HomeMy WebLinkAbout4096 Field DriveINSPECTION RECORD
Inspection online form: http://www.ci.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: �it/'-;? /,,?,S/ADDRESS: '�/Di(, /;'p &(-&. JOB CODE:
Foundation Inspections
Date
Inspector
Initials
Comments
102 Caissons / Piers
103 Footing / P.E. Letter
104 Foundation Setback Cert.
105 Stem Walls
106 Foundation wall Insulation
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground / Slab Inspections
Date
Inspector
Initials
Comments
201 Electrical / Cable/ Conduit
202 Sewer Underground Int.
203 Sewer Underground Ext.
204 Plumbing Underground Int.
205 Plumbing Underground Ext.
206 Water Underground
7- a S 17
r.
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
7- a S 17
r.
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: 6--3S/ k ADDRESS: �/Q - L /?;�e 6Z — 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
401 Gasline
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
3 - aa - IS
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.
e i CITY OF WHEAT RIDGE
_��9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: L►'o q -
Job Address: Ll 0 9 � �r'� fel i� r -
Permit Number: 'P 0 17 (P 3 S rs
F
r Y
❑ No one available for inspection: Timed =S9 �PPM
Re -Inspection required: Yes (9
When correctionshavebeen made, call for re -inspection at 303-234-5933
Date: L/I (OInspector:
DO NOT REMOVE THIS NOTICE
CITY OF WHEAT RIDGE.r2
_�9�Building Inspection Division 3
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: /1-771D
Job Address: �vof rr/C)
Permit Number: ?41I4 35 /6 -
�_j ivo one avanaDie Tor inspection: i ime , - Hivurivi
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: �}� Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201703518
PERMIT NO: 201703518 ISSUED: 07/10/2017
JOB ADDRESS: 40966 Field DR EXPIRES: 07/10/2018
JOB DESCRIPTION: REVISION: Adding Redecking to existing permit.
Residential Re -roof to install Owens Corning Duration asphalt shingles - 26
sq.
*** CONTACTS ***
OWNER (720)626-5462 JOHNSON GREGORY K
SUB (303)761-6400 J. Bretz 018118 Excel Roofing, Inc.
*** 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: 17,705.73
FEES
Total Valuation 0.00
Use Tax 371.82 -A10
Permit Fee 331.10
** TOTAL ** 702.92
*** 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 - 201703518
PERMIT NO: 201703518 ISSUED: 07/10/2017
JOB ADDRESS: 4096 Field DR EXPIRES: 07/10/2018
JOB DESCRIPTION: REVISION: Adding Redecking to existing permit.
Residential Re -roof to install Owens Corning Duration asphalt shingles - 26
sq.
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 a�ibemurucipaall codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property m aut zed to obtain thisin conjunction with
thispermtt.Ifurther attestthatIam uthorized tonclude all entities named within this document as parties to the work to be
performed and that all work tobepis �)osed in this document and/� its' accompanying approved plans and specifications.
7aa5--(7
Signature of OWNER 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 androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Off-cial 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, ran pproval of, an violation of ny provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of I t t6 ns fto
Signature of Chief Building Official Date
REQUESTS NUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
,._ �!—City of
` 1�c Njdle
..s"64.C�tviML1NIT1 D�_L'i:LC31'MFNT
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
FOR OFFICE USE ONLY
Date:
Plan/Permlt #
2- c t-7
Plan ReLw Fee:
Email: permitsta)ci.wheatridge.co.us k dtc�
Building Permit Application
— Please complete all highlighted ams on both sides of this form. Incomplete applications may not be processed. ***
Property Address:
Owner
Property Owner Email:
Marling Address: (if different than property address)
Address:
Architect/Engineer E-mail:
Contractor: t
Contractors City License IN:
Contractor E-mail Address:
Sufi Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Phone:
Phone:
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE H COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION RESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ OTHER (Describe)
(For ALL projects, please provide a detailed description of work to be performed, including current use of areas,
proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and
amount of materials to be used, etc.)
