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BLD-05-0183 o,,~.,.~ ;1 ~ "._"~ 1 L1l II LI , 1 f;- ,.~ i I .', ~~ ~~1~1 i!' 111 J f; ~~n i rFn ~fEn i-[:~il fT{l) r-f~n nr~~l C~ll rr[~]l rfgllHIj] r rt~] [Trtn HEil ffEn ,'en 'T~I] [h~II rTr~n .; , . ..........1 ,.,.._,._. IT~___-l L___J (_..__, ..,__J [.__. ~._,_:J 1____,. ,..___,1._._... '.._._."..1 "..,......1 ~._..,._.., L__.J ,..._, '_h__._.1 it.......... CITY OF YELM - BUILDING DEPARTMENT RESIDENTIAL CERTIFICATE OF OCCUPANCY Building Address 15722 Yelm Terra Way SE Owner Name Owner Address Everqreen State Builders P,O. Box 39753 Lakewood WA 98499 Building Permit Number BLD-05-0183- YL Plan Number Plan 1740/3B Lot 84 Remarks Areas Inspected All Code required Special Conditions Building Official G, Carlson Date March 8, 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 7092 RCW, effective July 1, 2004 t r . , \; if j1 ! ,. ' , ~ P J ~! ,i! oi 't. -~J 1 r"'''-II'. f!'~l]] '-~Ei! n=-iiy. r';:J1 L.._.l" L:::.J t, ,:~ I L :;,.:Li L~:::::L r!:~~: FROM YELM SEWER DEPT FRX NO 360-458-8166 Feb 28 2006 02 06PM 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: & (c ?<.~/6t0 DA IE: .;1-.::L &0 Ie, FAX#: PAGES: l ' including this Cover sheet From: f;1 JJ D Y Subject: l+o l.A S' E" P /;Jf11 '1'15 L Yr-, l1:::;~ (<'A COMMENTS: L 6 j-- 'lL/) )<S~ 7 (~ \..)1 ~LYT\ IFR a.,A lJ'.JAy ~. E . bS- 5'oL( 0 . 0 () ++ If you do not receive all copies or any copy is not legible, please call (360) 458~8411 as soon as possible. CITY OF YELM INSPECTION LOG C PROJECT? /0/10 ~~/ /} 10 + 2 L/ PER.~1lT NU!\1BER 0 ~ - 0 ) 83 ".OORESS / 57;;d- Ye:.tw. MrN1 {{Jay Sf ~ SET BAChS Date FOOTfNG Front 18. CJ 1 2"' Rear 7JifiP 0 16" Side FlaMing ~. 7 :J other SIde ~ 0 reqUired, ents FOOTl'\GREB\R / 0,,< J..CI~\\'\ll REBAR WALL Q 6" o 8" o other Date CO!11!T!ents CO\lBI;\[D FR-\~lE/ L\. TERIOR SHEAR W .\LL I\SPECTIO~ Hold downs :J J4; Shear NaIlIng - Frame 11 II-oS ,'Gas'Propane 30 1!-c1r Plumbing ~ W c!!l I;; Mechanical ]I 11- (15" # ;/i/ C Comments I'\Sl LA TIO"-' J Gas f11' F 03m and Seal ~ Electflc ~ \' apor b3ITler '1 Other ~ PV-\ Comments SHEET ROCK/SHEAR \V -\LL '\ -\IL Comments OTHER Comments FI,,-,AL o Se\\ er Final :J Address Q Electrical !J Insul3tlon Q C1\IlFmal CJ bndscare Fm::d iJ ((If 0 o SIte Drainage 'I Slde\\ all-. Comments C o o ~ ~ City of Yelm Community Development Department Building Division Phone: (360) 458-8407 Fax: (360) 458-3144 Permit No BLD-05-0183-YL Issue Date 09/19/2005 (Work must be started within 180 days) Receipt No 38267 Applicant: Name Evergreen State Builders Phone: 253.475.6622 Address, P.O Box 39753 City' Lakewood State: WA Zip 98499 Property Information: Site Address. 