HomeMy WebLinkAbout4341 Marshall Streeti 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: q'-2)(4
Permit Number: (Ok OkZr_> �(
❑ No one available for inspection: Tim Q_0PM
Re -Inspection required: Yes 0o
When corrections have been made, c lI for re -inspection at 303-234-5933
Dat 7 �Inspect
DO NOT REQ Z 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:" > ! N
Job Address: 43 q � I`r'��2f�►F� c �®
Permit Number:
❑ No one available for inspection: Time 1� T.AM/P
Re -Inspection required: Yes( . o
When corrections have been made, call for re -inspection at 303-234-5933
Date: 6 `j Inspector:
DO NOT REMOVE THIS NOTICE
M
A( CITY OF WHEAT RIDGE
7w Ir Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTIQN NOTICE
l I s c r� a✓
Inspection Type: 1- i�'1 0 , s� 0 �-
Job Address:
Permit Number: 2 0 ) 9 O 0 Ll :� !°
a
❑ No one available for inspection: Time 4 E_ M
Re -Inspection required: Yes
i'
When corrections have been made, call for re -inspection at 303-234-5933
Date:—T-/9'4 9 Inspector: __F L,
DO NOT REMOVE THIS NOTICE
s CITY OF WHEAT RIDGE
VuiFng 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: Time -9 'M
Re -Inspection required: Yes ,-
*When corrections have been made, call for re -inspection at 303-234-5933
Date: `� }' �``) Inspector: r"- ---
DO NOT REMOVE THIS NOTICE
i CITY OF WHE4 RIDGE
building Inspect8n Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTIOFT NOTICE
Inspection Type: (- • )`'jC--1-
Job Address: l
Permit Number: ;X -f-7 7
❑ No one available for inspection: Time ,A
Re -Inspection required: Yes6p
When corrections have been made, call for re -inspection at 303-234-5933
Date: � _ �inspector: e"-7
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
�(303)
Building Inspection Division
(303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: ' �-.l�1 C
JobAddress: 7H-(�
Permit Number: Q � _"�a
r
❑ No one available for inspection: Time PWPM
-_ '
Re -Inspection required: Yes,No
When corrections have been made, q'all for re -inspection at 303 -234 -
Date: Inspec
DO NOT REM VE THIS NOTICE
lv�ile CITY OF WHEATRIDGE
wilding Inspect o Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
iZ� TI` NOC E
Inspection Type: G
Job Address:
Permit Number:
L�
❑ No one available for inspection ;TirTtp --' M
Re -Inspection required: Ye
When corrections have been made, call for re -inspection at 303-234-5933
Date: Inspector: /_' )__ — _
DO NOT REMOVE THIS NOTICE
o, ®s CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: J
Job Address:
Permit Number:
y
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date:—)' 2 /)"'I Inspector:
E
DO NOT REMOVE THIS NOTICE
Arr
April 8, 2019
Eddie Garcia
4341 Marshall Street
Wheat Ridge, CO 80003
�OIKo0y3�
Arch Group Consulting, LLC
2434 South Coors Street
,s s, Lakewood, CO 80228
City of Phone: 720-308-3428
Wheat WFax e720-282-5995
ir
COMMUNITY DmLopmeNT
APPROVED
Reviewed for Code Compliance
Plans Examiner pate
"Aft 21 WEs: The :csuannol.oem*womawnofobnssprc6lmrioro
&Id Coln 0V*n%shoAnor be aper+Wf0: a on opwowlof any viakoon to
any 018he provisions of ft 8uxdvp code vrof ony Coy ordxWnCes. pennRs
PMUMBp to give outrwrky to v -Wt 0fC~ rhe provisions of the aviidirp
:rS,nonces 010W City $ wtt not he vWid.
RE: Structural Inspection of Residential Interior Support Wall System
Dear Mr. Garcia:
At your request, a structural inspection and evaluation of the interior main level supporting wall system of your
residence at 4341 Marshall Street in Wheat Ridge, Colorado was conducted on Thursday, April 4, 2019 at
2:30pm by Ben Archuletta, P.E. of Arch Group Consulting, LLC. The purpose of the inspection was to evaluate
the possibility of removing an interior wall to accommodate a new plan renovation of the kitchen and dining
room area of the residence.
The east facing ranch style single family home is comprised of brick veneer and concrete masonry (CMU)
construction with mature landscaping surrounding the lot. Access to view the roof supporting elements was
provided by an attic entry located within the garage area of the residence. Upon review of the roof supporting
elements at the residence it was noted that the structural arrangement is comprised of a pitched 2x6 wood
rafters located at a maximum of 24 -inches on center. The main interior bearing wall was located within the
residence spanning in the north/south direction. The interior east/west wall planned for removal separates the
existing kitchen and dining room area.
It can be concluded from the observation and structural arrangement of the interior wall framing system,
including partition wall elements, that the interior east/west wall separating the existing kitchen from the dining
room area may be removed to accommodate the new plan layout of the renovation. The separating wall
planned for removal is not a structural bearing wall and can be considered an interior non-bearing partition wall
of the residence.
The opinions and findings expressed in this report are based upon the information available at the time of the
investigation and are the result of limited non-destructive visual inspections of the exposed building
components. As such, Arch Group Consulting, LLC reserves the right to modify the conclusions contained
herein upon receipt or discovery of additional evidence. This report is site-specific and valid only for the date of
inspection and for the structural elements observed at the location stated above. The conclusions and
recommendations provided in this report should not be considered a warranty or guarantee, implied or
expressed.
Sincerely,
�� b 4 / xz�o
Ben D. Archuletta, P.E.
President
51
city of
Wheat Ride
Building Division
City of Wheat Ridge
Homeowner Interior Remodel PERMIT - 201900438
PERMIT NO: 201900438 ISSUED: 04/03/2019
JOB ADDRESS: 4341 Marshall St EXPIRES: 04/02/2020
JOB DESCRIPTION: Convert garage to 3rd bedroom, relocate bathroom and laundry room; 300 sq
ft total
*** CONTACTS ***
OWNER (303)521-4797 GARCIA EDWARDO
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 30,000.00
FEES
Total Valuation 0.00
Plan Review Fee 324.71
Use Tax 630.00
Permit Fee 499.55
** TOTAL ** 1,454.26
*** COMMENTS ***
*** CONDITIONS ***
I, the property owner, by my signature, attest that I currently reside at the project
property, intend to reside at the property for a period of one year after completion of the
project, and am personally performing all work, without the assistance of hired or
professional workers. If professionals are hired, those contractors are licensed with the
City of Wheat Ridge and are listed on the permit. Consultations and inspections will only
be performed with the homeowner of record present.
All roughs to be done at Framing Inspection.
Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all
applicable City of wheat Ridge Municipal Codes. Work is subject to field inspections.
City of Wheat Ridge
N Homeowner Interior Remodel PERMIT - 201900438
PERMIT NO: 201900438 ISSUED: 04/03/2019
JOB ADDRESS: 4341 Marshall St EXPIRES: 04/02/2020
JOB DESCRIPTION: Convert garage to 3rd bedroom, relocate bathroom and laundry room; 300 sq
ft total
I, by m 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 1 am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performpd,and that a 1 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 p_fans 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 maybe subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Budding 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 code or any ordina 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.
City of
Wheat � dge
COMMUNtTy DEVELOPMENT
Building & Inspection Services
7500 W. 29"' Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: perm its(cDci.wheatridge.co.us
I FOR OFFICE USE ONLY I
Date: 3/)9//9
Plan/Permit # l (,,t of �3
a� `V 3
Plan Review Fee: � -•I
� � q,
Building Permit Application
*** Complete all applicable highlighted areas on both sides of this form.
Incomplete applications may not be processed. ***
Property Address:
Prooertv Owner
Property Owner Email
q1 Am"(44
r -
f C c1 Phone:
.3
,S70J
Tenant Name (Commercial Projects Only)
Property Owner Mailing Address: (if different than property address)
Address: S •% A
City, State, Zip:
Arch itect/Enaineer: S L Lp
Architect/Engineer E-mail:
Contractor Name:
City of Wheat Ridge License #:
Phone:
Phone:
Contractor E-mail Address:
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print): Phone:
CONTACT EMAIL(p/ease print):
Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form):
Electrical: Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
Complete all highlighted fields, if applicable.
