HomeMy WebLinkAbout3611 Ames StreetA . City of Wheat Ridge
Residential Plumbing PERMIT - 201902134
PERMIT NO: 201902134 ISSUED: 10/08/2019
JOB ADDRESS: 3611 Ames St EXPIRES: 10/07/2020
JOB DESCRIPTION: Replace floor drain and kitchen/laundry tub piping
*** CONTACTS ***
OWNER (303)483-8406 ARCHULETA JOSEPH T
SUB (303)766-7500 JEFF BELK
021818 PLUMBLINE SERVICES LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,850.00
FEES
Total Valuation 0.00
Use Tax 59.85
Permit Fee 93.35
** TOTAL ** 153.20
*** COMMENTS ***
*** CONDITIONS ***
All work shall comply 2012 International Codes, 2017 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 the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this_permiFath
rther attest that I am legally authorized to include all entities named within this document as parties to the work to be
performedat it ork to ekerttormed is disclosed in this document and/ r its' ccompanymg approved plans and specifications.
77 /0%//?
Signature of OWNER or C6NTRACTOR (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 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 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 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 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
applicab!5�_c,ode or any ordinance or regulation of this jurisdiction. Approval of work is subject to f any
inspection.
Signature of Chief E4ilding Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City Of
W heat Ridge
COMMUNITY DEVELOPMENT
Building & Inspection Services
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(aD_ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date:
Plan/Permit # 9MOX31
Plan Review Fee:
Building Permit Application
*** Complete all applicable highlighted areas on both sides of this form.
Incomplete applications may not be processed. ***
Property Address: &LP` ( 14 �7(
Property Owner (please print): �.l S�P� �(fu CE1-4 Phone: ��� q B 3 9q0 4°
Property Owner Email: J o4y�NE �4 (�I f1C t �✓�CSi �T
Tenant Name (Commercial Projects Only)
Property Owner Mailing Address: (if different than property address)
Address: '�a M F�—_
City, State, Zip:
2
Architect/Engineer E-mail: N i V\ Phone: K A
Contractor Name: PLL'//NeL-//vL'�7 � 721// 6
City of Wheat Ridge License M ^ /(91 P / Phone:
Contractor E-mail Address: azl'm I S Dl v,)-cblrVLL SPT✓l LEES - C�
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print): Phone: � 0
CONTACT EMAIL(please print): i,1f (� D � l P�✓� `rJ. c ��
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 ESIDENTIAL
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.
1-LOD g DPlq! N 1' J t -CI rCn1 S� nl 11-4VIVOI-PU 71)G
pipwdc),
Sq. FULF
BTUs 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)
$ ,?,BSv
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) (CONT CTOR) (AUTHORIZED REPRESENTATIVE) o (OWNER)(CONTRACTOR)
Signature (first and last name): / DATE:
Printed Name: sCO J i N ' �% ifV ��
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Building Division Valuation:
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:
Job Address: . G, ! J�
Permit Number: i
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes�No
When corrections have been made, schedule for re -inspection online at:
hUp✓/www.ci. wheatridge.co. usfinspection
Date:-', ? `.f Inspector: -
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:
Job Address: . G, ! J�
Permit Number: i
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes�No
When corrections have been made, schedule for re -inspection online at:
hUp✓/www.ci. wheatridge.co. usfinspection
Date:-', ? `.f Inspector: -
DO NOT REMOVE THIS NOTICE
D4W
Phn1PwM;t#
PAW ftvtew Aw
Building Permit Application
4,
Address:
Q!Y, State, ?�Ip:
II . .., 0
AM
. ..... . .........
COMPlete AD information on ► sides of this form
d. � 6 M+ M!` : ♦ re
F d 8 w wr l wk' ♦ A w': � is yp k
Sa• FULF Btu's
Amps SquaresOther
Ib camp S�w��� INSPECTION RECORD Occupancvpe
INSPECTION REQUEST LINE: (303) 234 -5933
Inspections will not be performed unless this card is posted on the project site.
