HomeMy WebLinkAbout3915 Garrison Streetdpi1 c��, _'a1`?�' �Z(v
J Occupancy/Type
INSPECTION RECORD
NSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
k W INSPECTION REQUEST LINE: (303) 234-5933
Inspections will not be performed unless this card is posted on the project site.
**Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections Date Inspector
Initials
Comments
Electrical
Comments
Sewer Service
Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Mid -Roof
Lath / Wall Tie
Rough Electric "
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw/ Nail
Final Inspections Date
Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof _!-7
Final Window/Doors
Final Building
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 from the Fire District and electrical low voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Residential Roofing PERMIT - 201703386
201703386 ISSUED: 07/06/2017
3915 Garrison ST EXPIRES: 07/06/2018
Residential Re -roof to install Certaineed Landmark Limted Lifetime asphalt
shingles with 41 sq
*** CONTACTS ***
OWNER (720)937-8719 SNYDERS SCOTT R
SUB (719)488-2800 Gerald/Teresa Fristoe
160257 Integrity Roofing & Painting
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,660.00
FEES
Total Valuation 0.00
Use Tax 223.86
Permit Fee 220.15
** TOTAL ** 444.01
*** 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 one half 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 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.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
City of Wheat Ridge
Residential Roofing PERMIT - 201703386
PERMIT NO: 201703386 ISSUED: 07/06/2017
JOB ADDRESS: 3915 Garrison ST EXPIRES: 07/06/2018
JOB DESCRIPTION: Residential Re -roof to install Certaineed Landmark Limted Lifetime asphalt
shingles with 41 sq
I, by my signm
ature, do hereby attest that the work to be perfored 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
thisyermit. I further attest that I amle ally 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 OWNI✓"12 or CONTRACTOR (Circle one) Date
I. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This.permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and 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 andprocedures 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.
5. 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.
Signature of Chief Building Official DVt
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.
Kimberly Cook
From: no-reply@ci.wheatridge.co.us
Sent: Friday, June 23, 2017 2:57 PM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
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 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.
1177, --
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 3915 Garrison St. Wheat Ridge, CO 80033
Property Owner Name Scott Snyder
Property Owner Phone 720-937-8719
Number
Property Owner Email snyderss@gmail.com
Address XIA U' 1
Do you have a signed No
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Name Integrity Roofing and Painting, LLC
Contractor's License 160257
Number (for the City of
Field not completed.
Wheat Ridge)
Contractor Phone
719-488-2800
Number
Contractor Email Address
benb.irp@gmail.com
Retype Contractor Email
benb.irp@gmail.com
Address
DESCRIPTION OF WORK
Field not completed.
Are you re -decking the
No
roof?
41
Description of Roofing
Certainteed Landmark Limited Lifetime Asphalt Shingle
Material
Select Type of Material: Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
41
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?
TOTAL SQUARES of all
41
roofing material for this
project
z
Provide additional detail Remove and replace all asphalt shingles on house roof.
here on the description of Predominant pitch is 5:12. Ice and water shield over back
work. (Is this for a house porch extending 2' past bearing wall. Eaves installed with ice
or garage? What is the and water shield extending 2' past bearing wall. Replace all
roof pitch? Etc) flashing.
Project Value (contract $10,660.00
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 Ben Buchholz
Email not displaying correctly? View it in your browser.
3
INTEGRITY ROOFING AND PAINTING, LLC
A Colorado Limited Liability Company
Colorado Springs Office Denver Office contact a integ_tityroofingandnainting.com
115 North Union Blvd 7900 E Union Blvd, Ste 1100 Office: (719) 488 - 2800
Colorado Springs, CO 80909 Denver, CO 80237 Fax (719) 488 - 2860
Denver: (303) 209-0152
Owner:
Address: > $ (5:! ,, rri
City/Zip: �x 7
,1
Project Manager: 1tZeA0% ZAC ay..Q
Project Manager Phone:
Insurance Provider:
Client Primary Phone: Z�� 0 7 Insurance Adjuster:
Client Alternate Phone: ttc Claim Number:
L JMUI curau. ;�, -J
WE HEREBY PROPOSE TO FURNISH LABOR AND MATERIALS ACCORDING TO THE SCOPE OF WORK SPECIFICATIONS BELOW:
Tear off: _ _ layers of composition layers of wood on house garage other
Apply Decking: OSB!
