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CITY OF YELM -BUILDING DEPARTMENT
RESIDENTIAL CERTIFICATE OF OCCUPANCY
Building Address
Owner Name
Owner Address
Building Permit Number BLD-08-0408-YL Plan Number Plan Sierra, Lot 5
Areas Inspected: All Code required
Special Conditions:
Building Official: G. Carlson Date: April 29, 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
Applicant:
Name: High Country Homes
Address: PO Box 1527
Property Information:
Site Address: 15214 100th Ave. SE
Assessor Parcel No. 51110000500
Contractor Information:
Name: H8H Construction
Address: 855 Trosper Rd. SW / #108-196
Contractor License No: HHCONCL928PU
Project Information:
Project: Golf Course View Estates
Description of Work: SFR, lot 5, plan Sierra
City: Graham
Permit No: BLD-08-0408-YL
Issue Date: 01/08/2009
(Wor k must be started within 180 days)
Receipt No: 57851
Phone: 253-405-9901
State: WA Zip 98338
Lot: 5
Phone: 253-281-2647
State: Wa Zip: 98512
Business License:
Subdivision: Golf Course View Estates
Contact: ,Rick
City: Tumwater
Expires:
Sq. Ft. per floor: (1st) 1028 (2nd) 1394 (3rd) 0 Garage 383
Heat Type (Electric, Gas, Other): ELECTRIC
Fees:
Item Item Fee Base Amt Unit Fee Unit Rate
Building Permit 100-500k 1,814.68 993.75 820.93 5.6000
Building Plan Review 144.68 0.00 0.00 0.0000
Mechanical Permit 65.00 0.00 0.00 0.0000
Plumbing Permit 111.00 20.00 91.00 7.0000
Sewer Inspection 145.00 0.00 145.00 145.0000
Water ERU 1,500.00 0.00 1,500.00 1,500.0000
Water Meter (SFD) 300.00 300.00 0.00 0.0000
State Building Fee 4.50 4.50 0.00 0.0000
Sewer ERU 5,885.00 0.00 5,885.00 5,885.0000
Traffic Facilities Charge 1,334.21 0.00 1,334.21 1,321.0000
Fire District Impact Fee 897.60 0.00 897.60 0.3200
TOTAL FEES: $12,201.67
Basement 0
No. Units Unit Desc
146.5950 $1,000
0.0000
0.0000
13.0000 Fixture
1.0000 ERU
1.0000 ERU
0.0000
0.0000
1.0000 ERU
1.0100 Peak PM Trip
2,805.0000 square foot
SCRNNEr
of o~j
Applicant's Affadavit:
OFFICIAL USE
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:
City of Yelm
Community Development Department
Building Division
Phone: (380)458-8407
Fax: (360)458-3144
Signature
_~~
,~ l`,,~~
-
Date /
~/ ~/ C Date: 2 y e' r
Firm 11 / /~ ~ . , . 1. _ L.~ . ,. _ ~ "T'. By.
City of Yelm
Community Development Department
Building Division
Phone: (360)458-8407
Fax: (360)458-3144
Permit Fees Schedule
Permit No: BLD-OS-0408-YL
Applicant:
Name: High Country Homes Phone: 253-405-9901
Address: PO Box 1527 City: Graham State: WA Zip 98338
Project Information:
Project: Golf Course Vlew Estates
Description of Work: SFR, lot 5, plan Sierra
Site Address: 15214 100th Ave. SE Assessor Parcel No. 51110000500
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 1,814. 68 993.75 820.93 5.6000 146.5950 $1,000
Building Plan Review 100 001-345-83-00 144. 68 0.00 0. 00 0.0000 0.0000
Mechanical Permit 032 001-322-10-00 65. 00 0.00 0. 00 0.0000 0.0000
Plumbing Permit 032 001-322-10-00 111. 00 20.00 91. 00 7.0000 13.0000 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
State Building Fee 160 001-386-00-00 4. 50 4.50 0. 00 0.0000 0.0000
Sewer ERU 802 412-343-50-01 5,885 .00 0.00 5,885. 00 5,885.0000 1.0000 ERU
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 105 001-345-85-00 897 .60 0.00 897. 60 0.3200 2, 805.0000 square foot
TOTAL FEES: $12,201 .67
CITY OF
YELM
105 Yelm Ave. W.
Yelm. WA 98597 RECEIPT No.
