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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application description
Subdivision Name
property Zoning . . .
Application valuation
03-00000916 Date
902 E 1ST ST A
06-30-00-7-2-0330-0000-
CAPITAL ADVANCE
COMM REMODEL
9/30/03
7000
OWner
Contractor
ST LAURENT JOHN A VISION BUILDERS INe.
860 RHODODENDRON LN 3705 CRITCHFIELD RD.
BRINNON WA 983209706 PORT ANGELES WA 98363
(360) 452-1186
Structure Information TENANT IMPROVEMENTS FOR CAPITAL ADVANCE - - - --
Construction Type TYPE V NON-RATED
occupancy Type . . . .. BUSlNESS:OFF/PRO/MED/REST
Other struct info 4 . .. NUMBER OF UNITS 1.00
Permit
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW COMMERlCAL
TELE/DATA CABLE INSTALL
ANGELES COMMUNICATIONS INC.
40.90 Plan Check Fee
9/30/03 valuation
3/29/04
.00
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Other Fees
STATE SURCHARGE
4.50
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Qty Unit Charge Per
1.00 40.9000 EL-LQW VOLT SYS <=2500 SQFT
Extension
40.90
----------------------------------------------------------------------------
Fee sununary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 40.90 40.90 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 45..40 45.40 .00 .00
y
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of j 80 days after the work as commenced, or If required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction. -
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\PLANNING\FORMS\II02.l5 [4I2oo2}
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO -
FOUNnATION:
FOOTINGS
WALLS
FOlJNDA TION I)RAJNAGE
ELECTRICAL (LIGHT DErT) SEPARATE PERMIT: IJ
ROt JCi!-l-IN I I I
PUJMRlNG
-
{INDER FLOOR I SLAB
ROUGII-IN
WATER LINE
GAS LINE
BACK FI.OW I WATER
AIR SEAL
WALLS T I
CEILING I I I
FRAMING
JOISTS / GIRDERS
SHEAR W^,~L
WALLS I ROOF I CElUNG
DRYWALL
T-BAR
INSULATION
51,An I I
W^'J./F1nOR ICEJLlNC, I I
MEr.UANICAL .
flEA T PUMP
WOOD STOVE I PELLET I CHIMNEY
I-IOOD I m leTS
rw lITILlTIF:S / sin: WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERI.lNE I METER
SEWER CONNECTION
SANITARY
STOR M
PLANNINr. OF.PT. SEPARATE PERMIT Irs SErA:
rAnKING/UGHTING ESA;
LANDSCAPINr. SHORELINE:
FINAL INSPECTIONS REQlJIRED PRIOR TO OCCUPANCY/llSE
RESIOENTIAI, DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL. U(,HT DEPT. 4]7-4735 ELECTRICAL JolJ(/03 )r.n
LIGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW I ENGINEERING
FIRE 417-4653 FIRE DEPT. .
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 nUILDING
T:\PLANNING\FORMS\1102.15 [412002]
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application description
Subdivision Name
Property Zoning . . .
Application valuation
03-00000916 Date
902 E 1ST ST A
06-30-00-7-2-0330-0000-
CAPITAL ADVANCE
COMM REMODEL
9/30/03
7000
Owner
Contractor
ST LAURENT JOHN A
860 RHODODENDRON LN
BRINNON
WA 983209706
VISION BUILDERS INC.
3705 CRITCHFIELD RD.
PORT ANGELES
(360) 452-1186
TENANT IMPROVEMENTS FOR CAPITAL ADVANCE
TYPE V NON-RATED
BUSlNESS:OFF/PRO/MED/REST
NUMBER OF UNITS
WA 98363
Permit
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER COMMERCIAL
CCTV/AUDIO/SECURITY/ACCESS CON
HI TECH ELECTRONICS
40.90 plan Check Fee
9/30/03 Valuation
3/29/04
.00
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Structure Information
Construction Type
Occupancy Type . . . . .
Other struct info . . . .
1. 00
Qty Unit Charge Per
1.00 40.9000 EL-LOW VOLT SYS <=2500 SQFT
Extension
40.90
Other Fees STATE SURCHARGE 4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 40.90 40.90 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 45._40 45.40 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of _180 days after the work. as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether speCified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction. -
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\PLANNING\FORMS\II02.l5 [412002]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE I ACCEPTED COMMENTS
I YES I NO -
FOUNDATION:
FOOTINGS
WALLS
FOUNDA TION DRAINAGE
f:LF:CTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGJI-IN I I I
PUIMnrNG
-
UNDER FLOOR I SLAB
ROUGH-IN
WATER LINE
GAS LINE
RACK FLOW I W ^ TER
AIR SF.AL
WALLS I I
CEILING I I
FRAMING
JOISTS I GIRDERS
SIIEAR WALL
WALLS I ROOF I CEILING
DRYWALL
T-OAR
INSULATION
SLAB I
WALL IFIDOR/CEILlN(J I I
MECHANICAl, ..
