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Home My WebLink About3341-3351 Yarrow StreetCity of Wheat Ridge Residential Roofing PERMIT - 201703655 I. PERMIT NO: 201703655 ISSUED: 07/10/2017 JOB ADDRESS: 3341 Yarrow ST EXPIRES: 07/10/2018 JOB DESCRIPTION: Residential Re -Roof to remove and replace asphalt shingles with Re -decking 47.75sq this is the house roof only DUPLEX 3341-3351 YARROW ST *** CONTACTS *** OWNER (303)233-5325 ED & DONNA SEFOZO SUB (720)504-7571 Ken Medina 150198 Prestige Roofing LLC *** 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: 16,002.22 FEES Total Valuation 0.00 Use Tax 336.05 Permit Fee 315.25 ** TOTAL ** 651.30 *** 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. 00 1 -2 o3co 3341 Ykamw S4. INSPECTION RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Occupancy/Type 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 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. Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing 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. Mid -Roof Lath / Wall Tie (, Floodplain Inspection (if applicable) Rough Electric Fire Inspection / Fire Protection Dist. Rough Plumbing/Gas Line Final Electrical Rough Mechanical Final Plumbing Rough Framing Final Mechanical Rough Grading Roof Z S Insulation Final Window/Doors Drywall Screw / Nail Final Building 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 Z S 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 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: ��41 YA 12 anus Permit Number: 2Q170a/ ,5S M I M .�Vo one available for inspection: Time M M Re -Inspection required: Yes No When corrections have been made, call for re -in ction at 2'34-5933 Date: / Inspector: DO NOT REMOVE THIS NOTICE 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: -31)(0- In (j Job Address: 3 3 N 1 n r V7 -a A,, S�_ Permit Number: fl 7 o 3 (o SS ❑ No one available for inspection: Time J 0 ' L19 AM)PM Re -Inspection required: Yes (5 When corrections have been made, call for re -inspection at 303-234-5933 Date: I g //-7 Inspector: 7't> DO NOT REMOVE THIS NOTICE w,► City of Wheat Ridge Residential Roofing PERMIT - 201703655 PERMIT NO: 201703655 ISSUED: 07/10/2017 JOB ADDRESS: 3341 Yarrow ST EXPIRES: 07/10/2018 JOB DESCRIPTION: Residential Re -Roof to remove and replace asphalt shingles with Re -decking 47.75sq this is the house roof only DUPLEX 3341-3351 YARROW ST *** CONTACTS *** OWNER (303)233-5325 ED & DONNA SEFOZO SUB (720)504-7571 Ken Medina 150198 Prestige Roofing LLC *** 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: 16,002.22 FEES PAID Total Valuation 0.00 Use Tax 336.05. - Permit Fee 315.25 ** TOTAL ** 651.30 *** 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 - 201703655 PERMIT NO: 201703655 ISSUED: 07/10/2017 JOB ADDRESS: 3341 Yarrow ST EXPIRES: 07/10/2018 JOB DESCRIPTION: Residential Re -Roof to remove and replace asphalt shingles with Re -decking 47.75sq this is the house roof only DUPLEX 3341-3351 YARROW ST 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 Iegally authorized to include ali 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. �r 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 I80.days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4, No work of any manner shall be performed that shall results in a change, of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6, The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any appl ode or,any,ce Ofi riegglation 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. Dane Lovett 1,C i 7 0 o� From: no-reply@ci.wheatridge.co.us Sent: Tuesday, June 27, 2017 8:52 AM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Gina — c 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 and due to the volume of requests, time to process varies and is subject to change. 