HomeMy WebLinkAbout3520 Chase StreetFrom: no-reolvCalci.wheatridae.co.us
To: CommDev Permits
Subject: Online Form Submittal: PERMIT APPLICATION Water Heater Replacement
Date: Friday, March 25, 2022 11:15:18 AM
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PERMIT APPLICATION Water Heater Replacement
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.
Do Not use this form if the Water Heater is changing locations or if this is a
conversion to a Tankless Water Heater. Please use the General Permit
Application for a more comprehensive review.
Is this application for a Yes
replacement water
heater like for like?
PROPERTY INFORMATION
Property Address 3520 Chase Street Wheat Ridge CO
Property Owner Name Kevin Gomez
Property Owner Phone 720-693-5596
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
Address (Leave blank if
not known)
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
ryansumnerarvada@gmail.com
PICTURE OF A
CREDIT CARD"
CONTRACTOR INFORMATION
Contractor Business
Golden West Plumbing
Name
Contractor's License
21754
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
303-433-6077
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
permits@goldenwestph.com
Address
Retype Contractor
permits@goldenwestph.com
Email Address
DESCRIPTION OF WORK
Number of gallons
40
Is the water heater
GAS
GAS or ELECTRIC?
If GAS, enter # of
40000
BTUs. If electric, enter
n/a
Where is the water Basement
heater located (for
example, basement,
crawlspace, etc)?
Project Value (contract 3549
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
property until a permit
has been issued and
posted on the property.
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 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 Michael Harper
Pe rm it
Email not displaying correctly? View it in your browser.
City of
ge
COMMUNt"ry DEVELOPIM,
I
Address: came -
Ci
FOR OFFICE USE ONLY
Date.
03=7=
ArCW6��nglnoor t4nall- Phon6*
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Contractor. Nkado--&)iA�
Contra&i6t$ P4 WC6640 #* I C56 ) 49 Phimp: 7Z -ZO -o?-910
ci:mtioi�rt-mall Adde6�is:4eve%&(�oloyado#)in&ioc5bayee..00m I
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 information on BOTH sides of this form
3950 MEDFORD DRIVE Phone: 800-827-4369
LOVELAND, CO 80638 Fax. 800-601-3227
wwwAmefimaxW!ndowsxom
CWS001
7132 EAST COUNTY LINE RD
3900 SINGLE HUNG
3900 SINGLE HUNG
Craftsman Portrait SGL-HNG (OX) WHT
_9*j*rPKA VP4* Ac+v" v1#1tbffv tftl
Top Glass: 3/4" -Double 1/8 LOWE 270 TEMP & 1/8 TEMP
Btm. Glass: 3/4" -Double 1/8 LOWE 270 TEMP & 1/8 TEMP
Argon Gas
Screen: Extruded HALF ULTRA VIEW HD
**U -Value -0.29 SHGC=0.29 VLT=0,55**
002 VW390OPW
3900 PICTURE WINDOW
3900 PICTURE WINDOW
Craftsman Portrait PIC-WDW (0) WHT
Block -Frame 36-3/8" x 61-3/8"98-Ul
Glass: 3/4" -Double 1/8 LOWS 270 & 1/8 CLEAR
Argon Gas
no screen
**U-Value=0.28 SHGC=0.31 VLT=0.58**
003 VW390SH
3900 SINGLE HUNG
3900 SINGLE HUNG
Craftsman Portrait SGL-H(OX) WHT
Block -Frame 36-3/8" x 61-3/8" Oriel:50.000% of Bottom 98-Ul
Top Glass: 3/4" -Double 1/8 LOWE 270 & 1/8 CLEAR
Btm. Glass: 3/4" -Double 1/8 LOWE 270 & 1/8 CLEAR
Argon Gas
Screen: Extruded HALF ULTRA VIEW HD
**U-Value=0.29 5HGC=0.29 VLT=0,55**
004 VW390OPW
3900 PICTURE WINDOW
3900 PICTURE WINDOW
CUSTOMER COPY
n
I
9
PACKING SLIP NO,
DUE DATE
1442167*1
06/19/16
SALES ORDER NO,
1442167
66126/iS
Z 70 j 7o-WT;j T'
HANAYIK
SHIPPED VIA
CWS TUESSIFRIDAY
C CWS002 yqN
. . . . . . . . . . . . .
j *N&A
1390 W. EVANS AVE.
BLDG.
D I
ENVER, CO 80216
3960 MEDFORD DRIVE Phone- 800-827-4369
LOVELAND, CO 80538 Fax- 800-601-3227
www.AmerimaxW!ndows.com
Ecwsooi
COLORADO WINDOW SOURCE INC.
