20150156 Permit Pkg 04062015City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: MOOSE LODGE
Address: P.O. BOX 757
YELM WA 98597
Property Information:
Site Address: 1117 YFI M OVF W
Assessor Parcel No.: 21744120301 Subdivision: N/A
Contractor Information:
Name: MOOSE LODGE
Address:
P.O. BOX 757
YELM WA 98597
Contractor License No.: Expires
Permit No.: 20150156
Issue Date: 4/06/2015
(Work must be completed within 180 days)
Phone: 360- 458 -3381
Owner: MOOSE LODGE
Phone:
0 /00 /0000
Project Information:
Project: SIGN
Description of Work:
MONUMENT SIGN ELECTRONIC
Sq. Ft. per floor:
Heat Type (Electric, Gas, Other):
First
Second
Third
Garage
Basement
Fees:
Item
Contractor
SIGN
MOOSE LODGE
TOTAL FEES:
Applicant's Affidavit:
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 further certify that I am currently
registered in the State of Washington.
Signature G% / !� 4 /�'v� !� ��� Date
Firm N (S' y v � l� I �� l/ r i/ %17G c S-e L v
Lot: N/A
Fees
$ 20.00
$ 20.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
City of Yolm
(36 ) 458 -3244
REC #: 00191607 4/08/2015 3:10 PM
OPER: CO TERM: 001
REF #: 27406
PAID BY:
IRAN: 33.0000 BUILDING PERMITS
20150156 20.000R
MOOSE LODGE
1117 YELM AVE W
SIGN 20.000R
TENDERED: 20.00 CHECK
APPLIED: 20.00-
CHANGE: 0.00
ZolSolsz".Cl
CITY OF YELM
SIGN PERMIT APPLICATiGN FORM
Project Address: 1 1 1 7 ! £ LrA kl� W , Parcel # 2l � 'L 11 / K' O � j 0
Zoning; Current Use: Proposed Use:
Type /Number of Sign(s) (wall, monument, lighted, etc.) L£aG F— A rt"(1ACLi!c. V
Dimensions of Sign(s):
Building Gross Floor Area (sq. ft): _ff-3 ,5_1
Building Height:
Existing Signage (if any) and dimen
APPLICANT f- e_
p Last Name First Name
ADDR SS 1 6 '56)S `Z 5'7 EMAIL L.Q�G2190 5 �Mdessvrrr��S
CITY I L STATE W�_ZIP S TELEPHONE `$6V 7"�9 SSfi S
BUILDING TENANT
ADDRESS EMAIL
CITY STATE w1P TELEPHONE
SIGN CONTRACTOR `S'�i,..�(►� 1 , 1 G 5 —TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTORS LICENSE # EXP DATE CITY LICENSE 9
I hereby certify that the ab a information is correct and that the construction of the above described sign witl be in
accords rules and reguiations of the State of WsshinSton and the City of ``eirtt.
Appiiea _ re Date
Owner/ Contractor / Owner's Agent/ Contractor's Agent l 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
MAR 2 5 2015
105 Felm Af enuefiesr (3 q)k 36'35
PO Box 479 (3 ) 4T, #?7 -f�T�T
Yelm, HA 9SS97 11-Uw, , elfn.rtaus
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Nisqually Valley Moose Family Center Consultant:
1905 Jane Hyde, x174
jhydeC@stewartsigns.com
k el t Lacey, WA 98503 Direct Fax: (888) 328 -4524
star t Customer ID: 3111319
Acgxslatomw. Quote #: 853873 / 1
Quoted: 1/30/2015
Attn: Jim Hurst
360- 951 -4750
4'x 6' Double Sided TekStar 24x80 Full Color with 12" Deep, Hinged Extruded Aluminum Cabinet and
Thermoformed Makrolon SL Faces Decorated on Inside Surface with 3M Vinyl Graphics.
I Face / Cabinet Details I
Internal TekStar Cabinet with Complete LED Display
Header Area Decorated with Internal Photo -Real Graphics
Assembly, 20mm 24x80 Color
Electrical Information
Horizontal Lamp Illumination with Electronic Ballast(s)
One 20 Amp Circuit, 120 Volts; Max Draw: 8.6 Amps
LED Communication Method: Short -range Wireless;
Sign Command Software Included (NOT COMPATIBLE WITH
connectivity requires line -of -sight between sign antenna
NETWORKS)
and wireless device antenna mounted on building by
customer. Maximum distance of 1,500 feet* between
antennas.
TekStar USB Box with 3' flexible conduit attached to
cabinet and the USB Box to be remote mounted by
customer
r
Structural Details
Mount Style: MP1- Matchplate 1 -Pole
Mount Size:
Overall Sign Height: 4 Ft 0 In
Minimum Wind Load Rating: 120mph, Exposure B
1
t Miscellaneous Items !
Shipping included
Custom Review • for • and Layout Details
I.D. Cabinet: Dark Brown Draft: White
Header Copy: White Mount: Dark Brown
Investment: $13,974.00
Special Price: $13,474.00
Unless otherwise noted in Special
Instructions, these prices are valid for 60
days.
Freight, storage, other freight services and
applicable sales tax will be added to your
invoice.
Organizations exempt from sales tax must
include exempt certificate with order.
Shipping Terms: F.O.B. Origin
Payment Terms: Net 30 Days
Stewart Signs - 2201 Cantu Court - Suite 215 - Sarasota, FL 34232 -6255
Phone: (800) 237 -3928 Fax: (800) 485 -4280 Web: www.stewartsigns.com Tax ID: 20- 5076284
Rev. N W488WA688 Last Printed: A. /30/2015, 11:07:22AM