20130361 Permit Pkg 12092013 "�'�oF TH�o,��" City of Yelm Permit No.: 20130361
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� 7� Community Development Department Issue Date: 12/09/2013
o� ee (Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
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""'"4T°" Fax: (360)458-3144
Applicant:
Name: WESTMARK CONSTRUCTION Phone:
Address: 6102 N 9TH ST, STE 400
TACOMA WA 98406
Property Information:
Site Address: 1100 YELM AVE E Owner: KEY BANK
Assessor Parcel No.: 22730121700 Subdivision: Lot:
Contractor Information:
Name: WESTMARK CONSTRUCTION Phone:
Address:
6102 N 9TH ST, STE 400
TACOMA WA 98406
Contractor License No.: Expires: 0/00/0000
Project Information:
Project: COMMERCIAL REMODEL
Description of Work: INSTALL NEW ADA CURBS AND PARKING STALLS
Sq. Ft. per floor: First Heat Type(Electric,Gas, Other):
Second
Third
Garage
Basement
Fees:
Item Contractor Fees
BUILDING WESTMARK CONSTRUCTION $ 622.46
TOTAL FEES: $ 622.46
ApplicanYs Affidavit: OFFICIAI 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:
- —
regiskered in�the Stat� 8����i �
_,
• '�" � ��'._ ' Date:
Signature � �� �/ Date �..�
, gy:
Firm
i
Git� of Y�lm
��6 ) 458-B402
REC#: OU145931 12/U9/2U13 12:45 PM
OPER: CO TERM; 001
REF#: 69U77
TRAN; 33,pfapp g�rLDING PERM.TTS
20130361 622.46CR
WFSTMARK CDNSTRUCTION
11�70 YELM AVE E
QLDG 622,46CR
TRAN: 30,�OOQ BUSINESS LICENSE
WESTMARK CONSTRIJCTION
BUSINESS LICENSES & 35.pqCR
TENDERED: b57.�6 CHECK
APPLIED; 657.46-
CHANGE: �-0
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CITY OF YELM
COMMERCIAL BUILDING PERMIT APPLICATION FORM
Project Address: /��D L. _��vrt�'1�. Parcel#:
Zoning; Current Use: ��..� Proposed Use: ,5��
❑ New Construction �Q Re-Model/Re-Roof/Tenant Improvement
❑ Plumbing ❑ Mechanical C Fire Prevent/Suppress/Alarm ❑ Other
Project Description/Scope of Work: �V�K�"���•q V 4� 5 �
Project Value: yy,DDd
Building Area (sq. ft) Parking Garage N � 1 S�Floor 2nd Floor 3`d Floor
i
Building Height ��_
Are there any environmentally sensitive areas located on the parcel? R1b If yes, a
completed environmental checklist must accompany permit application.
BUILDING OV1/��RITEIVANT NAME:
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
ARCHITECT/��LGtNEER LICENSE#
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
GENERAL CQN7F2ACT�R t' �� t�tsc�'1co TELEPHONE LS3-��2-�`163
ADDRESS ��OZ-�/• Y�` . Sv��/t4qp EMAIL }�r�,nlG,c�+ 41e1tH.�.-kCo�Sf: �0�1
CITY i�-c-vw,o.. STATE W� ZIP 9It4 06 FAX L 3• " 6
CONTRACTOR'S LICENSE# ' Z PtG EXP DAT ITY LICENSE#
3
PLUMBING CONTRAGTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE# EXP DATE CITY LICENSE#
MECHANICAL CC3NTRACTQR 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.
� �(1�-/ !I�
Applicant's Si r� re Date
Owner ontract 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
�/yv� ,/��1� ��'���5%y��j� C.�i�S�
,
105 Yelm Avenue West �/ 7 (360)458-3835
PO Box 479 � ') �j `c� / �"��S �C"'7 (360) �# -'—�—T "°—'
Yelm,WA 98597 www. i.��trii.wh.�s�F.�� V E�
�!;��� � 2 2013
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