20130195 Permit Pkg 05142013 ����'�� City of Yelm Permit No.: 20130195
� � Community Development Department Issue Date: 5/14/2013
(Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
'"��'"`�°" Fax: (360)458-3144
Applicant:
Name: LAKE TAPPS CONSTRUCTION Phone: 253-863-6442
Address: PO BOX 7318
BONNEY LAKE WA 98391
Property Information:
s�te Address: 402 RAILROAD ST NW Owner: YELM COMMUNITY
SCHOOLS
Assessor Parcel No.: 22719310200 Subdivision: Lot:
Contractor Information:
Name: LAKE TAPPS CONSTRUCTION Phone:
Address: DARREL
PO BOX 7318
BONNEY LAKE WA 98391
Contractor License No.: Expires: 0/00/0000
Project Information:
Project: COMMERCIAL ADDITION
Description of Work: CONSTRUCT 2 LOADING DOCKS
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item Contractor Fees
BUILDING LAKE TAPPS CONSTRUCTION $ g�$89
TOTAL FEES: g 678,gg
ApplicanYs Affidavit:
I certify that I have read and examined the information contained within the application and know the same OFFICIAL USE ONLY
to be true and correct. I also certify that the proposed structure is in conformity with all appticable City of #Sets of Prints
Yelm regulations including those governing zoning and land subdivision,and in addition, alI covenants,
easements and re � ions of record. If applyi g as a contractor, I further certify that I am currently Final Inspections
registered in the tate f Washing n. ;
Si nature C^.,� -� Date ,� —l� ' (3 _ Date:
/ / /���� �. �. )
...--
Firm G-,�4/�C- l ./�'f'F�� wr-t5i�'UU7 r(:�� l../+V; r�- By:
��� ��_�E��I
( �� ��8-e4a�
REC#: UU1c�I752 5/1�/7U13 8:�9 AM
OPER: C;Q rERM� 0��
REF#: 1 i12:3
I�RAIV: 3,'3.00UC1 RUIL.DINta P�F�MTl'�
2013U195 678,8�CR
LpKE 7�AF�pS L'QMSrRUCTION
4C12 RAILROAD Sfi NUJ
�L(JG �78.89CR
iENGERED: 678,f�9 CHECK
APPLIE�p; 678,�9.-
CHANGE ; -._._.._-- --__.t).00
cmr oF YE�M
` CQMMERCU4L BUILDiNG PERMIT APPLICATION FORM
Project Address: �Cl� �Lt►�wa�v��e. Parcel#: ZZ 7 I ����1�-��la o�(3��)(.�vt)�Z�%)
,
Zoning; ��=��s�t�..�� , ( 1 ) Current Use_(`1:c�+.-•-�»�r Proposed Use: .�-v,.z -
U New Construction �Re-Model/Re-Roof/Tenant Improvement
U Plumbing u Mechanica( U Fire Prevent/Suppress/Alann U Other
Project Description/Scape of Wo�lc: �c�►�;►it�x�- ��>�cri�('tr �-,^�p�.�� ����C.
Project Value: ��eC�'�C.° � �nic_ �rizv<<;, r�-51
Building Area(sq.ft) Parking Garage 1''Floor 2nd Floor 3rd Floor
Building Height
Are there any ernironmentally sensitive areas located on the parcel? If yes,a
completed environmental checklist must ac�mpany permit application.
BUILDING OWNEWTENANT NAME: � �,c�t•����Y J�_►��x:;�� ��,c ,�����,.,.;?
ADDRESS (a�C?. 13�-�. �17t� E IL ��r���.��1 � ycs.w��'In�t�«�u ����
CITY �t�, STATE w� ZIP 9��`i�) TELEPHUNE �3��- `-r�� - �i z 8 �-1,2�j
ARCHITECT/ENGINEERL�K�T,�r't�C,3���+`- UCENSE# (�
ADDRESS EMAIL �J��
� CITY STATE ZIP TELEPHUN� �
GENERAL CONTRACTOR L�t � �,.•.;� TELEPHONE L�3- C�S-L �-1 Z
ADDRESS {�C��, l�� ���n EMAlL�d�'r�l -la cet�vs«,.>:yrru�:�;J,�:���1
CITY��F�`�` �C� STATE !4_ ZIP9tS � r I FAX Z�3 t��s c. •i �o
CONTRACT R'S LtCENSE# KE?Cd t L�f�t3 EXP DATE�i i CITY LIGENSE#C 2 -t�i 6�{Z dC
PLUMBING CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZtP FAX
CONTRACTOR'S LICENSE# EXP DATE CtTY LICENSE#
MECHANICAL CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
C�NTRACTOR'S LICENSE# EXP DATE CITY LICENSE#
Copy of Clty Mktgation documentation(TFC).
