BLD-05-0134
~- --1
Ie
~
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Permit No
BLD-05-0134-YL
Issue Date Not Issued
(Work must be started within 180 days)
Receipt No
37674
Applicant:
Name: Tiland/Schmidt
Phone:
503-220-8517
Address. 1420 SW Broadway
City' Portland
State. OR Zip 97201
Property Information:
Site Address. 1109 Yelm Avenue East
Assessor Parcel No 85810000100
Subdivision. N/A
Lot: N/A
Contractor Information:
Name: Elite Comercial Contracting
Contact: Boone, Doug
Phone. 253-893-3100
Address. 804 West Meeker St.
City' Kent
State. WA Zip. 98032
Contractor License No: ELlTECC020CD
Expires.
Business License:
Project Information
Project: Safeway Store #1619 Remodel
Description of Work: Store Remodel
Sq. Ft. perfloor (1st) 55297
(2nd) 0
(3rd) 0
Garage 0
Basement 0
Heat Type (Electric, Gas, Other): OTHER
Fees.
Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
--------------------------- -------------
Building Permit 100-500k 993.75 993.75 000 5.6000 o 0000 $1,000
Building Plan Review 645 93 000 0.00 0.0000 o 0000
TOTAL FEES. $1,639.68
Applicant's Affadavit:
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 t~ State of ashington.
Signature Yl .
OFFICIAL USE ONLY
# Sets of Prints.
By'
Firm
Applicant:
Name: Tiland/Schmidt
City ofYelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Address. 1420 SW Broadway
City' Portland
Project Information:
Project: Sateway Store #1619 Remodel
Description of Work: Store Remodel
Site Address. 1109 Yelm Avenue East
Fees;
Item
Acct Code
Permit Fees Schedule
PAID
JUL 2 9 2005
CITY OF YELM
31071
Permit No BLD-05-0134-YL
Phone:
State: OR Zip 97201
503-220-8517
Assessor Parcel No. 85810000100
993.75
Item Fee Base Amt Unit Fee
5.6000
Unit Rate No. Units Unit Desc
Building Permit 100-500k 032001-322-10-00
Building Plan Review 100001-345-83-00
645 93
TOTAL FEES
$1,639.68
993 75
000
00000 $1,000
o 0000
000
000
o 0000
FAX TRANSMISSION
CITY OF YELM
COMMUNITY DEVELOPMENT DEPARTMENT
PO BOX 479 - 105 YELM AVE W
YELM W A 98597
(360) 458-3835
FAX: (360) 458-3144
TO:
Ted Gentmer
DATE: MAY 13,2005
FAX #: 503-220-8518
PAGES: ~,
including this cover sheet.
FROM: Gary Carlson
Building Official
SUBJECT: Safeway #1619
COMMENTS:
Ted,
Attached is a fee break down for the remodel. To complete the permit
process I will need the contractors name and registration number.
Thanks
Gary
** IF YOU DO NOT RECEIVE ALL COPIES, OR ANY COPY IS NOT LEGIBLE, PLEASE CALL
(360) 458-3835 AS SOON AS POSSIBLE.
Document 1
Applicant:
Name: Tiland/Schmidt
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Address. 1420 SW Broadway
City' Portland
Project Information:
Project: Safeway Store #1619 Remodel
Description of Work: Store Remodel
Site Address. 1109 Yelm Avenue East
Fees:
Item
Acct Code
Permit Fees Schedule
Permit No BLD-05-0134- YL
Phone.
State: OR Zip 97201
503-220-8517
Assessor Parcel No. 85810000100
993 75
Item Fee Base Amt Unit Fee
000
Building Permit 100-500k 032001-322-10-00
Building Plan Review 100001-345-83-00
645.93
TOTAL FEES.
$1,639.68
993.75
0.00
000
5 6000
Unit Rate No. Units Unit Desc
0.0000
o 0000 $1,000
o 0000
*************** -COMM. JOURNAL- ******************* DATE OCT-24-2003 ***** TIME 04:42 ********
MODE =
MEMORY TRANSMISSION
START=OCT-24 04:42
END=OCT-24 04:42
FILE No.=793
STN COMM.
No.
KEY NAME
STATION NAME/EMAIL ADDRESS/TELEPHONE NO. PAGES
DURATION
001 OK
li
915032208518 002/002
00:00:17
-Yelm CDD
***** DP-3520 ********************** -Yelm CDD
- ***** -
360 458 3144- *********
FAX TRANSMISSION
CITY OF YELM
COMMUNITY riEVELOPMENT DEPARTMENT
PO BOXj479 -105 YELM AVE W
'1ELM W A 98597
I (360) 458-3835
FAx: (360) 458-3144
"
TO:
Ted Gentmer
DATE: M1A Y 13, 2005
FAX #: 503.220.8518
.,
PAGES: ;1 b
:;
including this cover sheet.
FROM: Gary Carlson
Building Official
SUBJECT Safeway #1619
COMMENTS:
Ted,
Attached is a fee break down for the remodel. To complete the permit
process I will need the contractors name and registration number
Thanks
Gary
i
I
* * IF YOU DO NOT RECEIVE ALL COPIES, OR ANY COPY IS NOt LEGIBLE, PLEASE CALL
(360) 458-3835 AS SOON AS POSSIBLE. !
Documcntl
TILAND / SCHMIDT
ARCHITECTS, P C
&g) OOOq6' tJ ()
TRANSMITT AL
To:
City of Yelm
Building Department
Attn. Mr Gary Carlson
105 Yelm Ave West
Yelm, Wa. 98597
From: Ted Gentner
Date: May 3, 2005
RECEIVED
MAY 0 4 70D5
Phone #:
Project:
360-458-3835
Safeway 1619 - Yelm
Project #: 24169
COPIES
2
DATE
5-3-05
DESCRIPTION
RevIsed Cover Sheet and Floor Plan w/ new Struct Dwgs S 1 & S2
REMARKS
For your use ill reviewing the proposed remodel project at the eXIsting Safeway store ill Yelm.