ilEA T PUMP
WOOD STOVE I PEI,I,ET IClIIMNEY
11000 I DUCTS
rw lJTILlTlES I SITI': WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERJ.INE I METER
SEWER CONNECTION
SANITARY
STORM
rLANNING DEPT. SEPARATE PERMIT #'s SErA:
PARKING/UGIITING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIOF-NTIAL OATE YES NO COMMERCIAL DATE ACCr,PTED
VES NO
ELECTRICAL - UGHT DEPT. 4]7-4735 ELECTR]CAL 10/31 h;r M
UGHT DEPT
CONSTRUCTION R.W.I PW/ CONSTRUCTION - R.W. I
ENGINEERING 4]7-4R07 PW / ENGINEERrNG
FIRE 4]7-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PLANNrNG\FORMS\l ]02.15 [412oo2J
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr I name
Application description
Subdivision Name
Property Zoning . . .
Application valuation
03-00000937 Date
902 E 1ST ST A
06-30-00-7-2-0330-0000-
CASH ADVANCE
9/24/03
SIGNS
16850
Owner
Contractor
ST LAURENT JOHN A
860 RHODODENDRON LN
BRINNON WA 983209706
HANSON SIGN CO.
POBOX 928
SILVERDALE
SILVERDALE
(360) 613-9550
WA 98383
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
SIGN
260.00
9/24/03
3/23/04
plan Check Fee
Valuation
.00
16850
Qty
2.00
3.00
Unit Charge
85.0000
30.0000
Per
PER
PER
s- SIGN WALL 25 SF+
S- SIGN LES THAN 25 SF
Extension
170.00
90.00
~
'P
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 260.00 260.00 .00 .00
PIan Check Total .00 .00 .00 .00
Grand Total 260.00 260.00 .00 .00
'i\l
---
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-:+
~
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
fora period of180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
Inspe Ion. i hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws n ordinances governing this type of work will be complied with whether specffied herein or not. The granting of a permit does not
pre urn to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
co str 'on. .
-2C/ru
S
ure 0 ontractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T;\PLANNING\FORMS\1102.15 [412002]
BillLDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND A CCEPTED. POST PERMIT IN A CONSPICUOUS LOCA nON.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE I ACCEPTED COMMENTS
I I -
YES NO
FOlJNDATION:
FOOTINGS
WALLS
FOUNOA liON DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROLJGII-IN I I
PLUMBING
-
UNDER FLOOR I SLAB
ROUGH~IN
WATER LINE
GAS LINE
BACK FLOW I WATER
AIR SEAL
WALLS I I
CEILING I I I
FRAMING
JOISTS I GIRDERS
SHEAR WALL
WALLS I ROOF I CEILING
DRYWALL
T-BAR
INSULATION
SLAB I I
WALL I FLOOR I CEILING I I I
MECHANICAL .
HEAT PUMP
WOOD STOVE I PELLET I CIIIMNEY
HOOD I DUCTS
rw UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
W ^ TERUNE I METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SErA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIOENTIA" DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION. R. W.
ENGINEERING 417-4807 PW I ENGINEERING
F]RE 4]7-4653 FIRE DEPT.
PLANNING DEPT. 417.4750 PLANNING DEPT.
BUILD]NG 417-4815 Ii .1-0"" j,~, BUILDING
T:\PLANNING\FORMS\l ]02.15 [4/2002J
(]v:
PERMIT: SIGN 00 SIGN
REQUESTED INSP
TYP/SQ COMPLETED RESULT
------------------------
8L99 01 10/31/03 ~
i /-;f-tJ;7~~ \.\~
DESCRIPTION
RESULTS/COMMENTS
------------
BUILDING FINAL
sign final
COMMENTS
SUb
AND N:8[;
V~
1t
J
s
I b7LJ s
ADDRESS
TENANT, NBR
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
902 E 1ST ST A
CASH ADVANCE
HANSON SIGN CO.
ST LAURENT JOHN A
06-30-00-7-2-0330
03-00000937 SIGNS
0000
PHONE
PHONE
PREPARED 10/31/03, 12
CITY OF PORT ANGELES
15
28
SUBDIV
NSPECTION TICKET
INSPECTOR JAMES L
360
LIERLY
613
9550
PAGE
DATE
7
10/31/03
~--1'-C'2.; 2:C,-;'FI,-I:(. --, p.?:o-- ,...,:-,.:;,t::L..E:",
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BUILDING PERMIT. APPLICATION
FOROFFl~\!~ONL"'"
D... Rcc., - t -11)
Pcmtil ~, '-( 7 -
Oat! Approved:
Date Issued:
The Building Permit Application must be fllkd out completeI)'.
PI.... type.... print in ink. If you have any questions, ple.se caU 417-4815
Applicant or Agent:J.\R~N S\~~ Co. =.
