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HomeMy WebLinkAbout2860 Teller StreetFrom: no-reolvCalci.wheatridae.co.us To: CommDev Permits Subject: Online Form Submittal: PERMIT APPLICATION Electrical Service Change/Upgrade/Electrical Work Date: Wednesday, January 19, 2022 5:22:21 PM CAUTION:This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Report any suspicious activities to the IT Division. PERMIT APPLICATION Electrical Service Change/Upgrade/Electrical Work This application is exclusively for RESIDENTIAL ELECTRICAL SERVICE CHANGE OR UPGRADE (200 amps or less). YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this application for Yes electrical service change or upgrade - 200 amps or less? PROPERTY INFORMATION Is this Residential or Residential Commercial? Property Address 2860 Teller St Property Owner Name Development 29 LLC Property Owner Phone 303877-4287 Number (enter WITH dashes, eg 303-123- 4567) Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" Wheatridae Payment form. odf CONTRACTOR INFORMATION Contractor Business True Power Services Name Contractor's License 210254 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 720 318-8170 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email zmonger@truepowerinc.net Address Retype Contractor zmonger@truepowerinc.net Email Address DESCRIPTION OF WORK Is this an electrical change service upgrade or change? Number of Amps 125 Location of work Temp Power Ped (garage, house, etc) Provide additional none details, if needed. Project Value (contract 100.00 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have Yes been authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for tach Monger Pe rm it Email not displaying correctly? View it in your browser. City of Wheat�idge COMMUNITY DEVELOPMENT SUBCONTRACTOR AUTHORIZATION FORM Electrical Subcontractor This form must be completed & signed by the ELECTRICAL SUBCONTRACTOR performing electrical work on site. Subcontractor's insurance and license must be up to date prior to permit issuance. Project Address: General Contractor: Lucid Studio, LLC FORM WILL NOT BE ACCEPTED WITH MISSING INFORMATION Company Name: /t ederr? 6lCt iL' Contact Phone 9: 303—YOD—Jy5�) Wheat Ridge Contractor License #: I70 to % I (required field) State License #: / 00 E 2 % Master License#: L90&151 ////�SNa/-I - a , Printed Name of Auth ized Agent 4� (i� 1 Z/// le/Z02� Signature of Authorized Agen Date City of "heat�idge CrCOMMUNI►Y EVELOPMENT SUBCONTRACTOR AUTHORIZATION FORM Mechanical Subcontractor This form must be completed & signed by the MECHANICAL SUBCONTRACTOR performing mechanical work on site. Subcontractor's insurance and license must be up to date prior to permit issuance. Project Address: 2860 Teller St Wheat Ridge, CO 80033 General Contractor: Lucid Studio, LLC 7190 W 38th Ave. Unit B Wheat Ridge CO 80033 FORM WILL NOT BE ACCEPTED WITH MISSING INFORMATION Company Name: Streamline Mechanical Wheat Ridge Contractor License #:150172 Todd Simpkinson Printed Name o Authorized Agent Signature of Authorized Agent Contact Phone #: 720-505-6142 (required field) 4/16/2020 Date City of W heat l dge COMMUNITY DEVELOPMENT City of Wheat Ridge Municipal Building 7500 W. 29th Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2846 F: 303.235.2857 February 11, 2020 OFFICIAL ADDRESS NOTIFICATION NOTIFICATION is hereby given that the following address has been assigned to the property/properties as indicated below: CURRENT ADDRESS: Vacant Land in Teller Subdivision Filing No. 1 NEW ADDRESS: 2822 Teller Street: Lot 4, Parcel # 39-264-12-031 2834 Teller Street: Lot 5, Parcel # 39-264-12-032 2846 Teller Street: Lot 6, Parcel # 39-264-12-033 2858 Teller Street: Lot 3, Parcel # 39-264-12-030 2860 Teller Street: Lot 2, Parcel # 39-264-12-029 2874 Teller Street: Lot 1, Parcel # 39-264-12-028 NOTES: This is a courtes-v notification. 2850 & 2880 Teller Street s AUTHORIZED BY: DISTRIBUTION: DATE: z I M► I z o Zm Property Owner AddressingAieffco.us Jefferson County Assessor: Data Control, Lacey Baker; Jefferson County Elections: Holly Roth; Jeffco IT Services (Mapping): Steve Mitchel Jeffco Public Schools, ATTN: Communication Services, 1829 Denver West Dr., Bldg. 27, Golden, CO 80401 4. U.S. Post Office, 4210 Wadsworth Blvd., Wheat Ridge, CO 80033 5. Email to arlene.a.vickrey_Ausps.gov; mariann.szaszAusps.gov; carmen.s.suarezAusps.gov; theresa. a.kraft(a)usps. gov 6. Xcel Energy, jacob.van.laere(&xcelenergy.com 7. Century Link, Aaron.Keller(&Centurylink.com; rachel.weaver(-,centualink.com 8. Comcast, scott mooreC&cable.comcast.com 9. Consolidated Mutual Water District: en ing eering_na,cmwc.net 10. WR Sanitation District: bwillis(a,martinmartin.com; info n,wheatridgesanitation com; mbakarich(a),morainco.com; 11. Fire Dept: planreviewAwestmetrofire.org 12. Wheat Ridge Planning Division 13. Wheat Ridge Building Division 14. GIS Specialist 15. Log File NOTE: Please notify all other parties concerned. ADDRESS MAP UPDATED BY: www.ci.w heatridge.com s DATE: -2500' Site TRUE POINT 0' BECK140 /N: 701705.49 L 119EE10.43 ----------------------- 8' uT_,TY AND I DRA'NAOE iASEWNT i HEREBY CRANTED BY I THIS P,A` TYPICAL I I LOT1 5' L,7LilyAND I DRANAbE EASEMCkT -I 1 9,78p S0. 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