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. 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 Duplex are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number 3341 - 3351 Yarrow St ed & Donna Serfozo 303-2335325 ,� r� 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 Prestige Roofing, LLC Contractor's License 150198 Number (for the City of Wheat Ridge) Contractor Phone 7505047571 Number Contractor Email Address melissa@myprestigeroofing.com Retype Contractor Email melissa@myprestigeroofing.com Address DESCRIPTION OF WORK Are you re -decking the Yes roof? Description of Roofing Rerove and replace shingles Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 43.84 material selected above? Does any portion of the Yes property include a flat roof? If yes, how many squares 3.91 on the flat roof? z TOTAL SQUARES of all roofing material for this project Provide additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract value or cost of ALL materials and labor) 47.75 This is the house roof only 14,100 t� ,J 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 melissa salas Email not displaying correctly? View it in your browser. 3 PRESTIGE MEMBER "Your Insurance Specialists" Roofing - Siding - Windows - Gutters 1412 W 1041h Ave, Suite 101 Northglenn, CO 80234 Office: 720-504-7571 Fax: 303-362-7271 Policy #: PC102233-02 Expires: 07/14/2017 Fully Insured Licensed Carrier: PCIC Limit: $2,000,000.00 Customer: Insurance Provider: (� Address: Vco Phone #: p r - FA . eI ,t Policy#: Phone Project Manager: Date: w ' .� eT Loss Date: ` i^ la, I^ Phone #: Email: _ y n Lead Source: CA n(c,Ic�o4-5 WE PROPOSE j y� To furnish material and labor - complete in accordance with specifications below. Deductible 4/ oc) Approximate Dollars ($ ! 7 ' "f6DoJ Approximate Date of t/of�Ro�off C/o�mpletiom � l/ i� tV� From Submitting File 3�?� 1 Start: c/ 4s From Submitting File Materials present on roof: Asphalt layers Cedar Shake j_ layers Cedar Shingles layers Flat _ layers Tear off existing _layers on House Install New Roofing Material Type ear U Go t (] Tear off existing layers on Garage/Shed Weight Color Style ey] �y Re- deck using 7/16" OSB Plywood 9 u pio (-2 vyl f 6rlt /[ ] Replace Water Damaged Decking at $ r per piece 1.zigstall Standard Ridge Shingles //[ ] install High Profile Ridge Shingles [ ] Install ft. of Ridge Vent Install -5 Turtle Vents, Color to match roof y/1 All Permit fees and Taxes Included Haul off all trash including Magnetic Sweep of Property Year Labor Warranty[) Year Manufacturer Warranty Ix install (0 Pipe Jack Flashing(s) iLF 5" Gutter/ Downspouts Color I G SO Siding Type Color >]'nstall metal valleys [ ] Install 901b valleys Additional Work to be done f)tt C Yl Install Ice and water shield per code or $ per scl p_- Q- leicoA CAP 0) P-6vv't- 11 nstall Drip Edge to all)<Eaves', Rakes 00L,092-�', �jh C�j @ _ -R— install Install Ib felt or [ ] $ � ( for feltex J� Options l (tiKIS-C�U�2rA � tUPQI—\ C.L�I��C P G�bLQf/1 � �C i � OISS j�S`f (-e r /1i df - CUSTOMER INITIAL HERE IF SUBJECT TO INSURANCE ALLOWANCE AGREEMENT. If initialed, the following additional provisions apply: A. This agreement is valid only if customer has full replacement cost insurance coverage (less deductible) B. Companies work willhe completed w_.th no cost to customer other than customer's insurance dedt!g bl . t10ns customer chooses uPgra I. s or addit I.work that is nt approved by customer's insurer. Customer hereby assigns all amounts due from customer's insurers and mortgagees for companies work to company. C. Customer will provide all documents and Information necessary (i) for submission of claims to customer's insurer, and (ii) for payments to be made by customer