BLD-05-0268
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cITY OF YELM- BUILDING DEPARTMENT
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RESIDENTIAL CERTIFICATE OF OCCUPANCY
Building AddresS
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Remarks
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Plan Number
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owner Name
owner AddresS
Building permit Number
BLD_05-0268-YL
special conditions
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Areas Inspected
Mav ~5. 2006
Date
Building OHicial
G. Carlson
This stlUcture 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. effecti.e July 1.2004
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CITY OF YELi\1INSPECTION LOG
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tJ- 41
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PROJECT
PER..'llT NUMBER
FOOTI~G
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~ other
:] requIred \ ents
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[] 8"'
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SET BACh.S D:Jte
Fronl
Rear
Side Flankmg
SIde
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CO\l11I;\[D fRA\lEI L'\ TERIOR SHEAR W.\LL I\SrECTIO~
Hold downs :J Shear ~3dJng -
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Fr3rne -3 12.' '::,- .1f( Gas 'Propane ~ I (,-S' 'Jt!.J
Plumbng ? /2.-r ~- \1ech:mlcal ~ , t- ~ '7l1L..
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J Electric
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Commenls
SHEET ROCK/SHEAR \\. \LL '\ .\IL
Comments
OTHER
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CommenlS
Comments_~
1\ Elect"c,1 ::J ) (1\ 11 FIn,I ::J L,ndsC3pc F,nol j (,W
h InsubllOn '6J Site Dr:ul1::ce J Slde\\ alk
f?iJAhAJ <5Jr<5~0 6L_
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NEW CONSTRUCTION
WATER INSPECTION
DATE: ~ \:;L \ olp
DEVELOPMENT
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City ofYelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Permit No
BLD-05-0268- YL
Issue Date 08/26/2005
(Work must be started within 180 days)
Receipt No
38104
Applicant:
Name: Comfort Homes
Phone:
360.486.0161
Address. 8306 Quinault Drive NE
City' Lacey
State: WA Zip 98516
Property Information:
Site Address. 15304 104th Ave SE
Assessor Parcel No.
Subdivision: Mill Pond Division 2
Lot: 41
Contractor Information:
Name Comfort Homes
Contact: Bayless, Greg
Phone: 360-486-0161
Contractor License No. KERZIHL970M3
City' Lacey
Expires. 07/06/05187
State: WA Zip 98516
Address. 8306 Quinalt Dr NE
Business License. 05-000730.0
Proj~ct Inforlllation.
Project: Mill Pond 2
Description of Work: Plan 2199/2, Lot 41
Sq. Ft. per floor' (1st) 1089
(2nd) 1110
(3rd) 0
Garage 450
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 1,29705 993 75 303.30 5 6000 54 1600 $1,000
Building Plan Review 548.00 000 000 0.0000 o 0000
Mechanical Permit 8475 000 000 o 0000 o 0000
Plumbing Permit 11800 2000 98.00 7 0000 140000 Fixture
Sewer Inspection 14500 0.00 145.00 145 0000 1 0000 ERU
Water ERU 1,500 00 000 1,500 00 1,500 0000 1 0000 ERU
Water Meter (SFD) 300 00 300 00 000 o 0000 o 0000
Water Deposit 4000 40.00 000 o 0000 0.0000
Traffic Facilities Charge 757.50 000 757 50 750 0000 1 0100 Peak PM Trip
Sewer Deposit 50.00 5000 000 o 0000 o 0000
State Building Fee 450 4.50 0.00 o 0000 o 0000
Sewer ERU (LID) 2,76900 000 2,769.00 2,7690000 1 0000 ERU
TOTAL FEES. $7,613.80
Applicant's Affadavit:
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.
# Sets of Prints.
Signature
Date
Final Inspection:
Firm
Date:
By'
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Permit Fees Schedule
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 2
Description of Work: Plan 2199/2, Lot 41
Site Address. 15304 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 420 120-345-85-00
Sewer Deposit 742402-389-01-00
State Building Fee 160001-386-00-00
Sewer ERU (LID) 802412-343-50-01
TOTAL FEES.
Permit No BLD-05-0268-YL
Phone.
360.486.0161
City' Lacey
State. WA Zip 98516
Assessor Parcel No.
Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
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1,297 05 993 75 303.30 5.6000 54 1600 $1,000
548.00 000 000 o 0000 o 0000
8475 000 000 0.0000 o 0000
118.00 2000 98.00 7 0000 14 0000 Fixture
145 00 0.00 145.00 145 0000 1 0000 ERU
1,50000 000 1,50000 1,500.0000 1 0000 ERU
300 00 300 00 000 o 0000 o 0000
4000 4000 000 0.0000 o 0000
757.50 000 757 50 7500000 1 0100 Peak PM Trip
5000 5000 0.00 o 0000 0.0000
450 4.50 000 o 0000 o 0000
2,76900 000 2,76900 2,7690000 1 0000 ERU
$7,613.80
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RECEIVED,
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RECEIVED FROM
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RECEIPT No 38104
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AMOUNT
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YELM COMMUNI'fY SCUOOLS '-~.
