BLD-05-0211
~lffiilJ@J~l@l1@JJ@ID_~~f@]@l
CITY OF YELM - BUILDING DEPARTMENT
RESIDENTIAL CERTIFICATE OF OCCUPANCY
Building Address
15301 104th Way SE
Owner Name
Owner Address
Comfort Homes
8306 Quinalt Dr.NE
Building Permit Number
Lacey WA. 98516
B LD-05-0211- YL
Plan Number
Plan 2211/A2 Lot 1
Remarks
Areas Inspected
Special Conditions
All Code required
Building Official:
G. Carlson
Date
January 13, 2006
This structure is in compliance with the International Residential Code (Chapter
51-51 WAC) as adopted by the Washington State Building Code Council pursuant
to Chapters 1927 and 70 92 RCW, effective July 1, 2004
-@If@It~[&J~@lli@f@M~@JI~!ll~II~U@]f~I@!
r~UJh}iJ I [.~:l([~JJ@1!JITillJl~ @JJf@lj ~m@mt~J r@11~J~J@i] r@]j ~ i [Etll [rID rt~JITIWJI~J r~l
CITY OF YELM - BUILDING DEPARTMENT
RESIDENTIAL CERTIFICATE OF OCCUPANCY
Building Address
15301 1 04th Way SE
Owner Name
Owner Address
Comfort Homes
8306 Quinalt Dr.NE
Lacey WA. 98516
Building Permit Number
BLD-05-0211-YL
Plan Number
Plan 2211/A2 Lot 1
Remarks
Areas Inspected
All Code required
Special Conditions
Building Official
G. Carlson
Date
January 13, 2006
This structure is in compliance with the International Residential Code (Chapter
51-51 WAC) as adopted by the Washington State Building Code Council pursuant
to Chapters 19.27 and 70 92 RCW, effective July 1, 2004
r[!illJllilli~@Jl~lHrlJ n~r~ l@lf[~]JI~JJTIRJ 1@lJ1IT~IJ@J~J~ @pJ@lf@ [&J f@J~Jf@
CITY OF YELi\1INSPECTION LOG
o
PROJECT
t}t I /Y1 f?E
PER.."llT NU~1BER
(?r---- 0'2/1
..\DDRESS
/5';30/
/0 tj rL ~ tr/ sz;-
/
FOOn~G
r:J 12"'
rvl6"'
~ 'other
8 requIred \ ents
W.\LL
Q 6"
78"
o other
/y-
~BACh.S Date'
Front Z-t.., , ,
~ , ,?J Rear '2, . J
\:ftf\fV\l/ Side Fbrlmg J-(
~ fir' Side S
FOOTI'G REB\R
D2te
\\' \LL REB\R
D3.te
Co!"!:!"!:e!:!s
CO\lBl:'\ ED FRA \lEI L\. TERlOR SHEAR \\ .\LL I\SrECTIO~
'- b Hold downs :J Shear NailIng =
~y; "'" Frame -, Gas Propane ]
~VI Plur.IOlnl! ::J \1ech:mlc21 ]
o
Comments
I'SlL-\TIO"" l G3S
'1 F03.m and Se:lI
Comments fJHl/~
SHEET ROCK/SHEAR \\ -\LL '" -\IL
J Eleclnc
:::: \' 2por bmer
" Other
- PV-\
Comments
OTHER
Comments
FI\iAL
~ Se\\ er Fn:;.1
::J --\dJress
n ElectrIC31
fl InsulatIOn
J Cl\ II F!n3.1
[] Slle Dr3liq;e
~ bndsc3re fln31 iJ C efO
'\ Slde\' 3lk.
Comments
o
(, ~
~~~" i
TO: ~~'"
~
\.
FAX#: '( 4 ::<Z5-l/3LffJ
FROM YEU1 SEWER DEPT
F8X t~O. 360-458-8166
Jan 11 2006 12 25PM Pi
FAX TRANSMISSION
CITY OF YELM
P.O. BOxA79 - 931 NP ROAD NE
YELM, W A 98597
360-458-8411
FAX 360-458-8166
DATE:
1- ((-D5
PAGES: ( , including this
Cover sheet
F fO m' I( t'-1- 1:> ~
Subject: ~0' >'r~J-&-( hI'( 4---/s
COMMENTS:
?ev..~\ ~!-o"- L (:14:> it ( I 5 ~Ol 10 t.(.~ ujOA.( ~E: : '5 -7)-OD (10
.#( ~ 1.5'{01l I~ w~ ~.t;' (J 7~ 7JIN 0 ()
H (t;. ($'1f).~ (1)~ ~ ~.e. 1:/7-7).1"'5 CO
~ \ ~ ? a. ~p.e.J c{-{\Ct" I'" 5-eweL ~R~ ~ J ~e
((l2-CLc91 4- 15;/(,' ";;',
...... I f you do nol receive all copies or any copy IS not legible, please call (160) 458-841 J
a~ soon fi!\ posSlhle.
o
o
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Permit No
BLD-05-0211- YL
Issue Date. 07/25/2005
(Work must be started within 180 days)
Receipt No
37502
Applic:ant:
Name. Comfort Homes
Phone:
360-486-0161
Address. 8306 Quinalt Dr NE
City' Lacey
State: WA Zip 98516
Property Information:
Site Address. 15301104th Way SE
Assessor Parcel No. 62320000100
Subdivision: Mill Pond
Lot: 1
Contractor Information:
Name Comfort Homes
Contact: Bayless, Greg
Phone. 360-486-0161
Contractor License No' KERZIHL970M3
City' Lacey
Expires. 07/06/05187
State. WA Zip: 98516
Address. 8306 Quinalt Dr NE
Business License. 05-000730.0
ProjE!c:t Informlition:
Project: Mill Pond
Description of Work: Plan 2211/2A Lot 1
Sq Ft. per floor (1st) 1071 (2nd) 1140 (3rd) 434 Garage 0 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 1,299.34 993 75 305.59 5.6000 54 5700 $1,000
Building Plan Review 548.97 000 0.00 o 0000 o 0000
Mechanical Permit 8475 000 000 o 0000 0.0000
Plumbing Permit 125.00 2000 105.00 7 0000 15 0000 Fixture
Sewer Inspection 145.00 000 14500 145 0000 1 0000 ERU
Water ERU 1,50000 000 1 500 00 1,5000000 1 0000 ERU
Water Meter (SFD) 300 00 300 00 0.00 0.0000 o 0000
Water Deposit 40.00 4000 0.00 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 0.0000 0.0000
State Building Fee 450 4.50 0.00 o 0000 0.0000
Sewer ERU (LID) 2,76900 0.00 2,76900 2,7690000 1 0000 ERU
TOTAL FEES. $7,624.06
Applicant'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 ashington
# Sets of Prints.
Final Inspection:
Firm
Date
'l
By'
Date: I-.)~-op
;1/1.
Signature
~~l:~'Ii!'i!.!.;~~~'~.l{\l~.~i;!iJ;'lACE;OF' . '~DOCUMENT'HAS A'REO BACKGROUNO'- NOT ' HITE BA~K,GR.OU'NO~)t:"1r..~'Y~)S.'i'!!<~'f~r.;~,1 i;;-./'.'~ "''''d.
RECEIPT No.3 7501
RECEIVI=D
****SEVEN THOUSAND THREE HUNDRED EIGHTY DOLLARS & 59 CENTS
RECEIVED FROM
COMFORT HOMES
8306 QUINALT DR NE
LACEY, WA 98516
BLD-05-0210-YL
SITE: 15307 104TH WAY SE
DATE REC, NO.
07/25/05 37501
AMOUNT
7,380.59 CHECK
REF NO.
10040
BUDGETARY
DIANA
BLDPRHT1137 67, PLNREV480 67, MECHPRMT78 25, S/INSP145, PLMBPRMT118,
W/ERU1500, W/MTR300, W/DEP40, TRAF757.50, S/DEP, STFE4 50, S/ERU2769
RECEIPT No.3 7502
RECEIVI=D
****SEVEN THOUSAND SIX HUNDRED TWENTY FOUR DOLLARS & 06 CENTS
RECEIVED FROM
COHFORT HOMES
8306 QUINALT DR ME
LACEY, rIA 98516
BLD-05-0211-YL
SITE: 15301 104TH WAY SE
DATE
07/25/05
REC. NO
37502
AMOUNT
7.624.06 CHECK
REF NO,
10040
BUDGETARY
DIANA
BLDPRMT1299 34, PLNREV548 97, HECHPRMT84 75, PLMBPRMT125, S/INSP145, W/ER1500
W/MTR300, W/DEP40, TRAFF757 50, S/DEP50, STFEE4 50, S/ERU2769
...... ;;0 # en
/'.) - CD 0
r:l 3: CD lC = ... co :::I: :;>:::~
:;>::: ......3 /'.) :J> W 0 m c...
-I #.J>o. r:l 0 :3: ;;0
# ......# - /'.) m=m ,.....- W -< -0 :J> -<
-0 - ~ -< en ......0 = m 0 -I CD
... 0 :J> /'.) - = IT1 .. o ... -I ~
m 0 -I (D c:: :;>::: I :3:==3
:J> c...,,) ---....... U'1 ::E ...... IT1 :::I: .J>o.- 0,'
en (D 00 :J> = ;;0 0 U1 X en
m =- :J> ,..... :3: co ::E en n
n -I en ""T1 @ _ :3: en - (D ... ........ IT1 I :J> ~ c:: ::r
:;>::: ::r 0 c 0 r:l ...... PJ .::-. co -I IT1 en - --.J en 0
IT1 CD - cr ;;0 :J> -I U1 ......... (D =:J>O
IT1 -I n D> -I W-O...... CD -on:;>::: o (D =~
-0 :T 7'~ 0 :3:- ......~ en OJ ::0 0 IT1 o co
D> - .......N-I:J> -0 :3: ;;0 U1 n 0
-I ::l 0 D> ... (D :J> -I CD = -n""" (D ;;0 ~.
:::I: 7' C ... 0 ... ........ .., IT1 0...... ....., o en
........ CD 0 en ;;0 IT1 -< .-+
en-< -00-0= 0 -I ......
0 o 0 ::0 ::l
::0 C = 0 :::I: n
IT1 ' 0 C- o .-+
r:l II IT1 eno :3:
m II m r:l c:: -.I m
........ II WW W enw-I en_ ........- OJ
-0 II - -1- en :J> N .....,
-I II NN N :J> N :z: U"I OJ
II (D (D (D -I (D - OJ
II 00 0 mo 0
II en ' U"I
II 00 0 0
II 00 0 ... 0
0
-I
en
S2<>
CITY OF YElM
r~'$IDENTIAL BUILDING PERMIT APPUCC,",='fN FORM
Project Address. Is':>d,.- IOLf ~ ~..sf:. Parcel #. ~L-3 2-0000100
Subdivision.~'It,...L- PO-WO Lot #. I Zoning;
t.-or ,
1"'\ lU-- fbM)
Pt-A1'V 22"
~ew Gonstruction u Re-Model f Re-Roof f Addition LJ Home Occupation Sign
;/",Plumbing 'i ~echanicar U Mobile I Manufactured Home Placement IJ Other Race j vec
Project DescriPtioh/~cope of Work: U W ..{, ~ ~il.,y Z, - sro-R-'f
JUL () 6 2005
Project Value.J 110, o-au
Building Area (sq. f1:) 1st FloorJ[LL 2nd Floor 1140 Garage -Y1!:t- Deck-
Basement - Carport ,- Patio. ?A (0
# Bedrooms~ # Bathrooms"2/.Yt., HeatingeTHER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? NO If yes, a
completed environmental checklist must accompany permit application
BUILDING OWNER NAME (,o1V\tcr'R.1 V\O~~
ADDRESS ~ :'010 Gl.lAl~LIl ~\ N I E I
CiTY ~AvtY STATE vvr\- ZIP Q<6S-lb
EMAIL ";j\V\'\@.. Wb~z'lfI,{QVII\~.Ul\l\l\
TELEPblONE (3 be) ~ Sb - 0 I b\
]
ARCHITECT/ENGINEER CflrSc.M>t l<.~SID6Mr, 1\1. LICENSE #
ADDRESS lo Z-- Sou TV! z.,~ 1"'"1 slR.efr EMAIL $ t^c'\ e. Y' (6) ~~ IU>. (.{)IN\
CITY 'T]TC..OV\'IA- STATE ~ ZIP q~ 40"2.. TELEPHONE (z,.s-~ '\ Z..'61.(~ 31~
GENERAL CONTRACTOR
LoVV\fo-tt, 110~GS
MECHANICAL CONTRACTOR 1G-t.1IS~WtV B~Tl1~TELEPHONE ]..$3 S""37-obSr
ADDRESS Y703 \\bt'V\ .sT, of, EMAll .kUI1t.f/..b5 G- AoL. U>~
CITY .,~~(\-- STATE MI\- ZIP qS\,j'1~ FAX ~~ S39-3gbf
CONTFi~CTOR'S LICENSE # Kurf;/II\6HO"l-\ B r EXP DATEl/i!Q I - LICENSE #
_ Copy of mitigation agreement with Yelm Community Schools, if applicable
I hereby lcertify that the above information is com;!ct and that the construction on, and the occupancy and the use of tM
above described property will be in accordance with the laws, rules and n!gulatlons of the State of Washington and the
City of Yeim.
Applicanl,.'Si alure -d---# ~
Owner J Contra or! 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
10.'0 Yel", Avenue West
PO Box 479
Yelm,. W4 98.';.97
(360) 458-:18.~5
(.'J60) 458-:/14-1 FAX
www.ci.yelm.wa.us
,~
r"
, '1
""~)
G
\
o
~
u
LOT 1
I
COMFOIRT HC)MES
M\ \ \ I ?OI'\Q
15301 l04th WAY SOUTHEAST
YELM, WA
LOT 1
~!
w
(.f)
>-
^ <(
O'l 0 5
"'" "<t
. (]l I
0
l.O U1 I
/ ..c
/ -t-
/ ~
0
--r-
21 '-3~O"
,
22 35'
104TH AVE. SE
<d-I --- _