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CITY OF YELM -BUILDING DEPARTMENT
RESIDENTIAL CERTIFICATE OF OCCUPANCY
Building Address 16586 Greenleaf Ave. SE
Owner Name
Owner Address
Building Permit Number BLD-08-0353-YL Plan Number Plan 1557 Lot 75
Areas
Special
Building Official: Ga Carlson Date:
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:
Name: Yelm Property Development, LLC
Address: PO Box 2950
Property Information:
Site Address: 16586 Greenleaf Ave, SE
Assessor Parcel No. 84070007500
Contractor Information:
Name: Yelm Property Development, LLC Contact:
Address: City:
Contractor License No: YELMPDL00302 Expires:
Project Information:
Project: 16586 Greenleaf Ave., SE
Description of Work: SFR Lot 75, Plan #1557
Sq. Ft. per floor: (1st) 784 (2nd) 773 (3rd) 0
Heat Type (Electric, Gas, Other): GAS
Fees:
Item Item Fee Base Amt Unit Fee
Building Permit 100-500k 1,364 73 993.75 370.98
Building Plan Review 576.60 0.00 0.00
Mechanical Permit 78.25 0.00 0.00
Plumbing Permit 104.00 20.00 84.00
Sewer Inspection 145.00 0.00 145.00
Water ERU 1,500.00 0.00 1,500.00
Water Meter (SFD) 300.00 300.00 0.00
Consumer Dep 90.00 90.00 0.00
Sewer ERU (LID) 3,009.00 0.00 3,009.00
State Building Fee 4.50 4.50 0.00
Traffic Facilities Charge 1,334.21 0.00 1,334.21
Fire District Impact Fee 643.20 0.00 643.20
TOTAL FEES: $9,149.49
Applicant's Affadavit:
I certify that I have read and examined the information contained within the application and know the same OFFICIAL USE ONLY
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. it Final Inspection:
D
~
Signature ~~~ Date /C7//J /~ B ate:
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Firm By.
~~ ~~~ /
.,`-~IVNED
City: Yelm
Subdivision: Willow Glenn III
Permit No: BLD-08-0353-YL
Issue Date: 10!15!2008
(Work must be started within 180 days)
Receipt No: 56525
Phone: 458-0544
State: WA Zip 98597
Lot: 75
Phone:
State: Zip:
Business License:
Garage 453 Basement 0
Unit Rate No. Units Unit Desc
5.6000 66.2460 $1,000
0.0000 0.0000
0.0000 0.0000
7.0000 12.0000 Fixture
145.0000 1.0000 ERU
1,500.0000 1.0000 ERU
0.0000 0.0000
0.0000 0.0000
3,009.0000 1.0000 ERU
0.0000 0.0000
1,321.0000 1.0100 Peak PM Trip
0.3200 2,010.0000 square foot
City of Yelm Permit Fees Schedule
Community Development Department Permit No: BLD-08-0353-YL
Building Division
Phone: (360) 458-8407 r~~®
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Fax: (360) 458-3144 ~ ~.~
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Applicant: ~
`
Name: Yelm Property Development, LLC ~
' Phone: 458-0544
Address: PO Box 2950 City: Yelm State: WA Zip 98597
Project Information:
Project: 16586 Greenleaf Ave., SE
Description of Work: SFR Lot 75, Plan #1557
Site Address: 16586 Greenleaf Ave, SE Assessor Parcel No. 84070007500
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 1,364.73 993.75 -370.98 5.6000 66.2460 $1,000v
Building Plan Review 100 001-345-83-00 576.60 0.00 0.00 0.0000 0.0000
Mechanical Permit 032 001-322-10-00 78.25 0.00 0.00 0.0000 0.0000
Plumbing Permit 032 001-322-10-00 104.00 20.00 84.00 7.0000 12.0000 Fixture
Sewer Inspection 805 412-343-80-00 145.00 0.00 145.00 145.0000 1.0000 ERU
Water ERU 715 401-343-80-02 1,500.00 0.00 1,500.00 1,500.0000 1.0000 ERU
Water Meter (SFD) 712 401-343-80-01 300.00 300.00 0.00 0.0000 0.0000
Consumer Dep 740 402-389-00-00 90.00 90.00 0.00 0.0000 0.0000
Sewer ERU (LID) 802 412-343-50-01 3,009.00 0.00 3,009.00 3,009.0000 1.0000 ERU
State Building Fee 160 001-386-00-00 4.50 4 50 0.00 0.0000 0.0000
Traffic Facilities Charge 420 120-345-85-00 1,334.21 0.00 1,334.21 1,321.0000 1.0100 Peak PM Trip
Fire District Impact Fee 105 001-345-85-00 643.20 0.00 643.20 0.3200 2, 010.0000 square foot
Tl1TA1 FGFC• ~Q'IdQdQ
CITY OF -- --------------- ----
YELM
P.O. Box 479
Yelm, WA 98597 RECEIPT NO. 5 6 5 2 5
360-458-3244
RECEIVED ,
j~NINE THOUSAND ~?AIE NUNL~RED FORTY NINE DOLLARS & 49 C'ENT;;
RECEIVED FROM DATE REC. NO. AMOUNT REF. NO.
