HomeMy WebLinkAbout3300 STANFORD RD - W312 - PERMITS - 2/11/2021Owner:OAKBROOK II APARTMENTS
12400 COIT RD STE 1000
DALLAS,TX 75251 Phone:213-503-3113
Zoning:Front setback:Rear setback:Right setback:Left setback:
Minor Amend #:Plat File #:ZBA Case #:
Zoning district:MMN -MEDIUM DENSITY MIXED-USE NEIGHBORHOOD DISTRICT
Legal:Subdivision/PUD:Filing #:Lot #: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:VANDRE ELECTRIC &REFRIGERATION
4420 Allison St.,Unit B
Wheat Ridge,CO 80033
License #:ME-1652
Phone:303-777-2318
Supervisor cert #:
Subcontractor(s)Phone License Number
Electrical:VANDRE ELECTRIC &REFRIGER 303-777-2318 ME-1652
Work Description:Installation of 120V smoke alarm in the bedroom.Install per 2020 NEC.
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:201 206 301 103 302 300
TOTAL FEES PAID AS OF 02/11/21:$75.69 Payment method:Trust Account
**Fee Detail Displayed on Next Page
As a condition for the issuance of a permit,I hereby declare that I am the owner or owner's 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.
Community Development &Neighborhood Services
281 N.College Ave Fort Collins,CO 80522
970.221.6760 970.224.6134 -fax
Building Permit #:B2101133
Issued Full:02/11/2021
Permit Type:Commercial Electrical
Site Address:3300 STANFORD RD,W312
Job Valuation:$460.00 Category:Nursing/Retirement Home
Signature:Print Name:Date:
Form Revised Oct 2010
Transactions
Method Check Number Date Paid Amount Paid Comments
Trust Account 02/11/2021 $75.69
Receipt issued:02/11/2021 Total Paid to Date:$75.69
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $8.85 $8.85 02/11/2021 $0.00
County Sales/Use Tax 100.217030 $1.84 $1.84 02/11/2021 $0.00
Permit Flat Fee -$65 1000.422010 $65.00 $65.00 02/11/2021 $0.00
TOTAL FEES:$75.69 $75.69 $0.00
TOTAL BALANCE DUE AS OF 02/11/2021:$0.00
Community Development &Neighborhood Services
281 N.College Ave Fort Collins,CO 80522
970.221.6760 970.224.6134 -fax
Building Permit #:B2101133
Issued Full:02/11/2021
Permit Type:Commercial Electrical
Site Address:3300 STANFORD RD,W312
Job Valuation:$460.00 Category:Nursing/Retirement Home
Fee Amounts are valid for date of this document only.Fees subject to change without notice.
Form Revised Oct 2010
City of k50lllQS ELE CTRICAL PERMIT APPLICATION
Community De·Jeloprnent and Neighborhood Services
281 N Col leg� 970-416-27 40 Application# _________ _
Fort Collins, CO 80524 buildingservices@fcgov.com Date Received
ALL information is REQUIRED. Incomplete applications will not be accepted.
Job Site Address ('1 + ( l\ Address 33'00 S4°'V\tivrd Rol,.Un1lW3/2. ( City/State/Zip r. 0 IVlS,)UJ&J52S
Property Owner l11forinal1un J Name iOoi k broo .k. /J �"' i ov Aro.,t,.thl � � Phone Number _;>_/ _3_--�-· _D_'?_�_-_s_l 1_.:._z ___
Address I 2 lf (9 0 l oi + R 00.. c! ) s u I -1--e. IO O O City/State/Zip .po.. I ID. s' T k' J(; 2 5 /
Q RESIDENTIAL
Q COMMERCIAL
0 Single Family Detached O Townhome (attached) 0 Duplex 4' Apartment/Condo O Garage/Other
0 Bank O Bar O Church O Hotel/Motel O Medical Office O Office
Value of Work
Labor and Materials $ __ L""'"/"""'b"--0 ________ _
Scope of Work
0 Panel change out 0 Meter change out 0 Upgrade existing wiring
0Retail 0 Restaurant
0 Panel Upgrade (May require additional review time. A commercial panel upgrade of 225A or 3 phase requires a 1 line diagram.)
.Other electrical alterations 1".s+�/(, VLlb adot./�,'t,':Q.I /20 Vs��--'-di.li,..v�
Service Upgrade O Yes • No
Existing Amps ____________ _ New Amps _____________ _
Additional Information .J,v; la, II i H,� D1.t1.fof ;-J-; 0 '1.& l 120 V s �t-0 V--C! o..l f,.,V""" ,-., nl� t-,f! d. VtO O a. ! ; .t,,
1(ifapplicable) t\. 0-'llSliH1-ev tfud &-fl S,�H-CL---.....J A/,:,;1vl-(,1S w,+1t,tt. t'.111 exr-��-!nlfl,c't l.J.J/')tf�v-..e 'H,d-evtol'\vte. ��rt___ ---�--
Electrical Contractor Information
Name V °'"'� v-e B 1-ec + ri L t::,-( �l; p.{1,.,,.. ,· e VO. � �·\,
Address l.(420 A II i SVM �i-V'et2. t, tJvitb B City/State/Zip W he.JA+ R;,J�e, (i)�DD33
Phone Number :so�-�?+ -2'3>1�1 Email vi+O-.li'f k..@Vo.V\dv-eivtc. lovh
License Number ME-__._/-'6:;_..,cS-'--2 ________ _
I hereby acknowledge that I have read this appl1cat1on and state that the above 1nformat1on 1s complete and correct. I agree to comply with all requirements contained herein and city ordinances ;:i11d state laws regulating bu1ld1ng construction. I know that a permit is not valid until it has been paid and issued.
Vikli� Kl.t.r.>i V\Print Name I Signature
\l
B2101133
2/11/2021