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HomeMy WebLinkAbout4280 Marshall Streethne-A Ih. 11 I1 -,--— rW`(_� 1)T)Kn `t' ► )U��� � � �� INSPEC7110N RECORD INSPECTION REQUEST LINE: (303) 234-5933 Occupancv,T � Ins ections will not be performed unless this card is posted on the project site. Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Concrete Encased Ground (CEG) Foundation/ P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Sewer Service Plumbing Do Not Cover Underground or Below/in-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof Lath / Wall Tie Rough Electric Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw/ Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors Final Building NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. For low voltage permits - Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. "*For Inspection Time Window - Please email inSptimerequest ci.Wheatridge.Co.US by 8:00 A.M. the morning of the inspection with the property address in the subject line of the email. Time window is based on the inspector's route. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather City of Wheat Ridge Residential Roofing PERMIT - 201700862 PERMIT NO: 201700862 ISSUED: 05/25/2017 JOB ADDRESS: 4280 Marshall ST EXPIRES: 05/25/2018 JOB DESCRIPTION: Remove 23 squares to decking and reroof with Owens Corning Oakridge Driftwood *** CONTACTS *** OWNER (303)902-8852 SILVIA KATHY SUB (303)422-2725 Gary Theriaque 021170 Bear Brothers Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,120.92 FEES Total Valuation 0.00 Use Tax 200.18 Permit Fee 236.00 ** TOTAL ** 436.18 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding k/2 -inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturertic—s installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer's technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: &l F Job Address: a & 7` Permit Number: 2-o/7b G d- ❑ No one available for inspection: Tim, a �"AM/PM Re -Inspection required: Yes i'`No, When co`rr`ecti s ha a been made, call for re -inspection at 303-234-5933 ki Date: `� % Inspector: ���r� `DO NOT REMOVE THIS NOTICE **REVISION: Removed and replaced two skylights on house, both 4 X 4.** *** CONTACTS *** OWNER (303)902-8852 SILVIA KATHY SUB (303)422-2725 Gary Theriaque 021170 Bear Brothers Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,073.92 FEES Total Valuation 0.00 Use Tax 253.55 Permit Fee 251.85 ** TOTAL ** 505.40 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding A'5 -inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturers€'Ms installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer's technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. City of Wheat Ridge Residential Roofing PERMIT - 201700862 �3v rt_ PERMIT NO: 201700862 ISSUED: 05/25/2017 JOB ADDRESS: 4280 Marshall ST EXPIRES: 05/25/2018 JOB DESCRIPTION: Remove 23 squares to decking and reroof with Owens Corning Oakridge Driftwood. **REVISION: Removed and replaced two skylights on house, both 4 X 4.** *** CONTACTS *** OWNER (303)902-8852 SILVIA KATHY SUB (303)422-2725 Gary Theriaque 021170 Bear Brothers Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,073.92 FEES Total Valuation 0.00 Use Tax 253.55 Permit Fee 251.85 ** TOTAL ** 505.40 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding A'5 -inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturers€'Ms installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer's technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. City of Wheat Ridge ' Residential Roofing PERMIT - 201700862 PERMIT NO: 201700862 ISSUED: 05/25/2017 JOB ADDRESS: 4280 Marshall ST EXPIRES: 05/25/2018 JOB DESCRIPTION: Remove 23 squares to decking and reroof with Owens Corning Oakridge Driftwood. **REVISION: Removed and replaced two skylights on house, both 4 X 4.** 1, by my signature, do hereby attest that the work to be performed shall comply with all accompanyin% approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this_permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be p ,t- med and that all work to be performed is disclosed in this document a or its' accompanyingapprovedplans and specifications. Si' na � re of OWNER or CONTRACTOR (Circle one) D e I. sub was issuebasgd`bn the information provided in the per it�pplication and accompanying plans and specifications and is b,I ct to e compliance with those documents, and all applicable st tufes, ordmances, regulations, policies and procedures. This pen -nit shall expire 365 days after the date of issuance regardless i 2. p p y g ess f actw ty. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired pen -nits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of an manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or gran 'ng of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any app le code or a rdinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of C of Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. r. G v,. City of 2� li, " �� Wheat�icige COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: perm its(7ci.wheatridge.co.us FOR OFFICE USE ONLY Da:�312 ^//� OV Add to Permit # vii-bo�l�2 Building Permit Revision/Amendment Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: H X80 Katslal ( Sif{ Property Owner (please print): kGi W'I -!!