The URL can be used to link to this page

05-0048 Permit Pkg 02110510aY *�6 City of Yelm 01 Community Development Department Building Division Phone: (360) 458-8407 Fax: (360) 4583144 Applicant: Name. Yelm Community Schools Address: P.O. Box 476 City: Yel Property Information: Sim Address: 16525100 Way SE Assessor Parcel No. 64303600300 Subdivision. Contractor Information: Name: Jody Miller Construction Contact: Address : P.O. Box 44628 City: Taco. Contractor License No JODYMCL160D3 Expires: 051 Project Information: Project: Yelm Storage Building Description of Work: 60x100 Storage Building Sq. Ft. per floor: (I s0 0 (2nd) 0 (3rd) 0 Heal Type (Electric, Gas, Other): OTHER Fees Permit No: BLD -05- 0048 -YL Issue Date: 02/11/2005 (Work must be started within 180 bays) Receipt No: 35574 993.75 an 5.6000 88.0000 51,000 Building Plan Review 96625 0.00 NIA 0.0000 0.0000 TOTAL FEES: $2,452.80 a 18/05138 Heal Type (Electric, Gas, Other): OTHER Fees Permit No: BLD -05- 0048 -YL Issue Date: 02/11/2005 (Work must be started within 180 bays) Receipt No: 35574 Phone: 3604584128 State: WA Zip 98444 Lot: NIA Phone: 253 -537 -6116 State: WA Zip: Business License: Garage 0 Basement 0 Item Item Fee Base And Unit Fee Unit Rate No. Units Unit Desc Building Permit 100 -5001, 1,486.55 993.75 492.80 5.6000 88.0000 51,000 Building Plan Review 96625 0.00 0.00 0.0000 0.0000 TOTAL FEES: $2,452.80 Firm Applicants Affatlavit OFFICIAL USE ONLY I certify that I have mad 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 f Prints Yelm regulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of rem If applying as a contractor, I futher certify that I am currently registered in the State of Washington. spection: L Signature /�.�..� +.... _ Date 1 , ��. OS Firm CITY OF YELM P.O. Box 479 Yelm, WA 98597 360 - 458 -8403 RECEIPT No. 3 55 74 RECEIVED ****TWO THOUSAND FOUR HUNDRED FIFTY TWO DOLLARS & 80 CENTS RECEIVED FROM YELM COMMUNITY SCHOOL P.O. BOX 476 YELM, WA 98597 360 - 458 -3144 DATE BEG NO 02/11/05 35574 AMOUNT REF NO. 2,452.80 CHECK 197 MISCELLANEOUS RECEIPT GRETCHEN BLD PERMIT 100 -SOOK 1486.55 BID PLN REVIEW 966.25 SITE 16525 100 WAY SE Find a Law or Rule Get a Form or Publication Look Up a Contractor, Electrician or Plumber General /Specialty Contractor A business registered as a construction contractor with LFtI 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 JODYMC1160D3 Licensee Name JODY MILLER CONSTRUCTION INC Licensee Type CONSTRUCTION CONTRACTOR UBI 600294060 Verify Contractor Premium Status Ind. Ins. Account Id 39517500 Business Type CORPORATION Address 1 PO BOX 44628 Address 2 City TACOMA County PIERCE State WA Zip 98444 Phone 2535376116 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 3/23/1984 Expiration Date 5/18/2005 Suspend Date Separation Date Parent Company Previous License JODYh1L'211DM Next License Associated License Business Owner Information Name Role Effective Date FILE COPY https: / /fortress .wa.gov /lnilbbip /detail.aspx ?License= JODYMCI160D3 2/10/2005 Look Up a Contractor, Elect jkiian or Plumber License Detail ,1 Page 2 of 3 MILLER, JODY M i 191/01/1980 MILLER, SUSAN M 01/01/1980 Bond Information Savings