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Home My WebLink About1133 E Park AveELECTRICAL PERMIT CITY OF PORTANGELES 360-417-4735 Appllcalion Number Application pin number Property Address ASSESSOR PARCEL NUMBER: ApplicaEion ts}.I)e descriptlon subdivision Name Property use Property zoning Applicatsion valuatsion 2o-oooo1220 Date r/ 04 /21 708?00 1133 E PARK A1.g o6-30- 11-5 -1-0800 -0000 - EI,ECTRICAIJ ONLY RES ]DEIiI"TIA], MEDIUM DENSTY 0 IAUREL PARK AID PROPCO I,I,C C/O ASSISTED ],IVING CONCEPTS 330 N WABASH AVE SUITE 37OO CHICAGO II] 60511 l3!2J 725-1A2A CMGELECTRICLLC 31448 55TH AVE S AUBURN (2s3) 335 2103 wA 98001 Permi! Additional Permit Fee Issue Datse EIECTR]CA! PLAN REVIEW PLAN REV]EW BAI.ANCE 920.97 Plan Check Fee tA/26/20 va.LuaL ion .00 0 BASE FBE EL-PLAN IIEVIEW Extension 424.91 s00.00 ExpiraLion DaEe QEy Unit charge Per 500. 00 1. 0000 Eclr Charged Credited Due PermiE Fee Total Plan Check Total Grand Totsal 920 920 .00 .00 .00 97 00 00 00 00 REPORTSALESTI.)( on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE:RESULTS:INSPECTOR: DITCH ROUGH.IN FINAL tl,tfzl P -frY PERMIT WILL EXPIRE SIX (6) MONTHS FROM I.{ST INSPECTION Signature of owner or Elecaical Contractor X G:\EXCHANGEBUILDING Date ApplicaEion desc Plan revies 920.97 .00 920.97 SERVICE COMMENTS: CITY OF < f)onr ANcULESL-t WASHINGTON, U.S.A Public Works & Utilities Department to/23/20 Casey, 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 theactual cost exceeds the deposit amount, the City will bill you for the overage. tf 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 Peppard Senior Electrical lnspector toeoDard @ citvofoa. us wk 360 417 4735 Cell 360 808 2613 Phone: 360-417-4800 / Fax: 360-417-4542 Website: www.cityofpa.us / Email: publicworks@cityolpa.us 321 East Fifth Street / Port Angeles, WA 98362-0217 CMG Electric LLC Attn: Casey Gerstner 31448 55th Ave S. Auburn WA 98001 Subject: Electrical Plan Review. Laurel Place Senior Living. :NR 12t4t20 Xnvmice $So. 28-1220 To CMG Eleckic LLC Atln: Casey Gerstner 31448 55th Ave S. Auburn WA 98001 Electricai plan review final fee Laurel Place Senior Living City of Fod Angeles Due upon recerpt Thank you for your business! Quantity Description Unit Price Total 1 WC3 consultant fee 68 7.50 687.50 1 WC3 Postage 17 .46 17 .46 1 City shipping FedEx ground 11.55 11.55 Labor City of Port Angles 71 .00 71.00 1 Penprint copies IJ,JJ 15% Administrative fee 120.13 Sub Total 920.97 Cost estimate deposit 500. cc 424.97 tpeppard@citycfpa.us ?(Xta Tel 360 417 4735 Fax 360 417 4711 1 Balance Total PREPARED 12 / 04 / 20 , '7 :46 :25 CITY OF PORT ANGELES PAYMENT DUE PROGRAM BP82 OL APPLICATION NLIMBER : FEE DESCRIPTION 20-0000L220 1133 E PARK AVE AMOUNT DUE EI-,ECTRICAL PI,AN REVIEW TOTAIJ DUE 420 .97 420 . 97 Please present reciept to the cashier with fulf payment PREPARED 10/23/20, 7 :54 : 02 CITY QF PORT ANGELES PAYMENT DUE PROGRAM BP82 OL APPLICATION NUMBER: FEE DESCRIPTION 20-00001220 1133 E PARK AVE AMOUNT DUE ELECTRICAL PLAN REVIEW TOTAI DUE s00.00 500.00 Pl-ease present reclept Eo Ehe cashier with full- payment Lincoln Street Station 403 S. Lincoln St., Suite 4 Port Anseles, tJA 98362 (360) 457-4343 ,Jldl,r. I incolnstation. us ShiDllrent---------- FedEx Ground Shio To: Hartha (l'1arty) Glllis l,lest Coast Code Consultants 19iOS 36TH AVE I,/ STE 207 LYtitlli{000, irlA 98036-5767 Pacl(a8e ID: 199709 11.55 Trackins #: 398374543471 ExDected arrival: Fri 10/30 li:59 Pl'1 Actual flt: 0 lbs 12.1 ozs RatinS llt: 4 lbs Pk8 DiIIls: 24.00 x 5.00 x 5.00 Ref: Irent SUBTOTAL TAX TO]AL TE|ID Acct - Credrt Credit account: Account 3 open balance: 51.97 11.55 0.00 11.55 11.55 Total shiDments:1 City of PA Public !