BLD-05-0308
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Permit No
BLD-05-0308- YL
Issue Date. 09/26/2005
(Work must be started within 180 days)
Receipt No
38341
Appli~ant:
Name. Sunrise Homes
Phone:
360.458.3200
Address. PO Box 727
City' Yelm
State: WA Zip 98597
Property InfoflTlation:
Site Address. 609 Yelm Avenue West
Assessor Parcel No. 82800001400
Subdivision.
Lot:
Contractor information:
Name: Sunrise Homes
Contact:
Phone.
Address.
City'
State:
Zip
Contractor License No
Expires.
Business License:
Project Information:
Project: Sunrise Homes Re-roof
Description of Work: Tear-Off and Re-Roof
Sq. Ft. per floor' (1 st) 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
Building Permit - Other
TOTAL FEES
181.25
$181.25
0.00
000
o 0000
o 0000 $1,000
P\ I\J \j -t~. M-'L
Applicant's AffatlclVit:
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
rn,;,(e"", ;, I e SI,le 0 W"h;"e.,
OFFICIAL USE ONLY
# Sets of Prints.
<0
Final Inspection:
Date: ]30I~
~Lv
By'
Firm
1P' ~TI 1C->>
SEP 2 6 7001
Permit Fees Schedule
City of Yelm
Community Development Departm nt
Building Division BY
Phone: (360) 458-8407
Permit No BLD-05-0308-YL
=
Fax: (360) 458-3144
Applicant:
Name: Sunrise Homes
Phone
360.458.3200
Address PO Box 727
City' Yelm
State. WA Zip 98597
Project Information
Project: Sunrise Homes Re-roof
Description of Work: Tear-Off and Re-Roof
Site Address 609 Yelm Avenue West
Assessor Parcel No. 82800001400
Fees.
Item
Acct Code
Item Fee
Base Amt Unit Fee
Unit Rate No Units Unit Desc
Building Permit - Other
032 001-322-1 0-00
181.25
000
000
o 0000
00000 $1 000
TOTAL FEES.
$181.25
RECEIPT No 38 3 41
RECEIVED
-, ,
--, '\.~
. - ,
RECEIVED FROM
DATE
REC NO
AMOUNT
REF NO
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CITY OF YELM
COMMERCIAL BUILDING PERMIT APPLICATION FORM
Project Address: hOg t(C>/rI) (te Parcel#:W~OCf) O/ytJ(1.P 2 6 Z005
Zoning; Current Use Proposed Use
U New Construction U Re-Model~:~~Tenant Improvement
U Plumbing U Mechanical U Ir revenVSuppress/AI rm
Project Description/Scope of Work:
'-.Y
Project Value: I 7 .~
!
Building Area (sq. ~ Parking Garage
Building Height ()
Are there any environmentally sensitive areas located on the parcel? J2i)
completed environmental checklist must accompany permit application.
\
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rei.
3rd Floor_
If yes, a
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2. G fur.to
ARCHITECTIENGINEER
ADDRESS
I CllY STATE
GENERAL CONTRACTOR
ADDRESS
CllY STATE
CONTRACTORS LICENSE #
ZIP
LICENSE #
EMAIL
TELEPHONI::
TELEPHONE
EMAIL
FAX
EXP DATE CllY LICENSE #
ZIP
PLUMBING CONTRACTOR
ADDRESS
CllY STATE
CONTRACTOR'S LICENSE #
TELEPHONE
EMAIL
FAX
EXP DATE CITY LICENSE #
ZIP
MECHANICAL CONTRACTOR
ADDRESS
CllY STATE
CONTRACTOR'S LICENSE #
TELEPHONE
EMAIL
FAX
EXP DATE CITY LICENSE #
ZIP
--
Copy of City Mitigation documentation (TFC).
I~~
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
~QQ~ ~~ D~a6/03
Owner J Contractor I Owner's Agent I Contractor's Agent I 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
105 Yelm Avenue West
PO Bor 479
Yelm, WA 98597
(360) 458-3835
(360) 458-3144 FAX
www.ci.yelm.wo.U8
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CITY OF YELM
REQUIREMENTS FOR COMMERCIAL PLANS SUBMITTAL
Cover Sheet Must Include the Following:
Address of Building
Owner of Building and Phone Number
Architect and Phone Number
Contractor and Phone Number
Building Use
Legal Description
Zone
Code (Seismic, Wind, Snow, Live Load and Dead Load)
Occupancy Group
Construction Type
Building Area
Plans Must Also Include the Following:
Five (5) Full Sets of 24" x 36" Plans - one of these may be a ~-scale set - which
include
Prints must be drawn and stamped by an Engineer or Architect*
Foundation plan and details
Structural plan and details
Area separation walls/Rated corridor details
Elevations
Number of stories
Building height
Roof drainage
Mechanical drawings
Electrical drawings
Plumbing drawings
Exits
Fire alarm or sprinkler systems, if required
NRED (Non Residential Energy Code)
Two (2) Sets of Specifications
* With the approval of the Building Official, small non-structural projects need not
have a stamp
105 Yelm Avenue West
POBox 479
Yelm, WA 98597
(360) 458-3835
(360) 458-3144 FAX
www.ci.yelm.wa.us