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CITY OF YELM -BUILDING DEPARTMENT
RESIDENTIAL CERTIFICATE OF OCCUPANCY
Building Address
Owner Name 5 Star Homes
Owner Address 2508123` St. E
Tacoma WA. 98445
Building Permit Number BLD-07-0038-YL Plan Number Plan 040401-R, lot 149
Areas
Special
Building Official: G. Carlson Date: Nov. 12, 2008
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
~OF THFP City of Yelm
o
Property Information:
Site Address: 15302 91st Ave.SE
Assessor Parcel No. 41610014900
ae Community Development Department
Building Division
Phone: (360)458-8407
YEL Fax: (360) 458-3144
Applicant:
Name: 5 Star Homes
Address: 2508 123rd St. E City: Tacoma
Contractor Information:
Name: 5 Star Homes
Address: 2508 123rd St. E
Contractor License No SSTARSH974LR
Project: Cherry Meadows
Description of Work: 040401-R Lot 149
Sq. Ft. per floor: (1st) 813 (2nd) 831
Heat Type (Electric, Gas, Other): GAS
Fees:
Item Item Fee
Building Permit 100-500k 1,337.03
Building Plan Review 869.06
Mechanical Permit 78.25
Plumbing Permit 104.00
Sewer ERU 5,725.00
Sewer Inspection 145.00
Water ERU 1,500.00
Water Meter (SFD) 300.00
Consumer Dep 90.00
Traffic Facilities Charge 757.50
Fire District Impact Fee 478.22
State Building Fee 4.50
TOTAL FEES: 511,388.56
Applicant's Affadavit
Subdivision: Cherry Meadows
Permit No: BLD-07-0038-YL
Issue Date: ;3.1~,~~ ,~ I j ~j~ p7
(Wo rk must be started within 1 0 days)
Receipt No: 47385
Contact: Green, Jodi
City: Tacoma
Expires: 06/06107157
(3rd) 0 Garage 570
Phone: 253-535-3912
State: WA Zip 98445
Lot: 149
Phone: 253-535-3912
State: WA Zip: 98445
Business License: 1051.0
Basement 0
Base Amt Unit Fee Unit Rate No. Units Unit Desc
993.75 343.28 5.6000 61.3000 51,000
0.00 0.00 0.0000 0.0000
0.00 0.00 0.0000 0.0000
20.00 84.00 7.0000 12.0000 Fixture
0.00 5,725.00 5,725.0000 1.0000 ERU
0.00 145.00 145.0000 1.0000 ERU
0.00 1,500.00 1,500.0000 1.0000 ERU
300.00 0.00 0.0000 0.0000
90.00 0.00 0.0000 0.0000
0.00 757.50 750.0000 1.0100 Peak PM Thp
0.00 478.22 0.2160 2,214.0000 square foot
4.50 0.00 0.0000 0.0000
I certify that I have read and examined the information contained within the application and know the same
to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of
Yelm regulations including those governing zoning and land subdivision, and in addition, all covenants,
Basemen d r frictions of record. If applying as a contractor, I futher certify that I am currently
registe d m the ate of Vyashi~n.
~ Y
Signatu ~ ~ ~( Date ~ ~~ '
t ~--- .
Firm GS !t y' ~tf~~ A~ ) !l.-/i('
# Sets of Prints:
Inal Inspecti-onf:
Date: ~ ~ / ~ ~-/
City of Yelm ~~~D Permit Fees Schedule /
Community Development Department Permit No: BLD-07-003&YL
Building Division ~ F H j ~ ~,}~ ~ r
Phone: (360)458-8407
Fax: (380) 458-3144 GIT`~ pF YELM
Applicant:
Name: 5 Star Homes
Phone:
253-535.3912
Address: 2508 123rd St. E City: Tacoma State: WA Zip 98445
Project Information:
Project: Cherry Meadows
Description of Work: 040401-R Lot 148
Site Address: 15302 91st Ave.SE Assessor Parcel No. 41!310014900
Fees:
item Acct Code Item Fee Base Amt Unk Fee Unit Rate No. Units Unit Desc
Building Permit 100-500k 032001-322-10-00 1,337.03 993.75 343.28 5.6000 61.3000 $1,000
Building Plan Review 100 001-345-83-00 869.06 0.00 0.00 0.0000 0.0000
Mechanical Permit 032 001-322-10-00 78.25 0.00 0.00 0.0000 0.0000
Plumbing Permit 032 001-322-10-00 104.00 20.00 84.00 7.0000 12.0000 Fixture
Sewer ERU 802 412-343-50-01 5,725.00 0.00 5,725.00 5,725.0000 1.0000 ERU
Sewer Inspection 805 412-343-80-00 145.00 0.00 145.00 145.0000 1.0000 ERU
Water ERU 715401-343-60-02 1,500.00 0.00 1,500.00 1,500.0000 1.0000 ERU
Water Meter (SFD) 71240143-80-01 300.00 300.00 0.00 0.0000 0.0000
Consumer Dep 740 402-389-00-00 90.00 90.00 0.00 0.0000 0.0000
Trefflc Facilities Charge 420120-345-85-00 757.50 0.00 757.50 750.0000 1.0100 Peak PM Trip
Fire District Impact Fee 105 001-345-85-00 478.22 0.00 478.22 0.2160 2,214.0000 square foot
State Buikding Fee 160 001-386-00-00 4.50 4.50 0.00 0.0000 0.0000
TOTAL FEES: (11,384.56
CITY OF
YELM
P.O. Box 4741
Yelm, WA 98597
3GG 4503244
RECEIPT No. ~' i ~
RECEIVED
'`**'ELEVEN THOUSAND THREE HUNDRED EIGHTY EIGHT DOLLARS & 56 CENTS
RECE-IVCD FRnF.1 DATE REC. N0. AMOUNT REF. NU.
