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CITY OF YELM -BUILDING DEPARTMENT
RESIDENTIAL CERTIFICATE OF OCCUPANCY
Building Address
Owner Name
Owner Address
Building Permit Number BLD-09-0033 YL Plan Number Plan 1511-30 C, Lot 98
Areas Inspected: All Code required
Special Conditions:
Building Official: G. Carlson Date: June 16, 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
Community Development Department
Building Division
Phone: (360)458-8407
Fax: (360)458-3144
Applicant
Permit No: BLD-09-0033-YL
Issue Date: 03h7/2009
(Wor k must be started within 180 days)
Receipt No: 59250
Name: Quadrant Homes Phone: 425-646-8360
Address: P.O. Box 130 City: Bellevue State: WA Zip 98009
Property Information:
Site Address: 10037 Terra Court, SE
Assessor Parcel No. 78640009800 Subdivision: Tahoma Meadow Div 2 Lot: 98
Contractor Information:
Name: Applicant Contact: Phone:
Address: City: State: Zip:
Contractor License No: Expires: Business License:
Project Information:
Project: Tahoma Meadow, Phase I , Division II
Description of Work: 1511-30 C, Lot 98
Sq. Ft. per floor: (1st) 583 (2nd) 964 (3rd) 0 Garage 400 Basement 0
Heat Type (Electric, Gas, Other): GAS
Fees:
Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
Building Plan Review 569.65 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 1,200.00 0.00 1,200.00 1,200.0000 1.0000 ERU
Water ERU Quadrant 1,348.27 993.75 354.52 5.6000 63.3080 $1,000
Building Permit 100-500k 623.04 0.00 623.04 0.3200 1,947.0000 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)
TOTAL FEES: $9,116.92
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 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 Inspe
ction:
~ /
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Date:
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Signature ' Z _ ~L/ ~~~ Date
_
] BY:
Firm
'~pFTHFp~~ City of Yelm Permit Fees Schedule
.~~ 9~ Community Development Department
~ ~ Permit No: BLD-09-0033-YL
Building Division
Phone: (360) 458-8407
YELM Fax: (360) 458-3144
Applicant:
Name: Quadrant Homes Phone: 425-646-8360
Address: P.O. Box 130 City: Bellevue State: WA Zip 98009
Project Information:
Project: Tahoma Meadow, Phase I, Division II
Description of Work: 1511-30 C, Lot 98
Site Address: 10037 Terra Court, SE Assessor Parcel No. 78640009800
Fees
Item Acct Code Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
Building Plan Review 100 001-345-83-00 569. 65 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
715401-343-80-02 1,200. 00 0.00 1,200. 00 1,200.0000 1.0000 ERU
Water ERU Quadrant
032 001-322-10-00 1,348. 27 993.75 354 .52 5.6000 63.3080 $1,000
Building Permit 100-500k
105 001-345-85-00 623. 04 0.00 623 .04 0.3200 1 ,947.0000 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)
TOTAL FEES: $9,116. 92
CITY OF
YELM
105 Yelm Ave V~J
Yelm. WA 98597 RECEIPT No. 5';~ L ~
360-458-3244
RECEI~(E`~"`NINE THOUSAND ONE HUNDRED SIXTEEN DOLLARS & 92 CENTS
RECEIVED FROM DATE REC. NO. AMOUNT REF. NO
QUADRANT HOMES 03/17/09 59250 9.116.92 CHECK 14412
PO BOX 130
BELLEVUE WA 98009 BUDGETARY
MICHELLE
09-0033-YL --
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: 10037 Terra Court SE, Yelm Parcel #: 78640009800
Subdivision: Tahoma Meadow Div 2 Lot #: 98 Zoning; R3
~ New Construction Re-Model / Re-Roof /Addition i Home Occupation Sign
D Plumbing D Mechanical Mobile /Manufactured Home Placement Other
Project Description/Scope of Work: SFR (Basic Plan Series LS 1500-30, Plan # 1511 C)
Project Value:
Building Area (sq. ft) 1g` Floor 583 2nd Floor 964 Garage 400 Deck 20 (porch)
Basement 0 Carport 0 Patio 150 (opt.)
