HomeMy WebLinkAbout4835 Harlan Streeti CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:
❑ No one available for inspection: Time
Re -Inspection required: Yes No
When corrections have been made,
h ttp ✓Avwjw. ci. whea tridge. co. usAns pi
�a Ins
AM/PM
online at:
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:
Job Address:
(�
Permit Number:
❑ No one available for inspection: Ti
Re -Inspection requiroc'y No
When corrections have been made,
http✓/www.ci. wheatridge. coxs4nspo
M
online at:
Y�r
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: (.-_LE
Job Address:''
Permit Number:
a
0 one available for ins ection: Time AM/PM
Re -Inspection requireC:Yes6f.
When corrections have been made, sch le for re -inspection online at.
http✓/www.ci.wheatridge.co.uslinspecti n
Date a specto .
DO NOT RE E THIS NOTICE
� '
City of Wheat Ridge
Residential Electric PERMIT - 202000751
PERMIT NO:
202000751
ISSUED:
04/24/2020
JOB ADDRESS:
4835 Harlan St
EXPIRES:
04/24/2021
JOB DESCRIPTION:
Install 200 amp service overhead drop in backyard
*** CONTACTS ***
OWNER (720)276-8217
SQUEEZE DINO
SUB (303)888-3445 RONALD PLESE
080213 PLESE ELECTRIC LLC
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE:
2337 / I-70 CORRIDOR
BLOCK/LOT#:
0 /
*** FEE SUMMARY *** ESTIMATED
PROJECT VALUATION:
2,250.00
FEES
Total Valuation
0.00
Use Tax
47.25
Permit Fee
93.35
** TOTAL **
140.60
*** COMMENTS ***
*** CONDITIONS ***
Must comply w/
2012 IRC & 2017 NEC. Subject
to field inspection.
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 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 Budding
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 andprocedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
Official Chief Building Ocial and is not guaranteed.
4. No work of anmanner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holdy er 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 orating of a perm shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable cod o ny grdinanc�(gl' 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.
Kimberly Cook
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, April 23, 2020 8:00 PM
To: CommDev Permits
Subject: Online Form Submittal: Permit Application (For permits which do not have a form
already)
Categories: Kim
Permit Application (For permits which do not have a form already)
This application is exclusively for Scopes of Work that do not already have a
specific form.
YOU MUST ATTACH AN ELECTRONIC PAYMENT FORM IN ORDER FOR THE
PERMIT TO BE PROCESSED.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
PROPERTY INFORMATION
Property Address
Property Owner Name
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**
CONTACT INFORMATION
Submitting General
Contractor or Architect
Contractor's License
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
4835 Harlen st
dino squeeze
720-276-8217
Field not completed.
Electron ic-Payment- Form. pdf
plese electric Ilc
080213
I
Contract Phone Number 303-888-3445
(enter WITH dashes, eg
303-123-4567)
Contact Email Address rpleseelectric@gmail.com
Retype Contact Email rpleseelectric@gmail.com
Address
DESCRIPTION OF WORK
Detailed Scope of Work - installing 200 amp service overhead drop
Provide a detailed
description of work
including mechanical,
electrical, plumbing work
occurring,
adding/removing walls,
etc.
Location of work backyard
(backyard, on roof, etc)
Project Value (contract 1100.00
value or cost of ALL
materials and labor)
Upload Engineer letter, Field not completed.
other documents on 8
1/2" x I V
Upload Asbestos Report Field not completed.
if triggler level is met per
CDPHE regulation.
Upload Drawings 11 " x Field not completed.
17" or larger
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.
2
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.
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 Ronald Plese
Permit
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:L..t''Z— I1�
Job Address:- C
Permit Number:
❑ No one available for inspection: Time A fPIV�
�
f
Re -Inspection required: Yes' No
When corrections have been made, call for re -inspection at 303-234-5933
Date: L . Inspector:"
DO NOT REMOVE THIS NOTICE
f City of Wheat Ridge
w
Residential Detached Garage PERMIT - 201601700
PERMIT NO: 201601700 ISSUED: 10/28/2016
JOB ADDRESS: 4835 Harlan St EXPIRES: 11/01/2019
JOB DESCRIPTION: Install 960 sf detached garage.
*** CONTACTS ***
OWNER (303)601-9353 TOWLE CINDY LOU BARBICH
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned
SUBDIVISION CODE: 2337 / I-70 CORRIDOR
USE: /
BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 36,000.00
FEES
Total Valuation 0.00
Plan Review Fee 369.56
Use Tax 648.00
Permit Fee 568.55
Extend Expired Permi 120.00
** TOTAL ** 1,706.11
*** COMMENTS ***
*** CONDITIONS ***
JJ: Approved per plans and red -line notes on plans. Must comply with 2012 IRC and all
applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections.
ZW: As part of the foundation inspection and PRIOR to the first framing inspection, a
completed, signed and sealed, Foundation Setback and Elevation Certification shall be
submitted to the City for review. The certification form shall be fully completed by a
Professional Land Surveyor licensed in the state of Colorado, stating that the foundation
was constructed in compliance with all applicable minimum setback and elevation
requirements of the City. For one- or two-family dwellings, the first twenty-five feet
(25') of driveway area from the existing edge of pavement into the site shall be
surfaced with concrete, asphalt, brick pavers or similar materials. A right-of-way permit
may be required; contact Public Works Department at 303-235-2861. Only one (1) driveway is
allowed per single family home. The new garage MUST tie into the existing driveway.
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION
City of Wheat Ridge
Residential Detached Garage PERMIT - 201601700
201601700 ISSUED: 10/28/2016
4835 Harlan St EXPIRES: 11/01/2019
Install 960 sf detached garage.
I, by my signature, do hereby attest that the work to be or
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 a�yd-t work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
ft
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 in
Official and may be subject to a fee equal to one-half of the original ermit 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, 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 Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
.t3 1ED
City of AUG (I
W heat Ij%
dgc Pe
?C101MMUNITY DFVELOPMENT
City of Wheat Ridge Municipal Building 7500 W. 291" Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929
Permit Extension Request Form
Permits 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 may be granted at the
discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee.
Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not
guaranteed. Please complete this form in its entirety and submit to the Building Division at
permits(,ci.wheatrid e.co.us or fax to 303-237-8929.
Party requesting permit extension:
2Df" 6 b j '� HT1
Permit #
Phone #
Property Address: 2( �'3 L 2 � n ,�-.� "
Email Address: C �.1 ) hn C
Reason for extension request: �
Number of days requested:
_,?C-)
Printed Name,/_'D ,Akf -I ( Signature: Date l ,
For office use only
This request has been: Approved LI Denied
Denied Extended until:
PP2
A roved by: I I
www.ci.wheatridge.co.us
i CITY OF WHEAT RIDGE
_:�9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 3 o '7 - fh L S
Job Address: tf 1; 3 5" 14 a, lCx n S4
PermitNumber: 2 0 14r 0 1-7 0
'
W f -a2 A rM v &_ j
❑ No one available for inspection: Time 1®= 0 1 &PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: 1 / o//q Inspector:
DO NOT REMOVE THIS NOTICE
City of
Wheatj�iclge
COMMUNITY DEVELOPMENT
City of Wheat Ridge Municipal Building 7500 W. 29`h Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929
Permit Extension Request Form
Permits 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 may be granted at the
discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee.
Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not
guaranteed. Please complete this form in its entirety and submit to the Building Division at
permitskci.wheatrid eg co.us or fax to 303-237-8929.
Party requesting permit extension:
-at, i 6,()1 1?(--) 0
Permit #
Property Address:: XX�
Phone # i. J'� Email Address: G TO U-"/— 2i
Reason for extension request:
Number of days requested:
Printed Name: p r A ) pw2. J -e_ -- - Signature: Date: / 4
For office use only
1
This request has beerl: Approved -; Denied Extended
Approved by: ' �,
Date: 1
www.ci.wheatridge.com 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: 306 1,
Job Address: 3 9l 9 /? 7
Permit Number: -01700 D6-9
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes 6
When correct'onil,
ve been made, cal or re -inspection at 303-234-5933
Date: ; Inspector:
DO NOT REMOVE THIS NOTICE
N
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes 6
When correct'onil,
ve been made, cal or re -inspection at 303-234-5933
Date: ; Inspector:
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 �_C,( I
Inspection Type: ALS- IE''� /P-Mf-
Job
Address. b-55 —sl-
Permit
sTPermit Number: 2-01 lQ 0 1-1 0 0
C
❑ No one available for inspection: Time I " 2 5
Re -Inspection required: Yes No
When corrections have been made, call f r e -inspection at 303-234-5933
Date: 10 4 1 -1 Inspector: - ►1 I'
DO NOT REMOVE THIS NOTICE
A City of Wheat Ridge
Residential Roofing PERMIT - 201704059
PERMIT NO: 201704059 ISSUED: 07/15/2017
JOB ADDRESS: 4835 Harlan ST EXPIRES: 07/15/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Dimensional asphalt shingles
with 15 sq.
*** CONTACTS ***
OWNER (720)301-6207 GOWLE DEAN
SUB (303)433-6762 Todd Hackbarth 020443 T. Hackbarth Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2337 / I-70 CORRIDOR BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,855.00
FEES PAID
Total Valuation 0.00
Use Tax 80.96
Reinspection Fee 60.00
** TOTAL ** 140.96
*** 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.
* P . e
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Residential Roofing PERMIT - 201704059
201704059 ISSUED: 07/15/2017
4835 Harlan ST EXPIRES: 07/15/2018
Residential Re—roof to install Owens Corning Dimensional asphalt shingles
with 15 sq.
VI, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
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
perfo d and that all rk t be perf rmed is sclosed 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 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 n®Lbw-const erl be a permit for, or an approval of, any violation of any provision of any
applicable code or any, dm p� dation tion. 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.
Dane Lovett
l 70
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, July 6, 2017 1:02 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 and due to the volume of requests, time to process
varies and is subject to change. 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.
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.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
til C
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address 4835 Harlan St. Wheatridge Co 80033
Property Owner Name Dean Gowle
Property Owner Phone 720-301-6207
Number
Property Owner Email Field not completed.
Address
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
T.Hackbarth Roofing
020443
303-433-6762
Contractor Email Address thackbarthroofing@comcast.net
Retype Contractor Email thackbarthu~comcast. net
Address
DESCRIPTION OF WORK
Are you re -decking the
roof?
Description of Roofing
Material
Select Type of Material
If "Other" is selected
above, describe here:
How many squares of the
material selected above?
Does any portion of the
property include a flat
roof?
If yes, how many squares
on the flat roof?
No
Owens Corning Dimensional
Asphalt
Field not completed.
15
No
Field not completed
TOTAL SQUARES of all 15
roofing material for this
project
Provide additional detail 4/12
here on the description of
z
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract
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 Todd Hackbarth
Email not displaying correctly? View it in your browser.
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WE
r,.
City of.
Buiidirrg I i"Pec!`'On Services Division
7500 W. 29r" Ave., Wheat Ridge, CO 80033 flan Review Fee:
Office: 303-235-2855 * Fax; 303-237-8929
Inspection Line 303-234-5933
Building r iApplication
Property Owner Lplease print); i d ► t
Property Owner Emall.- n 100 AA T XV.dA0,VN
Mailing ss: (if different than property address)
Address: m
Cit , State, i
ftgdffi,nq1MC NIA
Archite Engin r, E-mail: Phono*
contractors H g2 L0 WLt,,(-
Contractors City License Ph+ ne-
ont ctor -mai! sir+
Sub Contractors.-
Electrical:
orr tor.lectri l: Plumbing: Mechanical
WA. City License W.k City License # W.R. City License
Other City Licensed Sub. Other City Licensed Sub:
City License # City License #
Complete all Information _ BOTH sides of this form
amount of, materials to be used, etc.
`µ
Slq• FtJLFitu's Gallon
Amps Square's Other
Project Value: (Contract value or the cost of &materials and labor included in the pDft project)
# SIGNATURE OF UNDERSTANDING AND AGREEMENT
OWNER/CONTRACTOR
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable "nances, toles 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
• agree to abide by all conditions printed on this application and that I assume full icapoasibility for compliance
with applicable Wheat Ridge
* kpermit basedrt• am the legal owner
Rev. 06,/2014
I "L ` � ` er - F'axt eve �atZeet
.Address; Zoning:
Lest Size: sq. ff. Lot Width: $ p
Property in the flood plain? If yes, add surveying condition
Type efpr0 t (applicable survey nd tions in parenthesis):
11 IN 1111111 illi;�0111
Accessory ISP, ILC or site plan none FL
if in fl oclpl
0 Addition ILC and site ,plan if wlin 2' of setback or in floodplain )Ejflooain (FLD)
dplain (New ILC; grad site. pl yes (l ) in ' Of ettaac : QRS)flood I
aiin
Maximum Lot Coverage: ego
.��sq. ,
Existing provements: PrOPosed Improvements:
House: sq. ft. House/addition: s�. .
Sbed: s. ft. Shed: s.
ft
Detached garage. sq ft. Detached Garage: s . ft.a�
Other sq. & Other.
sq. f. ,
Total Existing sq. ft Pr€ Posed+Existing sq. ft
Lest Coverage pro Lot Coverage %
Required Setbacks: Pik S Rw.
Provided Setback: FR 2-C-> S_ S R.t *, ,
For additions or new construction, is the structure within 2 feet Ofminim setbacks?
If yes, add sumeying condition M.
.
axfrnuart Leight: Maxim Size:sq. flm
Proposed Height: Proposed Sipe:
Parkland: If the permit is for new construction, have parkland dedication fees been paid?
If no, acid condition I'E'EE, notify owner, and notify Iaailding d vision.
Streetscape: Doses the permit result in any of the following conditions?
Construction cif new roads 11 Platting of new Lits
New development C2 Additions that increase floor area by 60% or more (see formula)
(proposed floor area -- existing flag area } existing floor area
r`cr in.
If any hoax is checl� , . m
SF/DUPLEX—Is there existing Curb EJ Gutter -foot sidewalk adjacent to the property?
