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20050708 Permit Pkg 091806City of Yelm Community Development Department Building Division Phone: (360) 458-8407 Fax: (360) 458-3144 Applicant: Name: Sunrise Homes, Inc. Address: 609 Yelm Ave. West City: Yelm Property Information: Site Address: 16657 Rainier View Dr. SE Assessor Parcel No. 63540000600 Subdivision: Mt. Sunrise Contractor Information: Name: Applicant Contact: Address: City: Contractor License No: Expires: Project Information: Project: Donis Klostner Description of Work: FIII in 8x20 section of house with open and closed paitio Sq. Ft. per floor: (1st) 0 (2nd) 0 (3rd) 0 Heat Type (Electric, Gas, Other): OTHER Fees: Item Item Fee Base Amt Unit Fee Building Permit -Other 181.25 0.00 0.00 TOTAL FEES: $181.25 Applicant's Affadavit: I certify that I have read and examir to be true and correct. I also certify Signature Firm Permit No: BLD-05-0708-YL Issue Date: 09/18/2006 (Wo rk must be started within 180 days) Receipt No: 43744 Phone: 458-3200 State: WA Zip 98597 Lot: 6 Phone: State: Zip: Business License: Garage 0 Basement 0 Unit Rate No. Units Unit Desc 0.0000 0.0000 $1,000 information contained within the application and know the same I ~~ proposed structure is in conformity with all applicable City of # Sets zoning and land subdivision, and in addition, all covenants, pl ' as a contractor, I futher certify that am currently Final li . r~ _~4 Date Q ~ ~~~ „~ Date: ?~ °f ""pR "' CITY OF , 4 m YELM P.O. Box 479 Yelm, WA 98.597 360 403 45 RECEIPT No. 4 3 7 4 4 YELM - 8-8 RECEIVED `**'"ONE HUNDRED EIGHTY ONE DOLLARS & 25 CENTS RECEIVED FROM DATE REC. N0. AMOUNT REF. N0. SUNRISE HOMES INC 09/18/06 43744 181.25 CHECK 31324 609-YELM AVE W YELM, WA 98597 BUDGETARY -- __ -DIANA __ -~ BLD PERMIT CITY OF YELM RESIDENTIAL BUILDING PERMIT APPLICATION FORM .;~ ~ 1 ~ L ~.~,/' .T Project Address: ~ ~ ~O rl~ °~ ~ ~ h ~ y V ~ ~ Parcel #: ~~ 3 ~ ~ ©~ d y vV J~ ~ ~ '~ < < ~ 'S ~ FA ~~L Subdivision:M~~~~.. ~(qw~y Lot #:~_ Zoning; ~~ ~O ^ New Construction ~ Re-Model / Re-Roof Addition ^ Home Occupation Sign ~~Orf' ^ Plumbing ^ Mechanical ~-^ ^ Mobile /Manufactured Home Plaacement '7 Other Project Description/Scope of Work: 1~ / l ~ Fy, Corn e.~ ~ k 1L~ la.~/ Sf1[(y 1 n~~n~~ ~ ~'?c(D ~~ Project Value /~ p d ~u~ Building Area (sq. ft) 1S' Floor 2"d Floor Garage Deck Basement Carport Patio ~ 6~ # Bedrooms- # Bathrooms- Heating: GAS/OTHER or ELECTRIC (Circle One) Are there any environmentally sensitive areas located on the parcel? ~CL If yes, a completed environmental checklist must accompany permit application. MECHANICAL CONTRACTOR TELEPHONE ADDRESS EMAIL CITY STATE ZIP FAX CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE # Copy of mitigation agreement with Yelm Community Schools, if applicable. 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 Yell ~ i Applicant's Signature Date Owner /Contractor /Owner's Agent /Contractor's Agent (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 abandoned for a period of 180 days I05 Yelm Avenue West (360) 458-3835 PO Box 479 (360) 458-3144 FA1 Yelm, WA 98597 u!ulw.Cl.,ye.Im.G!O.ILB Look Up a Contractor, ~ lectrician or Plumber License Detail Pale 1 of 3 Topic Index ~ Contact Info _: '` Search i `°` ~° ' ~ ~ ~~a .n ~ g `~ + ~ Home Safety r Claims 8 Insurance ~ Workplace Rights ~ Trades $ Licensing ~ Find a Law or Rule Get a Form or Publication Look Up a Contractor, Electrician or Plumber Printer Friendly Version General/Specialty Contractor A business registered as a construction contractor with L81 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 carry general liability insurance. License Information License SUNRIH'245B6 Licensee Name SUNRISE HOMES INC Licensee Type CONSTRUCTION CONTRACTOR UBI 600180195 Verify Workers Comp Premium Status Ind. Ins. Accou ~ 33956700 Business Type CORPORATION Address 1 PO BOX 727 Address 2 City YELM County THURSTON State WA Zip 98597 Phone 3604583200 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 1/26/1976 Expiration Date 1/26/2008 Suspend Date Separation Date Parent Company Previous License Next License Associated License https://fortress.wa.gov/lni/bbip/Detail.aspx?License=SUNRIH*245B6 9/13/2006 Look Up a Contractor, Electrician or Plumber License Detail ~ Page 2 of 3 Business Owner Information Name Role Effective Date Expiration Date BAKER, VIRGIL R 01 /01 /1980 BAKER, DARLENE E 01/01/1980 Bond Information Bond Bond Company Account Effective Expiration Cancel Impaired Bond Received Bond Name Number Date Date Date Date Amount Date WESTERN SURETY Until #4 CO 68340322 01/26/2002 Cancelled $12,000.00 01/10/2002 WESTERN SURETY #3 CO 68340322 01/26/1998 01/26/2002 $6,000.00 WESTERN #2 SURETY 68340322 01/26/1994 01/26/1998 $6,000.00 SAFECO INS CO OF #1 AMERICA 4159192 11/21/1980 01/26/1994 $6,000.00 Savings Information No Matching Information Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date INS CORP OF #15 HANNOVER H86FP1893401 06/20/2005 06/20/2007 $1,000,000.00 04/21/2006 INS CORP OF #14 HANNOVER H86FP1893400 06/20/2004 06/20/2005 $1,000,000.00 04/23/2004 WESTPORT INSURANCE #13 CORPORATION LR32686690 06/20/2003 06/20/2004 $1,000,000.00 06/19/2003 INS CORPORATION #12 OF HANNOVER 300688930 06/20/2002 06/20/2003 $1,000,000.00 06/17/2002 MUTUAL OF ENUMCLAW #11 INS CO PK94895 06/20/2001 06/20/2002 02/07/2002 OHIO #10 CASUALTY BLW52218496 01/26/1997 01/26/2002 01/16/2001 FIREMAN'S #9 FUND MZX80612388 01/26/1996 01/26/1997 FIREMANS #8 FUND MZX80587709 01/26/1995 01/26/1996 FIREMANS #7 FUND MZX80556168 01/26/1994 01/26/1995 https://fortress.wa.gov/lni/bbip/Detail.aspx?License=SUNRIH*245B6 9/13/2006 Look Up a Contractor, Electrician or Plumber License Uetail ~ Page 3 of 3 FIREMANS #6 FUND MXX80514775 01/26/1992 01/26/1994 FIREMANS #5 FUND MXX80413786 01/26/1990 01/26/1992 NATIONAL #4 SURETY MXX80354627 03/15/1989 03/15/1990 GENERAL INS CO OF #3 AMERICA CP84198306 01/26/1987 01/26/1990 GENERAL INS CO OF #2 AMERICA CP8419830A 01/10/1983 01/26/1987 GENERAL INS CO OF #1 AMERICA CP8419830 01/02/1982 01/26/1983 Summons /Complaints Information No Matching Information Start a New Search Printer Friendly Version -, ~ About L&I ~ Find a job at L&I ~ Information en espanol ~ Site Feedback ~ ~ 1-800-547-8367 (- -~washfngton wa.e~ ~~ ?Washington State Dept. of Labor and Industries. Use of this stte is xrb~ect to the laws of the state of Washington. Access Agreement I Privacy and security statement ( Intended use/external content policy ~ `' '~ ` "` ' ' '~"' ~ ~"'~' Staff only link https://fortress.wa.gov/Ini/bbip/Detail.aspx?License=Sl1NRII-I*245B6 9/13/2006