BLD-05-0227
CI1"'f OF '(ELM _ BUILOING OEP ARTMENT
RESIOENTIAL CERTIFICATE OF OCCUPANC'(
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6ui\ding ~ddresS
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p\an Number ~
owner Name
owner ,b..ddress
6Ui\ding permit Number
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6LO-05-0217 -'t'L
RemarKS.
,b..reas \nspected
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oate
specia\ conditions
6ui\ding officiat
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.his suucture is in compliance wilh lhe Inlernallonal Residenlial Code (Chaplel
5\-5\ IN"C) as adopled bY lhe washlnglon Stale au.ldln9 Code counc'l pUTSuanl
10 ChapleTS \9.27 and 7092 RCW, eflecti.e JUW \, 2004
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CITY OF YELJ\1INSPECTION LOG
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-:;?iJ;'1 YELM SEWER DEPT
FAX NO 360-458-0166
Dee ({18 2005 10 02AM Pi
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FAX TRANSMISSION
CITY OF YEL!\1
P.O, BOX 479 - 931 NP ROAD NE
YELM, W A 98597
360~458~8411
FAX 360-458-8166
DATE; ):).- Y--O)
TO:
FAX#:
PAGES: I , Including this
Cover sheet
From: ~n.AJOY ..
Subject. H (H-l5E F IfJAL S
0~-'64J~(O()
)t.4 -ST. N.E
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COMMENTS: d-.Dl
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~/.*, if you do not receIve all copIes or ~nY copy s not legible, please cell (360) 458-8411
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-05-0227 - YL
Issue Date. 07/21/2005
(Work must be started within 180 days)
Receipt No
37395
Applicant:
Name. PAR Homes
Phone.
253-535-6504
Address. 10749 South A St.
City' Tacoma
State. WA Zip 98444
Prop~rty Information:
Site Address. 16302 Vancil Ct. SE
Assessor Parcel No
Subdivision. Timber Estates
Lot: 3
Contractor Information:
Name. PAR Homes
Contact: , Craig
City' Tacoma
Phone: 253-535-6504
Address 10749 South A St.
State. WA Zip 98444
Contractor License No. PARHOI*972PT
Expires. 03/07/0766
Business License.
Projec:tlnfonnCltion:
Project: Timber Estates Lot 1
Description of Work: Plan M2590A2F-11
Sq. Ft. per floor' (1 st) 1174 (2nd) 1418 (3rd) 0 Garage 609 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 1,775.51 993 75 781 76 5 6000 139 6000 $1,000
Building Plan Review 1,15408 000 000 o 0000 o 0000
Mechanical Permit 78.25 000 000 o 0000 o 0000
Plumbing Permit 132.00 2000 112.00 7 0000 16.0000 Fixture
Sewer ERU 5,41700 000 5,41700 5,417 0000 1 0000 ERU
Sewer Inspection 14500 000 145.00 145 0000 1 0000 ERU
Water ERU 1,50000 000 1,500.00 1,500.0000 1 0000 ERU
Water Meter (SFD) 300 00 300 00 000 0.0000 o 0000
Water Deposit 4000 4000 000 0.0000 o 0000
Traffic Facilities Charge 757 50 000 757.50 7500000 1 0100 Peak PM Trip
Sewer Deposit 5000 5000 000 o 0000 0.0000
State Building Fee 4.50 450 000 o 0000 o 0000
TOTAL FEES $11,353.84
AppllC:Clnt'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
'eg;,!e,,' ;'C&!'!~~'h~9~?~-
. ~ -?
Signature : ~
\fyt R- H 0 It/L. 'C C;
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# Sets of Prints.
Date
7b/ro)
I I
Final Inspection:
Date: I A-S - <:>,j"
By' -J,f(,
Firm
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PAID
JUL 2 0 2005
CITY OF YELM
Permit Fees Schedule
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:
Name. PAR Homes
Address. 10749 South A 51.
