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20040220 rrrgm~ ~[~Ji!1Rf~ J[@f~ j ~ 1@JJrr&lrffiJJfr&l . I I ~J[~ill~JU~J~Hf&l J[!gl CITY OF YELM - BUILDING DEPARTMENT RESIDENTIAL CERTIFICATE OF OCCUPANCY Building Address 9928 Greenleaf Loop Owner Name Yelm Property Development Owner Address 16422 Middle Rd. SE Yelm. WA 98597 Building Permit Number BLD-04-0220- YL Plan Number 1557 Remarks Areas Inspected _ All Code Required Special Conditions None Building Official Gary Carlson Date. May 31.2005 This structure is in compliance with the International Residential Code (Chapter 51-51 WAC) as adopted by the Washington State Building Code Council pursuant to Chapters 19.27 and 70 92 RCW, effective July 1, 2004 n@Rill~lliW@lli ~J r&J.rrgmilllli ~~~ ff.@ rl~UI~JJWJ ~Nm[~ill~JJ~~ ~ rrrgl FROM YELM SEWER DEPT FRX NO 360-458-B166 Ma~ 27 2005 01 36PM P1 FAX TRANS~MISSION RECr:nJED MAY 2 7 2005 CITY OF YELJV! P.O. BOX 479 - 931 NP ROAD NE YELM, W A 98597 360-458-841 ] AX 360-458...8166 DATE: 5-.;2-:?- -05" FAX#: 4-7"25' - Lf3 4 '?{ PAGES: ( , including this Cover sheet From: 0\lN\ \:). Subject: Lp.f- '-II '/dVII P~e..:' '-, 5.eI.0e.r >rJ~ Cf 9 ~8" Grue.nI~4 Lp- ~~ ( COMMENTS: \> a-5 $.e..~ B\. {( 1'~ 6 Jy-/815r O() f~:n~.-' -R~t 16r ,,~~ ** If you do not receive all caples or any copy is n)t legible, please call (360) 458-8411 as Soon as possible. o () c PROJECT CITY OF YELM INSPECTION LOG tv-!- L/I I-th ) ,..,j 6 t-v f--P- o y,. o2-Z-f) Cff28 &~;i1<1 (p ~ , I t"S'l WALL o 6" % 8" o other 9 Date Comments o Other o PYA SHEET ROCK/SHEAR WALL NAIL OTHER Comments o C of 0 o CIvIl Fmal 0 Landscape Fmal o SIte Dramage 0 s;a-e~k )).,{jJlo~ I' , I PERMIT NUMBER ADDRESS SET BACKS Date FOOTING Front "2--1) 0 12" Rear ' tJ() ~' SIde/Flankmg IV 0 other SIde rJ 0 reqUired vents FOOTING REBAR V' Date*WALLREBAR Comments COMBINED FRAME/ EXTERIOR SHEAR WALL INSPECTION Hold downs 0 Shear NailIng 0 Frame 0 Gas/Propane 0 Plumbmg 0 Mechamcal 0 INSULATION o Gas o Foam and Seal o Electnc o Vapor barner Comments Comments FINAL I' Sewer Fmal 7 Address '% Electncal P InsulatIOn Comments r~' 7kn"~/ o o City of Yelm Community Development Department Building Division Phone: (360) 458-8407 Fax: (360) 458-3144 Permit No BLD-04-0220-YL Issue Date 01/06/2005 (Work must be started within 180 days) Receipt No 34422 Applicant: Name Yelm Property Development Phone. 458-0544 Address. 16422 Middle Road SE City' Yelm State WA Zip 98597 Property Information Site Address. 9928 Greenleaf Loop SE Assessor Parcel No 84070004100 Subdivision. Willow Glen Phase II Lot: 41 Contractor Information Name Applicant Contact: Phone Contractor License No YELMPDL00302 City' Expires 02/22/0553 State Zip Address Business License. Project Information Project: Willow Glen Phase II Description of Work: 1557 SFR, lot 41 Sq. Ft. per floor' (1 st) 784 (2nd) 773 (3rd) 0 Garage 453 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 1,062.74 