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20100109 Permit Pkg 052510City of Yelm Community Development Department Building Division Phone: (360) 458-8407 Fax: (360) 458-3144 Applicant: Name: YELM COMMUNITY SCHOOLS Address: P.O. BOX 476 YELM WA 98597 Property Information: Site Address: 10605 MILL ROAD SE Assessor Parcel No.: 21725140100 Subdivision: Contractor Information: Name: WESTERN WASH CONSTRUCTION, LTD Address: PO BOX 821 ABERDEEN WA 98520 Contractor License No.: 10- 003208.0 Project Information: Project: ROOF Description of Work: Sq. Ft. per floor: Fees: Item ROOF RE -ROOF MILL POND ELEMENTARY Permit No.: 20100109 Issue Date: 0 /00 10000 (Work must be completed within 180 days) Phone: 360 - 458 -1900 Owner: YELM COMMUNITY SCHOOLS Lot: Phone: 360 -538 -0227 Expires: 12/31/2010 First Heat Type (Electric, Gas, Other): Second Third Garage Basement Contractor YELM COMMUNITY SCHOOLS TOTAL FEES: Applicant's Affidavit: 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 further certify that I am currently registered in the State of Washington. Fees $ 1,884.15 $ 1,884.15 OFFICIAL USE ONLY # Sets of Prints: Final Inspection: Date: Firm I By: 2 010 "I CITY OF YELM COMMERCIAL BUILDING PE MIT APPLICATION FORM IGGiZwe 1�-E- -.tote -Y 6. M./ Co4r160 -Savo —300/ Project Address: 1000 °J Ml t-.t-. Ro S. Iz . Parcel #: 14 -01 c(- bMe-. Z=i Zoning, ;1° (bt -te VjgE Current Use: 5 )e_F<wL Proposed Use: S&%Mrr New Construction �<e-Model / Re -Roof / Tenant Improvement Plumbing Mechanical Fire Prevent/Suppress /Alarm Other Project Description /Scope of Work: Mr CLn".F Z !✓C'MAA.Ei4'CA2Y V 1�7Ci5 r Project Value:443r4cx�°° Building Area (sq. ft) Parking Garage 1" Floor 2 " Floor 3" Floor Building Height LK1 ITINC}C'SL V W_, L . Ae,. dc) Are there any environmentally sensitive areas located on the parcel? rlo If yes, a completed environmental checklist must accompany permit application. BUILDING OWNER/TENANT MAIL CITY ARCHITECT /ENG fA1%i CITYTACptvb STATEIg_ZIP9ES444• TELEPHONE ZriM ri31 - 02�' GENERAL CONTRACTORe-isale-rrtSttL- ie>14 LTnTELEPHONE Z ADDRESS P, a, t�fG 874 8 EMAIL tat CITY t t�e� STATE t.t16,. ZIP98S24�, F 3 C7 r• 3 - 7--p- CONTRACTOR'S LICENSE #Wk5TEWG XP DAT CITY LICENSE # 6 • DO3ROY.6 1 PLUMBING CONTRACTOR TELEPHONE CITY STATE ZIP FAX CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE MECHANICAL CONTRACTOR TELEPHONE ADDRESS EMAIL CITY STATE ZIP FAX CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE # 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 will be in accordance with the laws, rules and regulations of the State of Washington and the City of Yelm. Applicant's Slgna ure Date Owner / Cnuttaci ner's Agent / Contractor's Agent / Tenant (Please circle one.) 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 1�dM/AM Mc- J J M� MAAy 711 3 2010 lIIII'IIIJIJIIII 105 Yelm Avenue West (360) 458-3R5!`- PO Box 479 (360) 458 -3144 FAX Yelm, WA 98597 www.ci.yelm.wa.us Karen Bennett From: Gary Carlson Sent: Monday, May 24, 2010 8:37 AM To: Karen Bennett Subject: FW: Yelm Reroofs From: Doug Jason [ mailto :Dlason @ericksonmcgovern.com] Sent: Monday, May 24, 2010 8:32 AM To: Gary Carlson Subject: RE: Yelm Reroofs Gary, My apologies, I thought I forwarded this to you earlier. Ft. Stevens — $185,070.00 Mill Pond - $258,900.00 If there is anything else I can help with please let me know. Doug Jason, RCI Erickson McGovern PLLC From: Gary Carlson [mailto:garyc @ci.yelm.wa.us] Sent: Monday, May 24, 2010 8:26 AM To: Doug Jason Subject: Yelm Reroofs Doug, Do you have the permit value breakdown for each of the schools? I would like to have them out to Rocky this week. Gary 1 City of %IT (360) 458 -8402 RED- OOD36430 8/05;010 11:36 AM OPER: CO TERM: 001 REFO- 70500341 TRAM: 33.0000 BUILDIAGj PERMITS 210100109 1,884.15CR YELM CUM, ITY SCHOOLS 10605 HILL ROAD BE ROOF 1,884.15CR TRAN: 33.0000 BUILDING PERMITS 20100108 1,475.35CF' YELM r,JNITY SCHOOLS 16525 100TH WAY BE ROOF 1,475.35CR TENDERED: 3,359.50 L11ECK APPLIED: 3,359.50- CHANGE: 0.00 06/01/2010 14:25 3604582469 YELM COMM SCHOOLS PURCHASE ORDER 2 0 PO. BOX 476 Al LM= YELM, WASHINGTON 98597 -0476 C-ON1N1 C/N/ 7Y � PHONE (360) 468 -6215 • FAX (360) 458 -2469 PRINTED 06/01/2010 CITY OF YELM 105 YELM AVE W YELM WA 98597 Phone: (360) 458 -8402 Fax: (360) 458 -3188 PAGE 01/02 P.O. NUMBER: 2080900038 VENDOR KEY : CITY OF 009 PAGE NUMBER: 1 P.O. DATE : 05/27/2010 SHIP DATE : 05/27/2010 FISCAL YEAR: 2009 -2010 ENTERED BY : MCINTJAN000 lvh;R Tu* YELM COMMUNITY SCHOOLS 401 COATES AVE NW YELM WA 98597 ATTN: LTANICE MCINTYRE 1 EA BUILDING PERMIT 1475.35000 FOR FORT STEVENS RE -ROOF 1 EA BUILDING PERMIT 1884.15000 FOR MILL POND RE -ROOF PO Subtotal Other Charges Tax USE P.O. NUMBER ON ALL CORRESPONDENCE TOTAL P.O.: 2080900038 ACCOUNT �SUMMARY J(FOR INTERNAL USE) - VENDOR 20 E 530 2015 22 9000 300 0000 0000 T A X E X E M P T I O N S 1,475.35 PURCHASE APPROVED BY: ASSISTANT SUPERINTENDENT 1475.35 1884.15 3,359.50 0.00 0.00 3,359.50 06/01/2010 14:25 3604582469 YELM COMM SCHOOLS PAGE 02/02 IMPORTANT INSTRUCTIONS 1. Acknowledge receipt of faxed order by phone (360)458 -6215 or fax (360)458 -2469. 2. All invoices must be made out to Yelm Community Schools and mailed to PO Box 476, Yelm, WA 98597. All invoices must reference PO number. 3. All merchandise must be received in our warehouse at 401 Coates Avenue, NW, Yelm, WA 98597. 4. Packing slips must be included in each package. 5. Any changes affecting quantity, price, or delivery must be approved by the purchasing office. 6. The district is NOT sales tax exempt, but is exempt from all federal excise tax. 7. Seller must provide MSDS documentation for any hazardous materials. 8. Prepay shipping charges and include on invoice. No COD's will be accepted. 9. By acceptance of this purchase order the seller certifies that neither the seller nor its principles have been suspended or disbarred from federal procurement programs. 10. Yelm Community Schools is an affirmative action equal opportunity employer. 11. Yelm Community Schools reserves the right to cancel this order if delivery is not made within 60 days of receipt of order or unless otherwise noted. 12. This purchase order is not valid unless current valid signature is properly displayed. 13. Please refer any inquires concerning this order to: Purchasing Dept. 360 -458 -6215 Fax: 360 - 458 -2469 Accounts Payable 30- 458 -6103 Fax: 360 -458 -2469 nk ' y �A A. YELM COMMUNITY SCHOOLS DISTRICT NO. 2 Erling "Rocky" Birkland Facilities Construction ebirkland@ycs.wednet.edu 401 Coates Ave. NW • P.O. Box 476 • Yelm, WA. 98597 360 - 458 - 6128(6127)• Fax 360- 458 -6434 Cell 360- 239- 8295• Pager 360 -971 -0980 Doug Jason, RCI, Construction Administration tel 253 - 531 -0206 fax 253 -531 -9197 djason ®Erickson MCGovern.com ERICK §ON -MCGOVERN Archl tecty re Anal ysisScho of Design Erickson • McGovern, PLLC 120 1315t Street S Tacoma, WA 98444 -4804 General Contractor Free Estimates Locally Owned ��SVaN was j j11V0 ti WESTEWC0448K SHANE CHAPIN P.O. Box 821 M (03 538-0227 ;n � - Aberdeen, WA 98520 aFZ�,