HomeMy WebLinkAbout3755 Jay StreetINSPECTION 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. -J ADDRESS:-' 1 JOB CODE:ULF
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
f,.
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
f,.
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:l ` 1X/� I� � ADDRESS: ��U� � � 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
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 3755 Jay St
Permit Number 201702717
Permit Issued Date 6/27/2017
Owner Information
Property Owner Information Joan Ashwood
Property Owner Address 3755 Jay St, Wheat Ridge, CO 80033
Inspector Information
Inspection Company Certified Building Consultants
Inspector Name Kraig Stanforth;Travis Stanforth
Inspector Contact info. 720-940-1180 TStanforthCBC a@gmail com
Inspector Statement of Acknowled4ement
*1 hereby acknowledge the roof I am inspecting is 6/12 or over. All roofs that are under
6/12 must be inspected by the City of Wheat Ridge Building Department.
*1 hereby 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 a ell as the City of Wheat Ridge Policies and Procedures and
manufacturer's om endatio s d s ecifications.
a
Inspect r: � Date:
4zo—
Property OStatement � Acknowled ement
*1 hereby 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 Whe_at EjOge Building -D' ' i " spection.
Property Owner/Agent:-, " :.- , --' Date: � , J 0
This original document and permit card, as well as the roofing checklist, must be
submitted to the Chief Building Official within seven days of the final inspection.
Drop off in person Submit via Email
Permit Counter 2nd Floor KcookCa)_ci.wheatridge.co.us
7500 W. 29" Ave
Wheat Ridge, CO 80033
CBC Wheat Ridge Roof Inspection Packet
Page 2 of
N/A ❑ Pass ❑ Fail Metal roof shingles shall not be installed on slope less than 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 the sections overlapping a min. of 4"
Tile Roof Requirements
N/A ❑ Pass ❑ Fail Clay and concrete tile shall have a min. 2-1/2:12 slope
N/A ❑ Pass ❑ Fail Slopes 4:12 and under require double underlayment
CBC Wheat Ridge Roof Inspection Packet Page 3 of 6
The City of Wheat Ridge
Inspection Check List Notes
Mid -Roof
Roof Inspection
❑ N/APass
❑
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
N/A
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 and 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 44 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
❑ N/Aj
Pass
❑
Fail
Verify roof slope for proper drainage
❑ N/A
/X_ Pass
❑
Fail
Dripedge shall have min. of 2" overlap
❑ N/A
❑ N/A
/ " Pass
Pass
ii
❑
Fail
Fail
Dripedge should extend down min. 2" past roof deck
Dripedge shall be mechanically fastened 12" OC
NJ N/A
❑ Pass
❑
Fail
90 LB roof 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
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 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 ❑ Pass ❑ Fail Metal roof shingles shall not be installed on slope less than 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 the sections overlapping a min. of 4"
Tile Roof Requirements
N/A ❑ Pass ❑ Fail Clay and concrete tile shall have a min. 2-1/2:12 slope
N/A ❑ Pass ❑ Fail Slopes 4:12 and under require double underlayment
CBC Wheat Ridge Roof Inspection Packet Page 3 of 6
Company Name:
Inspector Signature:
Date of Inspection:
The City of Wheat Ridge
Inspection Check List Notes
Mid -Roof
Notes
CBC Wheat Ridge Roof Inspection Packet Page 4 of 6
r
The City of Wheat Ridge
Inspection Check List Notes
Final Roof
Roof Inspection
N/A
is
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
N/A
Pass
❑ Fail
Structural roof components
N/A ❑
Pass
❑ Fail
If new sheathing is installed verif that it 'is 1' t d ' h
N/A
N/A
❑ N/A
❑ N/A
❑ N/A
❑ N/A
❑ N/A
❑ N/A
El N/A
❑ N/A
❑ N/A
El N/A
0) N/A
N/A
XN/A
Y e in t e
permit description (Valuation must be adjusted)
❑ Pass ❑ Fail Verify sheathing nail pattern (See Policy and Procedures)
❑ Pass ❑ Fail Crickets and saddles where needed
