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20160294 Permit Pkg 07152016City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Applicant: Name: 503 FIRST STREET LLC Address: PO BOX 2249 YELM WA 98597 Property Information: Site Address: xm i FIRCT CT C Assessor Parcel No.: 22719332400 Contractor Information: Subdivision: Permit No.: 201 60294 Issue Date: 7/15/2016 (Work must be completed within 180 days) Phone: 360- 458 -6758 Owner: 503 1 ST ST LLC Name: 503 FIRST STREET LLC Phone: Address: PO BOX 2249 YELM WA 98597 Contractor License No.: Expires: 0 /00 /0000 Project Information: Project: ROOF Description of Work: STANDING SEAM METAL ROOF Sq. Ft. per floor: First Heat Type (Electric, Gas, Other): Second Third Garage Basement Fees: Item Contractor ROOF 503 FIRST STREET 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 Date Firm Lot: Fees $ 492.25 $ 492.25 OFFICIAL USE ONLY # Sets of Prints: Final Inspection: Date: By: 07/08/2018 FRI 8!28 FAX 2 CITY OF YELM COMMERCIAL BUILDING PERMIT APPLICATION FORM ProJect Address: S03 /51- 51f. SO- � Parcel #' 22 }l9 33 Z q 00 Zoning; Current Use: Q C-4c- Proposed Use: 54"1F. U002/004 0 New Construction XRe -Model R® -Roof 1 Tenant Improvement ❑ Plumbing 0 Mechanical 17 Fire Prevent/Suppress/Alarm ❑ Other d-e- . /t Project Description /Scope of Work:_ _. -L 117 E I-4(- RO°� ��✓ Project Value: 0 3`I; GY3. Building Area (sq. ft) Parking Garage 14- 1e* Floor S2­c02n" Floor zS"P Floor $ Building Height Are there any environmentally sensitive areas located on the parcel? completed environmental checklist must accompany permit application, If yes, a Ell4,>t:lli`1Nr;V S03 /s � - S <L.C_ ADDRESS .40 _(dow 225/9 EMAIL S7XVZa YSro+vL aye CITY - STATE4,.j./1. ZIP 985-lq 7 TELEPHONE 3G0 - qS8 - G7 5-8 , IRC HI7T, 1'/ { JN R' �^� LICENSE # ADDRESS_ EMAIL CITY STATE ZIP TELEPHONE CffiITRAt'fO sra--ff- &IA-k TELEPHONE 3Go -vS8- 7" ADDRESS s $a ZZV�% EMAIL -U1"C- CITY._. yC.A-owt STATE "& ZIP 83-97 FAX 34-0 -- v58 CONTRA OTCTRA OTC R'S LICENSE # KSrrtro "KO EXP DATEAt (CITY LICENSE # /6-2oW/ / PUUII(MBINQ IMITIRACTOR Na "'e- TELEPHONE ADDRESS EMAIL CITY STATE ZIP FAX CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE it IiIN%�Sl7'7CC?N)C' TELEPHONE ADDRESS EMAIL _ m CITY STATE ZIP FAX 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. —Q Applicant's Signature Date Owner /Contractor 1 Owner's Agent/ Contractor's Agent I Tenant (Please circle one.) All permits are non - transferable and will exDlre If work authorized by such permit Is not begun within 180 days eriod of 190 days KEY STONE MASONRY 106 Yelm Ave W Yedm, WA 98697 S r teve Foman - President Inc. BRICK. BLOCK, CUSTOM STONEWORK MASONRY RESTORATION oil (880) 468 -3$36 (360) 468-8144 FAX wrucu.c d.yelm,.tua. U8 Cite of Yelm (36 1) 458 -3244 REC #: 00237649 OPER: CO 711512016 1:31 PM REF #: 1364 TERM: 001 PAID BY: TRAM: 33.0000 BUILDING PERMITS 20160294 503 FIRST STREET LL( CR 503 FIRST ST S ROOF 492.ZCR TENDERED: 492.25 (HECK APPLIED: 492.25 - CHANGE: 0.00 City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Applicant: Name: 503 FIRST STREET LLC Address: PO BOX 2249 YELM WA 98597 Property Information: Permit No.: 20160294 Issue Date: 7/15/2016 (Work must be completed within 180 days) Phone: 360- 458 -6758 Site Address: 503 FIRST ST S Owner: 503 1ST ST LLC Assessor Parcel No.: 22719332400 Subdivision: Lot: Contractor Information: Name: 503 FIRST STREET LLC Phone: Address: PO BOX 2249 YELM WA 98597 Contractor License No.: ,��SCS m a6 K3 Expires: 0 /00 /0000 /Z '� 6 Project Information: Project: ROOF Description of Work: STANDING SEAM METAL ROOF Sq. Ft. per floor: First Heat Type (Electric, Gas, Other): Second Third Garage Basement Fees: Item Contractor Fees ROOF 503 FIRST STREET LLC $ 492.25 TOTAL FEES: $ 492.25 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 St e o ington. -7 / Signature Date Firm �` _C—c, J T�Wx- dus. /ty ,S'6,� �l2.sT STS' 44L OFFICIAL USE ONLY # Sets of Prints: Final Inspection: Date: By: