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20160114 Permit Pkg 02032016City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Applicant: Name: YELM COMMUNITY SCHOOLS Address: P.O. BOX 476 YELM WA 98597 Property Information: Site Address: 1315 YELM AVE W Permit No.: 20160114 Issue Date: 2103/2016 (Work must be completed within 180 days) Phone: 360- 458 -1900 Owner: YELM COMMUNITY SCHOOLS Assessor Parcel No.: 21724210500 Subdivision: N/A Contractor Information: Name: YELM COMMUNITY SCHOOLS Phone: Address: P.O. BOX 476 YELM WA 98597 Contractor License No.: Expires: 0 /00 /0000 Project Information: Project: BUILDING Description of Work: ADD QUAD CLASSROOM 6 PLEX PORTABLE BLDG Sq. Ft. per floor: First Heat Type (Electric, Gas, Other): Second Third Garage Basement Fees: Item BUILDING Contractor YELM COMMUNITY SCHOOLS 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 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 restriction of record. If applying as a contractor, I further certify that I am currently registered in State ashington. / Signature Date Firm Lot: N/A Fees $ 150.00 $ 150.00 OFFICIAL USE ONLY # Sets of Prints: Final Inspection: Date: By: N, N, Of Yell ) 458 -3244 REC #: 00221290 210312016 OPER: CO TERM: OQ1 10:46 AM REF #: 3198 PAID BY: TRAN: 33.0000 BUILDING PERMITS 20160115 YELM COMMUNITY 1 CHO(LS 909 MILL RD SE BLDG 150.0(CR TRAN: 33.0000 BUILDING PERMITS 20160112 YELM COMMUNITYISCHO[LS 16525 100TH WAY SE BLDG 150.O(CR TRAN: 33.0000 BUILDING PERMITS 20160114 YELM COMMUNITYISCHO[LS 1315 YELM AVE W BLDG 150.0(CR TENDERED: 450.00 APPLIED: (HECK 450.00 - CHANGE: - ```-'--- -- 0.00 CITY OF YELM COMMERCIAL BUILDING PERMIT APPLICATION FORM Project Address: 1315 Yelm Ave. W Parcel #: 21724210500 Zoning; UE Current Use: N Proposed Use: Educational XNew Construction n Re -Model / Re -Roof / Tenant Improvement F1 Plumbing n Mechanical n Fire Prevent/Suppress /Alarm n Other Project Description /Scope of Work: Add quad classroom 6 plex portable building Project Value: $600,000.00 Building Area (sq. ft) Parking Garage 1St Floor 5544 2nd Floor 3rd Floor Building Height 22' Are there any environmentally sensitive areas located on the parcel? No If yes, a completed environmental checklist must accompany permit application. BUILDING OWNER/TENANT NAME: Yelm Community Schools ADDRESS P0 Box 476 EMAIL CITY Yelm STATE WA ZIP 98597 TELEPHONE 360- 458 -1900 ARCHITECT /ENGINEER Ken Rasmussen LICENSE # WA 21543 ADDRESS EMAIL CITY STATE ZIP TELEPHONE 1-800- 682 -1422 GENERAL CONTRACTOR Modern Building Systems TELEPHONE 1- 800 - 682 -1422 ADDRESS 9493 Porter Rd EMAIL CITY Aumsville STATE OR ZIP 97325 FAX 503 - 749 -4950 CONTRACTOR'S LICENSE # MODERBS272KC EXP DATE 12i1CITY 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). 1 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. '7 1 -/ -- Applicant's Signature Date Owner/ Contractor/ Owner'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 abandone I BY 105 Yelm Ave W (360) 458 -3144 FAX Yelm, WA 98597 www.ci.yelm.wa.us - - Thurston Geodata Center - Parcel Search Page 1 of 3 Data for Parcel No. 21724210500 Zoom Map to Parcel Google Earth (need to have Google Earth installed on you system) Google Maps Virtual Earth Please make sure to READ our DATA DISCLAIMER prior to utilizing our website for research View Assessor's Data for Parcel Owner(s): SCHOOL DISTRICT #2 Address: PO BOX 476 City: YELM State: WA, 98597 Parcel No.: 21724210500 Site Address: 1315 YELM AVE W Site City: YELM Site Zip: 98597 Section: S24171 E Section 24 Township 17 Range 1 E Quarter N2 NW LY SWLY OF SSH 5 -1 EX E 20F LY NLY OF THE S Abbreviated Legal: 30 F THEREOF; EX N 430F OF NE NW; EX W 906.6F; EX N 30F CO RD & TGW PTN DEEDED FROM MOOSE #3737125 BEING Usecode: 68 Tax Code Area: 170 Taxable: Yes Annual Tax: View Property Taxes for Parcel Property Type: XMP Total Acres: 36.6 Land Value: View Assessor's Data for Parcel Building Value: View Assessor's Data for Parcel Total Value: View Assessor's Data for Parcel Current Use: N Exemptions: None http:// www. geodata. org/ website /cadastral /resultsparcel.asp ?parcel= 21724210500 1/7/2016 • Thurston Geodata Center - Parcel Search Residential Outdoor Burning: Planning Region: Census Tract: Radio or Cell Tower: Airport Zone: Contamination: Residential Outdoor Burning is banned within the city limits and urban growth areas. 