HomeMy WebLinkAbout4301 Owens StreetFrom: no-reolvCalci.wheatridae.co.us
To: CommDev Permits
Subject: Online Form Submittal: PERMIT APPLICATION Sewer or Water Line Repair
Date: Saturday, April 30, 2022 12:10:38 PM
CAUTION:This email originated from outside of the organization. Do not click links or open attachments unless you
recognize the sender and know the content is safe. Report any suspicious activities to the IT Division.
PERMIT APPLICATION Sewer or Water Line Repair
This application is exclusively for SEWER OR WATER LINE REPAIR -IN YARD
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Right of Way permits must be applied for with the Public Works Department.
Is this application for Yes
sewer line or water line
repair - in yard only?
PROPERTY INFORMATION
Is this Residential or Residential
Commercial?
Property Address 4301 OWENS ST
Property Owner Name JASON MCNICHOLAS
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
Address
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
303-489-6041
OFFICE@TRENCHRIGHT. COM
Electron ic-Payment-Form. Cdf
CONTRACTOR INFORMATION
Contractor Business TRENCH RIGHT
Name
Contractor's License 130022
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone 303-287-9009
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email OFFICE@TRENCHRIGHT.COM
Address
Retype Contractor OFFICE@TRENCHRIGHT.COM
Email Address
01:K163CiIi1 ffl0N]&TO(6]S:/
Is this a sewer line or
Sewer Line
water line repair?
Length of repair
8'
Location of repair
FRONT YARD
(backyard, frontyard,
etc)
Provide additional
INSTALL CLEAN OUTS
details including
installation of clean -
outs.
Project Value (contract
5800.00
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 work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have Yes
been authorized by the
legal owner of the
property to submit this
application and to
perform the work
described above.
I attest that everything Yes
stated in this
application is true and
correct and that
falsifying information in
this application is an
act of fraud and may
be punishable by fine,
imprisonment, or both.
Person Applying for RACHAEL SCOTT
Pe rm it
Email not displaying correctly? View it in your browser.
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: e- c> (' 1�
Job Address: L� U 1 i) \"j n !-
Permit Number: U c1 O u ---
IJ
❑ No one available for inspection: Time _g AM/PM
Re -Inspection required: Yes 0
When corrections have been made, call for re -inspection at 303 -234 -
Date:— ` Inspector
DO NOT REMOVE THIS NOTICE
4' CITY OF WHEAT RIDGE
-.A Building Inspection Division
(303) 234-5933 Inspection line
'(303) 235-2855 Office # (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: (V ` 0
Job Address: \ C)
Permit Number: 0A G C)
4
r
U 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:- —Inspector:
DO NOT REMOVE THIS NOTICE
4' CITY OF WHEAT RIDGE
-.A Building Inspection Division
(303) 234-5933 Inspection line
'(303) 235-2855 Office # (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: (V ` 0
Job Address: \ C)
Permit Number: 0A G C)
4
r
U 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:- —Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201900973
PERMIT NO: 201900973 ISSUED: 05/13/2019
JOB ADDRESS: 4301 Owens St EXPIRES: 05/12/2020
JOB DESCRIPTION: Tear off 1 layer and reroof with asphalt shingles, 4/12 pitch, 32 squares
total-
CONTACTS
otal-CONTACTS *** /
OWNER (303)489-6041 MCNICHOLAS JOSH
SUB (303)477-5991 WILLIAM BLEVINS 020965 AB SERVICES
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,520.00
FEES
Total Valuation 0.00
Use Tax 157.92
Permit Fee 172.60
** TOTAL ** 330.52
*** COMMENTS ***
*** CONDITIONS ***
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required for both the midroof and final inspections. The 3rd party inspection report AND
THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat
Ridge. The report MUST BE SIGNED by the Homeowner.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec.
R806. The installation of ridge venting requires the installation or existence of soffit
venting. For calculation purposes, one hat or turtle vent equal to one-half of one square
foot of opening.
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75% of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75% of the mid -roof may be complete. 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.
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Residential Roofing PERMIT - 201900973
201900973
4301 Owens St
ISSUED: 05/13/2019
EXPIRES: 05/12/2020
Tear off 1 layer and reroof with asphalt shingles, 4/12 pitch, 32 squares
total
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications;
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include alI entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in thepennit application and accompanying Flans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the 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 and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code or anor�din�ance o 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.
Kimber) Cook
U [1 73
From: no-reply@ci.wheatridge.co.us
Sent: Monday, May 13, 2019 2:39 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Kim
Residential Roofing Permit Application
This application is exclusively for new RESIDENTIAL roofing permits and for
licensed contractors only. Permits are processed and issued in the order they are
received. You will be notified if your contractor's license or insurance has
expired. The license and insurance must be current before the permit will be
processed.
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. The Building Division
permit counter is open from 7:30 am to 3:30 pm, Monday through Friday to
process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
RESIDENTIAL reroof
permit?
How many dwelling units Duplex
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
4301-03 Owens St. Wheat Ridge, Co. 80033
Josh McNicholas
303-489-6041
10261 W. 77th PI. Arvada, Co. 80005
Do you have a signed
Yes
contract to reroof this
property?
CONTRACTOR INFORMATION
Contractor Business
AB Services
Name
Contractor's License
020965
Number
Contractor Phone
303-477-5991
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address
abservices123@gmail.com
Retype Contractor Email
abservices123@gmail.com
Address
Credit Card Authorization
Wheatridge Credit Card Authorization Form.pdf
Form
DESCRIPTION OF WORK
TOTAL SQUARES of
32
the entire scope of work:
Project Value (contract
7520.00
value or cost of ALL
materials and labor)
Are you re -decking the
No
roof?
Is the permit for a flat
Pitched roof (2:12 pitch or greater)
roof, pitched roof, or
both? (check all that
apply)
What is the specific pitch
4/12
of the PITCHED roof?
How many squares are
32
part of the PITCHED
roof?
Describe the roofing
Atlas Laminated Shingles
materials for the
PITCHED roof -
2
Type of material for the Asphalt
PITCHED roof:
Provide any additional Tear -off 1 layer and layover with Atlas Laminated Shingles.
detail here on the
description of work. (Is
this for a house or
garage? Etc)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
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.
I understand that this
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
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
I attest that everything
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Yes
Yes
Yes
Yes
Yes
3
Person Applying for William Blevins
Permit
Email not displaying correctly? View it in your browser.
INSPECTION RECORD Oacupancynvw
'INSPECTION LINE: (303) 234 -5933
Inspections will not be made unless this card is posted on the building site
Call by 3:00 PM to receive inspection the following business day.
INSPECTOR LIST SIGN ALL SPACES PERTAINING TO THIS JOB
Water Service Lines
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
meating (underground) I I
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
ROUGHS. -
Sheathing
Lath / Wall tie
Mid Roof —...
Electrical Service
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
'ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING
Framing
Insulation
Drywall Screw
FOUNDATION. INSPECTIONS DATE.'
INSPECTOR
INITIALS
COMMENTS:
ing
nical ":
Stemwall. /(CEG).Concrete
Encased Ground"
kALL cal
g Final
partment
Weatherproof / French Drain
S Drainage
INSPECTIONS LANNING S ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED A7 LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
$ LBndSCaping :
E: kALL ITEMSMUST BE COMPLETED AND APPROVED BYPLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
FICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION.
OF A CERTIFICATE OF OCCUPANCY . NOR PERMISSION FOR OCCUPANCY.
FOUNDATION. INSPECTIONS DATE.'