Call the inspection request line before 3:00 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
Monolithic Slab Reinforcement
Caissons
Concrete Encased Ground (CEG)
Footing /Stemwall P.E. Letter
Do Not Pour Concrete Prior To Annroval Of ThP Ahnvp Insnprrinnc
Underground /Slab Inspections
Date
Inspector
Initials
Comments
Electrical (Underground)
Sewer Service (Underground)
Water Service (Underground)
Plumbing (Below / In -slab)
Heating (Below/ In -slab)
uo ivoi cover unaer rouna or twownn -slab Work Prior To Approval Of The Above Inspections
Rough Inspections Date Inspector Comments
Initials
Wall Sheathing
Roof Sheathing
Lath / Wall Tie
Rough Electric
Rough Mechanical
Gas Piping
Do Not Proceed Without Approval Of Above Rough Inspections
Rough Framing
Insulation
Drywall Screw / Nail
Final Inspections Date Inspector Comments
omments
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Building /Frame
Landscaping & Parking / Planning Dept. Inspections from these entities should be requested
one week in advance. For landscaping and parking
ROW & Drainage / Public Works Dept. inspections call 303 - 235 -2846. For ROW and drainage
inspections call 303 - 235 -2861. For fire inspections
Fire Inspection / Fire Protection Dist. contact the Fire Protection District for your project.
* *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 authoriza of occu pancy.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
i
4', CITY OF WHEAT RIDGE
❑ No one available for inspection: Time z/,' ;fir <M
Re- Inspection required: YesNo
s
When corrections have been made, call for re- inspection at 303- 234 -5933
Date: 14 r'yc/lr Inspector: .
DO NOT REMOVE THIS NOTICE
" ' City of Wheat Ridge
Residential Electric PERMIT - 111370
PERMIT NO: 111370 ISSUED: 11/08/2011
JOB ADDRESS: 3611 AMES ST EXPIRES: 11/07/2012
DESCRIPTION: 150 amp service change
* ** CONTACTS * **
owner 303/940 -7350 Archulatta
sub 303/895 -1426 Thomas Connelly 02 -0378 Connelly Electric Co,.
** PARCEL INFO **
ZONE CODE: UA
SUBDIVISION: 0448
USE: UA
BLOCK /LOT #: 0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 1,800.00
FEES
Permit Fee 70.70
Total Valuation ,00 CD/}-
Use Tax 32.40 l•
** TOTAL ** 103.10
Conditions:
Must comply w/ 2006 IRC & 2005 NEC. 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
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 (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 of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject
to field-'inspection.'
Signatur M S OEQUEST Building Offical Date
INSPE LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
REQUE BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of ��
mat $ i e
-- C «t�n,utatr� C�� la.c�htittv�tir
Building & Inspection Services Division
7500 W. 29 "' Ave., Wheat Ridge, CO 80033
Office: 303 - 235 -2855 * Fax: 303 - 237 -8929
Inspection Line: 303 - 234 -5933
Building Permit Application
Property Address: Mz 5
Property Owner (please print),
Mailing Address: (if different tl a MvNm ty auui coa/
Address:
Date:
Plan #
Permit#
City, State, Zip:
contractor:
Contractors
Lic enso #:
c�
Phone:
Bldg Valuation: $
COMMUNITY DEVELOPMENT DEPT.
Inspection Services Division
(303) 235-2855
Correction Notice
Job Address: ~// .4#ES 5;7:
~//9L- n#4L
/,';> ,5'CREM ~ / c)/l/J /~N7FR
E~r)<.(/X'~ /'/?../-/9/J ..(<) R.b9LL '-/
7/6//7: /
When corrections have been made, call for re-inspection at
303-234-5933.
DO NOT REMOVE THIS
Inspector
Date:
COMMUNITY DEVELOPMENT DEPT.