Owner: Cflii' [1'l\ L P\t) \I F\ N C Eo
Address: qO~ E bt -:tt A City: ~T ~~S
Phone: ~ c..\~ qSSO
Phone:
Zip:
ArchitectlEngineer:
Contractor.(4J:!,NWN SIGN CO
Address:_fb ro'1- q 2.B
PROJECT ADDRUS:....9D-;2. E. ht 'itA.
LEGAL DESCRImON: Lot: Block'
CLALLAM COUNTY PARCEL NUMBER:
BWn, Add..: t:b BolC 9'2.~ ;:,1\.J:c....~
Credit Card ,:
VlSA;'<'" MC
\-\""'~~ Sl<j,) (D ,
TYPE OF WORK:
o Residential 0 New Coaslr.
o Multi-family 0 Addition
)l Commercial 0 Remodel
o Repair
SIZEN ALUATlON:
SF. @ S ISF. =.$
SF.@$ ISF.-S
SF.@S !SF.-S
TOTAL VALUATION $ 1<0.850-
en \.0a'T~ ~It+k ~\E~l> wo.,S
o Re-Ioof
o Move
o Demolition
)i( Sign
C \Vood.stove
o Ga.ra&c
o D.ck
o
BRD!.J'DESCRIPTlONOJ'THEl'ROJECT: N~ S\9...JS
~"- ~tlw~()
COMMERCW.IRJ:SIDENTlAL: Occupancy Group:
. No. of Stories: _____ La! Size: %Lat Coveras.:
Existina Lot Covcrace: I.q. ft. + Propo.ed Lot Coverage:
P US!: ONLY:
,
t . .
Occupant Load:
Construction Type:
%
Isq. n. = TOTAL LOT COVERAGE: ~ IS. q.)l.
APPROVALS: LAN j/9/~3 ~
BLDG.
DPW
'::;"- . If' FIRE
ESA/WetIlmd{.. 0 V.. 0 No SEPA Ch..ldistrequired'l 0 V.a 0 No Other: OTHER
BUll.DING PERMIT APPUCATlON SUBMlTIAL: You, oppl/cotlo1l and site pia" must blftl/ed out completely to'" acceptodfor
r"Jew. The Bui1ding Division can provide you with more detailed information on the application and plan submittal requirement.. Vour
completed application, lite plan (for additions) and buiJdmg construction plan> "'" to be .ubmitted 10 the Building Divi.ion.
.0
VALUATION OF CONSTRUCTION: In all ....., a nluation amount must be enter.d by tbc applicant. This figure will be reviewed
and may be revised by the Building Division to comply witil current lee schedule.. Contact the Permit Coordinator at417-4815 for a...istance.
PLAN CHECK FEE: V our plan cheek fec is due at the time the building pennit'pplication IUld construction plans are submitted. All other
permit fees are due at the time ofpennit issuance.
EXPIRATION OF PLAN REVIEW: Ifno permit is Llsued within 180 days ofthc date of application, Ibis application will expire. The
BuiJdinS Official can .kItnd th. time for aetion by the appliclUlt up to 180 day. upon writteo requc.t by the applicant (.ce Section 107.4 of
the Unifonn Building Code, CUlT'Ont edition). No appli..tion can be extended mar. than on...
I hereby c,rtify that / haw read Qnd examined this app/icfltion and bow the .same to b< true and correct. and I am authorized to apply lor
thlJ pmntt. / UllderStmui II IJ not the City's legal responsibility to dete" ine what permits are required; it remoins the applicant's
respollSibilily to determine whizt permits are requi,.d and to obtai ch.
T:\FORNS\APPSIBdldinspcnnit
Applicant:
Date: 3.::..l\-O~
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PROPOSED INSTALLATION
FOR IllUSTRATION ONlY- NOT TO SCALE
6011
o
t<)
S/F IllUMINATED CABINET
rLiTI
~> ill I'>
: i
HANSON I
'. Sll'N.!;:"~
CUSTOMER CAPITAL ADVANCE
SKETCH
SCALE
JOB ORDER #
o
oD~,~$,~~~ /
POBOX928
9438 WlllAMETIE MERIDIAN RDtm
SILVERDAlE, WA98383
PHONE(360)613-9550 i
FAX(360)613-9515 I
SALES: RANDY HANSON
DESIGN: FORRESTMlllER
C2003 THIS SIGN DESIGN ISTHf PROPfRTY OF HANSON SIGNS INC. &15 NOTTO BE REPRODUCED IN ANYWAY WITHOUT PERMISSION ORTRAN5FER BYSAlE
/
ti
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property zoning . . .
