M-05-0421
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Permit No
M-05-0421-YL
Issue Date 12/29/2005
(Work must be started within 180 days)
Receipt No
39551
Applicant:
Name: Robbins Air Inc.
Phone:
360-538-7003
Address. P.O Box 2233
City' Aberdeen
State: WA Zip 98520
Property Informa!ion:
Site Address. 101 Yelm Ave. West
Assessor Parcel No. 64400200100
Subdivision: N/A
Lot:
Contractor Information
Name. Applicant
Contact:
Phone:
Address.
City'
State:
Zip
Contractor License No.
Expires.
Business License.
Proj~ct Information.
Project: Timberland Bank
Description of Work: Heat Pump
Sq. Ft. per floor (1st) 0
(2nd) 0
(3rd) 0
Garage 0
Basement 0
Heat Type (Electric, Gas, Other).
Fees.
Item
Item Fee Base Amt
Unit Fee
Unit Rate
No. Units Unit Desc
Mechanical Permit
TOTAL FEES.
29.50
$29.50
000
000
o 0000
o 0000
c..A\J 1=J'I..) A ( A" I ~ L f'V\
v I -nO, 0 1<-"
ApplicCint's Affaciavit:
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
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 futher certify that I am currently
registered in the State of Washington.
~~,
# Sets of Prints.
Signature
Date Z C; Oc c. ZOO -
Final Inspection:
Date ?f.. 'A Jd,
. I
By'
Firm
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I M~~ CITY Of
I lit.)I"---~' .-11 -. - - .
, liiL--:'v',c, \t YlELM
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RECEIPT No 3 9551
FiECEIVED
****TWENTY NINE DOLLARS & 50 CENTS
FiE.CEWE:D i=ROM
DATE
FlEe NO
AMOUNT
l'lEF rm
BUDGETARY
50.00 CASH
20.50-CASH
29.50 TOTAL
ROBBINS AIR INC
P.O. BOX 2233
ABERDEEN WA 98520
360-538-7003
12/29/05 39551
-H"rCHELLE--------~-----'-------
MECH PERMIT 29.50
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Electrical Contractor
A business licensed by Lal to contract electrical work within the scope of its specialty Electrical
Contractors must maintain a surety bond or assignment of savings account. They also must have a
designated Electrical Administrator or Master Electrician who is a member of the firm or a full-time
supervisory employee
License Il1formation
II License ROBBIAI005C9
Licensee Name ROBBINS AIR INC
Licensee Type ELECTRICAL CONTRACTOR
UBI 601844265 \LerJ.fY_WQrkers_Comp..l?cemtum
Status
I Ind. Ins. Account
r Id
! Busil1ess Type CORPORATION
Address 1 PO BOX 2233
Address 2
City ABERDEEN
County GRAYS HARBOR
State WA
Zip 98520
Phol1e 3605387003
Status ACTIVE
Specialty 1 HVAC/RFRG LTD ENERGY
Specialty 2 UNUSED
I Effective Date 2/29/2000
Expiration Date 3/1/2006
Suspend Date
Separation Date
Parent Company
Previous Licel1se
Next License
Associated HOWARN*982RR
Licel1se
"""""-~
https.//fortress.wa.gov /lni/bbIp/DetaIl.aspx?LIcense=RO BBIAI 00 5 C9
12/1512005
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Page 2 of2
Electrical Administrator Information
~
1
License HOWARN*982RR
Name HOWARD, NATHAN
Status ACTIVE
Business Owner Information
Name Role Effective Date Expiration Date
ROBBINS, CARL W 01/01/1980
ROBBINS, DONNA S 01/01/1980
ROBBINS, CARL W AGENT 01/01/1980
..""".""
Bond Information
Bond Bond
Company Account Effective Expiration Cancel Impaired Bond Received
Bond Name Number Date Date Date Date Amount Date
! DEVELOPERS
SURETY & Until
#1 INDEM CO 851782C 02/04/2000 Cancelled $4,00000 03/23/2001 .
Savings Information
No Matching Information
Insurance Information
No Matching Information
StartaNewSearCh PIiDteLErjeJJ_dlYY~LsjoD
About Lal I Find a job at Lal I Informacion en espanol I Site Feedback I
1-800-547-8367
cO Washington State Dept of Labor and Industries. Use of this site is subject to the laws of the
state of Washington
Access Agreement I Privacy and security statement I Intended use/external content policy I
Staff only link
tooton
Visit access wa.gov
https.//fortress.wa.gov/lm/bblp/Detail.aspx?Llcense= RO BBIAI 005 C9
12/15/2005
CITY OF YELM
l) .. COMMERCIAL BUILDING PERMIT APPLICATION FORM ~
proje~tAddress: ID/ 4l-1 m A VG (,{"J Parcel #. U L) '-JOPZ-t)O ItrD IJ. ~(t>~
~t' / I/~> .
Proposed Use () 6>.a . '" /)
&'~
Current Use:
Zoning;
o New Construction 0 Re-Model/ Re-Roof / Tenant Improvement
o Plumbing &"Mechanical 0 Fire Prevent/Suppress/Alarm 0 Other
Project Description/Scope of Work: f.f pill N m(nl /}{ 'glJ'(}Cl)Y he.6f:iJUlr)f UtJ d
Project value:m X to
Building Area (sq. ft) Parking Garage
1 sl Floor
2nd Floor
3rd Floor_
Building Height
Are there any environmentally sensitive areas located on the parcel?
completed environmental checklist must accompany permit application
'i & S-~
BUILDIN.G OWN~R/TENANT NAME. i yn ~ l' I ahVl an
ADDRESS 4>;).. 5. fY) . ()Yl A:J r ... EMAIL
CITY ~htrtJliLiL StTELU~ ZIP ~S.J,O TELEPHONE
pl1
ARCHITECT/ENGINEER
ADDRESS
CITY
LICENSE #
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GENERAL CON
ADDRESS_
CITY
CONTRACTOR':
PLUMBING CO~
ADDRESS_
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PO. Box 479
Yelm, WA 98597
360.45~c8403
#.
RECEIVED
>< '~. >< :frB1iJl. * '/..
~lElC!E~~t !M(Q). 39292
..
.. * '*- '~TH:r:~TrFn(E DOLLAR$ .~ 0~ C:~N\JJ~
RECEIVEDHROM BAtE REC. NO,
AMOUNT
REF NO.
\
Rcr~BIN$ AIR INC
13\L'-3 E WI:31:U{A.H
POBOX 22:53
ABERDEH:1BvlA
11/17/05
39292
10.00 CREel{
25.00 C'HECK
3~" Q0 TOTAL
11735
1.1734
Bt1DGE'l'A.RY
" ','" .~, .,':. ','." <,'~ ~
HI CHELLE
BUS LIC ROBBINS AIRE INC
4-
-,-- .-'- -
(360) 458-3835
(360) 458-3144 FAX
www.ci.yelm.wa.us
105 Yelm Avenue West
PO Box 479 ;;- (' ~ f
Yelm, WA 98597 ~r-tj /(J() 11f'{/)
j)01fl~ ~ J~o 63r~1()O~
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