20040179
rFg!] J@I[~I @ill ~J[~~J [[QJ,~ITNlJ@JJ@]ft~ [g]J WJ wI@lf@TI f(~~1J ~J(@lH~11I~~
CITY OF YELM - BUILDING DEPARTMENT
CERTIFICATE OF OCCUPANCY
Building Address 702 Yelm Avenue West Fire Zone
Occupancy Group B
Owner Name Ron Peck Use Zone C-1
Owner Address P.O. Box 400 Type of Construction V-B
Roy, WA 98580
Building Permit Number BLD-04-0179-YL Plan Number
Has been inspected and the following occupancy thereof is hereby authorized
Area under Maximum Maximum Allowable
Floors Occupancies This Certificate Occupant Floor Loads
Square Feet Load Lbs per SQ Ft.
1 B 282 3
Remarks
Areas Inspected
All Code Required
Special Conditions
None
Is Building Sprinklered?
YES
LNO
Building Official
Gary Carlson
Date
July 28, 2005
POSTING The Certificate of Occupancy shall be posted in a conspicuous place
on the premises and shall not be removed except by the Building Official
llTh~J[g11J (&]1 ~Jl ~ ITfglJ IT$J ~@JJ [fgJJ@1lf@J@lJ@W ~ ~N@i R~.
FROM YELM SEWER DEPT
FAX NO. 360-458-m66
Aug. 04 2005 03 07PM Pi
~:
I
I
,
FAX TRANSMISSION
, {:
~~~
CITY OF YELM
P.O. BOX 479 -. 931 NP ROAD NE
YELM, W A 98597
360-458-841 L
FAX 360-458-8' 66
I
, ,
I,'
TO
DATE y;~t(- 0;)
I
I"
~I
I,
.~
FAX#:
PAGES: 1, including this
Cover sheet
~ I
From. KAAJDY
.
Subject: P (VAL
;,
,
1
1',1
COMMENTS: 7b~ ~ELyY) Aut W ,',l
r . , Of ,65~3.0 I "
D ro~.oI \:-"\l1e 4<-"E1) ~l/'JE) RoNPA', t:)lf'ltE:Sso?'1
3 ~ CJjn\ /RQ)(' C'( uJJ r3~
,
~' ~:
nil
I
,\
, i
;
, ~
,\
'i'~; If you do not receive all copies or any copy 1S J1(ll legible, please call (360) 458~8411
as soon as possible.
'j
"
.
i
,]
,I
i_
'~A/
I
!
.;:
"i-
\,11
I
I
I
I
I
I
I
i
I
I
- );
t
~l
~ I
17' .---t'
11 I
l'
I
F~'
.::;,
,.,"
/J-~i
-4...<'...... VI-
1/ I
,
. Orl!
II I
01 -
/I
'\
"'=-1 (. I
i c.~
jt"\;~Jitij,~{'i'>(~;r;t'j:~:j~~:'\{~'{;:;,\ ,'",~.,l.';i~~ii}'it
T----;l-' ,---'
" I II _ I
I :;t"illlc'I':C I
I !rr/l~\'('
__1--1._.
, -,
I l~i~~1 I
~ I
--r- """'~""1
i
I
i
-"4
. -" \--.\ '_ \' I
~::;I:.:t;:::fz.. h
2J=41lr'\r:a:>1i'3Cittn
O-j
fJ ~
~
Q"
~ I
0'
. .-----;:;
>,).
:,~t:
if'
1~
!~
"
C)
"'",. ;
"tr
\"'1
"
'-
7f-
t
I
I
.'"
;-
<f'
'i-.
.,
",..1
\\,
H--I
I
\'01
c,........--
f'\
\J
('\
\..1
.-!
U-
- \
G"-
~
&.
jj
lp.:S
r"~
i-'
!
I il I
-J:-~~I !
! ~.! I
"" I I
1\' i
::: ....)"'\ t
!". U' ". I
.."J . . ti
- I !
'\f"
:.
fi'i
- ,
j'I\
l/
;
~~;4~r
.
I
I
-+--.
8-,S I"Z-c:
fI I ~ I/"! &-
.3~1~
~1:Y~
"'//'""'""YI'''''
/)... \ \
u Vi
I( I
,......
" \.)
::i! -... I
ti f'-
I
I >~l
- .l-
~
I ~~!
I "-
I.,)
_~ ~. ~ I
,1U"t ()
; I '_ I
" ~
N\
- I I
If\ I
I
V
/
'---,
'\
"
o
o
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Permit No
BLD-04-0179-YL
Issue Date 12/08/2004
(Work must be started within 180 days)
Receipt No
34224
Applicant:
Name. Peck Espresso
Phone
894-3333
Address. POBox 400
City' Yelm
State WA Zip 98503
Property Information'
Site Address. 702 Yelm Avenue West
Assessor Parcel No 21714141100
Subdivision N/A
Lot: N/A
, .
