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City of
Wh6atRidgc
BUSINESS LICENSE INSPECTION
PERMIT NO. 202000440
BUSINESS NAME: Rhythm Cycles, LLC
ADDRESS: 5820 W. 44th Avenue
CONTACT NAME: Shawn Mc Govern
700
SQ FT
OCCUPANCY TYPE
OCCUPANCYLOAD
77E
6
CONSTRUCTION TYPE
FI SSPRINKLERED
)(NOWSPRINKLERED
Inspector Signature
Date
INSPECTION DAY/TIME Mon., March 9th @10am
INSPECTION DAY/TIM
INSPECTION DAY/TIM
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number: c") C> 0
USI/V eS LIC A
AP Z E P
❑ No one available for inspection: Time O: COA PM
Re -Inspection required: Yes of
When corrections have been made, schedule for re -inspection online at:
http✓/www. ci. wheatridge.co. usVinspection
Date: Inspector: jl
fo
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Commercial Mechanica PERMIT - 201801690
PERMIT NO: 201801690 ISSUED: 06/08/2018
JOB ADDRESS: 5810 W 44th AVE EXPIRES: 06/08/2019
JOB DESCRIPTION: Replace furnace with a 90K BTUs/92 percent efficient Gas Furnace and add a
3 Ton 14 SEER A/C Unit.
*** CONTACTS ***
OWNER 303-638-5858 ROGER P. LOECHER
SUB (303)868-0421 Lucas Wathier
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned
SUBDIVISION CODE: 330 / General Retail
140298 Mike's Heating LLC
USE: UA / Unassigned
BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,500.00
FEES
Total Valuation 0.00
Use Tax 115.50
Permit Fee 140.90
** TOTAL ** 256.40
*** COMMENTS ***
*** CONDITIONS ***
All work shall comply 2012 International Codes, 2014 NEC (if applicable), and ordinances
adopted by the City of Wheat Ridge. Work is 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 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
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, po plans
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 Offcial 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
applicab)g code or any o5,dmance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of ChieffBuilding Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
ity of' -
W heat R__d
CQrv1MUNiTy D[VELOPM[NT
Building & Inspection Services Division
7500 W. 29t1 Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 " Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(a)-ci.wheatridae.co.us
FOR OFFICE USE ONLY
Date:
Plan/PermitaLsi v &�? c
Plan Review Fee: �� Ln i 1
_Ll (� J�
Building Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications
may not be processed. ***
Property Address:
Property Owner (please print): Phone: L3 (,'3�- S S(�_Y
Property Owner Email: II ,
Tenant (Commercial Projects Only) �'V/
Property Owner Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer E-mail:
Contractor: 1 V I V� 5 +J__0_I, H, /,\
Phone:
City of Wheat Ridge License #: i 1���- (b Phone:;C 5��-z�
Contractor E-mail Address: �c /C,,O w:, c, J . /-�_s
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print): Phone:
CONTACT EMAIL(p/ease print):
Sub Contractors (Must provide Wheat Ridge License No.):
Electrical: Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
[COMMERCIAL F-1 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
condition, appliance size and efficiency, type and amount of materials to be used, etc.
Sq. FULF l °0J BTUs
Amps
Squares
Commercial Projects Only: Occupancy Type:
L) Gallons
Construction Type:
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
5�—CCD
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 provided on the application.
CIRCLE ON (OWN_ E i(COYTRA CWR or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Signature (first and In name): DATE: , - ( '� IL
Printed Name: i�1,47 YA�t' ILL
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Building Division Valuation:
FOR OFFICE USE ONLY
Cit} cif Date:
Wh6atf *d ie
rom
Building & Inspection Services Division 7; 15 0;0 co
7500 Wi 29'" Ave.., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929 r Review
Inspection kine. 303-234-5933
Building Permit w
Application
lb 01 i
Please complete all ,highlighted areas on both sides rtcomplete applicatloft tea'
Property rens»
ProEe
At Owner(please print). h+rt
MailingAddress: if different than property address?
Address., a
fit , Mate; i ,
Arc
'ec Its ' - . ter.
Contractors + ` � sc t c �one-
Contractor
n - '
Sub Contractors.-
Electrical:
ntr icfclectri l: Plumbing: Mechanical;
W, R, City License VGd R, City License WA, City License
Other City Licensed Sieh: tither City Licensed Sub:
City License # City License
Complete all information on BOTHsides of this form
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r- > ;... � ,,., � - ar r x r,« s -':.� -n •;� ■'`.rs r � � s^^t ti.i t • li.. "";i .. .
Sq. FULl tu'a Gallons
Amps Squares Other
alt nul tin yet
You must complete this sheet and include it in the submittal package for
any new wall signs, You will also need to create a site plan and a detail
CW sheet of the signage.
OR
r
Project Address: d {contractor, ifilv
You are allowed I square foot of signage for every I linear foot of gall to which you are
attaching a sign,
All wall signs must be adjacent to a street or major interior drive,
Step : Measure the length of the wall(s) where you are attaching the sign:
Wall 1 - '?— - f feet Wall 2 - feet Wall 3 - feet
Step 2: The length of the wall is the allowable square footage for the wall sign.
Wall I allowable signage- square feet
Wall 2 allowable signage- square feet
Wall 3 allowable signage- square feet
Site Plan
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4' 91 City of
`� W
at P,
COMMUNITY DEVELOPMENT
Memorandum
TO: Address file
FROM: Lauren Mikulak, Senior Planner VV/
DATE: March 12, 2015
SUBJECT: 5820 W. 44` Avenue
The property at 5820 W. 44` Avenue is currently zoned Commercial -One (C -1), in which
a body art establishment is considered a special use. When Mr. Montoya moved his
business from Harlan Street to 5820 W. 44` Avenue, he relied upon misinformation from
the City and subsequently obtained the appropriate approvals from Jefferson County
Public Health, invested in the building (drywall patching, refinished floors, etc), and
began operating his business.
Notes in the sales tax file indicate that Mr. Montoya notified the City of intent to change
locations with the filing of his December 2014 return. He was misinformed that no
further action was required. When Mr. Montoya proactively came to the City seeking an
updated copy of his business license that he had not yet received, it was discovered that
he had been misinformed. He was then told that the Building Division may impose
requirements. He was not told that there may be any zoning issues.
Based on this series of events and the fact that Mr. Montoya took action based on
information he believed to be true, the Community Development Department will not
require an SUP application. As is standard, the Building Division will complete an
inspection in association with the business license application.
Body Art Establishment t Jefferson County Public Health
Inspection Form 645 Parfet'Street Lakewood, CO 80215
(303) 232 - 6301
Owner Name
Phone
Inspection Date
Vaccination for HBV or written statement
1 2 -201 b
SECTION 3.0 REQUIREMENTS FOR BODY ART
ESTABLISHMENTS
Toilet facilities provided; floors, walls: smooth,
nonabsorbent, easily cleanable
Person in charge
3-301
Premise maintained clean and in good repair
Facility Name .'
3 -302 a -d
Fax
Follow -up Date
3 -303 a -e
SECTION 4.0 CLIENT RECORDS
5 -505
Client records maintained for 3 years
Facility Address
5 -506
E - mail
4 -402 a-
5 -506
Client consent
4 -403 a -c
5 -507
Type of Inspection: ( ) Routine ( ) Follow -up
�•,,) Pre - opening ( ) Complaint
( ) Other
SECTION 2.0 REQUIREMENTS FOR
BODY ARTISTS
Demonstrate Knowledge of Universal Precautions
12-201(a
Vaccination for HBV or written statement
1 2 -201 b
SECTION 3.0 REQUIREMENTS FOR BODY ART
ESTABLISHMENTS
Toilet facilities provided; floors, walls: smooth,
nonabsorbent, easily cleanable
Person in charge
3-301
Premise maintained clean and in good repair
Em to ee information
3 -302 a -d
Adequate lighting
Person in charge, access to files
3 -303 a -e
SECTION 4.0 CLIENT RECORDS
5 -505
Client records maintained for 3 years
4 -401
5 -506
Client medical disclosure
4 -402 a-
5 -506
Client consent
4 -403 a -c
5 -507
Aftercare Instructions provided
4-403(d
SECTION 7.0 INFECTION AND EXPOSURE CONTROL
WRITTEN PROCEDURES
Written exposure control plan 7 -701 a -b
SECTION 8.0 INSTRUMENTS /STERLIZATION
5 -509
Instrument cleaning
8-801(a
5 -510
Instrument packaging/wrapping
8 -802 a -c
5 -511
Instrument sterilization
8- 803(a -c)
5 -512
Sterilizer load log maintained for 3 years
8-803(d
5 -513
Monthly spore test
8-803(e
5 -514
Instrument storage
8 -804 a -b
5 -515
Single use items, disposal
8- 805(a -b
SECTION 9.0 BODY ART PROCEDURE
Prohibitions
9 -901
Sanitary procedures by body artists
9 -902
Procedures specific to tattooing
9 -903
Procedures specific to body piercing
9 -904
SECTION 5.0 FACILITY AND OPERATIONAL
REQUIREMENTS
Floors, walls, ceilings: smooth, nonabsorbent,
easily cleanable
5 -501
Outer openings provide protection against
contamination
5 -501
-'i"'l. fit" / f(,. !'� ; Y,•; . .. "f t •�, ". �r
Toilet facilities provided; floors, walls: smooth,
nonabsorbent, easily cleanable
5 -502
Premise maintained clean and in good repair
5 -503
Adequate lighting
5 -504
Work surface construction
5 -505
Handsinks accessible, at each procedure area,
p rovided with soap and paper towels
5 -506
Hot and cold water under pressure to sinks
5 -506
Separate area for cleaning equipment, wrapping
equipment, handling and storage of sterilized
eq uipment
5 -507
Instrument cleaning sinks, handsinks, utility sinks
separate and used for designated purpose
5 - 508
Water from approved source
5 -509
Sewage disposal
5 -510
Sanitary refuse disposal
5 -511
Separate waiting area
5 -512
Cleaning and storage of reusable cloth items
5 -513
Animals
5 -514
Chemical properly labeled, stored
5 -515
Separate living areas
5 -516
Back flow prevention devices
5 -517
Infectious waste storage, disposal
5-519(a d
COMMENTS
-'i"'l. fit" / f(,. !'� ; Y,•; . .. "f t •�, ". �r
Inspected by :
Phone:
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