~ Mechanical ^ Mobile /Manufactured Home Placement ^ Other
Project Description/Scope of Work: SFR (Basic Plan Series LS 2000-30. Plan # 2011 A)
Project
v
Building Area (sq. ff) 1" Floor 866 2n° Floor 1 220 Garage Deck 20 (porch)
Basement 0 Carport 0 Patio 150 (oot.1
# Bedrooms 4 # 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.
GENERALCONTRACTOR Quadrant Homes
ADDRESS PO Box 130 EMAIL ieff.maddeMo cuadranthomes.com
CITY Bellevue STATE WA ZIP 98009 FAX 425-052-6535
CONTRACTOR'S LICENSE # tZUADRC'2210F EXP DATEOSrloto7CITY LICENSE #
PLUMBING-CONTRACTOR Peltram Piumbino TELEPHONE 253-891-8781
ADDRESS-~ 164 Stewart Road SW EMAIL
GITY Pacifc STATE WA ZIP 98047 FAX 253-891-9246
CONTRACTOR'S LICENSE # PELTRPI075DZ EXP DATEOVOZrasCITY LICENSE #
MECHANICAL CONTRACTOR BOSSNew coNSrpucTlon mc. TELEPHONE 425-889-9345
ADDRESS 13633 NE 126 Place. Suite 350 EMAIL
CIN Kirkland STATE WA ZIP 98034 FAX 425-869-0630
CONTRACTOR'S LICENSE # BOBSNNC97768 EXP DATE99mzfc5CITY LICENSE #
Copy of mitigation agreement with Velm Community Schools, if applicable.
1 hereby certify that [he above informa[lon Is correct antl that the construction on, antl the occupancy antl the use of the
above tlescribatl property will be In accortlance wllh [ha laws, rules antl regulations of the State of Washington antl the
City of Yalm.
~U~_~~ on behalf of Quadrant Homes 5/612006
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 180 days of issuance, or if work is suspended or abandoned for a period of 180 days
105 Yelm Avenue West (369J 4583835
P08ox 479 (360) 958-3144 FAX
Ye/m. WA 98597 www. cl.yelm.wa.us
BS/15/2BB6 02:16
OS May 2066
Velm Community Schools
PO Dos 467
Velm. WA 98597
Atlrc Bonnie Gerber
vELM COhVA SCEa00L5 PAGE 02/02
ta725 SE 30m Street. Suite d200
P.O.Bm130
Bellevue, WA 98009
RF,(`~'t~IFU
rrl as1ss29oo
~~ny rt i l(!U6 Ear a25U69317
BY: OuatkantNOmes.com
R.: School Mitigation Fees
Rease find enclosed a check in the amoum of 569,490.00 for school mltigafion fee(s) for the following lot(s)
bcated in the Tahoma Tens (Tahoma Meadow Div. 1) communlry, City of Yelm: DSA27
r
v
Lot
Address Parcel
Number Gheck Number
58
59
60 t 4855 99th Avenue SE
14861 99th Avenue SE
14905 990+ Avenue SE of rec.
Not fat.
Not rec. 11152
11152
11152
61 14911 99th Avenue SE Not rec. 11152
62 14917 99th Avenue SE Not rec. 11152
63 14923 99U Avenue SE Not rec. 77152
64
65 "
' 66 14929-99th Avenue SE
1493599th Avenue SE --
14941 99th Avenue SE' Not rec:
Not rec.
'Not rec. 11152
11152 -
'11152
67 ~ 14947 99th Avenue SE Not rec: 1 t 152
68 .1494899th Wa SE Not rec. 11752
8g 14942 99th Wa SE Not rec. 11152
7p 1493699th Way SE Not rec. 11152
71 14930 99th Wa SE Nat ree. 11152
72 14924 99th W a SE Not rec. 11152
73 14916 99th Way SE Not rec. t t 152
74
75
76
77 14972 99th Wa SE
14906 99th W a SE
74066 99th Wa SE
14860 99th Wa SE of rec.
Not rec.
Not rec.
