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O'IJner Name
O'IJner Address
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Building permil \'lumber U
p\an Number
speda\ conditions
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Areas \nspected
Date
Bui\ding Ofhcia\
. . I ternalional Residential Code (cnap\ef
1nis sliUclUre is in compliance ::t tne; Slale Building Code Council pUISUant
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FROM YELM SEWER DEPT
FAX NO 360-458-El166
Jun. 06 2005 09 38AM Pi
FAX TRANSMISSION
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CITY OF YEL.M
P.O. BOX 479 - 931 NP ROAD NE
YELM, W A 98597
360-458-8411
FAX 360-458-8166
DATE: Cr, - ~ ~ O~
FAX#:
PAGES: I , including thIS
Cover sheet
From: Rf\JJDt(
Subject: H 0 US E ..(.\,uAL
"ie-LV'(") \' ev-flA / C.DW"\{?D~ '\ \-to l'Y\~ .
COMMENTS 2-.0T ) 7') 1575", l(ELYn ~tZA WAUl
S.~ '
6S- 5/70.W
** If you do not receive all copies or any copy is not legible, please call (360) 458-8411
as soon as possIble.
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City of Yelm
Community Development Department
Building Division
Phone. (360) 458-8407
Fax: (360) 458-3144
Permit No
BLD-05-0045- YL
I ssue Date 02/11/2005
(Work must be started within 180 days)
Receipt No
35575
Applicant:
Name: Comfort Homes
Phone
360.486.0161
Address. 8306 Quinault Drive NE
City' Lacey
State. WA Zip 98516
Property.lpfqrmation;
Site Address. 15751 Yelm Terra Way SE
Assessor Parcel No 85840001700
Subdivision. Yelm Terra
Lot: 17
Contractor I nformation:
Name Comfort Homes
Contact: Bayless, Greg
Phone. 360-486-0161
Contractor License No KERZIHL970M3
City' Lacey
Expires. 07/06/05187
State WA Zip:
Address: 8306 Quinalt Dr NE
Business License. 05-000730.0
Proj~ctJpforrnation
Project: Yelm Terra
Description of Work: Plan 2199/2, Lot 17
Sq Ft. per floor' (1 st) 1089 (2nd) 1110 (3rd) 0 Garage 450 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 1,297 05 993.75 303 30 5 6000 54 1600 $1,000
Building Plan Review 548.00 000 000 o 0000 o 0000
Mechanical Permit 8475 000 000 o 0000 o 0000
Plumbing Permit 118.00 2000 9800 7 0000 14 0000 Fixture
Sewer ERU 5,41700 000 75,838.00 5,417 0000 1 0000 ERU
Sewer Inspection 145 00 000 145 00 145 0000 1 0000 ERU
Water ERU 1,50000 000 1,50000 1,500 0000 1 0000 ERU
Water Meter (SFD) 300 00 300 00 000 o 0000 0.0000
Water Deposit 4000 4000 000 o 0000 o 0000
Traffic Facilities Charge 757 50 000 757 50 7500000 1 0100 Peak PM Trip
Sewer Deposit 5000 5000 000 o 0000 o 0000
State Building Fee 450 450 000 o 0000 o 0000
TOTAL FEES $10,261.80
Appl icant!s Affadavit:
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 Washin ton.
OFFICIAlilWSEONtY
# Sets of Prints: .
Signature
Date
Firm
~,.._,." '_d'___,n.. .."
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RECEIPT \ 0 35575
RECEIVED
****TEN THOUSAND TWO HUNDRED SIXTY ONE DOLLARS & 80 CENTS
RECEIVED FROM
DATE
REC NO
AMOUNT
I
!
i
REF NO I
PENDIN~
I
I
I
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I
)
COMFORT HOHES
8306 QUI NAULT DR NE
LACEY, WA 98516
360-486-0161
SITE 15751 YELM TERRA WAY SE
02/11/05 35575
10,261 80 CHECK
MISCELLANEOUS RECEIPT
GRETCHEN
BLD PERM 1297 05, PLN REV 548, MECH PER 84.75, PLM PER 118, SEW ERU 5417 00
SEW INS 145, WAT ERU 1500, WAT MET 300, CONS DEP 90, TRAF 757 50, ST BC 4 50
. -
. .
." 4 ". D;;'
. .
~TH€~ CITY OF
t~ YELM
./~ PO Box :~79
. '(elm vVD.. 98597
_YE!-'~'''N 360-4';8-8403
RECEIPT No ~; 55 7 6
RECEIVED
****NINE THOUSAND NINE HUNDRED NINETY THREE DOLLARS & 50 CENTS
COMFORT HOMES
8306 QUINAULT DR NE
LACEY. WA 98516
360-486-0161
SITE 15757 YELM TERRA WAY SE
02/11/05 35576
9.993.50 CHECK
REF NO I
PENDING!
I
I
I
I
i
RECEIVED FROM
DATE REC NO
AMOUNT
MISCELLANEOUS RECEIPT
GRETCHEN
BLD PER 1127 42. PLN REV 476.33. MECH PER 71.75. PLM PER 104. SEW ERU 5417 00
SEW INS 145. WAT ERU 1500, WAT MET 300, CONS DEP 90, TRAF 757 50. S B CODE4 50
--
- .
- 0.< -,.~,.,,~~~.. e
- . .
IW:-~-O~ TH€J>;;gll CITY OF
t ~ YELM
~' PO Box 479
Yelrn WA 98597
_..YEb.~".... 360-458-8403
RECEIPT No 3 5 5 7 7
\
I
I
I
I
I
I
I
REF NO I
PENDINGI
I
I
I
I
I
!
/
RECEIVED
****TEN THOUSAND TWO HUNDRED SIXTY THREE DOLLARS & 62 CENTS
RECEIVED FROM
DATE
REC NO
AMOUNT
COMFORT HOHES
8306 QUINAULT DR NE
LACEY, WA 98516
360-486-0161
SITE 15763 YELM TERRA
02/11/05
35577
10,263.62 CHECK
\'IAY SE
MISCELLANEOUS RECEIPT
GRETCHEN
BLD PER 1298.33. PLN REV 548.54. MECH PER 84 75, PLM PER 118. SEW ERU 5417.00
SEW INS 145. SAT ERU 1500, WAT MET 300. CONS DEP 90, TRAF 757 50, S B FEE4 50
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Yelm School District
ATTN SUSAN CROY
PO BOX 476
YELM J ~1A 98597
360-458-1900
Sold to.
YELM TERRA
16767
YELM TERRA
YELM TERRA
4200 6TH AVE SE STE 301
LACEY, ~jA 98503
# 5744 15 02/11/05
Reg #1 SalesPerson SUSAN
Item # 2900/MITIGATION
MITIGATION/CAPITAL PROJECTS
1 @ 1,711 00 1, 711 00
CK #5277 FROM KERZIE HOMES LOT 15
Item # 2900/MITIGATION
MITIGATION/CAPITAL PROJECTS
1 @ 1, 711. 00 1 ,711 00
CK #5277 FOR KERZIE HOMES LOT 16
Item # 2900/MITIGATION
MITIGATION/CAPITAL PROJECTS
1 @ 1,711 00 1 ,711 00
CK #5277 FROM KERZIE HOMES LOT 17
SubTotal
5,133 00
Total Due
Check
5 J 133 00
5, 133 00
Thank you
PLEASE KEEP THIS RECEIPT I I I
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-' '
CITY OF '{ELM
RF~ENTBAl BUilDING PERMIT APPUCA T.U'-------' FORM
\..J' 0 -
Project Address. 1<;7<;;\ y~ ~ ~' S~ Parcel #' oSg'1000noO
Subdivision. Y {SlAM ~f\- Lot #' 17 Zoning;
'2--19'l PU\1\I ,~
fa'
f
~
/b
J
~~ew Construction U Re-Modell Re-Roof I Addition LJ Home Occupation Sign
rvPlumbing ~Mechanical u Mobile I Manufactured Home Placement u Other
Project DescriPti~/scope of Work: tvf~ .51~ ~. ~
projectValue.-.1J<otTO 15+7HflC>. cD
Building Area (sq. ft) 1st Floor io&q 2nd Floor.J1!.Q.._ Garage ~~O Deck -~.,-
Basement Carport Patio. ~ b
# Bedrooms~ # Bathrooms~~Yz... Heating~THER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? NO If yes, a
completed environmental checklist must accompany permit application
BUILDING OWNER NAME (,o1V\f1rR., \'\O~~
ADDRESS q,1>O\o Ql4I~1X" tXt. N lE,
CITY LA\<.t(:Y STATE Wf\- ZIP C'I""6S"lb
ARCHITECT/ENGINEER C1'rSc.Mt Rt~U,')6Jw'I/\'t
ADDRESS --Lo 2-- SouTItI Z,b 1"'\ &'T1Z6t-r
CITY 'T1\'t.6V1'\A- STATE~' ZIP Cj~ 40'2.
EMAll 31V\.\@\.<t;~Z.lfl-fOy./l~.l.l)ltV\
TELEPHONE n be) \C,~b - 0 I bl
GENERAl CONTRACTOR
W W\fOtt, l-f()~ ~
MECHANICAL CONTRACTOR ~V1lS1Nll\#iV B~1l1t9&TElEPHONE~S3) S'31-0~-D
ADDRESS l1103 nb'"'" .sT. {: \ EMAll kL-1l1 Jrllc.5 e /1-OL. (A~
CITY !Y\t.6\fV\>j!\-- STATE MIr_ZIP qg4~(P FAX '0('\ 039-3$bl .
CONTRACTOR'S LICENSE # KLlt;/'I-\(3HO-z..\ B r EXP DATE I 0 I LICENSE # __
Copy of mitigation agreement with Yelm Community Schools, if applicable.
I hereby certify that the above information as correct and that the construction on, and the occupancy and the use of the
above described property will be in acc9rdance with the laws, rules and regulations of the State of Washington and the
City of Ye'm. ~ .2... OS-
APPlicant...fi-ature Dale ~ ~
Owner J con~:~or.l Owner's Agent j Contractor's Agent (Please circle one,)
Ail 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
lO.'> Yelm Avenue West
PO Bnx 479
Yelm,. WA 98.',.97
Receivea
FEB 1 0 2005
(360) 458-:l835
(360) 458-:/14-1 FAX
www.ci.yelm.wtA. U8
02/13/2005 14 05
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35049l.3390
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LOT 11
COMFORT HOMES
YELM TERRA
15151 YELM TERRA WAY SE
YELM, WA 98597
PARCEL NO. 85840001700
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LOT AIlSJ\ = aoos.s SO.FT.
~l1lIDlNG co~'""' = 1867.9 SQ.I'T.
PAVEMEN'r CO'II'ERACE ~ SOO SQ.1'T
TOTAL COVEMCp' = 2187.9 SQ.J'r.
O!l86.~%
cA SITE PLAN
,
@ 2004 CASCADE RESIDENTIAL DESIGN INC
T~IS DRAWINC IS eAMb ON Cll<NT -PRQvlb<e INfORMATION REPR.~ENTEO TO BE ACCURATE
AND RrLlA9LE. ANY DISCREPANCIr.~ 8ElWEEN T~IS O~^WING AND TH~ ACTUAL SIT~ CONDITIONS
ARt THE SOLE RtSPONS181L1TY OF THt CLIE/lT
PAGE 03
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