BLD-05-0258
~_1@J#~@S@l@}1@ll~1='-
C\1"'f Of 'fELtJI _ BUILOING OEP A.RltJ1EN1
RESIOEN11A.L C ER1IfICA.1E Of OCCUP A.NC'f
euilding p...ddress
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plan Nu\1iber
euilding per\1iit Nu\1iber
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owner Na\1ie
owner p...ddress
Re\1iar\<..s
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p...\\ code renuired
febfuar\l 2~ .2006
p...reas \nspected
oate
special conditions
euilding Omciat
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. . tie 'nle'naliona' Residenlia' Code (Cllaplel
illiS SllUclule is in cO(llp'IOnce ~\I~~in Ion Slale Building Code Council pulSuan'
5~-5~ V\lp...C) as adopted b'l t2h7ea d 70:2 RCIN elleclive JU'~ 1,2004
to Chapters ~ 9 an '
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FROM YELM SEWER DEPT
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FAX#.
FAX NO 360-458-8166
FEb. 17 2006 04 54PM Pi
FAX TRANSMISSION
CITY OF YELM
P.o. BOX 479 - 931 NP ROAD NE
YELM, W A 98597
360-458-8411
FAX 360-458-8166
DA TE: :k J 7 - 0 C:,
PAGES: I, including this
Cover sheet
From. RAAJDY
Subject: \40 USE \- \,0 ALS I Y'ELY'n 'l12tL(lA
-- r C;Sn 0 0
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COMMENTS: LoT 1:; J)-r/':) YtLY'Y) n,Zf2A wf)'i S,f.
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"'* If you do not receive all copies or any copy is not legible, please call (360) 458~8411
as soon as possible.
CITY OF YELM INSPECTION LOG
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PROJECT
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PER..t-..llT NU!\1BER 0 ') - (J,;) 5~
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ADDRESS
I SCZ / 5
,
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SET BACI\S Date FO~G WALL
Front LD 12"' ~ 6"'
Rear ?,.lP o 16 )2r'8 ",
Side Flank.lng ~ ~ other o other
Side 7 n required \ ents
u
FOOTI.....C R[B.\~ Date W.\LL R[BA~ Date
C or!1!TIer:ts
,,#> t
// 1>.\")iCO\IBI;\W rR~\IEI EXTEfJ$ SHEAR \HLL I'\SPE~TIO'l .,])JA
Jr.~.Y~ Hold do\\ns~ (~ /. Shear Nadl~ o{P7V
J)~ Frame 'SJ I Gas'Propane~ /
fD' Plumbing ~ J ~1echanlcal ''-...Q J
.
C Comments
I.....Sl LAT]O~
~ Gas
"-D Foam and Seal
CJ ElectrIC
.~ \' apor barner
n Other
~ P\'-\
Comments
SHEET ROCK/SHEAR \V .\lL ..... .\IL
Comments
OTHER
Comments
F1~ .\L
'-.D Se\\ er Final
o Address
Q Electrical
\....lJ InsulatIOn
[] CJ\ 11 Final
o SIte Dralnafe
CJ Landscape Flnal'\ C (If 0
'1 SIdewalk.
Comments
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City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Permit No
BLD-05-0258-YL
Issue Date 08/22/2005
(Work must be started within 180 days)
Receipt No
38054
Applicant:
Name' Evergreen State Builders
Phone.
