BLD-05-0210
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Building Jl,.ddress
Cli'l Of 'lELNI- alllLOltlG OEP J\RiNlEtl1
RESIOEtlilJ\L CERilfICJ\ iE Of OCClIP J\tlC'l
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owner Name
owner Jl,.ddress
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8LO-05-02 ~ O.'(L
Building permit Number
com'ort~
~in~
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plan Number
RemarKS
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Jl,.reas Inspected
special conditions
oate.
BUilding Onicial'
. . 10\efoa\iOoa\ Resideo\ial code (Coap\ef
l\\IS s\fOc\Ofe is io compl,"OCe ::.t~:': \00 state Bolldl09 Code cooocil porsoao\
5 ~ -5 ~ W p...C) as adopted b'1 tn7e da 70 ~2 RC'N e<<ective MY \, 2004
to cnapters ~9.2 an .
G. carlson
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CITY OF YELI\1INSPECTION LOG
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PROJECT
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Comments
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::J G 25
~ Fwm and Seal
J Electric
~ \'2porbmer
" Olrler
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C ommenls
SHEET ROCK/SHEAR \\ .\LL '\ .\IL
C ommenlS
OTHER
Comments
Commems
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FROM YELM SEWER DEPT
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TO. tr12
FAX#.
FAX NO 360-458-B166
Dee 23 2005 05 14PM Pi
FAX TRANSMISSION
CITY 01' YELM
P.O BOX479-931 NPROADNE
YELM, WA 98597
360-45R-R411
FAX 360-458-8166
DATE. IJ- J~ - 0 ~
P AGES I, including this
Cover sheet
From. f...j)r. to 0 Y
SubJect. Ho vl SI: r-1 Al AYf€'u~ I tV ..ill tJ CTT.
COMMENTS, La T .;( i ')307 I D'1T)' WA'1 ">. ~. 0'5- T}.D5, 00
)
LoT ;L 7, I QL./d-.'-I 8EJ2...fl.Y 13~1 D&[5 -sf' -<),.(Z.
oS- 7330 ,0l)
t * II' you clo nol recclve all COplCS or any copy I~ not legible, please call (160) 45R-8411
as 'joOIl 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-05-0210-YL
Issue Date 07/25/2005
(Work must be started within 180 days)
Receipt No
37501
Applicant:
Name: Comfort Homes
Phone.
360-486-0161
Address. 8306 Quinalt Dr NE
City' Lacey
State: WA Zip 98516
Property Information:
Site Address. 15307104th Way SE
Assessor Parcel No. 62320000200
Subdivision. Mill Pond
Lot: 2
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
Project Information:
Project: Mill Pond Estates
Description of Work: Plan 1781/2 Lot 2
Sq. Ft. per floor' (1st) 951 (2nd) 817 (3rd) 0 Garage 436 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 ,137 67 993.75 143 92 5 6000 25 7000 $1,000
Building Plan Review 480.67 000 000 0.0000 o 0000
Mechanical Permit 78.25 000 000 o 0000 o 0000
Sewer Inspection 145 00 000 2,030 00 145.0000 1 0000 ERU
Plumbing Permit 118.00 2000 700 7 0000 14 0000 Fixture
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 o 0000
Water Deposit 4000 4000 000 0.0000 0.0000
Traffic Facilities Charge 757.50 000 10,500.00 7500000 1 0100 Peak PM Trip
Sewer Deposit 5000 5000 000 o 0000 o 0000
State Building Fee 450 4.50 000 o 0000 0.0000
Sewer ERU (LID) 2,76900 000 2,76900 2,7690000 1 0000 ERU
TOTAL FEES $7,380.59
Applicant's Aftadavit:
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 ashi gton.
t#..:;ets of Prints:
Signature
Date
F;:::~nslf5
Be
Firm
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RECEIPT No.3 7 501
FiECEIVl=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
RECEIVl=D
****SEVEN THOUSAND SIX HUNDRED TWENTY FOUR DOLLARS & 06 CENTS
RECEIVED FROM
COHFORT HOMES
8306 QUINALT DR NE
LACEY, WA 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, MECHPRMT84 75, PLMBPRMT125, S/INSP145, W/ER1500
W/MTR300, W/DEP40, TRAFF757 50, S/DEP50. STFEE4.50, S/ERU2769
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CiTY OF YElM
C--'SIDENTIAl BUilDING PERMIT APPliCCPN FORM
Project Address I ~3-6 7 -- JOll""" ~ .~'E. Parcel #. ~z..32..0000'2..~
Subdivision. M B u.... Pcs~ lot #. '1... Zoning;
~~ew Construction. LJ Re-Model/ Re-Roof / Addition LJ Home Occupation Sig~
rvPlumlDing ~eChanical LJ Mobile / Manufactured Home Placement L.I Oth"SCeived.
Project lDeSCriPtirn\/Scope of Work: i\-f.w 51~ ~l LY z..-S~r JUL 0
Project Value.~q 10-0-0 '6 2005
Buildingl Area (sq ft) 1st Floor q 2nd Floor 1{ 17 Garage Deck -
Basement - Carport Patio 2../ b
# Bedrooms 3 # Bathrooms 2Yz.. Heatin@THER 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
l.o,z.
IV' ,u. PO tvO
PIMV n~1
BUILDING OWNER NAME 001V\fG'R..1 Y\ol't\6~
ADDRESS ~ ?O~ Q iAllVA'lX" P(l.., N, E.
CITY L-Avty' STATE \JVr\- ZIP Q1>S-lb
]
EMAIL 31V..\@.It<t:.~~lfIAOYIIl~.UlV\.1.
TEL.EPIrlONE (3bO) ~ Sb - Olb(
ARCHITECT/ENGINEER 0A':ScM>t. ~&SI06lvlr1 M LICENSE #
ADDRESS 102-- SouTVI z.,~1"'" &'T1t6a- EMAIL Sl'\'\eY @ ~c..M>e{2..p. Go"",
CITY TJ't'UlllhA- STATE VW\-- ZIP <11:6 407.. TELEPHONE z.,s-~ Z-'6l.f-310\)
GENERAL CONTRACTOR
(..oVV\fc--tty r1o~tS~
CONTRACTOR'S LICENSE #
MECHANICAL CONTRACTOR l0L.1t~A-W/V B~Tl1t9&.TELEPHONE 1-$3" S-37-0~
ADDRESS '1703 1\6'"'" Sf. f\ EMAll .kL-fl1 8~S ~ A6L. (AM
CITY .~W\l~ STATE IvV'\- ZIP qg"I"t(o FAX ~~ S3,\-3g'=>l
CONTRACTOR'S liCENSE # KLJ6""-BHO'2-\ B r EXP DATE I 0 . I. 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 llSQ of the
above dl~SCrlbed property will be in accordance with the laws, rules and regulations of the State of Washington and the
City of Yelm.
. ~. IIA~
Applicant's 5i ature Date r
Owner! Contra or I Owner's Agent I Contractor's Agent (Please circle one.)
All permits are nan-transferable and will expire if work authorized by sPJch permit is not begun
within 180 days of issuance, or if work is suspended or abandoned for a period of 180 days
JOii Yelm Avenue West
PO Enx 47.9
Yelm,. WA 98.'>>.97
(360) 45S-,~835
(.160) 458-:1144 FAX
www.ci.yelm.wlJ.uR
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LOT 2
COMFORT HOMES
MILL POND
15307 104th WAY SOUTHEAST
YELM, WA
LOT INFO.
LOT AREA = 4950 SO.IT
BUILDING COVERAGE = 1608.5 SO.FT
PAVEMENT COVERAGE = 334 SO.IT
TOTAL COVERAGE = 1942.5 SO.IT
OR 39.2%
~~ SITE PLAN
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~
NORTt-i
,
(Q 2005 CASCJlDE RESIDEI\jTIAL DESIGN, INC
SCALE I' = 20'
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