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HomeMy WebLinkAbout3085 Eaton Streeti CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 1-03 Job Address: :3095 Er io R 5t' -- Permit Number: 1;t) i q e) E ❑ No one available for inspection -.-Time.- Re-Inspection required: Yes;,./ No t When corrections have been made, call for re -inspection at 303-234-5933 Date:_ y -,g 8- \ Gi Inspector: M /V\ DO NOT REMOVE THIS NOTICE City of Wheat Ridge 1-'90000100- Residential Sewer Repair PERMIT - 201901784 s PERMIT NO: 201901784 ISSUED: 08/23/2019 JOB ADDRESS: 3085 Eaton St EXPIRES: 08/22/2020 JOB DESCRIPTION: Residential sewer repair excavating up to 20 feet of sewer service line to include dual sweep clean outs. *** CONTACTS *** OWNER (303)505-9489 PHILLIP JOHN *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,400.00 FEES Total Valuation 0.00 Use Tax 71.40 Permit Fee 109.20 ** TOTAL ** 180.60 *** COMMENTS *** *** CONDITIONS *** ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection by any Sanitation District representative. Inspection and approval of work by any Sanitation District representative DOES NOT grant authority to cover work without the approval of the Building Division. **For trenchless sewer replacements - The contractor will verify proper slope of new sewer piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed specifically by the applicable code. The plumbing contractor will provide verification of proper slope and drainage in writing as a condition of approval of the permitted work.** City of Wheat Ridge Residential Sewer Repair PERMIT - 201901784 PERMIT NO: 201901784 ISSUED: 08/23/2019 JOB ADDRESS: 3085 Eaton St EXPIRES: 08/22/2020 JOB DESCRIPTION: Residential sewer repair excavating up to 20 feet of sewer service line to include dual sweep clean outs. 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_permrt. I further attest that I am le ally authorized to include all entities named within this document as parties to the work to be performed and at all work to be ed is disclosed in this document and/or its' accompanying approved plans and specifications. Signa O or ON C ircle one) Date I, This permit was issued s on the information provided in the permit application and accompanying Flans and specifications and is subject to the complianc 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. T uance or gra g of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any a 1' ble ode or ordinance or regulation of this jurisdiction. Approval of work is subject to f eld 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 W heatj ge COMMUNITY DEVELOPMENT Building & Inspection Services 7500 W. 291 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 " Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permitsCcDci.wheatridge.co.us FOR OFFICE USE ONLY Date: 02,311 i Plan/Permit # Plan view Fee: Building Permit Application *** Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: Z�o A 'A SL Property Owner (please print): ) ,til _ I ; p Phone: Property Owner Email: Tenant Name (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Engineer E-mail: Contractor Name: 8 /')e l 20, City of Wheat Ridge License #: Contractor E-mail Address: , Phone: Phone: -)6.1 L O p For Plan Review Questions & Comments (please print): nn '3'013 - SY-7 CONTACT NAME (please print): C�ak,r r e l� i (�� Phone: ��- CONTACT EMAIL(p/ease print): Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form): Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # 9 Complete all highlighted fields, if applicable. ❑COMMERCIAL ['RESIDENTIAL Provide description of work: For ALL projects, 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. 01"56 C I,r ,6?