BLD-05-0265
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6ui\din9 Address
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6Ui\din9 permit Number
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Plan Nu((\ber plan 219912
owner Name
owner Address
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RemarKs
p..\\ Code renuired
Areas \nspected
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specia\ conditions
6ui\din9 Officia\
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. . . . International Resident..1 Code (cnaptel
1niS structure IS In co((\pilance ~\In ~e ton state Building Code council pursuant
51-51 Wp,.C) as adopted b1"9 t2"7ea dS70ln992 RCW effective Ju\" 1.2004
to c"apters an .
CITY OF YEL~1INSPECTION LOG
C PROJEC1 P JrLM ;J 1111/~ V I P
PER.~1lT NUMBER o.r - 0,;2 h s---
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~ 12"'
o 16"'
:J other
8 required, ents
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SET B-\CI\S Date
Front
Rear
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Comments
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=:! F 03m and Seal
J Electnc
=: \'::.porbmer
" Other
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Comments
SHEET ROCK/SHEAR \\' \LL "\ \IL
Comments
OTHER
Comments
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.~ddress
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J C1\ 11 Final
o Site Dr;:lln::'f;e
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City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Permit No
BLD-05-0265- YL
Issue Date. 08/26/2005
(Work must be started within 180 days)
Receipt No
38102
Applicant:
Name, Comfort Homes
Phone.
360.486.0161
Address 8306 Quinault Drive NE
City' Lacey
State. WA Zip 98516
Property Inforl11ation:
Site Address. 15356 104th Way SE
Assessor Parcel No 62320001000
Subdivision: Mill Pond
Lot: 10
Contractor Information:
Name: Comfort Homes
Contact: Bayless, Greg
Phone, 360-486-0161
Address, 8306 Quinalt Dr NE
Contractor License No. KERZIHL970M3
City' Lacey
Expires, 07106/05187
State: WA Zip 98516
Business License. 05-000730.0
Project InformCition
Project: Mill Pond
Description of Work: Plan 2199/2, Lot 10
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 1,297 05 993 75 303,30 5.6000 54 1600 $1,000
Building Plan Review 548,00 000 000 o 0000 o 0000
Mechanical Permit 8475 0.00 000 o 0000 o 0000
Plumbing Permit 118.00 20.00 98,00 7 0000 140000 Fixture
Sewer Inspection 14500 000 14500 145 0000 1 0000 ERU
Water ERU 1,500 00 000 1,50000 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 50 750 0000 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
Sewer ERU (LID) 2,769 00 000 2,769 00 2,769.0000 1 0000 ERU
TOTAL FEES. $7,613.80
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 the State of Washington.
S~"",",e ~
Firm ~
OFFICIAL USE ONLY
# Sets of Prints.
Date
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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
Description of Work: Plan 2199/2, Lot 10
Site Address, 15356 104th Way 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-05-0265- YL
Phone.
360.486.0161
City' Lacey
State: WA Zip 98516
Assessor Parcel No 62320001000
Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
-------------
1,297 05 993 75 303 30 5,6000 541600 $1,000
548.00 000 000 o 0000 o 0000
8475 000 000 o 0000 o 0000
118.00 20.00 98,00 7 0000 14 0000 Fixture
14500 000 14500 145.0000 1 0000 ERU
1,500 00 000 1,50000 1,5000000 1 0000 ERU
300 00 300 00 0.00 o 0000 o 0000
4000 4000 000 o 0000 o 0000
757 50 0.00 757.50 750 0000 1 0100 Peak PM Trip
5000 5000 000 o 0000 o 0000
450 4.50 000 0,0000 0.0000
2,76900 000 2,769 00 2,769 0000 1 0000 ERU
$7,613.80
. .
-~~-~---~,--------- --~----\
RECEIPT No 38102
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FOR ..D-f"=tJ~, ~__g;!'A"""'o~,~..Wllu...ft<8Jl,,'iIJ91lif'"
~~~~~_<l$OLLARS
ACCOUNl CODE AMOUNT CASH CHEC~
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LOT 10
COMFORT HOMES
MILL POND
15356 104th WAY SOUTHEAST
YELM, WA
5500'
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LOT INFO.
104th WAY SE
LOT AREA ~ 4950 5Q.FT
BUILDING COVERAGE ~ 1851.9 8Q.FT
PAVEMENT COVERAGE ~ 300.4 5Q.FT
TOTAL COVERAGE ~ 2158.3 8Q.FT
OR 43,6%
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NORTH
~~S[TE PLAN
,
@ 2005 CASCADE RESIDEi'.ITIAL DESIGI\J INC
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
(i)
n CITY OF YElM
RE\--JeNTtAl BUILDING PERMit APPLICATOFORM
Project Address. /S:J,$'i:J ~~ ~ $t. Parcel #. "2.3 ~.~O ID 00
Subdivision.l\;11 Pb~____ Lot#'._..l1L- Zoning;
~ewConstruction LI Re--Modell Re-Roof I Addition lJ Home Occupation Sign
rrPIUmbing "'-- ~eC,hanjCaj L\ Mobile I Manufactl.lredHome Pla~ement 1.1 Other
Project DescriPti~/~cope of Work: ~ $1"1> ~ ~,.....y 2- S7.'& ~y
Project Value _~ 10 ( O\!t) _
Building Area (sq.ft) 1$1 F!OOr~ 2nd Floor~ Garage ~{O Deck_-===-_
Basement_-==_carport_-=~patio._~
# Bedrooms!:!., # Bathrooms_~Y"2... Heating@THER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? --"-9-- If yes, a
completed environmental checklist must accompany permit application
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BUILDING OWNER NAME....-~~T-~O~~
ADDRESS ~ 'O~ Q l.\1~!X'~~, N \ f.
CITY LAvt::V STATE WI'\- ZIP q~S'"lb
MECHAN"lCACCONTRACTOR71A ij;, ffW{l/ B~Tl1~TELEPH'ONEJ#~), S:-31-Q~----
ADDRESS .Y703 Hbf\'\ Sr. t, EMAll k/..,f1:\' ' B~.s e A6L. (Aj/A.1
CITY ~wvA-- STATE M'\- ZIP ~S~~4> FAX ~('~ S39-~8b{
CONTRACTOR'S LICENSE # KLl~/III.~l;I()-z,\ t3 C EXP DATE t"O," I' LICENSE # - --:
~ Copy of mitigation agreement with Yelm Community Schools, if applicable.
I hereby certify that the above htformatlo!1 is correct and that the construction on, and the occupancy and the use of the
above described property wm be in accf;lrdance with the laws, rules and regulations ofthe State of Washington and thA
Ciiy of "elm.
Applicant's Si ature - Da",<(f~
Owner J Contra Qr! Owner's Agent I Contractor's Agent {Please circle one,)
AU 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
105 Yclm Av.cmt.e Wel!~
POBox 47~
Yelm, WA g8Sln
(tH/O) 4!i8.S8,U;
(,'~60) 458.:U'U FAX
www.ci.yelm.wo.. Moll