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20040102 !@j~~~!IT@~@l.[@I~@r@I[!gJJ~!~@lI@lI~@il CITY OF YELM - BUILDING DEPARTMENT RESIDENTIAL CERTIFICATE OF OCCUPANCY Building Address 405 Solberq S1. NW Jill Smith 405 Solberq S1. NW Yelm. WA 98597 Owner Name Owner Address Building Permit Number BLD-04-0120- 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 r@1!IT~@!f~r~I@]J!~J@Jf~JIT2ll@;l]~~@l@JIim1r[@I@ilI@ c o o CITY OF YELM INSPECTION LOG PROJECT \~ 5" L t PERL\1IT :NlJM.BER 0 t./,. 0 II);J- .ADDRESS ~f)S St>\~/ '1J OJ I 6" SET BACKS Date 'Front \)J~\I Rear sf' SIde/Flankmg Side FOOTING 12" WALL FOOTING REBAR 16" other requITed vents / Dateo-1/-l--WALLREBAR /Date 1/)3 8" other Comments COMBINED FRAl\fE/ EXTERIOR SHEAR WALL INSPECTION Hold do\\'TIS Shear NaIlmg () Ie '1-1-0 ~- 111 Frame Gas/Propane Plumbmg Mecharucal Comments INSULATION other 1 Electnc v~r Comments d0 SHEET ROCK/SHE \V ALL NAIL Comments oArv lPJI7 r V ~ 1 I OTHER Comments FINAL /' ~e\\~r FInal ~ess Comments A ~tncal ~]on I)/Jrj~ I CIvIl FInal SHe DraInage Landscape FInal .Yde\\ alJ... o () City of Yelm Community Development Department Building Division Phone: (360) 458-8407 Fax: (360) 458-3144 Permit No BLD-04-0102-YL Issue Date 08/13/2004 (Work must be started within 180 days) Receipt No 32899 Applicant: Name Jill Smith Phone. 253-548-0392 Address. 419 127th St. S City' Tacoma State. WA Zip Property Information Site Address 405 Solberg St. Assessor Parcel No 59710000500 Subdivision. Longmire Estates Lot: 5 Contractor information. Name Owner Contact: Phone Address. City' State Zip: Contractor License No Expires. Business License: Project Information Project: Longmire Estates, Lot 5 Description of Work: 1004 S FR Sq. Ft. per floor' (1 st) 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 812.43 000 000 o 0000 o 0000 $1,000 Building Plan Review 528.08 000 000 o 0000 o 0000 Mechanical Permit 38.75 000 000 o 0000 o 0000 Plumbing Permit 6900 2000 4900 7 0000 7 0000 Fixture Sewer ERU 5,269 00 000 5,269 00 5,269 0000 1 0000 ERU Sewer Inspection 145 00 000 14500 145 0000 1 0000 ERU Water ERU 1,50000 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 75750 0.00 757.50 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 Appl icantisAffa.<!avit: 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. Slgna~ Firm # Sets of Prints. Date 2? lIB 10 L( , ~... Fi.O!/,;t~ :;\r(~ . ... - o c City of Yelm Community Development Department Building Division Phone: (360) 458-8407 Fax: (360) 458-3144 A '''I licant: ..' pp ..,.. .... Name: Jill Smith Address. 419 127th St. S Pr6jecfjrif9rm~tio6' Project: Longmire Estates, Lot 5 Description of Work: 1004 SFR Site Address. 405 Solberg St. Fees Item Acct Code tJ32- -------------------------- -------------- Building Permit - Other 032 /00 001-322-10-00 Building Plan Review {)3 2- 100 Mechanical Permit 001-345-83-00 0032- Plumbing Permit 032 'F02- 001-322-10-00 Sewer ERU 3'O~ 032 Sewer Inspection 001-322-10-00 l~o Water ERU 802 7/L 412-343-50-01 Water Meter (SFD) 1,/0 805 Water Deposit 412-343-80-00 'fw Traffic Facilities Charge 760 7'12- 404-343-80-34 Sewer Deposit 712 /fRO State Building Fee 401-343-30-01 740 402-389-00-00 420 120-344-85-00 o 3Z-~q1 . cf Permit Fees Schedule \}.ll ~ PAID Peem;! No BLD-OO-0102-YL AUG 1 2 2004 'I;'n 253-548-0392 City' Tacoma State: W A Zip 98444 Assessor Parcel No 59710000500 Item Fee Base Amt Unit Fee Unit Rate No Units Unit Desc ------------- 812.43 0.00 000 0.0000 o 0000 $1,000 528.08 000 000 0.0000 0.0000 3875 000 000 o 0000 o 0000 6900 20.00 4900 7 0000 7 0000 Fixture 5,26900 000 5,26900 5,2690000 1 0000 ERU 145 00 000 14500 145 0000 1 0000 ERU 1,50000 000 1,500 00 1,500 0000 1 0000 ERU 300 00 300 00 000 o 0000 o 0000 40.00 V 4000 000 o 0000 o 0000 757 50 000 75750 7500000 1 0100 Peak PM Trip 5000 I 5000 000 o 0000 o 0000 450 450 000 o 0000 o 0000 742 402-389-01-00 160 .