99375 6899 5 6000 12.3200 $1,000 Building Plan Review 449 00 000 000 o 0000 o 0000 Mechanical Permit 78.25 000 000 o 0000 o 0000 Plumbing Permit 104 00 2000 8400 7 0000 12.0000 Fixture Sewer Inspection 145 00 14500 0.00 o 0000 o 0000 ERU Water ERU 1 500 00 000 1,50000 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 o 0000 o 0000 State Building Fee 450 450 000 o 0000 o 0000 Sewer ERU (LID) 2,694 00 000 2,694 00 2,694 0000 1 0000 ERU TOTAL FEES $7,184.99 Applicant'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 Washington OFFICIAL USE ONLY # Sets of Prints Signature /) ,//t. B~c"'-'1 Date Ij6/'-'S Final Inspection' Dole ~ By' ( . Firm o PAt:) 5 LfLj d- d- City of Yelm JAN 0 6 PAid Community Development Department Permit Fees Schedule Building Division Phone: (360) 458-8407 Fax: (360) 458-3144 Applicant: Name Yelm Property Development Address 16422 Middle Road SE Project Information Project: Willow Glen Phase II Description of Work: 1557 SFR, lot 41 Site Address 9928 Greenleaf Loop SE Fees. Item Acct Code Building Permit 100-500k 032001-322-10-00 Building Plan Review 100001-345-83-00 Mechanical Permit 032001-322-10-00 Plumbing Permit 032001-322-10-00 Sewer Inspection 805 412-343-80-00 Water ERU 712 401-343-80-01 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 Sewer ERU (LID) 802 412-343-50-01 TOTAL FEES Permit No BLD-04-0220-YL ClTY OF YELM City' Yelm Phone. State: WA Zip 98597 458-0544 Assessor Parcel No 84070004100 Item Fee Base Amt 1,062.74 993.75 449.00 000 78.25 0.00 10400 2000 145.00 14500 1,500 00 000 300 00 300 00 4000 4000 757 50 000 50.00 5000 450 450 2,694 00 000 $7,184.99 68.99 Unit Rate No Units Unit Desc Unit Fee 000 5.6000 12.3200 $1,000 o 0000 0 0000 0.0000 00000 000 84 00 7 0000 0.00 0 0000 1 500 00 1,5000000 000 o 0000 000 o 0000 757 50 7500000 000 o 0000 000 o 0000 2,694 00 2,694 0000 12.0000 Fixture o 0000 ERU 1 0000 ERU o 0000 o 0000 1 0100 Peak PM Trip o 0000 0.0000 1 0000 ERU o o --~-~- ~Tlfl'~ CITY OF ,~y ~~I YELM ~ PO Box 479 'j4421 Yelm, WA 98597 RECEIPT No ~ ' .."YE!-"~_"," 360-458-8403 RECEIVEP I ***SEVEN THOUSAND TWO HUNDRED NINETY SEVEN DOLLARS & 35 CENTS RECEIVED FROM YELM PROPERTY DEVELOPMENT 16422 MIDDLE RD SE YELM. WA 98597 458-0544 SITE 9964 GREENLEAF LP SE DATE REC NO 01/06/05 34421 AMOUNT 7.297.35 CHECK REF N 604: MISCELLANEOUS RECEIPT GRETCHEN BLD PER 1083.73. PLN REV 457.87. MECH 78.75. PLM PER 111. SEW INS 145. WAT ERU 1500. WAT MET 300, CON DEP 90.TRAF 757.50. STAT BLD4.50. SEWERU 2j ~Tlfl'~ CITY OF ,~y ~~I YELM I~ PO Box 479 Yelm WA 98597 I_..,;YE!