HomeMy WebLinkAbout7050 W. 39th Avenuei CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE,
Inspection Type: go- 04!1
Job Address: '70'�d A6�
Permit Number:
❑ No one available for inspection: Time i'G7 MM
Re -Inspection required: Yes'
*When corrections have been made, call for re -inspection at 303-234-5933
Date: 1110 0 ! �) Inspector: lfne_ _eve`r
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Homeowner Plumbing PERMIT - 201802814
PERMIT NO: 201802814 ISSUED: 10/22/2018
JOB ADDRESS: 7050 W 39th Ave EXPIRES: 10/22/2019
JOB DESCRIPTION: Replace 40 gallon, 40K BTUs gas water heater
*** CONTACTS ***
OWNER (651)208-9745 WEGMANN MATTHEW KAUS
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 800.00
FEES
Hot Water Heater 40.00
Total Valuation 0.00
Use Tax 16.80
** TOTAL ** 56.80
*** COMMENTS ***
*** CONDITIONS ***
Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
I, the property owner, by my signature, attest that I currently reside at the project
property, intend to reside at the property for a period of one year after completion of the
project, and am personally performing all work, without the assistance of hired or
professional workers. If professionals are hired, those contractors are licensed with the
City of Wheat Ridge and are listed on the permit. Consultations and inspections will only
be performed with the homeowner of record present.
City of Wheat Ridge
Homeowner Plumbing PERMIT - 201802814
PERMIT N0: 201802814 ISSUED: 10/22/2018
JOB ADDRESS: 7050 W 39th Ave EXPIRES: 10/22/2019
JOB DESCRIPTION: Replace 40 gallon, 40K BTUs gas water heater
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 thWallw1or be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of - or C(YNTRACTOR (Circle one) Date
I. This permsis=ued 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 originalermit 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 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 re ' "tion 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.
Kimberly Cook
From: no-reply@ci.wheatridge.co.us
Sent: Monday, October 22, 2018 2:13 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Water Heater Replacement Permit Application
Categories: Kim
Residential Water Heater Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT WATER
HEATERS - 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 water heater
like for like?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
Attach Credit Card
Authorization Form -
**DO NOT ATTACH
RANDOM
DOCUMENTS"
*
7050 W. 39th Ave
Matthew Kaus Wegmann
651-208-9745
matt.wegmann@gmail.com
Buildinq permit CC authorization. pd
CONTRACTOR INFORMATION
Contractor Business Self (Home owner)
Name
1
Contractor's License 000000
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 651-208-9745
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address N/A
(Primary address of your
business)
Contractor Email Address matt.wegmann@gmail.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
Number of gallons
Is the water heater GAS
or ELECTRIC?
If GAS, enter # of BTUs.
If electric, enter n/a
Where is the water heater
located (for example,
basement, crawlspace,
etc)?
matt.wegmann@gmail.com
40
GAS
40,000
Utility room
Project Value (contract $800
value or cost of ALL
materials and labor)
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 work Yes
may not begin on this
2
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 Yes
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.
Person Applying for Matthew Kaus Wegmann
Permit
Email not displaying correctly? View it in your browser.
.� IFCity of
-� c T -
If
�ge
Co �uu l� DEVELOPM'NT
Official Certification of Property Owner Permit
THIS IS TO CERTIFY that I, the property owner, by my signature, attest that I currently
reside at the project property, or intend to reside at the property for a period of one year after
completion of the project, and am personally performing all work, without the assistance of
hired or professional workers, or, if hiring sub -contractors, list them on the permit.
Consultations and inspections will only be performed with the homeowner of record present at
the project property.
Property Owner(s)
Project Property:
Ka,'1 V
Notarized signature of Applicant
State of Col ado }
County of Ut6t —50 11 } ss
kJ.C, ln/)&�, IAAa �tvJ
The foregoing instrument was acknowledged by me this 11
day oDJfvaf, 20� by
r
Notary Public �7
MELBSSAA. JONES
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID 20164030882
MY COMMISSION EXPIRES AUG. 12, 2020
My Commission Expires C ! X20 Zl'
• e ' �. �► s
(Complete A# highlighted areas)
.. m o ;.
..KK p r
Address:
City, State, Zip:
- -
Contractors City Ucense #* Phone:
1:104WR-111W Plumbing: Mechanical:
(OWNER) 9���gr (AUTHORIZEDREPRESENTATIVE) of (O" (CONTRACTOR)
OOOW4� 11.1 �11.111----". 111- K��- OZ
W NTS.
r"
i1 • R * �s° �► . #1
t
Review F (due at time of submittal);
Aw n at assume full
M I g I I
.. r
w s �
Revievver.
,c iPAi2TMENT% 0 approve
r
City of
—��9 rWh6atp - . d ie
CC DEVELOPMENT g
r f •: ° " dF !F i
ill
� r
B ldg Val