HomeMy WebLinkAbout415 S HOWES ST - N410 - PERMITS - 6/10/2021City of
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Site Address: 415 SHOWES ST, N 410
Job Valuation: $5,500.00 Category: Residential
Owner: FORBES MITZY S
POBOX915
FORT COLLINS, CO 80522-0915
Zoning : Front setback: Rear setback:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 -fax
Building Permit#: B2104411
Issued Full: 06/10/2021
Permit Type: Residential Electrical
Phone : 970-690-1675
Right setback: ____ _ Left setback:
ZBA Case#: Minor Amend#: ______ Plat File#: -----Zoning district: D -DOWNTOWN DISTRICT
Legal: Subdivision/PUD
Code: Res sq ft:
# of stories:
________________ Filing#:
Com sq ft :
0cc Group:
Ind sq ft:
Const Type:
Lot#: Block#:
Basement sq ft: _______ _
---------------------Fire Sprklr: Stock plan #: ___ _ Stock p lan options: _________________ _
Contractor: T J'S ELECTRIC License#: ME-1787 Supervisor cert#:
1151 EagleDr.,#113
Lovela1d, CO 80537
Subcontractor( s)
Electrica l T J'S ELECTRIC
Work Description: I nstall carbon and smoke detector, GFCI and AFCI.
Phone: 970-573-9169
Phone
970-573-9169
License Number
ME-1787
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 06/10/21: $192.87 Payment method: Credit Card 7282
** 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 th e date of such permit.
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance .
Signature: Print Name: Date: -------------------------------------Form Revised Oct 2010
Cmtyof
k!:tColli~
Site Address: 415 SHOWES ST, N 410
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221 .6760 970.224.6134 -fax
Building Permit#: B2104411
Issued Full: 06/10/2021
Permit Type: Residential Electrical
Job Valuation: $5,500.00 Category: Residential
Tran sactions
Method
Credit Card
Check Number
CK# 7282
Pate Paid
06/10/2021
Receipt issued: 06/10/2021 Total Paid to Date:
Fee Description
City Sa les/Use Tax
County Sales/Use Tax
Permit Flat Fee -$65
Account Code
251.122030
100.217030
1000.422010
TOTAL FEES:
Amount Paid
$192.87
$192.87
Fee Amount
$105.87
$22.00
$65.00
$192.87
Comments
Amount Paid
$105.87
$22.00
$65.00
$192.87
Date Paid
06/10/2021
06/10/2021
06/10/2021
TOTAL BALANCE DUE AS OF 06/10/2021:
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
City of _,1:ort CoUins
'~
Community Development and Neighborhood Services
281 N College 970-416-2740
Fort Collins, CO 80524 buildingservices@fcgov.com
ELECTRICAL PERMIT APPLICATION
Application# '/3 Z, / OL.j4 f \
Date Received
ALL information is REQUIRED. Incomplete applications will not be accepted.
Job Site Addres!/1 C
Address 3 <10U1i4 ~,f!1;;
Property Ow, er Inf rmation
Name .,
Address ·, 1 .,.
0 Single Family Detached O Townhome (attached) 0 Duplex
62'52-1
City/State/Zip-'-@f:/_,_./..-,__,-(J_z_'_f__U_, ~f.!_'\';--._la_
I
0 Bank O Bar O Church O Hotel/Motel O Medical Office O Office ORetail 0 Restaurant
Value of Work 't $'~JO
Labor and Materials$ ____________ _
Scope of Work
0 Panel change out 0 Meter change out ~ existing wiring
0 Panel Upgrade (May require additional review time. A commercial panel upgrade of 225A or 3 phase requires a 1 line diagram.)
1 ' , ' O Other electrical alterations ___ 1~r,;r-,--:~t~D-A.~,1/,~,~/ __ Vr£-/;~_· ~wn".c. =~~-~,tC:S=--:-· ~('~s~S,~Ct~-·~A~,·~Ef~vf~' ~------
Service Upgrade O Yes ~
Existing Amps --~J""O"------------
New Amps
Additional Information
(if applicable)
Electrical Contractor Information
Name
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 ii has been paid and issued.