BLD-05-0245
WJ@1@I@I@\\@1@ ~WJ~=
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CIi'l Of 'lELWI _ 6\lILOING OEP A.RiWlEN1
RESIOEN11A.L CERilfICA. iE Of OCC\lP A.NC'l
Bui\ding p,.ddress
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p\an Number
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O\fJnef Name
O\fJner p...ddress
Bui\ding permit Number
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Ret\lar\<.s
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p...\\ Code reQuired
januaf\l 31..2006
Neas \nspected
special conditiOns
Date
Building OmGial
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. . . . I lefnal,onal Residenlial Code (Cnapler
1nis slfUclure IS ,n GonWI,.nGe .:::~~~~ I~n Slale Building Code Council pursuanl
51.-51. Wp...C) as adopted u-y \2\17e ..170 9g2 RCW eHecti'l/e ju\-y 1.,2004
to C\laptefS 1.9 anu '
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FROM YELM SEWER DEPT
FAX NO 360-458-8166
Feb. 03 2006 05 40PM Pi
FAX TRANSMISSION
CITY OF YELM
P.o. BOX 479 - 93 I NP ROAD NE
YELM, W A 98597
360-458-8411.
FAX 360-458-8166
DATE: :2. - '3 - 0 "
FAX#:
PAGES: I ; including this
Cover sheet
From' 6(AI0DY
Subject: HOLlS!? F1AJI1L/'fr;L/n T~
COMMENTS: L.oT \ 3 1"';77~- l(ELnl 'i"GR~ wAY S. t=
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""" I f you do not receive all copies or any copy IS not legible. please call (360) 458-8411
as soon as possible.
CITY OF YELi\1INSPECTION LOG
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PROJECT ?/ct/VI... ~ / (p 7 c:;-:i~
PER.\1IT NUMBER () ~ - Ot9 Y, S-
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FOOn~G \\' o\LL
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o 16" 0 8"
:J other 0 other
8 requJred \ ents
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ADDRESS
SET BAChS D~lle
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Rear 3LP
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CO\1131:\[0 FR-\ \lEI E\. TERIOR SHEAR" -\LL I\SrECTIO~
Hold downs !J. ~~o/~ Shear ~a1l1ng :=
Frame:J Gas 'Propane ]
PJuI'TJbJng J \1echa:1lc31 ]
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Comments
I'Sl L\TIO,
-J. G 25
~ foam and Seal
J ElectrIC
== \'2por b2ITler
J Other
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Comments SvIV\i\ ~. d,-rfh..tUOO~
SHEET ROCK/SHEAR \\ \LL '" \IL
Comments
OTHER
Comments
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:J Se\\erFn:::1
::J -\ddress
Q Electrical
'1 InsulatIon
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City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Permit No
BLD-05-0245- YL
Issue Date 08/10/2005
(Work must be started within 180 days)
Receipt No
37955
Applicant:
Name: Evergreen State Builders
Phone,
253-475-6622
Address. POBox 39753
City' Lakewood
State: WA Zip 98499
~roperty InforrnCition:
Site Address, 1.5 Yelm Terra Way SE
Assessor Parcel No 85840001300
Subdivision. Yelm Terra
Lot: 13
Contractor Information:
Name Evergreen State Builders
Contact: McCullem, Tom
Phone: 253-475-6622
Address. POBox 39753
City' Lakewood
State. WA Zip: 98499
Contractor License No: EVERGSB980PB
Expires. 10/02/06275
Business License: 1042.0
Project Information:
Project: Yelm Terra
Description of Work: 1675/3 Lot 13
Sq. Ft. per floor' (1st) 908
(2nd) 767
(3rd) 0
Garage 413
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 1,14915 993.75 155,40 5 6000 27 7500 $1,000
