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08-0265 Permit Applic TI 080408~~pF THE pQ~ Ci`~f of Yellrn ~7p Community Devrrlo a. -. en Building Division pment Department Applicant's Affadavit: Phone: [360) 458-84fl7 Y E L M Fax: (360) 458-3944 Appiicant~ Narne: Emerald Air Address: 5108 ~ St. NW City: Auburn Property Information: Site Address: 709 Prairie Park Lane Assessor Parcel No. 64303700900 Subdivision: Contractor Informationr Names: Applica nL Contact: Rddress: City- Contractor License Nos Expires: Project Information: Project: Prairie Park Business Office TI description of Work: Install additional split system Sq. Ft. per Floor. (1st) O (2nd) O (3rd} O beat Type (Electric, Gas, Other): Fees: Item Item Fee Bases Amt Unit Fee --------------------- --------- - Mechanical Permit 36.'15 --------- -------- 0.00 0.00 TOTAL FEES: $36.'15 Parrrtit No: M-08-0265-YL Issue Date: 0 810 412 0 0 8 (Work must be started within 180 days) Receipt No: 55575 Phone: 253-872-5565 State: WA Zip 98001 Lot: Garage D Unit Rate 0.0000 Phone: State: Zip: Business License: Basement O No. Units Unit l7esc 0.0000 certify t1-zat I have read and examined t7~e information contained within the application and know the same to be true and correct. 1 also certify that the proposed structure is in conformity with all applicable City of Ye[m regulations including those governing zoning and land subdivision, and in addition, a€I covenants, easements and restrictions of record. If applying as a contractor, i Fu [her certify that l am currently registered in the State of Washington. Signatu rem ~~„-~- _ ~ -~~ - - ~~ Firm By: =FICIAL LJSE ONL City of Yelr~ a ~~ Community De~elopmen# Departrn>rrit ___ n, m c-:. - E3uitding Division ~f:--, Phone: (360} 458-8407 Y~L~2 Fax: (380} 458-3'144 ~ -'- =,~, Appl ica n#: Name: Emerald Air Address: 5108 D SY. NW City: Auburn Project infQrmateon: Project: Prairie Park l3c~siness Office TI Description of Work: lns#alE additionaE split system Site Address_ 701 Prairie Park Lane Fees Item Acct Code Item Fee Ivleci3anical Permit 032 001-322-10-00 36.15 TOTAL FEES: $36.15 Perimi~ Fees Schedule Permit 3~la: M-08-0265-YL Phone: 253-872-5685 State: WA Zip 3840'[ Assessor Parcel No. 643D3700100 Base Amt Unit Fee Unit Rate No. Units Unit ©esc ----------- ----------- ----------- ----------- ------------- D_00 O.00 O.ODOO D.ODOD 4 ~y 3'fiI It -~ ~~~ .~~ ~~ Q 11 ~ m~ '~ _ /~ ~ I.O. i3ax -?e ~~~:~.~..~~ ~ 3Sf)-45f~-324.4 F~6C(=ltiC~I~ f" E~C')Zr t )IaF E- € tE-C. fvC~. ....°s _.. _. F: ~T_, f _ __i_ ~_ CITY OF YELM COMMERCIAL BUiL~EiVG PERMIT APPLfCATFOhf FORM ~-r- Project Address: ~~~ PY4 f fP, ~!'~-'. ~ C.t~ ~J Parcel #- ~.D ~ ~+C~`~J~?G~~3 L C7 C-~ Zoning; Current lJse:___ __Proposed Use._ ___ - New Construction _= Re-Model / Re-Roof /Tenant improvement PEumb3ng ;~i~iechanical _ __ Fire Pravent/Supprass/Alarm - Other Project Description//Scope of Work: C~Y~r~ QQ 1 ~.aC'XA-~-• ~'-~. ~(1. U-'L,c~`' ~ C~tS ~sO~; G~(JIG~-CcYR,iG Project Value: Building Area (sq. ft) Parking Garage 'I s; Floor 2"d Floor 3`6 Floor Building Height Are there any environmentally sensitive areas located on the parcel? completed environmental checklist must accompany permit application_ If yes, a ADDRESS s €~ ~ t-Y C.C..Y i G y~~~ . Z` ... E M A 1 L < "1~ J G< CITY. ~~ r`°yp-y STATE~~ Z1P C~$s~q~7 TELEPHONC ~t.n ~--] `.