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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 w�S�. �.:.:�': VM W7�,( x�S �«���w- ��-�F LOS NO,L9A�INSYd1 Of)[Ll a �� � �a1�711�� � Sy�O�LE� 3?lO.L.S � t,.e � F� ~ a =: o�i SI°'� �e� � �si;:s ie�, ��,�'�,�gg,.$ 8e fftl�� gfl. � Zx �Yk�� iS e a� g� Y�$z§ �=e -��� ��t �7�3 �� z��� ����3� �° ����� a� g_� e� ��' B;a}�€ i ygsStF e�= ��[f ep:R ���8 4"sb a� a ffaabR �i$ = 3C }� ad. • � %a"1`_ rk� d3°3'sP� �_�- z' c'§ ��4 ��� &:�e^ ��$��ac@.d���a�_p o€e5g ���u �: � a =�`�s a��a ��I�r s� e�����"��r.���a3�.,�.r�tYd� c� :€ 9gab.=� �e:��s W�I�e���iie�a $���3 $�a�°;� ���i���o ie���a�4s.��aF ��a[�a.. �i+�y��� �i ga6g� 3;s� �e�c� s'=� �xee.EI:a��Y��d������eB�i:e��ea�`�� o� '%� s�€����g �h�s�`���j . ��,s��p€s��= ��Pn� ��s�$�E� r��ff������a5��p°e��y��k£�"ja�� y�aq;�: ;g c Y ra Ae�.i" e�€"y...:}6 1�9����5���!'gr������5 �ea68 m o�s�����r�a�4" �4 �o�"e°� � �i�`� c��� . c'S T� � e€�£ „e o ��g" a�� $�;=d��S`1£g �g! e5"a�_c&sz Yy4 �et.,... 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