20090039 Permit Pkg 033009City o f Yelm
Community DeUelopment Department
Residential Certificate of Occupancy
Building Address 16633 GREENLEAF AVE SE
Owner Name YELM PROPERTY
DEVELOPMENT
Owner Address
Building Permit Number 20090039
Remarks: SFR, Lot 106, Plan #1303
Areas Inspected
Special Conditions
Building Official: G. Carlson
Plan Number
Date: 10/02/09
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 and 70.92 RCW, effective July 1, 2004
~oF T"Fa~~ City of Yelm
~~~ Community Development Department
Building Division
Phone: (380) 458-8407
Y L Fax: (360)458-3144
Applicant:
Name: Yelm Property Development
Address: P.O. Box 2950 City: Yelm
Permit No: BLD-09-0039-YL
Issue Date: 03/30/2009
(Work must be started within 180 days)
Receipt No: 59333
Phone: 458.0544
State: WA Zip 98597
Property Information:
Site Address: 18833 Greenleaf Ave. SE •r-,~.~. ~~~~__ __ _
Assessor Parcel No. 84070010800 Subdivis ion: Willow Glen Phase III
Lot: 108
Contractor Information:
Name: Applicant Contact: Balascio, D M
Phone:
Address: City:
State: Zip: 98587
Contractor License No: YELMPDL00302 Expires: 02/20/0551
Business License:
Project Information:
Project: Yelm Property Development
Description of Work: SFR, Lot 108, Plan #1303
Sq. Ft. per floor: (1st) 1303 (2nd) 0 (3rd) 0 Gara
e 400
g Basem ent 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 1,217.22
Building Plan Review 51 993.75 223.47 5.6000 _
39.9060 ~~
$1,000
4.27
Mechanical Permit 71
25 0.00
0 0.00 0.0000 0.0000
.
Plumbing Permit 90
00 .00
20
00 0.00
70 0.0000
.
Sewer Inspection 145.00 .
145.00 .00
0
00 7.0000
0
0 10.0000 Fixture
Water ERU 1,500.00
Water Meter (SFD) 300
0.00 .
1,500.00 .
000
1,500.0000 0.0000
1.0000 ERU
ERU
.00
State Building Fee 4
50 300.00 0.00 0.0000 0.0000
.
Traffic Facilities Charge 1,334.21 4.50
0.00 0.00
1,334.21 0.0000
1
321
0000 0.0000
1
0
Sewer ERU 6,050.00
0.00
6,050.00 ,
.
6
050
0000 .
100
1 Peak PM Trip
Fire District Impact Fee 544.96
0.00
544.96 ,
.
0
3200 .0000 ERU
TOTAL FEES: $11,771,41 . 1,703.0000 square foot
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 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.
Signature ~ <:~i~ Date ~ /3 c~ / O y
Firm
UJ/ly/[UUY 'rnU 1):17 CNJ1 ~OVY~O~ivy ~,yl-Y Vl 1G1~1~ ~,~y
~~~~~
MAR 3 0 2009
~o><TNFA City of Yelm hermit Fees Schedule
c ~ ~~ ~~~~
~, m Community Development Department~~
Permit No: BLD-09-0039-YL
Building Division
Phone: (360) 458.8407
~.
YELM Fax: (360) 458.3144
Applicant:
Name: Yelm Property Development
Address: P.O. Box 2950
Project Information:
Project: Yelm Property Development
Description of Work: SFR, Lot 106, Plan #1303
Site Address: 16633 Greenleaf Ave. SE
Phone' 458.0544
City: Yelm State: WA Zip 98597
Assessor Parcel No. 84070010600
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 1,217.22 993,75 223.47 -5.6000 39.9060 51,000 ^
Building Plan Review 100 001.345-83-00 514.27 0.00 0.00 0.0000 0.0000
Mechanical Permit 032 001-322-10-00 71.25 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 805 412-343-80-00 145.00 145.00 0.00 0.0000 0.0000 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
Stale 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
Sewer ERU 802 412-343-50-01 6,050.00 0.00 6,050.00 6,050.0000 1.0000 ERU
Fire District Impact Fee 105 001-345.85-00 544.96 0.00 544.96 0.3200 1,703.0000 square foot
TOTAL FEES: S11,771.41
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' CITY OF .•
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105 Yelm Ave. W.
Yelm, Wq 98597
L 360-458-3244
~~
RECEIPT No. ~ ~ 3 3 3
FFpp
~~~~I
~I~EVEN
THOUSAND SEVEN HUNDRED SEVENTY O
NE DOL LAR
S
& 41 CENTS
RELElVf_D FROM
YELM PROPERTY DEVELOMEN T nATE REC. NO.
