20130322 Permit Pkg 09102013 O�QF TH�P� City of Yelm Permit No.: 20130322
T�a Community Development Department Issue Date: 9/10/2013
(Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
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"""'"'"`_°" Fax: (360)458-3144
Applicant:
Name: PRAIRIE PARK HOTEL Phone: 360-458-7591
Address: 701 PRAIRIE PARK LANE
YELM WA 98597
Property Information:
Site Address: 715 PRAIRIE PARK LANE A Owner: PRIARIE PARK HOLDING
Assessor Parcel No.: 64303700100 Subdivision: Lot:
Contractor Information:
Name: FIRST FINISHERS Phone:
Address:
305 WASHINGTON AVEE SW
YELM WA 98597
Contractor License No.: FIRSTFL943BF Expires: 1/06/2014
Project Information:
Project: COMMERCIAL REMODEL
Description of Work: OFFICE TI
Sq. Ft. per floor: First Heat Type(Electric,Gas, Other):
Second
Third
Garage
Basement
Fees:
Item Contractor Fees
BUILDING FIRST FINISHERS $ 63.93
TOTAL FEES: $ 63.93
ApplicanYs Affidavit: OFFICIAL USE ONLY
I certify that I have read and examined the information contained within the application and know the same
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 the State of Vyashi ton. ...� ,
� f Date:
Si nature �,,.- �� � � Date � `� � �
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Firm
—f f.�i` `�1 tn��S �t.F• ✓�i �L �-- By'
Ci�� of Yel�
f36 ) 458-8402
REC#: 00138145
OPER: �p g/10/2013 9:47 AM
REF#; M� rERM; G01
tRAN: 33.0000 9UILDING PERMItS
20130322
PRATRIE PARK HOTEL 93CR
715 PRAIRIE PARK LpNE p
BLDG
63.93CR
TENOERED:
APPLIED: 63.93 OTN�R
63.93-
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! SEP 0'6 2013
�'�V'•
^ CITY OF YELM
COMMERCIAL BUILDING PERMIT APPLICATION FORM
�"°' Project Address: �7�S��,r�(� �;r�c �h ,S{�l� Parcel#:
Zoning; Current Use: Proposed Use:
o New Construction �Re-Model/ Re-Roof/Tenant Improvement
❑ Plumbing ❑ Mechanical ❑ Fire Prevent/Suppress/Alarm ❑ Other
� /
Project Description/Scope of Work: �� � i S ��CQ/"��
Project Value: ��(�
Building Area (sq. ft) Parking Garage 1� Floor 2"d Floor 3�d Floor
Building Height
Are there any environmentally sensitive areas located on the parcel? If yes, a
completed environmental checklist must accompany permit application.
BUILDING OWNER/TENANT NAME: � G
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
ARCHITECT/ENGINEER LICENSE#
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
GENERAL CO TRACTOR S �il ' �S TELEPHO E ` C - - 7�I`
ADDRESS �C`� �c�X EMAIL , c�
CITY STATE (,nj�} 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 of City Mitigation documentation(TFC).
I hereby certify 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,rules and regulations of the State of Washington and the
City of Ye
i
� ,> ` �
App ' ant's Signature Date
Owner I Contractor I wner's Agent I 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
�-;���',`��;��iT�'��
I SEP 0 6 2013
.�,.„(360)458-3835
105 Yelm Aue W (360j.A58-31ee FAX
Yelm, WA 98597 www.ci.yelm.wa.us