HomeMy WebLinkAbout1123 W 19th St - Building CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DiVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT ISSUED: 8/12/2002 PERMIT NO: 13622
OWNER/APPLICANT PROPERTY LOCATION
1123 19TH ST W
ARTURO ALCAFARAS
Lot: 15
1123 W 19TH STREET
Port Angeles, WA 98363 Block: 454 [] Long Legal
360/452-0436 Subdivision: TPA
T: S: Parcel No: 063000045470000
CONTRACTOR ARCHITECT
OWNER N/A
VARIOUS
Port Angeles, WA 99360 , 98360-0000
206/000-0000 360/000-0000
PROJECT INFO
Project Value: $1,200.00 SFD Units: 0 Commercial: 0
Project Type: RE-ROOF SFD SQ FT: 0 Industrial: 0
Occupancy Type: Garage: 0
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0
Zoning Use:
PROJECT NOTES
TEAR OFF, SHEET,FELT, COMP
RECEIPT~9529
FEES ASSESSMENT
Building Permit: $44.85 Misc Fee 1: $0.00
Plan Check: $0.00 Misc Fee 2: $0.00
State Surcharge: $4.50 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $49.35
Plumbing: $0.00 AMOUNT PAID: $49.35
Mechanical: $0.00
BALANCE DUE: $0.00
Radon: $0.00
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 bui~r) Date
T:\PLANNING\FORMS\ I 102.15 [4/2002 [
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FEE RE ~'PT NU SER PERM I N B R
APPLICATION AND ELECTRICAL PERMIT
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TO T:<IL FEE
CONT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Site Addr ss 112.) W i'1+...!l '. ~>t- f-Io'\d;ef~s'
"\:. CORRECT ADORE.55 IS RESPONSIBI ITY OF APPLICANT PERMr~s WITH WR~NG ADDRESSES ARE CANCELLED
Owner . If> """ ("<..r II, -eVl 'tV Installation By .
112 3 IA1,1C,~ .
Owner's ddress Installers Address
Day Phon '-l <) 2.-1{ 811"-. . . Installers Phone
Applic~ti c n is hereby made for Permit to install Electrical Equipment asJollows: I
) PO J New (!:f I'{ (' fA In lIel/(!rl?t?u. If'
Wiring Method I? oNfex
AMP 240V NUMBER AMP 120V 240V
USE F CIRCUIT . NUMBER PER 120V 100A FEE USE OF CIRCUIT PEA 100R FEE
CIRCUITS CIA 10 30 CIRCUITS CIA 10 30
LIGHT ~ ~~ V SIGN
LIGHT - 50 VOLTS
OR LESS
CONVE NIENCE .1- )..0 V- MOTOR ,
CONY NlENGE MOTOR
APPUJ NCE MOTOR
DISH,^ ASHER FIRE ALARMS
DISPO AL BUAGLAA ALAAM
" .
RANG MISC.
OVEN
WAlE HEATER
LAU~6RY
DAVE~ I' REINSTALLATION LIGHT FIXTURE #
FUAN~CE SUB TOTAL FEE
GAS - ,OIL
FUA~~CE ENERGY FEE
ELEC RIG BASIC FEE
ELEqTRIC HEAT I jpKi . TOTAL FEE TrOt)
ELECTRIC HEAT . SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. YNIT AMP PHASE -
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERvtCE A.W.G.
. I SUB-TOTAL 2.1 tJ,C
SIZE OF GROUND SIZE OF ENTRANCE SWITCH
CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
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I cartJ. y that the work to be ~erformed :der this permit .WiII be done by the installer and in confor~ance with the N.E.C. Electrical Code.
Date pplication made S' 7 .19 ?'J By )
I' . . . . TRACTOR OR OWNER (OR AUTHORIZ 0 GENT)
pkrmiSSi,on is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and
speCllicatlons pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. .
. . . . i- ~fr By /l1~?~ITYLIGHT:
Oate ermlt Issued 7 PLANS:P~~VED ~
. .
