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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.) 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