Project Information:
Project: Timber Estates Lot 1
Description of Work: Plan M2590A2F-11
Site Address. 16302 Vancil C1. 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 032 001-322-10-00
Sewer ERU 802412-343-50-01
Sewer Inspection 805412-343-80-00
Water ERU 712401-343-80-01
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
TOTAL FEES
Permit No BLD-05-0227-YL
Phone
253-535-6504
City' Tacoma
State. WA Zip 98444
Assessor Parcel No
Item Fee Base Amt Unit Fee Unit Rate No Units Unit Desc
-------------
1 77551 99375 781 76 5 6000 139 6000 $1 000
1 154 08 000 000 o 0000 o 0000
78.25 000 000 o 0000 o 0000
132.00 2000 11200 7 0000 16 0000 Fixture
5 417 00 000 541700 5,417 0000 1 0000 ERU
145 00 000 14500 145 0000 1 0000 ERU
1 500 00 000 1 500 00 1 500 0000 1 0000 ERU
300 00 300 00 000 0.0000 o 0000
4000 4000 000 o 0000 o 0000
75750 000 757 50 750 0000 1 0100 Peak PM Trip
5000 5000 000 o 0000 o 0000
450 450 000 o 0000 o 0000
$11.353.84
RECEIPT No 37395
RECEI\h~P.LJEi;EN THOU:':'AND THF\EE HUNDRED FIFTY THREE [JOLLAPS C:( 24 CENT.3
RECEIVED FROM
PAR T-{O r~[E S
DATE REC. NO
07/=:11.35 37395
REF NO
AMOUNT
SITE 1(-)::'(1:' VFlNCIL CT 'E
BLD-05-"02~7-YL
10749 SOUTH A S'l'
TArOMA WA 98444 BUDGETARY
11,353 P4 CHEer
7863
llICHELLE
BLDfliT1775 Sl, BLrPLlUI lL54 (1::, liECii 7: .2S FLPtIT13':: "11,1,3E\:1 EFiU5417 SE\HNSP145
\'j T PER U 1 5 ~ 0 (2) \'1 T F' liE T ::; J"1 > i'l T P D E F 4 ') T F' A F 7 5 7 50, S E \'1 D E P '} 0 ,'3 T B L D FEE 4 50
Yelm School Distrlct
ATTN SUSAN CROY
PO BOX 476
YELM, \'JA 98597
360-458-1900
Sold to 16867
PAR HOMES
PAR HOt~ES
HOMES PAR
10749 S A ST, UNIT A
TACOMA \IJA 98444
~ 5985
Reg ~1
09 06/03/05
SalesPerson SUSAN
Item ~ 2900/MITIGATION
MITIGATION/CAPITAL PROJECTS
1 g 15,399 00 15,399 00
CK ~7753 FOR 05-003 AND 04-011A-YL - TIM
BER
Item ~ 2900/MITIGATION
MITIGATION/CAPITAL PROJECTS
1 ~ 0 00 0.00
ESTATES FOR ALL 9 LOTS $1711.00 EACH
SubTotal
15,399 00
Total Due
Check
1S,399 00
15,399 00
Thank you
PLEASE KEEP THIS RECEIPTI I I
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CITY OF YELM
r~IDENTIAL BUILDING PERMIT APPLlC<=)N FORM
Project Address.l "3 'Oi. vtC ... ( c +, 5 eparcel #. .,2 _~ ~ () / Y CJ 7 t:J <SJ
Subdivision /,' { G < fQJre.S Lot #. . S Zoning; R, e .s' ,.
;i New Construction U Re-Model/ Re-Roof / Addition U Home Occupation Sign
U Plumbing U Mechanical U Mobile / Manufactured Home Placement U Other
Project Description/Scope of Work: ;1,) -? W ~ ~ 5 ~ & -(At e
Project Value. ;L to (0/ DlJ ()
/
Building Area (sq. ft) 1st Floor t I 7'f 2nd Floor / l/I{l Garage fa 00/
Basement Carport Patio
tI '--~
# Bedrooms~ # Bathrooms~.5 Heating:(~S!..v' HER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? ,All() If yes, a
completed environmental checklist must accompany permit application
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BUILDING OWNER NAME.
ADD~S O.
CITY .0.
ARCHITECT/ENGINEER
ADDRESS
CITY STATE
LICENSE #
EMAIL
TELEPHONE
ZIP
GENERAL CONTRACTOR
ADDR~S /07l1Q > . -
Crr,,! h...~ 0-_ STATE
CONTRACTOR'S LICENSE #
LEPHONE
Copy of mitigation agreement with Yelm Community Schools, if applicable.
I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the
above described property will be in accordance with the laws, rules and regulations of the State of Washington and the
C.yoty.,m.. / / _
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Applic I', Signalur. D~ . /
Owne / Contractor / Owner's Agent / Contractor's Agent (Please circle one.)
All permits are non-transferable and will expire if work authorized by such permit is not begun
within 180 days of issuance, or if work is suspended or abandoned for a period of 180 days
105 Yelm Avenue West
PO Box 479
Yelm, WA 98597
(360) 458-3835
(360) 458-3144 FAX
www.ci.yelm.wa.U8