20130337 Permit Pkg 07152014 �O� �HEA�, City of Yelm Permit ►vo.: 20130337
7
a � Community Development Department Issue Date: 7/15/2014
(Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
EL
"""`"'"`_�" Fax: (360)458-3144
Applicant:
Name: FREESTONE CHERRY MEADOWS LLC Phone: 253-896-1300
Address: 6820 20TH ST E STE A
FIFE WA 98424
Property Information:
site Address: 15347 KAYLA ST SE Owner: FREESTONE CHERRY
MEADOWS LLC
Assessor Parcel No.: 4161005200 Subdivision: CHERRY MEADOWS Lot: 52
- Contractor Information:
Name: FREESTONE CHERRY MEADOWS LLC Phone: 253-896-1300
Address: RICK CARLILE
6820 20TH ST E STE A
FIFE WA 98424
Contractor License No.: FREESI''969NZ Expires: 1/24/2011
Project Information:
Project: NEW RESIDENTIAL BUILDING
Description of Work: LOT 52, PLAN 3088A
Sq. Ft. per floor: First 1411 Heat Type(Electric, Gas, Other): GAS
Second 1677
Third
Garage 390
Basement
Fees:
Item Contractor Fees
NEW RESIDENTIAL BUILDING FREESTONE CHERRY MEADOWS LLC $17,528.13
MECHANICAL KLIEMANN BROS. $ 78.25
PLUMBING PELTRAM PLUMBING $ 139.00
TOTAL FEES: $17,745.38
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 restrictions of recor . If pl g as a contractor, I further certify that I am currently
Final Inspection:
registered in the Stat as ' on
�` Date:
Signature � Date ��
Firm
.������ � By�
Cit� of Yelm
(36 ) 458-8402
REC#: 00166401 7/15/2014 4:00 PM
OPER: CQ TERM: 001
REF#: 3512
rRAN: 3;i,pppa g�rLpING PkRMTTS
20130337 17,745.38CR
FREESTON� CHERRi' MEADOWS LLC
15347 KAYLA ST SE
SLD-RE51 17,528.13CR
MECH 78,25CR
PL 139.00CR
TENDERED; 17,745.38 CHECK
APPLIED; 17,745.38-
CHpNGE: 0.00
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CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: ��'� � 1 GL c�7;� Parcel#: "G'��(C� d'J�Q O
Subdivision: �ot#:_"�J� Plan#:s��_ Zoning:
�2Q New Construction ❑ Re-Modei/Re-Roof/Addition ❑ Home Occupation Sign
❑ Plumbing ❑ Mechanical ❑ Mobile/Manufactured Hom lacement ❑ Other
Project Description/Scope of Work: t ` ' Q
5 7 �
Project Value: ,
, ar
Building Area (sq. ft) 1 st Floor�_ 2nd Floor� Garage �� p�
Basement � Carport "�" Patio�_
#Bedrooms� #Bathroomso?���- Heating: AyS OTHER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? �_
/fyes, a completed environmental checklist must accompany permit application.
BUttQING OWNER.NAM�: Q, C ��
ADDRE S O EMAIL � � ���
CITY � STATE„j�_ZIP TELEPHONE fo- DO
ARCHITECT/ENGINEEI� LICENSE#
ADDRESS a5 - EMAIL���jq , eqM�►q,� n
C�n' Bv�-h�1 STATE ZIP 1 TELEPHONE
GENERAL,CONTRACTOi� � TELEPHONE_ �pt�
ADDRESS EMAIL �
CtTY SArtY�tc STATE IP FAX�3 $q!o-d(o 6a
CONTRACTOR'S LICENSE# E 2 EXP DATE � CITY LICENSE#
�ol�-1
PLUMBING CONTRAGTOf� e LEPHONE l- �
ADDR SS EMAIL
CITY STAT Z P 0 l FAX (a5�, 9 1 -Q�
CONTRACTOR'S LICENSE# O EXP DATE CITY LICENSE#
� �O
MECHANICAG CONTRAGTO(� • 1c TELEPHONE ab 5 -D
ADDRESS �}703 �I lo`� �}- � EMAIL
CITY I�DrYtcL STATE ZIP� _ L FAX C
CONTRACTOR'S UCENSE#I;.I,rEIkP��10 1 R'r EXP DATE� CITY LICENSE#
Co � a'7 201�{
py of mitigation agreement with Yelm Community Schools, if applicable.