If curb, gutter or sidewalk is missing, streetscape construction or fees -in -Nett will be required.
{
MULTIFAMILY—Does the frontage meet current city standards?
If not, streetscape construction or fees -in -lieu will be required.
Fees -in -lieu ofdedication on car construction are direct the time the permit is issued,
Single Family Residential
.'arage
Angle 14mily Residential One Story Detache
Examplo Sit* Pion
150M feet
e p
kfeet
..
. i
. qrt
3 feet
n
. " its feet
Now driveway to
e paved
980 sq. ft. , .
(existing)
R
Mrilmum 1x12 rid g board aE ple Elevation
2XIO rafters 1/2" exterior plyvvood sheathing
speed at 2k
Class A 3 tab shingles
i layer15 fel
i R8 insulation
4 2x8 coiling Joists
i at 24" o.c.
E
i
g_ -p
a "Double 2x8
! top plate
T-111 siding i
i
E
1t? exterior t 2x5 studs
pts at 24" o.c.
E
P
R-19 fibergiess i
bens Insulation
i
i
E 2x5 silt pi to
rr11
'1 0.1
Examiner
CEO I i EN i gwirk
iiPPROVED:
�'OMMENTS-, JI -1
41ML4 ru"U- "o��"cuto �
As part of Oie fc)undatiori inspection an(iPRJOR 1`0111E
l°"IRS'I'F'R',,A-%,I,I",,\,(,i,[NSP EC'I'ION, a conapicied, signed
and sealed, FoundatiOT1 Setback arid Elevation
Certification shall be subnjt ed to the City for, review,
Ifad,* ,
'Flie certification forni shall be fully co leted a
I 171P
Prcfessional Land Surveyor licensed in the state of
Colorado, stating that thefibundation was constructed in
con1pliance wl"th all applicable mininiurn setback and
elevatJ on requirenients ofthe City. IT
CITY"S
STNNDARD FORM,
L
W7h e a:t fR1 I Jda, a
v tAOST 'TIC, it-ITO
fie first 25'ref` a driveway frorn, the existing
edge of'pavement into the site shall be
surfaced with concrete, asphalt, brick paver
or similar niate6a), Contact Dept of Public
Works for ROW Pennit 303-235-286 1,
3Y.. "
Ic*l IT
: L _� "
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Building Permit Number: 15433
Date: 5/1/2003
Property Owner: MAXINE BARBICH
Property Address: 4835 HARLAN ST
Contractor License No. : 20243
Company: Western Restoration Services
Phone: 433-7688
Phone: 303-452-0383
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 (U.B.C,) and all other applicable ~ea~d~ces, for work under this permit.
(OWNER)(CONTRACTOR)SIGNE~-""-> -DATE 72-C"'S
Total:
$6,100.00
$181.10
$0.00
$73.20
$254.30
Construction Value:
Permit Fee:
Plan Review Fee:
Use Tax:
Use:
Description:
REPLACEMENT OF DAMAGED CARPORT
BUILDING DEPARTMENT USE ONLY
Zoning C.Q'mments:
Approval: TRC
Zoning: R-2
BujJping Co~(s:
Approval: BG
;...... ."'."-0~";"","'" ....':......"'~
.E'ubllc Wo.r.!<,s;Commeot$:,
Approval:
SIC: Sq, Ft. :
OK. 18 APR 03, MUST BE CONSTRUCTED EXACTLY AS IT WAS
PRIOR TO DESTRUCTION
Occupancy:
Walls:
Roof:
Please Note:
Owner I contractor is responsible lor k:,. ~ropCrl)-
lines and constructing improvements 2':.:::-:_ .>~g to !hc
approved plan and required developmeilt standard,.
The City is not responsible for inaccurate infomtalion
submitted within the plan set and any construction
errors resulting from inaccurate informalion.
Stories: Residential Units:
OK PER REDLlNES.
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
Expiration Date:
Approval:
(4)
(5)
(6)
This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the Slale of Colorado and to the Zoning
Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City.
This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (8) the building authorized is suspended or
abandoned for a period of 120 days.
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 (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-four (24) hours in advance for ail inspections and shall receive written approval on inspection card before
proceediing with successive phases of the job.
The ;ssu ce o~a permit the approval of drawings and specifications shall not be construed to be a permit for. nor an approval of. any violation of the
provl soh . odes or any other ordinance. law, rule or regulation.
" ~
Chief Building lr66ector
(1)
(2)
(3)
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
APPUCA.TION
Building Permit Number:
Date:
Property Owner:f(k;.y,"", 8""h, ,I--,
Property Address: I-Hi j0~ /fr,r I,,, sf.
Contractor License No.: 202 ~IS
Company:Wesfrt"l'1 ((~,lor",1-I'uV"\ 5....,~v,ct!''j
Phone (l,C{)t.-/,) 3- 7GG-r
Phone: X? ~ t./~ -2- -6~.5::;
OWNERJCONTRACTOR 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 oftbe City of Wheat Ridge or
covenants, easements orrestrictions ofrecoro; 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.e) and all other applicable Wheat Ridge Ordinances, for work under
this permit.
(OWNER)(CONTRACTOR),SrGNEDc!J ~ /f~ DATE '-j-/~I-OS
Construction Value:$0, /00. ou
Permit Fee:$
Plan Review Fee:$
Use Tax:$
Total:$
DESCRIPTION: R~0/""C.C.W1('Af' of- d J J
~f " C.1'>1~7' Ct>..-r'o~r-
IRIEC/EOVIED
4PP 1 4
:(,~
-----
-----
-----
BUILDING DEPARTMENT USE ONLY
SIC:
Sq.Ft.:
ZONING COMMENTS:
Approv~ ~
Zoning: 1<'2. '. U
l~ ~ o"S
~14~
\1\)":>'
I:.e.
prio.
G>"st<v~ ~ct\4
*" dt,-t.v~
c.,:> l1-
BUILDING COMMENTS:
Approval: ;6. Co
(7.1c rr rJJ:nt!V3
PUBLIC WORKS COMMENTS:
Approval:
Occupancy:
Walls:
Roof:
Stories:
Residential Units:
Electrical License No:
Company:
Plumbing License No:
Company:
Mechanical License No:
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
Expiration Date:
Approval:
(1) This pennit was issued in accordance with the provisions set forth in your application and is subject to the laW5 of the State of Colon do 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 if (A) the work authorized is oot commenced within sixty (60) days from issue date ar(B) the building authorized is suspended or
abandoned for a period of 120 days.
(3) If this permit expires, a new pernrit 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 (1) year. If changes have been or if suspension or ab;mdonment
exceeds one (1) year, full fees shall be paid for a newpennit
(4) No work of any manner shall be done that will change the natural flow of water causing a dnrina.ge 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.
(6) The issuance of a pennit or the approval of drawings and specifications shall not be construed to be a pemrit for, nor an approval o~ any violation of the
provisions of the b . ding codes or any other ordinance, law, role or regulation.
