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20050571 Permit Pkg 072806OF T~pl, City of Yelm a `G Community Development Depar~m~~t ~ ~~ ~ `~i Building Division Phone: (360) 458-8407 ~.~~3 ~ ~ '~ ...... _, Fax: (360)458-3144 Applicant•~ ~~@r~~....~.....e.,~ Name: Robbins Air Inc. Address: P.O. Box 2233 City: Aberdeen Property Information: Site Address: 1100 Yelm Ave. E Assessor Parcel No. 22730121700 Contractor Information: Name: Robbins Air Inc. Address: P.O. Box 2233 Contractor License No: ROBBIA1005C9 Project Information: Project: Key Bank Description of Work: Replace 2 roof top units Sq. Ft. per floor: (1st) 0 (2nd) 0 Heat Type (Electric, Gas, Other): Subdivision: Contact: Robbins, Donna City: Aberdeen Expires: 03/01/0861 (3rd) 0 Fees: Item Item Fee Base Amt Unit Fee Mechanical Permit _ 39.00 0.00 0.00 TOTAL FEES: 539.00 Applicant's Affadavit Permit rvo: M-05-0571-YL Issue Date: 07/28/2006 (Work must be started within 180 days) Receipt No: 43061 Phone: 360-538-7003 State: WA Zip 98520 Lot: Phone: 360-538-7003 State: WA Zip: 98520 Business License: 2396.0 Garage 0 Basement 0 Unit Rate No. Units Unit Desc 0.0000 0.0000 _____~ OFFICIAL USE ONLY li 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 # Sets of Prints: 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. Final Inspection: Signature'. yy ~ J/1~ ~ /~ ~I Date ~ f Date: i7~o Firm ~ - ~~/ ~ t~ ~ ~ ~ 1 r ~ ~(1 l ~ ey' City of Yelm Community Development Department Building Division Phone: (360) 458-8407 Fax: (360)458-3144 Applicant: Name: Robbins Air Inc. Address: P.O. Box 2233 Property Information: Site Address: 1100 Yelm Ave. E Assessor Parcel No. 22730121700 Contractor Information: Name: Robbins Air Inc. Address: P.O. Box 2233 Contractor License No: ROBBIA100t Project Information: Pro)ect: Key Bank Description of Work: Replace 2 roof to Sq. Ft. per floor: (1st) 0 (2i Heat Type (Electric, Gas, Other): Fees: Item IG Mechanical Permit TOTAL FEES: City: Aberdeen Subdivision: Contact: Robbins, Donna Permit rvo: M-05-0571-YL Issue Date: 07/28/2006 (Work must be started within 180 days) Receipt No: 43061 Phone: 360-538-7003 State: WA Zip 98520 Lot: Phone: 360-538-7003 98520 2396.0 ---- -7 -3 r G ~_ ~Lt~_ -~~4 ~l ~. -- - -~ - - --- Applicants Affadavit I certify that I have read and examined the in _ __ _. - SE ONLY to be true and correct. I also certify that the t _ ___ ______ . - --- - - Yelm regulations including those governing z~ easements and restrictions of record. If appN __ .. registered in the State of Washington. ~- -- - - ~; Signature Firm -- - By: '~ pF THFp~ ~' City of Yelm a~ ~ Community Development Department n. Building Division Phone: (360)458-8407 YEL Fax: (360) 458-3144 Applicant: Name: Robbins Air Inc. Address: P.O. Box 2233 City: Aberdeen Project Information: Project: Key Bank Description of Work: Replace 2 roof top units Site Address: 1100 Yelm Ave. E Assessor Parcel No. 22730121700 Phone: 360-538-7003 State: WA Zip 98520 Permit Fees Schedule Permit No: M-05-0571-YL Fees: Item Acct Code Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc Mechanical Permit 032 001-322-10-00 39.00 ^ 0.00 0.00 0.0000 0.0000 TOTAL FEES: 539.00 MAY-22-2006 03:54P FROht:ROBBINS'AIR~INC. 3605387003 T0: 13604583144 P.2 CITY OF Y1"LM COMMERCIAL BUILDING PERMIT APPLICATION FORM Project Address: I~00 c.4t_L,m AIJ G Parcel #: = 27~ a 1 Z/ 7 ~C7 Zoning; Current Use: Proposed Use: ^ New Construction ^ Re•MOdel / Re-Roof /Tenant Improvement ^ Plumbing ~ Mechanical U Fire Prevent/Suppress/Alarm ^ Other Project Description/Scope of Work:~DI.ACL ~ QDO w:TDA NJ A c U l~ rT'S Project value: l7 ~ ~t'14 • o 0 Building Area (sq. ft) Parking Garage 1°1 Floor 2id Floor and Floor Building Height Are there any environmentally sensitive areas located on the parcel? ~_ If yes, a completed environmental checklist must accompany permit application. ARCHITECTlE_N_GIN_ EEf2 LICENSE # ADDRESS EMAIL CITY STATE ZIP TELEPHONE Copy of Clty Mltlpatlon documentation (TFC). 