36U-458-3244
RECEIVED
****TWELVE THOUSAND TWO HUNDRED ONE DOLLARS & 67 CENTS
F{EC;c I'Jia:? FRQf„1 DATE REC. NO Atv1UUPJ7 REF rd:7
HIGH COUNTRY HOMES 01/08/09 57851 12.201.67 CHECK 6422
PO BOR 1527
GRAHAM WA 98338 BUDGETARY
- -- LORI
BLD-08-0408-YL
DEC-23-2008 TUE 11:45 AM FACILITIES
Q
COMM vN~ 7rY
X350 458 6434 P, 001/001
360.458.6116
FAX: 360.456.6434
4 01 COAT~9 AVE . NW
PO Hox 476
D~szR~a' M~C03UZ9LL YrLm, UPA 98597-0476
FACILITIES SECRETARY Aeeiree_mcconnell0yca.wednet
December 23, 2008
RE: Mitigation Fees for Golf Course View Estates
Attn. John
Fax: 360.458.3144
Parcel No. 51110000400 at 15220 100`h Ave SE. Mitigation fee has been paid. Recording
No. 3871108, dated 10-06-2006.
Parcel No. 51110000500 at 15214 100x` Ave SE. The mitigation fee has not been paid.,
amount due is $2,140.00.
Parcel No. 51 110000600 at 15208 100x' Ave SE. The mitigation fee has no lien paid,
amount duc is $2,140.00.
Farrel No. 51110000700 at 15202 100' Ave SE. The mitigation fee has not been paid,
amount due is $2,140.00.
Parcel No. 51110000800 at 15221 100x' Ave SE. The mitigation fee has not been paid,
amount due is $2,140.00.
Parcel No. 51110000900 at 15227 100' Ave SE. The mitigation fee has not been paid,
amount due is $2,140.00.
Lf you have any questions, please feel &ee to call me
Thanl~ You,
Desiree' McConnell
Facilities Secretary
YELM COMNlU~TTY SCHOOLS 23 AN £QOAT. OPPORTUDIITY EMPLOYER AND EOLLOH9 T2TLE 2X REQQIRLr.KENT3,
~ FILE
YELM COMMUNITY SCHOOLS
PO BOX 476
YELM WA 98597
Clerk: Croy
Terminal: 1
Receipt: 86134
Manual Receipt:
NNEI.SON ESCROW
NNELSON ESCR04~J
NELSON ESCROW SERVICE, NELSON ESCROW SER
VIa2
0 NORTH MERIDIAN, SUITE 8
PUYALLUP, WA 98371
1/7/2009 1:37 PM
w~ Item __~~ ____ Price
1 CPF2900 4280.00
MITIGATION
05-025 - GOLF COURSE VIEW ESTATES - LOT 8
&y
1 CPF2900 6420.00
MITIGATION
05-025 - GOLF COURSE VIEW ESTATES - LOT 5,
6&7
2 CPF2900 U,OU
MITIGATION
$2140.00 FOR EACH LOT
Subtotal; 10700.00
Tax: 0.00
Total: 10700.00
Check 10700.00
759487 AND 759486
Cash 0.00
Change Due: 0.00
THANK YOU
~~ ~
;~
Nelson & Carver, P.S.