❑COMMERCIAL 6RESIDENTIAL
Provide description of work: For ALL projects, provide a detailed description of work to be
performed, including current use of areas, proposed uses, square footage, existing condition and
proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.
r -i -IW r-. , i2 10 <a+ � -,�
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Sq. FULF 3Q0 BTUs / Gallons
Amps Squares For Solar: KIN # of Panels Requires Structural
For Commercial Projects Only: Occupancy Type: Construction Type:
Occupancy Load: Square Footage:
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$ 3c) I- ( -t. .1ia-j-LC�ci 15
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ON (OWNER) CONTRACTOR) or ( UTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Signature (first and last name): J �-�— DATE .J/' <r /z-c'yf
Printed Name:
DEPARTMENT USE ONLY
ZONING COMMMENTS: OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE: S�
Reviewer:
BUILDING DEPARTMENT COMMENTS: ]� ry V r? t� VV ")q L VA
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
`b
Building Division Valuation: 1< `, C c> O
�-
City of
r wheat ji!djgle
COMMUNITY DEVELOPMENT
Official Certification of Property Owner Permit
THIS IS TO CERTIFY that I, the property owner, by my signature, attest that I currently
reside at the project property, or intend to reside at the property for a period of one year after
completion of the project, and am personally performing all work, without the assistance of
hired or professional workers, or, if hiring sub -contractors, list them on the permit.
Consultations and inspections will only be performed with the homeowner of record present at
the project property.
Property Owner(s):
Project Property: q-3 c4 /
6
L 1 I -]
Project Type: ee
1
rized signature of Applicant
State of Colorado }
County of ss
The foregoing instrument was acknowledged by me this i g* day of rvicJ-c 20-Lby
TAMARA D ODEAN
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID 20164015481
MY COMMISSION EXPIRES APRIL 22, 2020
My Commission Expires t aa,20ad
Notary Public
Form No. 1402.06 R, Policy Page 1
ALTA Owner's Policy (6-17-06) Policy Number: 3184025
1100302PO50600
u� ,pry
OWNER'S POLICY OF TITLE INSURANCE
ISSUED BY
First American Title Insurance Company
Any notice of claim and any other notice or statement in writing required to be given to the Company under this policy must be
given to the Company at the address shown in Section 18 of the Conditions.
COVERED RISKS
SUBJECT TO THE EXCLUSIONS FROM COVERAGE, THE EXCEPTIONS
FROM COVERAGE CONTAINED IN SCHEDULE B AND THE
CONDITIONS, FIRST AMERICAN TITLE INSURANCE COMPANY, a
Nebraska corporation (the "Company's insures, as of Date of Policy
and, to the extent stated in Covered Risks 9 and 10, after Date of
Policy, against loss or damage, not exceeding the Amount of
Insurance, sustained or incurred by the Insured by reason of:
1. Title being vested other than as stated in Schedule A.
2. Any defect in or lien or encumbrance on the Title. This Covered
Risk includes but is not limited to insurance against loss from
(a) A defect in the Title caused by
(i) forgery, fraud, undue influence, duress, incompetency,
incapacity, or impersonation;
(ii) failure of any person or Entity to have authorized a
transfer or conveyance;
(iii) a document affecting Title not properly created,
executed, witnessed, sealed, acknowledged, notarized, or
delivered;
(iv) failure to perform those acts necessary to create a
document by electronic means authorized by law;
(v) a document executed under a falsified, expired, or
otherwise invalid power of attorney;
(vi) a document not properly filed, recorded, or indexed in
the Public Records including failure to perform those acts
by electronic means authorized by law; or
(vii) a defective judicial or administrative proceeding.
(b) The lien of real estate taxes or assessments imposed on the
Title by a governmental authority due or payable, but unpaid.
(c) Any encroachment, encumbrance, violation, variation, or
adverse circumstance affecting the Title that would be
disclosed by an accurate and complete land survey of the
Land. The term "encroachment' includes encroachments of
existing improvements located on the Land onto adjoining
land, and encroachments onto the Land of existing
improvements located on adjoining land.
3. Unmarketable Title.
4. No right of access to and from the Land.
5. The violation or enforcement of any law, ordinance, permit, or
governmental regulation (including those relating to building and
zoning) restricting, regulating, prohibiting, or relating to
(a) the occupancy, use, or enjoyment of the Land;
(b) the character, dimensions, or location of any improvement
erected on the Land;
(c) the subdivision of land; or
(d) environmental protection
if a notice, describing any part of the Land, is recorded in the
Public Records setting forth the violation or intention to
enforce, but only to the extent of the violation or enforcement
referred to in that notice.
6. An enforcement action based on the exercise of a governmental
police power not covered by Covered Risk 5 if a notice of the
enforcement action, describing any part of the Land, is recorded
in the Public Records, but only to the extent of the enforcement
referred to in that notice.
7. The exercise of the rights of eminent domain if a notice of the
exercise, describing any part of the Land, is recorded in the
Public Records.
8. Any taking by a governmental body that has occurred and is
binding on the rights of a purchaser for value without Knowledge.
9. Title being vested other than as stated in Schedule A or being
defective
(a) as a result of the avoidance in whole or in part, or from a
court order providing an alternative remedy, of a transfer of
all or any part of the title to or any interest in the Land
occurring prior to the transaction vesting Title as shown in
Schedule A because that prior transfer constituted a
fraudulent or preferential transfer under federal bankruptcy,
state insolvency, or similar creditors' rights laws; or
(b) because the instrument of transfer vesting Title as shown in
Schedule A constitutes a preferential transfer under federal
bankruptcy, state insolvency, or similar creditors' rights laws
by reason of the failure of its recording in the Public Records
(i) to be timely, or
(ii) to impart notice of its existence to a purchaser for value
or to a judgment or lien creditor.
10. Any defect in or lien or encumbrance on the Title or other matter
included in Covered Risks 1 through 9 that has been created or
attached or has been filed or recorded in the Public Records
subsequent to Date of Policy and prior to the recording of the
deed or other instrument of transfer in the Public Records that
vests Title as shown in Schedule A.
The Company will also pay the costs, attorneys' fees, and expenses
incurred in defense of any matter insured against by this policy, but
only to the extent provided in the Conditions.
First American Title Insurance Company
&oinis i Gilmote
President
Jeffrey S Robinson
,ecretary
Form No. 1402.06
ALTA Owner's Policy (6-17-06)
EXCLUSIONS FROM COVERAGE
The following matters are expressly excluded from the coverage of this policy, and
the Company will not pay loss or damage, costs, attorneys' fees, or expenses that
arise by reason of:
1. (a) Any law, ordinance, permit, or governmental regulation (including those
relating to building and zoning) restricting, regulating, prohibiting, or
relating to
(i) the occupancy, use, or enjoyment of the Land;
(ii) the character, dimensions, or location of any improvement erected on
the Land;
(iii) the subdivision of land; or
(iv) environmental protection;
or the effect of any violation of these laws, ordinances, or governmental
regulations. This Exclusion 1(a) does not modify or limit the coverage provided
under Covered Risk 5.
(b) Any governmental police power. This Exclusion 1(b) does not modify or
limit the coverage provided under Covered Risk 6.
2. Rights of eminent domain. This Exclusion does not modify or limit the
coverage provided under Covered Risk 7 or 8.
