M-05-0204
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 0 rec ~ If applying as a contractor I futher certify that I am currently
regist I the St of h' gt .
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:
Name. All Seasons Inc.
Address. 5001 N 28th St
City' Tacoma
Property Information:
Site Address. 15037 105th Ave SE
Assessor Parcel No 65080003400
Subdivision.
Contractor Information:
Name. Applicant
Address.
Contact:
City'
Contractor License No.
Expires.
Project Information:
Project: Smith AlC
Description of Work: 2-1/2 Ton Air Conditioner
Sq. Ft. per floor (1 st) 0
(2nd) 0
(3rd) 0
Heat Type (Electric, Gas, Other)
Fees.
Item
Item Fee Base Amt
Mechanical Permit
TOTAL FEES
33.25
$33.25
0.00
Applicant's Affadavit:
Date
Firm
Unit Fee
Permit No
M-05-0204- YL
Issue Date' 08/12/2005
(Work must be started within 180 days)
Receipt No
37996
Phone:
253-879-9143
State: WA Zip 98407
Lot:
Phone:
State.
Zip:
Business License:
Garage 0
Basement 0
Unit Rate
No. Units Unit Desc
000
0.0000
o 0000
OFFICIAL USE ONLY
# Sets of Prints.
'~2/o
Final Inspection:
Date: 1'/11/05
( /
By' /,AI(
Applicant:
Name. All Seasons Inc.
Address. 5001 N 28th St
Project Information.
Project: Smith A1C
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
?I\\O
\ t ?5J'iJ~
~\.\b
Of '{€,\..\A
C\\'<
City' Tacoma
Description of Work: 2-1/2 Ton Air Conditioner
Permit Fees Schedule
Permit No M-05-0204-YL
Phone.
253-879-9143
State. WA Zip 98407
Assessor Parcel No. 65080003400
Site Address. 15037 105th Ave SE
Fees.
Item
Mechanical Permit
Acct Code
Item Fee Base Amt Unit Fee
Unit Rate No. Units Unit Desc
o 0000
o 0000
032001-322-10-00
33.25
000
000
TOTAL FEES.
$33.25
RECEIPT No 37996
RECEIVED
*~A;*Tf{I~TY THF'EE DOIILAf'~ &
co
- L;' T t
RECEIVED FROM
!\LL ~;EA)nN I.NC
5~5(jl 1.1 l.cjTH' ~.JT
DATE
REC NO
AMOUNT
FiEF NO
(L?;L_/05
~~7~-I:):1
-' -' -~
J r~ (1 f ; --, 1"f
T ~ C Ci 1-1]J" \11\
'::'B4, 7
:elrJLC;CT~F y
~[) ~~ ~~7:).~Clj44
r".r.,r!7T=
1 ,-
, .
rr -,p
Ilr~ ({~UilTrlI.l1~Cr
,1'1'2 1. '"Jj-" l05T!i i\\r' ~jE
. .
. - .:.. ' -..'.
RECEIPT No.3 715 8
RECEIVED
****THIRTY FIVE DOLLARS & 00 CENTS
RECEIVED FROM
ALL SEASONS INe
5001 N 28TH ST
TACOMA WA 98407
253-278-9344
DATE REC. NO
07/01/05 37158
AMOUNT
35.00 CHECK
REF NC
9246
BUDGETARY
MICHELLE
BUS LICENCE APPLICATION
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address. lS03:t 1D5-f-Vl AU s.e Parcel#' Lo50'~OOO34CO
R~C'
E:/l
JIJ.! 0 1 V~lJ
, lOa}
Subdivision I
Lot #. ~ 3'?32.oB'l-
Zoning, MPC
o New Constructio~ 0 Re-Modell Re-Roof 1 Addition 0 Home Occupation Sign
o Plumbing 8' Mechanical 0 Mobile 1 Manufactured Home Placement 0 Other
Project Description/Scope of Work: I~SIAt-L 2'/2- -rr::>>J ~2.. SE8.- A-~ CO JJD 11l0UE:Q.
