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Home My WebLink About3790 Owens Streetctirity Inc.umbing ?01,Heating, Backflow Prevention Assembly Test and Maintenance Report ,TeelSerure uuth Security rRiumbing Customer Nlust Retain a Copy of this Report fur a Nlinirnunr of Three Years 5980 W. 59th Ave., Arvada, CO 80003 Phone: 303422-6675 Fax: 303-421-0128 Water DistrictlAuthority: JA V'•-rF-% f� Service Name: Meter #: Service Address: j -] r'jn n y,/ c%� Contact Person: Phone #: Mailing Owner/Management Co./Contractor: z- , (4k -moo yj Contact Address: Contact Person: j ,4 ✓I Phone #: Existing Status: <, C' Replacement for: Use: Q0 /,Ia:; rrG Device Type: k P Protection: -� t''TA l '/rl z'Fy-r Q0 Manufacturer: WATT5 Model: L -F00 Size: Serial #: I ,� .Zl L, 0 Date Installed: % Z'z g h i Last Inspection/Test: Location: t3 � , Le'Acc-'-77 Reduced Pressure Type Leak Tightness Check #1 d< Tight PSI Che Leak PSI Relief Valve 3. C) PSI Check #2 jf:Tight PSI PSI Leak Tight Leak Buffer Zone PSI Shutoff _ K Tight Valve #1 Leak Shutoff -J<'_ Tight Valve #2 Leak Double Check Type Leak Tightn Check #1Tight Leak PSI Che _ Tight Leak PSI Pressure Vacuum Brea r Leak Tig ess Check #2 Air Inlet Open — PSI PSI Keck #1 Tight Leak PSI Device Mechanical Test: Passed If the mechanical test fails, the Water Purveyor/Authority must be notified n Failures/Repairs in Detail: PSI Retest ' Leak Tightness Air Inlet pgl Check #1 /ht k PSI Relief Valve PSI Check #2 Tight Leak — PSI Buffer ne PSI Failed: ❑ and repairs made as soon as possible. Alarm Company/Fire De artment Notification: �� /. A Tum Off Date: P Time: /t 7y- Turn On Date: Time: /i f Technician Certifies this device has been tested in accordance with Procedure: Tester Name: 4e i 4-k L e 4 9-iV Certification No.: Z Ze L Expires: Gh 7 Phone: j ` Z '�_ Tester Signature: - Z/f � Test Date.. Time: <• 0 0 Test Gauge: t W Gauge Re -Certification Date: g r/ Owner or Agent Signature: Signature indicates Verification byZigner that Isolation Valves are in the Open Position after test Must retain a copy of this report for a minimum of three years. 11/10/2017 Certificate #9505 NEST GAUGE & BACKFLOW SUPPLY INC. www.shopbackflow.com 15430 East Batavia Dr. Suite AAurora, CO 80011 Phone: 844-622-0186 Backflow Test Gauge Certificate of Calibration Test ID:9505 Customer: Model: MIDWEST:845-5 Security Plumbing & Heating, Inc. Address: Serial #:08081858 5980 W. 59th Ave. Range: 0-15 PSIG Arvada, Colorado 80003 Pass /Fail:Pass Condition:Fair Date Calibrated:09-21-2017 This will Certify that on the above date, Test Gauge & Backflow Supply, Inc. performed a Leak Test at 100 P.S.I Pressure Gauge Leak Test-P.S.I: 100 Time: 10.0 Pressure Drop: 0.0 This will Certify that on the above date, Test Gauge Backflow Supply, Inc. cleaned and performed a Calibration check +/- 0.2 P.S.I.D. (Per Ninth Edition on USC Manual) Using a Reference Gauge. Calibration Statement: On the above date, the specified unit was tested by a trained technician, in accordance with the American National Standard ASME 640.1- 1991. The unit was found to have performed as stated. Calibration does not guarantee the accuracy of the gauge at any time subsequent to this test nor prior to it. lana, �I .ual (dei. 110.0/14.0 1114.2 1 17.0 II6.9 5.0 5.0 2.0 12.0 1.0 1.0 Recommended Next Calibration Date: 09-21-2018 Calibrated by: Alan All test instruments used in the calibration of the test kit conform to ASME 840.1 and are traceable to N.I.S.T Buy your test kits and supplies online http://www.shopbackflow.com I https://www.shopbackflow.com/index.php/admin/calibration_calibration/print/key/5e7042bdbaOb82be5dd22468a7l l4b7O/?id=9505 1/1 F k � C ■ ■k Z!em ■ � m � k ■ ' 7 _ I � / ) c 2 4jk3 $ ¥ � §$ ( � 7k k % k _ � FOR OFFICE USE ONLY City of mater ale t"�?a�S tCiNIT�'t r . PlanlPennit Building & Inspection Services Division 7500 W. 29�h Ave., Wheat Ridge, CO 80033 Plan Review Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Building r it Application ..t . .b, awma •ae yo..e, taa tc a e«Fea swRt aat i4ttt ##,ttt tH iit S .. t i �t�ttt €iF&S may not tm pt' VI � � `�6-2�c 3 Props ty Owner (please print): � '�,. A Phone; 20 � 7 6 Property