20050034
~S@ll\\m~=-
Cli'l of' 'lEL\IJ\ _ 6UILOING OEP ARi\lJ\ENi
RESIOENilAL CERilf'ICA iE of' oCCUP ANC'l
Building Address
~58A4 "\04\\\ l\\le. SE,
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Building permit Number
plan Number
o'tJner Name
O'tJner Address
Areas Inspected
special conditiOns
RemarKs
----
1\\\ Code ReQuired
~
None
o ate
Building OHidal
. . Internal,onal Residential Code (CIlaplel
11liS sl\\lclule is in co",p'13nce Wltll IIle I Slale euilding Code Council pursuant
5~-5~ WAC) as adopted b,,/ t"'7e wads7"'OIO~20;C\N elleclive Jul~ \.200-1
to Chapters ~9.2 an .
G. carlson
----,
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FROM YELM SEWER DEPT
FAX NO. 360-458-8166
Aug. 04 2005 12 13PM Pi
FAX TRANSMISSION
CITY OF YELM
P.O. BOX 479 - 931 NP ROAD NE
YELM, W A 98597
360-458-8411
FAX 360-458-8166
DATE ~-4-6~
G~\
TO:
FAX#:
PAGES: I, including this
Cover sheet
Fro m :rCf)).JD '-(
Subject H 6U6~ }==-/iVhL / 'Tt;LYY) TClL.~
COMMENTS. Lb"T J.)d--) 15~t.'t..{ ) bl..(f!3 ALJE. S.E
oS - C;S:Jb . {)Q
** If you do not receIve all COplCS 01' any copy is not legIble, please eall (360) 458-84) )
as soon U~ possihle
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CITY OF YELM INSPECTION LOG
PROJECT
Lo.f- 6~ 'I,
-
PERMIT NUMBER ~ ~ .. 6 b ~ \.1
ADDRESS \ 5' !>l)q 1 Ot.f ~ Avi SE'
SETBACKS Date 'l\j\l'l( FOOTING WALL
Front ~~ 0 12" 0 6"
Rear 43~6" E 8"
Side/flankIng r. -; 0 other 0 other
SIde fu 7 0 reqUIred vents ~.J-
FOOTING REBAR LDate ~ WALL REBAR V-;;:te ~ t;V
Comments
COMBINED FRAME/ EXTERIOR SHEAR WALL INSPECTION
Hold downs 0 Shear Nailmg 0
Fmme 0 G~Propwe 0
Plumbmg 0 Mechamcal 0
Comments
INSULATION
o Gas
o Foam and Seal
o Electnc
o Vapor barner
o Other
o PVA
Comments
SHEET ROCK/SHEAR WALL NAIL
Comments
OTHER
Comments
I]NAL
IJ Sewer Final i. Electncal 0 Civil Fmal 0 Landscape FInal 0 C of 0
1 Address )/J InsulatIOn 0 Site Dramage 0 SldewalW ~
Comments ~ \v ~ 1'1\\\ v"'" / ~/Q<,"
o T
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CD
City of Yelm
Community Development Department
Building Division
Phone (360) 458-8407
Fax: (360) 458-3144
Permit No
BLD-05-0034-YL
Issue Date 02/0112005
(Work must be started within 180 days)
Receipt No
35287
Applicant:
Name' Evergreen State Builders
Phone
253-475-6622
Address: POBox 39753
City' Lakewood
State: WA Zip 98499
J:'ropertYlnforiiiatiOn:
Site Address. 15844 104th Ave SE
Assessor Parcel No 85840005200
Subdivision. Yelm Terra
Lot: 52
Contractor] iifOriiiation
Name. Evergreen State Builders
Contact: McCullem, Tom
Phone. 253-475-6622
Address' POBox 39753
City' Lakewood
State. WA Zip'
Contractor License No EVERGSB980PB
Expires. 10/02/06275
Business License 1042.0
Project] riform ati.on.
Project: Yelm Terra
Description of Work: Plan 2150/2A Lot 52
Sq. Ft. per floor' (1st) 888 (2nd) 1262 (3rd) 0 Garage 432 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 1,276 77 993.75 283 02 5 6000 50.5400 $1,000
Building Plan Review 829 90 0.00 000 o 0000 0.0000
Mechanical Permit 7875 000 000 o 0000 0.0000
Plumbing Permit 132.00 2000 112.00 7 0000 16 0000 Fixture
Sewer ERU 5,269 00 000 5,26900 5,269 0000 1 0000 ERU
Sewer Inspection 145 00 000 145 00 145 0000 1 0000 ERU
Water ERU 1,50000 000 1,50000 1,5000000 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 o 0000 o 0000
State Building Fee 450 450 000 o 0000 0.0000
TOTAL FEES $10,383.42
Applicant~s Affadavit:
OFf7lCIALUSE ,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.
