HomeMy WebLinkAbout5817 W. 38th AvenueFrom: no-reolvCalci.wheatridae.co.us
To: CommDev Permits
Subject: Online Form Submittal: PERMIT APPLICATION General
Date: Monday, April 11, 2022 1:26:01 PM
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PERMIT APPLICATION General
This application is exclusively for Scopes of Work that do not already have a
specific form.
YOU MUST ATTACH AN ELECTRONIC PAYMENT FORM IN ORDER FOR THE
PERMIT TO BE PROCESSED.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
PROPERTY INFORMATION
Is the property Commercial
Residential or
Commercial?
Property Address 5817 W 38th Ave
Property Owner Name SB West 38th, LLC
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
Address
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
CONTACT INFORMATION
Submitting General
Contractor or Architect
Contractor's License
303-909-4100
jay.siegel@storybuilt.com
Eco Tech Environmental Inc.
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contract Phone
303-997-5175
Number (enter WITH
dashes, eg 303-123-
4567)
Contact Email Address
brisa@etechenviro.com
Retype Contact Email
brisa@etechenviro.com
Address
Check the appropriate
Field not completed.
boxes if the following
work is involved in the
project.
Are there any
No
ADDITIONAL Sub
Contractors associated
with this project?
DESCRIPTION OF WORK
Detailed Scope of
asbestos abatement
Work - Provide a
detailed description of
work including
mechanical, electrical,
plumbing work
occurring,
adding/removing walls,
etc.
Square footage of
1086
scope of work
Location of work
throughout & exterior
(backyard, on roof, etc)
Project Value (contract
13680.00
value or cost of ALL
materials and labor)
Upload Engineer letter
Field not completed.
Upload Asbestos
5725 5785 5807 5817 W 38th Ave- approved SEK ndf
Report if triggler level is
met per CDPHE
regulation.
Upload Drawings 5817 W 38th Ave Demolition Asbestos Inspection report
(0021 Ddf
Upload Additional Field not completed.
Drawings
Upload Additional
Drawings
Upload Additional
Drawings
Field not completed.
Field not completed.
SIGNATURE OF UNDERSTANDING AND AGREEMENT
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.
I understand that work
may not begin on this
property until a permit
has been issued and
posted on the property.
Yes
Yes
I certify that I have Yes
been authorized by the
legal owner of the
property to submit this
application and to
perform the work
described above.
I attest that everything
stated 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.
Yes
Person Applying for Brisa Tapia
Pe rm it
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PERMIT NO. 201801961
BUSINESS NAME: TS-TEK Inc.
City of
Wh6atP,,Ldgc
LICENSE INSPECTION
INSPECTION DAY/TIME Friday, July 13th @ 9:00 am
INSPECTION DAY/TIME
INSPECTION DAY/TIME
ADDRESS: 5817 W. 38th Avenue, Unit C
CONTACT NAME: Jerry Johnson
SQ FT
OCCUPANCY TYPE
3 OCCUPANCY LOAD
_17- CONSTRUCTION TYPE
❑ SPRINKLERED
['7(] NON-SPRINKLERED
Inspector Signature
-7 '75
Date
i CITY 10F WHEAT RIDGE
- Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 134-= - u s. p s < L s c e» g�e
Job Address: S -'* )-7 w -3S'0 04�,e
Permit Number: -90 I'R 0 19 4, /
S F4 = 2 S-7
0`Cyam=
O cc L-oacf = 3
C0n5-�
No A- G P r;/ kfe rt_ d
r3 L=
❑ No one available for inspection: Time 9= la AM PM
Re -Inspection required: Yes
When corrections have been made, call for re -inspection at 303-234-
Date:---2,//3
03-234-Date:? /3tl IFf Inspector: ` Fb
DO NOT REMOVE THIS NOTICE