HomeMy WebLinkAbout3125 PLACER ST - PERMITS - 6/24/2021Site Address : 3125 PLACER ST
Job Valu ation : $1,600.00 Category: Residential
Owner: TROUDT JOLYNN/DARRELL E
3125 PLACER ST
FORT COLLINS, CO 80526-2722
Zoning: Fro nt setback: Rear setback:
Community D evelopment & Neighbo r hood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 -fax
Building Permit#: B2104936
Issued Full: 06/24/2021
Perm it Type : Residential Electrical
Phone: 970-217-178 5
Rig ht setback : Left setback: -----Minor Amend#: ______ Piat File#: _____ ZBA Case #:
Zoning district: RL -LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD: ________________ Filing#: Lot#: Block#:
Code: Res sq ft: ____ Com sq ft:
# of stories: ____ 0cc Group:
Ind sq ft: ______ Basement sq ft: _______ _
Const Type:
Fire Sprklr: ____ Stock plan # ___ _ -:-:----------------------Stock plan options: ------------------Contractor: LAMB ELECTRIC, LLC
2220 Frankl in Road
License#: ME-1340 Supervisor ce rt#:
Fort Col li ns , CO 80524
Subcontractor(s)
Electrical LAMB ELECTRIC, LLC
Work Description: Pane l change out. No upgrade in service.
Phone: 970-493-8628
Phone
970-493-8628
License Number
ME -1340
SCHEDULE INSPECTIONS: ** via Text Message: 888-406-6394 ** By Phone : 970-221 -6769
** Online Portal: fcgov.com/CitizenAccess ** On line Portal via Mobile Device: fcgov .com/CitizenAccess/mobile
jPossible Inspections Required: 201 206 301 103 302 300
TOTAL FEES PA ID AS OF 06/24/21 : $102.2 0
** Fee Detail Displayed on Next Page
Payment method: Check 2437
As a condition for the issuance of a perm it, I hereby declare that I am the owneror owner's agent. authorized to perform the proposed wo rk 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. Th is 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.
Signature: Print Na me: Date: -------------------------------------
Form Revised Oct 2010
City of
k tColli~
Site Address: 3125 PLACER ST
Job Valuation: $1,600.00 Category: Residential
Transactions
Method
Check
Check Number
CK# 2437
Date Paid
06/24/202 1
Receipt is sued : 06/24/2021 Total Paid to Date:
Fee Description
City Sales/Use Tax
County Sales/Use Tax
Permit Flat Fee -$65
A ccount Code
251.122030
100.217030
1000.422010
TOTAL FEES:
Amount Paid
$102 .20
$102.20
Fee Amount
$30 .80
$6.40
$65.00
$102.20
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 -fax
Building Permit#: 82104936
Issued Full: 06/24/2021
Permit Type: Residential E lectrical
Comments
Amount Paid
$30.80
$6.40
$65.00
$102.20
Date Paid
06/24/2021
06/24/2021
06/24/2021
Amount Due
$0.00
$0.00
$0.00
$0 .00
TOT AL BALANCE DUE AS OF 06/24/2021 :
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010
City of
rtor t Collins
/ ~
Comrnurnty Development Jnd Neighborhood Services
281 N College 970-416-27 40
Fort Collins , CO 80524 bu1ldingse1v1ces@fcgovcom Date Received
ALL information is REQUIRED. Incomplete applications will not be accepted.
Job Site Address
Address ---~-\_2-_'5_.P_\_o-_c..._,e.._-r_SJ:...c:.....,, __________ _ C ity/Sta te/Zip F<-, Co "6052..<o
Property Owner Information
Name --::ro '-:(\'jn :f.-o~Jd: Phone Number q-,o ~\; \ 7 'l5
Address '3 \ 'l.. '$ .P \ o. c.~ .St-C ity/State/Zip E C.,1 C:t> ~OS 'Z.b
Sing le Family Detached O Townhome (attached) 0 Duplex 0 Apartment/Condo 0 Garage/Oth er
0 Bar O Church O Hotel/Motel O Medical Office O Office
Value of Work
Labor a nd Materials$ __ 1_(o_O_0_, _O_O ______ _
Scope of Work
~nel change out 0 Meter change out 0 Upgrade existing w iring
ORetail 0 Restaura nt
i O Panel Upgra de (May require additional review time. A commercial panel upgrade of 225A or 3 phase requires a 1 lin e diagram.)
[ 0 Other electrical alterations----------------------------------
Service Upgrade O Yes ~No
Existing Amps _Jl~fi~ti!!!!•~·!!'•~P~LI S~Ouc.m~:).;ef!.'-S_
New Amps ______________ _
Additional Information
i (if applicable)
Electrical Contractor lnforrnation
Name Lo.."tV"lb E.t,: c.A·-,.•c:. Ll-C.
Address __ ....;2-::........:'2..c.....2.=-=o:..._._!l=__,_r-.,,,t,,,"-.1!\...c.1<_1_,_A____;R_d_,_______________ City/State/Zip Fe, CO '8' 0 5 Z.'(
Phone Number l}tO 58(Yos7 Emai l C 1.,., + I a. .,.l:. ~ €-j c..'l-o C> • (..\).,,.,
License Number ME--~11>~'-'~0 _________ _
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 bu1ld1ng construction I know that a permit is not
valid until it has been paid and issued.
! Print Na mec { \ "+ La. m b