NELSON ESCROW SERVICES
420 North Meridian, Suite B • P.O. Box 217 • Puyallup, Washington 98371
Vella Hawks, Limited Practice Officer nhawks'trnelsoncarver.com Phone: (253) 845-I 120
Connie M. Platter, Limited Practice Officer cplattena,:nelsoncarver.com Fax: (253) 848-4891
January 2, 2009
Yelm School District
ATTN: Erling Birkland
P.O. Box 476
Yelm, WA 98597
RC: Escrow #081 36N
Dear Mr. Birkland:
Enclosed is a check in the amount of $6,420.UU as payment of mitigation fees from 1-ligh
Country Homes, Inc., on Lots 5, 6, and 7 of Golf Course View Estates. Your Mitigation
Agreement has been recorded against this property under Thurston County Recording
No. 377279.
You are authorized to use these funds when you have provided a release of these lots
from your Mitigation Agreement. Please fax or mail us a copy ofthe recorded release.
TAX PARCELS #5 1 1 1-00-00500
#5111-00-00600
#5 1 1 1-00-00700
Please give me a call if you have any questions regarding this transaction.
Sincerely,
Vella Hawks
Limited Practice Officer
DEC-23-20EtS 16~ 4~ NELSON LAiJ R. ESCRO~J 2538484891 P.03i06
NELSON ESCROW SERVICES
430 Noah Meridian, Suite S • P.O. Box 217 • Puyallup, Washington 9837]
Vella Hawks, Llmilcd Practice Offiear Fax: (253) 848-4891
C~~nnie NT. Platter, Limited Practice Officer Tel; (~53) 84~-1 120
November 4, 2005
TO: Yelm School Distxict #2
A'1~'1N: Lisa via fax: (360) 458-6434
l;'lease sign the below instructiuny and return to this office as soon as possible, along with
your signed Release on lots S tliroulh 7 of Golf Course View Estates. We will hold the
Release until closing, then record it at the County at no cost to you and have a xocordcd
copy returned to your attention. Estimated date of closing is December 1, 2008.
Tax Parcel # 51 l 1-00-00800 (lot 5)
Address: 15214 1 UU~t Ave. SE, Yelm, Washington 98597
Tax Parcel. # 511 ] -00-00600 (lot 6)
Address: 15208 100' Ave. SE, Yalm, Washington 98597
"1'ax Parcel # 5 1 1 1-00-00700 (lot 7)
Address: 15202 100' Ave. SE, Yelm, Washington 98597
Please give me a call if you have any questions.
Sincerely,
Connie M. Platter,
Limited Practice OYtieer
Encl.
~~ G' f'I _~ G- h~
DEC-23-2008 16=42 NELSON LAI,J & ESCROLJ 25384840891 P.04/06
ESCROW INSTRUCTIONS
Novetnbar a, ?008
TO_ Nelson & Garver, P.S,
Nelson Escrow Services
P.O. Box 217
Puyallup, wA 98371
Escr~~w #U313tiN
I have sibned the Release of Property Mitigation Agreement, which we have prepared for
the payoff o1"lots 5, 6 and 7 of Golf Course View Estates, as recorded August 17, ?006
under Auditor's File No. 3857993, I authorize you hold this releaso in escrow, and to
record this release when you have available for Yelm School District funds in the amount
of $~~~ =-
Upon closing. phase forward the check to my attention at the school district.
Signed this `~ ~ day of November, 2008.
YEI~M SCHOOL DISTRICT #2
13Y, ~ _
'~
Address:
Telephone:
TOTAL P. 02
S'1 ~ ~P2~ P/A.t/
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: /S-~1 y /[?~'~~l/C S~ Parcel #: S~/~ - Ur7 -oa SoD
Subdivision: ~/' u'~RS% liiu/ rf~f Lot #: Sr Zoning;
xNew Construction Re-Model / Re-Roof /Addition _ Home Occupation Sign
Plumbing Mechanical _: Mobile /Manufactured Home Placement ~ Other
-=~-- -
Project Description/Scope of Work.3CiivCtiG /7~irJ'4/ f~"~F C~:~/~ ~~~~ ~~`•/
v~
Project Vafue: 2 y ~ ~ S-y 5~ '~ -
Building Area (sa. ftl 1" Floor OZ 2"° Floor / `> Garage ,3~', beck~,~ _.