/�Ze //tee Sq. FULF BTUs Gallons Amps Squares For Solar: KW # of Panels Requires Structural For Commercial Projects Only: Occupancy Type: Construction Type: Occupancy Load: Square Footage: Project Value: (Contract value or the cost of all materials and labor included in the entire project) p� $ 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. CIRCLE ONE: (OWNER) (CONTRAC or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): DATE: Printed Name: .rl DEPARTMENT USE ONLY ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: Building Division Valuation: 7 INSPECTION RECORD. occupanc ON -000m, , ASPECTION ONLINE FO M: http://www.ci.wheatridge.co.us/inspection INSPEMREQUEST LINE: (303) 234-5933 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 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Comments Ak Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Comments Ak Sewer Service Plumbing Do Not Cover Underqround or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Ak Mid -Roof _,'VA 441 Tie Rough Electric' Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw / Nail Final Inspections Date Inspector Comments Initials Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors t' Final Building 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 from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather a 0�0 Ind,,�trt,, INSPECT013 If0�1 ECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/forms.aspx?fid=79 `Q fi INSPECTION REQUEST LINE: (303) 234-5933 Occupancy/Type Inspections will not be performed unless this card is posted on the project site. Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Initials Comments Pier Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. Concrete Encased Ground (CEG) Foundation / P.E. Letter UO NOT Four GnnrrP_tP_ Frinr _Fn Annrnval of Tha Ahnva Inannrtinne Underground/Slab Inspections Date Inspector Initials Comments Electrical Landscaping & Parking / Planning Dept. Sewer Service Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. Plumbing uo Noi mover unser rouna or Belowlin-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Comments Initials Wall Sheathing Mid -Roof Lath / Wall Tie Rough Electric' Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw/ Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Nc5 Final Window/Doors Final Building 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. . WN w.. VWklc Nvunna — ricaac uc auic ural ruuyri IitINGcuuns are uumpiewu rrum ine rlre ulsinci ana electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather The City of Wheat Ridge Third Party Form Check List Property Address 3085 Eaton St Permit Number 201706678 Permit Issued Date 8/28/2017 Owner Information Property Owner Information Christi Aultman Property Owner Address 3085 Eaton St Inspector Information Inspection Company Certified Building Consultants Inspector Name Kraig Stanforth;Travis Stanforth Inspector Contact info. 720-940-1180 TStanforthCBC�a gmail.com Inspector Statement of Acknowledgement "I hereby acknowledge the roof I am inspecting is 6/12 or over. All roofs that are under 6/12 must be inspected by the City of Wheat Ridge Building Department. "1 hereby acknowledge the roofing system for the referenced building has been inspected and found to be in compliance with the minimum requirements of the 2012 IRC and 2012 IBC as well as the City of Wheat Ridge Policies and Procedures and manufacturer's recommendations and specifications. Inspector: Date: Gi) - 1--m "1 hereby ackrl"Iedge that I am the owner of the building referenced above and I give my consent for the listed third -party inspection company to perform my roof inspection in lieu of the City of Wheat Ridge Building Division inspection. Own r/ Propertya Agent: t, „ � <._-__. � Date: This original document, as well as the roofing checklist, must be submitted to the Chief Building Official within seven days of the final inspection. Drop off in person Permit Counter 2"d Floor 7500 W. 29th Ave Wheat Ridge, CO 80033 Submit via Email Kcook(a_ci.wheatridge.co. us CBC Wheat Ridge Roof Inspection Packet Page 2 of 6 The City of Wheat Ridge inspection Check List notes Mid -Roof Roof lnspecgo_n • NIA o Pass 0 Fall 1>6 pass >3 Fail Structural roof components P N/A -tt Pass o Fail Verify that no more.than 2 layers of shingles exist • N/A • N/A Pass 0 Fail ?dashing for roof and wails 1 0 Pass is Fail if new sheathing is installed verify that it is listed in the permit description (Valuation must be adjusted) XNlA 0 pass 0 Fail Verify sheathing nail pattern ( See policy & Proceedures) ,41UN/A ❑ Pass 0 Fall