HomeMy WebLinkAbout3690 Eaton StreetINSPECTION 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: a ;2 � &ZV ADDRESS: �) �- f 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
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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
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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:l% ADDRESS: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
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'j-
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.
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: L/ C -
Job Address: :1 to cY r)
Permit Number: -@ o r-70 y g I z/
❑ No one available for inspection: Time = L-1 3M,PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303 -234 -
Date:— t / R / si Inspector: --Fh
DO NOT REMOVE THIS NOTICE
M
�. i CITY. OF WHEAT RIDGE .
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number: _'7jI Off
5
i� �i a- vs -t .I ►:err` k n n iti1 I it I AY �7 - !i
�Mffm
❑ No one available for inspection: Time LA4M
Re -Inspection required:Yes No
When corrections have been made, call for r 'nspectio t o 234-5933
Date: ,ill �� Inspector:
DO NOT REMOVE THIS NOTICE
®� City of Wheat Ridge
I
` Residential Roofing PERMIT - 201704814
PERMIT NO: 201704814 ISSUED: 07/26/2017
JOB ADDRESS: 3690 Eaton ST EXPIRES: 07/26/2018
JOB DESCRIPTION: Residential Re -roof to install GAF Armorshield II , Class 4 asphalt
shingles with 15sq
pitch 4/12
*** CONTACTS ***
OWNER (303)880-7334 PENTICO LANI L
SUB (303)548-5000 Alan Parkes 021001 Roof Corp of Metro Denver Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT*: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,587.00
FEES
Total Valuation 0.00
Use Tax 159.33
Permit Fee 172.60
** TOTAL ** 331.93 --
*** 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.
off`®
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Residential Roofing PERMIT - 201704814
201704814 ISSUED:
3690 Eaton ST EXPIRES:
Residential Re—roof to install GAF Armorshield II
shingles with 15sq
pitch 4/12
07/26/2017
07/26/2018
Class 4 asphalt
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 e property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I furthe ttest that I am legally authorized to include all entities named within this document as parties to the work to be
pert"ormed d th all w e perto is dis o in this document and/or its' accompanying approved plans and specifications.
Signre of O or TRACTOR (Circle one) Date
1. This permit was issued 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 Flans
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.
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 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, an violation of any provision of any
applicable cod any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
a
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Lagenia Reimer
From: no-reply@ci.wheatridge.co.us
Sent: Monday, July 17, 2017 1:08 PM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Danny
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 Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
3690 Eaton St
Lani Pentico
303-880-7334
C'7—��
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
Roofcorp of Metro Denver, Inc.
Contractor's License
021001
Number (for the City of
Wheat Ridge)
Contractor Phone
303-766-2444
Number
Contractor Email Address
permits@roofcorpinc.com
Retype Contractor Email
permits@roofcorpinc.com
Address
DESCRIPTION OF WORK
Are you re-decking the
No
roof?
Description of Roofing
GAF Armorshield Il, Class 4
Material
Select Type of Material:
Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
15
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?
z
TOTAL SQUARES of all 15
roofing material for this
proj ect
Provide additional detail Ptich - 4:12
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 7587
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 Victor Aguilar
Email not displaying correctly? View it in your browser.
3
" 1685 S. Colorado Blvd, Ste 240 6890 South Tucson Way
Denver, CO 80222 Centennial, CO 80112
(303) 766-2444 �OOFCORP
Of Metro Denver Inc.
Not just another house._. 1
It's your homel BBB
AGREEMENT FOR ROOF INSTALLATION -M
Gold Star Award
/J�
A+ Rating
ADDRESS: �0�� wive- S -f. City 1f �f ' fZip n� p�.DATE: I
OWNER���� �i��� SALES REP:
�
am /
PHONE: home.36 ,� O _ -���cell: 36 -372 -;Fs
/ , `� C� work/email: Qt ri[ jYil�te. l� P}•;,/3•L=it',
If this contract is for an insurance or manufacturer defect claim, AGREEMENT SHALL BE CONTINGENT UPON
INSURANCE COMPANY OR MANUFACTURER APPROVAL.
Roofcorp Inc. hereby agrees to supply all materials and labor necessary to install roof as
✓ Tne i d�below:
New roofing material: manufacturer:AJratin :color:
�..�
✓ Remove and dispose of existing layers of shingles wood shake other ,L
✓ Install new manufacturer approved underlayments on entire roof Felt grade shall be #� -�2
✓ Remove existing valley and replace. New valley material shall be 94
✓ New plywood/OSB decking shall _shall not_be installed.
Misc items:
Remove trash and debris from property and use magnetic sweep for nails.
Replace/install new flashing as required by code.
In addition to manufacturer warranty, Roofcorp will provide ❑ 2 06 year transferable workmanship warranty.
shall receive/as� written invoice with lien
,� waiver and 5 year roof certification.
- ). , fl -_P < < , 1. 1, r•�
In the event there are hidden layers of existing roofing found, damaged decking is replaced, dama*d /deteriorated siding is replaced,
code upgrades are required, or other mist repairs are needed, customer understands that Roofcorp shall submit a supplemental claim
to insurance company and shall be paid fill recovered amount of supplemental claim including overhead profit. In the event that
said required additional items are not recovered from insurance company, customer agrees to reimburse Roofcorp for said repairs on
material and labor basis.
Insurance Company/Manufacturer. ) d' �i1.t'� CLAIM # 3ar-e?7
Phone: m-z?z/ Fax: Type Of Loss__
Adjuster
Adjuster Phone
Email:
Full Replacement Coverage Yes -k', No _, Actual Cash Value Coverage Yes _ No k-, Code Upgrade Coverage Yes k No
Roofcorp hereby agrees to replace roof to above specifications fo insurance com any RCV (Replacement Cost Value)
�UASC. YLvsvC�� a".�i 5�y�y '- '1s '
TOTAL $ TOTAL A�D1PROVED B11�11 SURANCE $
Payment terms: Payment is due upon completion and shall be cash or check. In the event the city inspections are delayed,
customer agrees to pay 90% of contract price (or first insurance check) within 10 days of completion and balance once
inspection is closed ou If payment is made with credit card there shall be an a ditio aFe#targe of 1.5% added to balance paid.
By 'I! -Date::?-/34 Own Date:
uthorize Ro corp Agent
PLEASE MAKE ALL PAYMENTS PAYABLE TO "ROOFCORP"
i) Once signed by both parties, this agreement shall become a legally binding. vii) A finance charge of 1.5% per month shall be applied to outstandunc
ii) Replacement of bad decking shall be an additional charge of no less than balances that are not paid within 10 days of invoice, unless waiting for
$40 per sheet. Vents, flashing etc not required by code shall be additional. insurance proceeds. Owner hereby agrees that all insurance prooeeds
iii) This contract constitutes entire agreement. No changes or verbal otherwise shall be paid to Roofcorp for work conducted under this agreement.
shall be part of this contract unless agreed upon by both parties in writing. In the event a claim is approved and owner does not proceed with
iv) Homeowner has the right to cancel this contract in writing within 3 days of installation or materials are restocked, owner shall be responsible to
signing with no penalty. pay a 20% cancellation/restocking fee based on replacement cost
v) Warranties are as stated above and shall be limited to exterior repairs only. value. In addition, owner shall be responsible for all legal, attorney.
Interior damage shall not be covered under said warranties. court and collection agency fees required to collect said debt.
vi) Homeowner is hereby notified to remove all pictures, mirrors, breakables from walls or Said fees shall be added to total amount owed.
shelves. Homeowner also understands that there may be significant amounts of dust and viii) Owner understands that not all claims are approved.
debris which will fall into attic andlor garage and should cover or remove items as necessary.
Initials initials
41 CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number:
❑ No one available for inspection:
Re -Inspection required: YesNo
When corrections have been made, call for
Date: --/%,. , 1 Inspector:_(
FOR OFFICE USE ONLY
City of to . .
h6at jdgi
� a�tavtC3MT DEVELOPMENT
F'&aniperrnPt #
Building & Inspection Services Division
7500 W. 29t' Ave„ Wheat Ridge, CO 80033 filen Review Fee.
Office. 303-235-2855 * Fax; 303-237-8929
Inspection Line.. 303-234-5933 � ..
Building r it Application
Property Address:
_W.
Property Owner (please print):Phone:
Property Owner Email
Mailing Address: (if different than property address)
Address:
City, Bute, i
Architect/Engineer E-mail: P17orre:
Contractors City License #: Phone:
ContractorE-mail Address: -) ", �
Sub Contractors-.