Contractor Information'
Name Noble, William M
Contact: Noble, W
Phone: 360-491-1840
Address. 6021 7th Ave. SE
City' Lacey
State' WA Zip'
Contractor License No NOBLEWM007NJ
Expires 07/21/06202
Business License.
Project Information.
Project: Peck Drive Thru Espresso
Description of Work: 282 s.f espresso stand
Sq Ft. per floor' (1 st) 282
(2nd) 0
(3rd) 0
Garage 0
Basement 0
Heat Type (Electric, Gas, Other) ELECTRIC
Fees
Item Item Fee Base Amt Unit Fee Unit Rate No Units Unit Desc
--------------------------- -------------
Building Permit - Other 298 99 000 000 o 0000 o 0000 $1,000
Building Plan Review 19434 000 000 o 0000 o 0000
Mechanical Permit 3900 000 000 o 0000 o 0000
Plumbing Permit 5500 2000 3500 7 0000 5 0000 Fixture
Sewer ERU 000 000 000 5,269 0000 o 0000 ERU
Sewer Inspection 145 00 000 145 00 145 0000 1 0000 ERU
Water ERU 1,50000 000 1,50000 1,500 0000 1 0000 ERU
Water Meter (Commercial) 300 00 300 00 000 o 0000 o 0000
Water Deposit 4000 4000 000 o 0000 o 0000
Traffic Facilities Charge 3,864 75 000 3,864 75 750 0000 5 1530 Peak PM Trip
Sewer Deposit 9000 50.00 000 o 0000 o 0000
State Building Fee 450 450 000 o 0000 o 0000
Civil Plan Review 756.00 000 75600 54 0000 14 0000 Hour
TOTAL FEES $7,287.58
Applicant's Affadavit:
OFFICIAL USE ONLY
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.
# Sets of Prints
Signature
Date l-Z-8- ~
Firm
o
o
r' ;;'~C{tiaF
~ PO Box 479
Yelm WA 98597
"YE!-}~~"o. 360-458-8403
RECEIPTNo 34224
RECEIVEP
***SEVEN THOUSAND TWO HUNDRED EIGHTY SEVEN DOLLARS & 58 CENTS
RECEIVED FROM
PECK EXPRESSO
PO BOX 400
YELM. WA 98597
DATE
REC NO
AMOUNT
REF NO
12/08/04
34224
7.287.58 CHECK
4646
SITE: 702 YELM AVE W
MISCELLANEOUS RECEIPT
GRETCHEN
I
I
I
i
I
/
PLMBPRMT55. S/INSP145. W/ERU1500.00
STFEE4.50. CIVILPLN756.00
BLDGPRMT298.99. PLNREV194.34. MECHPRMT39.
W/MTR300. W/DEP40. TRAFF3864.75. S/DEP90.
c
c
o
-<l>
CITY OF YELM
C~::~)"ERCIAL BUILDING PERMIT APPLlCJ8N FORM
704 1j--e1.m Avi2.. W. Parcel #. 21714141100
q
Project Address.
Zoning;
Current Use:
Proposed Use: 1>,nnOAAn \imui
,
(-1
~ New Construction U Re-Model/ Re-Roof / Tenant Improvement
U Plumbing U Mechanical U Fire Prevent/Suppress/Alarm
Project Description/Scope of Work:
Project Value:
~~"
!/t()?, (' ~<v '"
o -? "()
10'0'{
U Other
Building Area (sq ft) Parking Garage
Building Height 16'6"
1st Floor ?R? 2nd Floor
3rd Floor_
Are there any environmentally sensitive areas located on the parcel? nn
completed environmental checklist must accompany permit application.
If yes, a
BUILDING OWNERlTENANT NAME.
ADDRESS 'P.O. Anx: 400
CITY Rnll STATE I.ln.
lwn &. /iLl.a;ut. Pe.cA
U EMAIL lWnA.Ufi!JUl..uCllJi2...com
ZIP.lR5RO TELEPHONE U
ARCHITECTIENGINEER
ADDRESS
CITY STATE
LICENSE #
EMAIL
TELEPHONE
ZIP
TELEPHONE
EMAIL
FAX
EXP DATE CITY LICENSE #
GENERAL CONTRACTOR
ADDRESS
CITY STATE
CONTRACTOR'S LICENSE #
ZIP
PLUMBING CONTRACTOR
ADDRESS
CITY STATE
CONTRACTOR'S LICENSE #
TELEPHONE
EMAIL
FAX
EXP DATE CITY LICENSE #
ZIP
MECHANICAL CONTRACTOR
ADDRESS
CITY STATE
CONTRACTOR'S LICENSE #
TELEPHONE
EMAIL
FAX
EXP DATE CITY LICENSE #
ZIP
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
City of Yelm.
