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CITY OF YELM -BUILDING DEPARTMENT
RESIDENTIAL CERTIFICATE OF OCCUPANCY
Building Address
Owner Name
Owner Address
Building Permit Number BLD-OS-0071-YL Plan Number Plan 3102-C, lot 166
Areas
Special
Building Official: G. Carlson Date: April 14, 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
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360)458-3144
Applicant:
Permit Ivo: BLD-08-0071-YL
Issue Date: 03/10/2008
(Wor k must tie started within 180 days)
Receipt No: 53314
Name: Quadrant Homes Phone: 425-452-0332
Address: P.O. Box 130 City: Bellevue State: WA Zip 98009
Property Information:
Site Address: 14836 99th Way SE
Assessor Parcel No. 78640016600 Subdivision: Tahoma Terra Lot: 166
Contractor Information:
Name: Quadrant Homes
Contact:
Phone:
425-646-8363
Address: P.O. Box 130 City: Bel levue State: WA Zip: 98009
Contracfor License No: QUADRC"221 OF Expires: 09/10/07253 Business License:
Project Information:
Project: Tahoma Terra, Division II
Description of Work: SFR Lot 166 Plan #3102 C Basic Series CS 3100-40
Sq. Ft. per floor: (1st) 1366 (2nd) 1749 (3rd) 0 Garage 394 Basem ent 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 2,155.97 993.75 1,162.22 5.6000 207.5390 $1,000
Building Plan Review 1,400.75 0.00 0.00 0.0000 0.0000
Mechanical Permit 97.75 0.00 0.00 0.0000 0.0000
Plumbing Permit 181.00 20.00 161.00 7.0000 23.0000 Fixture
Sewer Inspection 145.00 0.00 145.00 145.0000 1.0000 ERU
Water Meter (SFD) 300.00 300.00 0.00 0.0000 0.0000
State Building Fee 4.50 4.50 0.00 0.0000 0.0000
Water ERU Quadrant 1,200.00 0.00 1,200.00 1,200.0000 1.0000 ERU
Traffic Facilities Charge 1,288.76 0.00 1,288.76 1,276.0000 1.0100 Peak PM Trip
Consumer Dep 90.00 90.00 0.00 0.0000 0.0000
Sewer ERU (LID) 3,009.00 0.00 3,009.00 3,009.0000 1.0000 ERU
Police Mitigation -Tahoma 310.00 310.00 0.00 0.0000 0.0000
Terra 1,122.88 0.00 1,122.88 0.3200 3,509.0000 square foot
Fire District Impact Fee
TOTAL FEES: $11,305.61
Applicant's Affadavit:
OFFICIAL USE ONLY
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 # Sets of Prints:
Yelm regulations including those governing zoning and land subdivision, and in addition, all covenants,
easements and restrictions of record. If applying as a contractor, I futher certify that I am currently
registered in the State of Washington. Final Inspection:
i ~' ~~ ~: c
_ ~ Date:
Signature) 4' ~i1• ~ i C ~~-~--c" c.-~- a~'~~(( ~ Date ~ ~ (~ - C'C~
Firm !®/'A~ 111/1 By.
03•It •c;~j
City of Yelm
Commur. Development Department
Building Division
Phone: (360) 458-8407
Fax: (360)458-3144
Permit Fees Schedule
Permit No: BLD-08-0071-YL
Applicant:
Name: Quadrant Homes Phone: 425-452-0332
Address: P.O. Box 130 City: Bellevue State: WA Zip 98009
Project Information:
Project: Tahoma Terra, Division II
Description of Work: SFR Lot 166 Plan #3102 C Basic Series CS 3100-40
Site Address: 14836 99th Way SE Assessor Parcel No. 78640016600
Fees:
Item Acct Code
Building Permit 100-500k 032 001-322-10-00
Building Plan Review 100 001-345-83-00
Mechanical Permit 032 001-322-10-00
Plumbing Permit 032 001-322-10-00
Sewer Inspection 805 412-343-80-00
Water Meter (SFD) 712 401-343-80-01
State Building Fee 160 001-386-00-00
Water ERU Quadrant 715 401-343-80-02
Traffic Facilities Charge 420 120-345-85-00
Consumer Dep 740 402-389-00-00
Sewer ERU (LID) 802 412-343-50-01
Police Mitigation - 625 302-368-10-01
Tahoma Terra
105 001-345-85-00
Fire District Impact Fee
TOTAL FEES:
P.O. Box 479
Yelm, WA 98597
360-458-3244
RECEIPT No. 53314
~'*"EVEN THOUSAND THREE HUNDRED FIVE DOLLARS & 61 CENTS t ~~~ O
Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
2,155.97 993.75 1,162.22 5.6000 207.5390 $1,000
1,400.75 0.00 0.00 0.0000 0.0000
97.75 0.00 0.00 0.0000 0.0000
181.00 20.00 161.00 7.0000 23.0000 Fixture
145.00 0.00 145.00 145.0000 1.0000 ERU
300.00 300.00 0.00 0.0000 0.0000
4.50 4.50 0.00 0.0000 0.0000
1,200.00 0.00 1,200.00 1,200.0000 1.0000 ERU
1,288.76 0.00 1,288.76 1,276.0000 1.0100 Peak PM Trip
90.00 90.00 0.00 0.0000 0.0000
3,009.00 0.00 3,009.00 3,009.0000 1.0000 ERU
310.00 310.00 0.00 0.0000 0.0000
1,122.88 0.00 1,122.88 0.3200 3 ,509.0000 square foot
511,305.61
RECEIVED FROM DATE REC. NO. AMOUNT REF. NO.
