BLD-04-0015 part 1 001
roe T11p City of Yelm Permit No: BLD-04-0015-YL
Community Development Department Issue Dale: 02/2612004
Building Division (Work must be started within 180 days)
Phone: (360)458-840] Receipt No: 30862
Fax: (360) 458.3144
Applicant:
Name: City of Yellen Phone: 360.458.3244
Address: P.O. Be. 479 City. Yelm State: WA Zip 98335
Property Information:
Site Address: 105 Yelm Ave W
Assessor Parcel No. 85800400100 Subdivision: N/A Lot:
Contractor Information:
Name: A M James Contact Wright, Jim Phone: 253.851.5564
Address: P.O. Box 815 City: Gig Harbor State: WA Zip.
Contractor License No, AMJAMC1066RB Expires. 12103104338 Business License:
Project Information:
Project: Yelm City Hall Improvements
Description of Work: Phase I-Remodel Old Library
Phase I]. City hall Side Remodel
Sq. Ft. per floor: (I at) 0 (2nd) 0 (3rd) 0 Garage 0 Basement 0
Heat Type (Electric, Gas, Other): OTHER
Fees:
Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Basic
.
Building Permit 100-5001, 1 400.21 993.75 406,46 5.6000 72.5820 $1,000
Slate Building Fee 4.50 4.50 0.00 0.0000 0.0000
TOTAL FEES: $1,404.71
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 eenity that the proposed structure is in conformity with all applicable City of # Sets of Prints'.
Yelm regulations including th ing zoning and land subdivision, and in addition, all covenants,
easements and restrictio of record. plying as a contractor, I futher certify that I am currently
registered in the State Washingto . Final Inspection:
L
Signature- Data b y Data:
Firm By.
LICENSE DETAIL INFORMATION Form Page I of 2
STATE OF WASHINGTON
DEPARTMENT OF LABOR AND INDUSTRIES
Specialty Compliance Services Division
P. O. Box 44000 Olympia, WA 98504-4000
THE RESULT OF YOUR INQUIRY FOR LICENSE NUMBER SELECTED IS.
LICENSE DETAIL INFORMATION
Current Filter: None
Registration# or License AMJAMC1066RB
Name A M JAMES COMPANY INC
Address PO BOX 815
Address
City GIG HARBOR
State WA
Zip 98335
Phone Number 2538515564
Effective Date 12/211994
Expiration Date 12/3/2004
Registration Status ACTIVE
Type CONSTRUCTION CONTRACTOR
Entity CORPORATION
Specialty Code GENERAL
Other Specialties UNUSED
UBI Number 601287180
* * *VIEW CROSS REFERENCE FILE FOR THIS LICENSE* * *
* * *VIEW PRINCIPAL. OWNER(S) FOR THIS LICENSE* * *
* * *VIEW CONTRACTOR BOND/SAVINGS INFORMATION * *
* * *CHECK INQUIRY FOR SUMMONS AND COMPLAINTS*
* * VIEW CONTRACTOR INSURANCE INFORMATION
New inquiry by CITY, NAME, PRINCIPAL OWNER NAME, LICENSE , UBI
NUMBER, check the
L&I Contractor Industrial Insurance Premium Status or return to the L&I Construction
Compliance Home Page
https://wws2.wa.gov/lni/bbip/TF2Form.asp?License=AMJAMCI066RB 2/27/04
W ' OpT~P City of Yelm Permit Fees Schedule
Community Development Department Permit No: BLD-04-0015-YL
Building Division
Phone: (360)458-840]
YEL Fax: (360) 458-3144
Applicant:
Name: Cityof Yelm Phone: 360,458.3244
Address- P.O. Box 479 City: Yelm State: WA Zip 98597
Project Information:
Project: Yelm City Hall Improvements
Description of Work: Phase I-Remodel Old Library
Phase It. City hall Side Remodel
Sus Address: 105 Yelm Ave W Assessor Parcel No. 85800400100
Fees:
Item Acct Code Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Deep
Building Permit 100500k 001-322-10-00 1,400.21 993.75 40646 5.6000 72.5820 $1,000
State Building Fee 001-386-00-00 4.50 4.50 0A0 0.0000 0.0000
TOTAL FEES: $1,404.71