~~~~~
l \ -~ - ~
Date
(Please circle one.)
Applicant's Signature
Owner I Contractor / Owner's Agent / Contractor's Agent I Tenant
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 Avenue West
PO Bo% 479
Yelm, WA 98597
(360) 458-3835
(360) 458-3144 FAX
www.ci.yelm.wa.us
o
o
D:t~SCItIP'I'ION
That part of the southeast quarter of the northe.l~t quarter of
Section 24, Tmmship 17 NorLh, Range 1 E<.wt, N. r'1. j de<-'3crib~Cl. "tS
follows: Beginning at the intersection of tho northQu3t~rly line of
Yelm )\'.;-cntJ,8 with the no.cthl,vestGrly line of SOll:H'olT:'q St::r:(;<"yt in S()lb~rg
First JI.ddi tion to Yelm as reco.rded in Volume 9 of Pldt~'), pd,ge 31;
running thence northNesterly along said northea3terly line of Yelm
Avenue and Secondary Stat.e Highv.lay 'No. 5-r, 925 feet -;:0 the initial
poi:nt of this description; thence N 53(; 30 r 3011 N a10119 ,'::laid
northedst.erly line of highvny 231.52 feet.; thence N 36'> 29v 30n E
285. 09 fe(~t more or less to 'che sou"thx-leste.cly CQ."!:'aer of tract
conveyed to Richard L. Rochester and wife by deed dated March 21,
1964 and recorded under File No. 698465; t:.hence S :530 30' 30" E
along the southerly line of said Roche;:;te:r tract. 238.73 feet;
thm1ce S 37Q 56' ViI 285 feet more OT le::;sto :;;a.id initi':tl point.
In Thurston County, Washington.
~--
IYI uhf' OJ' [)7 7 NJ
7/70 ~
Look Up a Contractor, Elec.t'':.lcIan or Plumber LIcense DetaIl
U
o
Topic Index Contact Info
Claims & Insurance
Find a Law or Rule Get a Form or Publication
Look Up a Contractor, Electrician or Plumber
Workplace Rights
Page 1 of2
&: licensing
General/Specialty Contractor
A business registered as a construction contractor with Lftl to perform construction work within the scope
of its specialty A General or Specialty construction Contractor must maintain a surety bond or assignment
of account and insurance
License Information
,
l License NOBLEWM077NJ
Licensee Name NOBLE, WILLIAM M
Licensee Type CONSTRUCTION CONTRACTOR
UBI 601484605 Verify Contractor Premium
Status
Ind. Ins. Account
Id
Business Type INDIVIDUAL
Address 1 6021 7TH AVE SE
Address 2
City LACEY
County THURSTON
State WA
Zip 98503
Phone 3604911840
Status ACTIVE
Specialty 1 CARPENTRY/FRAMING
Specialty 2 CONCRETE
Effective Date 8/11/1993
Expiration Date 7/21/2006
Suspend Date
Separation Date
I Parent Company
Previous License
Next License
Associated License
Business Owner Information
Name I
^.^____~._._..._~,.,"'"""'.'_''""...,.,...........,__"'''''".,"'''<-..""",..M"""~;
;
Role
Effective Date
https.//fortress wa. gOY Ilm/bbI pi detail. aspx?LIcense= NO BLEWM 077N J
11/8/2004
Look Up a Contractor, EleQcIan or Plumber LIcense DetaIl
o
Page 2 of2
NOBLE, WILLIAM M
OWNER
01/01/1980
Bond Information
Bond Bond
Company Account Effective Expiration Cancel Impaired Bond Received
Bond Name Number Date Date Date Date Amount Date
COLONIAL
AM CAS a
SURETY
#1 OF MD LPM4060306 07/21 /2002 $6,00000 07/15/2002
'"00."
