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HomeMy WebLinkAbout4465 Balsam StreetCity of Wheat Ridge Residential Remodel PERMIT - 201902240 PERMIT NO: 201902240 ISSUED: 10/24/2019 JOB ADDRESS: 4465 Balsam St EXPIRES: 10/23/2020 JOB DESCRIPTION: Remove tub and replace with walk-in shower *** CONTACTS *** OWNER (720)885-4930 SPARKS VALERIE GC (720)297-7542 TAMARA BORUKHOV 190303 JACK OF ALL TRADES SUB (303)522-3872 LUIS MORGAN 110057 PROLINE PLUMBING LLC *** 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: 4,500.00 FEES Total Valuation 0.00 Plan Review Fee 81.28 Use Tax 94.50 Permit Fee 125.05 ** TOTAL ** 300.83 *** COMMENTS *** *** CONDITIONS *** All roughs to be done at Framing Inspection. Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved 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 1e� ally authorized to include all entities named within this document as parties to the work to be performed and that a work to be p fprmed is disclosed in this.d6cument and/or its' ac ompan ,ing 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 flans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and maybe subject to a fee equal to one-half of the original pennit 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 issuance or gr g of a permi all not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code o a ori ance o ulation 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. a ' _City Of `JV eat COMMUNITY DEVELOPMENT dge 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: perm its(aki.wheatridge.co.us FOR OFFICE USE ONLY Date: to �9 Plan/Permit # � Plan Review Fee: Building Permit Application *** Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: Propertv Owner Property Owner Email: _�n N 5 Tenant Name (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Engineer E-mail: Phone: ,_ Phone: '� f) 0�-4g3- D Contractor Name: --�B-C/-< City of Wheat Ridge License #: - C L LC CDQ LA— Contractor E-mail Address:/ 15�c-L -T i7c r-�( ,^ C-2 Ise 92, 1 For Plan Review Questions & Comments (please print): CONTACT NAME (please print):—7f'4t4/7 t,' -<i 0" ne: _/ 990 %--)J�v �)_ 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 # 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. Sq. FULF 6-0 BTUs _ Gallons Amps Squares For Solar: KIN # of Panels Requires Structural For Commercial Projects Only: Occupancy Type: 1Z— Construction Type: Occupancy Load: Square Footage: 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. CIRCLEONE: (OWNER) (CONTRACTOR) or (AUTHORIZEDREPRESENTATIVE)of (OWNER)(CON RACTOR) Signature (first and last name k/'/ ���L N� / U DATE: o I Printed Name: —11 A/M -604a Lz�N- Uc -) ld DEPARTMENT USE ONLY ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: 1%, L—J CONSTRUCTION TYPE: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: J%%;r4 t___./YL14lQ� PUBLIC WORKS COMMENTS: Reviewer: 7a Building Division Valuation: �fl� IP "" c� O �i r) N N 0 a Work shall comply with the following codes: 2012 IRC, 2012 IECC & 2017 NEC, Colorado Plumbing Code Minimum 50 CFM exhaust fan vented to exterior shall be provided in toilet rooms and bathrooms. .1,as City of Vr W heat Wc2e COMMUNITY DEVEIoi'MENT APPROVED Reviewed for Code Compliance --;; /o -RLL ,..� ��� Plans Es- finer Gate "W" B"k 7tr etaornce alaletetu ar gpprpal ofpkwns spet�iratlwu W deur WWQtions sW not be a pemik jbn a an M~ o4 wW sda4mbss m Savo/ the Provisions of the &01*, p carie or of am co adk oam. h ol. Dvesanbn9 to Owe m,thotuy to violate 01 concel the pravis% of the DWW&V codes or ot.ser ordinances of the Uty shah not he wtid el, of ftPheatRJd�e silo ?g �fo� x� City of Wh6atRidge COMMUNITY DEVELOPMENT SUB -CONTRACTOR AUTHORIZATION FORM This form must be signed by each sub -contractor. This form will not be accepted with missing information. Subcontractor's City of Wheat Ridge License number must be provided in the applicable space. Subcontractor's insurance and license must be up to date prior to permit issuance. ��� �'� Pro'ect Address: � Pe�rinit #: General Contractor: �' c Electrical Sub -Contractor Company Name: Phone #: State License #: Master #: Wheat Ridge License #: (required field) Signature of Authorized Agent Date Plumbing Sub -Contractor Company Name: ?t_,PZ/U �/iJXIj hone #: 319.�;7_ S-2-2- State License #: a2.SY`57 Master #: / 1pzl7l� Zs— WheatYdF License #: ,���'7 (required field) j7- Signattjie,6f Aut rized Agent Date Mechanical Contractor Company Name: Phone: Wheat Ridge License #: (required field) Signature of Authorized Agent Date i CITY OF WHEAT RIDGE _:�9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 103 F E R Job Address: gllc f Permit Number: ?V17051-3013 ❑ No one available for inspection: Time o AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: 9 /q/ /,# Inspector: MTM 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: 441 b - Job Address: `/ q & S ism m s+ Permit Number: �D o I -7 r5� 3 0 -g ❑ No one available for inspection: Time / o = 3 A PM Re -Inspection required: Yes When corrections have been made, call for re -inspection at 303-234-5933 Date: `6 /L-1 1 Inspector: DO NOT REMOVE THIS NOTICE 3 i CITY OF WHEAT RIDGE Ir - Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: y 0 9- >- I n a Job Address: �/ y lo, -S- mac. )scar S -� Permit Number: n) q p/_G7- 2 1 ❑ No one available for inspection: Time /(V z -,777 9M,)PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: 1144 /)19 Inspector: -77b DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201801521 PERMIT NO: 201801521 ISSUED: 05/24/2018 JOB ADDRESS: 4465 Balsam ST EXPIRES: 05/24/2019 JOB DESCRIPTION: Reroof remove and install Composition Asphalt Shingles with 23 squares. Pitch 5/12. **REVISION: Adding redecking; Added valuation: $2,160.00 *** CONTACTS *** OWNER (720)585-4930 SUB (720)684-5500 BAETZ Scott DAVID A Brasington 170091 GreenPoint Roofing, LLC *** 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: 8,071.00 FEES Total Valuation 0.00 Use Tax 169.49 Permit Fee 188.45 ** TOTAL ** 357.94 *** COMMENTS *** *** CONDITIONS *** Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required for both the midroof and final inspections. The 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec. R806. The installation of ridge venting requires the installation or existence of soffit venting. For calculation purposes, one hat or turtle vent equal to one-half of one square foot of opening. Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. 1, City of Wheat Ridge Residential Roofing PERMIT - 201801521 PERMIT NO: 201801521 ISSUED: 05/24/2018 JOB ADDRESS: 4465 Balsam ST EXPIRES: 05/24/2019 JOB DESCRIPTION: Reroof remove and install Composition Asphalt Shingles with 23 squares. Pitch 5/12. **REVISION: Adding redecking; Added valuation: $2,160.00 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 q bq performed is disclosed in this document and/or its' accompanying approved plans and specifications. f Signature of OWNER or CONTRACT9R(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 any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granti of a permit s I not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code ora o finance or r ation of this jurisdiction. Approval of work is subject to f any 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 t WheaMidge COMMUNITY DEVELOPMENT 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: perm its(ja�ci.wheatridge.co.us FOR OFFICE USE ONLY Date: / y / l Y' Add to Permit # I Building Permit Revision/Amendment Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: Property Owner Property Owner Email: Mailing Address: (if different than property address) Address: City, State, Zip: Submitting Company: Contact Person: �C.� Phone: Contractor: Contractors City License #: Phone: Contractor E-mail Address: Phone: ( -:472 � - Please Note: Additional valuation must include all general and subcontracted work to be performed related to the revisions and/or amendments declared in the description of work and which were not included in the original permit valuation. If revisions or amendments increase the original valuation, additional fees will be due at the time of approval. Depending on the scope of work, additional plan review fees may be due upon approval ($60.00 an hour - 2 hour minimum). Description of revised/amended work: Sq. FULF Amps Btu's Squares Gallons Other Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above) 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. CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED PRINT NAME: ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: O 'V\�,LlQ SIGNATURE: PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required ATIVE) of (OWNER) (CONTRACTOR) DEPARTMENT USE ONLY DATE: 1 OCCUPANCY CLASSIFICATION: Building Division Valuation: $ i2 i CITE( OF WHEAT RIDGE � Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 306_1111 d rDO_r Job Address: q465, S&SOM Et, Permit Number: 201001'72 i A 60()�' Azmrd ly S i�Y 1 oiaAe t."P,14 r' Gft.j2/I l��fL/l %►o ❑ No one available for inspection: TimdZ-3® AM& Re -Inspection required: Yes CN) When corrections have been made, call for re -inspection at 303-234-5933 Date: F? j 1� Inspector: bd,_& (O, -F# DO NOT REMOVE THIS NOTICE i CITY -OF WHEAT RIDGE Building Inspections Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 306' Imide-oo Job Address: qqT�---yolsakq Permit Number: 1 l r,04- trod ❑ No one available for inspection: Time 12.• ( AM ffQ Re -Inspection required:, s) No �;/ When corrections have been made, call for re -inspection at 303-234-5933 DateJ/ V I Inspector:J)�,r',& Lovett DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201801521 z PERMIT NO: 201801521 ISSUED: 05/24/2018 JOB ADDRESS: 4465 Balsam ST EXPIRES: 05/24/2019 JOB DESCRIPTION: Reroof remove and install Composition Asphalt Shingles with 23 squares. Pitch 5/12. *** CONTACTS *** OWNER (720)585-4930 BAETZ DAVID A SUB (720)684-5500 Scott Brasington 170091 GreenPoint Roofing, LLC *** 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: 5,911.00 FEES Total Valuation 0.00 Use Tax 124.13 Permit Fee 140.90 ** TOTAL ** 265.03 *** COMMENTS *** *** CONDITIONS *** Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required for both the midroof and final inspections. The 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec. R806. The installation of ridge venting requires the installation or existence of soffit venting. For calculation purposes, one hat or turtle vent equal to one-half of one square foot of opening. Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. City of Wheat Ridge 'ff Residential Roofing PERMIT - 201801521 PERMIT NO: 201801521 ISSUED: 05/24/2018 JOB ADDRESS: 4465 Balsam ST EXPIRES: 05/24/2019 JOB DESCRIPTION: Reroof remove and install Composition Asphalt Shingles with 23 squares. Pitch 5/12. 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 furthFr 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 tobe•pei ormed is disclosed in this document ancUor'its' accompanying approved plans and specifications. Signature of blwyi or C64TRA670R (Circle one) Date 1. This permit was issued based on the information provided in the permit application accompanying plans and specifications and is subject to the compliance with those documgnts, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. ce 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 code or anV ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. ft Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PH ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Laaenia Reimer n l/ i From: no-reply@ci.wheatridge.co.us Sent: Thursday, May 24, 2018 3:19 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Gina 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? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) 4465 A �� �V t David Baetz, Valerie Sparks 720-585-4930 /Sz_ v. to �l%t ji<rr XI civ Property Owner Email vjsparks@yahoo.com Address Do you have a signed Yes contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Baetz contract.pdf Contract CONTRACTOR INFORMATION Contractor Business GreenPoint Roofing Name Contractor's License 170091 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 720-684-5500 Number (enter WITH dashes, eg 303-123-4567) Contractor Address 1030 Boston Ave (Primary address of your business) Contractor Email Address info@greenpointroofing.com Retype Contractor Email info@greenpointroofing.com Address DESCRIPTION OF WORK TOTAL SQUARES of 23 the entire scope of work: Project Value (contract value or cost of ALL materials and labor) Are you re -decking the No roof? Is the permit for a flat Pitched roof (2:12 pitch or greater) roof, pitched roof, or 2 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. Name of Applicant Lisa Underhill Email not displaying correctly? View it in your browser. both? (check all that apply) What is the specific pitch 5/12 of the PITCHED roof? How many squares are 23 part of the PITCHED roof? Describe the roofing Composition Asphalt materials for the PITCHED roof: Type of material for the Asphalt PITCHED roof: Provide any additional main residence detail here on the description of work. (Is this for a house or garage? Etc) 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 3 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: �/�l !vc. ��• �,, S �- Permit Number: 1, f 7 0 S 3 U 74 16 ❑ No one available for inspection: Time 10 = -D I AM PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date:_5-/ //'a' Inspector: --T— DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Miscella PERMIT - 201708303 PERMIT NO: 201708303 ISSUED: 11/21/2017 JOB ADDRESS: 4465 Balsam ST EXPIRES: 11/21/2018 JOB DESCRIPTION: Permit for enclosed patio west side of house; 144 SF on existing patio slab; space will not be heated or have A/C Adding windows and door to exterior. **REVISION: Not framing existing east wall that is existing. House wall with in tacked structure. Brick/wood window/door. NO change in valuation.— *** CONTACTS *** OWNER (303)832-1412 BAETZ DAVID A *** 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: 7,056.00 FEES Total Valuation 0.00 Plan Review Fee 112.19 Use Tax 148.18 Permit Fee 172.60 ** TOTAL ** 432.97 *** 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. Landscaping removed or damaged during construction must be replaced prior to final inspection. Owner/Contractor is responsible for locating property lines and constructing improvements according to the approved plan and required development standards. The City is not responsible for inaccurate information submitted within the plan set and any construction errors resulting from inaccurate information. City of Wheat Ridge Residential Miscella PERMIT - 201708303 PERMIT NO: 201708303 ISSUED: 11/21/2017 JOB ADDRESS: 4465 Balsam ST EXPIRES: 11/21/2018 JOB DESCRIPTION: Permit for enclosed patio west side of house; 144 SF on existing patio slab; space will not be heated or have A/C Adding windows and door to exterior. **REVISION: Not framing existing east wall that is existing. House wall with in tacked structure. Brick/wood window/door. NO change in valuation.** signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications le building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized gal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with mt. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be -d and that all work to be performed is disclosed in this docunend/or its' accompanying approved plans and specifications. Si�siubject t4e of OWNER or CONTRACTOR (Circle one) Date I ,his permit was issued based on the information provided in e pennit application and accompanying plans and specifications and is to the compliance with those documents, and all appli able statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance re ardless 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 originalpenmt fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Divisi 6. The i 'u ce granti f a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any apph o r an r 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. City of ,0 W heat COMMUNITY DEVELOPMEP--j.-109le T-/ Building & Inspection Services Division MAR 2 0 20 1 b 7500 W. 291h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Pe Inspection Line: 303-234-5933— Email: permits@ci.wheatridge.co.us FOR OFFICE USE ONLY Date: 13/90// Add to Permit # JL /-qR�-3 6 --�> Building Permit Revision/Amendment Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address:�}(o� Property Owner (please print): �,�" �j f z lea1er� �� G'�Phone JZ �g qg � I Property Owner Email: .�.s �a rlcs ����t�a (o,,,,, - (� � L0 r Lf p,�7 Mailing Address: (if different than property address) Address: Sf1 turn s - City, State, Zip: Contact Person: Contractor: 5, Contractors City License #: Contractor E-mail Address: 303 7 - 9 867 D�v� Phone: .7 zo s > -9-,� V&-�, Phone: Please Note: Additional valuation must include all general and subcontracted work to be performed related to the revisions and/or amendments declared in the description of work and which were not included in the original permit valuation. If revisions or amendments increase the original valuation, additional fees will be due at the time of approval. Depending on the scope of work, additional plan review fees may be due upon approval ($60.00 an hour - 2 hour minimum). Description of revised/amended work: Sq. FULF Amps v.