BLD-05-0266
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CITY OF YELM - BUILDING DEPARTMENT
RESIDENTIAL CERTIFICATE OF OCCUPANCY
Building Address
15322 104lh Ave. SE
Owner Name
Owner Address
Comfort Homes
8306 Quinalt Dr. SE
Lacey Wa. 98516
Building Permit Number
BLD-05-0266- YL
Plan Number
Plan 1608 /2 Lot 44
Remarks
Areas Inspected
All Code required
Special Conditions
Building Official
G. Carlson
Date
February 21, 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 1927 and 70 92 RCW, effective July 1,2004
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FROM YELM SEWER DEPT
FAX NO 360-458-8166
Feb 16 2006 11 25AM Pi
FAX TRANSMISSION
CITY OF YELM
P.O. BOX 479 - 931 NP ROAD NE
YELM, W A 98597
r_ \\ 360-458-8411
\J~\ FAX 360-458-8166
TO: G-((~HE,u DATE. ;:)../fc,- 010
FAX#:
PAGES: I , including this
Cover sheet
From: rK.AD D Y
Subject: Hou..SE F\~ Al,.!ftfNN i N&TO;0 EST,
COMMENTS:~ol Lj~ )S3;)~ )6L/'1Jj:.Auc', S.C
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u If you do not receive all copies or any copy is not legIble, please call (360) 458~8411
as soon as possible.
CITY OF YELi\1 INSPECTION LOG
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PROJECT
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PER.MIT NUMBER
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PlumbIng ::J "-1e(h:1Olcal ]
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Comments
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Comments
OTHER
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City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Permit No
BLD-05-0266- YL
Issue Date 09/07/2005
(Work must be started within 180 days)
Receipt No
38184
Applicant:
Name. Comfort Homes
Phone:
360.486.0161
Address. 8306 Quinault Drive NE
City. Lacey
State. WA Zip 98516
Pr()perty Informatioll:
Site Address. 15322 104th Ave SE
Assessor Parcel No.
Subdivision. Mill Pond Division 2
Lot: 44
Contractor Infonnati.on:
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
Projec:tlllfonnatioll,
Project: Mill Pond - 2
Description of Work: Plan 1608/2 Great Room Nook Option, Lot 44
Sq. Ft. per floor. (1st) 1735
(2nd) 0
(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 ,127 42 993.75 133 67 5.6000 23.8700 $1,000
Building Plan Review 47633 000 000 o 0000 o 0000
Mechanical Permit 7175 000 0.00 o 0000 o 0000
Plumbing Permit 10400 2000 8400 7 0000 12.0000 Fixture
SewerERU 2,76900 000 5,41700 5,417 0000 1 0000 ERU
Sewer Inspection 145 00 000 145.00 145 0000 1 0000 ERU
Water ERU 1,50000 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 4000 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 4.50 000 o 0000 0.0000
TOTAL FEES. $7,345.50
AppliC:~llt'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
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Firm
# Sets of Prints.
Final Inspection:
Date
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Date:
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PO Box 479
Y81m WA 98597
360-458-8403
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RECEIVED FROM
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RECEIPT No 38184
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AMOUNT REF NO
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Yelm Community Schools
PO Box 476
Yelm, WA 98597
Clerk
Terminal
Receigt
Manual Receipt,
Croy
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1709
PHONE
NOD
KERZIE COMFORT , HOMES LLC
917/2005 9 30 AM
Qty Item
1 CPF2900
MITIGA TION
MILL POND ESTATES - LOT 44
Price
Subtotal
Tax.
Total
Check
10185
Amount Due
1645,00
1645 00
o 00
1645 00
1645 00
0,00
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Permit Fees Schedule
City ofYelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Permit No. BLD-05-0266-YL
Applicant:
Name Comfort Homes
Phone:
360.486.0161
Address. 8306 Quinault Drive NE
City. Lacey
State: WA Zip 98516
Project Information.
Project: Mill Pond - 2
Description of Work: Plan 1608/2 Great Room Nook Option, Lot 44
Site Address. 15322 104th Ave SE Assessor Parcel No.
Fees:
Item Acct Code Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
--------------------------- -------------- -------------
Building Permit 100-500k 032001-322-10-00 1 127 42 993 75 133.67 5.6000 23 8700 $1,000
Building Plan Review 100 001-345-83-00 476 33 0.00 000 0.0000 o 0000
Mechanical Permit 032001-322-10-00 71 75 000 000 o 0000 o 0000
Plumbing Permit 032001-322-10-00 104 00 2000 8400 7 0000 12.0000 Fixture
Sewer ERU 802412-343-50-01 2,76900 000 5,41700 5,4170000 1 0000 ERU
Sewer Inspection 805412-343-80-00 145 00 000 145 00 145 0000 1 0000 ERU
Water ERU 715401-343-80-02 1,500.00 000 1,50000 1,500.0000 1 0000 ERU
Water Meter (SFD) 712401-343-80-01 300 00 300 00 0.00 0.0000 0.0000
Water Deposit 740402-389-00-00 40.00 4000 000 o 0000 o 0000
Traffic Facilities Charge 420 120-345-85-00 757 50 0.00 757.50 750 0000 1 0100 Peak PM Trip
Sewer Deposit 742402-389-01-00 5000 5000 000 o 0000 0.0000
State Building Fee 160 001-386-00-00 4.50 4.50 000 o 0000 o 0000
TOTAL FEES $7,345.50
PArD
SEP 0 7 2005
CITY OF YEW
09/03/2005 02 35
3504913390
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PAGE 01
LOT 44
COMFORT HOMES
PENNINGTON
16322 l04th WAY SOUTHEAST
YELM, WA
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LOT INFO.
ItOT AREA = 813;0 SO.FT
SUILOlNO COVEIU\.G:E::= a379.7 sO.n
]?,I1.VEMEN'T COVERAGE'" aosu' SQ.FT
TO'l:'A.L COV:E:UCE := 4431 4 SO.FT
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NO~T~
104th WAY SE
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<:::AS'CADE - ~
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o 20C5 CASCi\DE RESIDEI\IilAL DESiC~~, INC
THIS DRAwl~c; IS H^s~D ON eLlE:NT-p~OV'DED INrOR"'ATlON REf'Rts;NTF.O TO BE Aecu.",!,
AND RF:'.'ASlE. AN~ DISCRF.PA,_CIES BETWE,N nllS DRAWING AND HIE ACTwAI. SiTE CON~ITIO_S
ARE TI-IE ~OlE RE:SPCNSlaILlT~ or THF. I;LlENT,
SCALE " ~ 4iZl'
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10041
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R\ CITY OF YElM
o C~IDENTIAl BUILDING PERM.IT APPLICQ()N FORM
Project Address, /$32.~JO!i#>'.,4f.1'f!. .51:. Parcel #'
Subdivision.~ Lot#._~ Zoning;
~ewConstructiol1 U Re-Modell Re-Roof I Addition lJ Home Occupation Sign
;UPlumbing ~echanical LJ . Mobile I Ma.nUfacturedHome p.\~cement l.I Other
Project DescriPtioh/~cope ofWork:__!1A;W' S,~ I.(. fltrwrlc.t-.4-__n~g
fr/DOI 'l,~
Building Area (sq. ft) 1$1 Floor_113S- 2nd Floor - Garage '-t ~
Basement - Carport__-,,__Patio, 7-1"
# Bedrooms "'3 # Bathrooms_~ Heatin@THER or ELECTRIC (Circle One)
Are there any enviroomentally sens.jtive areas located on the parcel? -1i..~ If yes, a
completed environmental checklist must accompany permit application
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BUILDING OWNER NAME.~--l.O~~T" I-'\;Ol't\t,~
ADDRESS '1, ~Olo _ Q l41~lX.:~: N I E-.
CITY kA"-'e'l ,STATE VVt\- ZIP <3'f>S'lh
ARCHITECT1ENGII\i"EER~ZiWc.. R~~'06q',i\-'t LICENSE #.
ADDRESS ---1.6 2-- SoJiVl ,z"b 1"'1 ,rn6ET' EMAIL ~ t"\e Y @ ~c.M>G: ~&>. 'o,^"
CITY '~V\'IA-- STATE~. ZIP. q~40L TELEPHONE (2--S"S) Z-~l{-31~
GENERAL CONTRACTOR_ LoMfo-tt:,r ttcMt:~-=-TEU~:PHONE (.?b6)-~l(~'l( -01(,1 :J
ADDRESS----3.?C~ o...""l~ O~\ /IJ,t-' EMAIL:s1IM@ ~1~:Z.llfV\clM";s I(..O~_
CITY t-A<-(i;.Y STATE_1M/'\-- ZIP ~~S11o FAX . ~O 'is''~-g'I~ _
CONTRACTOR'S LICENSE # KtRZ-IHi..'l7J5JHEXP DATE7. CITY UCENSE#~~5:""'-o/~~Z3. ' ..
11.1- fV\3 z,
rnUMB.ING CONTRACTOR f"Csi"pWMe,ll{;,:rEi..EPHoNE-~~) !",82. -/:''13\1 ..~-~-,--_.
ADDRESS_. 2'i17 JOY Jr, ~T, S I EMAI D06CItt, i2(;)' ~.w~
CITY . ~'O STATE, \..vV'}--~~ZIP__::vt"'1~__,fAX' $" Z._~Q
CONTRACTOR'S LICENSE #_v3"srLL-.if<;~s-Sz..eXP DATE fTY LICENSE # ..
MECHANICAlCONTRAC.TOR. !0UiiNl~ii7~Tl1~TECEPHONE'~2. s-~ -O~~
ADDRESS lj103 \ \,,~ 5\, t \ EMAll ~15L-"'~.s ~ A6L. UJI""'\
CITY, ~W\tk STATE MI\- ZIP ~lS\.:1'icCo FAX ~("~ $'39 -3gbl
CONTRACTOR'S LIGEN SE # Ku !bl'll (3 1102-1 G'r EXP DATE I 0 _ . I.. LICENSE. #
Copy of mitigation agreement with Yelm Community Schools, if applicable
I he.reby c.ertlfy that the above Inf.ormatlon is corr&Ct and that the construction 011, and the occupancy and the use of the
above descrlb9d property will be in acc9rdance with the laws, rules and regulations of the S.tate of WashlngtQl1lll'ld the
City Qf Veim. '
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Applicant's Si ature Qirte-, . ~.
Owner I Contra or I Owner's Agent I Contractor's Agent (Please circle one_)
All permits are non~transfer.able 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
106 Yelm AvenlA<1 W.eM
PO .Box 479
Vein>,. WA 985.97
(/J60)4l)8-.~8.91i
(.'160) 41i8-,'U44. FAX
wWUI.ci.yelm..w/l.I.I./I