HomeMy WebLinkAbout4510 Carr StreetINSPECTION RECORD
Inspection online for http://www.ci.wheatrid o.us/ins ectio
Cancellations must be submitted via eon in orm 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 day
PERMIT: ) &D ADDRESS: r` /& JOB CODE: Kn
Foundation Inspections
Date
Inspector
Initials
Comments
102 Caissons / Piers
103 Footing / P.E. Letter
104 Foundation Setback Cert.
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
303 Roof Sheathing
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
PERMIT: ADDRESS: `15-1041 t JOB CODE: 121
Rough Inspection (continued)
Date
Inspector
In'tia s
Comments
316 Rough Mechanical Residential
f v�% / /
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
I
Final Inspections
Date
Inspector
Initials
Comments
402 Gas Meter Release
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's'
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.
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 day
PERMIT AIS -7� 009' ADDRESS: /& 6o-(�2v. JOB CODE: j2j
Foundation Inspections
Date
Inspector
Initials
Comments
102 Caissons / Piers
103 Footing / P.E. Letter
104 Foundation Setback Cert.
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
'7
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
303 Roof Sheathing
304 Sheer Inspection
305 Insulation
306 Mid -Roof
'7
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
PERMIT:: `c:,12 ADDRESS: JOB CODE:
Rough Inspection (continued)
Date
Inspector
Initials
Comments
316 Rough Mechanical Residential
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
402 Gas Meter Release
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.
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:
-11c,,9 k t�
Job Address: q5jo 6z r r
Permit Number: )07n,)q q
❑ No one available for inspection: Time e Jl: 4pm
Re -Inspection required: Yes No'
....�`
When corrections have been made, call for re -inspection at 303-234-5933
Date: 1/' Inspector: ,1/, ----
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: ��' ,clGLl
Job Address:
Permit Number: 0/%01?; �
❑ No one available for inspection: Time ff'_" A�/Pm
Re -Inspection required: Yes LNo�
When corrections have been made, call for re -inspection at 303-234-5933
Date: / �,_)' �)� - ) 7 Inspector:'f--
DO NOT REMOVE THIS NOTICE
CITY OF WHEAT RID
Building Inspection Divi _
(303) 234-5933 Inspectior—
..a, p
(303) 235-2855 Office - (303) 237-,,zz�:� r�
z e
� Fax
INSPECTION NOTIC
Inspection Type:
Job Address:
Permit Number:
❑ No one available for inspection
Re -Inspection required
When corrections have been made, call for re-inspectio
n 8t 33,
'�234,
Date:, / 7 Inspector:
DO NOT REMOVE THIS Nor
ICF
City of Wheat Ridge
Residential Mechanic PERMIT - 201709660
PERMIT NO: 201709660 ISSUED: 12/20/2017
JOB ADDRESS: 4510 Carr ST EXPIRES: 12/20/2018
JOB DESCRIPTION: Install wood burning insert into existing fireplace. No electrical, no
plumbing, no frame.
*** CONTACTS ***
OWNER (720)837-5769 PEREZ DANIEL
SUB (303)816-4900 Chris Goodrich 120265 Goodrich Chimney Services
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,000.00
FEES
Total Valuation 0.00
Use Tax 63.00
Permit Fee 93.35
** TOTAL ** 156.35
*** 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.
[, 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 ermiL further attest that I am legally authorized to include all entities named within this document as partes to the work to be
performed ai}d that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
r! d /S
Signature of OWNER or CONTRACTOR (Circle one) Date
I. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and 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 an 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
Division:
6. The issuan jo rantingg of apVfinit s II 't be construed to be a permit for, or an approval of, an violation of any provision of any
applicably d iyt r�dinado� on of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
Wheat
COMMUNITY DEVELOPMENT dgc
Building & Inspection Services Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits @ ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date: ,2 %� 0/ /q
Plan/Permit #
Plan Review Fee:
Building Permit Application
Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. **'
Property Address:
Owner
Property Owner Email:
Mailing Address: (if different than property address)
Address:
City, State, Zip:
ArchitectlEngineer E-mail:
Contractor: L,
Ck7tM n
Phone:
Phone: -') 0
Contractors City License M [ 2U`?.ln� Phone: �?) O--� 7 -5 7; / 307
Contractor E-mail Address:
C�4 Ce
For Plan Review Questions S Comments (please ^print):
CONTACT NAME (please print): �� 1"1 v�-- Phone:
CONTACT EMAIL(p/ease print):
Sub Contractors:
/Co7
Electrical: Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License # l Z 6 L(. 5
Other City Licensed Sub: Other City Licensed Sub:
City License #
City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITIONH
RESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION WINDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
S2NECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
❑ 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.)