Crickets and saddles where needed Pass is Fail Verify B vent must have boot same gauge as pipe a N/A "k to N/A pass 0 Fall Verify vent caps A Pass 's Fall Verify no flashings are damaged or rusted a N/A M N/A Pass 0 Fail Step flashing shall be min. of 4x4 piece per shingle Pass Q Fail Verify scuppers allow for proper drainage 0 N/A 0 N/A Pass C! Fail ice and water shield 2' in heated wall spaces Pass 0 Fall Underlayments must follow 2012 IRC / 2012 IBC 0 N/A 0 ' Pass 0 Fail Verify roof slope for proper drainage N/A -4 Pass 0 Fail Dripedge shall have min of 2" overlap n N/A pass a Fall Dripedge should extend down min 2" past roof deck Q N/A _V, c Fail Dripedge shall be mechanicaly fastened 12" OC Q N/A __J�"Pass o Pass c Fall 90 LB roll roofing shall not be applied to roof slopes _-N/A less than 2:12 slope: Exception, detached garages, patios, carports, open on three sides with min. slope of 1:12 'N/A o Pass Q Fail Modified Bitumen, EPDM, TPO min slope 1/4:12 slope .)d /A 13 Pass c Fail Above roof insulation R-25 AN/A Q Pass R Fail Below roof residential R-38 ❑ Pass o Fall Below roof commercial R-32 ,XN/A N/A Q Pass 0 Fall Modified Bitumen, EPDM, TPO min slope 1/4:12 slope must be installed in accordance with the manufacturers specifications- Must have manufactures letter of warranty with the address on the letter for final inspection Metai RoofiShingles Reguirementa /A a Pass 13 Fail Metal roof shingles shall not be installed on slope less 3:12 0 Fail Metal valley flashing shall be the same material as roof _AN/A 13 Pass €1 Fall Metal valley flashing shall extend a min of 8" from the /A c Pass / centerline with a min. of 3/4 " high splash diverter rib built-in at the flow line with sections overlapping a a min. of 4" The Roofs Re9uir8meni 0 Fall Clay and concrete the shall have a min. 2-1/2;12 slope N/A 0 Pass Slopes 4:12 and under require double underlayment The City of Wheat Ridge Inspection Check List notes Mid -Roof Note Company Name: ' inspector signature: Date of Inspection: The City of Wheat Ridge Inspection Check List notes Final Roof Goof insoectlon • N/A o Pass 6 Fall a N/A amass o Fail Structural roof components • N/A Pass 0 Fail Verify that no more than 2 layers of shingles exist • N/A 4Pass la Fail Flashing for roof and walls o Pass is Fail If new sheathing is installed verify that it is listed In the permit description (Valuation must be adjusted) o Pass o Fail Verify sheahing nail pattern ( See policy & Proceedures) a Pass a Fail Crickets and saddles where needed • N/A )( Pass a Fail Verify B vent must have boot same gauge as pipe it NIA /If Pass a Fall Verify vent caps 13 N/A XPass o Fail Verify no flashings are damaged or rusted U N/A )c Pass R Fall Step flashing shall be min. of 4X4 piece per shingle a N/A '9 Pass C1 Fail Verify scuppers allow for proper drainage o N/A A Pass a Fan Ice and water shield 2' in heated wall spaces p N/A '4. Pass Q Fall Underlayments must follow 2012 IRC 12012 IBC Q N/A '& Pass A Fail Verify roof slope for proper drainage Q N/A A Pass a Fail Dripedge shall have min of 2" overlap 0 N/A .� Pass 0 Fail Dripedge should extend down min 2" past roof deck 0 N/A pass ❑ Fail Dripedge shall be mechanically fastened 12" OC gy'N/A 0 Pass 13 Fail BO LB roll roofing shall not be applied to roof slopes less than 2:12 slope: Exception, detached garages, patios, carports, open on three sides with min. slope of 1:12 N/A o Pass 0 Fail Modified Bitumen, EPDM, TPO min slope 1/4:12 slope N/A o Pass 0 Fail Above roof insulation R-25 N/A is Pass a Fan Below roof residential R-38 AN/A o Pass a Fall Below roof commercial R-32 NIA o Pass C? Fail Modified Bitumen, EPDM, TPO min slope 1/4:12 slope must be installed in accordance with the manufacturers specifications- Must have manufactures letter of warranty with the address on the letter for final inspection Metal Roof Shingles Reauirem+ants N/A 0 Pass Q Fail Metal roof shingles shall not be installed on slope less 3:12 f'N/A E7 Pass a Fail me'tai yah*fit b8 the same ma'46Cliak as mal , o Pass Cr Fail Metal valley flashing shall extend a min of 8" from the ,>RDN/A centerline with a min. of 3/4 " high splash diverter rib