Laserfiche WebLink
Metadata
Document management portal powered by Laserfiche WebLink 9 © 1998-2015 Laserfiche. All rights reserved.
BUILDING <br />PLAN CHECK <br />s <br />r_.. r.. <br />ELECTRICAL <br />PLAN CHECK <br />"1 <br />PL CHECK <br />L SEP n ?r <br />FIRE DEPT. <br />PLAN CHECK <br />ELEVATOR <br />REVIEW <br />C &II CITY OF LOUISVILLE- BUILDING SAFETY DIVISION <br />COMMERC P ERM IT AP <br />ADDRESS OF JOB: 9 21 A'' t 57 PERMIT NUMBER: <br />LEGAL DESCRIPTION LOT: BLOCK: SUBDIVISION: <br />CLASS OF WORK: NEW ADDITION: ALTERATION: REPAIR: MOVE: DEMOLITION: pif <br />j BUILDING r 2 fi Z �,SS ADDR Ljt S v it4t PHONE: 3303 et( �-j4 L <br />OWNER: E Q-Z t rititi NJ CITY: ZIP: --1- <br />CONTRACTOR LOUISVILLE LICENSE CITY: PHONE: <br />NAME: ADDRESS: ZIP: <br />JOB SUPERVISOR: MOBILEIPAGER# <br />ARCHITECT/ENGINEER OF RECORD: COLO. LICENSE <br />NAME: ADDRESS: <br />DESCRIPTION OF WORK: FILL IN ALL APPLICABLE BOXES <br />FLOOR AREA: 2 °d FLOOR AREA: <br />BASEMENT AREA: <br />TO BE FINISHED: UNFINISHED: <br />TOTAL LOT AREA (SQ.FT): ROOF COVERING: <br />CONSTRUCTION TYPE: OCCUPANCY: TYPE OF FOU <br />ELECTRICAL PERMIT INFORMATION: PERMIT TO INCLUDE ELECTRICAL WORK <br />CONSTRUCTION SERVICE ENTRANCE SIGNS ELECTRICAL APPLIANCE <br />ME IER SIZE: SIZE: TYPE: TYPE: <br />PLUMBING PERMIT INFORMATION: PERMIT TO INCLUDE PLUMBING WORK <br />BACKFLOW DEVICE WATER HEATER FIRE SPRINKLER SYSTEM <br />MAKIJM(.)DEL: BTU INPUT: AREA: <br />MECHANICAL PERMIT INFORMATION: PERMIT TO INCLUDE MECHANICAL WORK NOT APPLICABLE <br />FURNACE TYPE OTHER GAS APPLIANCES GAS PIPE SCIIEMATIC ATTACHED <br />BTU INPUT: TYPE: SIZE: LENGTH: <br />USE CATEGORY: <br />c,'o. \IAILIRC7, -1I.. SI TUP CENTER: 50,000 SF. OR LESS 50,1)01- 200,000 SF. <br />OFFICE: 25,000 SF. OR LESS 25,001 100,000 SF. OVER 100,000 SF. <br />BUSINESS PARK L HT INDUSTRIAL WAREHOUSING INSTITUTION.\1. <br />WORK DESCRIPTION/REMARKS: <br />JOBSITE PHONE <br />SPRIN <br />3'rnvv Amt e I S n LAN-Jo o.t S <br />VALUATION <br />INCLUDE LABOR MATERIALS OR CONTRACT PRICE: <br />APPROVALS SIGNATURES DATE <br />SIGNATURE OF APPLICANT /OWNER REPRESENTATIVE: <br />COMMENTS <br />PRINTED NAME:C SS(� APPLICANT'S ADDRESS: y <br />PHONE: <br />CITY: ZIP: <br />PLEASE INCLUDE SQ. FOOTAGE <br />GARAGE AREA: OTHER: <br />KLED AREA: A/C AREA: <br />EXTERIOR WALL COVERING: <br />NDA7'IONS: TOTAL UNITS: <br />NOT APPLICABLE <br />FIRE DETECTION SYSTEM <br />TY PE: <br />NOT APPLICABLE <br />WATER REPAIR SEWER REPAIR <br />OVER 200,000 SF. <br />TOTAL PERMIT FEE <br />(BUILDING DEPARTMENT WILL CALCULATE) <br />SEP 01 7011 <br />THIS APPLICATION B1:CDMI.iS NULL. AM) VOID IF PERMIT IS NOT ISSUED WITHIN 180 DAYS OF APPLICATION DATE 1 HIIRE1 Y L :FRTTFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO HE TRITE AND CORRECT. ALL PRIJV <br />AND ORDINANCES GOVERNING THLS TYPE OF WORK WILL HE COMPLIED WITH WHETHER SPIrnn:EI) HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AIIIHORITY TO VIOLATE OR CANOE I. THE PROVISIONS OE ANY STATE OR LO <br />RI(ILATTNG CONSTRUCTION OR PIRKIRMANC'EOFCONS'LRUCTJON. PERMIT AND TAP FEU ARE SUBJECT TO CHANGE AT i1NNINU 01 EACH CAIJIND AR YEAR. NOTE: A SEPARATE PERMIT LS REQUIRED FOR SIGNS, FENCES, IRRIGATION SYSTEMS 4 <br />SWIMMNG POOLS LI. ESS NOTED ON THIS APPLICATION, FITS ARE ASSF, SSSFDATTIME :OF PERMIT ISSUANCE AND A IT TO( IN EFFECT AT THAT TIME. <br />NOTE: FOR A MULTIPLE TRADE PERMIT THE SUB CONTRACTOR SIGNATURE FORM WITH ORIGINAL SIGNATURES <br />IS REQUIRED PRIOR TO ISSUANCE OF THE PERMIT <br />9-1 -f I 30 3 (.cly 2t/t1� <br />ATE: PHONE: <br />,T/./N►I0 Cr L.evls i11 1c <br />GI Ems)-' 7 <br />CITY OF LOUISVILLE 749 MAIN STREET LOUISVILLE, CO 80027 (303)335 -4584 (303)335 -4588 FAX <br />