Project Value
3400.00
Building Area (sq ft) 1 st Floor
Basement
2nd Floor
Carport
Garage
Patio
Deck
# Bedrooms_
# Bathrooms_
Heating GAS/OTHER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? j..Jo
completed environmental checklist must accompany permit application
If yes, a
Bt!)'!~@!J~K~X~~ttJ]~Ri.lliJ.~M~ .K l.\ J>r t..J <SJJ. l Tt\-
ADDRESS I ~ 3'1- [D5+'" MJ€:. Se- EMAIL
CITY ':\E:L~ STATE lOp.. ZIP q<aSC\-=f- TELEPHONE "6<cO- 4Co - 3.1<.cB
A..RGj1!fI~j;~'T]~N~n~f$"~R
ADDRESS
CITY STATE
ZIP
LICENSE #
EMAIL
TELEPHONE
GE'f~H~j:&~~:'B'qNhT~~~]GJ:R
ADDRESS
CITY STATE
CONTRACTOR'S LICENSE #
Pb~M.~IN.~.0~Nm.~<2ji1J0~
ADDRESS
CITY STATE
CONTRACTOR'S LICENSE #
ZIP
TELEPHONE
EMAIL
FAX
EXP DATE CITY LICENSE #
ZIP
TELEPHONE
EMAIL
FAX
EXP DATE CITY LICENSE #
rI(1EpHANlcAL b'6'NTRACm~R AU- SE:A8:lI-JS /1-Jc. TELEPHONE 2<.;3- 2..:J-B-<1 ~44
ADDRESS roco I N ZCO+h 51 EMAIL
CITY 'l^WN..fl<- STATEwA ZIP Q9401- FAX 2.S3-B=t'l-QI43
CONTRACTOR'S LICENSE # ALLSEJ:*0305SEXP DATE CITY LICENSE #
Copy of mitigation agreement with Yelm Community Schools, if applicable
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.
00-3)- 2CD5
Applicant's I n ture Date
Owner / Contra or I Owner's Agent I Contractor's Agent (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
POBox 479
Yelm, WA 98597
(360) 458-3835
(360) 458-3144 FAX
www.ci.yelm.wa.us
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General/Specialty Contractor
A business registered as a construction contractor with Lal to perform construction work within the scope
of its specialty A General or Specialty construction Contractor must maintain a surety bond or assignment
of account and carry general liability insurance
License Information
License ALLSEI*03055
Licensee Name ALL SEASONS INC
Licensee Type CONSTRUCTION CONTRACTOR
UBI 601811007 Verify Workers ComR Premiwm
SJatus
i Ind. Ins. Account
Id 87655701
Business Type CORPORATION
Address 1 5001 N 28TH ST
Address 2
City TACOMA
County PIERCE
State WA
Zip 98407
, Phone 2532789344
Status ACTIVE
Specialty 1 AIR CONDITIONING
Specialty 2 AIR HEAT,VENTILATION,EVAPORAT
Effective Date 8/25/1997
Expiration Date 12/17/2005
Suspend Date
Separation Date
Parent Company
Previous License ALLSEC0770M
Next License
Associated
License
Business Owner Information
I
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7/5/2005
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Page 2 of3
Effective Expiration
Name Role Date Date
AMBUR, KEN PRESIDENT 08/25/1997
BRADSHAW, VICE
DAVID PRESIDENT 08/25/1997
Bond Information
i Bond Bond
Company Account Effective Expiration Cancel Impaired Bond Received
Bond Name Number Date Date Date Date Amount Date
GREAT
AMERICAN
INS CO OF Until
#4 NY 790286562422 08/15/2002 Cancelled $6,000 00 07/19/2002
INDEMNITY
INS CO OF N Until
#3 AMERICA CWACS62422 12/05/2001 Cancelled 08/18/2002 $6,000 00 07/19/2002
, INDEMNITY
INS CO OF N
[#2 AMERICA CWACS62422 08/15/2000 12/05/2001 $4,00000
DEVELOPERS Until
#1 INS CO 441846C 08/22/1997 Cancelled 08/28/2000 $4,000 00
, " ....
Savings Information
No Matching Information
I:
Insurance Information
i Company Policy Effective Expiration Cancel Impaired Received
Insurance Name Number Date Date Date Date Amount Date
WESTERN
NATIONAL
#7 ASSURANCE CP300006684 03/28/2005 03/28/2006 $1,000,000 00 05/02/2005
AMERICAN
STATES INS 01 CE152827-
#6 CO 90 12/17/2004 12/17/2005 $1,000,000 00 11 /17/2004
AMERICAN
STATES INS
#5 CO 01CE152827 12/17/2003 12/17/2004 $1,000,000 00 12/15/2003
AMERICAN
STATES INS
#4 CO 01CE152827 12/17/2002 12/17/2003 $1,000,000 00 12/23/2002
SAFECO INS
CO OF
#3 AMERICA 01CE152827 12/17/2001 12/ 17/2002 12/11/2001
AMERICAN
STATES INS
#2 CO 01CE152827 12/17/1999 12/ 17/2001 11/21/2000
AMERICAN
#1 STATES 01CE15282710 12/17/1996 12/17/1999
..,",.., , .",
Summons I Complaints Information
. . .
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Page 3 of3
Tax
Summons I Cause Warrant Dismissal Complaint Complaint Judgement Judgemer
Complaint Number Id Plaintiff County Date Date Amount Date Amount
KELLER
SUPPLY
#1 992003681 CaiNe THURSTON 08/2412000 03/08/1999 $1,303 69 $000
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