20090010 Permit Pkg 012009r~l~ r~(r7Ir71~J1~(r7fr71r~ir~ I~ Ir~l~7l~1r~71r~l~ir~if~7 r~fr7~ Irk r~
CITY OF YELM -BUILDING DEPARTMENT
RESIDENTIAL CERTIFICATE OF OCCUPANCY
Building Address 14469 Lockwood Lane SE
Owner Name Tahoma Terra LLC
Owner Address P.O. Box 627
Rainer Wa. 98576
Building Permit Number BLD-09-0010-YL Plan Number Plan 948 B
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
~pF THFp~ City of Yelm Permit No: BLD-09-0010-YL
a ~~ Community Development Department Issue Date: 01/20/2009
o. (Work must be started within 180 days)
Building Division
Phone: (360) 458-8407 Receipt No: 58089
ELM Fax: (360) 458-3144
Applicant:
Name: Tahoma Terra, LLC Phone: 360-400-0740
Address: P.O. Box 627 City: Rainer State: Wa Zip 98576
Property Information:
Site Address: 14469 Lockwood Lane SE
Assessor Parcel No. Subdivision: Tahoma Terra, Division I, phase II Lot: 100
Contractor Information:
Name: Tahoma Terra, LLC Contact: Bloom, Doug Phone: 360-400-0740
Address: P.O. Box 627 City: Rai ner State: Wa Zip: 98576
Contractor License No: Expires: 09/10/07253 Business License:
Project Information:
Project: Tahoma Terra, Division 1, phase II
Description of Work: SFR Lot 100 Plan 948 B,
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 427.54 0.00 0.00 0.0000 0.0000
Mechanical Permit 78.25 0.00 0.00 0.0000 0.0000
Plumbing Permit 111.00 20.00 91.00 7.0000 13.0000 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: $8,424.38
Applicant's Affadavit:
j 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:
Date: ~u' 0
S~igrtatUre ~~f-~ Date ~= ? v c,''
Firm ~r ~ By'
~.~~~ -
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 100 Plan 948 B,
Site Address: 14469 Lockwood Lane 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 Quadrant
TOTAL FEES:
CITY OF
YELM
105 Yelm Ave. W.
Yelm, WA 98597
360.458-3244
RECEIPT No. 5 8 0 8 9
Fit-'";`.-:'V._,!
****EIGHT THOUSAND FOUR HUNDRED TWENTY FOUR DOLLARS & 38 CENTS
;t ':FIV;.D t=t~~Jf41
TAHOMA TERRA LLC
P.O. BOX 627
RAINIER.WA 98576
BLD-09-0010-YL
City: Rainer
Assessor Parcel No.
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
427.54 0.00 0.00 0.0000 0.0000
78.25 0.00 0.00 0.0000 0.0000
111.00 20.00 91.00 7.0000 13.0000 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
58,424.38
DAi'~ RFC. f'JO
01/20/09 58089
BUDGETARY
GRETCHEN
Permit Fees Schedule
Permit No: BLD-09-0010-YL
5 ~ b~`~
APAC)UIV i ~i~l= N
8.424.38 CHECK 1010
YELM COMMUNITY SCHOOLS
PO BOX 476
YELM WA 98597
i;lerk: Groy
Terminal: 86569
keceipt:
Manual Receipt:
NTAHOMA TERRA
NTAHOMA TERRA,
TAHOMA TERRA, TAHOMA TERRA
FO BOX 627
RAINIER WA 98576
1J20/'2009 8:15 AM
W~r__ Iiem _ __^____Price
2140.00
1 MITIGATION
05-027 - TAHOMA - I.OT 100 - PHASE 2 DIV 1
Subtotal: G140,00
Tax:
Total: 2140.00
Check 2140.00
1005
Change Due: 0.00
THANK YOU
FILE
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: I `f y6 9 ~.~ ~~ L4 .~ SE Parcel #: f T ~ 7 8C `~ ~ 0 0 o O z, Z
Subdivision: 1T ~~iGSc Z nru 1 Lot #: ~ O O Zoning; i~1~C
?~ New Construction Re-Model / Re-Roof /Addition i Home Occupation Sign
C Plumbing I Mechanical i Mobile /Manufactured Home Placement i Other
Project Description/Scope of Work: S F R
Project Value: ~Lff.~J qyg f~
Building Area (sq. ft) 1S' Floor 9y8 2"`' Floor Garage .~'~ Deck 1 I C~
Basement Carport Patio
# Bedrooms # Bathrooms ~ Heating: GAS/OTHER or LECT Circle One)
Are there any environmentally sensitive areas located on the parcel? ND If yes, a
completed environmental checklist must accompany permit application.
