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CITY OF YELM -BUILDING DEPARTMENT
RESIDENTIAL CERTIFICATE OF OCCUPANCY
Building Address
Owner Name
Owner Address
Building Permit Number BLD-09-0001-YL Plan Number Plan 1574 Lot 79
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 Permit No: BLD-09-0001-YL
Community Development Department Issue Date: 01/05/2009
Building Division (Work must be started within 180 days)
Phone: (360) 458-8407 Receipt No: 57749
Fax: (380)458-3144
Applicant:
Name: Yelm Property Development, LLC
Address:
Property Information:
Site Address: 16620 Greenleaf Avenue SE
Assessor Parcel No. 84070007900
Contractor Information:
Name: Yelm Property Development, LLC
Address:
Contractor License No: YELMPDL00302
Project Information:
Project: 18620 Greenleaf Avenue SE
Description of Work: SFR Lot 79, Plan #1574
Sq. Ft. perfloor: (1st) 838 (2nd) 738
Heat Type (Electric, Gas, Other): GAS
Fees
Item
City:
Subdivision: Willow Glenn III
Contact:
City:
Expires:
(3rd) 0 Garage 403
Phone:
State: Zip
Lot: 79
Phone:
State: Zip:
Business License:
Basement 0
Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
1,346.13 993.75 352.38 5.6000 62.9250 $1,000
568.74 0.00 0.00 0.0000 0.0000
78.25 0.00 0.00 0.0000 0.0000
97.00 20.00 77.00 7.0000 11.0000 Fixture
145.00 0.00 145.00 145.0000 1.0000 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
1,334.21 0.00 1,334.21 1,321.0000 1.0100 Peak PM Trip
632.64 0.00 632.64 0.3200 1,977.0000 square foot
3,093.00 0.00 3,093.00 3,093.0000 1.0000 ERU
$9,099.47
Building Permit 100-500k
Building Plan Review
Mechanical Permit
Plumbing Permit
Sewer Inspection
Water ERU
Water Meter (SFD)
State Building Fee
Traffic Facilities Charge
/
~~
~ Fire District Impact Fee
/ ~-
/
: Sewer ERU (LID)
lV ` I v TOTAL FEES:
(~~
r
~
~~,
_
SCANNED
01~~
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. 1 also certify that the proposed structure is in conformity with all applicable City of # Sets of Prints:
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 Washington. Final Inspection: y
Signature ~U~ C~ Date _ Date: ~ •~~ U/
j~~~ ~ ~~' ~°9
Firm By'
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360)458-3144
Permit Fees Schedule
Permit No: BLD-09-0001-YL
Applicant:
Name: Yelm Property Development, LLC Phone:
Address: City: State: Zip
Project Information:
Project: 16620 Greenleaf Avenue SE
Description of Work: SFR Lot 79, Plan #1574
Site Address: 16620 Greenleaf Avenue SE Assessor Parcel No. 84070007900
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 1,346.13 993.75 352. 38 5.6000 62.9250 $1,000
Building Plan Review 700 001-345-83-00 568.74 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 97.00 20.00 77. 00 7.0000 11.0000 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
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 105 001-345-85-00 632.64 0.00 632. 64 0.3200 1 ,977.0000 square foot
Sewer ERU (LID) 802 412-343-50-01 3,093.00 0.00 3,093. 00 3,093.0000 1.0000 ERU
TOTAL FEES: $9,099.47
~~ ~F iNE-P\
w~ ~,~1 CITY OF
-
a
YELM
105 Yelm Ave. W
Y L Y360-458-32447 RECEIPT No. 5 7 7 4 9
RECEI~FQ*NINE THOUSAND NINETY NINE DOLLARS & 47 CENTS
i{Ei ~=i`vi-. l'1 Fl~;r";n:1
YELM PROPERTY DEV DAfE REC. NO P.MOUNT
R~r= N.-'
PO BOX 2950 01/05/09 57749 9.099.47 CHECK 6282
YELM WA 98597 BUDGETARY
MICHELLE
~L~09=®003-YL - - -
City of Yelm Invoice No. CDD-09-0330
Community Development Department
INVOICE -
Customer
Name Yelm Property Develop ment, LLC Date 01/06/2009
Address PO Box 2950
City Yelm WA 98597
Phone Project Willow Glen III
Item Description Unit Price TOTAL
1 Sewer ERU difference from LID charge $2,957.00 $2,957.00
CITY OF
YELM
105 Yelm Ave. W.
Yelm, WA 98597
360-458-3244
RECEIPT No. ~ 7 Q ~.
RECEI'JED
****TWO THOUSAND NINE HUNDRED FIFTY SEVEN DOLLARS & 00 CENTS
YELM PROPERTY DEV.