2 012411 No No Unknown Page 3 of 3 http: / /www.geodata.org /website /cadastral /resultsparcel .asp ?parcel = 21724210500 1/7/')01,< 804 (p 5 d k HIM yg gy g�g ty ieedl!lBdlS s a 1 , N I � b a FJ h IT 1 w HY 'e MTM £ gF i� I Io4 b :3 h FT. w E 1 w 011 X 1 .11s � ala .11s 3 .11a .u• j .us al .11 In , al .11 a ll al .11 01 01 1 01 W1 fill , � , MIND )Rk�� HIM 711,4. �| ` a - § � / ƒ� \ j gill b))! §§k 1 h 1h, IR _%Ll- l \ � \ - , � It H i w H N City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Applicant: Name: YELM COMMUNITY SCHOOLS Address: P.O. BOX 476 YELM WA 98597 Property Information: Site Address: 1315 YELM AVE W Permit No.: 20160114 Issue Date: 2/03/2016 (Work must be completed within 180 days) Phone: 360- 458 -1900 Owner: YELM COMMUNITY SCHOOLS Assessor Parcel No.: 21724210500 Subdivision: N/A Contractor Information: Name: YELM COMMUNITY SCHOOLS Phone: Address: P.O. BOX 476 YELM WA 98597 Contractor License No.: Expires: 0 /00 /0000 Project Information: Project: BUILDING Description of Work: ADD QUAD CLASSROOM 9 PLEX PORTABLE BLDG #1 Sq. Ft. per floor: First 7936 Heat Type (Electric, Gas, Other): Second Third Garage Basement Fees: Item BUILDING MECHANICAL - 2/10/2017 FIRE SPRINK Applicant's Affidavit: I certify that I have rea to be true and cor ct Yelm regulation r--, easements an es o , registered in �, Firm Lot: N/A Contract Fees YELM CO NITY SCHOOLS $ 150.00 K &D $ 29.50 EMERAL I E $ 895.53 TOTAL FEES: $ 1,075.03 d examined the information contained within the application and know the same o certify that the proposed structure is in conformity with all applicable City of hose governing zoning and land subdivision, and in addition, all covenants, f record. If applying as a contractor, I further certify that I am currently /a hington. Date OFFICIAL USE ONLY # Sets of Prints: Final Inspection: Date: By: Cite of Yelm (36 r) 458 -3244 REC# 00259133 211012017 OPER., CO TERM: 001 8:23 AM REFA, : PAID BY: ACCT #: XXXXXXxxxxxXXXXKXKX AUTH #: 002037 T #: 000000004228 TYPE: PURCHASE IRAN: 33,0000 BUILDING PERMIT; 20160114 YELM COMMUNITY CHO(LS 1315 hIECH YELM AVE W 29.5(CR TENDERED: APPLIED: 29.50 (RED11• CARD 29.50- CHANGE: 0.00 ri, ASHINGTON BUILDING PERMIT APPLICATION ❑ New Construction (SFR) ❑ Remodel Mechanical ❑ New Construction (Duplex) ❑ Addition ❑ Commercial ❑ New Construction (Multi - family) ❑ Reroof ❑ Tenant Improvement ❑ Manufactured Home Placement ❑ Plumbing ❑ Fire Permit Property Address: /3/5— f ri, 44 f VZ L.4—) � 15/1C /1C ofl y Tax parcel number: Lot No.: Subdivision: > Project Description /Scope of Work: G,/,JS �� 'f 'o (' ?l cX H V14 G Project Value 0(j d Heat Source: Gas ❑ Electric ❑ Solar Plan No.: Bedrooms: Baths: Area 1st Floor: 2nd Floor: 3rd Floor: Garage: Basement: Carport: Covered Patio: Front Porch: Applicant: ,�G D M�°6�1GM� �/- NG Owner: '/!GAA G'o. tAlo -1 iy 5- -4oevs Address: 33s30 l 10-6,illy Sa. /Doi Address: �v. 3vi( '/76 Fe rfA/ ✓ J Ay t.A) If I/ <G A✓�_`1 Telephone: as3"`lYS" PR Telephone: Email: <DA CG2 cJ G0Mt4S7',Je-7' Email: Architect /Designer: General: Address: License No.: Telephone: Telephone: Email: Email: Plumber: Mechanical: Email: Email: License No.: License No.: By submitting this application to the City of Yelm, you affirm that al an e s men , and information u contained in and submitted with this application are complete and ac rat t st of our knowledge and that you are the owner of the property or duly authorized by the owner t ton he' behalf. Permission is granted to representatives of the City to enter upon and inspect the propert as r ably necessary to process the application.