HomeMy WebLinkAboutInvoice for Pumping Septic and Replacement TankInvoice
Roto Rooter Plumbing
P.O. Box 1800
Glenwood Springs CO 81602
970-945-5519 FAX: 970-243-8794
Account # 126176
Invoice # 381083
Date: 02/17/16
Page # 1 of I
1-leyl Construction Inc
6560 CR 335
NEW CASTLE CO 81647
Service Al:
Hey] Construction
2127 CR 154
GLENWOOD SPRINGS CO 81601
Service Date 02/17/16 P011
Job # 292143 Conlract #
Claim 1/
Pumped & cleaned 1000 -gallon septic tank and disposed of waste al slate -approved facility_
Description OfScrvicc Quantity
PUMP SEI' I -IC TANK
CIIAIN-UP FEE
Terms: Duc 3/18/2016
Unit Price Extended Price Tax
1 $350.00 $350.00
1 $125,00 $125.00
Your Neighborhood Plumber
Balance Due $475.00
Please pay from this Invoice. Thank You
Plcasc Detach and Return with Remittance
Check Enclosed [ ] Method of Payment
Master Card [ 1 Visa 1 1 AmExp [ 1 Discover 1; 1
Acct # Exp Date
Name on Card
Signature_
Remit 'ro:
Roto Rooter Plumbing
Roto Rooter Plumbing
P.O. Box 1800
Glenwood Springs CO 81602
Amount Due
Amount Paid
Invoice # 381083
Date : 02/17/16
Account # 126176
llcyl Construction Inc
$475.00
See /p 'e
Remit To Address:
Precast Concepts, LLC
9405 Alton Ct
Henderson, CO 80640
Invoice: 39769
PRECAST CONCEPTS
better b1� de
Grand Juno SVP
ion
Sold To:
;Heyl Construction
6560 County Road 335
New Castle CO 81647
United States
Sales Order Nbr. 17598
PO Number:
Sales Rep: Dan Williams
Packing Slip: 79884
DAVE 970.274.6488
;HEYL
Phone: 970-245-9301
Fax: 970-243-6703
Page: 1 of 1
Date: 3/4/2016
Ship To: 32
GLENWOOD
2127 CR 154
GLENWOOD SPRINGS CO 81601
United States
Payment Due Date 4/312016
Terms: Net 30 days
Ordered: 3/4/2016
Sales Tax ID:
F.O.B: DESTINATION
Ship Via: Precast Concepts 1
Ship Date: 3/4/2016
I Line PS/Ship Date Quantity
Part Number/Description
Unit Price
Ext Price
1
1.00 EA
- Taxes -
Colorado State
Glenwood Spring
1250 gal Tank
PC.STNK.1250.GJ
tC pL.1G/iz L.&
5-cf7' g /7 /, a,reiJ
T..mh z9
Taxable Amt Percent
1,700.00 2.900 %
1,700.00 3.700 %
Amomt
49.30
62.90
Total:
All past due accounts arc subject 10 interest at thc rate of one and one-half percent (1 1R%) per month (18% per annum) applied to thc principal monthly plus any costs
of collection, including reasonable atkmtcy's fees. "Facture to pay this invoice may subject Purchaser to the provisions of C.R.S. 38-22-127 or C.R.S.
38-28-109." NO RETAINAGE.
Garfield County
µR3} ltAS
Community Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.earfield-countv.com
B
UILDING PERMIT
APPLICATION
TYPE OF CONSTRUCTION
O Commercial/Multi-Family � Demolition
O Manufactured Horne (Single or Multi -Level)
jgt Residential (SF, Duplex or Townhome) l ❑ Reroof
INVOLVED PARTIES
Property Owner: Cm tl f/ eS
Phone: (470 ) 2y5 -
Mailing Address: 4.71 •2 3 { `it r►7-►c( & (-tea-, CO i 51'5 -
Contractor: le C,rn (Dave
Mailing Address:
Phone: ( 970 )74/- 61 SS
e5--0 ce ,d335 e4,, CLlM CO /('I%
Architect:A/ /11+.wter Idiot 617". /11,c�ovd
Phone: ( )
Mailing Address:
Engineer: C. vG. I i :fie or. —
Mailing Address: 17
VeGficr 10/
N{r g/
Phone: ( 43 5) 789 —59
C75
Manufactured Home Installer: C.+A5 J,rz 9 e 5eles Phone: ( 974 ) 25'4-'23 $s i
5 eta 5/5 -eV -.5.4, /4.5 iocioy�
Mailing Address: 3C3 5 -
PROJECT
PROJECT NAME AND LOCATION
Job Address: 82/1:2:7 c.ul r R 1
Describe Work:
A9e0
Assessor's Parcel Number: o{ r .7 /OVD, 2Sub. AVA' Lot Block
Owner's Valuation of Work: $ 57/0 yc'
Sq. Ft. of Building: /`/9 2-- Height: ° / # of Floors: ,
Property Size (Sq. Ft. or Acres): ? /9 4r—
Class of Work: -New 0 Alteration
Garage:
0 Attached
0 Addition
Septic: R OWTS ex:s`
I _
Type of Heat: rra.Natural Gas 0 Propane
❑ Repair 0 Move/Relocation
❑ Detached
❑ Community
Driveway Permit: ❑ Exempt h' 0
A l ed Fog
0 Electric 0 Other
O Permit #:
NOTICE
Authority. This application for a Building Permit must be signed by the Owner of the property, described above, or
an authorized agent. If the signature below is not that of the Owner, a separate letter of authority, signed by the
Owner, must be provided with this Application.
Legal Access. A Building Permit cannot be issued without proof of legal and adequate access to the property for
purposes of inspections by the Building Division.
Other Permits. Multiple separate permits may be required: (1) State Electrical Permit, (2) County OWTS Permit,
(3) another permit required for use on the property identified above, e.g. State or County Highway/ Road Access or
a State Wastewater Discharge Permit.
Void Permit. A Building Permit becomes null and void if the work authorized is not commenced within 180 days of
the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement.
CERTIFICATION
I hereby certify that I have read this Application and that the information contained above is true and correct. I
understand that the Building Division accepts the Application, along with the plans and specifications and other
data submitted by me or on my behalf (submittals), based upon my certification as to accuracy. Assuming
completeness of the submittals and approval of this Application, a Building Permit will be issued granting
permission to me, as Owner, to construct the structure(s) and facilities detailed on the submittals reviewed by the
Building Division. In consideration of the issuance of the Building Permit, I agree that land my agents will comply
with provisions of any federal, state or local law regulating the work and the Garfield County Building Code, OWTS
regulations and applicable land use regulations (County Regulation(s)). I acknowledge that the Building Permit
may be suspended or revoked, upon notice from the County, if the location, construction or use of the structure(s)
and facility(ies), described above, are not in compliance with County Regulation(s) or any other applicable law.
I hereby grant permission to the Building Division to enter the property, described above, to inspect the work. 1
further acknowledge that the issuance of the Building Permit does not prevent the Building Official from: (1)
requiring the correction of errors in the submittals, if any, discovered after issuance; or (2) stopping construction
or use of the structure(s) or facility(ies) if such is in violation of County Regulation(s) or any other applicable law.
Review of this Application, including submittals, and inspections of the work by the Building Division do not
constitute an acceptance of responsibility or liability by the County of errors, omissions or discrepancies. As the
Owner, l acknowledge that responsibility for compliance with federal, state and local laws and County Regulations
rest with me and my authorized agents, including without limitation my architect designer, engineer and/ or
builder.
1 hereby acknowledge that I have read and understand the Notice and Certification above, as well as,
have provided the required information which is correct and3,accurate to the best of my knowledge.
�r C Nor ie✓S
MA 44 /707/
Property Owner Print and Sign
--a
Date
OFFICIAL USE ONLY
Special Conditions:
AdjustedGValuation:
# 3/ L ` V .61°
Plan Check Fee:
/45./. Z /
Permit Fee:`�f
Z 9 7 Z5
Manu home Fee:
«,o c
MIsc
MIsc Fees:
----
Total Fees:
79/.46
Fees Paid:
00.51)
Balance Due:
39/-86
BP No:
1301E 41(9
OWTS No:
SE'irT-41
Setbacks:
0 C Group:
gc
Const Type:
.�--,2c.
Zoning:
g S
BUILDING / PLANNING
DIVISION : /a? L e 46
Signed Approval Date
•
fid. g 4(51) I5D, CASN-, ;13 Ip
Garfield Colrnty I
�n 1
Zorilinewanektist
Permit Number: /5G,ti,- 3-/ -¢//9
Building
Engineered Foundation
Driveway Permit
Surveyed Site Plan
Nle
Septic Permit and Setbacks
Grade/ Topography 30%
Attach Residential Plan Review List
Nff4
NM
Subdivision Plat Notes
Fire Department Review
Valuation Determination/ Fees
Red line Plans/ Stamps/ Sticker
/ Attach Conditions
Application Signed
/ Plan Reviewer to Sign Application
Parcel/ Schedule No.
4011Snowload Letter— Manu. Homes
Soils Report
Planning/ Zoning
J Property Line Setbacks
30 ft. Stream Setbacks
/ Flood Plain
Building Height
Zoning Sign -Off
A09 -
Road Impact Fees
Grade/ Topography 40%
Planning Issues
Subdivision Plat
General Comments:
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