5 STAR HOMES 02/13/07 47385 11,388.56 CHECK PENDING
2508 123RD ST E
TACOTfA, WA 98445 BUDGETARY
BLD-07-0038-YL
SITE; 15302 91ST AVE SE
--- -- ...._-DIANA _ _
BLD1337.03, PLREV869.06, tfECH78.25, PLF{B104, SlERU5725, S/INSP145,W/ERU1500
W/MTR300, CONDEP90, TRAFF757.50, FIRE478.22, STFEE4.50
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1'I;LM COMMUNITY SCHOOLS 4 91 ~ ~
LOCAL RECEIPT DATE-~ ~ _ 20~
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CITY OF YELM Receive
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: Parcel #: FEB ~ 2007
Subdivision: ~~~ Lot #:~~ Zoning;
New Construction Re-Model / Re-Roof /Addition Home Occupation Sign
Plumbing Mechanical - Mobile /Manufactured Home Placement Other
Project Description/Scope of Work:, l- r1,;~t/~L[~_~~'~r_f~+'- i~,~ Yl7F'
Project Value
Building Area (sq. ft) 1s' Floor~f ~ Zn0 Floor~~ Garage 57U Deck r
Basement `~ Carport - Patio~~
# Bedrooms # Bathrooms ~• ~ Heatin :GAS/ HER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? l~ y If yes, a
completed environmental checklist must accompany permit application.
BUILDING OWNER NAME: ~-
ADDRESS ~-~J a tr EMAIL ' .~ titS}• ~ •
CITY' STATE ZIP TELEPHO ,~-j~i• ~iy?~' ~i~a
Copy of mitigation agreement with Yelm Community Schools, if applicable.
1 hereby~cgrtify that the abov
above descn ed property II
City of Yelm.
r
Ap 'ant's Signature
Owner /Contractor / Ow
formation is correct and that tfte construction on, and the occupancy and the use of the
~e In accordance with the laws, rules and regulations of the State of Washington and the
~J.r cy ~'/' ~7
Date
ier's Agent /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
ilrf
103 Y'elm Avenue ti'est (360) 438-3835
PO Box 479 (360) 438-3144 F.~.1"
}'elm, tVA 98597 u~u~w.ci.yelm.u~o.t+s
CITY OF YELM INSPECTION LOG
PROJECT Lot 149 Cherry Meadows 040401
PERMIT NUMBER 07-0038
ADDRESS 15302 91S` Ave. SE
SET BACKS Date: 2-7-07
Corrections
UNDER FLOOR ® Corrections 3-8-07
DRY WELL ^_ Corrections
FOOTING REBAR _ _®Date:_ 2-7-07
15-07
Footing ^ 12"
Wall ^ 6"
Required vents_
Corrections
WALL REBAR ®Date: 2-
® 16" Other_
®8" Other_
COMBINED FRAME/ EXTERIOR SHEAR WALL INSPECTION
Hold downs ® 4-4-07 Shear Nailing ®_ 4-4-07
Frame ® 4-12-07 Gas/Propane ®_ 4-12-07
Plumbing ® 4-12-07 Mechanical ®_ 4-12-07
Corrections:
INSULATION ®Gas ^Electric ^Other
®Foam and Seal ^Vapor barrier ^PVA
Corrections:
SHEET ROCK/SHEAR WALL NAIL
Corrections: 4-20-07
FINAL
®Sewer Final ®Electrical ^ Civil Final ^Landscape Final ®C of O
®Address ®Insulation ^ Site Drainage ^ Sidewalk
Corrrections: 1 1-12-08
OCT-30-2008 10:53 City of Yelm Public Works 360 458 8417 P.O1
City o f Yelm
Public Works Dcpartmcnt
901 Rhoton Road
P.O. Box Q i 9
etm, WA fl859T
(3G0) -i58.8a0a Fax; (3G0) 458-8a 1 i
NEW HOME FINAL
DATE; ~ l~
DEVELOPMErJT:
BUILDER'' IS NAMC:
LOT ti: ~ ~'C~ ADDRCSS: ~ 3
COMMENTS:
0
INSPECTED I31': D~tc:
John I vcy
o Edward 4:n~ith
o Tim Rari~:i:
~~~ ~~~