HomeMy WebLinkAbout939 Caroline St (5)Application desc
Plan review UPS upglade
Applicat.ion Nunter
Application pin nunber
Property Address
ASSESSOR PARCEL NI]MBER:
Application t,?e descliption
s\rbdivision Name
Property Use
Prope!!y Zoning
Application valuaEion
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
PI'BLIC BUILDINGS & PARXS
0
19 - 00000020 Date 2/L3/t9
624580
939 CAROLTNE ST
05 - 3 0 - 00 - 1- 0- 3325- 0000-
EIJECTRICAI ONI]Y
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Contracto!
PUBIJIC HOSPITAL DISI'RICT *2
939 CAROLINE ST
PORT ANCELES WA 98352
1360) 4t'7 -'t1'7a
OWNER
Permit
Additional desc
Permi! Fee
Issue Date
Expiratioo Date
ELECTRICAIJ PLAN REVIEW
PIAN REVIEW BALANCE
380.63
r/04/19
Plao Check Fee
Valuat i.on
00
0
200.00 1.0000 EcH
Qtsy Unit Charge per
BASE FEE
EL- PI,AN RE\/IEW
ExEension
180 .53
200 _ 00
Fee summary Charged Credited Due
Permi,t Eee Tota]
Plan Check Tota]
380
380
53
00
53
180
380
53
00
63
.00
.00
. o0
00
00
00
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST TNSPECTION
INSPECTION T\?E DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAI zloln 0 .flP
COMMENTS
Signature ofowner or Electrical Contractor X Date
ELES
WASHINGTON, U.S.A
Public Works & Utilities Department
7/3/te
Olympic Medical Center
Sazan Group
Attn: Lee Swanson
939 Caroline St
Port Angeles WA 98362
Subject: Electrical Plan Review. PA UPS upgrade
Lee,
The estimated cost for your electrical plan review is s200.00 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 ofyour permit application. The actual fee
will be the City's labor and material cost plus a 15% administrative fee.
lftheactual cost exceeds the deposit amount, the City will bill you for th e overage. lf
the actual cost is less than the deposit, the difference will be refunded.
lf you have any questions or concerns, feel free to contact me at the phone number, or
e-mail, listed below.
Sincerely,
Trent Peppa rd
Senior Electrica I lnspector
tpeppard @citvofoa. us
wk 360 417 4735
Cell 360 808 2613
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
CITY OF
1t24t19 lnvoice No. 19-20
To
Olympic Medical Center
Attn: Lee Swanson
939 Caroline Street
Port Angeles WA 98362
Electrical plan review final fee
UPS Upgrade
Description Unit Price Total
2 BHC consultant fee 90/94.s0 180.00
1
1 City shipping FedEx ground 14.80 14.80
I Labor City of Port Angles 97.65 97.65
1 Penprint copies 11 .41 11 .41
1 5% Administrative fee 49.65
380.63
Cost eslimate deposit 200.00
'180.63
Due upon receipt
Thank you for your business!
City of Port Angeles
Tel 360 417 4735
Fax 360 4'17 4711
lL-
--:
tpeppard@cityofpa.us
()lt r
Quantity
BHC Postage 27 .12 27 .12
Sub Total
Balance Total
7r