20160326 Permit Pkg 09132016City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: MT RAINIER PROPERTIES
Address: 9144 BURNETT ROAD SE
YELM WA 98597
Property Information:
Site Address: 91AA Rl IRKIFTT Rn -RF Rd
Assessor Parcel No.: 21713340601
Contractor Information:
Name: MT RAINIER PROPERTIES
Address:
9144 BURNETT ROAD SE
YELM WA 98597
Subdivision: N/A
Contractor License No.: Expires
Permit No.: 20160326
Issue Date: 9/13/2016
(Work must be completed within 180 days)
Phone: 302 - 332 -6389
Owner: BURNETT CENTER
Lot:
Phone:
0 /00 /0000
Project Information:
Project: COMMERCIAL REMODEL
Description of Work: REMOVE EXISTING WALL TO CREATE OPENING BETWEEN SUITES 103 AND 104. WALL
OFF EXISTING DOOR TO ROOM IN STE 103 AND MOVE DOOR TO OTHER WALL. MOVE
SINK ABOUT 5 FT
Sq. Ft. per floor: First
Second
Third
Garage
Basement
Fees:
Item
BUILDING
Heat Type (Electric, Gas, Other):
Contractor
MT RAINIER PROPERTIES
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 jp tie State of Washington.
Signature n Date I
Firm LIVII& -4 A l 0 f7 i
Fees
$ 96.25
$ 96.25
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
tc
(t G
F+ -A
Wellspring Building B 103 -104
Revision A.8- Waterfall Longevity Center; Massage Room & Counseling
07 Sep 2016
I sion I
Ce-N, v.1,jro Dom°
c gt
Nurses Station
` - -
CE
Lf0
Reoapbon
JEW
U /I
Sprinkler System
r
0
CJ
Amy Hewitt
Private Infusion Room
a o
8 -7 p';1
Nurses Work Area
Clean Room & Supplies
Cr1
�p x 3 f
o �}
Wellspring Office
u__
Dr. Millie's Office
ti
bathroom
bathroom
Suzanne Fairbrother
Cite of Nm
(36 1) 458 -3244
RECA': 00243563 9/13/2016 1 :07 PM
OPER: CO TERM; 001
REF #:
PAID BY:
ACC1 #: XXXXXXXXXXXXXXXXXXX
AUTH #: 013662
TRAN #: 000000002462
TYPE:: PURCHASE
TRAM: 33.0000 BUILDING PERMIT'S
20160326 96.2ECR
MT RAINIER PROPERTIES
9144 BURNETT RD SE 84
BLDG 96.2ECR
TENDERED: 96.25 CREDIT CARD
APPLIED: 96.25-
CHANGE: 0.00
N
BUILDING PERMIT APPLICATION antak
❑ New Construction (SFR) ❑ Remodel ❑ Mechanical
❑ New Construction (Duplex) ❑ Addition
❑ Commercial
❑ New Construction (Multi - family) ❑ Reroof
❑ Tenant Improvement
❑ Manufactured Home Placement ❑ Plumbing ❑ Fire Permit
Property Address: 144 1�urn4+ �d
1
�u t '3
Tax parcel number:
Subdivision:
Lot No.:
¢µout F •5 }. ny k.11 io crer.z o�zn ac; 1� ue� Ste. J¢s l03 c� /aq
Project Description /Scope of Work: <F�Wal\ o � x,sJ�;� 4..� (5 l03 & acave 1 � oeAo'
� w.0 n
( Moves
Project Value: „J c <
S
Heat Source: ❑ Gas ❑ Electric ❑ Solar
Plan No.: Bedrooms:
Baths:
Area 1s' Floor:
2nd Floor: 3rd Floor:
Garage:
Basement: Carport:
Covered Patio:
Front Porch:
Applicant: N1k. �� ,n;���rc?AJ,'Qa
Owner: NW
Address: 414 (����kl �d. �� ��zlNA
Address: 9144
Telephone:
Telephone: 3��- gau�a9o�
Email: ; n�o � �aQI1S�c�: n � w C . Co ti�
,, `,.� C,Cot^
Email: ,� oZwQlls? �n
Architect /Designer:
General: C�zz,� N�•S
Address:
License No.: CAP IHt.(iS4QQ ,t.
Telephone:
Telephone: 'I) C- e - So -0930
Email:
Email: J� ����z',zy
Plumber: ,,r �� I ;,� —�reC , X
Mechanical:
Email: `'
Email:
License No.:
License No.:
By submitting this application to the City of Yelm, you affirm that all answers, statements, and information
contained in and submitted with this application are complete and accurate to the s�t�� WIME
that you are the owner of the property or duly authorized by the owner to act on eir behalf. Permissio
granted to representatives of the City to enter upon and inspect the property as rea a cessary to,pro
the application.