Savings Information
Bank Assignment
Branch of Savings Effective Release Assignment Impaired Received
Savings Bank Name Location Number Date Date Type Date Amount Date
FIRST
! #1 COMMUNITY Until
BANK 1024673424 08/11/1993 Cancelled Bond $4,00000
"~."., ,." ,
Insurance Information
Company Policy Effective Expiration Cancel Impaired Received
Insurance Name Number Date Date Date Date Amount Date
AMERICAN
STATES
#6 INS CO 01CE86735660 07/21/2004 07/21/2005 $300,000 00 07/07/2004
AMERICAN
STATES
#5 INS CO 01CE86735650 07/21/2003 07/21/2004 $300,000 00 07/16/2003
AMERICAN
STATES
#4 INS CO 01CE86735640 07/21/2002 07/21/2003 $300,000 00 07/15/2002
AMERICAN
STATES
#3 INS CO 01CE867356 07/21/1999 07/21/2002 07/09/2001
SAFECO
#2 INS CO SL4304130 07/21/1994 07/21/1999
1#1 AMERICAN
STATES 01CC4404486 07/21/1993 07/21 /1994
"",,"",,'
Summons / Complaints Information
b__~"w~,,_" ,,,~"~,,~,~tChi~~.~,,~!~~Il1~~,i()~,,,_,..,,~,_,~,,,,,Jr
StartaNewSearch ErinteL Friendly Version
About Lal I Find a job at Lal I Informacion en espanol I Site Feedback I
1-800-547-8367
iF) Washington State Dept, of Labor and Industries. Use of this site is subject to the !aws of the
state of Washington.
Access Agreement I Privacy and security statement I !ntended lise/external content policy I Visit access.wa.gov
Staff only tin'"
httpsj/fortress.wa.gov/lm/bbIp/detaIl.aspx?LIcense=N 0 BLEWM077N J 11/8/2004
o
o
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Permit Fees Schedule
Permit No BLD-04-0179-YL
Applicant:
Name Peck Espresso
Phone:
894-3333
Address. POBox 400
City. Yelm
State: W A Zip 98597
Project Information
Project: Peck Drive Thru Espresso
Description of Work: 282 s.f espresso stand
Site Address. 702 Yelm Avenue West
Assessor Parcel No 21714141100
Fees.
Item Acet Code Item Fee Base Amt Unit Fee Unit Rate No Units Unit Dese
--------------------------- -------------- -------------
Building Permit - Other 032001-322-10-00 298 99 000 000 0.0000 o 0000 $1,000
Building Plan Review 100 001-345-83-00 19434 0.00 000 o 0000 o 0000
Mechanical Permit 032001-322-10-00 3900 000 000 o 0000 o 0000
Plumbing Permit 032001-322-10-00 5500 2000 3500 7 0000 5 0000 Fixture
Sewer ERU 802 412-343-50-01 000 000 000 :5,2\39.000Or o 0000 ERU :r~e:'P'kt-O
Sewer Inspection 805 412-343-80-00 145 00 000 145 00 145 0000 1 0000 ERU
Water ERU 712 401-343-80-01 1,50000 000 1,50000 1,5000000 1 0000 ERU ..".
Water Meter 712 401-843-80-01 300.00 300 00 000 o 0000 o 0000
(Commercial) G2
740402-389-00-00 40.00 000 o 0000 o 0000
Water Deposit
420 120-344-85-00 3,864 75 000 3,864 75 7500000 5 1530 Peak PM Trip
Traffic Facilities Charge
742402-389-01-00 JJ ~ 5000 000 o 0000 o 0000
Sewer Deposit 610 ';./"~
160 001-386-00-00 450 450 000 o 0000 o 0000
State Building Fee
TOTAL FEES $6,491.58
-ZJ~ 00
~c"" ('<u< If.,( 6- pfE"€S
Cl
o
City of Yelm
Community Development Department
105 Yelm Avenue West
PO. Box 479
Yelm, WA 98597
December 8,2004
Chris Merritt
RB Engineering
PO Box 923
Chehalis, Washington 98532
RE. Civil Engineering Request for Mylar Submittal Revised
Peck Espresso Stand
City of Yelm Project No CIV-04-0016-YL
Dear Mr Merritt:
The City of Yelm has completed the review of the above referenced project. We have determined that
this project appears to meeting the intent of the City of Yelm codes and ordinances Please submit the
following information
1 One full set of Mylar Construction Drawings - City Copy
2 One half size set of Construction Drawings - City Copy
3 4 sets of full size paper construction drawings - City Inspectors
4 One set of construction drawings - engineer or owner
5 2 sets of drainage calculations - City Copy
6 1 CD with AutoCAD drawings (ver 2002 or 2004)
The following fees will have to be paid before the drawings will be released
1 Engineer review fees for Espresso Stand - $756 00
2 Water connection fee for Espresso - $1,50000
3 Water connection fee for Red Wine - Currently connected
4 Sewer connection for Red Wine/Espresso Stand - Paid Receipt #29554
(Total water usage does not exceed current eru of 900 cf)
After receiving this information, the plans will be signed and your copy returned to you If you have any
questions or comments, please call me at (360) 458-8438 and I will be happy to further assist you.
Respectfully
City of Yelm Community Development
Jim Gibson
Development Review Engineer
Cc: Ron Peck