CITY
MECHANICAL CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE 71P FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
Copy of mitigation agreement with Yelm Community Schools, if applicable.
I hereby certify ghat 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.
~- , ~ ~ ',
Appt` an ' Signat a Date
Qwner Contractor /Owner's Agent 1 Contractor's Agent (Please circle one.)
A 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
PC) Rox 479
)'chn. WA 98597
wetir
(360) 458-383.5
(360) 4.58-3144 FAX
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FILE
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~ TAIIOMA TERRA PI1A5E 2, DIVISION I 4~ K ~~.F ~ fo 4-~w;,~ROaF'~ ~~_ ~~~ a~~f''%
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U NORTfi. RANGE t EAST.'J/.M IN 1r1UR51pk COUNTY. WASHWGTON
(PAGE 4 OF 7 PAGES)
CITY OF YELM INSPECTION LOG
PROJECT Tahoma Terra phase II Lot 100
PERMI"r NUMBER BLD-09-0010-YL
ADDRESS 14469 Lockwood Lane SE
SET BACKS Date: 1-20-09
Corrections
UNDER FLOOR ® Corrections 2-5-09
DRY WELL ®_ Corrections
FOOTING REBAR _ _®Date:_ 1-20-09
09
Footing ^ 1 Z'
Wall ^ 6'
Required vents_ _
Corrections
WALL REBAR ®Date: 1-21-
^ 18' Other_
^ 8' Uther
COMBINED FRAME/ EXTERIOR SHEAR WALL INSPECTION
I-Told downs ® 2-9-09 Shear Nailing ®_ 2-13-09
Frame ® 2-25-09 Gas/Propane ^
Plumbing ® 2-25-09 Mechanical ®_ 3-2-09
Corrections:
INSULATION ^Gas ®Electric ^Other
®Foam and Seal ^Vapor barrier ^PVA
Corrections: 3-2-09
SHEET ROCK/SHEAR WALL NAIL
Corrections: 3-6-09
FINAL
®Sewer Final ®Electrical ^ Civil Final ^Landscape Final ®C of O
®Address ®Insulation ^ Site Drainage ^ Sidewalk
Corrrections: 4-14-09
~p~ THE A~
II./~4w ~~ 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 PERMIT NO. ~ z ~U(~
violations of the City of Yelm and/or State laws
governing same:
Ci.j .~1~ ~~~. ~~~s ~~~ ~ ~ ~ ~- ~l~-~ ~ ~,,.,G`, S,
%~~ ~ ~ ~ h ~~ 5 y S ~~ ,~~ ~~.~
C.~~ ~ ,~i' s-~ ,~~~ . ~,~-1~% -~~ ~ f.~~/~ .tom ~..~~~=~ ~ ~~ ~s~
C
l~/ ~L ~ (/~2~ C~C ~r~~~ ~f~v~,~~~ ~Y'p,-•.i ~/~'d1-cam / -~A..Lf
C
f
You are hereby notified that no more work shall be covered u do these remises until the above
P P
violations are corrected. When corrections have been made, call for re-inspection at (360) 458-8407.
n
_ DO NOT REMOVE THIS TAG DATE !~ ~ ~ ~
pector
City of Yelm -Building Department
® CORRECTION NOTICE
I have this day inspected this structure and these premises
-end have found the following violations of the City of Yelm PERMIT NO. T
~d/or State laws governing same: / ~~ ,~~ ~~
~,) F ~...1 /, ~
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-inspection at 458-8407
DO NOT REMOVE THIS TAG DATE `- / Z ~ ~ ~ ~ %~,~
INSP TOR FOR BUILDING DEPARThfENT
SAX ~'RANSMISSXON
CIT'E'' OF YELM
P.O. BOX 479 -- 931 NP ROA,I~ NE
YELIVI, WA 9$597
36~-458-8411
~ ~ ~ FAX 3b0 458-8164
~A~#: PAGES: ~ , inciuding this
Cover sheet
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"'" lt'yau do ~zot receive all copies or any copy is not legible, please cal] (36Q} 455-841 l
as soon as possible.