HomeMy WebLinkAbout4667 Independence StreetA 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: 907- v m 6 u l�
Job Address: Ll /P4 7 Tr j 3e11 c/enew S4'
Permit Number: "a O/ 8® 2 41 q
P--,1 rt a f � /v
❑ No one available for inspection: Time 9'- 3 6P/PM
Re -Inspection required: Yes Q
When corrections have been made, call for re -inspection at 303-234-5933
Date: / 0 1 4, / is Inspector: _7_�)
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Plumbing PERMIT - 201802690
PERMIT NO: 201802690 ISSUED: 10/04/2018
JOB ADDRESS: 4667 Independence St it EXPIRES: 10/04/2019
JOB DESCRIPTION: Residential water heater with 40 gallon gas in mechanical room, 40,000
BTUs.
*** CONTACTS ***
OWNER (303)420-2826 STARR MARK W
SUB (303)421-2161 Stephen Lanyon
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned
SUBDIVISION CODE: 2946 / MANSFIELD
017835 Blue Sky Plumbing
USE: UA / Unassigned
BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,700.00
FEES
Hot Water Heater 40.00
Total Valuation 0.00
Use Tax 35.70
** TOTAL ** 75.70
*** COMMENTS ***
*** CONDITIONS ***
All work shall comply 2012 International Codes, 2017 NEC (if applicable), and ordinances
adopted by the City of Wheat Ridge. Work is subject to field inspections.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved 'ansaspecifications,
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 ermit. I further attest that I am le ally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the 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 Building Official and is not guaranteed.
4, No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Divi
6. Th ss � Eric or gran of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
ap le de or r finance 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.
Contractor's License
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address
(Primary address of your
business)
17835
303-421-2161
4765 Indpendence ST
Contractor Email Address tommiw@blueskyplumbing.com
Retype Contractor Email tommiw@blueskyplumbing.com
Address
DESCRIPTION OF WORK
Number of gallons 40
Is the water heater GAS �.
or ELECTRIC?
If GAS, enter # of BTUs. 40000r
If electric, enter n/a
Where is the water heater mech room
located (for example,
basement, crawlspace,
etc)?
Project Value (contract 1700
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
2
Dina Kern
4��) C71"2 6 71
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, October 4, 2018 3:01 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Water Heater Replacement Permit Application
Categories: Dina
Residential Water Heater Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT WATER
HEATERS - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN
ORDER FOR THE PERMIT TO BE PROCESSED.
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.
Is this application for a
replacement water heater
like for like?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
Attach Credit Card
Authorization Form -
**DO NOT ATTACH
RANDOM
DOCUMENTS**
Yes
4667 Independence ST.
Mark Starr
303-420-2826
markstarr@comcast.net
scan0118.Pdf
CONTRACTOR INFORMATION
Contractor Business Blue Skly Plumbing & Heating
Name
1
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.
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 Tommi Whittenburg
Permit
Email not displaying correctly? View it in your browser.
PERMIT: v/0
77 l ADDRESS: CODE:
INSPECTION RECORD%
Inspection online form: http://www.ci.wheatridge.co.us/inspection
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Inspections will not be performed unless this card is posted on the project site
Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business
Foundation Inspections
Date
Inspector Comments
Comments
201 Electrical / Cable/ Conduit
Initials
102 Caissons / Piers
202 Sewer Underground Int.
ter}
103 Footing / P.E. Letter
204 Plumbing Underground Int.
104 Foundation Setback Cert.
205 Plumbing Underground Ext.
105 Stem Walls
106 Foundation wall Insulation
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground / Slab Inspections
Date
Inspector
Initials
Comments
201 Electrical / Cable/ Conduit
202 Sewer Underground Int.
203 Sewer Underground Ext.
204 Plumbing Underground Int.
205 Plumbing Underground Ext.
206 Water Underground
Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections
Rough Inspection
Date
Inspector
Initials
Comments
301 Rough Framing
302 Wall Sheathing
203 P; a�{ h��thinn
304 Sheer Inspection
305 Insulation
306 Mid -Roof
307 Metal / Lath / Stucco
308 Rough Electrical Residential
309 Rough Electrical Commercial
310 Electrical Meter Residential
311 Electrical Meter Commercial
312 Temp. Const. Meter
313 Rough Plumbing Residential
314 Rough Plumbing Commercial
315 Shower Pan
SEE OVER FOR ADDITIONAL INSPECTIONS
Rough Inspectio, it, ) iate
�
316 Rough Mechanical Residential
Inspector
Initials
Comments
_
Comments
317 Rough Mechanical Commercial
318 Boiler / Furnace
319 Hot water tank
320 Drywall screw and Nail
321 Moisture board / shower walls
322 Rough Grading
323 Miscellaneous
Final Inspections
Date
Inspector
Initials
Comments
4n') Gas Meter Rel -2c- --
403 Final Electrical Residential
404 Final Electrical Commercial
405 Final Mechanical Residential
406 Final Mechanical Commercial
407 Final Plumbing Residential
408 Final Plumbing Commercial
409 Final Roof
410 Final Window/Door
411 Landscape/Park/Planning
Inspections from these entities shall be requested
one week in advance.