Western Restoration Services
..:;/~)I()~
, ,
7162 Washington Street
Denver. CO 80229
Business (303)-452-0383
Fax (303 )-452-0992
%' ~:*--2"r''00i': 7f<' 7; - " C:-~ " 'Db::
I ,,~,,~_ ':S" - "
~ - ~ - ~ "'
Type of Estimate: OTHER
Client: Maxine Barbich
Home: (303) 433-7688
Propelty: 4835 Harlan Street
Wheatridge, CO 80033
Operator: STEVE
Estimator: Steve Pacifico
Business: (303) 452-0383
Business: 7162 North Washington Street
Denver. CO 80229
Company: State Farm Insurance
Fax: (800) 811-2358
Business: Team #72
Date Entered: 03/21103
Date Assigned: 03/21/03
Price List: DEN-2-1-03
Restoration/Service/Remodel with Service Charges
Broken Out
Estimate: BARBICH-I
File Number: 06-K065-364
Western Restoration Services
7162 Washington Street
Denver. CO 80229
Business (303)-452-0383
Fax (303)-452-0992
BARBICH-l
Main Level
II"
IT
Room: CARPORT
CARPORT
377.33 SF Walls
683.92 SF Walls & Ceiling
34.06 SY Flooring
47.17 LF CeiL Perimeter
306.58 SF Ceiling
306,58 SF Floor
47,17 LF Floor Perimeter
~~.N- --:~ -- ," .,,;
QUMo'mY ,; -' l.AOOR MATERIAL EQUlPl\IENT TOTAL
" c ~ ~ "'" " ,~"'~ .",~ ~ = -" " " )
4" x 4" square wood post (1.33 BF per LF)
28.00 LF 65.24
Exterior - seal or prime then paint 4 x 4 posts with two finish coats
37.25 SF 22.73
Concrete floor sawing - 4" slab
15.00 LF 57,00
Note: Cut concrete around existing posts.
Concrete pier or footing with post anchor
4.00 EA 90.52
Remove Concrete pier or footing with post anchor
4,00 EA 60.28
46.76
9.31
12,90
71.40
13.12
380.16
56.63
Soffit - metal
306.58 SF 466.01
Note: Replace ceiling in carport - metal soffit ceiling.
Header - double 2" x 10"
23.50 LF 66.04
Remove Header - double 2" x 10"
23.50 LF 90.95
Note: Install 2" x 10" support beam on south side of carport.
Exterior - seal or prime then paint with two finish coats
23.50 SF 14.34 5.87
Note: Paint support beam.
Soffit - metal
23.50 SF 35.73 29.13
Note: Wrap north side of support beam witb metal soffit material.
Joist - 2x8 floor or ceiling system
307.00 BF 217.97 168,85
Gutter / downspout - aluminum
31.00 LF 55.80 51.15
Note: includes gutter and one downspout,
Sheathing - waferboard - 1/2"
306.58 SF 125.70 70.51
BARBICH-I
112.00
32,04
69.90
161.92
73.40
846.17
122.67
90.95
20.21
64.86
386.82
106.95
196.21
03/3112003 Page: 2
Western Restoration Services
7162 Washington Street
Denver, CO 80229
Business (303 )-452-0383
Fax (303)-452-0992
CONTINUED - CARPORT
Remove Sheathing - waferboard - 1/2"
306.58 SF 88.91
Note: 1nstall1!2" wafer board for roof sheathing.
Drip edge
49.50 LF 41.59
3 tab - 25 yr, - composition shingle roofing - inel. felt
4.00 SQ 298.08
Remove 3 tab - 25 yr. - composition shingle roofing - inel. felt
4.00 SQ 95.28
Siding - hardboard - lap pattern - 6" or 8"
23.50 SF 34.31
88.91
19.79
61.38
147.16
445.24
34,12
129.40
35.49
69,80
Note: Replace facia on 3 sides of carport. Facia material is lap siding.
I Exterior - seal or prime then paint facia with two finish coats
I 23.50 SF 14,34 5.87
I Soffit - wood
I 11.75 SF 21.51 9.98
I Remove Soffit - wood
I 11.75 SF 1.76
I Note: Replace 1" x 6" soffit on south side of carport.
I Prime & paint exterior soffit - wood
I 11.75 SF 10.22 2.82
I
20.21
31.49
1.76
13,04
Room Totals: CARPORT
1,974,31
1,110.88
60.14
3,145.33
BARBlCH-l
03/31/2003 Page: 3
Western Restoration Services
7162 Washington Street
Denver, CO 80229
Business (303),452,0383
Fax (303)-452,0992
;---- 6' 3"
Room: PATIO
,
PATIO ~
136.00 SF Walls
203.19 SF Walls & Ceiling
7.47 SY Flooring
17.00 LF Ceil. Perimeter
67.19 SF Ceiling
67.19 SF Floor
17.00 LF Floor Perimeter
j---- 6' 7" ---I
~ON' " ""
" , .: ~ QU~ , '. : ", 'LMlO'R MATERIAL EQUIPMEl\T TOTAL
,-, ~ *_~~_~~ _,,,,,,,,,,,4 ~
1.00 EA 0.00
4" x 4" square wood post (1.33 BF per LF)
7.00 LF 16.31 11.69 28.00
Exterior - seal or prime then paint 4" x 4" post with two finish coats
9.31 SF 5.68 2.33 8.01
Concrete floor sawing - 411 slab
3.00 LF 11.40 2.58 13,98
Note: Cut concrete around existing post.
Concrete pier or footing with post anchor
I 1.00 EA 22.63 17.85 40.48
I Remove Concrete pier or footing with post anchor
I 1.00 EA 15.07 3.28 18,35
I Joist, floor or ceiling' 2x4 ' w/blocking' 16" oc
, 67.19 SF 32.92 23,52 56.44
Sheathing, waferboard ' 112"
67,19 SF 27.55 15.45 43.00
Note: Install 1/2" wafer board for roof sheathing.
3/8" BC plywood
67.19 SF 38.19 39.75 77.94
Remove 3/8" BC plywood
67.19 SF 22.84 22.84
Note: Install plywood ceiling in patio area.
Exterior - seal or prime then paint patio ceiling with two finish coats
67.19 SF 40.98 16.80 57.78
3 tab, 25 yr. - composition shingle roofing' incl. felt
1.00 SQ 74,52 36.79 111.31
Drip edge
6.25 LF 5,25 2.50 7.75
Remove Drip edge
6.25 LF 1.00 1.00
Siding, hardboard, sheet
32.00 SF 24.96 22.40 47.36
BARBICH, I
03/3112003 Page: 4
Western Restoration Services
7162 Washington Street
Denver, CO 80229
Business (303 )-452-0383
Fax (303)-452-0992
CONTINUED - PATIO
~mN ,." ,~"
, ,
",; QUA1\l!~, ,", "", _,,_.L~!<<'lR " , MATERIAL , EQUIP~NT TGTAL
I 32,00 SF 4.80
I :\'ote: Use 1 sheet of hardboard siding to fabricate patio wing on west side.
