20130359 Permit Pkg 11202013 'f`�,o� ''"�p,� City of Yelm Permit No.: 20130359
�
� � Community Development Department tssue Date: 11/20/2013
(Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
L
""'"`''°" Fax: (360)458-3144
Applicant:
Name: GEORGE ROBERTS Phone: 360-481-9814
Address: 10333 GROVE RD SE
YELM WA 98597
Property Information:
Site Address: 10333 GROVE RD SE owner:
Assessor Parcel No.: 85830002100 Subdivision: Lot:
Contractor Information:
Name: CK CONSTRUCTION Phone:
Address:
9341 CRETE ST SE
OLYMPIA WA 98501
Contractor License No.: Expires:
Project Information:
Project: UTILITY
Description of Work: WAIVER/DEFERRAL OF COLLECTION OF SEWER FEES PER ORDINANCE 979
Sq. Ft. per floor: First Heat Type(Electric,Gas, Other):
Second
Third
Garage
Basement
Fees:
Item Contractor Fees
SEWER CK CONSTRUCTION $ 0.00
TOTAL FEES: $ 0.00
ApplicanYs Affidavit: 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 restridions of record. If applying as a contractor,I further certify that I am currently Final Inspection:
registered in the State of Washington.
Signature��{;z%'(7�,� -,���G'�'� Date )�— (��? ` 2(}��l Date:
Firm By"
.
��� T�p��9 Ci ty o f Ye l m BYte Rec ived •� �Z.t,���(.
� v� File No.
°' Community Deuelopment
Department
NEW WATER/SEWER
Y E LM AppLICATlON
WASMINGTON
All permits are non-transferable and will expire if work authorized by such permit is not begun
within 180 days of issuance, or if work is suspended or abandoned for a period of 180 days
ALL CONTRACTORS ARE REQUIRED TO PROVIDE A COPY OF THEIR CONTRACTOR'S
REGISTRATION CARD AND PROOF OF A CURRENT CITY OF YELM BUSINESS LICENSE.
NEW SEWER ANDIOR WATER CONNECTION APPLICATION FORM
Project Address: /d3�.73 �1 o�G I'��5� Parcel #: 35�3 3 ooc�. "Zt O�
Subdivision: Lot#: Zoning;
❑ Water Connection �Sewer Connection
Are there any environmentally sensitive areas located on the parcel?
If yes, a completed environmental checklist must accompany permit application.
BUILDING OWNER NAME: �'rt°.oi^� RD�Pa-�S
ADDRESS ! 3 rd EMAIL
CITY G � ST E w� ZIP R�f.S9? TELEPHONE L S —
ARCHITECT/ENGINEER LICENSE#
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
GENERAL CONTRACTOR G ♦ Goh�rc,�f��►, TELEPHONE 3�-7£SS'-i7G 3
ADDRESS�3L//crG�e S�- SL= EMAIL GK.C,XC�u cy��c��M 4."l _e a-
CITY Gl�/'r--�P`4 STATE �„►� ZIP �l`�1SG'Z FAX 3 0-9Z 3 -o/3 z r
CONTRACTOR'S LICENSE#�CICCOhICE�C�I�'MILEXP DATE"1 CITY LICENSE#
PLUMBING CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE# EXP DATE CITY LICENSE#
SEPTIC INSTALLER/CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE# EXP DATE CITY LICENSE#
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 laws,rules and regulations of the State of Washington and the
City of Yelm.
� �'i �r,3 jrH���,. � �2. �
App icant's Signature Printed Date ; .:�
_ __��''��VED
NOV 13 2013
I
105 Yelm Aue W (3 8-3835
Yelm, WA 98597 (3 -
www.ci.yelm.wa.us
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CiTY OF YELM
ORDINANCE NO. 979
AN ORDINANCE OF THE CITY COUNCIL OF THE CITY OF YELM,
WASHINGTON TO PROVIDE FOR A WAIVER OF WATER AND
SEWER CONNECTION FEES FOR CERTAIN LOW INCOME
RESIDENTS.