3. Defects, liens, encumbrances, adverse claims, or other matters
(a) created, suffered, assumed, or agreed to by the Insured Claimant;
(b) not Known to the Company, not recorded in the Public Records at Date of
Policy, but Known to the Insured Claimant and not disclosed in writing to
the Company by the Insured Claimant prior to the date the Insured
Claimant became an Insured under this policy;
(c) resulting in no loss or damage to the Insured Claimant;
(d) attaching or created subsequent to Date of Policy (however, this does not
modify or limit the coverage provided under Covered Risks 9 and 10); or
(e) resulting in loss or damage that would not have been sustained if the
Insured Claimant had paid value for the Title.
4. Any claim, by reason of the operation of federal bankruptcy, state insolvency,
or similar creditors' rights laws, that the transaction vesting the Title as shown
in Schedule A, is
(a) a fraudulent conveyance or fraudulent transfer; or
(b) a preferential transfer for any reason not stated in Covered Risk 9 of this
policy.
5. Any lien on the Title for real estate taxes or assessments imposed by
governmental authority and created or attaching between Date of Policy and
the date of recording of the deed or other instrument of transfer in the Public
Records that vests Title as shown in Schedule A.
CONDITIONS
1. DEFINITION OF TERMS
The following terms when used in this policy mean:
(a) "Amount of Insurance": The amount stated in Schedule A, as may be
increased or decreased by endorsement to this policy, increased by
Section 8(b), or decreased by Sections 10 and 11 of these Conditions.
(b) "Date of Policy": The date designated as "Date of Policy" in Schedule A.
(c) "Entity": A corporation, partnership, trust, limited liability company, or
other similar legal entity.
(d) "Insured": The Insured named in Schedule A.
(i) The term "Insured" also includes
(A) successors to the Title of the Insured by operation of law as
distinguished from purchase, including heirs, devisees, survivors,
personal representatives, or next of kin;
(B) successors to an Insured by dissolution, merger, consolidation,
distribution, or reorganization;
(C) successors to an Insured by its conversion to another kind of
Entity;
(D) a grantee of an Insured under a deed delivered without
payment of actual valuable consideration conveying the Title
(1) if the stock, shares, memberships, or other equity interests
of the grantee are wholly-owned by the named Insured,
(2) if the grantee wholly owns the named Insured,
(3) if the grantee is wholly-owned by an affiliated Entity of the
named Insured, provided the affiliated Entity and the
named Insured are both wholly-owned by the same person
or Entity, or
(4) if the grantee is a trustee or beneficiary of a trust created
by a written instrument established by the Insured named
in Schedule A for estate planning purposes.
Policy Page 2
Policy Number: 3184025
(ii) With regard to (A), (B), (C), and (D) reserving, however, all rights
and defenses as to any successor that the Company would have had
against any predecessor Insured.
(e) "Insured Claimant": An Insured claiming loss or damage.
(f) "Knowledge" or "Known": Actual knowledge, not constructive knowledge
or notice that may be imputed to an Insured by reason of the Public
Records or any other records that impart constructive notice of matters
affecting the Title.
(g) "Land": The land described in Schedule A, and affixed improvements that
by law constitute real property. The term "Land" does not include any
property beyond the lines of the area described in Schedule A, nor any
right, title, interest, estate, or easement in abutting streets, roads,
avenues, alleys, lanes, ways, or waterways, but this does not modify or
limit the extent that a right of access to and from the Land is insured by
this policy.
(h) "Mortgage": Mortgage, deed of trust, trust deed, or other security
instrument, including one evidenced by electronic means authorized by
law.
(i) "Public Records": Records established under state statutes at Date of
Policy for the purpose of imparting constructive notice of matters relating
to real property to purchasers for value and without Knowledge. With
respect to Covered Risk 5(d), "Public Records" shall also include
environmental protection liens filed in the records of the clerk of the
United States District Court for the district where the Land is located.
0) "Title": The estate or interest described in Schedule A.
(k) "Unmarketable Title": Title affected by an alleged or apparent matter that
would permit a prospective purchaser or lessee of the Title or lender on
the Title to be released from the obligation to purchase, lease, or lend if
there is a contractual condition requiring the delivery of marketable title.
2. CONTINUATION OF INSURANCE
The coverage of this policy shall continue in force as of Date of Policy in favor
of an Insured, but only so long as the Insured retains an estate or interest in the
Land, or holds an obligation secured by a purchase money Mortgage given by a
purchaser from the Insured, or only so long as the Insured shall have liability by
reason of warranties in any transfer or conveyance of the Title. This policy shall not
continue in force in favor of any purchaser from the Insured of either (i) an estate
or interest in the Land, or (ii) an obligation secured by a purchase money Mortgage
given to the Insured.
3. NOTICE OF CLAIM TO BE GIVEN BY INSURED CLAIMANT
The Insured shall notify the Company promptly in writing (i) in case of any
litigation as set forth in Section 5(a) of these Conditions, (ii) in case Knowledge
shall come to an Insured hereunder of any claim of title or interest that is adverse
to the Title, as insured, and that might cause loss or damage for which the
Company may be liable by virtue of this policy, or (iii) if the Title, as insured, is
rejected as Unmarketable Title. If the Company is prejudiced by the failure of the
Insured Claimant to provide prompt notice, the Company's liability to the Insured
Claimant under the policy shall be reduced to the extent of the prejudice.
4. PROOF OF LOSS
In the event the Company is unable to determine the amount of loss or
damage, the Company may, at its option, require as a condition of payment that
the Insured Claimant furnish a signed proof of loss. The proof of loss must describe
the defect, lien, encumbrance, or other matter insured against by this policy that
constitutes the basis of loss or damage and shall state, to the extent possible, the
basis of calculating the amount of the loss or damage.
DEFENSE AND PROSECUTION OF ACTIONS
(a) Upon written request by the Insured, and subject to the options contained
in Section 7 of these Conditions, the Company, at its own cost and without
unreasonable delay, shall provide for the defense of an Insured in
litigation in which any third party asserts a claim covered by this policy
adverse to the Insured. This obligation is limited to only those stated
causes of action alleging matters insured against by this policy. The
Company shall have the right to select counsel of its choice (subject to the
right of the Insured to object for reasonable cause) to represent the
Insured as to those stated causes of action. It shall not be liable for and
will not pay the fees of any other counsel. The Company will not pay any
fees, costs, or expenses incurred by the Insured in the defense of those
causes of action that allege matters not insured against by this policy.
(b) The Company shall have the right, in addition to the options contained in
First American Title Insurance Company
Form No. 1402.06
ALTA Owner's Policy (6-17-06)
Section 7 of these Conditions, at its own cost, to institute and prosecute
any action or proceeding or to do any other act that in its opinion may be
necessary or desirable to establish the Title, as insured, or to prevent or
reduce loss or damage to the Insured. The Company may take any
appropriate action under the terms of this policy, whether or not it shall
be liable to the Insured. The exercise of these rights shall not be an
admission of liability or waiver of any provision of this policy. If the
Company exercises its rights under this subsection, it must do so
diligently.
(c) Whenever the Company brings an action or asserts a defense as required
or permitted by this policy, the Company may pursue the litigation to a
final determination by a court of competent jurisdiction, and it expressly
reserves the right, in its sole discretion, to appeal any adverse judgment
or order.
DUTY OF INSURED CLAIMANT TO COOPERATE
(a) In all cases where this policy permits or requires the Company to
prosecute or provide for the defense of any action or proceeding and any
appeals, the Insured shall secure to the Company the right to so
prosecute or provide defense in the action or proceeding, including the
right to use, at its option, the name of the Insured for this purpose.
