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20090063 Permit Pkg 052109I~(~7(~Ir~I~Ir~i~Ji~Jl~lr~ir~fr~f7(~fr~lr~(i~Ji~ir~ir~ r~(~ r~Ir~J CITY OF YELM -BUILDING DEPARTMENT RESIDENTIAL CERTIFICATE OF OCCUPANCY Building Address 16638 Greenleaf Ave. SE Owner Name Owner Address Building Permit Number BLD-09-0063-YL Plan Number Areas Special Building Official: Gary 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 Permit No: BLD-09-0063-YL Issue Date: 05/21/2009 (Wor k must be started within 180 days) Receipt No: 60237 Name: Yelm Property Development Phone: 458.0544 Address: P.O. Box 2950 City: Yelm State: WA Zip 98597 Property Information: Site Address: 16638 Greenleaf Ave. SE Assessor Parcel No. 84070008300 Subdivision: Willow Glen Phase III Lot: 83 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 83, Plan #1541 Sq. Ft. per floor: (1st) 780 (2nd) 761 (3rd) 0 Garage 430 Basem ent 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 1,351.33 993.75 357.58 5.6000 63.8530 $1,000 Building Plan Review 570.80 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 145.00 145.00 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 State Building Fee 4.50 4.50 0.00 0.0000 0.0000 Fire District Impact Fee 623.04 0.00 623.04 0.3200 1,947.0000 square foot Traffic Facilities Charge 1,334.21 0.00 1,334.21 1,321.0000 1.0100 Peak PM Trip Sewer ERU 6,050.00 0.00 6,050.00 6,050.0000 1.0000 ERU TOTAL FEES: 512,068.13 Applicant's Affadavit: 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 Stye of Washington. i Final Inspe lion: - ~ -- ~ C' Date: n~n ~ S Signature. _~~' Date ,S ~./ G~~ Firm ~IY~~~.' ey. ~SaJI pG ~oF,rHFp~ City of Yelm ; . Permit Fees Schedule w '~ ;,;~ ~e .q Community Development Department ~'F Permit No: BLD-09-0063-YL Building Division , Phone: (360) 458-8407 { ~~,:" YELM Fax: (360) 458-3144 ~ ^ ~°~ ~~~ ~~, ~.. ~'•^ ~~ 111 ~~ 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 83, Plan #1541 Site Address: 16638 Greenleaf Ave. SE Assessor Parcel No. 84070008300 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 1,351.33 993.75 357.58 5.6000 63.8530 $1,000 Building Plan Review 100 001-345-83-00 570.80 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 032 001-322-10-00 111.00 20.00 91.00 7.0000 13.0000 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 State Building Fee 160 001-386-00-00 4.50 4.50 0.00 0.0000 0.0000 Fire District Impact Fee 105 001-345-85-00 623.04 0.00 623.04 0.3200 1 ,947.0000 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 Sewer ERU 802 412-343-50-01 6,050.00 0.00 6,050.00 6,050.0000 1.0000 ERU TOTAL FEES: x12,068.13 CITY OF YELM Ye mYeWA~98597 RECEIPT No. 6 ~ 2 3 7 360-4583244 ~C'~`TWELVE THOUSAND SIXTY EIGHT DOLLARS & 13 CENTS RECEIVED FROM DATE REC. NO. AMOUNT REF. NO. YELM PROPERTY DEVELOPMENT 05/21/09 60237 12.068.13 CHECK 10286 P.O. BOX 2950 YELM. WA 98597 BUDGETARY GRETCHEN r i A~/ f9T,r r ~'~I.r. /° ,~ .,.n ~~ M S„ l~ ~ " . r~:~; . i =~ .z,~6~ ~[ ~~ ti v ~/~ S~ ,, --=~ is ~41C~ V. ~ Q"~ ^'Hj~ ~:~~YY ~,-~" ~K I~tFA~ ~..d a'~ r APPROVED L'~ ~'G ~y~, 7°• ,ate f 7~4 •fti , ~: YE~~~GDMMUNITY SCHOOLS " PO BOX 476 YELM WA 98597 Cl r~`~',`r ~ Croy Terminal;• 1 Receipt: 99263 Manual Receipt: NBROCK.TON NBROCKTON BROCKTON CONSTRUCTION LLC, YELM PROPERTY DEVELOPMENT LLC 5/21j2009 8:10 AM tat~____ Item ___. ..,___._ Price 1 CPr2900 2780.00 MITIGATION 07-015 - WILLOW GLENN DEV. PHASE 3 - LOT 6 3 Subtotal: 2780.00 Tax; 0.00 Total: 2780.00 Check 2780.00 10285 Change Due: 0.00 THANK YOU .