INSPECTOR
INITIALS
COMMENTS:
Footings /Caissons
Stemwall. /(CEG).Concrete
Encased Ground"
Reinforcing or Monolithic
Weatherproof / French Drain
Sewer Service Lines
i
(JCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOT
Inspection Type: P03 5I e� i n
Job Address: 4-.3ol- �iso3 CL,)�;5 Sf
Permit Number: (
�.'"�.hJl/ orl
El No one available for inspection: Time 1'26 AMMN
Re- Inspection required: Yes No)
* When corrections have been made, calf for re- inspection at 303- 234 -5933
Date: 12 t1 -oL -oL Inspector: 00
DO 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: FN R-Z Woo
Job Address: /�30> - H303 t�G�[�nS S71
Permit Number: �9L/adS�
Aya Ile eG')&?! /v1f� JZt1t3C 5lC / d/
1-12, 4olWl�
/.o 1/.../.a'al m 77a -f P c'�SS f fCJ �rj
i
i
i
i
i
No one available for inspection: Time 3•n AM /E'
Re- Inspection required: (es� No
When corrections have been made, calf for re- inspection at 303 - 234 - 5933
Date: Inspector: g
DO 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: 69-6
Job Address: C l l ° ` 7 3u y�f
Permit Number: 6, S
❑ 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: i i ; Y Inspector:
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
]~;Ir(303) 235-2855 Office • (303) 237-8929: Fax
INSPECTION NOTICE
Inspection Type: r
Job Address: z'3b! ~ 'x/303 0u)e 5 )7~-
Permit Number: ❑ No one available for-inspection: Time/,~'
Re-Inspection requir~z~
When corrections have be made, call far re-inspection at 303-234-5933
Date: Inspector:
DO NOT REMOVE THIS NOTICE
S
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: ✓ l i
Job Address:
Permit Number:
❑ No one available for inspection: Time AM/60
r
Re-Inspection required``~Yes NO
' When corrections have been made, call for re-inspection at 303-234-5933 "
Date: d / ' Inspector r! 7
t ,
DO NOT REMOVE THIS NOTICE
r
City of Wheat Ridge Building Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
cOLOano° Inspection Line: 303-234-5933
Building Permit Application
Date:
Plan
Permit
Property Address; -3
Owner (please print): Phone:
Mailing Address: (if different than property address)
Address:
State,
Sub Contractors:
Electrical City License
Company:
Plumbing City License
Company
Mechanical City License
Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description): Construction Value: $
Description of work: ` (as calculated per the Building Valuation Data sheet) qe, c/~c" `,v Plan Review (due at time of submittall: b
Sq. Ft./L.Ft added: Squares BTU's Gallons Amps
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that 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) (CONTRACTOR) or. PERSONAL REPRESENTATIVE of (OWNER (CONTRATOR)
PRINT NAME: C~tI-✓~e~ y.,,fG l~ SIGNATURE: ice... Date:
Contractor License a~.- 1-411-1 ~-3 Phone: -?a-z.- G 9~ 9 °J
W HEgT
~oF R City of Wheat Ridge Building Division Date:
7500 W. 29"i Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929 Plan A,
co o Inspection Line: 303-234-5933
<ORPO
Permit
Building Permit Application
Property Address 3 . - ~
Property Owner (please print):
Phone:
Mailing Address: (if different than property address)
Address:
City, State,
Sub Contractors;
Electrical City License
Company:
Plumbing City License
Company
Mechanical City License
Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description): Construction Value: $ 6o
Description of Work- /C--- (as calculated per the Building a14Mt Data sheet)
Plan Review (due at time of submittaq: $
2 -F Sq. Ft./L.Ft added: Squares -3rv 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 1 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) (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR)
PRINT NAME: I SIGNATURE: Date: ro
Contractor License Phone: ~3 ~6
DEPARTMENT OF COMMUNITY DEVELOPMENT
7500 WEST 29
tn AVENUE
BUILDING INSPECTION DIVISION
MM94#4443
PERMIT N0.
237-6944 EXT.
255 P.O. BOX 638 CITV OF WHEAT RIOGE, COLO.
THI$ PERMIT VALID ONLY WHEN SIGNED BY THE CHiEF BUILDING INSPECTOR AND RECEIPTEDBELOW.
APPLICATION FOR MISCELLANEOUS PERMIT
JOB ADDRESSy\
3 a 1 Okti
"S Gy4,
OWNEF g A rc I c~
SJYri ,OSOh
CONTRACTOR G
cl-- ii-- ~Ag
w,k-c
ADDRESS ''A 3/7 i j~ W
Y^^s ~
ADDRESS -23 0°I
6~G nJ1~f ~
PnAI ~rt
PHONE Z 2-- L1 \ 5~
1-4 ZIP CODE ~~33
CITY ~i/ f~. -A.