Whenever requested by the Company, the Insured, at the Company's
expense, shall give the Company all reasonable aid (i) in securing
evidence, obtaining witnesses, prosecuting or defending the action or
proceeding, or effecting settlement, and (ii) in any other lawful act that in
the opinion of the Company may be necessary or desirable to establish
the Title or any other matter as insured. If the Company is prejudiced by
the failure of the Insured to furnish the required cooperation, the
Company's obligations to the Insured under the policy shall terminate,
including any liability or obligation to defend, prosecute, or continue any
litigation, with regard to the matter or matters requiring such
cooperation.
(b) The Company may reasonably require the Insured Claimant to submit to
examination under oath by any authorized representative of the Company
and to produce for examination, inspection, and copying, at such
reasonable times and places as may be designated by the authorized
representative of the Company, all records, in whatever medium
maintained, including books, ledgers, checks, memoranda,
correspondence, reports, e-mails, disks, tapes, and videos whether
bearing a date before or after Date of Policy, that reasonably pertain to
the loss or damage. Further, if requested by any authorized
representative of the Company, the Insured Claimant shall grant its
permission, in writing, for any authorized representative of the Company
to examine, inspect, and copy all of these records in the custody or
control of a third party that reasonably pertain to the loss or damage. All
information designated as confidential by the Insured Claimant provided
to the Company pursuant to this Section shall not be disclosed to others
unless, in the reasonable judgment of the Company, it is necessary in the
administration of the claim. Failure of the Insured Claimant to submit for
examination under oath, produce any reasonably requested information,
or grant permission to secure reasonably necessary information from third
parties as required in this subsection, unless prohibited by law or
governmental regulation, shall terminate any liability of the Company
under this policy as to that claim.
OPTIONS TO PAY OR OTHERWISE SETTLE CLAIMS; TERMINATION
OF LIABILITY
In case of a claim under this policy, the Company shall have the following
additional options:
(a) To Pay or Tender Payment of the Amount of Insurance.
To pay or tender payment of the Amount of Insurance under this policy
together with any costs, attorneys' fees, and expenses incurred by the
Insured Claimant that were authorized by the Company up to the time of
payment or tender of payment and that the Company is obligated to pay.
Upon the exercise by the Company of this option, all liability and
obligations of the Company to the Insured under this policy, other than to
make the payment required in this subsection, shall terminate, including
any liability or obligation to defend, prosecute, or continue any litigation.
(b) To Pay or Otherwise Settle With Parties Other Than the Insured or With
the Insured Claimant.
(i) To pay or otherwise settle with other parties for or in the name of an
Insured Claimant any claim insured against under this policy. In
addition, the Company will pay any costs, attorneys' fees, and
expenses incurred by the Insured Claimant that were authorized by
the Company up to the time of payment and that the Company is
obligated to pay; or
(ii) To pay or otherwise settle with the Insured Claimant the loss or
damage provided for under this policy, together with any costs,
Policy Page 3
Policy Number: 3184025
attorneys' fees, and expenses incurred by the Insured Claimant that were
authorized by the Company up to the time of payment and that the
Company is obligated to pay.
Upon the exercise by the Company of either of the options provided for in
subsections (b)(i) or (ii), the Company's obligations to the Insured under this
policy for the claimed loss or damage, other than the payments required to be
made, shall terminate, including any liability or obligation to defend, prosecute,
or continue any litigation.
8. DETERMINATION AND EXTENT OF LIABILITY
This policy is a contract of indemnity against actual monetary loss or damage
sustained or incurred by the Insured Claimant who has suffered loss or damage by
reason of matters insured against by this policy.
(a) The extent of liability of the Company for loss or damage under this policy
shall not exceed the lesser of
(i) the Amount of Insurance; or
(ii) the difference between the value of the Title as insured and the value
of the Title subject to the risk insured against by this polity.
(b) If the Company pursues its rights under Section 5 of these Conditions and
is unsuccessful in establishing the Title, as insured,
(i) the Amount of Insurance shall be increased by 10%, and
(ii) the Insured Claimant shall have the right to have the loss or damage
determined either as of the date the claim was made by the Insured
Claimant or as of the date it is settled and paid.
(c) In addition to the extent of liability under (a) and (b), the Company will
also pay those costs, attorneys' fees, and expenses incurred in accordance
with Sections 5 and 7 of these Conditions.
LIMITATION OF LIABILITY
(a) If the Company establishes the Title, or removes the alleged defect, lien,
or encumbrance, or cures the lack of a right of access to or from the
Land, or cures the claim of Unmarketable Title, all as insured, in a
reasonably diligent manner by any method, including litigation and the
completion of any appeals, it shall have fully performed its obligations
with respect to that matter and shall not be liable for any loss or damage
caused to the Insured.
(b) In the event of any litigation, including litigation by the Company or with
the Company's consent, the Company shall have no liability for loss or
damage until there has been a final determination by a court of
competent jurisdiction, and disposition of all appeals, adverse to the Title,
as insured.
(c) The Company shall not be liable for loss or damage to the Insured for
liability voluntarily assumed by the Insured in settling any claim or suit
without the prior written consent of the Company.
10. REDUCTION OF INSURANCE; REDUCTION OR TERMINATION OF
LIABILITY
All payments under this policy, except payments made for costs, attorneys'
fees, and expenses, shall reduce the Amount of Insurance by the amount of the
payment.
11. LIABILITY NONCUMULATIVE
The Amount of Insurance shall be reduced by any amount the Company pays
under any policy insuring a Mortgage to which exception is taken in Schedule B or
to which the Insured has agreed, assumed, or taken subject, or which is executed
by an Insured after Date of Policy and which is a charge or lien on the Title, and
the amount so paid shall be deemed a payment to the Insured under this policy.
12. PAYMENT OF LOSS
When liability and the extent of loss or damage have been definitely fixed
accordance with these Conditions, the payment shall be made within 30 days.
13. RIGHTS OF RECOVERY UPON PAYMENT OR SETTLEMENT
(a) Whenever the Company shall have settled and paid a claim under this
policy, it shall be subrogated and entitled to the rights of the Insured
Claimant in the Title and all other rights and remedies in respect to the
claim that the Insured Claimant has against any person or property, to the
extent of the amount of any loss, costs, attorneys' fees, and expenses
paid by the Company. If requested by the Company, the Insured Claimant
shall execute documents to evidence the transfer to the Company of these
rights and remedies. The Insured Claimant shall permit the Company to
sue, compromise, or settle in the name of the Insured Claimant and to
use the name of the Insured Claimant in any transaction or litigation
involving these rights and remedies.
If a payment on account of a claim does not fully cover the loss of the
Insured Claimant, the Company shall defer the exercise of its right to
recover until after the Insured Claimant shall have recovered its loss.
First American Title Insurance Company
Form No. 1402.06
ALTA Owner's Policy (6-17-06)
(b) The Company's right of subrogation includes the rights of the Insured to
indemnities, guaranties, other policies of insurance, or bonds,
notwithstanding any terms or conditions contained in those instruments
that address subrogation rights.
14. ARBITRATION
Either the Company or the Insured may demand that the claim or controversy
shall be submitted to arbitration pursuant to the Title Insurance Arbitration Rules of
the American Land Title Association (Rules'. Except as provided in the Rules,
there shall be no joinder or consolidation with claims or controversies of other
persons. Arbitrable matters may include, but are not limited to, any controversy or
claim between the Company and the Insured arising out of or relating to this
policy, any service in connection with its issuance or the breach of a policy
provision, or to any other controversy or claim arising out of the transaction giving
rise to this policy. All arbitrable matters when the Amount of Insurance is
$2,000,000 or less shall be arbitrated at the option of either the Company or the
Insured. All arbitrable matters when the Amount of Insurance is in excess of
$2,000,000 shall be arbitrated only when agreed to by both the Company and the
Insured. Arbitration pursuant to this policy and under the Rules shall be binding
upon the parties. Judgment upon the award rendered by the Arbitrator(s) may be
entered in any court of competent jurisdiction.
