08-0307 Permit Pkg 110408Applicant:
City of Yelm
Community Development Department
Building Division
Phone: (360) 458.8407
Fax: (360) 458-3144
Permit No: BLD- 08- 0307 -YL
Issue Date: 11/04/2008
(Work must be started within 180 days)
Receipt No: 57055
Name: QT Spa Nails
Phone: 360- 400 -2204
Address: 1406 Yelm Ave. East, Ste. B
City:
Yelm
State: WA Zip 98597
Property Information:
Site Address: 1406 Yelm Ave. East, Ste, B
Assessor Parcel No. 22730140202
Subdivision:
Lot:
Contractor Information:
Name: Hebert Construction Inc.
Contact:
Phone: 253 -931 -8888
Address: 2020 A St. SE #101
City: Auburn
State: WA Zip: 98002
Contractor License No: HESERC1131 DB
Expires:
12/04107338
Business License:
Project Information:
Project: Creek St. Plaza
Description of Work: QT Nails T1
1063 sf
Sq. Ft. per floor: (1st) 4819 (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 Desc
Building Permit - Other 111.25
0.00
0.00
0.0000
0.0000 $1,000
Building Plan Review 72.31
0.00
0.00
0.0000
0.0000
Mechanical Permit 29.50
0.00
0.00
0.0000
0.0000
Consumer Dep 90.00
90.00
0.00
0.0000
0.0000
Traffic Facilities Charge 0.00
0.00
0.00
1,321.0000
0.0000 Peak PM Trip
Sewer ERU 5,885.00
0.00
5,885.00
5,885.0000
1.0000 ERU
Water ERU 1,500.00
0.00
1,500.00
1,500.0000
1.0000 ERU
State Building Fee 4.50
4.50
0.00
0.0000
0.0000
TOTAL FEES: $7,692.56
Applicant's Affadavit:
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
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.
Signature Date
Firm
# Sets of Prints:
Final Inspection:
Date:
By:
RECE
OCR a�,
BY �
�r
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:
Name: QT Spa Nails
Address: 1406 Yelm Ave. East, Ste. B
Project Information:
Project: Creek St. Plaza
Description of Work: OT Nails TI
1063 sf
Site Address: 1406 Yelm Ave. East, Ste. B
Fees:
YELM
ftem
Acct Code
Building Permit - Other
032 001- 322 -10 -00
Building Plan Review
100 001- 345 -83 -00
Mechanical Permit
032 001 - 322 -10 -00
Consumer Dep
740 402- 389 -00 -00
Traffic f=acilities Charge
420 120- 345 -85 -00
Sewer ERU
802 412 - 343 -50 -01
Water ERU
715 401- 343 -80 -02
State Building Fee
160 001 - 386 -00 -00
0.0000
TOTAL FEES:
Fgol-�"m �p'
c ITY of
Unit Fee
YELM
No. Units
Unit Desc
111.25
P.O. Box 479
----- - - - ---
0.00
Yelm, WA 98597
Y�LM
360 -458 -3244
RECEIVED.
0.00
RECEIVED FROM
Permit Fees Schedule
Permit No: BLD -08- 0307 -YL
Phone: 360.400 -2204
City: Yelm State: WA Zip 98597
Assessor Parcel No. 22730140202
Item Fee ,
Base Amt
Unit Fee
Unit Rate
No. Units
Unit Desc
111.25
- - - --
0.00
----- - - - ---
0.00
----- - - - - --
0.0000
----- - - - - --
0.0000
------- - - - - --
$9,000
72.39
0.00
0.00
0.0000
0.0000
29.50
0.00
0.00
0.0000
0.0000
90.00
90.00
0.00
0.0000
0.0000
�.�
0.00
0.00
1,321.0000
0.0000
Peak PM Trip
5,885.00
0.00
5,885.00
5,885.0000
1.0000
ERU
1,50(1,00
0.00
1,500.00
1,500.0000
1.0000
ERU
'4.50
4.50
0.00
0.0000
0.0000
$7,02.56
DATE
RECEIPT No. 5 7 0 5 5
REC. NO. AMOUNT REF. NO.
Provide 36" high by 36 " wide Accessible
Counter Space
D
F
I
Provide 36" high by 36" wide Accessible
Counter Space
4m
I
APPROV
CITY OF YELM
SIGN PERMIT APPLICATION FORM
AvProject Address: ye-10A e. - Parcel #:
Zoning; Current Use: Proposed Use:
Type /Number of Sign(s) (wall, monument, lighted, etc.):
Dimensions of Sign(s):
Building Gross Floor Area (sq. ft): / 0 "'�
Building Height:
Existing Signage (if any) and dimensions:
�Aj
APPLICANT 4 -i
Las Name First Name
ADDRESS r GC'> (� 1/ EMAIL ✓L D C f',ylit <L r cG /i
CITY STATE-L4121 ZIP G 1, �TELEPHONE 360-675Z,-
BUILDING OWNER l CSC JTZZfT 1�cv
ADDRESS 6 rS Vii' t✓ iF' EMAIL
CITY u - ) STATE Gv" ZIPy16; TELEPHONE
BUILDING TENANT—OT A A)A ! .S
ADDRESS : EMAIL
CITY STATE IA ZI r TELEPHONE L,D • %G£? C"
SIGN CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
I hereby certify that above information is correct and that the construction of the above described sign will be in
accordance 't fie lags, rules and regulations of the State of Washington and the City of Yelm,
App carit's Signature Date
Owner / 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
105 Yelm Avenue West (360) 458 -3835
PO Box 479 (360) 458 -3144 FAX
Yelm, WA 98597 www.ci.yelm.wa.us
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