Owner Emaik Mailing dress (if different than property address) Address City, State, Zi Architect/Engineer E-mail: : 'hone: Contractor: Contractors City License Phone:� t_r) Contractor E -anal Address: Sub Contractors: Electrical: Plumbing: Mechanical: W.I . City License # W.R. City License # WR City License Other City Licensed Sub: Other City Licensed Sub: City License # City License # Complete all information on BOTH sides of this for ...._ may. • � d d.: i M N� Me d 4 1 IA it d • IM d M * #M '. M 1 M * d iF Ik d WA`.. A d nl'. �.. • 111 ' d amount of materials to be used, etc.) Sq. FULF Stu's Gallons ♦ i CITY OF WHEAT RIDGE `Building Inspection Division (303) 234-5933 Inspaiddoh line ]~;Ir(303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: :ia= Job Address: ,.L Celt) Permit Number: 09 S :!:_11~ 1-1 No one available for inspection: Time A !PM Re-Inspection required: Yes No ' When corrections have been made, call for re-inspection at 303-2345933 Date: t Cf In Inspector: 0 NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: yy?'A 'rs r Job Address: ? 7qc'~ c~u✓nt ~F Permit Number: n' L( 2~Z r~ q Time A PM ❑ No one available for inspectDNo Re-Inspection required: Yes *When corrections haave~ been made, calf for re-inspection att30303-234 99335933 Date: 10'gl'! Inspector: ti l~ca , Vic? pe DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 093259 PERMIT NO: 093259 '.ISSUED:' 10/13/2009 JOB ADDRESS:' 3790 OWENS ST 'EXPIRES: .04/11/2010 DESCRIPTION: Reroof 25 sqs CONTACTS owner 303/832-3060 Janet Clayton sub 303/466-0161 Bernie Reitz 01-9543 Reitz Roofing, Inc.: PARCEL INFO ZONE CODE: UA USE: UA SUBDIVISION:' 0191 BLOCK/LOT#: 0/ FEE SUMMARY ESTIMATED PROJECT VALUATION: 6,500.00 FEES Permit Fee 181.10 1 lie Total Valuation ~.'9~J~~~~~ 00 d Use Tax 117.00 **TOTAL 298.10 Conditions:' 6 nail installation mid roof inspection required. Board sheathing spaced more thane-a 1/2 of an inch apart;. requires plywood overlay on entire roof. Ice and water shield. required from eave edge to 21 inside exterior walls.' ***Contractor/Property owner shall provide-ladder(s) secured in place for inpsections. Subject to field inspection. 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 tofield inspection. Signature of contractor/owner ).date 1. This permit was issued in accordance with theprovisions 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 grantedat 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 exceeded one L(1) year. If changes have been or if suspension or abandonment exceeds 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 a drainage: problem. 5. 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. c mhe. f-G ~ F .w,, t..- - -2855 LOWING BUSINESS DAY.': F WFiEgl o a o City of Wheat Ridge Building Division gate: m 7500 W. 29th Ave., Wheat Ridge, CO 80033 r. Office: 303-235-2855 ' Fax: 303-235-2857 Plan ~e_ oo Inspection Line' 303-234-5933 Permit#: tORP Building Permit Application Property Address: 3 'J 0/ 0 Property Owner (please print): C Inx } '/S o Phone:3- S-30-3060 Mailing Address: (if different than property address) Address: City, State, Zip: Contractor: 6r 7 _~lrG F Contractor License ` Phone: 3-Y66-0161 Sub Contractors: Electrical City License Plumbing City License Mechanical City License Company: Company Company: Exp. Date: Exp. Date: Exp. Date: A---f- A n --l- annrnval' Use of space (description): Description of work: 7/C) 0 A-71F2 3 %ea?S as-~C ai04e, - tt 7er+n Sq. Ft./L.Ft added: Squares y BTU's Construction Value: $ 415, 'Qo-- (as calculated per the Building Valuation.fata sheet) Plan Review (due at time of submittal): $ 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 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 subjectto field inspection. CIRLCEONE:: (OWNER) (CONTRACTOR) or PERSONAL RE ATIVE~WNER) (CONTRATOR) PRINT NAME: J ! 1y" c oldb.