BLD-05-0269
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CITY OF YELM - BUILDING DEPARTMENT
RESIDENTIAL CERTIFICATE OF OCCUPANCY
Building Address
15430 104th Way SE
Comfort Homes
8306 Ouinalt Dr.NE
Owner Name
Owner Address
\
Lacey Wa..98516
Building Permit Number
BLD-05-0269- YL
Plan Number
Plan 220H/2b/2 Lot 17
Remarks
Areas Inspected
All Code required
Special Conditions
Building Official
G. Carlson
Date
February 27,2006
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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FROM YELM SEWER DEPT
FAX NO. 360-458-8166
Feb. 24 2006 12 58PM Pi
FAX TRANSMISSION
.~~\
TO: &(~~€f.J
CITY OF YELM
P.O. BOX. 479 - 931 NP ROAD NE
YELM, W A 98597
360-458-8411
FAX 360-458..8166
DA TE: ;2 -- ;;u-I,.. 0 C::,
FAX#:
PAGES: I , including this
Cover sheet
From: (4:1JJOY
Subject: ~I" LIS e J::1~.4 L./rtor\lN;AJ&Tb.D E yr
COMMENTS: L DT- II J 5'" LJ 3 0 l D 1-/"77.1-
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** If you do not receive all copies or any copy is not legible. please call (360) 458..8411
as soon as possible.
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CITY OF YEL!\1INSPECTION LOG
PROJECT
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SET BAChS Date
Front
Rear
Side Flanking
SIde
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o 8"'
o other
FOOTI~G
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o 16
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8 required \ ents
FOOTI'\G REB.\R
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CO\lBl:\ED FRA \lE/ E:'\ TERIOR SHEAR \\ .\LL I'SPECTIO~
Hold do\\ns 2j~ ('l0' J Shear ~::lJ1Jnl! =
Frame /21, ~ r GasPropan; ;5 I2zL '0/21 t./
Plumbing ItJ~. ~1i3 \1echanlc31 ] I I
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Comments Jc-'t~/ tM", yu I",...,r -...~
SHEET ROCK/SHEAR \\' -\LL '\ .\IL
Comments
OTHER
Comments
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~, Se\\er Fmll
::J ';dJress
n ElectrIcal
1] Insu!3tlC'n
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o Site DrJli1Jfe
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Comments
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City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Permit No
BLD-05-0269-YL
Issue Date 08/26/2005
(Work must be started within 180 days)
Receipt No
38105
Applicant:
Name. Comfort Homes
Phone,
360.486,0161
Address. 8306 Quinault Drive NE
City' Lacey
State WA Zip 98516
Property Information: " ~
Site Address. 15430 104th~EI
Assessor Parcel No 62320001700
Subdivision. Mill Pond
Lot: 17
Contractor Information.
Name: Comfort Homes
Contact: Bayless, Greg
City' Lacey
Phone, 360-486-0161
Address. 8306 Quinalt Dr NE
State: WA Zip: 98516
Contractor License No. KERZIHL970M3
Expires. 07/06105187
Business License. 05-000730.0
Project InforlllCltion.
Project: Mill Pond
Description of Work: Plan 220H/2b/2, Lot 17
Sq. Ft. per floor (1st) 1301
(2nd) 900
(3rd) 0
Garage 454
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 1,298 33 993,75 304,58 5 6000 54 3900 $1,000
Building Plan Review 548,54 000 000 o 0000 o 0000
Mechanical Permit 8475 000 0,00 o 0000 o 0000
Plumbing Permit 118 00 2000 98,00 7 0000 140000 Fixture
Sewer Inspection 14500 000 145.00 145 0000 1 0000 ERU
Water ERU 1,50000 000 1 500.00 1,5000000 1 0000 ERU
Water Meter (SFD) 300 00 300 00 0,00 o 0000 o 0000
Water Deposit 4000 4000 000 o 0000 0.0000
Traffic Facilities Charge 757 50 000 757 50 750 0000 1 0100 Peak PM Trip
Sewer Deposit 5000 5000 0.00 o 0000 0,0000
State Building Fee 450 450 0.00 o 0000 o 0000
Sewer ERU (LID) 2,76900 000 2,76900 2,7690000 1 0000 ERU
TOTAL FEES $7,615.62
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 th~e State ofWaShing~
Signature
Firm
OFFICIAL USE ONLY
# Sets of Prints:
Date
~r
Final Inspection:
Date: 2.,-27-0 P
dW.
By'
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o
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:
Name: Comfort Homes
Address, 8306 Quinault Drive NE
Project Information
Project Mill Pond
Description of Work: Plan 220H/2b/2, Lot 17
Site Address. 15430 104th 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 Inspection 805412-343-80-00
Water ERU 715401-343-80-02
Water Meter (SFD) 712401-343-80-01
Water Deposit 740402-389-00-00
Traffic Facilities Charge 420120-345-85-00
Sewer Deposit 742402-389-01-00
State Building Fee 160001-386-00-00
Sewer ERU (LID) 802412-343-50-01
TOTAL FEES
Permit Fees Schedule
Permit No BLD-05-0269-YL
Phone:
360.486.0161
City' Lacey
State, WA Zip 98516
Assessor Parcel No, 62320001700
Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
-------------
1,298.33 993,75 304.58 5 6000 54 3900 $1,000
548 54 000 000 o 0000 0.0000
8475 000 0,00 0,0000 o 0000
118.00 2000 98.00 7 0000 14 0000 Fixture
14500 0.00 14500 145 0000 1 0000 ERU
1,500,00 000 1,500,00 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
4,50 450 000 0.0000 o 0000
2,76900 0.00 2,76900 2,7690000 1 0000 ERU
$7,615,62
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65d'" "YELM
::,..... _PO Box 4!~ _
Ydm, WA 9c~91
_.YEb~_...," 360.458-8403
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RECEIPT No 38105
I RECEIVED
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RECEIVED FROM
DATE
REC NO
AMOUNT
REF NO
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CITY OF YElM
CilOENTIAl BUILDING P,ERMJT APPLICG')N FORM ?.;Z.() I PIAh\I
Project Address. 1$''130 1t:J~~ ;S~ Parcel #' "2 3Z- OI!JO r~oo / "'-_
Subdivision.1l! U Po"..". , Lot #'----LI- Zoning; 4~
~ewConstruction LI Re-Modell Re-Roof I Addition LJ Home Occupation Sign <6:z,<?-<^
;VPlumbing ~Mechanical LI Mobile f Manufaotured Home Plac:ne~t 1.1 Other ./
prOjectDeSCrjPtioh/~copeofWork: ~ 5~~ ~u.J( Thl~~
Project Value ~ j 0"Q't)
Building Area (sq. oft) 1 ~l Floor jsO , 2nd Floor -9Q:Q.. Garage ~ Deck__
Basement Carport_ -:-_Patio U h...
