20130205 Permit Pkg 08132013 o� City of Yelm Permit►vo.: 20130205
,� Community Development Department Issue Date: 8/13/2013
� (Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
«�:»»w,o.. Fax: (360)458-3144
Applicant:
Name: WAL-MART Phone:
Address: 17100 SR 507
YELM WA 98597
Property Information:
Site Address: 17100 SR 507 Owner: WAL-MART REAL ESTATE
Assessor Parcel No.: 64303101001 Subdivision: Lot:
Contractor Information:
Name: WAL-MART Phone:
Address:
17100 SR 507
YELM WA 98597
Contractor License No.: Expires: 0/00/0000
Project Information:
Project: COMMERCIAL REMODEL
Description of Work: REPLACE SEAFOOD FREEZER
Sq. Ft. per floor: First Heat Type(Electric,Gas, Other):
Second
Third
Garage
Basement
Fees:
Item Contractor Fees
BUILDING WAL-MART $ 1,916.88
MECHANICAL SOURCE REFRIGERATION&HVAC $ 29.50
PLUMBING WAL-MART $ 27.00
TOTAL FEES: S 1,973.38
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 restridions of record. If applying as a contractor,I further certify that I am currently Final Inspection:
registered in th t e f Washington.
Date:
Si nature Date � /�
` By:
F��, P o� / ��/�f
�ltY �f 58�g�02
(360� :56 AM
00136003 8/13/2013 10
REC#: TERM: 001
OPER: MC
REF#; 2594
TRAN: 33.0000 BUI1�9�3 38CRITS
20130205
WAL-MART
17100 SR 5071��16,88CR
BLDG 29.50CR
MECH 27.00CR
PL
1 9�3.38 CHECK
TENDERED; 1'913.38-
APPLIEQ; ,
p,00
CHANGE:
CITY OF YELM
COMMERCIAL BUILDING PERMIT APPLICATION FORM
Project Address: J�"IL�D 1,��:i�«u��L� � �' Parcel#:
Zoning; Current Use: � Proposed Use: M
New Construction � Re-Model/Re-Roof/Tenant Improvement
_ Plumbing Mechanical Fire Prevent/Suppress/Alarm _ Other
Project Description/Scope of Work: ��IC�-i:.�e� �G�ac�'�l�-���-.--�
ProjectValue� / �U, GG��� �—
Building Area(sq. ft) Parking Garage /�-� +'a 1St FloorN.� 2"d Floor :u r-� 3`d Floor N i�
Building Height t•-I �I
Are there any environmentally sensitive areas located on the parcel? �A If yes, a
completed environmental checklist must accompany permit application.
B1� �. . ,,�'. , ,., , .���� . �t�` �: h'1<.�-.--�' — � ��-t!-;
ADDRESS l�}ICli I�G 5�.;;.,G> ic-ri S�� EMAIL �
CITY STATE ZIP TELEPHONE
, �. � ,,�r� ,;vt'F,,�.�ICENSE# /
ADDRESS � G/ ._�. . � EMAIL r..Jcx�-,�•a� cr � J � '_-C,���. ��,,
CITY (�'�-,Cx �a STATE !�S ZIP ./ TELEPHONE /3 "�-H2. SZ,�33
� .. ,.�� �� `� �; ..: ;�.� �� � TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE# EXP DATE CITY LICENSE#
P�� ,,. .,: �.� '��.��G'�`� . � ' TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE# EXP DATE CITY LICENSE#
� . . '� r �"�`C?R �'1� TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE# EXP DATE CITY LICENSE#
Copy of City Mitigation documentation(TFC�.
1 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 Yelm.
�- �� -��--�
ppl�arit's Sign re Date
4wfier/Contracto nerTs Qge��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
------------:_--
R.�C���'���,�_.
MAY 0 2 20i� `
105 Yelrn Auenue West 458-3835 �
PO Box 479 - "�
Yelm,WA 98597 www.ci.yelm.wa.us
HENDERSON �
ENGINEERSz IIIIIIIIIIIIIIIIIIIIIIIIIIIIII
kansos city phoenix houston new york metro 05GL
tampa las vegas manhattan ks dallas bentonville
LETTER OF TRANSMITTAL
TO Community Development DATE Apri130,2013
Commercial Permit Plan Review PROJECT LOC Yelm,WA
City of Yelm PROJECT DESC Walmart SC-Yelm WA REF2
105 Yelm Avenue West;P O Box 479 PROJECT NO 1380903705.004
Yelm,WA 98597 REFERENCE Store 03705-601
PHONE NUMBER(REQUIRED FOR ALL SHIPMENTS)
360-458-8407
SHIPPING INFORMATION
Courier: FedEx Attached
Express Saver(3 Day)-Express Saver(FedEx Express Saver Included: Originals Prints
(ESP))-Delivery for non-urgent packages that provides time- Other
definite,guaranteed delivery within 3 business days.
Destination Type:Business
Saturday Delivery:No
__ _ _.._ . _ _ ___ __ __ _. , _
GOPIE� D/�TED NO DESCRIPTiON
4 Signed and Sealed Drawings Sets
1 Half Size Drawing Set
1 Flash Drive with PDF drawings and Specifications
THESE ARE TRANSMITTED
❑ For approval
❑ For your use
❑ As requested
❑ For review and comment
REMARKS
Information for Commercial Permit Plan Review
HENDERSON ENGINEERS,INC.
Joanna Haile
Permitting Specialist
�C� T- -
�� � ,
MAY 0 2 2013 �
BY: '
�
8345 LENEXA DRNE,SUITE 300 �ENEXA,NS rt714 iE�913 742 500� cuc413 742 5001 www.hoi.eng.eom
CITY OF YELM
COMMERCIAL BUILDING PERMIT APPLICATION FORM
Project Address �1 I OC? 'S� `�O�? Parcel#: �1�Cti�i�� OG l
Zoning; Current Use:��� ����i Proposed Use:
-, New Construction ,� Re-Model/Re-Roof/Tenant Improvement
�. Plumbing i, Mechanicai �! Fire Prevent/Suppress/Alarm ❑ Other
ProjectDescriptionlScopeofWork: � � l� �+41�� (�+ S�iF�r�"� FQ6�Zr'��2
Project Value: � 5�'1.'���, �C'
Building Area(sq. ft) Parking Garage 15i 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 S;J�At�V\i�"T � `�"�O5�
ADDRESS 100 �� . EMAIL
CITY � STATE�r1 ZIP 'S�' TELEPHONE
ARCHiTECTlENGINEER LICENSE#
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
GENERALCONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S �ICENSE# EXP DATE CITY LICENSE#
PLUMBING CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE# EXP DATE CITY LICENSE#
MECHANICAL CONTRACTO� � � = c7�,TELEPHONE�f� '-�7�'�-Z.3c>[>
ADDRES9�I�� �. 2s�,4t�}G►�°rrtt����,_ ���: N�� EMAIL
CITY QN�fkEi�v� STATE (T�_ZIP�1ZY:�� FAX_�1�-S��d ° -�{C�.-\
CONTRACTOR'S LICENSE#So������15 4�� EXP DAT L CITY LICENSE#
Gopy 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 taws,rules and regulations of the State of Washington and the
City of Yelm.
_� �7 '`�`i �' �
plic s Signature Da e
ner t Contractor/Owner's Agent I Contractor's Agen Tenant (Please circle one.j
___--
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
I05 Yel�n Avenue Wesf (360)458-3835
PO Box 479 (360)458-3I44 FAX
Yelnn, WA 98597 u-u�u�.ci.yelrri.u�¢.us
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