20130236 Permit Pkt 06172013 � City of Yelm Permit No.: 20130236
� Community Development Department Issue Date: 6/17/2013
� (Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
Fax: (360)458-3144
Applicant:
Name: CITY OF YELM Phone: 360-458-3244
Address: 105 YELM AVE W
YELM WA 98597
Property Information:
Site Address: 206 SECOND ST SE 1 Owner: CITY OF YELM
Assessor Parcel No.: Subdivision: Lot:
Contractor Information:
Name: RAINIER GENERAL DEVELOPMENT Phone: 360-400-0740
Address: DOUG BLOOM
P.O. BOX 627
RAINIER WA 98576
Contractor License No.: RAINIGD115QL Expires: 1/01/2011
Project Information:
Project: DEMOLITION
Description of Work: DEMO OF CITY PARK KITCHEN BUILDING
Sq. Ft. per floor: First Heat Type(Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item Contractor Fees
DEMOLITION RAINIER GENERAL DEVELOPMENT $ 0.00
TOTAL FEES: $ 0.00
ApplicanYs Affidavit: OFFICIAL USE ONLY
I certify that ave read and examined the information contained within the application and know the same
to be true a d correct.1 also certify that the proposed structure is in conformity with all applicable City of #Sets of Prints:
Yelm regul tions including those governing zoning and land subdivision,and in addition,all covenants,
easements and r strictions of record. If applying as a contractor, I further certify tha I am curre tly Final Inspection:
registered the ta hington.
1 ' Date:
Signature Date �
Firm BY�
Name Mailing address City ZIP State
Cit of Yelm 105 Yelm Ave W Yelm 98597 WA
Site address City ZIP
206 2nd Street Yelm 98597
FAX Phone number Other contact number Email
360-458-3144 360-458-8407 360-458-3835 a c ci. elm.wa.us
DEMOLITION CONTRACTOR
❑ check the box if same as property owner information
Business/Contractor Name On-site contact
Rainier General Development Dou Bloom
E-mail Mailing address City ZIP
r dinc ave.com PO Box 627 Rainier 98576
Phone number Other contact number
360-400-0740 360-951-7868
DEMOLITION PROJECT INFORMATION
Number of structures being demolished
1
Start date Completion date Is asbestos present?
06/18/13-� 06/19/13 No
Attach your asbestos survey below
Asbestos Survey-City of Yelm-Kitchen in City
Has all identified asbestos been removed
Yes
DEMOLITION PROJECT CATEGORY
❑✓ Complete demolition
❑ Training fire-(complete fields below)
❑ Renovation, alternation, remodeling, maintenance or other construction
If training fire, provide fire protection agency name, point of contact and telephone number
❑ Owner occupied residential dwelling-Permit fee: $35.00- Prior Notice-Nonrefundabie
❑✓ Other Structures-Permit fee: $60.00- 10 working day wait period-Nonrefundable
❑✓ Emergency Fee$50.00-must be accompanied by Government Ordered Declaration (other structures only)
Attach declaration below
ORCAA DEMo Letter.pdf
PLEASE MAKE A NOTE OF YOUR FEE.
Applicant name Date
Cit of Yelm, Washin ton 06/14/13
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AAA Abatement a�rd Demolkion •,�l � �r�`"'," "��
r+7�-�i� <� AS�S�OS�`ltl'VByoTs
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- old/�Ietk Renroval ��,,��
Licxnse#�q$�3 Ge,reral Contractor
PO Box 808
Montesana,WA 98563
ASBESTOS SURVEY
AAA Abatement and Demolition
PO Box 808,Montesano,WA 98563
Property located at: 206—2nd St.SE,Yelm,WA
Owner: City of Yefm
On June 13,2013 AAA Abatement perspnnel conducted an Asbestos Survey{per U.S.E.P.A/A.H.E.R.A.
guidelines as designated and specified by Olympic Region Clean Air Agency and Washington State)of the
property located at 206—2nd St. This survey purpose is to identify any Asbestos Contained Materials
that may be present and will require professional removal prior to renovation or demolition.
