20130355 Permit Pkg 11152013 '�o� T"�a,p�' City of Yelm Permit No.: 20130355
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� � Community Development Department issue Date: 11/15/2013
d � (Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
YEL
"",""Q" Fax: (360)458-3144
Applicant:
Name: MT RAINIER PROPERTIES Phone: 302-332-6389
Address: 9144 BURNETT ROAD SE
YELM WA 98597
Property Information:
Site Address: 9144 BURNETT RD SE Owner: MT RAINIER PROPERTIES
Assessor Parcel No.: 21713340601 Subdivision: N/A Lot:
Contractor Information:
Name: CAPEZIO HOMES Phone:
Address: JEFF
2344 SUMIT LAKE SHORE RD NW
OLYMPIA WA 98502
Contractor License No.: CAPEZHL954QH Expires: 7/31/2015
Project Information:
Project: COMMERCIAL REMODEL
Description of Work: 1125 SQ FT YOGA STUDIO. 225 CU FT USAGE. 12/12 men/women
Sq. Ft. per floor: First Heat Type (Electric,Gas, Other): COMBO-SEE NOTES
Second 1125
Third
Garage
Basement
Fees:
Item Contractor Fees
BUILDING CAPEZIO HOMES $2,511.56
TOTAL FEES: $ 2,511.56
Applicant's 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 Washin ton.
Signature �—�, Date �� ��a� '� �j Date:
Firm By�
Cit� af Y�lm
(36 ) 458-8402
REC#: 00144378 11/15/201;3 2:�7 PM
OPER: CO TERM; 001
RE�#: 2019
TRAN: 33,U(l00 BUILDING PE�MIfS
20130354 15,353.42CR
MT RAINIER PROPERTIES
y144 BURNETT RD SE A-203
BLDG 15,353.�2CR
TRAN: 33.0000 BUILDING P�RMITS
20130355 2,511 .56CR
MT RAINIER PROPERTIES
9144 BURNETT RQ SE
BLDG 2,511 ,56CR
TENDEREG: 17,854.98 CNECK
APPLIED: 17,864.98-
CHANGE: 0.00
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CITY OF YELM
COMMERCIAL BUILD NG PERMIT APPLICATION FORM
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� Project Address: `� I � 4 a)�;v��'���,.- �-1'��% I Parcel#:
Zoning; Current Use: Proposed Use: '�R��, �� : �
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❑ New Construction '� Re-Model/ Re-Roof/Tenant Improvement "
❑ Piumbing ❑ Mechanical ❑ Fire Prevent/Suppress/Alarm ❑ Other
Project Description/Scope of Work: n� � <� � a�'�r � ���c� - ;� c,��f�2, � c�����,4� ,��ti��-E � (';-��4; ��,� �� �d�( �"��c(,�,.uf�rb,�c��
Project Value: '��- °> �,
Building Area (sq. ft) Parking Garage 1� Floor 2nd Floor �,I.�� 3�d Floor
Building Height
Are there any environmentally sensitive areas located on the parcel? �l c; If yes, a
completed environmental checklist must accompany permit application.
BUILDING OWNER/TENANT NAME: I �„1,�� i L v���-� � �'^,� � �.^e_ �ccc=--
ADDRESS t� l`:� l�J�-.� , l, i-, L.: .,y Sc= EMAIL ` ;�-�,�-N, - � z, ,�,c.:�
CITY f �'.� : -,c, STATE r.�:� ZIP ° c��9 TELEPH E 3c-�- �?�:4-,�? ;,�
ARCHITECT/ENGINEER LICENSE#
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
GENERAL CONTRACTOR - ,��. '�. �;�n-tsi� TELEPHO�E ;3�-c.• -,Sc- 7-tr�y-3�
ADDRESS .,?.544�: �•^.w�.l- (-<<I_a "���:;r� ( d �Vc.`i EMAIL�<--rc<<_���:��:�c�•,.^cu.�.r�:'f
CITY � �� �.: . :�_ STATE (�sn ZIP `s�5���� FAX 3i_�c_ -�-7-1391
CONTRA TO 'S LICENSE# EXP DATE CITY LICENSE#
PLUMBING CONTRACTOR °��I,:��,� l .��� TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE# EXP DATE CITY LICENSE#
MECHANICAL CONTRACTOR l�rfz�� :'.�,� TELEPHONE ��c -���� 3�-`�3��c�
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 Yelm.
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Applica 's i natur Date
Owner �on r ctor/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
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105 Yelm Ave W . (360)458-3144 FA� �»
Yelm, WA 98597 +'" ' � �_:• � www.ci.yelm.wa.u� � ��,�
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Notes for 9144 Burnett Rd A-203
1. Maintain accessible approach to door way(See Detail 1)
2. Maintain Emergency Lighting from all points to lobby exit.
3. Install Exit sign visible from Room 201 and 203 pointing to stairwell
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*If both closer and latch are provided
(a)Front Approach,Pull Side (b)Front Approach,Push Side
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