20100222 Permit Pkg 12032010Applicant
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (380) 458-3144
Permit No.: 20100222
Issue Date: 12/03/2010
(Work must be completed within 180 days)
Name: RAINIER APARTMENTS Phone: 360-458-3288
Address: 202 EDWARDS
YELM WA 98597
Property Information:
Site Address: 202 EDWARDS ST SW Owner: AD-WEST
Assessor Parcel No.: 99000564700 Subdivision: Lot:
Contractor Information
Name: BUILDERS PROS
Address: JOHN KEESLAR
PO BOX 273
YELM WA 98597
Contractor License No.: BUILDP'937P5 Expires:
Phone:
10/30/2011
Project Information:
Project: COMMERCIAL REMODEL
Description of Work: ADD DOOR AND RAMP TO COMPLEX OFFICE
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
BUILDING
Contractor
BUILDERS PROS
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 corr I also certify that the proposed structure is in conformity with all applicable City of
Yelm regulations i cl ding those governing zoning and land subdivision, and in addition, all covenants,
easements and re tri ions of recordf-If applying a,~a contractor, I further certify that I am currently
Firm
Date 1 ~
Fees
$ 68.43
~ 68.43
s of Prints:
Inspection:
Date:
By: _
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CITY OF YELM
COMMERCIAL BUILDING PERMIT APPLICATION FORM
Project Address: 2oZ. ~wa.~s ~., qgJ Parcel #:
Zoning; Current Use: Proposed Use:
New Construction ~Re-Model / Re-Roof /Tenant Improvement
Plumbing - Mechanical =Fire Prevent/Suppress/Alarm ~ Other
30~~
Project Description/Scope of Work: ~ST~+-~- Feo~. w~r~e.. e~~S~tn~ C~ w
Project Value: #~?O-O °~
Building Area (sq. ft} Parking Garage 1s~ Floor 2"d Floor 3`~ Floor
Building Height
Are there any environmentally sensitive areas located on the parcel? If yes, a
completed environmental checklist must accompany permit application.
BUILDING OWNER/TEN~ANT NA((~~IE: ~ ~R~ Ich-
ADDRESS ~wa,.dS ~• EMAIL .we C.®,r1
CITY STATE ZIP TELEPHONE
Sufis.
ARCI-IITECTIENGINEER LICENSE #
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
GENERAL CONTRACTOR l o.r TELEPHONE 360 -'Tf34 -H 838
ADDRESS ~.O a 2„?3 EMAIL g,~e Ca<,~••ICds'f',,vl:("
CITY w- STATE w~ ZIP 5`i FAX
CONTRACTOR'S LICENSE # f3Ul+-AP~937PSEXP DATE~CITY LICENSE #
PLUMBING CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZJP 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).
I herel
above
City a~
/~ 21 /o
Date
(Please circle one.)
certify that the above information is correct and that the construction on, and the occupancy and the use of the
~cribed property will be in accordance with the laws, rules and regulations of the State of Washington and the
~i~
Owner's Agent /Contractor's Agent /Tenant
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.ue
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