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CITY OF YELM -BUILDING DEPARTMENT
RESIDENTIAL CERTIFICATE OF OCCUPANCY
Building Address
Owner Name
Owner Address
Building Permit Number BLD-09-0019-YL Plan Number Plan 1313-30 A lot 155
Areas
Special
Building Official: G. Carlson Date: Mav 8 2009
This structure is incompliance 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
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360)458-3144
Applicant
Permit rvo: BLD-09-0019-YL
Issue Date: 02/04/2009
(Wor k must be started within 180 days)
Receipt No: 58970
Name: Quadrant Homes Phone: 425-888-3708
Address: P.O. Box 130 City: Bellevue State: WA Zip 98009
Property Information:
Site Address: 14815 99th Way, SE
Assessor Parcel No. 78640015500 Subdivision: Tahoma Meadow Div. II Lot: 155
Contractor Information:
Name: Quadrant Homes Contact: Phone: 425-646-8363
Address: P.O. Box 130 City: Bellevue State: WA Zip: 98009
Contractor License No: QUADRC'221OF Expires: 09110107253 Business License:
Project Information:
Project: Tahoma Meadow, Division II
Description of Wor1c: 1313-30 A, Lot 155
Sq. Ft. per floor: (1st) 762 (2nd) 646 (3rd) 0 Garage 400 Basement 0
Heat Type (Electric, Gas, Other): ELECTRIC
Fees:
Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
Building Plan Review 538.10 0.00 0.00 0.0000 0.0000
Mechanical Permit 71.75 0.00 0.00 0.0000 0.0000
Plumbing Permit 90.00 20.00 70.00 7.0000 10.0000 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 1,200.00 0.00 1,200.00 1,200.0000 1.0000 ERU
Water ERU Quadrant 578.56 0.00 578.56 0.3200 1,808.0000 square foot
Fire District Impact Fee 1,273.62 993.75 10,124.80 5.6000 49.9770 $1,000
Building Permit 100-500k 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)
TOTAL FEES: 58,938.74
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 inGuding those governing zoning and la d subdivision, and in addition, all covenants,
easements and restrictions f record. If applyin - s a co ractor, I futher certify that I am currently
registered in j1~~ a of ~ shin -~ i Final Inspection:
i 1.~
Signature ~~~ L~,~' Date ~~ L~ ~, ~ Date:
py By:
Firm ~ ,t i'; ~ /'., ~ ~ fl Vln.e~ C ~~~ ~~~ I t
02!02/2009 MON 11:27 r•ax 3604583144 City of Yelm CCD
f,~ooz/ooz
~r ~~ TtrE~; ~r City of Yelm Permit Fees Schedule
a~ ~ 9'~ Community Development Department Permit No: BLD-09-0019-YL
0.' M
• Building Division
Ir„ ~ Phone: (360) 458.8407
~5,.
XEL,Ni ~ Fax: (360) 458-3144
Applicant:
Name: Quadrant Homes Phone. 425-688-3708
Address: P.O. Box 13U City' Bellevue State: WA Zip 98009
Project Information:
Project: Tahoma Meadow, Division II
Description of Work 1313-30 A, Lot 155
Site Address: 14815 99th Way, SE Assessor Parcel No. 78640015500
Fees:
Item Acct Code Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
Building Plan Review 100 001-345-83- 00 538.10 0.00 0.00 0.0000 0.0000
Mechanical Permit 032 001-322-10- 00 71.75 0.00 0.00 0.0000 0.0000
Plumbing Permit 032 001-322-10- 00 90.00 20.00 70,00 7 0000 10.0000 Fixture
Sewer Inspection 805 412-343-80- 00 145.00 0.00 145.00 145.0000 1.0000 ERIJ
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
715401-343-80-
02
1,200.00
0.00
1,200.00
1,200.0000
1,0000
ERLI
Water ERU Quadrant
105 001-3a5-85-
00
578.56
0.00
578.56
0.3200 1
,608.0000
square foot
Fire District Impact Fee
032 001-322-10- 00 1,273.62 993.75 279.89 5.6000 49.9770 $1,000
Building Permit 100-SOOk
420 120-3a5-85 -00 1,334.21 0.00 1,334.27 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
Sower ERU (LID)
TOTAL FEES: $8,938.74
CITY OF
YEIJM
105 Yoim Ave.Nd
Yelrn, WA 98597
360-458-3244
RECEIPT No. ~ ~; ~'
RECEIV
E
D
*
~,
,,
EIGHT THOUSAND
NINE HUNDRED THIRTY
EIGHT
DOLLARS & 74 CENTS
(~ECEI\/ED FROM DATE REC. NO AMOUNT i ~.E~ NO.
QUADRANT CORP IMPREST 02/04/09 58970 8.938.74 CHECK 14348
PO BOX 130
BELLEVUE @JA 980@9 BUDGETARY
OLD=~-3~~~~=YL
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: 14815 99th Wav SE, Yelm Parcel #: 78640015500
Subdivision: Ta homa meadow Div 2 Lot #: 155 Zoning; R3
~ New Construction Re-Model / Re-Roof /Addition ~ Home Occupation Sign
D Plumbing ~ Mechanical ~_ Mobile /Manufactured Home Placement i Other
Project Description/Scope of Work: SFR (Basic Plan Series LS 1330-30. Plan # 1313 A)
Project Value
Building Area (sq. ft) 191 Floor 762 2"° Floor 646 Garage 400 Deck 70 (pore
Basement 0 Carport 0 Patio 150 (opt.
