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Home My WebLink About602 S COLLEGE AVE - SPECIAL INSPECTIONS - 5/12/2021City of ktColli~ Site Address: 602 S COLLEGE AVE Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.6760 970.224.6134 -fax Building Permit#: B2103604 Issued Full: 05/12/2021 Permit Type: Commercial Plumbing Job Valuation: $800 .00 Category: Prof Office & Pers Svcs Owner: Dan Dollen 602 S College Ave FORT COLLINS, CO 80526 Phone: 970-308-1666 Zoning: Front setback Rear setback: Right setback: Left setback ----- Minor Amend #: ______ Plat File #: ZBA Case#: Zoning district: D -DOWNTOWN DISTRICT Legal: Su bdivision/PUD: ________________ Filing#: Lot#: Block#: -------- Code: Res sq ft: O Com sq ft: # of stories: ____ 0cc Group: Fire Sprklr: ____ Stock plan #: ___ _ Contractor: WALKER PLUMBING LLC 320 ROCK BRIDGE DR WINDSOR, CO 80550 Subcontractor( s) Plumbing: WALKER PLUMBING LLC Ind sq ft: ______ Basement sq ft: _______ _ Const Type: ____________________ _ Stock plan options : ------------------ License #: MP-873 Supervisor cert#: Phone: 970-424-2712 Phone 970-424-2712 License Number MP-873 Work Description: Installing 20' of new gas line for heater and new gas meter. 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: 200 204 102 301 302 300 TOTAL FEES PAID AS OF 05/12121: $83.60 •• Fee Detail Displayed on Next Page Payment method: Credit Card 0907 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 permi t 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: _____________ PrintName: ____________ Date: __________ _ Form Revised Oct 2010 Site Address: 602 S COLLEGE AVE Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.6760 970.224.6134 -fax Building Permit#: B2103604 Issued Full: 05/12/2021 Permit Type: Commercial Plumbing Job Valuation: $800.00 Category: Prof Office & Pers Svcs Transactions Method Chec!s Numb~r Date Paid Credit Card CK# 0907 05/12/2021 Receipt issued: 05/12/2021 Total Paid to Date: Fee DescriQtion Account Code City Sales/Use Tax 251 .1 22030 County Sales/Use Tax 100.217030 Permit Flat Fee -$65 1000.422010 TOTAL FEES: AmQunt Paid Comments $83.60 $83.60 Fee Amount Amount Paid Date Paid $15.40 $15.40 05/12/2021 $3.20 $3 .20 05/12/2021 $65.00 $65 .00 05/12/2021 $83.60 $83.60 TOT AL BALANCE DUE AS OF 05/12/2021: Amount Due $0.00 $0.00 $0.00 $0.00 Fee Amounts are valid for date of this document only. Fees subject to change without notice. Form Revised Oct 2010 PLUMBING PERMIT APPLICATION : I -. . Community Development and Neighborhood Services 281 N C oll ege buildingservices@fcgov.com App lication # 61..-l O j (.QQL} Fort Collin s, C O 80524 970-416-2 7 40 Dat e Recei ved ~ , r1, '2.oL\ ALL information is REQUIRED. Incomplete applications will not be accepted. · Job S ite Acldress Address L,,, 0 Z~ s City/State/Zip Pmperty Owner Information/\ Name {) Cu ✓ -v LJo I/ -c: tlJ Address Go Z., S Cc> I I c9 e sl Phone Number C('7Q 3c, O ( f> (c; C, C ity/State/Zip ,h /+ t..-0/f w5 C 60 ~ 0 Single Family Detached O Townhome (attached) 0 Duplex 0 Apartment/Condo 0 Garage/Other 0 Bank O Bar O Church O Hotel/Motel O Medical Office Q Office Value of Work cf/ 4 /\ 0 Labor and Material s$ ___ O __ U_-=--------- Scope or Work • 0 Sewer line replacement/ new 0 Water line replacement/ new , -~ Gas line replacement ~ 0 Other plumbing work Additional Information (if applicable) Feet to be replaced / installed ________ _ Feet to be replaced / installed ________ _ ,_/C) Feet to be replaced le _ _,&:::::__ _____ _ ~Retail Q Restaurant Address ______ .------------------------c-City/State/Zip __________ _ Phone Number '12V 7 SL/ 7'5 ~/ Email • C (/ ~e~ t/4 ~ G 7 ~ / . '-- License Number~ ~ p -2:f' 7--_,3..,.__ J hereby acknowledge that I have read this application and state that the above information is complete and correct. I agree to comply with all requirements contained herein and city ordinances and state laws regulating building construction. I know that a permit is not valid until it has been paid and issued. .. P rint Nam e "?"c=:=:::::~====:===~=~~ ---------Signature ----..:>