`fin S �-
0
p
Sq. FULF
Amps
Btu's
Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCZE ONE: (OWNER)�NTRACTOR)yorr"'IAUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Signature (fust and last name):DATE:
ZONING COMMMENTS-
Reviewer
BUILDING DEPARTMENT COMMENTS'
Reviewer.
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION.
Building Division Valuation: $
Blaze King
SIROCCO 25 (SC25)
SOLID FUEL WOOD CATALYTIC FIRE PLACE INSERT
Date Installed: `T we recommmera that our woodbung
ri4e hearth products be installed and serviced
by professionals who are certified in the U.S.
by the National Fireplace Institute' (WI) as
rel Woodburnrng Specialists or who are
Serial No.: odd in Canada by
p V1ood Energy Tedvacal
Traedng(WETT). "'""•"r "`!
This heater meets the 2015 U.S. Environmental Protection Agency's particulate emission limits for wood heaters sold after May 15, 2015.
Tesred a
UstW Bp
C Us
01e44.n Lab—i r+.s. -
0142WN017:
The authority having jurisdiction (such a municipal building department, fire department, etc.) should be
consulted before installation to determine the need to obtain a permit.
OPERATION & INSTALLATION MANUAL
Manufactured By
Valley Comfort Systems Inc., 1290 Commercial Way, Penticton, BC, V2A 3H5, Canada
Phone: 250-493-7444 • Fax: 250-493-5833 • wwwblazeking.com • info@blazeking.com
Pour la version frant;aise de nos manuels S.V.P. vous referez a notre site web: wwwblazeking.com
OM-SC25 E V1.07 January 19, 2017
SC25
SPECIFICATIONS
Page 5
Model
Sirocco 25 (SC25) (catalytic)
Overall height and width (incl. shroud)
27 1/8"x 38 7/8" (689 mm x 987 mm)
Width of firebox enclosure (behind shroud)
27 7/8" (708 mm)
Overall depth and height of firebox
18 3/8" x 21 5/8" (639 mm x 588 mm)
Flue collar size and distance from shroud
back
6" I.D., 14 3/8" (366 mm)
Fire door opening
25 1/4"x 10 5/8" (642 mm x 270 mm)
Firebox depth
16 3/4" (426 mm) brick to brick, 18;'(457 mm) brick to glass
Firebox width average
20 1/2" (521 mm)
Firebox height
10" (254 mm)
Fire box capacity
2.3 cu. ft.
Recommended Fuel length
16" max. (407 mm)
Wood capacity (approximate):
White oak - 53 lbs. (24.04 kg)
Fir - 35 lbs. (15.88 kg)
Construction
10 gauge & 1/4" firebox, refractory brick lined.
Shipping Weight (Firebox only)
325 lbs. (148 kg)
Chimney recommendation (Minimum)
129"W
15' from appliance top to chimney cap: Insulated liner recommended
Minimum fireplace opening
x 22"H x 191)" (737 mm x 559 mm x 483 mm)
This unit was tested and listed UL 1482-11 (82015) and ULC S628-93
by OMNI -Test Laboratories.
This manual describes the installation and operation of the Sirocco
25 (SC25) catalytic equipped wood heater.
This heater is certified to comply with the 2015 U.S. Environmental
Protection Agency's particulate emission limits for wood heaters sold
EMISSIONS
CO Average(%)
g/hr
Low Burn
0.05
0.31
Med-low Bum
0.18
0.33
Med-high Bum
0.12
1.48
High Burn
0.08 T
1.93
after May 15, 2015.
Under specific test conditions this heater has been shown to deliver heat at rates ranging from 10097 to 26290 Btu/hr.