E P drica1: Plumbing: Mecheni 1
r�.R. City License ## W.R. City License ## WR City License ##
Other City Licensed Serb: Other City Licensed Sub:
City License # City License
Complete all information on BOTH sides of this for
RESIDENTIALNEW COMMERCIAL STRUCTURE ELECTRICAL SERVICE UPGRADE
NEW STRUCTURE COMMERCIAL ROOFING
COMMERCIAL ROOFING
RESDENTIAL ADDITION D!
STRUCTURECOMMERCIAL ACCESSORY
RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
PLUMBING
SYSTEM/APPLIANCE
111yY* REPAIR
k' M yik. or s # #
CMENT
�LECTRICAL SYSTEM/APPLIANCE
Pi( REPAIR
F ■Y Xi4 REPLACEMENT
lr • j
#THER.
tl
L� "�, Ldp 8^"�'�� '.. }'� f ""� i...a+,•'� p.r° � `j�. !�{�F"*��,�'k p � .
J
Sq. FULF Stu's Gallons
Amps Squares Other
Cr Current Owner/Occupant
PENTICO L L
03690 EATON ST
WHEAT RIDGE CO 80212
Regarding Permit: 201300717; Bathroom remodel
3690 Eaton ST, Wheat Ridge, CO 80212
Our Records indicate that the above noted permit was issued on 06/03/13. Our last
inspection related to that permit was on 06/14/13.
Because of the inactivity on this permit, it will become void as of 12/31/2015.
Please contact this office within one week from the date of this letter to update us on
the status of this permit, or call for a final inspection on the property. You may call
303-234-5933 or request inspections online at www.ci.wheatridge.co.us. Information needed
are permit number, property address, type of inspection and date to be inspected.
If you do not contact this office, and wish to resume work at a later date, you will be
required to submit a new permit application, drawings with appropriate code edition
information and pay applicable fees. Incomplete or inactive permits may be reported to
agencies such as Jefferson County Assessor, title companies, etc., and could affect future
transactions related to this property.
Thank you for your cooperation concerning this matter. If we can answer any questions,
please don't hesitate to contact us at 303-235-2855, option 7.
Melissa Mackey
Senior Permit Technician
VV I VC L U! 4 6 V. -+,'. ft , UUO r , UU, 1 W
Roucms
Sheathing
. .............. . ......
Lath I Waf tie
Mid-Roof
-- ---------
Pei ctna Service
Rough Oectric
Rough Ph,
Gas Piping
Rough Mechamcal
Ins a be made this card Is posted o building
Call by n the following business •
,sue;... ■.. .:� a�+aw neeaa�r�ra�r
INSPECT A LL SPACES P ERTAINING
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PAYMENT RECEIVED AROUNT
MC / 8719 350.45
A UTH CODE: 05135B
TO TAL 350.45
P s f '# a AT LFMT ONE WEEK PR a,
► a : a " � r #.' 4 !!..
WWI !t
PRO
i ♦ : I . d
d
am
list that entity on this application,
n,
cad tOWNE) WONT1Q'ACTOR
DATE:
Work shall comply with the
following codes: 2006 IRC, 2006
i
Hallways shall have minimum width
of 36".
� � In accordance with 2006 IRC,
Section 8308, safety glazing is
required where indicated on plans.
Minimum 30" clear area for toilet is
r
required with minimum f ofrom. 15"
center to sidewall on each side.
ecker I A minimum of 21 of clear space is
required in front of lavatories. A
' Walls in shower shall have non-
I absorbent finish to 6'above floor.
Minimum 50 CFM exhaust fan
vented to exterior shall be provided
in toilet rooms and bathrooms.
Outlet type, location and spacirM
shall comply with 2006 IRC an'l
2005 NEC.
4
Minimum 50 CFM exhaust fan
vented to exterior shall be provided
in toilet rooms and bathrooms.
Outlet type, location and spacirM
shall comply with 2006 IRC an'l
2005 NEC.
INSPECTION RECORD
OccuaancvlTvpe
'V 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.
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB }
tilt)
..
IONS DATE INSPECTOR COMMENTS: t
FOUNDATIO
INITIALS
Footings /Ca
Plumbing (Underground)
Plumbing
Stemwall / (crete
Heating (Underground)
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
ROUGHS
Sheathing
Encased Gr
Lath /Wall tie
Reinforcing ic
Mid -Roof
Weatherpro Drain
R
Electrical Service
Sewer Servi Water
Rough Electric
Servi
Rough Plumbing
I
rVUK rvu I.ONGRETE V NTIL ABOVE HAS BEE N SIGNED
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
Plumbing
Heating (Underground)
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
ROUGHS
Sheathing
Lath /Wall tie
Mid -Roof
R
Electrical Service
Rough Electric
Rough Plumbing
I
Gas Piping
Rough Mechanical
Framing
ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING
Insulation
Drywall Screw
FINALS
Electrical
Plumbing
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.
" 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
OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
UCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CMD I kOM THE WEATHER
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 2329 FaxJ f
INSPECTION NOTICE SY
Inspection Type: Job Address: 3 4 f,.Q
Permit Number: 42 Z"7/ �7
1
fr
i
i
t
No one available for inspectidn ^ a a AM /PM
Re- Inspection required: Ye No
When corrections have been made ce / f4 re -ins action at 303 -234 -5933
I R
Date: i' Inspector. _
DO NOT REMOVE T I TICE
City of Wheat Ridge
Residential Electric PERMIT - 102717
PERMIT NO: 102717 ISSUED: 12/08/2010
JOB ADDRESS: 3690 EATON ST EXPIRES: 12/08/2011
DESCRIPTION: 150 amp service change -
*** CONTACTS * **
owner 303/467 -2531 James Meeker
sub 720/530 -6250 Jeff Davis 10 -0372 BD Electric LLC
** PARCEL INFO **
ZONE CODE: UA USE: UA
SUBDIVISION: 0460 BLOCK /LOT #: 0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 1,750.00
FEES
Permit Fee 70.70
Total Valuation .00
Use Tax 31.50
** TOTAL ** 102.20
Conditions:
Must comply w/ 2006 IRC & 2005 NEC.
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 part' the work to be performed and that all work to be performed is disclosed in
this document and /or it panyi g ved laps and specifications
s' ac .
� J /O
Signature of OWNER o C04TRXCTIR fircle one) Da4e
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 inspe ui
Signature of e wilding Offical Date
INS REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
12- 08- 10;22;30
City of
Wheat i,ge.
COMMUNITY DEVELOPMENT
3032352857 # 4/ 4
Date.
Plan #
,Building & Inspection Services Division Permit #
7500 W. 29 Ave., Wheat Ridge, CO 80033
Office: 303 -235 - 2855 . Fax: 303 - 237 -8929
Inspection Line: 303- 234 -5933
Building Permit Application
Property Address 3,4 G t) '?!!�44,-� S
Property Owner (please print) J 14 r= S C 4- Ak&e Phone: Z _34
Mailing Address: (if different than property address)
Address:
City, Stat Zip:
�F 2 12
conilacto : 8 r "er A ; _ L C
Contractors City License #: Phone: ? iZ O - S J7 O " e ZZ5
Plumbing:
City License #
Dtion of vrork
escrip l
.S E2vfG+-
City License #
C4044gp
Mechanical:
City License #
Contract Value: 0 e
$ /56 �
Review Fee (due at time of submittal):
quares __ BTU's - ----- - _Gallons ------- Amps 1 :X3 _ Sq Ft. ________ I
OWNER/CONTRACTOR SIGNATURE Ole UNDERSTANDING AND AGREEMENT
I hereby cartify that the setboelc distances proposed by this permit application are accurate and do not violute applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, cusernents or restrictions of record; that all measurements shown and
allegations mude are accurate; that T have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with applicable City or Wheat Ridge codes and ordinances for Work under any permit issued based on
this application;. that T am the legal owner or have been authorized by the legal ownur of the property to perform the described work
mid am also authorized by the legal owner of away entity included on this application to list that entity on this application.
C/RCI ONE (OWAWAY) (CONTRACTOR) PL (AUTHOR17ED RE
PRINT NAME: ' �e'q � . SICNA'rURE:
ZONING COMMENTS:
Zoning:
Reviewer:
Reviewer.
DEPARTMENT USE ONLY
COMMENTS:
Of (OWNER) ( CONTRACTOR)
- DATE: rQ
OCCUPANCY.' `
Bldg Valuation: _lL�.. b ��'
PUeuc WORKS COMMENTS:
Revlewer.
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dl . P. .roved O no,feylexi r@qulrea_�
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