Application valuation
03-00000899 Date 12/05/03
902 E 1ST ST A
06-30-00-7-2-0330-0000-
ELECTRICAL ONLY
COMMERCIAL ARTERIAL
o
OWner
Contractor
ST LAURENT JOHN A
860 RHODODENDRON LN
BRINNON WA 983209706
TWETER ELECTRIC
423 BLACKHAWK LOOP
PORT ANGELES WA 98362
(360) 417-1151
----------------------------------------------------------------------------
Permit
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER COMMERCIAL
TENANT IMPROVEMENTS
TWETER ELECTRIC
59.40 plan Check Fee
12/05/03 valuation
6/03/04
.00
o
Qty Unit Charge Per
1.00 59.4000 ECH EL-COMM ALT <5 CIRCUITS
Extension
59.40
~
N
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 59.40 59.40 .00 .00
plan Check Total .00 .00 .00 .00
Grand Total 59.40 59.40 .00 .00
-',~
i
~
~
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IV,
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Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
la rdinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
resume to autho<il 0 . Ie.or'cancel the provisions of any state or local iaw regulating construction or the performance of
onstrucf
ractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\PLANN1NG\FORMS\1102.15 [11/14/2003]
BillLDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA nON.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE I ACCEPTED COMMENTS
I YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGElDOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARA IE PERMIT: #
ROUGH-IN I I I
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN
WATER LINE (METER TO SLDG)
GAS LINE
BACK FLOW I WATER
AIR SEAL
WALLS I I I
CEILING I I I
FRAMING
JOISTS I GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS I ROOF I CEILING
ORYW ALL (INTERlOR BRACED PANEL ONLY)
I-BAR
INSULATION
SLAB I I I
WALL I FLOOR I CEILING I I I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE / PELLET I CHIMNEY
HOOD I DUCTS
PW UTILITIES f SITE WORK (Engineering Division) SEPARATE PERMIT #'5:
WATERLINE I METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPJNG SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESlDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - UGHT DEPT. 417-4735 ELECTRICAL 1~)"/D3 .M)
LIGHT DEPT
CONSTRUCTION R.W. I PW/ CONSTRUCTION - R W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PLANNING\FOR.M:5\1102.15 [11/14/2003]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number ..... 03-00000916 Date 9/23/03
Property A~dress ...... 902 E lST ST A
ASSESSOR PARCEL NUMBER: 06-30-00-7-2-0330-0000-
Tenant nbr. name ...... CAPITAL ADVANC~
A~lication description . . . COMM REMODEL
Subdivision Name ......
Property Zoning .......
Application valuation .... 7000
Owner Contractor
ST LAU~]~NT JO~ A VISION BUILDERS INC.
860 RHODODENDRON LN 3705 CRITCHFIELD RD.
BRINNON WA 983209706 PORT ANGELES WA 98363
(360) 452-1186
...... Structure Information TENANT IMPROV~NTS FOR C3%PITAL ADVANCE
Construction Type ..... TYPE V NON-P~ATED
Occupancy Ty~e ...... BUSINESS:OFF/PRO/MED/EEST
Other struct info ..... NUMBER OF UNITS 1.00
Permit ...... BUILDING PERMIT - CO~4ERCIAL
Additional desc . .
Permit Fee .... 162.75 Plan Check Fee , . 105.79
Issue Date .... 9/23/03 Valuation .... 7000
E~iration Date . . 3/22/04
Qty Unit Charge Per Extension
BASE FEE 92.75
5.00 - 14.0000 THOU BL-2001-25K (14 PER K) 70.00
Other Fees ......... STATE SURCHARGE 4,50
Fee summary Charged Paid Credited Due
Permit Fee Total 162,75 162.75 .00 .00
Plan Check Total 105.79 105.79 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 273.04 273.04 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, pdvate and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within '180 days, if construction or work is suspended or abandoned
for a period of !80 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to, give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
cons '.
Sli~ture"~,~ntractor or Authorized Agent ate Signature of Owner (if owner is builder) Date
T:\PLANNING\FORMS\1102.15 [4;2002]
FOR OFFICIAL USE ONLY:
BUILDING PERMIT- APPLICATION
P it#: e?
Fill out COMPLETELY and in INK. Your application and site plan MUST B~//.
COMPLETE to be accepted for review. If you have any questions, call/3//
(360) 417-4815 / I Date Issued:
Applicant or Agent: [/~S~t~ ~/~_~./.~.t.~. ff-~C- Phone: '3~ -'q~2'
O~er: ~ ~ Phone:
Ad'ess: Ci~: Zip:.
~chitecff~nginecr: Phone: ~
Con~actor[/rq:h~~.~.StateLicenseg:~lSlOglqfi~Exp:[O[6~ Pho~: ~{2-,/g&
Ad,ess: ~V~ ~ ,~ ~ Ci*~ e ~ ~ Zip:
LEG~ DESC~TION: Lot: Block: Subdi~sion:
CL~L~ CO~ P~CEL ~ER:
Cr~it Card ~older Name:
Billing Addr~s: City:.
Credit CardType ~SA ~MC ~ ~ Exp. Date:
~E O~ WO~: SI~UATION:
~ Residential ~ New Cousin ~ Re-roof ~ Stove SF. ~ $ /SF. = $.
D Mulfi-fa~ly ~ Addition ~ Move ~ Garage SF. ~ $ /SF. = $.
~Comrcial ~ Remodel ~ Demolition ~ Deck SF. ~ $ /SF. = $.