Notify Department of City Light by Street Address and Permit N umber when ready for inspection, Work must not
be covered or current turned on before inspection and O.K. far covering or service has been given by Inspector in
Writing on Permit Placard. A. . Permits Phone: 457-0411 Ext. 158. .
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
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WHITE. Original CANARY - Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
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REPORT OF INSPECTOR
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DATE OF VISIT MADE BY REMARKS
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c>x tJ7 CITY OF PORT ANGELES OOOU14
DEPARTMENT OF LIGHT A
FEE RE EIPT Nl!MBEA ~ PERMIT NUMBER
APPLICATION AND ELECTRICAL PERMIT /
,
TO' Al FEE . A CJ 'Z~. &--nw\ .. ' - I .~~ ,
CO NT. L1C. NO. TIME TO COMPLETE N~..STORJES I LEGAL OCCUPANCY
s' J! J ELECTRICAL PERMIT ONLY NO OCCUPAN~ USE ESTABLISHED UNDER THIS PERMIT I
,~ .--....... . IU~ -/t:?_ .... - I
Site Addr
- Q ~'-' CORR~CT A~O'E'_IS~ RE~<?!'lS~~ITr OF APPUCANT PERMITS WITH.WRONG AODAESSES;AE C~NCELLED -
Owner '4 " ./ Installation By I
~ss. " " ~ Installers Address / /J A, / h /'
Owner's
I ;- ,. Installers Phone / /;1"--4' -...... ~ ,
Day PhOl1 ,
Applicatl jj=I"~~ "lade ior per~~ instaliElectrlc'V'AqUIPinentjis foilows: ..,7
. / ~. ' lIAr.- ,'A A/Ad7_ ~ ~ f...<..p (/ do;'; / ,,'1.., J/
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, Wiring Method
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" . AMP . 240V AMP 240V
USE OF CIRCUIT NUMBER PER 120V 100R FEE USE OF CIRCUIT NUMBER PER 120V 100R FEE
CIRCUITS CIR 10 30 . CIRCUITS CIR 10 30
LIGHT SIGN
LIGHT 50 VOLTS
OR LESS
CONV NIENCE . . MOTOR
CONVE NIENCE MOTOR
APPlI NCE - MOTOR
DIS~'Vl ASHER I. FIRE ALARMS
DISPO AL BURGLAR ALARM
RANG MISC,
OVEN
WATE HEATER
LAUN RY -
DRYE REINSTALLATION LIGHT FIXTURE #
FURN~CE SUB TOTAL FEE
GAS - ,Oil
FURN CE ENERGY FEE
ElEC RIC BASIC FEE
ELEC RIC HEAT
TOTAL FEE
ELEC RIC HEAT :1~E OF SERVICE SWITCH OR CIRj'T ~KER
A.C. L NIT , /l 0 AMP PHASE
FEED~R SIZE OF SERVICE ENTRANCE C6NDUC-VORS
SERV CE fi- X. ?p- f-:- AW.G.
\ I SUB-TOTAL SIZE OF GROUND // SIZE OF ENTRANCE SWITCH / 1'7 d'
I certjy that the work to be performed under this permit will be done by the Installer and In conformance with the N.E.C. Electrical Code.
Date ppllcatlon made 7 ~ / g .19X$L' By
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Date ermit Issued
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
P rmisston is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and
specilicatlons pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles.
DIRECTOR O~GHT. .
~CA~I.(~ ~4 " ~C
Notify Department of City light by Street Address and Permit Number when ready for inspection. Work must not
be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector In
Writing on Permit Placard. A.. Permits Phone: 457-0411 Ext. 158.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
~
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
('I'VU II" PRINTERS_INC._~_
I 01, ~f 6
. 1\ I ' . t
.:.. ~ \' t, fltJ;...:,'
REPORT OF INSPECTOR
,
DATE OF VISIT - MADE BY REMARKS
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