A
P. O. BOX 2950 0 3/30/09 59333
1 MOUNT
1
771
4
REF NO.
YELM, WA 98597 ,
.
1 CHE CK
6296
BUDGETARY
BLD-09-0039-yL _ GRETCHEN
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: //%~alQ~y C~. L. ~ ~ Parcel #:
Subdivision: !j11 ~1/DuJ G~P.~JJ 3 Lot #: /~G Zoning; ~- rv
New Construction C Re-Model / Re-Roof /Addition ^ Home Occupation Sign
^ Plumbing O Mechanical ^ Mobile /Manufactured Home Placement ^ Other
Project Description/Scope of Work: `JF~~
Building Area (sq. ft) 1" Floorl3L~3 2nd Floor Garage ~ Deck
Basement Carport Patio
# Bedrooms. # Bathrooms~j Heatin :GAS/OTHE r ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? ~~ If yes, a
completed environmental checklist must accompany permit application.
GENERAL CONTRACTOR I LLC TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE ciT~ ~i~En~ [- _~
MECHANICAL CONTRACTOR `i.trva€ ~E-i4 TELEPHONE E1 S~ -~ <195~
ADDRESS ~.,2 f~ L..4t~y f v~ S: ' EMAIL
CITY L,-(C.~ ~ STAT tf ~ r4 _ZIP Y ~` SC'3 FAX
CONTRACTOR'S LICENSE # EXP DATE CITY 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 property will be in accordance with the taws, rules and regulations of the State of Washington and the
City of Yelm.
Applicant's Signat 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 pertttit is not begun
within 180 days of issuance, or if work is suspended or abandoned for a period of 180 days
/US Yetni Avenue Nest (360) -138-3835
PO Box 479 (360) 4581441 ~ E I V E D
Yelin. WA 98597 ~' L~ci.pelm.ma_us
~--~ MAR 1 '~ 2009
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`~'`~~ APPROVED
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YELM CGMMUNITY SCHOOLS
PU BOX 476
YELM WA 98597
clerk: Croy
Terminal: 1
Receipt: 93793
Manual Receipt;
NBROCKTON
NBROCKTON
BROCKTON CONSTRUCTION LLC, YELM PROPERTY
DEVELOPMENT LLC
.i/30/2009 1:06 PM
uty_ Item __ Price
1 CPF2900 2780.00
MITIGATION
07-015 WILLOW GLENN III - LOT 106
Subtotal; 2780.00
Tax: 0.00
Total: 2780.00
Check 2780.00
6295
Change Due: 0.00
THANK YOU
CITY OF YELM INSPECTION LOG
PROJECT ~,~ lI Lt,,, 1 G' ~o
PERMIT NUMBER ~' ~- ~~- ~ 5
ADDRESS
SET BACKS Date: ~~31 ,~ 5
Corrections
UNDER FLOOR ~ /
Corrections /~ ~
DRY WELL
~~ Corrections
FOOTI ooG'REBAR _ ~Date~~,7//4 W
g ^ 12 f ALL REBAR ~Date:~~~~' ~'
Wall ^ 6„ ^ 16" Other
^ $" Other_
Required vents- _
Corrections
,... COMBINED F
RAMS/ EX ERIOR SHEAR WALL INSPECTIO
Hold downs ~" ,S' a
Frame //', ~ Shear Nailing ~ _ - 6
Plumbing (~ ~~ Gas/Propane _~
Corrections: -~T ~ Mechanical ~ ,/ /,
INSULATION > Gas
Foam and Seal ^vlectric ^Other
Corrections:- ~l ~ ~ ~~ 9 ^ apor barrier ^PVA
SHEET ROCK/SHEAR WALL NAIL
Corrections:
- ~/~s~ oq
FINAL
Sewer Final Electrical
Address ^ Civil Final ^Landscape Final
Insulation ^ Site Draina e ®C of O
g ^ Sidewalk
Corrrections:~Z/G S
-X TRANSMISSION
DATE: q - ~_ 0 9
E'AGES: j , incit,ding t.~~s
Covelr sheet
CrTY OF YE.LM
F3O~' 479 - 9,31 1`1P RQA,~ NE
YELM, V~'A 98597
360-458-841 1
'A~ 360-4S8-8166
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~~s :;c•<,n as poss~~lE. picas or any copy is nat legible, please call (360} 4S8-Sa a ~
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