Inspection Services Division
(303) 235-2855
Correction Notice
Job Address: 3{;// /#/:',. 5;~p~
,eE2ee--?'k /Cl<?"::'" ~,v/f"L
/. ;. Je7?E/d /:0//'/;";- 7?5 /).?AY"J
F/2IN7" ~S --0 7/&:/// / r
~/V' A/n;;"'" A'~ RP/ib)..~ /O~
77l~ M^-P/i-~ A/.
When corrections have been made, call for re-inspection at
303-234-5933.
Oat., //-/1/ /l? ~? <"."",
DO NOT REMOVE THIS NOTICE
{
City of Wheat Ridge
Residential Electric PERMIT - 061034
PERMIT NO:
JOB ADDRESS:
DESCRIPTION:
061034
3611 AMES ST
Repair storm damaged meter &
ISSUED:
EXPIRES:
10/30/2006
mast.
*** CONTACTS ***
owner 303/940-7350
gc 303/766-7500
Joseph Archulletta
Jeff Belk
02-1818 Plumbline Services
** PARCEL INFO **
ZONE CODE: UA
SUBDIVISION: UA
USE:
BLOCK/LOT#:
UA
0/
Permit Fee
Total Valuation
Use Tax
** TOTAL **
ESTIMATED PROJECT VALUATION:
FEES
34.52
.00
10.80
45.32
600.00
** FEE SUMMARY **
Comments:
Jh??z~ID
Must comply w/ 2002 NEC
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 ~~ance~ for work under this,;~mit. Plans subject to field inspection.
Signature of contractor/o date
1. This permit was issued 1 accordance with the provisions set forth in your application and is subject to the laws of the
State of Colorado and to the zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable
ordinances of the City.
2. 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 180 days.
3. 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 have been or if suspension or abandonment exceeds one (1) year, full fee~ shall
be paid for a new permit.
4. No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
5. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive
written approval on inspection card before proceeding with successive phases of the job.
6. 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.
All plan revie je~ections.
,/'. .-
Signature
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 Wheat Ridge
Community Development Department
MINOR
BUILDING PERMIT APPLICATION
't-J 'U'.
Sr; A;#U-A;ctp ~
at:.- Ct?~?',;t;J
,-~f WHO",.",
~ 0
- ~
u ~
C'OLOR/>.C,c
Property Owner:~6'/
Property Address: ~II lPN,s
Contractor License No.: M/5
Company: PI Mv.6 /;/IIC;;
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Building Permit Number:
Date:
Phone:
.hNL.
Phone:M.3~7t6~7~
c...
Buildinq Dept. Vaiuation Figure: $
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
Wheal 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
condili~ns printed on this application and that 1 assume full responsibility for
compliance with the Wheat Ridge Building Code (l.B.C) and all other applicable Wheat
Ridge Ordinances, for work under t~is permi lans subject to field inspection.
(QWNER){CONTRACTOR): SIGNEO' JIvt;r ~ ) DATE
~1
(OWNER) (CONTRACTOR):PRINTED
DATE
Use of Space (descripti~!Jl,: I]:).
Description of ~ork: k~i"911<.
Sq. Ft. added (/ .
.
Value:$
Permit Fee:$
Plan Review Fee:$
Use Tax:$
Total: $
(I, I-
.?~ d4i'1"~ ;!1~ r /In- ~
BUILDING DEPARTMENT USE ONLY
Sq.Ft.:
ONING COMMENTS:
Approval:
Zoning:
BUILDING COMMENTS:
Approval:
PUBLIC WORKS COMMENTS:
Approval:
IRE DEPARTMENT COMMENTS:
Approval:
Occupancy:
Walls:
Stories:
Roof:
Electrical license No:
Company:
Plumbing license No:
Company:
Expiration Date:
Aooroval'
Expiration Date:
Approval:
SIC:
Residential Units:
Mechanical license No:
Company:
Expiration Date:
Approval:
(1) This permit was issued in act;Ordance wi:h the provisions set forth in your application and is subject to the laws of the State of
Colorado and to Ihe Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of
the City.
