HomeMy WebLinkAbout4335 Newland Street1* � � i City of Wheat Ridge
E -Res. Water Heater Replcmnt PERMIT - 202101148
PERMIT NO: 202101148 ISSUED: 06/08/2021
JOB ADDRESS: 4335 Newland St EXPIRES: 06/08/2022
JOB DESCRIPTION: Replace 40 gallon gas water heater in basement. 40K BTU's
*** CONTACTS ***
OWNER (303)422-9965 MATTHEWS JACKI E K
SUB (303)688-1897 ANDY SWAN 150271 SWAN HEATING & AIR DENVER
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 31110.00
FEES
Hot Water Heater 40.00
Total Valuation 0.00
Use Tax 65.31
** TOTAL ** 105.31
*** COMMENTS ***
*** CONDITIONS ***
Both the front and back of this permit are required to be posted on the job site at all
times. If the complete permit is not present, inspections WILL NOT be performed.
Work shall comply with 2018 IRC & 2020 NEC. Smoke alarms shall comply with 2018 IRC Section
134. Interior alterations, repairs, fuel -fired appliance replacements, or additions, any of
which require a building permit, occurs or where one or more rooms lawfully used for
sleeping purposes shall have an operational carbon monoxide alarm installed within fifteen
feet of the entrance to each room lawfully used for sleeping purposes.
1* � 4 41'
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
E -Res. Water Heater Replcmnt PERMIT - 202101148
202101148
ISSUED: 06/08/2021
4335 Newland St EXPIRES: 06/08/2022
Replace 40 gallon gas water heater in basement. 40K BTU's
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�permrt. I further attest that I am leg ally 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, 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 requ�ired
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, anviolation of any provision of any
pplicab e code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
06/08/2021
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Meagan Jenkins
Permit Coordinator
ww Shenbea[ tie
Tel ie(303)688189) m
Address 6810 N. Broadway St Denver GO 80221
CON IDEN iwuiv NOTICE This, mail message including any attachments, is forme sore use of the intended retlplentslsl and may
contain confidential and legally privileged information Any unauthorized review copy us, disclosure or distribution is prohibited. If you
are not the intended recipient pleas, notify the sender Immediately and date[, the email from your computer without etammg any
copies or destroying at copies of the original message.
From: CommD,v Permits OP,nmcspiclwb,amag, a. us,
Sent Monday, lune J, 20213'49 PM
To: Swan Permits Goerml6@sayar beetingcoi Commi Permits OPennl6@clwheamage m us,
Subject RE' Online Form Submittals Water Heater Replacement Permit Application
Good afternoon,
I just wanted to follow up to see If you have been able to obtain the updated general liability and workers compensation Insurance
showingthe Gry of Wheat Ridge as additionally Insured Once we obtain this, wewlll than just need to obtain payment so we an process
your permit.
1hankyou and be afel
Justin Bary
Building Division
Office Proud 303-235-2855
Office Hours: "]arrr-4pm
�'Wheatj RL
Counm DEVELOPMENT
From: Swan Permits re(rvrnobeaFig nor>
Sent Friday, May 28, 20213'15 PM
To: CommD,v Permits OPenn'rsraa wb,atr ace a us
Subject RE' Online Form SubiI Water Heater Replacement Permit Appl lation
ihankyoul
Meagan Jenkins
Permit Coordinator
ww Swanbea[ tie
Tel ie(303)688189) m
Address 6810 N. Broadway St Denver CO 80221
CON IDEN iwuiv NOn CE' This ,mail message incl ual ng any attachments, is for the sin, us, of the intended retlpl en[slsl and may
contain confusion and Iegally privileged Reformat on Any unauthorized review copy us, bad parte or distribution Is prohmlted. If you
are not the Int,nd,d recipient please notify the sander Imm,al stay and dale[, the email from your computer without etaining any
copies or destroying at coat,a of the original message.
From: CommD,v Permits OPenn'rsraa wit date cc us
Sulged:
RE CHHR Fears sell Water Heater Replacement armu Podouon
on.
TWadj orm 8, 202 18 41 52 AM
Hai raw
Meagan Jenkins
Permit Coordinator
ww Shenbea[ tie
Tel ie(303)688189) m
Address 6810 N. Broadway St Denver GO 80221
CON IDEN iwuiv NOTICE This, mail message including any attachments, is forme sore use of the intended retlplentslsl and may
contain confidential and legally privileged information Any unauthorized review copy us, disclosure or distribution is prohibited. If you
are not the intended recipient pleas, notify the sender Immediately and date[, the email from your computer without etammg any
copies or destroying at copies of the original message.