os insurer and mortgagee(s). Customer authorizes company to discuss scope of work and pricing with customers insurers and adjusters. Customer appoints company as the customers power of attorney to inspect and adjust the loss, and to collect and receive all insurance payments related to company's work. D. All direct costs, overhead and profit allowed by customers. insurer, and any supplements approved by customer's insurer for additional work, upgrades, options or cost increases are to be paid to company. Company reserves the right to request and receive additional payments from customer's insurer due to material or labor Increases, storm environment, or if measurements and/or other information provided by customer's insurer are incorrect. E. Company may cancel this agreement if company and customer's insurer are unable to agree on the scope of work and price for work covered under customer' I/7agree to the terms and c Editions of thi greem—eent, including all terms and conditions on the reverse side. Gusto r igna ee 1 Date Customer Signature i es Representa signature Date Date INSPECTION RECO INSPECTION LINE: (303) 234 -5933 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. fc) , /I r 1,uwt/ SPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: Footings /Caissons 6 e Stemwall / (CEG )Concrete Encased Ground Reinforcing or Monolithic Weatherproof/ French Drain Sewer Service Lines Water Service Lines YOUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED - CONCRETE SLAB FLOOR Heating ROUGHS Sheathing Lath / Wall tie Mid -Roof Electrical Service Rough Electric Rough Plumbing Gas Piping Rough Mechanical TO BE SIGNED PRIOR Insulation Drywall Screw FINALS Electrical Plumbing.?,_ 6 e Mechanical Roof Building Final Fire Department R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS Parking & Landscaping SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. "NOTE. ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. UCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER wy..v..v.. . y Job Addre Permit Num e for inspection: Time red: Yes ve been made, call f r/i Inspector: p VUmutnq n:erz �5in�t �cx ss 33 51 �'4 fn'A> Sf, ber /f)7� 4'�'/� " V, 41 City of Wheat Ridge r Residential Plumbing PERMIT - 102641 PERMIT NO: 102641 ISSUED: 11/24/2010 JOB ADDRESS: 3341 -51 Yarrow St EXPIRES: 11/24/2011 DESCRIPTION: Repair 8' sewer line in property only * ** CONTACTS * ** owner 303/233 -5325 Edward Serfozo sub 303/696 -9599 Steve Wakeham 01 -9921 Pipeline Industries, Inc. ** PARCEL INFO ** ZONE CODE: UA SUBDIVISION: 0568 USE: UA BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 4,000.00 FEES Permit Fee 109.20 Total Valuation .00' Use Tax 72.00 tm ** TOTAL ** 181.20 Conditions: Subject to field inspections. I, by my s '' nature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifica ons, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal o or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the wor _scribed and approved in conjunction with this permit. I further attest that I am legally authorized to include all entiti named within this document as parties to the work to be performed and that all work to be performed is disclosed in this d cyment and /or its' accompanying approved plans and specifications. Signature of OWNER or /VONTRACT (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one- half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re- issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspect. Signature of uilding Offical Date INSPECTIN REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 REQUEST MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. n y U, �.�,v;tl IIY (u_�� ICx�sfl�t l'tara fF Building LL`- t hnspection Services Division f'er , 7500 . 