20050702 Permit Pkg 090606CITY OF YELM -BUILDING DEPARTMENT
CERTIFICATE OF OCCUPANCY
Building Address 114788 Berry Valley Rd. SE Fire Zone
Occupancy Group B
Owner Name Tahoma Terra LLC Use Zone MPC
Owner Address P.O. Box 627 Type of Construction V-B
Rainier, WA 98576
Building Permit Number BLD-05-0702 Plan Number NIA
Has been inspected and the following occupancy thereof is hereby authorized
Floors
Occupancies Area under
This Certificate
S uare Feet Maximum
Occupant
Load Maximum Allowable
Floor Loads
Lbs. er S . Ft.
1 6 1344 14
Areas Inspected: Set up and Safety
Special Conditions: None
Is Building Sprinklered? YES x NO
Building Official: G. Carlson Date: November 21, 2006
POSTING: The Certificate of Occupancy shall be posted in a conspicuous place
on the premises and shall not be removed except by the Building Official.
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City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360)458-3144
Applicant
Permit rvo: BLD-05-0702-YL
Issue Date: 09/06/2006
(Wo rk must be started within 180 days)
Receipt No: 43640
Name: Tahoma Terrra LLC Phone: 446-3083
Address: P.O. Box 627 City: Rainier State: WA Zip 98576
Property Information:
Site Address: 14788 Berry Valley Rd.
Assessor Parcel No. 78640000010 Subdivision: Tahoma Terra Lot:
Contractor Information:
Name: Rainier General Development
Contact:
Blume, Doug
Phone: 446-3083
Address: P.O. Box 627 City: Rai nier State: WA Zip: 98576
Contractor License No: RAINIGD115QL Expires: 01/01/071 Business License:
Project Information:
Project: Temporary Office
Description of Work: Install 28x48 Temporary Office
Sq. Ft. per floor: (1st) 0 (2nd) 0 (3rd) 0 Garage 0 Basement 0
Heat Type (Electric, Gas, Other):
Fees:
Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
Building Permit -Other 150.00 0.00 0.00 0.0000 0.0000 $1,000
Sewer ERU 5,569.00 0.00 5,569.00 5,569-0000 1.0000 ERU
Sewer Inspection 145.00 0.00 145.00 145.0000 1 0000 ERU
Water ERU 1,500.00 0.00 1,500.00 1,500.0000 1.0000 ERU
Water Meter (SFD) 300.00 300.00 0.00 0.0000 00000
Water Deposit Commercial 40.00 0.00 40.00 40.0000 1,0000 ERU
Sewer Deposit 50.00 50.00 0.00 0.0000 0.0000
TOTAL FEES: $7,754.00
Applicant's Affadavit:
~ OFFICIAL USE ONLY ~
I certify that I have read and examined the information contained within the application and know the same
to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of # Sets of Prints:
Yelm regulations including those governing zoning and land subdivision, and in addition, all covenants,
easements and restrictions of record If applying as a contractor. I futher certify that I am currently
registered in the State of Washington. Final Inspection:
Signature Date Date: % :~
Firm ~ By:
FROM :YELM SEWER DEPT. FAX N0. :360-458-E3166 Nov. 20 2006 05:19PM P1
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FAX TRANSMISSION
CITY OF YEL~VI
P.O. BOX 479 - 93 l NP ROAD NE
YELM, WA 98597
360-458-84 ] 1
FAX 360-458T$ ~ 66
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#'` l f you do nal receive all copies ar any copy is not legible, please call (3b0) 458-8411
as soon ns possible.