BLD-05-0098
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CITY OF YELM - BUILDING DEPARTMENT
CERTIFICATE OF OCCUPANCY
Building Address 1202 Yelm Ave. E, Ste B Fire Zone
Occupancy Group B
Owner Name Forbest Partners Use Zone C-1
Owner Address P.O. Box 12540 Type of Construction V-B
Olympia, WA 98508
Building Permit Number BLD-05-0098- YL Plan Number
Has been inspected and the following occupancy thereof is hereby authorized
Area under Maximum Maximum Allowable
Floors Occupancies This Certificate Occupant Floor Loads
Square Feet Load Lbs per Sq Ft.
1 B 1106 11
Remarks
Areas Inspected
Special Conditions
Is Building Sprinklered?
YES
X_NO
Building Official
Gary Carlson
Date
July 15, 2005
POSTING The Certificate of Occupancy shall be posted in a conspicuous place
on the premises and shall not be removed except by the Building Official
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City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Permit No
BLD-05-0098-YL
Issue Date 04/07/2005
(Work must be started within 180 days)
Receipt No
36101
Applicant:
Name. Forbest Partners
Phone.
360-352-2004
Address POBox 12540
City' Olympia
State: WA Zip 98508
Property Information.
Site Address. 1202 Yelm Ave. E, Ste. B
Assessor Parcel No. 22730110103
Subdivision: N/A
Lot: N/A
Contractor Information:
Name' PBJ Contracting, Inc.
Contact: Berchaurer, Patrick
Phone. 754-5788
Address POBox 11489
City' Olympia
State. WA Zip 98508
ConuaClOr License i'lo: 1"t:l.J\';UI"lbUI\U
t::.xplres. OIl/09/05221
Business License
Project Information:
Project: Pay Day Loans TI
Description of Work: 1106 Square foot TI
Sq. Ft. per floor' (1 st) 1106
(2nd) 0
(3rd) 0
Garage 0
Basement 0
Heat Type (Electric, Gas, Other) GAS
Fees.
Item Item Fee Base Amt Unit Fee Unit Rate No Units Unit Desc
....-----------------..------ -------------
Building Permit - Other 231 58 000 000 o 0000 o 0000 $1 000
Building Plan Review 150 52 000 000 o 0000 o 0000
Plumbing Permit 3400 2000 1400 7 0000 2.0000 Fixture
Sewer ERU 5 417 00 0.00 5,41700 54170000 1 0000 ERU
Sewer Inspection 145 00 000 145 00 1450000 1 0000 ERU
Sewer Deposit 5000 5000 000 o 0000 o 0000
Water Meter (Commercial) 300 00 300 00 000 o 0000 o 0000
Water ERU 1 500 00 000 1 500 00 1,5000000 1 0000 ERU
Water Deposit 4000 4000 000 o 0000 o 0000
Traffic Facilities Charge 3052.50 000 3 052.50 7500000 4 0700 Peak PM Trip
State Building Fee 450 450 000 o 0000 o 0000
TOTAL FEES $10,925.10
Applicant's Affadavit:
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 record. If applying as a contractor I futher certify that I am currently
registered in the State of Washington.
Signature ~LL-he./ CR ~~-~'> Date L/ - 7 - c 5
Firm
RECEIPT No. 36101
RE...C..f!v...~N THOUSAND NINE HUNDRED TWENTY FIVE DOLLARS & 10 CENTS
RECEIVED FROM
FORBEST PARTNERS LLC
P.O. BOX 12540
OLYMPIA, WA 98508
DATE
REC. NO
AMOUNT
10,925 10 CHECK
REF NO.
5170
04/07/05 .36101
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SITE 1202 YELH AVE E STE B
MISCELLANEOUS RECEIPT
GRETCHE}!
