HomeMy WebLinkAbout3571 Parfet StreetINSPECTION RECORD O ccupancy/Type
"WINSPECTION 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.
Electrical
U athing
INSPECTOR MUST SIGN ALL S PACES PERTAINING TO THIS J OB
FOUNDATION INSPECTIONS
DATE
INSPECTOR
INITIALS
COMMENTS:
_
Footings /Caissons
Mid -Roof
Stemwall / (CEG) Concrete
Encased Ground
!
Reinforcing or Monolithic
Electrical Service
Weatherproof / French Drain
Rough Plumbing
Sewer Service Lines.
Gas. Piping
-
Water Service Lines
Rough Mechanical
"'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 N PERMISSION FOR OCCUPANCY.
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
CONCRETE SLAB FLOOR
Electrical (Underground)
Insulation
Plumbing (Underground)
Heating (Underground)
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN DIGNED
ABOVE INSPECTIONS
E SIGNED PRIOR TO PROCEEDING
FINALS -
Electrical
U athing
Plumbing
F GHS
/ Wall tie
Mid -Roof
Roof
!
Building Final
Electrical Service
Rough Electric
Rough Plumbing
R.O.W & Drainage
Gas. Piping
"��,
�'
Parking & Landscaping
Rough Mechanical
"'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 N PERMISSION FOR OCCUPANCY.
Framing
Insulation
Drywall Screw
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN DIGNED
ABOVE INSPECTIONS
E SIGNED PRIOR TO PROCEEDING
FINALS -
Electrical
Plumbing
Mechanical
Roof
Building Final
Fire Department
-
R.O.W & Drainage
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
Parking & Landscaping
"'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 N PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS,CARD;.FROM THE: WEATHER
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
r (303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type: Ron
Job Address:
Permit Number:
❑ No one available for inspect Time ILL, AIw)PM
a Re- Inspection required: Yes No
* When corrections have been made, calf for re-fns cdo at 303at 303
Date: Inspector: >
DO NOT REMOVE THIS NOTICE
` '
� V CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office ' (303) 235 -2857 Fax
INSPECTION NOTICE
Inspection Type: C_.oq,,i
Job Address /Permit Number- we / ?
dim rv'F - � f�tlf� ✓ IT �4't /P��,n L: rrn�� .
3 ❑ No one available for inspection: Time W60 AM M)
Re- Inspection required: 'Yes No
When corrections have been made, call for re- inspection at 303- 234 -5933
f:
Date: I —M Inspector: °,� ,,4
DO NOT REMOVE THIS NOTICE
♦
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line y
(303).235 -2855 Office - (303) 235 -2857 Fax
INSPECTION NOTICE
Inspection Type: r A iYb�
Job Address /Permit Number:
❑ No one available for inspection: Time {)•j�
Re- Inspection required: 'Yes o
l..
When corrections have been made, call for re- inspection at 303 - 234 -5933
NA IN
Date: Inspector:
DO NOT REMOVE THIS NOTICE
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office ` (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: F
Job Address/Permit Number: :3 2/ y~~' rfjt ~ J
❑ No one available for inspection: Time /0;u0 &3M
Re-Inspection required: Yes
(!0)
When corrections have been made, call for re-inspection at 303-234-5933
`a x
Date: - 14', (21 _ Inspector: 2" P L 4 ~Z,
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
r40000r, Residential Roofing PERMIT - 091920
PERMIT NO: 091920`. ISSUED:; 09./02/2009
JOB ADDRESS.:: 3571 PARFET ST. EXPIRES: 03/01/2010
DESCRIPTION: @8.6 sqs. remove and replace of asphalt shingles
***'CONTACTS
Owner 720/329-6320 James/Annette Grimes
PARCEL INFO
ZONE CODE: UA USE: UA
SUBDIVISION:. 0654. :.,BLOCK/LOT#: 0/.
