HomeMy WebLinkAbout4433 Tabor Street. r CITY OF WHE
Building Inspec
(303) 234 -5933 h
(303) 235 -2855 Office'
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inspection i ype
Job Address
Permit Number
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t) 237 -8929 Fax
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Re- Inspection required: Yes Np'"���
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Re- Inspection required: Yes Np'"���
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.� r CITY OF WHEAT R
1r0 Building Inspection I
(303) 234 -5933 Inspec
(303) 235 -2855 Office'' (303)
INSPECTION NC
Inspection Type par -,-
Job Address
Permit Number
TICE
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3:. ❑ No one available for inspection: Time AM( IqR/
I :
Re- Inspection required es ; No
When corrections have been made, d , call for re-inspection at 303- 234 -5933
Date: Inspector:
r. r
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Plumbing PERMIT - 111380
PERMIT NO: 111380 ISSUED: 11/09/2011
JOB ADDRESS: 4433 TABOR ST EXPIRES: 11/08/2012
DESCRIPTION: Repair 70 if of sewer line in yard only
* ** CONTACTS * **
owner 303/884 -4096 Randy Williams
sub 303/696 -9599 Steve Wakeham
01 -9921 Pipeline Industries, Inc.
** PARCEL INFO.
**
ZONE CODE:
UA
USE:
UA
SUBDIVISION:
0081
BLOCK /LOT #:
0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 3,990.00
FEES p
Permit Fee 109.20
Total Valuation .00
Use Tax 71.82
** TOTAL ** 181.02 '
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
specificationsf cable building codes, and all applicable municipal codes, policies and procedures, and that I am the
legal own r or en authori ed by the leg 1 owner of the property and am authorized to obtain this permit and perform
the wor d crad d pproved conjunction with �x permit. I further attest that I am legakly authorized to include all
entiti s na ed t is docum t as parties to t6. to be performed and that all work to be performed is disclosed..m
this cume accom ppr ,pla nd" ecifications.
Slgnaulk! 9T OWE NEB - -,_S N'1iZftCTO (Circle 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 of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject
to field inspection.
Signatr ief Building Offical Date
INSP CT N REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
RE STS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
Cca,�ar�uNt1t I7rrttsx[>narr,�s
j Building & Inspection Services Division
7500 W. 29" Ave., Wheat Ridge, CO 80033
Office: 303 - 235 -2855 * Fax: 303- 237 -8929
Inspection Line: 303- 234 -5933
Building Permit Application
Property Address:
Property Owner (pleE
Mailing Address: (if different than property address)
Address:
Date:
Plan #
Permit
City, State, Zip:
Contractor:
Contractors t
Sub Contract
Electrical
Licenso #:
3) K15
City License #
Phone:
Plumbing:
City License # 1
Mechanical:
City License #
1 FI EPAR'rr O approved wl coininepts -p disapprOVed d qo review [eplair6d ' Bldg Valuation:
77%V I YE L.JNE
JOB fit
� rra(�dB`
�tiV TRIES INC. DATE
P.O. Box 370 ® Watkins, CO 80137 1
( ) 6 ®9599 ESTIMAT R
Fax (303) 671 -6871 SERVICEMAN
t(
�,�
JOB #
CALL ORIGIN
PO #
. JOB INF,®RIVIATION ` _
.B_ILLING INFORMAYIQN
a ,
NAME
j
NAME
ADDRESS .
ADDRESS
CITY tj j t
j-'
STQ,TE
(-(�
ZIP 3
CITY Lmmff t
STQ�TE
([J
ZIP . '�
PHONE
_1 ;3,Wq_ �[ 0 �'+
I
PHONE
DESGRIPTION,OF SERVICES
-
ESTIMATE
❑ WARRANTY Terms of Warranty:
APPROVAL X
--
SIGNATURE
COMMENTS:
THANK
YOU o f
SUBTOTAL
T
PLEASE PAY
THIS AMOUNT
30- �
p f� fir.
$3a 6A
ITEMS NOT INCLUDED: Landscape, grass, sod, trees, bushes, flowers, plants, fence
repair, decorative rock, utility conflicts, private utilities, sprinklers, waterlines, electrical, gas,
etc. Not responsible for damage caused by unstable soil, cave-ins or any other complications.
TERMS: Job cancellation fees will apply. Invoices are payable -1/2 down and balance upon
completion of work performed. Any invoice not paid when due, shall incur interest at the rate
of 18% per annum. In the event that it becomes necessary to collect any unpaid balance
owed, Pipeline Industries, Inc. shall be entitled to receive all costs of collection, including
reasonable attorney fees. Pipeline Industries, Inc. shall be entitled to ass a mechanic's
lien for all unpaid materials and labor supplied to building projects pyrs t to Colorado law.
ACCEPTANCE
OF INVOICE X
SIGNATURE
FAPPROVAL# SA [I M/C [I AMEX
EXP
H INSPECTION RECORD
INSPECTION REQUEST LINE: (303) 234 -5933
OccupancvlTvpe
Inspector
Inspections will not be performed unless this card is posted on the project site.
