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09-0061 Permit Pkg 061909~~OF T~A~L City of Yelm Contractor Information: Name: Sunrise Homes Contact: Address: 809 Yelm Avenue South City: Yelm Contractor License No: Expires: Project Information: Project: R Marlin Kay, DDS -Tenant Improvements Description of Work: Remodel Foyer And Waiting Room Sq. Ft. per floor: (1st) 0 (2nd) 0 (3rd) 0 Heat Type (Electric, Gas, Other): OTHER Fees: ~ Community Development Department Building Division Phone: (360)458-8407 X E L Fax: (360) 458-3144 ~~«a,o.. Applicant: Name: Sunrise Homes Address: 609 Yeim Avenue West City: Yelm Property Information: Site Address: T18 Yelm Avenue West #3 Assessor Parcel No. Subdivision: Permit No: BLD-09-0061-YL Issue Date: 06!19/2009 (Wor k must be started within 180 days) Receipt No: 744 Phone: 360-458-3200 State: WA Zip 98597 Lot: Garage 0 Item Item Fee Base Amt Unit Fee Unit Rate Building Permit 50-100k 699.75 643.75 W 56.00 7.0000 Building Plan Review 454.83 0.00 0.00 0.0000 TOTAL FEES: $1,154.58 Phone: 360-458-3200 State: WA Zip: 98597 Business License: Basement 0 No. Units Unit Desc 8.0000 $1,000^ 0.0000 Hppucanrs P-rraaavtt: I certify that I have read and examined the information contained within the application and know the same ~FFICIAL 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 inGuding those governing zoning and land subdivision, and in addition, all covenants, easements a fictions of recur If pplying as a contractor, I futher certify that I am currently registered i the Stag, hingt Final Inspection: Signature Date ~_~ ~ of ~(`') ~ Date: Firm ~ ~ BY City of Yelm Community Development Department Building Division Phone: (380)458-8407 Fax: (380)458-3144 Applicant: Name: Sunrise Homes Address: 809 Yelm Avenue West Project Information: Project: R marlin Kay, DDS -Tenant Improvements Description of Work: Remodel Foyer And Waiting Room Site Address: 718 Yelm Avenue West #3 Fees Item Acct Code Building Permit 50-100k 032 001-322-10-00 Building Plan Review 100 001-345-83-00 TOTAL FEES: City: Yelm Assessor Parcel No. Item Fee Base Amt Unit Fee 699.75 643.75 56.00 454.83 0.00 0.00 $1,154.58 C TAT T ~ ~~ X.k :L' ~C ~E 'T,~+ i ~ ~ Q --1 oo c u--~ r~~.' m m .e!-~ t-J'J ~ T ~` ~D, ~ ~,, ~ ~~ }-~ •~ ~ Permit Fees Schedule Permit No: BLD-09-0061-YL Phone: 380-458-3200 State: WA Zip 98597 Unit Rate No. Units Unit Desc 7.0000 8.0000 $1,000 0.0000 0.0000 r+'s 3 ~---i -^i i~ ~~~~ *1 ~rn~~~ ...,5: r.~ :-S I~dry >~ F I['Lj ~-.-~ --3 ~~ 1~ w-: ~J C? r.7 CITY OF YELM ,~1~0 - l 6 ~ J COMMERCIAL UILDING PE MIT APPLICATION FORN~ ` ~ 1 ~~~ Project Address: ~ ~ 1 ~ ~ ? 1 l~~ t~~~ ~t ~~ Parcel #: Zoning; Current Use: Proposed Use: ^ New Construction ~ Re-Model / Re-Roof /Tenant Improvement n Plumbing i_ Mechanical i Fire Prevent/Suppress/Alarm i Other Project Description/Scope of Work: ~~~Z t,r> r; r\, ; ~ ~T-r~ ate/ -~- L ~~~ ~ ~ , n ~, ^n ~~. _ , , Project Value; Building Area (sq. ft) Parking Garage 1 g` Floor 2"d Floor 3"' Floor Building Height Are there any environmentally sensitive areas located on the parcel? If yes, a completed environmental checklist must accompany permit application. PLUMBING CONTRACTOR TELEPHONE ADDRESS EMAIL CITY STATE ZIP FAX CONTRACTOR'S LICENSE # EXP DATE_CITY LICENSE # MECHANICAL CONTRACTOR TELEPHONE ADDRESS EMAIL CITY STATE ZIP FAX CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE # Copy of City Mltigatlon documentation (TFC). 