Basement Carport~_Patw
--r-~-
# Bedrooms # Bathrooms? ~a- Heating: GAS/OTHER ELECTRIC '(C~rcie One1
Are there any environmentally sensitrve areas located on the parceh /~c:' ff yes, a
completed environmental checklist must accompany permit application.
ct~.n
CITY
CITY
Copy of mitigat-on agreement with Yelm Community Schools. rf applicable.
I hereby certify drat the above irtforttwtion is correct and that the construction on, and ttte occupancy and the use of the
above described propeRy will be in accordance with the laws, rules and regulations of the State of Washington and the
City of Yelm.
Applicant's Signature Date
Owner 1 Contractor 1 Owner's Agent /Contractor's Agent (Please circle one.)
All permits are non-transferable and will expire if wor4t autholraed by such perm not begun ~,-'I
within 480 days of issuance, or if work is suspended or abandoned for a period ~~~~ ~~~~'~;~
~..N ~
DEC 1 0 2008
l05 )'e(m .~oenur li'eat ---- --- -- ~ (360) 158-3835 -------
PO Rns ~t79 (360) Jab-3J~l~ F'.-L';
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49~. N~ati h I FRONT YARD AREA: 969 SgFt
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REAR YARD FENCE: 194 Lft
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PARCEL NUMBHt: siii-oo-oosoo PRO]ECT ADDRESS: 15214 100th Ave.. S.E.
OMWN dY: LDT SQUARE fO~~A[,~ yYl6
DATE: 12/02/06
~ FILE
CITY OF YELM INSPECTION LOG
PROJECT Golf Coarse Lot 5
PERMIT NUMBER
ADDRESS
SET BACKS Date: 1-20-09
Corrections
UNDER FLOOR ® Corrections 2-13-09
URti' WELL ® Corrections 2-2-09
_
FOOTING REBAR _ _®Date:_1-20-09
09
Footing ^ 1 Z'
Wall ^ 6'
Required vents_ _
Corrections
WALL REBAR ®Date:~l-22-
^ 16' Other
^ 8' Other
COMBINED FRAME/ EXTERIOR SHEAR WALL INSPECTION
Hold downs ® 3-2-09 Shear Nailing ®_ 2-17-09
Frame ® 3-13-09 Gas/Propane ^ Y
Plumbing ® 3-9-09 Mechanical ®_ 3-9-09
Corrections:
INSULATION ^Gas ®Electric ^Other
®Foam and Seal ^Vapor barrier ^PVA
Corrections: 3-13-09
SHEET ROCK/SHEAR WALL NAIL
Corrections: 3-16-09
FINAL
®Sewer Final ®Electrical ^ Civil Final ^Landscape Final ®C of O
®Address ®Insulation ^ Site Drainage ^ Sidewalk
Corrrections: 4-29-09
~A~ T~tA.~SMISSI~~T
CITY OF YELM
P.O. BOX 479 -- 931 NP ROAD NE
1 YELM, OVA 9$597
n 3b0-458-8411
~~`~ ~ FA~C 360-458-$ I ~6
TO: G r~H~~ DATE: ~1-~.~- o ~
FA.~#: PAGES: ) ,Including this
Cover sheet
From: ~AN~ ~7
Subfect: f/o cis c ~~,~R c, ~oL~ you ~C ~r~'~.J a~s~'~ s
CbMME?1TS: ~.. d~ y . ~ sr~~ 1 ao ~ ,q ~~ - 5. ~ ,
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'~'" li'yau do i~ot receive all copies or any copy is nct legible, please call (360) 458-84 t t
as soon as possible.