Q1 V -P
Df
Zc�
m
Sq. Ft/LF
Amps
Btu's Gallons
Squares LU Other
Project Value: (Contract value or the cost of all rviaterials and labor included in the entire project)
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 provideo4m tthe application_
CIRCLE ONE.• (OWNER) (CON TOR)7or ORIZED REPRESENTATIVE) of (OWNER) (CONTRA�C�TOR)
Electronic Sienature (fust and rest name): DATE:Z/7
/
DWARTMEAT USE ONLY
ZONING COMMMEi nI OCCUPANCY ClA,SSWICATION+
Revieww:
BUtLDNG DEPARTMENT C014tMDaS:
Reviewer.
Building Division Valuation: $
City of Wheat Ridge
p
y� Residential Roofing PERMIT - 201703518
PERMIT NO: 201703518 ISSUED: 07/10/2017
JOB ADDRESS: 4096 Field DR EXPIRES: 07/10/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles - 26
sq.
*** CONTACTS ***
OWNER (720)626-5462 JOHNSON GREGORY K
SUB (303)761-6400 J. Bretz 018118 Excel Roofing, Inc.
*** 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: 13,105.73
FEES bi
M mm
Total Valuation 0.00PAIIL�p
Use Tax 275.22
Permit Fee 267.70
** TOTAL ** 542.92
*** 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 - 201703518
PERMIT NO: 201703518 ISSUED: 07/10/2017
JOB ADDRESS: 4096 Field DR EXPIRES: 07/10/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles - 26
sq.
1, by my signature, do hereby attest that the work to be perfonnm
ed shall comply with all accopanying 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 Iegally authorized to include all entities named within this document as parties to the work to be
performedand that all work to be pp►err ormed is disclosed in this document and/or its' accompanying approved plans and specifications.
tf�'t'uYl.� I
Signature of OWNER or CONTRACTOR (Circle one) Date
1. This pen -nit 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 maybe subject to a fee equal to one-half of the original permit fee.
;. 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
apptt e 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 7017035 -lb
From: no-reply@ci.wheatridge.co.us
Sent: Monday, June 26, 2017 1:40 PM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Dane
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.
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 4096 Field Dr Wheat Ridge, CO 80033
Property Owner Name Greg & Deb Johnson
Property Owner Phone 720-626-5462
Number
15�1,lql
Property Owner Email
Field not completed.
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
Excel Roofing, Inc
Contractor's License
—Engi nMUT`
Number (for the City of
Wheat Ridge)��
Contractor Phone
3037616400
Number
Contractor Email Address
excel@excel roof ing.com
Retype Contractor Email
excel@excelroofing.com
Address
DESCRIPTION OF WORK
Are you re-decking the
No
roof?
Description of Roofing
Owens Corning Storm Duration Shingle
Material
Select Type of Material:
Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
26
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?
2
TOTAL SQUARES of all 26
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 13105.73
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 James Bretz
Email not displaying correctly? View it in your browser.
3
303 761.6400
COM: 6 f -e y + 0_ � -TTo S &,rs
q�
cor1e
stw, 6C
SSI telll �::� - dS 7 -qI Ll LI
Efad.' Z,, .^ VSA K2 lie Dow -7
A C4
ESTIMATE OF COST AND/ OR CONTRACT
Iype of Rod:
word lam:
Feh%Undr�ni:
e k, _.
Cli *r-,^
1)tA,(,J; , j is cis q
torr: _-
Remove (S; of ROo%
/Pol'Ridoe: G W55 4 'M's +vtn 4 JR�Je 4
Vent Pipe Env: (i Ale v,-
Attic Vents: A N A _v
1 New ffashrrrgs: C (- Mn f v
Size of HPMetal: _d IX - a n bl es
4i'mi #ei &f4 pe
_ Yeaf hmmon Dramrrtee
�Date,'Is fincluded � tim tvmrad:
i�YAftcrl l'i fornpenso*
terry irastxvnce
utruer; Sweeper
6 Yard So
We propose to hx*h material and labor, in uccardonce war the dw veffications fix the sum of 7 3
dollars, with payment to be mode by check to Excel Ro fes, Inc. upon completion of the roof . All wo be complete in a �W warkmanlike moaner acrording to sped
subrn+tted, per standard industry prudces. Any deviation from the alae specifuo#m wo become an additional chow. All agreements ore contingent upon U* beyond our cs *ol.
