20040204
CIi'{ Of '{lOL~ _ 6UILOI\llG OlOP jl..R'T~lO\II'T
RlOSIOlO\II'Tljl..L ClOR'TlfICjl.. 'TlO Of oCCUP jl..\IIC'{
Building A.ddress
~58~4 ~04\" p...ve, SE.
~S~
~~
~\N~75'3
~
~
Building permit Number
Plan Number
owner Name
owner A.ddress
~
A.uaust 9 2005
RemarKS
A.reas \nspected
specia~_~nd~
None
o ate
Bui\ding Official'
. . . . I lernational Residenlial Code (CMpler
1\\iS slfUclure IS ,n complIance ~"\\ ~e I~n Slale Building Code council pursuanl
5~-5~ \NA.C) as adopted b'Jt 2n7e das70lng2 RC\N e,'ec\ive jul'J ~, 2004
to cnapters ~9 an '
G. ca.rlson
_ ~ ~ rfi5\ \1@.\'
~
I
~.
Ii
!I
I~
!~
If
II~..
; ~
+
I tA((V
In I I
1.11 '"fa'
1 .
i~
II
w
,~
'f, FAX#:
f!
II
:h
Ii
,it
I:
T
FAX TI~ANSM~SSION
CITY OF YELM
P.O BOX479-931 NPROADNE
YELM, W A 985917
360-458-8411
FAX 360-458-8166
r-
D~TE. 1-1'-0')
Plt\GES I , includIng this
Cover sheet
From: RANOY
,I Subject: L4-DU.SE -J\~jALS
l
;1 y ~:L VYI -n:'R I!-.A
COMMENTS:
----
LOT LLI) 1 ~cr-l,-/- ) at! "01- AuE. S.~ . ('fJ5'110 cO
,-
LoT fa 1, '~1;6l J ~L.{~l-tuE:. 5 t: \ t'<J -L)(p 70 00
'"
LQ'- :t;:)" 15'7.;21 Yahl TCTU(J-} w~1.,) s. <c ,
/ 0'5 - J d--:) C OC)
H If you do not rccelve all r.:OpICS or any copy is llollcglblc, please call (360) 458-8411
as soun a~ po~slble.
Td Wd8~ v0 S00c 80 5n~
99T:3-8Sv-09~ ON X~.::l
ld3G ~3M3S Wl3^ WO~.::l
c
CITY OF YELM INSPECTION LOG
PROJECT
LcJ '/7
;I~~
-----
J ~ //2L-
,
PERMIT NUMBER
l!) II - (;) -Z- {} l/
ISf:,/Y /lYll l~ ~ S~
ADDRESS
SET BACKS Date
\ ~ Front IS/'.r / ZV drh?
. ~ l}.X.. \ / ..- (
v Rear 2~
\(\ '"\?' ~ SIde/Flankmg cS
Slde 1'/
FOOTIN G
;f 12"
o 16"
o other
o reqUlred vents
WALL
;;f 6"
o 8"
o other
z-o
FOOTING REBAR
Date
WALL REBAR
Date
Comments
c
COMBINED FRAME/ EXTERIOR SHEAR WALL INSPECTION
Hold downs 0 Shear NaIlmg 0
Frame 0 Gas/Propane 0
Plumbmg 0 Mechamcal 0
uF. 3-4-~
Comments
Comments
~ Gas
IKFoam and Seal
tll)}'2
o Electnc
o Vapor barner
o Other
f PYA
INSULATION
SHEET ROCK/SHEAR W ALL~IL
Comments ~ SM O(
OTHER
Comments
FINAL
il Sewer Fmal A ElectrIcal
" Address ~ InsulatIOn
comments~VV
o ClvIl Fmal 0 Landscape Fmal 0 C of 0
o SIte Dramage 0 SIdpt~
c
o
o
City ofYelm
Community Development Department
Building Division
Phone' (360) 458-8407
Fax: (360) 458-3144
Permit No
BLD-04-0204-YL
Issue Date 12/29/2004
(Work must be started within 180 days)
Receipt No
34344
Applicant:
Name Evergreen State Builders
Phone
253-475-6622
Address, POBox 39753
City' Lakewood
State: WA Zip 98499
Property Information
Site Address, 15814104th Ave SE
Assessor Parcel No 85840004700
Subdivision, Yelm Terra
Lot: 47
Contractor Information
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 Information
Project: Yelm Terra
Description of Work: Plan 1530 S/2, Lot 47
Sq. Ft. per floor' (1 st) 0 (2nd) 0 (3rd) 0 Garage 0 Basement 0
Heat Type (Electric, Gas, Other) OTHER
Fees
Item Item Fee Base Amt Unit Fee Unit Rate No Units Unit Desc
