HomeMy WebLinkAbout9990 W. 51st PlaceCity of Wheat Ridge
V
4or Commercial Electric PERMIT - 201901584
PERMIT NO: 201901584
ISSUED:
08/01/2019
JOB ADDRESS: 9990.5 W 51st P1
EXPIRES:
07/31/2020
JOB DESCRIPTION: Install service for Xcel meter - 100 amp/240 volt
*** CONTACTS ***
OWNER (303)234-5900 MESA VERDE PARTNERSHIP, LLP
SUB (719)590-1344 DONALD CANNELLA
190216 PAONIA INC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE: 105 /
BLOCK/LOT#:
/
*** FEE SUMMARY *** ESTIMATED
PROJECT VALUATION:
5,000.00
FEES
Total Valuation 0.00
Use Tax 105.00
Permit Fee 125.05
** TOTAL ** 230.05
*** COMMENTS ***
*** CONDITIONS ***
Work must comply with the 2017 NEC, 2012 IBC
and other applicable
codes and ordinances.
Work is ubject 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�ppermit. I, her attest thatn le ally a orized to include all entities named within this document as parties to the work to be
perlorme that work be er 1�¢isclosed in this document and/or its' accompanying approved plans and specifications.
--}� -
Signat of OWNER or CONT CTOR (Circle one) Date
I . 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 maybe 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 issuance or granting of a pennit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or ordinance o gulation 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.
City of
W heat ode
COMMUNITY DEVELOPMENT
Building & Inspection Services
7500 W. 2911 Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(a)ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date:
Plan/Permit # j O
Plan Review Fee:
Building Permit Application
*** Complete all applicable highlighted areas on both sides of this form.
Incomplete applications may not be processed. ***
�Cw -5 W � `
Property Address: � � �6Gt,ce
Property Owner (please print): � —F �ob, 11+/ Phone:
Property Owner Email:
Tenant Name (Commercial Projects Only)
Property Owner Mailing Address: (if different than property address)
i � (
Address: � l 11 Vef y C� 50 �- '2 K. C'( A CXy_
City, State, Zip:
Arch itect/Eng 1 neer E-mail:
Phone:
Contractor Name: E A- 6 N I k
City of Wheat Ridge License #: Phone: I �'� ��� ` 3 I
Contractor E-mail Address:_ / T1,
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print):Ad %ems �Dc r4ge Phone: -5o3_-,7,5 2' 5-7&
CONTACT EMAIL(p/ease print): rTr QVV�NFY �l v�I (/(%(, CCi
Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form):
Electrical: Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
Complete all highlighted fields, if applicable.
[COMMERCIAL ❑ RESIDENTIAL
Provide description of work: For ALL projects, 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.
Sq. FULF
yv v
BTUs
�_ or- � &_ ( r f'ite 7
Gallons
Amps Squares For Solar: KW # of Panels Requires Structural
For Commercial Projects Only: Occupancy Type: Construction Type:
Occupancy Load: Square Footage:
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$ g060
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. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNER) (CONTRA OR) or (�l1TII9R of (OWNER) (CONTRACTOR)
Signature (first and last name): DATE:
Printed Name: �i7 a'-eW d vi� tl
DEPARTMENT USE ONLY
ZONING COMMMENTS: OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
Building Division Valuation:
(please print)* Mr.%4 VW"4c LA±TrAovt5)4oO Phone: 3* 3 - Y5'1- ZI(ol.
Address:
City, State, Zip:
MMEM=
. Ill' #
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fRWNAME.- W)C- SIONXTURE:
Reviewer
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