BLD-05-0226
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Building ;..ddress
owner Name
owner ;"ddress
Building permit Number
RemarKs
;..reas Inspected
special conditions
Building OHicial
CII'{ Of 'fELI'JI - BUILDING DEPARTI'JIENT
RESIDENTIAL CERTifiCATE Of OCCUPANC'f
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plan Number
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Tnis slruclure is in compliance ..iln Ine !nlernalionaIHesidentia! code (cnaplel
51-51 WP.C) as ado pled bY Ine wasnington Slale BUIldIng Code CounCil pUTSuanl
10 coapleTS 19.27 and 7092 RCW, effeclWe JU!Y 1,2004
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FROM YELM SEWER DEPT
FAX NO 360-458-8166
Feb. 21 2006 02 31PM 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
TO: &Y2ncHE!0
DATE: ~ -.;2.1 - 0 ~
FAX#:
PAGES: I, including this
Cover sheet
From. RAND Y
Subject: H D U S ~ F I ,0 A-L} vi IL-( m t1J )..I) L-L- ]I:.
COMMENTS: JoT ;Z ) b d-d. '1 /5) R-c.I<'-Ul.AJ(J 5~E.
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** If you do not teceive all copies or any copy is not legible, please call (360) 458-8411
as soon as possIble.
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CITY OF YELy\1INSPECTION LOG
PROJECT
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PER..\1IT NU!\1BER
IJ-cAL J~
Of",.- 0 ~
:~DDRESS
l (, Z- 2-'1 a,r Jc I~ Sr SE
SET BACl\S D:lle FOOTP.\:G WALL
Front 3/ ~ 12" CJ 6"'
) Rear '7f; Z16 ~8"
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SdeFbrlmg .'\ - J other o other
3~ I()~\ SIde U<--) --- n required \ ents
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FOOTI'\G REB.\R D:ne \\' .\LL REB.\R
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CO\ 1131;\ ED FRA \lEI E\. TERIOR SH E -\R \\ .\LL I\SPECTI O~
Hold downs :J, ~ j",,-Sheal ~aJ!mg =
Flame d, <~Jb'6 ,} < ' "J'- Gas Propane ;6" aI..- ,4..,
PlumbIng :J ~"f/1~/' \1ech:mlc::::l J I
Comments b\t(\1:' I #~ J\" I,) ho
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I'\SlL.\T10, 1G3S JElectrlc n Other
7 F03m and Seal ::::! \'::::j:'or b3rner J P\'.\
CommenlS ~'-- 10 J1u-/
SHEET ROC}'U~HEAR \Z.\LL '\ L
CommenlS ~ltp)L '
OTHER Comments
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)6 .\ddress
Comments It ~/lrt
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City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Permit No
BLD-05-0226-YL
Issue Date 07/26/2005
(Work must be started within 180 days)
Receipt No
37542
Applicant:
Name. Landshapes NW, Inc.
Phone:
253.537.6370
Address. 1151 E 112th Street
City' Tacoma
State: WA Zip 98445
Property Information:
Site Address. 16229 Birkland St. SE
Assessor Parcel No 32660000200
Subdivision. Autumn Hill, phase II
Lot: 2
Contractor Information:
Name: Landshapes NW
Contact: Lubbesmeyer, John
City' Tacoma
Phone: 253-537-6370
Address. 1151 East 112th Street
State. WA Zip. 98445
Contractor License No. LANDSN1965MT
Expires. 08/13/06225
Business License: 1673.0
Project Information.