This wood heater has a manufacturer -set minimum low burn rate that must not be altered. It is against federal regulations
to alter this setting or otherwise operate this wood heater in a manner inconsistent with operating instructions in this
manual.
This wood heater contains a catalytic combustor, which needs periodic inspection and replacement for proper operation.
It is against federal regulations to operate this wood heater in a manner inconsistent with operating instructions in this
manual, or if the catalytic element is deactivated or removed.
The combustor supplied with this heater is a 115.0335 metal combustor. Consult the catalytic combustor warranty also
supplied with this wood heater. Warranty claims should be addressed to:
in Canada
in USA
Blaze King Industries / Valley Comfort Systems
Blaze King Industries
Warranty Department, 1290 Commercial Way
Warranty Department, 146A Street
Penticton, BC Canada V2A 3H5, Ph: 250-493-7444
Walla Walla, Washington 99362, Ph: 509-522-2730
OM-SC25 E V1.07 VHR.R' 4 z01
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: Y" 1 0
Job Address: 'V5 /0 CAyV S%
Permit Number: Z V 1700 5J 7 e
❑ No one available for inspection: Time AM4g
Re -Inspection required: Yes a
When corrections have been made, call for re -inspection at 303-234-
Date:- 6126))-7 Inspector: 6,4?
DO NOT REMOVE THIS NOTICE
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION
City of Wheat Ridge
Residential Roofing PERMIT - 201.700998
201700998 ISSUED: 05/30/2017
4510 Carr ST EXPIRES: 05/30/2018
Reroof Owens Corning dimensional asphalt 38 squares
*** CONTACTS ***
OWNER (720)837-5769 PEREZ DANIEL
SUB (720)436-8444 Rudy Yslas
100077 STH Custom Designs
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 14,300.00
FEES
Total Valuation 0.00 }; h -
Use Tax 257.40 a
Permit Fee 283.55 -- — --
** TOTAL ** 540.95--___---._-.-
*** 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 Ai/z-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 manufacturera€1'Ms 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's 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.
City of Wheat Ridge
Residential Roofing PERMIT - 201700998
PERMIT NO: 201700998 ISSUED: 05/30/2017
JOB ADDRESS: 4510 Carr ST EXPIRES: 05/30/2018
JOB DESCRIPTION: Reroof Owens Corning dimensional asphalt 38 squares
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 tll work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
I This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This, permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permitfee.
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 any ordinance or regulation of this jurisdiction. Approval of work is subject to Field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequestgci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
City of
i
MMUNITY DEVELOPMEt�IJ'Log
T
Building & Inspection services Division
7500 W. 29h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: perm its(a)-ci.wheatridge.co.us
11111[ 111 •1 ilillillitillillilliii�'ll�llillI
FOR OFFICE USE ONLY
Date: S/30,
Planmennit #
,_uI�
Plan Review Fee:
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address: :Z J (_' C /11
Property Owner (please print): �� d� 1 L ��L-- 12 Phone:
Property Owner Email:c_= n L= Z <S�% /�'1 Sr'1 -
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer E-mail: Phone:
Contractor: Y7 7-1 C-"
Contractors City License #:
.^ 0 L=
Phone: Z-�-
Contractor E-mail Address: / C. L
r°
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
❑ COMMERCIAL ❑ RESIDENTIAL
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 (Garage, shed, deck, etc.)
❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
❑ 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.)
S)\t
Sq. Ft./LF Btu's _
Amps Squares
Gallons
. 6 Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
Q L
i� s V )t ,_� 4
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application.
IN
CIRCLE ONE: GOWN_$). /(CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
PRINT NAME:
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
SIGNATURE: �f DATE: ? L '-/ 7
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received ❑ Not Required
Water District ❑ Received ❑ Not Required
Sanitation District ❑ Received ❑ Not Required
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
TYPE OF CONSTRUCTION:
SPRINKLERED:
OCCUPANTLOAD
Building Division Valuation: $
F
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS
DATE
INSPECTOR
INITIALS
COMMENTS:.
