Water. TYPE OF CONSTRUCTION: Fire Sprinkler System: Yes. No. Partial. Fire Dept. Building Square Ft. Number of Stories:
Ph: 303.428.3526 Fax: 303.412.3598 City of Federal Heights 2380 W. 90th Ave, Federal Heights, CO 80260
Building Permit Street Address of Project:
PERMIT # (office use)
Parcel #
Lot #
Bock#
Building Owner: (Name)
Classification of Work Residential Commercial (1) New Building (2) Addition (3) Repair or Replace (4) Alteration or Tenant Finish (5) Change of Occupancy Only (6) Excavation Only (7) Plumbing (8) Mechanical (9) Other
Mailing Address: (Street, City, State, Zip) Contractor Name: (as licenced)
Lic. Class: Lic. #:
Address of Contractor: (Street, City, State, Zip) Architectural Design by: Engineering Design by: Existing Use:
Colo. Lic # Colo. Lic # Proposed Use:
OCCUPANCY GROUPS:
Subdivision Name:
Building Tenant:
Agency
Authorized
Date
Pub. Works
TYPE OF CONSTRUCTION:
Fire Sprinkler System: Yes No Number of Stories: Building Height: Crawl Space Drilled Pier Thick Slab
Building Square Ft. Tenant Area Square Ft. Basement: Yes No Foundation: Spread Footing Other:
Partial
Atrium Expansive Soil
Soils Report by: P.E.# GENERAL DESCRIPTION OF WORK:
Water Fire Dept. Zoning Planning Other
Water Tap
Water Meter
SIZE:
SIZE:
CITY COMMENTS: (office use)
COMPILATION OF FEES VALUATION OF WORK:
MATERIAL COST:
$
$
For all work performed under this permit, the permittee accepts full responsibility for compliance with Federal Heights building code and all other Federal Heights ordinances. Required inspections shall be requested one working day in advance. All final inspections shall be made on all items of work before occupancy is allowed.
Certificate of Occupancy is required.
AMT PAID BUILDING PERMIT FEE PLAN REVIEW FEE USE TAX PLUMBING INSP. FEE MECHANICAL INSP. FEE MOBILE HOME SET FEE EXCAVATION FEE DEMO/MOVING FEE SIGN PERMIT FEE TOTAL
________________________________________________ Signature of Property Owner or Legal Registered Agent