Pass ❑ Fail Verify B vent must have boot same gauge as pipe
Pass ❑ Fail Verify vent caps
Pass ❑ Fail Verify no flashings are damaged or rusted
Pass ❑ Fail Step flashing shall be min. of 44 piece per shingle
Pass ❑ Fail Verify scuppers allow for proper drainage
Pass ❑ Fail Ice and water shield 2' in heated wall spaces
Pass ❑ Fail Underlayments must follow 2012 IRC/2012 IBC
Pass ❑ Fail Verify roof slope for proper drainage
Pass ❑ Fail Dripedge shall have min. 2" of overlap
Pass ❑ Fail Dripedge should extend down min. 2" past roof deck
Pass ❑ Fail Dripedge shall be mechanically fastened 12" OC
❑ 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
❑ Pass ❑ Fail Modified Bitumen, EPDM, TPO min. slope 1/4:12 slope must be
installed in accordance with the manufacturer's letter of
warranty with the address on the letter for final inspection
Metal Roof Shingles Requirements
❑ Pass ❑ Fail Metal roof shingles shall not be installed on slope less than 3:12
❑ Pass ❑ Fail Metal valley flashing shall be the same material as roof
❑ 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 the sections overlapping a min. of 4"
Tile Roof Requirements
I
N/A ❑ Pass ❑ Fail Clay and concrete tile shall have a min. 2-1/2:12 slope
N/A ❑ Pass ❑ Fail Slopes 4:12 and under require double underlayment
CBC Wheat Ridge Roof Inspection Packet Page 5 of 6
The City of Wheat Ridge
Inspection Check List Notes
Final Roof
Notes
Company Name: Certified Building Consultants
Inspector Signature:
Date of Inspection:
CBC Wheat Ridge Roof Inspection Packet Page 6 of 6
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: LIQ 9 - P",I n I
Job Address: -3> -75-6- J V S f
Permit Number: 'a o 0 a -7 ) -7
A n rr,
IV o /gym , cf e M-
3 C tl-'oic1- ' r 1` d9 S Pf C p /I i� �7 u I rti' V n les -5Q i JJ a d n Cl J U b C U 114.E 114 o, 4, O n C q! l � e 0 r -j L, I pL�
sst,O,w 0/ C? c3/l(If-pVL'0
❑ No one available for inspection: Time 9 : `-1 S 4PPM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: --a la ) '9 Inspector: —T -b,
DO NOT REMOVE THIS NOTICE
M
g
City of Wheat Ridge
Residential Roofing PERMIT - 201702717
PERMIT NO: 201702717 ISSUED: 06/27/2017
JOB ADDRESS: 3755 Jay ST EXPIRES: 06/27/2018
JOB DESCRIPTION: Install Tamko Heritage 30 year asphalt shingles 17 squares house
*** CONTACTS ***
OWNER (303)421-3370 ASHWOOD JOAN B
SUB (303)646-3977 Mike Essary 090139 Shield Const. & Exteriors
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,369.00
FEES
Total Valuation 0.00
Use Tax 91.75
Permit Fee 125.05
** TOTAL ** 216.80
*** COMMENTS ***
*** CONDITIONS ***
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) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding Alh-inch exists. 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 manufacturera€lms 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's 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 - 201702717
PERMIT NO: 201702717 ISSUED: 06/27/2017
JOB ADDRESS: 3755 Jay ST EXPIRES: 06/27/2018
JOB DESCRIPTION: Install Tamko Heritage 30 year asphalt shingles 17 squares house
I, by n signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
apphca le building codes, and all applicable municipal codes, policies and procedw es, and that I am the legal owner or have been authorized
by heal
owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this�permrt. I further attest that I am le ally authorized to include all entities named within this document as parties to the work to be
performed and tihat all workto be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) V 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 Buildinn
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 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.
q. No work of an 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, an violation of any provision of any
applicable code or any ordinance or regulation 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.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
Dan Schultz
From: no-reply@ci.wheatridge.co.us.