253475-6622
Address. POBox 39753
City' Lakewood
State. WA Zip 98499
Property Information:
Site Address. 15815 Yelm Terra Way SE
Assessor Parcel No. 85840000800
Subdivision: Yelm Terra
Lot: 8
Contractor Information:
Name. Evergreen State Builders
Contact: McCulJem, Tom
City' Lakewood
Phone: 253475-6622
Address. P.O Box 39753
State: WA Zip 98499
Contractor License No' EVERGSB980PB
Expires. 10/02/06275
Business License: 1042.0
Project Information:
Project: Yelm Terra
Description of Work: Plan 1530 Rl2, Lot 8
Sq. Ft. per floor' (1st) 1530
(2nd) 0
(3rd) 0
Garage 582
Basement 0
Heat Type (Electric, Gas, Other): GAS
Fees:
Item Item Fee Base Amt Unit Fee Unit Rate No Units Unit Desc
-------------------------..- ----...--------
Building Perm it 100-500k 1,06991 993.75 7616 5 6000 13.6000 $1,000
Building Plan Review 452.04 000 0.00 o 0000 0.0000
Mechanical Permit 71 75 0.00 000 o 0000 o 0000
Plumbing Permit 111 00 2000 9100 7 0000 13.0000 Fixture
Sewer Inspection 145 00 000 145.00 145.0000 1 0000 ERU
Water ERU 1,50000 000 1,50000 1 ,500 0000 1 0000 ERU
Water Meter (SFD) 300.00 300 00 000 0.0000 0.0000
Water Deposit 4000 40.00 000 o 0000 0.0000
Traffic Facilities Charge 757.50 000 757.50 7500000 1 0100 Peak PM Trip
Sewer Deposit 50.00 5000 000 0.0000 o 0000
State Building Fee 450 4.50 0.00 o 0000 o 0000
Sewer ERU 5,41700 000 541700 5,4170000 1 0000 ERU
TOTAL FEES. $9,918.70
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.
Signature/A' - 1 -~ Date 1- r r. 1JI.!!Ji"
Firm .~~~
OFFICIAL USE ONLY
# Sets of Prints.
Final Inspection:
Date: '2.-2.J- cJfi
#'
By'
lill:"~~lH"~-~f'i CITY OF
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E~i~~~ YELM
~4- PO 60x479
---? Yelm WA 98597
,.YE],.,M .. 360458-8403
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YELlVI COl\IMUNITY SCHOOLS
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LOCAL RECEIPT OATE:c1 z, 2" ~""LJ.5
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FOR if if tyJ /'~ - l d--s ~.... g- / ~
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ACCOUNT C8DE
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cs/oe/20C5 17 DC 2532843183
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C.~5 R=:S "J:,..,Jt\F E)~',
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LOT 8
E,VERGREEN STATE BUILDERS
YELM TERRA
15815 YELM TERRA WAY SOUTHEAST
YELM, WA
PL'\GE B2/B4
SiT~ PLAN .APPF'OV AL
o ^~='nov~n ,\i PQES(t;7Et: iL ~~\"~[' .~"j~ li':-i~''';R~H
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YELM TERRA AVE SE I
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CURS ~
STORM L1\1E ~-
105th AVE SE
- -.- --- - --- --- - ~ - - ---
S E VI: F. Ii' LI t\ E - - - -- .-- - - - - - - - -
. SITE PLAN
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o 2001. U,SC.ALE R:.SIDEi'Hi,\i_ Dr:SIGi\l, INC
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NORTH
SCALE I' ~ 30'
ThiS "R.1V1~O 'S SASEJ ON Ccl';.~T-~~~Vltrn INrO~M^T:ON Ii~P~,5':'TE~ '0 3E ^CCJR^Tr.
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I "IC PH: S':JL~ nr:5!'e~l~mlL:TY or THr: Cl~Er..:'!'
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~8!08!2005 17 00 2532843183
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CAS REC;:-'IW?\F TDM
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LOT 8
E~VERGREEN STiATE BUILDERS
YELM TERRA
15815 YELM TERRA WAY SOUTHEAST
YELM, WA
PAGE 02/04
WATER LINE -'---'~-~."---'------'--r'-
YELM TERRA AVE SE I
SEWER LINe: ~_~_-=--"""_,,,,~,,"'-""""''''''d-H--''''--',+~~
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SITE PLAN APPF'OVAL
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^rro~VW A' PRESE'''ED RtV!lr 1,'0 ~,'UR~lr-
RF,W:WEO " (ClItNl);
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CURS ~
STORM LINE -~
105th AVE SE
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R~I ,~~!"~ QlfE PLAN
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THlo OR.4\YINIl IS eASED ON CClrNT-pmVIOtD INFORMATION RiP~F"ENTrO 10 BE ~CCVR^,TE
ANb RW~Bl[' ^NY DISOilEP^NCI~~ ~I:TW[W THI. DRAWING ^NO THt ^CTVAI. !mE CDNOI~IONS
I ^~, THE soLE ~~5~ON51B1l!TY or THE cLltNT
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Pl'Ojaot AddreI)Q't'~:__J/~ "J"U4 ~K-/ Ji. par~'
s~ivislon;~7~Je[L-:t LtlI # ~_ ~r.~~~k7(~J
'Ij! New Construt1irm ,U Re-Modell R&Hoof ! Addi!Jon U Horn. OcclJpatitlO Siun
tJ Plumbing LI MfjVOOnlcal l J Mobile I MOY~Wractufed Home PlootIJment U Olh&1'
Project DI!I8criptionl8oope of wark...~~le.. !!::!4'!l.1 (~r;... .'S.-t dMl, "!:.J.._~
ProJeot Vslue: ':'?./~) 9 ~p _._________.. ~__.