QUADRANT HOMES 03/10/08 53314 11,305.61 CHECK PENDING
PO BOX 130
BELLEVUE WA 98009 BUDGETARY
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address:_ 14836 99th Wav SE Yelm Parcel #:
Subdivision: Tahoma Meadow Div 2 Lot #: 1G6 Zoning; R3
~ New Construction Re-Model / Re-Roof /Addition I Home Occupation Sign
~ Plumbing D Mechanical Mobile /Manufactured Home Placement .Other
Project Description/Scope of Work: SFR (Basic Plan Series CS 3100-40 Plan # 3102 C)
Project Value:
Building Area (sq. ft) 15f Floor 1,366 2rd Floor 1,749 Garage 394 Deck_ 39 (pore
Basement 0 Carport 0 Patio 150 (opt.)
# Bedrooms 5 # Bathrooms 4.5 Heating: GAS 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/ENGINEERBTL Engineering LICENSE # CT165206TL35666SSF38567
ADDRESS 8417 NE 139th Street EMAIL_ brianl.btleng(a~comcast net
CITY Kirkland STATE WA ZIP 98034- TELEPHONE {425) 818-8448
I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the
above described property will be In accordance with the laws, rules and regulations of the State of Washington and the
City of Yelm.
~~~~~ ,~
on behalf of Quadrant Homes 3/4/2008
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 Wesr (360) 458-3835
YO Rox 479 (360) 458-3144 FAX
Yelrn, WA 98597 wtorc.ci;Yelm.ran.us
Copy of mitigation agreement with Yelm Community Schools, if applicable.
2007/JLiN/11/MON 02:42 PM YELM;COMM. SCHOOLS
O7 June 2007
Yelm Community Schools
PO Sox 467
Yelm, WA 98597
Attn. Bonnie Gerber
~05-02~
FAX No. 360 458 6'~f P 002/003
~.._~-r__~`~ V
~.r -~,~
JUN ] 1 2007
1
:,..,:
Re: School 1Altlgation Foos l(/~Q~J 7p~{-S
Please find enclosed a check in the amount o1536,380.00 for school mitigation feo(s) for the following lot(s) ` ~
located in the Tahoma Terra (Tahoma Meadow Div. 2) community, City of Yelm: 27 f ~~•
Lot Address Parcel Number Check
Number
128 9984 Dra t St S.E. 7002001280 270345
129 9978 Dragt St. S.E. 7002001290 270345
130 9972 Dragt St S.E. 7002001300 270345
131 9966 Dragt St. S.E. 7002001310 270345
132 9960 Dragt St. S.E. 7002001320 270345
162 14812 99 Way S.E. 7002001620 270345
163 14818 99 Way S.E. 7002001630 270345
164 14824 99 Way S.E. 7002001640 270345
14830 99 Way S.E. 7002001650 270345
166 14836 99 Way S.E. 7002001660 270345
14814 Terra View 5t. S.E. 7002001900 270345
f91 14808 Terra View St. S.E. 7002001910 270345
192 14802 Terra View St. S.E. 7002001920 270345
193 14732 Terra View St. S.E. 7002001930 270345
194 14726 Terra View St. S.E. 7002001940 .270345
195 14720 Terra View St. S.E. 7002001950 270345
f96 14714 Terra View St 6 ~. j 7002001960 I 270345
Please fax and mail all receipts to my attention at the address below. Thank you.
Thank you for your time and consideration.
Sincerely,
Jeffrey Madden
Permlt Coordinator
Quadrant Corporation
PO Box f 30
Bellevue, WA 98009
(425) 452-b532 Office '
(025) 452-6575 FAX
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Front Yard 741 SF
Corner Yard n~o SF
Drivewny 497 SF
Wolkway 40 SF .
LEGEND
Concrete
-- Flow arrows
Sdt Fence
Lot Size 5,000 SF
Footprint 1,760 SF
Parch 39 SF
Lat Cavernge 36 l
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CITY OF YELM INSPECTION LOG
PROJECT Lot 166 TTII 3102 C
PERMIT NUMBER U8-0071
ADDRESS 14836 99`x' Way SE
SET BACKS Date: 3-]2-08
Corrections
UNDER FLOOR ® Corrections 3-4-09
DRY WELL ®_ Corrections
FOOTING REBAR _ _®Date:_ 3-12-08 WALL REBAR ®Date: 3-
13-08
Footing ^ 12" ^ 16" Other
Wall ^ 6" ^ 8" Other_
Required vents_
Corrections :
COMBINED FRAME/ EXTERIOR SHEAR WALL INSPECTION
Hold downs ® 2-17-09 Shear Nailing ® 2-17-09
Frame ® 2-27-09 Gas/Propane _
® _ 2-27-09
Plumbing ® 2-26-09 Mechanical ® 2-27-09
Corrections: _
INSULATION ®Gas ^Electric ^Other
®Foam and Seal ^Vapor barrier ^PVA
Corrections: 3-4-09
SHEET ROCK/SHEAR WALL NAIL
Corrections: 3-5-09
FINAL
®Sewer Final ®Electrical ^ Civil Final ^Landscape Final ®C of O
®Address ®Insulation ^ Site Drainage ^ Sidewalk
Corrrections: 4-14-09
~~~ City of Yelm -Building Department
~~,.c~ CO CTION NOTICE ~
I have this day inspected this structure and these premises
~ have found the following violations of the City of Yehb pERMIT NO. ~ ~~ 6
_._.d/or State laws governing same:
.~ ~hv Vr~ d ~
~h
J
You are hereby notified that no more work sha116e covered upon these premises until the above violations are
corrected. When corrections have been made, call for re-inspection at 458-8407
DO NOT REMOVE THIS TAG DATE o
INSPE R FOR BUILDING DEPARTMENT
City of Yelm -Building Department
® CO CTION NOTICE
I have this day inspected this structure and these premises
~-
~i have found the following violations of the City of Yelm
_.~d/or State laws governing same: PERMIT NO. ~ ~~ u ~ ' ~-
~ J ~~ Gam. ~ .>~
' tip, z s-
l
You are hereby notified that no more work shall be covered upon these premises u tit the above violations are
corrected. When corrections have been made, call for re-inspection~t 458-8407
DO NOT REMOVE THIS TAG DATE Z-~z y c i~ i
~ QdSPECfOR FOR SUILDQdG DEPARTMENT
City of Yelm -Building Department
~ CO CTION NOTICE ~
I have this day inspected this structure and these premises
" d have found the following violations of the City of Yelm ~~- ~~~
_.,d/or State laws governing same: PERMIT NO.
~../
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You are hereby notified that no more work shall be covered upon these premises until the above violations are
corrected. When corrections have been made, call for re-inspection at 458-8407
DO NOT REMOVE THIS TAG DATE z .
S FOR HUII.DING DEPARTMENT
FAQ TRANSMISSION
CITY OF YELM
P.O. BOX 479 - 931 NP R~.AD NE
.~ YELM, VtrA 98597
3b0~458-8411
FAX 360-458-8166
TO: G~.E crl~til DATE: y--1 ~ _ o ~
FAX#: PAGES: ! ,including this
Cover sheet
From: ~~p~
~tlbjeCt: l~ouSC ~r~1{~~ T.Atlorn/3 ~ZJ2a2t}
COMMEtJTS: ~. o i I t~~ ~1 ~~' ~ (Q R 9~ i~..~~~ 5. C
/b yll~6o0
'~"` I1'you do ~aot receive all copies or any copy is not legibJc~ please call (360) 458-8a 1 1
ns soon as possible.