20040144
o
o
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Permit No
BLD-04-0144-YL
Issue Date 09/27/2004
(Work must be started within 180 days)
Receipt No
33247
Applicant,
Name Yelm Community Schools
Phone.
458-6128
Address. POBox 476
City. Yelm
State WA Zip 98508-1489
Pro P!'lrty ..I.l1fo r'ItClti ()n
Site Address. 1315 Yelm Ave. West
Assessor Parcel No 21724210500
Subdivision. N/A
Lot: N/A
Contractorfnforniatlon;
Name: Berschauer-Philips
Contact:
Phone. 754-5788
Address POBox 11489
City. Olympia
State WA Zip.
Contractor License No BERSCPC148CD
Expires. 08/09/06221
Business License.
Project Information:
Project: Yelm High School Additions and Modernization
Description of Work: Building 300-22675 sf interior remodel
Sq Ft. per floor. (1st) 22675
(2nd) 0
(3rd) 0
Garage 0
Basement 0
Heat Type (Electric, Gas, Other) GAS
Fees.
Item Item Fee Base Amt Unit Fee Unit Rate No Units Unit Desc
--------------------------- -------------
Building Permit - Other 7,048 62 000 000 0.0000 o 0000 $1,000
Building Plan Review 4,581 60 0.00 000 o 0000 o 0000
Mechanical Permit 223 50 0.00 000 o 0000 o 0000
Plumbing Permit 258.00 2000 238 00 7 0000 34 0000 Fixture
TOTAL FEES $12,11172
~ppljI::C1.I1t's Affadavit..
OFFICIAL USEONL Y
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 futher certify that I am currently
registered in the State of Washington.
Date
'-". ffi, ",' ... r"",,'" ~ .
-.. ._ .____ u _. _ ._ . _+~ _ _~__ __.'_
= . D"O I'
.. . - D:' . - G 1'1 ' 0 . ,.
-O"D':'F~'-'
~' ',}k,.
o
o
RECEIPT No 33245
RE~~~~~IFTY SIX THOUSAND SIX HUNDRED TWENTY FOUR DOLLARS & 70 CENTS
RECEIVED FROM
YELM COMMUNITY SCHOOLS
YELM. WA 98597
SITE 1315 YELM AVE W
DATE REC NO
09/27/04 33245
AMOUNT
56.624.70 CHECK
REF NO
32
MISCELLANEOUS RECEIPT
JANINE
)
\.
BLD PER 28871.00. BLD PLN REV 22606.00. MECH PERM 457.70. PLMB PER 1126.00
CIVIL PLN REV 3564.00
RECEIPT No 3 3246
RE~~I~~~WENTY THREE THOUSAND TWO HUNDRED FORTY DOLLARS & 25 CENTS
I
I
l
RECEIVED FROM
YELM COMMUNITY SCHOOLS
YELM. WA 98597
SITE 1315 YELM AVE W
DATE REC. NO
09/27/04 33246
AMOUNT
23.240.25 CHECK
REF NO
32
MISCELLANEOUS RECEIPT
JANINE
BLD PER 13577.00. BLD PLN REV
8825.00. MECH PER 174.25. PLMB PER 664.00
RECEIPT No. 3 324 7
RECEIVED FROM
YELM COMMUNITY SCHOOLS
YELM. WA 98597
SITE 1315 YELM AVE W
DATE
09/27/04
AMOUNT
12.111.72 CHECK
2
RECEIVED
* * * *TWELVE THOUSAND ONE HUNDRED ELEVEN DOLLARS & 1-2--C&m----------
--
MISCELLANEOUS RECEIPT
JANINE
\
'-
~
BLD PER 7048.62. BLD PLN REV 4581.60. MECH PER 223.50. PLMB PER 258.00
o
V\J13A :JOOI~
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
v002 L 6 d3S Permit Fees Schedule
a IV d Permit No BLD-04-0144-YL
01;01-\\
Applicant:
Name Yelm Community Schools
Phone.
458-6128
Address POBox 476
City. Yelm
State. WA Zip 98597
Project I nforni C1tiol1
Project: Yelm High School Additions and Modernization
Description of Work: Building 300-22675 sf interior remodel
Site Address 1315 Yelm Ave. West
Assessor Parcel No 21724210500
Fees
Item Acct Code Item Fee Base Amt Unit Fee Unit Rate No Units Unit Desc
--------------------------- -------------- -------------
Building Permit - Other 032 001-322-10-00 7,04862 000 000 o 0000 o 0000 $1,000
Building Plan Review 100 001-345-83-00 4,581 60 000 000 o 0000 o 0000
Mechanical Permit 032001-322-10-00 223.50 000 000 o 0000 o 0000
Plumbing Permit 032 001-322-10-00 258 00 2000 238 00 7 0000 34 0000 Fixture
TOTAL FEES $12,11172