Shingle Fasteners: C �_ Type of Nails — _ Nails per Shingle
Install Plumbing Jacks: �,3 in l 4" Retro
Replace Exhaust Vents: 4" _ 6" 8"
Felt: 15 Ib. 30 lb.ynt Netic
Windstorm Starter Strip: _ Eaves _ _ Rake
Drip Edge: Color k -e._.. Type
New Valleys:_ 1/2" Cut closed Water Shield in valleys Valley Metal
Re -flash Chimney with: Step _ Cricket X IMS Counter
Install new flashing around skylights: Step Diverter IWS _ Apron
Attic Ventilation:
Install side wall flashing:
Ridge Cap:
Shingle:
Paint roof vents to match
Ridge Vent _ 5.6_ Roof Box Vent Turbine Vent
Step Flashing Ice and Water Shield Kick Out
s+4
Yard will be magnetically swept for nails
Clean up yard and haul off roofing debris
1 acknowledge the colors I have selected.
c
Client Signature ¢ "
Color
Integrity Roofing and Painting, LLC ("we") will perform the Scope of Work for the Total Contract Amount (to be
determined), which is estimated to be approximately $ 97,D plus any approved insurance supplements
when warranted and agreed upon by insurance and permit fees. We -expect the work to commence approximately:
12 , 20 and require approximately _ days.
CI
SPEAL INSTRUCT[ NS: ,A ,t. i ..>>'
Owner ("you") hereby authorize Integrity Roofing and Painting. LLC to communicate with your insurance carrier and meet with their
representatives and discuss all matters related to the insurance coverage and the scope of services, and you authorize your insurance company to
release to us all information and documents concerning your property, policy, and insurance claim. You promise to do all things reasonably
necessary to ensure that we receive the insurance proceeds as intended by this contract, including but not limited to immediately endorsing and
delivering to us insurance checks in payment of the insurance claim.
The exact Total Contract Amount is determined in communications among you, the insurance company and Integrity Rooting and Painting,
LLC. Integrity Rooting and Painting, LLC requires the insurance company to pay present day fair market value utilizing Xactimate pricing.
You will pay us: your deductible, the cost of pre -selected upgrades (ifany), and the roofing portion of your insurance proceeds which ordinarily
includes roof replacement cost value (RCV), overhead and profit, sales tax, permit fees and insurance supplements. I here %1 ill he no aMitional
out ofpocket e..\pen>c to you c\cept the intiuranre <ic(InrliNe :utd ane ovi nei [iI I p'--rnde�
You must have replacement cost coverage. If you do not, then you agree to pay the deductible plus non-recoverable depreciation.
This cancellation policy applies only to residential roofing services as defined in C.R.S. 6-22-102: Pursuant to C.R.S. 6-22-104 you may
rescind a contract for residential rooting services and obtain a full refund of any deposit made to us within 72 hours after entering into
this contract. Pursuant to C.R.S. 6-22-104 if payment for the roofing work will be made from the proceeds of a property and casualty
insurance policy issued pursuant to C.R.S. Title'10, Article 4, Part 1, then: (1) you may sho rescind a contract for work on your
residential property, for which"P&yintrnt woutd-t* made fronkasurance*piweetis; within Tl� b_ ours^sfte facelvinW mWce.from y6w
insurer that the claim is denied in whole or In pArt, Pursuant to C.R.S*. 6-A2_105, lil' cann�r'ii.ty ,aaaive, rehate, or prt+mise to pay.
inhurance HOfuster:
Client Alternate Phone: _ T Claim Number:____
n J.D , VIv.
WE HEREBY PROPOSE TO FURNISH LABOR AND MATERIALS ACCORDING TO THE SCOPE OF WORK SPECIFICATIONS BELOW:
1%M Tear off: —J— layers of composition layers of wood on house garage other
-13 Apply Decking: OSB Z 4,-.4 I -C
rt Shingle Fasteners: T� Type of Nails_ Nails per Shingle
Install Plumbing Jacks: 3 in I..... ;;;i�-4"
i4" Retro
Replace Exhaust Vents: 4" 6" 8"
'^ Felt: 15 lb. 30 lb.ynt etic Underlaymer v �✓
Windstorm Starter Strip: _ Eaves Rake
Drip Edge: II , Color u le P- —Type
New Valleys: _ 1/2" Cut closed Water Shield in valleys Valley Metal
tip Re -flash Chimney with: Step Cricket ` IWS Counter
/133 Install new flashing around skylights: Step Diiverter IWS Apron
Attic Ventilation: Ridge Vent Roof Box Vent Turbine Vent
Install side wall flashing: ! Step Flashing Ice and Water Shield Kick Out
Ridge Cap:
Shingle: Color r C,
Paint roof vents to match
Yard will be magnetically swept for nails
Clean up yard and haul off roofing debris
I acknowledge the colors I have selected. Client Signature `. '` f '" r _�
Integrity Roofing and Painting, LLC ("we") will perform the Scope of Work for the Total Contract Amount (to be
determined), which is estimated to be approximately $ plus any approved insurance supplements
when warranted and agreed upon by insurance and permit fees. Wee ect the work to commence approximately:
, 20 P7 and require approximately _days.
