HomeMy WebLinkAbout3715 Shallow Pond Dr - Permits/Electrical - 07/02/2019City®1 Community Development & Neighborhood Services
T 281 N. College Ave Fort Collins, CO 80522
F&t®lf I ns 970.221.676o 970.224.6134 -fax 'C
-Building Permit#: -B1903440
Issued Full:` 07/02/2019
Permit Type: Electric Service -Change
Site Address: 3715` SHALLOW POND DR
Job. Valuation: $8,000.00 Category: Single Family Detach Res
Owner: ZEPHYR COLORADO PROPERTIES LLC
3715 SHALLOW POND DR
FORT COLLINS, CO 80528-0000 Phone: 913-602-0848
Zoning: Front setback: Rear setback:
Right setback:
Left setback:
Minor Amend #: Plat File #:
ZBA Case #:
Zoning district: UE - URBAN ESTATE DISTRICT
Legal: Subdivi sion/PUD:
Filing#: Lot#:
43 Block#:
Code: Res sq ft: 0 Com sq ft:
Ind sq ft: Basement sq ft:
# of stories: Occ Group:
Const Type:
Fire Sprklr: Stock plan #:
Stock plan options:
Contractor: EJC ENERGY, LLC- -.
License #: ME-1542
Supervisor cert#:
44708 CR 27
Pierce, CO , 80650, _
Phone: ,970-286-4286
SubcontracLor(s) ----
�P_ho`ne 1
License Number
Electrical: i EJC ENERGY, ,LLC =, r i s ,,
i J "I
r / 970-286�4286
/ 970-286-4286 -----,
_LME-1542 _
Job Contact:: , _Eric -Carlson—
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Work Description: Upgrade electrical service from 200 A to-320 A. New secondary line to be installed.
SCHEDULE INSPECTIONS: ** via Text Message: 888-406-6394 ** By Phone: 970-221-6769
** Online Portal: fcgov.com/CitizenAccess ** Online Portal via Mobile Device: fcgov.com/CitizenAccess/mobile
Possible Inspections Required: 301 206
TOTAL FEES.PAID AS OF 07/02/19: $294.04 Payment method: Check 2219
" Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby declare that I am the owner or owners agent, authorized to perform the proposed work on the property described herein.
I agree to comply with all the requirements contained herein, and City ordinances, and State laws associated with such work. I understand that such permit may be
revoked in the event that issuance was based on incorrect information. This permit shall become null and void if the work authorized by such permit is not commenced,
suspended, abandoned or not inspected within 180 days from the date of such permit.
Signature: - Print Name: jo:z4-ti �c�.L_ Date: -1 10-S —
Form Revised Oct 2010
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of
Community Development &•Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
990.221.676o 970.224.6134 -fax
Building Permit #: B1903440
Issued Full: 07/02/2019
Site Address: 3715 SHALLOW POND DR
Job Valuation: $8,000.00 Category: Single Family Detach Res
Transactions
Method Check Number Date Paid Amount Paid
Check CK# 2219 07/02/2019 $294.04
Receipt issued: 07/02/2019 Total Paid to Date: $294.04
Fee Description Account Code Fee Amount
City Sales/Use Tax 251.122030 $154.00
County Sales/Use Tax 100.217030 $32.00
Permit Flat Fee w/o Subs $25 1000.422010 $25.00
Plan Check Fee 1000.444010 $83.04
Permit Type: Electric Service Change
Comments
Amount Paid
Date Paid
Amount Due
$154.00
07/02/2019
$0.00
$32.00
07/02/2019
$0.00
$25.00
07/02/2019
$0.00
$83.04
07/02/2019
$0.00
TOTAL -FEES: $294.04 $294.04
$0.00
TOTAL.BAL ANCE DUE AS OF 07/02/2019: 0.00
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.