Footings /Caissons
Stemwall_ / (CEG) Concrete
Encased Ground -
Reinforcing or Monolithic
Weatherproof / Drain
:I
Sewer Service Lines
.Water Service :Lines
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
° POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
CONCRETE SLAB FLOOR
Electrical (Underground)
"NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING,:: BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE OF OCCUPANCY 7S ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
Plumbing (Underground)
Heating (Underground)
+' DO. NOT POUR FLOOR UNTIL ABOVE .HAS .BEEN SIGNED
F
"ROUGHS
y= Sheathing
-lath / Wall tie
r, Mid Roof 7
' 'Electrical Service
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING
Framing
Insulation
.Drywall Screw
FINALS
'Electrical
Plumbing :.
:Mechanical
Roof
Building Final
:I
'.Fire Department
R.O.W S Drainage
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
Parking & Landscaping
"NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING,:: BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE OF OCCUPANCY 7S ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
¢�Y
PROTECT THIS CARD FROM THE WEATHER
♦ ♦ CITY OF WHEAT RIDGE
Building Inspection Division
~ (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: 00
Job Address:
Permit Number: ,gn~f /,~50
Pir l - f
❑ No one available for inspecti Time / AM M
Re-Inspection required: Yes No
*When corrections have been made, calf for re-inspection at $03-234-5933
Date: 2 f9u, o Inspector: j i
DO NOT REMOVE THIS NOTICE
♦ ♦ CITY OF WHEAT RIDGE
Building Inspection Division
~ (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: YV,, !'mR
Job Address (doff) r.,
Permit Number: 04111:7n
:r, 14 -"r4, Ir - 0
} ❑ No one available for inspection: Time AM6 M 1
Re-Inspection required: Yes (0) CJ'
When corrections have been made, call for re-inspeottiion at 303-234-5933
Date: f)GY Inspector: uf; ~n
DO NOT REMOVE THIS NOTICE
''.'''"i''':!P~~~'!~~'~!iJUW~4P"~}~~.1,,,lmyt~~,~,,,,,, ""rj~"~~;~J,..,"",l~,,V~,\f~,:,~~,~~~H!f1':'~'y.~~J~r,,~~J]'';\i~~,~+J~,llR). M~!,.7J..+J~Jll!,~:~"~,{'Oll,~:~"'J4[lP!ll,,J~J:r0tt.l
i'
r
~PARTME;NT OF PLANNINu ,.ND DEVELOPMENT Building Permit Number: 3368
.... BUILDING INSPECTION D~SION . 235-2855
CITY OF WHEA1)'~IDGE Date: 7/2/96
7500 WEST 29TH. VENUE
WHEAT RIDGE, CO 80215
Properly Owner: CASTILLQ ROBERT G
Properly Address: 4510 CAI4~ ST
Contractor License No.: 17784
Company: Taylor He8ting
Phone:
Phone : 233-5163
Construction Value :
Permit Fee :
Plan Review Fee:
Use Tax :
$1,200.00
$29.00
$0.00
OWNER/CONTRACTOR SIGNATURE OF UN~STANDING AND AGREEMENT
I hereby certify thel the setbacl< distances proposed bf~is permtt application are accurete,
and do not violate appUcable ordinances, rulea or f89U111lons of the City of Wheat Ridge or
covenants, easements or restrictions of record; thel aUneasurementa shown, and allegellons
made are accurate; that I have read and agree to abldll:lly all conditions printed on this
application, and that I a..ume full responsibility for coh\pliance with the Wheel Ridge Building
Code (U.B.C.) and all other applicable Wheat Ftldge OIilinances, for work under this permtt.
(OWNER)(CONTRACTOR) SIGNED
DATE
Total:
$29.00
Description:
ROOF COOLER
BUflDING DEPARTMENT USE ONLY
SIC: Sq. Ft. :
Approval:
Occupancy :
Walls:
Roof:
Stories:
Residential Units :
.
Expltation Date:
Appioval :
.
Mechanical License No :
Company:
EXPiratilft~ :JJ
Approv .. &J'I
Electrical License No :
Company:
Plumbing License No :
Company:
Expiration Date:
Approval:
,,1
'.
(1) ThIs permit_iSSued In _ with the ~ set lcrth In yopur appIIcallon and Is subiecl to the laws 0/ the s_ 0/ CCloIado and to the Zoning
Regulations and B_ Code 0/ Wheel Rldpe. ColCillldo or eoy other applicable ordil18llCOS 0/ tho City.