TOTAL VALUATION $
~ Repak ~ Si~ a O~er ~ . ~ ~ ~ ,
COMMERCI~S~ENTI~: Occupancy Group: Occup~t ~ad: ~ Cons~ction T~e:
No. of Stories: f Lot Size: Existing Sq. Ft. / ~ ~ & Proposed Sq. Ft. = TOTAL Sq. Ft.
Exis~g lot coverage ~ % & Proposed lot coverage ~% = Total lot coverage %
APPRQy~:
' , , ' - BLDG:
, . - ~ . . ~ ~ DP~:~
gS~eti~a(s): ~ Y~ SEP~ ChecUist re~d? u Yes ~o ~er: ~ ~ OTHER:
BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and
plan submittal requirements if you have questions.
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed
and may be revised by the Builduig Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance.
PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the t/me for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of
the Uniform Building Code, current edition). No application can be extended more than once.
I hereby certify that I have read and examined this application and kno)V/t~e 3~jart~o be tree and
correct.
I
am
autho#zed
to
apply
for
this
permit
and
understand that it is my responsibiitfy to determine what permits are re~lOire~ ffot~heJCi~/$, and that l must obtain such permits prtor to work.
T:~FORM$~PP$\Bui,dingpermit.wpd Applica~: ~-~/~--'-'~ Date: ~ d~"'-(',S
Sep-24-03 08:12A
360-457-0212
,
P.Ol
I
,
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'''.~
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F(JIlo.Hk'IALU:;,F.ONl.Y
Vaolfl/1l..: '_'... _
=~~_: - -~._._~---::
1J.ot.,.......:......... _'.__',,,_,._
ELECTRICAL PERMIT APPUCATION
Th", r.;1~c(r1c.31 Permll Application rnU'5t be fiU,d out ~Gmt1l.talv
Pl8ill5u type ex repl'int in ink. lfyQU "'.w a...~ q\!M"ltonS, pfeeM c..aU (360) ..17....735 Jln -;It 'J~ eLJ-:I
Fax n,-""ber: (380) 411~111
REQUEST INSPECTION 0
~_. ~ '".~""".~ JI/:/t'" Grrunu n ic", n(f/5 -.. '157- 1375-: ,. "/57-02-12-
PnJP""Y Ow"" ..1fJ (()~(lP / _ I'IlOM ''is? -'10(, Z-
,,""<eo< 3C? _ E /~_ ____. .Si!lI_J?()r+ A-r\~) f:, ~I", q'lS'.~Co '2 .
Flcctrical CO(ltrocfOt:
..-.._~.,--_._-----~
l.iCClnse #:~".__~_ E.-V:_~
Phon~.
AddfllU&:
CiLy:
lip: _ _._
INS" ALLAllON WIRED BY: {] OWNER X FLECTRICAL CQN'fAAC fOR
Credlr Card Holder Na'.~' /lfl'lf')"''', "'m0t'{ ~ ~1'lS
BIlling Address: (02 ~C>S'Sh--':L____C;lty: r () It's
C,.ditCardNumber: -(
,
7nc,
-
Zip: jQ.~(03
VISA:.-X._ MC:_
VI '1 V' ( '" 1 --- .,,-.
PROJECT ADDRess, _h. JOt.--" t::-- :> --:> I
J~nf.-
A
tyPE Of WORK' Check 1Il! thai apply: KNew [J AllllralionlAdd~lon
U Residental l..i Mul1l-family t( Commercial 0 Mobile Home Sq. FI_____..._.
Remnle Met..r CllJela~hed garage U Hot Tub 0 Swim Pool 0 S8pti~ Pump 0 Low Voltage 0 Telecom. [J Sig
Numb., of Grcuits addl:!!:' or allered: .
DESCRIPTION Of THE EI.ECTRICAI. PROJECT, -;e-le.ph6f1.Q.
$~. en. b.L~_ u..i?('K-
-.-..----,.. .~_.._'......',.-.~,.~.
!a~ruil;1Ii Heat load Additions
PERM'T FEE:
~~e Information
U Ba5eboa,d
tJ Fymece
o Hear Pump
i.J ran-WaH
KW
KW
TON
-KW
LRA
U Overhead ServIce
[] T Snip Service
U UndergroUfld Service
Vo1l890: -'-""~
Pha>a: 0 1 fJ 3
SelVi"" Size; _ ...._
FQudllil'f SiJ:.e:___"..
PAMC 14.05.060(8): For industrial, (:ormnordal, & tesidenlial projf!K:ts larger IhlJn;i;l duplc)(" il Onu _ line drawing of the [I8'ctrical Service &
j::'eooers. buIlding size (~Q. fL), IO;ld calcula1ioll~1 and the type & or wnductors l!Ind/or raceway Is required and $lall ac:campany (he Eladric;;a '
P~rmjl applloltl
and e)lamined this application and know that same to be true and correct, and I arr
authorizadro apply for this permit. I unclerstand it is not the City's legal responsibility /0 determine what permits sr
required; il ramains II... applicants responsibility ro determine Wlrat permits "If' rr.quirecJ and to obtain such.
! ~ Credit Card HOlder's SIgnature: ~
91 z.4. ~ 3 Owner or Elec. Cont. Signature:
C:lELF.CTRICALPERMITAPPLiCATION .19_
Al- 14&-'1 -uv.p--' AJ~e -h de:11-.e~ce ~c,.)j ,Q~C-..>f/'S
,A-h ~~{f;c.f- w(~k.e.{ ul-tCl,-/ "d",,1'1- r.f{;. ~
;()<: -?( $ l.ID ,qo
Oal&:.
Oabl:_
FROM : HAflSON S! GNS
Aug-23-0C 08,01
FAX NO. : 350 513 3515
Pert Angeles Publi~ Works
.
Oct. 27 2003 10:03AM PI
P.Ol
e (j1J\ n" ,:~~,~,::~~:,,:~.:::: :::,L:~::~~,:,y
PI.... tylle or print in ink. II you h.v. .ny quernom, plc",c call (360) 417-47J~
Fax numbcr: (:!60) 417.4711
II Ot(. OPFl::1M \.~12 ():\!.."
I),att :{tC
rtrln,:t:
I Dll.lr .o..p;lfO\-ed _ ---
l.klt' :ttueo<t
L
,';'pplicant and/or Agent: ~lltf) .si'~rJ Phone: 3~O('13Cj~5D
Property Owner: 5;;tJ~ :rc ~~IJ-r
Address: ~ .f<h..:.dD d",..,p.-..o,. 0City:_3~I:VNi),J W~.
Contractor Nt,oN ,~~A) License #:/.l:,,')sos<JD~ltlxp:_..
~ (J
Address: f'.o 7.)0"'- q-u:; City: S(;:'V0l!. 1J<t1.1!"
Fax iJ>.l~0'rolJ - ?,Y/.)-
Phone: ~
Zip: 9f32.o1-zol,
Pbonc:'b~IJ-~:.~
Zip ,?,2::Sll'\
C~dil Card Holdcr Name: ;tJ",,,~ S~....-'"
BlUing Adrire_~'.' 1.?, ~07' q").!l
C~dJt Card Numher
VlSA.J!L Me_
PROJECT ADDRESS: 9'0.2...
LEGAL DESCRIPTION, Lo:,
E / ~ SlL~ 4
____ ZONiNG
wo'__ B:ock;
Subdivision;
CLALLAM COUNTY f,-\RCEL NUMBER,
TYPE OF WORK:
D Residenlial 0 M\llti-family t.l Cammercilll <:, Monile HO:1'.e
Electrical PermIt 100, oro b"od on WAC 296-46-910
BRIEF OESCRIPTION OF THE PROJECT:
----
J-I/JS-r-rt-L ~ ..:z-u..LU<fAlfFT"€t:J 'sb'^'S
'Klp~rl(:11 Hcat Lo~d AddItions
\ (c -Iff
S el"V1c~ InfQfm:HitlO
o Bs.;"L'ho8td
o Jiumacc
:: Heat rump
co Fen-Wall
KW
KW
_KW
KW
" Rhcr
o :-:)vchead. S(J"'I.I{ce
.::l 'temp Service
o -,..ruder-ground Service
VOllllgC: ~_
Pha.~c: 0 I 0 .,
Savk.e Size:_
F <<:de:- Size:
Comnu:nt!l:
1 htre.b.'Y Cf!r-titv t!la! 1 h(J~ read and CJ:U111t'ned .'hi.~ UPf1Jir:I1Unfl and know {hl~ Sr1m~ (0 b~ (rur. find correa and J am aUlhOl'i;rd ffJ'1Ip{i(1"
.for thLr ~mlit. 1 UnderSI<J71d Ii is Ilot tlu Cily's l~gal res,70nsiht'lily to dett:.rmine wn!,J( perini r , 'cqu;"~'=d; Ill'err.ainr thr: apf'I:'::o1nr:~
/0 (~h;O"-'(btlIlY In rl"","ne whor perlnlrs or, r'qllirtd o"d (0 oblafn .r;,c;"
~(- r:rt::~!~~:OI I'll ~;(,~trd~"/.tJ~c~lurU-F":f 1\J&k -c e:;.~::Z-~~
~-{ (,~"'-+ oV/he; l1'-lC-J...
fk- c [).w-
/0- ZI3- 03
$ jIJ.2 , 50
v
.
ELECTRICAL PERMIT APPLICATION
FOR OFFICIAL USE ONLY
DalelRec ..
Permifll-:
Dale Approved:
Date Tssued
The Electrical Permit Application must be filled out completelv.
