BLD-05-0264
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CITY OF YELM - BUILDING DEPARTMENT
RESIDENTIAL CERTIFICATE OF OCCUPANCY
Building Address
15346 104\h Ave SE
owner Name
Owner Address
~omfort Homes
~06 Quinalt DcNE
Lacev Wa.98516
Plan Number
plan 2211/ 2A Lot 48
Remarks.
BLD-05-0264- YL
Building Permit Number
Areas Inspected -
All Code required
Special Conditions -
Date
Eebruarv 17.2006 -
Building Official -
G. Carlson
This structure is in compliance with the International Residential Code (Chapter
51-51 WAC) as adopted by Ihe Washington Slate 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. 15 2006 04 30PM Pi
FAX TRANSMISSION
CITY OF YELM
P.O. BOX 479 - 931 NP ROAD NE
, \ YELM, W A 98597
(' ^,( \J 360-458-8411
O\\;\ FAX 360-458-8166
TO: &r<~CJIt;AJ DATE:~-15-0("
FAX#:
PAGES: J , including this
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*'tC If you do not receive all copies or any copy IS not legible. please call (360) 458-8411
as soon as possible.
CITY OF YELt\1 INSPECTION LOG
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City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Permit No
BLD-05-0264-YL
Issue Date. 08/26/2005
(Work must be started within 180 days)
Receipt No
38101
Applicant:
Name. Comfort Homes
Phone:
360-486-0161
Address. 8306 Quinalt Dr NE
City' Lacey
State: WA Zip 98516
Property Information:
Site Address. 15346 104th Ave SE
Assessor Parcel No
Subdivision. Mill Pond Division 2
Lot: 48
Contractor Information
Name: Comfort Homes
Contact: Bayless, Greg
Phone: 360-486-0161
Address. 8306 Quinalt Dr NE
City' Lacey
Expires 07/06/05187
State: WA Zip 98516
Contractor License No: KERZIHL970M3
Business License: 05-000730.0
Project Information:
Project: Mill Pond 2
Description of Work: Plan 2211/2A Lot48
Sq Ft. per floor' (1 st) 1071 (2nd) 1140 (3rd) 0 Garage 434 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 1,299.34 993.75 305.59 5 6000 54.5700 $1,000
Building Plan Review 548.97 000 0.00 o 0000 o 0000
Mechanical Permit 8475 000 000 0.0000 o 0000
Plumbing Permit 125 00 2000 105.00 7 0000 15 0000 Fixture
Sewer Inspection 14500 0.00 14500 145.0000 1 0000 ERU
Water ERU 1,50000 0.00 1,50000 1,5000000 1 0000 ERU
Water Meter (SFD) 300 00 300 00 000 o 0000 o 0000
Water Deposit 40.00 4000 0.00 o 0000 0.0000
Traffic Facilities Charge 757.50 000 757.50 750 0000 1 0100 Peak PM Trip
Sewer Deposit 5000 5000 000 0.0000 o 0000
State Building Fee 450 450 000 o 0000 o 0000
Sewer ERU (LID) 2,76900 0.00 2,76900 2,7690000 1 0000 ERU
TOTAL FEES. $7,624.06
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 St e of W hington.
OFFICIAL USE ONLY
# Sets of Prints.
Signature
Date
Final Inspection:
Date: ;t.,.-I]-tJ c;,
By' "75"'</12
Firm
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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 Quinalt Dr NE
Project Information:
Project: Mill Pond 2
Description of Work: Plan 2211/2A Lot 48
Site Address. 15346 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 No BLD-05-0264-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
...------------
1,299 34 993.75 305.59 5.6000 54.5700 $1,000
548.97 0.00 000 o 0000 o 0000
8475 000 000 o 0000 o 0000
125 00 2000 105.00 7 0000 15 0000 Fixture
145.00 0.00 145.00 145.0000 1 0000 ERU
1,50000 0.00 1,50000 1,5000000 1 0000 ERU
300 00 300 00 000 0.0000 o 0000
40.00 40.00 0.00 o 0000 0.0000
757 50 0.00 757 50 750 0000 1 0100 Peak PM Trip
5000 5000 000 o 0000 o 0000
450 4.50 000 o 0000 o 0000
2,76900 000 2,769.00 2,7690000 1 0000 ERU
$7,624.06
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RECEIPT No 38101
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LOT 48
COMFORT HOMES
PENNINGTON
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15426 104th WAY SOUTHEASY
YELM, WA "
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LOT AREA = 16,583 SQ.FT
BUILDING COVERAGE = 1849 1 SQ.FT
PAVEMENT COVERAGE = 2004.5 SQ.FT
TOTAL COVERAGE = 3853.6 SQ.FT
OR 23.2%
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LOT INFO.