! Exterior - seal or prime then paint with two fll1ish coats
i 5.00 SF 3.05 1.25
I
Room Totals: PATIO
4.80
4.30
364.53
173.32
5.49
543.34
Room: West Elevation
Formula Elevation 6'3" x ... x 9'2"
/// (;<lb<,""""
'Ii
I El."o".~~
IJ
~!""-',-"~
57.29 SF Walls
0.00 SF Walls & Ceiling
0.00 SY Flooring
57.29 SF Long Wall
6,25 LF Ceil. Perimeter
0.00 SF Ceiling
0.00 SF Floor
6.25 LF Floor Perimeter
57.29 SF Short Wall
DESCRIPTION '
, -QUANTlTY . . , LABOR MATERIAL EQlJlPMENT TOTAL
I 57.29 SF
I Remove Siding - steel, (29 gauge)
I 57.29 SF
I Fanfold foam insulation board - 1/4"
I 57.29 SF 7.45
I Remove Fanfold foam insulation board - 1/4"
I 57.29 SF 9.17
I
0.00
0.00
10.31
17.76
9.17
Room Totals: West Elevation
13.11
13,82
0.00
26.93
BARBICH-l
03/31/2003 Page: 5
Western Restoration Services
7162 Washington Street
Denver, CO 80229
Business (303)-452-0383
Fax (303 )-452-0992
~""..H.q-'
Room: South Elevation
Formula Elevation 12'9" x... x 9'2"
,,,,,~, ..,';"
136.00 SF Walls
0.00 SF Walls & Ceiling
0.00 SY Flooring
136.00 SF Long Wall
14.09 LF Ceil. Perimeter
'----E""~<~,.,'~, _~,-i
0.00 SF Ceiling
0.00 SF Floor
12.75 LFFloorPerimeter
136.00 SF Short Wall
iiiS~N - - ~ .. H' '. " . " .
.~~ QllAN'll'I'I'\' .~'..~.-~ :,.~R MATERIAL EQUIPMENT TOTAL
~ ","" ,,~, N#rt>'"~iJ,0h""Y" '" ,,~~ ~S
Light fixture - Detach & reset
1.00 EA 24.76
Siding - aluminum (.019 thickness)- Std grade
121.00 SF
Remove Siding - aluminum (,019 thickness)- Std' grade
121.00 SF
Note: 15 sq. ft. has been deducted out for 2 windows.
Metal outside comer post
9.17 LF 15.68
Remove Metal outside corner post
9.17 LF 5.78
Attic vent - gable end - metal- 12" x 12"
1.00 EA 24,78
Remove Attic vent - gable end - metal- 12" x 12"
1.00 EA 4,18
Fanfold foam insulation board - 1/4"
121.00 SF 15,73
Remove Fanfold foam insulation board - 1/4"
121.00 SF 19,36
New Support Wall Follows:
4" x 4" square wood post (1.33 BF per LF)
16.00 LF 37.28
Exterior - seal or prime then paint 4 x 4 posts with two finish coats
37.25 SF 22.73
Concrete floor sawing - 4" slab
8,00 LF 30.40
Note: Cut concrete for new posts,
Concrete pier or footing with post anchor
2,00 EA 45,26
Remove Concrete pier or footing with post anchor
2.00 EA 30,14
Header - double 2" x 10"
23,50 LF
66.04
BARBICH-l
24,76
0,00
0.00
15.40
31.08
5.78
11.83
36.61
4.18
21.78
37,51
19,36
26.72
64.00
9.31
32,04
6,88
37.28
35,70
80,96
6,56
36,70
56.63
122,67
03/31/2003 Page: 6
Western Restoration Services
7162 Washington Street
Denver. CO 80229
Business (303)-452-0383
Fax (303)-452-0992
CONTINUED - South Elevation
fi~IDN"- h - ' - -
QUAl\lTJTY Li\.BOR MATERIAL EQUIPMENT TOTAL
~~" ~ ~~'"," ~
I 23.50 LF 90.95
i
I Note: Install 2" x 10" support beam along side of house.
I Exterior - seal or prime then paint with two finish coats
I 23.50 SF 14.34
I
90,95
5.87
20.21
Room Totals: South Elevation
404.10
231.15
8.84
644.09
~//1~'>
h'/ ,,' ;<1
R"'~H.,.p,_,.- / "',
'-l~'" ....<:..>
<......... //R-""...."
F-=w~/ ~,/
Room: General Conditions
DESClUPTION
QU.'\.NTITI:' LABOR . MATERIAL EQUIPMENT TOTAL
Remove General Demolition - per hour
I 10.00 HR 650.00
I Note: Includes removal of carport, patio and weather proofing of patio area prior to demolition.
I Remove Dumpster load - Approx. 20 yards, 2 tons of debris
I 1.00 EA 281.46
I General clean - up
I 2.00 HR 66,50 0.02
I Note: General clean up after reconstruction is complete.
I Remove Chain link fence - Jack & Level
I 1.00 LF 60.00
I
650,00
281.46
66.52
60.00
Room Totals: General Conditions
600.87
0.03
457.08
1,057,98
Area Items Total: Main Level
3,359.81
1,705.70
352.16
5,417.67
BARBICH-I
03/31/2003 Page: 7
Western Restoration Services
7162 Washington Street
Denver, CO 8-0229
Business (303)-452-0383
Fax (303)-452-0992
Line Item Subtotals: BARBICH-I
3,359.81
1,705.70
352.16
5,417,67
"' -- " J' ~ -= );'
Adj lii:tor:Biilie~, -, Adjustment '
Carpenter - General Framer
Carpenter - Mechanic
Cleaning Technician
Concrete Mason
Painter / Wallpaperer
Roofer
Total Ad 'ustments for Base Service Char es:
96.14
112.18
49.88
118.80
78AO
235.77
69 l.l 7
,', '1fotlll~ - '.' .
. "
706.63 SF Walls 373.77 SF Ceiling 1,080AO SF Walls & Ceiling
373.77 SF Floor 41.53 SY Flooring 83.17 LF Floor Perimeter
193.29 SF Long Wall 193.29 SF Short Wall 84.51 LF Ceil. Perimeter
373.77 Floor Area 395.27 Total Area 513.33 Interior Wall Area
862.67 Exterior Wall Area 107.83 Exterior Perimeter of
Walls
0.00 Surface Area 0.00 Number of Squares 0.00 Total Perimeter Length
0.00 Total Ridge Length 0.00 Total Hip Length 0,00 Area of Face I
BARBICH-I
03/31/2003 Page: 8
Western Restoration Services
7162 Washington Street
Denver, CO 80229
Business (3031-452-0383
Fax (303 )-452-0992
" ""'~" - w _~y '1(~>> I~.J \~ '~'M''''~ ",0"'1- ~~ '\= ~ "
, fit mBJ' - '
4, " " ~" ""
,~ , ":1 "
Ii; ,~" ,il; X t ",.
