20050005
:@ill~~~
eui\din9 p...ddress
Owner Name
owner Address
Cli'l Of 'lE\..tIII- 6UI\..OING OEP AR1'tIIIEN1'
RESIOEN1'IA\.. CER1'lfICA 1'E Of ocCUP ANC'l
~
eLo_05-0005-iL
eui\din9 permit Number
~
com'or\~
~
~
p\an Number
RemarKs.
1\\\ code reQuired
~
p...reas \nspec\ed
oa\e
specia\ conditions
eui\din9 OUicia\
. . n In Inlernalional Resldenlial Code (Cnapler
Tnls slruclure is In coO'pll3nce ~\I snl: Ion Slale Building Code Council pursuant
5~-5~ \NAC) as adopted b'l \2h7e da 70 ~2 flCW elleclive JulY '. 200~
\0 Chapters ~ 9. an '
G. car\Son
__r-~ r;~@1\f@
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FROM YELM SEWER DEPT
FAX NO. 360-458-El156
Ma~ 26 2005 10 15AM Pi
FAX TRANSMISSION
TO'
CITY OF YELM
P.O. BOX 479 -93J NP ROAD NE
YELM, WA 98597
360-458~8411
FAX 360-458-8166
6Aey
L-
DATE: .J -;) ~- Q/..{
FAX#:
PAGES: 1 , including this
Cover sheet
From: -Kf7!'J D \1)
Subject: P lulll-'-=:; YL~LVll 11=-~?_tJ1
COMMENTS. LO r ) (~ 1 :;--1) '1
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65 -SJ-.. 00 00
** If you do not recelVe all copIes or any copy IS not leglble, please call (360) 458-8411
as soon as possible.
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PROJECT
CITY OF YELM INSPECTION LOG
Lo.J- I ti
'-/ ~1/t1\.
-----
I ~ f"~
)~) I
PERMIT NUMBER
ADDRESS
- --
(5).5 - 000 s
/S'"7;>Q '-/h~ ;;~t"a 01 sC
SET BACKS Date
Front :LO
Rear 315
SIde/FlankIng ,t?
Side 10
FOOTING REBAR
Comments
Date
FOOTING
07
~ 16"
o other
o reqUIred vents
\V ALL REBAR
WALL
o 6"
~
o other
/Lj
Date
COMBINED FRAME/ EXTERIOR SHEAR WALL INSPECTION
Hold downs I!!l Shear Nailing [jJ 9-i.j-O $'
Frame 0 Gas/Propane 0
PlumbIng 0 Mechamcal 0
Comments
1,;..( o~
INSULA TION
Comments
~ Gas
o Foam and Seal
o Electnc
o Vapor barner
o Other
o PYA
SHEET ROCK/SHEAR \V ALL NAIL
Comments
OTHER
Comments
FINAL
Vewer Final
Y Address
Comments
j ElectrIcal 0 CIvIl FInal 0 Landscape Fmayrb C of 0
)i InsulatIOn 0 SIte Dramage 0 SIdewalk
cPA r~l /"
/
Invoice No CDD-05-0120
INVOICE !!!!!!!
Customer
Name Comfort Homes
Address 8306 Quinault Drive NE
City Lacey State WA ZIP 98516
Phone 3604860161
Date
Order No
Rep
FOB
2/10/2005
BLD-05-0005- YL
BLD-05-0006- YL
Item D~..clip.t.jon Unit Price TOTAL
1 Plumbing Permit f~~f19 sh~ld)have been $125 00 $1400 $14 00
for 15 fixtures, not $111 for 13 fixtures - balance due
1 Plumbing Permit f~t ~tCl have been $125 00 $1400 $1400
for 15 fixtures, not $ IT or 13 fixtures - balance due
Acct Code 032 001-322-10-00
<'
000
l)lU cJOlo
Q
SubTotal $28 00
Payment Details Shipping & Handling $000
0 Cash Taxes WA
0 Check
0 TOTAL $28 00
3559
/
City of Yelm
Community Development Department
POBox 479
Yelm, WA 98597
(360) 458-3835
THANK YOU
o
o
City of Yelm
Community Development Department
Building Division
Phone' (360) 458-8407
Fax: (360) 458-3144
Permit No
BLD-05-0005- YL
Issue Date 01/11/2005
(Work must be started within 180 days)
Receipt No
34502
Applicant:
Name Comfort Homes
Phone:
360-486-0161
Address. 8306 Quinalt Dr NE
City' Lacey
State. WA Zip 98516
Property Information.