Call the inspection request line before 3:00 p.m. to receive an inspection the following business day.
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections
Date
Inspector
Initials
Comments
Monolithic Slab Reinforcement
,
Water Service (Underground)
Caissons
Inspector
Comments
omments
Plumbing (Below / In -slab)
Concrete Encased Ground (CEG)
Heating (Below / In -slab)
Footing /Stemwall P.E. Letter
Rough Mechanical
•l•) c 1.1 a ic61 n r.Sn a[" • a r a J i r•l r ru•\ it it Y�l�41 � � i i � :T -7•\ .Td\T -7 RTTTTS
Underground /Slab Inspections
Date
Inspector
Comments
omments
Electrical (Underground)
Sewer Service (Underground)
,
Water Service (Underground)
Date
Inspector
Comments
omments
Plumbing (Below / In -slab)
Heating (Below / In -slab)
UV Nut t.over underground or Beiownn -Stan vvnrk Pr1nr TA Annrn.imt rlf The eh., ,e Inc......E:......
Rough Inspections
Date
Inspector
Comments
omments
Wall Sheathing
Roof Sheathing
,
Lath /Wall Tie
Date
Inspector
Comments
omments
Rough Electric
Rough Plumbing
Rough Mechanical
Gas Piping
s!
. n r.cln��•a•cua•�u�ui.r•u1r•\.1.1 rvs�l uri•\aarr�ru�\rr�rrsns
Rough Framing
Insulation
Drywall Screw / Nail
,
Final Inspections
Date
Inspector
Comments
omments
Final Electrical
Final Plumbing
Final Mechanical
Roof
s!
Final Building / Frame
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.
Fire Inspection / Fire Protection Dist.
* *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.
occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
'
r
u
CITY OF WHEAT RIDG
00
N *
❑ No one available for inspection: Time ° ` AMfiQ
Re- Inspection required: Yes`l
*When corrections have been made, call for re- 'nspection at 303 - 234 -5933
Date: Inspector:
s
Y ,
DO NOT REMOVE THIS NOTICE
♦fi
CITY C
❑ No one available for inspection: Time AM M
ion required: es Re-Inspect No
When corrections have been made, call for re-inspection at 303-234
Date: Inspector:
DO NOT REMOVE THIS N
" ' City of Wheat Ridge
]�� Residential Roofing PERMIT - 110842
PERMIT NO: 110842 ISSUED: 07/19/2011
JOB ADDRESS: 4433 TABOR ST EXPIRES: 07/18/2012
DESCRIPTION: Tearoff 2 layers, install felt #15 30 -yr dimensional (12 sqs)
* ** CONTACTS * **
owner 303/884 -4096 Randy Williams
gc 303/731 -9529 Julian Flores 10 -0198 JF Roofing
** PARCEL INFO **
ZONE CODE: UA USE: UA
SUBDIVISION: 0081 BLOCK /LOT #: 0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 3,084.00
FEES
Permit Fee 109.20
Total Valuation .00
Use Tax 55.51 R M
** TOTAL ** 164.71
Conditions:
6 nails per shingle is required. Ice dam membrane is required from eave edge to
2' inside exterior walls. Board sheathing with any gap greater than 1/2"
requires panel sheathing overlay on entire roof. Sheathing inspection is
required prior to covering. Contractor shall provide ladder for inspections.
Scheduled inspections that cannot be performed due to inclement weather must be
cancelled prior to 8:30 a.m. on the day of inspection or a re- inspection fee
will be assessed. Subject to field inspection.
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 document and /or its' accompanying approved plans and specifications.
''Signature of OWNER or CONTRALTO (Circle one) 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 of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject
to field inspection.
d 3®
Signature of Chief
'INSPECTION RE
REQUESTS MUST
Date
E: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
e Q a City of
wheat 1�dge
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 29" Ave., Wheat Ridge, CO 80033
Office: 303 - 235 -2855 "Fax: 303 - 237 -8929
Inspection Line: 303- 234 -5933
Building Permit Application
Pioperty Address r 33 � "�
Property Owner (please print) , _� yI ,y VP to
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Corit'ractor: ---�
Contractors Cit License #:
C] alt t Y2 �
Phone: A0-3 --
Date: 17/
Plan #
Permit #
Y "S,�
Electrical: Plumbing: Mechanical:
City License # City License # City License #
Ifesc7iutlori�ofworkd
- y - / y�,y a� TG`'(/ :5 Contract Value:
I n � s �aoA =
n�
Review Fee (due at time of submittal):
S uares $
Squares- _� BTU's Gallons _Amps Sq Ft.
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.
CIRCLEONE: (O CONTRACTOR : ) r (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONT
PRINT NAME \/`. ?lr> - F /Qy&--5' SIGNAT - 0 T ��yG� DATE:
1RE gEPARTMEN7 ❑'approviii ommehts��"d�sapp7oved� p�hD review regUared Bldg Valuation: $
r i