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20170276 Permit Pkg 08022017City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458-3144 Permit No.: 20170276 Issue Date: 8/0212017 (Work must be completed within 180 days) Applicant: Name YELM DENTAL Phone: 360- 458 -5606 Address: 718 YELM AVE W YELM WA 98597 Property Information: Site Address: 718 YELM AVE W Owner: YELM DENTAL Assessor Parcel No.: 21724140900 Subdivision: Contractor Information: Name: CONSTANTINE BUILDERS Phone: Address: 18486 BALLINGER WAY NE LAKE FOREST PARK WA 98155 Contractor License No.: CONSTB1982 -J5 Expires: 4/25/2018 Project Information: Project: RESIDENTIAL REMODEL Description of Work: REMODEL ONE ROOM, SURGICAL SUITE. Sq. Ft. per floor: F. Heat Type (Electric, Gas, Other): Lot: 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 / �% I (' t � Date (5 - l Firm OFFICIAL USE ONLY # Sets of Prints: Final Inspection: Date By: first Second Third Garage Basement Fees: Item Contractor Fees BUILDING CONSTANTINE BUILDERS $ 573.05 PLUMBING CONSTANTINE BUILDERS $ 27.00 TOTAL FEES: $ 600.05 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 / �% I (' t � Date (5 - l Firm OFFICIAL USE ONLY # Sets of Prints: Final Inspection: Date By: p, °/ � V° ��/� W �N (361) 458-3244 RECA: 002Dj794 l7 b'3O AN OPEP: CO TERN: l '-- ^ REFP: PAID 8Y: ACCl #/ AUTH #: 013901 ��--- TRAN #: 000000001193 TYPE: PURCHASE TRAN: 33.0000 BUILDING P|HNIT3 2010276 573.0�CR YELM DENTAL 718 YELN AVE N BLDG 573.0�CR l[NUERED/ 573.05 (REDIF CARD APPLIED: 573,05- CHANGE: U.00 C_Jun 170�,Jb CITY OF YELM COMMERCIAL BUILDING PERMIT APPLICATION FORM Project Address: 13 (f Ion ?'tic NO, Parcel #: Zoning; CtrnffrXC'Ck Current Use: L (� J w�� P ,rr osed Use: Saff _ Or- 3{�cxfc�tr.� ��ttc� N onstruction (f!e-Model / Re -Roof /Tenant Improvement Plumbing VMechanical Fire Prevent/Suppress /Alarm Other Project Description /Scope of Work: rTk -imam d one ruxa / Su!rairal S(,lt}e- Project Value: Compkf.1-ec( ie_c� eS�lmat;e a 6,f t ©� (�?O .CCI Building Area (sq. ft) Parking Garage Building Height 1St Floor 2nd Floor 3rd Floor Are there any environmentally sensitive areas located on the parcel? _ completed environmental checklist must accompany permit application. If yes, a BUILDING OWNER/TENANT NAME: (e_t &. lackner ADDRESS Ig \-fetrM fWe EMAIL �letrndex��ol�c�cmi l.corn CITY � i:t STATE W! _ZIP gK 9_4 TELEPHONE 3C&- Lf5 -5 10 ARCHITECT/ENGINEER LICENSE # ADDRESS EMAIL CITY STATE ZIP TELEPHONE GENERAL CONTRACTOR ( = 'nn T-Sai ldl , , TELEPHONE 2p(o- q15_+ - 1+Y00 ADDRESS M3,4 Ballinger Ukty me EMAIL S4 hwlclers. CITY kz�rest rk STATE ltd i ZIP 15 FAX 20(0' 5,:F- 4`fll CONTRACTOR'S LICENSE # Comsi13l`f92- EXP DATE CITY LICENSE # 6o2_11 C-9 `flv el- S 5 4- S- 7 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. Applicant's Signature Date Owner / Contractor / Owner's Agent / Contractor's Agent / Tenant (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 19 (17va 19 1E IF TC JUL 1 3 2017 105 Yelm Ave W BY ' ('j'3Ti0J Br- IT7TF.tffi-'- Yelm, WA 98597 www.ci.yelm.wa.us r DR. SMITH OPTION #5 vne M, 6,_A, VERIFY VERIFY O r 2' -4 T CV 12'-O" Project: Leavitt Ortho yelm.fepz Layer: Main Floor All flooring by owner; - demolition -floor preparation -floor underlayment - provide & install flooring - flooring base Floor Plan & Seam Diagram page 1/1 Prepared bv: Pinnacle Flooring Prinf rata• i �•�� nnr n��, Qi�n, x.k31Ta1 =.ssX�6a ".fit ..z -: �IO•i�r -use .. 1218" ���I 11'2 94""4#,. - LVT 4 "x36" SF 11'I0' Please edit print footer under System Setting - Order Forms. Powered by Measure Square Corp. C CONSTANTINE BUILDERS Premier Builders in the Pacific Northwest July 12, 2017 Yelm Dental 718 Yelm Ave W #3 Yelm, WA 98597 Attention: Stephen E. Smith, D.M.D. Subject: Construction Proposal for Surgical Operatory and Flooring Refresh Yelm, WA Dear Dr. Smith, appreciate you allowing Constantine Builders Inc. the opportunity to provide a proposal for the Surgical Operatory and flooring refresh at your facility at the Yelm Dental in Yelm, WA. Constantine Builders Inc specializes in the building of high- end - quality facilities at a very competitive cost throughout the Pacific Northwest. We believe that our firm's commitment to be actively involved throughout the design and construction phases will add value for everyone involved and make the construction process one of which we will all be proud. Constantine Builders