Site Address. 15739 Yelm Terra Way SE
Assessor Parcel No 85840001900
Subdivision. Yelm Terra
Lot: 19
Contractor Information
Name Comfort Homes
Contact: Bayless, Greg
City' Lacey
Phone: 360-486-0161
Address. 8306 Quinalt Dr NE
State: WA Zip:
Contractor License No KERZIHL970M3
Expires: 07/06/05187
Business License. 05-000730.0
Project Information:
Project: Yelm Terra
Description of Work: Plan 2211/2A, Lot 19
Sq. Ft. per floor' (1st) 1071 (2nd) 1140 (3rd) 0 Garage 434 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 1,29934 993 75 305 59 5 6000 54 5700 $1,000
Building Plan Review 844 57 000 000 o 0000 o 0000
Mechanical Permit 8475 000 000 o 0000 o 0000
Plumbing Permit 125 00 2000 105 00 7 0000 15 0000 Fixture
Sewer ERU 5 417 00 000 5,41700 5,4170000 10000 ERU
Sewer Inspection 14500 000 14500 145 0000 10000 ERU
Water ERU 1,50000 0.00 1 500 00 1,5000000 1 0000 ERU
Water Meter (SFD) 300 00 300 00 000 o 0000 o 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 0.0000
State Building Fee 450 450 000 o 0000 o 0000
TOTAL FEES $10,56766
Applicant's Affadavit:
Firm
---- rIOM-"~
Dol' 1/1110 ('"' n_
[OFFICIAL USEONLY-j
I # Sets of Prints:
. Final Inspection: __ !
Date:~ I
By' ~ '
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 Cily of
Yelm regulations including those governing zoning and land subdivision, and in addition, all covenanls,
easements and restrictions of record If applying as a contractor, I futher certify that I am currently
registered in the State of Washington.
Signature
o
o
Yelm School District
ATTN SUSAN CROY
PO BOX 476
YELM, WA 98597
360-458-1900
Sold to. 16766
KERZIE HOMES
KERZIE
HOMES KERZIE
8306 QUINALT DR NE
LACEY, \~A 98516
# 5666 14 01/11/05
Reg #1 SalesPerson SUSAN
Item # 2900/MITIGATION
MITIGATION OR TVF _
1 @ 10.266 00 10,266.00
CK #5547 FOR YELM TERRA LOTS 18,19,2U,21
,22,& 23
SubTotal
10,266 00
Total Due
Check
10,266 00
10,266 00
----------
----------
Thank you.
PLEASE KEEP THIS RECEIPT!!l
~otTHe,.~ CITY OF
! \ YELM
~ PO Box 479
Yelm, WA 98597
.._YE!-.~""" 360-458-8403
RECEIPT No 3 4 5 0 0
R~~~N THOUSAND TWO HUNDRED EIGHTY SEVEN DOLLARS & 40 CENTS
RECEIVED FROM
COMFORT HOMES
8306 QUINALT DR NE
LACEY. WA 98516
BLD-05-0007-YL
SITE: 15745 YELM TERRA WAY SE
'-
DATE REC NO
01/11/05 34500
AMOUNT
10.287.40 CHECK
REF NO I
PENDING
MISCELLANEOUS RECEIPT
DIANA
BLDPRMT1137.67. PLNREV739.48. MECHPRMT78.25. PLMBPRMT118. S/ERU5417. S/INSP145
W/ERU1500. W/MTR300. W/DEP40. TRAFF757.50. S/DEP50. STFEE4.50
e
. .
----.- .
. -- ..----. ~..---.--.
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D:"~:'.~ (!I-:-~'---
~. ~_=~~.-~_~,-~ -t,,_~-'~~V&~~~~~N!:~yii'J.
- .
DATE
01/11/05
REC NO
34501
..
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I
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i
REF NO I
PENDING I
.
t
t
J
RECEIPT No 3 4 501
RE~f~~EN THOUSAND TWO HUNDRED FIFTY EIGHT DOLLARS & 06 CENTS
I
I
I
I
\
'-
RECEIVED FROM
COMFORT HOMES
8306 QUINALT DR NE
LACEY. WA 98597
BLD-05-0006-YL
SITE: 15715 YELM
TERRA WAY SE
AMOUNT
10.258.06 CHECK
MISCELLANEOUS RECEIPT
DIANA
BLDPRMT1299.34. PLNREV548.97. MECHPRMT84.75. PLMBPRMT111. S/ERU5417. S/INSP145
W/ERU1500. W/MTR300. W/DEP40. TRAFF757 50. S/DEP50. STFEE4 50
-" . -
1?:otTHI'''~1 CITY OF
. " (I',?~I
~ YELM
I PO Box 479
, Yeln I vvA 98597
,.YE.b!.~~L^.. 360-453-8403
. - I;:;' . .
