20150321 Permit Pkg 10272015City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: MT RAINIER PROPERTIES (A)
Address: 10814 128TH AVE SE
RAINIER WA 98576
Property Information:
Site Address: QlAA RI IRNFTT Rn SF A
Assessor Parcel No.: 21713340601 Subdivision:
Contractor Information:
Name: CAPEZIO HOMES
Address: JEFF
2344 SUMIT LAKE SHORE RD NW
OLYMPIA WA 98502
Contractor License No.: CAPEZHL954QH
Expires:
Permit No.: 20150321
Issue Date: 10127/2015
(Work must be completed within 180 days)
Phone: 360- 561 -8820
Owner: Mt Rainier Properties
Phone:
7/31/2015
Lot:
Project Information:
Project: COMMERCIAL REMODEL
Description of Work: 1800 square foot fitness center with two showers. Water usage calculated at 229 gallons per
1000 square feet. Used fitness center at 16910 SR 507 with 2 showers as comparison.
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
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.
i q
Signature ���'�` Date
Firm
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
Second
Third
Garage
Basement
Fees:
Item
Contractor
Fees
BUILDING
CAPEZIO HOMES
$17,039.64
MECHANICAL
CAPEZIO HOMES
$ 39.00
PLUMBING
CAPEZIO HOMES
$ 34.00
TOTAL FEES:
$ 17,112.64
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.
i q
Signature ���'�` Date
Firm
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
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CITY OF YELM
COMMERCIAL BUILDING PERMIT APPLICATION FORM
Project Address: ►4 ;,,+l Kc! OA,4 leb Parcel #: ? i -7 i
Zoning-, - / Current Use: Proposed Use: t , /AOSS Celt'
❑ New Construction T� Re -Model / Re -Roof / Tenant Improvement
❑ Plumbing ❑ Mechanical ❑ Fire Prevent/Suppress /Alarm ❑ Other
Project Description /Scope of Work: O,M o2 SVio�era (etit �� `� /�� �1Q. c��id �� Sk '+a�cK
Project Value: C. '
Building Area (sq. ft) Parking Garage 1" Floor 2nd Floor P Floor
Building Height
Are there any environmentally sensitive areas located on the parcel? '(L� If yes, a
completed environmental checklist must accompany permit application.
BUILDING OWNER/TENANT NAME: M4, 'Z.; , '.fir Ph ,>7.4 'S
ADDRESS q 1411 12c� SE 5v; ._(�, 4 EMAIL
CITY '` /, \nn STATE ,,,� 4 ZIPR€ Sc'} —7 TELEPHONE 3�c - 40c
ARCHITECT /ENGINEER v/ n, LICENSE #
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
GENERAL CONTRACTOR e TELEPHONE So-7 -C,9��
ADDRESS Sun,,,, ^J L_r qg-c,,_ 12e\ Nv _EMAIL_j�
CITY STATE L�.,4 ZIP FAX
CONTRACTOR'LICENSE # 04PEZ[-It_954Q EXP DATE 17CITY LICENSE #
PLUMBING CONTRACTOR TELEPHONE '3(=6- 4 56 - -V3 c
ADDRESS P,c Igo„ )toS EMAIL Ste, -v cec P�vub( .�icx::cc +,�
CITY STATE WA ZIP rr85o7 FAX Svc -4S6 - e�e,43
CONTRACTOR'S LICENSE # R1u,,ibLPg96 N y EXP DATE CITY LICENSE #
MECHANICAL CONTRACTOR A TELEPHONE 3GO - 27 3 - 3 Soo
ADDRESS 17`I:?`3 Xr'c, < t 5t, SLJ EMAIL
CITY )�iecl ',+Lr STATE u ZIP `FS`rct FAX ' GGo- x-73`533-7
CONTRACTOR'S LICENSE # A, ,1E21 NA )S0?c7 EXP DATE;I 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.
Aa�Ao,, A - _
Appli nt' ignatu e
Owe / Contrac / Owner's Agent/ Contractor's Agent/ Tenant
/C
Date
(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
(360) 458 -3835
105 Yelm Ave W (360) 458 -3144 FAX
Yelm, WA 98597 wwwxLyelm.wa.us
Department of Labor and Industries CAPEZIO HOMES LLC
PO Box 44450
Olympia, WA 98504 -4450 Reg: CC CAPEZHL954QH
UBI: 602- 391 -815
Registered as provided by Law as:
Construction Contractor
(CCOI) - GENERAL
392
CAPEZIO HOMES LLC Effective Date: 11/8/2005
2344 SUMMIT LAKE SHORE RD NW Expiration Date: 7/31/2017
OLYMPIA WA 98502
I YA
o � V 3"'
4
r
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Position Door 22 inches from the wall on
the hinge side. Hinge side shall be
opposite the control wall
I Each shower unit shall
have exhaust fans of
jj 50 cfm minimum
L
q-4
\�l P4
2-0
I
NOTE:
ALL PIPING ON THIS FLOOR
TO RUN AT A.F.F.
M)
UECR
Emergency lighting at exit
doors.
co'�e
MCA
t C,
APPROVI!E)OD
By Gary Carls� :24 am, Oct 27, 26115
P 4 1 c,,c-kt� %on's
01A 7 /-2 111 /J K I
io
Position Door 22 inches from the wall on
the hinge side. Hinge side shall be
opposite the control wall
I Each shower unit shall
have exhaust fans of
jj 50 cfm minimum
L
q-4
\�l P4
2-0
I
NOTE:
ALL PIPING ON THIS FLOOR
TO RUN AT A.F.F.