**.FEE SUMMARY "ESTIMATED PROJECT: VALUATION: 5,062.20
s:
FEES
Permit Fee 162.90
Total Valuation .00
Use Tax X91.12
**'TOTAL 254.02
Conditions
6 nail installation & mid-roof inspection required. Board sheathing spaced more
than a 1/2 of an inch apart requires plywood overlay onentire lroof. Ice and
water shield required from'eave edge to 21 inside; exterior walls.'.
I hereby certify that the :setback distances proposed by this permit application are accurate, and do not violate applicable
u 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
appl is lc Vffi t.Ridge Ordinances, 'r work under this permit. Plans subject to field inspection.
i
Srgnat a fcontractor/owner -date
1. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the
State of Colorado and to the zoning Regulations and Building Codes of Wheat Ridge, Colorado or any. other applicable
ordinances of the city.
2. This permit shall expire 180 days from the issue date. Requests for an extension must be. received prior to expiration
date. An extension may be granted at the discretion of the Building Official. -
3. If this permit expires, a new permit may be. acquired for a fee of one-half the amount normally required, provided no
" changes have been or will be made in the original plans and specifications and any suspension or abandonment has not
k exceeded one (1) year If changes have been.. or if suspension or. abandonment exceedsr one. (1) year, full fees shall
be paid for a new permit.
" 4. No work of any manner shall be done that will :change the natural flow of water causing adrainage problem.
3. Contractor shall notify. the Building inspector twenty-four (24) hours in advance. for.. all 'inspections and. shall receive
'written approval on inspection card before proceeding with successive phases of the job.
6. The. issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor
r an. approval of, any vio at" of the provisions of the building codes or any other' ordinance, law, rule or regulation.
All plan review is s o field inspections.
Signature of Chief ldr d Official 'date
x INSPECTION REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855
;:REQUESTS MUST BE MADE BY 3PM ANY BUSINESS 'DAY FORM INSPECTION: THE FOLLOWING BUSINESS DAY.
a:
~r
,F^
:"r.
~oF "'"E^Tgo City of Wheat Ridge Building Division
m 7500 W. 29th Ave., Wheat Ridge, CO 80033
_ Office: 303-235-2855 ' Fax: 303-237-8929
°OtoRPO° Inspection Line: 303-234-5933
Building Permit Application
PropertyAddress; 2j 5/71 AA' k)- St l oaJir
Property Owner (please print): 1. ) p,,,, ril~ 4
Mailing Address: (if different than property address)
Date: Vqt
Plan
Permit #11,
l_v x'3'3
Phone: r2 - '
Address:
City, State, Zip:
Contractor:
Contractor License
Sub Contractors:
Electrical City License
Company:
Phone:
Plumbing City License
Company
Mechanical City License
Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description): Construction Value: $ 5 D(a2-
Description of WOrk„ (as calculated per the Buildinq Valuation Data sheet)
Plan Review (due at t/me of submittal): $
Sq. Ft./L.Ft added: Squares BTU's Gallons Amps
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 1 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.
CIRLCE ONE:: (02)RRACTOR) or PERSONAL R <I
PRINT NAME: r-M1579 SIGNATURE:
of (9WNER) (CONTRATOR)
Date: . ~d.•
Bldg Valuation:
ai
1
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Date : 6/2112000
Property Owner :
Property Address : 3571 PARFET ST Phone : 940-8681
Contractor License No. : 20699
Company : ACTION ELECTRIC CO. Phone : 840-4600
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certiy that the setback distances proposed by this permit application are accurate,
and do not violate applicable orclinances, 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 ayree to abide by all conditions printed on this
application, and that I assume full responsibil~~ty for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridge ordinigipces, fpr w,ork,yndei;*is permR.