TransmItted by.
Ted Gentner
Copy to
File
1420 SW BROADWAY
(503) 220-8517
PORTLAND, OREGON 97201
FAX (503) 220-8518
STRUCTURAL CALCULATIONS
FOR
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INTERIOR REMODEL
YELM, W A
APRIL 29, 2005
DESIGN & PARAMETERS
MINIMUM LATERAL LOAD
SEISMIC
5 psf
Use Group 1 (2003 mC)
SIte Class D
SDS = 0 804
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INTERIOR REMODEL
YELM, W A
APRIL 29, 2005
DESIGN & PARAMETERS
MINIMUM LATERAL LOAD
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Tigard, Oregon 97223
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SAFEWAY YELM
INTERIOR REMODEL
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Chk: Date:
Job #' 5119
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Zoning;
Project Address:
Cl
CITYOFYELM Received
COMMERCIAL BUILDING PERMIT APPLICATION FORM APR 2 0 2005
\ leA i aM It~fi:;. ~ Parcel #. e;5"8 10000 I 00
Current use:..16~1 Proposed Use. tJ:,~'1
o New Construction )<Re-Model/ Re-Roof / Tenant Improvement
o Plumbing 0 Mechanical 0 Fire Prevent/Suppress/Alarm 0 Other NE
Project Description/Scope ofWork:j,l1 f~Ti LE- Irfr. ~~A71dN / ff+tNf" +~e:~.S~
Project Value: ~C(),()()()
Building Area (sq. ft)
Building Height 40
Parking Garage
1 sl Floor
~~ ,,1\
2nd Floor 3rd Floor
'/100lP
t-.lD
Are there any environmentally sensitive areas located on the parcel?
completed environmental checklist must accompany permit application.
If yes, a
. c.D fIJ
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11
GE~-';Rt.[ CONTR)~~gI9B
ADDRESS
CITY STATE ZIP
CONTRACTOR'S LICENSE #
PbUt\113jNG _GQI\JTRA~TgR
ADDRESS
CITY STATE ZIP
CONTRACTOR'S LICENSE #
'MECHANicAL CONtRACTOR I 'k?LI
- .- --- ---. .----.,-,.....- --,-
ADDRESS
CITY STATE ZIP
CONTRACTOR'S LICENSE #
TELEPHONE
EMAll
FAX
EXP DATE CITY LICENSE #
TELEPHONE
EMAIL
FAX
EXP DATE CITY LICENSE #
TELEPHONE
EMAIL
FAX
EXP DATE CITY LICENSE #
Copy of City Mitigation documentation (TFC).
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
CJ:Q!b 4/101~
Applicant's Signature Date
Owner I Contractor~ner's Ag~1 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 Box 479
Yelm, WA 98597
(360) 458-3835
(360) 458-3144 FAX
www.ci.yelm.wa.us
TILAND /
ARCHITEC
s C
T S
H MID T
P C
TRANSMITT AL
To:
City of Yelm
Building Department
Attn. Mr Gary Carlson
105 Ye1m Ave West
Ye1m, Wa. 98597
From:
Ted Gentner
Date:
Apnl19,2005
Phone #:
Project:
360-458-3835
Safeway 1619 - Ye1m
Project #:
24169 Received
APR 2 0 2005
COPIES
2
DATE
4-20-05
DESCRIPTION
PermIt SubmIttal - Full SIze drawmgs
REMARKS
For your use m revIewmg the proposed remodel project at the eXIstmg Safeway store m Ye1m.
TransmItted by'
Ted Gentner
Copy to
FIle
1420 SW BROADWAY
(503) 220-8517
PORTLAND, OREGON 97201
FAX (503) 220-8518
CHECK REQUEST FORM
PROJECT NO 1/'/""
I 'HIGHIlIGHT ONE; (~ FUEL
PAYABLE TO City ofYelm
Community Development
105 Yelm Avenue West
Yelm, Wa. 98597
,~e:!Ji!E;~$E;ii:gBQ~IQE;N~ME;!i~NQi~QQRE;~$:QJ}'g~,(E;E.'ABOVErm """1
AMOU NT 'i$g;ggi0:;'~,;;T
REASON/PURPOSE Permit Submittal Fee
DELIVER CHECK TO City of Yelm - Community Development
105 Yelm Avenue West
Yelm, Wa 98597
360-458-3835
HIGHI1IGHT ONE.
~
I:WRGENnt1t,j'!j!IaI!EASE1!'A!IRBee:N.fiJ~~Ee:N1GElmfJ~mval
I ,^",<"",m.~, ;"""_ Ov,',.l,w.",.,J>J,'''';"""%,,,,,,,,,, ''''''''4'''",;":~:~""~,y,,_,,,,",,,,:w>>;," :"""~'~'l>""'>M,...,>:,,,,,kw'4))''h:<'~':N$:,.t:m,,:,>>.~...)tmL,)~V..~:
IREGUI1AR INTEROFFICE
IF THIS IS URGENT, PLEASE PROVIDE A BRIEF EXPLANATION WHY IT IS URGENT
Permit submittal will take place Wednesday, April 20th and the check is required at time
of submittal
ADDITIONAL INFORMATION
HAS CHECK REQUEST BEEN APPROVED BY PROJECT MANAGER?
(PlillEASE;'H IGH 11 IG tiT ONE;)
NO