built-in at the flow line with sections overlapping a a min. of 4" Tile Raofs Rectui tMnta l A 0 Pass 0 Fall Clay and concrete the shall have a min. 2-1/2:12 slope ' j Slopes 4:12 and under require double underiayment The City of Wheat Ridge Inspection Check List notes Final Roof Notes Company Name: '7® "�`��' Inspector signature: Date of Inspection: J� CITY OF'`'VVEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: U ' i Job Address: Permit Number: ❑ No one available for inspection: Time 4"A PM Re -Inspection required: Yes No *When corrections have been made, calf for re -inspection at 30$-234-5933 r Date: Inspect r: 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: Job Address: Permit Number: ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No * When corrections have been made, call for re -inspection at 303-234-5933 Date: �� �( Inspect(a. ly DO NOT REMOVE THIS NOTICE :5u_610 INS PE CTION RECORD L f- Y1 Occupancy/Type INSPECTION REQUEST LINE: (303) 234-5933 comments Inspections will not be performed unless this card is posted on the project site. Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter uo Not Pour concrete Prior To A proval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Sewer Service Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To All Rough Inspections Date Inspector Initials comments Wall Sheathing Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. Mid -Roof Floodplain Inspection (if applicable) Lath / Wall Tie Fire Inspection / Fire Protection Dist. Rough Electric Final Electrical Rough Plumbing/Gas Line Final Plumbing Rough Mechanical Final Mechanical Rough Framing Roof Rough Grading Final Window/Doors Insulation Final Building Drywall Screw/ Nail 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. 'U =Late` <>JEPiE 112.E Final Inspections Date Inspector Initials comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors Final Building 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. -ror iow voltage permits — mease De sure mat rougn inspections are compietea trom the I -ire uistnct and electrical low voltage by the Building Division. *"For Inspection Time Window Requests — Please email insptimereguest@ci.wheatridge.co.us by 8:00 A.M. the day of the inspection with the property address in the subject line of the email. Protect'ficcupancy Is Not Permitted Until A Certificate of Occupancy Is Issued • From The Weather Building & Inspection Services Division 7500 W. 29"' Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-2345933 Emailits ci.wheatrid e_ .us Date: Plan/Permit # ao 1 -)MUI Plan Review Pee: " Please complete all highlighted areas on both sides of this form. incomplete applications may not be processed. `" Property Address: adIFL-6 Property Owner;Ei Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Engineer: Architect/Engineer E-mail: Contractor: Phone: 1:2 7mmy"ZWO Contractors City License #: , I Phone: -- LC22 -7 Contractor E-mail Address�J�-( 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 SYSTEMWAPPLIANCE �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.) �� h n Sq. FULF /tJ 6— f Btu's Amps Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ 3k -550t) 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 1 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. 1, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWN(! (CON�TRACTO _ (AUTHO REPRESENTATIVE of (OWNER(CONTRACTOR) Electronic Signature (first and hast name): DATE: DEPARTMENT USE ONLY 20NING COMMMENTS: OCCUPANCY CLASSIFICATION: Reviewer. BUILDING DEPARTMENT COMMENTS: Reviewer. Building Division Valuation: $ I + ' 1 Address: City, State, ix Complete all information on BOTH sides of this form unt gat materials to oe us ea, etc,} S . FULF Stu's Gallons Amps Squares Other CITY OF WHEAT RIDGE Building inspection Division (3o3)234 -5933 Inspection line (303) 235 -2855 Office ' (303) 237 -8929 Fax INSPECTION NOTICE Inspection Typ Job Address Permit Number A • CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235 -2855 Office ` (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type —��� Job Address Permit Number 9 ❑ No one available for