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2880 Harlan Street
INSPECTION RECORD Inspection online form: http://www.ci.wheatridge.co.us/inspection 112— Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Request an ins a tion be ore MIDNIGHT (11:59 PM to receive an 'nspectiop the following business da AuPERMIT / ADDRESS: JOB CODE: J i Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground -�Q- Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof -�Q- 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS PERMIT: ADDRESS:,-/,, JOB CODE: 4 Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 323 Miscellaneous I r /(w Final Inspections Date Inspector Initials Comments 401 Gasline 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Fina! Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial I r /(w 409 Final Roof Inspections from these entities shall be requested one week in advance. *For landscaping and parking inspections please call 303-235-2846 **For ROW and drainage inspections please call 303-235-2861 ***For fire inspections please contact the Fire Protection District for your project. 410 Final Window/Door 412 PW Field Inspection** 413 Flood plain Inspection** 414 Fire Insp. / Fire Protection*** 415 Public Works Final** 416 Storm Water Mgmt.** 417 Zoning Final Inspection* 418 Building Final Inspection 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. For Low Voltage permits please be sure that rough inspections are completed by the Fire District and Electrical low voltage by the Building Division. The City of Wheat Ridge Third Party Form Check List Property Address�2$g''J 4"�j Permit Number,?©// `x'13 Permit Issued Date 017':09- 90/g� Owner Information Property Owner Information Property Owner Address Inspector Information Inspection Company - J_/1 -L'_ Inspector Name Q-16jTjk1CMj Inspector Contact info. /- 76, 0- &60 - DZ/`/ Inspector Statement and Acknowledgement * I hearby acknowledge the roof I am inspecting is 6112 or over. All roofs that are under 6/12 must be inspected by the City of Wheat Ridge Buiding Dept. * I hearby acknowledge the roofing system for the referenced building has been inspected and found to be in compliance with the minimum requirements of the 2012 IRC and 2012 IBC as well as all City of Wheat Ridge Policies and Procedure and Manufacturer's r recommendatio s an specific S. Inspector: Date: Property Owner Statement of Acknowledgement *1 hearby acknowledge that I am the owner of the building referenced above and I give my consent for the listed third -party inspection company to perform my roof inspection in lieu of the City of WheatI')j4ge B n Divi " inspection. Propery Owner/Agent: �Date: j A/10/C This original document and permit card, as well as the roofing check list, must be submitted tc the Chief Building Official within seven days of the final inspection. Drop off in person Permit counter 2nd floor 7500 W. 29th Ave Wheat Ridge CO 80033 Draft Date: 7/26117 Please add note to reverse side The City of Wheat Ridge Inspection Check List notes Mid -Roof Roof Inspection N/A ❑ Pass ❑ Fail N/A ❑ Pass ❑ Fail Structural roof components N/A ❑ Pass ❑ Fail Verify that no more than 2 layers of shingles exist N/A ❑ Pass ❑ Fail Plashing for roof and walls ❑ Pass ❑ Fail if new sheathing is installed verify that it is listed in the permit description (Valuation must be adjusted) N/A ❑ Pass ❑ Fail Verify sheathing nail pattern (See Policy & procedures) N/A ❑ Pass ❑ Fail Crickets and saddles where needed N/A Pass ❑ Fail Verify B vent must have boot same gauge as pipe N/A} Pass ❑ Fail Verify vent caps ❑ N/A [] Pass ❑ Fail Verify no flashings are damaged or rusted ❑ N/A Pass ❑ Fail Step flashing shall be min, of 4x4 piece per shingle P N/A Pass ❑ Fail Verify scuppers allow for proper drainage ❑ N/A Pass ❑ Fail Ice and water shield 2' in heated wall spaces ❑ N/A Pass ❑ Fail Underlayments must follow 2012 IRC 12012 IBC ❑ N/A I A I Pass ❑ Fail Verify roof slope for proper drainage ❑ N/A Pass ❑ Fail Dripedge shall have min of 2" overlap N/A Pass ❑ Fail Dripedge should extend down min 2" past roof deck ❑ NIA Pass ❑ Fail Dripedge shall be mechanicaly fastened 12" OC N/A ❑ Pass ❑ Fail 90 LB roll roofing shall not be applied to roof slopes less than 2:12 slope: Exception, detached garages, patios, carports, open on three sides with min. slope of 1:12 N/A ❑ Pass ❑ Fail Modified Bitumen, EPDM, TPO min slope 1/4:12 slope N/A ❑ Pass ❑ Fail Above roof insulation R-25 N/A ❑ Pass ❑ Fail Below roof residential R-38 N/A ❑ Pass ❑ Fail Below roof commercial R-32 N/A ❑ Pass ❑ Fail Modified Bitumen, EPDM, TPO min slope 1/4:12 slope must be installed in accordance with the manufacturers specifications- Must have manufactures letter of warranty with the address on the letter for final inspection Metal Roof Shingles Requirements N/A ❑ Pass ❑ Fail Metal roof shingles shall not be installed on slope less 3:12 �] N/A ❑ Pass ❑ Fail Metal valley flashing shall be the same material as roof �}! N/A ❑ Pass ❑ Fail Metal valley flashing shall extend a min of 8" from the centerline with a min. of 3/4 " high splash diverter rib built-in at the flow line with sections overlapping a a min. of 4" Tile Roofs Reguirements N/A ❑ Pass ���GGG L-1Fail Clay and concrete the shall have a min. 2-1/2:12 slope Slopes 4:12 and under require double underlayment The City of Wheat Ridge Inspection Check List notes /lid -Roof Company name; Inspector signature: Date of inspection: The City of Wheat Ridge Inspection Check List notes Final Roof Roof Inspection N/A ❑ Pass ❑ Fail ❑ N/A Pass ❑ Fail Structural roof components N/A Pass ❑ Fail Verify that no more than 2 layers of shingles exist N/A ❑ Pass ❑ Fail Flashing for roof and walls / ❑ Pass ❑ Fail If new sheathing is installed verify that it is listed in the permit description (Valuation must be adjusted) N/A ElPass EJ Fail Verify sheathing nail pattern (See Policy & Procedures) W/A ❑ Pass ❑ Fail Crickets and saddles where needed ❑ N/A Pass ❑ Fail Verify B vent must have boot same gauge as pipe F-1 N/A i Pass ❑ Fail Verify vent caps ❑ N/A on Pass ❑ Fail Verify no flashings are damaged or rusted ❑ N/A 14 Pass ❑ Fail Step flashing shall be min. of 4x4 piece per shingle N/A ❑ Pass ❑ Fail Verify scuppers allow for proper drainage ❑ N/A Pass ❑ Fail Ice and water shield 2' in heated wall spaces ❑ N/A Pass ❑ Fail Underlayments must follow 2012 IRC / 2012 IBC ❑ NIA Pass ❑ Fail Verify roof slope for proper drainage ❑ N/A Pass ❑ Fail Dripedge shall have min of 2" overlap ❑ N/A Pass ❑ Fail Dripedge should extend down min 2" past roof deck ❑ N/A I Pass ❑ Fail Dripedge shall be mechanicaly fastened 12" OC N/A ❑ Pass ❑ Fail 90 LB roll roofing shall not be applied to roof slopes less than 2:12 slope, Exception: detached garages, patios, carports, open on three sides with min. slope of 1:12 N/A ❑ Pass ❑ Fail Modified Bitumen, EPDM, TPO min slope 1/4:12 slope N/A ❑ Pass ❑ Fail Above roof insulation R-28 N/A ❑ Pass ❑ Fail Below roof residential R-38 N/A ❑ Pass ❑ Fail Below roof commercial R-32 N/A ❑ Pass ❑ Fail Modified Bitumen, EPDM, TPO min slope 1/4:12 slope must be installed in accordance with the manufacturer's specifications - Must have manufacturer's letter of warranty with the address on the letter for final inspection Metal Roof Shingles Requirements N/A ❑ Pa55 ❑ Fail Metal roof shingles shall not be installed on slope less 3:12 N/A ❑ Pass ❑ Fail Metal valley flashing shall be the same material as roof N/A ❑ Pass ❑ Fail Metal valley flashing shall extend a min of 8" from the centerline with a min. of 3/4 " high splash diverter rib built-in at the flow line with sections overlapping a a min. of 4" _File Roofs requirements N/A ❑ Pass ❑ Fail Clay and concrete tile shall have a min. 2-1/2:12 slope Slopes 412 and under require double underlayment The City of Wheat Ridge Inspection Check List notes Final Roof Company game: Inspector signature: ,�1 atiic Date of Inspection: 2//�. D ' s City of Wheat Ridge Residential Roofing PERMIT - 201801943 PERMIT NO: 201801943 ISSUED: 07/09/2018 JOB ADDRESS: 2880 Harlan ST EXPIRES: 07/09/2019 JOB DESCRIPTION: Reroof and install Owens Corning duration Storm Asphalt Shingles with 16 squares. Pitch 4/12 *** CONTACTS *** OWNER (303)332-5622 