20100230 Permit Pkg 12222010City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:
Name: BETSY PEABODY
Address: P.O. BOX 273
YELM WA 98597
Property Information:
Site Address: 404 FIRST ST S
Assessor Parcel No.: 22719332300 Subdivision:
Contractor Information
Name: BUILDER PROS
Address:
PO BOX 273
YELM WA 98597
Contractor License No.:
Permit No.: 20100230
Issue Date: 12/22/2010
(Work must be completed within 180 days)
Phone: 206-909-3946
Owner: BETSY PEABODY
Lot:
Phone: 360-400-3156
Expires: 0/00/0000
Project Information:
Project: COMMERCIAL REMODEL
Description of Work: YELM FOOD COOP WINDOW REPAIR
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
BUILDING
Contractor
BUILDER 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 correct. I also certify that the proposed structure is in conformity with all applicable City of
Yelm regulations in ding those governing zoning and land subdivision, and in addition, all covenants,
easements and re r ions of record. If applying as a c tractor, I further certify that I am currently
registered i St of Washrington. r
Firm
Fees
$ 183.56
~ 183.56
Sets of Prints:
final Inspection:
Date:
By:
SCANNED
DEC 2 2 2010
~i ~ ~ opf ~~1~
l.J~~i~) 4J$-$4C?
F,EC#: CCC48814 1?i`~?/~C1C 1:C4 F~f
Cf`ER: Cf) TERM: CCl
REF#. ACC,;
TRAI~.° J•1,DCOC BUILDIr?G F'ER~fITS
~O1CC~~C 18._~,G~~,C~c
HETSY PEABCDY
4Cu FIRST ST 5
BLDG l~?v~,;hCl~'
TEf~DERED: 1.8~.~~r;~ C-iECh:
APPLIED: 18:a, ;~~ .
CHANGE: --~~--------~-~,C~a
~- - CITY OF YELM
COMMERCIAL BUILDING PERMIT APPLICATION FORM
Project Address: ~~~ ``l~~~r~ ~~ ~ ~ Parcel #:
Zoning; ~~c,r~.at~ci c~C, Current Use: f~fCC~ Proposed Use: ~Zd~~.
New Construction -! Re-Model I Re-Roof I Tenant Improvement
Plumbing Mechanical _- Fire Prevent/Suppress/Alarm -Other
Project Description/$copCe of Work:
Project Value: ~'~J ~~
•
Building Area (sq. ft) Parking Garage 1S` Floor 2"d Floor 3~d Floor
Building Height
Are there any environmentally sensitive areas located on the parcel? If yes, a ~~ ,~ ~~~
completed environmental checklist must accompan per i a plication. ~A ~---I-'~- ~'
n~ n~ r~i-~r+ r.awr..r.~.~.-r-.~ w.~T .. w..~. ~~: ~ f _ .. _,. .. . / ~/~ /~ i!~l.r ~~i ~~ ~~iL:'
CITY
ARCHITECT/ENGINEER LICENSE #
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
TELEPHONE
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).
I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the
above d scribed property will be in accordance with the laws, rules and regulations of the State of Washington and the
City of ~tr~lm.
~~ /L Z / O
Applicant's 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
I05 Yelm Avenue West
PO Box 479
Yelm, WA 98597
(360) 458-3835
(360) 45
www.ci.
.~._v < ~ CdJ~U
BY: --------------------
~Fl~t~tlL~ .
~jJ -~-'~5.~- l ems- ~-1!'
-r'f'~ ~1~~at
~~~~t~s
12~-~ ~ r~ cam. ----~.
~.
~a
!1
~~
~~, C~ y i L I NJ(~
G~ S o~ STS
~,~~~ <:.
(t~.~G _
~~U
~~-- - ' -
~ ~~ ~~~;~
-` ~ O _
5C ~, n~ .
D t~ tJ G~ ~' ~ nV
B Y: --------------------
~'\
C~~ J
~,~
J .~
~,
Tom' !+,;,c-,= _ ~cJ ~Nla ~c/
L. G cc:
~'.a c, ~ C..~
,,.~1~ ~,., ~.~.t-C u 1'.,--
~~~~
~ ®s~ ~s
BY: --------------------
~?~ ~ ~T i ~vG7 ~~c_-` ~ ~ .J
~~ C~
~-{,~,~e.~t ~cy~Nb~ ~i~9rN(~
!~~ ~/ ~
r l l I rr 11
~ ~, , ~f
~l
• - ~'~
~~M ~ I1
1,~
,,
~~ l/ J
~,, ~. 1~
J
',
r ~ 1
i
-..r~~
~u~~ ~ ~~. ~ ~~ ~~~~
~ G.;, tJ Db'~J
,.~
-,~
_~
J
BY: --------------------