HomeMy WebLinkAbout1021 E 5th StreetAddress:
1021 E 5th Street
PREPARED 6/18/14, 13:38:30 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/18/14
-------------------------------- ----
ADDRESS . : 1021 E 5TH ST SUBDIV:
CONTRACTOR DAVE'S HTG & COOLING SRVC INC PHONE (360) 452-0939
OWNER WILLIAM D & MARGARET S RUMEL PHONE (360) 477-4501
PARCEL 06-30-00-0-1-7775-0000-
APPL NUMBER: 14-00000692 RES MECHANICAL PERMIT
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
ME99 01 6/18/14MECHANICAL FINAL
u June 18, 2014 9:02:14 AM pbarthol.
Jeanne 452-0939
-------------------------- ---------- COMMENTS AND NOTES---------
" . CITY OF PORT ANGELES
i DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 14-00000692 Date 6/16/14
Application pin number . . . 934240
Property Address . . . . . . 1021 E 5TH ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -1 -7775 -0000 -
Application type description RES MECHANICAL PERMIT
Subdivision Name . . . . . .
Property Use
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 3470
----------------------------------------------------------------------------
Application desc
DUCTLESS HEAT PUMP
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
WILLIAM D & MARGARET S RUMEL DAVE'S HTG & COOLING
SRVC INC
1021 E 5TH ST PO BOX 413
PORT ANGELES WA 983624114 PORT ANGELES
WA 98362
(360) 477-4501 (360) 452-0939
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc . . DUCTLESS HEAT PUMP
Permit Fee . . . . 64.80 Plan Check Fee
.00
Issue Date . . . . 6/16/14 Valuation . . . .
0
Expiration Date . . 12/13/14
Qty Unit Charge Per
Extension
BASE FEE
50.00
EA ME-FURN/HP/FAU < OR =-5-TON-
14.80
--------1.00-------14.8000
--------------------------------
Special Notes and Comments
- - --
Per Washington State Code 51-51-315,
installation of Carbon Monoxide
detector(s) is required if you are
installing or replacing a fuel burning
appliance (wood, pellet, gas)and must be
in place prior to the final inspection
of this permit. They are required to be
place directly outside of each sleeping
area and at least one on each floor of
the house.
----------------------------------------------------------------------------
Fee summary Charged Paid Credited
---------------------------
Due
------------------------------
Permit Fee Total 64.80 64.80 .00
.00
Plan Check Total .00 .00 .00
.00
Grand Total . 64.80 64.80 .00
.00
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
"mow.
1
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 has 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. /?
7�1
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms/Building Division/Building Permit
0
BUILDING PERMIT INSPECTION RECORD
— PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS —
Building Inspections 417-4815 Electrical Inspections 417-4735
Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type
Date
Accepted By
Comments
FOUNDATION:
Electrical 417-4735
Footings
Stemwall
Foundation Drainage / Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING:
FINAL Date Accepted b
Under Floor / Slab
Rough -In
Water Line Meter to Bldg)
Gas Line
Back Flow/ Water
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists / Girders / Under Floor
Shear Wall / Hold Downs
Walls / Roof / Ceiling
Drywall Interior Braced Panel Only)
T -Bar
INSULATION:
Slab
Wall / Floor / Ceiling
MECHANICAL:
FINAL Date Accepted b
Heat Pum / Furnace / FAU / Ducts
Rough -In
Gas Line
Wood Stove / Pellet / Chimney
Commercial Hood / Ducts
MANUFACTURED HOMES:
Footing / Slab
Blocking & Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s
SEPA:
ESA:
SHORELINE:
Parkin / Lighting
Landscaping
FINAL INSPECTIONS REQUIRED PRIOR
TO OCCUPANCY/ USE
Inspection Type
Date
Accepted By
Electrical 417-4735
Construction - R.W. PW I Engineering 417-4831
Fire 417-4653
Planning 417-4750
Building 417-4815
T:Forms/Building Division/Building Permit
06/11/2014 8:41AM FAX
THEP
�RU NGELES
CITY OF
W A 5 H 1 N G T 0 N. U. S.
321 East. S's Street
Port Angeles, WA 98362
P: 360-417.4817 F: 360-417-4711
permits@cityofpa.us
190001/0002
For City Use
Permit#7 '
Date Received: 2054 17— -r
Date Approved IZ--
_ Building Permit Application
Project Address:
Main Contact:
Phone #
i
, E -Mail:
Property i Nawc�A'�� �- RCA N N -e,
Phone 1-f-7-7—Z�57b/
owner Mallb►address ...I
"s
Email
"y
1 Por �, -es
State
zip
Contractor I "
Mailing ress�
City Po r* 1` �s
seae��
Zlp��� 6a
Contractor License #bA VAS Expiration:
K
�s
1 Project Value: Zoning: x Parcel #
IG3660-01-1
' $3 o% 7.15_r
.-
Type of Residential ® Commercial ❑ Industrial ❑ Public ❑ I
_
Permit i Demolition ❑ Fire ❑ Repair Reroof (tear off/lay over) ❑
_❑
For the following, fill out both pages of permit application:
New Construction ❑ Remodel ❑ Addition ❑ Tenant Improvement ❑
Mechanical ❑ Plumbing ® Other ❑ I
Existing Fire sprinkler System? Maximums height of structure Proposed Bedrooms ( Proposed Bathrooms
� Yes ❑ No j I �
__._.__...--•-.._--
Project
Description
i
GD 2GD pW
j 1 have read ana cdknplidted the application and know it to be tme a d correct. I am authorized to apply f r this
permit. I understand that it is my responsibility to determine what permits are required and to obtain permits
' prior to working on projects. I understand that the plan review fee is not refundable after plan review has
occurred. 1 understand that t will forfeit the review fee if I cancel or withdraw the application before the
permit is issued. l understand that if the permit is not issued within 180 days of receipt, the application will be
considered abandoned and the fees forfeit.
i Date
Print Name
Signature
u
06/11/2014 8:42AM FAX
zeta —1 382
Paao 1 of 1 warranty O.ad
elaf1a Tlt1a Caa��ppany
111am County. Nav iftoton Ot
0111 WPM 141#1JOLl
When recorded return to:
William Dale Rumel and Margaret Sharon Rumel
1021 6.51h Street
Port Angeles, WA 98362
N
:16:16 nn
-Ilk-witk 11 11
Filed for Record at Request of No /D 1,9 q
Clallam Title Company MALL W COU T
Escrow Number: I1790ISD TRANsACrIohl C E )AX
DATE NI L � �v
PAID _M
Statutory' Warranty Deed Ty'r'o'RER
��V
THE GRANTOR Roland L Orsborn, as his separate estate for and in consid io 64r DOLLARS
AND OTHER GOOD AND VALUABLE. CONSIDERATION in handp id; c6n s wihq nts to William
Dale kumel end Margaret Sharon Rumel, husband and wife the fall S d n r situated in
the County of Clallam, State of Washington
Abbreviated Legal: Lt 15, Blk 177 TPA /
Tax Parcel Number(s): 063000 017775
Lot 15, Block 177 of the Townsite of Port Angel , allam County ashington.
Situate in the County of Clallam, State ofWashington.
Dated May 16, 2014
Rolan) C. Urs om
STATE OFI V
COUNTY OF
I certify 1khat ave situ fa o evidence that Roland E. Orsborn
is the pars a h e d �re mo, and said person acknowledged that he/she
signed this t and ac wZgdge it to be h_i_s/her, free and vol40AJ
uses and put} ertlioned io instrument.
Dated:
SHERRY M. PRNotary Publicin and for the State of
til t
N 11�
Residittgat (317R`r j�nSGrL�,
My appointment expires: rRi / i A /71t7 I
LPH to-as(i-q
Page t of 1
190002/0002
11