Project: Autumn Hill, phase II
Description of Work: 2122 SFR, Lot 2
Sq. Ft. per floor' (1 st) 656 (2nd) 1462 (3rd) 0 Garage 654 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 1,639.99 993.75 646.24 5.6000 115.4000 $1 000
Building Plan Review 692.89 0.00 000 o 0000 0.0000
Mechanical Permit 78.25 000 000 o 0000 0.0000
Plumbing Permit 12500 20.00 105 00 7 0000 15.0000 Fixture
Sewer ERU 5,41700 0.00 5,41700 5,4170000 1 0000 ERU
Sewer Inspection 14500 0.00 14500 145 0000 1 0000 ERU
Water ERU 1,50000 0.00 1,500.00 1,5000000 1 0000 ERU
Water Meter (SFD) 300 00 300.00 000 0.0000 0.0000
Water Deposit 4000 40.00 0.00 0.0000 0.0000
Traffic Facilities Charge 757.50 000 757.50 750.0000 1 0100 Peak PM Trip
Sewer Deposit 5000 50.00 0.00 0.0000 0.0000
State Building Fee 450 450 0.00 0.0000 0.0000
TOTAL FEES $10,750.13
AppR~ant'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 re trictions of record. If ap lying as a contractor, I futher certify that I am currently
registered in th ta of Wa in
OFFICIAL USE ONLY
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RECEIPT No.3 754. 2
DRED FIFTY DJLLAPS & 13 CENT3
DATE
REC NO
AMOUNT
REF NO
2492
07/26 05 3754=
10, 75~), 13 CHECK
BUI)C;ETAfJ'{
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Yelm School DIstrict
ATTN SUSAN CROY
PO BOX 476
YELM, \vA 98597
360-458-1900
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Sold to 16964
LANDSHAPES NORTH WEST INC
LANDSHAPES
WEST INC LANDSHAPES NORTH
1151 E 112TH ST
TACOMA vJA 98445
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# 6245 13 07/26/05
Reg #1 SclesPerson SUSAN
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Item # 2950/MITIGATION
MITIGATION/CAPITAL PROJECTS
1 @ 8,560 00 8,560 00
CK #2491 FOR AUTUMN HILL 2 05-010 LOTS 1
,2,5.7
SubTotal
8,560 00
Total Due
Check
8,560 00
8,560 00
Thank you
PLEASE ~EEr THIS RECEIPTI! I
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Ii\lllluUnwesf" ~ me c. 1151 East 112th Street - Tacoma, WA 98445
Office 253537-6370 - Fax 253537-9163
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To Whom It May concern.
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InfiltratIOn as desIgned on the engmeered plat shall be located m the rear yard of each lot
fd
~smeyer
PresIdent
o CITY OF YElM C?...I.
RESIDENTIAL BUILDING PERMIT~~~eU .
Project Addr~ss t D t I' ..' .,._ J st SEparc~t'fl' ~~DG i ()()
Subdivision ~\ \Jl\A n WI III II.1I Lot #. 2. Zoning;
J~t' New Construction 0 Re-Model/ Re-Roof / Addition 0 Home Occupation Sign
o Plumbing 0 Mechanical 0 Mobile / Manufactured Home Placement 0 Other
Project Description/Scope of Work.
C:")\\V\\c~~ t(\l')~\ \i.J
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Project Value.
1st Floor~- 2nd Floor GarageUJ6l1 Deck i ~~
Basement_W5J.a_Carport Patio
# Bathrooms_3 Heating @THERorELECTRIC (Circle One)
Building Area (sq. fl)
# Bedrooms 4
Are there any environmentally sensitive areas located on the parcel?
completed environmental checklist must accompany permit application.
If yes, a
BUILDING OWNER NAME
ADDRESS \ \'~\ 'c-: \ r:Lh~ <:,::::;-r
CITY'THC')j'n(\ STATE i/\/A zIPq\.hL\Li~)
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EMAIL
TELEPHONE nt ? j~:'- :"J-f 'c)'::? -8 .'~\
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LICENSE #
EMAIL
TELEPHONE 2,<;;3>/1..#75 -\;),,! )2
;~~~~~~~~~T1~~T\V2_ \'1-, 5 r ~~~EHONE 1~Y~/'~3-'I-( r?~YIO
CITY TRl l)f)Hi STATE.hffl ZIP {1\~~Li~~ FAX 2"Y31 ~:)~~l'- q Up~3
CONTRACTOR'S LICENSE # 1... ~. . ( "lrjEXP DATE CITY LICENSE #
PLUMBINGCONTRACI0R .2{ ft:.~)S (\'. . l n\~'\lliELEPHONE"2!)-~, ~)L -.3'
ADDRESSPO i~})( ~2.5~~) ~MAIL
CITYC~~t,{f\Hfinl STATE \'\If~ ZIPCi'?>3?>"0 FAX
CONTRACTOR'S LICENSE #PROf-{]>SOC'-,'Oi}{) EXP DATE CITY LICENSE #
MECHANICt\LQ~NTRACYOR j"\i\\'it;E': \iEiFII\I(-1 TELEPHONE' :,:> ql'l.-qi)f\~i
ADDRESS 2\) 7':.Xp 2:,.;r1l f\\1 E E: EMAIL
CITY':A'l\\,\J\VvF\:'/ STATE \I\fl\ ZIP CW)';)'?,ll FAX 'l~):~J ~~)'-il- '2.r-JI~:)
CONTRACTOR'S LICENSE # R\\hlA IJ)H:'W'H';l.. EXP DATE dTY LICENSE #
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 Lise of the
above described property will be in accordance with the laws, rules and reguiations of the State of Washington and the
Cit e.
