20040107
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CITY OF YELM - BUILDING DEPARTMENT
RESIDENTIAL CERTIFICATE OF OCCUPANCY
Building Address
403 SolberQ St. NW
Owner Name
Owner Address
VirQil Tincknell
403 SolberQ St. NW
Yelm. WA 98597
Building Permit Number
BLD-04-01 07 - YL
Plan Number
Plan 1004
Remarks:
Areas Inspected
All Code required
Special Conditions
Building Official.
G. Carlson
Date
November 15. 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
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-,-." Y~Ui SEWER DEPT
FAX NO 360-458-E3166
Nov 15 2005 10 28AM P1
FAX TRA.N'SMISSION
CITY OF YELM
P.O.BOX479"~931 NPROADNE
YELM, W A 98597
360-458-841 i
FAX 360-458-8166
~~~\
TO:
DATE iJ- )L)~O ~
FAX#:
PAGES: I, including this
Cover sheet
From: PADDY
SubJ' eeL l-\/I,u'5 e- () J. !
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COMMENTS, 2- {) r to / L) 0 '3 "56 L (j (t=f~~-
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** Iryou do not receive all copies or any cop)' IS not legIble, pkase call (360) 458.8411
as soon as possible
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CITY OF YELM INSPECTION LOG
PROJECT
~ LP LrS
C;Y-[) I "1
LID? So I ~ S-i
PER.t\1IT :NUMBER
ADDRESS
SET BACKS Date
Front
Rear
Slde/Flankmg
SIde
FOOTING
12"
16"
WALL
~lA .I
S\~ \ (j)
6"
8"
other
FOOTING REBAR
other
reqUIred vents
'" Date---?J-!/uLWALLREBAR v45ate. r~
Comments
COMBIl\"'ED FRAM:EI EXTERIOR SHEAR WALL INSPECTION
Hold dov..rns Shear NaIlmg all. lf~J.J60' tN.
Frame Gas/Propane
Plumbmg Mecharucal
Comments
INSULATION
Gas
Foam and Seal
Electnc
Vapor barner
other
PYA
/Iv 4 J >>}LJ
SHEET ROCK/SHEAR \\' ALL NAIL
Comments
Comments J\.... ~) t~~
OTHER Comments
FI N A L ."..,..--
/Se\\ er nal
~~l
~latlOn
~rj/
en Il FmaJ
SIte DraInage
Landsc3.pe F mal
~]k
Comments
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City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Permit No
BLD-04-0107-YL
Issue Date 08/02/2004
(Work must be started within 180 days)
Receipt No
Name Virgil Tincknell
Phone.
458-4668
Address 10518 A Mill Rd. SE
City' Yelm
State. WA Zip
Property Information
Site Address. 403 Solberg St.
Assessor Parcel No 59710000600
Subdivision: Longmire Estates
Lot: 6
Contractor Information.
Name. Owner
Contact:
Phone.
Address.
City'
State:
Zip:
Contractor License No
Expires.
Business License:
Projec:tlnfo[l'i1~tion.
Project: Longmire Estates, Lot 6
Description of Work: 1004 SFR
Sq. Ft. per floor' (1st) 1004
(2nd) 0
(3rd) 0
Garage 360
Basement 0
Heat Type (Electric, Gas, Other) GAS
Fees.
Item Item Fee Base Amt Unit Fee Unit Rate No Units Unit Desc
--------------------------- -------------
Building Permit - Other 812.43 000 0.00 o 0000 o 0000 $1,000
Building Plan Review 528.08 000 000 o 0000 o 0000
Mechanical Permit 38.75 0.00 0.00 o 0000 o 0000
Plumbing Permit 6900 20.00 4900 7 0000 7 0000 Fixture
Sewer ERU 5,269 00 0.00 5,269 00 5,2690000 1 0000 ERU
Sewer Inspection 145 00 0.00 145 00 145 0000 1 0000 ERU
Water ERU 1 500 00 0.00 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 7500000 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 $9,514.26
Applicant's Affadavlt:
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 W shi
OFFICIAL USE ONLY
# Sets of Prints.
Date
Firm
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City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360)458-3144
c
Name. Virgil Tincknell
Address. 10518 A Mill Rd. SE
pf9Iecf(t}f()riT1afjo~ .