Sent: Thursday, June 15, 2017 9:51 AM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Danny
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. 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. Permits are currently being
processed within 3-5 business days, subject to change based on volume.
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
Property Owner Phone
Number
3755 jay st
joan ashwood
3034213370
Property Owner Email Field not completed.
160l r�e1
U
I Lq
Address
Do you have a signed Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Name Shield Construction
Contractor's License 090139
Number (for the City of
Wheat Ridge)
Contractor Phone 3036463977
Number
Contractor Email Address rarnold(a)shieldconstruction.net
(permit pick-up
instructions will be sent
to this email)
Retype Contractor Email rarnold(aDshieldconstruction.net
Address
DESCRIPTION OF WORK
Are you re -decking the No
roof?
Description of Roofing Tamko Heritage 30yr
Material
Select Type of Material: Asphalt
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 17
material selected above?
Does any portion of the No
property include a flat
roof?
If yes, how many squares Field not completed.
on the flat roof?
z
TOTAL SQUARES of all 17
roofing material for this
project
Provide additional detail HOUSE
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 3900
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 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 Yes
may not begin on this
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.
Name of Applicant Rick Arnold
Email not displaying correctly? View it in your browser.
3
SHIELD LJNSTRUETIDN & RE"4'ORATIONy��
2795 South Shoshone Street • Suite A o Englewood, Colorado 80111
Phone: 303 Rd6 3977 •Fax 303 rAr 051
7 DATE:
Customer J' -ell h A
City e4 State Ce, zip
r
Mortgage Company
Insurance Company r --ti
Description of Services:
Roofing
LJ Tear Off ,,-
_ ��� -P t-�ri�1,1�
LJRoof Pitch # Stories
L3Sheathing
❑ Felt ❑ 151b ❑ 301b
❑ Brand of Shingle vt w, k -Q n �y
❑ Color of Shingle O r"c� (✓ n ,, /,'r� to , f -e �^
❑ Ridge Type
Metal Edge ❑ Use Existing ❑ Replace w/ t -v -Q
❑ Valleys Vents .-P14PC,4
❑ Labor Warranty Yrs. S v, ef, LJ -
Cl Special Instructions
Street Address -3 % ..T-
Home Phone (-3Cf)) Q 1 _ 7 O
Work Phone ( )
Claim # S` 00 1=1014 .7�
Siding
❑ Existing of/L''Y'
❑ Install ❑ Vinyl X'Aluminum ❑ Steel ❑ Other
❑ Style
❑ Foam Board
❑ Wrap Window_
❑ Chimney
❑ Height Allowan
Gutters
Wrap Fascia
Soffits
Blocks
❑ Existing I1 p L4 ,,� �,' 0!, -p.
❑ Install
All work to be completed for the RCV (replacement cost value) Insurance proceeds unless otherwise specified below.
Clean up includes picking up nails with magnet and hauling away all debris from work performed.
Payable as follows: Total Contract Price$
I agree and promise to pay Shield Construction & Resortation upon completion of work.
Shield Construction & Resortation will furnish materials and labor in accordance with above specifications, for the amount of
dollars ($ )
1. All contracts subject to the approval of management of Shield Construction & Restoration.
2. Customer further agrees that the equity in the subject property is security for this contract.
3. Replacement of deteriorated decking, fascia boards, roof jacks, flashing ventilations, gutters or material are not included and will be charged as an extra on
a time and material basis. Unless otherwise stated in this contract, Shield Construction & Restoration is not responsible for damage to hidden Freon, alarm,
telephone or electric lines.
4. This contract constitutes the entire understanding of the parties, and no other understanding, collateral or otherwise, shall be binding unless in writing and
signed by both parties.
5. Any and all material left over is the property of Shield Construction & Restoration.
6. Customer hereby acknowledges that Shield Construction & Restoration may be subject to delays occasioned by weather, labor disputes and material supply
shortages which are beyond the control of Shield Construction & Restoration and Customer hereby acknowledges that all such delays do not constitute
abandonment and are not included in calculating time frames for payment and performance.
7. Payment is due upon completion. Any portion remaining unpaid will bear the interest of the rate of 18% per annum commencing 30 days after completion.
Customer agrees to pay all collection fees and/or attorney fees needed in pursuit of collecting any remaining unpaid portion. All payments and checks shall
be made payable to Shield Construction & Restoration.
8. All warranties are void if payment is not made hereunder when due. Labor and materials warranty is nontransferable.
9. Labor warranty does not cover damage caused by strong winds, lightning, hail or other acts of God.
10. Shield Construction & Restoration shall hold in trust any payment received from Customer until Shield Construction & Restoration has delivered roofing materials at the
site or has performed a majority of the roofing work on your property.
Terms:
This contract does not obligate the homeowner or Shield Construction & Restoration in anyway unless it is approved by the insurance company and
accepted by Shield Construction & Restoration.
When price is agreeable and is determined, it shall become the final contract price of $ and the homeowner authorizes Shield Construction
& Restoration to obtain labor and materials in acc dance with the price agreement and the specifications set out herein to accomplish the above replacement or repair.
Owner Signature: C '
la-! Date of Acceptance: CSS —
Owner Signature
Date
ee7of Acceptance:
Subject to insurance company approval: Initial Date: /
3y Shield Construction & Restoration Signature: -o,l.,
CITY OF WHEAT RIC
Building Inspection Dn
303) 235-2855 Office * (303)
1K1C%0Cf%"r1^K1 K1^
r=
III. PUI -LIV11 I.y pt; F VW
Job Address g7,<3' JA 5r
Permit Number e16 �j 9
f
6
❑ No one available for inspection: Time A ° PM
Re' Inspection required: Yes < N o
When corrections have been made, call for inspection at 303 - 234 -5933
Date: 91,5',Ilf Inspector
7°
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Plumbing PERMIT - 110919
PERMIT NO: 110919 ISSUED: 08/04/2011
JOB ADDRESS: 3755 JAY ST EXPIRES: 08/03/2012
DESCRIPTION: Sewer line repair from house to tap, install clean outs
* ** CONTACTS * **
owner 303/421 -3370 Joan Ashwood
sub 303/418 -6000
01 -8701 ARS Rescue Rooter (Plumb)
** PARCEL INFO
**
ZONE CODE:
UA
USE:
UA
SUBDIVISION:
0474
BLOCK /LOT #:
0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 3,000.00
FEES
Permit Fee 93.35
Total Valuation .00�(
Use Tax 54.00
** TOTAL ** 147.35
Conditions:
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 permit. I further attest that I am legally authorized to include all
entd`� named wit n this document as parties to the work to be performed and that all work to be performed is disclosed in
thi ument d/ r its' accompanying approved plans and specifications.
1 0K--a5 -1�
gnature of OWElel or CONTRACTOR (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 ins ion.
Signatu ief Building Offical Date
INSP CTION REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
REQ STS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
AUG /04 /2011 /THU 02:54 PM FAX No.
pF WRE 'tT� City of Wheat Ridge Building Division
_.. J.. m 7500 W. 29 Ave., Wheat Ridge, CO 80033
Office: 303 - 235 - 2855' Fax: 303 - 235 -2857
Inspection Line: 303 -234 -5933
Building Permit Application
PropertyAddress: 3 -�:%
Property Owner (please print): (111W L -
Mailing Address: (tYdifferent than property address)
Address; 7j F { \ar ,
State,
Contractor: L,� VD -
Contractor License #;
Subcontractors
Electrical City License #:
Company:
Exp. Date:
Use of space (description):
Desc iptioh .of work-
Phone:
F. 001_/003
!late,
Plan #:
Permit #: i Vq Iv l
Plumbing City License #: Mechanical City License #:
Company Company:
Exp. Date: Exp. Date:
Approval: Approval:
T kp- &
construction Value: 5
fas calculated per the 6ur7dinp Valuation oats sheet)
Plan Review (due aC t(ms of submittal): S
Sq. Ft. /L,Ft added: Squares BTU's Gallons Amps
OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
1 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 appllcatlon and that I assume full
rssponsiblllty for compliance with the Wheat Ridge Building Gods (LE,G) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field Ins pection.
CIRLCE ONE:: W ER) (ON7RACT0� PERSONAL REPN�T I W ER) (CONTRATOR)
PRINT NAME: . ) SIGNATUR Dale: (�
v
DEPARTMENT USE ONLY
PUBLIC WORKS COMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer.
FIRE DEPARTMENT.'! 0 approved wl comments 0 disapproved 0 no review required
OCCUPANCY:-
INSPECTION RI:GUKU
w-INSPECTION LINE: (303) 234-5933
OCCUDancvrrVJ>a
Inspections will not be made unless this card is posted on the building site
Call by 3:00 PM to receive inspection the following business day.
INSPECTOR MUST SIGN ALL SPACES PERTAINING To THIS JOB
FOUNDATION INSPECTIONS DATE INSPECTOR COMMENTS:
INITIALS
Footings/Caissons
Stemwall / (CEG) Concrete
Encased Ground
Reinforcing or Monolithic
Weatherproof / French Drain .
Sewer Service Lines
Water Service Lines
POUR No CONCRETE UNTIL ABOVE HAS BEEN SIGNED
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
Heating (Underground)
ROUGHS
Sheathing
Lath / Wall tie
Mid-Roof 4/13/<9'6 /e-
Electrical Service
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
Do NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING
I I
I Framing
Insulation
Drywall Screw
FINALS .
Electrical
Plumbing
Mechanical
Roof djpj.,,<;t ..e.-
Building Final
Fire Department
R.OW & Drainage START ALL ROUTING ONE WEEK PRIOR TO FINAL INSPECTIONS.
Parking & Landscaping
**NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTlFICA TE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZA TION
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
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....~ ~ r CITY OF WHEAT RIDGE
I?r~ Building Inspection Division
!V (303) 234-5933 Inspection line
(303) 235-2855 Office' (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type:
Job AddresslPermit Number:
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APPhvED
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AM/PM
o No one available for inspection: Time 9:10
Re-Inspection required: Yes ~
* When corrections have been made, call for re-inspection at 303-234-5933
/
Date: C/3d/O'fr Inspector: ~~
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DO NOT REMOVE THIS NOTICE
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:r'r~ Building Inspection Division
JV' (303) 234-5933 Inspection line
(303) 235-2855 Office' (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type:
Job Address/Permit Number:
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o No one available for inspection: Time
Re-Inspection required: ~o
AM/PM
* When corrections have been made, call for re-inspection at 303-234-5933
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Date: ,.:;/ :;2" /";xZ Inspector: ~:_~;:7"
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DO NOT REMOVE THIS NOTICE
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.....~ ~ r CITY OF WHEAT RIDGE
~.r~ Building Inspection Division
!V' (303) 234-5933 Inspection line
(303) 235-2855 Office' (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: hpA-L ,R,o::;F
Job Address/Permit Number: 3755 JAy ST' oF.:oC, ~I(
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A/..Id AI/ 57;.l~E"! CL:v;<3f ;l- 3 I' r:;tc~" HIT, ,::q;6
o No one available for inspection: Time II:;J.:> AM/PM
Re-Inspection required: ~ No
* When corrections have been made, call for fe-inspection at 303-234-5933
Date: ~/a/~
Inspector:~~
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DO NOT REMOVE THIS NOTICE
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City of Wheat Ridge
Residential Roofing PERMIT - 080634
PERMIT NO,
JOB ADDRESS,
DESCRIPTION,
080634
3755 JAY ST
T/O; Install
ISSUED,
EXPIRES,
14 8gS. new Owens Corning 25 yr.
06/12/2008
12/09/2008
*** CONTACTS ***
owner 303/421~3370
gc 303/371~2977
Joan Ashwood
Maiko Williams
08~0002 Over the Top, Inc.
** PARCEL INFO
ZONE CODE,
SUBDIVISION,
**
UA
0474
USE,
BLOCK/LOT#,
r~3
0/
Permit Fee
Total Valuation
Use Tax
** TOTAL **
ESTIMATED
FEES
108.30
.00
44.60
152.90
PROJECT VALUATION,
2,478.00
** FEE SUMMARY **
'-'-;:';""\ f'1 ;-)t--;'I\
I~~{II
JJ~LST~J)
Conditions:
6 nail installation & mid-roof inspection required.
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
a plicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection.
1. This permit was issued in, 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 180 days from the issue date. Requests for an extension must be received prior to expiration
date. An extension may be granted at the discretion of the Building Official.
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 (I) year. If changes have been or if suspension or abandonment 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 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, an vi tion of the provisions of the building codes or any other ordinance, law, rule or regulation.
All plan revie ect to field inspections.
Signature of Chi
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 Building Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 . Fax: 303-235-2857
Inspection Line: 303-234-5933
Date:
Plan#:
Permit #:
Building Permit Application
Property Address: 3155 S n.. 'I Sf.
Property Owner (please print): j ()Q ~ Ac, In I, ;00 d
Mailing Address: (if different than property address)
Phone 3~ L.{ Z I . -:S3::l 0
Address:
City, State, Zip:
Contractor 0\/ e'( -n, e', --rO p, \ Y'\ C .
Contractor License#: O'?:>OO(}2 Phone: -::sL2J..J' 2ql"l
Sub Contractors:
Electrical City License #:
Company:
Plumbing City License #:
Company
Mechanical City License #:
Company:
Exp. Date:
Approval:
Exp. Date:
Approval:
Exp. Date:
Approval:
Construction Value: $ Z. I 030 . =
(as calculated per the Building Valuation Data sheet)
Plan Review (due at time of submittal): $
Use of space (description):
Description of work:
\2e<Y\lll!<' e.~i 5Ti n'j ~oof 5'{StC"l 'tt> dcd:..
\\'V';tall V\ec.t' cu:>e.t\"'.> C-bYV""'':; 25, 'Iv.
Sq. FtlLFt added: Squares ~ BTU's
Gallons
Amps
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 the Wheat Ridge Building Code (1.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
C/RLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR)
fB!ID: NAME:
SIGNATURE:
Date:
DEPARTMENT USE ONLY
ZONING COMMENTS:
Zoning:
Reviewer:
PUBLIC WORKS COMMENTS:
RevieWer:
BUILDING DEPARTMENT COMMENTS: OCCUPANCY
Reviewer:
FIRE DEPARTMENT:: 0 approved wfcomments 0 disapproved 0 no review required Bldg Valuation: $
~~~~
~
City of Wheat Ridge
Residential Roofing PERMIT - 080634
PERMIT NO,
JOB ADDRESS,
DESCRIPTION,
080634
3755 JAY ST
T/O; Install 14 sqs.
ISSUED,
EXPIRES,
new Owens Corning 25 yr.
06/12/2008
12/09/2008
*** CONTACTS ***
303/421-3370
303/371-2977
Joan Ashwood
Maiko Williams
08-0002 Over the Top, Inc.
PARCEL INFO
ZONE CODE,
'SUBDIVIS ION,
**
UA
0474
USE,
BLOCK/LOT#,
r-3
0/
FEE SUMMARY * *
ESTIMATED PROJECT VALUATION,
FEES
108.30
.00
44.60
152.90
2,478.00
Permit Fee
Total Valuation
Use Tax
** TOTAL **
Conditions:
nail ins,tallation & mid-roof inspection required.
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 Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection.
signature of contractor/owner
date
This permit was issued in 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.
This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration
date. An extension may be granted at the discretion of the Building Official.
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 (l) 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 proceeding 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 iolation of the provisions of the building codes or any other ordinance, law, rule or regulation.
All plan r subject to field inspections.
date
NSPECTIdN REQUEST LINE:
EQUESTS MUST BE MADE BY
(303) 234-5933 BUILDING OFFICE, (303) 235-2855
3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of Wheat Ridge
Residential Electric PERMIT - 080016
PERMIT NO,
JOB ADDRESS,
DESCRIPTION,
080016
3755 JAY ST
200 amp service change
ISSUED, 01/07/2008
EXPIRES, 07/07/2008
housing, riser, panel)
(mtr
*** CONTACTS ***
owner 303/421-3370
gc 303/761-6176
Joan Ashwood
Marc McBride
01-8146 McBride Electric
** PARCEL INFO
ZONE CODE,
SUBDIVISION,
**
UA
0474
USE,
BLOCK/LOT#,
r-3
0/
** FEE SUMMARY **
Permit Fee
Total Valuation
Use Tax
** TOTAL **
ESTIMATED PROJECT VALUATION,
FEES
108.30
.00
40.50
148.80
2,250.00
Comments:
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 (r.B.C) and all other
applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection.
Signature of contractor/owner
date
1. This permit was issued in 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 180 days from the issue date. Requests for an extension must be received prior to expiration
date, An extension may be granted at the discretion of. the Building Official.
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 an~ specifications and any suspension or abandonment has not
exceeded one (I) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall
be paid for a new permit.
4. No work of any manner shall he 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 perm' or the approval of drawings and specifications shall not be construed to be a permit for, nor
an approval of, an ation of the provisions of the building codes or any other ordinance, law, rule or regulation.
All plan revie ject to field inspections.
Signature of Chi
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.
INSPEC'
N RECORD
OccupancvlTvpe
<;J;-INSPECTION LINE: (303) 234-5933
Inspections will not be made unless this card is posted on the building site
Call by 3:00 PM to receive inspection the following business day.
INSPECTOR MUST SIGN ALL SPACES PERTAINING To THIS JOB
FOUNDATION INSPECTIONS DATE INSPECTOR COMMENTS:
INITIALS
Footings/Caissons
Stemwall / (CEG) Concrete
Encased Ground
Reinforcing or Monolithic
Weatherproof / French Drain
Sewer Service Lines .
Water Service Lines
POUR No CONCRETE UNTIL ABOVE HAS BeEN SIGNED
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
Heating (Underground)
Do NOT POUR FLOOR UNTIL ABOVE HAS BeEN SIGNED
ROUGHS
Sheathing
Lath /Walllie
Mid-Roof 1M'-
Electrical Service VZ.:vOY _Aor>J ~ /~)_/' ~A"L-
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING
I I
I Framing
Insulation
Drywall Screw
FINALS
Electrical l- z.z.. ~ y /-:~
Plumbing
Mechanical
Roof
Building Final
Fire Department
RO.w & Drainage START ALL ROUTING ONE WEEK PRIOR TO FINAL INSPECTIONS.
Parking & Landscaping
"NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTlFICA TE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZA TION
OF A CERTlFICA TE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
City of Wheat Ridge
Residential Electric PERMIT - 080016
080016
3755 JAY ST
200 amp service change (mtr
ISSUED: 01/07/2008
EXPIRES: 07/07/2008
housing, riser, panel)
*** CONTACTS ***
303/421-3370
303/761-6176
Joan Ashwood
Marc McBride
01-8146 McBride Electric
* PARCEL INFO
ONE CODE:
UBDIVISION:
**
UA
0474
USE:
BLOCK/LOT#:
r-3
0/
SUMMARY * *
ESTIMATED
FEES
108.30
.00
40.50
148.80
PROJECT VALUATION:
2,250.00
Permit Fee
:'"Total Valuation
. Use Tax
** TOTAL **
If~~~])
hereby r~rtify that th~tback distances proposed by this permit application are accurate, and do not violate applicable
rdinances~ rules or reg a ions of the City of Wheat Ridge or covenants, easements or restrictions of record; that all
suremer4s ~own~and a le~ations made are accurate; that I have read and agree to abide by all conditions printed on this
plicatip~ ard th I as urn' full responsibility for compliance with the Wheat Ridge BUilding Code (r.B.C) and all other
pplicablr 'Wi" tj i /Trdn nces, for work under this per ;t Q;"ans subject to field inspection.
t~aqior e~ date
\
This peJlit was issued in accordance with the provisions set forth in your application and is subject to the laws of the
State ol'~olorado and to the zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable
ordinances of the City,
This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration
date. An extension may be granted at the discretion of the Building Official,
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 orig~nal 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 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 proceeding 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
of y violation of the provisions of the building codes or any other ordinance, law, rule or regulation.
is subject to field inspections.
date
SPECTION REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855
EQUESTS MUST BE MADE BY 3PM ANY EUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Jan-25-99 04:54P DEVREVFAX
303 235 2857
P.02
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number:
BUILDING INSPECTION DIVISION. 235.2855
CITY OF WHEAT RIDGE Date: 03;rAN og
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 APPl\CI\TION
Property Owner: :ro 1\N /'ISH"'C"!)
Property Address: ~7S!> ::JAYS T
Contractor License No. : 0 I 'D 1"\ ~
Company: Mc!?", I DE El €cTi'. (c.
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGRE :MENT
,.....,
";.:---
Phone: 303- 1-1'2.\ - S" 7'~
I ;) O~.
::,;.
'$.;
~
Phone: ?, 0:; _ 71. 1_ /P 17" .c
I hereby certify that ths aatback dlstences prcposed by this permit application are a.: ,urate,
and do not violate applicable ordinances. rules or regulations of the City of Wheat R.I 98 or
covenants, easements or restrictions of record; that all measurements shown, and 11 egations
made are accurate; that I have read and agree to abide by all condlllons printed on " is
application. and that I assume full responsibility for compliance wilh the Wheat Rldgl Building
Code (U.B.C.) and all other applicable Wheat flidga ordinances, for work under this, ermll.
(OWNER)(CONTRACTOR)SIGNED7___~~ -<-- DATE "21'ANO~
Construction Value :Jl\ '1
Permit Fee:
Use Tax:
'Z;
:'-~~
~
:~y
Total:
--,~ .4
k l
-~
,
4
.~
.'t'1
-{.,
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~
Use:
Description: 2.00
AMP
c.I;Ut'NG e
OF
SEf!.ViCE (",.'EIl- NO.' ''''!:>, ~lSce, P4Nc<)
BUILDING DEPARTMENT USE ONLY
SIC:
Sq. Ft.:
...-
.c
1<',
.~ - .
Approval :
Occu pancy :
Walls:
Roof:
Stories:
Residential Units:
...
11
Approval :
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 toI1f11n yopur application a I(f Is subject to the laws of the State of Colorado Bnd to the Zoning
Regulations end BUilding Code of Wleat Ridge, Colorado or any other applicable ordlrt 11::9 of the City.
This pennlt shall expire if (A) the work authorized fs not eommeneed within sixty (50) drr s from Issue date or (B) the building authorized Is suspended or
abandoned for a period of 120 days.
If this permit expires, a new permtt may be acquired for a fee of one-half the amount nc:1' :l8l1y required, provided no changes have been or will be made In the
origInal plans and apeclflcatlons and any suspension or abandonment has not exceedf!C one (1) year. If changes are made or If suspension or abandonment
exceeds one (1) year. full fees shall be paid fora new pennit.
No work of any manner shaH be done that will change the natural flow of water causing. drainage problem. .
Contractor shalt notify the Building Inspector twenty.(our (24) hours in advance for all un >BCtions and shall receive wntten approval on Inspection card before
proceedllng with successive phases of the job.
The issuance of a perrntt or the approval of drawings and speeificatlons shall not be con trued to be 8 permit for, nor an approval of, any violation of the provisions
of the bulldlng codes or any other ordinance. law. rule or regulation.
(4)
(5)
(6)
Chief Building Inspector
<
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