HomeMy WebLinkAbout939 Caroline St (6)Applicatj"on Nuriber
Application pin number
Property Address
ASSESSOR PARCEL NUIVIBER :
Application t)'pe description
Subdivision Name . ..
ProPerty use
Property Zoning
Application valuation
19- 00000018 DaEe 2 /13 /t9
4621-22
939 CAROLINE S?
06- 30- 00 - 1- 0 - 3325- 0000-
EI.ECTRICAL ONIJY
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417 -4735
PUBLIC BUILDINGS & PARKS
0
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
Applicat.i.on desc
Plan review surgery chilLer
Ordner ContracEor
PI'BI,IC HOSPITAI DISTRICT #2
939 CAROLINE ST
PORT ANGELES WA 98362
136OJ 41-1-71-70
OI,INER
Permit .
AddiEional desc
Permit l'ee
Issue Date
Expiration Date
ELECTRICAL PI,AN REVTF]'I
435 .03
| / 04./ 19
PIao Check Fee
valuat idn
.00
0
Qty Unit Charge Per
.00 1.0000 EcH
BASE FEE
EL-PI,AN REVIEW
Extsension
435.03
.00
Fee summary Charged Paid Credited Due
Permil Fee ToEal
Plan Check Total
Grand ToEal
435
435
435
435
03
00
03
0o
00
00
00
00
00
03
00
03
PERMIT WILL EXPIRE Stx (6) MONTHS FROM t.{ST INSPECTION
INSPECTION TYPE DATE:RESULTS:INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL zlrc lfl -v >4S
COMMENTS:
Signa ture ofowner or Electrical Contractor X Date:
1t24119 lnvoice No. 19-18
To
Olympic Medical Center
Attn: Lee Swanson
939 Caroline Street
Port Angeles WA 98362
Electrical plan review final fee
SuEery Chiller
Gity of Port Angeles
Due upon receipt
Thank you for your business!
Quantity Description Unit Price
2.25 BHC consultant fee 90/94.50
I BHC Postage 27 .13 27 .13
I City shipping FedEx ground 19.44 19.44
Labor City of Port Angles 97.65 97.65
1 Penprint copies 30.44
Sub Total 435.03
Cost estimate deposit 500.00
Credit Total 64.97
tpeppard@cityofpa.us
PoRr
Tel 360 417 4735
Fax 360 417 4711
Total
203.63
1
30.44
15% Administrative fee 56.74
ORT NGELES
I
WASHINGTON, U.S.A
Public Works & Utilities De ent
t/3/201s
Olympic Medical Center
Sazan Group
Attn: Lee Swanson
939 Caroline St
Port Angeles WA 98352
Subject: Electrical Plan Review. Surgery Chiller
Lee,
The estimated cost for your electrical plan review is 5500.00 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.
lf the actual cost exceeds the deposit amount, the City will bill you for the 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.
S in ce re ly,
Trent Peppard
Sen ior Electrical lnspector
tpeooard@ citvofDa. us
wk360 477 4735
Cell 360 808 2613
Phone: 360-41 7-48O0 I Fax:360-417-4542
Website: www.cityolpa.us / Email: publicworks@cityofpa.us
321 East Fifth Street / Port Angeles, WA 98362-021 7
CITY OF