20090011 Permit Pkg 012009rn~. (r~Ir~i~Jlt~Jf~71i~Jl~fr~f~7lr~ I~ (~Ir~ r~f~i~(~ (~ I~ fi~7I~171i~J
CITY OF YELM -BUILDING DEPARTMENT
RESIDENTIAL CERTIFICATE OF OCCUPANCY
Building Address 14463 Lockwood Lane SE
Owner Name
Owner Address
Building Permit Number BLD-09-0011-YL Plan Number
Areas
Special
Building O~cial: G. Carlson Date: Mav 8, 2009
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
Applicant
Community Development Department
Building Division
Phone: (360)458-8407
Fax: (360)458-3144
Permit No: BLD-09-0011-YL
Issue Date: 01/20/2009
(Work must be started within 180 days)
Receipt No: 58090
Name: Tahoma Terra, LLC Phone: 360-400-0740
Address: P.O. Box 827 City: Rainer State: Wa Zip 98576
Property Information:
Site Address: 14483 Lockwood Lane SE
Assessor Parcel No. Subdivision: Tahoma T erra, Division I, phase II Lot: 101
Contractor Information:
Name: Tahoma Terra, LLC Contact: Bloom, Doug Phone: 360-400-0740
Address: P.O. Box 627 City: Rai ner State: Wa Zip: 98578
Contractor License No: Expires: 09110107253 Business Li cense:
Project Information:
Project: Tahoma Terra, Division I, phase II
Description of Work: SFR Lot 101 Ptan 948 A,
Sq. Ft. per floor: (1st) 872 (2nd) 1238 (3rd) 0 Garage 381 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 1,011.92 993.75 18.17 5.6000 3.2440 $1,000
Building Plan Review 427.54 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 0.00 145.00 145.0000 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
Police Mitigation -Tahoma 310.00 310.00 0.00 0.0000 0.0000
Terra 408.96 0.00 408.96 0.3200 1,278.0000 square foot
Fire District Impact Fee 1,334.21 0.00 1,334.21 1,321.0000 1.0100 Peak PM Trip
Traffic Facilities Charge 3,093.00 0.00 3,093.00 3,093.0000 1.0000 ERU
Sewer ERU (LID) 1,200.00 0.00 1,200.00 1,200.0000 1.0000 ERU
Water ERU Quadrant
TOTAL FEES: $8,424.38
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 State of Washington. Final Inspection:
Stature ~ ~-L Date / - Zp 29
Firm
~ :~,~ ~ nor ,. ~~ City of Yelm
~ Permit Fees Schedule
~' Community Development Department
.~
a ~
Permit No: BLD-09-0011-YL
Building Division
Phone: (360) 458-8407 / \
~
~
~ J
,
YELM Fax: (360) 458-3144 ~
v
Applicant:
Name: Tahoma Terra, LLC Phone: 360-400-0740
Address: P.O. Box 627 City: Rainer State: Wa Zip 98576
Project Information:
Project: Tahoma Terra, Division I, phase II
Description of Work: SFR Lot 101 Plan 948 A,
Site Address: 14463 Lockwood Lane SE Assessor Parcel No.
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 1,011. 92 993.75 18.17 5.6000 3.2440 $1,000
Building Plan Review 100 001-345-83-00 427. 54 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 0.00 145.00 145.0000 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
Police Mitigation - 625 302-368-10-01 310. 00 310.00 0.00 0.0000 0.0000
Tahoma Terra
105 001-345-85-00 408. 96 0.00 408.96 0.3200 1 ,278.0000 square foot
Fire District Impact Fee
420 120-345-85-00 1,334. 21 0.00 1,334.21 1,321.0000 1.0100 Peak PM Trip
Traffic Facilities Charge
802 412-343-50-01 3,093. 00 0.00 3,093.00 3,093.0000 1.0000 ERU
Sewer ERU (LID)
715401-343-80-02 1,200. 00 0.00 1.200.00 1,200.0000 1.0000 ERU
Water ERU Quadrant
TOTAL FEES: $8.424.38
• .. ~ -. ~ . - c -.
