20050414City of Yelm
Community Development Department
Building Division
Phone: 1360)468-8407
Fax: (360) 458-3144
Applicant:
Name: Yelm Senior Center
Address: P.O. Box 474
Property Information:
Site Address: 16630 103rd Ave. SE
Assessor Parcel NO. 64303600302
Contractor tnformation:
Name: Yelm Senior Center
Address:
Contractor License No:
City: Yelm
Subdivision: NIA
Contact: Sherrill, Fran
City
Expires: 12119106353
Project Information:
Project: New Senior Center
Description of Work: Walkin CoolerlFreezer Foundation
Permit No: BLD-05-0414-YL
Issue Date: 12/12/2005
(Work must be started within 180 days)
Receipt No: 39459
Phone: 458-7733
State: WA Zip 98597
Phone:
State: Zip:
Business License:
Sq. Ft. per Door (1st) 320 (2nd) 0 (3rd) 0 Garage 0 Basement 0
Heat Type (Electric, Gas, Other): OTHER
Fees
Lot: NIA
Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
Building Perm it-Other 104.25 0.00 0.00 0.0000 0.0000 $1,000
Building Plan Review 67.76 0.00 0.00 0.0000 0.0000
State Building Fee 4.50 4.50 0.00 0.0000 0.0000
Fire District Impact Fee 69.12 0.00 69.12 0.2160 320.0000 square foot
TOTAL FEES: $246.63
~~~%~ ~-, rn~, lJ~e~r,~S ~,~n.fll
Applicants Affad'Avit:
I cert' t ad and examined the information contained within the application and know the same
to b true and co c ~ that the proposed structure is in conformity with all applicable City of
Yel egu ~ s ~ u os g erning zoning and land subdivision, and in addition, all covenants,
ease n str o o cor . If applying as a contractor, I futher certify that I am currently
Date ~~ .
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LISTING INFORMATION
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Chapter 6 Building Insulations
Wall-Ceiling Construction
FM Approvals Standard AHH011994)
Metal-faced- Class 1 Fire Rated to max 30 ft 19 1 m) High
Imporia! PAan ufacturing, 2271 N.E. 19450, Portland Oregon 97230
Hlyh Uenslty warned Urathane ;'!ail a.~.d CeJ.mg panels corslst et muumum 20"
ga. [(7 4150 In (0 453 mm!J IntPnorand exteriors,eel tacQrs v~rth 3 5 tc h na (fib to 1 Z'
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self tspprng sheet metal screen+s epproxlmateiy a In. (102 mm~ o.c
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Comment: Seh.1 when retying p~nl
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U' ;_~-,_'t~[15 110hd 1~1: IJUHFt Tfi:
Imperial Manufacturing Walk-ins
Ahout Us
Products
- R•Plus Doors
- 4Valk•Ins
- Superlnsulated
Structures
What's Piew
Info Request
Contact tfs
International
Page 1 of 2
R-Plus Doors Walk-Ins Super Insulated Structures
Imperial's prefabricated modular panels are built to Documentation
maximize your available space in a wide variety of ~ Walk-in General Specific<
applications. They are designed for easy field
installation and future disassembly, enlargement, or ~ Walk-in Installation & Mai
relocation. All walk-in units are custom built to your
specifications. ~ Walk-in Quotation Form F
Requires Acrobat Reader
Refrigeration Equipment
Imperial Manufacturing provides Heatcraft refrigeration equipment.
Walk-ins can be purchased with or without equipment.
Available Constrl
^ Wood or High-Dens
^ Foamed-in-place CI
CFC urethane insut
^ Metal and wood fini~.
including stucco gal
white stucco galvan
aluminum, stainless
plywood, FRP, T-11
^ Thicknesses: 3Y:', ~
and T/:'
http://www.imperialmfg.com/walkins.htm 11/29/2005
Walk-in Coolers and Freezers - Available Finishes
BLBT.R14667 -Building Units
UL Online Certifications Directory
BLBT.R14667
Building Units
Pie Bottom
Building Units
See General Information for Buildng_Units
IMPERIAL MFG ICE COLD COOLERS INC
2271 NE 194TH
PORTLAND, OR 97230 USA
Page 1 of 2
R14667
Panels consisting of fiberglass or polyurethane foamed plastic core having metal facings on both sides and wood frame rails. Panels
consisting of polyurethane foamed plastic core having metal facings on both sides and high density polyurethane foamed rails.
3-1/2 In. Thk
Painted or
Unpainted Steel
Fiberglass Finished Panel
Core Mtl Wooden Rails
Flame spread 15 SO
Smoke developed 0 5
or FHC 25/50
3-1/2 In. Thk
Painted or
Polyurethane Unpainted Steel
Foam Core Finished Panel
Mtl Wooden Rails
Flame spread 20 15
Smoke developed 450 300-450
4 In. Thk
Painted or
Polyurethane Unpainted Steel
FOam Core Finished Panel
Mtl High Density Polyurethane Rails
Flame spread 20 40
Smoke developed 450 Over 500
Last Updated on 2004-12-07
uestions? Notice of Disclaimer Page Too
Copyright c 2005 Underwriters Laboratories Inc.p
The appearance of a company's name or product in this database does not in itself assure that products so identified have been
manufactured under UL's Follow-Up Service. Only those products bearing the UL Mark should be considered to be Listed and covered
under UL's Follow-Up Service. Always look far the Mark on the product.
UL permits the reproduction of the material contained in the Online Certification Directory subject to the following conditions: 1. The
Guide Information, Designs and/or Listings (files) must be presented in their entirety and in anon-misleading manner, without any
http://database.ul.com/cgi-bin/XYV/template/LISEXT/1 FRAME/showpage.html?name=... 11 /29/2005
V1,•
/ rCOMMERCIAL BUILDING PERMIT APPLICATION FORM
Project Address: ~~53c~ ~ ~.~ f ~,~/t' ~~ Parcel #: ~ ~.~G ~ ~oG~ ~i> ~.~
Zonin S~r
Wig; ~c9mYr'r~rGi>• ~ Cjurrent Use:~il~^ CP+~%er Proposed Use: /~1) ~)pr Y ~~ `~
CI New Construction !~'Re-Model / Re-Roof I Tenant Improvement
U Plumbing U Mechanical U Fire Prevent/SuppresslAlarm U Other
Project Descri~tionl5cope of Work: DtJw- ~ I rah rw SL A-(~ ~k,~ ~~~~~' r ~'~ S t013~
Project Valuei ~(` c> ~ ~ Q~ o
Building Area (sq. ft)!~ Parking Garage 1" Floor 2n° Floor 3"' Floor_ ~ `"
~ r • Q~ ~
Building Height O Ln U ^i
Are there any environmentally sensitive areas located on the parcel? ~ If yes, a fy
z
completed environmental checklist must accompany permit application.
BUILDING OWNERITENANT NAME: cl a~rnkNi CP ' e r`
ADDRES ltis3o 1"83 ~ o Ade S - EMAIL
CITY 12t STATE~_ZIP Y~5Q7 TELEPHON GD ~/ ~~-7733
/ENGINEER ~ ~ LICENSE #
ADDRESS Z 6 erC EMAIL
CITY~a~f(7.-e STATE •.~4 ZIP9S?/U R TELEPHUNE /- Scz, - SZS- of 31
PLUMBING CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE_GTY LICENSE #
MECHANICAL CONTRACTO ~ L ~ TELEPHONE - S - /
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE_CITY LICENSE #
Copy of Gty.kMlgatlon documentation (TFC).
the abage atlon is correct and that the construction on, and the xcupancy and the use of the
~oerfG v(ia n ccordance with the laws, rules and regulations of the State of Washinglan and the
Applicant's Signature ate
Owner (Contractor /Owner's Agent I 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
,~
105 Yelm Aoenue Weat (360) 458.3835
PO Bos 479 (360) 458-3144 FAX
Yelm, WA 98597 ruruw.ci.yelm.ma.ua
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