20090006 Permit Pkg 011609
CITY OF YELM -BUILDING DEPARTMENT
RESIDENTIAL CERTIFICATE OF OCCUPANCY
Building Atldress
Owner Name
Owner Address
Building Permit Number BLD-09-0006-YL Plan Number Plan 948 C, Lot122
Areas
Special
Building Official: G. Carlson Date: April 15, 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
~~r ~F~E~~~~ City of Yelm
~9 9~ Community Develo
4
Building Division
Phone: (360)458-840
YELM Fax: (360) 458-3144
Applicant:
Name: Tahoma Terra, LLC
Address: P.O. Box 627
Property Information:
Site Address: 14465 100th Ave, SE
Assessor Parcel No.
pment Department
7
City: Rainer
Contractor Information:
Name: Tahoma Terra, LLC
Address: P.O. Box 827
Contractor License No:
Project Information:
Project: Tahoma Terra, Division I, phase II
Description of Work: SFR Lot 122 Plan 948 C,
Permit No: BLD-09-0006-YL
Issue Date: 01/16/2009
(Wor k must be started within 180 days)
Receipt No: 58082
Phone: 380-400-0740
State: Wa Zip 98578
Subdivision: Tahoma Terra, Division I, phase II Lot: 122
Contact: Bloom, Doug Phone: 360-400-0740
City: Rainer State: Wa Zip: 98576
Expires: 09/10/07253 Business License:
Sq. Ft. per floor: (1st) 872 (2nd) 1236 (3rd) 0 Garage 381 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
1,011.92
993.75 -------
18.17 ----------
5.6000 -------
3.2440 ----------
$1,000
Building Plan Review 9.23 0.00 0.00 0.0000 0.0000
Mechanical Permit 71.75 .0.00 0.00 0.0000 0.0000
Plumbing Permit 90.00 20.00 70.00 7.0000 10.0000 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
Police Mitigation -Tahoma 310.00 310.00 0.00 0.0000 0.0000
Terra 408.96 0.00 408.96 0.3200 1,278.0000 square foot
Fire District Impact Fee 1,334.21 0.00 1,334.21 1,321.0000 1.0100 Peak PM Trip
Traffic Facilities Charge 3,093.00 0.00 3,093.00 3,093.0000 1.0000 ERU
Sewer ERU (LID) 1,200.00 0.00 1,200.00 1,200.0000 1.0000 ERU
Water ERU Quadrant
TOTAL FEES: $7,978.57
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:
. 7 l ~ Date: ~
, ~~~~ `_ ~ `I
Signature '~ ?~/~ Date ; , p_`~''~
Firm ~- `1l 1'7~~~ By'
OI l~S~`"l ...._
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360)458-3144
Applicant:
Name: Tahoma Terra, LLC
Address: P.O. Box 627
Project Information:
Project: Tahoma Terra, Division I, phase II
Description of Work: SFR Lot 122 Plan 948 C,
Site Address: 14465 100th Ave, SE
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
Police Mitigation - 625 302-368-10-01
Tahoma Terra
105 001-345-85-00
Fire District Impact Fee
420 120-345-85-00
Traffic Facilities Charge
802 412-343-50-01
Sewer ERU (LID)
715 401-343-80-02
Water ERU .
CITY OF
YELM
105 Yelm Ave. W.
Yelm. WA 98597
360-458-3244
RECEIVED
RECEIPT No. 5 8 ~ 8 2
****SEVEN THOUSAND NINE HUNDRED SEVENTY EIGHT DOLLARS & 57 CENTS
rz:~~~.~rn Frc,r~~ r~ATE AEC. ru:; Arnourrr ~3~r I~i~
TAHOMA TERRA LLC 01/16/09 58082 7 978.57 CHECK 1004
PO BOX 576
RAINIER WA 98576 BUDGETARY
City: Rainer
Assessor Parcel No.
