20130277 Permit Pkg 07222013 o�oF ''"Fa� City of Yelm Permit No.: 20130277
y
� � Community Development Department Issue Date: 7/22/2013
(Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
L
""`"'""°" Fax: (360)458-3144
Applicant:
Name: MOUNTAIN LUMBER Phone:
Address: 10430 CREEK ST SE
YELM WA 98597
Property Information:
Site Address: 10430 CREEK ST SE owner:
Assessor Parcel No.: 64303400204 Subdivision: Lot:
Contractor Information:
Name: MOUNTAIN LUMBER Phone:
Address:
10430 CREEK ST SE
YELM WA 98597
Contractor License No.: Expires: 0/00/0000
Project Information:
Project: RE-ROOF
Description of Work: REROOF
Sq. Ft. per floor: First Heat Type(Electric,Gas, Other):
Second
Third
Garage
Basement
Fees:
Item Contractor Fees
ROOF BUCKINGHAM CONSTRUCTION $ 251.25
TOTAL FEES: a 251.25
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 applicable City of #Sets of Prints:
Yelm regulations including those governing zoning and land subdivision,and in addition,all covenants,
easements and restrictions of record. If applying as a contractor,I further certify that I am currently Final Inspection:
registered in tre ate of Washington.
Signature Date � 1�_ � Date:
Firm l BY�
Cit� of Y�lm
(36 ) 458-84Q2
HEC#: 00134i108 7/22/2f1i3 3:05 PM
OPER: CO TERh1: 001
REF#:
TRAN: 33.U000 BUILDTNG PERMITS
2U130177 251.25CR
MOl1NTAIN LUM6ER
10430 CREEK ST SE
RUOF 251.7.5CR
TENDERECJ: 251 .?5 CASH
APPL"lED. 251.25-
CHANGE: � Y� �U.00
�F'�NEp� City of Yelm
Permit No.: 20130277
�� � Community Development Department Issue Date: 7/22/2013
� � (Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
_`"'"�'°" Fax: (360)458-3144
Applicant:
Name: MOUNTAIN LUMBER Phone:
Address: 10430 CREEK ST SE
YELM WA 98597
Property Information:
site Address: 10430 CREEK ST SE owner:
Assessor Parcel No.: 64303400204 Subdivision:
Lot:
Contractor Information:
Name: MOUNTAIN LUMBER Phone:
Address:
10430 CREEK ST SE
YELM WA 98597
Contractor License No.: Expires: 0/00/0000
Project Information:
Project: RE-ROOF
Description of Work: REROOF
Sq. Ft. per floor: Heat Type(Electric,Gas, Other):
First
Second
Third
Garage
Basement
Fees: Fees
Item Contractor $ 307.25
ROOF BUCKINGHAM CONSTRUCTION
TOTAL FEES: 5 307.25
ApplicanYs Affidavit: OFFICIAL USE ONLY
I certify that I have read and examined the information contained within the a yplication a�np know th�same #Sets of Prints:
to be true and correct.I also certify that the proposed structure is in conformit with all a licable Ci of
Yelm regulations including those governing zoning and land subdivision,and in addition,all covenants,
easements and restrictions of record. If applying as a contrador,I further certify that I am currently Final Inspection:
registered in the e of Washington.