NARRAT/VE OF FlND1NGS
BASIC CONSTRUCTION: The site had a smali building that housed a kitchen, that was sampled.
Sampled materials included the brick mortar and the wa�lboard/joint compound. These represented all
suspect and/or presumed ACM material.
INTERIOR CONSTRUCTION,FINISHES AND FLOORINGS: Concrete slab floor,wood walls,and W/B/1C
ceiling.
INSULATION: Blown in fiber insulation
ELECTRICAL SYSTEM: The electrical wiring insulation was non-suspect.
HEATING AND VENTILATIOW SYSTEM: No heat system
SIDING: plywood siding and CMU block
ROOF:metal roof w/no paper
Page 1 of 2
Principle Contact4:dnne Boneirno(20�313-8866;CLarlie McSh$pe(Zg3�2g�_�572
Fax:C360}249-619�;��$�: ��2n_e����rlieandiune.com
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I(15 Ye�rn Aueraue f'Vest
Yetm, WA 98597
YE M
waaHir�cioM
June 11, 2013
Assaciatinn of Washington Cities
Cai�lin Magee
Claims Analyst
Re: Yelm City Park Kitch�n
Caitlin,
Early Th�ursday moming of June 6"' a box varr leaving Yelm Cifiy Park collided with the
NW carner of the �ark kitche�n, The van belonged to the circus which perFormed in the
park the previous night
I was requested to inspect the buildfng and render a decision about�he safety of the
structure. I declared the building unsafe notin� that the unreinforc�d cmu foundation
wall h�t! been distressec! and moved approx. six inches to the sout� and west of the
building cQrn�r. I posted the building with a do not accupy tag ar�d ardered the building
to be secured and barricade� autside of the cflllap$e zone for prot�ction of the public.
T#�is bui�ding is unsafe for the g�ner�l public and should be r+emov�d immediate�y.
See attached phota,
Sincerel
� �.
Gary Carlson ~
Building Official
Cc: Shelly Bat�g�r, Ryan Johnstone, Janine Schnep�
Mike Sht�lts, ORCAA
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June�a,2flt3 Page 2 of 2
o�T'�� CITY OF YELM BUILDING
� Community Development Department PERMIT
� P.O. Box 479�Yelm, WA 98597 INSPECTION
(360)458-8407�(360)458-3144 FAX CARD
PERMIT #: 20130236 DATE ISSUED: 6/17/2013
JOB ADDRESS: 206 SECOND ST SE 1
OWNER CITY OF YELM
CONTRACTOR: RAINIER GENERAL DEVELOPMENT
WORK DESCRIPTION: DEMO OF CITY PARK KITCHEN BUILDING
TYPE RESU T DATE DONE INS ECTOI�
CITY UTILITIES � , � ( f �,3 � ,
OTHER UTILITIES ` i %�7
DEMOLITION FINAL ��-�.. �
�
All Marked Inspections
Must be scheduled prior to covering
Call (360)458-8407 for Building Inspections
Call(360)458-8411 far Sewer Inspections
All other jurisdictions' inspections must be complete before you call
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�NVOICE
To: Gar}�Carlson�v/City of Yelm
From: Charles McShane and June Bongirno
E1A.A Abatemeni and Demalition
Re; Kitchen at Y�Im City Park
For Property Located at: 206 -2"`� St SE, Yelm W'A
UA"i�E: June 14, 2013
For services rendered on June 13, 2013
Contract Price: �$370 plus lab fees in the amount�f$12�(see attached invoice)
_ ____. -----___.
�_.� -''�-..""_.�"
Please remit payment in the amoumt of$490.00 ,� - -�
AAA Abatement
S15 Wildwood Court �
L�/y��� �
M+�ntesano,WA 98563 � pp
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�rh�,��;y�t�!
