BLD-05-0116
i
,
I
I
~.
~
i
e
N
;
;
FAX TF~ANSMISSION
CITY OF YELM
POBOX 479 - 931 NP ROAD NE
YELNI, W A 98597
~ ~ 360-4Sg-8411
\) f',(<.- I FAX 360-458-8166
TO: ("-\<,~~t;O-N DATE: q- d.;;) - 0 J
FAX#:
PAGES. I , includmg this
Cover sheet
From: MI'JOY
I
I
~
Subject: f:)AJAL5
65 ~ 5d-B-o. () <J
COMMENTS '-( 6 LVY\ le' (-j/L 0 1 d-."l/ 10 '-i "'3 1'", Un 113f2Vl S 1", '5 E.
PENN'U(,-TD.^-J I;"Sl)l'TE;jk I LL f'o ^'lJ /Os 11')115'" S L- 0\ "3, '1
I ))
I ')3 b T I 0 L{ TJd W,q Y .s, t-
-6'5-7396~O(J
H If you do not receIve all <:Opl~S or a'lY copy IS nol h:glble, please call (360) 458-8411
as SOOn as po~slbJ~
Td Wd9l: [0 S00C: c:c: d;;;l5
99m-BS!?-09~ ON Xtl.:l
Id3G a3M35 Wl3^ WOo.:l
o
o
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Permit No
BLD-05-0116-YL
Issue Date 04/27/2005
(Work must be started within 180 days)
Receipt No
36356
Applicant:
Name: Comfort Homes
Phone.
360-486-0161
Address. 8306 Quinalt Dr NE
City' Lacey
State: WA Zip 98516
Property Information:
Site Address. 15308104th Way SE
Assessor Parcel No. 62320003900
Subdivision. Mill Pond Estates
Lot: 39
Contractor Information:
Name. Comfort Homes
Contact: Bayless, Greg
City' Lacey
Phone 360-486-0161
Address. 8306 Quinalt Dr NE
State: WA Zip: 98516
Contractor License No KERZIHL970M3
Expires. 07/06/05187
Business License. 05-000730.0
Project Information.
Project: Mill Pond Estates
Description of Work: Plan 2211/2A, Lot 39
Sq. Ft. per floor' (1st) 1071 (2nd) 1140 (3rd) 434 Garage 0 Basement 0
Heat Type (Electric, Gas, Other) GAS
Fees.
Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
--------------------------- -------------
Building Permit 100-500k 1,299.34 993.75 305 59 5 6000 54 5700 $1,000
Building Plan Review 548.97 000 000 o 0000 o 0000
Mechanical Permit 8475 000 0.00 0.0000 0.0000
Plumbing Permit 125.00 20.00 105 00 7 0000 15.0000 Fixture
Sewer ERU 5,41700 000 5,41700 5,417 0000 1 0000 ERU
Sewer Inspection 14500 000 14500 145.0000 1 0000 ERU
Water ERU 1,500.00 000 1,500.00 1,500.0000 1 0000 ERU
Water Meter (SFD) 300 00 300.00 000 o 0000 o 0000
Water Deposit 4000 40.00 000 o 0000 o 0000
Traffic Facilities Charge 757 50 000 757 50 750 0000 1 0100 Peak PM Trip
Sewer Deposit 5000 5000 000 0.0000 o 0000
State Building Fee 4.50 4.50 000 o 0000 o 0000
TOTAL FEES $10,272.06
Appl icant'5._ 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
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.
~
# Sets of Prints.
Signature
Date
Final~lnspectio .
Date:
By'
Firm
~.'.""='i".""'S"_'~
... . it -.-
. .
nHunnun.
RECEIPT No 36356
RECEIVED
****TEN THOUSAND TWO HUNDRED SEVENTY TWO DOLLARS & 06 CENTS
REF NO
AMOUNT
REC NO
DATE
RECEiVED FROM
PENDING
10.272 06 CHECK
04/27/05 36356
COHPFORT HOHES
8306 QUINALT DR NE
L}\CEY ~'1.1\ 98516
SITE 15308 104TH WAY SE
BLD-05-0116-YL
BUDGETARY
/
-MICHELLE
BLDPRT 1299 34.PLNREV 548 97, HECPRT 84 75, PLUPRT 125 , S/ERU 5417 , S/INSP 1
45 , W/ERU 1500. , W/MET 300., W/DEP 40 , TRANS 757 50, S/DEP 50 , STBLD 4 50
Assessor Parcel No 62320003900
Site Address 15308 104th Way SE
Fees.