Please type or reprint in ink. If you have any questions, please call (360) 417-4735
Fax number: (360) 417-4711
$91
Owner or Etec. Contractor Agent:'---;::'~/@ iZ. B l?i::::: / AI: C
Property Owner: ~ AoY~C:IZ
Address: .5(..//77;1. r7 /5T f' 12,/tC.;1
Elecbical Contractor: T i-<AZ7~,Z
Address: $"2 3 78/~#4UL L,P
'16<" Or:;?
Phone: ~? //SJ -<'~ax: ~I?
Phone:
City: Zip:
License #: Exp: Phone:
City: I'A-- Zip:
INSTALLATION WIRED BY:
DOWNER
~'LECTRICAL CONTRACTOR
Credit Card Holder Name:
Billing Address:
City:
Zip:
Credit Card Number:
Exp. Date:
VlSA:_ MC:
PROJECT ADDRESS: / 5+-..J.-- ~ 91 (6~'rC 1) 90 z.
TYPE OF WORK: Check all that apply: 0 New lQ'-'teration/Addition
o Residential 0 Multi-family ~ Commercial 0 Mobile Home Sq. Ft
o Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump
E..
/5.:[
o Low Voltage 0 Telecom. 0 Sign
Number of Circuits added or altered:
DESCRIPTION OF THE ELECTRICAL PROJECT: IEN/7Nr J..mPtZo Vii!h1i7.-t.~.5-
Electrical Heat Load Additions and or Subtractions
)It> /l17iOu:J #MT UJ/?;tJ
o Baseboard
o Furnace
o Heat Pump
o Fan-Wali
Service Information
_KW
KW
TON
KW
LRA
o Overhead Service
o Temp Service
o Underground Service
Voltage:
Phase: 0 1 0 3
Service Size:
Feeder Size:
I hereby certify that I have read and examined this application and know that same to be true and correct, and I am
authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits
are required; it remains the applicants responsibility to determine what permits are required and to obtain such.
Credit Card Holder's Signature:
Owner orElec. Cant. Signature: if~
Date:
Date:. 'l/h((!) '3
PERMIT FEE: 159, LfO
azT(ALr:r:ICATlOiyl ~3
/..
Application Number . . . . . 23-00000451 Date 5/04/23
Application pin number . . . 409999
Property Address . . . . . . 902 E 1ST ST A
ASSESSOR PARCEL NUMBER: 06-30-00-7-2-0330-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . COMMERCIAL ARTERIAL
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Alarm system
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
JOHN A ST LAURENT LYNSEN ELECTRONICS CORP
860 RHODODENDRON LN P. O. BOX 9537
BRINNON WA 983209706 SEATTLE WA 98109
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . . 96.00 Plan Check Fee . . .00
Issue Date . . . . 5/04/23 Valuation . . . . 0
Expiration Date . . 10/31/23
Qty Unit Charge Per Extension
1.00 96.0000 ECH EL-LIMITED 1ST 1500 SQ FT 96.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 96.00 96.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 96.00 96.00 .00 .00
PREPARED 5/03/23, 8:33:30 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:23-00000451 902 E 1ST ST A
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER COMMERCIAL 96.00
TOTAL DUE 96.00
Please present reciept to the cashier with full payment
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
5/9/2023 23-451 TAP
OWNER
CONTRACTOR
Lynsen Electronics
PROJECT ADDRESS
902 E 1st St A
Application Number . . . . . 23-00000239 Date 3/10/23
Application pin number . . . 175734
Property Address . . . . . . 902 E 1ST ST A
ASSESSOR PARCEL NUMBER: 06-30-00-7-2-0330-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . COMMERCIAL ARTERIAL
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
T-stats
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
JOHN A ST LAURENT SUNSET AIR INC.
860 RHODODENDRON LN 5210 LACEY BLVD. SE
BRINNON WA 983209706 LACEY WA 98503
(253) 292-6821
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . . 112.00 Plan Check Fee . . .00
Issue Date . . . . 3/10/23 Valuation . . . . 0
Expiration Date . . 9/06/23
Qty Unit Charge Per Extension
2.00 56.0000 ECH EL-LVT-THERMOSTAT 112.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 112.00 112.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 112.00 112.00 .00 .00
MULTI-FA MILY/ COMMERCIAL
ELE CTRICAL PERMIT APPL ICATION
Public \Yorks and Utilities Department 321 E. 5th Street, Port Angeles. WA 98362 360.417.4735 I www.cityofpa.us I electricalpermits(s/.cityofpa.us Project Address:--------------------------------------
Project Description:--------------------------------------□Multi-Family Residential D Commercial I Industrial/ Public Building Square footage: __________ _
OWNER INFORMATION
Name: ________________________ Email: ______________ _
Mailing Address: ________________________ Phone: ___________ _
ELECTRICAL CONTRACTOR INFORMATION
Name: License: ___________ _
Mailing Address: ________________________ Expiration Date: ________ _
Email: Phone: ___________ _
PROJECT DETAILS
llim!
Service/Feeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401-600 Amp.
Service/Feeder 601-1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601-1000 Amp.
Portal to Portal Hourly
Sign / Outline Lighting
Signal Circuit/Limited Energy -Multi-Family
Signal Circuit/Limited Energy/First 1500 sf -Commercial
(Note: $5.00 for each additional 1500 sf)
Renewable Elec. Energy: 5KVA System or less
Thermostat (Note: $5 for each additional)
Unit Charge Quantity
$132.00
$160.00
$225.00
$288.00
$410.00
$5.00
$74.00
$5.00
$86.00
$102.00
$121.00
$164.00
$185.00
$96.00
$88.00
$88.00
$96.00
$113.00
$56.00
Total (Quantity x Unit Charge)
$ ____ _ $ ____ _$ ____ _$ ____ _
$ ____ _
$ ____ _ $ ____ _
$ ____ _ $ ____ _$ ____ _
$ ____ _
$ ____ _
$ ____ _
$ ____ _
$ ____ _
$ ____ _ $ ____ _
$ ____ _
$ ____ _
$ _____ TOTAL
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is
required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-
46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.
Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator)
[Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us]
lJ CD
PREPARED 3/09/23,11:40:43 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:23-00000239 902 E 1ST ST A
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER COMMERCIAL 112.00
TOTAL DUE 112.00
Please present reciept to the cashier with full payment
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
5/2/2023 23-239 TAP
OWNER
CONTRACTOR
Sunset Air
PROJECT ADDRESS
902 E 1st A
Application Number . . . . . 22-00000264 Date 1/30/23
Application pin number . . . 825840
Property Address . . . . . . 902 E 1ST ST A
ASSESSOR PARCEL NUMBER: 06-30-00-7-2-0330-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . COMMERCIAL ARTERIAL
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
3 phase service and circuits
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
JOHN A ST LAURENT YARBROUGH ELECTRIC INC
860 RHODODENDRON LN PO BOX 56
BRINNON WA 983209706 EAST OLYMPIA WA 98540
(360) 413-0870
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . . 382.00 Plan Check Fee . . .00
Issue Date . . . . 3/09/22 Valuation . . . . 0
Expiration Date . . 7/29/23
Qty Unit Charge Per Extension
50.00 5.0000 ECH EL-BRANCH CIRCUIT W/FEEDER 250.00
1.00 132.0000 ECH EL-COM 0-200 SRV FEEDER 132.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 382.00 382.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 382.00 382.00 .00 .00
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS:
Provide expansion calculation for exterior conduit run. NEC 352.44
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
1/30/2023 22-264 TAP
OWNER
CONTRACTOR
Yarbrough Electric
PROJECT ADDRESS
902 E 1st St A
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS:
Emerald Pizza
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
2/9/2023 22-264 TAP
OWNER
CONTRACTOR
Yarbrough Electric
PROJECT ADDRESS
902 E 1st St A1
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS
Wall cover
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
3/8/2023 22-26 TAP
OWNER
CONTRACTOR
Yarbrough Electric
PROJECT ADDRESS
902 E 1St St
PREPARED 4/26/23, 7:28:45 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:22-00000264 902 E 1ST ST A
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER COMMERCIAL 255.00
TOTAL DUE 255.00
Please present reciept to the cashier with full payment
Application Number . . . . . 22-00000264 Date 4/26/23
Application pin number . . . 825840
Property Address . . . . . . 902 E 1ST ST A
ASSESSOR PARCEL NUMBER: 06-30-00-7-2-0330-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . COMMERCIAL ARTERIAL
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
3 phase service and circuits
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
JOHN A ST LAURENT YARBROUGH ELECTRIC INC
860 RHODODENDRON LN PO BOX 56
BRINNON WA 983209706 EAST OLYMPIA WA 98540
(360) 413-0870
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . .
Permit Fee . . . . 637.00 Plan Check Fee . . .00
Issue Date . . . . 3/09/22 Valuation . . . . 0
Expiration Date . . 9/04/23
Qty Unit Charge Per Extension
50.00 5.0000 ECH EL-BRANCH CIRCUIT W/FEEDER 250.00
19.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 95.00
1.00 132.0000 ECH EL-COM 0-200 SRV FEEDER 132.00
1.00 160.0000 ECH EL-COM 201-400 SRV FEEDER 160.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 637.00 637.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 637.00 637.00 .00 .00
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS
1. CT to Meter conduit shall be rigid with bonding bushing. ESRG Chapter 8-
8.14.F.7
2. CT cabinet shall be bonded from CT neutral bar not from disconnect.
ESRG Chapter 8-8.14.F.3
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
4/26/2023 22-264 TAP
OWNER
CONTRACTOR
Yarbrough Electric
PROJECT ADDRESS
902 E 1st St A
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS
Partial rough ceiling cover and service.
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
4/27/2023 22-264 TAP
OWNER
CONTRACTOR
Yarbrough Electric
PROJECT ADDRESS
902 E 1st St A
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
5/2/2023 22-264 TAP
OWNER
CONTRACTOR
Yarbrough Electric
PROJECT ADDRESS
902 E 1st A