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CITY OF YELM -BUILDING DEPARTMENT
RESIDENTIAL CERTIFICATE OF OCCUPANCY
Building Address
Owner Name
Owner Address
Building Permit Number BLD-O7-0042-YL Plan Number Plan 2468-R, lot 154
Areas
Special
Building
Date: Feb. 13, 2009
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
~pF THEp City Of Yelm Permit No: BLD-07-0042-YL
Community Development Department Issue Date: No ed 3~ /""L~L~ ~]
4 ~i (Work ust be started w hin 1 0 days)
Building Division
Phone: (360) 458-8407 Receipt No: 47661
ELM Fax: (360) 458-3144
Applicant:
Name: 5 Star Homes Phone: 253-535-3912
Address: 2508 123rd St. E City: Tacoma State: WA Zip 98445
Property Information:
Site Address: 15332 91st Ave. SE
Assessor Parcel No. 41610015400 Subdivision: Cherry Meadows Lot: 154
Contractor Information:
Name: 5 Star Homes Contact: Green, Jodi Phone: 253-535-3912
Address: 2508 123rd St. E City: Tacoma State: WA Zip: 98445
Contractor License No: SSTARSH974LR Expires: 06/06/07157 Business License: 1051.0
Project Information:
Project: Cherry Meadows
Description of Work: 2468-R Lot 154
Sq. Ft. perfloor: (1st) 1272 (2nd) 1204 (3rd) 0 Garage 430 Basement 0
Heat Type (Electric, Gas, Other): GAS
Fees:
Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
Building Permit 100-500k 1,712.79 993.75 719.04 5.6000 128.4000 $1,000
Building Plan Review 723.65 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 ERU 5,725.00 0.00 5,725.00 5,725.0000 1.0000 ERU
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 (SFD) 300.00 300.00 0.00 0.0000 0.0000
Consumer Dep 90.00 90.00 0.00 0.0000 0.0000
Traffic Facilities Charge 757.50 0.00 757.50 750.0000 1.0100 Peak PM Trip
Fire District Impact Fee 627.70 0.00 627.70 0.2160 2,906.0000 square foot
State Building Fee 4.50 4.50 0.00 0.0000 0.0000
TOTAL FEES: $11,796.39
Applicant's Affadavit:
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 in~ ing those governing zoning and land subdivision, and in addition, all covenants,
easements apdfstrict ns of record applying as a contractor, I futher certify that I am currently
registerefl-ifi the State f Washing n. ,
a
Signatures- .~! ~ Date ~ ~~ U
Firm ~ ~/ j
City of Yelm ~-~~,~~;, Permit Fees Schedule
Community Development Department Permit No: BLD-07-0042-YL
I~h/ k i ~ %iii
Building Division
Phone: (360)458-8407 r~l-1"~/ ~~'/E~~
Fax: (360) 458-3144 C
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: 2468-R Lot 154
Site Address: 15332 91st Ave. SE Assessor Parcel No. 41610015400
Fees
Item Acct Code Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
Building Permit 100-500k 032 001-322-10- 00 1.712. 79 993.75 719. 04 5.6000 128.4000 51,000
Building Plan Review 100 001-345-83- 00 723. 65 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- 00 132. 00 20.00 112 .00 7,0000 t6 OOUO Fixture
Sewer FR11 ?02 ~?2 343-50 -01 5,725. CJ u.uu b,7L5 UU 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 715 401-343-80- 02 1,500. 00 0.00 1,500 .00 1,500.0000 1.0000 ERU
Water Meter (SFO) 712 401-343-80- 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
Traffic Facilities Charge 420 120-345-85- 00 757 50 0.00 757 .50 750 0000 1.0100 Peak PM Trip
Fire District Impact Fee 105 001-345-85- 00 627, 70 0.00 627 .70 0.2160 2, 906.0000 square foot
State Building Fee 160 001-386-00- 00 4 .50 4.50 0 .00 0.0000 0.0000
TOTAL FEES: $11,796 .39
CITY OF
YELM
P.O. Box 479
Yelm, WA 98597
360-458-3244
RECEIPT No. 4 7 6 5 9
RECE~VED
** *ELEVEN THOUSAND NINE HUNDRED FIFTY SEVEN DOLLARS & 22 CENTS
RECEIVED FROM DATE REC. NO. AMOUNT
5 STAR HOMES 03/12/07 47659 11.957.22 CHECK
2508 123RD ST E
TACOMA. WA 98445 BUDGETARY
BLD-07-0043-YL
SITE: 15338 91ST AVE SE3
uinnn
ar.n ~~aa so UT.NRFV7AA.~~. MF(`H7R-75_ PLMB132. S/ERU5725. S/INSP145
REF. NO.