# Bedrooms 3 # Bathrooms 1.5 Heating: AS OTHER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? No If yes, a
completed environmental checklist must accompany permit application.
GENERAL CONTRACTOR Quadrant Homes
ADDRESS PO Box 130 EMAIL olen.lyons(a~guadranthomes.com,
CITY Bellevue STATE WA ZIP 98009 FAX 425-646-8360
CONTRACTOR'S LICENSE # QUADRC`2210F EXP DATEosiioio~CITY LICENSE #
MECHANICAL CONTRACTOR eoa'sriEwcorisTRUCTiori iNC TELEPHONE 425-889-9345
ADDRESS 13633 NE 126 "Place, Suite 350 EMAIL
CITY Kirkland STATE WA ZIP 98034 FAX 425-889-0630
CONTRACTOR'S LICENSE # BOBSNNC97isB EXP DATEosio2io5CITY LICENSE #
Copy of mitigation agreement with Yelm Community Schools, if applicable.
I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the
above described roperty will be in accordance with the laws, rules and regulations of the State of Washington and the
City o I
on behalf of uadrant Homes 1/29/2009
lica Signature Date
caner / ontractor / wner's A ent 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
105 f"elm Avenue West Ii i ~ \,J V I v v ~ (3tiu) asn-3n.se
YO L3ox 479 (360) 458-3144 FAX
Yelrr~, WA 98597 C ~~~ ~ .i 2009
/ www.ci.yeim.wa~
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THE ABOVE SKETCH ]S PROVIDE
RELATED TO THE PROPERTY, 1Nc
OR BOUNllARY LOCATIONS NOR ]
WE ENCOURAGE. YOUR REF'ERN;NC
REI ATED 'f0 THE PROPERTY FO1
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Sanitary
CL of 99th Way SE
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Water
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~ LEGEND
Concrete
Sill Fence
LPE Square Footages
Front Yard 5~2
Corner Yard n/a `.-
Driveway 542 SF ~
Walkway 47 SF
Lot Size 4000 SF
Footprint 1160 SF
Porch 67 SF
Lot Coveroge 31
14815 99th ~'V~y ~F
o~~~ Div
,1C)H ~{: 21;42155
~~~~•~,: 1'313 A,'NR jai: 1,x:5
DATA : 7 ~~11~~0~
1 /29/09 Pi~~n change •I
APPROVEI=
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• 360.456.6116
FAX: 36~,458.643d
401 COATES AvE, N W
PO Box 476
DESIREE' MCCONNELL YELM, WA 98597-OQ76
FACILITIES SECRETARY Deilreq,mccon~eli®ycs.wcgnrt.edu
May 7, 2008
Attn: John
Fax: 360-458-3144
12E: Mitigation Fees
Subdivision "Tahoma Terra" Phase 1 Division 2; of parent parcel No's 21724310100,
21724320000, 21724330000, 21724340100, 21723410000, & 21723440000. at 14848
Longmire St SE. All mitigation fees have been paid, lots 90 - 215.
Subdivision "Tahoma Terra" Phase l Division 1; of parent parcel No's 21724310100,
21724320000, 21724330000, 21724340100, 21723410000, & 21723440000 at 14848
Longmire St SE. The following mitigation fee has not been paid; lot 29, the mitigation
fee for this lot is $2,140.00.
If you have any questions, please feel free to call me.
Th Y ,
Desiree' McConnell
Facilities Secretary
YELM COMMVNITY SCHOOLS IS AN EQVAL OPDORTVNIN EMDLOYER AND FOLLOWS TITLE IX REQVIRc-MENTS.
~~ F i LE
CITY OF YELM INSPECTION LOG
PROJECT Tahoma Terra, Phase I, Div II
PERMIT NUMBER BLD-09-0019-YL
ADDRESS 14815 99`t' WaYSE
SET BACKS Date: 2-13-09
Corrections
UNDER FLOOR ® Corrections 2-25-09
DRY WELL ®_ Corrections 2-20-09
FOOTING REBAR _ _®Date:_ 2-13-09 WALL REBAR ®Date:2-
17-09
Footing ^ 12" ^ 16" Other_
Wall ^ 6" ^ 8" Other
Required vents_
Corrections
COMBINED FRAME/ EXTERIOR SHCAR WALL INSPECTION
Hold downs ® 3-l 1-09 Shear Nailing ®_ 3-11-09
Frame ® 3-23-09 Gas/Propane ®_ 3-23-09
Plumbing ® 3-13-09 Mechanical ®_ 3-23-09
Corrections:
INSULATION ®Gas ^Electric ^Other
®Foam and Seal ^Vapor barrier ^PVA
Corrections: 3-30-09
SHEET ROCK/SHEAR WALL NAIL
Corrections: 3-30-09
F[NAL
®Sewer Final ®Electrical ^ Civil Final ^Landscape Final ®C of O
®Address ®Insulation ^ Site Drainage ^ Sidewalk
Corrrections: 5-8-09
05/04/2009 MON 14:11 FAX 3604588417 CityofYelm Public Works ~~~ CDD ®001/003
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