1 bereby cerlNy that the above informatfon is correct and tfiat tha conatruction on,and the occupancy and�e u3e of the
above deac�ibed property wlll be in accordance wkh the lawa,rules and regulations of the State ot Washington and the
City of Yelm.
,.�
� �:'� � � V,� c� _�� ._ � �-
Applicant's Signature Qate
Qwner/Contractor/Owner's Agent I Contractar's Agent 1 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
I DS Yelm Avenue West (36�)�3&3835
PO Bos 479 (360)438-31�4�AX
f`etm,WA 35387 inwm.ci.yelm.ua.ua
CITY UF YELM
�� GOMMERCIAL BUfLDING PERMIT APPLICATION FORM
ProjectAddress: ��Z 1��►�,z�r�..� �,,c. Parcel#: �Z- 1 (GC � 1 ���-�� �.jGx��5�1)�L``��
�oning: �*���-�;rc.� �1� Current Use:M�4�����v4���- Proposed Use: r�+r��
U New Construction �Re-Modei/Re-Roof/Tenant Improvement
u Plumbing U Mechanicai u Fire Prevent/Suppress/Alarm U Other
Project Description/Scope of Woric: ����°,�;t �c: � c�af�c�w� L�d�p�•��. �C..���•
Project Value: � ;�� ,� >(� /rvc. /'crLn�!' �='z��j
Building Area(sq.itj Parking Garage 1�Floor 2nd Floor 3rd Floor
Building Height
Are there any ernironmentally sensitive areas located on the par�cel? If yes,a
completed environmental chedclist must accompany permit application.
BUILDING OWNEWTENANT NAME: C'c�•� v�v.��r <,. '..,LS - �. C-.�2"�.:,.. �ri,c�Rwr� 2 71 rPi
ADDRESS 1�_C�, ��u��. �-t'7l.- • EMAIL �b`r k+l�.�c �yc5,w'���ir�cC.e��u �J " 1
CITY c:trt STATEI�.."A_ ZIP`�'�SS°�°J TELEPHONE '�c�~`tsf? � {.;IZ�' `��/J ,2j
C
ARCHITECTlENGINEER(=f��c.,«��•-.� L .--c.x:�n.:.: UCENSE# ''-- �
ADDRESS ( L�3 ��i�'Srr�=.Fr S�c�Trr. EMAIL �l 3D
� CITY�Cc���.A �- STATE �4 21P �S=��tyN TELEPHUN� Z`�3 -�3 i - OZc�4� �
GENERAL CONTRACT�R L-}?KE �r�'� ��-�.t_ TELEPHONE L�;3 ��/_-j -4-`f�t�
ADDRESS_�.U. 13�+�` Z.� �� EMAILc�y�r'rr,( �i�...1ce��t��sc��.�rr.��`t�-�. �,
CITY.����m��� �_.-.+c� STATE �..1�4. ZIP�(�':�`� 1 FAX ' �3 - `�.;3 -i.;�,s c?
CONTRACTOR'S UCENSE#�..,�-t�t r��"i���� �z EXp DATE IT'Y LICENSE# L-o�t C 4'2�7
PLUMBING CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE# EXP DATE CITY LICENSE#
MECHANICAL CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY S7ATE ZIP FAX
CONTRACTOR'S LICENSE# EXP DATE CITY IICENSE#
Copy of City Mklgatfon documentation(TFC).
1 hereby certlfy that the above fnfqrmation is correct and that the conatruction on,and the occupaocy and the use of the
above described property wiq be in accordance with the tawa,niles and regulatfons ot the State of Washington and the
City of Yelm.
f �� c �� _C' - Z
t c„ � i l
ApplicanY Date
Owner Cotrtractor/ neNs Agent/Contractor's Agent/Tenant (Please circle one.)
All permits are non-transferable and witl 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
1OS Yetrn Auenue Weat (360)�58-3535
PO Bos 4T9 (360)458-31t9F.4X
Yetrn,WA 98597 mrom.ei,yelm.c�a.ua
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