L&M INVESTMENT PROPERTIES LLC SUB (303)582-4252 Julio Blanco/Eduardo Vasquez 160145 Highline Roofing & Gutters Inc *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,200.00 FEES Total Valuation 0.00 Use Tax 151.20 Permit Fee 172.60 ** TOTAL ** 323.80 *** COMMENTS *** *** CONDITIONS *** Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required for both the midroof and final inspections. The 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec. R806. The installation of ridge venting requires the installation or existence of soffit venting. For calculation purposes, one hat or turtle vent equal to one-half of one square foot of opening. 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) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. 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 manufacturer 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 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 - 201801943 PERMIT NO: 201801943 ISSUED: 07/09/2018 JOB ADDRESS: 2880 Harlan ST EXPIRES: 07/09/2019 JOB DESCRIPTION: Reroof and install Owens Corning duration Storm Asphalt Shingles with 16 squares. Pitch 4/12 I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applica le 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 CONTRACTOR (Circle one) Date I . This permit was issued based on the information provided in thepermit 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 andspecific 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, an violation of any provision of any applicable code or any cidmance or regulation of this jurisdiction. Approval of work is subject to f any inspection. Signature of Chief Building Official . Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Laaenia Reimer From: no-reply@ci.wheatridge.co.us Sent: Friday, July 6, 2018 3:55 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Gina 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 and due to the volume of requests, time to process varies and is subject to change. 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. 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. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name 2880 Harlan st wheat ridge co L&M investment properties LLC Property Owner Phone 3033325622 Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address Do you have a signed contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Contract lunallanes@Comcast.net Yes 2880 Harlan st.ipA CONTRACTOR INFORMATION Contractor Business HIGHLINE ROOFING AND GUTTERS INC Name Contractor's License 160145 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123-4567) Contractor Address (Primary address of your business) 3039563425 15423 E BATAVIA DR Contractor Email Address highlineroof@gmail.com Retype Contractor Email highlineroof@gmail.com Address DESCRIPTION OF WORK TOTAL SQUARES of ( (� 16 / the entire scope of work'/ Project Value (contact 7200 / value or cost of ALL / materials and labor) Are you re -decking tlik No roof? 1,/// Is the permit for a flat Pitched roof (2:12 pitch or greater) roof, pitched roof, or PJ both? (check all that apply) What is the specific pitch4/12 of the PITCHED roof? How many squares are 16 part of the PITCHED roof? Describe the roofing OWENS CORNING DURATION OF THE STORM materials for the PITCHED roof: Type of material for the Asphalt PITCHED roof: Provide any additional tear off one layer and replace it with synthetic felt/ice water detail here on the shield on valleys and eaves/drip edge on edges/IKO cambridg� description of work. (Is impact resistant this for a house or garage? Etc) 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 may not begin on this property until a permit has been issued and posted on the property. I certify that I have been authorized by the legal Yes Yes 3 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 Rolando Mier Permit Email not displaying correctly? View it in your browser. INSPECTION RECORD Inspection online form: http://www.cl.