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HomeMy WebLinkAbout6203 CLYMER CIR - PERMITS - 3/26/2021Owner:PERRY JOHN C/ROBERTA S 6203 CLYMER CIR FORT COLLINS,CO 80528 Phone:970-567-4828 Zoning:Front setback:Rear setback:Right setback:Left setback: Minor Amend #:Plat File #:ZBA Case #: Zoning district:LMN -LOW DENSITY MIXED-USE NEIGHBORHOOD DISTRICT Legal:Subdivision/PUD:Filing #:Lot #:19 Block #:15 Code:Res sq ft:Com sq ft:Ind sq ft:Basement sq ft: #of stories:Occ Group:Const Type: Fire Sprklr:Stock plan #:Stock plan options: Contractor:VITAL ELECTRIC LLC PO Box #174 Livermore,CO 80536 License #:ME-1638 Phone:720-520-2475 Supervisor cert #: Subcontractor(s)Phone License Number Electrical:VITAL ELECTRIC LLC 720-520-2475 ME-1638 Work Description:Adding a switch and a light in living room. 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 03/31/21:$75.46 Payment method:Credit Card 0413 **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. Carbon Monoxide Alarm required within 15 feet of each bedroom entrance. Community Development &Neighborhood Services 281 N.College Ave Fort Collins,CO 80522 970.221.6760 970.224.6134 -fax Building Permit #:B2102372 Issued Full:03/31/2021 Permit Type:Residential Electrical Site Address:6203 CLYMER CIR Job Valuation:$450.00 Category:Residential Signature:Print Name:Date: Form Revised Oct 2010 Transactions Method Check Number Date Paid Amount Paid Comments Credit Card CK #0413 03/31/2021 $75.46 Receipt issued:03/31/2021 Total Paid to Date:$75.46 Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due City Sales/Use Tax 251.122030 $8.66 $8.66 03/31/2021 $0.00 County Sales/Use Tax 100.217030 $1.80 $1.80 03/31/2021 $0.00 Permit Flat Fee -$65 1000.422010 $65.00 $65.00 03/31/2021 $0.00 TOTAL FEES:$75.46 $75.46 $0.00 TOTAL BALANCE DUE AS OF 03/31/2021:$0.00 Community Development &Neighborhood Services 281 N.College Ave Fort Collins,CO 80522 970.221.6760 970.224.6134 -fax Building Permit #:B2102372 Issued Full:03/31/2021 Permit Type:Residential Electrical Site Address:6203 CLYMER CIR Job Valuation:$450.00 Category:Residential Fee Amounts are valid for date of this document only.Fees subject to change without notice. Form Revised Oct 2010 Community Development and Neighborhood Services 281 N College Fort Collins, CO 80524 970-416-2740 buildingservices@fcgov.com ELECTRICAL PERMIT APPLICATION ALL information is REQUIRED. Incomplete applications will not be accepted. Job Site Address Address ________________________________________________________________ City/State/Zip _________________________ Property Owner Information Name ______________________________________________________Phone Number _____________________________________ Address ________________________________________________________________ City/State/Zip _________________________ RESIDENTIAL Single Family Detached Townhome (attached) Duplex Apartment/Condo Garage/Other COMMERCIAL Bank Bar Church Hotel/Motel Medical Office Office Retail Restaurant Value of Work Labor and Materials $ ________________________________ Scope of Work Panel change out Meter change out Upgrade existing wiring Panel Upgrade (May require additional review time. A commercial panel upgrade of 225A or 3 phase requires a 1 line diagram.) Other electrical alterations _________________________________________________________________________________ Service Upgrade Yes No Existing Amps _________________________________ New Amps ____________________________________ Additional Information (if applicable) Electrical Contractor Information Name ________________________________________________________________________________________________________ Address ________________________________________________________________ City/State/Zip _________________________ Phone Number ____________________________________ Email ______________________________________________________ License Number ME- _______________________________ I 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. Print Name Signature Date Application # _____________________________ Date Received ___________________________ 6203 Clymer Circle Fort Collins, CO, 80528 Roberta Perry (970)567-4828 6203 Clymer Circle Fort Collins, CO, 80528 450 Adding a switch and light Kaden Clark 3002 Chase Dr.Fort Collins, CO, 80525 720-520-2475 vitalelectricservice@gmail.com 0601187 Kaden Clark 03/30/21 B2102372 03.31.2021