WHEREAS, Section 35.92.380 Revised Code of Washington authorizes the waiver or
deferral of collection of tap-in charges, connection fees, or hookup fees for low income
persons to connect to water and/or sewer lines used by the city to provide utility service;
and
WHEREAS, The Washington State Health Code at Section 246-272A-0025 Washington
Administrative Code requires connection to a public sewer service when an on-site
sewage system fails and the public sewer is within 200 feet of the property; and
WHEREAS, The City requires connection to both water and sewer services when both
are available and within 200 feet of a property; and
WHEREAS, A septic system failure and subsequent requirement to connect to the
City's sewer and water systems could place a significant financial burden on
households with limited incomes; and
WHEREAS, the City Council finds that it is important to afford the ability for a low-
income household to connect to the water andlor sewer system in the event of a septic
system failure;
NOW, THEREFORE, THE CITY COUNCI� OF THE CITY OF YELM, WASHINGTON
DO ORDAIN AS FO�LOWS:
Section 1. A new section is established in Chapter 13.04 - Water System, of the Yelm
Municipal Code, at Section 13.04.315 as follows:
13.04.315 System Development Charge and Meter Charge Waiver and Deferral —
Established.
The system development charge and meter charge imposed by Section 13.04.120 YMC
shall be deferred for low income families where:
A. The total maximum household income of the residents of the dwelling unit shall
not exceed 50% of the most recent Thurston County median household annual
income, as determined by the United States Housing and Urban Development
Department.
B. The dwelling type is a detached, single-family residential unit.
City of Yelm Ordinance No. 979 Page 1 of 4
a $6,�94 00 per eauivalent residential unit for develonment outside
local imnrovement district#1.
b $3 178 58 oer eauivalent residential unit for development inside
local imarovement district#1.
2. An insnection fee of $145 �er eauivalent residential unit
' ' ,
,
�B. Service Rates. Service rates, billings and collection procedures shall be
governed by the applicable provisions of this code, as now existing or hereafter
amended or supplanted.
�� Delinquent Charges. All delinquent charges for sewer service, for electrical
service paid for by the city, and for the costs of sewer system connection,
together with the penalties and interest thereon as provided in this chapter, shall
be a lien upon the property upon which such connection is made or sewer or
electrical service furnished, superior to all other liens or encumbrances except
those for general taxes and special assessments. Enforcement of such lien or
liens shall be in the manner provided by this chapter and by other laws for the
enforcement of the same and for delinquent sewer service and electrical service
charges.
Section 3. A new section is established in the Sewer System Chapter of the Yelm
Municipal Code at Section 13.08.107, as follows:
13.08.107 System Development Charge and Inspection Fee Waiver and Deferral.
A. The system development charge and inspection fee imposed by Section
13.08.090 YMC shall be deferred for low income families where:
1. The total maximum household income of the residents of the dwelling unit
shall not exceed 50% of the most recent Thurston County median
household annual income, as determined by the United States Housing
and Urban Development Department.
2. The dwelling type is a detached, single-family residential unit.
3. The dwelling is occupied by the owner of the property.
City of Yelm Ordinance No. 979 Page 3 of 4
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Thur�ton Caunty Treasure�
Reel Es te Exciae Tax Pald
By � �
Return Address
City of Yelm
Tami Merriman
105 Yelm Avenue West
Yelm, WA 98597
Document title(s) (or transactions contained therein):
1. Utility Easement
Reference Number(s) of Documents assigned or released:
(on page of documents(s))
Grantor(s) (Last name, first name, middle initial)
1. Roberts, George
Grantee(s) (Last name, first name, middle initial)
1. City of Yelm
2.
Legal Description ( abbreviated: i.e. lot, block, plat or section, township, range)
Lot 21, Yelm Views, as recorded in Volume 17 of Plats, Page 7, in the County of Thurston,
State of Washington.