6~
ZIP CODE 9 d~ 0"-
CONTRACT PRICE $ 3'~
II
PH()NF 11 2\-
A) 1/-r
i ircuec nin 1 7'LZ 1.
nnrG Q- -iO - 9 S
1. TYPE Ground ❑
Woll❑
Proieclin0❑
OMer
S a 0 Fad
2. MATERIAL
Total Square FoH
SIGNS
3. ILIUMINATION Ysa❑ No❑
Typs
Elecf. Permit No.
4. SET BACK FROM PROPERTY IINE N
(SDecify whith ia froni)
_
❑
5_ E
❑
_ W
❑ ❑
Zons_
Apprwad,Zonss Inspoata
Difapproved
1. TYPE Solido Mors Thon 80% ODenO
Leu Thon BO% Open
MATERIAL
Hoipht
FENCES
3. SET BACN FROM PROPERTY UNE N
(SDetify whieh ii froM)
_
❑
S_ E
❑
_ W
❑ ❑
Zone_
Apprwed,2om InspeNa
DiaaDProved
I.
z
OTHER
3.
DRAW SKETCH OR SHOW BELOW, THE FENCE,SIGN,OR OTHER STRUCTURE,GIViI:G D15T4NCES FROM PROPERTY (.INES.
(SET84CNS OR PROJECTIONS INCLUDED)
i ~
J
Y
F
K
SPECIFV NORTM
~
N
STREET NAME
SHOW DISTANCES FROM THE MAIN BUILDING TPADJOININ6 HOUSES, STREETS, AND PROPERTY LINES;ON IRREGULAR LATS,SHOW LEAST
DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE.
APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BY THE BUILDING INSPECTION DIVISION.
PERMIT WILL El(PIRE 180 DAYS FROM THE DATE OF ISSUANCE IF WORK IS NOT STApTED WITHIN THAT TIME.
ELECTRICAL PERMIT
STATE LICENSE N0.
PLUMBING PERMIT
STATE LICENSE N0.
MECHANICAL PERMIT
ALUMINUAIWIREUNDERSREBIIIEGAL
FLOOR
BSM
IST
2ND
3RD
4TH
NQ
FUEI:CirrJeOnGGoidlPropais EIeeSdor
Np.
WATER CLASET
'Z_.
FORCEO AIR - BTU
TEMPORARY METER
WASH BOWI.
HOT WATER - BTU ~
NEW SERVICE - AMPS
BATH TUB
STEAM - BTU
CHANGE SERVICE-AMPS
SHOWER
AIR CONDITIONING-BTU
LIGHTING
SINK
OTMER
HEATING
GARBAGE DISF
REFRIGERATION SYSTEM
POWER SUB-CIFCUITS
WATER HEATER
Refri eroM Group
UTILI7Y ( RANGE, DISPOSER, ETC )
AUTO. WASHER
Pounds CMr e
FIXTURES
DISH WASHER
AUTOMATIC SPRINKLER SYSTEM
WIRING MOTORS 6 CONTROIS
FI.OOR DRAIN
ELEVATOR
SIGNS
URINAL
TRANSFORMERS d REC7FIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FI7CTURES
I MreAy acknowledpe ihat tnis apvlica-
fion u correct ond understond thot I
eonnot fimf fAie Orojeef unlil this appli-
catian it apOroved. I shall comply witA
fhs lows oi the State of Colorodo and fo
}he Zoninp Requlations ond Bwldinp
Code ofthe City of Wheat Ridpe. Any
viol0lion of ine above ferms will cause
ion O( Mlf Oermil
PERMIT FEE O-el NOT VALID UNLE55 RECEIPTE
USE TAX o. &a
TOTAL FEE
APPROVED •q~
DISAPPROVED
CHIEF BUILDING W ECTOR,Cifyof Wheat Ridqe
CALL 237-8944 EXT. 255
7 c~ / 24 HOURS IN ADVANCE
Date ISSUed ~ f 7 CI [ L7 FOR INSPECTIONS