BLD-05-0190
Bui\ding f',ddress
Cli'( OF '(ELtJI _ BUILOING OEP A.RitJIENi
RESIOENilA.L CERiIFICA.iE OF OCCUPA.NC'(
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BLO_05-O,\90-'(L
Bui\ding pennit Number
cor"iort~
~in~
~
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owner Name
Owner f',ddress
p\an Number
Remar\(S
----
f',11 code reouired
~
f',reas Inspected
Date
special conditions
Building OHiciat
. . n Inle(Oalional Residenlial Code \cnaplel
1nis sllUclule is in compliance :t ~i: Ion Slale Building Code Council pUISuanl
5,\-5'\ Wf',C) as adopted b'l t2'"'7ea dS70 ~2 RON e<<ecli.e Jul~ j. 200A
to c,",ap\ers '\9 an \
G. carlson
CITY OF YELI\1INSPECTION LOG
PER.'llT NUMBER
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PROJECT
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FROM YELM SEWER DEPT
FAX NO. 360-458-8166
Nov 14 2005 01 06PM P1
FAX TRANSrAISSION
CITY OF YELM
P,Q, BOX 479 - 931 NP ROAD NE
YELM, W A 98597
360-458-8411
FAX 360-458-8166
DA IE: / I ~.; IJ~ 6 <:"'5"-
FAX#.
PAGES' I ,including thIS
CI)ver sheet
From' k>')J\)i) V
Subject: H()lJIS~ +'~A- L.3/ fL~;VN( tU(~T{:j tJ lfST,
65-73)5,00
COMMENTS: LOr d 6; ) 0 ({ 30 g/!'~f- Y (5'1<::/ -))(,.-iG'S 5T: 'S, (,
L ol ). 8'/ ! () l( I (s I:;; /flUe. 'Y CS'k /'- fXA.:<;: '5 T 5 _ e
05-7335,00
,,* 11' you do not receive all COplCS or any copy is not legIble. please caJl (360) 458-841 I
as soon as po!)~jble
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City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Permit No
BLD-05-0190-YL
Issue Date 07/05/2005
(Work must be started within 180 days)
Receipt No
37152
Applicant:
Name. Comfort Homes
Phone.
360.486.0161
Address, 8306 Quinault Drive NE
City' Lacey
State: WA Zip 98516
Property Information:
Site Address, 10430 Barry Bridges St SE
Assessor Parcel No. 62320002600
Subdivision. Mill Pond
Lot: 26
Contractor Information.
Name: Comfort Homes
Contact: Bayless, Greg
Phone. 360-486-0161
Address, 8306 Quinalt Dr NE
Contractor License No KERZIHL970M3
City' Lacey
Expires. 07/06/05187
State. WA Zip 98516
Business License. 05-000730.0
Proj~~Jl1forll1~Jion,
Project: Mill Pond
Description of Work: Plan 2199/2, Lot 26
Sq, Ft. per floor (1st) 1089
(2nd) 1110
(3rd) 450
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 1,297 05 993.75 303,30 5.6000 54 1600 $1,000
Building Plan Review 548.00 0.00 000 o 0000 o 0000
Mechanical Permit 8475 0.00 000 0.0000 o 0000
Plumbing Permit 118,00 20.00 98,00 7 0000 140000 Fixture
Sewer Inspection 145,00 0.00 145,00 145.0000 1 0000 ERU
Water ERU 1,50000 0.00 1,50000 1,500 0000 1 0000 ERU
Water Meter (SFD) 300 00 300.00 000 0.0000 o 0000
Water Deposit 4000 4000 0.00 o 0000 o 0000
Traffic Facilities Charge 757 50 000 757.50 750.0000 1 0100 Peak PM Trip
Sewer Deposit 5000 5000 0.00 0.0000 0.0000
State Building Fee 450 450 0.00 0.0000 o 0000
Sewer ERU (LID) 2,76900 000 2,76900 2,7690000 1 0000 ERU
TOTAL FEES $7,613.80
AppliC;~l1t.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 of Washington.
^~
y
# Sets of Prints.
Signature
Date
7/S/0\
Final Inspection:
Date: 11- \\a~ 6 S-
By: -&tt -
Firm
Applicant:
Name. Comfort Homes
o
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Address. 8306 Quinault Drive NE
Project InformCition.
Project: Mill Pond
Description of Work: Plan 2199/2, Lot 26
Site Address. 10430 Barry Bridges St SE
Fees.
Item
Building Permit 100-500k 032001-322-10-00
Acct Code
Building Plan Review 100001-345-83-00
Plumbing Permit
Mechanical Permit 032001-322-10-00
032001-322-10-00
Sewer Inspection
Water ERU 712401-343-80-01
805 412-343-80-00
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
Sewer ERU (LID) 802412-343-50-01
TOTAL FEES
o
PAID
JUN 3 0 2005
CITY OF YELM
City' Lacey
Permit Fees Schedule
Phone:
Permit No BLD-05-0190-YL
'j'{ fS':)-
State. WA Zip 98516
360.486.0161
Assessor Parcel No. 62320002600
Item Fee Base Amt
1,297 05 993 75
548,00 000
8475 000
118,00 2000
14500 0.00
1,500.00 0.00
300.00 300.00
40.00 4000
757 50 0.00
5000 5000
450 450
2,76900 000
$7,613.80
Unit Fee
303.30
Unit Rate No. Units Unit Desc
0.00
0,00
98.00
14500
5.6000 541600 $1,000
o 0000 0.0000
o 0000 0.0000
7 0000
145.0000
1,50000 1,500 0000
000 0.0000
0.00 o 0000
757.50 750 0000
000 o 0000
000 0.0000
2,76900 2,769.0000
14 0000 Fixture
1 0000 ERU
1 0000 ERU
o 0000
0.0000
1 0100 Peak PM Trip
o 0000
0.0000
1 0000 ERU
"
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PO Box 479
(elm VVA 98597
360-458-8403
RECEIPT No 37151
RECEIVED
*~**SEVEN THOUSAND SIX HUNDRED FIFTE~N DuLLAPS & 62 rENTS
RECEIVED FROM
COHE'O.RT HOHES
0306 QUINAULT DR NE
LACEY, iL'.:I. ';l'351b
SITE 15J5: 10~TH AVE SE
DATE
REC NO
AMOUNT
REF t'IO
y)7/~J1/03 37151
7,615 62 rHECY
10038
BUDGETAPf
611D FEh , -, /1 ;:.: -, - 1: LN ,-, 54 1~4
.. ~ - --' , ,. 0:' ~ ,
\'12;T HET ~O(! , CONE [1r:' E J() , T H ,;. F
HI CHELLE
i(EC'H .34 75, PL!! 118, SEi'J I 145, Wz'\T EPU 150.)
757 50, STAT B 4 50, SEW ERU 2769 00
I
j
RECEIVED
k~**SEVEN THOUSAND SIX HUNDPED THIRTEEN DOLLARS & 30 CENT3
RECEIVED FROM
C'OHFORT HOIlES
8306 QUINAULT DP NE
LA~;EY, ~'1J.;. 9':',516
DATE
REC NO
AMOUNT
7,613 30 CHECY
REF NO
10()3'3
07/01/03 37152
BUDGETAPY
SITE 10430 BARRY BRIDGE3 ST SE
HICHELLE
EiLD PER. 1297 (c)5,FLN H 545, llECH 84 IJ, PLl!B 118, 3.8\'/ INS 145, \'!AT EPU 15(10
HAT HET 3,,)(:), C)N3 DEE 9(2), 'l'RAF 75750, ,::TAT B 4: 5C1, SEH ERU 276900
. 0 .
RECEIPT No.3 715 3
RECEIVE;P* * '" SEVEN THOUS}\ND SIX HUNDRED TdENT'{ FOUR DOLLAR::? &. (36 CENTS
RECEIVED FROM
COHFOF:.T HOnES
3306 QUINALT DR NE
U\CEY i'lA 98516
DATE
07/01/0.3
REC. NO
37153
A.MOUNT
7,624 06 CHECK
REF NO
10033
BUDGETARY
SITE 10424 BARRY ERIDGES Sf SE
HICHELT.E
B LOP E F\ 1:2 j '3 3 4 ? L N P 5 4. ~ 9 7 , HE C H :3 4 7 5 , F 111 1:2 5 . S El'i I 1 4 5, 1'1 ATE R U 1 5 '.1 0
t.iI;'Y I.IET 30--3, CON DEP 90) 'llRA.F 7r:7 50t ST.l\T E 4 Sir), SEvJ ERU 2769 00
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City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:
Name. Comfort Homes
Address 8306 Quinault Drive NE
Project Information.
Project: Mill Pond
Description of Work: Plan 2199/2, Lot 26
Site Address. 10430 Barry Bridges St SE
Fees
Item
Acct Code
Building Permit 100-500k 032001-322-10-00
Building Plan Review 100 001-345-83-00
Mechanical Permit 032 001-322-10-00
Plumbing Permit 032001-322-10-00
Sewer Inspection 805 412-343-80-00
Water ERU 712401-343-80-01
Water Meter (SFD) 712 401-343-80-01
Water Deposit 740402-389-00-00
Traffic Facilities Charge 420 120-345-85-00
Sewer Deposit 742402-389-01-00
State Building Fee 160 001-386-00-00
Sewer ERU (LID) 802412-343-50-01
TOTAL FEES
o
PAID
Permit Fees Schedule
Permit No BLD-05-0190-YL
JUN 3 0 2005
CITY OF YELM
City' Lacey
Phone:
'51 {~d-
State, WA Zip 98516
360.486.0161
Assessor Parcel No. 62320002600
Item Fee Base Amt
1,29705 993 75
548 00 000
8475 000
11800 20.00
14500 0,00
1 500 00 000
300 00 300 00
4000 4000
757.50 000
5000 5000
450 450
2,76900 000
$7,613.80
Unit Fee
303.30
Unit Rate No Units Unit Desc
0.00
o 0000
56000 54 1600 $1,000
o 0000
000
o 0000
o 0000
140000 Fixture
1 0000 ERU
1 0000 ERU
o 0000
0.0000
10100 Peak PM Trip
o 0000
o 0000
1 0000 ERU
98.00
7 0000
14500
145.0000
1,50000 1 500 0000
000 o 0000
000 o 0000
757 50 7500000
000 o 0000
000 o 0000
2,769.00 2,769 0000
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Yelm School District
ATTN SUSAN CROY
PO BOX 476
YELM, vIA 98597
360-458-1900
Sold to: 16766
KERZIE HOMES
KERZIE
HOMES KERZIE(COMFORT HOME)
8306 QUINALT OR NE
LACEY, WA 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 RECEIPTI I I
/\ CiTY OF YElM ~ i-61Z-b
R !lENlTIAl BUILDiNG PERMIT APPUCAi )~ FORM
"--../ \....
Project Address. to~ 3-0 ~ ~{LfOlr<< $T.s~ Parcel #. b l-s 'Z00~ .r q q f\,A.w
Subdivision.YG,vAltaLIbThW- _ Lot#- U Zoning; ecelvea
(Mlw. P6l'A") .. IIltJ 0 4\",'111115 .1\
~ew Construction" U Re--Modell Re--Roof I AddItion U Home 09SU!!&ro1lf ,~1Il ~ \J
rPIUmbing ~Mechanical LI Mobile J Manufactured Home Placement u Other 6\. "
Project DescriPtioh/Scope of Work:_ ~ ~ t~u. ('~ .iJ.( .~
DcOU ~
Project Value.
Building Area (sq. It) 1st Floor ID<b,\ 2nd Floor-.!!.L~ Garage ~~ Deck-
Basement -- Carport - Patio. 'Ub
# Bedrooms!i. # Bathrooms 2.:z.- HeatineTHER or ELECTRIC (Circle One)
Are then:! any environmentally sensitive areas located on the parcel? NO If yes, a
completl~ environmental checklist must accompany permit application
BUILDING OWNER NAME. GoIV\MrR..1 v\,o~~
ADDRESS ~ 30\0 Q lAlIVA'LIl DR\ AI. f.
CiTY_iL--AV(:Y STATE VVl'\- ZIP c\<jSS"lb
ARCHITECT IENGINEER C40rS cMt. ~ t.~1 OVlwI tVL
ADDRESS ---La 2- SO...iTVlZ,~ f"l $'~e:tr
CITY 'f7T(.o~A- STATE V\I)\- ZIP ~~ \.;O"L
EMAIL :!\V\'\@.. \o<~~z'i6.{OvvI~.(,o""
TELEPHONE () CoO) '1 gb - 0 I b\
]
GENER~LCONTRACTOR
Go W\folt, I-iOIMS ~
MECHANICAL CONTRACTOR KWteNl(i(A/11/ Bf161l1 tf4TELEPHONE- U?:; S-3,-O~ 0
ADDRESS lf103 \\6""' .Yr, f, EMAll kut.t I3I4S AoL. (,{)W\
CiTY -Tl\U.I\NVU\- STATE MI\- ZIP qg4'1.~ FAX v~ S3,\-38(;.1
CONTI~ACTOR'S LICENSE # KLliJ"'-(3H02,18r EXP DATE I () I" LICENSE # --=
Copy of mitigation agreement with Velm Community Schools, if applicable
I herebll' certify that the above information is correct and that the constnJctioo on, and the occupancy and the use of the
above described property will be in accordance with the laws, rules and regulations of the State of Washington and the
City of '(elm.
alure .. Dare "-pi O~
or! Owner's Agent I Contractor's Agent (Please circle Qne.)
AI! permits are non-transferable and wll! expire if work authorized by such permit is nat begun
withirll 180 days Qf issuance, Qr if work is suspended or abandoned for a period of 180 days
lOr. Yelm Aven,f'c West
PO &:)1; 47!~
Yelm,. WA .985.97
(.160) 458-tl835
(:/60) 458-.'H44 FAX
www.ci.yelm.wa.I.A.II
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LOT 20
COMFORT HOMES
MILL POND
10430 BERRY BRIDGES STREET SOUTHEAST
YELM, WA
LOT INFO.
LOT AREA = 4950 SQ.FT
BUILDING COVERAGE = 18579 SQ.FT
PAVEMENT COVERAGE = 348,7 SQ,FT
TOTAL COVERAGE = 2206.6 5Q.FT
OR 44 6%
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BARRY BRIDGES ST. SE
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,
~ 20C5 CL\5CADE RESIDENTI,IIL DESIGN IrK
THIS DRAWING IS BASED ON CLIENT-PROVIDED INFORMATION REPRESENTED TO BE ACCURATE
ANO RELIABLE. ANY DISCREPANCIES BETWEEN THIS DRAWING AND THE ACTUAL SITE CONDITIONS
ARE THE SOLE RESPONSIBILITY or THE CLIENT
~
NORT~
SCALE I' = 20'