15. LIABILITY LIMITED TO THIS POLICY; POLICY ENTIRE CONTRACT
(a) This policy together with all endorsements, if any, attached to it by the
Company is the entire policy and contract between the Insured and the
Company. In interpreting any provision of this policy, this policy shall be
construed as a whole.
(b) Any claim of loss or damage that arises out of the status of the Title or by
any action asserting such claim shall be restricted to this policy.
(c) Any amendment of or endorsement to this policy must be in writing and
authenticated by an authorized person, or expressly incorporated by
Schedule A of this policy.
Policy Page 4
Policy Number: 3184025
(d) Each endorsement to this policy issued at any time is made a part of this
policy and is subject to all of its terms and provisions. Except as the
endorsement expressly states, it does not (i) modify any of the terms and
provisions of the policy, (ii) modify any prior endorsement, (iii) extend the
Date of Policy, or (iv) increase the Amount of Insurance.
16. SEVERABILITY
In the event any provision of this policy, in whole or in part, is held invalid or
unenforceable under applicable law, the policy shall be deemed not to include that
provision or such part held to be invalid, but all other provisions shall remain in full
force and effect.
17. CHOICE OF LAW; FORUM
(a) Choice of Law: The Insured acknowledges the Company has underwritten
the risks covered by this policy and determined the premium charged
therefore in reliance upon the law affecting interests in real property and
applicable to the interpretation, rights, remedies, or enforcement of
policies of title insurance of the jurisdiction where the Land is located.
Therefore, the court or an arbitrator shall apply the law of the jurisdiction
where the Land is located to determine the validity of claims against the
Title that are adverse to the Insured and to interpret and enforce the
terms of this policy. In neither case shall the court or arbitrator apply its
conflicts of law principles to determine the applicable law.
(b) Choice of Forum: Any litigation or other proceeding brought by the
Insured against the Company must be filed only in a state or federal court
within the United States of America or its territories having appropriate
jurisdiction.
18. NOTICES, WHERE SENT
Any notice of claim and any other notice or statement in writing required to be
given to the Company under this policy must be given to the Company at 1 First
American Way, Santa Ana, CA 92707, Attn: Claims Department.
POLICY OF TITLE INSURANCE
S 1 A � � � 1
C,
First American Title Insurance Company
Form No. 1402.06
ALTA Owner's Policy (6-17-06)
SCHEDULE A
First American Title Insurance Company
Name and Address of Title Insurance Company:
First American Title Insurance Company
1 First American Way
Santa Ana, CA 92707
Policy Page 5
Policy Number: 3184025
File No.: 5506-3184025 Policy No.: 3184025
Address Reference: 4341 Marshall Street, Wheat Ridge, CO 80033
Amount of Insurance: $400,000.00
Date of Policy: March 04, 2019 at 5:00 p.m.
1. Name of Insured:
Edwardo Garcia
2. The estate or interest in the Land that is insured by this policy is:
Fee Simple
3. Title is vested in:
Edwardo Garcia
4. The Land referred to in this policy is described as follows:
See Exhibit "A" attached hereto and made a part hereof.
First American Title Insurance Company
Form No. 1402.06 Policy Page 6
ALTA Owner's Policy (6-17-06) Policy Number: 3184025
EXHIBIT A
File No.: 5506-3184025 Policy No.: 3184025
The land referred to in Schedule A is situated in the County of Jefferson, State of Colorado and is
described as follows:
LOT 29, KEITH SUBDIVISION, COUNTY OF JEFFERSON, STATE OF COLORADO.
First American Title Insurance Company
Form No. 1402.06
ALTA Owner's Policy (6-17-06)
File No.: 5506-3184025
SCHEDULE B
Policy Page 7
Policy Number: 3184025
Policy No.: 3184025
EXCEPTIONS FROM COVERAGE
This Policy does not insure against loss or damage, and the Company will not pay costs, attorneys' fees, or
expenses that arise by reason of:
1. Taxes for the year 2019 and subsequent years. Taxes not yet due or payable.
2. Unpatented mining claims; reservations or exceptions in patents or in Acts authorizing the issuance
thereof.
3. Any water rights, claims of title to water, in, on or under the land.
4. Covenants, conditions, restrictions and easements, if any, which do not contain a forfeiture or
reverter clause, (deleting any restrictions indicating any preference, limitation or discrimination based
on race, color, religion, sex, handicap, familial status or national origin) as contained in instrument
recorded May 3, 1948 in Book 8 at Page 6 and any and all amendments and/or supplements thereto.
5. Notes and easements as shown on the Plat of Keith Subdivision recorded May 3, 1948 in Plat
Book 8 at Page 6.
6. Terms, agreements, provisions, conditions, obligations, easements, and restrictions, if any, as
contained in Deed recorded March 14, 1978 at Reception No. 78022213.
7. Terms, agreements, provisions, conditions, obligations, easements, and restrictions, if any, as
contained in City of Wheat Ridge recorded January 07, 2009 at Reception No. 2009001396.
8. A deed of trust to secure an indebtedness in the original principal amount of
$388,000.00 recorded March 04, 2019 at Reception No. 2019016259 of Official Records.
Dated: February 28, 2019
Trustor: Edwardo Garcia
Trustee: Public Trustee of Jefferson County
Beneficiary: Mortgage Electronic Registration Systems, Inc. ("MERS"), solely as
nominee for Guild Mortgage Company
A deed of trust to secure an indebtedness in the original principal amount of
$19,400.00 recorded March 04, 2019 at Reception No. 2019016260 of Official Records.
Dated: February 28, 2019
Trustor: Edwardo Garcia
Trustee: Public Trustee of Jefferson County
Beneficiary: Colorado Housing and Finance Authority
First American Title Insurance Company
Form No. 1402.06
ALTA Owner's Policy (6-17-06)
Anti -fraud Statement
Policy Page 8
Policy Number: 3184025
Pursuant to CRS 10-1-128(6)(a), it is unlawful to knowingly provide false, incomplete, or
misleading facts or information to an insurance company for the purpose of defrauding or
attempting to defraud the company. Penalties may include imprisonment, fines, denial of
insurance and civil damages. Any insurance company or agent of an insurance company who
knowingly provides false, incomplete, or misleading facts or information to a policyholder or
claimant for the purpose of defrauding or attempting to defraud the policyholder or claimant
with regard to a settlement or award payable from insurance proceeds shall be reported to
the Colorado division of insurance within the department of regulatory agencies.
First American Title Insurance Company
EMSL Analytical, Inc.
