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20080354 Permit Pkg 102008CITY OF YELM -BUILDING DEPARTMENT RESIDENTIAL CERTIFICATE OF OCCUPANCY Building Address Owner Name Owner Address Building Permit Number BLD-OS-0354-YL Plan Number Plan 1555 Lot 76 Areas Inspected: All Code Required Special Conditions: None Building Official: Gary Carlson Date: April 21, 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 ~OF TNFIs~~ City of Yelm Permit No: BLD-08-0354-YL Community Development Department Issue Date: 10/20/2008 ~' ~ Building Division (Work must be started within 180 days) Phone: (360) 458-8407 Receipt No: 56606 I,, Fax: (360) 458-3144 Applicant: Name: Yelm Property Development Phone: 458.0544 Address: P.O. Box 2950 City: Yelm State: WA Zip 98597 Property Information: Site Address: 16602 Greenleaf Ave., SE Assessor Parcel No. 84070007600 Subdivision: Willow Glen Phase III Lot: 76 Contractor Information: Name: Applicant Contact: Balascio, D M Phone: Address: City: State: Zip: 98597 Contractor License No: YELMPDL00302 Expires: 02/20/0551 Business License: Project Information: Project: Yelm Property Development Description of Work: SFR, Lot 76, Plan #1555 Sq. Ft. per floor: (1st) 1014 (2nd) B07 (3rd) 0 Garage 401 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 1,352.71 993.75 358.96 5.6000 64.1000 $1,000 Building Plan Review 571.52 0.00 0.00 0.0000 0.0000 Mechanical Permit 78.25 0.00 0.00 0.0000 0.0000 Plumbing Permit 118.00 20.00 98.00 7.0000 14.0000 Fixture Sewer Inspection 145.00 145.00 0.00 0.0000 0.0000 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 40.00 0.00 0.0000 0.0000 State Building Fee 4.50 4.50 0.00 0.0000 0.0000 Sewer ERU (LID) 3,009.00 0.00 3,009.00 3,009.0000 1.0000 ERU Fire District Impact Fee 625.60 0.00 625.60 0.3200 1,955.0000 square foot Traffic Facilities Charge 1,334.21 0.00 1,334.21 1,321.0000 1.0100 Peak PM Trip TOTAL FEES: $9,128.79 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 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. Signature Date ~~ ZO Firm " ~~I 1 # Sets of Prints: Date: City of Yelm Community Development Department Building Division Phone: (360)458-8407 Fax: (360) 458-3144 Applicant: Name: Yelm Property Development Address: P.O. Box 2950 Project Information: Project: Yelm Property Development Description of Work: SFR, Lot 76, Plan #1555 Site Address: 16602 Greenleaf 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 ERU 715 401-343-80-02 Water Meter (SFD) 712 401-343-80-01 Consumer Dep 740 402-389-00-00 State Building Fee 160 001-386-00-00 Sewer ERU (LID) 802 412-343-50-01 Fire District Impact Fee 105 001-345-85-00 Traffic Facilities Charge 420 120-345-85-00 TOTAL FEES: (~~=~` T"`~ y,"~ CITY OF d m YEI.M P.O Box 47~ " Yoim, W<, 98597 _= 360-458-3244 i RECEIVED . , RECEIVED FROM ,. ~ - lj Permit Fees Schedule Permit No: BLD-08-0354-YL Phone: 458.0544 City: Yelm State: WA Zip 98597 Assessor Parcel No. 84070007600 Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc 1,352.71 993.75 358.96 5.6000 64.1000 $1,000 571.52 0.00 0.00 0.0000 0.0000 78.25 0.00 0.00 0.0000 0.0000 118.00 20.00 98.00 7.0000 14.0000 Fixture 145.00 145.00 0.00 0.0000 0.0000 ERU 1,500.00 0.00 1,500.00 1,500.0000 1.0000 ERU 300.00 300.00 0.00 0.0000 0.0000 90.00 40.00 0.00 0.0000 0.0000 4.50 4.50 0.00 0.0000 0.0000 3,009.00 0.00 3,009.00 3,009.0000 1.0000 ERU 625.60 0.00 625.60 0.3200 1 ,955.0000 square foot 1,334.21 0.00 1,334.21 1,321.0000 1.0100 Peak PM Trip $9,128.79 DATE RECEIPT No. 5 6 6 0 6 ... ~ - ~ REC. N0. AMOUNT REF. NO. ~ ~ _~ 1 ;~ ~ f ~_.