20090034 Permit Pkg 031009City o f Yelm
Community Developrnen,t Department
Residential Certi f icate o f Occupancy
Building Address 16627 GREENLEAF AVE, SE
Owner Name YELM PROPERTY
DEVELOPMENT
Owner Address P.O. BOX 2950
Building Permit Number 20090034
Plan Number
1555
Remarks: SFR, Lot 107, Plan #1555
Areas Inspected ALL CODE REQI
Special Conditions
Building Official: G. 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
Q~pF THep~~ City of Yelm
C D
Property Information:
Site Address: 18627 Greenleaf Ave., SE
Assessor Parcel No. 84070010700
a ommunity evelopment Department
d
Building Division
Phone: (380)458-8407
Y E L Fax: (360)458-3144
Applicant:
Name: Yelm Property Development
Address: P.O.Box 2950 City: Yelm
Contractor Information:
Name: Applicant
Address:
Contractor License No: YELMPDL00302
Project Information:
Project: Yelm Property Development
Description of Work: SFR, Lot 107, Plan #1555
Sq. Ft. perfloor: (1st) 701 (2nd) 854
Heat Type (Electric, Gas, Other): GAS
Fees:
Item
Building Permit 100-500k
Building Plan Review
Mechanical Permit
Plumbing Permit
Sewer Inspection
Water ERU
Water Meter (SFD)
State Building Fee
Fire District Impact Fee
Traffic Facilities Charge
Sewer ERU
TOTAL FEES:
Subdivision: Willow Glen Phase III
Contact: Balascio, D M
City:
Expires: 02/20/0551
(3rd) 0 Garage 420
Unit Fee Unit Rate
363.00 5.6000
0.00 0.0000
0.00 0.0000
91.00 7.0000
0.00 0.0000
1, 500.00 1, 500.0000
0.00 0.0000
0.00 0.0000
632.00 0.3200
1, 334.21 1, 321.0000
6,050.00 6,050.0000
Item Fee Base Amt
1,356.75 993.75
573.23 0.00
78.25 0.00
111.00 20.00
145.00 145.00
1,500.00 0.00
300.00 300.00
4.50 4.50
632.00 0.00
1,334.21 0.00
6,050.00 0.00
$12,084.94
Phone: 458.0544
State: WA Zip 98597
Lot: 107
Phone:
State: Zip: 98597
Business license:
Basement 0
No. Units Unit Desc
64.8220 $1,000^
0.0000
0.0000
13.0000 Fixture
0.0000 ERU
1.0000 ERU
0.0000
0.0000
1,975.0000 square foot
1.0100 Peak PM Trip
1.0000 ERU
Applicant's Affadavit:
OFFI(
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
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. I Final Ins
Signature ~ Date: _
/ ~~ ~! _~ L~~~. c':.c~, ~~* Date ~ ~ / f. ~G
Permit No: BLD-09-0034-YL
Issue Date: 03/10/2009
(Wor k must be started within 180 days)
Receipt No: 59216
Firm By.
• 1 • ~ f • ~ • - • ~
*~„.:;,:~~ CITY OF
wJ 9~
d ~ YELM
toSYelmAve.w. RECEIPT No. a ~ 1 6
Yelm, WA 98597 ~ ~ '
Y L 360-458-3244 `~ - - --
~~~~`*~'~~1~LVE THOUSAND EIGHTY FOUR DOLLARS & 94 CENTS
REi EIVED FROM
YELM PROPERTY DEVELOPMENT
P.O. BOX 2950
YELM. WA 98597
DATE RAC. P~;)
03/10/09 59216
AMOUNT REF NO.
12.084.94 CHECK 10136
BLD-09-0034-YL
BUDGETARY
GRETCHEN
City of Yelm //~~ Permit Fees Schedule
Community Development Department ~~Oi1~~ Permit No: BLD-09-0034-YL
Building Division wp1AR 1 ~ 2003
Phone: (360)458-8407 _ _
Fax: (380) 458-3144 ~ ~'~~
Applicant:
Name: Yelm Property Development
Address: P.O. Box 2950
Project Information:
Project: Yelm Property Development
Description of Work: SFR, Lot 107, Plan #1555
Site Address: 16627 Greenleaf Ave., SE
Fees:
Item Acct Code
Building Permit 100-500k 032 001-322-10-00
Building Plan Review 100001-345-83-00
Mechanical Pennit 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
State Building Fee 160 001-386-00-00
Fire District Impact Fee 105 001-345-85-00
Traffic Facilities Charge 420 120-345-85-00
Sewer ERU 802 412-343-50-01
TOTAL FEES:
Phone: 458.0544
City: Yelm State: WA Zip 98597
Assessor Parcel No. 84070010700
Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
1,356.75 993.75 363.00 5.6000 64.8220 $1,000
573.23 0.00 0.00 0.0000 0.0000
78.25 0.00 0.00 0.0000 0.0000
111.00 20.00 91.00 7.0000 13.0000 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
4.50 4.50 0.00 0.0000 0.0000
632.00 0.00 632.00 0.3200 1 ,975.0000 square foot
1,334.21 0.00 1,334.21 1,321.0000 1.0100 Peak PM Trip
6,050.00 0.00 6,050.00 6,050.0000 1.0000 ERU
$12,084.94
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: /_ !_~/ 2 ~ ~. L - 7[Y~ S~ Parcel #: ~~JD ~ ~ a /~ 7 ~%a
Sutxlivision:'~1//~~Ot.J t i~F.'7tn 3 Lot#: /O % Zoning; ~~ ~
~( New Construction ^ Re-Model / Re-Roof /Addition ^ Home Occupation Sign
f] Plumbing ^ Mechanical ^ Mobile /Manufactured Home Placement +~ Other
Project Description/Scope of Work: SFi~ ~~~n # /ASS
Project Value:
