20050331 2008 C of O Finalr~ nnnn~n~nnnnnn.nnrr~nrr~_nrr~_nnn
CITY OF YELM -BUILDING DEPARTMENT
RESIDENTIAL CERTIFICATE OF OCCUPANCY
Building Atldress 14832 Terra View St. SE
Owner Name
Owner Address
Building Permit Number BLD-05-0331-YL Plan Number Plan 2141 B, Lot 34
Areas
Special
Building Official: G. Carlson Date: Oct. 8, 2008
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-05-0331-YL Plan Number Plan 2141612E
Remarks: Not for residence for demonstration onl
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
Lot 3y
Woodland Gardens Construction, INC.
253-405-0888
BACKFLOW PREVENTION ASSEMBLY TEST REPORT
NAME OF 1'KEMISE ~-Y~L.~~.~ ^i
c../ ~~---=/~i~Z~~: - ----- _ _ Comtncrcis,l ~ Rcsitkntial ^
SERVICE ADDRESS /f7~.5~ /ti;~,~J ~/LL/ S'7- ~t CITY ~~~L./1~1 ZIP ~`~~
CONTACT 1'EKSON _ PHONE ( ) _
I' A X ( ~
LOCATION OF ASSEMBLY i~Y ~hti 1212._
PRF,MISE ISOLA'PION_ lor) IN-PREMISE, ISOLATION
l)UWNSTRRAti! PR(~ES.S _~~,~'" ,p,~. DCVA ~'~ RPBA ^ PVBA O OTHER _
NEW INSTALI, ^ EXISTING ~ REPLACEMENT ^ OLD SEK. b ____ _ PROPF,K IN,STALI,ATION? Yi;S ['~ NO ^
WIAKC OF AS.SEM81,Y ~'/.~ '%~ ~ MODEL ~ r''' X~f SERIAL NO. lit. ~ lsi 2 y S17E ~ ~
UCVq / Rj-
INITIAL CHECK VALVE I3p DCVA /RPBA
NO 1 CHECK V RPBA PVBA/SVBA
I ES'f ALVE NO 2 AIR INLET
OPENED AT PSl
LEAKED ^
LEAKED ^ OPENED A~f PSID
A~1 CHECK PSID
PASSED
FAILED ^ ~--' ~
'
PSID ~• ,/ PSID DID NOT OPEN ^
AIR GAP OK?
CLL•
AN klil'LACE
NF.W PANT CLEAN k1:M.ACE 1'Akl' CLIiAN kISIh.A<'f_ PAkI
CHECK VALVE
PARTS ^ ^ _ ~ ^ _ ^ ^ 1IELD AT _ PSID
ANU ^ ^ ^ ^ ^ ^ ~ LEAKED ^
REPAIRS ^ ^ ^ O ^ ^ _
^ ^ ^ ^ _ ^ ^ CLEANED Q
REPAIRED ^
9'FS'f AFl'F,R
ltF,l'AIRS LEAKED ^ LEAKED ^ OPENED AT __PSID AIR INLET PSID
PASSED ^
FAILED ^ -- -- --- PSID pS(D
- --- NI CHECK PSID CHK VA~.VE PSID
ATR (:AP INSPEC'1'IUN: R«luircd minimum air Syr xclurali~m pruvitkJ? Yes O No ^ Detector Meter Rending _ _ _
RF,MARKS: - CONFINED SPACE ? = ~_~,> ___ LINE 1'RE.SSURF, ~ PS.
TES'T'ERS SIGNATURE: CERT. NO. B33S4 DATE ~o. ,~ . ~.S'
TESTERS NA111I; PRINTED: JA$ON ANDERSON
___ _ ___ TESTERS PHONE N ( 253 ) 405-0888
REPAIRED TTY: ._ . ___
FINA1,'fESTRY:_ CI;KT. NO.
CALIBRATION DATE iz /2a l08 GAUGE r7 ~~030051 MODEL40200TK5 SERVICE, RESTORED? YES ^ NO-.1~
crrlijl~ Ika! l6is repaN is accumle, and / Aare used {VAC 246-290-.I90 apprared Ies1 w-elhod~ and /rsl rgni/nxeiN.
OCT-OB-2008 14:46 City of Yelm Public Works 360 458 8417 P.04
City of Yelm
Public Works Department
901 Rhoton Road
P.O. Box 4 i 9
1elm, WA9859i
(3G0) a58-840G Fax: (360} 458-891 i
~y l NEW HOME FINAL
DATE: _~ ~ O
DEVELOPMENT: ~~
BUILDER'S N.~ME: _~~"
LOT ~: ~ ~ ADDRESS: I ~-( ,Q ~~
COMMENTS:_ h~~Yl~
INSPECTED B't~: Datc: D- ~ r7
o John Ivca~ ^
o Edward ::smith (C~,/,`~n\
Tim Rari~k ~'