BLD-05-0200
CITY OF YELM - BUILDING DEPARTMENT
RESIDENTIAL CERTIFICATE OF OCCUPANCY
Building Address
15352 104th Ave. SE
Comfort Homes
8306 Quinalt Dr.NE
Lacev WA. 98516
Owner Name
Owner Address
Building Permit Number
BLD-05-0200- YL
Plan Number
Plan 2201T/2B/2
Remarks.
Areas Inspected
All Code required
Special Conditions.
Building Official:
G. Carlson
Date.
Januarv 26, 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
FROM YELM SEWER DEPT
FAX NO 350-458-8155
Jan 25 2005 12 14PM Pi
FAX TRANSM1SSION
CITY OF YELM
P.O. BOX 479 .~" 931 NP ROAD NE
YELM, W A 98597
360-458-8411
FAX 360-458-8166
TO' (;..(lE'TC:.JI E,u
DATE: '-~~-D~
FAX#:
PAGES: I , including this
Cover sheet
From: Rf)A)OY
Subject" He USE 4? '~A '--/4 f' 5A.Jrv I J\J (;r TO}...) c S) .
AvrC
COMMENTS: LoT Lf~ 1.c.)35"d-... 104111 ~ s,c.
"'* If you do not receive all copies or any copy is not legible, please call (360) 45R-8411
~tS soon ~s possible.
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CITY OF YELt\1INSPECTION LOG
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PROJECT
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PER.\llT NUMBER
ADDRESS
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FOOTI'\GREB.\R
SET BAC~S D3te
Front
Rem
SJdeFlarlmg
Side
FOOTrNG
:J 12"'
o 16"
~ other
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Comments
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" Other
- P\'-\
Comments
SHEET ROCK/SHEAR \\' .\LL '\ .\lL
Comments
OTHER
Comments
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L Se\\er F:m.\
7 ~dJress
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Yln5ubtlOn
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City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Permit No
BLD-05-0200-YL
Issue Date 07/05/2005
(Work must be started within 180 days)
Receipt No
37151
~pplicant:
Name: Comfort Homes
Phone:
360.486.0161
Address. 8306 Quinault Drive NE
City' Lacey
State. WA Zip 98516
Property Information:
Site Address. 15352 104th Ave. SE
Assessor Parcel No.
Subdivision. Mill Pond
Lot: 49
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
ProjecJ Information:
Project: Mill Pond
Description of Work: Plan 2201T/2b/2, Lot 49
Sq. Ft. perfloor' (1st) 1301
(2nd) 900
(3rd) 454
Garage 0
Basement 0
Heat Type (Electric, Gas, Other): OTHER
Fees:
Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
--------------------------- -------------
Building Permit 100-500k 1,298.33 993.75 304 58 5.6000 54 3900 $1,000
Building Plan Review 548.54 000 000 0.0000 o 0000
Mechanical Permit 8475 000 000 o 0000 0.0000
Plumbing Permit 118.00 2000 98.00 7 0000 14 0000 Fixture
Sewer Inspection 145 00 000 145.00 145.0000 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 0.0000
Water Deposit 40.00 40.00 000 0.0000 o 0000
Traffic Facilities Charge 757 50 000 757.50 750.0000 1 0100 Peak PM Trip
Sewer Deposit 50.00 5000 0.00 o 0000 0.0000
State Building Fee 450 4.50 000 o 0000 o 0000
Sewer ERU (LID) 2,76900 000 2,76900 2,7690000 1 0000 ERU
TOTAL FEES. $7,615.62
Applicant'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 restrictions of record. If applying as a contractor, I futher certify that I am currently
registered in the State of Was 'ngton
OFFICIAL USE ONLY
# Sets of Prints.
Firm
Date
By'
Signature
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City ofYelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Permit Fees Schedule
PAID
jUN 3 0 2005
CITY OF YELM
Permit No BLD-05-0200-YL
1717 (
Applicant:
Address. 8306 Quinault Drive NE
City' Lacey
Phone. 360.486.0161
State: WA Zip 98516
Name: Comfort Homes
Project Information"
Project: Mill Pond
Description of Work: Plan 2201T/2b/2, Lot 49 ~~~
Site Address. '<JJ4b~~'. snE IS35~ 1 D tj Asse sor Parcel No ~
Fees.
Item Acct Code Item Fee Base Amt Unit Fee Unit Rate No Units Unit Desc
--------------------------- -------------- -------------
Building Permit 100-500k 032001-322-10-00 1,298.33 993.75 304 58 5 6000 54.3900 $1 000
Building Plan Review 100001-345-83-00 548.54 0.00 0.00 0.0000 o 0000
Mechanical Permit 032001-322-10-00 8475 000 000 o 0000 o 0000
Plumbing Permit 032001-322-10-00 118.00 2000 98.00 7 0000 14 0000 Fixture
Sewer Inspection 805 412-343-80-00 145 00 0.00 14500 145 0000 1 0000 ERU
Water ERU 712401-343-80-01 1,50000 000 1,50000 1,500 0000 1 0000 ERU
Water Meter (SFD) 712401-343-80-01 300 00 300 00 000 o 0000 0.0000
Water Deposit 740402-389-00-00 4000 4000 000 o 0000 o 0000
Traffic Facilities Charge 420 120-345-85-00 757 50 0.00 757.50 750 0000 1 0100 Peak PM Trip
Sewer Deposit 742402-389-01-00 5000 5000 000 o 0000 o 0000
State Building Fee 160001-386-00-00 450 450 000 o 0000 o 0000
Sewer ERU (LID) 802 412-343-50-01 2,76900 0.00 2,76900 2,769.0000 1 0000 ERU
TOTAL FEES $7,615.62
. .
. ~:~. ~'~~r.~~:;i1._..._,io!'",s~.;,f?: '.;;'i
[ ~~~ CITY OF
II ~ YELM
./' " PO Box 479
I hr-~~," (~'~-~~~-~~6r
I
I
I RECEIVED
i *~**SEVEN THOUSAND
i RECEIVED FROM
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RECEI
COllFOF T HOHES
DATE REC NO
c)7/01/~B 37151
AMOUNT
REF t\IO
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,/
'JI:{
HUNDRED FIFTEEN Df) LLAR0 & 62 CENTS
7,615 62 CHEer
10033
3306 QUINAULT DR NS
Lf\CEY, dA 9,3510
SITE 15352 104TH AVE SE
BUDGETAPY
HICHE.GLE
E L D FEE 1::: q: ___ 3, F L N R 54 3 l~ 4, It E (' H .3 4 7 5, P 111 11 8, S E i'i I 1 4 5, Vii'. T E Fi U 1 5 IJ i,j
I-TnT IfE'T ~,JCt ClJ.N~ [\EP 30, lrRP).F 757 5tQi SlrAT B 4 50, SE\\j EHU 2769 0QJ
, ,.
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RECEIPT No 37152
RECEiVED
~***SEVEN THOUSAND SIX HUNDRED THIPTEEN DOLLARS & 30 CENT3
7,613 80 CHE('r
REF NO
10038
RECEIVED FROM
COHFOPT HOHES
3306 QUINAULT OF NE
LACEY, WA 93516
SITE 10430 BARR! SRIDGE3 Sf SE
DATE REC NO
07/01/03 3'152
AMOUNT
BUDGETARY
HICHELLE
BLD PER 1~9; f:::5,FLN F~ S4t, rlELH :'41':1, PUIS lIS, SE\'/ INS 14:" WAT EPU 15UO
WAT tiET 300~ rONS DEE 9J, TRAF 757 50, STAT B 4 50, SEW ERU 2769 00
-~
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RECEIPT No 37153
RECEIVEp, "''' SEVEN THOUSl\ND
SIX HUNDRED TWENTy
FOUR DOLLARE & 06
CENTS
RECEIVED FROM
COHFORT HOBES
~306 QUINALT DR NE
LAC E Y \'/.1\ 9 8 5 1 6
SITE 10424 BARRY fRIDGES
DATE REC NO
07/01/03 37153
A,MOUNT
REF NO
I r J /1
't O"'-"":t
06 CHECK
10038
BUDGETARY
ST SE
HICHEL T,E
B LOP E f, 1.2 ~ '3 3 4 P L N R 5 4 j '9 7 , 11 E ~ H 8 4 7 5 , F L 11 1 2 S , S E i'I I 1 4 5, \'1 ATE P U 1 5 \) t)
l'.jD...T J.iET 3)~JJ CON DEP 90, TRAF 7~7 50, STAT 8 4 503 SE~"l EPU 2769 00
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City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
o
Permit Fees Schedule
PAID
JUN 3 0 2005
CITY OF YELM <J 7/7 (
Permit No BLD-05-0200-YL
Applicant:
Name. Comfort Homes
Phone:
360.486.0161
Address: 8306 Quinault Drive NE
City' Lacey
State: WA Zip 98516
Project Information:
Project: Mill Pond
Description of Work: Plan 220H/2b/2, Lot 49 J' l~~ (k~~
"4~r.". St~E /53 _r;,J
Site Address. U '1 Asse sor Parcel No. ~~
Fees.
Item Acct Code Item Fee Base Amt Unit Fee Unit Rate No Units Unit Desc
-------------------------- -------------- -------------
Building Permit 100-500k 032001-322-10-00 1,298.33 993 75 304 58 5.6000 54 3900 $1 000
Building Plan Review 100 001.345-83-00 548.54 000 0.00 o 0000 o 0000
Mechanical Permit 032001-322-10-00 8475 000 000 o 0000 o 0000
Plumbing Permit 032 001-322-10-00 118.00 2000 98.00 7 0000 14 0000 Fixture
Sewer Inspection 805 412-343-80-00 14500 000 145 00 1450000 1 0000 ERU
Water ERU 712 401-343-80-01 1 500.00 000 1.500 00 1.5000000 1 0000 ERU
Water Meter (SFD) 712 401.343-80-01 300 00 300 00 000 o 0000 o 0000
Water Deposit 740402-389-00-00 4000 4000 000 o 0000 o 0000
Traffic Facilities Charge 420 120-345-85-00 757 50 000 757 50 7500000 1 0100 Peak PM Trip
Sewer Deposit 742402-389-01-00 5000 5000 000 o 0000 o 0000
State Building Fee 160 001-386-00-00 4.50 450 000 o 0000 o 0000
Sewer ERU (LID) 802 412.343-50-01 2.769 00 000 2.76900 2,769 0000 1 0000 ERU
TOTAL FEES $7,615.62
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Yelm School District
ATTN SUSAN CROY
PO BOX 476
YELM, ~JA 98597
350-458-1900
Sold to' 16766
KERZIE HOMES
KERZIE
HOMES KERZIE(COMFORT HOME)
8306 QUINALT DR NE
LACEY, WA 98516
# 6174 15 07/0S/0S
Reg #1 SalesPerson SUSAN
Item # 2900/MITIGATION
MITIGATION/CAPITAL PROJECTS
1 @ 11,S15 00 11,515 00
CK #10037 FOR MILL POND ESTATES/LOTS 16,
49,26,27,
Item # 2900/MITIGATION
MITIGATION/CAPITAL PROJECTS
1 @ 0 00 0 00
LOTS 28,29,30
SubTotal
11,S1500
Total Due
Check
11 ,SlS 00
11, 51S 00
Thank you
PLEASE KEEP THIS RECEIPT 1 [I
CITY OF YELM
7 REG'SNTRAl BUILDING PERMIT APPUCA Tr"'_""-)FORM
Project Address 4 Parcel #. '2-li~ os-a I
Subdivision . f tJVt\A I\.{, .~ Lot #'~~_ Zoning;
(/I'IIU- ~) . . . .
,~ew Construction U Re-Modell Re-Roof I AddItion LJ Home OccupatIon Sign
~PIUmbing ~ Mechanical L! Mobile I Manufactured Home Placement i J Other
Project DescriPtiohlScope of Work: ~ S',~ ~,v\( ~ - LEvfL-
Project Value.tr , \C I C\,lIw-()
Pl.NW\I 2.z.o I
_ A- frstalcK tJ'(:.
1lI\!!. P~L 1L
1AT ~Cf
/111 ~ PtMAO
(~)
Building Area (sq ft) 1" Floor 101 L 2"' Floor ~ Garage 'f J'L Deck --- R ece iVed
Basement - Carport Patio. V( \.0 JUN 2 8
LI '1"1~ 2005
# Bedrooms---L # Bathrooms Z!'L HeatinolOTHER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? NO If yes. a
completf~ environmental checklist must accompany permit application
BUILDING OWNER NAME Wtv\f1Nt, I-\O~\
ADDRESS ~:,Olo Q. UII\.f\'!.A"' ~, N IE.
CllY -kA-0(:Y 8T ATE Wr\- ZIP C\<6.$"'lb
]
EMAIL ~~~~6~Z.i6AO~~.CO\.\l\
TELEPliIONE C~ bo) ~ Sb - 0 I b\
ARCHITECTlENG!NEER 0\IlrSGA-Ot.. Rf.SIDVMrI tVt LICENSE #
ADDRESS {O 2-- Sou TVI z.,,, 1"" S:rR~a- EMAfL ~ r\'\ ~ '-rt1GAC6 {2.P. LD"'"
CITY 'J7rGoV\'\A- STATE~. ZIP Cl~ "102.. TELEPHONE u-~. z.-glf--310tl
GENERAL CONTRACTOR
LoW\~r tt()~G~
_ Copy of mitigation agreement with Yelm Community Schools, if applicable
I hereby certify that the above information is correct and that the construction 011\. and the occupancy and the USA of the
above dE~SCrlb9d property will be ill accordance with the laws, rules and rl!!gulatlons of the State of Washington and the
City of Yeirn.
Applicant'. Si ature oa} !?/O~
Owner! Contra or I Owner's Agent I 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.'> Yel". Avenue West
PO Box 479
Yelm, WA 985.97
(.960) 458-.9835
(.160) 458-:H44 FAX
www.ci.yelm.wu.UII
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