Signatur~~ / Date Z-/-eJ>
-
Firm
# SE;!ts of Prints:
Fi:allnspectipn .('
o D"a...t.~,e',~".." .."., .'....,
By' ,','.N
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o
o
lH€pty:?! CITY OF
~~ YELM
7 - ~ POBox 479
~ 1 {?Im WA 93597
~ 360-458-8403
RECEIPT No 35287
::IVED
~**TEN THOUSAND THREE HUNDRED EIGHTY THREE DOLLARS & 42 CENTS
RECEIVED FROM
~VERGREEN STATE BUILDERS
PO BOX 39753
LAKEWOOD. WA 98499
BLD-Ql5-QlQl34-YL
SITE: 15844 1Ql4TH AVE SE
REC, NO
AMOUNT
110.383.42 CHECK
PENDING'
DATE
102/101/105 35287
MISCELLANEOUS RECEIPT
JANINE
REF NO
BLDPRMT1276.77. PLNREV829 910. MECHPRMT78.75. PLMBPRMT132. S/ERU5269. S/INSP145
W/ERU15QlQl. W/MTR3QlQl. W/DEP4Ql. TRAFF757 510. S/DEP5Ql. STFEE4 510
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11/0g/2004 11 30
2532083
CASCADE RESIL~I~L
PAGE 05
LOT 52
REEN STATE B1JILDERS
YELM TERRA
YELM, WA
EVER
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SIT[ PUN APPROVA .
A'P'OV~~~~~rvls, ANii-.~~(IB.lr
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@ 2004 CASCADE RESIDENTIA . DESIGN, INC
-------/~I2L"
=- ---
THIS ORAWING IS R^SEO ON CLl~NT~rROVIDED INi'OR"lAT'ON ~E~R SF,IlT(O TO BE ACCURATE
AND RElIMlE. ANY DISCREr'^NCIES eETWEEN THIS MAWI"G AND THE AGTU^L SITF, CONDITIONS
ARi: THF. ,OLt ~ES~t~~.!:!!; CLIENT,
SCALE I' = 30'
11/9/20041021:06 AM, 1:%0
*************** -COMM. JOUC=;L- ******************* DATE JUL~2003 ***** TIME 07:27 ********
MODE =
MEMORY TRANSMISSION
FILE NO.=523
START=JUL-11 07:26
END=JUL-ll 07:27
STN
No.
COMM.
KEY NAME
STATION NAME/EMAIL ADDRESS/TELEPHONE NO. PAGES
DURATION
001
OK
11
912534756127 001/001
00:00:26
***** DP-3520 ********************** -Yelm CDD
-Yelm CDD
- ***** -
'17 r-- cPt;)?
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:
Name: Evergreen Slate Builder.
Address: P.O. Box 39753
Project Information:
Project Velm Terra
Description of Work: Plan 2160/2A Lol 82
Site Addre..: 16844 104th Ave SE
Fees:
Item
Ace! Code
Building Permill00-500k 032001-322-10-00
Building Plsn Review 100001-345-83-00
Mechanical Permit 032001-322-10-00
Plumbing Permit 032001-322-10-00
SewarERU 802 412-343-50-01
Sewer Inspeetion 805 412-343-80-00
Water ERU 712401-343-80-01
Waler Meter (SFD) 712401-343-80-01
Waler Deposit 740 402-389-00-00
Traffio Faolllties Charge 420 120-344-85-00
Sewer Deposit 742402-389-01-00
Slale Building Fea 160001-366-00-00
TOTAL FEES:
City. Lakewood
Assessor Parcel No. 85840005200
360 458 3144- *********
Permit Fees Schedule
Permit No: BLD-OS-0034-YL
Phone: 253-475~622
Slate: WA Zip 98499
1,276.77
Item Fee Base Amt Unit Faa Unh Rate No, Units Unit oeso
5,6000
50,5400 $1,000
0,0000
0.0000
16.0000 Fixture
1.0000 ERU
1,0000 ERU
1,0000 ERU
0.0000
0.0000
1.0100 Peak PM Trip
0,0000
0.0000
829.00
78.75
132.00
5,269.00
145.00
1.500.00
300.00
40.00
757.50
50,00
4.50
$10,383.42
993,75 283.02
000 0.00
0.00 0.00
20.00 112.00
0.00 5,269.00 5,269,0000
0.00 145.00 145,0000
0.00 1,500.00 1,500.0000
300,00 0.00 0.0000
40.00 0.00 0.0000
0.00 757,50 750.0000
50.00 0.00 0.0000
4.50 0,00 0.0000
J / D)&1 e)~ rJ
~-eCvL I ~
P~_k.f h ~~.
0,0000
0.0000
7.0000
h