1 horoby oorttty that the above Intortnallon Is cornet and that the eonatruetlon on, and tM occupancy and tM we of Ihs above deacrlbed property will Ire In accordance with the lawn, rules and repulatlona of the State of WashlnQton and the City ~ r ~ ~ ~1~~'(~xo is Signature Date Owner /Contractor /Owner's Agent I Contractor's Agent /Tenant (Please circle one.) All permits are non-transferable and w111 expire H worts authorized by such permk Is not begun within 180 days of Issuance, or Ii work la suspended or abandoned for a period of 180 days 105 Yelm Avenue Wea! (860) 168-3895 PO Boz 179 (8S0) 458-SJI! FAX Yetm, WA 98597 wwm.clyetm.wa.u, Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 2 Topic Index ~ Contact Info Find a Law or Rute Get a Form or Publication Look Up a Contractor, Electrician or Plumber Trades @ Licensing ectrical Contractor business licensed by L81 to contract electrical work within the scope of its specialty. Electrical mtractors must maintain a surety bond or assignment of savings account. They also must have a ~signated Electrical Administrator or Master Electrician who is a member of the firm or a full-time License Information License ROBBIA1005C9 Licensee Name ROBBINS AIR INC Licensee Type ELECTRICAL CONTRACTOR UBI 601844265 Verify Workers Comp Premium Status Ind. Ins. Account Id Business Type CORPORATION Address 1 PO BOX 2233 Address 2 City ABERDEEN County GRAYS HARBOR State WA Zip 98520 Phone 3605387003 Status ACTIVE Specialty 1 HVAC/RFRG LTD ENERGY Specialty 2 UNUSED Effective Date 2/29/2000 Expiration Date 3/1/2008 Suspend Date Separation Date Parent Company Previous License Next License Associated License HOWARN`982RR https://fortress.wa.gov/lni/bbip/Detail.aspx?License=ROBBIAIOOSC9 5/23/2006 Look Up a Contractor, Electrician or Plumber License Detail Page 2 of 2 Electrical Administrator Information License HOWARN"982RR Name HOWARD, NATHAN Status ACTIVE Business Owner Information Name Rote Effective Date Expiration Date ROBBINS, CARL W 01 /01 /1980 ROBBINS, DONNAS 01 /01 /1980 ROBBINS, CARL W AGENT 01 /01 /1980 Bond Information Bond Bond Company Account Effective Expiration Cancel Impaired Bond Received Bond Name Number Date Date Date Date Amount Date DEVELOPERS SURETY ii Until #1 INDEM CO 851782C 02/04/2000 Cancelled $4,000.00 03/23/2001 Savings Information No Matching Information Insurance Information Company Policy Effective Expiration Cancel Impaired Received Insurance Name Number Date Date Date Date Amount Date AMERICAN STATES #1 INS CO 01CH12916010 04/18/2006 04/18/2007 $1,000,000.00 05/01/2006 Start a New Search P_ tinter Friendly Version About L&I ~ Find a job at L81 ~ Information en espariol ~ Site Feedback ~ 1-800-547-8367 ~` a> Washington State Dept. of Labor and Industries. Use of this site is subject to the laws of the 'r ~,-- ~ ~~~~~~~ state of Washington. Access Agreement I Privacy and security statement I Intended use/external content policy ~ `~''~~ ~ ~~' ~ `' ~`~ ~`'a_gov Staff only link https://fortress.wa.gov/lni/bbip/Detail.aspx?License=ROBBIAIOOSC9 5/23/2006 MAY-22-2006 03:54P FROM:R02BINS'AIR,INC. 3605387003 T0: 13604583144 P.1 Ro15-b~ns'Air. Irt~. P O Bw )?J1' 1309E Wlshkuh' Abaiclrrri. V1,'A OA9?~ Phur~r 11601 518-7Q0] F~~ x]60) 537-71QA Toll Fra• t-tlll-84b-IOW Total Pages, Including eover_~_ Comments. Received MAY 2 2 2006 ~c.~IAS-e. CflLI-- i F-1~AtJ 1~ S Residential * Commercial '' Industrial Sales & Service Voice. 360 -538 -7003 flax. 360 -537 -7108 Ur~cm _ ~pl)' Plcasc Rcvieu- For your Information