~- FS' ~ T4 ARCHlTEC ENGfN_E~R .~ LICENSE # ~37'1~.L~3'S3-L6~S lid L. A[3QRESS .~C> ~ D ~ EMAIL CITY_ t'L --~ ~ -` STATE • ~ S!a- ZIP ~~X~d) TELEPHONE ~S3 ~7~lI Gf- GENERAL CONTRACTOR TELEPHONE A©f~F?ESS EMA1L CITY STATE ZiP FRX CONTRACTOR'S LICENSE # EXP DATE CITY LFCENSE # PLUMBING CONTRACTOR TELEPHONE AQQRESS EMAIL CITY STATE ZIP FAX CONTRACTOR'S LICENSE # EXP QATE CITY LICENSE # MECHANICAL CONTRACTOR m • TELEPHONE ?~2/ S'~ ~Lo lt3r AaoRESS ,5 Jt~ 8 .T~ Sd-- ~t1 ~ EMAIL f/P CITY i.c~ J"~ STATE C:c~ l= ~ Z I PCl ~ti ~} 7 FAX ~" CONTRACTOR°S LICE=NSE # ~jY~ ~,~Y-r-~yt~C,~F'S>EXP QATE V~ ITY LICENSE # Copy of City Mitigation documentation (TFC). I hercby certify that the above information is correct and that the construction on, and the occupancy and the use of the above described property wiEl be in accordance with the laws, ruEes and regulations of the State of Washington and the City of Ye]m. Applica fg-T e ~ t~ Owner /Contract I ner's Agent /Contractor's Agent /Tenant (P{ease circle one_) Afl permits are non-transferaL~le and wilt expire if work authorized fey such permit is not E~egun within 180 days of issuance, or if work is suspended or abandonecE for a period of 18U days 705 Yelm Aaen.~ce ~ est (36DJ 458-3835 PO 73ox 479 (36~) 458-3744 TAX -Yet n,- YT A 98557 u~u~w.ei..yel m.wa_xcs RECEIVE V 1 ~~ MAY 2 1 ~flfl8 Look LJp a Cozztz-actor, Electriciaz-z, Plumber oz- Elevator Proressioz-zal Licez3se Detail Page 1 of 1 information in Spanish Topic Index Contact Info Search Home Safety Claims Ec tnsu ra nee Workplace Rights Trades £x Licensing Find a Law (RCW) or Rule {WAC) GeE a #orm or publication CIOSe t1115 Page ~ Help General/Specialty Contractor A business registered as a construction contractor with L1=t! to p~:rform 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. EMERALD A1RE INC Business and Licensing information Verify Workers' Comp -~' printer friendly Premium Status Name EMERALD AiRE iNC UBi No_ ?~ 6Q0591 552 Phone No. (253) 872-5665 Status ACTIVE Address 5108 D STREET NW License Na. EMERAAf055BL Suite/Apt. License `T'ype ~ CONSTRUCTION CONTRACTOR City AUBURN Effective Date 1/13/1995 State WA Expiration Date 4/1 /20Q9 Zip 98QQ1 Suspend Date ~i County KING Separation Date Business Type CORPORATION Previous License SOUNDA11580W Parent Company Next License Associated License Specialty 1 ~ GENERAL Specialty 2 ~ UNUSED _+ Business Owner [reformation ~ Shaw All _~=: 8ond information ,~ Insurance information .ice ,his; .,,~:, About LFtI ( Find a job at LEc[ € 54te Feedback ~ i-800-547-8367 #'~ ~~~`i ~`7iFi~~~}~'~_~.-, C7 Wast~ingion SfaFe Depi. of Labor and €ndustries. lJSe of i}3 [s site is sia bject io the laws of fi7Q siaie of Wash irtgion. Access A£;reement i Privacy and security state nicnt ~ Intcanded use/extc=rnal Contee3[ policy i Sta££ orZ€y link https://fortress.wa.gov/Ini/bbip/Detail.aspx?License=EMERAAIOSSBL 7/23/2008