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business day PERMIT:/C/ ADDRESS:JOB CODE: Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground ► -Tb Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS PERMIT: ADDRESS: r ,i/a,`� JOB CODE: / Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 323 Miscellaneous Final Inspections Date Inspector Initials Comments 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof 410 Final Window/Door 411 Landscape/Park/Planning" Inspections from these entities shall be requested one week in advance. *For landscaping and parking inspections please call 303-235-2846 **For ROW and drainage inspections please call 303-235-2861 'For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works*" 413 Flood plain Inspection'`' 414 Fire Insp. / Fire Protection*** 415 Public Works Final** 416 Storm Water Mgmt.** 417 Zoning Final Inspection* . 418 Building Final Inspection rNote: 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. For Low Voltage permits please be sure that rough inspections are completed by the Fire District and Electrical low voltage by the Building Division. *** CONTACTS *** OWNER (303)233-0991 KASSAHN GENE R SUB (720)985-4132 Carlos Gutierrez 180053 D & L Plumbing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,800.00 FEES Total Valuation 0.00 Use Tax 79.80 Permit Fee 109.20 ** TOTAL ** 189.00 *** COMMENTS *** *** CONDITIONS *** All work shall comply 2012 International Codes, 2014 NEC (if applicable), and ordinances adopted by the City of Wheat Ridge. Work is 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 specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by t legal owner of the pr rty and am -authorized to obtain this permit and perform the work described and approved in conjunction with t ' permit. I further st at Lam le aYly authorized to include all entities named within this document as partes to the work to be formed and that w k to be perWedis disclosed in this docu t and/or its' accompanying approved plans and specifications. ? Signa ure of OWTIAR or CO TRACTOR (Circle one) Date I . This permit was' issued based on the information provided n the ppermit application and accompanying plans and specifications and is subject to the compliance with those documents, and all pplicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issua ice regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension q 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-halfof 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, feesand rocedures 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 changeof 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 pro ed or conceal without written approval of such work from the Building and Inspection Services Division. 6, The issuance or granting of permit shall not �4construed to be a permit for or an approval of, any violation of any provision of any appficab co or 9vordi nce or re ulation Uthis jurisdiction. Approval of work is subject to field inspection. m Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wheat Ridge Residential Plumbing PERMIT - 201800581 �r PERMIT NO: 201800581 ISSUED: 03/02/2018 JOB ADDRESS: 2880 Harlan ST EXPIRES: 03/02/2019 JOB DESCRIPTION: Replace 20 feet 3/4 copper water service line from the water meter to inside of the house. *** CONTACTS *** OWNER (303)233-0991 KASSAHN GENE R SUB (720)985-4132 Carlos Gutierrez 180053 D & L Plumbing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,800.00 FEES Total Valuation 0.00 Use Tax 79.80 Permit Fee 109.20 ** TOTAL ** 189.00 *** COMMENTS *** *** CONDITIONS *** All work shall comply 2012 International Codes, 2014 NEC (if applicable), and ordinances adopted by the City of Wheat Ridge. Work is 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 specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by t legal owner of the pr rty and am -authorized to obtain this permit and perform the work described and approved in conjunction with t ' permit. I further st at Lam le aYly authorized to include all entities named within this document as partes to the work to be formed and that w k to be perWedis disclosed in this docu t and/or its' accompanying approved plans and specifications. ? Signa ure of OWTIAR or CO TRACTOR (Circle one) Date I . This permit was' issued based on the information provided n the ppermit application and accompanying plans and specifications and is subject to the compliance with those documents, and all pplicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issua ice regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension q 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-halfof 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, feesand rocedures 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 changeof 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 pro ed or conceal without written approval of such work from the Building and Inspection Services Division. 6, The issuance or granting of permit shall not �4construed to be a permit for or an approval of, any violation of any provision of any appficab co or 9vordi nce or re ulation Uthis jurisdiction. Approval of work is subject to field inspection. m Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of `J`! h6 -at P,,dge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 2911 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 " Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(cDci.wheatridge.co.us FOR OFFICE USE ONLY Date: Plan/Permit # '�)t / �a Plan Review Fee: Building Permit Application "** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. Property Address: Property Owner (please print): r? /j Phone: 03 ^ % J, u 7 Property Owner Email: Mailing Address: (if different than property address) Address: r A--( City, State, Zip: Architect/Engineer E-mail: Contractor: Contractors City License M Contractor E-mail Address: ci Phone: Phone: %LL— y 0--S `W 32 - For Plan Review Questions & Comments (please print): CONTACT NAME (please print): Phone: 7 Z f:) CONTACT EMAIL(p/ease print): Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # City License # Plumbing: ' W.R. City License # 2 ( d Other City Licensed Sub: Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL OIRESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) V❑ ECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT LUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please 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.) tAJA Sq. Ft./LF T 5C-�� "t-��r-a _ Btu's Amps Squares r 'I,-/- " / �--V C-, rt l -f Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ 3,"b ab 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) (CONTRACTOR) or. (AUTHO D REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): DATE: — T-1 DEPARTMENT USE ONLY ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: OCCUPANCY CLASSIFICATION: Building Division Valuation: $ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: Permit Number: 'P 0 1 9 o C) LJ No one available for inspection: Time : D S- AM PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: /-S7- Inspector:_ l:�) DO NOT REMOVE THIS NOTICE r.; DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: 7838 , BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date: 9/24/98 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner: Property Address: 2880 HARLAN Contractor License No. : Company: OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Phone: 303-233-0991 Phone: (OWNER)(CONTRACTOR) SIGNED DATE Total: $550.00 $24.75 $0.00 $13.75 $38.50 Construction Value: Permit Fee: Plan Review Fee: Use Tax: 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 (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. Use: Description: REROOF - 30 pound felt and 3-tab shingles BUILDING DEPARTMENT USE ONLY ~ Approval: Zoning: SIC: Sq. Ft.: ~ Approvai : ~ Approval: Occupancy: Walls: Roof: Stories: Residential Units: Electrical License No : Company: Plumbing License No : Company: Mechanical License No : Company: Expiration Date: Approval: Expiration Date: Approval: Expiration Date: Approval: (4) (5) (6) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City. This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 120 days. If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment exceeds one (1) year,full fees shall be paid for a new permit. No work of any manner shall be done that will change the natural flow of water causing a drainage problem. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceediing with successive phases of the job. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. (1) (2) (3) Chief Building Inspector THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date: 7500 WEST 29TH AVENUE WHEAT RIDGE. CO 80215 Property Owner': IJa rr / <:. " C< /t k"1'l S 5;9 If ,..; }far/",! 5J Phone: 3 OJ -.;Lj' 3 -() "J '1) Property Address: .::<.?j '8 0 Contracl.or License No. : Compan.y : Phone: o WNERlCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value: 550.00 , hereby certify that the setback distances proposed by this permit application are accurate, Permit Fee: nd do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or ovenants, easements or restrictions of record; that all measurements shown, and allegations Use Tax: ade are accurate; that I have read and a9ree to abide by all conditions printed on this pplication, and that I assume full responsibility for compliance with the Wheat Ridge Building ode (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. Total: $0.00, WNER)(CONTRACTOR) SIGNED .J-Jo_., #!./OL/>JJ/V DATE 9:.2 l/- ?~ Use: Description: R-e Tel:> F8ac-tz; wood ~ dOUr '-J-3-~ ~ BUILDING DEPARTMENT USE ONLY ~onlnaroommenIS3 SIC: Sq. Ft.: Approval: Zoning: ID!1R1I!!tm3omments;il Approval: e!!.J51rc;w.o~kSl.t,'to.lI)l!rf!n~ Approval: Occupancy: Walls: Roof: Stories: Residential Units: I a c m a C (0 Electrical License No : Company: Plumbing License No : Company: Mechanical License No : Company: Expiration Date: Approval: Expiration Date: Approval: Expiration Date: Approval: (4) (5) (6} This permit was issued in accordance with the provisions set forth In yopur application and Is subject 10 the laws of the State of Colorado and to the Zoning Regulations and Buitdi"9. Code of \lllheat Ridj:Je, Colorado or any other applicable ordinances of the City. This pennit shalf expire .f (A) the work authonzed is not commenced wrthin sixty (60) days from Issue dale or (8) the building authorized is suspended or abandoned for a period of 120 days. . If this permit expires, a new pennit may be acquired for a fee of one-half the amount normally required. provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If chanoes are made or if suspension or abandonment exceeds one (1) year, full fees $hall be paid for a new permit. No work of any manner shall be done that will change the natural flow of water causing a drainage problem. Contractor shall notify the Building Insped.or twenty.four (24) hours in advance for all inspections and shall receive written approval on Inspection card before proceediing with successive phases of the!ab, The issuance of a permit or the approval 0 drawings and specifications shall not be construed to be a permit fO(, nor an approval of. any violation of Ole provisIons of the building codes or any other ordinance. law, rule or r~ulation. (1) (2) (3) For Mayor Chief Building Inspector THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION ''''''.''r~'''t",,,,~,,,,,,,,,-",,,:,,,,,,,.,,,,~,,..,,,,Jjif';,,,~.~.,,,,,,,,..,,,",,,,,,,,,,,~~~,..,~ .tlI!iPA. '. . . ARD DEVELOPMENT Building Permit Number: 2740 8 . lSlON . 231..2865 :r RIDGE Date: 3/11196 AVENUE I!, CO 80215 Pi'llf*ly OWner: KA~SAHN PATRICIA A ,~...s: 2880HAALAN ST . ConttIlCtOr Lk::iInee No. : Company : Phone: 233-0991 ....-.. i rn""lII'. :-.:',-'(";,'_::"...:','-,:',.".,,,.- ','- ,. "',',' OWNt;RICONTRAcT~SJbNATURe OF uNDERSTANDING AND AGREEMENT I h...... __ hlt. W. JeI!I1IlIllPflcaUon'... oc:curale. .Ridii'j\jIt,viollt4 '. ...otlheCllyofWll8lllRldgeor ~ '. . ......... Ind IlIojOatIona ~_ ...... lIIIt COlllIIllonSIlIlnMd IhiB . lIllf....l.r 'WIIh!he Wholl33a: Bulldl ode (U.s.C.F~ , WOIk underfbll pe/llllt. "' (0WNl0Ft)(C0NTMc1i>Rl.1$olEO DATE fJ -I r9 (, l>escIiPliOn 12' X 16' SHED ConttruollQn V8lae : ~ennIt'" : Plan .~Ivtew'Fee: Use tax: Total: $2,OOO.QO , $45.00 . $O.qo $50.00 $95.90 ' 811lLDlNG DEPARTMENT USE ONLY' 311,. MR SHED MUST BE 5 FEEl FROIII_a,,._ pi\OPl!ltTY U~. ' . SHED MUST BEPROPERL Y ANCttORED.8G-3I11116 ,,!,JItO'l8t': Ocl!:upancly ; Wall$ : Roof: Stories : Residentlll Unlt$ : . ,,:-', ,'.::' ,:~,~'-,::~'~ EleclIlcliI Lia$_;No~ co~:' " Ex_on Date : ~a1; . " ~'-~' . Plumbing UcellSe No : Company : Expiration Date : Approval: ..", """,J:,:,."".,., ,", MeChJIlk'a1 license 'No : Company : ExpIration Dale : Approval : ......... . ':~~""'-=:e\~_"''''111{0I('1l 1O..."o"'%III1irl; . ~"t.n.I"il..d=tIlIly(eOjd8yo_llIIuedilo",(8)"IIu1lcIlIlg~fI__'" <.: ':... :" ".. . ,," :. .':': ':'.: .' ,:.:. .......:......,..:....:. ':'-.' .:....... '. .- :......, .1:~r.="::;~:=-~JJ.~~~..bt~~~ llMIlIoonln_lor.. """ lIIi:III\leWl1llll\~...lr1." Ul1,__. """., ..... Ilna_nolbe_lobe.plInlItlor.....lIt~oI.any>tlollllon"'..pIOOIIIo/Il ....-" . l:l' . (II "'-, .- -"......, l1fts~VAUD-otfL Y WHEN IIGNJD BY THE CHIEF BUlL.DlNG1N8PleTOR . CALL:, 2,. 1111 Z4 HOURS PRIOR TO INSPEcmDN 1fi~ ~) DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Building Permit Number: Date: 01 ' Property Owner: ,I C/ rQlsJ", Property Address: ~ &--g 0 H<rrJd N <; 1 Contractor License No, : J\'A~S IJ)/N Phone: c:?:?3'0 9 Y) Company: Phone: OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value: )./ &CI 0 Permit Fee: Use Tax: 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 (U.B.C.) and all other applicable Wheat Ridge ordinances. for work under this permit. , <; ro I' a9 .., DATE r;:)., e ,,/ J Total: (DWNER)(CONTRACTOR) SIGNED , Descnption : /.:2.. X Ie Approval : Zoning: 3 -.: J BUILDING DEPARTMENT USE ONLY ~~ ku-5f~ 1~~~' ~ I2i ~>~J1Uf'~'='i";"'llf '11' t ;r~l ':o'~ . ~';:~Ii~JI\'.-li o Approval: ~bllc:~Wuibi.vllIrltn.)ft$-:! Approval: Occupancy: Walls: Roof: Stories: Residential Units: Plumbing License No Company: Mechanical License No : Company: Electrical license No : Company: Expiration Date: Approval: ...J Plans RAAU!red:;'-."1 Expiration Date: Approval: .JJ PiansRequlred .I Expiration Date: Approval: :.I ! Pf4l1S.:Rt'qulrillllt'lll 11) 12} 13} This permIt was ISSUed In accordance with the provISions set forth In yopur applicatIon and 1$ sublect to the laws of the State of Colorado an~ 10 the Zoning R~ulatlons and Building Code of lNheal Ridge. Coloraoo or any other applIcable ordinances of ttle City. ThiS permit shall expire If (A) the work authOnzed IS not commenced wlthm Slxry (60) days trom Issue date or (B) the bUilding aulhonzed is suspended or abandonea lor a penod of 120 days. If this permrt expires. a new permit may be acquired for a fee of one.half the amount normally reqUIred, prOVided no changes have been or Will be made In the onglnal plans and Speclficatlons and any suspensIon or abandonment has not exceeded one c 1) year, If changes are made or rf suspenSIon or abandonment exceeds one (1) year, full fees shall be paid for a new permrt. No work. of any manner shall be done that Will Change the nalural now of water causing a drainage problem Contractor shall notify the BUilding Inspector twenty.four (24) hours In advance lor alllnspecuons and shall receive Wrlnen aoproval on inspectIon card before proceedllng With successive phases of the JOb. The Issuance of a permit or the approval of draWings and specifications shall not be construeo to be a permIt for. nor an approval of any ViolatIon 01 the prOVisions -::if the bUlldmg codes or any other ordinance. law. rule or regulation (4) IS} (61 Chief Building Inspector For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-593324 HOURS PRIOR TO INSPECTION r lI~i ;(~ 2~- N 1Ji,,' (]'; ~~I ' ~II CIl \W-~ ~ :, "" , :tir, · \]\ t~ ~ ~ I .;.Iu+- ~ I -, 0 <: L~~ __~_ _____ f;; :::j \~ " ~ \)1 (1\ r:~ ~ f: \1\ ili ~ " trl trl f;:; -< ~ (3 Z --' ..\.., 'C' \ .. ., - \1\ "'\ b;:: ;;:- G\'"' ~-~ ;( .. <:"" ",0 ~2 ~ ~ tTJ r;; :;; -l o Z '" " '" r' N o \'} ~ ::t !;' "":-\'" ;","l;;< <''''fa "l fo; )8 ? - <::"i -( ;;0 " <;: c. C) ~('- Ki\1 ;1 o ~ ~ ~ ~ q (3 z '!' it 100 ~n_-J.lz V \'., ~ " ,- '" ;:;i \]I ~~. N \2~' "," 7\/] ~riI ;;>-'- (j)r- '" U .N ~~~ C:I _.J cJ C.Cii ., \]I '" I' II -.. 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