Owner mw awry foe, tornado, extended pis, and dw necessary b arae. Excel bo4 A not be field liabie fa oos> movement, cracks
due to the r or look �. � � ch of 1112% per month w be t d to ON d f e�the t Of cow � or m �' dby ficy, h � to
Excel is to mrd the neer aplRr�� %n igen by fxcal Rooms, int.,
pay these f . % proposal may be withdrawn by Excel Roofing, Inc. R not accepted wi#un
ACCEPTANCE OF THIS PROPOSAL
Accepted by Owner (soWm):
MMW for Excel Roafing, tat.
Accepted by (homer (*POA): Date:
CITY OF WHEAT RIDGE.r2
_�9�Building Inspection Division 3
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: /1-771D
Job Address: �vof rr/C)
Permit Number: ?41I4 35 /6 -
�_j ivo one avanaDie Tor inspection: i ime , - Hivurivi
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: �}� Inspector:
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
r~ Building Inspection Division
000 (303) 234-5933 Inspection line
doo (303) 235-2855 Office • (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: ° l r, i~
Job Address: (tt LIB i n k
j Permit Number: ~Tv
❑ No one available for inspection: Time AM/PM
Re-Inspection required: Yes No
*When corrections have been made, call for re-igspection at 303-234-5933
~t
Date:? Inspector:
DO NOT REMOVE THIS NOTICE
"'City of Wheat Ridge
r 40001*'_ Residential Roofing PERMIT - 092451
PERMIT NO: 092451 ISSUED.: 09/16/2009
JOB ADDRESS:... 4096 FIELD DR EXPIRES: 03/15/2010
DESCRIPTION:. T /o: Install 28 sqs 25'.. yr '3 tab 'shingles.
* ** CONTACTS * **
owner 303./424 -1686 Deborah Johnson
gc 303/761-6400 J. Bretz 01-8118 Excel Roofing, Inc.
* *: PARCEL:: INFO **
ZONE CODE: UA -USE: UA
SUBDIVISION: 0284 .`BLOCK /LOT #: 0
* *FEE SUMMARY ** ESTIMATED': PROJECT VALUATION: 9,550.00.
FEES
Permit Fee ' 235.70
Total Valuation .00
Use Tax 171.90
TOTAL ** 407.60
Conditions::
6 nail installation ':& mid roof inspection required'. Board sheathing spaced more
than - a 1/2 of an inch apart requires plywood overlay on entire roof. Ice:: and
water shield: required from eave edge to 2'- inside exterior walls.
`
Subject to field inspection.
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.a.C) and all other':
applicable Wheat Ridge :Ordinances, for work under this permit. Plans subject to field inspection.
Signature of contractor /owner ': date
r-' --
- --. -".T_C____~-.~.'..~-' ..".---
COMMUNITY DEVELOPMENT DEPARTMENT
Building Inspection Division
(303) 234.5933 Inspection line
(303) 235-2855 Office' (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: nEe' nr11i2. If/~..JL
Job Address/Permit Number: y'o91;: hEto mi. 0$(:;;.;274-
o No one available for inspection: Time "11>/10 AM/PM
Re-Inspection required: Yes @:)
.When co"ections have been made, call for re-inspection at 303-234-5933
Date: ~5h,f? Inspector>.z:::r>
DO NOT REMOVE THIS NOTICE
COMMUNITY DEVELOPMENT DEPARTMENT
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office' (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: BFC: J?".RVN'S
Job Address/Permit Number: 1'07'(; ,J!;fJ'7 .7;2. oE?o 23?-
/I/O O;t(/,f ~'IE /0,4 ,'" .
o No one available for inspection: Time /b.."/J AM/PM
Re-Inspection required: @. No
'When corrections have been made, call for re-inspection at 303-234-5933
Date: 411'1/<>"11 Inspector:/.::::e
DO NOT REMOVE THIS NOTICE
'l!I1!1"?.,Jh~'!!,""" ....,_."...,,,.,,.~,,.."'\'!~1,,"""r.""""":I',..~1'..",,,,,,,,,,,,,,,,~,,,'1'!".,!,!,"'5""'''''''''~~~"''''''''"'''''''''''''''''''''='m,,.,,,."".,"",,,"''''
",ti~r " .
:/~ .t, .
t $ City of Wheat Ridge
Residential Electric PERMIT - 080236
PERMIT NO:
JOB ADDRESS:
DESCRIPTION:
080236
4096 FIELD DR
Service change to 200 Amp
ISSUED:
EXPIRES:
03/18/2008
09/14/2008
*** CONTACTS ***
owner
gc
720/795-8640
Deb Johnson
Donald L Russell Jr.
02-0556 Russell Electric
** PARCEL INFO
ZONE CODE:
SUBDIVISION:
u
UA
0284
USE:
BLOCK/LOT#:
r-3
0/
Permit Fee
Total Valuation
Use Tax
** TOTAL **
ESTIMATED PROJECT VALUATION:
FEES
l:::H Ik;;])
148.80
2,250.00
** FEE SUMMARY **
Conditions:
Must comply w/ 2003 IRC & 2005 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
applicabl eat Ridge Ordin es, for work der this permit. P. ubject to field inspection.
Sl
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, anew 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 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. violation of the provisions of the building codes or any other ordinance, law, rule or regulation.
All plan e subject to field inspections.
Signature
date
INSPEC ON ~EQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2a55
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 #:
Property Address:
Phone:
Property Owner (please print):
Mailing Address: (if different than property
Address:
SJ4!rlA.<.--
City, State, Zip:
Contractor:
--::>
~0'el/
.
;;:~ '5e L
/~
Phone: ;;-Jb- s/"Y5:;' Y 6 9?)
Contractor License #:
Sub Contractors:
Electrical City license #: Plumbing City License #:
Company ;{?<57ell /E1..d-;,,'c.lL<:J:;ompany
Exp. Date: Exp. Date:
Approval: Approval:
Use of space (description): 'S/J1k ~('li/ f,..)' r
Description of wo'{!<: (
5~(/i?:..o.- Ctl.~(<..- .7=.A-'f
Mechanical City License #:
Company
Exp. Date:
Approval:
Construction Value: $
(as calculated per the Buifdlng Valuation Data sheet)
Plan Review (due at time of submittal): $
Sq. Ft./L.Ft 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 Vv'heat 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 J 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.
CfRLCE ONE: (OWNER) (CONTRACrOR) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR)
fBlliI NAME:
SIGNATURE:
Date:
DEPARTMENT USE ONLY
ZONING COMMENTS:
Zoning:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer
BUILDING DEPARTMENT COMMENTS'
Reviewer:
OCCUPANCY
FIRE DEPARTMENT:: 0 approved wI comments 0 disapproved 0 no review required I Bldg Valuation: $ {-;.1as-o
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: 16300
Date: 10/2/2003
Property Owner: MARK & ERINN HALL
Property Address: 4096 FIELD DR
Contractor License No. : 21066
Company: Conservation Construction
Phone: 420-0216
Phone: 237-1687
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 (U.B.C.) and all other applicable Whll'~Ridge ordinances. for work under thi~ ~e~t.
(OWNER)(CONTRACTOR) SIGNED UI'I4>J ~{{L"'" DATE..JJ.f-1--
Description: REPLACEMENT OF 8 VINYL WINDOWS
Total:
$3,992.00
$126.50
$0.00
$47.90
$174.40
Construction Value:
Permit Fee:
Plan Review Fee:
Use Tax:
Use:
lh;~j]
BUILDING DEPARTMENT USE ONLY
zo-l)""-
._JD,_
Approval:
Zoning:
Bfi.dJ~~iii!.
Approval: DM
-"o~iI"''''D
_~~..~~'}..I1!l111l
Approval:
Occu pancy :
SIC:
Sq. Ft.:
#2 & #3 TO MEET EGRESS REQ. (DOUBLE HUNG). 10/1/03
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) This pennit 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 Gode 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 (8) the building authorized is suspended or
abandoned for a period of 120 days.
(3) If this permit expires, a new permit may be acquired for a fee of one-half the amount nonnally 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.
(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
proceediing with successive phases of the job.
issuance 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
pr v building codes or any other ordinance, law, rule or regulation.
ing Inspector
Please sign Terms and Conditions on reverse side of page.
BUILDING INSPECTION LINE - 303-234-5~.J.J
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
. APPLICATION
1-1/1...11
Company:
111 aA.!. 4- "f",,; I'ln
L!o9(sz field. Dr.
;'IOIfh
C.o~v~o" &omuc..-\.iJon.
Phone :3)4dO~ o;Hli.
Phone:3 );37 -1I.P '67
Property Owner:
Property Address:
Contractor License No.:
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
(OWNER)(CONTRACTOR); SIGNED
t~&-
DArB 'i'/iVfl3
Construction Value:$ 3" qq.;l
Permit Fee:$
Plan Review Fee:$
Use Tax:$
Total:$
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 afWheat Ridge or
covenants, easements orrestrictions 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 J?ermit.
(Z4'/~m~ SV yi(lyl W~
I fRfECCfEll~fE/D)
OCT 0 ! 2UU3
XS
I ------_
----
----
DESCRIPTION:
BUILDING DEPARTMENT USE ONLY
SIC:
Sq.Ft:
ZONING COMMENTS:
Approval:
Zoning:
BUILDING COMMENTS:
Approval:
112/5 -Ia>
tt'fln
Q/h<<../-~te<f;S~. P>'bU$'pJ
~
PUBLIC WORKS COMMENTS:
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:
(l) This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the Slate of Colorado and to the Zoning
Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of the City.
(2) This pennit shall expire ifCA) 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.
(3) If this permit expires, a newpenoit may be acquired for a fee of one-half the amountnonnally 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. Ifchanges have been or ifsuspension or abandonment
exceeds one (1) year, full fees shal1 be paid for a new permit.
(4) No work ofaDY manner shall be done that will change the natural flow of water causing a drainage problem.
(5) Contractor shall notify the Building Inspector rwcnty-four(24) hours inadvaDce forall inspections andshall 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 constmed to be a pemrit for, nor an approval of, any violation of the
"rovi'iOU~uiI_Mde' o,my othoconlillmoe, ,.w, role "cegul.tioo.
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DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number:
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE Date:
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
8903
5/14/99
Property Owner:
Property Address: 4096 FIELD DR
Contractor License No. : 18232
Company: Aaark Heating & A1C, Inc.
OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Phone: 940-1977
Phone: 431 8015
Construction Vaiue :
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 a~ree 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 ordinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED
DATE
Total:
Use:
Description:
Replace furnace
BUILDING DEPARTMENT USE ONLY
SIC:
Sq. Fl.:
Approval:
Occupancy:
Wails:
Roof:
Stories:
Residential Units:
Electrical License No :
Company:
Mechanical License No :
Company:
Plumbing License No :
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
Expiration Date:
Approval:
$1,925.00
$69.25
$0.00
$28.88
$98.13
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 war!< of any manner shall be done that will change the natural flow of water causing a drainage problem.
Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before
proceediing with successive phases of the job.
The issuance of a permit or the approval of drawings and specifications shall not be constl1Jed to be a permit for, nor an approval of, any violation of the provisions
of the building codes or any other ordinance, law, I1Jle or regulation.
(1)
(2)
(3)
(4)
(5)
(6)
~t&
Chief Buiitli 9'.sp1ector
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Building Permit Number:
Date :Y.~/2 .~
Property Owner: /h c. Oo,ttl #? tJ
Property Address .-90 96 rJ:EL-L> ~/Z.Z-{/E
Contractor License No. if / If .:2 "3 L
companY)h::};J:rj<..K. I//? - 4 r' (
Phone:~ - 6.7;/
Phone: 7.3/ - go ,4-/
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 wit e Wheat Ridge Building
Code (U.B.C.) and aU other applicable Wheat .. e ord r work under tbis permit.
(OWNER)(CONTRACTOR) SIGNED'., ATE 5'-;;/ J.
Construction Value:
Permit Fee:
Use Tax:
/?~
69.,vf
Z--8" - S~
..'
Total:
8".!..L
Description : /2~'M 0E
7
F(./M//f-Ll.>
BUILDING DEPARTMENT USE ONLY
Approval:
Zoning:
Approval:
mum~W-""''''''nt$a
Approval:
Occupancy: Walls:
Roof:
Stories:
Residential Units:
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date:
Approval:
II IItI!iIKGQ&1l1lll.-:r1
Expiration Date:
Approval:
III FPJ_nS'Blfll!llred:'1
Expiration Date:
Approval:
!II r
(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 Gode of lNheat Rid~e, 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 (8) 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 shaH be paid for a new permIt.
No work of any manner shall be done that will change the natural flow of water causing a drainage problem
Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before
proceediing with successive phases of the job.
The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the proVisions
of the building codes or any other ordinance, law, rule or regulation.
(4)
(5)
(6)
Chief Building Inspector For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
BUILDING DEPARTMENT
(303) 235-2855
CITY OF WHEAT RIDGE
* *
Correction Notice
Job Located at ~() 7~ hu /(lJ
I have this day inspected this structure and these premises and
have found the following violations of City and/or State laws gov-
erning same:
/r~ ~ kJ /2r7?<<u..-
V"c..+r?..- ~~ ~ rc..-no v-e
Tal- w e
3) }-~ffl.' '-'"<- (0 1.1 <r<:: .-"<" di-z,....., d OCJ ;' ':I' r-o q,......,
/
/" (jJJ,. o-P Ot~ 0- bcd.-o_n.-
/,) b4~
~ PI2
You are hereby notified to correct the foregoing violations.
When corrections have been made, call for inspection.
Date
,- -3- ( '7.
#2~ -
spectOr for Building Dept.
DO NOT REMOVE THIS TAG
FORM WR6-22
"-"''""'''''~'''~''''''''W''''''''''''f'~''''"''''',"\'!'o/''''"''-~'7' ""''''''''''''''''''''' ,~[l.lOlu .1el!~1f' )"..., """,-"",,,,,,,,,,~.,, w... .J.,) ,'" "".,.,' """,,,,il,,,.., '" "j~"''''''''H'''''''''''~!''
j::,j
DJPARTPlEHT ()F PLANNING AND DEVELOPMENT
.' BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Building Permit Number:
Date :
3595
anJ96
Property Owner: MCDONALD JAMES CLARKE III
Property Address: 4096 FIELD DR
Contractor License No. : 18269
Company: B B Electric
Phone :
Phone: 422 5403
OWNERlCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value:
Permit Fee :
Plan Review Fee :
Use Tax :
(OWNER)(CONTRACTOR) SIGNED
DATE
Total :
$350.00
$45.00
$0.00
$4.20
$49.20
1 hereby certify III. ~ ..u>eCk _* proposed by lIIis penni! al1l'l- a.. accurate,
III1d dO not violate applk:able oJllfnancee, rules or l1l9ulaliono of the Cily of Whe. Ridge or
co.anants, easements or_no of record; lIIa1a" measurements shown, and .ltegations
mode 118 .ccurate; 1IIa11 Mve llllId .nd ag_ \0 abide by all conditions printed on \his
appItc:atlon. III1d 1IIa1I.....me fuIIl8\IflClll$ibilily for compliance wlth the _ RIdge Building
Code (V.B.C.) and all other appIIcabtI Whnt RIdge ordinances, for wort< under IIIls permll.
Description :
SERVICE CHANGE
BUILDING DEPARTMENT USE ONLY
SIC: Sq. Ft. :
Approval:
Occupancy :
Walls:
Roof:
stories :
Residential Units :
Electrical Ucense No :
Company:
Plumbing License No :
Company:
Mechanical Licanse No :
Company:
Expiration Date:
Approval:
.