Building Area (sq. ft) 1" Floor ?[J l 2nd Floor ~ ti Y Garage _ yZ O Deck
Basement Carport Patio
# Bedrooms.. # Bathrooms 2~~ 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.
MECHANICAL CONTRACTOR uni ~€i /FItZ TELEPHONE ~/S~--~i4S-~
ADDRESS ~ ~ lG ~..,~4 ~ L- y ~ yc 5;~=' EMAIL
CITY L %f ~ .L STATE L~~~ >~ Zf P Y ~` SC's FAX
CONTRACTO 'S LICENSE # EXP DATECITY LICENSE #
Copy of mitigation agreement with Yelm Community Schools, if applicable.
1 hereby certify that the above information is corrnct 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.
~, ~1 / ;jQ~ow c.~:v ~/G/n ~
Applicant's Signature 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~
103 Yelm Aoenue li'eat (360) 158-383 ~_ ~~ ~_ ~' ~d E D
PO Box 479 (3601 438-3144 FA_L' ~ _ -~
}'rln+. WA 98397 muu±.ci.yelm.rra.uF
MAR 0 6 2009
Mar 06 09 02:33p Yelm Property Developmen 3604580584 p.1
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!APPROVED
_~4'v5
- ILE
YELM COMMUNITY SCHOOLS
PO BOX 476
YELM WA 98597
Cierk: C+'oY
Terminal: 1
Receipt: 91326
Manual Receipt:
N6ROCKTON
NBROCKTON
BROCKTON CON5TRUL'TION LLC, YELM PROPERTY
DEVELOPMENT LLC
3/10/2009 10:46 AM
~_ Item--.._----- ~-- - --Price
1 CPF2900 2780.00
MITIGATION
07-015 - WILLOV! GLENN III - LUT 107
Subtotal: 2780.00
Tax: 0,00
Total: 2780.00
Check 2780.00
10135
Change Due: 0.00
THANK YOU
CITY OF YELM INSPECTION LOG
PROJECT Willow Glenn III, Lot 107
PERMIT NUMBER BLD-09-0034-YL
ADDRESS 16627 Greenleaf Avenue SE
SET BACKS Date: 3-12-09
Corrections
UNDER FLOOR ® Corrections 3-23-09
DRY WELL ®_ Corrections
FOOTING REBAR _ _®Date:_ 3-12-09 WALL REBAR ®Date: 3-
13-09
Footing ^ 12" ^ 16" Other
Wall ^ 6" ^ 8" Other_
Required vents_
Corrections
COMBINED FRAME/ EXTERIOR SHEAR WALL INSPECTION
Hold downs ® 4-27-09 Shear Nailing ®
4-27-09
Frame ® 4-27-09 Gas/Propane _
®
4-27-09
Plumbing ® 4-27-09 Mechanical _
®_ 4-27-09
Corrections:
INSULATION ®Gas ^Electric ^Other
®Foam and Seal ^Vapor barrier ^PVA
Corrections: 5-6-09
SHECT ROCK/SHEAR WALL NAIL
Corrections: 5-15-U9
FINAL
®Sew•er Final ®Electrical ^ Civil Final ^Landscape Final ®C of O
®Address ®Insulation ^ Site Drainage ^ Sidewalk
Corrrections: 9-9-09
/ ~ Og T$E A~
a ~~
~ City of yelm
10~ munity Development De drt
Yelm Avenue West _ 1' 'Went
YELM Yelm P. ~• Box 479
w•.~NINp,~N ~ WA 98597
(360) 458-8407 - (360) 458_3144 F
CITY OF YELM BUILDI `~`Y
CORREC NG DEP'4RTMENT
I have this day ins eCt TION NOTICE
these premises and have found the following
violations of the City of Yelm and/or State laws
governing same: PERMIT Np. ~.~~~ ~~G-~t,
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~29~~
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You are hereby notified that no more work shall be covered u
violations are corrected. When corrections have been
pon these premises until the above
DO NOT made, call for re-inspection
REMOVE THIS TAG (360) 458-8407.
DATE ~ 6 ~~
spector
~g Tt(~ A~
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City o f yelm
Community Develo
105 Yelm Avenue Westent Department
YELM Yelm P. ~• Box 479
w"`"'"°'°" , WA 9859 7
(360) 458-8407 - (360) 458-3144 F'
CITY OF YE~M gUILDI Ax
CORREC NG DEPARTMENT
have this day ins e~te TION NOTICE
these premises and have found the follow ng
violations of the City of Yelm and/or State laws
governing same:
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L`'y~~ ~c 7` ~r~~
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tom,-'~l, ~/~i,c Y c~li-, ' ~ ~'~ ~~
You are hereby notified that no
violations are corrected. more work shall be covered u
When corrections have been pOn t
se premises until the above
DO NOT made call f r re-inspection at (360) 458-8407.
REMOVE THIS TAG
DATE ~ ~ ~ G
nspector
PERMIT NO. Z'~/~~1?-,~
1~ ~~'~
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