(2) 11118 pemIit shall expire W tAl the -" euthorized Is nIll commenced within sixty (60) days from Issue data or (B) the bullding authorized Is suspended or
(3) r,~ ~=sm.Y be acqUired,..: a fee 0/ ona-heW the amount normelly required. pmvIded no changes have been or wlR be made In Iha
origlnel plans and 8 . . and any suspension:. abandonment has not exceeded one (1) year. If changes are made or If suspension or abandonment
ex_ one (1) year,lIlIIloea shall be peld lor e ","",pennll.
('51 No work 0/ any "'""'* shall be done that will cha"lltlha natural_ o/w_ couslng a drainage problem.
( notify the l!ulldlng ""'_ twonty:rou,. r (2') hours in advance lor alllnspecllons end shall receive _ approval on InspecIIon conl before
~ "=r:~:".,m>niwlng,~ spoclflcotlona shall not be construed to be a pormlllor. nor an _, 0/, eoy _ o/the provisions
or any other ordinance, taw. rut.for regulation.
~
.
(6)
. f Building Inspector
THIS PERMIT VALID ONLY WHei\I SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 23411933 24 HOURS PRIOR TO INSPECTION
~EPARTMENT OF PLANNINL ,ND DEVELOPMENT Building Permit Number:
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date:
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property owneru j/7t-l C~:s -1/ bb &
Property Address: <?' 5/0 ePJ ~
Contractor License No. :
Phone:
?
j
Company:
jA/dY P?
Phone: ~ .) J:; /i-J
Construction Value :/c
Permit Fee:
Plan Review Fee:
Use Taxp,t~-'-
J611l>- .,
Total:
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Description:
BUILDING DEPARTMENT USE ONLY
Zoliiif"!Comitie~
"'" ~..._~.""-:::J'"... . . ......._.... '"
Approval:
Zoning:
2!!11l!J,~~rij~JI~j)
Approval:
!!abli~yti5!'~JI1eJits:;)
Approval:
SIC:
Sq. Ft.:
Occupancy:
Walls;
Roof:
Stories;
u::;})
E[ectrical License No :
Company:
Plumbing License No :
Company:
Mechanical License No: /~7 t:j
Company : -r~ /' if'./ }I fJ
Expiration Date: / - z- 'I 9 '7
Approval:
~ $!~IaJi~~eql1lte-a~
Expiration Date:
Approval:
5fl !fPla~F:UI@Ifl@_
Expiration Date:
Approval:
II l!l.PI'-:rli18~qul~J!_
(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 Stale 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 (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 pemut.
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/'ob.
The issuance of a permit or the approval 0 drawings and specifications shall not be construed 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,
(1)
(2)
(3)
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
M~J,."..-,,,,,.,.,, "J 1",,7"""'''.'''''.'~'.''''."'''''''_'' ."~". " '''.'..__'~'''''.'''''''''V ,"""" ,.)l1li"",,,,,,,,,, - ., '."'..." "..""".''".~.'''''''''~ ,~,!\l,lIllll!,. ,.
.",."",.I!Ifl,
.
. "
Oi!PARTMENTOF P LANNIN~,.". ...'.. ND DEVELOPMENT Building Permit Number:
BUILOfNG INSPECTION 0 ,SION - 235-2855
CITY OF WHEA lOGE Date:
7500 WEST 29TH'" VENUE If: n ~
WHEAT RIDGE, . 80215 ~
iI'.; ~tt...:a
3358
6/28/96
Property Owner: CASTILL ROBERT G
Property Address: 4510 C ST
Contractor License No. : 18441._ 1__
Company: Icon E"'T"IService
'~;
Phone: 940-0095
Phone: 451 7189
OWNER/CONTRACTOR SIGNATURE OF UN STANDING AND AGREEMENT
Construction Value :
Permit Fee :
Plan Review Fee :
UseTax:
$1,000.00
$45.00
$0.00
$12.00
I hereby certify that the setback distances proposed
and do not violate applicable OI'l!lnances, rules or reg
covenants. easements or s of record; the!
made are accurate; that I h nd 0 ab'
application. and that I assu full
Code (U.B.C.) and all other bki
Total: $57.00
Description:
GE & WIRE A SWAMP COOLER
'DING DEPARTMENT USE ONLY
SIC: Sq. Ft. :
Approval:
Occupancy:
Walls:
Roof:
Stories :
Residential Units :
Chief Building Ins
THIS PERMIT VALID ONLY WH
CALL: 2
Ing License No :
ny:
Mechanical License No :
Company:
Electrical License No :
Company:
Expiration Date :
Approval:
.
Expiration Date :
Approval:
.
(1) This pennlt was_In acc:onlauC:ewllh tI\a
RNu_...._Coded_RId!le.'
(2) ThIS permit lIhall 0XpIre W (A) tI\a _ authorIZed Is
abandonad lor a period d 1~~r..
(3) II this permit....... a 11M may be acqul"",
original plana and IpecIfIc;ItiOnl and any
__(l)V-.lulllaaashaHbepald a
(451 No _ d anymonnar shag be dOne that Win
( ~~~~~~)obMenly
(6) a ilsuanc:o da permit or tho appmval of dn
d tI\a building codila or ony <>nIlnanea. law.
. sat ftllth In yopur apJlIlcatlon and Is _ to tI\a laws d tho state d COlorado and to tI\a Zoning
or ony other applicable _ncas d tho Clly.
com. .18l1COd wIlhln sixty (60) daya from ISsua data or (8) tI\a building authorizad '" suapandad or
a rae d one-haJftha amount normally _Ired. provIdad no changaa hava __ orwfll be mada In tI\a
a~manl has not _ one (1) V-. II changea ara mada or Wauspansion or abandonment
natural_ dwatar CBUling a d~ plCbIam.
(24) hours In advance lor alllnapacltona and ahall racaIva _n approval on Inspecllon C8Id _
spectfications shall not be construed to be a permit for. nor In approv8I of, any violation of the provtsions
~~~. .
SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
33 24 HOURS PRIOR TO INSPECTION
PEPARTMENT OF PLANNIl AND DEVELOPMENT Building Permit Number:
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date:
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
~c\:,<<,\, \ t>>v\r. \~ cAst'. \lo
Property Owner: <l..
.
Property Address: '-\-510 to-'('( S--t-, Phone: 'f4-0-bc,,'1S
Contractor License No. : , 'l.\~\
Company ::c.CCn E'\ettY'\~ S0"-U\~ Phone: tt51-718q
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value: ~ /000,00
Permit Fee:
Use Tax:
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 restnctions of record: that all measurements shown, and allegations
mad.e a~e accurate; that I have read and agr to abide by all conditions printed on this
application, and that I assume f on . . . ce with the Wheat Ridge Building
Code (U.B.C.) and all other app 'cable rdl nee, ark u der this permit.
DATE ~ 7 'P'J' (-'\ '<7
Total:
Description: I Q-5 ~ S-v.:..w~~
W','i....z-. t/I. S"'-'''-f eoo\""'"
BUILDING DEPARTMENT USE ONLY
Approval:
.,j,j
Approval:
Occupancy:
Walls:
Roof:
Stories:
Residential Units:
6~"'~
3"10~
Plumbing License No :
Company:
Mechanical License No :
Company:
Electrical License No :
Company:
T~ f\~~
Expiration Date: -;;l-~:!I-"17
Approval:
ii:.IlIilailU!~!:iWj
Expiration Date:
Approval:
liI'!B!II!JB,'I~...1
Expiration Date:
Approval:
ilIIJ-~.'-~ill_=lil
(1)
(2)
(3)
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 BUilding Code of Wheal Ridge. Colorado or any other applicable ordmances of the City.
This permit shall expire If (A) the work authonzed IS not commenced within SIXty (60) days from Issue date or (B) the building authorized is suspended or
abandoned for apenod 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
N"o work of any manner shall be done that will change the natural flow of water causin~ a drainage problem.
Contractor shall notify the Building Inspector twenty-four (24) hours In advance for aU inspections and shall receive written approval on Inspection card before
proceedilng 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 bUll Ing codes or any other ordinance. law, rule or regulation.
(4)
(5)
(6)
Inspector For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION