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4390 Balsam Street
i CJTY OF WHEAT RIDGE Building Inspection'`D'ivision (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 4 aS- i— r'r�� 1 )TI Fc l� Job Address: L4313D S14- Permit S 4 -Permit Number: e I S © a o `� S— - IIlaCA eve r� ❑ No one available for inspection: Time Ot = y &PM Re -Inspection required: Yes When corrections have been made, call for re -inspection at 303 -234 - Date: / 0 03-234-Date:/o i!//9 Inspector: -7-6 DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE BUIldi'rig Inspect on>Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: y CS -1 Floe- I M ec Job Address: 9 3 9 0 Q a )so S 7 Permit Number: "Do) 8 O 'a o Iq S- V-- Un i 4s c, & . ❑ No one available for inspection: Time lfl = S-tf C4PM Re -Inspection required: es No When corrections have been made, call for re -inspection at 303-234-5933 Date: l c i o J53 Inspector: —h) DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Mechanic PERMIT - 201802095 PERMIT NO: 201802095 ISSUED: 07/25/2018 JOB ADDRESS: 4390 Balsam St EXPIRES: 07/25/2019 JOB DESCRIPTION: Install 3:1 2 ton ductless heat pump and wire accordingly. *** CONTACTS *** OWNER (303)653-2257 JAMES ROBERTS SUB (303)777-1234 James & Dirk Pasterkamp 017887 Pasterkamp Heating & Air Cond. SUB (303)829-5034 Kenneth Miller 020602 Miller Quality Contracting, In *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,213.00 FEES Total Valuation 0.00 Use Tax 130.47 Permit Fee 156.75 ** TOTAL ** 287.22 *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. 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 al entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER 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 originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees 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. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for or an approval of, 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 Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. LL tl'iill� PI-'hY� :yG D11'i:�fi „ . cd;.ci (ilv (it RECEIVED W heat I lc I �.OMA1tINI!Y DIVkI01WINI Building & Inspection Services Division 7500 W. 29"' Ave., Wheat Ridge, CO 80033 er Office: 303-235-2855' Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: Permits((DDd.wheatndge.co.us FOR OFFICE USE ONLY Date: l `�5 Plan/Permit # Q6)/ � 0 C9 Plan Review Fee: Building Permit /application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 6 1 -Do a ni Property Owner (please print): Iff Property Owner Email: Tenant (Commercial Projects Only) a Phone: 31 �JJ-o Property Owner Mailing Address: (if different than property address) Address: , State, Architect/Enaineer: Architect/Engineer E-mail: City of Wheat Ridge License #: U 1 Contractor E-mail Address: Iq L )Ti Phone: Phone: --A-77-1-1 7-5 For Pian Review questions & Comments (please print): p�^�-/'/U , } CONTACT NAME (please print):�ti�� Phone: (�7 " 30 `J 'ly CONTACT EMAIL(p/ease print): Sub Cot Cot a ors Wust r vide Wheat Ridge License No.): Electrical: Plumbing: Mechanical: W.R. City License R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # ❑ COMMERCIAL [� RESIDENTIAL Description of work: For ALL projects, provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new co ition, appliance size and efficiency, type and amount of materials to be used, etc. CU, C+t'35 �e&+ c Inti U 1'wX&U1C ^ Commercial Projects Only: Occupancy Type Sq. FULF Amps BTUs Squares Construction Type: Gallons ProjectValue: 5u�e:: (Contract value or the cost of all materials and labor included in the entire project) C/ n ,---'7 I l !2P ONVNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT 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 a_cwate, beat 1 havt: read and ague iv abide by all cutidiiivu5 peiuied vet iris ipplieativu and Thai I ahx,Lmw full tct�pvnsi'viiiiy fur curttpliauee with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application: that 1 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. 1. the applicant Ibi this building permit application. warrant the truthfulness ofthe information picivided on the application CIRCLE ONE: (OWNER) (CONT or AUTHORIZED REPRESE.NTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): DATE: / ��1t� Printed Name: ✓IM �' " Lk/t��� fu � W/ ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer. Building Division Valuation: City cit _ „ ',A 1, H, CREDIT CARD AUI HORILATION FORM (FOR t 1SE IN FAXED B1111.D1NG PFRMIT PROGRAM) DAIF- NAME OF CARDHOI.DFR: I AS i i APPL ARS ON CARD 1311. 1.1 NG A1)1)R FSS: [ t 5 �. oqow 4 \1 \11 1 1\1 1() \\ Ill( 11 k,\ I "11Ol I It I V\ III l:Af11 CA RD LINTOR-41.4 TIOA: t l//'� / �l CAR1) tit -M 131 R `767S7W 5�� / 97� G� // ( \RD I \ PI. I((hlt j/1-71 � NIAS I LW ARD CARD LXPIRATION DATE: i"VV Ni? M BF.R: —1, By my signature, I heicby attest that the tntorntatlim pro\ tded above is honest and accurate to the b"I tai my kno\\Icdgc and that I am the legal holder ofthe card indicated above. I further attest that I am legally entitled to authorize the City of \N'licat Riduc Its proucs+ atP and Al building t7c init telatcd chlugvh authoiizcd b\ nic or I?t\' (11.111106/1'd AkFt'111 Its Itllti tall .-Md Thfo1!'i-1 I.IIr'-•\(-�•fti11'i1 sti l t'l,Ar11 litlttttl;l'• i' -;rw; ttlrm prw, Itim io the ( itV'_ am(t I)t t7ly Si,-,aturc bckl\l. do authorize such char, --es. It R1 -- DA i l_: 7-4)61S ry FOR OFFICE USE ONLY City of Date. W 114id le "i a COMMUNITY DEVELOPMENTj�g Building & Inspection Services Division � �� 7500 W. 2e Ave., Wheat Fridge, CO 50033 Plan Review Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line:: 303-234-5933 Building Peit Application Property Address: 40 l Mailing Address: (#f different lh n property address) Address: fit , tate,''i rch t inner E-mail: _ _ Phone* * Contractor: Contractors (City License Phone.* ContractorE-maildress: Sub Contractors.* Electrical: Plumbing- - Mechani 1. W.R. City License # W.R.City License # W»Ft. City License # Other City Licensed Sub: Other City Licensed Stab: City License # City License Complete all information on BOTH sides of this form 2M t r- ref : (Check all that apply) Q NEW COMMERCIAL STRUCTURE ELECTRICAL SERVICE UPGRADE NEW RESIDENTIAL STRUCTURE COMMERCIAL ROO'ING COMMERCIAL ADDITION RESIDENTIAL ROOFING RESDEN"TIAL 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 LECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT OTHER (Describe) (scar ALL projects, Meese provide ee II : descri tlen ct to rerfo ed, induding current case of areas, eased es, square footage, xi ting condition, and proposed new condition, appliah "` size and efficiency', type and amount of materiels to be used, etc,) Ll d F- ,.. tm Sq; FULF Btu's Galton Squares Other City of' Wh6atl idge comm j UNi"ry DEviii.opmENT 5 I FOR OFFICE USE ONLY I Building Permit Application 1 -13ci�� I�OASck-m S-�rea (please prino: — I so I•= Address: City, Sate, _ZiL. --\ AM%Qa� Phone.* RMZM.% M. Electrical WR C4 License # M2 # Plumbing'. WR Qly Licenal ... ........ . Complete all information on BOTH sides of this form ' c , , L \N Sq. FULF Stu's Ggdlons Amps Squares Other