4674
W/ERU1500. W/MTR300. CONDEP90. TRAFF757.50. FIRE665.06. STFEE4.50
CITY OF
YELM
P.O. Box 479
Yelm, WA 98597
360-458-3244
RE,~~~V~EVEN THOUSAND SEVEN HUNDRED NINETY SIX DOLLARS & 39 CENTS
RECEIVED FROM DATE REC. NO. AMOUNT
5 STAR HOMES 03/12/07 47660 11.796.39 CHECK
2508 123RD ST E
TACOMA. WA 98445 BUDGETARY
BLD-07-0044-YL
SITE: 15350 91ST AVE SE
RECEIPT No. 4 7 6 6 0
BLD1712.79. PLNREV723.65. MECH78.25. PLMB132. S/ERU5725. S/INSP145.
W/MTR300. CONDEP90. TRAFF757.50. FIRE627.70. STFEE4.50
CITY OF
YELM
P.O. Box 479
Yeim, WA 98597
360-458-3244
REF. NO.
4674
RECEIPT No. 4 7 6 61
REC€IVED
* **ELEVEN THOUSAND SEVEN HUNDRED NINETY SIX DOLLARS & 39 CENTS
RECEIVED FROM DATE REC. NO. AMOUNT
5 STAR HOMES 03/12/07 47661 11.796.39 CHECK
2508 123RD ST E
TACOMA. WA 98445 BUDGETARY
BLD-07-0042-YL
SITE; 15332 91ST VAE SE
REF. NO.
4674
DIANA
BLD1712.79. PLNREV723.65. MECH78.25. PLMB132. S/ERU5725. W/INSP145.
W/ERU1500. W/MTR300. CONDEP90. TRAFF757.50. FIRE627.70. STFEE4.50
1'I~~LI~~I COI~Il~1UNI1'Y SCHOOLS 4 q ~ r 2
LOCAL RECEIPT DATE_~~9 _2Q ~ ~
Received from '`
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CITY OF YELM Received
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: Parcel #: FEB ~ 2~~7
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: ~• -~ `ter .- to il~~
Project Value: 2 I
Building Area (sq. ft) 1s` Floor 2n° Floor Garage ~/U Deck
Basement Carport Patio
# Bedrooms # Bathrooms~~- Heating: AS THER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? ~V If yes, a
completed environmental checklist must accompany permit application.
1 hereby certify that the above information is correct and that tote Construction on, and the occupancy and the use of the
abo cribed property will be in accordance with the laws, rules and regulations of the State of Washington and the
' y or Y m.
~7 ~ ' 6 ?
Ap I' ant's Sig ure Date
O er /Contractor /Owner'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
105 }'elrn Avrnue IS'est (360) 458-3835
PO Box 479 (360) 453-3144 F.~.1'
}'elrn, {Vr1 98597 u~u~u~.ci.vehn.u~n-us
Copy of mitigation agreement with Yelm Community Schools, if applicable.
CITY OF YELM INSPECTION LOG
PROJECT Lot 154 CM 2468 R
PERMIT NUMBER 07-0042
ADDRESS 16332 91 S` Ave. SE
SET BACKS Date: 2-14-07
Corrections
UNDER FLUOR ® Corrections 5-15-07
llRY WELL ®_ Corrections 6-26-07
FOOTING REBAR _ _®Date:_2-14-07 WALL REBAR ®Date:3-
6-07
Footing ^ 12' ®16' Other_
Wall ^ 8' ®8' Other_
Required vents_ _
Corrections
COMBINEll FRAME/ EXTERIOR S1''IEAR WALL [NSPECTION
Hold downs ® 6-21-07 Shear Nailing ® 6-18-07
Frame ® 6-21-07 Gas/Propane _
® _ 6-2 ] -07
Plumbing ® 6-21-07 Mechanical ® _ 6-21-07
Corrections:
INSULATION ®Gas ^Electric ^Other
®Foam and Seal ^Vapor barrier ^PVA
Corrections: 6-26-07
SHEET ROCK/SHEAR WALL NAIL
Corrections:_8-15-U7 house only Garage 11-20-07
FINAL
®Sewer Final ®Electrical ^ Civil Final ^Landscape Final ®C of O
®Address ®Insulation ^ Site Drainage ^ Sidewalk
Correections: 2-13-09
02/04/2009 WED 10:57 FAX 3604588417 CityofYelm Public Works ~~~ CDD ®002/002
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F,AX TRANSMISSION
CITY OF YELM
P.O. SOX 479 - 931 NP ROAD NE
YELM, WA. 98597
~ ~,~ 360-458-841I
~`~ ~ ~ ~ FAX 360-458-8166
TO: ~-~. 1 c_~EN -
DATE. ~ - t 9 0 ~
FA.~C#: PAGES: 1 , including this
Cover sheet
Subject: ~o~~ ~i~~~~~Nc~-R~ rnEgoo~S
COMMENTS: ~ Q i ~ 5~~ r~ s 3 3a 9 ~ sr A ~ ~ . S . ~.•
*" il' you do ~~ot receive all copies or any copy is not legible, please call (360) 458-84 ~ i
as soon as possible.