20100212 Permit Pkg 01132011City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:
Name: FOOT AND ANKLE SURGICAL ASSOC.
Address: 1610 BISHOP RD SW #7
TUMWATER WA 98512
Property Information:
Site Address: 201 TAHOMA BLVD SE 208
Assessor Parcel No.: 21724130602
Contractor Information:
Subdivision:
Name: FOOT AND ANKLE SURGICAL ASSOC.
Address: JESSICAL STUDEBAKER
1610 BISHOP RD SW #7
TUMWATER WA 98512
Contractor License No.:
Permit No.: 20100212
Issue Date: 1/13/2011
(Work must be completed within 180 days)
Phone: 360-754-3338
Owner: YELM MEDICAL OFFICE
BLDG., LLC
EAGLE PLAZA Lot:
Phone:
Expires:
0/00/0000
Project Information:
Project: COMMERCIAL REMODEL
Description of Work: 1503 SO. FT FOOT AND ANKLE TI
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second 1503
Third
Garage
Basement
Fees:
Item Contractor
PLUMBING STIRRETT JOHNSON
COMBO-SEE NOTES
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 ruing zoning and land subdivision, and in addition, all covenants,
easements and re ions of r ord If applying as a contractor, I further certify that I am currently
registered in the Sta of Was ingt
Signature ~ - Date ~/~3~`I
$ 1oa.oo
of Prints:
Inspection:
Date:
Firm J77/'/~~~ ~ `/O/1/~,I? ~ /~G~ I
City ~f Y~l~
(3~?:a 458-840?
REC#: OODJ078t 1I131~011 1~:3E, FM
OFER: ~J TERM: 001
REF#: 94314
IRAN: 33.0000 BUILDING PERMITS
~010021~ 104.OOCR
FOOT AND ANKLE SURGICAL ASSOC.
ZOl TANOMA BLIND SE 208
PL 104.OOCP,
TENDERED: 104.00 Cr~CK
APPLIED: 104.00-
CNANGE: -------0.00
CITY OF YELM
COMMERCIAL BUILDING PERMIT APPLICATION FORM
Project Address: 911 Yelm Avenue East Parcel#:21724130600, 21724130500, 21724130602
Zoning; C-1 Current Use: Vacant Proposed Use: "B" -Business
^ New Construction ~ Re-Model / Re-Roof /Tenant Improvement
~7 Plumbing ^ Mechanical ^ Fire Prevent/Suppress/Alarm ^ Other
Project Description/Scope of Work: T.I. for New Bldg - 2nd Floor (Yelm Foot & Ankle Clinic)
Project Value: $27,442
Building Area (sq. ft) Parking Garage NA 15' Floor 17 , 45~~d Floor 15 , 90~d Floor NA
Building Height 35 ~-0"
Are there any environmentally sensitive areas located on the parcel? NO If yes, a
completed environmental checklist must accompany permit application.
BUILDING OWNER/TENANT NAME: Ye m Me ical Office Bldg, LLC (Contact: Scott Ri
ADDRESS 2840 Crites St West, Suite 104 EMAIL scottritter@comcast.net
CITY Tumwater STATE WA ZIP 9 5 2 TELEPHONE 360) 292-7850 (ext 121)
ARCHITECTIENG INEER TGB Architects LICENSE # 3626 (L. Rent Gre ory)
ADDRESS 2191 1 76t Ave West, Suite EMAIL gda is tg barchitects.com
CITY Edmonds STATE WA ZIP 98026 TELEPHONE (425) 778-1530
GENERAL CONTRACTOR u e a er ons ruc 1~~LEPHONE -
ADDRESS 10312 189th Lane S.W. EMAIL vesenia319~msn.com
CITY Rochester STATE WA ZIP FAX
~~ CONTRACTOR'S LICENSE # STUDECI936KD EXP DATE~QITY LICENSE # ~n ~roC,eSS
PLUMBING CONTRACTOR irre - o nsen, '~L•EPHONE -
ADDRESS 5555 Westgate R NW EMAIL rtarper sjimech.com
CITY Silverdale STATE WA ZIP 98383 FAX (360) 698-1832
CONTRACTOR'S LICENSE #STIRRJ*281B6 EXP DATE~1pTY LICENSE # 10~?002660.0
MECHANICAL CONTRACTOR Evergreen Refrig TELEPHONE (206 763-1744
ADDRESS 727 S Kenyon Street EMAIL richard@evergreenlif,",~.c.com
CITY Seattle STATE WA ZIP 98108 FAX (206) 763-2389
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 described property will be in accordance with the laws, rules and regulations of the State of Washington and the
City of Yelm.