(OWNER)(CONTRACTOR)
Description : SERVICE UPGRADE 150 AMP & WIRE A/C UNIT
Construction Value
Permit Fee
Plan Review Fee
Use Tax
Use:
Total
$1,400.00
$50.95
$0.00
$21.00
$71.95
Electrical License No : Plumbing License No : Mechanical License No :
Company: Company: Company:
Expiration Date : Expiration Date : Expiration Date :
Approval: Approval: Approval:
(1) This permit was issued in accordance wiM the provislons set forth in yopur application antl is sub7"ed to the laws of the State of Colorado and to the Zoning
Regulations antl Builtlin~ Code M Wheat Ridge, Colorado or any other applicable ordinances of the City.
(2) This permit shall expire if (A) tlre work authonzetl is not commencetl within sinty (80) tlays from issue tlate or (B) the building authorized is suspendetl or
abandoned for a periad of 120 days.
(3) If this permit eacpires, a new permit may be acquired for a fee of one-half the amount narmally requiretl, provided no changes have heen or will be mada in the
original plans antl speGfications antl any suspension or ebandonment has not exceeOeC one (1) year. If changes are made or if suspension ar abantlonmenf
exceeds one (1) year, full fees shall be paid for a new permil
(4) No work of any manner shall be done that will chan9e the natural flow of water causing a drainage problem.
(5) Contreclor shall notiry the Builtling Inspeclor twenty-four (24) hours in atlvance for all inspectlons antl shall receive written appmval on inspection card before
proceediing with successive phases of ihe 1ob.
(6) The Issuance of a permit or the approval of drawinqs and specifications shall not be consWed to be a permit for, nor an approval of, any violation of the provisions
of the builtlina codas or anv Wher ortlinance, law, rule or regulation.
Building Permit Number : 10725
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Num~.er :
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE 00
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 AppLICATio N
Property Owner: 1-15R S'n
°roperty Address : :?57 / )r,`f/--t~ Phone : 3035 - q 4-(0 -
Contractor License No. : / > Z
CompanY: IqG't/d/-? lG C
Phone:3 -:~'G/p- 416a52
OWNER/CONTRACTOR SIGNATURE OF UNDcRSTANDING AND AGREEMENT
Construction Value : /tfp~~
I nereby certify Nat the setback distances proposed by thia pertnit applieation are accunte,
antl do not violate applipble ordinances, rules or rcgulations of the Ciry of Wheat RiOge or Permit Fee :
Covenant5, ea5ement5 of reSlnCtionS Of fGCOrd; Nat all measuRments shpWn, ]ntl illl9aNOn5
matle are accurate: ihat I have read antl agrce to aDide by all contlRions printeC on Nis Use Tax :
applicanon. and that I auume full rcsponsibiliry for compliance wiM fhe VMeat Ritlge BuiiOing
CoCe (U.B.C.) and all other applidble Wheat Ridge orOinances, for wark untler this permd.
/ TOt81 :
(OWNER)(CONTRACTOR) SIGNED ! GYy1
a,7'E -Z.( ~ USe :
Description ~
.
- BUILDING DEPARTMENT USE ONLY
om _ ,m,_ ~ SIC : Sq. Ft. :
Approvai :
Zoning :
ui
Approval: • '
~fii871S7 .
Approval :
Occupancy : Walls : Roof : Stories : Residential Units :
Eicw Iwi ucense rvo :
Company:RC7[c)n
Plumbing License No :
Company :
Mechanical License No ~
Company:
Expiretion Date :
Approval :
6cpi2tion Date :
Approval:
6cpiretion Date :
Approval :
(1) Thd oumitwmwWn+oeonCeouMlhPwWqsM l0tihn
Roggwili)nll aW Buiqinq Caw of MA~Nt rwur awliueon aro s auq~a m me ims or mw sna a caoraae ana eo ne:s.q
(2) TTa Dem+it a181e:0n d (A) M ra~c autliRiswcalera0e a ary otlr mpYOftaCnanmat tM CM.