Information No Matching Information Insurance Information Bond Bond Effective Expiration Cancel Impaired R, Insurance Company Account Effective Expiration Cancel Impaired Bond Received Bond Name Number Date Date Date Date Amount Date OHIO CAS #6 INS CO 3164475 03/14/2002 11/01/2005 $12,000.00 01/15/2002 OHIO CASUALTY #5 INS CO 3164475 03/14/1998 03/14/2002 11/01/2004 $6,000.00 11 . OHIO #4 CASUALTY 3164475 03/14/1996 03/14/19981 1 $6,000.00 #22 INS CO OF A0ZBF39502 11/01/2003 11/01/20041 1$2,ODO,000.00 10. #3 THE WEST 1173908 03/14/1991 03114/1996 $6,000.00 EMPLOYERS #21 INS OF A02BF39502 05/18/2002 11/01/2003 $1,000,000.00 04. #2 WAUSAU 235008045517 03/14/1988 03/14/1991 $6,000.00 #20 FIDELITY & A0ZBF395 05/18/2002 05/18/2003 $1,000,000.00 06. DEPOSIT #1 CO 9654277A 03/14/1984 03/14/1988 05, Savings Information No Matching Information Insurance Information https:// fort ress. wa. gov /lni/bbip /detail.aspx ?License= JODYMCI160D3 2/10/2005 Effective Expiration Cancel Impaired R, Insurance Company Name Policy Number Date Date Date Date Amount LIBERTY SURPLUSINS #24 CORP DGLSF079299014 11/0112004 11/01/2005 $1,000,000.00 11, UNDERWRITERS AT #23 LLOYDS /LONDON 2485014 11/01/2003 11/01/2005 11/01/2004 $1,000,000.00 11 . LLOYDS OF LONDON #22 (UNDERWRITER A0ZBF39502 11/01/2003 11/01/20041 1$2,ODO,000.00 10. UNDERWRITERS AT LLOYD'S #21 LONDON A02BF39502 05/18/2002 11/01/2003 $1,000,000.00 04. LLOYDS OF #20 LONDON A0ZBF395 05/18/2002 05/18/2003 $1,000,000.00 06. LLOYD'S OF #19 LONDON AOIBF176 05118/2002 05/18/2003 05, LLOYDS OF #18 LONDON A01BF176 05/18/2001 05/1812002 05, LLOYD'S OF #17 LONDON AOOBF020 05/18/2000105/18/2001 SAFECO INS CO https:// fort ress. wa. gov /lni/bbip /detail.aspx ?License= JODYMCI160D3 2/10/2005 Look Up a Contractor, Elect , tan or Plumber License Detail �, Page 3 of 3 #16 OF AMERICA CP8483840A 03/14/2000 03/14/2001 #15 SAFECO INS CO CPS483840 03/14/1998 03/1412000 #14 NORTH PACIFIC INS CO C04127818 03/1411997 03/14/1998 #13 NORTH PACIFIC 003127818 03/14/1996 03/14/1997 #12 NORTH PACIFIC CO2127818 03/14/1995 03/14/1996 #11 NORTH PACIFIC C01127818 03/14/1994 03/14/1995 #10 AETNA CASUALTY Et SURETY 081ACM023113002 03/14/1994 03/14/1995 #9 AETNA 023113002AM 03/14/1993 03/14/1994 #8 AETNA CASUALTY & SURETY ACM21879523 03/14/1993 03/14/1994 '.#7 AMERICAN STATES INS CO 01CC1948564 03/14/1991 03/14/1993 I#6 AMERICAN STATES CC1948562 03/14/1989 03/14/1991 #5 AMERICAN STATES CC19485601 03/14/1988 03/14/1989 #4 FIREMAN'S FUND MXX80129413 03/14/1986 03/14/1989 #3 TRANSAMERICA 19178260 03/14/1986 03/14/1987 #2 TRANSAMERICA INS CO 19266248 03/14/1985 03/14/1986 #1 TRANSAMERICA 19178260 03/14/1984 03/14/1985 Summons / Complaints Information No Matching Information Start a New Search Printer Friendly_ Version About L &I I Find a job at L &I I Information en espadol I Site Feedback I 1- 800.547 -8367 0 Washington State Dept, of Labor and Industries. Use of this site is subject to the laws of the state of Washington. Access Agreement I Privacy and security statement I intended use /external content bobs,, I Visit accessma.gov Stn% wit, link https: // fortress. wa. gov /lnilbbip /detail.aspx ?License= JODYMCI160D3 2/10/2005