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BLD-05-0192 Building p..ddress CIi'{ Of '{ELM _ BUILOING OEP ~R"MEN" RESIOEN"I~L CER,.lfIC~,.E Of ocCUP ~NC'{ ~ -- BLO-05-O'\ 92-'t'L Building permit Number comtort ~ ~~ ~ ~ owner Name owner p..ddress Plan Number RemarKS, --- p..11 code reQuired ~ p..reas Inspected o ate special conditions Building 01ticia\' . . e InternatiOnal Residential Code (cnapter . ,niS strUcture is in compliance :;:":~~n ton Slale Building Code Council pursuanl 5,\-5'\ Wp..C) as adopted b'J tn7e d 70 i2 RC'I'J e<<ecli"e Jul~ 1,2004 to cnapters '\ 9 2 an ' G, carlson FROM YELM SEWER DEPT FAX NO. 360-458-8166 Dee 21 2005 05 22PM 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: DATE: 1 ~-;;ll-O~ FAX#: PAGES: I , including this Cover sheet From' ((AAJD'T \-It\Tc l:-\ Subject: )4o~se P\AJAL/ P~AJf\)\.v6-1-aA) E~T. COMMENTS: LO T ;\. q/ 10 'II ~ 6A Yl~y i l2.1 Dl;e; S'r", 'S'J' e . 05 - 73'-16 00 ** If YOll do not receive all copies or any copy is not legible, please call (360) 458-84] 1 as "oon as possible o o ~ ~ City of Yelm Community Development Department Building Division Phone: (360) 458-8407 Fax: (360) 458-3144 Permit No BLD-05-0192- YL Issue Date 07/05/2005 (Work must be started within 180 days) Receipt No 37155 Applicallt: Name: Comfort Homes Phone. 360-486-0161 Address. 8306 Quinalt Dr NE City' Lacey State. WA Zip 98516 Property Information: Site Address. 10412 Barry Bridges St SE Assessor Parcel No. 62320002900 Subdivision. Mill Pond Lot: 29 Contractor Information. Name. Comfort Homes Contact: Bayless, Greg Phone. 360-486-0161 Address. 8306 Quinalt Dr NE City' Lacey State: WA Zip' 98516 Contractor License No. KERZIHL970M3 Expires. 07/06/05187 Business License. 05-000730.0 Project InformCltion: Project: Mill Pond Description of Work: Plan 1781/2 Lot 29 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 Plan Review 480 67 000 0.00 0.0000 0.0000 Mechanical Permit 78.25 0.00 000 o 0000 o 0000 Plumbing Permit 118.00 2000 98.00 7 0000 140000 Fixture Sewer Inspection 145.00 0.00 14500 145.0000 1 0000 ERU Water ERU 1,50000 0.00 1,50000 1,5000000 1 0000 ERU Water Meter (SFD) 300 00 300.00 000 o 0000 o 0000 Water Deposit 4000 4000 000 o 0000 o 0000 Traffic Facilities Charge 757.50 000 757 50 750.0000 1 0100 Peak PM Trip Sewer Deposit 5000 5000 000 0.0000 0.0000 State Building Fee 4.50 450 000 0.0000 o 0000 Building Permit 100-500k 1,137.67 993.75 143.92 5 6000 25.7000 $1,000 Sewer ERU (LID) 2,76900 0.00 2,76900 2,769.0000 1 0000 ERU TOTAL FEES. $7,380.59 Applic::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 restrictions of record. If applying as a contractor, I futher certify that I am currently registered in the Stat of W g OFFICIAL USE ONLY # Sets of Prints. Signature Date F~ Firm o ~ ~ o City of Yelm Community Development Department Building Division Phone: (360) 458-8407 Fax: (360) 458-3144 PAID JUN 3 0 2005 CITY OF YELM Permit Fees Schedule Applicant: Name: Comfort Homes Address. 