Assessors Property Tax Parcel/Account Number:
8583002100
4372706 Pages: 3
12l1612013 12:53 PM Easement
Thurston County Washington
CITY OF YELM
�III M��1�!'�Z���1�4'I���«l���l����N'ittil�F�+liK��Y����� �I II I
;------------- ---------------------------------------------------------------------------------------------
UTILITY EASEMENT
(INDIVIDUAL FORM)
THIS INDENTURE, made this�day of ���-�S ti,20 I 3 ,between George Roberts,
i hereinafter called the GRANTOR,and the CITY OF YELM, a Municipal Corporation,hereinafter called
; the GRANTEE,
WITNESSETH:
For valuable consideration,receipt of which is hereby acknowledged,the Grantor hereby grants
i and conveys to the Grantee, its successors and assigns,A PERPETUAL EASEMENT FOR operation,
i maintenance and repair of septic tanks,pump chambers,pressure sewer connection lines and pump
; electrical services, over,under,upon and through a portion of that certain real property situate and being in ;
; the County of Thurston, State of Washington,more particularly described as follows,TO WIT:
! PARCEL: 8583002100
Lot 21, Yelm Views, as recarded in Volume 17 of Plats,Page 7, in the County of
Thurston, State of Washington
i TOGETHER WITH the right to enter upon,over and along said real property hereinbefore described, from i
i time to time,to construct, inspect,repair,alter,modify,replace, remove, and update to present and future
'; technological standards, said STEP sewer system. The Grantor shall not place or construct a building or
; other structure on the easement right-of-way.
The permanent rights herein granted to the Grantee shall continue in force until such time as the
� Grantee, its successors or assigns, shall permanently abandon the same and upon such removal or
; abandonment,all rights hereby granted shall terminate.
IN WITNESS WHEREOF,this instrument has been executed the day and year first above-written. !
��i�
Grantor
Grantor
=--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------=
.
� STATE OF WASHINGTON )
) ss
i COUNTY OF THURSTON )
��_
� I certify that] know or have satisfactory evidence that (�� �� � ��• �U �'/�,�is/are the person(s)who
; appeared before me,and said person(s)acknowledged that(he/ he/they)signed this instrument, and
i acknowledged it to be(his/her/their)free and voluntary act for the uses and purposes mentioned in the
i instrument.
' ��e�.�
; Given under my hand and seal this�_day of � ,20 /�.3 .
�_ �,,,:s�; .,z_ � � � K?'i
�� � ,/�,���i1 �.
,�.���i�'���i�"� 6"�,r/��i� /""/�j.
��'��'•'" �`'�'�n�. �'�. r tary Public in and for the
.:�� o .•.:'' ti �V.
+� ;���'t��i�,,, � � State of Was�ington,
��,�� ° �-. �' '� residing at�� �YI ��(,(ti�r�/
.-i: �'w�,t � .
"°� �,�,a
�t •*,��e.��-.�, My commission expires: ��-,2��G/��
•t ��r Mn... \ ,{
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' Accepted by the�City of Yelm, Washington.this � day of�����.�✓� 20 �� .
�
BY:
Dir tor o Public Works
; STATE OF WASHINGTON )
) ss
i COUNTY OF THURSTON )
On this day and year above,personally appeared before me,� , ,�;1f��S}L�o me known to be ;
! the Public Works Director of City of Yelm, a Municipal Corporation,w o executed the foregoing
' instrument and acknowledged the said instrument to be the free and voluntary act and deed of said
� Municipal Corporation for the uses and purposes therein mentioned and on oath states he is authorized to
i execute the said instrument.
(b
'; Given under my hand and seal this �� day of �-�C: ,20 1-� .
`����\�Ntl��� �J
��.��ER� E���� ,�; ->�-�-,
�"`�������k ���/�� Notary Public in an for the
�� �' oT �� State of Washington,
.. —
� �p � � � � residing at v��°-Y c:� ���
�� _ . _ . �
; �
`c, ' My commission expires: �7— /`�r- 1 7
�R,�4 �O S
'�,„� '"„�,'��'� --
,,,,,.
r r.'"� `
Return Address
City of Yelm
Tami Merriman
105 Yelm Avenue West
Yelm, WA 98597
Document title(s) (or transactions contained therein):
1. Bill of Sale - Sewer
Reference Number(s) of Documents assigned or released:
(on page of documents(s))
Grantor(s) (Last name, first name, middle initial)
l. Roberts, George
Grantee(s) (Last name, first name, middle initial)
1. City of Yelm
2.
Legal Description ( abbreviated: i.e. lot, block, plat or section, township, range)
Lot 21, Yelm Views, as recorded in Volume 17 of Plats, Page 7, in the County of Thurston,
State of Washington.