I hereby certify that the above Informatlon is correct and that the construcUon on,and tha occupancy and the use o/the
above de cribed property w111 be in accordanca wlth the laws,rules and regulatlons of tha State of Washington and the
City el .
App ca t's Signatur ��
Date
Owner/Contractor/Owner's Agent! ontractor's Agent(Please circle one.)
All permits are non-transferable and will expire if work authortzed by such permlt is not begun
within 180 days of Issuance, or if work is suspended or abandoned for a pe � T��'''''1`l,�,'^�)
( ��.5 �..1:...-/.::,. .l R�IRJ
� �� JUN 2 7 2013
V
Ir'1R7.
105 Yelm Auenue Weat � .
Yelm, WA 98597 (360)�158-3144 FAR
www.ci.yelm.wa.ua
6.5' 39' 6.5'
� � 9 7.67'_ _. 21.33'
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OT QT � � �
SGALE:1"=2Q' S, 52 � � — "�acY
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° � DIAG 65' � �- �
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6 5� 39' 6,5'
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N CURB i GU7TEP, i _ ` 24' � � l-ApPRQXIMATE �� ���`���'
,F-
LOGATitiPI OF
STREET 7REE �� , °-/3° '"
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iCAYL.A 5T. 5E ~_�_....._._.T ____... A_._.._
N fJ 5'EAVE �-��a r�.. t U r�.. ��:.����
�NCRcaAC#-lMENT THIS LOT CONNECT 4" PVC ROOF
� :�,, DRAINS TO DRYWELL
STEP TANK �XCAVATI4N IN V10l..ATIUN :�:"%'`�,��,:�'-r j �����;�
C3� 7'H� REQUIREQ 5' MlNIMUM SET BACK - , �f���lf,
�RQNT PC?RGH F�UNDATIQN AND STEP
i'C) FC?UN17AT10N SMAL.L, BE BACKED _`i.il�' � 'fi� lO�i ANK LOCATION SHALL BE STAKED OL1T
FILLEC�WITH CD�, pR SET BACK INSPEC7fON.
�C}T 52 - CI��RRY:�EADCaWS
PARCEL #: 41614(? 052 00 �Q�e' Qs�ner�_ �t^eea�Qi�C:
06125 /13
Gherru M�ado�vs LL�
Lot �ize: �'ro�ect Address: '�^_—VW��� 6820 Oth 5t. � 5uite A
�IPe, WA q8424
5,2(�0 �q. Ft. 15347 KAYLA ST. SE 253-8qb-1900
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Duc#l.eakage AfFiclavit(New Construction);
Perm[t#: ���3 0 ��7
Hause address or lot number: ������ /"1/�L/_��� �• �.-S,G=
� CiEy: Zip: �}��.7����
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Cond.�loor Area(fta):,�;(}�� � Source tctrcle one): Plans Estimated Measured
❑ Duat tightness festing is not required.The total leakage test Is not required#or ducts and alr hanciiers located
enfirely wiihin#he buifding fhermal envelope. pucts located in crawi spaces do not quatlfy for this exception.
Air Handler ln condfHoned space?O Yes O no Air Handfer present during test?�yes Q no
Circle Test Mefhod: Leakage to Dutside Tota{Leak�ge
Maxlmum duct leakage:
Fost Construction,total duet leakage:(flaor area x.U4)= CFMQa 25 Pa �
Posf Consfructfon, leakage to outdoors: (floor area x.04)= C�M@25 Pa
Rough-!n,total duct leakage with air handter Instatled: (floor area x.04)_ /�.� ` �M@25 Pa
Rough-In,total duct leakage witt�afr handter not installed: (fioor area x.03)= CFM@25 Pa
Test Result: ���v/� CFM@25Pa
Ring{circle ona if applEcab[e}: Open 1 2 3
Duct Tester Locatton: Pressure Tap Location:�����___`s��
1 ccrtify that these duct ieakage rates are accurata and determined ustng sfandard duct testing protocol.
Compahy Natr�e:��(��ril��/��___���„/�1 Technician: ,�/�'V
Fechniclan Signafure:
pata: �,�/�/�%.
,
Phone Number: 4�� 7�������
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