8306 Quinalt Dr NE Project Information Project: Mill Pond Description of Work: Plan 1781/2 Lot 29 Site Address. 10412 Barry Bridges St SE Fees: Item Acct Code Building Plan Review 100001-345-83-00 Mechanical Permit 032001-322-10-00 Plumbing Permit 032001-322-10-00 Sewer Inspection 805412-343-80-00 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 Building Permit 1 00-50 Ok 032001-322-10-00 Sewer ERU (LID) 802412-343-50-01 TOTAL FEES. Permit No BLD-05-0192-YL '371S5 City' Lacey Phone 360-486-0161 State. WA Zip 98516 Assessor Parcel No. 62320002900 Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc ------------- 480 67 000 000 0.0000 o 0000 78.25 000 0.00 o 0000 o 0000 118.00 2000 98.00 7 0000 14 0000 Fixture 145.00 0.00 145.00 145 0000 1 0000 ERU 1,500.00 0.00 1,500.00 1,500 0000 1 0000 ERU 300 00 300.00 000 0.0000 o 0000 4000 4000 000 0.0000 o 0000 757 50 000 757 50 750 0000 1 0100 Peak PM Trip 50.00 50.00 0.00 0.0000 o 0000 4.50 4.50 0.00 o 0000 o 0000 1,13767 993.75 143.92 5 6000 25 7000 $1,000 2,76900 000 2,76900 2,7690000 1 0000 ERU $7,380.59 '~4io.;~_,~c:~~_~~~::"'_!..~*~_-Y-'-~-~' }- ~~ ..,!-:: ;;, Or I l"~' -,.,.;: . ~ ~D. ;; . - 0' . " It , . ','f _-;z~, _ -:. tl_~_'TSJ'", '-.,~...,--' '>:i~.f':'Y.1'~__d_- ;_..,,__~ 0_ o o RECEIPT No 37154 RC!'FIV:=D ,L.V_ -"., 'k" ;-'E"rc'N ri'U'-\fJ~ "ll-H") .::> V l_l ," 0\_, ,,-,.t1. i._ SIX HUNDRED 'l'HIRTEEN OOLLA.FS ,~< 130 CENTS C :JI-IFOR rr HOl'-!E~3 7,613 cO CHECK REF NO 10038 RECEi\jED fROM DATE REC NO en i 0 1 / 0 ? 3 7 1 5 4 AMOUf\lT 8306 QUINAULT DR NE LACEY, WA 9351G srT8 10413 BAFPY BRIDGE~ ST SE BUDGE;TARY HICHELLE BLD PSR ~::'9' us, PUl [. :4~, rrE:H .34 75,PLtlP 112., 38\'1 1145, HAT EFU 15Ch) ilP'T tfET JOU, : JiL:: DEE qJ, TFAF 75750, STATE B 450, sm'j EF:lJ 2769 00 - .. _ ~_.. _ --_..~_._- ..-.. _ ...-.- . ----..--- ~- -~'-'-'--' 11~~9~~ CITY OF I ~'l '~~l ~ ~ YELlVI ,:;::--;~ .::; 0 Box 4'9 (~ 1 YeirT WA 98597 ty"EbM::l ....60-45<3-8403 RE:::'EiVED wk**SEVEN THOUSANL THFEE HUNDRED EIGHTY DOLLARb & 59 CENTS RECEiVED FROM DATE REC NO 07/01/~'n 37155 AMOUNT REF NO COIlFORT HOBES 8306 QUINAULT DR NE LA :: E Y, \'ll\ 9 3 5 1 6 SITE 1041: B~RRY BRIDGES ST SE 7,380 59 CHECK 10038 BUDGETARY tHCHELLE F L 14 E 4: i:. () ,; 7, [! E ~ H 7 C 2 5 , F L H B ], 1 8, S E Vi I 1 4 ': , \'1? T E F TJ 1 5 () (1, \Ii AT HE T 3 (\ (J CON? DEF 90, TRAF 757 50, STATE e 4 50, RLD PER 1137 67, SEW EEU 2769 00 . . . . , . - --=---- - 0 r-~~~~-o; .HE p~~!r CITY --oj? t[. ; YELM ({:l PO Be, F9 yeim VvA 98597 ..YE!:d,~1:,... 360-458-8403 RECEIPT No 37156 RECEiVED ~*~~SEVEN THOUSAND SIX HUNDPED TWENTY FOUR DOLLARS & 06 CENTS RECEiVED FROM DATE 07/i2l1/0~ REC. NO 37156 AMOUNT 7,624 06 CHECK REF NO 10038 COHFORT HOtrES 8306 QUINAULT DR NE LACEY, WA 98516 SITE 10406 BARRY BRIDGES ST SE BUDG:JTARY IHCHELLE BLD PER 1.2'39 34,PLN P 540 j7,H}:CH E4 75,PLIlB125,SEI'; I 145,\'lAT ERU 1500 WAT HET ]3J,LONS DEP 90, TRAF '57 50,STAT 8 4 50, SEW ERU 27b9 00 o o City of Yelm Community Development Department Building Division Phone: (360) 458-8407 Fax: (360) 458-3144 PAID JU~I J 0 2005 CITY OF YELM Permit Fees Schedule Applicant: Name: Comfort Homes Address. 8306 Quinalt Dr NE Project Information: Project: Mill Pond Description of Work: Plan 1781/2 Lot 29 Site Address. 10412 Barry Bridges St SE Fees. Item Acct Code Building Plan Review 100001-345-83-00 Mechanical Permit 032001-322-10-00 Plumbing Permit 032001-322-10-00 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 Building Permit 100-500k 032001-322-10-00 Sewer ERU (LID) 802412-343-50-01 TOTAL FEES. Permit No BLD-05-0192-YL 5 7155 Phone: 360-486-0161 City' Lacey State. WA Zip 98516 Assessor Parcel No. 62320002900 Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc ------------- 480.67 000 000 0.0000 o 0000 78.25 000 000 0.0000 o 0000 118.00 20.00 98.00 7 0000 14 0000 Fixture 145.00 000 14500 145.0000 1 0000 ERU 1,500.00 000 1,50000 1,500 0000 1 0000 ERU 300 00 300.00 000 o 0000 o 0000 4000 40.00 0.00 o 0000 o 0000 757.50 0.00 757 50 750.0000 1 0100 Peak PM Trip 5000 5000 000 o 0000 o 0000 4.50 4.50 000 0.0000 o 0000 1,137.67 99375 143.92 5 6000 25.7000 $1 000 2,76900 000 2,76900 2.7690000 1 0000 ERU $7,380.59 o o Yelm School District ATTN SUSAN CROY PO BOX 476 YELM, ~JA 98597 360-458-1900 Sold to 16766 KERZIE HOMES KERZIE HOMES KERZIE(COMFORT HOME) 8306 QUINALT DR NE LACEY, ~JA 98516 # 6174 15 07/05/05 Reg #1 SalesPerson SUSAN Item # 2900/MITIGATION MITIGATION/CAPITAL PROJECTS 1 @ 11. 515 , 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 11,515 00 Total Due Check 11,515 00 11,515.00 ---------- ---------- Thank you PLEASE KEEP THIS RECEIPT'!' RCENT8Al BUll~~ ~~:~I~~PPlICATO FORM L.tn- 2'1 Project Address. Itly I Z. (J,frl'l.P-.i gILc.O<rtS ft. S(. Parcel #'~~dlgj ('U+w Subdivision. fJ(AlAVj ll.6l"7kV . Lot #. rz.--Cf Zoning; JUN 2 4) (J'\\lA. f6/VO) . . . 2005 ~ew Construction U Re-Model / Re-Roof J AddItion U Home OccupatIon SIgn rPIUmbing XMechanical U Mobile I Manufactured Home Placement U Other Project DescriPtioh/Scope of Work: ~ S ,C4;bLt ~ I v'( Project Value. $I qq I Otro Building Area (sq. fI:) 1st Floor~ 2nd Floor ~t 1_ Garage ~lli Deck- Basement Carport - Patio. 2-1 CD # Bedrooms 1> # Bathrooms~~ Heatin~THER or ELECTRIC (Circle One) Are them any environmentally sensitive areas located on the parcel? NO If yes, a completEro environmental checklist must accompany permit application G\1J :\ ,~tJ \) BUILDING OWNER NAME. (,o1\'\~1 \40~~ ADDRESS ~ "?Olo Q 1II1iVA'~ ~> AI. f. CITY _iLAtv(:Y STATE Wr\- ZIP ct~S-lb ARCHI1"Eel/ENGINEER CA-SLMt- ~t<';IOtm', J\1., ADDRESS ----LO 2-- SOi.-in1 z,~ 1""1 ~rR.I!a- CITY '~Vi'\A- STATE ~ ZIP q~ YO?- EMAIL 3)1.1I\@.l-.t>~Z.ltlAOll..lts.CD"-.\. -TELEPHONE "3 bO '1 Sb - 0 I b ] GENER~L CONTRACTOR (..olMf"ovt, I-fOlME~ MECHANICAL CONTRACTOR J(.W "-"'AW' B/26rl1/'p'\TELEPHONE ~S3) >37 -ObSr 0 ADDRESS '1703 I\b~ .sT. of \ EMAll . k~1\\ BI4S <? AoL. LAl"'-'\ CITY-.:mu~A-- STATE MI\-_ZlP QS4'1Ce FAX v~ S3,\-3$bl _ CONTHACTOR'S LICENSE # KLt~/';\(3Ho-z..1 B I EXP DATE I () I LICENSE # __ __ Copy of mitigation agreement with Yelm Community Schools, if applicable. ! hereh:\j' certtfy that the above information is correct and that the constnJctioi1l on, and the occupan<<:)f and the use of the above described property willlbe in acc()rdance with the laws, rules and regulations of the State of Washington and the City of '(elm. _ ~.. 120/0~ Applic:ant's $i ature Date I . OWner J Contra or J Owner's Agent J Contractor's Agent (Please circle one,) All permits are non-transferable and win expire if work authorized by such permit is not begun withirll 180 days of issuance, or if work is suspended or abandoned for a penod of 180 days lOr. Yelm AV,cn.Wl West PO &:r 4UJ Yelm,. WA 98.'..97 (360) 458-:1835 (.'/60) 4ii8-:n-U FAX www.ci.yelm..wa.us (\ u LOT 2<j COMFORT HOMES MILL POND 10412 BERRY BRIDGES STREET SOtrrHEAST YELM, WA i~ V 55.00' co C'l 7' -6 00" 7' -6 00" co C'l 40' 25' BSBL ~ o o ~o C'l0') '<t ~ o I~ o I 0') C'l '<t DRIVEWAY -- TIL. ESMT 7' -6.00" o C'l 55.00' LOT INFO. LOT AREA = 4950 8Q.FT BUILDING COVERAGE = 1608.58Q.Fl' PAVEMENT COVERAGE = 344.1 8Q.FT TOTAL COVERAGE = 1953.2 8Q.FT OR 39.5% BARRY BRIDGES ST. SE Gl- ------- -'~'-- ... ~ _...~._...__.~_Jq~V!llC. -----...... NORT~ . SITE PLAN . @ 2005 CASCADE RESIDENTIAL DESIGN, INC 5CALE I' = 2lZl' THIS DRAWING IS BASED ON CLIENT-PROVIDED INFORMATION REPRESENTED TO BE ACCURATE AND RELIABLE. ANY DISCREPANCIES BElWEEN THIS DRAWING AND THE ACTUAL SITE CONDITIONS ARE THE SOLE RESPONSIBILITY OF THE CLIENT