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CITY OF YELM -BUILDING DEPARTMENT
RESIDENTIAL CERTIFICATE OF OCCUPANCY
Building Address
Owner Name Yelm Property Development
Owner Address 16422 Middle Road SE. Yelm, Wa. 98597
Building Permit Number BLD-08-0381-YL Plan Number Plan #1303, lot 114
Areas
Special
Building Official: Gary Carlson Date: Feb. 19, 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 No: BLD-08-0381-YL
Issue Date: 11110/2008
(Wor k must be started within 180 days)
Receipt No: 57209
Name: Yelm Property Development Phone: 458.0544
Address: P.O. Box 2950 City: Yelm State: WA Zip 98597
Property Information: C'I
Site Address: 9982 Greenleaf Ave: SE
Assessor Parcel No. 84070011400 Subdivision: Willow Glen Phase III Lot: 114
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 114, Plan #1303
Sq. Ft. per floor: (1st) 1303 (2nd) 0 (3rd) 0 Garage 386 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 1,214.29 993.75 220.54 5.6000 39.3830 $1,000
Building Plan Review 513.04 0.00 0.00 0.0000 0.0000
Mechanical Permit 71.25 0.00 0.00 0.0000 0.0000
Plumbing Permit 90.00 20.00 70.00 7.0000 10.0000 Fixture
Sewer Inspection 145.00 145.00 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 540.48 0.00 540.48 0.3200 1,689.0000 square foot
Traffic Facilities Charge 1,334.21 0.00 1,334.21 1,321.0000 1.0100 Peak PM Trip
TOTAL FEES: 58,811.77
Applicant's Affadavit:
i 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:
~-
Signature ~r~~ r~Q,~,Q,~~ Date I/ ~ /o ~ O $ ~DVate: ~ 1 f C ~
Firm [rQA~A~~I ~
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City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360)458-3144
Permit Fees Schedule
Permit No: BLD-08-0381-YL
Applicant:
Name: Yelm Property Development Phone: 458.0544
Address: P.O. Box 2950 City: Yelm State: WA Zip 98597
Project Information:
Project: Yelm Property Development
Description of Work: SFR, Lot 114, Plan #1303
Site Address: 9962 Greenleaf SE Assessor Parcel No. 84070011400
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 1,214.29 993.75 220.54 5.6000 39.3830 $1,000
Building Plan Review 100 001-345-83-00 513.04 0.00 0.00 0.0000 0.0000
Mechanical Permit 032 001-322-10-00 71.25 0.00 0.00 0.0000 0.0000
Plumbing Permit 032 001-322-10-00 90.00 20.00 70.00 7.0000 10.0000 Fixture
Sewer Inspection 805 412-343-80-00 145.00 145.00 0.00 0.0000 0.0000 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 40.00 0.00 0.0000 0.0000
State Building Fee 160 001-386-00-00 4.50 4.50 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
Fire District Impact Fee 105 001-345-85-00 540.48 0.00 540.48 0.3200 1 ,689.0000 square foot
Traffic Facilities Charge 420 120-345-85-00 1,334.21 0.00 1,334.21 1,321.0000 1.0100 Peak PM Trip
TOTAL FEES: $8,811.77
CITY OF
YELM
P.O.Box479 57209
Yelm, WA 98597 RECEIPT No.
360-458-3244
RECEIVED
****EIGHT THOUSAND EIGHT HUNDRED ELEVEN DOLLARS & 77 CENTS
RECEIVE D FRGM DATE REC NC). AFAOUNT REF I`JQ.