� c �e— , \c -t- J L-) Btu's Gallons Squares Other Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above) 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. CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME' 6krsj Q=�p0.r� SIGNATURE: DATE: � 215 a DEPARTMENT USE ONLY ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS. Reviewer: PUBLIC WORKS COMMENTS: Reviewer: PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required OCCUPANCY CLASSIFICATION: Building Division Valuation: $ Replace cabinets Replace all windows 40e0 1 255 sf 444OPH �rmod.50^� )eslae✓c.L P�er�e lvAvr4nd,y Co Replace tub toilet m lavatory x 0 m , �MIINITY p��ppMEttT APPROVED itede fed for Code Compliance 3&11 Plans Eaarnme r LJ4�Date y pt�ermit The r<sua"e oI a PP1-11 ar o00ra"al oI Glom viol"a� and computolions shall not be a GC—It Jar, or an aGWos'al aJ, o"Y � � to any of the G+c+^vons of tht Mrtld"g code a of any try orduw"ces Pre to give authority to vlolote of c M91 ool chd of Nd codes a other ardnancts of the City shag GOOD Goodson Residence 2655 Pierce Street Wheatridge, Co. 80214 DRAWN: TS TAS JOB: 18 -TM -001 SON RESIDENCE SCALE: DATE: 2-27-18 SHEET: S-1 2655 PIERCE ST. WHEAT RIDGE CO. R301 Project Specific Design Criteria. All work on this project is governed by the 2012 international residence code. Seismic Design Category: B. Design Temperature: 1'F. Frost Line Depth" 36". Ground Snow Load: 30 lbs/ft'. Weathering Design Criteria: Severe Termite Design Criteria: Slight / Mod Insulation: • R-20 walls • R- 49 ceilings • R-19 crawl spaces � 65 Wind Design: W mph, Exposure B Dead loads used in structural calculations: As calculated CONSTRUCTION NOTES 80219 • All Timbers Used on the Project are to be No. 2, Construction Grade or Better. • All Concrete used on the Project is to 4,000 psi with Air Entrainment of 4 - 6% • Subcontractor Shall Verify All Dimensions before Commencing any work and will notify the Engineer of Any Discrepancies • • It is not the engineers responsibly to supervise, direct, control, or have authority over any contractor's work, nor shall the Engineer have authority over or be responsible for the means, methods, techniques, sequences, or procedures of construction selected or used by any contractor, or the safety precautions and programs incident thereto, for security or safety at the Project site, nor for any failure of a contractor to comply with laws and regulations applicable to such contractor's furnishing and performing of its work. ,-5 Sec. (� i Ove• 5 P' S T •••,l'J` 0101 0 �i FSS NAL���G� TAS ENGINEERING Goodson Residence 2655 Pierce Street Wheatridge, Co. 80214 DRAWN: TS TAS JOB: 18 -TM -001 CHECKED: PROJ.: Wall Removal & New Header SCALE: DATE: 2-27-18 SHEET: S-1 Remove non—be( walls Remove window p Install 5' sliding 9080 1255 st TA ENGINEERING Goodson Residence 2655 Pierce Street Wheatridge, Co. 80214 DRAWN: TS CHECKED: SCALE: 3/16" = 1'-0" P,9«U �• • 5 p.. S O � s° 0100 °i p� s AL TAS JOB: 18 -TM -001 PROJ.: Wall Removal & New Header DATE: 2-27-18 SHEET: S-3 J4 RIA RECEIVED MAR 2 3 2018 F- - - - - - - -S , *y P,4:�1 V" I pw MOM jiw_-m I�1����l�;�lii�����lii�i�l������I�1�l� it I I l i l l I I OF 6J i I I I I I I I I 3c"; .5 f5 Li,- e i�sfs CL I-+- fre cl e d Oxy i(c ,w"5 Cif Q �(n�Mp- � x ? �� `tee APPROVED ftWewed for Code Cpnw§a Examiner Daft VAWW of nm*: The asuomr o/o pemw of approwo alpbm swevowumbow SOWN OW be a pen" lbr, or an awakw eg aw City o; reaMwro/Mr«M«brMaMiralaaa+n�er.�a�rb+lrr Wheat Ridge to fta Ira IR dip Uxi i rt klP, I J_ if 64, I 4r r R city Of Wheat Ridge ing R";'*e'l for Zoning Compliance by the 0 CitY of Wheat Ridge Planr&g Division APP90VED ms N4 NY. DATE. w 4o wCOMME I Of 07 -w-�V Pj e, .4 e 94. v )6 "fly .;&J. Ve etl� J. IN; R city Of Wheat Ridge ing R";'*e'l for Zoning Compliance by the 0 CitY of Wheat Ridge Planr&g Division APP90VED ig N4 NY. DATE. wCOMME Of a6V)I,a ioatAPA I lo MQ , L-) -4- %t (D I CD L-) -4- %t (D I J 2 G[4 lei^nom `lE �L �l A/ INTERSTATE 70 TUNNEL NSR092 APPLEWOOD VILLAGE O SHOPPING CENTER O 13 ` 0✓ 84"0 STL COND NO 16 N y — QI,DW ROW _._.._.—.—.=._. i._. N 1-1 � s 7000-\� N NA wlorvV •rtatuV 4LV+VV 427+uu 4Z"L+uu 4Z3+uu PROFILE SCALE: 1 = 50' HORIZ 1 = 10' VERT 424+00 420+u0 476+oo 427+00 HORIZONTAL DESIGN POINTS STATION NORTHING EASTING NOTES 424+93.66 103146.12 101370.94 ENDING / TUNNEL 425+03.66 103139.43 101378.37 AP 426+37.66 103050.59 101478.69 AP 426+70.00 103028.16 101505.03 6"0 AV ASSY 426+91.85 F 101517.78 END OF PACKAGE 1 PLAN SCALE: 1 = 50' Z Z O F M � to y C%[y of O Q d O Z 00 C > a Dp 55 to J Q I- yU) ~ <O {(yy�� y,1 3 Gf M hear VV11 RId9e o m a N o '° to in C4 ui t!I din isip 9 Div ai a 6d V) CL d w + 04 + 0 + U m o y rn Q N1YgaM F '� • o Q Na moo N aw Zai a �ya Q FaY m FO HWW N N 0 Q ~\ al a h Z zgt W 000 5530-_.- _ _ -- - -- _- ----- -- _ _i__-._ - _ - ----- -- --_ - 5530 5520 - =- - _ wm -- -D --- -- --- -- r---- - -- __. �-__.- ---- --- 5520 5510 -- — - - - - -- +.. _. _ . - ----- -- - - — - --- --� - - - - -- -- -- - - - -- �- -- � - - � - - +- S�oo3es 5500 - -- ---- -t------ --- - ---- ---+- 5490 - 5' y+�° x — o h =� _ -- 5490 - ` ---- - --_ 5480 ---- - -- =_-=---- _ - — — - ---= ---_ - - — - - - - - - -- - 5480 NOTE 2 5470 ----- - ---- ----_- - -- +_-- ----- --- - - - - - -- ---- - _ - --- ---+-- -- -- -- ---- - - -- - 5470 —_-- ._ - — 77 1 5460 -- -�-- ----- -- —�'_—_ --- - -- '- _� V;� .— -- ..--_ _. — . _—.-- _ ---- -- ,- --- - -- 5460 wlorvV •rtatuV 4LV+VV 427+uu 4Z"L+uu 4Z3+uu PROFILE SCALE: 1 = 50' HORIZ 1 = 10' VERT 424+00 420+u0 476+oo 427+00 KEY NOTES: O1 SEE C-14, C-15, AND 91 FOR JOINTS, LINING, AND COATING. <CEMENT -MORTAR LINED AND POLYURETHANE COATED PIPE. NOTES: 1. CLOSEST CONTROL POINT: BM 1000. 2. SEE DWGS C-14 & C-15 FOR TUNNEL. DENVER WATER 1600 Wes[ 12th Ave Denver, C010 00 80204-3412 7:303.628.6000 F: 303.628.8851 aenverwote -9 CONDUIT NO 16 1 TUNNEL INSTALLATIONS AT STATE HIGHWAY 58 & 93, BNSF RAILROAD CROSSINGS, & INTERSTATE 70 WITH OPEN CUT SEGMENTS FROM STA 348+50.00 TO STA 410+24.17 REFERENCE: CAPITAL PROJECTS CONSTRUCTION STANDARDS 2014 we.Eenverwat—g /DoulgBua;neaawithU e/Engineerin90wrvira/CPCS THIS ORAWNG IS BASED ON THE OW—METRO—GRID COORDINATE SYSTEM L>) 8/15/17 CHANGE ORDER NO 2 D 4/12/17 FINAL FOR CONSTRUCTION No Date Description REVISIONS VERIFY SCALES BAR IS ONE INCH ON ORIgNAL DRAWING IF NOT ONE INCH ON THIS SHEET, ADJUST SCALES ACCORDINGLY PT NO: 17768 DRAM BY: RLP/NJM/ CHKO BY: RRP/ J L/GH7/C,�g OHKO BY. MDG/ M TURNEY/ 7- APPO BY. _ Fe r SC DATE: NOVEMBER 2616 CONTRACT: 15453A AS—BUILT DATE AS—BUILT BY: DRAWING TITLE PLAN & PROFILE STA 418+00 TO STA 426+91.85 C-28 HORIZONTAL DESIGN POINTS STATION NORTHING EASTING NOTES 424+93.66 103146.12 101370.94 ENDING / TUNNEL 425+03.66 103139.43 101378.37 AP 426+37.66 103050.59 101478.69 AP 426+70.00 103028.16 101505.03 6"0 AV ASSY 426+91.85 103013.06 101517.78 END OF PACKAGE 1 KEY NOTES: O1 SEE C-14, C-15, AND 91 FOR JOINTS, LINING, AND COATING. <CEMENT -MORTAR LINED AND POLYURETHANE COATED PIPE. NOTES: 1. CLOSEST CONTROL POINT: BM 1000. 