7132 EAST COUNTY LINE RD
HIGHLANDS RANCH, CO 80126
Block -Frame 36-3/8 x 61-3/8 98-Ul
Class: 3/4"-*w� 1/9 L*WE 27t TEMP 94 10, TE
Argon Gas
no screen
**U-Value=0.28 SHGC=0.31 VLT=0.58**
105 VW3901PW
3900 K"t WINDOW
3900 PICTURE WINDOW
Craftsman Portrait PIC-WDW (0) WHT
Block -Frame 36-3/8" x 61-3/8" 98-Ul
Glass: 3/40 -Double 1/8 LOWE 270 & 1/8 CLEAR
Argon Gas
no screen
**U-Value=0.28 SHGC=0.31 VLT=0.58**
006 VW3900SH
3900 SINGLE HUNG
3900 SINGLE HUNG
Craftsman Portrait SGL -HN G (OX) WHT
Block -Frame 36-3/8"x 61-3/8" 01riel:50.OGO% of Bottom 98-031
Top Glass: 314" -Double 1/8 LOWE 270 & 1/8 CLEAR
Btm. Glass: 3/4" -Double 1/8 LOWE 270 & 1/8 CLEAR
Argon Gas
Screen: Extruded HALF ULTRA VIEW HD
**U-Value=0.29 SHGC=0.29 VLT=0.55**
007 VW610066
CAULK XB9500 POLY WH EA
I* 0
11
11
PAWNG SLIP NO,
DUE DATE
1442167*1
06/19116
SALES ORQEk NO
D -
1442167
il
06126116
CUSTOMER Pro�
HANAYIK
... . .. .... ......... ..... ....
SHIPPED VIA
CWS TUES/FRIDAY
I—"-
CWS002
COLORADO WINDOW SOURCE,
1390 W. iii VANS AVE.
BLDG.
DENVER, CO 80216
14 CPN:
CUSTOMER" COPY
5
"" -3542-,o
INSPECTION RECORD
11 occu
INSPECTION
---------------
Inspections will not be perfortried unless this card is posted on the project site.
Call the inspection request line before 11:59 pm. to receive an inspection the following business day.
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector
Initials
Comments
Final Inspections date
Monolithic Slab Reinforcement
Final Electrical
Caissons
Final Mechanical
Concrete Encased Ground (CEG)
Roof
Footing/Stemwall P.E. Letter
Landscaping & Parking 1 Planning Dept.
6-0 Not Pour Concrete Prior To roval ?f Ta. 11'-Agnections
Underground/Slab Inspections Date inspector
ROW & Drainage / Public Works Dept.
inspections call 303-235-2848. For ROW and drainage
Initials
inspections call 303-235-2881. For fire inspections
Fire Inspection / Fire Protection Dist,
Electrical (Underground)
Sewer Service (Underground).
Water Service (Underground)
Plumbing (Below / In -slab)
City of kheat Ride
Heating (Below / In-slab)J7--
lir :11 CUB
L' Not hover Under round or Se'oW'ln-Sista Work Prior Tt
Rough Inspections Date Inspector
Initials
tt
its
39.9
Wall Sheathing
APPUKRNd.- 2015008,3
Roof Sheathing
PAYMENT RECEIVEDNOI�ihf
Lath / Wall Tie
VS I X38
339.99
Rough Electric
1111tH CODE:123610
TOTAL
Rough Plumbing
,*---------------- -Mrr----------,--------
339.99
Rough Mechanical
Gas Piping
Do Not Proceed Without Approval Of Above Rouah Inspections
Insulation
D all Screw /mail
Final Inspections date
Inspector Comments
Initials
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Building / Frame
Landscaping & Parking 1 Planning Dept.
Inspections from these entities should be requeste
one week in advance. For landscaping and parking
ROW & Drainage / Public Works Dept.
inspections call 303-235-2848. For ROW and drainage
inspections call 303-235-2881. For fire inspections
Fire Inspection / Fire Protection Dist,
contact the Fire Protection District for your protect,
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ProtectOccupancy Is Not Permitted Until A Certificate of Occupancy Is Issue
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DEPARTMENT OF PLANNIW 'ND DEVELOPMENT Building Permit Number: 9680
BUILDING INSPECTION L"..!E - 303-234-5933
CITY OF WHEAT RIDGE Date: 1 0/26/99
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Property Owner:
Property Address: 3520 Chase St
Contractor License No. : 18191
Company: Southwest Electric
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Phone: 303-420-3587
Phone: 733 3819
L-
(OWNER)(CONTRACTOR) SIGNED ,
DATE 10
Total:
$1,000.00
$38.75
$0.00
$15.00
$53.75
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 idge- ordi a S, for work under this permit.
Construction Value:
Permit Fee:
Plan Review Fee:
Use Tax:
Use:
Description:
Service change to 150 amps install dryer outlet
BUILDING DEPARTMENT USE ONLY
II ,.,,<tlJJ_
Approval:
Zoning:
SIC:
Sq. Ft.:
~
Approval:
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:
(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 0 ,~ppcoval of drawings and spedficatlons shall not be construed to be a permit for, nor an appcoval of, any violation of the provisions
offhe bu' d /I! ~ ordinance, law, rule onegulafion.