a0aneone0 ror a oanoE d 120 OaYS. aRM o not mrmAnceO wMhn svty (!O) a+ri frem iasw Oaro w(B) tne OwMinq aumor¢atl n wtPenCaa a
(7) tt Tn D~nrt ~pma. a n~w P~~t rmN Oe+~9~ lor a M W eiy..lyM IM +nnuirt rwmulH AN~C. ~ ttNes ~ie O~W ro tlu/ppy hwe Oeen er wip Oe maue n 1M
s w 1+ yw.ful ana~e. e• ~•i nMiworpe^~ nas na avaEw a,. (1) y.r. n wiqe, ara maae «a wspanswn a. ae.ea.,.m
~5~ NO« w mne a,ac wla rAiq~ u+. r~uAl now a wa~r uuao~p a~np~ vrmWa
~q ~sM ~~Y-~ R4) hbus n aCVane~ br aN m*P~d+s arq NW nc~iw w~n aPPwal on eppon eaid ONa
ence n
(6) m ~p°~~°,~ apprmm
mae not w mrotru~a e eoa pama kr. nor an approvr a. +nr vwaeon a a» penfian
DE BV~LDING INSPECTION LINE D303 234 593~3 NT
- CI N pF WHEAT RIDGE
' 7500 W 80215A l30 u2 5-2855)
WHEAT RIDGE, CO _
Property Owner :
Property Address : 3571 PARFET ST
Contractor License No. : 20263 rovement Inc.
any ' Norco Home Imp
Building Permit Number : 9178
Date : 7115199
Phone : 233-5375
Phone : 233-5375
Comp •
pWNERICONTRACTOR SIGNATURE OF UNDER g Pe ~~~ap I City ca Ge a EMa e T
ro osed by o} Wheat Ridge or
1 hereby certify that the setback distancesrules or regulations of the and allegations
and do not violate applwable ordinances, that io all abide by all conddions
covenants printed on tei8uilding
th8~ I havte e1ad and agree measurements s o
VJheat Ridg
, eas aments
i ordmances, for work under this perm.
made are aecurete; ~b~ ~ea~ d9e
epplicalion, and that I assume full responsibi~i h' for comphance with the it
it
Code (U.B.C.) and all other aDP pqTE_~
(OWNEFt)(CONTRACTOR) SIGNED
Description : 9 vinyl replacement windows no opening changes
Occupancy : Walls:
Electrical License No :
Company :
Construction Value : $3,975.00
$9725
Permit Fee : $0.00
Plan Review Fee : $59.63
Use Tax :
Total :
Use:
BUILDING DEPARTMENT USE ONLY SIC : Sq. Ft. :
Roof :
Plumbing License No :
Company :
Stories : Residential Units :
Mechanical License No :
Company :
Expiration Date :
Expiration Date : qpproval :
Expiration Date : qpproval :
qpproval :
ur a liwtion and is subjecE to the law
ns s ~ehbud 9 a~onzedojs suspen0ed or 9
Colomdo or any other applicable ordmances of the City ence wRh the provisio set fodh in yop P This permil wea isaued in acco ~eat Rid9e,
Regulehons end BmldinQ Cod uired, provitled no changes have been or will be made in the
(2) Thiy partnB shell ex~f~ of~120 da g~ authorized is not commenced within sixty (60) y tla s from issue ear. If tlate or (B) changes are made or if su spension or abandonment
, e Pe e ~eY, may be acquired for a~e of one-half the amount normally ~q
abantlonedtor
(3) If this perm~ e~P~~6' fi~yons and any suspension or ab;donment f has nol water ezce causing eded a one (1) y tlrainage problem.
