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BLD-05-0243 ~~~j@f@J@f@1t~~ CITY Of YELM _ BUILOING OEP ARTMENT RESIOENTIAL CERTIfICATE Of OCCUPANCY Building Address ~ RemarKs ~nS~ ~ ~ Plan Number ~ owner Name owner Address Building permit Number ~43-YL ~ ~ Areas Inspected Date special conditions Building Official ~ ihis structure is in compiiance wilh the Interna\\onalHesidentiat Code (Chapter 5\-5\ WI<C) as adopted bV the washington state aulldlng Code CouncIl pursuant to Chapters \ 9 .27 and 70 92 RCW, e<<ectlVe JulV \, 200' ~ FROM YELM SEWER DEPT FAX NO 360-458-8166 Feb. 13 2006 11 llAM Pi FAX TRANSMISSION GAR~ _ TO: &12~0 CITY OF YELM P.O. BOX 479 - 931 NP ROAD NE YELM, W A 98597 360~458-84] 1 FAX 360-458-8166 DATE: :2,""' 13 ._, bl..o FAX#: PAGES: I, including this Cover sheet From: 'KP).uD y Subject: \-10 LtSC; F \,0,.,\ L / '-! [L\'V1 IE RVi COMMENTS: LoT )~) ) 57~1 YELYh -n;r2.RA /.UAl.( <;'.~ 05-5 jCJD au ** If you do not receive all copies or any copy is not legible, please call (360) 458...8411 (\s soon as possible. CITY OF YELi\1 INSPECTION LOG C PROJECT-IJ!t1/n) /b /0 "R./kB ~f I L PE~\1IT NUMBER 0 5:- 0::>. L( 3 ';DDRESS I 5~f5 J ~/tA/[ ~A/rq ~ SC-. .~ 1J~C\)~ SET BACkS D:lte Front Rear Sdefbrllng SIde FOOTI'\G REB.\R ~ "Z{~ 1../ S"" /'~3te FOOn~G ~ 12"' o 16 Cl other 8 requIred \ ents W.\LL iJ 6"' o 8"' [J olher ~)vIt , \\' .\lL REB.\R D:i1e C 0!1~!'!1e~t~ CO\lBI:\ED fRA~lEI E~ TERIOR SHE.\R \\ .\LL I\SPECTIO~ Hold downs :J Shear ~311Ing = Fr3rne"l G3S 'Prop:me ] Plur;]bIng :J \1ech3nlc31 ] C Comments Comments ~ l G~s 7 Foam and Seal ~ ~(R. cf (.H,~ J Electnc ::::! \'3por D3ITler ~ Olher j P\' -\ I'\Sl L.\TIO"-' SHEET ROCK/SHEAR \\ .\LL '\ .\IL Commenls OTHER Comments Fl "-' .\ L u Se\\ er Fn31 :J ~dJres5 n Electnc31 :J Insul3tlon J C1\ d Final [J SIte Dr21:12ge :::J L2ndsC3re FIn31 CJ C dO 'I SJde\\31k Comments c o o City of Yelm Community Development Department Building Division Phone: (360) 458-8407 Fax: (360) 458-3144 Permit No BLD-05-0243- YL Issue Date. 08/10/2005 (Work must be started within 180 days) Receipt No 37954 Applicant: Name: Evergreen State Builders Phone: 253-475-6622 Address. POBox 39753 City' Lakewood State. WA Zip 98499 Property Inf~rmation: Site Address. 15~1 Yelm Terra Way SE Assessor Parcel No. 85840001200 Subdivision: Yelm Terra Lot: 12 Contractor Information Name. Evergreen State Builders Contact: McCullem, Tom Phone: 253-475-6622 Address. P.O Box 197 City' Lakewood State: WA Zip. 98499 Contractor License No: EVERGSB980PB Expires. 