HomeMy WebLinkAbout3131 PLACER ST - PERMITS - 7/7/2021Caty of Fort Collins
Site Address: 3131 PLACER ST
Job Valuation: $1,800.00 Category: Residential
Owner: HESS DAVID L
3131 PLACER ST
FORT COLLINS, CO 80526-2722
Zoning: Front setback: Rear setback:
Minor Amend#: ______ Plat File#:
Community Development & Neighborhood Services
281 N . College Ave Fort Collins, CO 80522
970.221 .6760 970.224.6134 -fax
Building Permit#: 82105251
Issued Full: 07/07/2021
Permit Type: Residential Electrical
Phone: 970-310-8646
Right setback: ____ _ Left setback:
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 Franklin Road
License #: ME-1340 Supervisor cert#:
Fort Collins, CO 80524
Subcontractor(s)
Electrical LAMB ELECTR IC, LLC
Work Description: Panel change out, NO service upgrade.
Phone: 970-493-8628
Phone
970-493-8628
License Number
ME-1340
SCHEDULE INSPECTIONS : ** via Text Message: 888-406-6394 ** By Phone: 970-2 21 -6769
** Onl ine Portal : fcgov .com/CitizenAccess ** Onl ine Portal via Mobile Dev ice : fcgov .com/CitizenAccess/mob il e
Possible Inspections Reau ired: 201 206 301 103 302 300
TOTAL FEES PAID AS OF 07/07/21: $106.85
•• Fee Detail Displayed on Next Page
Payment method: Check 2440
As a condition for the issuance of a permit. I hereby dedare 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 permi t shall become null and void if the work authorized by such permit is not commenced .
suspended, abandoned or not inspecte!d within 180 days from the date of such permit
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
Signature: Print Name: Date: -------------------------------------Form Revised Oct 2010
Caty of k rtCollins
~ --~.
Site Address: 3131 PLACER ST
Community Development & Neighborhood Services
281 N . Coll ege Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 -fax
Building Permit#: B2105251
Issued Full: 07/07/2021
Permit Type: Residential Electrical
Job Valuation: $1,80 0 .00 C ategory: Re sidential
Transactions
Method
Check
Check Number
CK# 2440
Date Paid
07/07/2021
Receipt issued: 07/07/2021 Total Paid to Date:
Fee Description
City Sales/Use Tax
County Sales/Use Tax
Pe rmit Flat Fee -$65
Account Code
251.1 22 030
100.217030
1000.422010
TOTAL FEES:
Amount Paid Comments
$106.85
$106.85
Fee Amount
$34.65
$7 .20
$65.00
$106.85
Amount Pa id
$34.65
$7.20
$65.00
$106.85
Date Paid
07/07/202 1
07/07/2021
07/07/2021
TOTAL BALANCE DUE AS OF 07/07/2021:
Amount Due
$0.00
$0.00
$0.00
$0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010
City of k39oll~ ELECTRICAL PERMIT APPLICATION
Community Development and Neighborhood Services
281 N College 970-416-27 40
Fort Collins, CO 80524 bui l dingservi ces@fcgov.com
Application# (3 '2.(D5:ZJi]
Date Received 7 -1 -1.. l
ALL information is REQUIRED. Incomplete applications will not be accepted.
Job Site Address
Address 3 \ ~I Pku .. i-$+-City/State/Zip F C. / Co <l r:, 5·1-c,,
Property Owner Information
Name Oe-...,'<-\Ae.SS Phone Number £? 7 0 31 'O 'iH.4 G,
Address ~ \ 1> \ P\ ... ter-s+ City/State/Zip Pl. 1 Lo 'i b S '24
• • =-~ 7 0 RESIDEN!IAL (8{single Family Detached O Townhome (attached) 0 Duplex 0 Apartment/Condo 0 Garage/Other _I
•, , . ' . . 7
Q COMMERCIAL 0 Bank O Bar O Church O Hotel/Motel O Medical Office O Office ORetail 0 Restaurant i _! ~ , ~ .
Value of Work
Labor and Materials$ __ l_'S_o_o_. o_o _______ _
Scope of Work
·-·-·
: g(panel change out
!
0 Meter change out 0 Upgrade existing wiring
0 Panel Upgrade (May require additional review time. A commercial panel upgrade of 225A or 3 phase requires a 1 line diagram.)
0 Other electrical alterations ----------------------------------
Service Upgrade O Yes ~No
Existing Amps __ t:S_o ___________ _
New Amps __ '-=S_O ___________ _
j Additional Information
; (if applicable)
l
Electrical Contractor Information
Name C /. "+ Lo.""'h
Address <--i. '2.-0 1=,. CH> k Li o. R;o" ~ City/State/Zip £<-. Co ?OS 2..y •
Phone Number q, o S~ I 41:>Sr Email Ct 1 ,,-l-(ar11L "R ~@ 1 a t,r:, 1> • C-6 m
License Number ME-_ _.._1 .... 3'-t./....L..CC) ________ _
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.
r 7----
s;gaaturn CJJt !
1 Print Name