20050333 2009 C of O Final~r,r,r,r~r~r~nnnnnnnnnnnr~~1717 rl7- rf7
CITY OF YELM -BUILDING DEPARTMENT
RESIDENTIAL CERTIFICATE OF OCCUPANCY
Building Address 14556 Terra View St. SE
Owner Name
Owner Address
Building Permit Number BLD-05-0333-YL Plan Number Plan 1610, Lot 30
Areas
Special
Building Official: G. Carlson Date: May 21 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
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CITY OF YELM -BUILDING DEPARTMENT
Temporary
RESIDENTIAL CERTIFICATE OF OCCUPANCY
Building Address
Owner Name
Owner Address
Building Permit Number BLD-05-0333-YL Plan Number Plan 1610 Bl2L
Areas
Special
Building Official: G. Carlson Date: March,312006
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
May 22 09 09:42a Landmark /Mark or Elisa 253-840-1157 p.1
Woodland Gardens 253-238-6965 p.!
~~ VVY~Y tM \11P^ Yi~i ~vi:.~i^ w~~~:vM, 1N~
BACKFLOW PREVENTION ASSEMBLY TEST REPORT
NAMk: OF 1'REAftSE ~/iQ~~ ~'A)~_ Caluucrcir~l O Rcsiden(iu1a~
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CONl'ACI' 1'E1tSr)N 1'Ht)NR ( ) I~AX 1
LOCATION OF ASSBiVIB1.Y
PREMISE I.SULA'r1UN (er) 1N-1'ItEMISF, ISl7LAl'101V
l)OWNSTRP,ANI Pttt]CASS .liGRI~19fk-./ DCVA ,~ RYDA ^ 1'VRA O ()7~1[:R ______
NEW INSTAW, ^ RXlS1'iNG ~, REPLACEMF.IYi' D OI.D CER. r ~_ __ /P~HQP~nFj.R Ih'.STAI.I.ATInN' YGS~Nn ^
MAKE nF ASSF.MIi1,Y ~~~' iNODEL OSD SBRiAL Nt). 7~ /S Z6~ S17.E ~ ~~ ~~
1)ICVA ~ RI' SA UCVA ~ wh sA >tct~uw 1"AAA/J~A~
1 INrI•IAI, ! CEIErK VALV@ NO_1 i CH~,CK VALV E N0.2 ' ~ AIR INLET
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PASSED ^ PSiD PSID M1 CHECK PSID CHK VnI.V£ ____ PSID
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AIR f AP INSPE(.'iTON: NavMirell miRLrxwl rir L'ap .c{nrol~m I+rorWaf.~ Yes ^ No D Dr(eraw Meld' ItCRi111~6 __ _ ~ __ ._ -
RF.Ib1ARK.S: CONFINED S'I'ACE ° /ji.~ iJhF PRB.S.Si1AF ~F"
TESFEII.S SECNA'RJRE: CB.xi. NO. B3354 ~A•rc-S. ~ , Y
TESTERS NAME P El>; JASON ANaERSON TESTKR.S PHONE I { 253 ; '~S'~88
FtI?PAl1tEU nY:
FINAL TRST' IIY; CRRT. NO. 1)A'rC
CALIIIRATI(N+i DA'f[!' ~ r~io~gcAUCe a 11030051 MAI)LrL~oOTKS SERVICE RES'1'nitf3D' Y[iS~ NU D
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Lot 30
Woodland Gardens Construction, INC.