--"-"---_.,. ... -
RECEIPTNo 34502
I REP~~~EN THOUSAND FIVE HUNDRED FIFTY THREE DOLLARS & 66 CENTS
RECEIVED FROM
COMFORT HOMES
8306 QUINALT DR NE
LACEY. WA 98506
BLD-05-0005-YL
SITE: 15739 YELM TERRA WAY SE
D.AIE REC NO
01/11/05 34502
AMOUNT
10.553.66 CHECK
REF NO
PENDING
MISCELLANEOUS RECEIPT
DIANA
BLDPRMT1299.34. PLNREV844.57. MECHPRMT84.75. PLMBPRMT111. S/ERU5417. S/INSP145
W/ERU1500. W/MTR300. W/DEP40. TRAFF757.50. S/DEP50. STFEE4.50
Applicant:
Name Comfort Homes
o
City of Yelm
PAQ
JAN 1 1 PAID
Permit Fees Schedule
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Address. 8306 Quinalt Dr NE
Project .Information
Project: Yelm Terra
Description of Work: Plan 2211/2A, Lot 19
Site Address. 15739 Yelm Terra ~~
Fees.
Item Acct Code
Building Permit 100-500k 032 001-322-10-00
Building Plan Review 100 001-345-83-00
Mechanical Permit 032 001-322-10-00
Plumbing Permit 032 001-322-10-00
Sewer ERU 802 412-343-50-01
Sewer Inspection 805412-343-80-00
Water ERU 712 401-343-80-01
Water Meter (SFD) 712 401-343-80-01
Water Deposit 740402-389-00-00
Traffic Facilities Charge 420120-344-85-00
Sewer Deposil 742402-389-01-00
State Building Fee 160 001-386-00-00
TOTAL FEES
Permit No BLD-05-0005-YL
CITY OF YELM
<j L-\0() ")
Phone.
360-486-0161
City' Lacey
State. WA Zip 98516
Assessor Parcel No 85840001900
Item Fee Base Amt Unit Fee Unit Rate No Units Unit Desc
-------------
1 ,299 34 993.75 305.59 5 6000 54 5700 $1,000
844 57 000 000 o 0000 0.0000
8475 000 000 o 0000 o 0000
_.~...-....~.. .-........ ~~
~ 2000 91 00 7 0000
5,41700 000 5,41700 5,417 0000 1 0000 ERU ,
\
14500 000 145 00 145 0000 1 0000 ERU )
1,50000 000 1,50000 1,5000000 1 0000 ERU
300 00 300 00 000 0.0000 o 0000
I /
4000 4000 000 o 0000 o 0000
1000 /
757.50 ),0 00 757 50 7500000 1 0100 P"k P7iP
5000 000 o 0000 o 0000
450 / 450 000 o 0000 o 0000 /
$10''''7 (
/
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EVERGREEN STATE BlJILDERS
YELM TERRA
YELM, WA
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_ _ _ - - -- -(:Tl- ---
WATER LINE
105th AVE SE
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_"l'II<Slll1lD
1lI\IIEWEIl QI' (CUM):
SITE PLAN APPROVAL
"( [fAl1SE. AND IUUIINIT
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WATER
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G~l~~ SITE PLAN
LOT INFO
LOT AREA ~ 6003.6 3Q.F'!'.
llUJLDJNG CO\TEll.AGE ~ 1849.1 3Q.FT
J'AVRMElITT C01lER.~GE '" 388.5 SQFT
TOTAL COVERAGE ~ 2237.6 SQ.l'T.
