20140293 Permit Pkg 12102014 ��o� ''"�o�, City of Yelm Permit No.: 20140293
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� � Community Development Department Issue Date: 72/10/2014
d 'r+► (Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
ELM
""6"'"�T°» Fax: (360)458-3144
Applicant:
Name: YELM BOOT CAMP Phone: 360-970-5481
Address: 106 PRAIRIE PARK LN#118
YELM WA 98597
Property Information:
site Address: 106 PRAIRIE PARK LN 118 Owner: YELM BOOT CAMP
Assessor Parcel No.: 64303700300 Subdivision: Lot:
Contractor Information:
Name: YELM BOOT CAMP Phone:
Address: JAMIE
106 PRAIRIE PARK LN#118
YELM WA 98597
Contractor License No.: Expires: 0/00/0000
Project Information:
Project: COMMERCIAL REMODEL
Description of Work: OPEN UP AREA BY REMOVING NON STRUCTURAL DEMISING WALLS
Sq. Ft. per floor: First Heat Type(Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item Contractor Fees
BUILDING YELM BOOT CAMP $ 63.93
TOTAL FEES: $ 63.93
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 ecord. If applying as a contractor, I further certify that I am currently Final Inspection:
registered in the State� ington.
�/:
Signature ��`�' Date �Z���' �v� Date:
_-f ,; _ —
Firm � BY:
%
�lf� Of ����i
(3� 1 4�$ g402
R�C#: OG180370
QPER: CO TERM: �p0�1r/2014 11:38 AM
REF#:
TRAN; 33.0000
20140253 �UILDING PERMTTS
1'ELM 600T �3.93�R
id6 PRAIRIE ARK LN
BLDG 118
�3.93CR
TENDERED;
APPLIEp: 64.00 CASN
63.g�_
CHANGE: ''`--------_...
0.07
CITY OF YELM
COMMERCIAL BUILDING PERMIT APPLICATION FORM
Project Address: I vb PG���C-' ���`� �i 1�t5' Parcel #:
Zoning; Current Use: Proposed Use:
❑ New Construction �Re-Model/ Re-Roof/Tenant Improvement
❑ Plumbing ❑ Mechanical ❑ Fire Prevent/Suppress/Alarm ❑ Other
Project Description/Scope of Work: ������ �sC,���/v �� �z�S�i�'i� �C��('Wc����r'�.9�PVl �'�'����
�~ 1
ProjectValue: � ��v ��LU'�' t/1e�r,� '�c:t�l�� �J��'✓��
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? /v� if yes, a
compteted environmental checklist must accompany permit application.
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BUILDING OWNERlTENANT NAME: ' � n'� - ��:�tCt;rrr � c,.ri� �'I':�/�� .� � i�
ADDRESS ����, r�.;�;� t���i'(�. "L✓� �"11� EMAIL /-�r'Y� {�e�c�`f- ,�t� � i'1 �
CITY `����i�v1 STATE f�A ZIP � ���7 TELEPHONE �6 � 7 � `�
ARCHITEGTIENGINEER LICENSE#
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
GENERAL CONTRACTOR ��r►'a�� " v � TELEPHONE �(�v T G' J �
ADDRESS �°'fl �C?JC /O EMAIL�QrY►i� D��Y�t'N� lcl'/tnQ�I �to/►�
CITY_�@I'1�h P� STATE i,�¢1 ZIP-yZ'� �' 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 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 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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Applicaht's .'gnatu� Date
Owner/"Cor�tr�tor/Owner's Agent/Contractor's Agent/Tenant (Pleas 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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(360)458-3835 !
105 Yelm Aue W '
(360)458-314�F�=.-::-=_-__-=:?
Yelm, WA 98597 www.ci.yelm.wa.us
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Corporations: Registration Detail Page 1 of 1
YELM BOOTfAMP AND PERSONAL TRAINING STUDIO LLC
UBI Number 603241197
Category LLC �
ARive/Inactive Ac[ive
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State Oflncorporation WA
...... . .. . .__._w__. .___.__..__....._..._...�_.....W _ _.. __...��_ ._.�._j
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WA Flling Da[e 09/25/2012 � _
._ . _... ..._.._�..._..,__.__.____ .�...___........._..._..,.,.......__.�...__._______......�_._.�....._._..�. _ _ __.____.,.... _,........�
Expiration Date 09/30/2015
Inactive Date
..._. . .w.....�.. .....�e.._.�......____..._..w... ..�.._,__�__...�. .._._..__._....e._.._�...�...._._._._.____..w.....,.,.. . _.__...m..a
DureUon Perpetual � � �� �
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Registered Agentlnformation '
. _.m._ ��.�.o.��,.n....�.»,»�,n.�..,,..m...e���.m,m��._..�.� �.,_.,.�.�
Agent Name AMY HONEY `
___��_��._.__.�_�__m�_____ �_ _...m._ m____� � __..(
Address 2915 NATURE LN SE
City TENINO
State WA
_.___ .. .____�_ .._..___.. _..._�._. _____ _.�.___.__ �.___.__...
ZIP 985899695 �
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Special Address Information
Address PO BOX 1039
City TENINO
State WA
Zip 985891039
�iOVEV'fiiflg PC�'r50I5
Title Name Address
Member HONEY,JAMIE PO BOX 1039
TENINO,WA985891039
Member HONEY,AMY PO BOX 1039
TENINO,WA985891039
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http://www.sos.wa.gov/corps/search_detail.aspx?ubi=603241197 12/9/2014