inspection Ti e AM /PM i CITY OF WHEAT RIDGE Building Inspection Division, INSPECTION P Inspection Tpe a /,t Job Address Permit Number dad l L&Vz4-4,5 Ive) )TICK.,r ❑ No one available for inspection: Time Re-inspection required: No *When corrections have be elsaqlor r Date: 7_,Z-ZZ.1 Inspector: DO NOT REMOVE THI.' " 1 City of Wheat Ridge _ter Faxed Plumb. Permit PERMIT - 111065 PERMIT NO: 111065 ISSUED: 09/07/2011 JOB ADDRESS: 3085 EATON ST EXPIRES: 09/06/2012 DESCRIPTION: Replace 40 gallon hot water heater * ** CONTACTS * ** owner 303/204 -2159 Nicole Smith sub 303/421 -2161 01 -7835 Blue Sky Plumbing ** PARCEL INFO ** ZONE CODE: UA USE: UA SUBDIVISION: 0525 BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 850.00 Permit Fee FEES 80.00 Total Valuation .00 D �w Use Tax 81.00 ** TOTAL ** 161.00 Conditions: Both front and back of permit need to be posted on job site. If one or the other is not present, INSPECTION WILL NOT BE PERFORMED. Work shall comply with 2006 IRC & 2005 NEC. Per IRC Sec. R313, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. Carbon Monoxide detectors are required to be installed within fifteen(15) feet outside the entrance to each sleeping room. 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 1. 2. 3. 4. 5. Date 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. 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 permit fee. 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. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 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. 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. Building Offical Date R REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. 091 00:23 3034240495 BLUE SKY PLUtABING 09/07/2011 WED 1,1;00 FAY 303 237 6929 303 Rest Way - -- blue sky plumbing � II 0 INSPECTiQN RECORD oceD anc !T INSPECTION LINE: (303) 234 -5933 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB INSPECTOR "L$ FOUNDATION INSPECTIONS DATE COMMENTS: Foo[Ing /Caisson - Stemwall / (CEG) Concrete -- Encased Ground Reinforcing or Monoiithlc Weatherproof / French Drain -' Sewer Service U Water S_ ervice Lines - PDURN000NCRET E1INRLARO`/EH4 BEENSIGNEO -" PAGE 03/03 10 002/002 - �unO)yr,lE SLAG FLOOR -� Eiectrical(Underground) — -` Plumbing (Undergrou Westing (Und erground) ' -` - ROUGHS Lath / VJaU tie Mid -P.00f Eler,.tneal S Rough Electric Roug Plumbing Gas Plolnn ;,.,y nws r>trn slurveN LRTIgh Mcchanlcal rr Fr tns ulation Drywall Screv� FINALS Electrical Plumbing r flical g Final partment & Arainage 64/07/11 CITY OF WHEAT RIBOE I1:47 AN cdba Stephen C Lanyon RECEIPT NNCOA006d14 OPSP Replace 70.800 Atli f 111065 Permit Fee Use Tax PAYMENT RECEIUED MC 4619 Auth Corte: 007315 TOTAL ANOUNT 161.0e 80.00 m pi& AMOUNT 161.00 161,00 arking LandaCapin -. INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD P $� g BE CALLED AT LEAST ONE WF.BK PRIOR TO FINAL INSVECTIONS. "NOT @: ALL ITEMS MUST BC COMPLETED ANb APPROVED By PLANNING AND ZONING, BUILDING AND PUBLIC WOR({$ BEFOREA CERTIFICATE OF OCCUPANCY is ISSUED- INSPECTION BY THE BUII "DING DIVISION DOES NOT CONSTITUTE AUTHORIZATJON ORA CERTJFU:A n^n j rnne...,.. �+.ursou UCUUPLINCY, I OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUE - D -I PROTECT THIS CARD FROM THE WEATHER `= Cit of ]r q Wheat �idge City of Wheat Ridge Municipal Building 7500. W. 29` Ave. Wheat Ridge, CO 80033 -8001 P: 303.235.2846 F:303.235.2857 FAX COVER SHEET COMMUNITY DEVELOPMENT & PUBLIC WORKS DEPARTMENTS ECONOMIC DEVELOPMENT p. 720 - 898 -4706 f. 303 - 235 -2857 PLANNING & ZONING p. 303 - 235 -2846 f. 303 - 235 -2857 BUILDING INSPECTION p. 303 - 235 -2855 f. 303 -235 -2857 ENGINEERING p.303- 235 -2861 f.303- 235 -2857 TO: IJhVI-Y I It PHONE FROM: 1 DATE: og m I I COMPANY: I U Q SL a FAX #: PHONE #: JD� 'Z� CBS # OF PAGES: (including cover) COMMENTS: 4 SU& , �o�� s� v�har lve dons iE V' of pyr t 0" i ve hwk�- Wt our ua mfinq ld�pf mtrjf Ca.11 t - o v hc�R q'h � uoh . j Confidentiality Notice I I1u l )AG 1sm- This facsimile transmission and any accompanying documents may contain information belonging to the sender which may be confidential and legally privileged. This information is intended only for the use of the individual or entity to whom this facsimile transmission was sent. If you are not the intended recipient, any disclosure, copying, distribution, or action taken in reliance on the contents of the information contained in this facsimile transmission is strictly prohibited. 