Sincerely Submitted,
June Bongirno and Charlie McShane
AAA Abakement
JPrinciple Contactst June Boneirno l2Q61313-88G6: Chariie 1R'�cShane{253)29?-7572
Faa: (364)249-6199; E-mail: ':x, t a _._ �,-; t�._.;
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lo pay otu�[moices using Cre�lir�'ard please visit our w�ebsite. W1�l�W.NVLLr1RS COM
��I�r1Ge �t,l� �,,,,,,,,
Karen Bennett
From: Ryan Johnstone
Sent: Friday, June 14, 2013 3:02 PM
To: Karen Bennett
Cc: Gary Carlson
Subject: FW: Park Shelter
Hi Karen,
The appropriate bars code for the park kitchen is 001-576.80.48.05.
Thanks
Ryan
Ryan Johnstone, P.E.
Public Works Director
City o# Yelm
901 Rhoton Rd, � Ye1m, WA 98597
ryanj@c�elm._wa.us
p: 360-458-8406
From: Gary Carlson
Sent: Friday, June 14, 2013 1:52 PM
To: Ryan Johnstone
Subject: RE: Park Shelter
Rya n,
Please send Karen the bars code you are using for the park shelter. Thanks Gary
From: Ryan Johnstone
Sent: Friday, June 14, 2013 1:50 PM
To: Gary Carlson
Subject: RE: Park Shelter
Perfect Thanks.
Ryan Johnstone, P.E.
Public Works Director
City of Yelm
901 Rhoton Rd � Yelm, WA 98597
yan�@c�elm.wa.us
p: 360-458-8406
From: Gary Carlson
Sent: Friday, June 14, 2013 1:49 PM
To: Ry�n )ohnstone
Subject: RE: Park Shelter
7hank you Karen is processing the invoice. Attached is a copy for your records.
1
�4�1�Gi0NC1.�,� ���� �i����li ��� ��; .
/'�,� 2940-B Limited Lane NW
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ORCAA ,�°� � 1-800-422-5623 • (360) 539-7610
'"•�'`'�� ��°'���� Fax: (360) 491-6308
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INVOICE
June 14, 2013
Due upon receipt
Gary Carlson
City of Yelm
105 Yelm Ave W
Yelm, WA 98597
Descri tion T pe Cost Total char es
Permit 13DEM003512 Non-refundable demolition fee 60.00 60.00
206 2"d St, Yelm Non-refundable Emergency Fee 50.00 50.00
Total amount due $ 110.00
Balance Due $ 110.00
INVOICE PLEASE PAY AMOUNT INDiCATED
PLEASE MAIL ONE COPY OF INVOICE WITH YOUR PAYMENT
,., , ..
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oti' ����� I Y * . 2940-B Limited Lane NW
"� Olympia, WA 98502
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ORCA.1� ;.��',� �� „ 1-800-422-5623 • (360) 539-7610
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Fax: (360) 491-6308
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ASBESTOS/DEMOLIT� PA�,1E��
INVOICE
June 14, 2013
Due upon receipt
Gary Carlson
City of Yelm
105 Yelm Ave W
Yelm, WA 98597
Descri tion T e Cost Total char es
Permit 13DEM003512 Non-refundable demolition fee 60.00 60.00
206 2"d St, Yelm Non-refundable Emergency Fee 50.00 50.00
Total amount due $ 110.00
Balance Due $ 110.00
INVOICE PLEASE PAY AMOUNT INDICATED
PLEASE MAIL ONE COPY OF INVOICE WITH YOUR PAYMENT
I'urt An�;E�lc�� f ielrl (�ffice: I 1(� A1� �;�j� �;; , �,�n(e 1 I 3, f'��rt Angeles, WA �3b_i6Z: ;,�(�[1� ; � �
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I��.��.r,�>>�� ( �c�ld Oitir�� ;r?i ;�>_�� ,�n �1���c.. R��vmoz��l, 1��A �)85';'; ��3(0� �1-I ? _ , � �
ORCAA Permit Application Status
Permit5tatus 0 Approved ❑ Disapproved
Notes
No asbestos found in the survey. Building is unsafe as it was knocked off its foundation.
Review Date 6-14-� 3 Reviewed by M I ke S h U ItS
13DEM003512 �6-14-13
Permit# Expiration Date Application Received
Amount�ue 110.�0
❑ Cash ❑ Check ❑ Creditcard
Additional notes or permit conditions
Will be invoiced.