20050327 2008 C of O Final~~j~ill~l~(~Il~fl~ll~f~lf~7lf~ll~(III-e~Jfl~l~71~71~f17fl~fr~lf~f~7
CITY OF YELM -BUILDING DEPARTMENT
RESIDENTIAL CERTIFICATE OF OCCUPANCY
Building Address
Owner Name Quadrant Homes
Owner Address P.O. Box 130
Bellevue WA. 98009
Building Permit Number BLD-05-0327-YL Plan Number Plan 2421 6/2L, Lot 35
Areas Inspected: All Code required
Special Conditions:
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
P.0. Box 130
Bellevue WA. 98009
Building Permit Number BLD-05-0327-YL Plan Number Plan 2421 BI2L
Remarks: Not for residence, for demonstration only
Areas
Special
Building Official: G. Carlson Date: March,312006
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
Lof 35
Woodland Gardens Construction, INC.
253-405-0888
BACKFLOW PREVENTION ASSEMBLY TEST REPORT
NAMIs OF PREMISE lJt, 1 A a',~;,,; Conuocrcial ,~' Residcnlial ^
-~~ ~.Ifti i --~-•'~rt-~---- --
SERVICE AUURE.SS f ~~2/, %~~~ 1~~, l," ~ 1- ~, ~ CITY r~/l~ 71 P
CON'TACT' PERSON ___ PHONE; ( ) FAX ( ~
LOCATION OF ASSEMBLY
~~,t~~~
PRF,MISG ISOLATION tor) IN-PREMISE, ISOLATION
lx)WNSTRRAM PROCESS ~,~'T',?-.mss DCVA Sd RPBA ^ PVBA ^ OTHER _
NEW INSTALL ^ 1'sX1S'i'ING ~ REPLACEMENT ^ OLD SER. # __ PRC)('F,R IN,S"fA1,LAT10N? YrS~ NO ^
MAKE OF ASSEMBLY 1~1~~, ~~ MODEL ~ ~~_x~;' SERIAL NO. ~~ ~~Jf' S17.C • ~ ~~
UC V A /
1N1'TIAL CHECK VA RI-IIA DC V A /RPBA RI'i3A 1'V BA /SV BA
L
VE NO.1 CHECK VALVE N0.2 AIR INLET
i ~~ OPENED AT PSI
OPENED A'f PSID
LEAKED ^ LEAKED ^ #! CHECK PSID
PASSED ~ DID NOT OPEN ^
~
FAILEll ^ ,~.,~ PSID f ~ PSID AIR GAI' OK'?
('I.I:AN RI:PI.ACI~ . PANT CI.F.AN NI]'I.ACI: 1'AR'I' l'1.I:AN Ril'I.A('f: I'ARI c'r~ECK vALVE
NEW ^ ^
PARTS ^ ^ ^ ^ lIELD AT _ _PSID
^ ^ ^ ^ ^ ^ -____ LEAKED ^
REPAIRS
^ ^ _ ^ ^ ^ ^ CLEANED ^
REPAIRED ^
TFS'f AFTER
RF,i'AIRS ~,EAKED ^ LEAKED ^ OPENED AT PSID AIR iNLE"f PSID
PASSED ^
_
FAILED ^ -- PSID PS[p #I CHECK PSiD CHK VALVE PSID
--
AIR GAP INSPECTION: Rap,irc d mi„6uwn ~t~ ~„1, xlrarnu,n, ~~ovKlcd't Yes ^ No ^ Uctectnr Meter Rending
REMARKS: CONFINED SPACE ? r~~, LlNfS 1'RE.SSURF, PSI
TESTERS SIGNATURE: CEe'iT. NO
B33S4 DA'TC i
,
_ .
-. .
TESTERS NAME PRIN~I'EU: JASON ANDERSON _ TESTERS PHONE # ( 253 ) 405-0888
RI?PAIREU BY: '
__ UA
fE
FINAL TEST' IIY:_ CERT. NO. DATE
CALIBRATION UATF, ~ / ,,•, /,?GAUGE # 11030051 MODEL 40200TK5 SERVICE RF.STY)RED? YES ^ NO
I crrtrJr tkat dria report is occurnle, and / Bare naed {VAC 206-290-J90 appmred feat a-e/6aLc and teat cgnlpnmut.
OCT-08-2008 14:46 City of Yelm Public Works 360 458 8417 P.05
City of Yelm
Public Works Department
901 Rhaton Road
Y.O. Box 479
1'etm. WA 98597
(3GO~ a58.8~IOG Fax: (3G0) 458-8417
NEW HOME FINAL
DATE: ~ ~ l~~ 8
DEVELOPME>'~T;
BUILDER'S N~~MC:
LOT #; ~ ADDRESS:
S~
COMMENTS: 1~1'~p C~,~ ~~t~e
.. ., _
INSPECTED [3't~: Date: D- - ~~
o John ivcy ,~
o Edward ~;niitl~
s~(, Tim Rarick (V~,tzl~