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