,
(4)
(5)
(6)
Oct-26-99 11.37A DEVREVFAX
303 235 28S7
P.Ol
eEPARTMENT OF PLANNING AND DEVELOPMEN T Building Permit Number:
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date.
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 A PP J c.f\l" ION
Property Owr,er: ~orl P 5~rL!tGll e lL
PropertyAddress:55LO Gh".=.e S'l. 50zFZ
Contractor License No.: 18'1 q /
Company: 50 o+h 1<X6+- -t jp rJ-.2JC
OVVNER/C:lNTRACTOR SIGNATURE OF UNDERSTANDING"~D AGREE.l1ENT
Phone: 4ZD - 55f57
Phone: ,33-38/0,
I neret:y certif\.t U'lat tn" 1emaCk ::Hstances propOSed by thiS permit appil~tion I~ atClJ lite,
il1d do ;t<;;t violate appiabte ordinin~s. rUles or ~ul.tionl of tt1e City of W'heiilt Rtlg ~ c. II
eovenants elSemonts or restrictions of record; thet .11 "".'urementa shown, and a1~ .tiOf".'
mad. are accurate; ir.at I haw l'u:~ and 1.12'" to abid. by ,11 condition. Pril'l.ted en. thill
apl:hcati~n. al"ld that I assume full rel~o ,lbillry for com Ila witt! me' at RkIge I~ Jlldlng
Coae ':U.8.C.) .nd all ot!'ler applicabl$ eat Ridge 0 a 5., 'NO ICIer thi~ 1"<<11 nit.
(OWNER}(CONTRACTORI SIGNED ;. . ArE.J/l.) Zhp Use:
Construction Value;
Permit Fee :
1000.
3g;--I',5
Use Tax:
Total'
Descripbon: \) P (h lLil cJ f7 ~C- e. J. '-1C> 15-0 -fl ~S. $
) Jl->:n--;;t i I 0 12LJ e.J2 ou-./-i e+-
BUILDING DEPARTMENT I. SE ONLY
.1 "J~l1"
SIC:
Sq. Ft.:
Approval:
Zoning:
: ~ U!J.;!.lJ';.'V~l'Jll\U.ll'_.!'.
Approval:
~,:ikll~'" !.::;..~..Ul1.LLU~
Approval;
Oec"pancy ;
Walls:
Rool:
Sllries:
Residential Units :
Electncal License No ;
Company ;
Plumbing License No :
Company:
Mechanical License No .
Company:
Expiration Date:
ApP':oval ;
Expillltion Dale :
Approval :
Expillllion Date ;
Approval ;
(1) ThiS permit... iNUeo ir, lIIXXlrdll'lc:e wtl!"i t."'IIl'l'OItIIion. set toM in yapur ~Plicati(lt'l Jl'l(1 l subject to the t.ws of 'd'le Sate of Colorado and to tbt Zontni
RIg1.iatlcn. 11ft(! Builcjng Code Of Whul Ridge, ColcnOo CI any 0"'_ .P~ OfdlnaM s ofltle City
{21 This permitah.'leJ:j:lI..If(Aj \fill WQltl: auttJonZlCI. rtOI.comlNtlClldwithln ~1tfV (SO) days I om IllSue~ or {811he OUildi;'\Q allltlor"J.c is llol&9ltndedOI
ab.andantd for a ptlriod of ~ 20 .:I......
(:)) If :hi. ptmllt eJ:piJa, . n.. ~ m.v be ac:qUlrMI fOr. _ r.tI OtI.-l\a!f tn. amou...! notml 'f requlfl!d, pravlded no ehanges r,a;lIe been Of will be ",.. In !he
ongi".1 pl_ aM I98C1ftcadcnla snet tI"lV SI.III*\IIon or ablnctom1ent n'$ notaoeecied (If t ('}y.ar. K changes.-o lNIae :;If lalolapenSKln or ao.nClCmlel'l\
exceecIs one (1j yur. I'uII ,...1hiM1 be _ tlr.". PIf'M.
(41 No"tlil'Orkofrry I'IWInerslwl be ~.thatwmc:ha. the I'lItu,..t ~otwtteroau.ing I d, _inage ptOb1em.
(5\ Con'nCtOr .h" f'lOdfy th$ !Iyilding m.~ twentY40lr (24) nour.s in ad....nc:e fOr.l inspe ticn,and shall ~ writlert .p~~.1 on iflSpaction card befcra
pl'QClMOiil'lQ with "-l~ pnan of ,"e,;cD.
(e) The iU1J1nC8 of I permit ()t- iN IPPrwll Of ;-lWi'1ga and apeciftcaUr;:FlI snali :'lC't De eor&t'\ '" to be I ~rmrt for. nor 'f! a~~~ of, any ml.t1on of 1t\e provislot'l.
~,th. bLIJldir.goocles<<al'l).o4MrordltlMCll, '-, rule or~ul.tiol'i,
p
/
/
Chie' Building Inspector