From: CommD,v Permits OP,nmcspiclwb,amag, a. us,
Sent Monday, lune J, 20213'49 PM
To: Swan Permits Goerml6@sayar beetingcoi Commi Permits OPennl6@clwheamage m us,
Subject RE' Online Form Submittals Water Heater Replacement Permit Application
Good afternoon,
I just wanted to follow up to see If you have been able to obtain the updated general liability and workers compensation Insurance
showingthe Gry of Wheat Ridge as additionally Insured Once we obtain this, wewlll than just need to obtain payment so we an process
your permit.
1hankyou and be afel
Justin Bary
Building Division
Office Proud 303-235-2855
Office Hours: "]arrr-4pm
�'Wheatj RL
Counm DEVELOPMENT
From: Swan Permits re(rvrnobeaFig nor>
Sent Friday, May 28, 20213'15 PM
To: CommD,v Permits OPenn'rsraa wb,atr ace a us
Subject RE' Online Form SubiI Water Heater Replacement Permit Appl lation
ihankyoul
Meagan Jenkins
Permit Coordinator
ww Swanbea[ tie
Tel ie(303)688189) m
Address 6810 N. Broadway St Denver CO 80221
CON IDEN iwuiv NOn CE' This ,mail message incl ual ng any attachments, is for the sin, us, of the intended retlpl en[slsl and may
contain confusion and Iegally privileged Reformat on Any unauthorized review copy us, bad parte or distribution Is prohmlted. If you
are not the Int,nd,d recipient please notify the sander Imm,al stay and dale[, the email from your computer without etaining any
copies or destroying at coat,a of the original message.
From: CommD,v Permits OPenn'rsraa wit date cc us
Sent Ftltlay, May 28, 20212'57 PM
To: swan Permits m rcraw.,nhaspun>: Cori Permits <Pe, rcrarlwbean dne spin,
Subject: REE online Form Submittal E Water Heater Replacement Permit Application
We go with the data of when your state and master Ilrense expires. We may not need to take a fee but we do need updated Ilrense
Information and Insurance Information.
Pen Contractor IS0271 ISWAN HEATDVG d AIR DENISE%
Contractor Licenses NotesFaalmlb6 Resume
CLB Plumbing
APPIIae00n6
Stearns
Stearns
License No:
Contractor No:
Real
Conga
Company Name:
SWAN HEATING 6 AIR DENVER
scecid DescnpDon:
Omer Name:
ANDREWSWAN
3320
Insurer Name:
MIDWEST FAMILY
Spate License Expiration Dale:
Insurance Expiration Dow
06 /01 1N21
Gene Parvelland Jamie Iverson
Western Insurer Name:
PINNACOL
V lA omp Expeal on Date:
O8 /D1 12020
02 128 12021
Bond Expiration Date:
/ e
Exam Fee Paid:
000
No c
Warning Neb:
1 1
License Fee Paid:
CMnr
❑Print Usages
This
W 117 12020
from
No c
License Class:
CLB Plumbing
License steeps:
FA -1 Pull
License No:
1W271
❑Rmp ULlwnw
License Expel admn Date:
08 131 12021
scecid DescnpDon:
slate License No:
3320
License XMes:
Persona autlouseJb pull permits. Andy Sean,
Spate License Expiration Dale:
02 128 12021
Gene Parvelland Jamie Iverson
Mailer License No:
600240
Master License Explodon Dale:
02 128 12021
Exam Fee Paid:
000
Exam Fee Paid Dale:
1 1
License Fee Paid:
100.00
❑Print Usages
License Fre Paid Dale:
W 117 12020
11ackyou and be safel
Fuson Bary
Building Division
OfficePhone 303-235-2855
Office Hours: 7am-4pm
uUNnYD!Eykw
CMp PMwlLrlge
From: Swan Permits m re(rvrnnbea ,
Sent Fdday, May 28, 201
PM
To: CommDeu Permits D enn'rsrac whatr, doe a us
Subject: REE online Form Submittal E Water Heater Replacement Permit Application
Hello
Our license shows that it expires in 8/31 of 2021.