OR37.3%
,
@ 2004 CASCADE RESIDENTIJ\L Dt.SiGN, If\lC
THIS DRAWING IS BASED ON CLIENT -PROVIDED INfORMATION REPRESENTED TO BE ACC R
AND RELiABLE. ANY DISCREPANCIES BETWEEN IllI U ATE
ARE THE SOLE RESPONSIBILITY Of THE CUENT S DRAWING AND THE ACTUAL SITE CONOrnONS
o
NORTH
SCALE I- :: 3fZ)'
Site Address______ ._-'- --_.< ----'---- Parcel# .-.---- ----"----- ----~ -
Lot _._.____H__ ___n' Su bdl \ lSlon ________ __________ _____
~Nr:.w ReSIdence ~] AddJ,IOll C Remodel GlazIng !P.c of Floor _A. :ea _0_____-
Area (sq ft ) 1st Story ______2nd Story Basemert ____~_
Compliance Method ---
$PrescflPtive-I[ld~cale o('uen (Page 4) Cl ell -- '-IV , U\( ~~h II I __' \ l! I
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[] Component-Atta:::h document"tJOl1 and LdkJ 2'10r,$ i
o Systems .\ nalysls-Aaach-:h:::u m ertaLo'l and c<:lcu]atlons
Framing System (check. one) n Standard [J InterrncGl3Lt? == Advanced
Heat System
o Electnc (Electnc Resistance)
Forced Air DWaH Heater o OLler -'-.-- ___(mdicale)
o Baseboar-d o Radlar!t
Make \1odel_____ SIze {K:v-. )
o Other
.Gas Furnace [~011 Furnace CHeal Pumn IJ Other (indicate)
Make Co t Me. '\ M9A~ . L(Hoi' .' -'bJ. L_ -
Size (BTU) t76 :W.:J AFUE HSPF
Ventilation System
DNon-Heat Recovery VemilatlOn
o Spot and Whole House o Central Ducted .. Integrated With Furnace
Fan Scbedule
~o. J Sone
Make Fans Model Size Rllting
f}~ K.II1.'l I A K 70 70 (.S I
r I i .~-.-I
.... ..... -....... "; -_._- ....- --- , -,---~.-_:_:.Jft"':":::....._...::._._..;,~'=~__. l_._ "'-_ -.-- --:
: i I
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o Heat Recovery Ventllation
o Air to Air Heat Exchc.nger ::J Heat Recovery Heat Pump
Make M.odel Size
DOOR SCHEDULE (from heated space to unheated space)
* 50 GTo or greater gJazmg, lrst as \"1 ndow
~ l\ofannfacturec ~el -- IArea (sq.ft.)
iV. Value INO. 'CnilS IS'
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CITY Of YELM
RQENTIAl BUILDING PERMIT APPLICAG~ FORM
Project Address. J~739 V~UVI'T6fLAA- ~y' St Parcel #. ~S-<g~DOoI(lV1J
Subdivision: Y6lAV\ .~ Lot#.~ Zoning;
~ New Construction U Re-Model/ Re-Roof / Addition U Home Occupation Sign
1 Plumbing t Mechanical U Mobile / Manufactured Home Placement U Other
Project Description/Scope of Work: ~T9-WC1 AH:./tAJ l,-~ Ste1U( ~1M:Jl..f'L ~ iLY ~rt
Project Value. ~.~ ,Stf57f:> CJD
Building Area (sq ft) 1st Floor t D1 \ 2nd Floor I \ yo Garage ~ "3>'\
Basement Carport -- Patio 100
# Bedrooms~ # Bathrooms -z...Yt,.... HeatineTHER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? W If yes, a
completed environmental checklist must accompany permit application.
p\AtV 'Z.-U I
Deck
---
BUILDING OWNER NAME. WM(-o-(t..t V\OWl0{
ADDRESS ~30b Q \.\I~.;r P It. tV, f .
CITY /.AK.Iti STATE w1+ ZIP 9g~1o
ARCHITECT/ENGINEER ~c.M( {Us,Ob-tvnA'L
ADDRESS 10'2... SOLl-M Uo'"" SrltCti\
CITYlAw-.At\1\. STATE vW}- ZIP q~l{(::iz..
LICENSE #
EMAIL S !\1 (S y' B U4:SU4Il~ ~ I Ul~
TELEPHONE ('ZS~) 2-8'4-:?1('Il\
GENERAL CONTRACTOR Ct)V\'\~ jM)Mt1
ADDRESS ~Ho 6 Q.~I~ PIt 1/(.
PLUMBING CONTRACTOR .cS s PIl4M(Jltvb
ADDRESS 2--'1 '7 Jolt l~ ST, Cf.~'
CITY ~ STATE "Vf\- ZIP 'fg\..j'iC\ FAX
CONTRACTOR'S LICENSE # CSSf'LL*G\ 1S'SL EXP DATE ~
MECHANICAL CONTRACTOR 1'l4 &('fI~
ADDRESS \1103 ,'t/" sr, f"
CITY ~{Y STATE \iW\-- ZIP '18'1'1 b
CONTRACTOR'S LICENSE # KUtl'lBI1/>2.IBT
Copy of mitigation agreement with Yelm Community Schools, if applicable
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.
APPlicant~ ~ __
Owner / Contractor ner's Agent / Contractor's Agen
~
Date
(Please circle one.)
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
Received
JAN 0 4 2005
105 Yelm Avenue West
PO Box 479
Yelm, WA 98597
(360) 458-3835
(360) 458-:UU FAX
www.ci.yelm.wa.lUI