YELM PROPERTY DEVELOPMENT 11/10/08 57209 8.811.77 CHECK 6270
PO BOX 2950
YELM WA 98597 BUDGETARY
- - - -RICH LLE- - -
BLD-08-0381-YL
YELM COMMUNITY SCHOOLS
YELM WAX 98597
Clerk: troy
Terminal;
Receipt: 83689
Manual Receipt;
N6ROCKTON
NBROCKTON
BROCKTON CONSTRUCTION LLC, YELM PROPERTY
DEVELOPMENT LLC
11/10/2008 9:00 AM
~~ _-~ Item
~- ------- --- P-- r_~ce
1 CPF2900
07-015 - WILLOWTG~~NN III -LOT 114 780'00
Subtotal: 2780.00
lax: 0.00
Total: 2780.00
Check 2780.00
6269
Change Due: 0.00
THANk YOU
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: Q~ b 2 IU . ~- G f. y S ~ Parcel #: P~~~t 1 3y 3 }- ~~~ ~~~ ~ ~: ~i ~ , ,
Subdivision: '~l1 ~ l~ouJ GIP.-7d1 .3 Lot #: I I Zoning; ~} - ~
~( New Construction ^ Re-Model / Re-Roof /Addition ^ Home Occupation Sign
^ Plumbing ^ Mechanical ^ Mobile /Manufactured Home Placement ^ Other
Project Description/Scope
Project Value: ~/ 12 Il
Building Area (sq. ft) 1" Floor - 3F~ 3 2nd Floor Garage ~~''F- Deck
Basement Carport Patio
# Bedrooms. # Bathrooms~j Heatin :GAS/OTHE r ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? ~_ If yes, a
completed environmental checklist must accompany permit application.
ARCHITECT/ENGINEER F1 a,1 E L i NF LICENSE #
ADDRESS ~~ 1 ~~/ E t1 ~ EMAIL
CITY ,~ ~ - STATEi.~J%i ZIP a~s;c~ TELEPHONE 956 -~-f~~-'.
MECHANICAL CONTRACTOR Ji.1N~~''-~-l2 TELEPHONE SSE-<i9S6 '
ADDRESS ~.~21G L,~~~v' f u~ 5.=- EMAIL
CITY L.'fc'-~ STAT .c1~4 _ZIP `%$SO~ FAX
CONTRACTO 'S LICENSE # EXP DATE CITY LICENSE #
Copy of mitigation agreement with Yelm Community Schools, 'rf applicable.
1 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.
a~~ 1 f1 ~ Zo ~ D ig
Applicant's nature 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
!OS Yelrn A~rereue {'Vest
PO Box 479
{'elm, WA 98597
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~CCE~I~CC
APPROVED OCT 2 4 2008
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CITY OF YELM INSPECTION LOG
PROJECT Willow III lot 114
PERMIT NUMBER~~~~
ADDRESS
SET BACKS Date: 11-10-08
Corrections
UNDER FLO012 ® Corrections 11-17-08
DRY WELL ®_ Corrections
FOOTING REBAR _ _®Date:_ 11-10-08
11-08
Footing ^ 12"
Wall ^ 6"
Required vents_
Corrections
WALL REBAR ®Date: 11-
^ 16" Other
^ 8" Other
COMBINED FRAME/ CXTERIOR SHEAR WALL INSPECTION
Hold downs ® 12-31-08 Shear Nailing ®
12-31-08
Frame ® 1-6-09 _
Gas/Propane ®
12-31-08
Plumbing ® 12-31-08 _
Mechanical ®_ 1-6-09
Corrections:
INSULATION ®Gas ^Electric ^Other
®Foam and Seal ^Vapor barrier ^PVA
Corrections: 1-6-09
SHEET ROCK/SHEAR WALL NAIL
Corrections: 1-8-09
FINAL
®Sewer Final ®Electrical ^ Civil Final ^Landscape Final ®C of O
®Address ®Insulation ^ Site Drainage ^ Sidewalk
Corrrections: 2-19-U9
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 Yehn ~~, ~~~ v ~ /~y
_.d/or State laws governing same: PERMIT NO.
C~ ~ I°rc v, ~--e
~2) Se w~~
/~aa~~~ r1' ~~
S'r ~ ~ o,
Sj~~ ~~
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 ~ ~'
QIS FOR BUILDING 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. !,~ Z
~ Sr
~~j l
a~ "~E ~'
% ~ Dodgy - ~~ p8~ s~,~
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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-inspectio a 4 8-840.7
DATE ~ Z ~~ U
DO NOT REMOVE THIS TAG QdSPEC R FOR SUll.D[NG DEPARTMENT
FAX T~ANSNIISSI~N
CITY ~3F YELM
P.O. BOX 479 - 931 NP ROAD NE
\~ YE~M, WA 98597
~, 360-4S8-8411
FAX 360-458-8166
Td: G- i ~ HC~ DATE: ~, i q- 0 9
F.A.#: P~4GES: J ,including this
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COMMENTS: ~.o i ~ 1 `'r~ . 9~~ ~a Gf~C~z~A~ ~T. S. cam' -
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"`"` U'you da noc receive all copies nr any copy is not legible, please eatl (360} 458-841 -
1s soon as possibic.