10/02/06275 Business License: 1042.0 Project InfQlTlla~ion Project: Yelm Terra Description of Work: Plan 1610 R/2B, Lot 12 Sq. Ft. per floor' (1st) 1640 (2nd) 0 (3rd) 0 Garage 470 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 1,09090 993.75 9715 5 6000 17.3490 $1,000 Building Plan Review 460,90 000 0.00 0.0000 o 0000 Mechanical Permit 7175 000 000 o 0000 0.0000 Plumbing Permit 111 00 20.00 9100 7 0000 13.0000 Fixture Sewer Inspection 145.00 0.00 145.00 145.0000 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 o 0000 0.0000 Water Deposit 4000 40.00 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 0.00 0.0000 o 0000 State Building Fee 450 4.50 000 o 0000 0.0000 SewerERU 5,41700 000 5,417 00 5,4170000 1 0000 ERU TOTAL FEES $9,948.55 Applicant'~ 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 ../ ~ - - Firm /S~ Date #-/6 -,,~ Final Inspection: Date: Z -1'1 -0 f: By' tJfII . . . a;. . . - . I ~ ':; :-~~;. ".~f.fl:~=;;:,~.i;.!~'~ '\J'';',.,,; :C.i~: ~ CITY OF ~ YELM ~ PO Box 4'9 yelm WA 98597 ~~,,,. 360-458-8403 u u RECEIPT No 37952 RECEIVED FROM DATE REC. NO AMOUNT REF NO ll: c:; .. C "i C ~ !ll .. Ci :;; IVED , ~.l 1-J _ .of ,-, _, _.:' ~\ i [. _; I ~J L T to ; ._! ~., - '\ .~1 1. E: .f f;-: _~ "r ':., c:; C ~; ;: ~ ~~ T ~-_: r~1 TJ L I.. C :: ~- -, -} I "\ ~ . C' _I ..1 j"; ~'J S __ l,.~~ '-i:)-: ,: -[ E \~ F p E:: ~J [> I ~I c; ) ! -, c:.- - i:-: Ii: - - "7.!..... J=; ~()) ._ i,-, [: ~ ~.: .1.. ; ~\ (;: a .s .., <J IX ~ it: " -, '1!- - v~ =: .:} ,~ - .:.. lJ r..,~ i.."7 -7 ~j I {ELlf T'CPPJ-~~ '1:-:..' --, ;~, ~~) "J :\ ,i \ ) '-1._ C - ..- ... ,'-; -'- -'-~.J, ... ,-' ~~~ ~.H~; IT" .:1 ::cc ~i' ....; ~_ i- t ._~T=_ ~~1;j I r F \..1 1 S ~=) ) ~ f~"",) '1 J :~ S =- r:",-::\l''''~-: -~ \;;1=:::(-1 ~'TE12~_.:. c: 1 \'1,/ "C F T :] -1 2. -., J . " HEJ>~ CITY OF 7,.. id PO Box 479 Yelm, WA 98597 ,~c..t :o~~~ RECEIPT No 37953 RECEiVED FROM DATE REC. NO AMOUNT REF NO ll.l C ... o "'iI (J ! :II ... o :::l !VEP8)i '::-' .J U.:3 n ~I C 'r H::: ~) T '{ " ~~ C _ _... L~ ::)('. {'.. ~ J. SNT~4 J=PG?JEN ~TATE 8JILDER~ \ 1 S ,_ S ")"7 :. c ~ ~, ' ~~\oJJ~)~':- il CH2~r PENDING ~~5 1 OfH 3T 3[1 #2A [i T A lJ P: J (;: cr. E .", (F, c: <.J, C <C <C '1./"':I'.JC~~;; J ;,(!\ 9~4V< ~ j[ ~~CTP\F y I-,C ~J:=--,J...:<!i-YL ri~f.~ ~S:;J? YELJI lTEPP~A. ~'l F,y ~!:j r 'I -:' !.) '/ r iT' 1 ~ .:.4 ,;:; --=-....~ f LlJ S E ~ J._ __: j.f-~ -'"--1 ;:~:If~J:. ~. .I!iEFF~tTJ..llj = i-I ! .l:- j 1.. '-:1- ~ 3 I=PLJIC}?~j 'l tfTF 2j~J} t.J D:::':' ~ 1 :'? ~ F E~ ~ S 7 l:; DE:.~'5JI sr:';::':i , ~ - J :.!EPJ54Lij PO Box 479 Yelm WA 98597 360-458-8403 RECEIPT No.3 7954 RECEIVED FROM DATE REC NO AMOUNT REF NO l>> c:: ... o "iiI (J , l>> ... o ::l IVE.D," *'1"",);' m-'c,~r'~"j,T"" ,~\, b ~ .. \j D .L~' l ,_ i lj ..,) -J. ,1.'; L 1) .1 ~,~ 2: f-U.rl.r") ~~ E [; f u P or { EIGHT OULLl\.F. S c.. r , ~ " _J _' ~ENTS fEP~~E2N STAirS 8J~-L~293 v: ~ / ZI ? J ~:; 5 J ' ') 5 "f 'j) :; 4 : _' ~~r E :' r f ENDI ,Ie ) [?[Jl -~/5'=l -\ I, E ~.\r - J G 3 \-J l.. 9:!5?) E'1)[<;STi'.1:,Y c;; a: E .I> (F 0: & c <C " ;- l~ 1-.'