~ 001-386-00-00 / \ ( ~9~1426 ] rl'~ ~ .0_ 1. /J.1U.-I)- co H~~' ~4 f} ~~/::; f~'~1 ~5 /~'7,f1g/)I;-~ ~ ~~~ ;r' D~ ~ ~ r-C;b f ffif ~ ~-- ~~. fi-~ . JV ~~b \ RECEIP1NO 32899 aUNDRED fOUR~EEN DOLL~RS & 26 CEN~S REr NO 1005 DAlE 08/12/04 REC NO 32899 AMO\JNi 9.514.26 CHECK RECENEDfROM JILL SMITH/~~ HOUSI~G 405 SOLBERG S'r pO BOX 219 3ont'tJ SURNER W~ 98390 7V ~ LONGRXRE ES~~~ES LO~ 5\REfUND\ RXSCELL~NEOUS RECEXf DX~N~ ---~--- ' _c.n.-,,,,Z:C ~___/;;--_/~;--sW~S269 BLD_04-0102-YL 812.43. ~E~~~W~~~8~~~' ~~9~~.1;R~~~S15i.50' SC 4.50 XNSP 145. W~R ERU 1500., ." p,.' · · o o Yelm Community Schools PO Box 476 Yelm, WA 98597 Clerk Terminal' Receigt Manual Receipt. Croy 1 3736 N253863811 NMITIGA TIONS NORTHWEST, HOUSING DEVELOPMENT 9/19/2005 10'53 AM Qty Item Price 1 CPF2900 5200.00 MITIGA TION 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 o o Permit Fees Schedule City of Yelm Community Development Department Building Division Phone" (360) 458-8407 Fax: (360) 458-3144 Applicant: Name. Jill Smith Address 419 127th St. S Project Information Project: Longmire Estates, Lot 5 Description of Work: 1004 SFR Site Address. 405 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-04-0102-YL Phone. 253-548-0392 City' Tacoma State' W A Zip 98444 Assessor Parcel No 59710000500 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 0.0000 38.75 000 000 o 0000 o 0000 6900 2000 4900 7 0000 7 0000 Fixture 5,269 00 000 5,269 00 5,2690000 1 0000 ERU 145 00 000 145 00 145.0000 1 0000 ERU 1,500 00 000 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 .' .... 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(3) @ @ @ 9 "Tf.L"'\?\O~ \ €' L ~ '- -(il. \ (,. , Gf'''S y.I p.~€~ S'E v1 c...~ \'0'-[": , \ \ \ \ !). _ 53 - 0 3 ;1}1-\ p--~ () 6-,-~J- c:y--- \. 0 T <c;-:5 \ \ ----- G {\ ~-'\ G-~ 100:1-;1. L-C1:p5 \. \ --- '--1- J- --- \ W \\ ^ \ \ " ~ I, \\ \\ ~ 0\ \ C'\ ~ o o CITY OF YELM RESIDENTIAL BUILDING PERMIT APPLICATION FORM Project Address 405 Solberg St. Yelm Parcel #'22719231600 & 22719230900 Subdivision. T.nnemi rp MpRnnws Lot#' ') Zoning, R"..identj ql Jrn! 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: Si n E 1 e f ami 1 y nwe 11 i n ~ Project Value Building Area (sq It) 1st Floor 1004 2nd Floor Garage 360 Deck Basement N / A Carport N / A Patio N / A # Bedrooms--3- # Bathrooms...L Heating:~THER or ELECTRlC (Circle One) Are there any environmentally sensitive areas located on the parcel? completed environmental checklist must accompany permit application. gQiLQllifgpvi~l(~.~E;~_~: Ji 11 Smi th ADDRESS 41 q 171th St S CITY T,qrnmR STATE WA ZIP qp'l.l.l. If yes, a TELEPHONE ? 53-548 039? ~E{gf:JI:it~i;ITLr;.IlGjRsg8 NHD / Sit t s & Hill ADDRESS CITY Sumner P.O. Box 219 STATE WA L1CENSE# NORTHHDO'i401 ZIP 98190 TELEPHONE ? ') ':\ p'f) ':\ P. 1 RR ~J=-NERA~;;GQtttRAtIQB owner /builder ADDRESS same CITY STATE ZIP CONTRACTOR'S LICENSE # TELEPHONE FAX EXP DATE CITY LICENSE # PLUMBINGCONTRACTOR Sunset Plumbing TELEPHONE 360-458-2991 A-DDRESS -PO. Bo'x i008 CITY Yelm STATE WA ZIP 98597 FAX CONTRACTOR'S LICENSE # SUNSEC*0440P EXP DATE/. ITY LICENSE # MECHANICAL CONTRACTOR Heritage Heating TELEPHONE 253-922-2211 ADDRESS 9001 Pacific Ave. CITY Tacoma STATE WA ZIP 98444 FAX CONTRACTOR'S LICENSE # HERITEr 13604EXP DATE tTY LICENSE # Copy of mitigation agreement with Yelm Community Schools, if applicable I hereby certify that the above inlormation 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. i~~ 2Z~ 6l{ (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 180days ( (I'll 1:)\1111 [j, !(:!' [ 11If;!! II' I'( ,I' rllIrr' lll/dd,n! lIt' 1111 H, HId I '1 illl '.IIi' dl!l 11.l :'. (If -, D d .. x~ o @ o (5) [Y2J r I crtJltCl ;1 S' fZ.EM~ 'jA'F--'D ,.. HEiYl10NE TEtIVISIOH I E" L € q"11. \ (.. Gfl.S WA.-\€~ S E vn::.R.. 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