Meagan Jenkins
Permit Coordinator
sweatyShenhilatingicQuO
Tel (303) 6881897
Address 6850 N. Broadway St Denver m 80221
CONFIDENTIALITY NOTICE This ,mail message including any attachments, is for the Able use of the intended rio plentslsl and may
contain confidential and legally privileged information Any unauthorized review copy us, disclosure or distribution is prohibited. If you
are not the intended recipient pleas, Fotif the sender Immediately and delete the ,mel from your computer without etammg any
copies or destroying all copies of the original message.
From: CommDeu Permits <Hd rcrav wheal ad as
Sent Friday, May 28, 2021251 PM
To: Sian Permits Goenn tseDswanhea[ tie com
Cc : CommD,v, Permits <EiF rcrmn wbeafrnee so do,
Subject: RE' online Form Submittal Water Heater Replacement Permit Application
Good afternoon,
Your contractor license with the clry has expired Please use the link below to submit an application to renew it so we an process with
issuingyour permit
Tharkyou and be afel
Justin Bary
Building Division
OfficePhone 303-235-2855
Office Hours: 7an-4pm
Wheat _4dge
CoM not brDivFborMurr
From: no reply@ t wheatrdee co us dno rpplv@ci wheats dee m us
Sent Friday, May 28, 2021243 Has
To: CommDes, Permlcs<HdrotErav wbeafrdee ad as
Subject: online Forth Submittal Water Heater Replacement Permit Application
Water Heater Replacement Permit Application
This application Is exclusively for RESIDENTIAL REPLACEMENT WATER
HEATERS- LIKE FOR LIKE ONLY.
YOU MUSTATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN
ORDER FOR THE PERMIT TO BE PROCESSED.
Your Permit wilI be emailed to the email address provided below once it Is
pro cesseit
THIS APPD CATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTI L PERMIT HAS BEEN ISSUED.
Is this application for a Yes
rept acement water heater
like for like?
PROPERTY I NF ORM ATI ON
Property Address 4335NEWLANDSTREETWHEAT RIDGE C080033
Property owner Name RUSSELL MATHEWS
Property Owner Phone (303)688189]
Number (enter WITH
clashes, el 123A567)
Property Owner Emai l
PER MITSQSWANH EATING COM
Address (Leave blank If not
known)
Attach City of Wheat Ridge
Electronic Payment Form - Revised 5-1-20
Electronic Payment Form-
Billable 202005011620013849 202006081141368198.odf
**DO NOT ATTACH A
PICTURE OF A CREDIT
CARD**
CONTRACTOR INFORMATION
Contractor Business Name
SWAN H EATIN G AN D AIR
Contractor's License
150271
Number (This Is a 5 or 6
digit numberforthe City of
Wheat Ridge)
Contractor Phone Number
(303)688-1897
(enter W ITH dashes, eg
303-123-4567)
Contractor Email Address
PER MITSOSWAN H EATING.COM
Retype Contractor Email
PERMITS®SWAN HEATING COM
Address
DESCRIPTION OF WORK
Number of gallons
40
Is the water heater GAS or
GAS
ELECTRIC?
If GAS, enter# of BTUs. If
40000
electric, enter n/a
Where is the water heater
BASEMENT
located (for example,
basement, cmwlspace,
etc)?
Project Value (contract
3110
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assumefull responsibility
Yes
for compliance with
applicable City of Wheat
Ridge codes and ordinances
forwork under cry permit
Issued based on this
application.
I understand that work may
Yes
not begin on this property
until a permit has been
Issued and posted on the
property.
certifythat I have been Yes
authorized bythe legal
owner of the property to
submit this application and
to perform the work
described above.
I attest that everything Yes
stated In this application Is
true and correct and that
falsifying information in this
application is an act of
fraud and may be
punishable byfine,
Imprisonment, or both.
Person Applyingfor Permit MEAGAN JENKINS
Email not displaying correctly? View it in Your browser.
City of Wheat Ridge
Residential Roofing PERMIT - 201700867
PERMIT NO: 201700867 ISSUED: 05/25/2017
JOB ADDRESS: 4335 Newland ST EXPIRES: 05/25/2018
JOB DESCRIPTION: Reroof house and shed; Duration storm shingles - Onyx Black - 15 squares
*** CONTACTS ***
OWNER (303)422-9965 MATTHEWS JACKIE K/RUSS
GC (866)970-1133 Joseph Hoffman 090194 Hoffman Weber Construction Inc
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,855.00
FEES
Total Valuation 0.00
Use Tax 69.39
Permit Fee 109.20
** TOTAL ** 1.78.59
*** 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 k/2 -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 manufacturera€rms 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's 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.
rn 1 C�)n I 'Inn %0 i
ZA INSPECTION RECORD
t_ _f5 INSPECTION REQUEST LINE: (303) 234-5933
Occupant y/T�pe
Inspeletions will not be performed unless this card is posted on the project site.
Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector
Initials
Comments
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Plumbing
Do Not Pour
Concrete Prior To Approval vt l ne Above Inspections
Underground/Slab Inspections
Date Inspector
Initials
Comments
Electrical
Sewer Service
Plumbing
Lath / Wall Tie
Do Not Cover Underaround or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Mid -Roof
Lath / Wall Tie
Rough Electric "
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw / Nail
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
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.
**For Inspection Time Window — Please email insp imereq,uest ci.wheatridge.0 -US by 8:00 A.M. the mornin_p of the
inspection with the property address in the subject line of the email. Time window is based on the inspector's route.
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: 3 P I / C Pr, I Al K I /
Job Address: q335 AC-uXAJ1Q ST
Permit Number: 217 00�(�>
tl ff r s s K vd 4-� . C c.), -7 ic 7c�
J was Tv I I �s� 011(t d 56(-1K, A
LAorJtY,, )-us /hyt1,%7/or_. co- (,,& cAll
❑ No one available for inspection: Time 04P2 ( PM -
Re -inspection required:Y e No
When corrections have been made, call for re -inspection at 303-234-5933
Date: 7/5//? Inspector: 6A r
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
_1�9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 9 0 r
Job Address: 4/3- S NEE. t IL-12 S
Permit Number: -2. 017 Q Q `�6
4
f -� I-
C
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes i No
When corrections have been made, call for re -inspection -at 303-234-5933
Date: -.Inspector: 1 �.
DO NOT REMOVE THIS NOTICE j
City of Wheat Ridge N"9q
Residential Roofing PERMIT - 201700867
PERMIT NO: 201700867 ISSUED: 05/25/2017
JOB ADDRESS: 4335 Newland ST EXPIRES: 05/25/2018
JOB DESCRIPTION: Reroof house and shed; Duration storm shingles - Onyx Black - 15 squares
*** CONTACTS ***
OWNER (303)422-9965 MATTHEWS JACKIE K/RUSS
GC (866)970-1133 Joseph Hoffman 090194 Hoffman Weber Construction Inc
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,855.00
FEES
Total Valuation 0.00
Use Tax 69.39
Permit Fee 109.20 4 1% i ELF_
* * TOTAL * * 178.59
*** 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 j1% -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 manufacturera€ms 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's 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.
City of Wheat Ridge
Residential Roofing PERMIT - 201700867
PERMIT NO: 201700867 ISSUED: 05/25/2017
JOB ADDRESS: 4335 Newland ST EXPIRES: 05/25/2018
JOB DESCRIPTION: Reroof house and shed; Duration storm shingles - Onyx Black - 15 squares
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. 1 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
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 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 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 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.
.• City of
�Wheat dge
COAAMUNn-y DEVELOPMENT
Building & Inspection Services Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 ` Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: perm its(a)ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date:
Plan/Permit #
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: �/ 3 36 ,1 j r)aL R'03-5
If
Property Owner (please print): RA -5 O'g., Phone: 3o 3- y2Z-91*3
Property Owner Email:
Mailing Address: (if different than property address)
Address:
, State, Zi
r,MiTi 1 . I 1117
Architect/Engineer E-mail:
Phone:
Contractor: k�ren,n �Llrn
Contractors City License #: 096 Phone:_
Contractor E-mail Address:
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
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 ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION 9RESIDENTIAL 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.)
✓ 70J\ P ✓h S��n�t�$
Sq. FULF }ios6 Btu's
Amps Squares
0.1yx 19/Li�
Gallons
S+,s Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$ 35,2-6
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 provi the application.
CIRCLE ONE: (OWNER) CC0NfT__,)Er (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Electronic Signature (first and last name): DATE: —5 �7
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
♦ 1, A i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 235 -2857 Fax
3r
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number:
❑ No one available for inspection: Time AM /PM
Re- Inspection required: Yes No
* When corrections have been made, call ' for rr re-Inspection at 303 - 234 -5933
Date: ,? ''Inspector:
OT REMOVE THIS NOTICE
1 / ♦ V11ty of Wh,MQ*'J2;A9sn
PIP
City of Wheat Ridge Building Division
m 7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-235-2857
c o Inspection Line: 303-234-5933
OCORPD
Building Permit Application
Date: d ~ d7- M
Plan
Permit
Property Address: '4336' APwAnN ij t )A--
Property Owner (please print): TOLOK 'P dLtq,4h e&&6 Phone: y t~ _99Lcr
Mailing Address: (if different than property address)
Address:
State,
Contractor: I2)- ~I kiI)mP. Ei rribrC
Contractor License Phone:3G / 364-15ILI
Sub Contractors:
Electrical City License Plumbing City License Mechanical City License
Company: Company Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description): Construction Value: $
Description' of work: Qe jr0a pf-.` 91j (as calculated per the Building Valuation Data sheet)
14941" "a 44ch i~Hs , t (aver Plan Review (due at time of submittal): $
3o V r d G
Sq. Ft./L.Ftadded: Squares 14 BTU's Gallons Amps
OWNERICONTRACTOR 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 (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection. A
CIRLCE ONE:: (OWNER) CONTRACTOR) r PERSONAL REPRESENTATIVE of 1V ER) ( ONTRATO
PRINT NAME: Afr Dale n') SIGNATURE: l Date: 711 d
DEPA(2TME iUSE ONL
ZONING-COMMENTS r ,
t
.
. . . . . .
Cfty
of Wheat Ridge
Res.
Miscellaneous PERMIT -
071221
ptRi, ~IT NCl:
041$21
. ISSUED:
EXPIRSS:
11/07/2007
05/05/2008
ii6g 0~ gg:
.4335 NEWLAND ST
Dg5C~3p'C3p2d:
Xnetall 9a
e line and gas stove
Jackie Matthews
3t33(935=1617 Ronald Florez
02-2421 Florez Heating & Gas Works
vn
-0404
L
USE: UA
BLOCK/LOT#: 0/
ESTIMATED PROJECT VALUATION:
FEES
108.30
.00
41.40
149.70
2,300.00
~tie~~33
'line and gas stove
cCthe eetback diatances proposed by this permit application are accurate, and do not violate applicable
. ,
:Y¢9ulatione of the City of wheat Ridge or covenante, eaeementa oi reetrictione of iewrd; that all
allegatione made are accurate; that I have zead and agree to abide by all conditione printed onthie
;,',Iagume fua.Y' reaponeibility for compliance with the Wheat xidge Building Code (I.B.C) andall other
1ddnanc!'e'. for work under thia pezmit. 21ana eubject to field inepection.
Y! tl~:. 41711CZYlCkOY/owner date
' sub~ect to thelicahle
Tktis gaL~nit itaa 16eued in accordance with the provieione ee9 forth in youz applica[ion and Sa
~4t'a f the
te af fR'i1C~+Idoand to the Zoning Regulatione and Buildin Codee of Wheat nidge, Coloxado or another app
oi4SAdngE1f 4f C4lCitY. .
! .
~y;g ~#feit:'s41a11espire 180 daye from the ieeue date. Requeete for an exteneion muet be received prior to expiration
:~~~,.,~{p•~qrt6lan may be 9ranted at trie discretion of the Building Official. .
rmit mabe acquired for a fee of one-half the amount nornally required, pzovided no
t ~Ip qh;y ~~p p~[pSree, a new Pe Y
CkldGgaB kwe ~eest or will be made in the original plane and epeclficatione and any euepeneion or abandonment hae not
03 pna (})year. If changea have been or if auepeneion or abandonment exceede one (1) year, full feee ehall
~he y&i41LOr:a.ri0w...pexmit. b.JNO waifc OS aga' m?nnes ehall be done that will change the natural flow of water Caueing a drainage pzoblem.
i. COnGiaCroY NsAl};-nOtify the Building Inepector twenty-four (24) houre in advance for all inepectione and ehall receive
;~wp(~~~.gy~rqvay.on inepection card befoze proceeding with euccesaive phases of the job. nor
~ ~ y~~yp~4 p{ a permit or the approval of drawinge and epecificatione ehall not be conetruedlaW brule or mregulation.
ieiona of Che building codee or any othet ozdinance,
~Spgj>yg,1 Of, dnq viola[ on of the prov
yi ~
IAll pl#Iii ilvl!~..ie e eC Eield inapectione.
~ date
g1c,~itula Of ChfkS B di Official
ST LINB: (303)234-5933 BUILDING OFFICE: (303)235-2855
o M+#(',MiYtS -~9E MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
oFW"EAr~, City of Wheat Ridge Building Division
7500 W. 29'h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855' Fax: 303-235-2857
~ Inspection Line: 303-234-5933
C~~ORPOO
Building PermitApplic
Property Address: J -3 25 C ~ Irr~~` ~ary ~
Property Owner (please print):
Mailing Address: (if different than
Sub Contractors:
Electrical City License
Company:
Exp. Date:
Use of space (description): L
Description of work: /-A-0
Ge
Sq. Ft.ILFt added:
Squares
address)
Plumbing Ciry License
Company
Exp. Date:
Approval:
t~
BTU's _
Construction Value:
(as calculated per tbe B
7:Date: (/J ZZ
ne:
Mechanical City License
Company:
Exp. Date:
Review (due at time of submittal): $
Gallons Amps
OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT ate the
l measu~relments sholwnnand
rate r leseo~r golfatoos of thetCrty odiseat RPd9e~orcovena~ntseeasemeotsaol~r stnc6ons of record; that talviol
allegations made are accurate; that I have read and agree to ablde by all condilions prinled on this application and ihal I assume full
responsibility for compliance with the Wheat Ridge Buildln9 Code (I.B.C) and all other applicable VJheat Ridge Ordinances, for work
under this permit. Pians subject to field inspection.
-
CIRLCE ONE:; (OWN~R) (CO (QTOR) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRA
- ,¢`.,.._...../t•:'-.-- ._._SIGNATURE: Date:
PRINT NMh~'~ r
DEPARTMENT USE ONLY
ZONING COMMENTS'.
Zoning.
Reviewec
PUBLIC WORKS COMMENTS'.
Reviewer.
OCCUPANCY: _
BUILDING DEPARTMENT COMMENTS:
Reviewer.
Bldg Valuation: b
FIRE DEPnRTMENT:: ❑ approved wl comments ❑ disapproved 0 no review required
Contractor License c~~~ Phone:
.f3"U11u111~ t~.l uii ~ 1 ys~y
CTTY OF WHEAT RIDGE ! 10/21/2005
7500 West 29TH Avenue °
Wheahidge, CO 80033 rspection Line
303-235-2855 303-234-5933
Residential Electric
Russel MaYhews (303) 422-9965
Amp oveihead service change
_L
Due
~Paid
1$21,60 _J
~'$58.34 _
-
$58.34 ~
-
_ jm.94
~ -
jLicense #
Phone
119569
T000_935-5495 ~
~yyxpy mtlty that We xtback d'ulvnres proposed by cNs permit vpplintion are occunh, md do mt vialah nppLcabk ardinmces, rviea or rcgulvtiona oftAe Ciry of
'Wypt BW(e yr rnvwut; euemmte or restrafiana of rcrord, [hee nll mcnuremene shown, and dlegnelons mntle vre mmunm, lhv[ t have rud ana agree mebhda Ey
a {O\dlHOe1 qislM on this applfwtinn, and Iavt I auume PoII respamibihty Por campLmre mlh [he WM1cat Wdge 8uilJlng CoJe (U &G) mA W o[har vppLCable
{YAu[ Nd{e ordiooece+, for wark un4er this Permit ~
i ~ SIED `Z DE
_~y?...
'-~(O. ~(C ~ CTO
'rybperml(wulrmedinnccordancewhM1Oeprovkianenetfor[hinyourapPlin[ionauJissubJecttothehx'sofcheSlateofCalorndomdmlheTnning
Rqnbtlom md eullding Code of W he+, R:Age. Colondo or any a1M1er apphoble ordinanaes af eM1e City.
, 3 . TbUpvmtl,halleipire if(A)fheworkeulharozedisnotcomivcncetlwllAinrixty(60)deystromiemadarem(8)thebuildingnuthoruetl4auspwdeJOr
- Waodaued{prapedoDOf130Ja}s.
