20170169 Permit Pkg 05032017City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458-3144
Applicant:
Name: J & I POWER EQUIPMENT
Address: 3729 PACIFIC AVE
OLYMPIA WA 98501
Property Information:
Site Address: 10615 BALD HILLS RD SE
Assessor Parcel No.: 64303300100
Contractor Information:
Name: CAPITAL SIGN & AWNING
Address: BILL BROAD
P.O. BOX 8106
LACEY WA 98509
Subdivision: N/A
Contractor License No.: CAPITSA022B1 Expires
Permit No.: 20170169
Issue Date: 5/0312017
(Work must be completed within 180 days)
Phone: 360- 400 -6000
Owner: TYPE CURRENT OWNER
NAME
Phone:
1/31/2021
Project Information:
Project: SIGN
Description of Work: REPLACE DAMAGED MONUMENT SIGN
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item Contractor
SIGN CAPITAL SIGN & AWNING
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 St of ashingto
Signature \ Date
Firm °M SCI L,1... ,r
Lot:
Fees
$ 125.00
$ 125.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
City of Mm
(36 ) 458 -3244
REC #: 00267646 5/03/2017 12:52 PM
OPER: AS TERM: 007
REF #:
PAID BY:
TRAN: 33.0000 BUILDING PERMITS
20170169 125 -OOCR
J & I POWER EQUIPMENT
10615 BALD HILLS RD SE
SIGN 125.000R
TENDERED:
125.00 CASH
APPLIED:
125.00 -
CHANGE:
0.00
A PERMIT NO 20
City of Yelm 110
1410 105 Yelm Ave W yet South 24 HOUR NOTICE REQUIRED FOR ALL
Yelm, WA 98597 INSPECTIONS: CALL (360) 264 -2368
Site Address 360- 458 -3835 rcel # Valuation
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Contact Person
'I i
n�ailing,Address
Phone
Z
Owner
3- 4 :r Ptvo4l
Mailing Address
15" RAlel hr QA
Phone
3 6 o a
Q
Engineer /Architect
Mailing Address
Phone
UContractor
L A 4-c 1 S' ,4
Mailing Address
Po wR eA 6 Ib4 c ' A ` A Sr 9
Lj
Phone
A C, � q 3 h `7
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Contractor Lic #
C l �
Contractor UBI #
615
aType
a
of
Permit
[L,S
, ri
Class of
Work
Q
DESCRIBE WORK /? 1A a AILA ,1kc C N LX M ti1 ,
Type of Construction
Occupancy Group
Date
Zoning
BUILIDNG
Building Permit Fee
I hereby certify that I have read and examined this application and know that same to be
true and correct. All provisions of law or ordinances governing this type of work will be
compiled with whether specified herein or not. The granting of this permit does not
presume to give authority to violate or cancel the provisions of any other State or Local
law regarding construction or the performance of construction.
7 /,+ �c�. —liw`/
r
Date Applicant Signature
Plan Review Fee
Engineering Review
Sign Permit Fee
Clearing /Grading
Other
Total
PLUMBING
NO.
7 ITEM
FEE
NOTICE TO APPLICANT
Permit Fee
This permit becomes null and void if the work or construction authorized is not
commenced within one year or if work constuction is suspended or abandoned
for one year at any time after work is commenced or if work is not completed
within one year from date of issue.
All work shall be done in accord with the approved plans except where such approval
is in conflict with other codes. The approved plans shall not be changed or modified
without the prior approval of the Building Official.
It is the responsibility of the permitee to obtain the required inspections. Failure to notify
this department that the work is ready for inspection may necessitate the removal of
some of the construction material at the owners expense in order to perform such
inppection.
Water Closet - Urinal
Sink - Fountain
Tub - Shower
Clothes Washer - Diswasher
Lawn /Fire Sprinkler
I
Pool -Hot Tub
I
Plan Review Fee (65 %)
Total
MECHANICAL
NO.
ITEM
FEE
Permit Fee
PERMIT IS APPROVED FOR WORK DESCRIBED ABOVE IN ACCORD WITH THE
N APPROVED PLANS AND SPECIFICATIONS. See Attached Conditions
PUBLIC WORKS Approved See Attached Condition:
U PLANNING REVIEW Approved See Attached Conditions
WATER AVAI LABILITYU Approved - with Certificate
LL
Date Building Official
Forced Air Heat BTU
Floor -Wall Heater
Boiler or Heat Pumr
Air conditioner -Unit Coole
Ventilation Sys- Exhaust Hoo
Wood Stove
IGas
Piping
RNAL USE ONLY
lWater
Heater -Floor Drain
Date Amount Receipt No.
a
w
W
W
0�
Verifed: Business
Rjcmgm�& ALED:
I
Plan Review Fee (65 %)
Total
Total Fees Due
Paid to Date
Balance Due
to A
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