For landscaping and parking inspections please
call 303-235-2846
For ROW and drainage inspections please call
303-235-2861
For fire inspections please contact the Fire
Protection District for your project.
412 Row/Drainage/Public Works
413 Flood plain Inspection
414 Fire Insp. / Fire Protection
415 Public Works Final
416 Storm Water Mgmt.
417 Zoning Final Inspection
418 Building Final Inspection
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 by the Fire District and
Electrical low voltage by the Building Division.
City of Wheat Ridge
Residential Mechanic PERMIT - 201707749
PERMIT NO: 201707749 ISSUED: 09/27/2017
JOB ADDRESS: 4667 Independence ST 7 EXPIRES: 09/27/2018
JOB DESCRIPTION: Residential Mechanical replace furnace with new 70,000 BTU 80%Furnace
*** CONTACTS ***
OWNER (303)420-8226 STARR MARK W
SUB (303)487-5157 Shannon Monahan 160018 Service Experts
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2946 / MANSFIELD BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,475.00
FEES
Furnace Replacement 40.00
Total Valuation 0.00
Use Tax 72.98
** TOTAL ** 112.98
*** COMMENTS ***
*** CONDITIONS ***
Work shall comply with 2012 IRC & 2014 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompan yingg approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am t1�e 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
thisppermit. I further attest that I am legally authorized to include all entities named within this document as partes 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.
E ,-1,1-/
14
Signature of OWNER or CON CTOR (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 original permit fee.
3. If this permit expires, anew 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 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�t e a permit for, or an approval of, an violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief B AN 121- ' vuv� Date
REQUESTS MUST BE MADE BY 11.59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
FOR OFFICE USE ONLY
AOP-dwlWh
City of Date: eat i 19C
Plan/Permit#
Building & Inspection Services Division
7500 W. 291h Ave., Wheat Ridge, CO 80033 Plan Review Fee:
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Building Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed.
Property Address: WAD, ` _r_✓q d-epe.*v1Q V)e4_ St.
Property Owner (p/ease print): 5tCP- Phone: 3-y2.1j" 02z&
Property Owner Email:
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Arch itect/Enaineer:
Architect/Engineer E-mail:
Phone:
Contractor: Sb O•u_ CSX p tft5
Contractors City License #: Phone:
Contractor E-mail Address: I(_4b -Lo •
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ RESIDENTIAL ACCESSORY STRUCTURE (Gars ed-dec.k, etc.)
MECHANICAL SYSTEM/APPLIANCE REPAIR EPLACEMENT,
❑ PLUMBING SYSTEM/APPLIANCE REPAIR or RE ACMENT
❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ OTHER (Describe)
(For ALL projects, please provide a detailed description of work to be performed, including current use of areas,
proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and
amount of materials to be used, etc.) / UYVtt�� W VQA, -7,J I` 67-U
Sq. Ft./LF
Amps
Btu's
Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$ 3y_1�5 `9
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 1 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.
CIRCLE ONE: (OWNED) (((C��ON��TRACT or (AUTHORIZED REPRESENTATIVE))n of (OWNER) (CONTRACTOR)
PRINT NAME: YL Ibbi L.[J�_ SIGNATURE-(�NTtj��� DATE: 71 2.5
ZONING COMMMENTS
Reviewer
BUILDING DEPARTMENT COMMENTS:
Reviewer
PUBLIC WORKS COMMENTS
Reviewer:
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received ❑ Not Required
Water District ❑ Received ❑ Not Required
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION
c11n.14.,,, It
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
InspectionType: GSI/tea
Job Address:qM7 L SY—
Permit Number: /70%2Z
❑ No one available for inspection: Time % M/PM
Re -Inspection required: Yes oNo
When corrections have been made, call for re -inspection at 303-234-5933
Date: V 'S -17 Inspector:
DO NOT REMOVE THIS NOTICE
Jan. 3, 2012 3:33PM THE WIRENUT NoA638 K 1
. x Ill 11
..: as
Pratt 1t (doo at fbw eats l
DEPARTMENT USE ONLY
zom#40 comfum.
RUMMS pEPAW(MEN T STS.
R Y:.
Sub Contractorc!
a .: w. a R
.r
.pEPARTMENT OF .P~NNING AND DEVELOP
BUILDING INSPECTION DIVISION - 235-28
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
4826
4/4/97
Properly Owner:
Properly Address: 4667 INDEPENDENCE ST
Contractor license No.: 18505
Company: BARTELS HEATING &A1C
Phone 456-2n8
Phone 422-3589
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND A '
Construction Val e:
Permit F
Plan Review F
Use T x:
(OWNER)(CONTRACrOR) SIGNED
DATE
'to I:
$1,300.00
$44.00
$0.00
$15.60
$59.60
I hereby certify lh$ttlle sett>act< di$tallQ!is proposed by this perm~ applicalion a
and dO not violate applicable ordinances, rules or regUlations of the City of Whe ,
covenants, easementsortes1;rlctionsQfrecord; that all measurements shoWn. a
made are accurate; that I have read and"l!ree to abide by all condnions printed
application, and that i ass~lT!efull respQASlbilily for COIT!pllance wnh tha Wheat
Code (U.B.C.)and all other applicable Wheat RIdge ordinances, for wor1< under t
Description:
REPLACE FURNACE
BUILDING DEPARTME T USE OlllL Y
SIC:
q. Ft.:
Approval:
Occupancy:
Walls:
Roof:
Stories:
Residential nits:
Electrical license No :
Company:
Plumbing license No :
Company:
Mechanicalli nse No :
Company:
Expiration Date :
Approval:
.
Expiration Date:
Approval:
.
Expiration Date:
Approval :
.
(1) This pOrmllwa._ in ~ with1t1e pl\>Yi$loo. set for1h in yopur appl
R019u1ations and euikll<1lf Code ofWl1eat RIdga, ColO!8do Of 011)' other appl_ '
(2) ThIs pormlt.hldI 8l(pire W(A) the wort< _ad i. not c:cmmencad within sixty (
abandoned fora periO<j of 120 da}<', '
(3) If this pe'rmit eXpti'es, a new permit n1ay be,acquired for a fee of one-half the amou~
original plans and specifications and: any suspension or abandonment, has not ex
exceeds one (1) year, fUlUeesshanbepaid for a new permit
(4) No work many mannershatl be ~ that wtIl change the natural flow of water ca
(5) Contractor shaft theBui\(ting IASpector twenty-foor (24) hours In advance for
llf()Ceelliing . ....._e.;otthojob.
(6) The issuance a . ... theapprovalof drawings andspectfications shall not
Ofthebufl Of d'Y' ru/eor ragulatlon.
Chief B g Inspector
TH PE:RMITVALlD ONLY WHEN SIGNED BY THE IEF BUilDING INSPECTOR ND MAYOR
CALL: 234-5933 24 HOURS P ,I R TO INSPECTION
and is subiect to the laws of the State of Co! and.. to the Zoning
ottho City.
ays from Issue date at (B) the building a . ad Is suspended or. .
fly requirad, provIdadno c:hangO$ have Of wi" be made in the
one (1) year. If changes are madEl or if s or'abandonment
a drainage problem.
inspections and shall receive written appro on inspection card before
1 any violation of the provisions
___u J _n
'OEPARTMENT<>F PLANNING AND DEVELOPMENT Building Permit-Number:
BUILDING INSPECnON DIVISION - 235-2855
CITY OF WHEAT RIDGE Date:
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner :\~a r ckl ~ .
Property Address: 4(0101 .;s:n&pendence.. 5+reet
Contractor License No. :( b 50 5
Company: 16 Q r -Ie lS l-kC\!1rig Qnd j.\ 1(,
Phone :LJ50 - ornB
Phone: 4JJ- 2>5~ '1
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value :
Use Tax:
\ 300 OJ
Lf L{ 00
I S .~C'
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 (U.B.C.) and all other applicable t Ridge ordinances, for work under this permit.
DATE 11;/97
r<.{)\CtLemen~ .curnil[~) '10)000 erfU.
Permit Fee :
sc; w
(OwNER)(CONTRACTOR) SIGNED
Total:
Description: <1..1'\ s +a II i\.
BUILDING DEPARTMENT USE ONLY
'::"}llJII!!'~l' ",jl' 'II' '"
Approval:
Zoning:
.::!.lJ~,. _~, t.~ ',.jp-'" ),kJ:'
..
,
Approval:
~. ~:.l'J~,t!B..-'-'pw,.~...r
""..
Approval:
Occupancy:
Walls:
Roof:
Stories:
Residential Units :
Electrical License No :
Company:
i
/
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date:
Approval:
.Jl. t F'ri(n~:ji!ltu,!Nfd~
Expiration Dale:
Approval:
ill !.F1,Il!Jl$~ql!i~ed .oJ
Expiratior; Date:
Approval:
!II
a ;.,lj,l""i..<J; ..L;~L ~- _
(1)
(2)
(3)
This permtt was issued in accordance w!th the provisions set forth in yopur application and IS subject to the laws of the State of Colorado and to the Zoning
Regulations and Building Code of VVheat Ridge. Colorado or any other applicable ordinances of the City.
This permit shall expire If (A) the work authonzed is not commenced WIthin sixty (60) days from Issue date or (8) the building authorized is suspended or
abandoned for a penod of 120 days.
If this permit expires. a new permit may be acquired fOt a fee of ooe-hatf 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 (1) year. If changes are made or if suspension or abandonment
exceeds one (1) year. full fees shall be paid for a new permit.
No work of any manner shall be done that will change the natural flow of water causing a draInage problem.
Contractor shall notify the Building Inspector twenty-tour (24) hours in advance for all inspections and shaH receive written approval on inspection card before
proceediing with succesSIve phases of the job.
The issuance of a permIt or the approval at drawings and specifications shall not be construea to be a permIt for. nor an approval of. any violation of the provisions
of the building codes or any other ordinance. law, rule or regulation.
(4)
(5)
(6)
Chief Building Inspector For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING iNSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION