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Home My WebLink About6845 W. 32nd AvenueCITY OF WHEAT RIDGE Building Inspection Division Ir Inspection line (303) 235-2855 Office - (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 44._? 60 Ir - 7 -D Job Address: /N Permit Nurnber: LL2 0 No one available for inspection: Time Re -Inspection required: Yes," No When corrections have been made, call for re -inspection at 303-234-5933 Date: inspector: DO NOT REMOVE THIS NOTICE 4 City of Wheat Ridge E -Res. Furnace Replacement PERMIT - 202001511 PERMIT NO: 202001511 ISSUED: 08/06/2020 JOB ADDRESS: 6845 W 32nd Ave EXPIRES: 08/06/2021 JOB DESCRIPTION: Replacing 80k, 80% efficiency gas furnace in basement. *** CONTACTS *** OWNER (720)273-8452 YOHANNES TELAHUN ZAWDIE SUB (303)798-8783 ERIC BEARDEMPHL/DARRIN ERDAHL 018464 COFFMAN & CO HEATING AND A/C *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,065.00 FEES Furnace Replacement 40.00 Total Valuation 0.00 ** TOTAL ** 40.00 *** COMMENTS *** *** CONDITIONS *** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. Work shall comply with 2018 IRC & 2020 NEC. Smoke alarms shall comply with 2018 IRC Section 134. Interior alterations, repairs, fuel -fired appliance replacements, or additions, any of which require a building permit, occurs or where one or more rooms lawfully used for sleeping purposes shall have an operational carbon monoxide alarm installed within fifteen feet of the entrance to each room lawfully used for sleeping purposes. 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 pertormed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1, This permit was issued based on the information provided in the pen -nit 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 originalpermit 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 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 : ance or gran of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any ap i le de or a ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Online Form Submittal: FumaceBoiler Replacement Permit Applic... https:Hwnnail.ei.wheatridge.co.us/owa/projection.aspx Reply all I Delete Junk I Online Form Submittal: Furnace/Boiler Replacement Permit Application • no-reply@ci.wheatridge.co.us Reply all 40 Thu 8/6, 9:58 AM CommDev Permits 2018 Dina Action Items ...................................... ............................... ............. .................... Furnace/Boiler Replacement Permit Application This application is exclusively for RESIDENTIAL REPLACEMENT FURNACE or BOILER - LIKE FOR LIKE ONLY. YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes replacement residential furnace or boiler like for like? PROPERTY INFORMATION Is this Residential or Residential Commercial? Property Address 6845 W 32nd Ave Property Owner Name Christy Yohannes Property Owner Phone 720-273-8452 Number (enter WITH dashes, eg 303-123-4567) 1 of 3 08/19/2020, 9:59 AM Online Form Submittal: Furnace/Boiler Replacement Permit Applic... Reply all I Delete Junk https://wrmail.ci.wheatridge.co.us/owa/projection.aspx Attach City of Wheat Ridge 6845 W 32nd Ave - Credit Card Authorization Form.pdf Electronic Payment Form - **DO NOT ATTACH A PICTURE OF A CREDIT CARD" CONTRACTOR INFORMATION Contractor Business Name Coffman & Company Heating and AC LLC Contractor's License 18464 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number 303-366-1112 (enter WITH dashes, eg 303-123-4567) Contractor Email Address pschmidt@coffmanco.com Retype Contractor Email pschmidt@coffmanco.com Address DESCRIPTION OF WORK What type of unit is being Furnace installed? Number of BTUs 80,000 What is the efficiency (%) of 80% the unit? Is the unit GAS or Gas ELECTRIC? Where is the furnace or basement boiler located (for example, basement, crawlspace, etc)? Project Value (contract value 4065 or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full responsibility Yes for compliance with applicable City of Wheat 2 of 3 08/19/2020, 9:59 AM Online Form Submittal: Furnace/Boiler Replacement Permit Applic... Reply all I Delete Junk issued based on this application. I understand that work may Yes not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything stated Yes in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for Permit Patricia J Schmidt https://wnnail.ci.wheatridge.co.us/owa/projection.aspx Email not displaying correctly? View it in your browser. 3 of 3 08/19/2020, 9:59 AM INSPECTION RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/forms.aspx?fid=79 INSPECTION REQUEST LINE: (303) 234-5933 Occupancy/Type 7 44Z Inspections 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 uu UIL rour U3nF_Ufa rfa I-rrnr r n aannrnvnr r it i nn Ahna r•,�-•....