1010 Yuma Street Denver, CO 80204
Tel/Fax: (303) 740-5700 / (303) 741-1400
http://www.EMSL.com / denverlab@emsl.com
Attention: Scott Lunsford
Pillar to Post
5460 Ward Rd. #225
Arvada, CO 80005
Project: 4341 MARHALL ST
EMSL Order: 221902438
Customer ID: PTPC34
Customer PO:
Project ID:
Phone: (303) 456-6789
Fax:
Received Date: 03/26/2019 12:55 PM
Analysis Date: 03/28/2019
Collected Date: 03/26/2019
Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized
Light Microscopy
Non -Asbestos Asbestos
Sample Description Appearance % Fibrous % Non -Fibrous % Type
1 -Mastic DRYWALL Tan 15% Ca Carbonate None Detected
Non -Fibrous 85% Non-fibrous (Other)
221902438-0001 Homogeneous
Inseparable paint / coating layer included in analysis
1 -Skim Coat DRYWALL White
Non -Fibrous
221902438-0001A Homogeneous
Inseparable paint/coating layer included in analysis
15% Ca Carbonate None Detected
85% Non-fibrous (Other)
1 -Plaster
DRYWALL White
10% Quartz None Detected
Non -Fibrous
5% Ca Carbonate
221902438-00018
Homogeneous
15% Gypsum
70% Non-fibrous (Other)
1 -Drywall
DRYWALL Brown/White 10% Cellulose
65% Gypsum None Detected
Fibrous <1 % Glass
25% Non-fibrous (Other)
221902438-0001 C
Homogeneous
t
,L�kctJLA4I( w
e `1
Analyst(s)
Ashley Boyd (4)
Melanie Rech, Laboratory Director
or Other Approved Signatory
EMSL maintains liability limited to cost of analysis. The above analyses were performed in general compliance with Appendix E to Subpart E of 40 CFR (previously EPA 600/M4-82-020 "Interim
Method"), but augmented with procedures outlined in the 1993 ("final") version of the method. This report relates only to the samples reported above, and may not be reproduced, except in full, withoL
written approval by EMSL. EMSL bears no responsibility for sample collection activities or analytical method limitations . Interpretation and use of test results are the responsibility of the client. All
samples received in acceptable condition unless otherwise noted. This report must not be used by the client to claim product certification, approval, or endorsement by NVLAP, NIST or any agency o'
the federal government. EMSL recommends gravimetric reduction for all non -friable organically bound materials prior to analysis. Estimation of uncertainty is available on request.
Samples analyzed by EMSL Analytical, Inc. Denver, CO NVLAP Lab Code 200828-0
Initial report from: 03/28/2019 14:00:13
A B PLM 008 0001 - 1.7E Printed: 3/28/2019 12:00 PM Page 1
Itv of
$11iW1at'R
,r.
1. PLAN REVIEW COMMENTS
Project Description:
Remodel/Bedroom Addition
Project Address: 4341
Plan Check No.: 201900438
Marshall St.
Permit App. Date: 03/18/2019
Applicant: Edwardo Garcia
Phone: 720-854-8703
Applicant email:
egarcia3046@gmail.com
Plan Checker: Troy Dicker
Phone: 303-235-2882
Plan Checker email:
tdicker @ci.wheatridge.co.us
The project plans were reviewed for compliance with the following codes and standards:
2012 IBC, 2012 IRC, 2012 IMC, 2012 ECC, 2017 NEC, 2012 IPC, 2009 ANSI/ICC, City of Wheat Ridge
Amendments
• TO EXPEDITE PROJECT APPROVAL: Please provide a written response indicating how and where each
comment was resolved on the plans.
• Resubmit all previously reviewed plans, updated plans and supporting documents with each subsequent
review.
• For clarification of any plan review comment, please call or email the plan checker listed above.
• Upon review of your first submission of plans for your project, the following corrections will need addressed:
S (j of t)a l &A Y %-Ce r t���f y���ulk X36 1AW�II�/�
4 41 to") - -
1. Structural Engineer letter for wall removal showing if wall is load bearing, and if so, what method(s) will
be applied to shore and transfer weight.
2. Asbestos Report
3. An egress window will need to be provided for the proposed new bedroom.
4. Show locations of required electrical outlets, smoke detectors, and CO detectors. Show positions of light
switches.
5. Please indicate how many windows will be replaced.
6. Show basic framing details of enclosure points, and framing to be installed in garage.
�Ve(tK xe c-4� at W # '� - (,-
Project Description:
Project Address: 4341
Marshall St.
Permit App. Date: 03/18/2019
Applicant: Edwardo Garcia
Applicant email:
egarcia3046@gmail.com
Plan Checker: Troy Dicker
Plan Checker email:
'City
�ClVl,'NTJ�
Wh,6
PLAN REVIEW COMMENTS
Remodel/Bedroom Addition
Plan Check No.: 201900438
Phone: 720-854-8703
Phone: 303-235-2882
tdicker @ci.wheatridge.co.us
The project plans were reviewed for compliance with the following codes and standards:
2012 IBC, 2012 IRC, 2012 IMC, 2012 ECC, 2017 NEC, 2012 IPC, 2009 ANSI/ICC, City of Wheat Ridge
Amendments
• TO EXPEDITE PROJECT APPROVAL: Please provide a written response indicating how and where each
comment was resolved on the plans.
• Resubmit all previously reviewed plans, updated plans and supporting documents with each subsequent
review.
• For clarification of any plan review comment, please call or email the plan checker listed above.
• Upon review of your first submission of plans for your project, the following corrections will need addressed:
1. Structural Engineer letter for wall removal showing if wall is load bearing, and if so, what method(s) will
be applied to shore and transfer weight.
2. Asbestos Report
3. An egress window will need to be provided for the proposed new bedroom.
4. Show locations of required electrical outlets, smoke detectors, and CO detectors. Show positions of light
switches.
5. Please indicate how many windows will be replaced.
t n W M
wl�e`atCOMMITNII r NFIX�"r !g
6. Show basic framing details of enclosure points, and framing to be installed in garage.
CONDITION:
Work to not begin on wall removal until structural engineer
letter received.
Have Engineer provide 2 copies, one to remain with on-site
plan set, the other to be placed with City plan set. May begin
wall removal after letter is reviewed and approved.
OK to begin remaining scope of work on plan sets.
Plans Examiner: TD 4/2/19
City of
Wheat Riage
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All new and existing smoke alarms
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actuation of one alarm will activate all 1
of the alarms per 2012 IRC R314.5.
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City of
wheat Ridge
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: -� f
Job Address: `� N ✓f'12 7-) 3
Permit Number: Z, -t 7 v3 3 9/)
❑ No one available for inspection: Times
Re -Inspection required: Yes'No
When corrections have been made Lfor re -inspection at 303-234-
p 5933
Date:2/3 kInspector: (L
DO NOT REMOVE THIS NOTICE
INSPECTION RECORD Occupancy/Tyne
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
n �—...
INSPECTION REQUEST LINE: (303) 234-5933
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 Ut I lie Anove Inspections
Underground/Slab Inspections
Date Inspector Comments
Initials
Electrical
Sewer Service
Plumbing
Do Not Cover Underground 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.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
.a
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: OF
Job Address: KS/1111
Permit Number:
U
i lI 1D1t-c_ f " Yf'ii i f �,-
❑ No one available for inspection: Time ,_M/pM
Re -Inspection required: U No
When corrections have been made, calf for re -inspection at 303-234-
Date:--7///1/17
03-234-
Date: // Inspector: t `/ �
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201703390
PERMIT NO: 201703390 ISSUED: 07/06/2017
JOB ADDRESS: 4341 Marshall ST EXPIRES: 07/06/2018
JOB DESCRIPTION: Residential Re -roof to install laminate asphalt shingles with 18sq
*** CONTACTS ***
OWNER (303)521-4797 DRAFTZ TIMOTHY F
SUB (877)784-7663 Pat Nussbeck 170136 Aspen Contracting
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,800.00
FEES
Total Valuation 0.00
Use Tax 163.80
Permit Fee 172.60
** TOTAL ** 336.40
*** 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 -201703390
PERMIT NO: 201703390 ISSUED: 07/06/2017
JOB ADDRESS: 4341 Marshall ST EXPIRES: 07/06/2018
JOB DESCRIPTION: Residential Re—roof to install laminate asphalt shingles with 18sq
I, by my sitnature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
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 maybe subject to a fee equal to one-half of the originalpermitfee.
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 Budding Official and is not guaranteed.
4, No work of an 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
applicablgecde 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.
Kimberly Cook
6
From:
no-reply@ci.wheatridge.co.us
Sent:
Friday, June 23, 2017 3:50 PM
To:
Permits CommDev
Subject:
Online Form Submittal: Residential Roofing Permit Application
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. 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. Permits are currently being
processed within 5 business days, subject to change based on volume.`.