/orks 10/29/2020#181319 02:09 Pl{ l,lorkstation: 13 - Larrey Auxiliary i,lorkstation All shipments are suDject t0 the terms and condltlons Dosted in the store at the front c0unter. **pp/iss_ IHIS AD0flESSS HAS BEEI{ VERIFIED BY YOU. T* For the safety of our customers and carrierc, e reserve the riSht t0 open, inspect, and rcfuse any Dacl(a8e tendercd. InSUTaflCe: Flrst $50.00 ls covered utlUSPS Priority t4ail. Frrst 9100.00 1s coveTed l,liFedEx 0r uPS. SiBnarure __ .,#\-lt4tE, West Coast Code Consultants, Inc. 19109 36th Ave W, Suite 207 Lynnwood, wA 98036 (425) 582-1719 Federal 'Iax lD # 20-4707579 Trent Peppard, Senior Electricrl Inspector City of Port Angeles 321 E 5rh Sr. Port Angeles, WA 98362 Project: Plan Revic'w WC3 Employee: William Tracey, Katie Conrad Type ofSewice: Plan Review Begin Date: November l, 2020 End Date: November 30, 2020 WC-3 Plan Check Numbcr City Plan Check Number Name and Type of Project Address ofPro.iecf Amount Billed 20-1220 Laurel Plac€ Senior Livi.g Memory Care - Wiltiam Tracey, Katie Conrad - 6 25 hours @ Sl l0/hr.5 687 50 220-PAN,00l 20-1220 LaurelPlac€ Senio! Living Memory Care - Shipping Cost(PIan Return)I lll E Park Ave S 17.46 220,PAN-001 December 3, 2020 20211-l,AN-NOV Net lU I133 E Park Av€ $ 70.4.96 ao? ,94 t z0 .)7 230 A E Ftst Sfeet - Port Angelel WA 98362 360.457.3404 - itlfo@penprintinc.com lnvoice Date lnvoice # 1111612020 38444 P.O. No. Trent upon recelpt RTOFA:'D Quantity Description Rate Amount 1 Laurel senior facilitity Sales Tax 12.25 8.80% 12.257 1.08 TERMS . PAYABLE IN FI,'I-L AND DUE L]PON RECEIPT, Customer agees to pay a $25 per month late fee on all invoices over 30 days from the dale ofservice, in addition to a I.57o per month finance cha.ge on outstanding ba.lances. ln the event that collection proceedings b€come necessary, customer agrees to pay ALL collection costs, legal fees, a.nd any oth€r cosls assocjated with collecting the debt. Tle lack ofa customer sigrature on the invoice DOES NOT waive these terms in full or in part. Total $13.33 Balance Due $13.33 n rint Bill To Accounts Payable City of Port Angeles Finance Dept. 321 E. Fifth Street Port Angeles WA 98362 Terms M U LTI- FAIVI I LY I COI\T tVI E RC IAL ELECTRICAL PERM IT APPLICATION !o 3 ]+ N N D Project Address 1,I33 E PARK AVE PORT ANGELES, WA 98362 PARTIAL BUILDING REIV1ODEL n Multi-Family Res,dential m Commercial/ lndust.ial / Public Building Sq:rare footage 32,318 Name: IHC LAUREL PLACE LLC Emaii brian@ihcfunds.com \,4ailing Address 8502 E PRTNCESS DR STE 200 SCOTTSDALE, AZ 85255 phone 602-570-4966 [.,123-1s CIr.4G Electric LLc fi6snss CN.4GELMG94lQG Pi1666; 253-335-2103Emallqerstner c@msn.com Item Servrce/Feeder 200 Amp. Servlce/Feeder 201-400 Amp. SeMce/Feeder 401-600 Amp. Service/Feeder 601-', 000 Amp. Service/Feeder oYer 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit w/O Service Feeder Each Addilional Branch Circuit Branch Circuits 1-4 Temp. Service/Feeder 200 Amp. Temp. Service/Feeder 201-400 Amp. Temp. Service/Feeder 401-600 Amp. Temp. ServicelFeeder 601-1000 Amp Portalto Portal Hourly Sign / Outline Lighting Signal Circuit/Linrlted Energy - i,,lulti-Family Signal Clrcuit/Lin led EnergylFirst 1500 sf - Commercial (Note $5 C0 fcr each addillonal 1500 s0 Renewable Eleo. Ene!'gy sKVA System orless Thermoslat (Nole $5 for each addltlonal) Urit Charqe $'132.00 $16C 00 $225 00 s288 00 s410.0c 95.00 Quar:titr Toial nit Ciarge) $88.00 $96.00 $113.00 $56.00 $ $ $ $ $ I $ $ $ ) $ $ $ $ $ $ $ $ $ TOTA L Owner as defined by RCW.19.28.261: (1) Owner wil' occupy the stnicture for tlvo years after this electrical permit is finalized. (2) Owner is required to hire an electrlcal contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby ce{ify that I am the owner of ihe above named propefty or a licensed electrical contractor. I am maklng the eiectrical installation or alteration in compllance with the electficai laws. N.E.C., RCW Chapter 19.28, WAC. Chapter 296- 468. The City of PodAngeles lv'lunicipal Code, and Utillty Specificaiions and PAI\,C 14.05.050 regarding Electrical Permit Applications. 101 1612020 Casey Gerstner Casey Gerstner Digitally signed by Casey Gerstner Date: 2020. 1 0.16 1 4:40:22 -47'00' Date Print Name Signature (E Owner p Electrical Contractor /Administrato0 [Electrical Permit Applications may be submitted to City Hall or elect,icalpermits@cityofpa. us or {axed to 364.417.47111 r:x&€ruY:t tlxlt "{x&&&* PLrblic Works ald Utilities Departrnent 321 E. i1h Stleet. ib* argeles. WA 98362 360.111.17 35 I rvrv*--.cir1,:lpa.us I electricalpern, its!!cityolpa.us Project Description Malling Address: 31448 55th Ave S Auburn, WA 98001 Expiratlon Date. 111712O22 xs,x.}x:&xxxxx&-* :x PROJECT )ETAILS T)onrANcuLESI-r Public Works & Utilities Department Apil24.2020 West Coast Code Consultants, lnc. Manha (Mary)Gillis 19109 36th Ave W, Suite 207 Lynnwood, WA 98036 RE: City of Port Angeles, PSA-2020-07 Electrical Plan Review Dear Ms. Gillis, We are pleased to confirm selection of your firm as the consultant for the above referenced project. We would like to proceed with scope and fee negotiations. Thank you for the effort your company put into the proposal. The selection team was impressed with your proposal. We look forward to working closely with your firm to develop the best possible project. Sincerely, Shailesh Shere Deputy Director of Power Systems Phone: 360-4174800 / Fax: 360-4174542 WOb$ite: www.cityofpa.us 1 Email: publicworks@c,ityofpa.us 321 East Fifth Street / Porr Ang;leo. WA 98362-0217 wAsHrNGTOlg U5.A. &= Award - West Coast Code Consultants Final Audit Report 2020-04-24 Crealed: By: Status: Transaction lD: 2020-04-24 Lucy Hanley (lhanley@cityof pa.us) Signed CBJCH BCAABAAkTHxVR3 1 Dvspxl iarTrDOccwA24vAKgL "Award - West Coast Code Consultants" History * Document created by Lucy Hanley (lhanley@cityofpa.us) f1 Document emailed to Shailesh Shere (sshere@cityofpa.us) for signature 2020-04-24 - 5r35:52 PM GMT t] Email viewed by Shailesh Shere (sshere@cityofpa.us) 2020-04-24 - 5:37:03 PM GMT- lP address: 76.191.127.50 de Document e-signed by Shailesh Shere (sshere@cityofpa.us) Signature Date: 2020-04-24 - 5:37:14 PM GMT - Time Source: server- lP address: 76.191.127.50 & Signed document emailed to Lucy Hanley (lhanley@cityofpa.us) and Shailesh Shere (sshere@cityofpa.us) 2020-04-24 - 5:37:14 PM GMI f aaou" sign 2a20-04-24 - 5.34:12 P [.4 GMT- lP address: 76.191.127.50