BLD PER 231 58, PLN REV 150 52. PLM 34, SEW ERU 5417. SEW INS 145, CONS DEP90
liAT HET 300. \\lAT ERU J 5100. TRAF 3052 50. ST BLD FEE 4 CJ0
-- -- - ----- ---" -~ --------~ ---~ -- ----- - --- - -- -- --.- .- .__.~- --- --- ---- ---- -- -- --- --. ----- ---- ------ .--. --.- - -- ---
--- - -- ----
-- ----------
~~~~~~~I
~~~CITYOF !
tr ------ t~ YF.T.M 6102 I
c:EJ ;OB~~79 RECEIPT No. 3
Yelm, WA 98597
..YE!-"~L. 360-458-8403
R~i;l~ENTY TWO THOUSAND SEVEN HUNDRED FORTY DOLLARS & 86 CENTS
RECEIVED FROM
FORBEST PARTNEPS LLC
P O. BOX 12540
OLYMPIA. WA 98508-
SITE 1202 YELM AVE E STE C
DATE REC. NO
04/07/05 36102
AMOUNT
22.740 86 CHECK
REF NO
5171
MISCELLANEOUS RECEIPT
GRETCHEU
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BLD PER 594 46. PLN REV 35~ 40, PLM j~. SEW ERU 10234. SEW INS 290.
e 'J ~ on ~"" CJ/; 'f'R "'F ""71 7 t:jC^ s'r 3LD Ff:E <1 50
"U\ T H f~ T 3 e \C '" .-u t.' C\ ' , Z-, x:' . ~"\ ;, . 1. - ~
CONSDEP90
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City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:
Name: Forbest Partners
Address. POBox 12540
Project Information:
Project: Pay Day Loans TI
Description of Work: 1106 Square foot TI
Site Address. 1202 Yelm Ave. E, Ste. B
Fees:
Item Acct Code
Building Permit - Other
032001-322-10-00
Building Plan Review
100001-345-83-00
Plumbing Permit
032001-322-10-00
Sewer ERU
802412-343-50-01
Sewer Inspection
805412-343-80-00
Sewer Deposit
742402-389-01-00
Water Meter
(Commercial)
712 401-843-80-01
712401-343-80-01
Water ERU
740402-389-00-00
Water Deposit
420 120-344-85-00
Traffic Facilities Charge
160001-386-00-00
State Building Fee
TOTAL FEES.
Permit Fees Schedule
Permit No BLD-05-0098-YL
Phone:
360-352-2004
City' Olympia
State. WA Zip 98508
Assessor Parcel No. 22730110103
Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
-------------
231.58 000 000 o 0000 0.0000 $1,000
150 52 000 000 o 0000 0.0000
3400 2000 1400 7 0000 2.0000 Fixture
5,41700 0.00 5,41700 5,417 0000 1 0000 ERU
145.00 0.00 14500 145.0000 1 0000 ERU
5000 5000 000 o 0000 0.0000
300 00 300.00 000 o 0000 o 0000
1,500.00 000 1,500 00 1,5000000 1 0000 ERU
4000 4000 000 o 0000 o 0000
3,052.50 0.00 3,052.50 750 0000 4 0700 Peak PM Trip
450 4.50 000 0.0000 o 0000
$10,925.10
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Tami Merriman
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Page 1 of 1
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From Gary Carlson
Sent: Wednesday, March 30, 2005 10'30 AM
To. Jim Gibson, Tami Merriman
Subject: DQ Building
Jim & Tami,
I need eru's and TFC's for Mike McKinnon's building 2580 sf will be for John L Scott and 1106 sf will be for an
unnamed Mortgage Company
My Occupancy numbers are 25 for JLS and 5 for the Mortgage Company I checked with Janine and JLS now
