BLD-05-0263
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cl1'{ Of '{ELtA _ 6UILOING OEP /l.RitAENi
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Building p...ddress
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Building permit Number
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owner Name
Owner p...ddress
Remar\<.s
p...reas Inspected
special conditions
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Date
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Building Omcia\
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. . h loleroaliooal Resideolial Code (Chapler
1hiS structure is io co",pl\80Ce ~'Ih~. e 100 Stale Buildi09 Code couodl pursuaol
5~-5~ Wp...C) as adopted b,/ th7e das70'0~2 RCW elleclive July i. 2004
to Chapters ~ 9 2 an '
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CITY OF YELi\1INSPECTION LOG
ADDRESS
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PROJECT
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SET BACh.S Date
Front
Rear
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Comments
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FROM YELM SEWER DEPT
FAX NO 360-458-8166
Feh 03 2006 10 53AM Pi
FAX TRANSMISSION
CITY OF YELM
P.O. aOX479-931 NPROADNE
. \ YELM, W A 98597
(\_ . \}\J 360N458-8411
\[)~ \ FAX 360-458-8166
TO: &/f21f:PtG}J DATE: 11-3-0(.,
FAX#:
PAGES: I , including this
Cover sheet
From: Q<AA)() 'Y
Subject: mUSE" FlfV-AL)f'E'NN)AJ&1DJ0 EST.
COMMENTS:.L-oT Lf~ )~~3J() IOY~ AJE. S,E:
elf - I )-05 I OcJ
** If you do notreceive all copies or any copy is not legible, please call (360) 458H84] 1
as soon as possible.
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City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Permit No
BLD-05-0263-YL
Issue Date 08/26/2005
(Work must be started within 180 days)
Receipt No
38100
Applicant:
Name: Comfort Homes
Phone.
360.486.0161
Address 8306 Quinault Drive NE
City' Lacey
State' WA Zip 98516
Property Information:
Site Address 15310 104th Ave ~E m
Assessor Parcel No (p?- 32,COO 4lJ Subdivision: Mill Pond Division 2
Lot: 42
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. 07/06/05187
Business License. 05-000730.0
Project Information:
Project: Mill Pond - 2
Description of Work: Plan 1608/2 Great Room Nook Option, Lot 42
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 476.33 000 000 o 0000 o 0000
Mechanical Permit 7175 000 000 o 0000 0.0000
Plumbing Permit 10400 2000 8400 7 0000 12.0000 Fixture
Sewer ERU 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 1,50000 1,5000000 1 0000 ERU
Water Meter (SFD) 300 00 300 00 000 0.0000 0.0000
Water Deposit 4000 4000 000 o 0000 o 0000
Traffic Facilities Charge 757 50 0.00 757 50 750 0000 1 0100 Peak PM Trip
Sewer Deposit 5000 5000 000 o 0000 0.0000
State Building Fee 4.50 450 000 0.0000 o 0000
TOTAL FEES $7,345.50
Applicant's Aftadavit:
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 Sta of Washington.
OFFICIAL USE ONLY
# Sets of Prints.
Firm
Date
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By
Signature
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City ofYelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Permit Fees Schedule
Permit No BLD-05-0263-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 42
Site Address. 15310 104th Ave SE
Assessor Parcel No.
Fees:
Item Acct Code Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
--------------------------- -------------- -------------
Building Permit 1 00-50 Ok 032 001-322-10-00 1,12742 993.75 133.67 5 6000 23.8700 $1,000
Building Plan Review 100001-345-83-00 476.33 0.00 000 o 0000 o 0000
Mechanical Permit 032 001-322-10-00 7175 000 000 o 0000 o 0000
Plumbing Permit 032001-322-10-00 10400 2000 8400 7 0000 12.0000 Fixture
Sewer ERU 802 412-343-50-01 2,76900 0.00 5,41700 5,4170000 1 0000 ERU
Sewer Inspection 805 412-343-80-00 145 00 000 14500 145 0000 1 0000 ERU
Water ERU 715401-343-80-02 1,50000 000 1,50000 1,5000000 1 0000 ERU
Water Meter (SFD) 712401-343-80-01 300 00 300 00 000 o 0000 0.0000
Water Deposit 740402-389-00-00 4000 4000 000 o 0000 o 0000
Traffic Facilities Charge 420 120-345-85-00 75750 0.00 757.50 750 0000 1 0100 Peak PM Trip
Sewer Deposit 742402-389-01-00 5000 5000 000 o 0000 o 0000
State Building Fee 160 001-386-00-00 450 450 0.00 o 0000 o 0000
TOTAL FEES $7,345.50
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Y911T1, WA 98597
JGO~458~840:3
RECEIPT No 33100
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YElM COMM\JNl'fY SCllOOLS r..Y'-
locAl RECEIPl DA1E_2~5-.--- 1J.JJI{J5
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COMfORT I-IOMES. L.L.C \~)
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LOT 42
COMFORT HOMES
MILL POND
15301 104thAVENUE SOUTHEAST
YELM, WA
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5500'
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LOT INFO.