Expiration Date:
Approval :
.
-.~iration Date :
Approval:
.
(1) ll1Iapormit_ i_In _ wIIh the provisions BOlforth In yopur appllcatIon and Is"- to the Iowa 01 the _ 01 COIorIIdo and 10 the ZDnIng
_ and _ilia Code 01_ !lI<fgI, COlorsdo or ony ___ ordInoncoo 0I1he CIty.
(2) TI\Ii permit _lll<Pire R (A) the work _Is not cornmllnc:ed wllhln oixly (60) dlIyI from Isoue dole or (B) the building _Is ouoponded or
_....Ior.pertOd0l1IlOe.
(3) If this permltaoplre&, ....., _ ba ooq_ for 0188 01 one-hall tho _ nonnoIIy required, ..- no changes _ -. or \II1II ba.-In the
original plans and .poc_ onclony.- or obIndonmant h.. not_ one (1))'Mr. If changes .....- or If .- or_
..COBdO 0118 (1) year, ruBle8S _ ba PlIld for. new permit
(4sl No _ oIony monner _ 1>1 done tI1It will change tho _rei - oIwotor couol['ll,~"':r problem.
( ~ .l1Qtfy the BUIlding ::= lwonty..four (24) hours In sdvllnco lor oR and shlIIl_ _ opprovoI on inspecllon C8Id before
(8) 01 ~ ::;;;....the J.l"rOwings ond specItk:otions _ not ba _ to ba' 0 ponnIt for. nor on opprovoI 01, ony _ 01 the provisions
01 the or~ruloorregulotion.
I Building Inspector
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-6933 24 HOURS PRIOR TO INSPECTION
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number:
BUILDING INSPECTION DIVISION - 235-2855
. CITY OF WHEAT RIDGE Date:
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner :C~ /?11 C .0 ~
Property Address: ij (: '1 (; r ~ hV
Contractor License No.: g g t:-e~-:e-w:u .- J g''z-t '1 i'
Company:
Phone:
Phone: if L '- - )- y J$
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value: ].J<i ";.-
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.
(OWNER)(CONTRACTOR) SIGNED /7 --:::;Lk- )l~~AL DATE
/
~-v~~
Total:
Description:
1/- n
J
BUILDING DEPARTMENT USE ONLY
ZonifilfComiT\~iiilS::
Approval:
Zoning:
~uildjii~f:Oljiffients=1
Approval:
Pllblic:VVcltkSl(;oofments":l
Approval:
Occupancy: Wails:
SIC:
Sq. Ft. :
Roof:
Stories:
Residential Units:
Electrical License No : "i I ~
Company: 8 e ~<:e,,~.
Plumbing license No :
Company:
Mechanical license No :
Company:
Expiration Date:
Approval:
~ ~PI~Requl~d~
Expiration Date:
Approval:
~ !p'lan.~~e:qU!~m
Expiration Date:
Approval:
~ ~P.faii:s~~equlrea~
(1)
(2)
(3)
This permit was issued in accordance with the provisions set forth in yapur application and is subject to the laws at the State of Colorado and to lr.e Zoning
Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City.
This permit shall expire if (Al the work authorized is not commenced within sixty (60) days from issue dale or (8) the building authorized is suspenced or
abandoned for a period of , 20 days.
If this permit expires. a new permit may be acquired for a fee of one-half the amount normally required, provided no Changes ha....e been or will ~ 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 ltIa! will change the natural flow of water causing a drainage problem.
Contractor shall notify the Building Inspector twenty.four (24) hours in ad....ance for all inspections and shall recei....e written appro....al on inspection ::ard before
proceediing with successi....e phases of the job
The issuance of a permit or the appro....al of drawings and specifications shall not be construed to be a permit for, nor an appro....al ot, any ....iolation of the pro....isions
of the building codes or any other ordinance, law, rule or regulation.
(4)
(5)
(6)
Chief Buiiding inspector For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION