HomeMy WebLinkAbout939 CAROL/NE S1' - Building r
C 'T ANGELES
-.Application Number . . . . 19-00000020 Date 2/13/19
Application pin number . . 624580 REPORT STATE SALES TAX
Ptogetty Address . . . 939 CA MINE-ST, your Excise tax form
PARCEL NUMBER: 06-30-00-1-0-332�r-0000- On y
Application type description ELECTRICAL ONLY; to the City of Port Angeles
Subdivision Name . . . . (Location Code 05Q2)
Property Use . . . . .
Property Zoning . . . PUBLIC BUILDS & FARKS
Application valuation. : 0
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Application desc - -. - - -
Plan review UPS upgradee` .
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Owner Contractor
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PUBLIC 9601TA4 DISTRICT #2
939 CAROLINE ST
PORT'ANGELES NA. 94362 ;
(360) 417-7170
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Permit . EbBC€kl'CAL PLAN REVIEW
Additional desc PLAN l"IM BALANCE
Permit Fee `380.63Plan Check Fee .` .00
Issue,Dat�3 ;1/04/19 valuation . 0
Expirati� Date
Qty Unit Carge :-PeiExtension r
BASE FEE 180.63
200.00 1.0000 BCH RL-PLAN MrfM, 200.00
_:.__----------~---.-Wit_--..- ------
Fee summary Charged Paid Credited Due
Permit Fee•Total 380,63 .3'80.63 -- - .60 -.00
Plan Check Total .00, .00 .08 .00
Grand Total 380.63 380.63 00 .00
I TSI'!ECTI(7N'I'YPE M'MTS: INSPECMR:
SVICE
ROMR-IN
RNAL
-COMMENTS:
PERMrr WILL E}XPOtE SIX(6)M&M FROM LA$T.ft4PBCjM
Signature of owner or EectdW Contractor R'i Date:
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""ORT NGELES
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I N G T O N, U. S. A.
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Public Works & Utilities Department
1/3/19
Olympic Medical Center
Sazan Group
Attn: Lee Swanson
939 Caroline St
Port Angeles WA 98362
Subject: Electrical Plan Review. PA LPS upgrade
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Lee,
The estimated cost for your electrical plan review is $200.00 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
4
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,
Trent Pe
ppard
Senior Electrical Inspector
tpeppard@cityofpa.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
1/24/19 Invoice No. 19-20
To
Olympic Medical Center
Attn: Lee Swanson
939 Caroline Street
Port Angeles WA 98362
Electrical plan review final fee.
UPS Upgrade
Quantity Description Unit Price Total
2 BHC consultant fee 90/94.50 180.00
1 BHC Postage 27.12 27.12
1 City shipping FedEx ground 14.80 14.80
1 Labor City of Port Angles 97.65 97.65
1 Penprint copies 11.41 11.41
15%Administrative fee 49.65
Sub Total 380.63
Cost estimate deposit 200.00
Balance Total 180.63
Due upon receipt
Thank you for your business!
City of Port Angeles �otPORT gti
Tel 360 417 4735 tpeppard@cityofpa.us
Fax 360 417 4711 '`