- SIGNATURES- iti Date; ZONING COMMENTS: Zoning: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY: FIRE DEPARTMENT:: ❑ approved w/ comments ❑ disapproved 0 no review required HETURN Posrnr,E RECEIPT ~ AOp pggp~RE ryEl4R~ AFSiHIC~tD O m seRvice cenrtFicoti__, oeuvenr ~F REIVRryH Ln ECPFlT IO@L PpSIAGt n SENT TQ NoIN M1 : llqqN ECOVEqq NOi FOq INTEqNqTIOE PR VIOEO - NqL M ~ .s AIL j artct CIruttore Williea ~ s Street ~~nv °r n- ' Co 81)218 a PS FORM 3800 POSiMAAN OR UAiE ~ ~ W C C 0 1 ~ w~l LL 00 Q a2 FO~ aw Y LL U~ F~ y= w~ U aF - RECEIpT F ~ OR CERTIFIEp MAIL z h 2 O ' 2 ~ COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 16046 BUILDING INSPECTION LINE -(303-234-5933) Date : 8/13/2003 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) Property Owner: JANET CLAXTON Property Address : 3790 OW ENS ST Phone : 832-3060 Contractor License No. : Company : Phone : OW NER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value : $200.00 I hereby certify that the setback distances proposed by this permit application are accurate, and Permit Fee : $30.55 do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or f record; that all measurements shown, and allegations t i ti $0.00 Plan Review Fee : ons o r c covenants, easements or res made are acwrate; that I have read and agree to abide by all conditions printed on this Use Tax : $4.00 application, and that I assume full responsibility for compliance with the Wheat Ridge B ildin Code (U.B.CJ and all other applicable W h Rt Ridge ordin 6es, for work under this pmit. 3 Total : $34.55 (OWNER)(CONTRACTOR) SIGNED DATE Use: Description : 4 SIDED 6' TALL YEDAR PRIVACY FENCE W ITH 4"X4" POSTS BURIED 2' IN CONCRETE. 2X4 FRAMED, 1X4 SLATS, GATED ENTRY 1 ll' J BUILDING DEPARTMENT USE ONLY SIC : Sq. Ft. : 7on'ing Comments;_ Approval : MP OK. 8113103 Zoning : R-3 8uild'ing Commentsi' 8/13103 Approval: DM pub I llc Works:Comments: Approval : Occupancy : Walls : Roof Electrical License No : Plumbing License No : Company : Company : Expiration Date : Expiration Date : Approval : Approval : Stories : Residential Units : Mechanical License No : Company : Expiration Date : Approval : (1) This permil was issued in accordance wilh the provisions set forth in yopur application and is subject to the laws of the Stata of Colorado and to the Zoning Regulations and Building Code of W heat Ridge, Colorado or any other applicable ordinances of the City. (2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from Issue date or (B) the building authorized is suspended or abandoned for a period of 120 days. (3) If 5his parmit expires, a new permit may be acquired for a fee of one-half the amount normally reQUiretl, provided no changes have been ar will be made in t e original plans and speciFlCations and any suspension or abandonment has not exceaded ane (1) yeac If changes are made or if suspension or abandonment exceeds 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 naturel Oow of water causing a drainage problem. (5) Contractor shall nolify the 8uilding Inspector lwenty-four (24) hours In advance for all inspections and shall receive written approval on inspection rartl before proceedling w successive hases of the job. (6) The issua , o a pe e approval o( drewings and specifications shall not be construed to be a permil for, nor an approval of, any violation of the provis f t bm c daRY ot~he1r ordinance, law, rule or regulatioa . YP~ Chief Building Insp'ector Please sign Terms and Conditions on reverse side of page. of wHEq COMMUNITY DEVELOPMENT DEPARTMENT Building Pemnt Number: a BUILDING INSPECTION LINE - 303-234-5933 Date: CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE c°~ o~POO WHEAT RIDGE, CO E0215 -(303-235-2E55) APPLrc,~ ~~ON 1,0,0 AMM ~7yO (JG+~~~ls S% tz~3o3 S3~-~c~6o Contractor License No.: Company: Phone: ~L93-SaS~~s'S~~ OH'RER/CONiRACTOR SICNATURE OF I:KDERSTANDING AND ACREENfENT Doe Sz~~c r-~~ CarytC.C~ P~_ Permit Fee:$ Plan Review Fee:$ Use Tax:$ Total:$ ,b~,c~^~ 5 crrrs, G<tr~w BUILDING DEPARTMENT USE ONLY ~7' SIC: ZONING COMMENTS: ( ApprovaL•Ii`' ~ 0 I3 Zoning: R 3 BUILDIN6 COMMENTY. Approval: v O I ~ PUELIC WORKS COMMENTS: Approval: Occupancy: Walls: Roof: Stories: Residen[ia] Units: Electrical License No: Plumbing License No: Mechanical License No: Compaoy: Company: Company: Expiration Date: Expiration Date: Expiration Date: Approval: Approval: Approvah (7) This pertnit was issued in acwrdance with elx provisions set foNi in your applica[ion and is subjen to the laws ofJm Scate ofColorado and to tbe Zoning Regulations and Suilding Codes of N'Leat Ridge, Colorzdo or any other applitable ordinantts of the City. 1-hispemiitshallezpirtif(A)theworkauthorizedisnolcommencedwithinsixry(60)daysfmmissutdateor(13)thebuildingaWhonzedissuspendedor abandoncd for a penod of 120 days. (3) If Uiis permit ezpires, a new permit may be acquirtd for a ftt ofone-Lalfth<amount nomially required, providcd no changes have been or wili be made in the onginal plans and specifications and any suspcnsion or abandonm<nt has na enceeded one i O year. 1(changes M1ave bcen or if suspension or abandonmrnt exceeds one (1) year, full ftts shall be paid for a new pcrmii (4) No work o(any mann<r ahell be done Nan will change [he naNrai flow of waur causing a dninage problem. (5) Conhacmr shall m(ify Ihe Building Inspector twenry-four (24) hours in advance for all insptttions and shall receive wnlun apProval on inspection card befort proceeding wiN successive Ohases of thejob. (b) The issuance ofa pemit or the ayproval ofdnwings and spGCilcauoni shall not be construed lo be a permit for, nor an approvsl of, any riolation of tbe prorisions of ~he bui4 i~ codes ar other ordinance, law, rule or rcguiafion. Chief Buil mg Inspect I hereby <ertify that [he setback dislances proposed by [his pertnit application are aceurate, and do not violate applicable ordinances, rules or regulations of the Ciry of W heat Ridge or covenants, easemen[s or restnetions of record; ihat all measurements shown, and ailegations made are accurate; 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 V✓heai Ridge 6uilding Code (U.B.C) and all other applicable Wheat Ridge Ordinances, Tor work under Sv~M ~ , X ~ ~ ~0 7- ~ - ~ ~ i i j ~ C~zY~ I i I ~I ~ I ~ i ~ i I ; : r ~ ; tq~~~ ~ /Xl\ ~ " 1 City of Wheat Ridge oF WHEqT~ ~ Community Development Department ` ° c~ m Memorandum ~o~oRAOo TO: Janet Claxton FROM: Michael Pesicka SUBJECT: Proposed dumpster enclosure for 3790 Owens Street DATE: August 6, 2003 I have attached an aerial photograph of the subject property. It appears that the proposed location for the dumpster is already occupied by a structure of some kind, and that landscaping exists in some form in that area. Please submit a more detailed site plan indicating what exactly exists in the proposed location of the dumpster. Also indicate if any structures or landscaping will be removed For the dumpster enclosure. Please call me with any questions: 303-235-2845. Thank you. Michael Pesicka Planner i. i. m . dete nems i andro, z ro, adationai se,vees. I also wish to receive the ~ietA ~tams 3, aoa ae a b_ your name and etldress on the reverse of thls torm so Ihat we can re!urn ihln cartl following services (for an exha fee~: n mis to.m ro me r,om or ma ma,ip,ape, or ot, me baok n aPaoa doos „ot par,,,u " I D Addressee's Address . ReNm Receipt Requestetl" on the mailpiece below the artide number. 7eNm Receipt Fee will provitle you the si naWre of th 2. ❑ f32StfIC}Bd DQlIVEfy g e person deltvaretl to antl Ihe lel'rvery . C 1aaaa cl,ucccu 500 Wiiliars StrNt Deuivar, GO 80218 5.Signature - (Addre: 6. ig ture-(Agent) PS Form onsu t postmaster for fee. i 4a. Article Number P 913 667 590 46. Service Type R, M CERTIFIED v ~ m te of Delivery ' R7 O . ddressee's Address (ONLY il requested and lee paid.) i 1, rvovember 1990 DOMESTIC RETURN RECEIPT 7500 WEST 29TH AVENUE P.O. BOX 638 WHEAT RIDGE CO 80034-0638 (303) 234-5900 Ciry Admin. Fax # 234-5924 February 14, 1994 Janet Claxton 500 Williams Street Denver, CO 80218 Dear Janet Claxton: Police Dept Fax # 235-2949 The City of 'AVheat 'Ridge It has come to the attention of the City of Wheat Ridge Building Department that the corridor doors located at 3790 Owens Street do not comply with Building Code requirements. These doors must be replaced with doors having a 20 minute fire rating. You are hereby notified that plans for compliance shall be submitted and approved within 18 months and work completed within 36 months of this date. If you have any questions you may contact me at 235-2853. Sin erely, P/~ ~ Z'/-~ John W. Eckert Building inspector , cc: Dave Roberts, Wheat Ridge Fire Marshal , " _ ,