Inc. has an impeccable reputation of providing the highest level of quality construction services with integrity that exceeds our client's expectations. Constantine Builders Inc. always looks after the best interest of our clients. I encourage you to call any of our references, with whom we have developed a professional relationship and allow them to be our testimony on the type of services that you can expect from us. Constantine Builders Inc. will provide the scheduling, management and technical skills needed to deliver your medical facility on time and within budget. Constantine Builders has an outstanding track record of completing proiects on time and within budget. We bring over 30 years of construction experience as an available resource for your project. The following is the estimates as outlined by the Clarifications & Assumptions dated April 26, 2017, Base Bid Estimate $ 39,246 Washington State Sales Tax CcD 8.7% $ 3.414 Total Budget Estimate with Washington State Sales Tax (WSST) $ 42,660 Alternates (Not included in the above Base Bid & without Washington State Sales Ta-xJ ' \T Please check the appropriate box below of your acceptance or rejection of the following Alternates: 1. Yes❑ or Nolk. Provide and install (2) Ceiling 2x4 Fluorescent Light Fixtures. Add $ 851 Constantine is excited to have the opportunity to be your builder of choice. With your acceptance, this proposal will serve as the Notice to Proceed with the project with the understanding that a mutual agreed contract will be executed. We look forward in the development of a great relationship with the both of you and the building a facility that will make us all proud of. If this proposal is acceptable, please return this agreement signed and return by Friday July 14, 2017. j) c. Sincerely, Accepted by Owner Signature O. George Constantine Print Name Date This proposal is considered a work product along with all of its related information and is protected by uotk product doctrine under the Confidentiality, Protection Laws of the State of lY/asbington. Any disclosure of any portion of work product without the e%press written consent of Constantine Builders Inc is strictly prohibited 1; CONSTANTINE BUILDERS Page 1 Printed on 7/12/2017, 9:40 AM YELM DENTAL SURGICAL OP & FLOORING CONSTANTINE BUILDERS INC. CLARIFICATION & ASSUMPTIONS July 12, 2017 Painting • lea Prime coat at new drywall patching. • 2ea Finish coats at newdrywall patching. Division 10- Specialties • Final Cleaning Division 15- Mechanical Plumbing • Permits, inspection fees with State of Washington. • Extend Vacuum to include (2) outlets to point of connection in new Surgical Operatory • Extend Air to include (1) outlet to point of connection in new Surgical Operatory • Extend Nitrous Oxygen to include (1) outlet to point of connection in new Surgical Operatory • Extend Oxygen to include (1) outlet to point of connection in new Surgical Operatory • Extend Nitrous to include (1) outlet to point of connection in new Surgical Operatory • Provide and Install Level 3 Medical Gas piping Division 16- Electrical • Permits, inspection fees with State of Washington. • Provide and install low voltage circuitry and mud rings for new X -ray switches • Provide and install low voltage circuitry from dental light to chair • Provide and install 2" low voltage conduits to (2) locations • Provide and install (2) 120volt general purpose outlets • Make connection for (1) 120volt X -ray • Make connection for (1) 120volt dental light • Provide and install (1) 120volt double duplex outlets for the dental chair This proposal is considered a work product along with all of its related information and is protected by work product doctrine under the Confidentiality Protection Laws of the State of Washington. Any disclosure of any portion of work product without the express written consent of Constantine Builders Inc is strictly prohibited YELM DENTAL SURGICAL OP & FLOORING CONSTANTINE BUILDERS INC. CLARIFICATION & ASSUMPTIONS July 12, 2017 General Assumptions: • The estimate is based on plans by Burkhart Dental Supply Company entitled Sheet 1 of 2 and Sheet 2 of 2 dated 5/11/17, Floor Plan and Seam Diagram entitled Page 1/1 dated 05/18/17 and Constantine Builders Clarifications & Assumptions dated 6/26/2017. • All furniture, dental equipment, chairs, flooring and apparatuses to be moved /removed prior to commencement of the work by the Owner and after work is completed the same to be reinstalled by Owner. In addition, the disconnection and reconnection of medical gas to existing chairs to be by others. • Constantine Builders estimates the construction time frame to be approximately 4 weeks. • Monthly progress payments from the Owner shall be paid by the 10'' of the following month. Owner will pay 95% of the amount due Constantine Builders for each progress payment. Constantine Builders makes monthly progress payment requests on the 30 ". • It is presumed that temporary power and water utilities will be made available for our use onsite and provided at no cost to Constantine Builders and its subcontractors. • Securing building permit to be done by owner /architect if required • It is assumed that all medical grade piping, equipment, apparatuses, etc. will not need upgraded • During construction contractor's and crews will us alternate entry door. • The following is a listing of specific inclusions and/or allowances and assumptions that were made in pricing the estimate for the construction of The Yelm Dental Surgical Operatory and Flooring refresh Division 1- General Conditions • Mobilization • Project Manager /Supervision (Part Time) • Project Support • Small tools and safety supplies Division 2- Demolition • Prior to demolition, dust partitions to be provided. • Demo & dispose existing drywall in new Surgical Op to accommodate backing for new dental equipment & casework • Deme & dispese of existing fleer-ing to aeeeaffnedate new fleering in iww Sufgieal Op, existing open ehair- afea and- Dr.'s e7fivc: BY OWNER Division 6 -Wood Carpentry • Wood blocking for installation of new dental equipment and casework per direction of Burkhart Dental Supply. Millwork • Eidsting wood base to femain in pl a a.. g fleer-ing installatien. BY OWNER • . BY OWNER Division 9- Finishes Drywall • Patch existing Drywall finished to knock down textured finish to match existing interior of Surgical Op. • No drywall work beyond Surgical Op patching for dental equipment and casework backing/blocking. Flooring • Dome ewpet at *ww Surgieal Op, Open � aeeemmedate - BY OWNER and- Dr.'s ee BY OWNER " . BY OWNER This proposal is considered a work product along with all of its related information and is protected by work product doctrine under the Confidentiality Protection Laws of the State of Washington. Any disclosure of any portion of work product without the express written consent of Constantine Builders Inc is strictly prohibited YELM DENTAL SURGICAL OP & FLOORING CONSTANTINE BUILDERS INC. CLARIFICATION & ASSUMPTIONS July 12, 2017 Standard Exclusions • Any items not specifically listed in Clarifications & Assumptions • Bonds + e All permits including the building permit except for the MEP permits provided by Contractors • Primary power, transformer, gas, telephone and cabling including vaults. • All utility, electrical, gas, telephone and water service charges, connection fees and meters. • All utility charges, including electrical & water used during the course of construction to build project. Billed directly to the Owner with no mark -up. • All tests & inspections, except as notedabove. • Hazardous material handling. • Unforeseen conditions • Mitigation Fees. • NFRC testing on glass. • All signage except for room signs as shown on the drawings. • Furniture 'K• Removing and reinstalling existing furnishings, dental equipment, apparatuses and chairs • Building Signs • Appliances • Blinds • Sealing or waxing of floors • Backflow preventer required for the "Building" • Energy managementsystem. • Security System • Telephone /Computer /Data/Sound equipment & cable. Low Voltage. • Zone Valves for Medical Gas • Correction of non - complying existing code conditions • Industrial wastesystem. • Fire alarm monitoring. • Re- keying of doors for Owner's use. • Special electrical /plumbing rough -ins and hookups to equipment, other than those specifically included. • All Builders Risk including earthquake & flood along with any related deductible • Washington State Sales Tax. This proposal is considered a work product along with all of its related information and is protected by work product doctrine under the Confidentiality Protection Laws of the State of Washington. Any disclosure of any portion of work product without the express written consent of Constantine Builders Inc is strictly prohibited