Item
Unit Fee Unit Rate No Units Unit Desc
Item Fee Base Amt
1,299 34 993 75
548.97 000
8475 000
125.00 2000
541700 000
145.00 000
1,50000 . 000
300 00 300 00
4000 4000
75750 000
5000 5000
450 450
$10,272.06
Acct Code
5 6000 54 5700 $1 000
305 59
Building Permit 100-500k 032001-322-10-00
o 0000 0 0000
000
Building Plan Review 100001-345-83-00
Mechanical Permit 032 001-322-10-00
o 0000 0 0000
0.00
15 0000 Fixture
1 0000 ERU
1 0000 ERU
1 0000 ERU
o 0000
o 0000
1 0100 Peak PM Trip
o 0000
o 0000
7 0000
105 00
032001-322-10-00
Plumbing Permit
5 417 00 5,417 0000
14500 145.0000
1,500.00 1 500 0000
0.00 o 0000
000 o 0000
757 50 7500000
000 o 0000
0.00 0.0000
Sewer ERU 802412-343-50-01
Sewer Inspection 805412-343-80-00
Water ERU 712401-343-80-01
Water Meter (SFD) 712401-343-80-01
Water Deposit 740402-389-00-00
Traffic Facilities Charge 420 120-344-85-00
Sewer Deposit 742402-389-01-00
State Building Fee 160001-386-00-00
TOTAL FEES
o
o
Yelm School Dlstrict
ATTN SUSAN CROY
PO BOX 476
YELM, \1A 98597
360-458-1900
Sold to 16766
~ERZIE HOMES
KERZIE
HOMES KERZIE(COMFORT HOME)
8306 QUINALT DR NE
LACEY, WA 98516
# 5890 13 04/27/05
Reg #1 SalesPerson SUSAN
Item # 2900/MITIGATION
MITIGATION/CAPITAL PROJECTS ~
1 @ 1,645 00 1,645 00 .
CK #5729 FOR MILL POND ESTATES L I 39 0
-024
SubTotal
1. 645 00
Total Due
Check
1,645 00
1,645 00
----------
----------
Thank you
PLEASE KEEP THIS RECEIPT!! I
c
c
c
\\,pH ft J ....Jr. ~ 1!;;!l,,1llIIl
R.e~'~EN1!Al BUll.DING PER PPliCATr "'\ FORM
Project Address.-15- 30\).. LQ'i 'M ~ Sf.. Parcel #.J2~J-aoo 3QpO
SubdiVi$ion.--1>..~1 tvt:;J!btY Lot #._..3j_ oning; -------.---
~ew ConstructlO}t' I U. ~~_II_oof I AddlUon u Home Occupation Sign
;rvPlumbing "i.~eChanjcal LI Mobile I Manufactured Ho~e p~ac:ment l..I Other
Project DescrIPti~!~COpe of Work:. ~ S/;v(,1A( fA1KI'~ z... 5~
Project Vah..u~:._ jJ. J I () j 0'0"t __~.___.
Building Area (sq fI:) 1 sl Floor.-lQ1l 2nd Floor Ji~O Garage~..32l Deck .------
Basement .-. .._ Carport --=-Patio "21 (a
'# Bedrooms.::! '# Bathrooms-2Y'.z.... Heatin~nHER or ELECTRIC (Circle Ona)
Are there any environmentally sensitive areas iocated on the parcel? _.liP ._ If yes, a
completed environmental checklist must accompany permit application
"
))1 ~ \.
tJJJ 0 \\VJ
.~
]
~UILDINGOWN---eRNAME--(.o",f6'Itf It~--- -
ADDRESS_$1>OI.o f).". .i~~~' __EMAI[-j1~~i1tT~li:S.Cb"" .'-
Ci.1Y ~~=---:;;:;;-STATE~_Z!f' _~S-Ib TElEPHO~~:~,
ARCHITECT IENGiNEER~~t ~tSU)~H J\1., LICENSE -#
ADDRESS........lQ.1--. Sou!1tI '~(pfi~ S'i1t6iir' EMAll_.~e:-r~~~.APt:i:I2..j.)~'a~ ~
CITY......:~~A- S.!ATE ~ ZIP . q~~:{~L3ELEPHONE (;?-(~) ?.'a'1....~Icn:.
