20160409 Permit Pkg 12272016City 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: 9144 BURNETT RD SE B4
Assessor Parcel No.: 21713340601
Contractor Information:
Name: MT RAINIER PROPERTIES
Address:
9144 BURNETT ROAD SE
YELM WA 98597
Contractor License No.:
Project Information:
Project: COMMERCIAL REMODEL
Description of Work:
Sq. Ft. per floor: First
Second
Third
Garage
Basement
Fees:
Item
BUILDING
Subdivision:
Permit No.: 20160409
Issue Date: 12/27/2016
(Work must be completed within 180 days)
Phone: 492-8q-32-64389-
Owner: TYPE CURRENT OWNER
NAME
N/A Lot:
Phone:
Expires
0 /00 /0000
Heat Type (Electric, Gas, Other):
Contractor
MT RAINIER PROPERTIES
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�C�L�L (J� Date,-
A 1 / _ \ — t-
Firm
Fees
$ 438.06
$ 438.06
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
City of Yelm
Community Development Department
(Work must be completed within 180 days)
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: 9144 BURNETT RD SE B4
Assessor Parcel 21713340601
No.:
Fees:
Item Contractor
SEGDESC
BUILDING PERMIT ESTIMATED VALUE
BUILDING PLAN REVIEW 0.00
BUILDING PERMIT CONSTRUCTION VALUE
Subdivision: N/A
Permit No.:
Issue Date:
Phone
20160409
12/27/2016
302 - 332 -6389
Owner: TYPE CURRENT OWNER
NAME
Lot
Fees
SEGTOTAMT
15,000.00 251.25
163.31
0.00 23.50
TOTAL FEES: $ 438.06
Cite of Mm
(36 ) 458 -3244
REC4: 00254043 12/29/2016 9:21 AM
OPER: CO TERM: 001
REF #:
PAID BY:
ACCT #: XXXXXXXXXXXXXXXXXXX
AUTH #: 846367
TRAM #: 000000003694
TYPE.: PURCHASE
TRAM: 33.0000 BUILDING PERMI13
20160409 438.0E CR
MT RAINIER PROPERTIES
9144 BURNETT RD SE B4
BLDG 438.0ECR
TENDERED: 438.06 CREDIT CARD
APPLIED: 438.06-
CHANGE: 0.00
Cite of Mm
(36 1) 458-3244
REW 00254043 12/29/2016 9:21 AM
OPER: CO TERM: 001
REF #:
PAID BY:
ACCT #: XXXXXXXXXXXXXXXXXXX
AUTH V 846367
TRAM V 000000003694
TYPE.: PURCHASE
TRAM: 33.0000 BUILDING PERMIQ
20160409 438.OECR
MT RAINIER PROPERTIES
9144 BURNETT RD SE 64
BLDG 438.0ECR
TENDERED: 438.06 CREDIT CARD
APPLIED: 438.06-
CHANGE: O.UU
CITY OF YELM
COMMERCIAL BUILDING PERMIT APPLICATION FORM CQ0 Mo 0q0
Project Address: q ) k) (' (F - - Parcel #:
Zoning; (, 1)t1�.1 �(7 Current User 01 Proposed Use:
New Construction 1 -<Re -Model / Re -Roof / Tenant Improvement
Plumbing Mechanical ❑ Fire Prevent/Suppress /Alarm�� ❑ Other
/ Project Description /Scope of Work: CL M. 11n CgLC, .f".
Q r Project Value: c
Building Area (sq. ft) Parking Garage 1St Floor 2�d Flooli i!9__ rd Floor
Building Height
Are there any environmentally sensitive areas located on the parcel? 17 If yes, a
completed environmental checklist must accompany permit application.
BUILDING OWNER/TENANT NAME: Y t
ADDRESS CrIS114 PIC—r—_ EMAIL E
CITY I Jp.4L t1 STATE I.Q ZIP r^Fi--� TELEP NE '-2, n
ARCHITECT /ENGINEER LICENSE #
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
GENERAL CONTRACTOR c - U3l L PH N
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 TELEPHONE
ADDRESS EMAIL
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.
V4� C"L_
Applicant's Signature Date
Owner/ Contractor / wner's Agent/ Contractor's Agent/ Tenant (Please circle one.)
All permits are non- trans�T9bT 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
All
105 Yelm Ave W
Yelm, WA 98597
(360) 458 -3835
(360) 458 -3144 FAX
www.ei.yelm.wa.us
or �,.
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