M)
UECR
Emergency lighting at exit
doors.
co'�e
MCA
t C,
APPROVI!E)OD
By Gary Carls� :24 am, Oct 27, 26115
P 4 1 c,,c-kt� %on's
01A 7 /-2 111 /J K I
City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: MT RAINIER PROPERTIES (A)
Address: 10814 128TH AVE SE
RAINIER WA 98576
Property Information:
Site Address: 9144 BURNETT RD SE A
Assessor Parcel No.: 21713340601 Subdivision:
Contractor Information:
Name: CAPEZIO HOMES
Address: JEFF
2344 SUMIT LAKE SHORE RD NW
OLYMPIA WA 98502
Contractor License No.: CAPEZHL954QH Expires
Permit No.: 20150321
Issue Date: 10/2712015
(Work must be completed within 180 days)
Phone: 360- 561 -8820
Owner: Mt Rainier Proaerties
Phone:
7/31/2015
Lot:
Project Information:
Project: COMMERCIAL REMODEL
Description of Work: 1800 square foot fitness center with two showers. Water usage calculated at 229 gallons per
1000 square feet. Used fitness center at 16910 SR 507 with 2 showers as comparison. Add
sprinkler heads for additional coverage.
Sq. Ft. per floor: Heat Type (Electric, Gas, Other):
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 rec . If ap ing as a contractor, I further certify that I am currently
registered in the State of Was ton.
Signature Date j �— le .
Firm{��
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
First
Second
Third
Garage
Basement
Fees:
Item
Contractor
Fees
BUILDING
CAPEZIO HOMES
$17,039.64
MECHANICAL
CAPEZIO HOMES
$ 39.00
PLUMBING
CAPEZIO HOMES
$ 34.00
FIRE SPRINK
KNIGHT FIRE - 11/16/2015
$ 160.46
TOTAL FEES:
$ 17,273.10
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 rec . If ap ing as a contractor, I further certify that I am currently
registered in the State of Was ton.
Signature Date j �— le .
Firm{��
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
City of cl
(36 ) 458 -3244
REC #: 00213703 11/16/2015 4:15 PM
OPER: CO TERM: 001
REF #: 23341
PAID BY:
TRAN: 33.0000 BUILDING PERMITS
20150321 160.46CR
MT RAINIER PROPERTIES (A)
9144 BURNETT RD SE A
FIRE SPRNK 160.46CR
TENDERED: 160.46 CHECK
APPLIED: 160.46-
CHANGE; 0.00
09/1`3 / 2008 THU 10:01 FAX 3604553144 City of Yelm CCD
0002 /004
' VED
CITY OF YELM OCT 2 8 2015
COMMERCIAL BUILDING PERMIT APPLICATION FORM
Project Address: rceI #: -- -
Zoning; Current Use: Proposed Use:
New Construction Re-Model/Re-Roof �Sslarm
Plumbing Mechanical Fire Prev ,
Other
Project Description /Scope of VVork:0J,44 1O' w Jj�! f
Project Value: e24 20"�
Building Area (sq. ft) Parking Garage 15t Floored Floor 3rd Floor
Building Height
Are there any environmentally sensitive areas located on the parcel? If
es, a completed environmental checklist must accompany permit application.
BUILDING OWNER/TENANT NAME:
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
ARCHITECT /ENGINEER LICENSE #
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
GENERAL CONTRAC OR TELEPHONE
ADDRES EMAIL
CITY S AT ZIP
CONTRACTOR'S LICENSE # FAX
XP DATE CITY LICENSE #
PLUMBING CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX CONTRACTOR'S LICENSE # EXP DATE CITY LICFNGF tt
MECHANICAL CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FA)(
CONTRACTOR'S LICENSE # 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
City of Yelm.
-./
pplicant's Signature Date
Owner/ Contractor/ Owner's Agent/ Contractor's Agent/ 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 3'e/in Auen ue West
AO Box 479 (360) 158 -3835
YOM, WA 98597 (360) 458- 3144I*AX
www.ci.yelnn.u)a.us
KNIGHT FIRE PROTECTION, INC.
9702 LATHROP INDUSTRIAL DRIVE SW
OLYMPIA, WA 98512 -9188
360- 786 -8606
FAx 360- 786 -8722
CONTRACTOR LICENSE # KNIGHFP044LK
"ON GUARD
24 HOURS A DAY"
To: 1 l
WE ARE SENDING YOU:
TRANSMITTAL
WED
OCT 28 2015
COPIES I DATE NO. r DESCRIPTION
l�
l
THESE ARE TRANSMITTED AS MARKED BELOW:
XFor approval ❑ For your use ❑ As requested ❑ For review and comment
REMARKS:
COPY TO
SIGNED
IF ENCLOSURES ARE NOT AS DESCRIBED, PLEASE NOTIFY US AT ONCE.
fir►
COPIES I DATE NO. r DESCRIPTION
l�
l
THESE ARE TRANSMITTED AS MARKED BELOW:
XFor approval ❑ For your use ❑ As requested ❑ For review and comment
REMARKS:
COPY TO
SIGNED
IF ENCLOSURES ARE NOT AS DESCRIBED, PLEASE NOTIFY US AT ONCE.