20130302 Permit Pkg 09042013 �Q�THFA� City of Yelm Permit No.: 20130302
C '�
0. tA� Community Development Department Issue Date: 9/04/2013
(Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
L
"""»'""°" Fax: (360)458-3144
Applicant:
Name: TWIN STAR CREDIT UNION Phone: 800-258-3115
Address: 1109 YELM AVE E
YELM WA 98597
Property Information:
Site Address: 1109 YELM AVE E Owner: TWIN STAR CREDIT UNION
Assessor Parcel No.: 85810000100 Subdivision: Lot:
Contractor Information:
Name: MARKET CONTRACTORS Phone:
Address: STEPHANIE
10250 NE MARX ST
PORTLAND OR 97220
Contractor License No.: Expires: 0/00/0000
Project Information:
Project: COMMERCIAL REMODEL
Description of Work: TWIN STAR TI
Sq. Ft. per floor: First Heat Type(Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item Contractor Fees
BUILDING MARKET CONTRACTORS $1,408.68
TOTAL FEES: $ 1,408.68
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 lying as a contrador, I further certify that I am currently Final Inspection:
registered in the State of Washington.
Signatur .s` �f . � _ �,U °° Date Y��Y�7 /� Date:
f — By.
Firm '� , S
ti
Cit� af Y�lm
(36 ) 45$-8402
REC#: 00137444 9/04/2013 12:58 PM
OP�R: CO TERM: 001
R�F#: 12566
TRAN: 33.000� BUILDING PERMITS
20130302 1,408.68CR
TWIN STAR CREDIT UNION
1109 YELM AVE E
BLDG 1,408.68CR
TENDERED: 1,408.68 CHECK
APPLIED; 1,408.68-
CHANGE; 0,00
CI7Y aF YELM Z� 3� a���
GOMMERCtAL BUILDlNG PERMIT APPLICATION FORM
Project Address: � I�q�G�S� `I��CY� �/-P. Parcei#:
�
Zoning; Current Use:l(YS��Proposed Use: IY1�1T2�1��-
U New ConstrucEion �Re-Modei/Re-Roof/Tenant improvement
U Plumbing LI Mechanic I u Fire PrevenUSuppress/Alarm U Other
Project Description/Scope af Worlc: ��(�( � �J,��Q.'tn ��.�1�1���j'75�1d��'l�,"'" " !
Project Value: ��7�--
Building Area{sq.ft) Parking Garage 1�'F(oor�2nd Floor 3rd Floor
Building Height
Are there any environmenta(ly sensitive areas located on the parce!? �� If yes,a
completed environmental checklist must accompany permit application.
BUILDING OWN RITENAN NAME: 1 CY 1� 1 DI'�
ADDRESS I EMA.IL
CITY O STATE�_ZIP 7ELEPHONE
ARCHITECTIENG NE R LICENSE#
ADDRESS I EMAIL -
CITY I STATE ZIP TELE UN� D•
GENERAL GQNTRACTOR TELEPHONE��•.r'-S l7•C.Q�I�'-I
ADD SSI b l� EMAIL C�Y C (f�t.0
CITY STATE ZIP Zw FAX _ 'SI"1• � ^1�
CONTRACTOR'S LtCENSE# � P DAT ITl UCENSE#
PLUMBING CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE# EXP DATE_„_GITY LlCENSE#
MECHANICA�CONTRACTOR�) TELEPHONE
ADDRESS EMAIL
CITY STATE ZlP FAX
CONTRACTOR'S LICENSE# EXP DATE CITY LICENSE#
Copy of City Mklgatfon dxumentation('fFC),
1 frereby certify that the above information ts correct and that the consVuction on,and tF�e occupancy and the use of the
above described property will be in accordance with the laws,ni{es and regulations of the State ot Washington and tF�e
City of Yelm.
_ , � 21
App nYs Sign Date
ner!Contractor/Qwner's gent I Contractar's Agent/Tenant (Please ci�cie one.)
Atf permits are non-transferable and will expire if work authorized by such permit is not begun
within 18Q days of issuance,or if work is suspended or abandoned for a period of 180 days
�,������' D
105 Yelm Aveaue tiVest (36Q)438-3835 '
PO Bor 479 A U G 2 2 2�13 (360)438-3144 FAX
Ietrrt,W�i 98597 mwrv.ci_velm.rra.na
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