SPECIAL INSTRUCTIONS:
Owner ("you") hereby authorize Integrity Roofing and Painting. LLC to communicate with your insurance carrier and meet with their
representatives and discuss all matters related to the insurance coverage and the scope of services, and you authorize your insurance company to
release to us all information and documents concerning your property, policy, and insurance claim. You promise to do all things reasonably
necessary to ensure that we receive the insurance proceeds as intended by this contract, including but not limited to immediately endorsing and
delivering to us insurance checks in payment of the insurance claim.
The exact Total Contract Amount is determined in communications among you, the insurance company and Integrity Roofing and Painting,
LLC. Integrity Roofing and Painting, LLC requires the insurance company to pay present day fair market value utilizing Xactimate pricing.
You will pay us: your deductible, the cost of pre -selected upgrades (ifany), and the roofing portion of your insurance proceeds which ordinarily
includes roof replacement cost value (RCV), overhead and profit, sales tax, permit fees and insurance supplements. Then: XN ill be no additional
,•, o1 p Cket to �oiI C>CCht the 111,unInC1 deduCtIHC and an,•, n.cnu11re-,CIS Tcd uh'rade;
You must have replacement cost coverage. If you do not, then you agree to pay the deductible plus non-recoverable depreciation.
This cancellation policy applies only to residential roofing services as defined in C.R.S. 6-22-102: Pursuant to. C.R.S. 6-22-104 you may
rescind a contract for residential roofing services and obtain a full refund of any deposit made to us within 72 hours after entering into
this contract. Pursuant to C.R.S. 6-22-104 if payment for the roofing work will be made from. the proceeds of a property and casualty
Insurance policy Issued pursuant to C.R.S. Title'l0, Article 4 Part 1, then-_ (1). you may also rescind a contract for work on your
residential property; for which payment w u'l bg`IISd$e fiom lisu�ance roe ads, 41616 7 ours`AUi recelv►ng, notice from your
Insurer that the claim is denied in whole or in'pA rt. Pursuant to C".iLS. 6-22-105, we cann& pay4waive, rebate, or promise to pay,
waive, or rebate all or part of any insiirancr dr•ttuc'tihle applicAlc to the in,;Janee claim for payment for roofing'vvork on the covered
residential property.
Integrity Roofing and Painting, LLC does not assume liability for improperly ventilated roof systems. Owner is advised to consult with an
engineer or architect to confirm adequate ventilation prior to installation of new roof.� _ (client
signature) , 7
We shall hold in trust the actual cash value (ACV) Insurance payment received from you until we have delivered roofing materials to
the jobsite or have performed the majority of roofing work on your property. These funds must be received before work begins.
Additional,tern,ons
onditionserrYhe reverse side are part of and included in this contract: By signing this contract you agree to
,r t,L.I.-thetcgndi fir"tand Werevg�sesldeco.�thls page. w'� (Client initials)
1 s wne rte' atures ate
nt . I'rhVRoafin#'AnWPnftftinLy.,LLC Renresentative (signature) Date
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: 7 0 4 - 0') • j
Job Address: 3 `T I S" r-, czrrr rcn 7 �-
Permit Number: o r 7 0 3 3 q 1.
❑ No one available for inspection: Time ► --:3 = S:_7 AM&
Re -Inspection required: Yes GN)
When corrections have been made, call for re -inspection at 303-234-5933
Date: q/ a a% I-�> Inspector: —I f�,
DO NOT REMOVE THIS NOTICE
a
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: a 0 17 0 3 3 r610
A
❑ No one available for inspection: Time 07 = S7 1 Mme/ M
Re -Inspection required: Yes (o
When corrections have been made, call for re -inspection at 303-234-5933
Date: '7 / D 9- 1'7 Inspector: `7—�
DO NOT REMOVE THIS NOTICE
To� Page 5 of 5 2014-11-17 22:36:48 (GMT) 13034240495 From: Jesse Lanyon
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COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION UNE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
APPLICATION
Property Owner: /VI 11< e F ( (. H T'" "" S 'TfC fl-
Property Address: 3 ~ I 5 G- ~f/. e I ~ 0 >J S I,
Contractor License No.:
Company:
Building Permit Number:
Date:
305- </'3,1-835'"2-
Phone:
cdi- 3o~-'(,7- 3,;J-SS-
Phone:
OWNERlCONTRACTOR SIGNATURE Of' UNDERSTANDING AND AGREEMENT Buildino Deal. Valuation Figure: $
I hereby certify that the setback distances proposed by this permit application are
accurate. and do not violate applicabJe ordinances, rules Of regulations of the City of
Wheat Ridge or covenants. easements or restrictions of record; that aI measurements
shown. and altegations made are accurate; that I have read and agree to abtde by all
conditions printed on this application and that I assume full responsibility for
compliance with the Wheal Ridge Building Code (I.B,C) and all other applicable Wheat
Ridge Ordinances. for work under this permit. Plans subject to fiekl inspection.
IOWNER~CONTAACTORl' SIGNEO ~4.. li ~ DATE" - /0 'OS-
(OWNER)(CONTAACTOR):PROITCOII\,I<C- fi't+T"'~S7'E.L DATE (,'/O-o!>
Value:$ 7'000<<-
Permit Fee:$
Plan Review Fee:$
Use Tax"$
Total: $
PI/.uSH 0r>""
.... A\:)f:) (f,4.~(..E -; , , '
! JUN..,
~ _ ' ~( 2005 (
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SIC: Sq.Fr>....::~ _ j
....::
US8ofSpace(description): 1<0 oF- - 1<lL. FIL~""fiL-L
Descrlptlonofwork: c..~""NG-E.. P'TC.~ OF- gooF
Sq. Ft. added
BUILDING DEPARTMENT USE ONLY
ZONING COMMENTS:
Approval:
Zoning:
n,., v. i ld ~""d ,^',Cc.:T) ,SJ/ICt:e .cl,J:'r':Lr2S ,,-,j
oulLOING COMMENTS: 0-1-. r\,,\v\.{-, ~~ 0..::: -.. j .. C. I I
Approval:-::? '.1 'J..." tK I\'ft, ql( f:::e.o ,ca<-1.,. C2. 7C' " ivi, "I' Y.(Co."'.?
DaTK'v'~J. L<<C "r I ,f' 1 -Ie r: It cfk"[,;cv1.
y:>C-f ?~').-rlt.t:.. o. ,. ../...-.[)(~,~~~_, ~~{ JC:c' \t-'( d_'; (- t
PuBLIC WORl<S COMMENTS: . - ,
Approval:
IRE DEPARTMENT COMMENTS:
Approval:
!occupancy: 2.-c SWailS:
Roof:
Stories:
Electrical License No:
Company:
Plumbing License No:
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
This permit was iasued in accordanc:e with the provisions set forth in your application and is subject to the laws of the State of
Colorado and '" the Zoning Regulations and Building Codes of Wheal Ridge. Colorado or any _ applicable ordinances of
theCIIy.
'This permit shaH e><Pire W (A) the _ authorized is not commenced within sixty (90) days from issue date or (S) the building
authorized is ...-- or abondoned for e period of 180 days,
If this permK expires. a new permK may be acquired for e fee of one-naJf the amount normally required. provided no changes
have beM or will be _ in the original plans and opecifications and any ~ or abandonment has not exceedod one
(1 )yoar. If~ have been or W ~ or -..oonment_ one (1) year, IuH fees shaH be paid fora new permit.
No wool< of any mamer _ be done that will change the natural .... of water causing a drainage problem,
Conlra<;tDr _ notify the BuIlding InspedDr ~ (24) hours in advanoo for aI inspections and shall receive written
__ on u..pec:tion canlbefore p<oceediolll with _ phaaa of the job.
The issuance of. permit or the approval of drawing. and opecIlicationo shaI not be construad '" be a permK for. nor an
approval of, any violation of the provisions of the building codes or any_ordinance, law, rule or regulation. All p1an""-
~fte~
Chi uilding OffICial
(11
(21
(3)
(4)
(S)
(I)
Residential Units:
Mechanical License No:
Company:
Expiration Date:
Approval:
PROJECT:
CLIENT:
DATE:
SHEET:
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