i lans and spea itl for a new Pe p~oelve written approval on inspection card before
ongma p
racceeda one Year, full fees ahal e tura ow
proviswns
nner shall be done that will change the na nor an
No woilc of etry ma four 24 hours ~n advance for all inspe ct ~ons an s a
~5j Cont2cWr shall noUN the Bwpldin9lnsfpedopr twenry'
pf0~d°"g W~ $~St a Me apps ovehof drawingsg od fe9Na io°tions shall not be consWed to be a permit for, approval of, any violation of the
(6)1 ?hµie s~.i ~eS w eny other oMinance, law,
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number :
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date :
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 APPLICATIo N
Property Owner :
1"t~y2e4__6_
Property Address :
3 S 7`
Contractor License No. :
119 Q1-2 3
Company :
7s/9 9
_ ~ Phone : 02,3 3- ~J _j 7..5
Phone :
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certiry that the setback distances proposed by this pertnit application are aecurete,
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 accurete; that I have read and agree to abide by all conditions printed on this
application, and that I assume full responsibiliry for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for 3rk under this pertnit11.
(OWNER)(CONTRACTOR) SIGNED "~/Q,.
Description
s~ ~r
Construction Value : y q7~ 60
✓ / ~
Permit Fee :
Use Tax:
Total :
` BUILDING DEPARTMEIVT USE ONLY "
:
~
ZiR~'"~ SIC: Sq. Ft.
Approval:
Zoning :
mldtim ~m
Approval:
Approval:
Occupancy : Wails : Roof : Stories : Residential Units :
Electrical License No : Piumbing License No : Mechanical License ho :
Company: Company: Company:
Expiration Date : Expiration Date : Expiration Date :
Approval : Approval : Approval :
(1) This pertnit was issuetl in accorCance with the provisians set foRh in yopur appliwtion and is su6ject to the laws o! the SUte ot ColoraCO and ro the Zoning
Regulallons antl Builtling Code of Wheat Ritlge, Colwado or any oNer appliwble ordinances of the Ciry.
(2) This permit shall expire if (A) the work authorized is not commenced within sixly (60) days trom issue date ar (B) the building authorizetl is suspentled or
abantlonetl for a peno0 of 120 days.
(3) If this permit expires, a new Oermrt may be acquireC for a fee of one-half the amount nortnaly required, provitletl no changes have been or will be mede in the
onginal plans antl specificalions and any suspensian or abantlonment has not exceetled one (1) year. If changes are maEa or if suspension or aban0onment
exceetls ane (1) year, full fees shall ba paitl fo~ a new pertnil
(4) No xrork of any manner shall be done Nat will change the naWrel fiow o/ water causing a tl2inage problem.
(5) ConVanor shall no6ry the Builtling Inspector Iwenty-four (24) haurs in advance for all inspections an0 shall receive wntten appmval on inspection carC 6efore
proceetliing with successive phases ot the 7ob.
(6) The issuance of a pertnit or the aDProvaI of Eravnngs and specifiratlons shall not be consW etl to be a permit for, nor an approval of, any violation of the provisions
of the buildin9 codes or any other ordinance, law, rule or regulaUon.
Chief Building Inspector
7500WEST29thAVENUE DEPARBUIELOWGF NCOMMUNITY SPECTION DIVISION MENT pERMIT NO.IVl9~
234•5933 P.O. BOX638 CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VAUD ONLY WHEN SIGNED BY THE CWEF BWLDING WSPECTOR ANDRECEIPTEDBEIOW.
JOB ADDRESS 35,2 / Pa r~,- 4S
CONTRACTOR nv'SdlZ
ADDRESS S I ~t2f S}.
CITV `~8R~V1 1 ZIPCODE ~
PHONE LICENAF Nn L L I~~
OWNER ,
ADDRESS -)571 11 i?.
PHONE - GlI ZIPCODE 0dj3
CONTRACT PRICE $
IIATC
1.
TYPE GrounA ❑
Woll❑
Proiettinp❑
Olhsr
S or D Focee
2.
MATERIAL
Tolal SQUOre Faet
SIGNS
3
ILWMINATION Yes❑ No❑
Typs
EIKf. Permit No.