LOT AREA = 6600 SQ.IT
BUILDING COVERAGE = 2379 7 SO.IT
PAVEMENT COVERAGE = 337 I SO.FT'
TOTAL COVERAGE = 2716.8 SO.FT'
OR41.2%
40
DRIVEWAY
5500'
f:
8-l
1 04th AVE. SE
c;11~~ SITE PLAN
@ 2005 ,:::t>SCADE PCSIDENT!/.IL. DESIGN II\IC
SCALE I" = 20'
THIS DRAWING IS BASED ON CLIENT-PROVIDED INFORMATION REPRESENTEe TO BE ACCURATE
AND RELIABLE. "NY DISCREPANCIES BETWEEN THIS DRAWING AND THE ACTUAL SITE CONDITIONS
ARE THE SOLE RESPONSIBiliTY OF THE CLIENT
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CITY OF YELM ~
(~IO. ENTiA-I.. BUILDING PERMIT APPL1C, i'.lN FORM
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Project Address /531 0 ..IP~Au~ S.t: Parcel #.
Subdivision:.Mi.lL.&~ Lot#'~L Zoning;
~ewConstn..tction u Re-Modell Re-Roof I Addition u Home Occupation Sign
rvPlumbing , , ~ Mechanical 1.1 Mobile I Manufactured Home p.l~cement u Other
Project Descnptlohlscope of Work: AA;W' ~,~ i.(. ~'vr.t __)~ff
Project Value. It I () 0 I .g~
Building Area (sq. ft) 1 $1 Floor J 13~ 2nd Floor - Garage t; SU Deck____
Basement - Carport__....__Patio. ~lb ,.
# Bedrooms "'3 # BathJooms~ Heatin@THER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? liP If yes, a
completed environmental checklist must accompany permit application
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BUILDING OWNER NAME.----l.O~tii<..~ \-\ot\\t.f~
ADDRESS ~ '?o,-> _ Gl.l:\I~~~ ~- N I 6.
erN kA<--tY .STA TE \Nt\- ZIP Cl"6S"lb
EMAIL::!I~$.\IC~~~>i~j./O)\l\{6S.tllvv\
TELEP!lO~E" l'3~6) ';$b- Olb\--;- ._,_
ARCHITECTlENGIN'EER--~~t.. ~R~~IO~'I\1.. -LICENSE"it ---'.".'-"
ADDRESS ---La 2-. SoJrYf l-b 1""\ &"rn6if EMAIL S:Me.y@~.1t ~.f), '<li'V\
CITY '~y\'\A- STATE VItl'\-. ZIP. ~~ 1./0'2. TELEPHONE (~~~) l..'8~-c~3id\J
GENERAL CONTRACTOR_ L.oW\~, HeM"'; TEUiPHONE ~6)--~~'Y-blhl :J
ADDRESS~ct ~v('I~ O~. /J,t... . EMAIl...:s1\M@~I~:z.Il.:.. ~t.( 1(.,0\1\'\_
CITY t-~Y STATE_INV\-- ZIP ~l6S'6 FAX . I()O .'-fS1 - ~I
CONTRACTOR'S LICENSE # KtR4-1Hl..q7i!~3EXP DATE" CITY UCENSE # 1:- 3. ' .
Ii- M3
I PLUMBING CONTRACTOR - c.;s ., PW 1'1611"(, ltLEPHONE --n:s> \ !:'6 Z. -l, ~,..., .
ADDRESS_.~'i17 IO~rf\ .~r-'-ClT: s. . ~EMAI DD~tt ~"'~JW.M
CITY ~'D _STATE. M?t-::",zIP__9~'1'1L...FAX_ $"" Z...:-O
CONTRACTOR'S LICENSE # 6:JSP4.;iK~J"Z-EXP DATE fTV LICENSE # .
MECHAN~CAlCONTRACTOR' !0cr~~ii7~Ti1~TECEPHONE'~S3~ s-~ -C6.S:r ~_
ADDRESS ~10 '3 \ \b"" .s-r. t \ EMAll _15 L-""'_I.(~.s ~ A<> L. U)"",
CITY. ~\tVIik STATE. MI\- ZIP ~S\'1'11O FAX ~c~ S~9-~gb{
eONTRAC!OR'S LICENSE # KLIt.fI.\BHo'z,\ r3r EXP OA TE I 0 __ . I.. LICENSE # _
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~ Copy of mitigation agreement with Yelm Community Schools, if applicable.
! hereby certify that the above information is correct and that the construction an. and thl! occupancy and the USQ oUhe
above described property will be ill MC9rdancE! with the laws, rules ilnd regulations of the State of Wnshlngt"!1. ~nd ttlel
Ci"tyofYoelm. ~
Applicant's SI atura - Da", 'fl'f~ Or;-. -
Owner J Contra or I Own.er's Agent! Contractor's Agent (Please circle one,)
All permits are non~transfer.able and will expire if work authorized by slIch permit is not begun
within 180 days of issuance, or if work is suspended or abandoned for a period of 180 days
106 Yelm AVol!!'lWl Wed
PO Box .fi9
Yelm, WA. .98.';97
(/J60)4li8-.'liM.'f
(,'U;()) 458-.'1144 FAX
W'ww.ci.yelm.wi/l.1.I1.I