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.