BLD-05-0199
~~~
Cn'/' Of '/'ELNI- 6UILOING OEPA.R1N1ENl
RESIOEN11A.L CER1IfICA.1E Of ocCUP A.NC'/'
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Bui\di1l9 p..ddress
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owner Name
owner p.,ddress
--
p\all Numper
Bui\difl9 permit Numper
--
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Remar"s
---
specia\ conditions
p.,\\ Code reQuired
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p..reas \lISpected
Date
Bui\difl9 OHic'la\
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. . . . InternatIonal Residential Code (CMpter
.hiS structure IS In complIance ~"th ~~: Ion Slate Bu"ding Code council pursuant
5'\-5'\ wp.C) as adopted b'/9 t2\17e das70 992 RCW eHecti\le ju\'1 ",2004
to cnapters'" an '
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CITY OF YELI\1INSPECTION LOG
C PROJECT 7/cL/]LJ dd 11/21t- -Loi-(~
PERMIT NUMBER 0 S - 0/77'
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Comments
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FROM YELM SEWER DEPT
~~\
TO-
FAX NO. 360-458-8166
Jan. 11 2006 12 25PM 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
DATE: {- ((-05
FAX#: ~t. 4~$J" tf3Lf~
PAGES: I , including this
Cover sheet
From: ..T,.~ 1:>ol7
Subject: ~&' >'rf.eM. F1#(4t.-~
COMMENTS:
?EM~\ ~~"- L c:A ~ it ( I ~ ~C>I it> I.f.~ v.)0A.( ~E: oS - 7;).oD .00
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~\ t ? tt~.eJ <H\,Ct;t 5..ewec... ~"'~ ~,f-...'e
R..Q.rLc91 4r ~,"((,t H 7~
n If you do not receive all copies or any copy IS not legIble, please call (160) 458-8411
a~ soon as posSlhle.
o
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City ofYelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Permit No
BLD-05-0199-YL
Issue Date 07/05/2005
(Work must be started within 180 days)
Receipt No
37150
Applicant:
Name. Comfort Homes
Phone.
360-486-0161
Address. 8306 Quinalt Dr NE
City' Lacey
State: WA Zip 98516
Property Information:
Site Address. 15430 104th Way SE
Assessor Parcel No. 62320001600
Subdivision: Mill Pond
Lot: 16
Contractor Information:
Name: Comfort Homes
Contact: Bayless, Greg
Phone: 360-486-0161
Address. 8306 Quinalt Dr NE
Contractor License No KERZIHL970M3
City' Lacey
Expires. 07106/05187
State: WA Zip 98516
Business License. 05-000730.0
Project Information.
Project: Mill Pond
Description of Work: Plan 2211/2A Lot 16
Sq. Ft. per floor (1st) 1301
(2nd) 900
(3rd) 0
Garage 454
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 548.97 000 000 o 0000 o 0000
Mechanical Permit 8475 000 000 0.0000 o 0000
Plumbing Permit 125.00 2000 105 00 7 0000 15.0000 Fixture
Sewer Inspection 145.00 000 145.00 145.0000 1 0000 ERU
Water ERU 1,50000 000 1,500 00 1,500 0000 1 0000 ERU
Water Meter (SFD) 300 00 300 00 000 0.0000 0.0000
Water Deposit 4000 4000 000 0.0000 0.0000
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 o 0000 0.0000
Sewer ERU (LID) 2,76900 000 2,76900 2,769 0000 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 of Washington.
# Sets of Prints:
Firm
~-
I
Dol, 1/?~
Final Inspection:
Date: / d 3-0 (,
By' ctIt.
Signature
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City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
PAID
JUN 3 0 Z005
Permit No BLD-05-0199-YL
Applicant:
Name: Comfort Homes
Address. 8306 Quinalt Dr NE
Project Information:
Project: Mill Pond
Description of Work: Plan 2211/2A Lot 16
Site Address. 15430 104th Way SE
Fees.
Item Acct Code
Building Permit 1 00-50 Ok 032001-322-10-00
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
Sewer ERU (LID) 802412-343-50-01
TOTAL FEES.
Permit Fees Schedule
CITY OF YELM
'3 7 f~O
Phone:
360-486-0161
City' Lacey
State: WA Zip 98516
Assessor Parcel No. 62320001600
Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
-------------
1,299.34 993 75 305.59 5.6000 54.5700 $1 000
548.97 000 000 0.0000 o 0000
8475 000 000 0.0000 o 0000
125.00 2000 105.00 7 0000 15 0000 Fixture
14500 000 14500 145.0000 1 0000 ERU
1,50000 000 1,500 ('" 500.0000 1 0000 ERU
300 00 ~Q;~ 0.0000 o 0000
o 0000 o 0000
~ 6-J3' 1 0000 1 0100 Peak PM Trip
0000 o 0000
1000 o 0000
2,76~ - L,769 0000 1 0000 ERU
$7,624.
o
RECEiPT No.3 715 0
RECEIVEp
***SEVEN THOUSAND SIX HUNDRED TWENTY FOUR DOLLARS & 06 C'8NTS
REF NO
100313
RECEIVED FROM
cot!FORT HOllES
8306 QUINALT DR NE
LJ\CEY. \111\ 98516
SITE 15430 104TH WAY SE
DATE REG NO
07/01/03 37150
AMOUNT
7.624 06 CHECK
BUDGE'l'}\RY
~-------
HICHELLE ----~ -_/
,14, aN REVS4', 97, llECH 84 75, PUlB 1 C 5, SEN 14 5, tJ,~T ERU 1500
CONS DEF 90. TRAP 757 50. STAT BLD 4 50. SEW ERU 2169 00
o
BLD PE:R 1299
\1AT IIET 300
o
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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 Quinalt Dr NE
Project Information:
Project: Mill Pond
Description of Work: Plan 2211/2A Lot 16
Site Address' 15430 104th Way SE
Fees.
Item Acct Code
Building Permit 100-500k 032001-322-10-00
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
Sewer ERU (LID) 802412-343-50-01
TOTAL FEES.
Permit Fees Schedule
PAID
JuN 3 0 2005
CITY OF YELM
Permit No. BLD-05-0199-YL
~'.J 7 I~O
Phone.
360-486-0161
City' Lacey
State: WA Zip 98516
Assessor Parcel No 62320001600
Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
-------------
1,299.34 99375 305.59 5.6000 54.5700 $1 000
548.97 000 000 o 0000 o 0000
8475 000 000 o 0000 o 0000
125.00 2000 1 05 00 7 0000 15 0000 Fixture
145 00 000 145.00 145.0000 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 4000 000 o 0000 o 0000
757.50 000 757 50 7500000 1 0100 Peak PM Trip
5000 5000 000 0.0000 o 0000
450 450 000 o 0000 o 0000
2,76900 000 2,76900 2.7690000 1 0000 ERU
$7,624.06
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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 OUINALT DR 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 # 2800/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 I I!
CITY OF YELM
R()ENTlAl BUilDING PERMIT APPlICA"'fj FORM
Project Address. I ~43o - 104 P'\ lM4V S~ Parcel #. b~32.t)OJl~O Ld)- J"
Subdivjsjon"-.ef.,tvM~ ~ lot #" I b Zoning; ""';~ {'trr.J(J
(r\1U. PoW) .. .. \.!'~)
~~ew Construction U Re-Model / Re-Roof / Addition lJ Home Occupation Sign · d
rvp.,umbing . . ~Mechanicaf ~ Mobile / Manufactured Home ~'a~ment LJ OtheR ace Iva
PrOject Descnpt,oh/Scope of Work: N6w S'/~vt.. ~Iv{ 2. S~ JUN 2 8 200~
Project Value. $ 110 , 01.>'1J
Building Area (sq ft) 1 st Floor ~ 2nd Floor q,0i> Garage ~ Deck---
Basement .------- Carport - Patio. Uib
# Bedrooms '1 # Bathrooms 2..}z... Heating~THER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? NO If yes, a
completl~ environmental checklist must accompany permit application
PI4WV Zz,,:f;. t
BUilDING OWNER NAME u>\V\f01tl ~O~\
ADDRESS ~ ~O\o Go lAII\4'\'Lil 0<<., N If..
CllY.-JkAv~Y STATE Wr\- ZIP <1'tS'"lb
ARCHITECT/ENGINEER CA-ScM:>t. ~E.SID~I Nl
ADDRESS 102-. SouTI'f z.,~""'" s~6tr"
CITY .T"11tAV\'IA- STATE VVIl\-. ZIP Cj~ "IOl
/
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:-v
~~lV
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EMAIL 31VW\@.I.(t;~Z.itiAOy.1~ . Ul\V\
TElEP};!QNE (3 be) '1 Sb - 0 I b\
MECHANICAL CONTRACTOR'lZCI ~~It~1V B~Tl1~TELEPHONE U3 S-~/-O~
ADDRESS "{1o?> \\6"'" .sT, t \ EMAIL kU\t I3tZ.o5 C? AoL. (..<l"'-'l
CITY "'~~i\- STATE M'\- ZIP "S"t'1Co FAX ~c~ S3~-38b(
CONTHACTOR'S LICENSE # KLlt.I'-\BHO'Z,I 6'r EXP DATE I () .....1 - LICENSE #
_ Copy of mitigation agreement with Yelm Community Schools, if applicable.
I hereby certify that the above information is correct and that the constnJ(;tion on, and the occupancy and the us~ of the
above described property will be in .accordance with the laws, rules and regulations of the State of Washington and the
City of y,eim.
. b 12.'4 O~
Applicant's Si ature Date -,
Owner I Contra or I Owner's Agent f Contractor's Agent (Please circle one.)
All permits are norHransferable 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
(360) 458-:18.1.';
(.1&0) 4li8-:nu FAX
www.ci.yelm.wa.lUI
105 Yelm. Avenue WeM
PO Box ./79
Yelm,. W.AI 98.'i.'n
Ci
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LOT 16
COMFORT H()MES
PENNINGTON
15426 l04th WAY SOUTHEAST
YELM, WA
ri -- _M~': ---l
111~'LJ - - 4025' 858' ~- r 3~_ll:
! I _ _ "TlO I I
i;;;-I.J if!:/):0 -+1 I I
I ~! ~ ~/~ I~ I~I~
.1 I II/PLAN 2211/2 I~ I: ~
~ I.~ I~ ~ : :~
I 1- I I
, I I I I I
~ - - ~ 858Lr- L - ~ I
/f; 9 -~-40'- ~-1~31 1
/ 64.59'
LOT INFO.
LOT AREA = 10901 8 SQ.FT
BUILDING COVERAGE = 1849 1 SQ.FT
PAVEMENT COVERAGE = 1848.7 SQ.FT
TOTAL COVERAGE = 3697.8 SQ.FT
OR 33.9%
104th WAY SE
~
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~Jrr:=: "I' " ,.
- -~ ''-'':.~::~~@
_,,___~9-)i::__~. ~ORTI-1
~,~ SITE PLAN
,
@ 2005 CASCADE RE'::;IDENTI,L\L DESIGN, INC
SCALE l' = 40'
THIS DRAWING IS BASED ON CLIENT-PROVIDED INFORMATION REPRESENTED Tn BE ACCURATE
AND RELIABLE. ANY DISCREPANCIES BETWEEN THIS DRAWING AND THE ACTUAL SITE CONDITIONS
ARE THE SOLE RESPO,'SIBILlTY OF THE CLIENT