Line Item T atal
Total Adjustments for Base Service Charges
Material Sales Tax @
Subtotal
Overhead
Profit
BARBICH-I
5,417.67
691.17
13 1.1 0
6,239.94
623.99
623.99
7.500%
1,748.06
10.00%
10.00%
6,239.94
6,239.94
. Steve Pacifico
03/3112003 Page: 9
"
Western Restoration Services
7162 Washington Street
Denver, CO 80229
Business (303)-452-0383
Fax (303)-452-0992
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Estimate: BARBICR-l
Area: Main Level
CARPORT
PATIO
West Elevation
South Elevation
General Conditions
Area Subtotal: Main Level
Subtotal of Areas
Base Service Char es
3,145.33
543.34
26,93
644.09
1,057.98
5,417.67
5,417,67
691.17
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51.49% I
8.89% I
0.44% I
10,54% I
17.32%
88,69%
88,69%
11.31 %
BARBICH-I
03/3l12003 Page: 10
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DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number:
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE Date:
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
12645
8/20/01
(
Property Owner:
Property Address: 4835 HARLAN ST
Contractor License No. : 17152
Company: Precise Plumbing
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Phone: 433-7688
Phone: 5340881
(OWNER)(CONTRACTOR) SIGNED
DATE
Total:
$455.00
$23.50
$0.00
$0.00
$23.50
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 a~ree 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 Wheat Ridge ordinances, for work under this permit.
Construction Value:
Permit Fee:
Plan Review Fee:
Use Tax:
Use:
Ir~l~1)
Description:
REPLACE WATER HEATER, READY FOR INSPECTION
BUILDING DEPARTMENT USE ONLY
--
Approval:
Zoning:
SIC:
Sq. Ft. :
.........
Approval:
~
Approval:
Occupancy:
Walls:
Roof:
Stories:
Residential Units:
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date:
Approval:
Expiration Date:
Approval:
Expiration Date:
Approval:
(4)
(5)
(6)
This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning
Regulations and Buildin~ Code of Wheat Ridge, Colorado or any other applicable ordinances of the City.
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.
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 (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-four (24) hours in advance for all inspections and shall receive written approval on inspection card before
proceediing with successive phases of the job.
The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for. nor an approval of, any violation of the provisions
of the buil. codes or an other ordinance, law, rule or regulation.
(1)
(2)
(3)
Chi
DEPARTMENT of: PLANNING AND DEVELOPMENT
BUILDING INSPECTION DIVISION. 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH A VENUE
WHEAT RIDGE, CO 80215
Building Permit Number:
Date:
Property Owner:
Property Address: 'f 'Y3 S 1/"".1""/"'''> g r-
Contractor License No.: / 7/ r:2-
Company: ,or~c.J5-e.. /;G"" (/"1' ...:z;, c.-
Phone: '(33" '/b lr Y
" 3.3)
Phone: 5'".J f/- 0 i-... /
-
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value: -7'.,5'-
Permit Fee: .:t 3. S" 0
UseTax:~A"'s 1'0-=
I hereby certify that tt1e setbaCk distances proPOSed oy this ~rmff apPuCiltion are accurate.
and do not violate aOPUcab&e oralnanees. rules or regUlabOns of the City of Wheat Ridge or
covenants. easements or restndions of recant; ttUIt aU meuurements shown. Ina .'legatlOns
i'maM Ire Iccurate: tIlIII hive relCl Ind -vree 10 ._ by IU conGitions pnnted on this
.ppllCation. .no thltl llsurne full resQClftSlllllily for c:ompuance _ !tie Whell Ridge Building
Code (U.B.C.) .no "" o!tler Ippliclltile WheIl Aicfga ""'minces. tor werle unGer tillS ""mat.
(OWNER)(CONTRACTOR) ~IGNEO~ ,~... .........~ DATE .
Description: r.e,,<7~t:e u1o-t'o4'/' 4.,,,".,{.,.r .I rt"""oJ- ?'or /'..,y..e -c,'OY1
TolaI: 2j 3"eJ
BUILDING DEPARTMENT USE ONLY
:.1..:)1 . -., <l .,.
Approval:
Zoning:
.:u 8li]'}II.~'i1!Z.lJl~..t
Approval:
'. PubQ.<Z'N&a_Cb.~".tefi1s~
Approval:
Occupancy:
Walls:
Roof:
Stories:
Residential Units :
Plumbing License No :
Company:
Mechanical License No :
Company:
Electncal License No :
Company:
Expiration Date:
Approval:
.3 (P.mn-s~ulrlKf~
Expiration Date:
Approval:
~- P~~ulred.- :;1
Expiration Date :
Approval:
. ,p~tdlJilulrH:;a
(11
(2)
This pemvt was IISUecl an .cc:oraance WIU1 me pt'OVZIIOn.I lei fcnn ., yoour 'DC*CllbOn 1M II suo,ecc 110 the /awl 0/ tne Slat8 01 CObraao anGlO N Zoning
RegutallOnS ana BUilding CocIe of 'Nheat RJcsge. Co:oraoo 01 any ocnet IDJ*C;ItM Ol"Olnances of the City.
This pennlt snaJlexpn: rt fA) 1118 won; IIUV10nZlICl IS not commenc:ea wrnn IfXIY (ISO) day. Irom ISSue Gate Ot (8) the bwkItng lu&nonzea II ~ 01
aDanCloneo lor I ~ 01120 /SaVI.
If fl'lls pemut eXD&l'eI. . new '*"'" may De 8CQWl"K for I ,.. 01 on..,.." lie amounl nom1IUy reourtIMI. Pf'CMCMd no change. naw bMn Of _ tie ,... WI hi
ongIt\IJ PI.ns .nd sDeQftcaGOnl ana any IUSC)MSIOrl 01 'DanCIDnmenI n'l noc eXClMCleCf one (1) year, tt CftangeI '" mea. Of' d IUspenaaon Of IballdOI~1I
e.xc:eea. one 11) yeat. rutl fees tnaJI be DaIG lor. new oetrM.
No work 0' any mann., sn'll De ClOne tnal wsI dUlnge the n.turalllow 01 WI. CluSlnq I draJnaQe Pf'OC*m.
Contr2Cl:or sn,'l nouty me 8UdGlng I"SDeCOr twenty.IOUt f2C) hOurs In lav.nee for IlIlnspecuons ancIlI\aI recerve wnrten .pprow,l on anlDlCDOft c:ara Deforw
proceeallr'lQ Wit" successrve OIYIHS or tne 100.
The ISsuance of a oermrt Of tne .pprOYII of c2l'3WJngs and soecftcltJOns snail not De consUU~ to De I DemV1lbr. nor an .ppnw8' of. Iny 'IIOIIDOn of !he pn:MIIOftS
01 tne DuuOJnQ coaes or any otner orOlnance. law. n.J;e or 'eg~lfOn .
(3)
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16)
Chief Building Inspector For Mayor
THIS PERMIT VALID ONL.Y WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
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OUT ~ DESIGN
INSIDEOUT DESIGN LLC
Architecture & Interiors
1820 Platte Street
Denver, Colorado
80202
Tel. 720.855.6121
Fax. 720.855.6122
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POST GAP, I I ~ - ....
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INSIDEOUT Ltc They' ma)/ not be duplicated,
reproduceti v'iithout the vliIiHen consent of IhlSIDEOUT DESIGN
Copyrights and infringements viii II be enforced and
I SS U ES
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SHEET TITLE
PLANS
PROJECT NUMBER
03011
DATE
4/10/03
DRAVVN BY
RD
CHECKED BY
RD
SHEET NUMBER
A-1
!!i"''''''~N''~irr'''''''":""A<''''''.'''''"'''F'"","''!D''"'"'''''''1''''''c,."""~""",,,,,,,,,,,,,,,,,,,,,,,',;c"",,~~I.l~~~.
