20100212 Permit Pkg 02222011City of Yelm
Community Devolopment Department
Building Division
Phone: (360)458-8407
Fax: (360)458-3144
Applicant:
Name: FOOT AND ANKLE SURGICAL ASSOC.
Address: 7610 BISHOP RD SW #7
TUMWATER WA 98512
Property Information:
SiteAddress~. 201 TAHOMA BLVD
Permit No 20100212
Fee Calculation Worksheet
Phone: 360-754-3338
Owner: YELM MEDICAL OFFICE
BLDG., LLC _
Assessor Parcel No 21724130602 Subdivision: EAGLE PLAZA Lot:
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): COMBO-SEE NOTES
Second 1503
Third
Garage
Basement
_
Fees:
Item Units Fees
BUILDING PERMIT ESTIMATED VALUE 7,500 $ 69.25
BUILDING PLAN REVIEW 0 $ 45,01
TOTAL FEES: $ 114.26
PAYMENTS MADE: $ 0.00
BALANCE DUE: E 114.26
6'/~1~®
~~ ~ ~~,~_ ~'' ~ FEB 2 2 2011
IFS JP ~ ~~ ~ ~ CITY OF YELM
February 4, 2011
Mr. Gary Carlson
Building Official
City of Yelm
P.O. Box 479
Yelm, WA 98597
RE: Fire Alarm Plan Review
MOB-Foot & Ankle-TI
Dear Gary:
The project listed above is approved for release of the permit; with no red line
comments noted on the plans.
If you have any questions, please give me a call.
Sincerely,
Townzen & A ciates
Les Townzen, CFPS
President
~il~ ~~~
4944 131 ° AVE SW 'OLYMPIA, WA 98512 'TEL: 360-754-2335 'FAX: 360-754-7722
www.townzen-consulting.com
CITY OF YELM
COM1_MERCIAL BUILDING PERMIT APPLICATION FORM
Project Address:a.ol TLIf\OYV1~ Parcel #: GI~IZ~130(p~[7
Zoning; Current Use: Proposed Use:
~~ New Construction }~ Re-Model ! Re-Roof! Tenant Impr n:
~ Plumbing -Mechanical ~• Fire PrevenL'Suppres /tar ^ Other
Proect DosccptionlScope of Work: ' t~ A
Building Area (sq. ft) Packing Garage 1"Floor 2"' Floor3nd Floor
Building Height
Are there any environmentally sensitive areas located on the parcel? _ _ __ If yes, a
completed environmental checklist must accompany permit application.
ADDRESS EMAIL
CI7Y__._ STATE 21P TELEPHONE
. - ~~)7~~'`7 LICENSE #
ADDRESS _ EMAIL
i CITY STATE ZIP TELEPHONE
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CITY t~(yra ~_STATE ZIP 8` p FAX 1-0555
CONTRACTOR'S LICENSE # P~F-S918tL EXP DATE CITY LICENSE # Q?2~.35)
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ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
as{~A71~~~)>:G~Na:`C~~.4~.. TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE_CITY LICENSE #
Copy of Ciry Mitigation documentation (TFCI•
I heroby certify that the above infonnetion Is correct and that the construction on, and the occupancy and the use of thg
about described property will be in accudance with the lawn, rules and regulations of ilia State of Washington antl the
Gry o1 Velm.
c~~o41~ti t
Applic• is S lure Date
Owner I C trac /Owner's Agent !Contractor's Agent I 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 }elm Avenue {Vest ~ (360) 458-8885
PO Roz 47,9 /860) 958-3144 FAX
Yerm, IVA 98597 aiwu~.cr.yerm.,un.na