~ ~ :,~ - ls"yi CITY OF YELM RESIDENTIAL BUILDING PERMIT APPLICATION FORM Project Addres~~s:1C1G .38 GL , ~ ~~ Parcel #: ' yam' + ~ ~ ~ ~-- t- ~ - ~ - Subdivision: W i~~Du) G~P.~tn 3 Lot #: ~ Zoning; ~- ~( New Construction ^ Re-Model / Re-Roof /Addition ^ Home Occupation Sign ^ Plumbing ^ Mechanical ^ Mobile /Manufactured Home Placement ^ Other Project Description/Scope of Work: SFit~ ~~~ ~ ~ ' ~ ~ r~l Project Value: Building Area (sq. ft) 1" Floor 7~ 2nd Floor 7~ ~ Garage '~ 3 © Deck Basement Carport Patio # Bedrooms. # Bathrooms,~j Heatin :GAS/OTHE r ELECTRIC (Circle One) Are there any environmentally sensfive areas located on the parcel? ,;,~ If yes, a completed environmental checklist must accompany permit application. GENERAL CONTRACTOR 1 LtC TELEPHONE ADDRESS EMAIL CITY STATE ZIP FAX CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE # MECHANICAL CONTRACTOR $U.N~€T ~4-i~ TELEPHONE ~S6 - 495 ADDRESS oZiD f..4C6v fu ~ EMAIL CITY L.'~C.L- STAT~_ZIP y ~ SC - FAX CONTRACTO 'S LICENSE # EXP DATE CITY LICENSE # 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. Gi,~~~Gu~ 1 y ,o q Applicant' gnature 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 ~FIL 105 Yelm Avenue if'est (360) 45&3835 PO Bor 479 (360) 158-3744 FA.Y - +- Yelm, WA 98597 uru+u+.ci.yelm.u+n.as - APR 2 7 1009 CITY OF YELM INSPECTION LOG PROJECT Willow Glenn III, Lot 83 PERMIT NUMBER BLD-09-0063-YL ADDRESS 16638 Greenleaf Avenue SE SET BACKS Date: 5-21-09 Corrections UNDER FLOOR ® Corrections 6-1-09 DRY WELL ®_ Corrections FOOTING REBAR _ _®Date:_ 5-21-09 WALL REBAR ®Date:5- 26-U9 Footing ^ 12' ^ I8' Other Wall ^ G' ^ 8' Other Required vents_ _ Corrections COMBINEll FRAME/ EXTERIOR SHEAR WALL INSPECTION Hold downs ® 6-30-09 Shear Nailing ®_ 7-6-09 Frame ® 7-6-09 Gas/Propane ®_ 6-30-09 Plumbing ® 6-30-09 Mechanical ®_ 6-30-09 Corrections: INSULATION ®Gas ^Electric ^Other ®Foam and Seal ^Vapor barrier ^PVA Corrections: 7-7-09 SHEET ROCK/SHEAR WALL NAIL Corrections: 7-l U-09 FINAL ®Sewer Final ®Electrical ^ Civil Final ^Landscape Final ®C of O ®Address ®Insulation ^ Site Drainage ^ Sidewalk Correections: 8-17-09 ~~ TNg A~ ~, ~, 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 violations of the City of Yelm andlor State laws governing same: . ,. ~rG ~'l'v~-F PERMIT NO. ~~~ ~/~ ~~ ~~~ /~c~d'~ess ~S' ~- o~U U ~ ~ ~ ~l -~',~z ,~ ~. ~` c,L~ ~S ~ !~ S~~ ct~ ~,~~ 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 a (3 0) 458-8407. DO NOT REMOVE THIS TAG DATE spector r -- City of Yelm -Building Department ® CO CTION NOTICE I have this day inspected this structure and these premises --~i have found the following violations of the City of Yelm pERMIT NO. ~ J/or State laws governing same: `-~,~ ~ G~~~_ ~~ ~~ ~o ~~ ~ // ~-~° ,(1- ~~' cS' ~"~ cll.-~P , ~Gr 1:G-~~ C ~G G ,r.~ ., /V,~~ °l s?f~i~ ~il''~ -ems- (~ Sb`~~`'~' ~•~-~~ ~~' C~~ s ~ o k f a Co~~~- ~s /~ 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 at 4 8-8407 DO NOT REMOVE THIS TAG DATE ~~ 3c:' D E R FOR BU[LDQ10 DEPARTMENT SAX TR~,NSMISSI4N CIT'E' OF YELNI P.Q. BQX 479 - 931 NP RD,~D NE YELNI, VV,A~ 98597 3~0=458-8411 FAX 360-458-8166 U~ ,. ~ T0: G~ cElEwJ FAX#: DATE: ~ -- ~y_ o `~ PAGES: ~ ,including this Covez• sheet 1= ra m _ ~,~,~DJ Subject: ~o c.i s ~ ~~,c.~/i C. ~ ~ L Lo ~ CrL~,U COMM1/2JTS: ~ a ~ ~'3~ ~ ~ l~ ~ ~ ~ (r~~C~ L~A~' A ~ ~.. 5, L ""~ 11' you do nol receive all copies or any copy is not legible, please call (360) 458-$4 I 1 as soon as possibie.