Project: Longmire Estates, Lot 6
Description of Work: 1004 SFR
Site Address. 403 Solberg St.
EElEls,
Item Acct Code
032-
/ tJ 0 Building Plan Review
032- Mechanical Permit
CO.3 7--- Plumbing Permit
%02-. SewerERU
&>o~ Sewer Inspection
7 (p 0 Water ERU
'7 I 2- Water Meter (SFD)
140 Water Deposit
~ 2-D Traffic Facilities Charge
"7 J./ 2..--- Sewer Deposit
Building Permit - Other
032
001-322-10-00
100
001-345-83-00
032
001-322-10-00
032
001-322-10-00
802
412-343-50-01
805
412-343-80-00
760
404-343-80-34
) {p 0 State Building Fee
712
401-343-80-01
740
402-389-00-00
420
120-344-85-00
742
402-389-01-00
160
001-386-00-00
I
07
~\~
~ AUG 1 2 2004
hedule
ermit Fees
PAI~mjt No BLD-04-0107-YL
Phone.
458-4668
City' Yelm
State: W A Zip 98597
Assessor Parcel No 59710000600
Item Fee Base Amt Unit Fee Unit Rate No Units Unit Desc
----...--------
812.43 0.00 0.00 o 0000 o 0000 $1,000
528 08 000 000 0.0000 o 0000
3875 000 000 0.0000 o 0000
6900 2000 4900 7 0000 7 0000 Fixture
5,269 00 000 5,269 00 5,269 0000 1 0000 ERU
145 00 0.00 14500 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 50 750 0000 1 0100 Peak PM Trip
5000 5000 000 o 0000 o 0000
450 450 000 o 0000 o 0000
TOTAL FEES
( $9,514.26
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C
RECEIP1" NO 32900
o
P.ECE\\lED FP.O\\ll
vt~Gt~ 1tJe~J~~~/J. aoustJG
10518 ~ ~11.JL RD SE
?o BOl 219
SuaJ~~.~ 95390 atSe~~~~J~OUS ~~e~tP1
~OJGat~~ l\S1~1~S ~016 J~JtJl\ _-:~._"~:c;;-~-~
~~_____--------~U~69 5 S~~p.~ E Jp.U 5269
"__~?l~~~i-----C;;. a~ea 35 15 <~ nP ·
-~BLIl-0i=0i0'-Y~ 51Z.'3. ~l\Vtl\~1~3~005D~P 90. 1R~P!te 151.50. Be ,.50
tJSP 1,5. .1~ ~~U 1500. .1~ ·
aUJD~l\D roU~1l\l\J DO~~~~S
OAIE p.EC. NO
08/12/04 32900
& 26 CE~'tS
A\\IIOUN'
9.514.26 CRECK
p.EF NO
1005
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Permit Fees Schedule
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicalit;~
Name: Virgil Tincknell
Address 10518 A Mill Rd. SE
Proj~c;tl nform atloll
Project: Longmire Estates, Lot 6
Description of Work. 1004 S FR
Site Address. 403 Solberg St.
Fees
Item Acct Code
Building Permit - Other
032
001-322-10-00
Building Plan Review
Mechanical Permit
100
001-345-83-00
Plumbing Permit
032
001-322-10-00
Sewer ERU
Sewer Inspection
032
001-322-10-00
Water ERU
802
412-343-50-01
Water Meter (SFD)
Water Deposit
805
412-343-80-00
Traffic Facilities Charge
760
404-343-80-34
Sewer Deposit
State Building Fee
712
401-343-80-01
740
402-389-00-00
420
120-344-85-00
742
402-389-01-00
160
001-386-00-00
TOTAL FEES
Permit No BLD-04-0107-YL
Phone
458-4668
City' Yelm
State WA Zip 98597
Assessor Parcel No. 59710000600
Item Fee Base Amt Unit Fee Unit Rate No Units Unit Desc
-------------
812.43 000 000 o 0000 o 0000 $1,000
528.08 000 000 o 0000 o 0000
38.75 0.00 000 o 0000 o 0000
6900 2000 4900 7 0000 7 0000 Fixture
5,26900 000 5,269 00 5,2690000 1 0000 ERU
145 00 0.00 145 00 145 0000 1 0000 ERU
1,50000 000 1,50000 1,5000000 1 0000 ERU
300 00 300 00 000 o 0000 o 0000
4000 4000 000 o 0000 o 0000
757 50 000 757 50 750.0000 1 0100 Peak PM Trip
5000 5000 000 o 0000 o 0000
450 450 000 o 0000 o 0000
$9,514.26
Yelm Community Schools
PO Box 476
Yelm, WA 98597
Clerk'
Terminal'
Receigt'
Manual Receipt'
Cray
1
3736
N253863811
NMITIGA TIONS
NORTHWEST, HOUSING DEVELOPMENT
9/19/2005 10'53 AM
Qty Item
Price
1 CPF2900 5200 00
MITIGA nON
FOR LONGMIRE MEADOWS LOTS 1,2,3,4.5,6,7 &
8
Subtotal.
Tax.
Total'
Check
6724
Amount Due.
5200.00
o 00
5200.00
5200.00
o 00
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CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address 403 Solberg St. Yelm
Parcel#" 22719231600 & 22719230900
Subdivision: Longmire Meadows
Lot #" 6
Zoning; Residenti a 1
xx New Construction 0 Re-Model/ Re-Roof / Addition 0 Home Occupation Sign
o Plumbing 0 Mechanical 0 Mobile / Manufactured Home Placement 0 Other
Project Description/Scope of Work: Single family dwell ing
Project Value
Building Area (sq It) 1st Floor 1 nnL.. 2nd Floor Garage 360 Deck
Basement N / A Carport N / A Patio N / A
# Bedrooms-3... # Bathrooms...L Heating.~THER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel?
completed environmental checklist must accompany permit application.
If yes, a
f3QltJ;Q:@@:'~~tRE.:g.Nf.M.g. Virgil Tincknell
ADDRESS 10,lR A Mill Rd. S.E.
CITY Yelm STATE WA ZIP QR,Q7
TELEPHONE %0 4,R 466R
ARGBI;tg,G:ligNGJr.i:!.E.:I;e NHD/Sitts & Hill
ADDRESS P.O. Box 219
CITY Sumner STATE WA ZIP 98390
~3J~Nt;RAL:'GQ.NtRI)CIQR owner /builder
ADDRESS same
CITY STATE ZIP
CONTRACTOR'S LICENSE #
LICENSE # NORTHHD05401
TELEPHONE 253-863-8188
TELEPHONE
FP0<.
EXP DATE CITY LICENSE #
PLUMBINGCONTRACTOR Sunset Plumbing
ADDRESS p Lo. Box 2008
CITY Yelm STATE WA ZIP 98597
CONTRACTOR'S LICENSE #SUNSEC*0440P
TELEPHONE 360-458-2991
MECHANICAL CONTRACTOR Heritage Heating TELEPHONE 253-922-2211
ADDRESS 9001 Pacific Ave.
CITY Tacoma STATE WA ZIP 98444 FP0<.
CONTRACTOR'S LICENSE # HERITEI 13604 EXP DATE ITY LICENSE #
ITY LICENSE #
Copy of mitigation agreement with Yelm Community Schools, if applicable
I hereby certify that the above information is correct and tliat 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 Ci 1m.
? '
fp2/0 r/
Da e
ner's Agent I 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
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