15722 Yelm Terra Way SE Assessor Parcel No, 85840008400 Subdivision, Yelm Terra Lot: 84 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 1740/3B Lot 84 Sq. Ft per floor (1st) 1172 (2nd) 1028 (3rd) 0 Garage 480 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 1,14775 993,75 154 00 5 6000 27 5000 $1,000 Building Plan Review 485.51 000 000 o 0000 o 0000 Mechanical Permit 78.75 000 000 o 0000 0.0000 Plumbing Permit 111 00 2000 9100 7 0000 13.0000 Fixture Sewer Inspection 14500 0.00 145 00 145.0000 1 0000 ERU Water ERU 1,50000 000 1,500.00 1,5000000 1 0000 ERU Water Meter (SFD) 300 00 300 00 0.00 o 0000 o 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 000 0.0000 0,0000 State Building Fee 450 450 000 o 0000 0.0000 Sewer ERU 5,41700 000 5,41700 5,4170000 1 0000 ERU TOTAL FEES. $10,037.01 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. ~...,-- Signature A'" ~ =- - Firm IIIIJ!!I"s 4 Date ~/':'4AS ., Final Inspection: Date: 3-?-0 V ~~ / By' o o RECEIPT No.3 8266 REG~IVJ;PEN THi=JtJ~ld'1[ Tl'l~ H1Jt~r:q:I-~r FTE'Tl PI.iS [' ~iLr_~;\P;: /:i -i l~ n T :: RECEIVED FROM DATE REC. NO. AMOUNT REF NO. SJEFG~EEN STATE EUILDEF: (~ I:) / 1 ';j / ";\:3 '_ c: ~_ tl !:J 1. ~1 "- s:- '"* = CHCC FEN [l I },7 G PC 2 i) :~. :) q .~ ~:! J L=lYLl\lC"J[I: \'r!::, ;- ;::. tj. :-~ I~ B UDC !.~I Pi. ::'1\ E' LD -- 0 5 u lj 1 J -; - .YL SIT~ le46~ -fEL1,1 TER2l' .:: T ,,_ L' o.-1.i..J D I 'D.1~ [:... L:"I[FF [-;-'.L_.: 1- - :::1... ~ : J :. .\ ._, i 1 E T-j F i~ i i rr _ ~i [!FFLTI_ : :(ItJ_I'1~1~) 1"1 I 2 R U 1. _ 'i \-j 7 \) ,I 1 i I T ~ "l(~ J I'J / [ E r -1 "":; rF.!~rF7S; ~ - ~ - , -, .........,.-,--- L l:J..t' ':) :.,i :'TFES~ ;;:C) (- E r ~.T 5 4 1. ' . RECEIPT No 3826 7 RECEIVED " '.-'" ,. 'T}~ N 'T}{ c: .J ~~- r: iJ I') T T-{ IF T T'J.. l.~ E J E h ;: i-.. L I 1\. R S \. i: C E N ~ .: RECEIVED FROM DATE REC. NO. ("J'" / 1 -~ ! ;'0:; _ S -'_ C 7 AMOUNT REF NO. S\ :CFG.Jr:;E~lT E'J:ATE ~.tTII..,D!~p ':. {."\ , -1:' 7 (; 2- ':' 1- E C II ~. El. [IN''=- c ,..---.~ ':,"-- J_.l~.:.[\J(}CL~ \.jl~.:. ~-1I.J 4 ~1.:1 E Uri;E~lll~ ')1' E L [' .- .:' :: .- ..1 i : ,":1 -- 1. I.: ::I'IE 1 S":' ~ YEL!l ;I.'EF nri. . !'" DIAN.Z\ E L [) f P ! r T 1_ Ji -, " r: T "\. - .- r - ~ :\ ~ 1:.: 1 C:'-;HFPj'ITr3 t '..., I _' :& f~ 1::-:-P 1711.1_ = Jt~? i ::J r:: " ff. U..L t:"(21-:) 11 ~ F ... :) = ~ 1! / I :c F 4 \l) T F r r r 7 ~ -; r. ,., [E F ~ -; -TtT~f~ r- " , ' ,..... I~I: i:-" , - I.. :..., J -::: 1- .I o o Yelm Community Scn~~ PO Box 476 "-~ ~_ Ye 1 m I WA 98597 ___________ Clerk: Terminal Recei~t: Manua 1 Receipt. Croy 1 3652 EVERGREEN DISTRICT OFFICE EVERGREEN STATE, BUILDING LLC 9/19/2005 9 06 AM Qty Item Price 1 CPF2900 8555 00 MITIGA nON YELM TERRA DEVELOPMENT - LOTS 38,64,80,84, 88 Subtotal, Tax, Total Check 10393 Amount Due 8555.00 0.00 8555 00 8555,00 0,00 p o W to W 08/08/2005 17 00 2532843183 o CAS RES NO Tm1 LOT 84 EVERGREEN STATE BUILDERS YELM TERRA 15722 YELM TERRA WAY SOUTHEAST YELM, WA SITE PLAN APPROVAL ~^~[: "PT'ii!Nr.r.: ~!. "f,:r.~~mtl I l\tvi~E Mi~ ~E51JI3V~T RtVlrwt:r Dr (Cl1tNf~! ...::m.:s~ I ~ .=. ~ - ==-=-=.:: ~ .= -~ - -' - - - --------=-~ - -~ vVATE~ LINE .' .' SiOR'v1 I.INS: ~ 1) .--- . .'. .. u ..,8-. ? t>\ , n___.. .--..