20100187 Permit Pkg 10052010City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360)458-3144
Applicant:
Name: RANTS GROUP
Address: 724 COLUMBIA ST NW S200
OLYMPIA WA 98501
Property Information:
Site Address: 1R~1R ('_RFFK I N SF
Assessor Parcel No.: 64303400200
Contractor Information:
Name: MUMMAS METALS
Address: TOM
35516 42ND AVE S
ROY WA 98580
Subdivision:
Contractor License No.: 602456688
Permit No.: 20100187
Issue Date: 10/0512010
(Work must be completed within 180 days)
Phone
Owner: RANTS GROUP
Lot:
Phone:
Expires: 12/31 /2010
Project Information:
Project: COMMERCIAL REMODEL
Description of Work: UPRIGHT AWNING POST REPLACEMENT NEW WELDED POST WITH FILLET WELD BY
AWS CERTIFIED WELDER
Sq. Ft. per floor: First
Second
Third
Garage
Basement
Fees:
Item
BUILDING
Heat Type (Electric, Gas, Other):
Contractor
MUMMAS METALS
TOTAL FEES:
Applicant's Affidavit:
I certify that I have read and examined the information contained within the application and know the same
to be true and wrrect. 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 further certify that I am currently
registered in tfje Mate of Washington. . _
Date `d
Firm
Fees
$ 23.50
S 23.50
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APPROVED
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CITY OF YELM
~C~O'M~ERCIAL BUILDING PERMIT APPLICATION FORM
Project Address: /~ S/~ Grcck S~ ~ S~ Parcel #:
Zoning; Current Use: Proposed Use:
:~ New Construction - Re-Model / Re-Roof /Tenant Improvement
C Plumbing ;Mechanical ,Fire Prevent/Suppress/Alarm -~ Other
Project Description/Scope of Work:
Project Value:
Building Area (sq. ft) Parking Garage 1g~ Floor 2nd Floor 3`d Floor
Building Height
Are there any environmentally sensitive areas located on the parcel? If yes, a
completed environmental checklist must accompany permit application.
BUILDING OWNERlTENANT NAME: ~F 1= /w. ~ r ee k ~ s .~.,
ADDRESS ~~ 5/D creek L.~ 5 EMAIL
CITY ti STATEN. A ZIP TELEPHONE
ARCHITECT/ENGINEER LICENSE #
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
GENERAL CONTRACTOR f 41 v -K ~+.AS l~1-c~,A/s TELEPHONE ° S/m o //!!
ADDRESS 35 S/~L y 2H ! /~- y G o EMAIL
CITY 2~~t STATE w/-f ZIP 9~S~FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
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 DATECITY LICENSE # ~
Copy of City Mitigation documentation (TFC).
I hereby certify that the above information is 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 regulations of the State of Washington and the
City of Yelm.
~-,. ~~ ~- g o 2.a/o
Applicant's Signature Date
Owner 1 Contractor /Owner's Agent /Contractor's Agent 1 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 Auenue Weat
PO Box 479
Yelm, WA 98597
(360) 458-
(360) 458- 9 FAX
www.ci.ye .w~~~ 'J O ~~~~
B Y: --------------------
~~ j ~~ ~ Washington Association of Building Officials
C ' P. O. Box 7310, Olympia, WA 98507
888649515 • vawuv.wabo.org
Certified Welder Card
TOM R MUMMA
35516 42ND AVE S
ROY WA 98580
'' ~ '' ~ JUL 1. 2011
W13518 Renew on or before expiration date
The welder named on this card is ceRified for the (ot(owrng:
Structural Steel: FCAW, Piste, Aii p°siti°ns, Up, E71T-1, ,I
1/g„ g, °ver, w/backing
WA80 welder certi@ed Process qualitrcations are outlined in WA80
Standard P7_~3 g, in accortiance wit:ANSUAW:O~ ~•'D1: , D1.4
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