Building Area (sQ 1\:) 19. Floor_L23D ;tltl Floof.___.__ G0rage ~ Oeck_
6Qsemant_____ Gaf'pol1___.,_._Pailo-!i.L~~
# Bedroorn$.~. # Bathroomtll.z.. H98U"{1~"HER or ELECTRIC (Circle One)
$
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Are th(ltrt) any Grlvktmmentally IilfJnsitiw IlI'aar/lloCliisd 1Jr1 the pafc:al?
comphatt'fl:f t:IIl"lvlronmuntal Chflckli!'lt must accompany permit tlpphcatiori---
If yell, Ii
BUUJ.lING OI:'l'NER-~:-. Jfi!3. ::;;.~ bS/ii;7l!:-Z?'17dA.~.~-Zt.~
ADDRESS _}.;.:1U1'L:":. /{)()l. tl \ ~..!It~_EMAll L' ,- .'
erN.. . ~:t~~IATE.~._:. ~l!p..~i . J.-T5ltP~E .. ,_
r ARri'rEcTIENGltlf..E - ~. 'T~~ICENsE #_-- - - -]
ADORESS~~_.--=--._L ~ '",-. _EMAlt~~_ ,___
Clrv~~~~IlTATE_&Z1P~~_~~:?i:s~ ~~ ~
GENERAl, COOW\C'TOR ~'5t!-4~i<<~717TJt?!f~ 1'ELEPH()NE=-~~-'~~~~"~_ ]
ADDRESS ....._.._.... ._______."..~_._________.__EMAll _____ _
CITY STAlE liP FJ~X
OON!~~~~~~.SE ~~EX~T~Ci)yu6~~E~=~---..~.
!PUJMBING C9NJA~~}PI~lJj.~ZJtWliiRi~~'21t:LE:PHON. E~?J':3~ ]
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CONTRACTOR'S J..ICENSE #.. '___"_'~ _... EXP OAlE_~cn-Y LICENSE #___
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/iMEcHANICJIl. cONllViCTOR~~o:;i._. ti'lrPHONI'; MJ. .1:z;s:..1'.!E2 0
AOORESS~~~~~.~ ._..____.EMAIL '_'_"_~"_'_ _.,__
CITv:g~4_~._~__STA TE~A__lIP -dilC .FAX._~_.__~.______..___
CONTAACJ:~~~~E t-i~~~. __ EXP OA TE...,_.,"c~~v ~JC~~?E"~_~"l '===--
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C()pyof I'fllbgt,)tJon agr$sm~r\t wiih Yelm Cot'i'lf'\'lurlity Schools. if applieabl0
f III1r.lby f:ertffy (hul Utll all/OVll b8tur~tlI~tio" 111I t1l:1Yr'Dr:8 lll>>d thut Ihll t:uh8.rm~~lun ~II, tmd lhe (lll!lJlUpaimy and IffllltllG oUhB
11M de8trlbed pl'tllHll'.Y will 00 '" lu;mmJllrlt6 with 'he illWII, mllllllimd r~glll'/ltlUln8 uf tht! Stilt" gf WlJl!lhlnutllll and 'he
CUy elm.
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AppJic~mt 8 Signatllr,.~_,,,_....,,.._.__._, Date
Ownel' I Contrllctor(~~.r'tf ~!!J!l Contractor', Ageot (P-esse tlirele one.)
An permits are non-tran.ferabie iMnd wUl e>>l:).dre if work authof'iled by such permit is not begun
within 180 days of hJI9UI!U'lC8, ot if wdrk Is sUlIlpend.d or abandoned ftn a period of 180 duys
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l"0 Bolt 4rfJ (:ifjt))oI/JUi44 FAX
'ftllm, WA IJS69't www.ue.yCflm.wa.Wl