--------------------------- -------------
Building Permit 100-500k 1,069 91 993 75 7616 5 6000 13 6000 $1,000
Building Plan Review 695.44 0,00 000 o 0000 o 0000
Mechanical Permit 7175 000 000 o 0000 o 0000
Plumbing Permit 111 00 20,00 9100 7 0000 13 0000 Fixture
Sewer ERU 5,269 00 000 5,26900 5,2690000 1 0000 ERU
Sewer Inspection 145 00 000 145 00 145 0000 1 0000 ERU
Water ERU 1,500 00 000 1,50000 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 75750 750 0000 1 0100 Peak PM Trip
Sewer Deposit 50,00 5000 000 o 0000 o 0000
State Building Fee 450 450 000 o 0000 o 0000
TOTAL FEES $10,01410
App I i ca nt's. Affada"it:
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
Signatur~~ Date/~-L.7-z!'77
Firm
# Sets of Prints,
Applicant:
o
o
Permit Fees Schedule
City ofYelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Address POBox 39753
Name Evergreen State Builders
Project Information
Project: Yelm Terra
Description of Work: Plan 15305/2, Lot 47
Site Address 15814104th Ave 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 ERU 802412-343-50-01
Sewer Inspection 805 412-343-80-00
Water ERU 712401-343-80-01
Water Meter (SFD) 712 401-343-80-01
Water Deposit 740402-389-00-00
Traffic Facilities Charge 420120-344-85-00
Sewer Deposit 742402-389-01-00
State Building Fee 160001-386-00-00
TOTAL FEES
Permit No BLD-04-0204-YL
Phone
253-475-6622
City' Lakewood
State. WA Zip 98499
Assessor Parcel No 85840004700
Item Fee Base Amt Unit Fee Unit Rate No Units Unit Desc
-------------
1,069 91 993 75 7616 5 6000 13 6000 $1,000
695 44 000 000 o 0000 o 0000
7175 000 000 0,0000 o 0000
111 00 20,00 9100 7 0000 13 0000 Fixture
5,269 00 000 5,269 00 5,269 0000 1 0000 ERU
145 00 000 145 00 145 0000 1 0000 ERU
1,500 00 000 1,50000 1,500 0000 1 0000 ERU
300 00 300 00 000 o 0000 o 0000
4000 40,00 000 o 0000 o 0000
757 50 000 757 50 7500000 1 0100 Peak PM Trip
50,00 5000 000 o 0000 o 0000
450 450 000 o 0000 o 0000
$10,01410
REceUPT No 3 4 3 4 3
o
NINE HUNDRED EIGHTY EIGHT DOLLARS & 30 CENTS
DATE REC NO
12/29/04 34343
AMOUNT
9.988.30 CHECK
FIEf NO
PENDING
RECEIVED FROM
EVERGREEN STATE BUILDERS
PO BOS 39753
LAKEWOOD. WA 98499
SITE: 15807 104TH AVE LOT67
MISCELLANEOUS RECEIPT
DIANA
~~~
BLDPRMT1041.85. PLNREV611.20. HECHPRMT18.25. PLMBPRMT125. S/ERU5269.
W/ERU1500. W/MTR300. W/DEP40. TRAFF151.50. S/DEP50. STFEE4.50
S/INSP145
Olll;:V,-- _~.:l.
RECE\PT No
343440
MISCELLANEOUS RECEIPT
DIANA
BLDPRMT1069.91. pLNREiV695:44~HPRMT11.15. PLMBPRMT111. S/ERU5269. S/INSP145
W/ERU1500. W/MTR300. W/DEP40. TRAFF151.50. S/DEP50. STFEE4.50
RECEIVED FROM
EVERGREEN STATE BUILDERS
pO BOX 39753
LAKEWOOD. WA 98499
SITE: 15814 104TH LOT47
DATE REC NO
12/29/04 34344
AMOUNT
10.014.10 CHECK
REF NO
PENDING
RE~~~ifSN THOUSAND FOURTEEN DOLLARS & 10 CENTS
o
o
YELM COMMUNITY SCHOOLS
I lOCAl. RECEIPT DATE /2 - 2 ~
25472
~~(.I
Receivedfrom ~ve.r~"e<i!'" :>4--+( l)...r!cI<-rs l-c...c.