- C~-~J:'43--:{L -;- ,,-,..--: --L i. .1 1 ;:: - 0 J ..!... _1 -..l '...J YEL1.{ 1El>P~~ :J P,...l - .. -' "---..: [i I l\ N 4, , ,/ , , ~...:L::~ .:. ...; l.-1 F L N P E; _.~ f- ~_ IE Ht:Fr T71 7 r:; ~ , PLI1BEFI T.;.11 I t~' -: p , .1 ::; /SFLJ-::)"I j 1.f'YF .J~}(~-, , ,~c _L r;I::i;~_ :- ~... - i,.) :1 ':;/[:1:=5C,:1, STFSS4 50.=Je?I541-1 YELM COMMUNITY SCHOOLS I LOCAL RECEIPT DI<TE~.~OO5' Reo""d hom ___J;.'leL~'(J!UL ~c:I1uld.~,r:S-~c-I------;'----"'- , () r _ - /uft'f> ,h, /k,/3 FOR _/'1Lt.~aLL.i&Je.e.$JtJ'L_jeJttL~_1J,}fs,~1'~S ~~ _ '----~~J~~L^RS ~~4f~ $__L3.. t,gge9- o 5 "'" ,,,df~,,,i",,'''-- o o 25556 BY~-- ~..,"~ I~ ~I ~ Applicant: o City of Yelm Community Development Department Building Division Phone: (360) 458-8407 Fax: (360) 458-3144 Name: Evergreen State Builders Address. P.O. Box 39753 Project Information: Project: Yelm Terra Description of Work: Plan 1610 R/2B , Lot 12 Site Address. 15881 Yelm Terra Way SE Fees. Item Building Permit 1 00-50 Ok 032001-322-10-00 Acct Code Building Plan Review 100001-345-83-00 Mechanical Permit 032001-322-10-00 Plumbing Permit Sewer Inspection 032001-322-10-00 Water ERU 715401-343-80-02 805 412-343-80-00 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 n PAro Permit Fees Schedule AUG 1 0 2005 CITY OF YELMJ ?;lQ'5 J City' Lakewood Phone: Permit No BLD-05-0243- YL State: WA Zip 98499 253-475-6622 Assessor Parcel No. 85840001200 Item Fee Base Amt 1,09090 993.75 460.90 0.00 7175 0.00 111 00 2000 145.00 0.00 1,500.00 000 300 00 300 00 40.00 4000 757.50 000 5000 5000 4.50 4.50 5,41700 000 $9,948.55 9715 - Unit Rate No. Units Unit Desc Unit Fee 000 56000 17.3490 $1,000 0.0000 0 0000 0.00 9100 7 0000 o 0000 0.0000 145 00 145 0000 13.0000 Fixture 1 0000 ERU 1 0000 ERU o 0000 o 0000 1 0100 Peak PM Trip o 0000 o 0000 1 0000 ERU 1,500.00 1,500 0000 000 o 0000 000 0.0000 757.50 750.0000 0.00 o 0000 000 0.0000 5,41700 5,417 0000 o o LOT 12 EVERGREEN STATE BUILDERS YELM TERRA 15881 YELM TERRA WAY SOUTHEAST YELM, WA ( ) I I I 'v-Ly' STREET LIGHT WATER LINE --------\----,1-----____,__ YELM ITAAA WA SE I SE -------- ,,' I WER L1NE~ - T ~ - - - - - -- - - -- '-""""- - - T-----=- I I I I o o N o '<t L[) I ~ . \ 8. 81 ~I ~ ml . 1'-1 . I 7 or";;: :::L 480~ DRIVEWAY 20' BSBL I --_iTl L i:o I FI~ ~ lO" ~ L[) LAN 1510R/28 I~. I~ . 15. I PATIO - -50.00' - - CURB ~ 105th A VE.sE:' -----------------------BL--------AD pt""\;. r:: i 1 . ~:~E~ L1:L~:--- -- --m----__-.=_~__~~~;./-~~iPr~ . @ 2004 CASCADE RESIDENTIAL DESIGN, INC SCALE I' = 30' 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 prOj"",Add_.;{)'~yeh_7.?m--o/ ~O.&/~ <2____ SUl1divl81on;_~ e !hL.&iJ::A:. lIll # ~ 1"""9; ",5-1l.