3~ ~ If thl/ pe'mit eaPirc4 . new penml mry be vaqulretl far a@e of onnhmf [he vmaunt normally rtqmrcd, providetl m chvnges M1eve been ar will be mmde m the
" origtsal phm md apmitlutions nnJ my auspenswn or abmdommant hvs nol exceeded one (I) year. if ehmees are mnde or if suspenslon or abandonmmc
. estteN me (Q yeaq full feee sbv0 be paitl for . new pamic .
4 PowMCOfmymmuersM1a116eJOnefhatwi0ahmgethennlunlilowofwatercvusing+droinneeproblem
.2 CmtrufOeMdlmtlfyOeBuildinetnspetlorlwenty-faur(E4)M1OUnlnatlvanttforalllnspecliowmtlshnllrtttrvewnttrnapprowloninspMionnrEbefore
prpneftLwlNeucmsnxPhasesoflheJob . .
, 6 1Lelauanro of e permrt or the n drawipgS d p ifinHOns sM1nll m[ be cans[rved lo ba a yermil foq nor in approvnl af, vny vidalion of IM1e
p'pvbloeutlAebuilAmgc o tM1er Inanc b rvleorreguVtwn.
"101.
cbktaewm`wpr.erorr aI
Friday, October 21, 2005 Page 1 of 1
x;" - ;
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Numbec
oF W"EA' BUILDING INSPECTION LTNE - 303-234-5933 Date:
~ a CTTY OF WFIEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-285r5,y)+F
~at oa Ao~ f~rTU~4~i ION Property Owner:
Properiy Address: L43 3~O NCW ~~'nd ST. 150C)S3 Phone :"J-y L2 -
Contractor License No.: L, 3
CompanY: 6(e.C~-ri Phone:?~
OWNER/CON'I'RACTOR SIGNA'I'URE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances pmposed by this pennit application aze accurate,
and do notviolate applicable ordinances, rules or regulations ofthe Ciry of Wheat Ridge or
covenan[s, easemenu or reshictions ofrecord; that all meazurements shown, and allegations
made ace accurate; that I have read and agree to a6ide by all conditions printed on this
application and that I azsume full responsibility for compliance with the Wheat Ridge
Building Code (U.B.C) and all other applicable Wheat Ridge Oidinances, for work under
this permit. !
(OWNER)(COa`5+,"CTOR):SIGNID DATE /b~
Descriprion: Zco os^P
ConstructionValue:$ j'2p(~j
Permit Fee:$
Plan Review Fee:$
Use 1'ax:$
TOt31'$
BUILDING DEPARTMENT USE ONLY
SIC: Sq.Ft.:
ZONING COMMENTS:
Approval:
Zoning:
BUILDING COMMENTS: .
Approval:
pUBLIG WORKS COMMENTS:
Approval:
Occupancy: Walls: Roof: Stories: Residential Units:
Electrical License No: Plumbing License No: Mechanical Liceose No:
:
PanY: Company
Company:Cu..~c1\e,~6', Com
Expirarion Date: ExPirarion Date: Expiration Date:
A roval:
Annroval: Approval: pP
(I) ihis permit was issued iv accordance witli the proviaions set forth in your appGcaeon and is subjwt ro tlie laws of the Stam of Colorado and m the Zoning
Regulafions and Buildin6 Codes of Wheat Ridgy Colorado or any othu applicable ordinances of Ne Ciry.
(Z) 17us permit sliall ezpae if (A) the work autlhoriud is wt commenced within sixty (60) days from issue date or (B) the building anNorized is suspended or
abandoned for a period of 120 days.
(3) If tlus pemit exp'ves, a new pamit may be acqnired for a fee of one-Iialf tlie vnount nomally rtqnired, pmviAed no changes have been or will be made m
the original pla¢s andspecifications and any suspenson or abandonmene 6as not exceeded one (1) year. ifchanees ha, been or if aisvension nr nhmuAaninem
exceeds one (1) yew, fvll fees shall be paid for a new pemit.
(q) No work of any maonm's6ai1 be done that will change ihe namral flow of water causing a drninage problem.
(5) Contracrorshffilnotlfye6eBuildinglnspecrorhvenry-foiv(24)hoursinadvanceforallinspectlonsandshallrecervewrittenapprovalonmspeclioncardbefore
proceeding with successive phases of thejob.
(6) The issuance of a pennit or tLe approval of drawings and specifications shall not be construed ro be a pennit for, nor an approval of, any violanon of the
pmvisious of the building codes or any oWer ord'wance, lew, sule or regula¢ou.
BuIlding Inspector
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