~~ SITE PLAN
104th WAY SE
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@ 20()e:, CASCADE RESiDENTIAL DESIGN INC
SCALE!' = 40'
THIS DRAWING is BASED ON CLIENT-PROViDED INFORMATION REPRESENTED TO BE ACCURATE
AND RELIABLE. ANY DISCREPANCIES BEiWEEN THIS DRAWING AND THE ACTUAL SITE CONDITIONS
ARE THE SOLE RESPONSIBILITY OF THE CLIENT
~ r\ CITY OF YElM ~ C ~~\! FORM 22.1) P~N
~ R\"---../1ENTIAl BUILDING PERMIT AIr"PLl AU"'.. .
Project Address, IS~S'''-L~~"rt!! $1::. Parcel #. 1J,,:,>
~ ~~
SubdiViSion.~~ Lot#.. In Zoning; 4~ ""'''> ,
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~ew Construction L1 Re-Mode! I Re-Roof I Addition lJ Home Occupation Sign ,J (,' /")
'tPlumbing ~Mechanical Li Mobile I Manufactured Home Place~ent 1.1 Other <~
prOjectDescriPti~/~copeofWork:_"~ 51~ ~,~ 1.:: t;.TDrtJ(
Project Value
BuHding Area (sq ,(t) 1 s\ Floor jQ)l 2nd Floor U lfO Garage '1.3'-1 Deck -
Basement'----=-_Carport_ - _Patio...z..,i~_._
# Bedrooms:t_ # BathroomsPt.... Heating~THER or ELECTRiC (Circle One)
Are there any environmentally sensitive areas located on the parcel? --.ii..~ If yes, a
completed environmental checklist must accompany permit application
BUILDING OWNEe NAME------(,C~~T~o~~ -"--..--.------.----.-..-..-.----.-
ADDRESS ~ ?Olo Go ~I~t:r'" ~, N \ t . EMAll 3i ~ @,\iCt:,~Z,I{tIAO~~. Ul'N\
CITY kAvtV .STATE,~ ZIP ,~'"6~I!> TELEPMONE (3bO) '-IS,b- OI\:-.l ::;
ARCHITECT/ENGINEER -~uWt:. R!~IO~'I\"'L -lIC~NSE"#--"'-"---"-"-'._---
ADDRESS [02-- SouTlrl Z-~T"\ S'~6a- EMAll ~ ~e:r@ Gtt!~_~P. LQ~
CITY ~y\oIA- STATE~. ..ZIP . 'i~l{OL TELEPHONE ~~~) z...~'1-,3ImJ
UGENERAL CONTRACTOR_ I-o"""",-r till"" TELEPHCiNE C>bo} Yf!.(h>I("I~_ fI :J
ADDRESS l~Cb G..\.wu~-:1- _~N.f.' . EMAIL.31Vl'1~ K.t?~2'~ ~s I (,D~_
g~TR;C~'S L1CE~;:~E Ke~li&7;~~P D:~7.o A ~~,L~%~~~~$"" -r~~73 "
11..... 7 fV\3 .. !i
PLUMBING CONTRACTORA' S .PW MBIIt{;; _TELEPHO'NE -~CFS~) ..~8Z:"b 'fF'----"-
ADDRESS 2';17 IOIj~i. oT S. ,EMAI D,Dcc\t l'o~ ~.LQI"'\
CITY ~1) __STATE. ~. ZIP qQl(ItfL_FAX 'm ,5"" Z-C
CO~.A<2TO~:~ LICENSE # Gf"S P4.-"'I<; ':l7S" SZ-EXP DATE: fTV LICENSE #
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MECHANlCAlOONTRACTOR k'-Clij;;;,{;wii7J3Jf61i1~TELEPH'ONE -ki~)- S"3 7 -O~,.-=.--
ADDRESS~'1103 nb~ .>T. t, EMAIL .kl.-I'ot. Sa.cJ@AoL.~-
CITY ~\iIIV!t STATE~_ZIP _'is.\1'1rCo .FAX ~(~ S3C\ -3gbl
CONTRAC,:OR'S LICENSE # KLI~tI-l(3Ho-z,18r:- EXP DATEJ/i;... I' LICENSE #.,
- Copy of mitigation agreement with Yelm Community Schools, if applicable
I hElUlby certify that the above Illformatlon Is correct and that the construction on, and the occ.upaney and the use oUha
above described prop&:!rty will be in ;1(:c9rdance with the laws, rule:!!. and mgulatlcms of the State of Washington and the
City (If Yeim.
Applieanrs Si ature . Date <g+~ O~ ,
Own~r j ContraQf.f Owner's Agent I Contractor's Agent (Please circi~ 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 180 days
..-
(:-l60) 458..~lI3S
(lJGO) 458-,'/144 l?AX
www.Ci.yelm..INI./..I./I
106 Yelm Aven.lu We8t
POBox 479
Yelm,. WA .98/;97