20100196 Permit Pkg 10222010City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:
Name: Apple Physical Therapy
Address: 2904 4th Ave NE #300
Puyallup WA 98372
Permit No.: 20100196
Issue Date: 1 012 212 0 1 0
(Work must be completed within 180 days)
Phone: 2538406448
Property Information:
Site Address: 201 TAHOMA BLVD Owner:
Assessor Parcel No.: 217424130602 Subdivision:
Contractor Information
Name: SUNSET BUILDERS
Address: FRANK
3108 C STREET SE
AUBURN WA 98002
Contractor License No.: SUNSEB1140L5
Project Information:
Project: COMMERCIAL REMODEL
Phone:
Expires: 1 /13/2011
Description of Work: 3652 SF TI FOR APPLE PHYSICAL THERAPY
Sq. Ft. per floor: Heat Type (Electric, Gas, Other):
First
Second 3652
Third
Garage
Basement
Fees:
Item Contractor
PLUMBING GARY VOGLER
COMBO-SEE NOTES
Fees
$ 83.00
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 State of Wash' gton. l
Signature ~ ~ Date ~ ~ /ZZ/
Firm
APPLE PHYSICAL THERAPY
Lot:
ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Permit Ivo.: 20100196
Fee Calculation Worksheet
Applicant:
Name: Apple Physical Therapy
Address: 2904 4th Ave NE #300
Puyallup WA 98372
Property Information:
Site Address: 201 TAHOMA BLVD
Assessor Parcel No.: 217424130602 Subdivision:
Project Information:
Project: COMMERCIAL REMODEL
Description of Work:
Sq. Ft. per floor:
Phone: 2538406448
Owner: APPLE PHYSICAL
THERAPY
3652 SF TI FOR APPLE PHYSICAL THERAPY
First
Second
Third
Garage
Basement
Fees:
Item
PLUMBING PERMIT
3652
Lot:
Heat Type (Electric, Gas, Other): COMBO-SEE NOTES
Units
Fees
9 $ 83.00
TOTAL FEES: $ 83.00
PAYMENTS MADE: S 0.00
BALANCE DUE: S 83.00
Contractors or Tradespeople Printer Friendly Page
GenerallSpecialty Contractor
A business registered as a construction contractor with L81 to pertorm 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.
Business and Licensing Information
Name G V PLUMBING fi CONSTRUCTION UBI No. 600142739
Phone 2537351344 Status Active
Address P 0 Box 174 License No. GVPLUC'021R3
Suite/Apt. License Type Construction Contractor
City Pacific Effective Date 12/23/1998
State WA Expiration Date 1/22/2012
Zip 98047 Suspend Date
County King Specialty 1 General
Business Type Individual Specialty 2 Unused
Parent Company
Business Owner Information
Bond Information
Page 1 of 1
3ond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date
~ DEVELOPERS SURETY g56610C 12/14/2D01 Until Cancelled 512,000.OOt2/14!2001
li INDEM CO
Assignment of Savings Information No records found for the previous 6 year period
insurance information
Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date
6 CBIC 011511418 01/01/2009 01/01/2011 $1,000,000.00 11/19/2009
5 0010 CAS INS gH053439196 01/01/2006 01/01/2009 $1,000,000.00 12/10/2007
4 HARTFORD CAS 52SBAPJ0199 01/01/2003 01/01/2006 $1,000,000.00 11/29/2004
INS CO
Summons/Complaint Information No unsatisfied complaints on file within prior 6 year period
Warrant Information No unsatisfied warrants on file within prior 6 year period
https://fortress.wa.gov/lnilbbip/Print.aspx 10/15/2010
~lL fTJ~~..,
Z~~ `/
~~ V
f ~
f,~~2 \.
`
d
c
i Sl~~ ~
~
i,
~.2~~
z~~® t
t
i r~
1 ~r
t I V l~,~vi
~~ f . ;~ ~~; ., ~,` ;t s1
~ FZi t
i ~~~
l
.
g~
~ '
~l~ ~ ~, f ~~ ~~ 1~y ~~ ~~~
`u N
~ ?k..1..,~~~~.'-,i ~'~ 06'~
t"' I ~,t
Y\ T ~...~ f ~ K~9 ..
F ~ 1 ~ ::
` I.
S } ~
i i t~.
. 1 ~ ~ 1 ~ sR' a~ ..,
.e 1 < 4.. 6'~'~,R,.
~s;~ ~~
~~ ~ ~
i i i...~s% r~; I' ~. ~ 4 0
a< r
i ~ ~~
s~~~~'~ i ,. t
E.'~ 6~ ti.~ i}rj,'4
f `~ ~ ` '~.
~'~ _ i ~2,
r ,~~'~~~ '~ i ~n
~ ~i.;
,r ~ , .
~~~~
E, ~,
~., ~,~ `,
~~ ~~ ~ p
T~. r
t GtRP~
~, ~ ;
~:~~ ~"~4 t~ ~ fie.
'~
~~
!' '.I
~ , ~ii ~
a:
1~~~ q~
E~.,
p
f IIf ~
~~.I~ I r~
~,~
~' ~ 4 ~
IS
.~
~~
~,t
X ~,~~bt=~ 1 Free Estimates II
~~~~ ~~ 1 Tenantlmprosements ~
1 Gas Lines
y~~.
'+~~ • ~' 1 Mcdi~l Gas
`' ~~ I 1 Video Pipeline Inspection
~,~ ti, ~ ~~ ° t Drain and Sewer ',
~~~~~ ~ ~ - CleaninglLocating
GARY L~VOGLER (2s3) 735-13x4 From wattle
~"'~~ (877) 41.1-1344 To11 Free _
Ccu (206) a23-3359 253 939-5914 Fax ~ `~~~'+~~
Nextei #-----23359 ~ ~ 6 - ~• ~~
FO BOX #174 Facific, WA 48047 GVPLUC*021x3
.~-
C~
,~r
SI ~ %~`
~ ~:! ~,
~~ ~ ~~
~ ~~
. ,,
3"~
st ~l k ,,~
,~ „
z FI ,~ ~~,
i'2 ` ~{ 3 tt ~
L ill ~~
C
~~s ~~~ ~.
,~
~~z~ wC.~~~ ~ ,n ~ <~~ tlVv~V~nC~1; ~~,'~r',
w~ `c ~'~~; ~~ ~~~ ~ C,,
~OmEN S
~ i~;,
` 1 tree Estimates
t
/ l
~- <
;~ s
1 Tenant Improvemen
,~ ~
~ 1 Gas Lines
~
` ! ~ 1 Vlcdicul Gus
// 1 1'idco Pipeline Inspection
"' 1 [)ruin and Server j
^~t:;~~¢ CleaninglLocatin~
GARY L VOGLER (253) 735-1344 From Seattle
owner (87?) 41 I-1344 Toll Free
Cell (206) 4?3-3359 253 939-5914 Fax ~
( ~
Ncxtcl #--•---23359 ___,~
PO BOX # 174 Pacific, WA 98047 GVPLUC*021It3