YELid ~kGPER?';' DEVELGP24;;NT 10/ 1 r : ,~~ ~, - ; - - c,, 1 ~ =, . •a; ,^N~r'h 62b 7
YELht WA x:3597 BiJOuETARY
G12ETCI;EN J
~i T n r'1 `; Q i ~' ~ I
YELM COMMUNITY SCHOOLS
PO BOX 416
YELM WA 98597
Cleric: GERBER
Terminal: 1
Receipt: 81546
Manual Receipt:
NBRi1CKTON
NBROCKTON
BROCKTON CONSTRUCTION LLC, YELM PROPERTY
DEVELOPMENT LLC
10/15/2008 12:24 PM
0--~-- Item --~~._-~_.----- Price
1 CPF~900 5560.00
MITIGATION
4tiilloa, Glen 3 - Lots 75 & 76
Subtotal; 5560.00
Tax; 0.00
Total; 5560.00
Check 5560.00
6266
Change Due; 0,00
THANK YOU
CITY OF YELM ~~~n 1557
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address:~p$~ G- L. l'4'U~.. , SF Parcel # ~yC~ ~ ~ y O 7SOy
Subdivision:' ~~ l,''tt'a,= C~r~~7~i ~ Lot#: ~~ Zoning; 1j ~ /:,
New Construction ^ Re-Model / Re-Roof 1 Addition ~ ~ Home Occupation Sign
,~ Plumbing l7 Mechanical O Mobile /Manufactured Home Placement i ~ Other
Project Description/Scope of Work: ~ fit; La ~ ~~ ~ ~~ ~ ASS 7
Project Value: /.l ~ /L
Building Area (sq. ft) 19' Floor 7~~/ 2nd Floor ?7 Garage ~s~ Deck
Basement Carport Patio
-~'.
# Bedrooms•.,~ # Bathrooms .:~ ~~ Heatin GAS/OTHER ~r ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? ~ti~ ~~ If yes, a
completed environmental checklist must accompany permit application.
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 taws, rules and regulations of the State of Washington and the
City of Yelm.
Applicant's Sign ure Date
Owner /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
~rl= Ivan
1115 Yelm Aaenur. {{'est f360) 458-3835
PO E3ox 179 (360) 458-311.1 FAY
~'vl~~r. {{!4 98397 OCT 0 7 2008 u'mu~.ciyelnt.u•a.tis
~ FI L~
Copy of mitigation agreement with Yelm Community Schools, if applicable.
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APPROVED
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CITY OF YELM INSPECTION LOG
PROJECT Lot 75, 1557
PERMIT NUMBER BLD-08-0353-YL
ADDRESS 16586 Greenleaf Avenue SE
SET BACKS Date: 10-16-08
Corrections
UNUER FLOOR ® Corrections 10-31- 08
UItY WELL ®_ Corrections 10-21- 08
FOOTING REBAR _ _®Date:_ 10-16-08 WALL REBAR
Date:1 U-20-08
Footing ^ l2" ^ 16" Uther
Wall ^ 6" ^ 8" Other
Required vents_
Corrections
COMB[NEU FRAME/ EX`CERIOR SHEAR WALL INSPECTION
Hold downs ® 11-6-08 Shear Nailing ®
12-11-08
Frame ® 12-10-08 _
Gas/Propane ®_ 12-11-08
Plumbing ® 12-11-08 Mechanical ®_ 12-11-08
Corrections:
INSULATION ®Gas ^Electric ^Other
®Foam and Seal ^Vapor barrier ^PVA
Corrections: 12-15-08
SHEET ROCK/SHEAR WALL NAIL
Corrections: 12-18-U8
FINAL
®Sewer Final ®Electrical ^ Civil Final ^Landscape Final ®C of O
®Address ®Insulation ^ Site Drainage ^ Sidewalk
Corrrections: 2-3-09
~A~ TRA~rs~ISSZON
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crrx of YELIvI
P.O. BOA 479 - 931 NP ROAD NF:
YELY1fi, WA. 98597
360.458-8411
FAX 360-458-8166
"''' It you do iiot receive all copies or any copy is not legible, please call (360) 458-84 t ~
ss soc,n ns R~ssible.