-"~G"'N 360-458-8403 I I RECEIVEp* * * SEVEN THOUSAND ONE HUNDRED EIGHTY FOUR DOLLARS & 99 CENTS I RECEIVED FROM I YELM PROPERTY DEVELOPMENT I' 16422 MIDDLE RD SE YELM. WA 98597 i 458-0544 i SITE 9928 GREENLEAF LP SE l RECEIPT No 34 4 22 DATE 01/06/05 REC NO 34422 AMOUNT 7.184.99 CHECK REF ~JC 6042 MISCELLANEOUS RECEIPT GRETCHEN BLD PER 1062.74,PLN REV 449, MECH 78.25. PLM PER 104. SEW INS 145. WAT ERU 1500.WAT MET 300,CON DEP 90.TRAF 757.50.S BLD 4.50.SEW ERU 2694.00 o o Yelm School District ATTN. SUSAN CROY PO BOX 476 YELM, WA 98597 360-458-1900 Sold to: 16616 WILLOW GLEN 2 WILLOW GLEN 2 WILLOW 16422 MIDDLE RD SE YELM, WA 98597 ~ 5652 09 01/06/05 Reg ~1 SalesPerson SUSAN Item ~ 2900/MITIGATION MITIGATION OR TVF ~ 1 @ 3,290.00 3, 90.00 2 CK ~6041 FOR LOTS 40 NO 41 WILLOW GLEN ---------- SubTotal 3,290 00 Total Due Check 3,290.00 3,290.00 ---------- ---------- Thank you. PLEASE KEEP THIS RECEIPT!!! 't j o ~- ~O> A · d CITY OFYELM ecelve RESIDENTIAl. BUILDING PERMIT APPLICATION FORM DEe 3 0 2004 Project Address: tq;(g GNe.h,J LoOi Sf PaiCel #' Subdivision:Waltow Glenn ,.D:- Lot#:. ~/ Zoning; R..,.c.,. ~ew Cons'"uuction 0 Re-Modell Re-Roof / AddfJon 0 Home Occupation Sign o Plumbing 0 Mechanical 0 Mobile / Manufactured Home Placement 0 Other Project Description/Scope of Work: S~1r ~i 1t.1 ~ Project Value. $ 1"/' e... Building Area (sq it) 1st Roor;J.J.!:[ 2nd Roor 7 7..J Garage Deck Basement . Carport Patio I # Bedrooms2 /# Bathrooms ?-~'b Heating:~THER or ELECTRIC (Circle One) he there any environmerrc.ally sensitive areas located on the parcel? ,.k If yes, a completed environmental checklist must accompany permit application. .8t1I1~IYINGUijWb1EEfW(ME: , LLC ADDRESS -~~-rr::i 2;;::- M1 cfd It ~ S. CITY STATE INti- ZIP 9~sq7 TELEPHONE ~B'GF.irrEGt.'tENGJNEEa F,Yle.. ~'IU- UCENSE # ADDFfESS~/;i-;"= IE. - 4 ~ ~ CITY bf'1I'lt-I)I'e. STATEW^" ZIP"1f?~1 TELEPHONE .,)(,0 '1S-'- 0885" .'.,"- _._~~-..-....-.-..:.- ..:.-' .'PDLLC 8J~.~g8A!tC..PJ~Ifl~gOB y . ADDRESS ic#\'O-"Z- /lltacLd&.-. /l..J 5e CITY yp/;wL STATE w* ZIP CONTRACTOR'S UCENSE If VPDl,005()'L. TELEPHONE 36e JeSb-'{JS'I'i &18>'17 FAX dW ~6ro-O~-e,Lf EXP DATE2/IJ,k'CITY UCENSE#fJLt'~OOU21 PLUMBING:CONTRAcT08 WYlie I<!~t'~ \ TELEPHONE 0'0 lH't- /f.:,J. '1 ADDRESS . 77I2~--'lo -.1- ~ se ~ - - CITY Y~/p' ~ATE wI\- ZIP~? FAX dGo f:}H.I'3/ CON1RACTOR'S UCENSE If hJifrrc.( PeeS's p~ EX? DATE~ CITY LICENSE if MECHANICAL CONTRACTOR ~i:4J;.l f.W~~ ~~iIll1 TELEPHONE ADDRESS 3iiSlf> 71tNw"ltX DR E CITY Ea.:hmvilj-t STATE wit I ZIP 'J6.5:lg FAX CONTRACTOR'S LICENSE #/ tlo~JZtfc'j~? K. EXP DATE CITY LICENSE # V' 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 ,he use of ihe acove describec propert'J will be in accordanc!! with tOg laws, rules and regulations ot the State of Washing,on and ,he City of Yelm. Dv-l'h- (J_~-u4 (..ll 30) by Applicant's Signature Date ' / Owner / Contractor I O',o'mer's Agent / Contractor's Agent (Please circle one.) , .AIl permits are non-transferable and will expire if work authorized by such permit is not Qo'tegun within 180 days of issuance, or if work is suspended or abandoned for a period of 180 days o I I I I """ ~ ~ ~ o ~ ~---- ~..- .$0 ft /.. fj: )" -; '3,..," / /' _ - 55 i \ \ \ \ \ \ \ \ \ \ Ar)pno~ lE.'~. 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