20110127 Permit Pkg 02022012City of Yelm
Community Development Department
Building Division
Phone:(360)458.840>
Fex:(360)458-3144
Applicant:
Name. SALMON RUN YELM ASSOCIATES
Address- 2223 112TH AVE NE, STE 102
BELLEVUE WA 98004
Property Informaton
Permit No.. 20110127
Issue Date: 2/0 212 01 2
(Work must be completed within 180 days)
Phone; 425-45x•8205
site Address: 10720 VANCIL RD SE Owner' SALMON RUN YELM
ASSOCIATES
Assessor Parcel No.: 85810000200 Subdivision: Lot
Contractor Information:
Name: C E 8 C INC Phone:
Address: GREGG D WARTER
3221 CENTER ST
TACOMA WA 98409
Contractor License No.: CEC"'"346LZ Expires: 91302012
Protect Information:
Project; NEW COMMERCIAL BUILDING
Description of Work: 8!JlLDlNGA 2DAPAR7MEN7 UNITS
Sq. Ft per floor: First 4715 Heat Type (Electric, Gas, Other):
Second 4966
Third
Garage
Basement
Fees:
Item Contractor Fees
NEW COMMERCIAL BUILDING SALMON RUN YELM ASSOCIATES (110,433.70
TOTAL FEES ~, f110,433.10
AppltoaM's Affidavit: OFFICIAL USE ONLY
I certify that I nave read and examined the information contained within the appllcauon and know the same
to be true and correct I also certify that Ne proposetl structure is in conformity with all applicable City of X ~~ of Pants:
Yelm regulations including inose govemmg zoning and land subdivision, and in addition. all covenants,
easements and restrictions of record. If epptymg as a contractor, I further certify That I am currently Flnat Inspectlon:
retlistered in Ne S[ate ot4Nash69mon ,
Si nature Date ~ ~~ Date
) ~
_"' , ~
City of Palm
iJGU'' 453'34i~~
i;E(q: p00G5074 2lOL'!20L^ 10:07 Adf
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REFS= 1004
Tk•#'!: '.~.000G I+UII.i+i~Ii; FfiU{ITS
'01101;'7 107,~~59,fi~R
.",At.~??; kJN YrI~'! AS:>i~IATE
1;?2q ~F,CIL kU 5E 4
TRr'.R~ ii.0000 BUIt.DikG FER^iITS
20llO1i5 ib,i58,7_d;k
;~+I.Ni+k ki)~t .ELM ASSL~IATES
10`120 VANGIL Ri) SE
TRAM: 5;,.0000 HUBs,D~3G ~~iTS
20i1O1T~+
SALMUt~ RUn YEi~f ASEjiCIATES
1U720 ~+~{CiL RG Sf
BLD-CON.t. G~,4L''..6:`~GR
TRf~: x;.0006 bUI1.Di1~, F2R~1IT5
FiAL'~iIR~! Ri1N YELM ^nS~i9CIATES
16720 lh1NCD. kD 5~
m~ALD~~'~n1n p ff„Z 53`i.8r,ty9}.1
;"ii110Li
g~N~ kI.IN YELK AS~IAiCS
10'120 UfdlGll kD SE
DLG°COI+I 6„8'T3.4?CJ<
TRHY: '~3.Of!(•ti! AUIL DING F'ERM1T8
20110'20 85,~41.7`t:F`
8~d_.NCN RUN YELN A5~~IATES
10?'~'0 t~e'{Gll iii
RLC~i'~ON1 85,541.75CR
1•~'~OERED: 4t+5,fi:Y.43 t:HECK
AFPLIEG: 443,b05.43-
CNANGc: ------. 6.60
YELN COMIUNTTY SCHOOLS
PO 60X 476
YELM NA 96597
Clark: Croy
Ter~inal: 1
Receipt: 171673(Reprint)
Manual Receipt;
NFIGELIT>' NATION
FIO LITYYNATIONA~ Ti1LE, INSURANCE COMPA
NY
SUITE 1518, ONE UNIGN SQUARE, 600 UNIVER
SITY ST
SEATTLE, WA 36101
2/2/2012 10:04 AM
C~_ IteAi ___ __ Price
1 TVf MITIGATION 63600,00
12-i~01 %ISALHONOfN+UN APARTMENTS / FAMILY
I fVF MITIGATION 0
00
MITIGATION .
UNI1S
Suotctalr 63600,00
Tax:
Total: 0.00
63600.00
Cash 0,00
Check 63600.00
002901
Change Due: 0,00
REPRINT RECEIPT
THANK YOU
,~~II pt~~
CITY OF YELM J ~f
COMMERCIAL BUILDING PERMIT APPLICATION FORM S+At I dt f~
Project Address: Parcel # 858 ~ 00 CQ 200
Zoning; 4-I~ R- ~ Current Uae:,(p..~,~]1~Proposed Use: ~n~ {•g
~ New Construction ^ Re-Model 1 Ro-Roof / Tenant Improvement
L Plumbing ^ Mechanical ~ Fire PrevenLtSuppress~Alarm C Othor l -
Project Descriplioro'Sco7pe of Work: yOr'~nr1f 1 tYl~Ni" t Lt1f~'S IY1 5 2-s~ru ~7~C~5, t p~~d 0.~ -SfDI`(,f
Project Value: ~/ ~ ~ 7siC• .J ~tllfNluj~f~ J
y
Bui~ ng A2a (sq. fl) Parking Garage~'~i" Floor y 7f 2~ Fbor~y ,Q~'° Floor A~ ~~~-
Building Height .Z (G -~p r'!'
Are there any environmentally sensitive areas located on the parcel? ~~ If yes, a
completed environmental checklist must accompany permit application.
BUILDING OWNER/TENANT NAME: i
ADDRESS 3 ffl~' , 1V G EMAIL ` ` tl1GV~s OYYL
CITY P-Lip VuQ STATE ZIP 9SC~4 TELEPHON S -
ARCHITECT/ENGINEER2.t ~ ENSE #
ADDRESS~f~). e I~(ot7 EMAIL CO
CITYSnnknnc STATE ~ ZIP ,2t',l TELEPHONE' ~/S/n-R7~/,R
e
GENERAL CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
PLUMBING CONTRACTOR TELEPHONE
ADDRESS EMAIL
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 d Clry MPogatlon doeumontadon (TFC).
1 hereby certify that the above Information is coned and that the construction on, and the occupanq and the use of the
abovs described property will be in eccordanca with the laws, rubs and rogulsdons of the State of Washington antl the
City of Yeim. -
1~~ ~% ~ ~ ~~d (Il,i~c0'wt'41~C,~1' ~ r~fs-f0~- ( ~~l//
Applicant's net -t. s-c ( ~ti Date
Owner 1 Contractor t Owner's Agent I Contrdctor's Agent I Tenant (Please circle one.)
Ail permits are nontransferable and will expire if work authoraed by such permit is not begun
within 180 days of issuance, or If work is suspended or abandoned for a period of 160 days
1051e1m Avenue West (:ff.0) CSR-3635
PO Boz 179 (360) 158-31CC!-~FAX
Yeim, WA 98597 rnwru.ci.yelmir~ (n` ~~as/S~r,
333 ~3 ~J r~ V L~ ItlllUltllli'
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