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. v
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
4341 Marshall St
Property Owner Name
Tim Draftz
Property Owner Phone
303-521-4797
Number
Property Owner Email
Field not completed.
Address
I
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
Contractor's License
Number (for the City of
Wheat Ridge)
Contractor Phone
Number
Aspen Contracting Inc
170136
785-8293685
Contractor Email Address gburns@roofsbyaspen.com
Retype Contractor Email gburns@roofsbyaspen.com
Address
DESCRIPTION OF WORK
Are you re -decking the No
roof?
Description of Roofing Laminate
Material
Select Type of Material: Asphalt
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 18 /
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?
TOTAL SQUARES of all 18
roofing material for this
project
2
Provide additional detail House only 5/12
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 7800.00
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 Gregg Burns
Email not displaying correctly? View it in your browser.
3
303-719-0916
1560 Broadway, Suite 2090, Denver, CO 80202
S P EN LIC # 243288
CONTRACTING INSURED AND BONDED
I N C O R P O R T l U
STREET
CITY
PROJECT ( NS TAWT A+
47a0-gg0-
PHONE
EMAIL ADDRESS
WORK PHONE
ZIPS ^ -2 I HOME PHONE
Furnish All Materials, Labor and Permits Protect Property as Needed Daily Delivery Instructions eft O Right ❑ Other
ROOF SPECS
Tear Off Existing Roof Type cr.�l IN
Inspect All Sheathing for Nailable Surface
Install Ice/Water Shield Around All Penetrations and to Code
Underlayment
a Metal Edge Colorjj_�
Install New Roof with
Color to be Customer Initial.
Appropriate Nails90
Valley--- _ 'Nosed ❑ Open
Hip and Ridge to Cap Off Roof
Ventilation 0, Box ❑ Ridge ❑ Other
Pipe Flashings_�1`� Jif
Seal Around All Vents, Pipes and Flashings
011, Clean All Gutter/Downspout Debris
5( Haul Away All Debris
-0 Roll Magnetic Roller Around to Protect Area
MISC SPECS
SIDING SPECS
❑ Tear Off Existing Siding Type
❑ Inspect All Sheathing for Nailable Surface
❑ Install ❑ House Wrap ❑ Insulation Board
❑ Install New Siding with
Size Profile Color
O Ventilation
a Seal Around All Trim and Openings
❑ Haul Away All Debris
❑ Roll Magnetic Roller Around to Protect Area
GUTTER SPECS
Tear Off Existing Gutters Type Q XI LA D - is f
9 Inspect All Fascia Boards
qF— Install New Prefinish Seamless Gpe
[�-5" ❑ 6" ❑ Other �Lhjt�
t4 Color to be Customer Initial
tJg�, Hidden Hanger Attachment with Screws
C!(, Install New Prefinish Downspouts
2x3 ❑ 3x4 ❑ Othe
❑ Gutter Protection V 1
IA
V Seal Around All End Caps, 6ters and Outlets
Ik Haul Away All Debris
Roll Magnetic Roller Around to Protect Area
d Lifetime
-. �SPEN Warranty
IF INSURANCE CLAIM IS INVOLVED
Aspen to meet insurance company onsite for scope of work to be completed. This Agreement is contingent upon insurance company price and
approval. This does not obligate the Customer or Company in any way unless it is approved by Customer's insurance company and accepted by
Company. In situations where supplements for additional work are necessary outside of the original scope of work (ex. additional layers or
mismeasurements), Company will seek approval from insurance company and payment from owner. Customer's out of pocket expense not to
exceed deductible plus upgrades for non -insurance related claim items.
Payment Method: Payment Upon Completion Of Each Trade. Zero money down.
Insurance Company 5Va (, Date of Loss ' C-{Xx7 Cj(,9
Claim #
❑ Repair
Roofing Estimate tWeplacement $ P) CV
O Repair
Siding Estimate ❑ Replacement $
t�Repair Cox /
Gutter Estimate ❑Replacement
Misc Estimate for.-
Additional
or:
Additional Upgrades or Non -Insurance Related Items_
Overhead & Profit for the Complexity of Multiple Trades
Total Cost
Accepted by Owner By:A.
Aspen Representative Signature:
$
Date:
Date: j
cool 16
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: PS�
Job Address: 1(�lA CZSAL U
Permit Number: _ U2 03 ] (�
❑ No one available for inspection: Time `7 -. �r> A PM
Re -Inspection required:(�F)
No
When correct; s have been made, call for re -inspection at 303-234-5933
Date: ��/ Inspectors
DO NOT REMOVE THIS NOTICE
i CITY 1NA RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: J20r-
Job Address: U 3 t_o "
Permit Number: 0) 10,3300
❑ No one available for inspection: Time i 0 SD AM/PM
Re -Inspection required: Ye No y
When corrections have been made, call for re -inspection at 303-234-5933
Date: Inspector:
DO NOT REMOVE THIS NOTICE
F INSPECT101�
4 INSPECTION LINE �.
Inspections will not be made unless this c
Call by 3:00 PM to receive inspection
s
INSPECTOR MUST SIGN ALL S
FOUNDATION INSPECTIONS
DATE
IN
.ITIAL$
Footings /Caissons
Lath / Wall tie
Stemwall / (CEG) Concrete
Encased Ground -.
Mid- Roof.,.
Reinforcing or Monolithic
Rough Electric
Weatherproof / French Drain ,.
Rough; Plumbing
Sewer Service Lines
Rough; Mechanical
Wate Service Lines
ABOVE
Framing
PACE
COMME
'POUR NO CONCRETE UNT ' , 5 CWZ
CONCRETE SLAB: FLOOR j
Electrical (Underground)
!r_._ ,f t3 iiN SIGNED
jP
INSPECTIONS TO �_ 1 PROCEEDING
ROUGHS
Plumbing (Underground)
Lath / Wall tie
Heating (Underground)
Mid- Roof.,.
'
'
gqqg
Mr
DONOTPOVRFLOORI
!r_._ ,f t3 iiN SIGNED
jP
INSPECTIONS TO �_ 1 PROCEEDING
ROUGHS
Sheathing
Lath / Wall tie
Mid- Roof.,.
Electrical Service
Rough Electric
Rough; Plumbing
Gas Piping
Rough; Mechanical
ABOVE
Framing
I Insulation
r
Drywall Screw
FINALS:. -
Electrical
Plumbing
.Mechanical
Roof
Building Final
Fire Department
R O W & Drainage
INS�;ECTIONS FOR PLANNING &ZONING, FIRE AND PUBLIC WORKS SHOULD
' BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
ParlClOg &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 CONSTITUTEAUTHORIZATION
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY
OCCUPANCY NOT PERMITTED' UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT TEAS CARD.FROIIA THE �YFA u!n
R #: RD
n Occupancy /Type
' tr�z3
di ,, c ;? : « "e building site
s lg .,uSiness day.
is�<a;vi _r O'THIS JOB
j
::,
.
