20160114 Fire Prevention Application 06292016CITY OF YELM
COMMERCIAL BUILDING PERMIT APPLICATION FORM
Project Address: 1315 Yelm Ave W, YeIm WA 98597 Parcel #: 21724210500
Zoning;
Current Use: Proposed Use:
-)( New Construction 17 Re -Model / Re -Roof 1 Tenant Improvement
C Plumbing ❑ Mechanical O(Fire Prevent/Suppress /Alarm ❑ Other
Project Description /Scope of Work: Install Fire Sprinkler System in 9 -Unit Modular Building ( 09 Sprinklers)
Project Value: $39, 207.00
Building Area (sq. ft) Parking Garage 191 Floor 2 "d Floor 3`1 Floor
Building Height
Are there any environmentally sensitive areas located on the parcel? If yes, a
completed environmental checklist must accompany permit application.
BUILDING OWNERTENANT NAME YeIm School District #2
ADDRESS PO Box 476 EMAIL
CITY YeIm STATE WA zip 98597 TELEPHONE
ARCHITECT /ENGINEER LICENSE: #
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
GENERAL CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
PLUMBING CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
MECHANICAL CONTRACTOR Emerald Fire LLC TELEPHONE 253- 857 -2056
ADDRESS 11021 Cramer Road KPN EMAIL an iev emeraldfirelic.com
CITY Gig ar or STATE WA ZIP 98329 FAX 253 -857 -2312
CONTRACTOR'S LICENSE #EMERAFL980MR EXP DATE7i996CITY LICENSE #
Copy of City Mitigation documentation (TFC).
1 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 ofYeim.
Owner 1 Contractor / Owner's Agent / Contractor's Agent / Tenant
6 -14 -16
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 (380) 458 -3144 FAX
Yelm, WA 98597 www.ciyelm.wa.us