Assessors Property Tax Parcel/Account Number:
8583002100
4372707 Pages: 2
12l16/2013 12:53 PM Miscellaneous
Thurston County Washington
CITY OF YELM
�������1�1�������«t':�'��'�������IK 1�1 R'��:��1f:��'`����'��� �����
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
BILL OF SALE- Sewer
i THIS BILL OF SALE is made and executed this � day of�(;�"'���,2�✓ , 20�, by and between i
; George Roberts, hereinafter called the grantor, and the City of Yelm, a Municipal Corporation, hereinafter ;
� called the grantee.
i WITNESSETH:
; That the grantor, for good and valuable consideration, the receipt of which is hereby acknowledged, hereby �
; convey, set over, assign and warrant to the City of Yelm the following described property situated in !
! Thurston County, State of Washington,TO WIT:
The S.T.E.P. system service lateral from the tank to the sewer main, tank, pump and
pump controls lying within the following described easement area:
Parcel: 8583002100
Lot 21, Yelm Views, as recorded in Volume 17 of Plats, Page 7, in the County of
Thurston, State of Washington
� IN WITNESS WHEREOF, said corporation has aused this instrument to be executed by its proper officers ;
; and its corporate seal(if any)to be affixed this�day of����,'20�.
��y�=/�
; BY `� ��6��`r/"(3' BY
b
(Sig ature) (Signature)
! 1TS ITS
(Title) (Title)
; STATE OF WASHINGTON )
)ss
� COUNTY OF THURSTON )
�
; On the�day of�. 20�, before me, a Notary public in and for the State of Washington, ;
; duly commissioned and sworn, personally appeared George Roberts is the person who appeared before me, ;
; and acknowledged the said instrument to be the free and voluntary act and deed of said person, for the uses �
i and purposes therein mentioned, and on oath stated that she is authorized to execute the said instrument and i
? that the seal affixed(if any) is the corporate seal of incorporation.
�.�s,::a,�,:,,,
; WITNESS r�'�ip�tii�az�1 of��CEaI seal the day and year first above written.
4
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:;,�.',;.:'•.�t\
^�� °�G�i�'��.�f.•'.,,�., _ ..� .
..a � 4�ti, " , . {,:
'''. ": � "� ''� ary Public in and for the
`�'`�� � ° ate of Washin ton,
`r�` ' " residing at / IS��(,d��I
r . My commission expires: �—��'—,�D/(o !
'; System accepted this �v day of�.����/2�!3
��
City o Yelm
By:
Dire tor o Public Works
�-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------�
Filed at the Request of
and to be Returned to:
City of Yelm
105 Yelm Avenue West
Yelm, WA 98597
DEED RESTRICTION
Grantor George Roberts
Grantee City of Yelm, a municipal corporation
Legal Description 10333 Grove Rd. SE, Yelm, WA 98597
(abbreviated) Section 29 Township 17 Range 2E Quarter NW NW Plat YELM
VIEWS LT 21 Document Ol7/007
Additional legal Exhibit A
Assessor's Tax Parcel ID 85830002100
No.
Reference Nos. of
Related Documents
THIS DEED RESTRICTION ("Declaration"), made this �day of / �.� � � � ,20�.� , by
George Roberts ("Owner"), in favor of the City of Yelm, Washington, a municipality of the State
of Washington("City").
RECITALS:
WHEREAS, the Owners hold fee-simple title to certain property in the City of Yelm,
Washington, located at 10333 Grove Rd. SE, Yelm, Washington, legally described in Exhibit
"A" attached hereto and made a part hereof("Property"); and
WHEREAS, Section 13.08.107 YMC allows for the deferral of the system development charge
and inspection charges for sewer connections imposed by Section 13.08.090 YMC for low
income families so long as the total maximum household income of the residents of the dwelling
unit shall not exceed 50% of the most recent Thurston County median household annual income,
the dwelling type is a detached, single-family residential unit, and the dwelling is occupied by
the Owner; and
1
4372708 Pages: 5
12116/2013 12:53 PM Miscellaneous
Thurston County Washington
CITY OF YELM
�iii k����,��i��������.i����������r.��;�'��������,wLi��,��� �i ii i
WHEREAS, Section 13.08.107.A.4 YMC requires that the Owner sign and record a deed
restriction guaranteeing they continue to meet the requirement as set forth in 13.08.107.A.1,
13.08.107.A.2, and 13.08.107.A.3 YMC; and
WHEREAS, Section 13.08.107.A.5 YMC requires that if a sale of the Property occurs within
ten (10)years from the date of the deferred charges, the deferred charges will be paid to the City;
NOW, THEREFORE, the Owners voluntarily covenant and agree that the Property shall be
subject to the following restrictions that are intended and shall be deemed to be covenants
running with the land and binding upon the Owners of the Property, their successors in interest
and assigns for the deferral of$6,394.00 (sewer system development charge) and $145.00 (sewer
inspection fee), as follows:
l. The recitals and findings set forth in the preamble of this Declaration are hereby adopted
by reference thereto and incorporated herein as if fully set forth herein.
2. This voluntary Declaration shall remain in full force and effect and shall be binding upon
the Owners of the Property, their successors in interest and assigns, unless modified, amended or
released prior to the expiration thereof.
3. Invalidation of any provision of this Declaration by judgment of Court shall not affect
any of the other provisions of this Declaration, which shall remain in full force and effect.
4. This Declaration shall be recorded in the Thurston County Auditor, at the cost of the
City.
5. It is understood and agreed that any official of the City of Yelm has the right at any time
during normal business hours of entering and investigating the use of the Property to verify that
the Property is a detached, single-family residential unit, and that Owners are occupying the
Property.
6. It is understood and agreed that any official of the City of Yelm may ask for verification
that maximum household income of all residents of the Property do not exceed 50% of the most
recent Thurston County median household annual income, as determined by the United States
Housing and Urban Development Department, or to otherwise determine whether the conditions
of this Declaration and that YMC 13.08.107 are being complied with.
7. An action to enforce the terms and conditions of this Declaration may be brought by the
City and may be, at law or in equity, against any party or person violating or attempting to
violate any provision of this Declaration, either to restrain violations or to recover damages. The
prevailing party in the action shall be entitled to recover costs and reasonable attorneys' fees, at
all levels of trial and appeal. This enforcement provision shall be in addition to any other
remedies available under the law.
2
.
IN WITNESS WHEREOF, the undersigned have set their hand and seal this �' day of
�.t�i:�'i32�:?�v , 20�.
PROPERTY OWNER CITY OF YELM
_
—.� �
�r A
� P�{S (printed name) By:�� �/o �;���o�e
(printed name)
Acknowledgements on following page
3
STATE OF WASHINGTON )
) ss.
County of Thurston )
On this day personally appeared before me V��,•'�/°C0�'�/��S and -� , to me
�
known to be the individual(s) described in and who executed the within and foregoing instrument, and
acknowledged that he/she/they signed the same as his/her/their free and voluntary act and deed, for
himself/herself/themselves for the uses and purposes therein mentioned.
GIVEN under my hand and official seal this �Q day of �L'�/'Yj�j2✓ ,2013.
.�, > .�
,°,,,<_ .. �.'6. �J
.�rn �"��'t b
� Pri Name: � . � A. " � .
�,� � �a r` ° �� NOTARY PUBLIC in and for e State o Washington,
1 4
�/i �•'a._�, E .
-� ' ''�;� � �.,' � residing at f��
�; � ,.,
� "'�,r s� ;. Commission expires: - /'�
L�i�'•. •�'��li� .
STATE OF WASHINGTON )
) SS.
COUNTY OF THURSTON )
1����'�� `�5��
On this day appeared 1'>v ` , personally known to me (ar proved to me on the basis
of satisfactory evidence)to be the�k.)�r�c +r'' of the CITY OF YELM, a municipal corporation,the
person that executed this instrument, and acknowledged the said instrument to be the free and voluntary
act and deed of the said municipal corporation, for the uses and purposes therein mentioned, and on oath
stated that he was authorized to execute the said instrument.
GIVEN UNDER my hand and official seal hereto affixed the day and year in this certificate
first above written.
i � > � ��%�/�G
Print Name: rv--'"'a,tn', ,p , ` G�
`����.��"��������1�� NOTARY PUBLIC in and f�r the State of Washington,
= �, �E�1Ip���t� residing at i���_rZ� (".[i
- � .���a�a�a 14i � / �,
_ :r��'� �f/,� My Appointment Expires: -�— I f � � 7
:�y� ,�OTi�� �
: ��y���h1� �
�- � �''a�,�8-17 s
� O ������N..�. .��s
I��''�h'ASHtiNG�w`_�
�''�,����������`��
4
EXHIBIT A
Legal Description
Lot 21, Yelm Views, as recorded in Volume 17 of Plats, Page 7, in the County
of Thurston, State of Washington
5