shares a meter with Pizza Hut and Subway
Mike would like the permit yesterday
Gary
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3/30/2005
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03/30/2005 15 08
3609435154
CITY OF YELM
COMMERCV----.,UILDING PERMIT APPLICATION FOR"')
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Project Address' ~02 e p-sT Yeun ,9~ Parcel #.~7~ 3 - "f';' ~
Zoning: c.- , CUrTentUse $"-rl.lf' f\.e;tl\IL ProposedUse:~f..\.rre '1- PAyOrTY LO....N
s.'-L''-~ Ct () - 'P-~~ L~srlt r~
j U New Construction AS. Re-Model { R&-Roof enanl 1m tovement ~ p. fClt ~
U Plumbing U Mechanical U Fire PrevenV uppress/A arm U Other
Project Descrlptlon/Scopa of Work: /AJ$.'f..-t..f-. ~tC.I-.(r, (/A-(,.v~J T=- p~ M~JLIA{ 1.5 /:3- p""~6dl'J~
Projecl Value ~~ fJ:tr l>(f..:;:-! t..J ,>-j 2-D
Building Area (SQ 1\) Parking Garage / 1M Floor~nd Floor 3rd Floof_
Building Heighl CeIUI4t. #Q'" I-C If -I(J 1-..;.. /I ()IJ 12..~y
Are there any environmentally sensItive areas located on the parcel? NO. If yes, a
completed environmental checklist musl accompany permit application
BUILDINCi OWNERfTENANT NAME. ~Or..I!e.&...'" M/l.-r/leU -U1C--
ADDRESS ~l~ ~t') ..ij~J( l.P6rO EMAIL m'l:...~ (hI rlJ D()...~ lAY>
CITY /)LI""" /JJ STATE rl)A.. lIP 9~~8 TELEPHONE.:s,s~-a.,OClfi
I AR~J:I~~~T /ENGINEER ~ A
I ". ,. ,. II .,-_
j CITY''''~v STATE
LICENSE #
Cl'AII
.......t~,...
ZIP
TELct"'HUNt:
'--
GENERAL CONTRACTOR TELEPHONE 70S" -
ADDRESS i>~, B ()X' EMAIL .
CITY OJ,'( STATEv<'1I ZIP So FAX
CONTRACTOR'S LICENSE #$e~t./~(!./) EXP DATE CITY LICENSE #E-s/sr/ql
PLUMBING ~NiRACTOR ..[).1~ fl.U/I'Igp,/i TELEPHONE 7$(,.- ~t.ftrL/
ADDRES~'1 i=tJt.ol'l ~D; iB ~EMAIL
CllY ~f7!i..It4- STATE ~. ZIP ~1' I FAX
CONTRACTOR'S LICENSE #AT..$. n, ~ O<'~G I EXP DATE CITY LICENSE # ~){Js. r I"" ,
MECHANICAL CONTRACTOR .sUN~@ T ",ll... TELEPHONE $IS~- tf 9$
AODRESSS.LJ/9 ,J.."~c:Y ,BI..f4J EMAIL
CI1Y STATE ZIP 9'e6~ FAX
CONTRACTOR'S LICENSE bi-N5-F-"~....2tUe."'EXP DATE CITY LICENSE # -CXIA""/~G
copy of CIty Mltlglltlon documentAtion (TFC).
I hereby oertlfy thlll tha abbv. InIMmatlon I. COfTKt and thftt the construetlo" 01\, and the occupancy and 1tI, UII of the
above d.&Cr1~d pRJperty will be In accordance whh thl law.. rule. and Illgulatlonll of the Sla1e of WOllhlngtOfllnd the
Ctty of Yelm.
'7fc.td-J /)/??L-~ ~
pp 'cant's Signature
Owner I Contractor J Owner's Agent { Contractor', Agent I Tenant
8"'3n-~
Date
(Please circle one)
AU permits are non-transferable and will expire If work authorized by such permit is not begun
within 180 days of lasuance, or If work Is suspended or abandoned for a period of 180 days
lOti Yelm AVi!Rut W".t
PO Box 479
Yi!lna, WA ~8681
(.Y&OJ 4SB-38J5
(dID) 468-31UF'AX
www.d.y~lm.It.II. ....
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