HomeMy WebLinkAbout1021 Caroline Street - Building (4) ELEC ��_PERMIT
CITY T ANGELES
3' - =4735
Application Number 20-00000624 DaREPMPS 4 SAL-9S TAX
Application pin number 680816,
Progeny Address 1021 CAROLINE ST OBI your excise,tax form
ASSESSOR PARCEL NUN BERn 06-30-00-5-3-0440-0000- to the C/tyof Port Angeles
Application type description ELECTRICAL ONLY
Subdivision Name . (Location Code 0502)
Property Use . . . . . . .
Property Zoning . . . . COMMERCIAL OFFICE
Application valuation< 0
- --------------------------------------------
Application desc
Plan review fee
Owner Contractor
- -- --- ------------------------
Olympic Medical Center SIMPSON ELECTRIC
939 CAROLINE ST 243036 W HWY 101
PORT ANGELES WA 983623901 PORT ANGELES WA 98363
(360) 457-9270
-------------------------------------------
Permit . . . . . ELECTRICAL PLAN REVIEW
=Additional desc PLAN REVIEW FEE
Permit Fee . . . . 657.73 Plan Check Fee .00
Issue Date . . . . 6/16/20 Valuation 0.
Expiration Date .
Oty - Unit Charge Per Extension
BASE PER 657.73
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
-------- ---------- ---------- ----------
Permit Fete Total 657.73 657.73 .00 .00
Plan Check Total 00 .00 .00 _00
Grand'''total 657.13 657.73 .00 .00
INSPECTION TYPE DATE: RESULTS- INSPECTOR
DITCH
SERVICE
ROUGH-IN
FINAL,
CO1+IlENTS:
PERMrr WILL EXPIRE sw(6)MONTHS FROM LAST @ispwrION
Signature of owner or Electrical Contractor X Date:
7/14/20 Invoice No. 20-624
To
Simpson Electric
Attn:Andy Simpson
24036 Hwy 101
Port Angeles WA 98362
Electrical plan review final fee,
Wound Care Clinic
Quantity Description Unit Price Total
1 WC3 consultant fee 467.50 467.50
1 BIHC Postage 7,05 7.05
1 City shipping FedEx ground 13.06 13.06
1 Labor City of Port Angles 71.00 71.00
1 Penprint copies 13.33 13.33
15%Administrative fee 85.79
Sub Total 657.73
Cost estimate deposit 500
Balance Total 157.73
Due upon receipt
Thank you for your business!
City of Port Angeles PORI
Tel 360 417 4735 tpeppard@cityofpa.us
Fax 360 417 4711
PREPARED 7/14/20, 7 : 58 :43 PAYMENT DUE
CITY OF'PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER: 20-00000624 1021 CAROLINE ST
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL PLAN REVIEW 157 . 73
TOTAL DUE 157 . 73
Please present reciept to the cashier with full payment
7/14/20 Invoice No. 20-624
To
Simpson Electric
Attn:Andy Simpson
24036 Hwy 101
Port Angeles WA 98362
Electrical plan review final fee.
Wound Care Clinic
Quantity Description Unit Price Total
1 WC3 consultant fee 467.50 467.50
1 BHC Postage 7.05 7.05
1 City shipping FedEx ground 13.06 13.06
1 Labor City of Port Angles 71.00 71.00
1 Penprint copies 13.33 13.33
15% Administrative fee 85.79
Sub Total 657,73
Cost estimate deposit 500
Balance Total 157.73
Due upon receipt
Thank you for your business!
City of Port Angeles 4 t?ORT+%,f�-
Tel 360 417 4735 tpeppard@cityofpa.us
Fax 360 417 4711 FrAW11i
Trent Peppard
From: Trent Peppard
Sent: Tuesday,June 09, 2020 8:00 AM
To: disimpson5l@gmail.com
Subject: Plan review fee
Attachments: 20-624.pdf
6/9/2020
Simpson Electric
Attn: Andy Simpson
24036 Hwy 101
Port Angeles WA 98362
Subject: Electrical Plan Review. Wound Care Clinic.
Andy,
The estimated cost for your electrical plan review is$500.00 this estimate is good for 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 refunded. If you have any
questions or concerns, feel free to contact me at the phone number, or e-mail, listed below.
Sincerely,
TAP
Trent Peppard
Senior Electrical Inspector
tpeppard@cityofpa.us
Wk 360 417 4735
Cell 360 808 2613
1
Shipment—
USPS Priority Pr10^1ty Mail
0l1p To:
08SL CO8S{ C0UB COOSUl1ankS
19109 36TH AVE N STE 207
LYNN000D, WA 98036-5767
' 98Ck8Q8 lD: 192291 13.86
Tracking #: 9405511899563908910273
Actual 0t: 2 lbs 7.7 oZS
R8T1Og Wt: 3 lbC
Attn: Trent
SUBTOTAL 13.06 '
TAX 0.00 ^^
TOTAL 13.06
TEND ACCt - Credit 13.06
Credit account: Account 3 '
8paO U8l8OCe: 27,61
Total mU\pNeOtG: l
City Of PA PUb11C Works
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#177050 09:14 AM
W0d<st8t10O: O - Master Workstation
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All shipments Sk1VN8OtS are subject to the terms
and C0OU1t1oOS 0V8tOU in the store at the front
counter.
****Please verify Sh1V to information
and 1OsVr8nCt Y8lU8****
FO[` the safety of our CU8tVNor3
and C4rT1Rrn' we reserve the
right to o08O' 1nS0eC(. and
rafVS8 any p8ok888
tendered.
IOmU0OC8:
First %50.00 is C0Yer8U w/USPS
~ Priority M81>.
First $100.00 is COVer8U
0/F0UEK Or UPS.
AdU1t1OOa\ insurance must
r` West Coast Code Consultants,Inc.
r+ i 19109 36th Ave W,Suite 207
Lynnwood,WA 98036
(425)582-1719
Federal Tax 1D#20-4707579
Trent Peppard,Senior Electrical Inspector July 10,2020
City of Port Angeles _
321 E 5th St. Net
Port Angeles,WA 98362
Project: Plan Review
WC3 Employee: William Tracey,Katie Conrad
Type of Service: Plan Review
Begin Date: June 1,2020
End Date:June 30,2020
WC-3 Plan City Plan Check Name and Type of Project Address of Project Amount Billed
Check Number Number
220-PAN-001 20-637 'Peninsula College Bldg N-William Tracey,Katie Conrad-6 hours @ 1502 E Iauridsen Blvd $ 660.00
$110/hr.
220-PAN-001 20-637 ;Peninsula College Bldg N-Shipping Cost(Plan Return) 1502 E Iauridsen Blvd $ 7.05
220-PAN-002 20 624 :Olympia Medical Wound Care Clinic-William Tracey,Katie Conrad-4.25 1021 Caroline St. j$ 467.SOi
:hours @$110/hr.
220-PAN-002 20-624 :Olympia Medical Wound Care Clinic-Shipping Cost(Plan Return) 1021 Caroline St.� $ V 7.05
i
$ 1 141.60
Invoice
pe n p r in t
V0000 Am i '�U I" " Date Invoice#
230 A E First Street-Port Angeles,WA 98362 7/9/2020 38269
360.457.3404-info@penprintinc.com
Bill TO
Accounts Payable
City of Port Angeles Finance Dept.
321 E. Fifth Street
Port Angeles WA 98362
P.O.No. Terms
Trent/Light Operations upon receipt
Quantity Description Rate Amount
7 OMC Wound Care Alterations copies 1.75 12.25T
Sales Tax 8.80% 1.08
TERMS-PAYABLE IN FULL AND DUE UPON RECEIPT.
Customer agrees to pay a$25 per month late fee on all invoices over 30 days from the date of service,in addition to a Total $13.33
1.5%per month finance charge on outstanding balances. In the event that collection proceedings become necessary,
customer agrees to pay ALL collection costs,legal fees,and any other costs associated with collecting the debt.The lack
ofa customer signature on the invoice DOES NOT waive these terms in full or in pan. Balance Due $13.33
IJ West Coast Code Consultants,Inc
19109 36"Ave W,Suite 207
Lynnwood,WA 98036
Office:425-582-1719
LETTER OF TRANSMITTAL
Attention Trent Peppard Date 7/1/20 Job No. 220-PAN-002
To City of Port Angeles Re 20-624 Olympia Medical Wound Care Clinic
321 E 5th St.
Port Angeles, WA 98362
WE ARE SENDING:
F-I Attached FX-] Plans ❑ Specifications
F-J Calculations 0 Submittals F-] Application
rX-1 Copy of Letter [:] Geotech Report F-1 Contract
F-1 Change Order 0 Energy Compliance Forms ❑
COPIES/QTY. DATE NO. DESCRIPTION
1 7/01/20 Approval Letter
1 6/19/20 Plans
3/31/20 T.I. Plan Set
THESE ARE TRANSMITTED as checked below:
F-1 For Compliance F-1 For Review & Comment ❑ As Requested
rx For Your Use [—] Approved as Submitted ❑ Submit copies for distribution
F-] Revise & Resubmit F-1 Approved as Noted R Return corrected documents
❑ Rejected F-] FOR BIDS DUE FX Prints Returned After Loaned to Us
El
REMARKS COPY RECEIVED:
WC3 received plan set dated 3/31/20 however when obtaining electronic copy of plans
electrical contractor had a revision based on DOH review. Per City direction
WC3 reviewed the updated version of the plans dated 6/19/20. WC3 printed
a copy and is returning printed set per City direction.
Copy to File Signed Katie
If enclosures ore not as noted,kindly notify us at once.
Page 1
19109 36(h A%e NN, Suite 207
LN n nvN ood, NNA 98036
(425) 582-1719
July 1, 2020 FINAL REVIEW
WC3 Project#: 220-PAN-002
Port Angeles Permit#: 20-637
City of Port Angeles
321 E 5th St.
Port Angeles, WA 98362
Attention: Trent Peppard
Subject: Olympia Medical Wound Care Clinic Alteration—Final Plan Review Comments
Mr. Peppard:
West Coast Code Consultants,Inc. (WC3)has completed the final review of the proposed Olympia Medical
Wound Care Clinic Alteration project located in Port Angeles, WA.Please consider our review with respect
to the Olympia Medical Wound Care Clinic to be complete. This review was based upon the following:
1. Electrical drawings dated 06/19/20 by Sazan Group, sealed and signed by Lee R. Swanson,
Registered Professional Engineer.
The 2015 International Codes,2017 NEC,as adopted by the State of Washington,were used as the basis of
our review. If you have any questions regarding this review, please contact me at billt@wc-3.com or by
phone at(425) 582-1719 (office) or(206)753-7154 (cell).
Sincerely,
William Tracey,
Plans Examiner
OlYinpia NledicaINNotmd Care Clinic Alteration 1021 Carofinc Sc Page I of I
CITY OF PORT ANGELES
Transmittal
Customer Name Olympic Medical Wound Project Sponsor Sazan Group
Care Clinic
Project Name Service update Project Manager
Project Change ! Responsible Same
Authorization Individuals
Requested By City of Port Angeles Contract Number
Estimated Start Date Project Number 20-624
Estimated End Date PCA Number
WC3 please complete electrical plan review. Please contact Sazan Group and CC me if you any questions and
concerns
We are sending:
Plan set T0.00—E4.00
6/15/2020
<Client's Date City Of Port Date
Company> Angeles
1