20100189 Permit Pkg 10052010City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:
Name: ORCHARD APARTMENTS LLC
Address: PO BOX 543
YELM WA 98597
Property Information:
Site Address: 500 MCKENZIE ST SW Owner:
Assessor Parcel No.: 21724410301 Subdivision:
Contractor Information:
Name: MUMMAS METALS
Address: TOM
35516 42ND AVE 5
ROY WA 98580
Contractor License No.: 602456688
Phone:
Expires: 12/31 /2010
Project Information:
Project: COMMERCIAL REMODEL
Description of Work: REBUILD STAIRS AND RAILS UNITS 25 - 32
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
BUILDING
Contractor
MUMMAS METALS
Phone:
ANDREW TABER
Lot:
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 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 further certify that I am currently
registered in the~te oj,Was~in~ton. ~ ~ M
Fees
$ 139.25
$ 139.25
# Sets of Prints:
Final Inspection
Date:
ey:
Permit No.: 20100189
Issue Date: 10105/2010
(Work must be completed within 180 days)
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CITY OF YELM
COMMERCIAL BUILCD11NG^ PERMIT APPLICATION FORM
Project Address: SfaO ~`~<ekz~.e tJ1.J~ Parcel #:
Zoning; Current Use: Proposed Use:
~~ New Construction ~ Re-Model / Re-Roof /Tenant Improvement
Plumbing -Mechanical ~~ Fire Prevent/Suppress/Alarm [ r _' Other I 2
Project Description/Scope of Work: 1 ~C11~ Q.~ ~ L l~ uK;1T~5 - Jo~,
Project Value: ~.OC70
Building Area (sq. ft) Parking Garage 151 Floor 2"d Floor 3rd Floor
Building Height
Are there any environmentally sensitive areas located on the parcel? If yes, a
completed environmental checklist must accompany permit application.
BUILDING WNER/TENANT NAME: ~/'
ADDRE S EMAIL
CITY STATE ZIP TELEPHONE
ARCHITECT/ENGINEER LICENSE #
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
GENERAL CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP 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 DATE CITY LICENSE #
Copy of City Mitigation documentation (TFC).
1 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 Yslm.
lJC-~ S
A icant' 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
l05 Yelm Avenue West
PD Box 479
Yelm, WA 98597
(360) 458-3835
(360) 458-3144 FAX
www.ci.yelm.wa.us