Applications and OriginalsIa0 of T~p\n j C t TY OF YELM
~~ ['.yO. ~BTOX 479
YELM Y1~L~~1, WA 9897
****FOUR HUNDRED DOLLARS & 00 CENTS
HORIZON MORTGAGE
DOUGLAS HUNTINGTON
3820 SOUTH PINE ST
TACOMA. WA 98409
02/24/04 30834
MISCELLANEOUS RECEIPT
GRETCHEN
400.00 CHECK 7241
SITE PLAN REVIEW FOR 14845 YELM HWY SE
REMODEL
FEB-24-2004 16 22 HORIZON MORTGAGE
P.01i06
CITY OF YELM
COMMERCIAL BUILDING PERMIT APPLICATION FORM
project Address: 1 ~!$+~ [j ~~_~~(~,t Gt~'Parcel #:
Zoning; ~ Current Use: a Proposed Use: OFFY ~
0 New Construction ~ Re-Model / Re-Roof /tenant Improvement U Sign
U Plumbing U Mechanical 0 Fire PrevenUSuppress/Alarm O Other
ProjectDe scription/Scope of Work: e U ~t ,~ (~!7'd . OF+~f CL S ~Q
ProjectV alue: t 5 t~
Building Area {sq. R) Parking Garage 1'' Floor 2n0 Floor 31° Floor
Building Height ,~-~_T~
Ara there any environmentally sensitive areas located on the parcel? r.l 0 If yes, a
completed environmental checklist must accompany permit application.
C~T 1
A
ADDRESS
CITY STAT
CONTRACTOR'S LICENSE #
CITY STATE ZIP
CONTRACTOR'S LICENSE #
CITY _ ~- STATE ZIP
CONTRACTOR'S LICENSE #
Copy of Clty Mlttgadon documerttetion {TFC).
EXP DA
7ELEPHON
TEL<wpHONE
LICENSE #
TELEPHONE
FAX
EXP DATE_CITY LICENSE #
TELEPHONE
FAX
EXP DATECiTY LICENSE #
I her+sby certify that tM abovo IniormatlOn is correct and that the construction on, end the occupancy end the use
o! the above deacrlbsd property wiN be en accordance wllh the Iawe, rules and regulations o/the stile of
Washington and the Clty of Yelm.
~~,~ ~l.~roy
Applica 's Ignature D to ~-
Owner / ontractor /Owner's Agent /Contractor's Agent /Tenant (Please circle one.)
All permits ars 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
R:ICommuniry tkvelopmcnNFon"a & Procodureo~Buildinp PemtiulCommBldgPermitApp.do< Page Z or4
!~vtt,.r,!!;~f;.;rr.~tv,~t-,!tttK LICENSE #
Ar1r10LBo
FEB-24-2004 16 22 HORIZON MORTGAGE
.~
YFFt.M
w~ehiNOYON
C17Y OF YELM
PO Box 479
Yelm WA 98597
360-458-3244
APPLICATION F4R
Site Plan Review
OFFICIAL UBE ONLY
fee
Dale Rocoivse
eY
File No
-~~-~-yi~1-
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Site Plan Fee:
Mobile Homa Parks' $250.00 plus S50.00 per moeile home space
Multi•Family BuIlding/Condominlurrl: 5350.00 plus 560.00 per unit
Commercial Site Plan: E350.00 plus $50.00 per f 000 sq. n of 9roas floor area
Industrial Sila Plan: 5350.00 plus $150 per sore
(In 9ddilian, any professional aervlce tharyes per Resolution it358)
P.02i06
R:tConUnuairy pcvelopmeeltFOrma dt PtocedureslSitcPlagRevfewlSPR^pp.docdoc
8/01
FEB-24-2004 16 22 HORIZON MORTGAGE
ATTACH EXTRA PAOE$ IP NECESSARY
t toes the design mmimi:e contkda with noignborinq land vaoa? Exptaln.~_~
2• la the ante wfthfn 900 feet of any 'crhJcal areas' such es wetlands or streams?
3. What provieions wUl bo mede for storm water an0lor flood canVOl)
~• Whet provls~ona wilt be made for water supply and sewago dlt;poBel7
5. What provic~one will be mede rOr electrical power, natural qaE, telephone pnd other utikties7
B. What provlelOnS Will be n1a00 tot streets, access, And/or by9e9)
~. What prov,aione, If any,w ilt be made for open space and/or recre9tlon)
8. What Orovis~ona wNl be made for schools and sehoot ehlldron)
t afQrm that atl answers, statements end information ebovo and aubmieed with this apprlpetron are complete Antl
accurate to the beet Of my knowledge. I also atflrm that I am the owner of the aubied site of am duly autnorized by
the owner q actor 4h rasped to this applicehon. Further. I grant pormleaion from the owner to any and an
empbyeea and roprosentatlves of the Clty of Yelm and other governmonfal agenc,ea to enter upon ens inspect
said property ae reasonably necessary to Droeaea this appheation, I ogres to psy aJl rase of the city that apply ro
this application.
~~ ~ 1
Date~~
P.O3iO6
R1CommunJty OevelepmenhForma a ProcodunslBfroPlsnRevle~N9PRApp.domoc
8101
FEB-24-2004 16 23 HORIZON MORTGAGE
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