~~,'~~~8'Y~-- December 27, 2010
Applicant's Sig ature Date
Owner /Contractor /Owner's Agent 1 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
105 Yelm Avenue West
PO Box 479
Yelm, WA 98597
ter)
(360) 458-3835
(360) 45 /~
www.ci. l~
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B Y:
Sti rrett
.Johnsen
T ,-, r.
December 28, 2010
City of Yelm
105 Yelm Avenue West
Yelm, WA 98597
Attn: Gary Carlson
mechanical contractors
5555 WESTGATE RD. NW. • SILVERDALE,WA 98383 • ST-IR-RJ '281 B6
(360) 692-6128 FACSIMILE (360) 698-1832
RE: Yelm Medical Office Building -Foot & Ankle Clinic 2"d Floor Tenant Improvement
SJI Job Number 10-474
Dear Gary:
Attached are 5 sets of drawings, a completed permit application and a copy of our Yelm
business license. Please issue a plumbing permit for the Yelm Foot and Ankle Clinic T.I. on the
second floor. Contact me at the above phone number when the permit is ready and we will
send someone to your office with a check to pick it up.
Sin erely,
Di a Aimojueia
C ntracts
attachments
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YEAR ~'~ I ®~ ~~~11/1
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CLERK -TREASURER'S ®FFiCE
I~I1~T~~ I~I~E~T
NOT VALID UNTIL FEE IS PAID
IS HEREBY LICENSED TO OPERATE
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This License must be posted 1n a conspicuous place at the business location
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(360) 692-6128 ~~tr•~~ JOB NAME, _Y~.~ 1M ~ L7 .. DATE ~~ i
Seattle: JOhnse~ 1~
(206)6249160 SUBJECT ~~~~ 4'~ ~ SHEET ~ OF~
INC.
Fax (360) 698-1832 MEC~-w,nac.a~canirFtacTOAS ~Q a
5555 Westgate Road N.W. • Silverdale, Washington 98383 JOB # _ SK# _ BY ' `- ` `r Q r
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PRODUCT SPECIFICATION DRAWING
QUICK STANDT"" #50-SWHP
Suspen a ater eater a orrr
®~
Drain Body Assv
ALL DIMENSI(~N5 IN INCHES
38.80
~ 1.50
2.5T0
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Diaconal Braces (21
The Suspended Water Heater Platform is engineered to support water heaters up to 50
gallons (up to 600 pounds total weight). This time and labor savings tool is designed
for the Professional Contractor. Design features requested by plumbers are
incorporated into a professional platform that can be suspended with all thread rod.
Product Information:
• Material:
Pan: 12 gage CRS, gaNan¢ed
Comer Brackets: 14 gage CRS, galvanized
Diagonal &aces: 16 gage CRS, galvanized
• 1Mde platform allows Water heaters up to 26-12' diameter
• Watertight comers and drain fittings eliminate need for additional drain pan
• Cross-braces (2) two included to capture water heater within the platform
Static load rating 800 pounds with 2K safety factor (depending on structural anchorage)
Includes PVC drain body 1" MIPT x 1" FS
Galvanized steel construction
Suspends with user supplied 3!8" or 12"threaded rod and hardware
Four corner attachment poUrts allows for selsmic/svray bracing cennection
Patent pending
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spec 50-SWHP RevC
FULLY ASSEMBLED