-+:...... Underground/Slab Inspections Date7 Inspector Comments Initials Electrical Comments Sewer Service Plumbing ��. ��•1�R•rias•ir►.►au�carnu��.T:a�rnain.v.�r.�uv�r.i�'�J�r�lar.�.rrrr.�seir�iar=r_�.r-re�r_� _ Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof j) 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. 1– . —. � —u .,,A. I VUVI 1 1110POLt1V11J C11 t:; UU MNICLUU IrUln Lne nre uistnct ana electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather *** CONTACTS *** City of Wheat Ridge OWNER (303)238-5106 Residential Roofing PERMIT - 201702388 SUB (720)940-6184 Juan Castillo 160035 Juan Castillo Ent. PERMIT NO: 201702388 ISSUED: 06/22/2017 JOB ADDRESS: 6845 W 32nd AVE EXPIRES: 06/22/2018 JOB DESCRIPTION: Residential Re -roof to install Tamko Heritage 30 year asphalt shingles 21 *** FEE SUMMARY *** sq. ESTIMATED PROJECT VALUATION: 5,900.00 *** CONTACTS *** OWNER (303)238-5106 YOHANNES TELAHUN ZAWDIE SUB (720)940-6184 Juan Castillo 160035 Juan Castillo Ent. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,900.00 FEES Total Valuation 0.00 Use Tax 123.90 Permit Fee 140.90 ** TOTAL ** 264.80 *** 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% -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€"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. City of Wheat Ridge Residential Roofing PERMIT - 201702388 PERMIT NO: 201702388 ISSUED: 06/22/2017 JOB ADDRESS: 6845 W 32nd AVE EXPIRES: 06/22/2018 JOB DESCRIPTION: Residential Re -roof to install Tamko Heritage 30 year asphalt shingles 21 sq. 1, 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 ermit and perform the work described and approved in conjunction with ithis ennrP I further attest that I.am legally authorized to include al entities named within this document as parties to the work to be performed 41 that all world +per ormed is disclosed in this document andlor its' accompanying approved plans and specifications. &/Z nage of OV1 N>if or CONTRACTOR (Circle one) Date 'lfris 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. 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. If this permit expires, a new pen -nit may be required to be obtained. Issuance of a new pen -nit 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. No work of any manner shall be perfonned that shall results in a change of the natural flow of water without prior andspecific 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 Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS 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. City of Wheat Ridge Residential Roofing PERMIT - 201702388 PERMIT NO: 201702388 ISSUED: 06/22/2017 JOB ADDRESS: 6845 W 32nd AVE EXPIRES: 06/22/2018 JOB DESCRIPTION: Residential Re -roof to install Tamko Heritage 30 year asphalt shingles 21 sq. *** CONTACTS *** OWNER (303)238-5106 YOHANNES TELAHUN ZAWDIE SUB (720)940-6184 Juan Castillo 160035 Juan Castillo Ent. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,900.00 FEES Total Valuation 0.00 Use Tax 123.90 Permit Fee 140.90 ** TOTAL ** 264.80 *** 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 Aid -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€TMs 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. Antoinette Kulick ao (-7 0 2�� From: no-reply@ci.wheatridge.co.us Sent: Tuesday, June 13, 2017 10:53 AM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. Permits are currently being /C processed within 3-5 business days, subject to change based on volume. l For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number Property Owner Email Address Do you have a signed contract to reroof this property? It will need to be provided at the time of permit pick-up. 6845 west 32 ave Telahun yohannes 303-238-5106 Tyarti@comcast.net Yes G1 C CONTRACTOR INFORMATION Contractor Name Juan Castillo enterprizes Contractor's License 160035 Number (for the City of Wheat Ridge) Contractor Phone 720-940-6184 Number Contractor Email Address Orioles11juan@aol.com (permit pick-up instructions will be sent to this email) Retype Contractor Email Oriolesl ljuan@aol.com Address DESCRIPTION OF WORK Is this application for a Yes new permit for a residential roof? Are you re -decking the No roof? Description of Roofing Tamko heritage 30 Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 21 material selected above? Does any portion of the No property include a flat roof? If yes, how many squares Field not completed. on the flat roof? TOTAL SQUARES of all 21 roofing material for this project K Provide additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract value or cost of ALL materials and labor) House and detached large shed 4/12 pitch SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. Name of Applicant Juan Castillo Email not displaying correctly? View it in your browser. 3 16-1'�� CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 1010 - Job Address: % , (,,J 3 z - Permit Number: 001-2 U7- 3-99 ❑ No one available for inspection: Time 0 S 'AWPM Re -Inspection required: Yes N� *When corrections have been made, call for re -inspection at 3037234- 9 Date: ) 1 Inspector: DO NOT REMOVE THIS NOTICE A i CITY OF WHEAT RIDGE _:�9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address:/ Permit Number: Z_ 0 UNo one available for inspection: Time/ AM/PM Re -Inspection required: LYes) No When corrections have been made, call for re-inspection',at 303-234-5933 dr% Date: /' 1 -Inspector: DO NOT REMOVE THIS NOTICE INSPECTION RECORD Occunancv/TVge INSPECTION LINE: (303) 234 -5933 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. I T INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: Footings /Caissons Stemwall / (EEG) Concrete Encased Ground Reinforcing or Monolithic Weatherproof / French Drain Sewer Service Lines Water Service Lines INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. FUUN NU UVNURE I UNTIL ABOVE HAS CEEN SIGNED CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) Heating (Underground) DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED ROUGHS Sheathing Lath / Wall tie Mid -Roof - c Electrical Service Rough Electric Rough Plumbing Gas Piping Rough Mechanical ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING Framing Insulation Drywall Screw FINALS Electrical Plumbing Mechanical Roof Building Final Fire Department R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Parking & Landscaping "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 DIVISION DOES NOT CONSTITUTEAUTHORIZATION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR 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 Type Job Address IN NOTICE 7 Koo r 6 Permit Number 1lf tf 5 I - x ❑ No one available for inspection: Time // :'D Re- Inspection required: Yes No When corrections have been made, call f r re -ins ectioii Date: Inspector: DO NOT REMOVE THIS NOTICE ♦ City of Wheat Ridge Residential Roofing PERMIT - 110437 PERMIT NO: 110437 ISSUED: 04/25/2011 JOB ADDRESS: 6845 W 32ND AVE EXPIRES: 04/24/2012 DESCRIPTION: Reroof, 1 finished layer, GAF Elk, 5/12, 25 square * ** CONTACTS * ** owner 303/238 -5106 Tel Mohannes sub 303/727 -1110 Michael O'Donnell 02 -2175 A -1 Roofing ** PARCEL INFO ** ZONE CODE: UA SUBDIVISION: UA USE: UA BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 12,918.59 FEES Permit Fee 251.85 Total Valuation .00 Use Tax 232.53 ** TOTAL ** 484.38, 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 entr es named within this document as parties to the work to be performed and that all work to be performed is disclosed in thiccument,gnd /or its' accompanying approved plans and specifications. J f Signature of OWNER / /or CONTRACTOR (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 f applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field s Signature fChi4e Building Offical Date INSPECTION 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 Date :v�SJ C i- `7�TheatR0g1e MMUNPTY DEVELOPMENT Permit #: Building Division 7500 W. 29 Ave., Wheat Ridge, CO 80033 Office: 303 - 235 -2855 ` Fax: 303 - 237 -8929 Inspection Line: 303 - 234 -5933 Property Address: Property Owner (pies Mailing Address: (if different than property address) Address: Tf:Cko City, State, Zip: f� Contractor: Contractor License #: Phone: 3 O 3= M7 - I I 1 0 Sub Contractors: Company Name: License #• Expiration Date; Trade /Profession: Approval: Use of Space (description): Description -of work: -guz ruction value 8 �_ •+ ' 44wa �I.0 tk, t /L AV #,1i s' 1 ` � 7 Plan Review (due at time of submittal): $ -�_ , II('C r Sq. Ft. /L.Ft added: Squares BTU's Gallons Amps OWNEWCONTRACTOR 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 the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit Plans subject to field inspection. CfRLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REPR NTATIV of (OWNER) ( CONTRATOR) PRINT NAME: �r�-( -L 1 ' SIGNATURE: Date: DEPARTMENT USE ONLY ZONING COMMENTS: - 26ning: Reviewer. PUBLIC WORKS COMMENTS: Reviewer.. BUILOINGDEPARTMENT COMMENTS: OCCUPANCY: _ Reviewer.. FIRE DEPARTMENT.: 0 approved w/ comments ❑ d ❑ no review required Bldg Valuation: $ Credit Card Payment: Use credit card listed on file, Date: Print name: Signature: Fessirnfliff Permit Application