HomeMy WebLinkAbout415 S HOWES ST - N1201 - PERMITS - 9/9/2021City of
I Fort Collins
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 -fax I I r i
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Building Permit#: 8210721~: ;r !
Issued Full : 09/09/2021 1 1 l•
Site Address: 415 SHOWES ST, #N 1201
Job Valuation: $12,500.00 Category: Residential
O"Vrier : LABAU KAY T/VERNON J TRUSTEES Phone: 970-556-2099
2951 ADMIRALTY BAY DR
ANCH ORAGE, AK 99515-2425
Permit Type: Residential Electrical
Zoning: Fro nt Setback: Rear Setback Righ t Setback Left Setback:
Minor Amend # Plat File#: ZBA Case#
Zoni ng District: D -DOWN TOWN DISTRICT
Legal: Subdivis ion/PUD. Filing# Lot#: Block# ___ _
Code: Res sq ft Com sq ft: Ind sq ft: Basement sq ft
# of Stories:
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0cc Group : Const Type:
Fire Sprklr: Stock plan #: Stock plan options
Contractor: T J'S ELECTRIC
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License#: ME-1787 Supervisor Cert#: N/A -ME I f
1151 Eagle Dr., #113
Lov eland, CO 80537 Phone: 970-573 .. 9169 '.;
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Subcontractor(s): License Number:
E le ttri cal: TJ'S ELECTRIC 970-573-9169 ME-1787
Work Description: Replace alum inu m wiring with coppe r and insta ll smoke detectors. AFCI. GFC I and groun ding.
SCHEDULE INSPECTIONS: **via Text Message: 888-406-6394
Online Portal: fcgov.com/CitizenAccess
Possible I nspe c tions Required 201 206 301 103 302 300
TOTAL FEES PAID AS OF 9/9/202 1: 355.63
***Fee Detail Displayed on Next Page
**By Phone: 970-221-6769
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 C ity ordinances . and State laws associated w ith such
work. I understand t hat such permit may be revok ed in the event that issuance was based on incorrect info rm ation. This permit shall become null and
void if the work authorized by such permit is not commenced, suspended, abandoned or not inspe cted 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 July 2021
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City of
·k tColli~
Site Address: 415 SHOWES ST. #N 1201
Job Valuation: $12,500.00 Category: Residential
Transactions:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221 .6760 970.224 .6134 -fax
Building Permit#:
Issued Full:
B2107218
09/09/2021
Permit Type : Residential Electrical
Method Ref Number
Credit Card 7282
Date Paid
09/09/2021
Amount Paid
$355.63
Comments
Total Paid to Date: =$=35::..::5=.6=--=3'----
Description
Ci\y iSales/Use Tax
County Sales/Use Tax
Permit Flat Fee -$65
TOTAL FEES:
Fee Amount
$240.63
$50.00
$65.00
$355.63
Amount Paid Date Paid
$240.63 09/09/2021
$50.00 09/09/2021
$65.00 09/09/2021
$355.63
TOTAL BALANCE DUE AS OF 9/9/2021 :
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Amount Due
$0.00
$0.00
$0.00
$0.00
$0.00
Fee amounts are valid for date of this document only. Fees subject to change.without notice.
Form Revised July 2021
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City of
k_r:~oll~
Community Development and Neighborhood Services
281 N College 970-416-2740
Fort Collins, CO 80524 buildingservices@fcgov.com
ELECTRICAL PERMIT APPLICATION
Application # B 21 Di] Z. l$
Date Received ~}j. 'vl
ALL information is REQUIRED. Incomplete applications will not be accepted.
Job Site Address if
Address .. { 5 City/State/Zip .fouG w/fv'S ~ So :5"2 / '
Property Own Inf ·
Name _---'=-'-'--.e_+--'-:;___,,1---=.,......!...lt...L...L.>.L\---------Phone Number -~.........._1....cc.o_--_fj-=$_/o_··-_2o _ _,_1 _.1 ___ _
City/State/Zip t t 1 (1 805'2,,{
_Q RESIDENTIAL: Q Single Family Detached O Townhome (attached) Q Duplex ~enUCondo Q Garage/Other
Q COMMERCIAL 0 Bank Q Bar Q Church Q Hotel/Motel Q Medical Office Q Office
Value of Work
Labor and Materials$ __ 4 Q,.,.· ""--+....::5c:.......=..rf)_· "-<-------
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Scope of Work
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1 0 Panel change out 0 Meter change out .. ~e e~isting wiring
QRetail Q Restaurant 1
IO Panel Upgrade (May req uire additional re view time . A commercial panel upgrade of 225A or 3 phase requires a 1 line diagram.)
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1 0 Other electrical alterations
I -------------------------------
Servi Ce Upgrade O Yes f?J, No * '-o Existing Amps ______________ _
New Amps ____ t _() _________ _
; Additional Information
I (if applicable) l.£:PLACl Atrvv'Vt( iJ-Jt\A
Electrical Contractor Information
Name [JS fJ€C(RlC.,..
Address I ! L5( f,A fl.£ D f-· ~ i 13
Phone Number 9) D-573 -CJ I b 1
~ tR,/tJ6 Wtf vf to?P~J-~-r~~ '5~ . be[C--c.tf;~I
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License Number ME---+-/'~7 ...... f:2_._] ________ _
C ity/State/Zip kov~l)(Q , 6o337
Email +~Yi3 I O iJQ~o Q ~M d-1 } . (:pyy\
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.
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! -£::~i.J?.A/ :'J. £,.v.:t:A:cA-AJO
' Print Name1
Cf1/<Yt/zt
Date