- G~ SITE PLAN , ~ 2COS CASCADE RESIDEN III-IL CESIGf\I, il\::: PAGE 03/04 @ NORT~ SCALE I' = 3@' l~IS ORAWI,NC !S QASC.O ON CutN,,-p~aV'OE'J ,~e-ORM"IICt-: Rr:PP.r.~F.~"m:;.c 1:: ~( M;Cv~,.,:t: AND RE:UASLC ANY DISC~Er^fI:CI:S D[lW[[N nHS C~A.WI~JG ^"D TI-l~ ACTUA:" SiTE CO~:llji::~S f\RC '!\~E SCl~ R(!;rON~lg\U''f o~ iH':: curNT Lv o ~ \~ Project Addra6s: I~, ,..c::;)A "'t.M. -r~a..A. wA-t $1. Parcel #i~_ Subdivilllon;~J.e( C~ lol N ~" Zoning; ,,$-0~e ;:;t!:!1J.i 'j ~ew Construdion U Re-Modell Rtt-.Roof I Addition u Home Occupatitln Sign u Plumbing u Mechanlcol U MobIle I Mar~uf\iJctuY'ed Home PllWement u Other Project Description/Scope of work:_~~le. -{l.(A'!lt ~fj f~ rs,( dlhJll qd__ Project Value: :2-'3>'-\ I q ~(:) ._______ . Building Area (sQ ft) 1 ~l F loar ~ till Floor. '15"<-::_ Garage L\ l 'b ~ Deck Basement Carpol1___.,_._Patio L(, ~~ # Bedrooms2-, # 8athrooma.~.5 H0aUn~THER or ELECTRIC (Circle One) Are there any tJH1vitOtll'l'1entally sansitivEl araaslocatad on the parcel'? _~__ If yes, Ii completed anvironmuntal checklist must accompany permit application aUlli)lNG OWNER NAME~'-- t--'<!i~~, ~f!j:;1el::r(j/UrJLS ~ . ~. ADDRESS ~15i.;'L::'. /{)(')l.' tl' r ""' 1.t.~.tZtL_EMAll L-'\.~~ - 'C,;"2u~]JJl~jI.. errv ~~TATE.. . lIP.qjY.2l-n:U~::PHONE" '~'. _-,~.;, "Z , r ARCHrrEC"IENGINEEii7W~#l~ICE.NSE i(__ - . . ~ AODRESS~;....~_~~~~ . ~EMAIR.aw.~ ___ crrv:];(tf!!r~=SlATE~?!"~~~~lEPHot~iEi~,)31 "2ICfli/'7.!l. GENERAL CONTRAC'TOR.~.$77.ltiiL(?r TELEPHONE____ -----"=:----J ADDRESS___.__.___._ __EMAIL __ ~ ~ CITY ~.nArE ZIP FAX C(JlIiffiiiCTOR'SLl(~~~~EX~~~iYiJCENSE~~:": .... PWMBING Cl)N~. JOR4~~~)N;;frELEPHONE/~-;3'7-fi:.?J 2' 'J ~?~R1!~j~F-- S~r aJT--zIP 98S1t.'?~~~~~~S:i ~~~=9~ --= CONTRACTOR'S ',.ICENSE # EXP DATE CITY LICENSE # ~ ~ .__.._':t'"..tt::.__..,.--..........~...-:.:.._.............-...--.~ ~_..........~"" MECHANICAl CONTRACTOR~.&.tL~7 :rE'l.'F.:PHONE M3 - Lz~J;{[tJ_ ADORESS~~~~ _____.EMAIL ._____.__._ .. CITY,~~___STATE~A _liP .2!L.LZ~ .FAX_~_,__________ CONTRACTOR'S LICENSE ## ./.'iJ1O"" y~_ EX., OA TE...",__..CITV LICENSE # _~_, , ... ._~..w_~,.....~",,,,,,,,, ..__...._~.....--....... Copy of mitigatIon agreemt:mt with YeJm Cort'H"I'lurlity Sehoola, if appHeabJe I /lul1lb . rtlfy Ihullh. otlOYII 11!1t1rml'lUon Is l~I(JYr"lH:t and thot thll CUr&strUllUun on, and the occupancy sncllhe use at the bboVfI d 'rfbed pl'tlpel1y will be Irl alllmmhmCIl with the lawII, ,ulullilnd f~gl\lllltl<<ln8 of the 8t1l1te of W8shlflgtllll and the City of Ve 1 .~_, __,____. 't//b /O\S-" Applicant" atUl'''~_"''''''''''''''-'''--'- Date Owner I ContrDctor(~l.r'B A~!!J!l Contractor's Agln' (Pleas. elrel, one.) All permits are non~tranlSfer~ble and wU! oxplre If work l!Iuthmb:ed by such permit II nat begun within 180 daye of It<lISUI!lrIte, ot if wurk II $ulllpend~d or abandoned fov' a period of 180 dliy& 10,6 y"imA;.,mufl W,18t--------.-.---..-'----,..--'-----~3iiO) 41S1J.:JINJ6 1"0 BoJt 4'19 (360) .fS84i44 FAX 'VI/1m, WA DB59? www.tJi.).tll1n.wa.Wl