FOR 1(;./,., --r; /'rfJo.. ~ (./ <;..../. 0,..J L" f 1:J 6 7 -J if 7
v
I~ .fL--J r L.AJ~ ~ J ~.. ~LARS
ACCOUNT CODE
AMOUNT CASH CHECK
13/ ..; "-1..'- EEl $ 3!,;r:, ~O;";:, "'''''''
Br?~,/ dL
c..pp do 7......
12/23/2004 12 2&
12/23/20B4 10 2B
253475&127
2'----"43183
U
EVERGREEN ST BUILDER
CASCADE RESlr.--''''H'lL
U
\ LOT 4l ..
EVERGREEN STAlE BUill )ERS
YELM TERRA
YELM, WA
6000'
----..---11
r - 48 0 t-7 0 ~
t j~;rr. .:!I _ ~
"U.N 1530R/2 all 'CJI I
o ~I~
S; ! ~ ~ig; ~
~~ ~ : I
II : 20' GSBI. !---1
~ D~;' ].S!!-_ - - ~ "l
- S 0 48.0 -- 7 ~
~I I -- 60.00' -- '1
ST_ LINe ~~_._-_._--- -- --- --- _L__..
--.J' PRIVATE ROAD
WATER LINE ..l_~_.-..._--=-_~=--
~f"'<<,' ,.'~' 'c.
," f'-:' ~ ~ ,. r.:.; f ,
l , ~ i ,~.& l;! L_ i~j.'
,- --._-
~ ___.....~.~...'-'--__,.~, u-'_'_._
-~-
c6S!TE PLAN
Q 2004 CASCADE RESIDENTl 1--. DESICN INC
PAGE ~rL
PAGE a2
@
NORTH
"" o.,,~ " 1IASl'.;l 011 Cl.IM DtO\II)to
.PIll ~^.~ Att'I ~ - .....,_TIOft, ClCIl'ED TD I!f Al:tVllA"
Ult nl ~Lt ll{Sl'_=NorClr5 1Il1WC'" TWill 0I!-1OCl AO THC .c,"^~ srrt ~ITiOI'$
T~~ Cll[1llT.
SCALE I' c ~'
~ _ o. 0
Project Address: -1~/Y /0 o/~/At/e ~ Parcel #.
Subdivisibn: Yel h1 ---r.elrvl Lot#. "7 Zoning; .&1.A1g Ii! --.f{.fIh'{ 1/ j
~ew Construdion u Re--Modell Re-Roof I Addition u Home Occupation Sign
U Plumbing u Mechanical U Mobile I Manufactured Home Placement u Other
Project Description/Scope of Work:~ f} I~ -FatYI. / 01 ~ &tduJ-l CLJ
Project Value: /1?? "Y-=<O
Building Area (sq. ft) 151 Floor /S.:J() 2nd Floor Garage Deck
Basement Carport Patio
# BedroomsL # Bathrooms...k- Heati~THER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? If yes, a
completed environmental checklist must accompany permit application.
ARCHITECTIENGINEE
ADDRESS 1/2 ~
c1TY721ClJrfla
BUILDING OWNER NAME.
ADDRESS
CITY
GENERAL CONTRACTOR \~ as t:JUPt.V TELEPHONE
ADDRESS EMNL
CITY STATE FAX
CONTRACTOR'S LICENSE # e~ EXP DA T . CITY LICENSE #
TELEPHONE~7537-8'9l? CJ
EMAlL
~< FAX z<:~~-9~~
EXP DATE CITY LICENSE #
ZIP
TELEPHONE
EMAlL
FAX
EXP DATE CITY LICENSE #
MECHANICAl.. CONTRACTOR
ADDRESS
CITY STATE
CONTRACTOR'S LICENSE #
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.
L ~_~ 1 / Z-;if-a 7'
Applicant's Signatu~ Date
Owner I Contractor Owner's A~ Contractor's Agent (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
105 Yelm Avenue West
PO Box 479
Yelm, WA 98597
(360) 458-3835
(360) 458-3144 FAX
www.ci.yelm.wa.UB
f
c)
o
Evergreen State Builders;LLC (License # EVERGSB980PB)
5700 _100th Street S,W., Suite 630, Box 197, Lakewood, WA 98499
253-475-6622 (Fax 253-4~r5-6127)
f:
DESCRIPTIOt~ OF MATERIALS fOf'
YElMTERRA
8' ceilingj: on first jlOOl'
Siding:
811 pre-primed James HardIe lap siding on front, James HardIe single wall
sidmg sides and back; James Hardie Shakl~S or shake panels as accents
front elevatIon per plan.
Roofing:
Architectural ComposItIon roof
Windows::
Vinyl wmdows to code and as per plan.
Driveway:
~room fimsh,
Patio/W allkways:
Broom finish..
Cabinets:
Oak cabmets, flush panel.
Doors:
Embossed package.
Exterior:
Insulated steel, or fiberglass.
Millwork:
~Ihbossed package.
St901 and Apron only
i
Window Wrap:
Plumbing:
-('"
Kitchen~$ink: 33x22, 3-hole, double-smk. Stainless with chrome delta faucet.
li~lVa1l;ory:
G; Powder R.Qom. whIte with Delta chrome faucet.
.it'
_1, Hall Bath,,- Kilgore white sink With Delta chrome faucet.
. Master Bath. (2) 20x17 white WIth Delta chrome faucets.
.' Tub Valve, Master bath. Delta chrome or eqUivalent.
$\. Tub/Shower Valve, Main bath: Delta tub and shower valve.
." Sho~er V J!!ve, Master: Delta or equrvalent.
t
-\ Toilets. white, per plan.
;1
,
if
.6
Bath enclosures:
Hot Water Tank:
Hosebib:
Hardware:
Bath bardware:
Flooring:
Countertops:
Painting:
ApplianC4~s:
Wirmg:
'\"
o
o
Page one of two
lVlaster bath: Clear glass door on separate shower with chrome tnm.
tubs: Fiberglass whIte.
Gas 50 gallon.
TWo per plan..
1.ocks in~erior: Chrome
Locks exterior: Chrome
Towel bars: Chrome
Paper holdel]' Chrome
~~ Dinmg room, hvmg room, staIrs, bedrooms, closets, 6 lb., 112"
n:bond pad.
Yinyl: UtilIty room, han bath and Entry
[lhnmate. Whole house
Exterior Trim. White or color from approved lIst.
ExterIor .:Body: Flat solId body pamt fi^om approved Itst.
Front Door~ Enamel, white or accent color from approved hst.
Interior 'Walls. Drywall sealer coat, then one coat flat latex.
Kitchen and bathrooms. Low sheen enamel..
J3ange/O_~n. .VVhulpool whIte
DIshwasher: \Vhirlpool Self Clean, White.
Idiisposal..;. 112 HP
I<:emaker: Refrigerator space plumbed for icemaker.
Microwl!ve: Whirlpool whIte
l~hone (2) cable (2)
n;
,
}
~;
Page two of two
),
ASBUILT CENTERLINE
OF YELM CREEK
LOCATED 3/25/2013
TOPOGRAPHIC SURVEY FOR ROBERT CECIL
SITE ADDRESS 805 CRYSTAL SPRINGS ROAD SE
YELM, WASHINGTON 98597
PARCEL NO. 22719220700
S 89'3743" E
410.7
m
N
M
33�
Eoy� -;oo,
gPSF' � T
AE ZONE BASE FLOOD ELEVATION 300-302
FROM FIRM MAP COMMUNITY NO. 530310 PANEL 0353E
EFFECTIVE DATE OCTOBER 16, 201,-
S
012
LIMITS OF BASE FLOOD AREA
M
M
264.68
5 89'37'43" E
N
M
O
q
SCALE: i"=30 FEET
�Q
0 15 30 60
E.TRUE & ASSOC.
PROFESSIONAL LAND SURVEYORS
P.O. BOX 908
YELY, WASHINGTON 98597
(360) 458-2894
18
24
79
N�
.1
_
I
A\
,V,
AE ZONE BASE FLOOD ELEVATION 300-302
FROM FIRM MAP COMMUNITY NO. 530310 PANEL 0353E
EFFECTIVE DATE OCTOBER 16, 201,-
S
012
LIMITS OF BASE FLOOD AREA
M
M
264.68
5 89'37'43" E
N
M
O
q
SCALE: i"=30 FEET
�Q
0 15 30 60
E.TRUE & ASSOC.
PROFESSIONAL LAND SURVEYORS
P.O. BOX 908
YELY, WASHINGTON 98597
(360) 458-2894