4 SET BACK FROM PROPERTY LINE N
(Splcity whicA is froM )
_
❑
5_ E
❑
_ W
❑ ❑
Zons_
ADDIwad,2on~ Insp~otor
DisaDDrOVSd
1.
TYPE Soli~~ More Than BO% Op&n❑
Less Thon 80% Open
F
MATERIAL_C~ AG!
N
i
ht
62 fi
ENCES
3.
SET BACN FROM PROPERTY LINE N
(SPecify whieh is front)
_
❑
5_ E
❑
W
❑ ❑
p
e
Zons_
,
ADDroved,Zons Inspector
Disopprovsd
I.
OTHER
2
'
a.
DItAW SKETCH OR SNOW BELOW, THE FENCE,SIGN,OR OTHER STRUCTURE, GIVIIrG DISTANCES FROM PROPERTV LINES.
(SETB4CKS OR PROJECTqNS INCLUDED)
RFAR PR/1PFRTV I Mf ~V
v
~ JJ
a
0
°QFe~~i
/eo P rrcVrvI r111Jr[rcl1 Llrve
STREET NAME
2
J ~
) C
~ J
SPECIFY NORTM
~ e e _x~st~"y ~
S,~e ~
5,,~.
~ Pf0PL~C~y.
SHOW DISTANCES FROM THE MAIN BUILDING TQADJOINING HOUSES, STREETS, AND PRpPERTY LINES;ON IRREGULAR LATS, SHOW IEAST
DISTANCE TO PROPERTY UNES, NOT MAXIMUM OR AVERAGE DISTANCE.
APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
THIS APPLICATION WiLL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BY THE BUILDING INSPECTION DNISION.
VERMIT WILL EXPIRE 180 DAVS FROM THE DATE OF ISSUANCE IF WORK IS NOT STARTED WITHIN THAT TIME.
ELECTRICAL PERMIT
STATE LICENSE N0.
PI.UMBiNG PERMIT
STATE UCENSE N0.
MECHANiCAL PERMIT
ALUMINUMVAREVNDERSIZE8ILLEGAL
FLOOR
BSM
I5T
2ND
3RD
4TH
N0.
FUEL:CiNeOnsGotdlROporN ElatSolm
M0.
WATER CLOSET
FORCED AIR - BTU
TEMPORARY METER
WASH BOWL
HOT WATER - BTU
NEW SERVICE - AMPS
BATH TUB
STEAM - BTU
CHANGE SERVICE-AMPS
SHOWEF
AIR CONDITIONING-BTU
LIGHTING
SINK
OTHER
HEATING
GARBAGE DISP
REFRIGERATION SVSTEM
POWER SUB-CIFCUITS
WATER HEA7ER
Refri aranl Group
UTILI7Y(RANGE,DISPOSER,ETC.)
AUTO. WASHER
Fbunds CAor s
FIXTURES
DISH WASHER
AUTOMATIC SPRINKLER SYSTEM
WIRING MOTORS 9 CONTROLS
FIOOR DRAIN
EIEVATOR
SIGNS
URIN?L
TRANSFORMERS 9 RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FIXTURES
REMARKS
I Asreby acknowledQe thot this aDplico-
ti0n u torrect and undentand that I
comnot ,fa,t fhi, p.ojeCt until this appli_
cafion is apOroveE. I sholl comply wifh
fAs laws 01 the Slofe of Colorado and t
the Zoninp ReQulationa and Bmldin <
Code ofthe City of Wheat Ridqe. An
violalion of the above ferme will wuse
immediate revowhon oi fnh Oermit
PERMIT FEE
USE TAX
BUILDING INSPECTOR,City of Wheat Ridqe
l
d~~+ Date Issued
L ~
91 moq ~
NQT VALiD UNIESS RECEIMED
0.
i1~v
CALL 2345933
24 HOURS IN ADVANCE
FOR INSPECTIONS