PO BOX 2950
YELM WA 98597
DATE RF_(_; i!!'~
01/08/09 57848
BUDGETARY
MICHELLE
Alv~i)Ui'JT Ri:i= NJ
2.957.00 CHECK 6283
CD-09-0330
~. I V I HL I aL,y~/ .UU I
Bars Code-802-412-343-50.01
Office Use Only
City of Yelm
Community Development Department
P.O. Box 479
Yelm, WA 98597
(360) 458-3835
THANK YOU
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: ~ (a !p 2 D G -L. R ~ . S~ Parcel #: ~~~ /S 'Iy
Subdivision: !~ r r'~pi,J G~p;~~ 3 Lot #:~ Zoning; ~- ru
New Construction ^ Re-Model / Re-Roof /Addition ^ Home Occupation Sign
^ Plumbing ^ Mechanical ^ Mobile /Manufactured Home Placement ^ Other
Project Description/Scope of
Project Value
Building Area (sq. ft) 1~' Floor 2"d Floor Garage Deck
Basement Carport Patio
# Bedrooms # Bathrooms~.j Heatin :GAS/OTHER' r ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? ___~ry~_ If yes, a
completed environmental checklist must accompany permit application.
ARCHITECT/ENGINEER FINE L i N6 LICENSE #
ADDRESS ~ f ~ E U {~ EMAIL
CITY Cil~yr},p;~ STATEw':~ ZIP ~~5~'- TELEPHONE qj6 -Ef>~~•~
Copy of mitigation agreement with Yelm Community Schools, if applicable.
1 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.
Applicant's nature 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
PO Box 479
} elrn, WA 98597
(360) d58-3835
(360) 458-3144 FfLk
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JAN 0 51009
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YELM COMMUNITY SCHOOLS
YELM WA 98597
~ierk:
Terminal; troy
Receipt• 86028
Manual Receipt:
NBROCKTON
BRO~KTON CONSTRUCTION LLC, YE
DEVELOPMENT LLC LM PROPERTY
1/5/2009 1:52 PM
Gt Item -___
-- ---------_. Price
~ CPF2g00
07-015 WIMLOWGGLENN III - 2780.00
LOT 79
Subtotal: 2780.00
Tax: 0.00
Total: 2780.00
Check 2780,00
6281
Change Due: 0.00
THANK YOU
Exhibit C - Segregation of Assessment
EXISTING ASSESSMENT
Account Tax Parcel No. ERUs Assessment Rem. Balance Property Owner
01-173 64303500200 32 $58,340.80 $27,225.60 Brockton Construction LLC
AMENDED ASSESSMENTS
Account Parcel Description ERUs Assessment Rem. Balance Property Owner
01-173A-01
01-173A-02 Willow Glen III Lot 69
Willow Glen III Lot 70 1
1 $1,823.15 $850.80 Brockton Construction LLC
01-173A-03
Willow Glen III Lot 71
1 1,823.15
1
823
15 850.80
850 Brockton Construction LLC
01-173A-04
Willow Glen III Lot 72
1 ,
.
1
823
15 .80
850 Brockton Construction LLC
01-173A-05
Willow Glen III Lot 73
1 ,
.
1
823
15 .80
850 Brockton Construction LLC
01-173A-06
Willow Glen III Lot 74
1 ,
.
1
823
15 .80
850 Brockton Construction LLC
01-173A-07
Willow Glen III Lot 75
1 ,
.
1
823
15 .80
850 Brockton Construction LLC
01-173A-08
Willow Glen III Lot 76
1 ,
.
1
823
15 .80
850 Brockton Construction LLC
01-173A-09
Willow Glen III Lot 77
1 ,
.
1
823
15 .80
850 Brockton Construction LLC
01-173A-10
Willow Glen III Lot 78
1 ,
.
1
823
15 .80
850 Brockton Construction LLC
01-173A-11
Willow Glen III Lot 88
1 ,
.
1
823
15 .80
850 Brockton Construction LLC
01-173A-12
Willow Glen III Lot 89
1 ,
.
1
823
15 .80
850 Brockton Construction LLC
01-173A-13
Willow Glen III Lot 90
1 ,
.
1
823
15 .80
850 Brockton Construction LLC
01-173A-14
Willow Glen III Lot 91
1 ,
.
1
823
15 .80
85 Brockton Construction LLC
01-173A-15
Willow Glen III Lot 92
1 ,
.
1
823
15 0.80
85 Brockton Construction LLC
01-173A-16
Willow Glen III Lot 93
1 ,
.
1
823
15 0.80
850
80 Brockton Construction LLC
01-173A-17
Willow Glen III Lot 94
1 ,
.
1
823
15 .
850
80 Brockton Construction LLC
01-173A-18
Willow Glen III Lot 109
1 ,
.
1
823
15 .
850
80 Brockton Construction LLC
B
01-173A-19
Willow Glen III Lot 110
1 ,
.
1
823
15 .
850
80 rockton Construction LLC
B
01-173A-20
Willow Glen III Lot 111
1 ,
.
1
823
15 .