29 Ave., Wheat Ridge, CO 80033 a' W 11, Office: 303 -2.35- 2855 * Fax: 303 - 237 -8929 Inspection Line: 303- 234 -5933 22 building Permit Application Properly Add6ss; "J � A l -aJ� S( II ` I ar Q Cl v l Property Owner (please print): t J ��l ar CI ��c�O2r� Pho 5 (3 � — Z 3_ __�j3z j Mailing Address: (if different than property address) Address: City, State, Zip; p -- C- ractor: - lm t Ajf Contractors City License #: gg7 Phone: CQr g5Qq 5uli Con�racfiors Electrical: Plumbing: Mechanical: City License # City License # City License # 9es'rix1ii�ri 1 � �WtzC G jC.C vICQ \ et. t. C Contract Value: vcd Cc t� and 6 s H,Cjc I iO c Review Fee (due . at time of submittal): � t .Squares BTU's Gallons Amps Sq Ft. $ 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 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 applic on to list that entity on this application. - CIRCLE ONE. OWNER) (CONTRACTOR) or THOR7 VE) ZED REPRESEN TI f (OWNER) ( CONTRACTO) PRINT NAME: \ U (A ' SIGNATUR DATE: i � Ofl n � ✓ Yn J ��o � L � ,% d / s T ✓ r �a w. .✓ -' �� <-' ✓ o �/ ✓n r 5"� �'$ F � `'. �� ,il ✓ Su`e,9v Sr yJ y ReVIQWW�r� l 3 n G✓ ✓ r/ � , ti n G'^ tc C t i y /`"'� r'S�t i' � l � l y� i l 1 ✓.� > ,.z ,,., /' / 4 ✓ <r �� lei ✓ �" � F,' '� � n +✓. r��l'�v �/ � s �� 7 ; t�eYleWel' � L w ✓ � ? �F n 3 iF f✓" ✓r % � ✓ 1 �r'="r� , >a` i%r � r ' _ � ifu i ✓ ✓ � �J s <✓ ! y + � ��,',�'�'�"� r� -.� x aF2� �Zp ;.� �rt y. �$�! � � x %: � r ✓ ^ '" i ✓""a'' ,✓.,^Ja � �`ify ✓ i� a �'% 2 .� ^Y�, �y,�'2'kt r i �f j r � t ✓,. i z < �✓ �i� r z ,,., /� .ti✓ ✓^_`.�r'r' �Y �; =,&y✓y ax� ✓ , - PUBLIC WORRS"2OMMENT& � ✓ r z'��^` r,,, : �, ✓� � d�f =, q' ✓' ��' G<ttIIP £ r 3 1;IRE?iEPARTM�N7 L approued wl comments C7 dtsapprovsd C3�p raUteW re ,. Bldg Valuation $ - P E � IN E ®® yp cam+ I NCJOB DATE 11/24/10 INDUSTRIES NC. DATE P.O. Box 370 e Watkins, CO 80137 11/24/10 ESTIMATOR 696 - 9599 Chandler Fax(303)671-6871 SERVICEMAN JQBANF®RMATION - 61LL�IG fNFOi�n�Q�QN_ NAME Edward Serfozo NAME INVOICE# 0 39313 JOB # CALL ORIGIN Co. Sew./Ton L. PO # „ „. - ' KKrs ; ?�<„. ADDRESS 3341 -3351 Yarrow St. ADDRESS CITY Wheatridge ZIP 80033 CITY STATE ZIP IHONE 303- 233 -5325 PHONE ,: '. :.:” ` :' „R�SQRIPYI,OIdOF SERU9CES j. ,. �:a;< a�<�.W� - •.:'�.t..- r..��..,, .._„ ,, E&TJ1VY�.T� , ?;. Excavate /Replace 8' of 4” main drain from the edge of the private concrete sidewalk g 4,000.00 to the edge of the city sidewalk. Approx. 8' long and up to 9' deep. *Includes: Excavation, Plumbers, Laborers, Pipe & Fittings, Bedding, C /O's, Bedding, Backffll, Compaction, Clean -up, Haul Away, Permit and Inspection. * All Items included if needed. WARRANTY Terms of Warranty: ear - Parts & L APPROVAL X SIG NAT E xc u es: Roots & Ground (Acts of Nature) COMMENTS: �[ THANK YOU 8 SUBTOTAL Excludes any landscape, sprinkler repair. E xcludes any private utility repair. TAx THIS AMOUNT $ ITEMS NOT INCLUDED: Landscape, grass, sod, trees, bushes, flowers, plants, fence repair, decorative rock, utility conflicts, private utilities, sprinklers, waterlines, electrical, gas, etc. Not responsible for damage caused by unstable soil, cave-ins or any other complications. TERMS: Job cancellation fees will apply. Invoices are payable -1/2 down and balance upon completion of work performed. Any invoice not paid when due, shall incur interest at the rate of 18% per annum. In the event that it becomes necessary to collect any unpaid balance owed, Pipeline Industries, Inc. shall be entitled to receive all costs of collection, including reasonable attorney fees. Pipeline Industries, Inc. shall be entitled to assert a mechanic's lien for all unpaid materials and labor supplied to building projects pursuant to Colorado law. - SIGNATURE ACCEPTANCE OF INVOICE SIGNATU / ❑ VISA ❑ M/C El AM CARD # EXP APPROVAL # El CASH ❑ CHECK # CHARGE A/R ACCOUNT#