~ •.' 11 ~_ ~ ;~ 1~~~~~:~~ ~, s ~N ~. 3 ~p ~ , n ~ ~ 1 ~ -- ~ ~~ t_ -~, ~ • x 1 ~C. i jtr 1~ t/ _.: (:: /i ~,~ i t s 't. E ~) ~' I .l 7 ,~. «, YELN COMMUNITY SCHOOLS PO BOX 476 YEI.M WA 98597 Clerk: GERBER Terminal: Receipt: 81546 Man;ia 1 Receipt IJBROCKTGN NBROCKTON BROCKTON CONSTRUCTION LLC, YELM PROPERTY DEVELOPMENT LLC 10/15/2008 12:24 PM G~_ Item _ __ ~ _ ___ _ price 1 CPF2900 5560.00 Willow G1enT3GATLOts 75 & 76 Subtotal: 5560.00 lax: 0.00 Total: 5560.00 Check 5560.00 6266 Change Due: 0.00 THANK YOU CITY OF YELM RESIDENTIAL BUILDING PERMIT APPLICATION FORM Project Address: /ts:(~DZ GL /9v~P.~~ Parcel #: ~~Giyt ,~' /~^SS ~/ ` , ~ Subdivision: !~ t~ 1~1.J G~E:9`~ 3 Lot #: / fL Zoning; ~ ~( New Construction ^ Re-Model / Re-Roof /-Addition ^ Home Occupation Sign ^ Plumbing ^ Mechanical ^ Mobile /Manufactured Home Placement ^ Other Project DescriptioNScope of Work: ~Fk' Project Value: ~ Zo K ~~~ Bui{ding Area (sq. ft) 1 ~ Floor '70 2nd Floor ~ 5 Y Garage ~ yy Deck Basement Carport Patio # Bedrooms. # Bathrooms~~ Heatin :GAS/OTHER r E/LECTRIC (Circle One) Are there any environmentally sensitive areas located on the parcel? JVc, If yes, a completed environmental checklist must accompany permit application. Copy of mitigation agreement with Yelm Community Schools, if applicable. 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. u e~ / y~i~~®~ Applicant's Si ature 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 JOS Ye1m Avenue West (360) 458-3835 PO Box 479 (360) 458-3144 FAli Yelm, WA 98597 -ou+to.ci.yefm.ccna~s CITY OF YELM INSPECTION LOG PROJECT WG lot 76 1555 PERMIT NUMBER 08-0354 ADDRESS 16602 Greenleaf Ave. SE SET BACKS Date: 10-17 Corrections UNDER FLOOR ® Corrections 11-4-08 DRY WELL ®_ Corrections 10-21-08 FOOTING REBAR _ _®Date: 10-17 WALL REBAR ®Date: 10- 21-08 - - Footing ^ 1 Z' ®16' Other_ Wall ^ 8' ^ 8' Other Required vents_ _ - Corrections COMBINED FRAME/ EXTERIOR SHEAR WALL INSPECTION Hold downs ® 12-11-08 Shear Nailing ® 12-11-08 Frame ® 12- I 1-08 Gas/Propane _ ® 12-11-08 Plumbing ® 12-11-08 Mechanical _ ®. 12-I1-08 Corrections: INSULATION ®Gas ^Electric ^Other ®Foam and Seal ^Vapor barrier ^PVA Corrections: 12-15-08 SHEET ROCK/SHEAR WALL NAIL Corrections: 12-18-08 FINAL ®Sewer Final ®Electrical ^ Civil Final ^Landscape Final ®C of O ®Address ®Insulation ^ Site Draina e g ^ Sidewalk Corrrections: 4-21-09 SAX TRANSMISS~aN CITY QF YELM P.O. BOX 4?9 - 93I 1`tP ROAD NE "YEI.M, WA 98597 360-458-8411 ' ~ II FAX 360-458-8166 I~ T'O: Ga~~ ~~~ DATE: y , ~ ~- a ~ S=AX#: PAGES: f ,including this Cover sheet From: ~g~p ~, Subject: ~~o use ~ (~A c~. , COMMEr~iTS : t~ 07- 7~ f ~ ~ 6 d~ ~r~~~~..t ~~~.BUyv c~ *" I1-you do ~~oc receive all copies or any copy is not legible, please call C36v) 458-841 1 tis soon as possible.