20140162 Permit Pkg 05022014 ��pF THEA�'�' City of Yelm Permit No.: 20140162
� � Community Development Department Issue Date: 5/02/2014
(Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
L
`+R","`=°" Fax: (360)458-3144
Applicant:
Name: PHOENIX COMPANY Phone: 360-960-8373
Address: 401 CREEK ST NE
YELM WA 98597
Property Information:
site,4ddress: 303 CREEK ST SE Owner: PHOENIX COMPANY
Assessor Parcel No.: Subdivision: Lot:
Contractor Information:
Name: AIR SOLUTIONS Phone: 360-400-1492
Address:
8746 CULLENS ROAD
YELM WA 98597
Contractor License No.: AIRSOSL931N0 Expires: 9/09/2011
Project Information:
Project: MECHANICAL
Description of Work:
Sq. Ft. per floor: First Heat Type(Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item Contractor Fees
MECHANICAL AIR SOLUTIONS $ 39.00
TOTAL FEES: $ 39.00
ApplicanYs Affidavit:
I certify that I have read and examined the information contained within the application and know the same OFFICIAL USE ONLY
to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of
Yelm regulations including those governing zoning and land subdivision, and in addition,all covenants, #Sets of Prints:
easements and restrictions of record. If applying as a contractor,I further certify that I am currently
registered in the Sta of Washing�� Final Inspection:
Signature Date 5 ��. /� Date:
Firm fj'�%� SDlL[. �on�' By:
Cit� of Yelm
(36 ) 458-8402
REC#: OU159510 5/OZ/2014 3:02 PM
OPER: CO TEF2M: 001
REF#: MC
TRAN: 33.0000 BUILDING PERMITS
20140162 39,OOCR
PHOENIX COMPANY
303 CREEK ST SE
MECH 39.00CR
TENDERED: 39.00 OTHER
APPLIED: 39.00-
CHANGE: � pp p
2�� O l Cp 2-.
CITY OF YELM
COMMERCIAL BUILDING PERMIT APPLICATION FORM
Project Address: �G� ��''�e�r� Sh Parcel#: s���'�� r
Zoning; Current Use: Proposed Use:
❑ New Construction ❑ Re-Model/ Re-Roof/Tenant Improvement
❑ Plumbing �Mechanical ❑ Fire PrevenUSuppress/Alarm ❑ Other
Project Description/Scope of Work: �;,�./v// 2 � �v., ,Ju��tsr ',�!Y��.,� S;,s�,,.,s�
�
Project Value: �S�Oc7- b�
Building Area (sq. ft) Parking Garage 1� Floor 2"d Floor 3�d Floor
Building Height �
Are there any environmentally sensitive areas located on the parcel? /1�c� If yes, a
completed environmental checklist must accompany permit application.
BUILDING OWNER/TENANT NAME: �-.'S r„n �J s,s�o
ADDRESS �a ce�- S EMAIL s���-Cc�. L �-ia•�,�:C'o
CITY t/B �-• STATE IP 9 97 TELEPH NE d�� `3 �
ARCHITECT/ENGINEER LICENSE#
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
GENERALCONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE# EXP DATE CITY LICENSE#
PLUMBING CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE# EXP DATE CITY LICENSE#
MECHANICAL CONTRACTOR S�� N. ,a., TELEPHONE
ADDRESS��7y� �K//a.�' / EMAIL ,�-.{'o%�� �,. .�r`.� .�-�,�.,.!
CITY �r��+�- STATE�s�ZIP}�.��-� FAX �a c��-r>�c��
CONTRACTOR'S LICENSE#,�'{Zf'oS�i/ca'�XP DATE 1o%�TY LICENSE#
Copy of City Mitigation documentation(TFCj.
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.
S-�z ��'
Applicant's ign re Date
Owner/Contrac or/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
(360)458-3835
105 Yelm Ave W (360)458-3144 FAX
Yelm, WA 98597 www.ci.yelm.wa.us