850
80 rockton Construction LLC
B
01-173A-21
Willow Glen III Lot 112
1 ,
.
1,823.15 .
850
80 rockton Construction LLC
B
01-173A-22
0
Willow Glen III Lot 113
1
1,823.15 .
850.80 rockton Construction LLC
Brockton Construction LLC
1-173A-23
0 Willow Glen III Lot 114 1 1,823.15 850.80 Brockton Construction LLC
1-173A-24 Willow Glen III Lot 115 1 1,823.15 850.80 Brockton Construction LLC
01-173A-25
01-173A-26 Willow Glen III Lot 116
Willow Glen III Lot 117 1
1 1,823.15 850.80 Brockton Construction LLC
01-173A-27
Willow Glen III Lot 118
1 1,823.15
1
823
15 850.80
850 Brockton Construction LLC
01-173A-28
Willow Glen III Lot 119
1 ,
.
1
823
15 .80
850
80 Brockton Construction LLC
01-173A-29
Willow Glen III Lot 120
1 ,
.
1
823
15 .
850
80 Brockton Construction LLC
B
01-173A-30
Willow Glen III Lot 121
1 ,
.
1
823
15 .
850
80 rockton Construction LLC
B
01-173A-31
Willow Gten III Lot 122
1 ,
.
1,823.15 .
850.80 rockton Construction LLC
Brockton Construction LLC
01-173A-32 Willow Glen III Lot 123 1 1,823.15 850.80 Brockton Construction LLC
32 Assessed Parcels $58,340.80 $27,225.60
CITY OF YELM INSPECTION LOG
PROJECT Willow III lot 79
PERMIT NUMBER 09-0001
ADDRESS
SET BACKS Date: 1-6-09
Corrections
UN UER FLOOR ® Corrections 1-14-09
DRY WELL ®_ Corrections
FOOTING REBAR _ _®Date:_ 1-6-09
Footing ^ 12"
Wall ^ 6"
Required vents_
Corrections
WALL REBAR ®Date:_1-9-09
^ 16" Other_
^ 8" Other_
COMBINED FRAME/ EXTERIOR SHEAR WALL INSPECTION
Hold downs ® 2-26-09 Shear Nailing ®_ 2-25-09
Frame ® 3-2-09 Gas/Propane ®_ 2-25-09
Plumbing ® 2-26-09 Mechanical ® _ 2-25-09
Corrections:
INSULATION ®Gas ^Electric ^Other
®Foam and Seal ^Vapor barrier ^PVA
Corrections: 3-2-09
SHEET ROCK/SHEAR WALL NAIL
Corrections: 3-5-09
FINAL
®Scwer Final ®Electrical ^ Civil Final ^Landscape Final ®C of O
®Address ®Insulation ^ Site Drainage ^ Sidewalk
Corrrections: 5-21-09
-~~
OF THE A~
O
°~ a ~ City of Yelm
~" Community Development Departure
105 Yelm Avenue West -P.O. Box 479
YELM Yelm, WA 98597
WA>lNINaTp..
(360) 458-840 ? - (360) 458-3144 FAX
CITY OF YELM BUILDING DEPARTME
CORRECTION NOTIC NT
E
I have this day inspected this structure and
these premises and have found the following
violations of the City of Yelm and/or State laws
governing same:
PERMIT NO. ~~ ~ ~-
~-~-% ~,~
You are hereby notified that no more work shall be covered upon these premises until the abov
violations are corrected. When corrections have been made, call for re-inspection at (360 458-84
e 07.
DO NOT REMOVE THIS TAG DATE ~ Z C,'
ns a for
City of Yelm -Building Department
~ CO CTION NOTICE
I have this day inspected this structure and these premises
_ ~ have found the following violations of the City of Yelm
.~,d/or State laws governing same: PERMIT NO. Cti ~ ~~~z 7 S
..s'
,01/~ 7 ~~s~~ rs y~~ ~ ~~ ~2 ~
~~ ,~ ~.~
~,
f '~ ~~~
C~
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~e- Ate-` ~c,F- ~~ rU%~-~~ ~ ~~
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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-inspec~'on t 458-8407 ~
`~ DATE '= /~-'/` `r
DO NOT REM• ~' L THIS TAG INSPECCOR FOR BUILDWG DEPARTMENT
F.A~ TRA.~ISMISSI~N
CrTY OF YELM
r'.O. BOA 479 - 93 ~ A1P ROAD NE
YELM, 'WA 98597
3b0~458-$411
~A~ ~36a-458-8 id6
~{~,~ DATE: S~ ~ - ~ ~
PAGES: t , inciuding this
Cover sheet
from: ~ti.}p~
Subject: H a ~~ ~ ~ ~ yr/s '
COMME?JTS : 2. dT 7 `7
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"'~ it'you do not receive all copies or any copy is not legible, please calf (3b0) 45g-841 1
as soon as possible.
FAX: