BLD-05-0184
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CITY Of YELM _ BUILOING OEPARTMENT
RESIOENTIAL CERTifiCATE Of OCCUPANCY
Building ,c...ddress
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RemarKs
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Plan Number
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owner Name
owner ,c...ddress
Building permit Number
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special conditions
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februarv ~42006
,c...reas Inspected
o ate
Building Ofhcial
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1nls struclu", Is In compliance 'linn tM InternalionalResldentlal Code (Chapter
51-51 WAC) as adopted bY tM wasnlngton State BUIldIng Code councIl pursuant
to cnapters 19.27 and 7092 RCW, elleetl"e July 1,2004
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FROM YELM SEWER DEPT
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TO: &rzE~
FAX#:
FAX NO 360-458-8166
Feb 09 2006 11 52AM 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
DA TE: :;) _. q- CJ &
PAGES: I , including this
Cover sheet
From' rANDY
Subject: HO\A '5("'" F /}J 4L s/ 'T 1EL1Y-. 1t;RRf\
OS -50~O.OU
COMMENTS: .L 0 T &::'/ ) ~1'd. ( '1 ~l-y'y) TEl212Jl 10A Y S, ~
Lo') 'fl,) 1 'S~7 'i 0 tfELrn n;eJ~J1 \;.JAY $ LE: .
Os- 5g-7D 00
u If you do not receive all copies or any C(lPY IS not legible, please call (360) 458-84 t I
as soon as possible.
CITY OF YELM INSPECTION LOG
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PROJECT
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PER.t\llTNUMBER O,S -(5 1St!
ADDRESS / 571.f 0 y{!../ JtY; :Lul'a /A)act Sf.-
FOOTING \\' ALL
~ 1 T ~ 6"
~ 16 %8"
CJ other 0 other
o reqUired \ ents
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SET BACI\S Date
Front ~
Rear -;//J;;V
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SIde ~
FOOTI'\GREB.\R
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./ Date c,},Z- W.\LL REB.\R ~Date g)/\
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C 0!Tl!'!:ents
j CO\lBI;\[D FRN\lEI EXTERIOR SHEAR W .\LL I\SPECTIO~
'V\f ~\,_ / Hold downs ::Jr Shear Nailing ~
-irqV' Frame ~ o.lvI..Ab/U Gas'Propane- i oJ.-J~
v Plumbing /j rJf-(OhJ !\1echamcal /::J
/ I
C' Comments ~'~'~_0L~'Y
I'\Sl LA TIO~
J Gas
o Foam and Seal
~ E1ectnc
::J Vapor bamer
" Other
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Comments
SHEET ROCK/SHEAR \V -\LL '\ .\IL
Comments
OTHER
(omments
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o Se\\ er Final
J -\ddress
Q Electncal
[] Insubuon
[] Cl\lIFmal CJ bndscape FJn31 Q (clfO
o Slte DraInage 'I Slde\\ all-.
Comments
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City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Permit No
BLD-05-0184-YL
Issue Date 08/10/2005
(Work must be started within 180 days)
Receipt No
37958
Applicant:
Name, Evergreen State Builders
Phone.
253.475.6622
Address. P.O. Box 39753
City' Lakewood
State: WA Zip 98499
Prop~rty Inlormation:
Site Address. 15740 Yelm Terra Way SE
Assessor Parcel No. 85840008700
Subdivision, Yelm Terra
Lot: 87
Contractor Information
Name, Evergreen State Builders
Contact: McCullem, Tom
Phone: 253-475-6622
Address, P.O Box 39753
City' Lakewood
State: WA Zip: 98499
Contractor License No EVERGSB980PB
Expires: 10/02/06275
Business License: 1042.0
project Information:
Project: Yelm Terra
Description of Work: Plan 2170/2 Lot 87
Sq. Ft. per floor (1st) 1363
(2nd) 456
(3rd) 0
Garage 440
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 1,282.71 993.75 288.96 5 6000 51,6000 $1,000
Building Plan Review 542.02 000 0.00 o 0000 o 0000
Mechanical Permit 8475 000 0.00 o 0000 o 0000
Plumbing Permit 132.00 2000 112.00 7 0000 16,0000 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 0.00 o 0000 0,0000
Water Deposit 40,00 4000 0.00 o 0000 0.0000
Traffic Facilities Charge 757,50 000 757.50 750 0000 1 0100 Peak PM Trip
Sewer Deposit 5000 5000 0.00 o 0000 0.0000
State Building Fee 4.50 450 0.00 o 0000 0.0000
Sewer ERU 5,417 00 000 5,41700 5,4170000 1 0000 ERU
TOTAL FEES. $10,255.48
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,
Signature ./ ~-
Firm #S41'
# Sets of Prints.
Final Inspection:
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Date I~,-,.s-
Date:
'2-/'-/- O/:J
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PO Box 479
Yeim, WA 98597
360-458-8403
RECEIPT No.3 7 9 5 9
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YELM COMMUNITY SCHOOLS
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FOR. _1"1 rh3"tl~_EU!.- -toc-- _led1'!Llaf~- -.:rL. 8'S,..M-'l:S-
_ ~~~_g#tJ_~;U~LARS
ACCOUNT CODE AMOUNT CASH CHECK 00.
()D-IH1 i '" IWtO\ \;Q1s $ L?:: h&8~
By
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Applicant:
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
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Name: Evergreen State Builders
Address. P O. Box 39753
Project Information:
Project: Yelm Terra
Description of Work: Plan 2170/2 Lot 87
Site Address. 15740 Yelm Terra 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 715401-343-80-02
Water Meter (SFD) 712401-343-80-01
Water Deposit 740402-389-00-00
Traffic Facilities Charge 420 120-345-85-00
Sewer Deposit 742402-389-01-00
State Building Fee 160001-386-00-00
Sewer ERU 802412-343-50-01
TOTAL FEES
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PAID
AUG 1 0 2005
CITY OF YELM
Permit Fees Schedule
Permit No BLD-05-0184-YL
61crs~
Phone,
253.475.6622
City' Lakewood
State. WA Zip 98499
Assessor Parcel No, 85840008700
Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
-------------
1,282.71 993 75 288,96 5 6000 51.6000 $1,000
542.02 000 000 o 0000 0.0000
8475 0.00 000 o 0000 o 0000
132.00 2000 112,00 7 0000 16,0000 Fixture
145.00 000 145.00 145 0000 1 0000 ERU
1,500 00 0.00 1,500.00 1,5000000 1 0000 ERU
300 00 300 00 0.00 o 0000 o 0000
4000 4000 000 0.0000 o 0000
757 50 000 757.50 750.0000 1 0100 Peak PM Trip
5000 5000 000 0.0000 o 0000
450 450 0.00 o 0000 o 0000
5,41700 000 5,41700 5,417 0000 1 0000 ERU
$10,255.48
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EVERGREEN STATE BUILDERS
YELM- TERRA
15740 YELM TERRA WAY SOUTHEAST
YELM, WA
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I YELM TERRA WAY SE
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: WATER LINE
_~__________________L_________
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STORM LINE
. SITE PLAN
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@ 2005 CASCADE RESIDENTIAL DESIGN, INC
@
NORT~
5CALE l' = 30'
THIS DRAWING IS BASED ON CUENT-PROVIOED INFORMATION REPRESENTED TO BE ACCURATE
AND RELIABLE. ANY DISCREPANCIES BETWEEN THIS DRAWING AND THE ACTUAL SITE CONDITIONS
ARE THE SOLE RESPONS18IL1TYOr THE CLIENT
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pr'~""'Admv:i=~1 .\:ML71'a ..-..-..,---
SUbdiv/alan;_~~Vj~~ Lot # d:L Zoning; ,~~it:_-I(f!.!tJ~
'~ew r~nstru(,1jun . U Re-Madell Re-Hoof/ Addi~on u Home OcclJpatitl" SiUn
u Plumbing lJ Mschal1lcol l J Mobile I MomJlmctu,.fitd HOMtf PhwtIJrYlent U Olhttr
Project Dascriptlor1Jf:cope of Work;.~4tf.e. , -r;",!!( I (!J-- f!r::., :Sldldl.l (~__
Project Value:~-.!:J & I ;;J..' 0 _._______ . .._
Building Area (sq Ii) 19i FJood.3!e? ;tIll Floor,~F~ Gi!lfe.gS _~Q Dock
BlJriiBmant____ C8rport___,_._Patlo~1 <e..
# a9dl'ooms.~. # Bl'fthrool'Y!!tl.2...S" H0811"~THER or ELECTRIC (Circle One}
Ar'e there any tlHIVltOtll't'1f1Mtally !ll6hSitiv19 ar9&lllllocatad on the p&m:el? _".___ If YIiJII, a
completed Bl1vironrnuntal checklist must Bccompany permit applltution
BUllhll\lG OV'{NE.FrNAME:=r9~~t~~&~.'L_l?iEd(jL7(~//.
ADDRESS ".,C' /'(-.- ..../v. l. ft \ ~ t, .. , -..~- ~ -.~ u,,;,,"f." ,g
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CITY ~~~"",_~ATE~.k:_l.!P. _ _lrU::PHONE "c~~... .....,.:. (, ~'.
[ARCHrffiCfJEN.G"~EER7W~~Z&litrl~tilii~f[ICENSE # -=~-- . ,. ',_ ]
AODRESS_':::,f!.!_~~~~ . ~_EMAlt~_ ___
crry~!W(~~=.)nA rt~?!;Z:~~2 ~~~~EP~HbN~2E3J 'Zr51Cl.cL
G~NERAl. CONTR'C'TOR. ~wlII(iii-:$7tttJL~~ TELEPHONE~__=--'----"~-::--J
ADDRESS EMAll =.=====
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CONTRACTOR'S '..ICENSE #_ '__' ,~.~ .... t?XP DATE_~_CITY LICENSE #_____
, ~.oM.l__....................._.........._~:.l"'J1t:i.... ~-"""~-...~~ . '~\I ~
-MECHANICAL cOt\ihV\CTOR~ML~7 ..jE'LEPHONE M;:L.7~J;rft2 -J
ADDRESSJ3"~/L""''''''' ~t!t:___.._____..,.EMAlt ..._____.__._._.__
CITy,g~~_,__STATE.~4 .,_lIP ..:HI'LZ.f' .FA>(~_,_____.___
CONTRACT~I~:~~I#~~~tt~J"'= EXP OATE..,,_.."crf!.~IC~~~..~_~ , ,''''''''_
PN> .,.,.,..,
~__ Copy of IYlltigatJon agreemt'rlt wiih Yelm COrt'lfY1Urllty Sel'1ools, if applicable
I h,,~bV j:ertHy Itllll !hl/ utlOYll b,jurill\'jtio~l l!!i l~</lI'r'llC! t.mo.l thnt ii,,, tJtm5i.ru,~t'un Oil, tll\d Ii'll! UCtluW\lIll,my and Ih" UII8 6' the
ubO\l41 dast:lrlbed PMPflI1y Will bil In lua:ordllYlI)Il with the lilWII, mllla ~nd _ijgufutlalft8 of the &1utll ~f WlIshlf'lgtlln and '''e
Chv 1;1' Vitlm.
App.reird', SIGnatiJr",..~",--=-::::=::': --"-,--,_. Date
Owner' / Contructor(Ownlr'l:I Ag~ Contractor's Agen. (PtlnUi. tlh'(j)II one.)
-~--
All permits are non~tranlSfell'lbie *nd will exp'rg if work ~mthuw'e:led by luch permj' III not begun
within 180 daye of ijw9UI!mee, or if wtJrk 18 $ulllpehdDd Ot abandoned feu' 8 period of 180 dQ1ys
~.........._~_-........--",.......
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