Date:
Signature Date r
By:
Firm
Cit� of Yelm
(36 ) 458-8402
REC#: 00135427 8/08/2013 11 :21 AM
OPER: CO TERM: 001
REF#:
TRAN; 33.00OQ BUILDING PERMITS
20130277 56.00CR
MOUNTAIN LUMBER
10430 CREEK ST SE
ROOF 56.00CR
TENDERED: 56.00 CASH
APPLIED: 56,OQ-
CHANGE; 0.00
��
! ,/2013 THU 10: 39 FAx 3604583144 City of Yelm CCD �002/004
l
;
• CITY OF YELM ���,✓D���
COMMERCIAL BUILDtNG PERMIT APPLICA710N FORM
# Project Address: �O�/.3�', Ur�-�- �� � �,� Parcel#: ���03 y�p�ny
Zoning; Current Use: Proposed Use:
�I �.� New Construction �!;Re-Model/Re-Roof/Tenant Improvement
[:1 Plumbing fl Mechanical �7 Fire PreventlSuppress/Alarm CI Other
Project Description/Scope of Work: �c�.�:%,� �, (Z�r���7
Project Value��`3_ r� _/� d��p --'
Building Area(sq. ft) Parking Garage 1"Floor�2nd Floor 3`�Floor
Building Height
Are there any environmenfally sensitive areas located on the parcel? �� If yes, a
completed environmentaf checklist must accompany perrr�it application. :,:,o.
x.
BUILDING OWNER/7'ENANT NAME: (1— S�b;,�:.�_-.� �,�
ADDRESS ia4`t�-, �.,�r_�,1, �r <�. EMAIL
CITY_ Y,r�,,._ STATE,�,!t _ZIP "� TELEPHONE "c� -� � ---- �
°�`�ta,n
ARCHITECT/EfVGINEER LICENSE#
ADDRESS � EMAIL
, CITY STATE ZIP TELEPHONE
GENERAL CONI'f2ACTOR '�_x�.�_ .�o`__ Gv,,,�Sr TELEPHONE
ADbRESS Pv�t3c� �;3 � EMAIL
CITY�ir'1_.:h�,�...� STATE�,l, _ZIP�7�.�fS FAX
CONTRAC70R'S LICENSE# r:.'� EXP DATE_CITY LlCENSE#
D
PLUMBING CONTRACTOR TELEPHONE
ADDRESS EMAIL
CfTY STATE ZIP FAX
CONTRACTOR'S LICENSE# EXP DATE�CITY UCENSE#
�,� ,
MECHANICALCONTRACTOR TEIEPH�NE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE# EXP pqTE CITY LICENSE#
Copy of City Mitigation documentation(TFC). r J��
1 hereby certtfy 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,rufes and regulations of the State of Washington and the
City e .
-�"� l �.
/�+� / 3
Applicant's Signature Date
Owner/Cpntractor 1 Owner's Agent/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 Yelna Aue�a:ie�West � (360)958-3835
PO Box 479 (�60)458-3144 PAJI'
Yel.�rz,WA 98397 ruww.ci.yeln�.ua..us �'!
. _ �;
, ` ,, '�' .�CrI�TEItED�.�"151�f3��D f3Y::L,A�ASY ��; � '� ,
. ,, _, � �
� , :� C�bNST C4N�'� ;`� � ;- �
` � � . , �`' EXP:� ..�, �
' � � .It�GI�T:# �- � DAT�,�� ., �> �
. , � �.�
� . ; _ � .�'CCOT ��.�TJCKIC*0691�Q.� 7l22/�013 ^-����° .�.��" �r� �
3/t8/]994 .����y�`�i���,�'
�FFBCT'IVE DA'f� � _ �, �s �
�;�� ¢ ����;:
� , � ..r .�
ti '"� ' z �a �''
` - '� 'BiJCIC1I�GHAM CONSTRUC'�I(3N ��`,� � �,r �
_, ��.:,. PO$O�'63" � •. � 'Yw ��s�s��S
1v(CKEN�e1A W�9$558 ;�- �?
,% � ' � �:,
� , ,��,= � � ,
n x � r,
• ,('�� �~ ,. �7 �LV�
£ -,. ✓i . � s „ � . a�t�,;
+�ignatuz'e • :
�s��►�d�y��P TM�� �Gi�AN�.�D����� .
..�:.� _
, . - �
r
_.
_ �a
E,:.:;' .
.� , , ..
�}
. �,`' �
^ �.:� .>.. ,._ : �;;
f;� . .
. ,,, � �
`,
`�:-
;� .
�
�, _
�
� `
.,
;T''`
. �