2. SEE DWGS C-14 & C-15 FOR TUNNEL. DENVER WATER 1600 Wes[ 12th Ave Denver, C010 00 80204-3412 7:303.628.6000 F: 303.628.8851 aenverwote -9 CONDUIT NO 16 1 TUNNEL INSTALLATIONS AT STATE HIGHWAY 58 & 93, BNSF RAILROAD CROSSINGS, & INTERSTATE 70 WITH OPEN CUT SEGMENTS FROM STA 348+50.00 TO STA 410+24.17 REFERENCE: CAPITAL PROJECTS CONSTRUCTION STANDARDS 2014 we.Eenverwat—g /DoulgBua;neaawithU e/Engineerin90wrvira/CPCS THIS ORAWNG IS BASED ON THE OW—METRO—GRID COORDINATE SYSTEM L>) 8/15/17 CHANGE ORDER NO 2 D 4/12/17 FINAL FOR CONSTRUCTION No Date Description REVISIONS VERIFY SCALES BAR IS ONE INCH ON ORIgNAL DRAWING IF NOT ONE INCH ON THIS SHEET, ADJUST SCALES ACCORDINGLY PT NO: 17768 DRAM BY: RLP/NJM/ CHKO BY: RRP/ J L/GH7/C,�g OHKO BY. MDG/ M TURNEY/ 7- APPO BY. _ Fe r SC DATE: NOVEMBER 2616 CONTRACT: 15453A AS—BUILT DATE AS—BUILT BY: DRAWING TITLE PLAN & PROFILE STA 418+00 TO STA 426+91.85 C-28 '2o cv-3 (,,-\, h E-47- ��� f�/ D - 0/4 ks ECEIVED 30.3-t&^7. nna e 0 201 Peak -- ow '201:7,0r303 Al V15�r6 is ------ Mob Cay 1heat Ikj _] MU DEVELOPMENT gge APPROVED Reviewed for Code Compliance 3 Mans Examiner Date vft d ew"* The asuare of o !scant or doprovd oPOAs and computations sholl not be a PC—t fw, or on approval of, WW r'0 '" M any of the P O Bions of the buikhrV code or of any City ordinonces. Mtw4 presuming to give outhaity to violate of cancel the provisions of the hrtdoy codes or other ordmonces of the City shot) not be valid. w. oE 0 c .3 E 0 (U 4-1 �- B'� g.c o lot 41 cti O tCgG"�'�^�55Lc3� E-€a�'ti Lr .CW �IT� SAS T W (l LIQ ize- Su6MIr t a r ., � 121.111 8802.9 Framing of openings: sky4igFrtsveifl haere single Qpenings in roof and ceiling P�r�-oder/trin►n�er joints framing shall be -framed with header and trimmer foists. When the header joist span does not exceed 4 feet 11219 mml, the header ,joist may be a single member the same size as the ceiling joist or. rafter. Single trirlfrl1.er joists may be used to carry a sm- .gle header joist that is locatedwithinwithin 3feet (914 mm) of the tr irnrtiter joist bearing. When the header joist span exceeds 4 feet 11219 nim), the trimmer joists and the header joist shall be doubled and of sufficient cross section to support the ceiling joists or rafter framing into the header rr rrdl,r Pzrr.ird ff„r "102. : v lJ' rirn yellow wall is brick, and there is 23” overhang currently ��` LV le L V +-+ c a) U CO 4-+ a-.+ m L+— O O 4-1N \I 0 ok Ao s o" G9�,�e O&moo ����e ul C �H m tw E N � O +-+ 4-J N __ y O z F - 0 CL A -0 Q LLj O O c \I 0 ok Ao s o" G9�,�e O&moo ����e N CU O N r -i 4- 4-J a -J N 4- 4-J O C- E N N NLn a v Ln rma o� � � ash• 0 C:ro ��o�� CL 00 p E ON N O Ln ate--+ a -J � . cn V L ra — � z � Is mk -owr IN 25'+ offset m St a S'o oqse t from street 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: /03- c- r '„ r Job Address: L-/ Lj 4, S�- Permit Number: -7 01 -7 O 5 o -� ❑ No one available for inspection: Time = c1 1 AM/VI Re -Inspection required: Yeses When corrections have been made, call for re -inspection at 303-234-5933 Date: I 1 4Inspector: 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: / 0 3 rj-::7v o 4- , � Job Address: '/'/ZS7 )stni), S 4 - Permit Permit Number: '� p 17 o S 3 0 ❑ No one available for inspection: Time = 0 (AM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: // S— I q Inspector: —7-6 DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Plumbing PERMIT - 201700524 PERMIT NO: 201700524 ISSUED: 04/18/2017 JOB ADDRESS: 4465 Balsam ST EXPIRES: 04/18/2018 JOB DESCRIPTION: Install lawn sprinklers in front & rear yard 14 zones total; install backflow device; add electric to greenhouse - electrical line will come from crawl space on west side of house underground 20 ft to greenhouse *** CONTACTS *** OWNER (303)832-1412 BAETZ DAVID A/VALERIE SPARKS SUB (303)466-4209 Rosalie Cooper 018111 Cooper Heating & Cooling SUB (303)466-4209 Rosalie Cooper 018111 Cooper Heating & Cooling *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 J *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,250.00 FEES Total Valuation 0.00 Use Tax 22.50 Permit Fee 53.70 ** TOTAL ** 76.20 *** COMMENTS *** *** CONDITIONS *** Backflow prevention device required. Inspection and testing of backflow prevention devices is required per 2012 IRC Sec. R2503.8. Work shall comply with 2012 IRC & 2014 NEC. I, the property owner, by my signature, attest that I currently reside at the project property, intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers. Consultations and inspections will only be performed with the homeowner of record present. D/700�4 f INSPECTION RECORD INSPECTION REQUEST LINE: (303) 234-5933 c- Occupancy/ T�v pe 1 Inspections will not be perfonned 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 CommentsInitials Pier Concrete Encased Ground (CEG) Gni inrintinn / P F I atter Do Not Pour Concrete Prior 10 Approval UT i ne ADove Ir15PeGUV11, Underground/Slab Inspections Date Inspector Comments Initials Electrical Sewer Service Plumbing RRII l'.�N G171�1RT7 717r.Ti n'Yil Trilyfa t l i [:1G\ U>,•[:111 F.7 �i=i�i NJ 1_N7 VV wtvvrcI Rough Inspections Date - - Inspector ----- --- - CommentsInitials 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 CommentsInitials 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 / "C 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. -a :. --A .. L...i.i....l 1 ...... nM- *For low voltage permits - mease De sure Inas rouyn uibNetuL)iia am; uu N �«� �•••�• �� - - _.__�_ by the Building Division. **For Inspection Time Window - Please email insptimerequest@ci.wheatridge.co.us by 8.00 A.M. the mornin_p of the inspection with the property address in the subject line of the email. Time window is based on the inspector's route. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather City of Wheat Ridge Residential Miscella PERMIT -201708303 PERMIT NO: 201708303 ISSUED: 11/21/2017 JOB ADDRESS: 4465 Balsam ST EXPIRES: 11/21/2018 JOB DESCRIPTION: Permit for enclosed patio west side of house; 144 SF on existing patio slab; space will not be heated or have A/C Adding windows and door to exterior. *** CONTACTS *** OWNER (303)832-1412 BAETZ DAVID A *** 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: 7,056.00 FEES Total Valuation 0.00 Plan Review Fee 112.19 Use Tax 148.18 Permit Fee 172.60 ** TOTAL ** 432.97 *** 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. Landscaping removed or damaged during construction must be replaced prior to final inspection. Owner/Contractor is responsible for locating property lines and constructing improvements according to the approved plan and required development standards. The City is not responsible for inaccurate information submitted within the plan set and any construction errors resulting from inaccurate information. � i ® City of Wheat Ridge Residential Miseella PERMIT - 201708303 PERMIT NO: 201708303 ISSUED: 11/21/2017 JOB ADDRESS: 4465 Balsam ST EXPIRES: 11/21/2018 JOB DESCRIPTION: Permit for enclosed patio west side of house; 144 SF on existing patio slab; space will not be heated or have A/C Adding windows and door to exterior. 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 thispermit. I further attest that I am le ally authorized to include all entities named within this document as parties to the work to be perfrmed and that all work be per ormed is disclosed in this documen and/or its' accompanying approved plans and specifications. "M 120 Signature of OWN& 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, po plans 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 androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change, of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services 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 oPE4vff Milding Official T711 Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. FOR OFFICE USE ONLY City of Date: Wheati COMMUNITY DEVELOPMENT Plan/Permit # wilding & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Plan Review Fee: Inspection Line: 303-234-5933 Email: permits (o)ci.wheatridge co us Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: ' Property Owner (please Property Owner Email: I% OZ Sj7G2/'/� S O Vr 4 A^ . Cbllir Mailing Address: (if different than property address) Address:(s?►- City, State, Zip: I `te. r11 Phone: 3- • 91p; 7 Architect/Engineer E-mail: -r "r- Phone: 1 "- S$ S— Ll� 30 Contractor: T Contractors City License M Contractor E-mail Addracc- pfp),- C Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Z V Ot t Phone: 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 4 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.) Sq. Ft./LF W Btu's Amps 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 ain 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) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) ((CONTRACTOR) DATE: /D1IJ / ZD/7 Signature (first and last name): 1D DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: ZONING COM�MMENTS: Reviewer: �2 _ C � J BUILDING DEPARTMENT COMMENTS: Reviewer: rl cj ��.f Building Division Valuation: $ City of Op� eat il!dgle COMMUNITY DEVELOPMENT Official Certification of Property Owner for Non -Trade Specific Permit THIS IS TO CERTIFY that I, the property owner, by my signature, attest that I currently own the project property. I attest I am personally performing all work, without the assistance of hired or professional workers, or, if hiring sub -contractors, have the contractors doing the work listed on the permit. Consultations and inspections will only be performed with the homeowner of record present at the project property. /' I am the owner and live in the project property. _I am the owner and do not live in the project property. Property Owner(s): Project Property: Project Type: 25" cI05tt►^e- Alf"o Notarized signature of Applicant State of Colorado } County of J ei } ss The foregoing instrument was acknowledged by me this 13a`I`day of oc is Lr, 20 -L -L by vd) Q TAMARA D ODEAN NOTARY PUBLIC STATE OF COLORADO NOTARY ID 20164015481 MY COMMISSION EXPIRES APRIL 22, 2020 My Commission Expires 2,2/20;?� Notary Public 1 W ❑ d ❑(D(DZ W Z Z W UILF.-2 O W W off J J U) Q J Q Q W U U z U Z W W W 0 U V w Z ❑ Ute❑❑-0-02�-W w W U w§,, U W W KI ❑❑❑❑ (n a °Q a cccvaw -W L- coW� ( O oa W LLJ < W Q p Q F– � La +- �Z)UwW c0 W W ofZWU �' ❑ Z:) U) cj J Z Q N UF- }}aQJ U❑Z O 0 Q a a OfZW M Q N F-�OO�c/)2Q� U QQ�p0UwW� OfZ a Q Q Q J O W W J J J } L U❑UQU�U�Q(D WZZZ00 W O O W W Z W W C U WCO ❑ ❑_ 2i U W O WWOWOWWJJF - U ZZUw0w2aWO ❑ w ❑❑ XI❑❑❑❑❑❑ N d D C co � C O .0 C C C� N U ._ N C U � C � .cB C CL Q c0 N C E O C � U b o C O 3 0 0 0 C Q O .� a� U C U N •O 'O .o m 0 U � C X - N N N O CU N CL O :3 �CD O CUO CL a• _� U N ` N m O cn E CL J 'a O a0� 0 o 0 LL `.am ` 3 cn � o a) E C _ CL LO a) O 4-- 0 <n=_ -o cu a)O O � N - O U a) 06 ID C N F- C OV O O L O Y �. a)L (DC0 L oy� ��3 tw 4- Q a) a) L O (n Y a) cn u)C "� O O C C � Ea)�EI-- N N L a) U) a) o U) O Q (7 U) O OL U — U) T 0 C Q) a)O Q L O a a) O cn o 0) a) 0 a) L V) a) E a) of a) 0Z L U LA o N Oa O -0 c U) `�-c�n ��'3C�C a)CL v) n � U) >:, _a "a 3 O O Q = a) o C o N o 3 C _� Lc): -0 Q N Q m M (V 06V a— m E2 Ci XO �: a) a) O 0 N -mcna) . N w :3E o — 0 o O o�p ca -0 US 4"- cn Quo ca M cm L D _N O a o O Q U N + OO 0=c-6cn— .� — M tn p 3 QOM U- O .0 o CL) O U o 0 3 N m Q a) W CLF -V O .� F- LL �oa)���U V E 3 0 Q LL W m N � 3 N m ^b0 c2 O SOA O O Z +" ccs _ U g ict t 3 F- O .0 �uFL _ Q g a °_' • ami -. e U �s Z O iI O N O cd O > ° V) C _ E t- cci ^O W 0 a) Zct m C O a N W o o:y o y ti J 3 ° Z U4-^ � _ LJ L p O. S�. W O d cn� Ln g = m • Q p O � � a) a� L o o W -0 d v. o -o A IZ z?'