Not rec. 11152
17152
11152
11152
78 14913 99th W a SE Not rac. 11153
79 14979 99In Way SE Not rec. 11153
80 14937 99th Wa SE Not rec. 11153
61 74937 99th W SE Not rec. 17153
82 14943 99th W SE Not rec. 17153
B3 1494999th Way SE Not rec. 11753
84 14950 100th Avenue 5E Not rec. 11153
' 85 1494A 100th Avenue SE Not rec. 11153
B6 ~ " ' 74938100th.AvenueSE Not rec:~~ -11153
- 87 14932 1.OOth Avenue 5E Nol rec: - 11153
8g -14920100th Avenue SE Not rec. 11153--
89 t4914100thAVenue SE Nol rec.-- 11753
a
J 05/15/2006 02:16 3604582469
MORE HOUSE. LE55 MONEY. Ib~
/I 5~,
~~,5 `~
VELM COMM SCHOOLS
RF~rrvr,- ~
AAL1} 7 ; I(JU(i
BY:
~'__=
Please far aid mail alf recaipls to my attention al the address below. Thank you.
Thank you ror your lime and consideration.
Sincerely,
Clerk: Cray
Terminal: 1
Receipt: 20199
Manual RecelpL
NOUADRANi
N425-888-3708
QUADRANT HOMES
YELM COINIJNITY SCJN10L5
F9 BOX 478
YELN, NA 98597
Jeffrey Matltlen
Permit Coordinator
YELN C~ N~IT47fiU01S
YELN. kA 98597
Clerk: Cray
Terminal: 1
Receippt: 20499
Marwal Recei ptt
NQUAORANT
N425-888-3708
QUADRANT HONES
5/11/2008 2:09 PM
Otv Item Price
1 CPF2900 428D0.00
MITIGATION
TAHOMA TERRA -LOTS 58-77 (SEE PAPERWORK)
1 CPF2900 25680.OD
MITIGATION
TAHOMA TERRA - LOTS 7B - 89 (SEE-PAPERWORK
)
Subtmtal: 88480.00
Tax: 0,00
Total: 68480.00
Chec~52 (428D0 00)06
tI153 (25(180.00)
5/ll{2008 2:09 PM
Oty Item Price
1 CPF2900 42000,00
MITIGATION
IAHOMA TERRA - LOTS 58-77 (SEE PAPERWORK)
1 CPF2900 25680.00
MITIGATION
TAHOMp TERRA - LOTS 78 - 09 (SEE PAPERWORK
1
Subtotal: 68480.00
Tax: 0.00
Total; 68400.00
Check 68480,00
11152 (42800.00) 8
11153 (25880.00)
PAGE 01/02
WRS SE 361n Sueel. Suite p700
v0. BoA t30
BNlevue, wA 90009
ieLQBa552900
rn. an BAesm
O~amentNmmescvm
V
Chance Due: ~ 0.00
TNAIN( YOU
.,.,." i.". r\7F [~
Change Due: 0.00
'~~" a E 20DG
,)7Y:
THANK YOU
Q
f~ f(~7 I~ i(?1 Imo(-11~~C~-' f~ III I~~ (~ I~ I(~II~ III f(~'- fly ''~ ~1 C ~~7_
CITY OF YELM -BUILDING DEPARTMENT
RESIDENTIAL CERTIFICATE OF OCCUPANCY
Building Address
Owner Name
Owner Address
Building Permit Number BLD-OS-0562-VL Plan Number
Areas
Special
Building Official: G. Carlson Date: Auoust 31, 2006
This structure is in compliance with the International Resitlential Code (Chapter
51-51 WAC) as atlopted by the Washington State Building Code Council pursuant
to Chapters 19.27 and 70.92 RCW, effective July.i, 2004
IL ~~~~~~~~~IL'~'~~~~~~~~~~~ 1~1L~
CITY OF YELM INSPECTION LOG
PROJECT Lot 58 Tahoma Terra
PERMIT NUMBER OS-OS62
ADDRESS 14855 99'" Ave. SE
SET BACKS Date:
Corrections
UNDER FLOOR ^ Corrections
DRY WELL ^_ Corrections
FOOTING REBAR _ _^Date: WALL REBAR ^Date:_
Footing ^ 12" ®16" Other_
Required vents_
Corrections
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 NA[L
Corrections:
FINAL
^Sewer Final ^Electrical ^ Civil Final ^Landscape Fina] ^C of O
^Address ^ Insulation ^ Site Drainage ^ Sidewalk
Corrrections: