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Home My WebLink About939 Caroline St (16)ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Applicatj.on Nu cer Application pin numtter Property Address ASSESSOR PARCE], NUMBER: Application E)?e description Subdivision Name Property Use Property zoninq Application valuaEion 19 - 00001555 Date 231305 939 CARO],INE ST 06 -3 0 - 00 - 1- 0 - 3 325- 0000 - ELECTRICAL ONLY PI'BI,TC BUILD]NGS & PARKS 0 REPORT STATE SALES IAX on your excise tax form to the City of Port Angeles (Location Code 0502) to /29 /19 Applicatsion desc ELECIRICA! PI.AN REVIEW PUBLTC HOSPITA], DISTRICT #2 939 CAROI,INE ST PORT ANGELES WA 98352 {160) 417 - 71?0 SIMPSON ELECTRIC 243 03 5 W HWY 101 PORT ANGELES \36A) 45'1 92'1A wA 98353 Permit Additionaf desc Permat Fee - Issue Date . Expiratioo Date oEy unit charge 150.00 1_ 00 00 ELECTRICA], PI,AN REVIEW EL-PLAN REVIEW 150 .00 to / 2e / i-9 Pfan Check Fee valuati-on Per ECl{ 00 0 Extension 150.00 Fee summary Charged Paid Crediled Due Permlt !'ee'10ta1 Pfan Check Tota1 Grand Totaf 150.00 .00 150 .00 00 00 00 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST TNSPECTION INSPECTION TYPE DATE:RESULTS INSPECTOR: DITCH SER\'ICE ROUG}I.IN FINAL COMMENIS: II Signa ture of owner or Electrical Contractor X Date: 150 .00 .00 150.00 .00 .00 .00 Application Nudber Application pin number Property Address ASSESSOR PARCEL NUMBER : Application t)'pe descriptsion Subdivision Name . Property Use Property Zoning ApplicaEion waluation 19 - 00001665 Date t/t'7 /2O 23'7145 939 CAROLINE ST 05 - 3 0 - 00 - 1- 0 - 3 32 5 - 0000 - ELECTRICAI ONLY ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417 -4735 PUBLIC BUILDINGS & PARKS 0 REPORT STATE SATES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) Application desc ELECTRICAI PI.AN REVIEW PUBI,IC HOSPITAI DISTRICT f2 939 CARO'T]NE ST PORT ANGELES WA 983 52 136aJ 4a1-7770 SIMPSON ELECTP,IC 243036 W Hn-g 101 PORT ANGELES (350) 45?- 9270 wA 98353 PermiE Additional desc Permit Eee Issue Date Expiration DaEe ELECTRICAL PI.AN REVIEW PI.AN REVIEW BAI.ANCE 150. O0 Pfan Check Fee Lo /29/ !9 valuaL ion 1,1 .6'1 0 Qty UniL Charge Per 150 . OO 1 , OOOO ECH EI, PI,AN REVTEW Extsension 150.00 Charged Paid Credited Permit lee Total Plan Check Totsaf Grand TotaI 150 .00 11 .6',1 761 .6',7 150.00 ).7 .67 167 .61 00 00 00 00 00 00 INSPECTION Tl?E DATE:RESULTS:INSPECTOR: DITCH SERVICE ROUGH.IN FINAL t)nlzo w -s!,{-/ COMMENTS: PERMIT WILL EXPIRE SIx (6) MONTHS FROM LAST INSPECTION Signature ofowner or Electrical Cgrtractor X Date: Due 12t23t19 lnvoice No. 19-1665 To Sirnpson Electric Attn: Andy Eleclrical plan review final fee.Tlage rcom 2 eity of Port Angeles Due upon receipt Thank you for your business! 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 Sub Total 167 .67 Cost estimate deposit 150.00 Balance Total I I Ot tpeppard@cityotpa. us 9o&t I I I 21 .87 ELES WASHINGTON, U.S.A Public Works & Utilities Department LO/28/19 Simpson Electric Attn:Debbie Simpson 243036 W Hwy 101 Port Angeles WA 98363 Subject: Electrical Plan Review. OMCTriage Room #2 Debbie, The estimated cost for your electrical plan review is S150.00 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. lftheactual cost exceeds the deposit amount, the City will blll you forthe 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, F(' Trent Peppard Sen ior Electrical lnspector wk 360 417 4735 Cell 360 808 2613 Phone: 360-41 7-4800 / Fax: 360-417-4542 Website: www.cityofpa.us / Email: publicworks@cityofpa.us 321 East Fifth Street - P.O. Box 1 150 / Port Angetes, WA 98362-021 7 CITY OF Lincoln Street Station 403 S. Lincoln St., Suite 4 Port Anseles, A 98362 (360) 457-4343 ril!{,J. I incolnstati0n. us shioment----------- FedEx Ground ship T0: Attn: llil lialn Hill BHC CONSUIIANIS, LLC 1601 5TH AVE STE 5OO SEAITIE, uA 98101-3604 Packase ID: 183331 12.63 Trackins #: 780619485137 Expected arrival: Thu 10/31 11:59 Pl'1 Actual llt: 0 lbs 13.3 ozs Ratin8 lrt: 6 lbs Pk8 Dims: 24.00 x 6.30 x 6.10 By Trent 0oen balance: 12.63 *lAtqae- v@p\7 12.63 0.00 12.63 12.63 Total shioments: 1 City of PA Public Wonks 10/30/ 11:3 19 AHIil172059 l,Jorl(station 0 - l4aster l,lorkstat I0n AII sniDments are subiect t0 the terms and conditions Dosted ln the store at the front c0unter. **r*Please verify ship t0 information and insurance value**** For the safety of our customers and carriers, l1Je reserve tne nignt to oDen, inspect, and refuse any packaSe tendered. Insurance: First $50.00 is covered uilUSPS Priority l'lai l. First $100.00 is covered [//FedEx 0r UPS. Additional insurance lllust be 0urchased u//LSs before shipprnS. SUETO]AL TAX TOTAL TEDAcct-Crcdit credit account: Account 3 Slenatdre_ a ------ ll errv &F p&Rr ANGELES Transmittal Olympic Medical Center Triaoe Room 2 BHC P,ease complete electrical plan review We are sending Plan set .:Clienl's fomparty-'" Simpson Electric 8t22/19 DateCity Of Port Angeles Andy Simpson Same City of Port Angeles Customer ilame Project Name . Project Change Authorization Project Sponsor Project Manager Responsible lndividuals Requested By Estimated Start Date i Contract Number 3604174735 19-1665 Estimated End Date Project Nurnber FCA Number PREPARED L0/28/].9, 8:15:39 PAYMENT DUE PROGRAM BP82 OLCITYF PORT ANGELES APPLICATION NUMBER: FEE DESCRIPTION 19-00001665 939 CAROLTNE ST AMOUNT DUE ELECTRICAL PLAN REVIEW TOTAL DUE 150.00 150.00 Please present reciept tso the cashier wiEh full payment PREPARED t2/23/t9, 8:47 :!9 .CITY OF PORT ANGELES PAYMENT DUE PROGRAM BP82 OL APPLICATION NUMBER: FEE DESCRIPTION 19-00001555 939 CAROLINE ST AMOUNT DUE PI,AN CHECK FEES 17.67 L7.67TOTAL DUE Please present reciept to the cashier wj.th full- payment