°°.y N c s:. U 0 O V1 , � LnC W cu Q� In U m ° 0 3 5 O d ;� 'd 0 0° O d G m Z iY o an o O ° I.V a > .L' b N y U O cc «sem ¢� W L O F iO U p +' L�n- o fn Z ca z N Oo�acb° v1 nw. 0 0 Ud) z m o o Y y s > M 0 M 00 0 r\ 0 N Landscaping removed or damaged during construction must be replaced prior to final inspection. Reviewed for Zoning Compliance by the �► +, City of Wheat Ridge Planning Division APPROVED BY: DATE: I I COMMENTS: Ofw "........... ,reg City of oW heat R�,.9 e JCOMMUNM DEVEIO MT APPROVED — Reviewed for Code Comaliance 1f :Theisws"Melote Warg" oad shot1wtbeaOtf 14 Jo:a-cvoc �iMP in 3� aero! � t>�� of tM OulldieY cadt a o/o.ry G'M eidHoace>• IM.wb presu nav to gw GLOW" to rlo+ote o/coece the 0OW+10ft d the ouft%v codes or othv ordimacei of Mt CRY shot oat 6t ■e" Owner/Contractor is responsible for locating approvedProperYlines the and constructing improvements according and required development standards. The City is not the plan responsible for inaccurate information submitted within resulting from plan set and any construction errors inaccurate information. u7 0 N C M L Q Q� o E aj > o ^� z w �i 'Z cu N cv C O .1-.+ O N N O CL x d O O L N O E L O N Q� tw Em C _O Qj L a > O U �^^ b/ L N C 0 Y L O Q O U N u �.l Ar P. a m CD Reviewed for Zoning Compliance by the .k City of Wheat Ridge Planning Division APPROVED -DATE: COMMENTS: existing roof looking down ... north <-- ASTM Class F shingles 12'7" skylight skylight 21„ J rafters 24" oc 127' ,, Zo1 C t ac P%,_ -Q,3 (�M Lrak be. � gyp. h OF ea -f /- ` T it { S ► Z �o U t aQ h� 6' run 2' rise in Yo Ln tw tA X 41 7Z, _ e AI c C= f -i vi k 5 t a 'rn UJ i y V� R 13b rocc VI jj :L C=W W v :.3y yea w ci a.C 1LL � Qi fill �. z 3a3 _ t East Wall 12 -7 2 2"x6" 1" r � future door -� 2 spec IaUe_Rsos-a.S6C Kin aXN 5Pc1►A maw S'- RPAUC-t King OR Jack ° Jack --- .8-8- 4 31-411 -1 R -9111 a� 1 2"x6" 12" anchor bolts q q q d o •° d .° d. d q. ° Q. ° d °p q •, ° d' ° ..° ..d ri :: ° . °Q . ,° ° o .. 4 d 6 � ° , d d "®r�..t ° ° ° °. .. q °d., .. . •°a ° . • 4° .. o ,,d q ° 4 e ° d, o ° c 5" concrete slab ( adjacent to house foundation ) 4" x 4" 2x10 gable end - virtually no weight to support South Wall 111 12' 32 2 x 6 plate 1" 82 1'-72" �1-7" 1.42.. x_10 1-72 2x6 52"_J I7:k" 52" head r ` 4'-112" 5 " '-112 king � jack jack - y, W h °I 0 W 5'-112" sliding door SPP "Zk� 6'-72" '-5 6 cassions 3' x 10" foundation --> -M 2x8 header king - red jack - brown sill - grey all 2x6 Cal jy Of hed� 9 king jack Mimi, West Wall 12'-7" 3_.. 12' 2" x 6" 32" spotlight 4" x 4" 0 2 x 6 header 2 x 6 header king 4'-112" king jack jack--- 9 Y2x71% 58%2x79%2 w rnd ow 111 1'-22" 6'-�� sliding door 12 5'-112 4'-1�" doggy door 2 x 4 header I 1'-6" 2�--i'-6" 12" anchor b Its ;.... .). ,-a •'1 -y 3' % I 2x6 ������� ������ ift 1'-6" 3'-112' milgard w+mciaw 54hx47% King Jack North Wall 12'- 1'-6" 4'-6.1111 existing exterior brick�4-31" 1 � 5 adjacent to foundation city of 8 �0 "RiO'9e urlg1,79 Division uan -w- -h- description sku 4 4" x 4" x8' $9.37 $37.48 #2 Ground Contact SYP Redwood -Tone Pressure - Treated Timber Store SKU #382493 40 2" x 4" x8' $4.98 $199.20 #1 Redwood -Tone Ground Contact Pressure Store SKU #1001802203 10 2" x 4" x16' $10.47 $104.70 #1 Redwood -Tone Ground Contact Pressure Store SKU #1001802237 3 2" x 6" x16' $14.57 $43.71 #1 Redwood -Tone Ground Contact Pressure Store SKU #1001802269 6 4' x 8' x3/a $35.00 $210.00 roof Store SKU #1001754130 6 #50 bags $32.97 $197.82 LevelQuik RS 50 Ib. Self -Leveling Underla ment Store SKU #839469 Store SO SKU #1000392350 1 gal $2S.97 $2S.97 Level Cement primer Store SO SKU #1000248406 1 $16.85 $16.85 #30 tar paper Store SKU #258881 Store SO SKU #0000258881 6 $29.00 $1Z4.00 shingles Store SKU #1001187680 1 $9.50 $9.50 Foam SeaIR Sill Plate Gasket 5-1/2 in. x 50 ft. Store SKU #150247 Store SO SKU #583042 2 $82.98 $165.96 VELUX A06 Low -Profile Flashing Store SKU #477761 2 $199.00 $398.00 Model # FS A06 2005 14-1/2 x 45-3/4 in. Fixed Deck -Mount Skylight Store SKU #297576 18 $1.67 $30.06 18 -Gauge 2 in. x 6 in. Ridge Rafter Connector Store SKU #464074 Store SO SKU #592854 $1,613.25 City of Wheat Ridge Building Division M Q Oo 1§11 City of Wheat Ridge Residential Plumbing PERMIT - 201700524 PERMIT NO: 201700524 ISSUED: 04/18/2017 JOB ADDRESS: 4465 Balsam ST EXPIRES: 04/18/2018 JOB DESCRIPTION: Install lawn sprinklers in front & rear yard 14 zones total; install backflow device; add electric to greenhouse - electrical line will come from crawl space on west side of house underground 20 ft to greenhouse *** CONTACTS *** OWNER (303)832-1412 BAETZ DAVID A/VALERIE SPARKS SUB (303)466-4209 Rosalie Cooper 018111 Cooper Heating & Cooling SUB (303)466-4209 Rosalie Cooper 018111 Cooper Heating & Cooling *** 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: 1,250.00 FEES Total Valuation 0.00 Use Tax 22.50 Permit Fee 53.70 tj ** TOTAL ** 76.20 �3s *** COMMENTS *** *** CONDITIONS *** Backflow prevention device required. Inspection and testing of backflow prevention devices is required per 2012 IRC Sec. R2503.8. Work shall comply with 2012 IRC & 2014 NEC. I, the property owner, by my signature, attest that I currently reside at the project property, intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers. Consultations and inspections will only be performed with the homeowner of record present. ,� City of Wheat Ridge Residential Plumbing PERMIT - 201700524 PERMIT NO: 201700524 ISSUED: 04/18/2017 JOB ADDRESS: 4465 Balsam ST EXPIRES: 04/18/2018 JOB DESCRIPTION: Install lawn sprinklers in front & rear yard 14 zones total; install backflow device; add electric to greenhouse - electrical line will come from crawl space on west side of house underground 20 ft to greenhouse I, by my signature, do hereby attest that the work to be performed shall comply with all accompanyingg approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am t1ie 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 originalppermit 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. Inspection time requests will be accepted by email only. Please .mail requests to insptimerequest@ci.wheatridge.co.us fi between 7:30am and 8:00am, the morning of the inspeitiolt se put the address of the inspection in the subject line. City of Wheat jdge COMMUNITY DMIOPMEN r Building & Inspection Services Division 7500 W. 29"' Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: perm its(cD-ci.wheatridge.co.us FOR OFFICE USE ONLY Date: Plan/Permit # IN) an Plan Review Fee: tsuming rermit Application *" Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 4465 Zdz% % Owner Property Owner Email: y' Spr'r��5 � ri-h00- C -6;'n Mailing Address: (if different than property address) Address: S'� e -- City, State, Zip: Architect/ Engineer: Architect(Engineer E-mail: Contractor. a14- 5.' /-)c Contractors City License #: Contractor E-mail Address: Phone: Phone: Phone: Sub Contractors: f Electrical: Plumbing: �Qr ltar';'17 f {/Qcrt-1�t4 Mechanical: W.R. City License # W. R. City License # J J W. R. City License # 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 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 o REPLACEMENT OTHER (Describe) Q.4 -,,,Dr /ac,)i7 Zfr. 05 (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 mount of materials to be used, ,etc.),�� [Q�.