~GENERAl C.ONTRACTOR. .-i..o,MfC5vtr HOlMes.. .-TEUfPH.O..-NE_~~~.'l.fg.'1-()..Jh. I
ADDRESS 'iS~clb Q..4IM1\1.;C O~ \ N.f.... . .EMAIL ~IM~ fU;:t<zpS J1?ft~!~
CiTY i..-ft<:..-6Y STATE vvv\- ZIP ~$1b ~FAX:M ~S"CQ,:g. .
CONTRACTOR'S LICENSE # K ~ 'Z- XP DATE!. LICENSE #. 1:-' ,3 ~
..A . ~'I . .3 ' .
PlUMBI!NG CONTRACTOR~.~ PWM6i~_-=..TEi~EPH6NE (?-5~) S""82 -b~.?1.
ADDRESS.. :2-l-ofil .IO~~.~k._ _EMAi ...PP.PC>tt@ I'O~~~U)~
cnY__~"O STATE lIvV}- ZiP ~~~'1"L,..FAX -u\J ffi~MCl .
CONTR~TO~'S LICENSE #, /:fSr.I.L-~ ~7gZ-EXP DATE t fry LI~ENSE # '
MECHANICAL CONTRACT~R I.{:U~1Wfl/ Bp.tif.l1~TElEPHONEi' ~--'--!.>J -6b.$.~
ADDRESS_~~7,?3__J.lb:.......iT. t, EMAIL ..!5L.fvI. ~~ .Ab~"'::'L
CITY 1"'A14\M!!\-- . STATE_~. ..ZIP_~ft'1.(L1AX~-1.~~s..:~~1
CONTRACTOR'S LICENSE # Kl~rbt~~~O~! @r EX? OATE~FiC!T1 UCEf':!SEL
]
Copy of mitiga.tion agreement with Yelm Community Schools, if applicable"
I hereby G.ertlfy that the above ArllfiO>rrmatiol'll is eQrrect anI'.! that the 4;;onstructioll1i Ol!'ll, tlllJd the Q(:€;;upam:y and the 1.19& oUne
above described pOOp0rty wm bQ iR1l ancigrdaJl'lce wldh the laws, rules and lOO!\)ulatiol1lls of t~tl!l State I)f Washillgt!.1n anI:! the
C~lf ofV-llIim.
Apj,tiCant'. $1 atur. _. .. - Or.t~* ~
Owner! Contra or! Owlmer's Agent J Contractor'$ Agent (Please cill"cie one.)
Ail permits are i1on..transferabJe and wut expftre if work autholl'i~ed by sll.ich permit is not begull'l
within 180 days of iS$usnce, or if work is s!..Ispended 011' abaJl'idQ!1Ir:.u:J1 for a period of 180 dalf'$ ,
105 Yelm AVR.nOAdl W.elil~
PO&x 4'l!b
Yelm.,. WAi !i$5.97
(360) 458--.1/.885
IJ ~ /"C'\ 1 ~ .~) 1(.'1j60)458~.1.14.4FAX
TYl 14 r -19()"" v l \) -- '-mru!!JJ..ei..y~Im.,wt&.I8.f1
o
o
LOT 3<3
COMFORT HOMES
MILL POND
15308 104th WAY SOUTHEAST
YELM, WA
5500'
..q-
f'-.
N
I
(J)
N
I
>t
f'-.
N
I
5500'
o
N
t
1'0
'"
. C1l
N C1l N
..q- >t
.
o
N
I
104th
WAY
~'\ ::;r- '~~\
"...ir,-i :~
tJ'tt ,~,t....;
.
co
N
- G-l-
LOT INFO.
~
NORTt-i
~~ SITE PLAN
LOT AREA = 5017 7 SO.FT
BUILDING COVERAGE = 1969 5S0.IT
PAVEMENT COVERAGE = 363.1 SO.FT
TOTAL COVERAGE = 2332.6 SO.FT
O~ .16 5%
,
@ 2005 CASCADE RESIDENTIAL DESIGN, INC
SCALE \' = 20'
THIS DRAWING IS BASED ON CLIENT-PROVIDED INFORMATION REPRESENTED TO BE ACCURATE
AND RELIABLE. ANY DISCREPANCIES BETWEEN THIS DRAWING AND THE ACTUAL SITE CONDITIONS
ARE THE SOLE RESPONSIBILITY OF THE CLIENT