20140247 Permit Pkg 09102014 'f��o� T"�a,��' City of Yelm Permit ►vo.: 20140247
� �� Community Development Department Issue Date: 9/10/2014
(Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
YELM
""."",""°" Fax: (360)458-3144
Applicant:
Name: BETSY PEABODY Phone: 206-909-3946 CELL
Address: 17249 AGATE ST NE
BAINBRIDGE ISLAND WA 98110
Property Information:
site Address: 404 FIRST ST S owner:
Assessor Parcel No.: 22719332300 Subdivision: N/A �ot: N/A
Contractor Information:
Name: SIGNARAMA Phone:
Address: JEFF KLINGBERG
2633 WILLAMETTE DR. NE SUITE H
LACEY WA 98516
Contractor License No.: Expires: 0/00/0000
Project Information:
Project: SIGN
Description of Work: ONE MONUMENT SIGN AND ONE DIRECTORY SIGN ON WALL CONTACT STEPANIE RAY
TO SCHEDULE MONUMENT SIGN INSTALLATION 360-458-8414
Sq. Ft. per floor: First Heat Type (Electric,Gas, Other):
Second
Third
Garage
Basement
Fees:
Item Contractor Fees
SIGN SIGNARAMA $ 40.00
TOTAL FEES: $ 40.00
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 restrictio of record. If applying as a contractor,I further certify that I am currently Final Inspection:
registered in the Sta hington.
l� Date:
Signature Date lo � �/
Firm �j ��,� �n� By:
Cit� of Y�lm
(36 } 458-8402
REC#: 0017159i 9/10/2014 ll :i6 AM
OPER: C(l TENM: 001
REF#: 2050
TRAN; 33.Q000 BUILDING PERMTTS
2014�247 40.00CR
PEABODV, BETSY
404 FIRST ST S
SIGN 40.00CR
TEN�ERED: 40.00 CHECK
APPLIED: �Or00-
CHANGE; � 0.00
C����'�
CITY OF YELM
COMMERCIAL BUILDING PERMIT APPLICATION FORM
'� i t
Project Address: U.�J� l 5— Sf Parcei#: ��.�7� ��� ��lS
Zoning; � r� Current Use: Proposed Use:
� New Construction n Re-Model/Re-Roof/Tenant Improvement
� Plumbing n Mechanical � Fire Prevent/Suppress/Alarm �Other S ���
Project Descrip�t'ion/Scope of Work: �1� 1iLCbi9LC� � e� S��(�+� Of '�'�il�j{��
Project Value:������
Building Area (sq.ft) Parking Garage 15t 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 OWNERITENANT NAME: �
ADDRESS 1�7��'(� `�F T � MAIL t3�; • • r ; ti --c,�• ��
CITY t3�'!r^�E�.,�p�.�C S ATE���ZIP �!lb TELEPHONE
ARCHITECT/ENGINEER UCENSE#
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
GENERAL CONTRACTQR � TELEPHONE �O '`1! '� 'Lv�
ADDRESS7�,�� a✓� �lrn.,� � r EMAIL��v���t�/�'����1� u vr���- �0
CITY ` " c STATE�_ZIP��FAX �
CONTRACT R'S LICENSE#GC � . EXP DATF.�'t,5 CITY LICENSE#
-¢.
PLUMBING CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE# EXP DATE CITY LICENSE#
MECHANICAL CONTRACTOR TELEPHONE
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 p�r�-y-wil�be in accordance with the laws,rules and regulations of the State of Washington and the
City of....�... i�" \
� ��'f� c � �°���� ,• t; 7 �
Appli� Date
Ow ;-� / r� �ent/Tenant (Please circle one.)
''� l_LU')'l �GL�� .�7Ff° a/�;"e !� •��
All pe •k authorized by such permit is not begun
withir -�G ���i,E�v� ,� �'1��,:�,y���,�"or abandoned for a per.�od of 180 days
I �r-=m��.=-��=,--- ,.__.— —
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2 5 2014
105 Ye ���%�_� � •��^ ��l y (360)458-3�44 FAX
yelm, www.ciyelm.wa.us
_ .
CITY OF YELM
COMMERCIAL BUILDING PERMIT APPLICATION FORM
Project Address:�'b� �S�" S�' Parcel#:�2�� "I�� Z,3�(�
Zoning; (i,'� Current Use: Proposed Use:
New Construction � Re-Model/Re-Roof/Tenant Improvement
� Plumbing � Mechanical � Fire Prevent/Suppress/Alarm � Other
Project Description/Scope of Work: �Lt,� �4�L c,�i;,�/ t'��- ��c�,�,�
Projectvaiue: �l�U�
Building Area (sq.ft) Parking Garage 15t Floor 2"d Floor 3`�Floor
Building Height
Are there any environmentally sensitive areas located on the parcel? If yes, a
completed environmental checklist must accompany permit application.
BUILDING OWtVE#�fTENANT 1N : '� ���
ADDRESS 11•i.��� �+�,d,1-�_ �l- N, E AIL •, ,�� d- - -:� ` - �,r�
CITY �,,;-�,;F.;�;�[-i�STATE id� ZIP Br TELEPHON
ARCHITECTI����� LICENSE#
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
GENERAL CQNTRAC7QR ` r w' � TELEPHON L �,5�'�2 07
ADDRESS ` < � ; ,�_ ,,l EMAIL
CITY��j�y�; STATE ,���ZIP ' ` FAX
CONTRACT R'S LICENSE# �1 ' ��E P DATE CITY LICENSE#
PLUMBING GC)NTRA�70R TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE# EXP DATE CITY LICENSE#
MECHANICAL CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE# EXP DATE GTY 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�accordance with the laws,rules and regulations of the State of Washington and the
City of Yelm. �
� �, j�h ,
App "a 's Signatur Date
Owner/Contractor wn 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 per�i n_f__�80 days A �
AUG 2 � 2014 !