253-405-0888
BACKFLOW PREVENTION ASSEMBLY TEST REPORT
NAME OF PREMISE j ~ ,
-Y~-~~~~-'' )C ~ _ Conuucrcial ~l Rcsickntial ^
SERVICE AI)URGSS /~/~~' ~,~ ~~ !/ 1 ," .~ - < ~~ ~
,~ /~_..~ ~ CITY T~~ 7,IP i ~ .,
CUNT ' '
ACl 1 EKSON PHONE, ( ) FAX ( ~
LOCATION OF ASSEMBLY ~3 '~ ~~~~~~~
PREMISE ISOLATION__ lor) IN-PREMISE ISOLATION
DOWN.S7'RRANI Plt()CF,S,S 7L~ 7~~~G4~~ DCVA [I~ RPBA O PVBA ^ ()"1'HER
NEW INSTALI, ^ I;X1S7'tNG ~ REPLACEM(sNT ^ OI,D SEK. ~ PKQPFK IN
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MAKE OF ASSEMBLY f ~ `~~ ~ MUUEL ~-, SERIAL NO. ~L/~TS ~~ ~ S17,E ~ C'
UCV q / R
IN1'1'IAL CHECK VALV PIIA DC V A /RPBA RPBA 1'V BA/SV BA
C NO
1 ~~ .1 C_~CK VALVE N0.2 AIR INI..ET
OPENED AT PSI
LEAKED ^ OPENED A'f PSID
LEAKED ^ Apt CHECK PSID
PASSED ~ DID NOT OPEN ^
FAILEll ^ ~ ~
' PSID _~ _ ~; PSID AIR GAP OK''
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LEAN NI:M.ACIi 1'AHT C'LIiAN kl?P1.AC1? 1'AN'f CLIEAN RiitN.A('(? 1'ARI C(iECK VALVE
NF,W ^ ^
PAR7:S ~ ^ ^ ^ FIELD AT PSID
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ANU ^ ^ ^ ^ LEAKED
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^ ^ _ ^ (] ^ ^ CLEANED ^
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- REPAIRED ^
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ItF,I'AIRS LEAKED ^ LEAKED ^ OPENED AT PSID AIR INLET PSID
PASSED ^
FAILED ^ - ---- - -- - PSID pS(D //! CHECK PSID CHK VALVE PSID
- - ---- - ---
AIK GAP INSPECTION: Raplircd mininmm air l=a11 scparoliun pruvi/kdT Yes ^ No ^ DeteCtnr Meter Rc(~ding ___
RF,MARKS: _CONFINED SPACE ?
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LIN(; 1'RE.SSURF, ~u PSI
TESTERS SIGNATURE: ~
_
; ~/ CErZT. NO. B33S4 DA'L'E '~ ~ , ,~:~g
TESTERS NAME PRII'1~TED: JA SON ANDERSON __ TItS'I'ERS PHONE a ~ 253 ) 405-0888
REPAIRED IIY: '
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FINAL'['EST IIY:_ _ CIs'KT. NO. DATE
CALIBRATION DATE ~ /~,1~~ ,, GAUGE ~ ~ 1030051 MODEL 40200TK5 SERVICE, RESTORED? YES ^ NO~
/ cer/rjy Iknl Unix rrpnr l is nccumle, and / Aare « sed {VAC 246-290-49D npproveA /tsl a(clkodc and (esl cgalp«rc«t.
CITY OF YELM INSPECTION LOG
PRO.fECT Tahoma Terra Lot 30 1610B/2L
PERMIT NUMBER OS-0333
AUURESS 14$56 Terra View St. SE
SET BACKS Date:
- FOOTING WALL
Front 15 ^ 12" ^ 6"
Rear _20 ^ 16" ^ 8"
Side/Flanl:ing _5 ^ other ^ other
Side 5 ^ required vents
FOOTING REBAR _®Date:_10/17 WALL RF.BAR ®Date:10/18
Comments
COMBINED FRAME/ EXTCRIOR SHEAR WALL INSPECTION
I-Told downs ®_ Shear Nailing ®_ 11/3/05 x
Frame ®_ok 11 / 10 Gas/Propane ®_ ok 11 /8/05
Plumbing ®_ok 11/10 Mechanical ^ _
Comments Cut TJ 1 11 /8/05 frame ok 11 /10
INSULATION ®Gas ^Electric ^Other
®Foam and Seal ^Vapor barrier ®PVA
Comments Behind tub & trap energy ok 11/10
SHEET ROCK/SHE AR WALL NAIL
Comments
OTHER Dry Well 11/3/05
FINAL
®Sewer Final ®Electrical ^ Civil Final ^Landscape Final ®C of O
®Address ®Insulation ^ Site Drainage ^ Sidewalk
Comments 5-21-09
~~ THE P~
',~~, ~ City of Yelm
1 a ~' Community Development Department
105 Yelm Avenue West -P.O. Box 479
YELM Yelm, WA 98597
""""'"°'°" (360) 458-8407 - (360) 458-3144 FAX
CITY OF YELM BUILDING DEPARTMENT
CORRECTION NOTICE
I have this day inspected this structure and ?~ ~7~
these premises and have found the following PERMIT NO. / ~~JJ
violations of the City of Yelm and/or State laws
governing same:
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i
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-inspection at (360) 458-8407.
,~ DO NOT REMOVE THIS TAG DATE S ~ G ~'
pector