" f!, _AATltl5f\IT()F PLANNINy ANDDEVSLOPMENT Building Permit Number: 4514
BUILDING INSPECTIONOIVIS,ION - 235-2855
CITYOFWtt~T RIDGE Date: 1/28/97
7500 WEST 29T~ AVENUE
Wtt~T FtlDGE, ~O 80215
,':,L
;;-
Property OWner:
Property Address: 4835' HARLAN 51
Contractor License NO.: 18545
Company: High Country Heating & AlC
Phone: 433-7688
Phone: 4251593
Construction Value:
PermitFee:
Plan Review Fee :
Use Tax :
, ",.','.:OWNERlCO~CTO~SIGNA'TU.RE OF UIIlDERSTANDING AND AGREEMENT
',,'Il)ereby certlI'y thit tI\e'... ~ proposed,QY this permhppllc8tiOn are sccurate,
"', . and do nalvlOljte,~ 0lllInlI1lCl!8' ruIN or f8llulatiOna of the City of Wheat RIdge or
',..""""nanl$. ..semei1ta Qt~naOfl'8COld; that_" meaaurements shown, and allegatiOns
':, made are sc:cunn." ; 1M, '"f11!lMO IQOf88Il, en:.:lbrea to, .bide by all condltlclns printed on this
+_IcatIOn. 8ndth!ll l.-urnet\dl , III\y for compOance with the Wheat RIdge Building
.dOde (lI.B,C.)and aIIQlher ~ Wheat RldgeOrdlR8l1C18, for work under thiS perrn~.
DATE
Total:
$1,920,00
$63.00
$0.00
$23.04
$86.04
Description :
REPLACE FURNACE
BUILDING DEPARTMENT USE ONLY
SIC: Sq. Ft. :
Approval:
Occupancy :
Walls:
Roof:
Stories:
Residential Units :
Plumbing License No :
Company:
MechBnical Licanse No :
Company:
Electrical Licanse No :
Company:
expiration Date :
Approval:
.
Expiration Date :
Approval:
.
Expiration Date :
Approval:
.
(1) lr:=~5==:~O::::JJ,~e~~~1I~h~th8_ofth8_ofCoiQnMlOendll>th8Zon1ng
(2) ~t":= of~lo~ ~ _II not - wItl1 sixty (60) dIys lrcm Issue dots or (B) the building _Is suapondod or
(3) II this perm;t 0lCPI*, a _ ~ may be acquJrad lor a foe of "",,,haW th8 amount normally raqulrad, p_ no changao haw boon or wlH be made In the
orifl"'-'plaflS _~ endarry_~ or abandonment has not excaadad ana (1) year, I'changes ora mOde orWouspOns1on or_
..-_ (l}yeor, 1uI!__ be pOIdlora now permit
(4) Nowell< of'iIJ1li mllIlnar _be_ _ wlU "'*"" the natural now ofwatar cousino a dralnege probIam.
(5) eontr-=tor _l1QI!t1the Bul1dIni_twanty" ""'" (24) hours In advance lor all fnspectIonl end sha1l racelva _ appmvai on InIIpectlon COld -
DIOClIOdIlngwilll", . ..._oflheJob.
(8) 'IIle IaaUOnCO ots parma '" th8 appIOVOI or ~ngs end spedlIcations ahaIl not be conatruad II> be a permit lor, nor an opprovaI of, arry _ oflhe provisions
:::i&rn~,Isw'~or~wdon
THIS pERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: ,234-5933 24 HOURS PRIOR TO INSPECnON
--------_.--....-..__._------_...._----~~-_._---_._---------
':JEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number:
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date:
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner: vY1 ClA,L1 VU f:?>(l%b;C, Vl
Property Address: l/n5' i-IM' UW/\ S't-.
Contractor License No. : I 'iJ -:) Li t;-
Company: I-hJic CoU-41fnt hkClhh~ ,+ 4 i'
Phone: l/ 3 3. '7 L"t~'
Phone: 4:J'J - / S -tJ 3>
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 aU conditions printed on this
application and that I assume futl re5P~nSi ility for c, ompliance with the Wheat Ridge, 8U, ilding
Code (U.Be.) and all other applicable W t Ridge or inances, for work under this permIt.
(OWNER)(CONTRACTOR)SIGNED ,~ul ~A~ DATE Ij.J./jq1
I I
Construction Value: "'/ j q ::UJ. {)Ll
Permit Fee: '11 & 3 ' DO
Use Tax: <fJ 61-3 ,DL/
Total: t f {; , () if
Description: J);,7 <;.fzt [(
fOj ODD i3 rIA ~Vj// tu':.L
BUILDING DEPARTMENT USE ONLY
ZIDflilll'J:IDJlmeJlli!:l
Approval:
Zoning:
BI!.!I!!!B'.CiJ.il:Imentn
Approval:
mml!c-W~mnmllltQ
Approval:
Occupancy:
Walls:
Roof:
Stories :
Residential Units:
Electrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No: /fI!J7/~ '
Company: /-hat<- (}.(J'~fv'f /JcJ). hf1ff
J 'f O-(r.:-.
Expiration Date :
Approval:
Exp'ration Date:
Approval :
. lI'A!irjSJ.U4I1!nij,f~
Expiration Date:
Approval:
. llRI!I.:R!8l!llfltCl~fll
.
(1)
(2)
(3)
This pennit was issued in accordance with the provisions set forth in yapur application and is subject to the laws of the State of Colorado and to the Zoning
Regulations and Building Code of VlIheat Ridge, Colorado or any other applicable ordinances of the City.
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.
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 (1) year. If changes are made or if suspension or abandonment
exceeds one (1) year, full fees shalt be paid for a new permit.
No wor1o; of any manner shall be done that will change the natural now of water causing a drainage problem.
Contractor shall notify the Building Inspector twenty-four (24) hours In advance for allmspections and shall receive written approval on inspection card before
proceeching With successive phases of the job.