# Bedrooms~ # Bathrooms~~ Heating:@-HER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? /VO If yes, a
completed environmental checklist must accompany permit application
?-b~
07;0
BUILDiNG OWNEB NAME:'''---Co~~"T''-~ow..e-~ ---.-----.-.-------.---.-.------.-.---
ADDRESS ~'Olo Q~I~~, N,t:.. EMAIL S1W1~I.<t-.IC!..ifj.fOViliES:Ul~.-
CITY kA-v~Y STATE \M'\- ZIP q~lb TElEPhi"'"6NE (l~) '-1sb=Ofbi"-
ARCHITECT/ENGINEER ~c::M>~" ~~<;I06m'Ii\1, -iTcE;NSE-#-------...- --]
ADDRESS 101-. SoiA~-Z,b1""\ ,~6ET ~ EMAIL ~M{;.Y@ ~~~C\~<lM
CITY ~,^"A- STATE ~ .ZIP , 9j~ 402. TELEPHONE 2.-S"3 2:..'8l.f-~IO\J
GENERAL CONTRACTOR_~, LoW\f01tr /-UlMGS TELEPHONE.]:?E6)'1all c))&1 ,- :J--
ADDRESS---3.~cb Q..~I~ O~\ tJ.E-. EMAIL -31, 1il'I@.l4:~ZIC.~~-'IUl~_
CITY l-A<..(;;.Y STATE INV\- ZIP OjI6S16 FAX . ,<>o\.tSi - ~
CONTRACTOR'S LICENSE # Kt<<7-1HL't7~Jt3EXP DATE7. CITY LICENSE # ~ - 3 , "
Ii- 1\'\3 S
I fLUMB,,'. tNG CONTRACTOR",U . S ." PW M61111{,:; -:rELEPHo"N E.-, ~5~, f.-,~8 2- -b, '1, 3"f
ADDRESS 28/7 104 ,S/" oT. S. EMAI !;)DCCltt ~,.. ~:'l.Qt"\
CITY_..~ STATE-l:\IVF ZIP ~q'1e:r9 ._FAX' $"82.~()
CO~TRACTOR~ LICENSE # ~:rS P/.L."I<., j7S-SZ-EXP DATE . fTY LICENSE #"
MECHAN"iCAl'OONTRACTOR'lZ'L1 ~ ItiJIV B p.e;Ti1~TELEPHONE'~'3) .s-~ 7 -0 ~ ,----
ADDRESS =1703 l\b~ .sr, t, EMAll _J.<l.-Il1' 1314.5 @.AoL. L:O'^'"
CITY, ~\fvVt'\-- STATE IvV'\- ZIP ~gY'1.(q ,FAX ~('~ S3'j-3&'bf
CONTRAC!OR'S LICENSE # KLl~/l-\BH()-z,\ ~C EXP DATE.J./i. ',- LICENSE:. #_
Copy of mitigation agreement with Yelm Community Schools, jf applicable
I hereby C'lrt"y tl1iat the abo\o/e information is correct and that the construction on, and the occupancy and the USA of the
above described property will be in accl,>rdance with the laws, rules and II\!lgulatlol'ls of the State of Washington and the
City of '\feRm.
Applicant's Si alure . Pallo if2S"Joc;- -
Owner f ContraQf I Owner's Agent I Contractor's Agent. (Please circle one.)
AU permits are non"transferable and win expire if work authorized by SRJch permit is not begun
within 180 days of issuance, or if work is suspended or abandoned far a period at 180 days
105 Y'elm Av.lm,...~ West
PO Box 17l}
Yelm,. WA 985.97
(.960) 458..~iMli
(.'fRO) -,J.',8..'H 44 Ii' AX
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--
LOT 11
COMFORT HOMES
MILL POND
15430 104th WAY SOUTHEAST /~
YELM WA "
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0<V ~~9'\ LOT INFO.
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~1~~~ SITE PLAN
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LOT AREA = 79216 SO.FT
BUILDING COVERAGE = 19695 SO.FT
PAVEMENT COVERAGE = 753.8 SO.FT
TOTAL COVERAGE = 2723,3 SO.FT
OR 34 4%
@
NORTt-I
@ 2005 CASC "'DE RESIDEi'HIl\L DESIG~~, INC
SCALE l' = 20'
THIS DRAWING IS BASED ON CLIENT-PROVIDED INFORMATION REPRESENTED TO BE ACCURATE
AND RELIABLE. ANY DISCREPANCIES BETWEEN THIS DRAWING AND THE ACTUAL SITE CONDITIONS
ARE THE SOLE RESPONSIBILITY OF THE CLIENT