1 hereby certify that the above info ation is correct and that the construction on, and the occupancy and the use of the abov scribe party w I be Ir{ ccordance with the laws, rules and regulations of the State of Washington and the City of Ye , } r C~r ~ ~ m~ ~ ,'\ ~ Applicant's Signature ~_~~~ pate ~ ~ ~(.' ~ ~ V Owner /Contractor /Owner's Agent /Contractor's Agent /Tenant (Please circl 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 105 Yelm Auenue Weat PO Box 479 (360) 458-3835 (360) A58-3144 FAX Yelm, WA 98597 www.ci.yelm.toa.ua , ' ~_ ~~ APR 2 7 909 Look Up a Contractor, Electrician, Plumber or Elevator Professional License Detail Page 1 of 2 Information in Spanish Topic Index Contact Info w Home Safety Claims @ Insurance Workplace Rights Trades f3 Licensing Find a Law (RCW) or Rule (WAC) Get a form or publication Return to List > Start a New Search > ~ Printer friendly Contractor A business registered as a construction contractor with L~tl 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. Business and Licensing Information Verify Workers' Comp Premium Status Check for Dept. of Revenue Account Name SUNRISE HOMES INC UBI No. ~ 600180195 Phone No. (360) 458-3200 Status ACTIVE Address PO BOX 727 License No. SUNRIH*245B6 Suite/Apt. License Type ~ CONSTRUCTION CONTRACTOR City YELM Effective Date 1/26/1976 State WA Expiration Date 1 /26/2010 Zip 98597 Suspend Date County THURSTON Specialty 1 ~ GENERAL Business Type Corporation Specialty 2 ~ UNUSED Parent Company u Business Owner Information ~-~ Hide All Name Role Effective Date Ex iration Date BAKER, VIRGIL R 01 /01 /1980 BAKER, DARLENE E 01 /01 /1980 c~ Bond Information ,~ Bond Bond Company Bond Account Effective Expiration Cancel Impaired Bond Received Name Number Date Date Date Date Amount Date Until https://fortress.wa.gov/lni/bbip/Detail.aspx OS/01 /2009 Look Up a Contractor, Electrician, Plumber or Elevator Professional License Detail Page 2 of 2 5 CBIC SH9108 06/20/2008 Cancelled $12,000.00 06/20/200f WESTERN 4 SURETY 68340322 01 /26/2002 Until Cancelled 02/24/2009 $12,000.00 01 /10/200 CO Insurance Information i,, f Insurance Company Policy Effective Expiration Cancel Impaired Amount Name Number Date Date Date Date 17 CBIC C11SH9108 06/20/2008 06/20/2009 $1,000,000. PRAETORIAN 16 INSURANCE HFP200129800 06/20/2007 06/20/2008 $1,000,000. CO 15 INS CORP OF HANNOVER H86FP1893401 06/20/2005 06/20/2007 $1,000,000. 14 INS CORP OF H86FP1893400 06/20/2004 06/20/2005 $1 000 000. HANNOVER , , WESTPORT 13 INSURANCE LR32686690 06/20/2003 06/20/2004 $1,000,000. CORPORATION INS 12 CORPORATION 300688930 06/20/2002 06/20/2003 $1,000,000. OFHANNOVER About LFtI ~ Find a job at L&I ~ Site Feedback ~ Toll-free Numbers •lrrrs; ~11~.ishinlal~m ' ©Washington State Dept. of Labor and Industnes Use of this site is subject to the laws of the state of W. Access Agreement I Privacy and security statement I Intended useiexternal content policy I Staff ~~- _- https://fortress.wa.gov/lni/bbip/Detail.aspx OS/01 /2009