3ha d ft9 + � yes as f TU " al � 1� 4 ( 4n. www.ci.wheatridge.co.us 09/08/11 09:49:23 City of Wheat Ridge Page 1 bp340 -iq ESTIMATE OF VALUATIONS AND FEES mmackey THE FOLLOWING INFORMATION ARE ESTIMATES ONLY AND NOT ACTUAL VALUES. CODE - -- DESCRIPTION - - -- - - -- VALUATION - -FEE - -- -USE TAX prm Permit Fee 850.00 40.00 0.00 totva Total Valuati 850.00 0.00 0.00 use Use Tax 850.00 0.00 15.30 TOTAL VALUATION: 850.00 FEES VALUATION: 850.00 PERMIT FEE: 40.00 USE TAX: 15.30 OTHER FEES: .00 TOTAL FEES: 55.30 �o City of Wheat Ridge Community Development Department Memorandum TO: Accounting Department FROM: Melissa Mackey, Building Division SUBJECT: Refund for Permit DATE: September 8 2011 Reason: Blue Sky Plumbing had already applied and received permit for the furnace portion of the permit (furnace permit #111038). The permit will now only include the hot water heater for 3085 Eaton St., permit #111065: Please refund: Contractors License$ 50% permit fee: $40.00 0% plan review $ 81 % use tax: $65.70 (acct 01- 510 -00 -513) (acct 01- 510 -00 -516) (acct 01- 550 -05 -551) (acct 01- 500 -02 -505) Total: $105.70 TO: Blue Sky Plumbing 4735 Independence St. Wheat Ridge, CO 80033 Thank You! My, " M Permit Technician 09/07/2011 00:23 3034240495 BLUE SK'V PLUMBING PAGE 01/03 XIV (\T"Ov, UV ma cc " v \ 4765 Independence St. V > Wheat Ridge, CO 80033 Office: (303) 421 -2161 Fax: (303) 424 -0495 Website: www.blueskyplumbing.com FAX NUMRCR: TOTAL NO. OF PAGES INCLDDINO COVER: 3 PRONV NIfMBEwz RE- URGENT ❑ FOR REVIEW ❑ PLEASE COMMENT PLEASE REPLY ❑ PLEASE RECYCLE wild NOTES /COMMSNTH: ' do (� a� r� � �r -7 sDr� a2 � Use 4e Co cis o, 000 req NS+ and h� I� I oo�s l � Qx clkwlt (ss S . 15 ,so ou shw[d Ond b/v I� Iv Plumbing & Heating Inc. FACSIMILE TRANSMITTAL SHEET TO' '• lC��tSS� FAOM: COMPANY: DATE: FAX NUMRCR: TOTAL NO. OF PAGES INCLDDINO COVER: 3 PRONV NIfMBEwz RE- URGENT ❑ FOR REVIEW ❑ PLEASE COMMENT PLEASE REPLY ❑ PLEASE RECYCLE wild NOTES /COMMSNTH: ' do (� a� r� � �r -7 sDr� a2 � Use 4e Co cis o, 000 req NS+ and h� I� I oo�s l � Qx clkwlt (ss S . 15 ,so ou shw[d Ond b/v I� Iv Plumbing & Heating Inc. " s City of Wheat Ridge Faxed Mech. Permit PERMIT - 111065 PERMIT NO: 111065 ISSUED: 09/07/2011 JOB ADDRESS: 3085 EATON ST EXPIRES: 09/06/2012 - -- DESCRIPTION: Replace 70,000 btu furnace and40 gallon hot water heater * ** CONTACTS * ** owner 303/204 -2159 Nicole Smith sub 303/421 -2161 01 -7835 Blue Sky Plumbing ** PARCEL INFO ** ZONE CODE: UA SUBDIVISION: 0525 USE: UA BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 4,500.00 FEES Permit Fee 80.00 Total Valuation .00 Use Tax 81.00 ** TOTAL ** 161.00 Conditions: Both front and back of permit need to be posted on job site. If one or the other is not present, INSPECTION WILL NOT BE PERFORMED. Work shall comply with 2006 IRC & 2005 NEC. Per IRC Sec. R313, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. Carbon Monoxide detectors are required to be installed within fifteen(15) feet outside the entrance to each sleeping room. 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 Building Official and may be subject to a fee equal to one- half of the original permit 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 change of the natural flow of water without prior and specific approval. S. 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 in e Signaturef C' f Building Offical Date INSPE TION REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. �" �OU6 INSPECTION RECORD Occupancy /Type INSPECTION LINE: (303) 234 -5933 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. hlXS � - a+ m . 