The issuance of a permit or the appro,val of drawings and specifi.cations shall not be construed to be a permit for, nor an approval of. any violation of the provisions
of the building 0006: ether ord,nance, law, rule Of regula.on
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
(4)
(5)
(6)
",.,,, """""~1"~~'!i"i1W41#-~~11i'!'~~~~+~'~""':"'W,,,,,,"i~!\'!lI~i;'l!~'l", i,q,.,,~I!II,I!,l,!~ ,!g~t"!""",UJl!IJ!l,\,Ill'Jl!,l",,,,,,,1
4--k,ir_ARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: 95-1435
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date :7/18/95
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Properly Owner: BARBICH FRANK L
Properly Address: 4835 HARLAN ST
Contractor License No.: 18374
Company: Meister Electric
Phone : 433-7688
Phone : 233 1030
Construction Value :
Permit Fee:
Plan Review Fee :
Use Tax:
~ERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
, 'I~ 'certify thst the setback distances proposed by this pennn application are aecure!e,
lI!!lI,*,~Qt violate aDDllcable ordinances, Nlea or regulations of the City of Wheat RIdge or
~lII8, easements or restrictions of, recold; that all measurements shown, and allegations
'l\ll!dlI,,,",sccurate; that I have lead Ind agree to abide by III condnlons printed on this
.,'Ill ~bn, snd that I assume full responsibility com hance wnh the Whelt Ridge Building
COdlI (U:B.C,) and III other applic8ble Whelt f't Inces, for work under this pennn,
(QWNElR)(CONTRACTOR) SIG DATE "r 1%- qg
Total:
$185.00
$25.00
$0.00
$2.78
$27.77
Description:
Repair and or replace existing riser
BUILDING DEPARTMENT USE ONLY
Approval:
OCcupancy :
Walls:
Roof:
Stories :
Residential Units :
Plumbing License No :
Company:
Mechanical License No :
Company:
&lectrlcal License No :
Cortlpany :
I;xplriltion Date :
~ptoval :
.
Expiration Date:
Approval:
.
Expiration Date :
Approval:
.
This pennit was Ioaued in 8QCClId8nce with the prqvIsions set fO<th In yepur Ippllcatlon end Is lubiect to the I8wo or the State or c_ end to the Zoning
Regulallonl and Building Code 01_ Rldgo, c_ or any other Ipplic8bIo ord1noncos of 1110 Clly,
ThIs pennit oholl O>qliro W (A) the WOI1< authorized Is not commenced within Ilxty (60) dayl from Isouo date or (8) tho building outhorized Is ouspandod or
, abandoned lor. peiiod or 120 da)'1,
If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, pnMded no changes have been or will be made in the
original plans and ~ons and any suspension or abandonment has not exceeded one (1) yeer. If changes are made Of If suspension or abandonment
exCeeds one (1) yeer, full feel shell be paid for anew pennlt.
No work of any manner shall be done thatwlU change the natural1\oW of water causing a drainage problem.
, Contractor _ nCJIIly the Building Insooctor twenty-lour (24) hours In adva""" for all mspoctlonl and oholllOCOlve writlon approval on Inspection card baloro
_ngwith_ohoaOIoftheJob.
The IIIU8IQ of. permit or the approval of drawings and speciflcItions shall not be construed to be a permtt for, nor an approval of, any violation of the provisions
thO ng any ordlna iJrogulation.
hief Building Inspector
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
(1)
(2)
(3)
JT~~aJ
DEPARTMENT OF COMMUNITY DEVELOPMENT
750Q WEST 29lh AVENUE BUILDING INSPECTION DIVISION PERMIT NO, l'-t"3 ~
234.5933 P.O. BOX 63B CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID DNLV WHEN SIGNED BV THE CHiEF BUILDING INSPECTOR AND RECEIPTED BEL'JW
I A PLICATION FOR MISCELLANEOUS PERMITf;' l: b'. 1
C\ <:;:. OWNER _r~n.!;; ~_Qr _IC-h..-
Lee- r-Ie.. he... ADDRESS l.j~1r6 ~I\ S .
e. \ 'D PHONE 4S3 - ilE, ZIP CODE ~
CITY ZIP CODE <;?O~ IS CONTRACT PRICE $ J<;S ~
PHONE LICENSE NO. :;l"/~ DATE '(- n -C"tS
SIGNS
I. TYPE
2 MATERIAL
3, ILLUMINATION VOID NoD Type
4 SET BACK FROM PROPERTY LINE N_ S_ E_ W
(Specify which" front) 0 D 0 D
SolidO Mor. T"o" 800/0 OPlnO l.n Thon 800/0 Open
Heioht
Zonl_ Approvld,Zon.lnlplctor
Disapproved
Ground 0
WolIO
proitctinQD
Of her
Total Square F..t
Eleet, Permit NO.
Zonl_ Approved. Ion. Inspector
Disapproved
5 or 0 Fac.
FENCES
I. TYPE
~, MATERIAL
3 SET BACK FROM PROPERTY LINE
(Specify which i. front)
N_S_E_W
000
o
OTHER
I.
2,
3
DRAW SKETCH DR SHOW BELOW, THE FENCE,SIGN,DR OTHER STRUCTURE,GIVING DISTANCES FROM PROPERTY LINES.
(SETBACKS OR PROJECTIONS INCLUDE,D)
REAR PROPERTY LINE
w
z
::J
>-
>-
0:
W
..
o
0:
..
~
<f>
w
z
::J
>-
i
:!l
ii\
+
SPECIFY NORTH
FRONT PROPERTY LINE
STREET NAME
SHOW OISTANCES FROM THE MAIN BUILDING TO-ADJOINING HOUSES, STREETS, AND PROPERTY L1NESi ON IRREGUlAR LOTS. SHOW ~
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 EXPIRE 180 DAYS FROM THE DATE OF ISSUANCE IF WORK IS NOT STARTED WITHIN THAT TIME,
ELECTRICAL PERMIT PLUMBING PERMIT MECHANICAL PERMIT
STATE LICENSE NO STATE LICENSE NO
ALUMINUM WIRE UNDER SIZE B ILLEGAL FLOOR BSM 1ST 2ND 3RD 4TH NO. FUEL' CIrtle QnefGaoIOltlPloponeICoadEleelSoIor
NO, WATER CLOSET FORCED AIR - BTU
TEMPORARY METER WASH BOWL HOT WATER - BTU
NEW SERVICE - AMPS BATH TUB STEAM - BTU
CHANGE SERVICE - AMPS SHOWER AIR CONDITIONING -BTU
LIGHTING SINK OTHER
HEATING GARBAGE DISP REFRIGERATION SYSTEM
POWER SUB-CIRCUITS WATER HEATER Refrioerant Grouo
UTILITY (RANGE, DISPOSER. ETC) AUTO, WASHER Pounds Chortle
FIXTURES DISH WASHER AUTOMATIC SPRINKLER SYSTEM
WIRING MOTORS 6 CONTROLS FLOOR DRAIN ELEVATOR
SIGNS URINAL
TRANSFORMERS 6 RECTFIERS SEWERS
ADDITION TO OlD WORK OTHER
MOTORS OVER I HP TOTAL FIXTURES
REMARKS <Ke~lr nh~ lor -1i-(.f' b('Q.. -€-)o k; -l - '+?j.
IhCl Ise..-
t
I hereby ocknowledoe that this applica.
tion .1 correct and understand that I
cannot stort this project until this appli-
cation is approved. I sholl comply with
the lowI of the State of Colorado and to
the Zonina Reoulatlons and SUlldin;
Code of the City of Wheat Rid;e. Any
violation of the aba...' terms will couse
immediate re\loc~~,~o OfLthiS .rmil
.-/ '"
, ~,.
PERMIT FEE
USE TAX
TOTAL FEE
NOT VALID UNLESS RECEIPTED
$
APPROVED
DISAPPROVED
CHIEF BUILDING INSPECTOR,City of Wheal Rid~e
Dole Issued
CALL 234.5933
24 HOURS IN ADVANCE
FOR INSPECTIONS
.."lica"'_ SiaM r.