20050785 Permit Pkg 120706~OF T"FP~ City of Yelm
'~ Community Develo
d M
Buildin Division
pment Department
9
?hone: (360) 458-8407
EI.M ' ax: (360) 458-3144
Applicant:
Name: First Baptist Church
Address: P.O. Box 5090 City: Yelm
Property Information:
Site Address: 602 103rd Ave. SE
Assessor Parcel No. 22730110102 Subdivision: N1A
Contractor Information:
Name: Applicant Contact:
Address: City:
Contractor License No: Expires:
Project Information:
Project: First Baptist Church
Description of Work: Add Audio Visual Room
Sq. Ft. perfloor: (1st) 0 (2nd) 0 (3rd) 0
Heat Type (Electric, Gas, Other): OTHER
Permit rvo: BLD-05-0785-YL
Issue Date: 12/07/2006
(Work must be started within 180 days)
Receipt No: 44943
Phone: 458-2678
State: WA Zip 98597
Lot:
Phone:
State: Zip:
Business License:
Garage 0 Basement 0
Fees:
Item Item Fee Base Amt Unit Fee Unit Rate
Building Permit -Other 54.00 0.00 _ 0.00 0.0000
TOTAL FEES: b54.00
Applicant's Affadavit
No. Units Unit Desc
0.0000 51,000
I certify that I have read and examined the information contained within the application and know the same
OFFICIAL USE ONLY
to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of # Sets of Prints:
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. Final Inspection:
~
Signature - ~' - Date ~'
' Date:
- --
Firm By:
t - - ... -.. ~ c~~i'i ~• rr• t•~f r
~'-"~~ CITY OF
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a~~-`~ YELN1
(~;~~ 1 ~,,~:» ~t„ ~t;~~; RECEIPT No. 4 ~ ~ ~ 3
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CITY OF YELM
COMMERCIAL BUILDING PERMIT APPLICATION FORM
Project Address: ~ ~ ~ ~ (~ ~-~ ~ ~ ~~ °= ~ jv Parcel #: ~. , - ~ ~ ~ ~' 1 ~ ~J 1 ~` v ~~~ ~'~
Zoning; Current Use: Proposed Use: `AFC n, ~ `~Q
i i New Construction ~Q Re-Model / Re-Roof /Tenant Improvement -,~~F
i Plumbing I ; Mechanical ~: I Fire PrevenUSuppress/Alarm G Other
Project Description/Scope of Work:~~_.[~ ~ „ ~-(; ~ .. , 5 ~ Q ~ ~~~, , „!,
Project Value: ~ j S Q b
Building Area (sq. ft) Parking Garage 1 a` Floor~~2nd Floor 3rd Floor
Building Height
Copy of City Mitigation documentation (TFC).
I hereby certify that the above Information is correct and that the construction on, and the occupancy and the use of the
above described property mill be in accordance with the laws, rules and regulations of the State of Washington and the
City of Yelm.
~ ,.
~_ ~ , 1~~~s~~
p l ant's Signature ~ _/.~ -~ ~' ._ O ~ ~ p~~~~~,~
Owner /Contractor /Owner's Agent /Contractor's Agent /Tenant (Please circle one. l \ ~ Y~ f""`~"`
All permits are non-transferable 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
]05 Yelm Auenue West
PO E3ox 479 (360) 458-3835
Yelm, WA 98597 (360) 458-3144 FAX
wrow. ci.yelm. r~o. ua
Are there any environmentally sensitive areas located on the parcel? _~ n If yes, a
completed environmental checklist must accompany permit application.