BLD-05-0219
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Cli'f Of '{ELNI- 6UILOI~G OEP~RiNlE~i
RESIOE~il~L CERilfIC~iE Of OCCUP~~C'{
Building Address
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plan Number
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owner Name
Owner Address
Building permit Number
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Areas Inspected
s?ecial conditions
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RemarKS
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A,II Code reQuired
Building Official'.
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. . I lelnational Residential code (Chap\ef
ihiS sUuctU'" is in complIance -::t:e; Slate BuildIng Code Council pUlSuanl
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to Chapters \. a.. I
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'y'El_~1 SEI,IEP DEPT
FAX#:
mx NO 350-458-H156
N~' 29 2005 03 35PM Pi
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FAX TRANS'MISSION
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CITY OF YELM
P.O. BOX 479 - 931 NP ROAD NE
YELM, W A 98597
360-458-84Il
FAX 360-458~8 166
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DATE: JI-d.:r-O~
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PAGES: I , including this
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as soon as possIble.
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CITY OF YELt\1INSPECTION LOG
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PROJECT
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PERMIT NUMBER
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City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Permit No
BLD-05-0219-YL
Issue Date 07/19/2005
(Work must be started within 180 days)
Receipt No
37376
Applicant:
Name Landshapes NW, Inc.
Phone.
253.537.6370
Address 1151 E 112th Street
City' Tacoma
State. WA Zip 98445
Pr~p~.rty InforrnCition:
Site Address. 16205 Birkland St. SE
Assessor Parcel No 32660000600
Subdivision. Autumn Hill, phase II
Lot: 6
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
Proj~c:tll}formation:
Project: Autumn Hill, phase II
Description of Work: 1830 sf SFR, Lot 6
Sq. Ft. per floor' (1 st) 894
(2nd) 936
(3rd) 0
Garage 538
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 1,39919 993.75 405 44 5 6000 72.4000 $1.000
Building Plan Review 90947 0.00 000 o 0000 o 0000
Mechanical Permit 78.25 000 0.00 o 0000 o 0000
Plumbing Permit 111 00 2000 9100 7 0000 13.0000 Fixture
Sewer ERU 5 417 00 0.00 5,41700 5,4170000 1 0000 ERU
Sewer Inspection 14500 0.00 145.00 145.0000 1 0000 ERU
Water ERU 1,500.00 000 1,500 00 1,5000000 1 0000 ERU
Water Meter (SFD) 300 00 300 00 000 o 0000 o 0000
Water Deposit 4000 40.00 000 o 0000 o 0000
Traffic Facilities Charge 757 50 000 757.50 750.0000 1 0100 Peak PM Trip
Sewer Deposit 50.00 5000 000 o 0000 o 0000
State Building Fee 450 4.50 000 o 0000 0.0000
TOTAL FEES $10,711.91
Applicant's AffadCiyit:
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 re trier ns of record If applyi as a contrac r, I futher certify that I am currently
registered in the tat f W s gton
# Sets of Prints:
Final. Inspection:
s
Date:
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Applicant:
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Permit Fees Schedule
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Name. Landshapes NW, Inc.
Address. 1151 E 112th Street
Project Informati<.ln:
Project: Autumn Hill, phase II
Description of Work: 1830 sf SFR
Site Address. 16205 Birkland St. SE
Fees.
Item Acct Code
Building Permit 100-500k 032001-322-10-00
Building Plan Review 100 001-345-83-00
Mechanical Permit 032001-322-10-00
Plumbing Permit 032001-322-10-00
Sewer ERU 802412-343-50-01
Sewer Inspection 805 412-343-80-00
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-05-0219- YL
Phone.
253.537.6370
City' Tacoma
State. WA Zip 98445
Assessor Parcel No. 32660000600
Item Fee Base Amt Unit Fee Unit Rate No Units Unit Desc
-------------
1,39919 993.75 405 44 5 6000 72.4000 $1,000
90947 000 000 o 0000 o 0000
78.25 0.00 000 0.0000 0.0000
111 00 20.00 9100 7 0000 13 0000 Fixture
5,417 00 000 5,41700 5,4170000 1 0000 ERU
145.00 000 145.00 145.0000 1 0000 ERU
1,50000 0.00 1,50000 1 500 0000 1, 0000 ERU
300 00 300 00 000 o 0000 o 0000
40.00 4000 000 o 0000 o 0000
757 50 000 757 50 7500000 1 0100 Peak PM Trip
50.00 5000 0.00 0.0000 o 0000
450 450 000 o 0000 o 0000
$10,711.91
HITE BACKGROUND';:>1~f;\!l'y;;~li":$Jit~"1. >- ."{,
RECEIPT No.3 7 3 7 6
RE€E~N THOUSAND SEVEN HUNDRED ELEVEN DOLLARS & 91
RECEIVED FROM
LANDSHAPES NW INC
1151 E 112TH STREET
TACOMA. WA 98445
253-537-6370
SITE 16205 BIRKLAND ST SE
DATE
07/19/05
REF NO.
2476
BUDGETARY
DIANA
,SEWINS145
WAT ERU 1500, WAT MET 300, CONS DEP 90, TRAF 757.50, BLD FEE 4.50
RECEIPT No.3 7 3 7 7
R5CE*~N THOUSAND FOUR HUNDRED ELEVEN DOLLARS & 83 CENTS
RECEIVED FROM
LANDSHAPES NW INC
1151 E 112TH STREET
TACOMA, WA 98445
253-537-6370
SITE 16223 BIRKLAND ST SE
DATE REC. NO.
07/19/05 37377
AMOUNT
10.411.83 CHECK
REF NO.
2476
BUDGETARY
DIANA
.99,PLN REV 802 09, MECH 71.75,PLM 90, SEW ERU 5417,SEWINS145
WAT ERU1500, WAT MET 300, CONS DEP 90,TRAF 757.50,BLD FEE 4.50
RECEIPT No.3 7 3 7 8
RECEt~N THOUSAND TWO HUNDRED FIFTY FIVE DOLLARS & 67 CENTS
RECEIVED FROM
LAND SHAPES NW INC
1151 E 112ST ST
TACOMA. WA 98445
SITE: 16217 BIRKLAND
BLD-05-0221-YL
DATE REC. NO.
07/19/05 37378
AMOUNT
10.255.67
~
REF NO
2476
BUDGETARY
ST SE
DIANA
T71.75, PLMBPRMT90.S/ERU5417, S/INS14
W/ERU1500. W/MTR300, W/DEP40, TRAFF757.50, S/DEP50,STFEE4.50,
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YELM COMMUNITY SCHOOLS
LOCAL RECEIPT DATE -, /; 'i /:)~ 19
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Receivedfrom LA-/Vo.::.f.... t.S N~r-l( -I- T c .
25548
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AMOUNT
161 VZ u
CASH CHECK
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