7/13/D5
Applicant's Signa ure Date' ,
Owner I Contractor I Owner's gent I Contractor's Agent (Please circle one.)
All permits are non-transferable and wm expire if work authorized by sUlch permit is not begun
within 1 SO days of issuance, 101" if work is suspended or abandlOned for a period of 180 days
105 Yelm Avenue West
PO Box 479
Yelm, WA 98597
(360) 458-38,15
(360) 458-3144 FAX
www.ci.yelm.wa.us
n
PIERCB COUNTY
DEVELOPMENT CENTER
t.J\~\~(fJt\A~)P.5 "'CRT ~H\!t;Sr ApplIcatiOn No
PLEASE COMPLETE THE FOLLOWING:
Q2 WA. STATE ENERGY
CODE INFORMATION
Date
Glazmg area calculatIOn. \'2 4 Heat system SIZIng calculatIOn 421311 0
Qj.J)0 A -;- '2 H~ sf = % '21./8_x 20 = btu's
- I
Window area -;- Heated floor area = % of glazmg Heated floor area x btu per sq ft. = total system output
Refer to the table below to determine your compliance path. Divide the system output by the equipment efficiency rating to detennine
the total Btu mout allowed.
JOB TYPE. OCCUPANCY COMPLIANCE PATH. HEAT SYSTEM SIZE.
.1><rNew MSmgle Family J><(preCQ)tive Ch. 6 (circle one) ~ Btu input rj2.~f5()
[ ] Remodel [ ] Multi-family I I II III fficiency ratmg 4hO %
[ ] Addition [ ] Component Performance Ch. 5 [ ] WATTS
[ ] System analysis Ch.4 HSPF ratmg
FUEL TYPE. REA T TYPE ELEC UTILITY PROVIDER.
[ ] ElectriC D4Forced Air Furnace [ ] Tacoma City Light
J>4Nat. Gas [ ] Heat Pump [ ] Puget Sound Energy
[ ] Propane [ ] Radiant Heat System (baseboard, wall cadet [ ] Pemnsula Power
[ ] 011, wood [ ] Hydronics system ~"'Other
[ ] Gas or Wood Stove
VENTlLATION INDOOR AIR QUALITY (VIAQ) INFORMATION (check one)
VentilatIOn OptiOn. [ ]A [ ]B 1><1, C [ ]D [ ] AAHX
System Size' 100 din 00 Intermittently operating [ ] Contmuous operatmg
PRESCRIPTIVE REQUIREMENTSO,1 FOR GROUP R OCCUPANCY
CLIMATE ZONE 1- ALL FUEL TYPES
Option Glazing Glazing V-factor Door 9 Ceiling:! Vaulted WillI ... _..4 Wall,ext, 4 Floor 5 Slab
WaH;int
Area 10 D.valiJe ceiling 3 Above'!:! -belOw below.grade ..4
on.
%off]oor grade grade grade
Vertical Overhead
1. 12% 0:35 058 0:20 R.38 R~30 R.lS R':15 R40 Rc30 R40
11.* 1'5% 040 058 020 R-38 R-30 R<n R.21 R-'TO R-30 R-IO
IlL Unlimited 0.40 0.58 020 Rc38 R-30 Rc21 R"21 ReID R.30 Ref 0
GtolljJRc3
0scupancy
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· Reference Case
o Nominal R-values are for wood frame assemblies only or assemblies built in accordance with Section 601 I
I Minimum requirements for each option listed. For example, if a proposed design has a glazing ratio to the conditioned floor area of 13%, it shall comply with all
of the requ irements of the I 5% glazing option (or higher). Proposed designs which cannot meet the specific requirements of a listed option above may calculate
compliance by Chapters 4 or 5 of the W.S.E.C
2. Requirement applies to all ceilings except single rafter or joist vaulted ceilings.
3 Requirement applicable to oilly to single rafter or joist vaulted ceilings.
4 Belowgrade walls shall be insulated either on the eJo."lerior toa minimum level ofR-JO or on the interior to the same level as walls above grade. Exterior
mSUla!lOn mstalled on below grade walls shall be a water reSJstant material, manufactured for its intended use, and installed according to the manufacturers
specltlcatlOllS.
