BLD-05-0233
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City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360)458-3144
Permit No
BLD-05-0233- YL
Issue Date 07/28/2005
(Work must be started within 180 days)
Receipt No
37600
Applicant:
Name: All Purpose Structures
Phone:
253-862-1255
Address. P.O Box 367
City' Sumner
State: WA Zip 98390
Property Information:
Site Address: 16533 SR 507 SE
Assessor Parcel No 64303200704
Subdivision.
Lot:
Contractor Information:
Name: Applicant
Contact:
Phone.
Address.
City'
State:
Zip
Contractor License No:
Expires.
Business License.
Project Information.
Project: Del's
Description of Work: new 6x60 loading dock cover
Sq. Ft. per floor' (1 st) 0 (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 - Other 153.25 000 0.00 o 0000 0.0000 $1,000
Building Plan Review 9961 000 0.00 o 0000 o 0000
TOTAL FEES. $252.86
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 Rroposed structure is in conformity with all applicable City of
Yelm regulation including those governinga ning and land subdivision, and in addition, all covenants,
easements an re);trictions of record. If ap' ying as a contractor, I futher certify that I am currently
registered in~. 'State of as ington.
}
OFFICIAL USE ONLY
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CITY OF
YIELM
PO B,-,\( 479
{elrn vV/\ 985S17
36c'-458-S403
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RECEIPT No.3 7 600
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DATE
REC NO
AMOUNT
REF I\JO
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Received
JUL 2 . 2005
CITY OF YELM
COMMERCIAL BUILDING PERMIT APPLICATION FORM
Project Address I (0533 6RSOf.~b Parcel #. (pY:-W~2..0070 4-
hLrrY)~M'l},/&f~\ ~
Zoning, Current UseU:,-m f11.LrFJhull Proposed Use "::::PJJ~
[] New Construction ~e-Model/ Re-Roof / Tenant ImproVF~mp.nt J3l....D - OS' - 0 I'ICj YL
[J Plumbing 0 Mechanical [J Fire Prevent/Suppress/Alarm [] Other
Project Description/Scope of Work. & y. &01 LDocI;f') fuel( Cane PI
Project Value~~Ol>O. aD
BU~ld:ng Ar~a (Sq~) Parking Garage 1st Floor 2nd Floor 3rd Floor-;-- "."'?--... J,...
BUilding Height ID e,Vl- \'"?'J a..J plo...iC CL*C~c"'-t..c\ '1-0 rea.... klL l,.(h U O11lcx<\. I1jl.-G-L
Are there any environmentally sensitive areas located on the parcel? nO If yes, a
completed environmental checklist must accompany permit application
BUILDING OWNERfTENANT NAME
ADDRESS' : ~- S~',
CITY . . STATE lA)
l ....l
EMAfL
TELEPHONE
ARCfiITE.CTIENG~ER I no.n ~n LICENSE #
ADDRESS VA ~ ~loJ _ _ EMAIL
CITY ~nt.r" STATE W ZIP qtg~I)TELEPHONE ?..5"3-%IR7.IZSS
2 5~lRZ rz...SS
PLUMBING CQtIT.RACTOR
ADDRESS
CITY ~
CONTRACTOR'S LICENSE #
TELEPHONE
EMAIL
ZIP~
EXP DATE CITY LICENSE #
MECHANICAL CONTRACT
ADDRESS
CITY
CONTRACTOR'S LI
TELEPHONE
EMAIL
ZIP FPC<
EXP D . E CITY LICENSE #
Copy of City Mitigation documentation (TFC).
ormation is correct and that the construction on, and the occupancy and the use of the
in accordance with the laws, rules and regulations of the State of Washington and the
7jp.//~
Date
nant (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
lelm, WA 98597
(360) 458-3835
(360) 458-3144 FAX
www.ci.yelm.wa.us
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General/Specialty Contractor
A business registered as a construction contractor with L&I to perform construction work within the scope
of its specialty A General or Specialty construction Contractor must maintain a surety bond or assignment
of account and carry general liability insurance
License Information
: License ALLPUSI110NH
Licensee Name ALL PURPOSE STRUCTURES INC
. Licensee Type CONSTRUCTION CONTRACTOR
UBI 601194287 Verify Workers Comp Premium
Status
Ind. Ins. Account
Id
Business Type CORPORATION
Address 1 PO 367
Address 2
City SUMNER
County PIERCE
f State WA
Zip 98390
Phone 2538621255
Status ACTIVE
Specialty 1 GENERAL
Specialty 2 UNUSED
Effective Date 8/8/1989
Expiration Date 8/5/2006
Suspend Date
Separation Date
Parent Company
Previous License ALLPUS*110CM
: Next License
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Associated
License
Business Owner Information
Ii
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7/26/2005
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Name Role Effective Date Expiration Date
BURNETT, JAMES D 01/01/1980
BURNETT, JEAN V 01/01/1980
',.
Bond Information
'. Bond
Company Bond Account Effective Expiration Cancel Impaired Bond Received
Bond Name Number Date Date Date Date Amount Date
Until
#6 CBIC SA9634 08/05/2001 Cancelled $12,000 00 07/2612001
#5 CBIC SA9634 08/05/1997 08/0512001 $6,000 00
#4 STAR INS CO SA1406080 08/05/1995 08/05/1997 $6,000 00
OLD
REPUBLIC
#3 SURETY CO YLl224406 08/05/1993 08/05/1995 $6,00000
AMERICAN
#2 BONDING CO 35645 08/05/1990 08/05/1993 $6,000 00
DEPENDABLE
#1 INS CO INC 43460W A 10091 08/05/1989 08/05/1990 $6,00000
....... .......
Savings Information
No Matching Information
Insurance Information
Company Effective Expiration Cancel Impaired Received
Insurance Name Policy Number Date Date Date Date Amount Date
OHIO
CASUALTY
#9 INSURANCE BK052938021 04/08/2005 04/08/2006 $1,000,000 00 03/16/2005
OHIO CAS
#8 INS CO BK052938021 04/0812002 04/08/2005 $1,000,000 00 04/0412002
Until
#7 TRAVELERS 1680468P170598 04/08/1998 Cancelled
AETNA CAS
& SURETY
#6 CO OF I L MP0025967043 04/08/1997 04/08/1998
AETNA
CASUALTY
& SURETY
#5 CO MP0025386911 04/08/1996 04/08/1997
AETNA CAS
& SURETY
#4 CO/ILLINOIS MP0024499824 04/08/1995 04/08/1996
AMERICAN
#3 STATES INS 02CC472303 04/08/1993 04/08/1995
AMERICAN
STATES INS
#2 CO 01CC287357 04/08/1990 04/08/1993
AMERICAN
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..
#1
ISTATES INS I
CO 01CC2873572
I I Until
~1?~I.!.~~~ Cancelled
Summons I Complaints Information
Tax
Summons I Cause Warrant Dismissal Complaint Complaint Judgement Judgen
Complaint Number Id Plaintiff County Date Date Amount Date Amou
GABRIELE
#1 932018514 WESTBERG THURSTON 10/23/1995 08/23/1993 $20,000 00 $000
.............
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Access Agrpement I Privacy and security statement I Intended use/external ontent policv
Staff only link
washington
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https.//fortress.wa.gov/lm/bbIp/Detail.aspx?Ltcense= ALLPUSI 11 ONH
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ALL-PURPOSE
STRUCTURES
ALL-PURPOSE STRUCTURES INC.
P.O. BOX 367 - 1408 HUBBARD - SUMNER . W A 98390
(253) 862 1255 1- 800 - 678 -7761 - FAX (253) 862 -1443
WWW alIpurposcstructurcs.com
DEL 'S FARM SUPPLY
YELM, W A
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STATE OF WASHINGTON
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