LC'.4i RIECEI!>"! DATE~--------1J-JAd
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COMFORT HOMES, L.L.C
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McBEE TO "EOROER \ 800 662 23:1 \
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LOT INFO. ~
LOT AREA = 7133 SQ.IT
BUILDING COVERAGE = 1849 1SQ.FT \
PAVEMENT COVERAGE = 360 SQ.IT \
TOTAL COVERAGE = 2209 1 SQ.IT
OR 44.6%
~ ,,104th
~dent~~R SITE PLAN ~___
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LOT 41
COMFORT HOMES
MILL POND
15301 104thAVENUE SOUTHEAST
YELM, WA
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Q 2005 Cf\SCp,DE RESI[lt.NTiJlI_ 'DESIGN, INC
5CALE I" = 20'
THIS DRAWING is BASED ON CLIENT-PROVIDED INfDRMATION REPRESENTED TO BE ACCURATE
AND RELIABLE. ANY DISCREPANCIES BETWEEN THIS DRAWING AND THE ACTUAL SITE CONDITIONS
ARE THE SOLE RESPONSIBILITY OF THE CLIENT
(j)
n CITY OF YEi..M
RE\~Je::NtlA.l BUILDiNG PERMIT APPLlCA10 FORM
Project Address, IS-S&'l ,~ Parcel #'
Subdivision A;l "f,rw:L_ Lot #'._ 4 i Zoning;
~ew Construction, LI Re-Modell Re-Roof / Addition U Home Occupation Sign
'fPlumbing "'- ~cl1ani<:al II Mobile I ManulactJJrad Ho~e Pla~ent u other
Project DescriPti~/~cope of Work: ~ ..{/~t.€ ~'.L-r ~_~~~y
Project Value ~IIO t ~ _ _
Building Area (sq. ft) 1st Floor~ 2nd Floor~ Garage Lt9J Deck_=-_
Basement_-==~Carport_=_Patio.__~
# Bed room s..!:t.. # Bathrooms_~Y"'2... Heating(~~nHER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? --"-~ If yes, a
completed environmental checklist must accompany permit application
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BUILDING OWNfR NAME"'--~~~-",D~~ ---..------.---....-..-.---'J
ADDRESS _ ~ ~Olc Q l.\1~!A"'~\ N, t. . EMAll 31\M@.~Rt-jtlA~~. Ul\i\l\
CITY ~(:y STATE WI'\- ZIP ct"6Slb TElEPlrlONE {~~O) l.t~b-Olbr-.- _
ARCHITECT/ENGINEER ~c..A1>C:. - IR~SI06Qr,,\1. LICENSE.#-------.--.----
ADDRESS . /6 2-. SoJn:f-i-~1""\ ,n.,6tr -- EMAIL ~Mey~~_~.pl '-<l~
CITY "T1\1::bl'\'lA- STATE VW\- ZIP. '9~ '102. TELEPHONE 2..-s-~ z.,g,{-31()1J
[GENERAL CONTRACTOR. --t::oM-~r j:i6MlS~---TELEPHONE=u~6 )--Lffi.4 -blhl
ADDRESS~c~ o..~l~ O~ \ N.t., EMAIL ..31.. Vl-\@ K,Ei'<z.,r:. ~u. U,)~_
CITY I-~yr STATE lMA- ZIP "I8S16 FAX leo.1..t -g>
CONTRACTOR'S LICENSE # Kt.R.kl~H..'17Jtt3EXP DA TE7. "ITV LICENSE # ~ _' 3 ~
1111- 7 M3 .2-
PLUMBING CONTRACTORt\G.3 's-PWMBt/Vt;. TELEPHONE "iS~--:S=82- -blj~ .--....
ADDRESS 2'117 104 .0". '-iT 50, EMAl DD~tt. ~ I'O~ ~:'UH~
cnY_._~ __STATE=-'iM?F_ZIP _9<;('fi:f~._FAX 'm S"Sl._-G>BC.I --..
CONTRA<?TOR'S LICENSE # c;fsp/..L:i/< cPS"JZ-EXP DATE fTY LICENSE #
MECHANK::ALOONTRACTOR ~~~ii7~Th~TELEPHONE~SS~' $'"37 -o~----
ADDRESS .~103 \\btv. )T, of. \ EMAIL kL." _I1!ios ~ AoL. (,eM
CITY ~\IV\IA.: STA TE ~ ZIP '3S\4~4> FAX ~("~ S3'j -3gbl
CONTRACTOR'S LICENSE # KLl~/II\13~()'L-\ Br EXP DATE I\). I' LICENSE # --
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- Copy of mitigation agreement with Yelm Community Schools, if applicable.
I hereby ~rtlfy that the above information is COlTut and that the construction an, and the OCCupan<<:y and the use of the
above descrlb9d property will be in acc<<,lrdance with the laws, rules and regulations of the State of WaShington and the
City of "elm.
Applicant's 5i alure . . - Oa'" '6fu-j Oc;- ,
Owner I Contra or I Owner's Agent I Contrac:tor'$ Agent (Please circle one,)
All permits are non~tran$ferable and will expire ifwork authorized by such permit is not begun
within 180 days of iS$uanc:e, or if work is suspended ar abandoned for a period of 180 days
.-.'-.----
106 Y~lm Av.r.mMl Wellt
PO &x 47.9
Yelm. Will 98l'i,9'l
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(360) 458-:~8.15
(.'f60) 458....J:f 'U [;'AX
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