♦ ! i CITY OF WHEAT RIDGE
`� Building Inspection Division
(303) 2344 -5933 Inspection line
(303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type: . wiip` A�/=
Job Address: Y� '-6yj Gwl ST
Permit Number:
_A1
❑ No one available for inspection: Time 9;',.50 AM PM
Re- Inspection required: Yes --
* When corrections have been made, call for re inspection at 303 -234 -5933
Date: is Inspector:
DO NOT REMOVE THIS NOTICE
♦ A ♦ CITY OF WHEAT RIDGE
f Building Inspection Division
(303) 234 -5933 Inspection line
303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type: A%iwZ F
Job Address: 1 13Yf 1,wV 111-1! S 7
Permit Number: l e e �07Y7
J
❑ No one available for inspection: Time Jf AM_ M
Re- Inspection required: , -No
"When corrections have been made, ca0 for r inspection at 303 -234 - 5933
Date: YlIZZ10 Inspector:
DO NOT REMOVE THIS NOTICE
♦ 4' 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: s 1 (M~,( G `C~"
Permit Number: I O cJ "~l d'Z
f r
' ❑ No one available for inspection: Time ! 11 A PM
Re-inspection required: Yes
' *When corrections have been made, call for re-Inspection at 303-2345933
Date: Inspector: J
t
t. DO NOT REMOVE THIS NOTICE
C
i
" ' City of Wheat Ridge
Residential Roofing PERMIT - 100747
n
PERMIT NO: ` 100747 ISSUED: 03/25/2010
JOB ADDRESS:: 4341 MARSHALL ST -:EXPIRES: 09/21/2010
DESCRIPTION:' Remove and replace 19 ?sqs asphalt' shingles
CONTACTS
gc 303/904-0993 Turner McFadden 10-0094 Turner McFadden Roofing/Constr
**PARCEL a INFO
Permit Fee
Total valu
tl Use Tax
TOTAL
F]
199
ROJECT VALUATION: 7,516.05 Y-4 -0
AEO Board sheathing spaced more
ay on entire roof. Ice and
e R t City of
W heat l ge
COMMUNITY 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
Building Permit Application
P_r_opertyAddress 41371L~✓S/~r~~ ;
Property Owner (please print): loefaIt- S~ n
Mailing Address: (if different than property address)
Address: ~
Date: ~D
Plan #
Permit # 7-
Phone: 3D3- 517
City, State, Zip:
Contractor: / u~Ne/' !~/G ~ddet~
Contractors City License
Sub Contractors
Electrical: Plumbing:
City License # City License #
Aescrtptiori,,opfw~ork~ ~Q ~o
Mechanical:
City License #
$ ontract Value:.
Review Fee /due at time of svihmittan-
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 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 appliZVE) t that entity on this application.
CIRCLEONE: (OWNER) (CONTRACTOR) ar (AUTHORIZED REPRE$MYT (OWNER) (CO NTRACTOR)
PRINT NAME: M1, 1 kr hC.~ SIGNATURE: :DATE: 3 As -la
v GL C-
Phone: 303-?;t SS-02 S5-
FIRE hEPARTMENT: papproved yd CUmTe0t3 ❑disapproved Dno fevi~W rEgylred Bldg ValuatioD $
r t
a City of Wheat Ridge Building Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 ` Fax: 303-235-2857
Inspection Line: 303-234-5933
Building Permit Application
Date: 0 lL
Plan
Permit 0 b~ T/
Property Address': k-:_ Lf 1 y~ r I ~
Property Owner (please print):
Mailing Address: (if different than property address)
Address:
State,
Phone: PS - (Y) 7
Contractor: K L- I C I
Contractor License Phone:
Sub Contractors:
Electrical City Lic rise Plumbing City License Mechanical City License
Company: z~ Company Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description): Construction Value: $ / 7S, CD-C7
Description- of work': (as calculated per the Building Valuation Data sheet)
`1~~~\.r.,, n (1( Plan Review (due at time of submittal): $
Sq. Ft./L.Ft added: Squares 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.
CIRLCE ONE:: '(OWNER) (CO/NTRACTOR) or PERSONAL RE~PR 14TATIVE (oaf ~(O~WNER) (CONTRATOR)
PRINT NAME: Y'~-LS SIGNATURES • 'N Date: CJ'
` oF wr+earq
City of Wheat Ridge
°0Commercial Electric PERMIT - 080250
PERMIT NO: 080250 ISSUED: 03/21/2006
JOB ADDRESS: 4341 MARSHALL ST EXPIRES: 09/17/2008
DESCRIPTION: 200 Amp Service Change
CONTACTS
owner 303/883-2252 Primancy Relocation
gc 303/875-4165 Juan A. Ramirez 02-1890 Intellectric
PARCEL INFO
ZONE CODE: UA
SUBDIVISION: 0401
USE: UA
BLOCK/LOT#: 0/
FEE SUMMARY ESTZMATED PROJECT VALUATION: 2,250.00
FEES
Permit Fee 108.30
Total Valuation .00
Use Tax 40.50
TOTAL 148.80
Conditions:
Must comply w/ 2003 IBC & 2005 NEC.
I hereby c=rtify that the setback diseances proposed by this permit application are accurate, and do not violate applicable
ord!nances, rules or regulaeions of the City of Wheat Ridge or cwenan[s, 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 prinCed on this
application and that I assume fu11 responsibility for compliance with the wheat Ridge Huilding Code (I.H.C) and all other
applicable wheat R'dgOrdinances, for work under this permit. Plans subject to field inspection.
SignaZ'ure ofj`contractor/ow date
1. This permit was issue in ac dance wi[h the provisions set forth in your application and is subject to the laws of the
State of Colorado an o the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable
ordinan=es of the City.
2. This pezmit shall expire 180 days from the issue date. Requests for an extension must be rereived prior to expiration
date. nn extension may be granted at the discretion of the euilding Official.
3. Tf this permit expirea, a new pesmit may be acquired for a fee of one-half the amount normally required, provided no
changes have been or wi11 be made in the origival plans and specifications and any suspension or abandonment has not
exceede3 one (1) year. If changes have beev or if suspension or abavdonment exceeds one (1) year, full fees shall
be paid for a new permit.
4. No work of any manner shall be dcne chat wi11 change the natural flow of wa[er causing a drainage problem.
5. Contractor shall notify the Buildina Tnspector twenty-four (24) hours in advanae for all inspections and sha11 receive
written approval on inspection card before proreeding with sucressive phases of the job.
6. The issuance of a permit or the approval of drawings and specifica[ions shall not be construed to be a permit for, nor
an approval oe~l iolation of the provisions of the buildiny codes or any o[her ordinance, law, rule or regulation.
Alplan bject to field inspections.
Signature of ie uilding Official date
INSPECTI N 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.
oF WH~rq, City of Wheat Ridge Building Division Dare:
7500 W. 29" Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 ' Fax: 303-235-2857 Plan
°~oRPO~ Inspection Line: 303-234-5933 permit#:
Building Permit Application
Property Address:
~ V O 3 -,~z
Property Owner (please print) Phone:
Mailing Address: (if di(ferent than property address)
Address:
City, State, Zip:
Contractor: _yL./✓/~i/~~~G7~~(C
Contractor License Phone: 3- O 7~ Y~O ~
Sub Contractors:
Electrical Ciry License Plumbing City License Mechanical City License
Company:LT ~.~:~Z,,• Company Company:
_N
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description): Constructlon Value: $ 110'11?e' 0
DeSCI'Ip[fOn Of WOFk: (as calculated pei the Bullding Valuation Data sheet)
~~'~612 Plan Review (due af time ofsubmlttal): $
Sq. Ft/L.Ft added: Squares BTU's Gallons Amps
OWNER/CONTRACTOR SIGNATURE OF UNDERSiANDING AND AGREEMENT
I hereby certity 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 restridions of record; ihat all measuremenls shown, and
allegations made are acwrate; that I have read and agree to abide by all conditions printed on this application antl that I assume full
responsibiliry tor compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, tor work
under this permit. Plans subject to fleld inspection.
CIRLCE ONE: (R) (CONTRACTOR) or PERSONAL REPRESE~NTA^TI~VE" ~of (OWNER) (CONTRATOR)
PRINTNAME: ~GI'r-'~-J'✓L11- SIGNATURE: Date:.ir
ZONING COMMENTS'.
Zoning:
Reviewec
PUBLIG WORKS COMMENTS.
Reviewec
DEPARTMENT USE ONLY
BUILDING DEPARTMENT COMMENTS OCCUPANCY:
Reviewer.
FIRE DEPARTMENT:: 0 approved w/ comments ❑ disapprovetl 0 no review required Bldg ValUation: $