5 Floors over crawl spaces Or exposed to ambient air conditions.
6. Required slab perimeter insulation shall be a water resistant material, manufacftured for its intended use, and installed according to manufacturer's specifications.
7 Int denotes standard framing 16 inches on center with headers insulated with a minimum ofR-5 insulation.
9 Doors, including al fife doors, shall be assigned default U-factors from Table JO-6C
10. Where a maximum glazing area is listed, the total glazing area (combined vertical plus overhead) as a percent of gross conditioned floor area shall be less than or
equal to that value. Overhead glazing with aU-factor ofU=O 40 Or less is not included in glazing area limitations.
II Overhead glazing shall have U-factors determined in accordance witb NFRC 100 or as specified in Section 502.1.5
12. Log and solid timber walls with a minimum average log thickness of35 inches are exempt from this insulation requirement.
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After recordill~ return to:
Yelm Community Schools Dlstnct No.2
P O. Box 476
Yelm, W A 98597
Ann: Erling M. Birldand
MITiGATION AGREEMENT
Reference No;
Autumn Hill. SUB~04-0036- YL, Yelm, W A
Grsntor:
John Lubbesmeycr
Landshlllpe5 Northwest, Inc.
1151 E. lI2'h, Tacoma. WA 98445
Gr8i\11tee:
Yelm Community Schools District No.2
Legal Deseription:
A 30-17-2E S2 NE NW SE LESS RD
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AsKSSOl!"'S Property Tall Parcel NumberJAccOImt Number: ~73*2Q.IOO .:2,17 J '
THIS MITIGATION AGREEMENT ("Agreement") is made this:r1~ fYlAV ,2005,
between the YELM COMMUNITY SCHOOLS DISTRICT NO 2, Yelm, Washmgton (tlle "DIstrict")
and Landshapes Norhtwest.lnc.. (the "Developer").
RECITALS
A. The Developer has submitted an application to ThurstoIi COUDty for the construction of a
24 lot subdivision "Autumn Hill II" Yelrn, Wash. (the "Project"). The Project is located Or) property that
hes within District boundaries, more particularly described on ExhibIt A. attacbed hereto and
incorporated herein by reference.
B. The State Environmental Policy Act. Chapter 43.21C RCW ("SEPA"), Juovldes
proeesses and procedures whereby major actions by SYate and local agencies, including, but not limited
10, plat or PUD approval or the issuance of building permits, may be reviewed to determine the nature
and extern of their impact on the environment Impacts on pubbc services. mc1uding schools, are
environmental impacts for the purposes of SEP A. SEP A requIreS the mitigation of adverse
envlronmen'lal impacts.
C. The District's student populatIon iUld growth projections indicate that the Project will
have an impact on the District, wben cumulative impacts of other projects are considered.
D. RCW 82.02.020 authorizes the District to enter into a voluntary agreement with the
Developer for payment to mitigate the Impact of the Developer's Project.:
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E. Pursuant to ResolutIon No. 12-16-93-05, it is me policYlofthe District to recommend that
the direct impact of development be voluntarily mitigated by the payment of fees and/or other mmgailon
measures where appropnilte.
F The Developer has agreed to mitigate, on a voluntary. basis, the adverse impact of the
Project on the District.
AGREEMENT
NOW, THEREFO~ in consideration of the above recitalii and the mutual promises and
covenants below, the District and the Developer agree as follows:
I The Developer acknowledges and agrees that there is !II direct impact on the District as a
result of the Developer's Pro jec:t and that this Agreement is necessary asI a result of that impact.
2. The Developer acknowledges and agrees thaa in order to mitigate the direct impact of the
Project, the Developer has offered to pay the DIstrict the following sum of money: Two Thousand One
Hundred Forty and 00/100 Dollars ($2140.00 for each lot in the subdivision or the total sum of Fifty One
Thousand Three Hundred Sh.1:y and no/l00 Dollars ($51,360.00) (the I'Mitigation Payment") for the 24
lots of the subdiVISion. The- amount referenced by tlllS paragraph IS subject to change pursuant to
paragraph 4 below
3 Any extension, renewal. modificatIOn or amendment !to the Project that results in an
adjustment in the number of lots shall result III II cOlTespondmg pro tala adjustment in the Mitigation
Payment.
4 The Developer agrees that the payment of the full Mitigation Payment (in the amount of
Two Thousand One Hundred Fort)' and nollOO Dollars ($2.140.00)1 per dwelling umt or Fifty One
Thousand Three Hundred Si",'t)I and nollOO Dollars ($51.360.00) for t~e project, shall be a conditIon of
building permit ISsuance for each smgle family dwelling In the projecti If building permit Issuance does
not occur within Five (5) years from the date of this Agreement, the ~ount due for mitigation. as stated
in paragraph 2 above, shall be modified to the amount reflected ill! the then most recent mitigation
agreement to which the District is a party A copy of such agreertlent shall be made available to
Developer upon request. :
5 The District agrees to record this Agreement after it h851 been executed by the parties.
6. The Developer acknowledges and agrees that the Mitigb.tion Payment is authorized to be
used for capital improvements to the following facilities: Southworth Elementary School, Mill Pond
mtermediate School. Yehn Middle School, and/or Yelm High School aild/or any oi:her facilities that may
be affected by the Project and/or the purchase of portable facilities and/or school buses.
7 The Developer agrees that the District has five (5) yearl; from the payment date to spend
tbe Mitigation Payment for the capital improvements or expenditures ~escribed in paragraph 6. In the
event thaI the Mitigation Payment is not expended within those five years, the moneys wiU be refunded
with interest at the rate applied to judgments to the property owners of record at the time of refund;
however, if the Mitigation Payment is not expended within five years due to delay which IS attributable
to the Developer, the Payment shall be refunded Without interest.
8. The Developer wa.ives and relinquishes its right to protest or challenge the payment of
the Mitigation Payment pursuant to this Agreement and hereby covena~ts and undertakes that it forever
refrains snd desists from institutmg. asserting, filing or bringing any laWSUIt, htigation. claim, or
challenge Or proceeding to challenge this Agreement, claim any repayment or reimbursement of funds,
performance or Improvements provided for therem, or any of its terms and conditions, on any ground or
basis whatsoever
9 The District hereby waives any objection to the Project as presently proposed.
10. The DiSll'ict and the Developer agree that the Mitigarion Payment will be full and
complete mitigation for me impact of the Project as presently proposed ~n the District.
II TIus Agreement shall be binding upon and inure to th!e benefit of the heirs, executors,
administrators, successors, and assigns of both of the Developer and theIDistrict:.
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12. If an action must be brought to enforce the terms of thiS Agreement, such action shall be
brought in Thurston County Superior Court. The prevailing party shall be entitled to payment of its costs
iIU1Id reasonable attorneys' fees.
13 This Agreement constitutes the entire agreement beliween the parties and any other
agreement either wrinen or oral shall be mdl and void.
EXHIBIT A
~ - LEGAL DESClUPTJON
IDi.31
Geneml Locatjon-H~94:;'. Vancil Rd.. Yelm. WA
Section 30 Township 17N Range 2E
Land .Area 5 _94 Bcres
Tax Parcel Number. 227;94:9100' ~1301 30,00 #J;
Description: Subdivision of 5.94 acres mto 24"sinl!le family building lots..
~
YELM COMMUNITY SCHOOLS DISTRICT N . 2
DATED:
s- - , 7- 0 r
Lh~ G~
STATE OF WASHINGTON )
}SS
COUNTY Of THURSTON }
By' Alan Burke
Its Superintenden,
I certifY tOat I know or have satisfactory evidence thai AJan Burke is the person who appellJ"ed
before me. and said person acknowledged that he signed this instrument, on oath stated that he was
authorized to execute the instrument and acknowledged it liS the Superintendent of the Y elm Community
Schools Distria No.2 to be the free and voluntary act of such party for the uses and purposes mentioned
.in the insuument. I.i._
GIVEN under my hand and official seal this r" day of
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o LJ In and for the State of
s mgton. residing at Ve/rY1
My Commission Expires7 b-11-Lf'>
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DATED' GjzP>
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. John Lubbesmtyer
Its t//C.tC".. Q~//J~
STATE Of WASHINGTON )
)SS
COUNTY OF THURSTON )
I certify that i know or have satisfl&C'tory evidence that Johnl Lubbesmeyer is the person who
appeared before me, omd said person acknowledged that he signed thisiinstrUmcnt. on oath sttated that he
was authonzed to execute the instrument and acknowledged it as the applicant for thIS subdivisIon to be
the free lWd vobmuvy act of such p2IIrty for the uses and Pl!iPOses mentibned in the mstrument.
GIVEN under my hand llnd officIal seal this ~ay of . 2005
N In and for the State of
ngum. ~siding at Vdry1
My Commis$~n Expires:' 10- J q -o??
TOTAL P 05
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