# Bedrooms 3 # Bathrooms 2.5 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.
ARCHITECT/ENGINEERBTL Engineering LICENSE # CT165206TL35666SSF38567
ADDRESS 17924 140th Ave NE #220 EMAIL Brian.Lampe(a~btleng.net
CITY Woodinville STATE WA ZIP 98072- TELEPHONE (425) 8~8-8448
GENERAL CONTRACTOR Quadrant Homes
ADDRESS PO Box 130 EMAIL Qlen.lyons(a~guadranthomes.com
CITY Bellevue STATE WA ZIP 98009 FAX 425-646-8360
CONTRACTOR'S LICENSE # QUADRC"2210F EXP DATEosno~o~CITY LICENSE #
PLUMBING CONTRACTOR Peltram Plumbing TELEPHONE 253-891-8781
ADDRESS 164 Stewart Road SW EMAIL
CITY Pacific STATE WA ZIP 98047 FAX 253-891-9248
CONTRACTOR'S LICENSE # PELTRP1075DZ EXP DATEo~ro2iosCITY LICENSE #
MECHANICAL CONTRACTOR Qoa~sniEwcolvsTRUCriolv.iNC. TELEPHONE 425-889-9345
ADDRESS 13633 NE 126TH Place, Suite 350 EMAIL
CITY Kirkland STATE WA ZIP 98034 FAX 425-889-0630
CONTRACTOR'S LICENSE # BOBSNNC97766 EXP DATEasio2ioeCITY 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 3/6/2009
lica Signature Date
caner / ontractor / Owner'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 1'eln~ avenue West ~/ (3G0) 458-383.1
PO Box 479 (360) 458-3144 FAX
Yelm, WA 98597 ~~~~~~ Q ~ 2009 www.ci.yelm.wn.us
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LPE Square Footages ~ ~ Siit Fence
Front Yard 624 SF Lot Size 3281 SF
Corner Yard n/a SF Footprint 983 SF
Driveway 395 SF Porch 85 SF
Walkway 53 SF Lot Coverage 33
10037 Terra Court SE
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Please find ent.bsed a Check Irt the amount of S3d,520.00 for achooi mitigation tee(s) for the following lolls)
located in the Tahoma Terra (T'ahoma Meadow Div. 2) community, City o} Yslm:
Lot Address Parcel Number Check
Number
80 10020 Terra Court SE 265767
91 10026 Terra Court SE 265767
92 10032 Terre COUrt SE 265767
93 10038 Terra Court SE 265767
94 10044 Terra Court SE 265767
• 95 10050 Terra Court SE 265767
,96.~._ '.. 10049 Tend Court SE 265767
..: ` 97 " ~ ~ 0043 Terra Court SE 265767
. ~. 98 ., ,.-. 10037 Terra Court SE 265767
,.t , ••,.; . • 9~ , ; 10031 Terra Court SE 265767
•100 10025 Terra Court SE i 265767
~. 101 10019 Terra Court SE i 265767
142 14868 100 Ave. SE 265767
143 14874 100 Ave. SE I 265767
144
14908 100 Ave. SE I _
265767
145 14907 99 Wa SE 265767
146 14869 99 Wa SE 265767
147 14863 99 Ws SE 265767
Please tax and mail all receipts to my attention at the address bebw. Thank you.
Thank you for your time and consideraCbn.
JeffreyUladderi ... ... .- . .._.~~~ . - .. . _ .._ -
~FIL~
CITY OF YELM INSPECTION LOG
PROJECT Lot 98, 1511-30 C
PERMIT NUMBER BLD-09-0033-YL
ADDRESS 10037 Terra Court SE
SET BACKS Date: 3-19-09
Corrections
t1NDER FLOOR ® Corrections 4-7-09
DRY WELL ®_ Corrections
FOOTING REBAR _ _®Date:_3-19-09 WALL REBAR
Date: mono
Footing ^ 12" ^ 16" Other
Wall ^ 6" ^ 8" Other_
Required vent s_
Corrections
COMBINED FRAME/ EXTERIOR SHEA R WALL INSPECTION
Hold downs ® 4-21-09 Shear Nailing ®_ 4-21-09
Frame ® 4-29-09 Gas/Propane ®
4-29-09
Plumbing ® 4-21-09 _
Mechanical ®_ 4-29-09
Corrections:
INSULATION ®Gas ^Electric ^Other
®Foam and Seal ^Vapor barrier ^PVA
Corrections: 5-5-09
SHEET ROCK/SHEAR WALL NAIL
Corrections: 5-7-09
FINAL
®Sewer Final ®Electrical ^ Civil Final ^Landscape Final ®C of O
®Address ®Insulation ^ Site Drainage ^ Sidewalk
Corrrections: 6-16-09
F.AX TRAN S NI I S S I ON
CITY OF YELIV~
P.O. BOX 479 - 931 A1P ROAD NE
~ YELM, WA 98597
3b0=458-8411
FAX 364-458-8164
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fi.axu 4~'s-~c3 UB
DATE: (~ • 1(~ ~ ~
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as soon as possible.
06/15/2009 HON 14:27 FAX 3604588417 CityofYelm Public works ~~~ CDD
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