20150179 Permit Pkg 04012015City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: FIRST BAPTIST CHURCH
Address: P.O. BOX 5090
YELM WA 98597
Property Information:
Site Address: 602 103RD AVE SE
Assessor Parcel No.: 22730110102
Contractor Information:
Name: FIRST BAPTIST CHURCH
Address:
P.O. BOX 5090
YELM WA 98597
Contractor License No.:
Project Information:
Project: ROOF
Description of Work:
Sq. Ft. per floor:
First
Second
Third
Garage
Basement
Fees:
Item
ROOF
Subdivision: N/A
Permit No.: 20150179
Issue Date: 5/01/2015
(Work must be completed within 180 days)
Phone: 2(,0–
Owner: TYPE CURRENT OWNER
NAME
Lot: N/A
Phone: 3�G ^ / 0-5s(
PG
Expires: 0 /00 /0000
Heat Type (Electric, Gas, Other):
Contractor
FIRST BAPTIST CHURCH
TOTAL FEES:
Applicant's Affidavit:
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 5tructure is in conformity with all applicable City of
Yelm regulations including tholo governing zo d land subdivision, and in addition, all covenants,
easements and restricti s r ord. If appl a contractor, I further certifZ7�
registered in the Sta a in to
Signature Date
Firm
Fees
$ 265.25
$ 265.25
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
City of Mm
(36 ) 458 -3244
REC #: 00193758 5/01/2015
OPER: CO TERM: 001
REF #:
PAID BY:
ACCT #: XXXXXXXXXXXXXXXXXXX
AUTH #: H52317
TRAN #: 000000001464
10:57 AM
TRAN: 33.0000 BUILDING PERMITS
20150179 265.25CR
FIRST BAPTIST CHURCH
602 103RD AVE SE
ROOF 265.25CR
TENDERED: 265.25 CREDIT CARD
APPLIED: 265.25-
CHANGE: 0.00
CITY OF YELM
COMMERCIAL BUILDING PERMIT APPLICATION FORM
Project Address: 6*0 103►-. 41AO.S , ill 10, Parcel #:
Zoning; Current Use: Proposed Use:
❑ New Constructione -Model / :e-Roof Tenant Improvement
❑ Plumbing [I Mechanical ❑ Flrre ""revent/Suppress /Alarm 11 Other
Project Description /Scope of Work: �� „macr�a�c,. ',+- , L I�uyc� l�I
Project Value: °^-
Building Area (sq. ft)
Parking Garage 1 " Floor 2nd Floor.
Building Height
Are there any environmentally sensitive areas located on the parcel? -
completed environmental checklist must accompany permit application.
3`d Floor
If yes, a
BUILIDING OWNERCTE
EMAIL c r lK, r o »1 /-
ADDRESS 16-1
CITY '' mSTATE ZIP TELEPHONE �V 7
ARCHtTECT /ENGINEER LICENSE #
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
GENERAL CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
PLUMBING CONTRACTOR TELEPHONE
ADDRESS EMAIL
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 JFC).
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. i
Applicant's Signatu Date
Owner / Contracto / Owner's A / 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 Ave W
Yelm, WA 98597
(360) 458 -3835
(360) 458 -3144 FAX
www.c1.ye1m.wa.us
City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: FIRST BAPTIST CHURCH
Address: P.O. BOX 5090
YELM WA 98597
Property Information:
Site Address: 602 103RD AVE SE
Assessor Parcel No.: 22730110102
Contractor Information:
Name: FIRST BAPTIST CHURCH
Address:
P.O. BOX 5090
YELM WA 98597
Contractor License No.:
Project Information:
Subdivision: N/A
Permit No.: 20150179
Issue Date: 5/27/2015
(Work must be completed within 180 days)
Phone: Bob 360- 789 -5363
Owner:
Phone:
Expires: 0 /00 /0000
Lot: N/A
Project: ROOF
Description of Work: TEAROFF AND REROOF. ADDED AN ADDITIONAL $6000 IN VALUE TO REROOF
SANCTUARY ON 5/27/2015
Sq. Ft. per floor: First
Second
Third
Garage
Basement
Fees:
Item
ROOF
Heat Type (Electric, Gas, Other):
Contractor
FIRST BAPTIST CHURCH
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 pr osed structure is in conformity with all applicable City of
Yelm regulations inclu�g those gover ng ing and land subdivision, and in addition, all covenants,
easements and resJaOkns f recgrd. I ap ing as a contractor, I further certify that I am currently
registered in the f of shin to p �j
c, t„ro �j� natp 7— /
Firm
Fees
$ 349.25
$ 349.25
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
Citt of Yelm
(36 ) 458 -3244
REC #: 00196387 5/27/2015 12:42 PM
OPER: CO TERM: 001
REF #:
PAID BY:
ACCT #: XXXXXXXXXXXXXXXXXXX
AUTH #: H52664
TRAN #: 000000001756
TRAN: 33.0000 BUILDING PERMITS
20150179 84.000R
FIRST BAPTIST CHURCH
602 103RD AVE SE
ROOF 84.00CR
TENDERED: 84.00 CREDIT CARD
APPLIED: 84.00 -
CHANGE: 0.00