20050728 Permit Pkg 092806~~OF TH~P~ City of Yelm
rs ~ Community Develo
Building Division
Phone: (360) 458-840
Fax: (360)458-3144
Applicant:
Name: ARC Roofing
Address: PO Box 629
Property Information:
Site Address: 104 Yelm Ave E
pment Department
7
City: Napavine
Assessor Parcel No. Subdivision
vv~~u oa.w~ noun naawn.
Name: Contact:
Address: City:
Contractor License No: Expires:
Project: AR 8 Frame Re-roof
Description of Work: Recover back lower roof
Sq. Ft. perfloor: (1st) 0 (2nd) 0 (3rd) 0
Heat Type (Electric, Gas, Other):
Permit No: BLD-05-0728-YL
Issue Date: 09/28/2006
(Wo rk must be started within 180 days)
Receipt No: 43890
Phone: 360-736-7377
State: WA Zip 98565
.~.=.a.~-_~ - _ -
Lot:
Phone:
State: Zip:
Business License:
Garage 0 Basement 0
Fees:
Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
Building Permit -Other 25.00 0.00 ~0.00 0.0000 0.0000 $1,000
TOTAL FEES: $25.00
Applicant's Affadavit:
I certify that I have read and examined the information contained within the application and know the same
OFFICIAL USE ONLY
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 govemi~z mg and land subdivision, and in addition, all covenants,
easements and restrictions of record. ;tYa ying as a contractor, I futher certify that I am currently
registered in the State'of shington'
i Final Inspection:
Signature -rt! ~ ~~L~~ Date ~ ~~' ~%~~
-----~ Date:
Firm 1' ~ ~ a, y, B
y'
Applicant:
Name: ARC Rooflng
Address: PO Boz 829
Project Informatlon:
Project: Art 3 Frame Re-roof
Description of Work: Recover back lovrer roof
Site Address: 104 Yelm Ave E
Fees:
Item Acct Code
Building Permit -Other 032 001-322-10-00
TOTAL FEES:
CITY OF
YELM
P.O. Box 479
Yelm, WA 98597
360-45&8403
RECEIPT No. 4 3 8 9 0
RECEIVED '' * * *Ti~IENTY FIVE DOLLARS & 00 CENTS
RECEIVED FROM DATE REC. NO. AMOUNT REF. NO.
ARC FOOFI~tG 09/28/06 43890 30.00 CASH
P.O. BO% 629 5.00-CASH
bAPAVINE. NA 98565 BUDGETARY 25.00 TOTAL
City of Yelm '
Community Development Department O
Building Division Q ~ 6
Phone: (380) 458-8407 ` ~ 400
Fax: (380) 458-3144 S~Q ~ ` ~~~~
O`
G~
City: Napavine
Assessor Parcel No.
Permit Fees Schedule
Permit No: BLD-05-0728-YL
Phone: 380-738-7377
State: WA Zip 98565
Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
25.00 0.00 0.00 0.0000 0.0000 51,000
125.00
RECOVER ROOF
CITY OF YELM
COMMERCIAL BUILDING PERMIT APPLICATION FORM
Project Address: 4' ( Parcel #:
~~ ~~!fi~-
Zoning; Current Use: Proposed Use: '
•~~
U New Construction T~Re-Mode / Re-Roof / tenant Improvement ,,~, ~j
U Plumbing U Mechanical U USuppres larm u Other L
Project DescriptionlScope of Work: ~Op6,
Project Value:
\/
Building Area (sq. ft) Parking Garage ~'c 1'~ Floor 2nd Floor 3rd Floor '~ ~ ,~
c LC-~
Building Height ~Z F~ y ~ (`~~
Are there any environmentally sensitive areas located on the parcel? ~a' If yes, a ',ham' v
completed environmental checklist must accompany permit application.
~t1M8JNG CONTRACTOR TELEPHONE _. --
CITY STATE ~P
CONTRACTQR'~LICENSE # EXP DATE CITY LICENS
1 hereby certtty that the above information (s 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 regul ns of the State of Washington and the
City of YeIm.
CJ _ 7 .-
Applicant's Signature Date
Owner I 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 abandoned for a period of 180 days
705 YeIm Avenue Weat (360) *58-3835
PO Box 979 (360) 458-3144 FAX
YeIm, WA 98597 u:ruur.ci.yelm.u•a.us
Copy of Clty Mklgatlon documentation (TFC).