(2) This permit shall expire if (A) the work authoriz.ed is nol commenced within sixty (60) days from issue date or (B) the building
authorized is suspended or abandoned for a period of 180 days.
(3) 1I this permi! 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 Ihe original plans and specifications and any suspension or abandonment has not exceeded ooe
(1) year. If changes have bE;:en or if suspension or abandonll}ent exceeds one (1) year, full fees shall be paid for a new permit.
(4) No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
(5) Contractor shall notify the Building Inspector t'wenty.four (24) hours in advance for ail inspections and shall receive written
approval on inspection card before proceeding with successive phases of the job.
(6) 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. All plan review
Is subject to field Inspections.
Chief Build;na Official
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE - (303-234-5933)
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Building Permit Number: 15983
Date: 8/4/2003
Property Owner: JOSEPH ARCHULETA
Property Address: 3611 AMES ST
Contractor License No. : 20120
Company: American Exteriors Inc.
Phone: 940-7350
Phone: 794-6369
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
(OWNER)(CONTRACTOR) SIGNED
DATE
Total:
$6,334.00
$181.10
$0.00
$76.01
$257.11
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:
Ifcis~,lJ
Description:
INSTAllATION OF VINYL REPLACEMENT WINDOWS
BUILDING DEPARTMENT USE ONLY
Zoning CQmments:
Approval:
Zoning:
Building Commlmts:
Approval: OM
llililic Works.Cornments:
Approval:
Occupancy: Walls:
SIC:
Sq. Ft.:
OK PER REOLlNES. 8/4/03
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:
(1)
(2)
(3)
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 ~... ennit or th approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the
provisions o~._" I il i or any other ordinance, law, rule or regulation.
(4)
(5)
(6)
or
Please sign Terms and Conditions on reverse side of page.
.-98 10: 18A DEVREVFAX
OEPARTMENT OF PLANNING AND DEVELOPME H
BUILDING INSPECTION DIVISION - 235.2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
.70 a,<)'8
Property Owner: J"St'fh 1I,-cl1/A I~ f.Ci, z.1Z-
Property Address' ~ /I 1l'Y1-LS 5 (- flJhea.-+t'.'cI:Jz I c.o2Jb Phone. 3('.1'- 97"0- 7,]",50
llContractorLicenseNo.: 1I.ni!rf'ca.n !;Kleo'crs rYl C-
\i Company: ;;<0' C7. 0
303 235 2857
BUilding Permit Number:
P.03
Date:
Use Tax:
Phone::]O'J-79t/-63'07
d, '3'3 'I. ct?
!<g/, /0
1fn.. () !
Total: -;),51, f ~
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREI MENT
Construction Value:
I hereby certify that the setback disla"~s proposed by this penna application an: le.( .Irate,
and do not violate applricabJe ordinilnces. rules 0' regulations at the City of Wheat Ric je or
covenanls, easements or restrictions of record: that all meuurements shown, and all 'gabons
made are accurate; that I have read an4 agree to ..bide by ,II conditions printed on t1"l 'i
application, and Ihall assume full responsibif compliance with the Wheat Ridge Juilding
Code (U.B.C.) and all olher applicable VV'he rd. n s, fo work under lhis p 'Imi
Permit Fee:
IOWNERI(CONTRACTOR) SIGNE
Use:
Description:
IllS fa.tla.h'tHl b~ Vr"71 fl-Lf4t-€-rHl".f
Wi~'1~S See {/-Haef,.,J!Vra.uJ"Vlfj
BUILDING DEPARTMENT JSE ONLY
~l(jJ,_OI!1!)llIIIU,U
SIC:
Approval:
Zoning:
ItD!mln::r::~:ntn ~ ~itt
e.DIl1~oll"_Omm!lnIS'l r / '(rjtJ3
Approval:
Occupancy: Walls: Roof:
: tories:
Residential Units:
Electrical License No :
Company:
Piumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
Expiration Date:
Approval:
(1) 't1\i.s permit was Issued In ac:cordance wtCh tN ~siOn$'~ bUt In yogutappticaQon ar lis ~ to Ihe IiIws olIN Sate 01 C.,. and to ~ Zoning
ReglJlatiOtl, and luildll''9 Code of Wheat Rl4ge, Coeotado Of Ihf 0dWf a~ orcINI :zs or "'- City.
(2) Thit. pan'lII...... ..pit. if (A) IN wodl; aulhorized is not OOO'W1'le,rced wtlhIn Jilny (SO) day from Issue date or (S)!he building; auct'lort&ed is Il.lspended 01
ab;an(JonedtorapcftocllOl1204l~. .
(3) If lnlS pemvI~, . new pennit maY' be acquited for. fee Of onH\IIf!he 'fI1Dunt I'lOl" ally requimf. ptOVided nownges I\ne been orwil be made in Ihe
Origl/'\al ptflT:l ,1'14 aplKIfication. and any suspensjgn cwablnclonmenl "'S no1 e~ :ne (1) year. If cNt\QU are made at" suspension 01 ~
en:eeds one (1)YUf. full fees shill be paid for. new pennll
No....oR or any INAner IhafI be done Ittet wtlI dwtge m. naWf'a! flOw Of waler causino II traitlage problem.
COI'IIIadGt staal notify the BuiJljlng l~ ~.Iour (24) t\clun in MY.nee for .. In:!t mions and s!\lll receive 'lltfiften appr0v81 on Inspec1ion c:anI beloce
........... -.-....... ",...,...
The iSllJaN:. ole or bI epptOV8l of dflWfngS and IpecibClons WIt not be cont .:ve4 10 be a penN!: 'Dr. l"IOt an lOCWoval Of, any ~ of lI\t ptOVisIofta
of Itle ~iIdino Of"" other ordlNtnc&o. Ww, rule or te';ulalion.
I.)
5)
{S}
ChiefB
R,~ Mayor
AllD ONLY WHEN SIGNED BY THE CHII F BUilDING INSPECTOR AND MAYOR
CALL: 234.593324 HOURS PRIOF TO INSPECTION
"Please complete both sides of appl cation form with submittal"
ll~-29-20e3 08:43 PM ASHLEY 5
303 792 3117
t
'\
-
~ if
.+
\J
\......
t ':)
-.$
V
'"'
~
'-
),. ,
~:
... .
~~ c-
\,n-'
':J' \D!
x.........
"_f4 :
l"'
"1 ('-::L
-?- _' I
.3-'t'" _!
\i1 ~
=-
"t
~-f>
.....
~
.
'-'>
'"
.~
1"\
. ] ~I
~ ,
- r I .;;
~-+-
-:r-...
",,";t..,
~S
~ -
\ivr
l'{,
-.
t\
t2
"'-
",<:.3
'" _ Vi
~~~ ~
~~ ~
~::::. ~ ~
;I;:~ -"c 10
M.;i _
."
~r=f'\
.~~
"""do
~s:
r<-Vi
~
~._-.-.. ~f
a
'"
~
.fIIJ
r-
.-.r
~
-0
U'\
=
.~
'"
\--
~
...sl
!!(J
,......
trI de>
"
~V5
~
t:
-
.... M
..{"'V N
}...+-
-,...
-
-
\-
o
'-'
1,)
~
-,..,
C"I
-s
"
<;:;)
P.02
~
~~
IT)",
~-
~ "" ~
., ;>t-. ...
~ 0--
r.I ~l'? ~
'"'
~
_.
-
~
'3'
;t'
~ ~
It>~
Vl....
\.J) "'~~
- i~3
'-lJ
-
~
-J
1"\
- '
'Ie
CD
-
-",
"
~~
.... _-......'S:.
... I'l"
1"').,.,"'-
...
)c .r
'"
r-