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Home My WebLink About939 Caroline ST - Building . 3erE S,AL:PEWM Cam'OF PORTANGELES 3W417-4Z3S Application Number . . . 19-00001665 Date 10/29/19 Application pin number . . 237305 REPORT STATE SALES TAX Property Address . . . . 939 CAROLINE ST on your excise tax form ASSESSOR PARCEL, NUMBER: 06-30-00-1-0-3325-0000- Application type description ELECTRICAL ONLY to the City Of Port Angeles subdivision Name . . . (Location Code�5� � Property Use . . . Property Zoning . . PUBLIC BUILDINGS & PARKS Application valuation . . . -0 -- - -- ------ Applicaton desc ELECTRICAL PLAN REVIEW -------------------------------------------------------------------- Owner Contractor -- --------------------- --------------- - PUBLIC HOSPITAL DISTRICT #2 SIMPSON ELECTRIC 939 CAROLINE ST 243036 W HWY '101 PORT ANGELES WA 90162 PORT ANGELES WA 98363 (360) 417-7170 (360) 457-9270 Permit ELECTRICAL PLAN REVIEW Additional desc Permit Fee . . 15o 00 Plan Check Fee .00 Issue Date . . . . 16/29/19 Valuation 0 Expiration Date i Oty Unit Charge Per Extension 150.00 1.0000 ECH EL-PLAN REVIEW 150.00 ------------- ------ -------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 150:00 150.00 .00 .00- Plan Check Total .00 .00 .00 .00 Grand Total 150.00 150.00 .00 .00 I j i y INSPECTION TYPE DATE: RESULTS. INSPECTOR: DTl CiI SERVICE ROUGH-IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM.LAST'N'p nOts Signature of owner or Electrical Contractor X Date: i i r I I ELECTRICA;L'PERMIT CITY OF PO—T A.NGELES 3"7-4'735 Apgicaiion Afumbe-e ,. 19-00001665 Date 1/17/20 #on i?in nwn e , . `, 237305 REPORT STATE SALES TAX 'Pt ity Address . . 939 CAROLINE ST NU on your eXC%Se tax form ,ASSESSOR PARGEI. k}HER: 06-3-0-00-1-0-3325-0000- Application type description ELECTRICAL ONLY to the City of Putt Angeles subdivision Name . . , , (Location Code 0502). Property use . . Property Zoning . , PUBLIC BUILDINGS & PARKS Application valuation . 4 ---------------------------------------------------------------------------- Application desc ELECTRICAL PLAN REVIEW Owner Contractor PUBLIC HOSPITAL DISTRICT #2 SIMPSON ELECTRIC 939 CAROLINE ST 243036 W HWY 101 PORT 'ANGELES WA 98362 PORT ANGELES WA 98363 (360) 417-7170 (360) 457-9270 Permit ELECTRICAL PLAN REVIEW Additional desc PLAN REVIEW BALANCE Permit Fee . . i50.,00 Plan Check Fee 17.67 Issue Date 10/29/19 valuation . . . . 0 Expiration Date Oty Unit Charge Per- Extension 150.00, 1.0000 BCH EL-PLAN REVIEW 150.00 Fee summary Charged Paid Credited Due Permit Fee Total 150.00 150.00 .00 .00 Plan Check Total 17.67 17.67 .00 .00 Grand Total 167.67 167.67 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL r COWENTS., P WJU EXPIRE SIX(6)MOMRS FROM LA*INSPEcnON. Signat i owner or Electrical Contractor X Date: u�_ , � "" 4 3, _: i i � '' s _ �, ,. ..+�+ S_ . � � 12/23/19 Invoice No. 19-1665 To Simpson Electric Attn: Andy Electrical plan review final `ee.t riage roon tn 2 Quantity Description Unit Price Total 1 BHC consultant fee 90.00 90.00 1 BHC Postage 43.16 43.16 1 City shipping FedEx ground 12.63 12.63 145.79 15% Administrative fee 21.87 Sub Total 167.67 Cost estimate deposit 150.00 Balance Total 17.67 Due upon receipt Thank you for your business! City of Poft Angeles Tel 360 4117 4 73`-i tpeppard cccityofpa.Lis ,,� , Fax 360 417 4r 11 ORT NGELES +- W ASH I N G T O N, U. S. A. Public Works & Utilities Department 10/28/19 Simpson Electric Attn: Debbie Simpson 243036 W Hwy 101 a Port Angeles WA 98363 Subject: Electrical Plan Review. OMC Triage Room #2 Debbie The estimated cost for your electrical plan review is$150.00 this estimate is good for � a 180 days from the date of this letter. The City requires that you deposit an amount equal to the estimate with the City as part of your permit application. The actual fee � will be the City's labor and material cost plus a 15% administrative fee. If the actual cost exceeds the deposit amount,the City will bill you for the overage. If the actual cost is less than the deposit,the difference will be refunded5,4 If you have any questions or concerns, feel free to contact me at the phone number, or e-mail, listed below. Sincerely, Trent Peppard Senior Electrical Inspector tpeppardCa)cit ofofpa.us Wk 360 417 4735 Cell 360 808 2613 MEW N' Phone: 360-417-4800/Fax:360-417-4542 Website:www.cityofpa.us/Email: publicworks@cityofpa.us 321 East Fifth Street-P.O. Box 1150/ Port Angeles, WA 98362-0217 kyro