41- k i von rno I 2h n-I 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 Permit Fee 80.00 Weatherproof /French Drain Plumbing PAYMENT RECEIVED AMOUNT Sewer Service Lines Auth Cade: Roof Water Service Lines Building Final TOTAL 161.00 CONCRETE SLAB FLOOR Electrical (Underground) Heating ROUGHS Lath / Wall tie Mid -Roof Electrical Service Rough Electric Rough Plumbing Gas Piping Rough Mechanical HAS BEEN SIGNED ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PRO CITY OF VHEAT RIDGE Framing 09/07/11 11:47 AN edba Insulation Stephen C LanyDn Drywall Screw RECEIPT QCDA006344 AMOUNT DPSP Replace ?0,000 btu f i6L00 FINALS 111065 Permit Fee 80.00 Electrical Use Tax. :1.00 Plumbing PAYMENT RECEIVED AMOUNT Mechanical NC 4619 161,00 Auth Cade: Roof 00 ?315 Building Final TOTAL 161.00 ---------------------------------------- Fire Department R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD Parking & Landscaping BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. * `NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY lS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER 09106/2011 22:43 3034240495 SLUE SKY PLUMBING PAGE 01/01 I - City of ' r �We COMM Building Division 7500 W, 29" Ave„ Wheat Ridge, CO 80033 Office: 303 -235 -2855 ` Fax: 303 -237 -8929 Inspection Line: 303 -234 -5933 Facsimile Building Permit Application Property Address: D$ r Property Owner (please print): Mailing Address: (if different than property address) Address: -a1s City, State, Zip: Contractor: (jkLle Use Of space (description): DT Dersrcrrip1tion of work:( .DO Plan Review (due at time ofwbmitta!): Sq. 6 /LFt Squares 13TU'sZ0 Gallons I Amps OWNERrCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby Mollify that the setback distances proposed by this permit application are occur rules or regulations Of the City of Wheat Ridge or covenants, easements or restrictions allegations made are accurate; that I have read and agree to abido by all conditions pd resp onslbillty for compliance with the Wheat Ridge Building Code (1,6.0) and all othoF under this permit, Plans subject to field inspection. \ CIRLCE ONE:: (OWNER) (CONTRACTOR or PERSONAL REPR NTATI of PRINT NAME; SIGNA ZONING COMMENTS: DEPARTMENT Zoning; Reviewer' PUBLIC WORKS COMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS, Reviewer: FIRE DEPARTMENT:; ❑ approved wr Commenta ❑ disapproved ❑ no review required and do not violate applicable ordinances, cord; that all measurements shown, and on this application and that I assume full cable Wheat Ridge ordinances, for work ( CONTRATOR) Date; Bldg Valuation: OCCUPANCY: I Credit Card Payment: Use credit card Listed on h Print name: r�SSe- f OA!4DY1 _ Signature: contractor Lice nse #: , - IS6 9 ; v Phone! Vii. I I f l " 1 City of Wheat Ridge Faxed Mech. Permit PERMIT - 111038 PERMIT NO: 111038 ISSUED: 08/31/2011 JOB ADDRESS: 3085 EATON ST EXPIRES: 08/30/2012 DESCRIPTION: Replace 70,000 btu furnace * ** CONTACTS * ** owner 303/204 -2159 Nicole Smith sub 303/421 -2161 01 -7835 Blue Sky Plumbing ** PARCEL INFO ** ZONE CODE: UA USE: UA SUBDIVISION: 0525 BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 3,950.00 FEES Permit Fee 40.00 Total Valuation .00 V� Use Tax 71.10 U ** TOTAL ** 111.10 " Conditions: Both front and back of permit need to be posted on job site. If one or the other is not present, INSPECTION WILL NOT BE PERFORMED. Work shall comply with 2006 IRC & 2005 NEC. Per IRC Sec. R313, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure. Carbon Monoxide detectors are required to be installed .within fifteen(15) feet outside the entrance to each sleeping room. 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 Building Official and may be subject to a fee equal to one- half of the original permit Pee 3. if this permit expires, a new permit may he 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 change of the natural flow of water without prior and specific approval. S. 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. G. 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 inspect,". Signature 9 0E—y V Building Offical Date k' INSPECnON REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 ?:' REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. INSPECTION RECORD Occupancy /Type INSPECTION LINE: (303) 234 -5933 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS .IOB FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: Footings /Caissons Stemwall / (CEG) Concrete Encased Ground Reinforcing or Monolithic Weatherproof / French Drain Sewer Service Lines Water Service Lines CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) Heating (Underground) N tie ervice ctric mbing Gas Piping Rough Mechanical Insulation Drywall Screw FINALS Electrical Plumbing Mechanical Roof Building Final WUVE INSPECTIONS TO BE SIGNED PRIOR TO PR( CITY OF WHEAT RIDGE 08/31/11 3 -53 PM edba Stephen C Lan—on RECEIPT NO- CDA006332 AMOUNT DPSP Replace 70,000 btu f 111.10 111038 Permit Fee 40.00 Use Tax 71.10 PAYMENT RECEIVED AMOUNT MC 4615 111.10 Auth Cade: 031045 TOTAL 111.10 Fire Department -� - --- R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD Parking & Landscaping BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. ' "NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT TH IS CARD FROM THE WEATHER 08/30/2011 22:18 Property Address: 3 Property Owner (please print) Facsimile Building Permit Application 3 --�;z O4- a Mailing Address: (Ifdif(erertt than property address) Address: City, State, Zip: eA Contractor: i l -le' N&Abi!m 4lAc4lvla( Contractor License #: j$ Phone: 3 at- a.tixt Sub Contractors; Company Name: License #: Expiration Date: Trade/Profession: Approval: Use of space (description): Description of work: O, ©O ffviacP rePl -V4'e -{- Plan Revlew (duo at time of submftl):$ Sq. Ft. /L.Ft added Squares BTU's Gallons Amps [ OWNEWCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT erey certify that the setback distances propased by [his permit application are accurate, and do not violate applicable ordinances, es or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record: that all measurements shown, anti egations made are accurate: that I have reed and agree to abide by all condltlons printed on this application and that I assume full sponsibility for compliance with the wheat Ridge Building Code (LBC) and all o applicable Wheat Ridge Ordinances, for work der this permit. Plans subject to field Inspection. RLCE ONE;; (OWNER) (CONTRACTOR or PERSONAL REP SENTA (O ER) (CONTRATOR) INT NAME: SIGNAT Data: 31 -tl DEPARTMENT U�ONLY ZONING COMMENTS: Zoning: Reviewer,..... PUBLIC WORKS COMMENTS: Reviewer. BUILDING DEPARTMENT COMMENTS: Reviewer: FIRE DEPARTMENT;; ❑ approved w/ Comments ❑ disapproved D no review required 3034240495 BLUE SKY PLUMBING PAGE 01/01 ♦ 1 4' City OF � 0 Wheat Midge Date: COMMUNITY DEVELOPt ENT Perm Pi #: Building Division 7500 W. 29" Ave., Wheat Ridge, CO 80033 Office: 303 - 235 -2855' Fax: 303 - 237 -8929 Inspection Line: 303 - 234 -5933 OCCUPANCY: Bldg Valuation: $ Credit Card Payment: Use credit card listed on Print name: SSG 0V7 Signatur QTY i C OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type: Job Address: 3r SAS Permit Number: e ®s 7 �?5 i 0 No one available for inspection: Time /G : IS AM_ M Re- Inspection required: Yes Nod_ When corrections have been made, call for re at 303 - 234 - 5933 Date: Inspector DO NOT REMOVE THIS NOTICE O F W v m cOCOR POO City of Wheat Ridge Building Division 7500 W. 29 Ave., Wheat Ridge, CO 80033 Office: 303 - 235 -2855 * Fax: 303 - 237 -8929 Inspection Line: 303 - 234 -5933 Property Address: Property Owner (please print): Mailing Address: (if different than property address) Date: 77/� / Plan #: Permit # :. ie:3103 ;W D9` Address: 3 �t�� � �� City, State, Zip: GIrLy�l/J/a �� alr�- Contractor: Contractor License #: 41011 Phone: 303 — Kov - n9 p -4e Sub Contractors: Electrical City License #: Company: Plumbing City License #: Company Mechanical City License #: Company: Exp. Date: Exp. Date: Exp. Date: Approval Approval Approval: Use of space (description): Construction Value: $ 7—<29, Z Description of work: (as calculated per the Building Valuation Data sheet) �8 Alan Review (due at time of submittal): $ Sq. Ft. /L.Ft added Squares_ BTU's Gallons Amps OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work - under this permit. Plans subject to field inspection. CIRLCE ONE:::: (OW (CON or PERSONAL REPRESf.N / & J YIY. ef CONTRATOR) PRINT NAME: �'Yt.zq f�5� SIGNATURE: /�—� � Date: Building Permit Application