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20140179 Permit Pkg 12042014� 4 0� T"�A,��' City of Yelm Permit No.: 20140179 � � Community Development Department Issue Date: 12/04/2014 Building Division (Work must be completed within 180 days) Phone: (360)458-8407 YELM Fax: (360)458-3144 Applicant: Name: ST. COLUMBAN CHURCH Phone: 360-458-3031 Address: 506 1 ST ST SO YELM WA 98597 Property Information: site Address: 506 FIRST ST S Owner: ST. COLUMBAN CHURCH Assessor Parcel No.: 22719330801 Subdivision: Lot: Contractor Information: Name: ST. COLUMBAN CHURCH Phone: Address: 506 1 ST ST SO YELM WA 98597 Contractor License No.: Expires: 0/00/0000 Project Information: Project: LAND SITE PLAN REVIEW Description of Work: Construction of 5,222 SF single story education building consisting of 8 classrooms and related administrative and restrooms. Sq. Ft. per floor: First 5227 Heat Type(Electric, Gas, Other): COMBO-SEE NOTES Second Third Garage Basement Fees: Item Contractor Fees CIVL CIV ST.COLUMBAN CHURCH $2,083.50 MECHANICAL CAPITAL HEATING AND COOLING $ 87.50 PLUMBING ST.COLUMBAN CHURCH $ 139.00 SITE ST.COLUMBAN CHURCH $ 1,000.00 NEW COMMERCIAL BUILDING ANDY JOHNSON&CO., INC—12/4/2014 $26,381.21 TOTAL FEES: $29,691.21 ApplicanYs Affidavit: 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 Yelm regulations including those governing zoning and land subdivision, and in addition, all covenants, #Sets of Prints: easements and restrictions of record. If applying as a contrador, I further certify that I am currently registered in t e�'rta�o shin on. Final Inspection: Signature�. � �� ,�_� Date / �i Date: Firm By: CITY OF YELM COMMERCIAL BUILDING PERMIT APPLICATION FORM Project Address: 504�st Street South,Ye�m,WA 98597 Parcel#: z2��933-oso� Zoning; C-� CUff@flt US2: Religious PfOpOS2d USe: Religious Education Building x New Construction Re-Model/Re-Roof/Tenant Improvement Plumbing Mechanical Fire Prevent/Suppress/Alarm Other Construct religious education building with 8 Sunday School classrooms,administration PfOjeCt DeSCfiptlOn/SCOpe Of WOfk: offices and restroom facilities.Classrooms to also be used as meeting spaces. Project Value: $725,000 Building Area(sq.ft) Parking Garage N�A 15`Floor s,2os sF 2"d Floor N/A 3`d Floor N/A Building Height 2a�-o�� Are there any environmentally sensitive areas located on the parcel? N� If yes, a completed environmental checklist must accompany permit application. BUILDING OWNEF2rfENANT NAME: Father Pau1 Weckert/St.Co�umban Catholic Church ADDRESS 506 1st Street South,Yelm,WA 98597 EMAIL CITY Yelm STATE `N/a ZIP 98597 TELEPHONE 360-458-4094 ARCHITECT/ENGINEER .1im woich/BC�, LICENSE# 6�29 ADDRESS 2�06 Pacific Ave.Suite 300 EMAIL JWOLCH BCRADESIGN.COM _ CITY Tacoma STATE WA ZIP 98a02 TELEPHONE 253-627-4367 GENERAL CONTRACTOR Donald A.Johnson/ TELEPHONE 3so-35z-3�io ADDRESS P.O. BOX 46 Andy.lohnson 8 CO EMAIL CITY o�ympia STATE wA ZIP 98507 FAX CONTRACTOR'S LICENSE# EXP DATE CITY LICENSE# PLUMBING CONTRACTORBen Cayford/Richmond Engineerin�ELEPHONE 360-956-0384 ADDRESS $365 Hogum Bay Lane NE EMAIL CITY o�ympia STATE `/�A ZIP 985�6 FAX CONTRACTOR'S LICENSE# EXP DATE CITY LICENSE# MECHANICAL CONTRACTOR �R�eerkamp/Capita�HeatingTELEPHONE 360-49�-7450 ADDRESS P o aox 3ss� 8 Coo�ingEMAIL CITY �acey STATE wA ZIP 98503 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 Citv of Yelm. 7-18-14 Date 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 180 days 105 Yelm Aue W �3�"" �i V E� Yelm,WA 98597 wc�w.ci.yelm.wa.us � ���- � 32014 � ��'': Cit� af Y�lm (36 ) 458-BA02 REG#: U0179464 12/04/2014 10:34 AM UPER: CO TERM: 001 REF#: 18254 TRAN; 3�.0000 BUILqING PERMITS 20140179 26,381 .21CR Sl'. COLUMBAN CNIJRCH 506 FIRST ST S MECN �7.50CR p� 139.00CR BLD-COM1 26,154.71CR T�NQERED: 26,381 .21 CNECK APPLIED: 26,381 .21- CHANGE: 0.00