1�-
�;.��-----
_____�_ .____ ;
105 Yelm Ave W (360)458-3144 FAX `"'�"'`�''
Yelm,WA 98597 www.ci.yelm.wa.us
Mc�nument air�ensions: 12' x �'
�i� r� F�ce Din�x��� �siar���: 1 �' x �' (5��f�
Ins�t Si� n Dimensions: 2' 3" x 9"
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Scope of Project: Install new monument sign per building owner and city agreement.
- Manufacture painted HDU monument sign with changeable sign panels. Two 4"x4"
mounting poles 4' high and 2' underground with concrete.
- Lighting will be addressed once location is prepped for install
o Optionl—city to provide power at location, our electrician to install flood lights.
o Option2-solar LED lighting
��'1�''��p.?"� .:�..�
AUG � 5 2014
To see all Ihe details that are Wsible on the
screen,use the"Print"link next to the map.
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Data for Parcel No. 22719332300
Zoom Map to Parcel
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Please ma.ke sure to READ our DATA DISCLAIMER prior to utilizing our website for research
View Assessor's Data for Parcel
Owner(s):
PEABODY BETSY
GUEBLE JEFF
_ __ _ _ _
_ _ _ __ _ _ _. _ .
Address: 17249 AGATE ST NE
City: BAINBRIDGE ISLAND
State: WA, 98110
__. __ __ _ ___ _ _ _ _ _ _ __ _
Parcel No.: 22719332300
Site Address: 404 FIRST ST SE
Site City: YELM
Site Zip: 98597
_ . ._ _
_ _ _ _ ___
Section: S 19172E
Section 19 Township 17 Range 2E Quarter SW SW
COM SELY COR BLK 3 MC KENZIES 2ND S37-34-
Abbreviated Legal: OOW ALG NLY LN 2ND ST 50F TO SLY LN
MOSMAN ST N52-26-OOW ALG SLY LN MOSMAN
ST 250F TO TPOB THENCE S37-34-OOW
Usecode: 53
Tax Code Area: 170
Taxable: Yes
Annual Tax: View Property Taxes for Parcel
Property Type: RTL
Total Acres: 0.66
Land Value: View Assessor's Data for Parce)
Building Value: View Assessor's Data for Parcel
Total Value: View Assessors Data for Parcel
Current Use: N
Exemptions: None
_ ___
_ __ _ __ __ __ _ _
Wetlands: Unknown
Floodzone: OUT
Flood of 1999: Unknown
Winter Flooding of 1996: Unknown
High Groundwater Flood Hazards: Unknown
Zoning: C-1,
Commissioner District: Sandra Romero - District 2
Historic Site: No
Permitting Jurisdiction: YELM
Jurisdiction of Influence: Same as Permitting Jurisdiction
Stormwater Rate: No
No Shooting Zone: No
Animal Control: Contact Animal Control (360-458-3244).
_ ___ __ _ _ _._ __ _._. .__.._ ___
Weed Containment Zone: No
Steep Slopes: Unknown
Ground Water Sensiti�e Areas: No
DNR Natural Heritage Data: Unknown
Mazama Pocket Gopher Indicator Soils: Yes - Check with Permit Assistance Center
Critical Buffers: No
In 100 ft buffer of Shoreline Management Areas: No
Waterbody 8� Wetland Buffers: No
FEMA Panel No.: 0353
_ _ __ __
_ _ __ . __ _ _
Wellhead Protection Area: No
Area of Groundwater Concem: No
Elevated Nitrates: No
Soil Type: Spanaway gravelly sandy loam, 0 to 3% slopes
Hydric Soil: Unknown
Watershed: NISQUALLY RIVER
Water Service Area: YELM, CITY OF
_ _ _.._ . __ __ _ _. _._ _ _ _ _.
School Attendance District: YELM
Elementary School: SOUTHWORTH
Middle School: MILL POND AND YELM
High School: YELM
School Taxing District: View Assessor's Data for Parcel
Fire Response District: SE THURSTON FIRE AND EMS
Unconsolidated Fire Response District: YELM
Fire Taxing District: View Assessor's Data for Parcel
Medic Response District: Medic 2
Residential Outdoor Buming: Residential Outdoor Buming is banned within the
city limits and urban growth areas.
Planning Region: 2
Census Tract: 012412
Radio or Cell Tower: No
Airport Zone: No
Contamination: Unknown
Thurston County Map
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Disclaimcs:Thurston County makes eveay et�ct to ensure that this map is a t�ue and accuiate
representa[iuv of'the wodc ufCuunty govefnment.Huwevca•, the County and all rel:ued LEGEND
pe�5unnel make no wananty, expressed or implied,regarding the accwacy,cx�mpleteaess ur
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Tu the fullest extent permissible pursuant to applic�ble law,Thurstun Counry disclaims all �°``'•.�'' ��d�
warranties,express or impliecl, including,but not limited to, implied warranties ofinerchant `M1'atei BOdies
ability,d'ata fitness fur a par[icular purpose,and non-inSingements ofproprietary rights. �
Under no circttmstances, including,but not limiteci to, negligence,shall Thurston County be ZA212IIg
liable for any direct, indired, incidental,special or consequential damages that result i-om the �`-J COI2tclRiiTS �°
use o�or the inabiliry to use,Thurston County materials.
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