20150182 Permit Pkg 08042015City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: CROWE LAW OFFICE
Address: 715 YELM AVE E #1
YELM WA 98597
Property Information:
Site Address: 302 YELM AVE E
Assessor Parcel No.: 64420901600 Subdivision:
Contractor Information:
Name: CROWE LAW OFFICE
Address:
715 YELM AVE E #1
YELM WA 98597
Contractor License No.:
Permit No.: 20150182
Issue Date: 8/04/2015
(Work must be completed within 180 days)
Phone: 360- 960 -8366
Owner: 2 C HOLDING
Phone:
Expires: 0 /00 /0000
Lot:
Project Information:
Project: LAND SITE PLAN REVIEW
Description of Work: TI, DIVIDE SPACE INTO OFFICES & CONFERENCE AREA. PERMIT DOES NOT INCLUDE
WORK ON SECOND FLOOR
Sq. Ft. per floor: First 1800 Heat Type (Electric, Gas, Other): COMBO -SEE NOTES
Second 1800
Third
Garage
Basement
Fees:
Item Contractor
SITE CROWE LAW OFFICE
COMMERCIAL ALTERATION MECKLENBURG CONSTRUCTION LLC
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 oe / Date 6
Firm
Fees
$ 530.00
$ 9,899.03
$ 10,429.03
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: CROWE LAW OFFICE
Address: 715 YELM AVE E #1
YELM WA 98597
Property Information:
Site Address: 302 YELM AVE E
Assessor Parcel No.: 64420901600 Subdivision:
Permit No.: 20150182
Fee Calculation Worksheet
Phone: 360 -960 -8366
Owner: n I- u(1i nlnlr_
Lot:
Project Information:
Project: LAND SITE PLAN REVIEW
Description of Work: TI, DIVIDE SPACE INTO OFFICES & CONFERENCE AREA. PERMIT DOES NOT INCLUDE
WORK ON SECOND FLOOR
Sq. Ft. per floor: First
Second
Third
Garage
Basement
Fees:
Item
BUILDING PERMIT ESTIMATED VALUE
BUILDING PLAN REVIEW
STATE BUILDING FEE
TRAFFIC FACILITIES CHARGE
City of Mm
(36 ) 458 -3244
1800 Heat Type (Electric, Gas, Other): COMBO -SEE NOTES
REC #: 00202843 8/04/2015 9:06 AM
OPER: CO TERM: 001
REF #: 250018144
PAID BY:
TRAN: 33.0000 BUILDING PERMITS
20150182 9,899,03CR
CROWE LAW OFFICE
302 YELM AVE E
BLD -COM3 9,899,03CR
FENDERED, 9,899.03 CHECK
APPLIED: 9,899,03 -
CHANGE: 00
Units Fees
75,000 $ 818.75
0 $ 532.18
1 $ 4.50
5 $ 8,543.50
TOTAL FEES: $ 9,899.03
PAYMENTS MADE: $ 0.00
BALANCE DUE: $ 9,899.03
CITY OF YELM
COMMERCIAL BUILDING PERMIT APPLICATION FORM
Project Address: 10� E • �wv\,Oi . �tILM,"*-�Parcel #: � W y,,2 29 () I E 0r7
Zoning; Cek- ,V..(E1�1�i• Current Use: P SSe,KZOl Proposed Use: Cc�IV\�Rt.iAL (,7 %1c r
❑ New Construction f Re -Model / Re -Roof / Tenant Improvement
❑ Plumbing ❑ Mechanical ❑ Fire Prevent/Suppress /Alarm ❑ Other
Project Description /Scope of
c4ICES' CONFEV ,As
Project Value: -�? 15,ouD
Building Area (sq. ft) Parking Garage 1" Floor _2nd Floor _Td Floor
Building Height '� LL,.
Are there any environmentally sensitive areas located on the parcel? ►w If yes, a
completed environmental checklist must accompany permit application.
BUILDING OWNERMENANT NAME: ZC- Hn 1 e11Ins. & L L e.-
ADDRESS 7/5 VCI im Ayg_ F' Al J EMAIL ►ry�o (t�.C�?Ca�owe�aYU e �..�ow•
CITY V STATEWA__ZIP q9 S -1 TELEPH6NE 3 g i f3 93W.
ARGHITECT /ENGINEER LICENSE #
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
GENERAL CONTRACTOR C_p,Z1VZi,,TELEPHONE s - L c
ADDRESS ?t0, \Z3- EMAIL Cl AN�m wCoN�
C I TY [VV_XZNN [A STATE WF\ ZIP FAX
CONTRACTOR'S LICENSE # M &,Lc,1. b�:i EXP DATE 1_6 _CITY LICENSE #_Ujt, oN itC
PLUMBING CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
MECHANICAL CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXPDATEW
r CITY LICENSE #
Copy of City Mitigation documentation JFC).
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.
(cant's Signatt ee
Owner Ppontractor / Owner' gent / Contractor's Agent / Tenant
Da .
(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 is period of 180
� r
105 Yelm Ave W
Yelm, WA 98597
APR 2 7 2015
(360) 458 -3
(360) 458 -3144 FAX
www.ci.yelm.wa.us
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