�i I V `I Q Phone: 303 - qOZ` 8852 - Property Owner Email: Mailing Address: (if different than property address) Address: City, State, Zip: J Q J(A-1 Contact Person: 1&1rg Re+Q Phone: -Z© q00 a 2531 Contractor: Contractors City License #: Phone: 303 -'q ZZ - ZS IS Contractor E-mail Address: Please Note: Additional valuation must include all general and subcontracted work to be performed related to the revisions and/or amendments declared in the description of work and which were not included in the original permit valuation. If revisions or amendments increase the original valuation, additional fees will be due at the time of approval. Depending on the scope of work, additional plan review fees may be due upon approval ($60.00 an hour - 2 hour minimum). Description of revised/amended work: ReV►n.o 0eA GLr` ck pet IGL -A- Lk-.-) 0 Ski 1 i qkf s ©v,�, Vl ©c -se . A5eWe-te- cs.o�w�a ec -fro �y 5 Ie- "I 1 S{of-l/� . , --� © 5 �y ki $ w x LJ Sq. Ft./LF Amps Btu's Squares Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above) g530 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application tolist Lentity on this application. CIRCLE ONE: (OWNER) ONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME: L� 11�"Lrl�.(_ SIGNATURE: DATE: 1 ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: —tz� V -et lt/i4 0^\ - PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required Building Division Valuation: F 41_ CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: rR D Job Address: Permit Number: D- o/-7 f 6 2, ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, call for re ins action 303-234-5933 Date: ' 0° Inspector: DO NOT REMOVE T)VIS NOT/CE A i CITY OF WHEAT RIDGE _:�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: . 90F Job Address: !j J:Lg0 /4IG/5h5tS� Permit Number: ?_000 0,q6 - a ❑ No one available for inspection: Time % AM/PM Re -Inspection required: 3Y(esNo �_ When corrections have been made, call for re-inspectiort.at_303-234-5933 Date: I l �7 Inspector: InT7ff� DO NOT REMOVE THIS NOTICE 4, CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: woo �_ Job Address: Permit Number: ❑ No one available for inspection: Time AM/ M& Re -Inspection required: Yes No * When corrections have been made, call for re - inspection at 303-234-5933 l C'.� - - (7/4 Date: Inspector:i DO NOT REMOVE THS OTICE City of Wheat Ridge Residential Roofing PERMIT - 201700862 PERMIT NO: 201700862 ISSUED: 05/25/2017 JOB ADDRESS: 4280 Marshall ST EXPIRES: 05/25/2018 JOB DESCRIPTION: Remove 23 squares to decking and reroof with Owens Corning Oakridge Driftwood *** CONTACTS *** OWNER (303)902-8852 SILVIA KATHY SUB (303)422-2725 Gary Theriaque 021170 Bear Brothers Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,120.92 FEES Total Valuation 0.00 Use Tax 200.18 Permit Fee 236.00 F ' ** TOTAL ** 436.18 oft *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midruof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding k/2 -inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturera€rms installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer's technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. City of Wheat Ridge Residential Roofing PERMIT - 201700862 PERMIT NO: 201700862 ISSUED: 05/25/2017 JOB ADDRESS: 4280 Marshall ST EXPIRES: 05/25/2018 JOB DESCRIPTION: Remove 23 squares to decking and reroof with Owens Corning Oakridge Driftwood I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attesf that 1 am le ally authorized to include al[ entities named within this document as partes to the work to be performed and that al�wor�c t, be performed is disclosed in this document and/or its' accompanying approved plans and specifications. 57-6 nature of OWNER or ONTRAC (Circle one) Date This permit was issued based on t e information provided in thepermit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made -be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original ppermit fee. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and rocedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Offcial and is not guaranteed. No work of an manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Bdi_td%ndA6Vf1MWa1- ` x, Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINES DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. C ity of ji��q�Wheafl�MUNITY DEVELOPMLNZ Building & Inspection Services Division 7500 W. 29`h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(cDci.wheatridge.co.us FOR OFFICE USE ONLY Date:J c _. 1 Plan/Permit#V U Plan Review Fee: Building Permit Application Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. Property Address: 'f Z bQ 01aR SA q.l.L ST - Property Owner (please print): AT +% Y STL.y =q Phone: 303- 9 a2.- eB52_ Property Owner Email:_Ka i -w 9 KV. Corn Mailing Address: (if different than property address) Address: Seernr, pS Ar15cwF , State, Zip: Architect/Engineer: Architect/Engineer E-mail: Phone: Contractor: *ok llk Zew l.'F-lp; � E:tif=7at/ Contractors City License #: `_8 r7 Phone: Contractor E-mail Address: be a.r bc-Ot6.' Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL 14 RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING El COMMERCIAL ADDITION RESIDENTIAL ROOFING ❑ RESIDENTIAL ADDITION TI WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) h5 r_irrt 6v 3 ' CAO,-.� (\ -ko dtc,k-.t �i c Plac c vs rE R� a3 !;Us Com=rZo C)W"RrtJGE '�� FrvJtsoZj Sq. Ft./LF Btu's Gallons Amps Squares .CJ Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) t 11. 120.87— OWNER/CONTRACTOR - OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. 1, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (CONTRACTOR) or UTHORIZED REPRESENTAT of (OWNER) CONTRALTO Electronic Signature (first and last name): DATE: s 24 2D IZ ZONING COMMMENTS: Reviewer. BUILDING DEPARTMENT COMMENTS: Reviewer. DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: b INSPECTION RECORD occupancy/Type 'V - INSPECTION. LINE: (303) -234 -5933. I.. I 4 ,,. Inspections will not be made unless this card is posted' on the building site Call by 3:00 PM to receive inspection the following `business day. INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE ]INSPECTOR ITIALS COMMENTS: Footings /Caissons Stemwall / (CEG) Concrete Encased Ground Reinforcing or Monolithic - _... Weatherproof/ French Drain Sewer Service Lines - - - WaterServiceLines - CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) Heating (Underground) ROUGHS Sheathing Lath /Wall tie Mid -Roof Electrical Service - _... Rough Electric Rough Plumbing Gas Piping _INSP_EC.TIONS" FOR "P_LANNING S. ZONING ,.:EIRE- /1NAP- LBLICE"YJDRK Rough Mechanical - SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. FINALS Electrical Plumbing Mechanical Roof Building Final Fire Department' R.O.W & Drainage g _INSP_EC.TIONS" FOR "P_LANNING S. ZONING ,.:EIRE- /1NAP- LBLICE"YJDRK Parking & Landscaping SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. "'NOTE. ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, "BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DmSto'N.DOES NOT CONSTITUTE AUTHORIZATION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOi OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED' PROTECT THIS CARD FROM THE WEATHER `► CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICES9 Inspection Type: PL, Job Address: VV V8 P 44 57 - Permit Number: ❑ No one available for `inspecti - T' ~ e AM /PM t Re- Inspection required: ?Yes No When corrections have been t o a e If for re-inspection at 303 - 234 -5933 Date: Inspector: DO NOT REMOVE TH NOTICE " 1 City of Wheat Ridge Residential Plumbing PERMIT - 110606 PERMIT NO: 110606 ISSUED: 05/26/2011 JOB ADDRESS: 4280 MARSHALL ST EXPIRES: 05/25/2012 DESCRIPTION: Repair 25 if of sewer line in yard only * ** CONTACTS * ** owner 303/463 -6557 John Silvia sub 303/433 -6077 Rick Aguilar 02 -1754 GOLDENWEST PLUMBING & DRAIN ** PARCEL INFO ** ZONE CODE: UA SUBDIVISION: 0401 USE: UA BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 4,000.00 FEES Permit Fee 109.20 , Total Valuation .00 Use Tax 72.00 L Q ** TOTAL ** 181.20 -- Conditions: Subject to field inspections. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that 'I am legally authorized to include all entities named within this . document as parties to the work to be performed and that all work to be performed is disclosed in this docy� ar,�(] /or its' accompanying approved plans and specifications. Signature lbf OATIBR or CONTRACTOR (Circle one) F -� 'Date ' 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one- half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re- issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision i f any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to fi sp on. Signatur of ief Building Offical Date INSP CT ION REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of W he2,t T idge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W 29 Ave Wheat Ridge CO 80033 Date: Plan # Permit# Office: 303 - 235 -2855 * Fax: 303-237 -8929 Inspection Line: 303 -234 -5933 ,9 Building Permi t Application Property Address qd0 o l / Property Owner (please print): k in S' 11/ Phone: - �b 3' Mailing Address: (if different than property address) Address: YCUO YN C4 rckrn l S � City, State, Zip: P C � d �� Coniiractor: '%p��o7 wG i�� � Contractors City License #: 7 5� Phone`. 3 0 ? -`'(3 3 gy p ( » 7 Sub_ Contractors: Electrical. Plumbing: Mechanical: 7 City License # City License # City License # Descrtptlon "of iihi kk i S C wBv ContractValue� a, � S G� !/wa F K 0 vi r- , 5 l v� 1 $ o o1 Review Fee (due at time of submittal): - Squares BTU's Gallons Amps 3q Ff OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLE ONE (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME: SIGNATURE: DATE: Bldg Valuation: