20150264 Permit Pkg 08042015City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: KILLION CT APARTMENT
Address: P.O. BOX 2170
LYNNWOOD WA 98036
Property Information:
Site Address: 405 KILLION RD NW
Assessor Parcel No.: 21724120403
Contractor Information:
Name: C E & C INC
Address: GREGG D WARTER
3221 CENTER ST
TACOMA WA 98409
Contractor License No.: CEC * * * *346L7
Project Information:
Project: COMMERCIAL REMODEL
Description of Work: Commercial Remodel
Sq. Ft. per floor: F i rs t
Second
Third
Garage
Basement
Fees:
Permit No.: 20150264
Issue Date: 8/24/2015
(Work must be completed within 180 days)
Phone: 425 - 454 -8205
Owner: SHELTER RESOURCES, INC.
Subdivision: Lot:
Phone:
Expires: 9/30/2016
Heat Type (Electric, Gas, Other):
Item
Contractor
Fees
MECHANICAL
C E & C INC
$ 340.00
PLUMBING
C E &C INC
$ 447.00
ROOF
C E & C INC
$ 895.53
TOTAL FEES: $ 1,682.53
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 structure is in conformity with all applicable City of
Yelm reg lotions in ding those governing zoning and land subdivision, and in addition, all covenants,
easeme s and re trictions of record. If applying as a contractor, I further certify tha I am urrently
registere in the e Washington.
Sinnatiir Date
Firm &3�ml 9(Ls�-)lX k� IN (-
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
City of helm
(36 ) 458 -3244
REC #: 00205263 8/24/2015 1:55 PM
OPER: co TERM: 001
REF #: 2938
PAID BY:
TRAN: 33.0000 BUILDING PERMITS
20150264 1,682.53CR
KILLION CT APARTMENT
405 KILLION RD NW
MECH 340.00CR
447.00CR
ROOF 895-53CR
TENDERED: 1,682.53 CHECK
APPLIED: 1,682.53-
CHANGE: 0.00
CITY OF YELM
COMMERCIAL BUILDING PERMIT APPLICATION FORM
Project Address: 405 NW Killion Street, Yelm
Zoning; R -14
_i n!e%A.' Construction
u Plumbing
21724120403
Parcel #:
_Current Use. Senior Apartments Proposed Use: Same
o f Te an I pr ve e t
Li Mechanical a ire reven uppress A arm a Other
Project Description /Scope of Work: Replace roofing, replace siding , windows and exterior doors.
Replace 50% of the following: interior flooring, toilets, hot water tanks, bath fans (100 %). Replace two ADA tubs.
Project Value: Rnnfing4n nnn Riding• $99 nnn, \A /'ndnwc /rinnrc• . 9'14nn, AIWA hathc• . 9Rnn
Hot water tanks: $5800, bath fans: $3800, St nd rd
Building Area (sq. ft) Parking Garage N/A 1 Floor 12,500 2 Floor 3 Floor
Building Height
No
Are there any environmentally sensitive areas located on the parcel? If yes, a
completed environmental checklist must accompany permit application.
BUILDING OWNER /TENANT NAME:C /O Shelter Resources, Inc.
ADDRESS 2223 112th Ave. NE EMAIL roc "mms comcast.net
CITY Bellevue STATE WA ZIP 98004 TELEPHONE (425) 454 -8205
ARCHITECT /ENGINEER Schemata Workshop, Inc. LICENSE #
ADDRESS EMAIL _ ,e(o)schemataworkshop.com
CITY Seattle STATE \n/A ZIP 98122 TELEPHONE (206) 285 -15a9
GENERAL CONTRACTOR CE &C TELEPHONE (253) 572 -5122
ADDRESS 3221 Center Street EMAIL darrell once- cinc.com
CITYTacoma STATE WA ZIP 98405 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 (TFC).
by certify that the fove information is correct and that the construction on, and the occupancy and the use of the
\described prope will be in accordance with the laws, rules and regulations of the State of Washington and the
elm.
Applicai
Owner /
James Rochlin
Rochlin Construction Services, LLC 8 -3 -2015
natu Date
ctor / Owner's Agent / ontractor's Agent / Tenant (Please circle one.)
All permit are non - transferable and will expire if work authorized by such permit is not begun
within 18#Vays of issuance, or if work is suspended or abandoned for a period of 180 days
(360) 458 -3835
105 Yelm Ave W (360) 458 -3144 FAX
Yelm, WA 98597 www.ci.yelm.wa.us