BLD-05-0244
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Crr'( Of '(ELI'JI _ 6UILOING OEP J\RiI'JlENi
RESIOENilJ\L CERilfICJ\ iE Of occUP J\NC'(
Building p..ddress
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Building permit Number
plan Number
owner Name
Owner Address
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special conditIons
1\11 Code reQuired
Januar\l 3~. 2006
Remar\<.s
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p..reas Inspec\ed
oa\e
Building OHicial
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. . n Internationa' Residenlial Code \cnapler
1nis slructure is in cO",Pllance:.t~. e Ion state Building Code Council pursuant
5 ~ -5 ~ W p..C) as adopted b'j \2"7e das7~n~Z RC'N effective July ~ , ZQQ~
\0 c"ap\ers ~9 an '
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FROM YELM SEWER DEPT
FAX NO 360-458-8166
Feb 01 2006 10 33AM P1
FAX TRANSMISSION
CITY OF YELM
P.O. BOX479-931 NPROADNE
YELM, W A 98597
360-458~8411
FAX 360-458-8166
DATE: )- 3;"6~
FAX#:
PAGES-
, including this
Cover sheet
From: RAJJDy
Subject: l-lou Sf..' 1='-1,0 AL- / '('6 t..Yn lEf(.f.'.,4
COMMENTS: 1-01 )/ )S-?;57 YELm T8'-ru~ w/+y ),t:.
OS~50J{J. DU
** If you do not receive all copies or any copy IS not legIble, please call (360) 458~84] 1
as soon as possible
CITY OF YELt\1INSPECTION LOG
C PROJECT ~/~ /<3 fS S,/~ /~)+ /
PER.\1IT NUMBER () 5 - 0 /)Lj LJ
ADDRESS / S ?S 5 7 ~..{J)Y'0_ ~)" I'C{ L{ )O(~/ sf
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~('\~)1
SET BAChS D3te
Front L~
Rear L/\/
Side Fbrlmg L<'
SIde
FOOTNG
~ 12"'
o 16"
~ other
8 requIred \ ents
W -\LL
iJ 6"
o 8"'
o other
FOOTI'GREB-\R / D3te ~}2L}"'{'\\'-\lL REBAR D~ile
C0!"!:mer:ts
CO\1I31:'\EO FRA~lEI E\. TERIOR SHEAR \, -\LL I\SPECTIO'\
HoJd do\\ns ::J Shear ~3dIng Y 11- 0 S-
Frame "\'1" 11-' ~ G35 Prop3ne '0l 11- <' S"
PlurIlOlng ;rVi.,t, .;J.... '1J11;' \1ech3nIcaJ;
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,fitI
";rfJ
C Comments
I'Sl L-\TIO, ::J G3S
M jJ-c!: ~ F03m and Seal
J ElectriC
== \'::por b3IT\er
" Other
- P\'-\
Comments
SHEET ROCK/SHEAR \\ -\LL \ -\1 L
Comments
OTHER
Comments
Fl'\-\L
u Se\\ er En:::1
::J ~ddress
n Electncil
~ Insulation
~ Cl\ 11 FIn3l
o Site Dr31il3ge 'I
'J bndscare F In31 C) C (,[ 0
Slde\\ alh.
Comments
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City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Permit No
BLD-05-0244- YL
Issue Date 08/10/2005
(Work must be started within 180 days)
Receipt No
37952
Applicant:
Name. Evergreen State Builders
Phone:
253-475-6622
Address P.O. Box 39753
City' Lakewood
State. WA Zip 98499
Property Information:
Site Address: 15857 Yelm Terra Way SE
Assessor Parcel No. 85840000100
Subdivision: Yelm Terra
Lot: 1
Contractor Information.
Name: Evergreen State Builders
Contact: McCullem, Tom
Phone. 253-475-6622
Address. P.O. Box 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: Plan 1818 S/2 Lot 1
Sq. Ft. per floor' (1st) 547 (2nd) 1271 (3rd) 0 Garage 585 Basement 0
Heat Type (Electric, Gas, Other)' GAS
Fees.
Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
--------------------------- -------------
Building Permit 1 00-50 Ok 1,175.58 993.75 181.83 5.6000 32.4700 $1,000
Building Plan Review 496.68 000 0.00 0.0000 0.0000
Mechanical Permit 78.75 000 000 0.0000 0.0000
Plumbing Permit 132.00 2000 112.00 7 0000 160000 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 00 000 0.0000 0.0000
Water Deposit 40.00 4000 000 0.0000 o 0000
Traffic Facilities Charge 757.50 000 757.50 750.0000 1 0100 Peak PM Trip
Sewer Deposit 50.00 5000 000 0.0000 0.0000
State Building Fee 4.50 4.50 0.00 o 0000 0.0000
Sewer ERU 5,41700 0.00 5,41700 5,4170000 1 0000 ERU
TOTAL FEES. $10,097.01
Al?plicant'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:
Final Inspection:
Signatur~ ~-
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Date ~'?"4-~
Date: 2--1- 0 ~
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~ YELM
id PO Box 479
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~~""N 360-458.8403
RECEIPT No 37952
RECEIVED FROM D.II:TE REC. NO
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Yelm, WA 98597
360.458.8403
RECEIPT No 37953
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PAlO Permit Fees Schedule
AUG 1 0 2005 Permit No BLD-05-0244-YL
C\TY OF YELM
-j lqLjd--
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: Plan 1818 5/2 Lot 1
Site Address. 15857 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 420120-345-85-00
Sewer Deposit 742402-389-01-00
State Building Fee 160001-386-00-00
Sewer ERU 802412-343-50-01
TOTAL FEES
Phone.
253-475-6622
City' Lakewood
State: WA Zip 98499
Assessor Parcel No 85840000100
Item Fee Base Amt Unit Fee Unit Rate No Units Unit Desc
-------------
1,175.58 993.75 181 83 5.6000 32.4700 $1,000
496.68 0.00 0.00 0.0000 o 0000
78.75 0.00 000 0.0000 o 0000
132.00 2000 112.00 7 0000 16 0000 Fixture
14500 0.00 145.00 145.0000 1 0000 ERU
1,500.00 000 1,500.00 1,500.0000 1.0000 ERU
300 00 300 00 0.00 o 0000 0.0000
4000 4000 000 0.0000 0.0000
757 50 000 757 50 750 0000 1 0100 Peak PM Trip
5000 5000 000 o 0000 o 0000
450 450 000 0.0000 0.0000
5,41700 000 5,41700 5,4170000 1 0000 ERU
$10,097.01
LOT 1
EVERGREEN STATE BUILDERS
YELM TERRA
15857 YELM TERRA WAY SOUTHEAST
YELM, WA
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R/o.,f I../A';''' STREET LIGHT
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YELM TERRA WAY SE """
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WATER LTNE- - --
SEWER LINE ~--
SIDEWALK
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CURB
c-( 105th AVE.SE.
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~~~[;;~~~~~;H;~....--=-~=-- ~ppRrr"~?_.___ @
Resulenti>! Desrgn,lnc.
@ 2004 CASCADE RESIDENTIAL DESIGN, INC
SCALE I' = 30'
THIS DRAWINC IS 8ASED ON ClIENT-PROVIOED INfORMATION REPRESENTED TO BE ACCURATE
AND REUABlC ANY DISCREPANCIES 8ETWEEN THIS DRAWING AND THE ACTUAL SITE CONDITIONS
ARE TH[ SOLE R[SPONSIBllITY Of THE CLIENT
P"'jecl Ad_.4)::Z ~ ?Z-a'~ ~11;1;1 ~J -~ ///$ ~~- f"
SUbdlvlaJnn;te!~Ij-1!(L~ lnl#J_ lonMg;,,~~ -f(~':fro ~
'~ew r..onstrucllun U Re-Modall Rs-Hoof! Addi~on u Home OcclJpstit1" Sign .;7 &-
u Plumbing IJ Mechanical l J Mobile IlVionufoctul'oo Home Phlt.-ement u Olhttr '"~ <d
Project D88crjptlo'lJ~;OOpe of work:.~~.!::1J4}-te. " .f;:IA'{1 , ('1-- f!f!;., l~dM.ll.~; L_~_ 0"
Project Value:~-.Ly:. 900
~"----'----- . ...................
Building Area (sit 1\) 19!Floor&:7'7 2"(lFlootL~7c.: Gl!lraga Q~.:2: Deck /6C/.
al:uj(~ment Carport PatIo
# Bedrooms__'i. # Bl'ithroolYls..s3. H081111@THER or ELE~'~R'C (Circle One}
At'S there any DrlVltOtll't'10l1tal/y lll6hSitivli BrealillocQtad on the parcel? ~"____ If Ylilli. a
compltfled anv,rohrYlun,al checklis! must accompany prmnit application
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Buiihll'lG O~E.FfI,!AME::1:~~~-/~~&~_~.l?~~S~-// f
ADDRESS _~,:1JSj,:;'L:..:..L'f2t'Z:....~t \ . .,' (., I ... EMAil L''-.f
erN ~4~~~~TAJ]..~_lIP~ -rnJ':PHONE "~"~'~"M
r ~HrrEC1IENG"~i~ER7'YL~a'E.l~.et'~ICENSE #-=- ,-
ADORESS~'::.0~;~~1 ~EMAltti~~_ __
clrv~l?(~~~STAjE~I!~ZiPI~~~~~EPHON~2Z53.2 "211'!l::iJI:1.t:L
GtNERAl. CONTR'C'TOR. ,')I:tIII{(,t/ii.~7fi7li~ilr rELEPHONE===-=--'--~-"==,,~-
MlORESS._____..._..__...._.._.___________EMIUL -- ',I : ~~~ ]
g~~,s.~~~,~lg~~~~:~~mExFi?A~~if(i]Trvu6EN~iri~ . ::. ,
.PLUMBING C9l'in~~-OR=&g.~ hliiPJtiii;tl.f~LIEPH.-ONE~:.':r77~'J
AD[)~S/~i- !._- ~.~ t:?;.7r...--~:2E:._.._EMAil .~-.~~_~~-
crrv_i.tJlfiYl7 ~STATE~_lJP~' ,r..__Ft\X....;Z~~0~::_9),. ~.~_
CONTRACTOR'S J"ICENSE #_~ .__.._'_ M'" t:::XP DATE__crrv LICENSE #~___
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MECHANICAL COf\i1'RACTOR~Mtl~7 _.niEPHo~;::t.7~J~ -J
ADDRESSJ3"~~~~~__.__.____EMAll. .-._______,_.~___
CITY.g~:", ~._._._srATE.~A' .._lIP .dLzr .FAX____.__________
CONTRACT~~'S !!~:~~ #L~~"" tt.~r= EXP OA TE".._...Crr!.~IC~~~fL~~~. '==n=_
ptI4I> 4"'''''''J
Copy of rrliti~lation agrillSr\'l(,mt wiih Vl:llm C{jI'l'Ir'rlurlify Sehools, if applieBbl1:)
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I IIt1Mby l:ertlfy lhl:ll UIII "'1101111 InjurmlaUo~1 lIS l~l:lI'rllC~ ~md tho! Ut" \;(J1~5i.ru,~~IUt1 UIl, und Ihu O~llupl!l'my Dnd tllll use ..r the
abo\!.. described plfIPfjr'ly will btlln !llll.l~mbm()fl with the IIIWIl, WillI! lamJ ullJl'JlllU~n8 uf tll" 8'lule of WllshlllUllll1 and 1he
City tJl Vein!.
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AppUt::ard'. SiGnatlJlJ.,"'~'''__''''-'-'--. De
Ownel' / Co"trllcto"(~~~!!J!J Contractor'w Agont (Ptullle Cllin~11 one.)
All permit. are non-trrar'lsferilbie and wUJ o>><<plrtl if wurk I!mtho~b~f)d by such permit II not begun
wlttdn 180 days of illllgUI!U'lt8, ot' if work il $u!!lp9ndDd 01' abandoned ftn a period of 180 dQiys
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10,6 y"i;'; AUf/nUll Wlllii (:J60) 41iIJ.alNJ6
1*0 8u~ ""9 (38/J) o/tl8-3144 FAX
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