Permit Fees Schedule
Permit No: BLD-09-0006-YL
Phone: 360-400-0740
State: Wa Zip 98576
Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
1,011.92 993.75 18.17 5.6000 3.2440 $1,000
9.23 0.00 0.00 0.0000 0.0000
71.75 0.00 0.00 0.0000 0.0000
90.00 20.00 70.00 7.0000 10.0000 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
310.00 310.00 0.00 0.0000 0.0000
408.96 0.00 408.96 0.3200 1, 278.0000 square foot
1,334.21 0.00 1,334.21 1,321.0000 1.0100 Peak PM Trip
3,093.00 0.00 3,093.00 3,093.0000 1.0000 ERU
1,200.00 0.00 1,200.00 1,200.0000 1.0000 ERU
MI_CHELLE
BLD-08-0006-YL LOT 122 TAHOMA TERRA LLC
YELM COMMUNITY SCHOOLS
PO BOX 476
YELM WA 98597
Clerk: Croy
Terminal: 1
Receipt: 86498
Manual Receipt:
NTAHUMA TERRA
NTAHCMA TERRA
TAHOMA TERRA, TAHOMA TERRA
PO BOX 627
RAINIER 4!A 98576
1/16/2009 8:54 AM
l~t~_ Item __ Price,
1 CPF2900 2140.00
MITIGA.TTUN
05-027 - TAHOMA - PHASE 2 DIV. 1 - LOT 122
Subtotal: 2140.00
Tax: 0.00
Total: 2140.00
Check 2140.OU
1003
Change Due: 0.00
THANK YOU
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: t`t~~S In~t`I ,4-~~ S~ Parcel #: PTN 7~'~ QOU o0 z..Z-
Subdivision:_LIi'~has~ Z{ 7N l Lot#:_ l ZZ Zoning; r"1 ~C
New Construction ^ Re-Model / Re-Roof /Addition C Home Occupation Sigh
^ Plumbing ~ Mechanical ^ Mobile /Manufactured Home Placement CI Other
Project Description/Scope of Work: nl Eu~ S IW ~c.~ ~ A~m«-
Project Value: ~~ ~q nJ y4 8~ ~
,~
Building Area (sq. ft) 1S` Floor q4 ~~2"d Floor Garage Deck~_
Basement Carport Patio
# Bedrooms Z # Bathrooms Heating: GAS/OTHER ELECTRI Circle bhe)
Are there any environmentally sensitive areas located on the parcel? /)/CJ If yes, a
completed environmental checklist must accompany permit application.
BUILDING 01NNER NAME: ~ -om - A ~1.~
ADDRESS /~ U ~ cx: w Z7 EMAIL ,vc ~ i./ e. ccr'-1
CITY~.R-fig r~~ -STATE LuF}- ZIP y~S7G TELEPHONE .3~ n -- ~cc~ c75fG
r
ApTS(c nt' ignature Date
Own~.~/ ontractor / Ow er'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 Yelm Auehlie West (360) 458-3835
YO Box 479 (360) 458-3144 I%'AX i ,; r= C E I V E D
Yelm, l~{'A 985,97 www.ci.yelm.rua.us
~' L ~',~ JAN 121009
Copy of mitigation agreement with Yelm Community Schools, if applicable.
1 hereby certify ghat the above information is correct and that the construction on, and the occupancy and the Ise 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.
City of Yelm Invoice No. CDD-09-0334
Community Development Department
INVOICE -
Customer
Name Tahoma Terra, LLC Date 01/12/2009
Address {P Bpx 627
City Rainier WA
Phone Project
Item Description Unit Price TOTAL
1 Plan Review Deposit $684.52 $684.52
948 A, B and C
RECEIVED
CITY OF
YELM
i05 Yelm Ave. W.
