20040135
Building Address
CIT'l OF 'fELIIlI _ BUILOING OEP t>.RTIIlIENT
RESIOENTlt>.L CERTIFICt>. TE OF OCCUP t>.NC'f
RemarKS
Plan Number
~
owner Name
owner Address
Building pennil Numher O4.o~ 35
~
Areas Inspected
special conditions
Date
~
None
Building Off.cial" Ga carlson
lnis strUcture is in compliance wilt1lt1e InlernalionalResidenlial Code \cnapte< I
5~-5~ '/'J/>.C) as adopled b~ lt1e '/'Jasninglon Slale BUIlding Code counc, pun;uan
10 cnaplers ~9 27 and 7092 RC'/'J, effeclNe jul~ ~, 2004
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CITY OF YELM INSPECTION LOG
PROJECT t 4- 'f 8
PER1\1IT NUMBER () y- e;/1S
ADDRESS q9S~ G~JJ/ ij? Sc
SET BACKS Date
/\ .o\~ Front 2()
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FOOTING REBAR
FOOTING WALL
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16" 8"
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/ Date -'1/1!1- WALL REBAR ~ate J/J$--
Comments
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COMBIl\TED FRAME/ EXTERIOR SHEAR WALL INSPECTION
Hold downs Shear Nmlmg
Frame ~ Gas/Propane
Plumbmg *' I{ / I "/n,/ Mechamcal
t// tt-U if ri7
Comments
Comments
GV
Foam ~
~ 11111)014
Electnc
Vapdr bamer
other
P~
INSULATION
SHEET ROCKJSHEAR WALL NAIL
Comments 0)0 lll~
OTHER Comments
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FINAL / /
Se\\ ~nal Ele~l
Ad~ Insu~
Comments ~ / I L'3 It)(
fl
C1v11 Fmal
SIte Dramage
LandSCape Fma]
Slde\\ alktJJ~
C~D
Jan 10 05 04:00p
Jon Yanasak
360-458-7937
p. 1
FAX TRANSMISSION
CITY OF YELM
P.O. BOX 479 - 931 NP ROAD NE
YELM, W A 98597
360 458-8411
360..458-8166
DATE. l~ lv-Vi
FAXff.
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PAGES' I, including this
Cover sheet
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COMMENTS.
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'* * If you do not receive all COpH~S or any copy IS not legible, please call (360) 458-8411
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City ofYelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Permit No
BLD-04-0135- YL
Issue Date 0910812004
(Work must be started within 180 days)
Receipt No
33119
~pplicanf .
Name: Yelm Property Development
Phone,
458-2544
Address. 16422 Middle Rd SE
City' Yelm
State' WA Zip 98597
,....................... "...._........... ___n____
Property Information
Site Address 9988 Greenleaf Lp.
Assessor Parcel No 84070003400
Subdivision, Willow Glen, Phase II
Lot: 48
Contractor Information.
Name Applicant
Contact:
Phone
Address
City'
State.
Zip
Contractor License No YELMPDL00302
Expires. 02/20/0551
Business License.
Pr~ject InfC?rmation:
Project: Willlow Glen. Phase II
Description of Work: 1296 S FR-Lot 48
Sq Ft. per floor' (1 st) 1296
(2nd) 0
(3rd) 0
Garage 400
Basement 0
Heat Type (Electric, Gas, Other)' GAS
Fees.
Item Item Fee Base Amt Unit Fee Unit Rate No Units Unit Desc
--------------------------- -------------
Building Permit 50-100k 951 65 643.75 307 90 7 0000 43.9850 $1,000
Building Plan Review 397 08 000 000 o 0000 o 0000
Mechanical Permit 7175 000 000 0.0000 o 0000
Plumbing Permit 9000 2000 7000 7 0000 10 0000 Fixture
Sewer ERU 5,269 00 000 5,269 00 5,269 0000 1 0000 ERU
Sewer Inspection 14500 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
Sewer Deposit 5000 50.00 0.00 o 0000 0.0000
State Building Fee 450 450 000 o 0000 o 0000
Traffic Facilities Charge 757 50 000 000 750.0000 1 0100 Peak PM Trip
TOTAL FEES $9,576.48
Applican(~..~!fadav't:...~. .~.
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.
S;g'''"'' #dZ~ ~-=- D," :7 ~ /e>'7'
Firm ~ _
# Sets of Prints.
Final Inspection
Date'
By'
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City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
AppH5?Jll1t:
Name. Yelm Property Development
Address. 16422 Middle Rd SE
Pr()j~5?L~rlf~,.iji~!i(m
Project: Willlow Glen, Phase II
Description of Work: 1296 SFR-Lot 48
Site Address. 9988 Greenleaf Lp.
Fees
Item Acct Code
03.2- --------------------------- ---.._---------
Building Permit 50-100k 032
001-322 -10-00
100 Building Plan Review
100
032- Mechanical Permit 001-345-83-00
032- Plumbing Permit 032
001-322-10-00
<602- Sewer ERU
gO~ 032
Sewer Inspection 001-322-10-00
;12.- Water ERU 802
412 -343-50-01
712 Water Meter (SFD)
805
7tfO Water Deposit 412-343-80-00
7 if 2- Sewer Deposit 712
401-343-80-01
~ tJ 0 State Building Fee
712
12,D Traffic Facilities Charge 401-343-80-01
740
402-389-00-00
742
402-389-01-00
160
001-386-00-00
420
120-344-85-00
TOTAL FEES
Permit Fees Schedule
Permit No BLD-04-0135.YL
Phone.
458-2544
City' Yelm
State WA Zip 98597
Assessor Parcel No 84070003400
Item Fee Base Amt Unit Fee Unit Rate No Units Unit Desc
-------------
951 65 643 75 307 90 7 0000 43 9850 $1,000
397 08 000 000 0.0000 o 0000
71 75 000 000 o 0000 o 0000
90.00 2000 7000 7 0000 10 0000 Fixture
5,269 00 000 5,269 00 5,2690000 1 0000 ERU
145 00 000 145 00 145.0000 1 0000 ERU
1,50000 000 1,50000 1 ,500 0000 1 0000 ERU
300 00 300 00 0.00 o 0000 o 0000
40.00 4000 000 o 0000 o 0000
5000 5000 000 o 0000 o 0000
450 450 000 o 0000 0.0000
757 50 000 000 7500000 1 0100 Peak PM Trip
$9,576.48
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RECEIPT No. 3311 7
RECEIVED
****NINE THOUSAND EIGHT HUNDRED SEVENTEEN DOLLARS & 42 CENTS
RECEIVED FROM
YELH PROPERTY DEVELOPHENT
16422 HIDDLE RD SE
YELH. WA 98597
SITE. 9904 GREENLEAF LP/L49
BLD-04-0136-YL
DATE
REC. NO.
AMOUNT
9.817.42 CHECK
REF NO
09/08/04 33117
PENDING
MISCELLANEOUS RECEIPT
DIANA
BLD PRMT 1103.11. PLREV466.06. MECHPRMT78.25. PLMBPRMT104.S/ERU5269. S/INS145
W/ERU1500.W/MTR300. W/DEP40.TRAFF757.50. S/DEP50.STFEE4.50
~~.~
~TH~~CITYOF
I~Y ~~I YELM
~ PO Box 479 33118
Yelm, WA 98597 RECEIPT No
...YE.!-.Mcw. 360-458-8403
RECEIVED***NINE THOUSAND SEVEN HUNDRED FIFTY NINE DOLLARS & 99 CENTS
RECEIVED FROM
YELH PROPERTY DEVELOPMENT
16422 MIDDLE RD SE
YELM. WA 98597
SITE. 9957 GREENLEAF LP SE
BLD-04-0139-YL
DATE REC. NO
09/08/04 33118
AMOUNT
9.759.99 CHECK
REF NO
PENDING
MISCELLANEOUS RECEIPT
DIANA
\..
BLDPRMT1062.74. BLDPLN449. MECHPRMT78.25. PLMBPRMT104.S/ERU5269. S/INSP145
W/ERU1500. W/MTR300. W/DEP40. TRAFF757.50. S/DEP50. STFEE4.50
RECEIPT No.3 3119
RECEIVEn
****NINE THOUSAND FIVE HUNDRED SEVENTY SIX DOLLARS & 48 CENTS
RECEIVED FROM
YELH PROPERTY DEVELOPMENT
16422 MIDDLE RD SE
YELH. WA as~
SI . 9988 GREEN~A LP
D-04-0135-YL
DATE
REC NO
AMOUNT
9.576.48 CHECK
REF NO
09/08/04 33119
PENDING
MISCELLANEOUS RECEIPT
DIANA
BLDPRMT951.65. BLDPLN397.08. MECHPRMT71.75. PLMBPRMT90. S/ERU5269. S/INSP145
W/ERU1500. W/MTR300. W/DEP40. S/DEP50. STREE4.50. TRAFF757.50
Ye1rn Schoo1 District
AnN SUSAN CROY
PO BOX 416
YELM, WA 98591
360-458-1900
Sold to. 16616
WILLOW GLEN 2
WILLOW
GLEN 2 WILLOW
16422 MIDDLE RD SE
YELM I WA 88587
" 5410 10 08/02/04
Reg "1 SalesPerson SUS~
nrr-~-- ----~
MITIGATION OR TVF
1 @ 1,645 00
CK "6441 FOR LOT 48
-
Item" 2900/MITIGATION
MITIGATION OR TVF
1 @ 1,645.00 1,64500
CK ~6441 FOR LOT 49
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subTota 1
3,280.00
-----------
Total Due 3,280 00
Check 3.290 00
=::::::======
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Thank yoU
PLEASE KEEPnnS RECEIPT I ! I
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CITY OF YELM
RESIDENTIAL EUILDING PERMIT APPLICATION FORM
Project Address' ~~<6 Gl~\~~ L~~ Parcel#'
Subdivision: u),\ \DuJG\~nn f>.:rr. Lot #' i-.\~ Zoning
(<.-6
.'Jf.. New Construction 0 Re-Model / Re~Roof I Addition 0 Home Occupation Sign
o Plumbing 0 Mechanical 0 Mobile / Manufactured Home Placement 0 Other
S, F .t\-e,f'(\~
Project Description/Scope of Work:
4J (5d.K:
Building Area (sq ft) 1st FloorJ &.~ 2nd Floor Garage "100
Basement Carport Patio
# Bedroo~s 3 # Bathrooms ~ Heatin~OTHER otELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? ()O Ii yes, a
completed environmental checklist must accompany permit application,
Project Value
Deck
BENEIt~t~ebNtAActOB .-1 0 L LC
_..... 4__ ""_.'~"""'''''''''''-';''''''~_'''_'_-'''_'
ADDRESS
CITY STATE
CONTRACTOR'S LICENSE # .
I hereby certify that the above information is correct and that the construction on, and the occupancy and the use
01 the above described property will be in accordance with the laws, rules and regulations of the State at
Washington and the City of Yelm.
e.~ ~~
Applicant's Signature . Date
Owner! Contractor J Owner's Agent (fontr2ctor's Agen~Please circle one)
All permits are non-transferable and will expire if work authorized by such permit is not
lJlegun wMhin 180 days of issuance, or if work is suspended or abandoned for Cl period of
180 days
,.
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