Building Plan Review 485.66 0.00 000 o 0000 0.0000
Mechanical Permit 78.25 000 000 o 0000 0.0000
Plumbing Permit 118.00 2000 9800 7 0000 14 0000 Fixture
Sewer Inspection 145.00 000 145,00 145 0000 1 0000 ERU
Water ERU 1,500.00 000 1,500 00 1,500.0000 1 0000 ERU
Water Meter (SFD) 300.00 300 00 0.00 0.0000 o 0000
Water Deposit 40.00 4000 000 0.0000 0.0000
Traffic Facilities Charge 757 50 000 757 50 750.0000 1 0100 Peak PM Trip
Sewer Deposit 50.00 5000 0.00 o 0000 o 0000
State Building Fee 4.50 4.50 0.00 0.0000 o 0000
Sewer ERU 5,417 00 0.00 5 417 00 5,4170000 1 0000 ERU
TOTAL FEES $10,045.06
Applicant'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
registered in the State of Washington,
# Sets of Prints.
Signature /~~
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Date .I.,.;tf::J-~
Final Inspection:
Date: 2 -1- (:) I,.
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PAID
AUG 1 0 2005
CITY OF YELM
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:
Name, Evergreen State Builders
Address. P.O. Box 39753
Project Information:
Project: Yelm Terra
Description of Work: 1675/3 Lot 13
Site Address, 15875 Yelm Terra 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 802412-343-50-01
TOTAL FEES
Permit Fees Schedule
Permit No BLD-05-0245- YL
') lq 55.
City' Lakewood
Phone: 253-475-6622
State: WA Zip 98499
Assessor Parcel No. 85840001300
-
Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
-------------
1,149 15 993,75 155 40 5.6000 27 7500 $1 000
485.66 000 000 o 0000 o 0000
78.25 0.00 0.00 o 0000 o 0000
118.00 20.00 98.00 7 0000 140000 Fixture
145 00 000 145.00 145.0000 1 0000 ERU
1,50000 000 1,500 00 1,500.0000 1 0000 ERU
300 00 300 00 000 0.0000 o 0000
4000 4000 000 o 0000 0.0000
757 50 0.00 757 50 750 0000 1 0100 Peak PM Trip
5000 50.00 000 o 0000 o 0000
450 4.50 000 o 0000 o 0000
5,41700 000 5,41700 5,4170000 1 0000 ERU
$10,045.06
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LOT 13
EVERGREEN STATE BUILDERS
YELM TERRA
15875 YELM TERRA WAY SOUTHEAST
YELM, WA
WATER LINE --T-------------------
Y~LM TERRA WAY SE
SEWERLiNE- - T -----=-=-...::----=-=------=-=-~- - - T----=-
o
500
N
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";n
o 25' BSBL 0
;g 7 0 48 0 5 OlD
LL------lJ
SIDEWALK 60.00'
CURB
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105th A VE.SE.
----------------------~--------
SEWER LINE -
G~SITE 'PLAN
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- ._.._~-_.._--- .'- .
,
<G) 2004 CASCADE RESIDENTIAL DESIGN, 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
@
NORT~
SCALE I' = 30'
p",jectAd'-'D~~ ~-? ~~1L~ ___ ~
SIIbd'Villlon;~~ll!KIt lnl # ...L.L_ Zm,nlf. ~ft.. ~ftf!11J ~"* \':;.,
'~ew rAJnslrut1iun . ,U Re-.Modall Ra-Hoot! Addi~Oh u Homd OCClJpatitl" Sign ~~ ('{~
u PlumblYlg lJ ME/charucol lJ Mabile' ~~)v\Y1fuctul'f1d HaMtf PhwtlJrYlent u Olher ~ G>
Projeot Dascrlptio'lJ~;OOpe of Work: .~.!dLfJ-le. . -{C"IA-{t. I (~ef!;..''S-( d.fc!.5.~.l, '!J__ I
Project Vl!llu8:~9 t <1 ~-O. .___________ _.._. ~'7
Building Area (sit It) 191 Floor...2!?~ tIll Floor.~f.c.?~ Glill'etgS Jd/~ DtJCk 110 '}
Basement__ Carport._,_.._._Patjo~J.k.. 6l
# Bedrooms. ~. # 8athrOOI'Yl!l!_.z...~ H9811'@THER or ELECTRIC (Circle One}
Ar'e there any Grlvltonrt'lflntal/y !il6hsitlVl!l areflslocatad on the parcel'? _.._..___ If YEll!, Ii
completed Bnlflrortrrmntal cnacklist must accompany permit j;\ppllt:ution
aU_thiNG OWNElfNAME:=rkf-~- /, -:;'. f.~ {;j.,"1iL....l:?Ziidiit:./{"4 1
ADDRESS ...k.:."?Kr;'L. ::..Ll2f'Z. l~.~t \ . '(.t.~.' _EMAll L~......."-...Cii!L~1tJ2;1..
erN ~~~~~TATE~_l.!p~~_r[U::PHONEL2s"~~" ,.. ,- ~.
[ARCHITEClJENGI!~iE - ~~ -. ,Tl~ti~~ICENSE #I -=~-- . , ,_ ]
ADORESS:-~~_~.:........._~ ~EMAlttr~___
cn:~C1?(~~~STAjt~_,~~~~=E~~EPHbN~i33~ ZlrG-rLz.a",
GEr~n:::RAi~cONnt'C'TOR. ~'5Rr#l!J.iil:"{7fi.7i1L€r TELEPHONE"__=--'--~-"=="-:--J
ADDRESS EMAll ~~
CITY ...-.-.-..... -~ ~irl\-rE--np------ FJ~X ~-----
C~S.T9..!:!!1g~~. V;-- 'EXP i?E~uaENSE~=-- -~=
[PLUMBING ~o. R~I~T~hlftiN;21.ELEPHONEc,;~3.7-lf.9if2i'J
~r~~r~i~:!-. ~~ftzJT=l'P:l8~I[?~~~~~~is:~~~-==
CONTRACT()R'(~ I 'CENSE # t?..xp DATE CITY UCENSE #
.# . ....--........._...__..~~_._...................";f"Jtt:l:,.-_.,..-"'-~............~;:.~__w_~ -~~-:='-'~...II
MECHANICAL COf\i"'V\C10R~M~~~ ~ _,'rE'LEPHONE M3 - L7J1:;.J!'nrJ. -J
ADORESS~~&l~4:~____._.___.J~MAll. '____'_~'__'_'_'___
CITY&"~6,t~__...STA Tf:.~4 __liP ..:1f!J1(L-ZC .FAX.___,_______..__
CONTRACr9~'s l~SEN~~ # ~~~ N'~_.= EXP pA TE.....__~C~r.~~IC~~~~~ _.. '===._
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Copy of rflitigatjon agl'$S~I~rlt wi~h Yelm COl"!'lf'flurtlty Sel'!oo/i, if Glpplie~bj~
I hllMby j:erUfy thot thll ""'01ft! bdUr~l\~tlort II!; ,~\)I'r'llC~ t.lmj tho! u." \;Oil5trU'1~'Uf1 on, and Ihu U~lll\lW>>lllfnlY slid IlIll use .., the
ubol/41 described pmpc1l1y w!1I bIlln fll:florOIlOCtl with thelllWIl, rulollllrlu nl(ll'Jllltll!lfl8 at the Swlu of WlIshlng't1l1l i1nd lhs
ClCy tI! Vlllnl,
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Applicant's SignatlJr"~_,,,__""-'-'-, Date
Owner' I Contrllctot' (Qwner'lI Agej1tJ CClntructor'1il Agunt (Ptusle tirel, one.)
~......~....
All permit. are norl"trllr'lsferabie and wU! o>>lplrtl If work ~mthow'bt:8d by such perm'. ilMOI begun
within 180 daye of il~9Ul!me:8, or if wl';)rk II $ulllpendtd or ab~nd(Jned ftn a period of 180 duys
..........---.-....-~.._...~
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(88tJ) 01118-3144 PAX
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YCllm, WA 98/J9r