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20090016 Permit Pkg 021209City o f Yelm Community DerJelopment Department Residential Certi f icate o f Occupancy Building Address 16621 GREENLEAF AVE SE Owner Name YELM PROPERTY DEVELOPMENT Owner Adtlress Building Permit Number 20090016 Plan Number Remarks: SFR, Lot 108, Plan #1621 Areas Inspected ALL CODE REQUIRED Special Conditions Building Official: G.CARLSON Date: 9-4-09 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 antl 70.92 RCW, effective July 1, 2004 ~~p4 THEp~~ City of Yelm Permit No: BLD-09-0016-YL .~ ~ Community Development Department Issue Date: 02/12/2009 ~ ~ (Work must be started within 180 days) Building Division Phone: (360) 458-8407 Receipt No: 59042 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: 16621 Greenleaf Ave. SE Assessor Parcel No. 84070010800 Subdivision: Willow Glen Phase III Lot: 108 Contractor Information: Name: Applicant Contact: Balascio, D M Phone: Address: City: State: Zip: 98597 Contractor License No: YELMPDL00302 Expires: 02/2010551 Business License Project Information: Project: Willow Glenn III Description of Work: SFR, Lot 108, Plan #1621 Sq. Ft. per floor: (1st) 1014 (2nd) 807 (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 1,389.31 993.75 395.56 5.6000 70.6350 $1,000 Building Plan Review 586.98 0.00 0.00 0.0000 0.0000 Mechanical Permit 78.25 0.00 0.00 0.0000 0.0000 Plumbing Permit 104.00 20.00 84.00 7.0000 12.0000 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 647.04 0.00 647.04 0.3200 2,022.0000 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: $12,139.29 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 inGuding 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 Washin ton. Signature ~ `- Q,~jd-Q.{iZ Date •2--~/ 1~ Q Firm # Sets of Prints: 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: Willow Glenn III Description of Work: SFR, Lot 108, Plan #1621 Site Address: 16621 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 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: CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 360-458-3244 City: Yelm Assessor Parcel No. 84070010800 Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc 1,389. 31 993.75 395.56 5.6000 70.6350 $1,000 586. 98 0.00 0.00 0.0000 0.0000 78. 25 0.00 0.00 0.0000 0.0000 104. 00 20.00 84.00 7.0000 12.0000 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 647. 04 0.00 647.04 0.3200 2 ,022.0000 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 $12,139. 29 Permit Fees Schedule Permit No: BLD-09-0016-YL Phone: 458.0544 State: WA Zip 98597 RECEIPT No. 5 ~ ~ 4 2 '~1'wE~LVE THOUSAND ONE HUNDRED THIRTY NINE DOLLARS & 29 CENTS RECF_IVED FROM YELM PROPERTY DEVELOPMENT PO BOX 2950 YELM WA 98597 DATE Rf=C: IlC? 02/12/09 59042 AMOUNT REF NO. 12.139.29 CHECK 6286 BLS-~9=~01 BUDGETARY LORI CITY OF YELM FtFS~DENTIAL BUILDING PERMIT APPLICATION FORM Project Address: ~~~~``~~11 G. L ~ ~ Parcel #: p I ~ y /G 1 I ~/r )GC~ /C~"~'~ Subdivision: !~ ~ /~O~ C'1F.~?r~ 3 Lot #: ~~B Zoning; ~~ ~3( New Construction ^ Re-Model / Re-Roof /Addition ^ Home Occupation Sign ^ Plumbing ^ Mechanical ^ Mobile /Manufactured Home Placement ^ Other Project Description/Scope of Worlc: `3Fic Project Value: u Building Area (sq. ft) 1~' Floor /G/S 2nd Floor re U$ Garage - Deck Basement Carport Patio # Bedrooms. # Bathrooms 2>j Heatin :GAS/OTHE r ELECTRIC (Circle One) Are there any environmentally sensitive areas located on the parcel? c~ 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 corcect 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. 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 IU.S Yelm AUCnue West (36U) ~15ts-3ti3a r_ PO I3ox -179 ~ ~ F.4~ Yelm, LYA 98a97 ~ +.v rn.toa.us JAN 2 i ?009 ,~ N~ ~ ~~ ~ D ~ ir° r ~' ~' I ~3~, ti ,~ i 1 .~ ~~~ ~ _.~ 1 1 1 ~~~9 ~Ca~S /Ss9~ r~ +~ L, ~~~•~ i ~~ U YELM COMMUNITY SCHOOLS PO BOX 476 YELM WA 98597 Clerk: Croy TErminal; 1 Rece i ~,t : 89G87 Manual Receipt: NBRGCKTON NBROCKTON BROCKTON CONSTRUCTION LLC, YELM PROFERfY DEVELOPMENT LLC 1/12/2009 10:58 AM uty Item ___ 1 MITIGATION 2780.00 07-015 - WILLOW GLENN III - LOT 108 Subtotal: 2780.00 Tax: 0.00 Total: 2780.00 Check 2780.00 seas Change Due: 0.00 THANK YQU ti ~ ~~' '~ CITY OF YELM INSPECTION LOG PROJECT ~/'/~ - ~ ~ ~(~ PERMIT NUMBER ADDRESS SET BACKS Date: ~/ c Corrections ~ z~2 ~~ ~ 9 UNDER FLOOR ~~ Corrections DRY WELL ^_ Corrections FOOTING REBAR _ ~ Date:"Z//~~~~1 WALL REBAR ^~Date: ' Zr~ ~ ~ ~ ° Footing ~ 12" ^ 16" Other_ Wall ^ 6" ^ 8" Other Required vents_ Corrections COMBINED FRAME/ EXTERIOR SHEAR WALL INSPECTION I told dawns ~~ ~~ ~ ~' Shear Nailing _ 3 ~/ ~d ~ Frame 3 -1! c i Gas/Propane 3 ~~ ~ Plumbing ~' ~ c Mechanical ;~i Corrections: [NSULATIUN Gas ^Electric ^Other Foam and Seal ^Vapor barrier ^PVA Corrections: U Z' e ~j SHEET ROCK/SHEAR WALL NAIL Corrections:~l~,~~ , FINAL ^Sewer Final ^L-'lectrical ^ Civil Final ^Landscape Final ®C of O ^Address ^ Insulation ^ Site Drainage ^ Sidewalk Corrrcctions: ~~~F THE A,p ~~ City of Yel~n -- a ~' Community Development Depacrtment 105 Yelm Avenue West -P.O. Box 479 Yelm, WA 98597 YE LM "`"'"'"°'"" (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 PERMIT NO. ~'` ~ //~~`~ / ~~ violations of the City of Yelm and/or State laws governing same: ~i ~ ~rGr/,"cd ~ ~ /-e~ GUS 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-inspection at (360) 458-8407. ,w DO NOT REMOVE THIS TAG DATE `~ ~/`f I pector ~'A.X T~AI~SMISS~QN ~, CITY OF YELM P.O. BOX 479 - 931 NP 120AD NE YELM, WA 98597 ~ ~ 360-4S8-8411 ~~ FAX 360-458-8166 r To: GR cNE~7 FAX#: DATE: `I"!f-l1 °f PAGES: / , including, this Cover sheet Fram: ~,~1~ 0 `; Subject: l~D.etSC ~1~1A~ w~L~c~~ GLC~J ~ COIviME?~~TS: ~ o i J~a~ ~ ~~~ ~. ! Cr~~~N~~'A~' ,9~~~ ~. ~.. *« 11' you d~ ~~ol receive all copies or any copy is nod legible, please call #3~d) 453-sa i t as soon as passible.