~. -ftttltJ J '~ew r.onstrucliun ,u Re-Modell Re-Hootl Addition U Home OcclJpatitnl Silln u Plumbing IJ Mevhal1lcol lJ Mobile' ~~m\JIl'octul'ed HOMlf PloofJrYlent U Orher "p Projeot D88orjptlon"~;oope of Work: .'.?SAA1 &I it:. -ft../A't/I / 14 f!e .~-t rifc!.fll ce. I ~ ~v ---r::-j-~~"'"' ~::::.L______ ~ \.. ". Project Value: -2~? 7'S'O _._____~__ ._.._. ~o ~? Building Area (sQ lU 181 FloorL6E 2M Floor.__~._ G~reltJa ~7~ Deck , . -?'~ ~ Batiiemant CsrPtJrt.__, PatiO. Z/6u , # Bod""'m.~ # BBlh/'lJl.ll"._L H"'fl~nlER Of ELECTRIC ICircl. One) Ar'tJ there any 0~jvltotlm9l1tally !lJ~I1&itiv19 ar9!'1l1llocatad on the p!]rcel'?__.__~_ If yt:JIi, Ii completed Bi1vlrol1rrmntal checklist must accompany permIt application h?-rY..3 07/U r BUiLolI~G OWHEfrNAME~~;tL:giUtq{:,?~ ' AOD.~.S ,~,,:1JSj:;';"::,.LQ{:Z.~~.~ \.' t...~~_EMAil L\$..~~t= 'C{ly~1(.J1.~-/.. ern:: . ~_~~",,_~T.ATE~b_l!p_~~J:_n:U~:PHONE '.C~' ._ -..:,:" f, ~'. [ AR~ITECT~.G"~iER7YY~~Z&I;.zr.l~t;r~~ICE.NSE. # -=~-- . . , ~ ADDRESS ,_,::~_~~~;'~ _ . ~EMA!L~~ , CITV ~?(~:tt=_)nA rt~I~~ZIP~~~~~~EPHo~E(2Ci1.12ri:ifZ2iI:, --~-~-_."'.W~--~---~',,";;;::"""7IF:---"-'~---~--- GENERAL CONTRACTOR.~fl'!' TELEPH()I'IE.~__ -"-J ADDRESS ,...._.._..... .__...___. ___EMAIL ~_____ ~t~~~;:~~~~TYLnN8~~~ ._ [-PlliMBING Cpt!T!~~P~~~~t~blifjl~~1'f2LEPHONE~3'7=8:~'J ArJ[}~~/Jirg ~~_....:....W t::/:-..7r__~%.~p:__._EMAil 'M"_~~-:~~_ CITV ...J.a.~~IJ)?7lC..~~HA TE~_lIP :.t '(".__FAX-,~~~2~'::.9." _._.~_ CONTRACT()R'~~ I..ICENSE #_~ ,__.._"~ . .... t:::XP DATE__CITY LICENSE #_____ ........-.~..........__.._....._.~_...-...'t.l1t:i.... . ~_.....~.............................-~ .-.-.,...... .~, , ~...... -MECHANICAL CO~?i-RACTOR~.uL~~.__.'fE'LEPHoNE M3 w.L7JS::J~_ ] AOORESS~~~~~____.____~__J~MAIl. ._.____.__._._.__ CITY.&,,~~ _.__JHATE.~.4 "._lIP ~L?'L'_.FAX_____._______,,__ CONTRAC'r9R'~..!:iSEN~~ #~~~(f~_.- EXP OA TE,".,_.._C~~!..~IC~~~fL#~.,_.===_ I!9t1# "......, Copy of mitigation agresl'tlfMlt wiih Velm COl'flfl'lurllty Seh(}t)ls, if applicable ] I t.ll~by j::ortlfy Ifllll (hlf uilovtl11I.urmfitloil111I l~ltIO'llCe aild !hut IIUl! lJlm5'tr1.l'~UUt'\ un, tll\d In41 Ol:lllUplll'my Dlld Itl., UII8 6' tho ubUIl41 dftscrlbad proP<<ll1:v will billn 11lalUrdllm:e with ttlslllWIl, mlulIllInd ~~gillfutl~n8 of 111M .'bIle of Wllshlngtlln and lhe CIC)I tll Villm. -L~~ ----.- ~~- Applleard'S ~~Jrt.:_...........,--_._, Os Owner I Contructor(Qwner'lI A9!!J1i Contractor'lIl Aguo' (Ph:UUle Clin.l. one.) --_.......~ An permit. aI's non~trarllSfell'llbie *nd wUl o>>tplrll if wurk IlmU~owb:f)d by such permit III Mot begun within 180 days at il&lliltuarle8, ot if wark II $ul!lpended or ablMndnned feu a period of 180 dliys ........--'"...............-~.._...~ 10,6 YiI;; AVllmut Wfl/Jt.---~-~-'-'---~-'-_.'----"'''-'---.---~atJo} 41SIMi038 1*0801' 4'l9 (9tJtJ) >188-3144 PAX 'VI/1m, J'fA 1J6:J/J'/ WWW.tJi.yldill.WIJ.Wl