CITY OF
YELM
Ye mYeWA 98597 RECEIPT NO. 9
360-458-3244 ~ ~ ® " l~
RECEIVED
****EIGHT THOUSAND FOUR HUNDRED TWENTY FOUR DOLLARS & 38 CENTS
t~E CF.I`/F[? FF10M GAl E REC. NO AMOUNT raC. ,~;~:;
TAHOMA TERRA LLC 01/20/09 58090 8 424.38 CHECK 1008
P.O. BOX 627
RAINIER. WA 98576 BUDGETARY
GRETCHEN -
09-0011-YL
YELM COMMUNITY SCHOOLS
PO BOX 476
YELM WA 98597
Clerk; Croy
Terminal: 1
Receipt; 86570
Manual Receipt:
NTAHOMA TERRA
NTAHOMA TERRA
TAHOMA TERRA, TAHOMA TERRA
PO BOX 627
RAINIER IAA 96576
1/20/2009 8:17 AM
~~---..-Item --------------Price
1 CPF2900 2140.00
MITIGATION
U5-•027 - TAHOMA - LOT 101 - PHASE "L DIV 1
Subtotal: 2140.00
Tax: 0.00
Total: 2140,00
Check 2140.00
1006
Change Due: 0.00
THANK YOU
FILE
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CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: /~y~: ~ L~/L«~~ ~r~~ SE= Parcel #: ~/t~ 7BG `/~c~~'~c ~. c'_
Subdivision: T i~si'~' ~~~' 1 Lot #: /G~ / Zoning; r1 Pc-
Y New Construction Re-Model / Re-Roof /Addition Home Occupation Sign
Plumbing Mechanical Mobile /Manufactured Home Placement Other
Project Description/Scope of Work: ~ f /~
Project Value: ~Lf~~n-~ y~/6 A-
Building Area (sq. ft) 1$` Floor ~>~ 8 2nd Floor Garage Z ~ G Deck r yy
Basement Carport Patio
-~~~.
# Bedrooms Z # Bathrooms1 Heating: GAS/OTHER o LECTRIC ircle One)
Are there any environmentally sensitive areas located on the parcel? If yes, a
completed environmental checklist must accompany permit application.
BUILDING OWNER NAME: 7Af+o m~ TE~,e;1 ~c-C-
ADDRESS '~ r~~~: X ~ <:~ EMAIL raci iALC~ YlV ~vc..C,oM
CITY '/ . ; ,, , , ~• ~ STATE ~~=A ZIP ~L'+5~~• TELEPHONE 3~a -- ycc ~ ~ Y a
ARCHITECT/ENGINEER LICENSE #
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
GENERAL CONTRACTOR ;~,-3 Ha,-nA ~;e,~R TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX __
C;ONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
PLUMBING CONTRACTOR T,BP TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
MECHANICAL CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR` l_i~~~'-N~~E?? ~:x~ ._~^~.`~_ i~_.iiY._i~'_I:~:E :i
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.
- i ,'"; ~ l
Ap iCa s Sign ur Date
Oyatne Contractor /Owner's Agent /Contractor's Agent (Please circle one.)
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
105 Yelm Ai~enue West (360) 458-3835
YU 13or 479 (360) 458-3144 FA ~ ~ ~'
Y'elm, Wrt 98597 muru~.ci.yelm.u~a.us
CITY OF YELM INSPECTION LOG
PROJECT Tahoma Terra phase II Lot 101
PERMIT NUMBER BLD-09-0011-YL
ADDRESS 14463 Lockwood Lane SE
SET BACKS Date: 1-20-09
Corrections
UNDER FLOOR ® Corrections 2-13-U9
DRY WELL ®_ Corrections
FOOTING REBAR _ _®Date:_1-20-09
09
Footing ^ 12'
Wall ^ 8'
Required vents_ _
Corrections
WALL REBAR ®Date:_1-21-
^ 18' Other
^ 8' Other
COMBINED FRAME/ EXTERIOR SHEAR WALL INSPECTION
Hold downs ® 2-23-09 Shear Nailing ®_ 2-23-09
Frame ® 3-5-09 Gas/Propane ^
Plumbing ® 3-5-09 Mechanical ®_ 3-5-09
Corrections:
INSULATION ^Gas ®Electric ^Other
®Foam and Seal ^Vapor barrier ^PVA
Corrections: 4-10-09
SHEET ROCKISHEAR WALL NAIL
Corrections: 4-14-09
FINAL
®Sewer Final ®Electrical ^ Civil Final ^Landscape Final ®C of O
®Address ®Insulation ^ Site Drainage ^ Sidewalk
Corrrections: 5-7-09
F,~ ~RA~s~ISS~a~
CITY OF YELM
P.U. BOX 479 - 931 ~tP ROAD NE
YELM, WA 9$597
3b~-458-8411
FAX 360-458-8 t b6
O: ~Q.E c ti~~ rJ DATE: `r~ - 01~ ~°°~
T'A~#: PAGES. t , iz~ciuding this
Cover sheet
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C~NC ~~.~
gyp, SScc.00
'"" 11'you do nol receive all copies or any copy is not legible, please cal! (360} 458-84 t 1
as soon as possible.