Y360- 58-32447 RECEIPT No. ~ j 9 7
****SIX HUNDRED EIGHTY FOUR DOLLARS & 52 CENTS
RECEIVED rR01~:1
TAHOMA TERRA LLC
PO BOX 627
RAINIER WA 98576
CDD-09-0334
D.4TF RF(; NO
01/12/09 57979
BUDGETARY
MICHELLE
Bars Code-001-OOU-000-345-81.UU
Speed Code 092
AMUUha 1-
684.52 CHECK
Office Use Only
Rt-F f'I•"`
1001
City of Yelm
Community Development Department
P.O. Box 479
Yelm, WA 98597
(360) 458-3835
THANK YOU
FILE
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, i ~ ~ RECORD C)F 51.RVFY' fi~R E>nuNDAkY I IN[ Afi Iti571Af>P
I TAf10MA TERRA PHASE 2, DIVISION I F RfCt~RDt'JIINOtRAlIt71fQR`-.fl~tNt, al»-~~,~
I rzueo~,urAcceSS BEING A PORTION OF T11E SW Il4 OF SECTION 2A AND THE 5E U4 OF SECTION 23. i0WN5HIP (n+~xr,ret55
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F.AX TRANSMISSIQN
CITY of YELN~
P.Q. BoX 479 - 931 N,P ROAD NE
YEL~VI, W.A 98597
360-45$-8411
~ FAX 360-458-8166
FAx#: ysg~ ~3 ~8'
DATE. 4-~ f, r o
P.A-GES: ~ ,including this
Cover sheet
From: ~~ -~
~~~
Subject: ~,~~»....~. ~,,-,~,`. 10~ /~~/
-Dt~• 3
~ ~/~ .S~
CoMM~rJxs:
arc ~ ~ S ,~'ecz~y ~ r ~ t ~ j r +~ q
/ J
l C~ - ~~-~ S,. ~~c
? * It' you do not receive aU copies or any copy is nit legible. please call E360) 458-84) 1
as soon as possible.
CITY OF YELM INSPECTION LOG
PROJECT Tahoma Terra phase II Lot 122
PERMIT NUMBER BLD-09-0006-YL
ADDRESS 14465 100t~ Ave SE
SET BACKS Date: 1-16-09
Corrections
UNDER FLOOR ® Corrections l -27-09
DRY WELL ®_ Corrections
FOOTING REBAR _ _®Date:_1-16-09 WALL REBAR ®Date:1-20-
09
Footing ^ 1 Z' ^ 16' Other
Wall ^ 8' ^ 8' Other
Required vents_ _
Corrections
COMBINED FRAME/ EXTERIOR SHEAR WALL INSPECTION
Hold downs ® 2-2-09 Shear Nailing ®
2-5-09
Frame ® 2-13-09 _
Gas/Propane ^ Y
Plumbing ® 2-13-09 Mechanical ®_ 2-25-09
Corrections:
INSULATION ^Gas ®Electric ^Other
®Foam and Seal ^Vapor barrier ^PVA
Corrections: 2-19-09
SHEET ROCK/SHEAR WALL NAIL
Corrections: 2-25-09
FINAL
®Sewer Final ®Electrical ^ Civil Final ^Landscape Final ®C of O
®Address ®Insulation ^ Site Drainage ^ Sidewalk
Corrrections: 4-15-09
/ ~~~ THE P,p
a ~ City of Yelm
Community Development Department
105 Yelm Avenue West -P.O. Box 479
YELM Yelm, WA 98597
"""'"'"°'°" (360) 458-8407 - (360) 458-3144 FAX
CITY OF YELM BUILDING DEPARTMENT
CORRECTION NOTICE
I have this day inspected this structure and
these premises and have found the following
violations of the City of Yelm and/or State laws
governing s e:
PERMIT NO. ~ 2- I L.Z
~` ~',~~I
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 (360) 458-8407.
DO NOT REMOVE THIS TAG DATE d
- spec or
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 ~-^ T _~
1d/or State laws governing same: PERMIT NO. ~ ~ 'L 1 <
~~~ ~ ~~ ~ I~ .~ ~ 1 ~ ~ - ~ ~
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-inspe tion t 458-8407
DATE ~ / ~ ~` ~ ~~
DO NOT REMOVE THIS TAG '~
SP R FOR BUILDING DEPARTIvfENT