�i�r-;�r�,;,? u►ryt�{r cOper�JLtvi,�in %/A 7 �/l�/'�i Lawn area 't� m %3 x�a%J %Y�5 �p3�c _ . Lc i5 �S� /5D, �ar)r- 9 7cne5 .n cZCL`t r��t� ►� �f45 , vl bt�xsa l r¢ s w I J� -% i— t sn of -k j - vac brenY er(grxk.`�i - owner Lim Lo II cwt!✓ oU} �-oM�.rq�wl S(c�a� wes-�-s;de Gtat�se (A dot,- �C,rc�,c��.�� NXOU ',- :Bo --'I rt 1, 4.0,A C..al,,W za .Neuw 0&'Iyt Gka�/4 .I—"* USQ Sq. Ft/LF c�J0a AwBtu's Amps Squares Gallons Other Project Value: (Contract value,, or the cost of all materials and labor included in the entire project) ��� -W f 0 Z"n t�- ONVNER/CONTRACTOR SIGNATURE OF L.-NDERSTA- DING AND AGREE;IIE.NT 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 Li'heat 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) (CONTR4CTOR) or (.4i:'TH0RIZED REPRESENTATIVE') of (Oiz]ER) (COMRACTOR) Electronic Signatury (first and last name): ZONING CONIMMENTS Reviewer. BUILDING DEPARTMENT COMMENTS Reviewer. DEPARTMENT USE ONLY DATE: OCCUPANCY CLASSIFICATION Building Division Valuation: $ "ebco 7651 - Backflow PVB Device - Sprinkler Warehouse https://www.sprinklerwarehouse.com/Febco-765-one-... .- A C SprinhlerWarehouse LEARN SUPPORT CONTRACTOR30GIN OST e America's Most Shopped Online Sprinkle..._.,.. LAWN IP41GATION DRIP IR ;GATION NON-124TABLE REPA%PARTS SPEWLTY LIGVNG SHOP WRAND t7ina.i.S T RECOMMEND4P PRODUCTS the next business day. Home > Lawn Irrigation > Backflow Preventers > Febco Backflow Devices > Febco 765 > II1 p Jwu 10 ®$la8i i .(OtM Febco 765 1 in. PVB. Backflow Preventer s www 20 t 7 Copyright 0 2013 Sprinkler 3 MoreRhotos r ,Description Reviews Our Price: $145.00 Sale Price: $65.98 You save $79.021 Rerakwlate FREE SNIPPING On Ord. rs Over $149 Product Code: FE765-100 Choose your options: Installation Add -Ons No, I don't want the kit (1 inch) Backflow Installation Kit [Add $13.33] `k ' A ; 4 _rte tiq Qty: 1 0 ADD TO WISHLIST :'Febco 7651 inch PVB Backflow Preventer f EBCOG Series 765 Pressure Vacuum Breakers are designed to be installed to provide protection against back siphonage 'Of toxic or non-toxic liquids. They feature a durable bronze body and a check valve and air opening port in one assembly. Features & Benefits Materials r • All bronze body for durability. One check valve and an • Main Valve Body: Bronze air opening port in one assembly. • Elastomers: Nitrile • Lightweight poppet seals air opening under minimum flow conditions. WARNING! Irrigation systems supplied by domestic • Simple service procedures. All internal parts or private potable water systems are considered to be serviceable in line from the top of the unit. a potential pollution hazard to the water supply. These of 4 1 'L-0 Dekorra 301 -GT -C2 Insulated Green Backflow Enclosure Sale Price: $265.47 �1 Dekorra 301 -BG -C2 Insulated Brown Granite Back"..... r.... �......... Sale 4.6 ****A Google 4/9/2017 9:45 PM 3 U Q 'bo C)Qnn City of "jdgc COMMUNri DEVELOPMENT Address: City, State, Zip: Electrical: Plumbing: Mechanical: City License # City License # City License # Date: Plan # Permit # Building Permit Application (Complete ji# highlighted areas) ♦ i CITY OF WHEAT RIDGE o p� OF- Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type: Job Address: 4�5 = C:S3�/i2 Permit Number: ❑ No one available for inspection: Time a " L� /A `�M Re Inspection required: Y s �N0 i t When corrections have bee mador re inspectioq at 303 - 234 - 5933 Date: - >/ / Inspector: DO NOT REMOVE THIS NOTICE * ** CONTACTS * ** owner 303/832 -1412 Valerie Sparks sub 303/696 -9599 Steve Wakeham 01 -9921 Pipeline Industries, Inc. ** PARCEL INFO ** ZONE CODE: UA SUBDIVISION: 0804 USE: UA BLOCK /LOT(#: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 4,800.00 FEES Permit Fee 125.05 Total Valuation .00 Use Tax 86.40 7��J ** TOTAL ** 211.45 Conditions: Subject to field inspections. 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 NTRACTOR (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 fie d sp 'on. Signatu of ief Building Offical Date INSP CTION 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. City of Wheat Ridge r40 00 r Residential Plumbing PERMIT - 110298 PERMIT NO: 110298 ISSUED: 03/24/2011 JOB ADDRESS: 4465 BALSAM ST EXPIRES: 03/23/2012 DESCRIPTION: Replace 65 if of sewer line inROW as well on sep. permit * ** CONTACTS * ** owner 303/832 -1412 Valerie Sparks sub 303/696 -9599 Steve Wakeham 01 -9921 Pipeline Industries, Inc. ** PARCEL INFO ** ZONE CODE: UA SUBDIVISION: 0804 USE: UA BLOCK /LOT(#: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 4,800.00 FEES Permit Fee 125.05 Total Valuation .00 Use Tax 86.40 7��J ** TOTAL ** 211.45 Conditions: Subject to field inspections. 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 NTRACTOR (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 fie d sp 'on. Signatu of ief Building Offical Date INSP CTION 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. Cit of Y clge C.OMMUNfTY t.J W heat EVELQPPotENT Building & Inspection Services Division 7500 W. 29" Ave., Wheat Ridge, CO 80033 Office: 303 - 235 -2855 * Fax: 303 - 237 -8929 Inspection Line: 303 - 234 -5933 [f / Building Permit Application Fr,QRerty Addr�ss� � \ Property Owner (please print): 1 1 CAIP t 5 pu(�5 Phone: Mailing Address: (if different than property address) Address: �Iy 6S Cl �S4VY� S T City, State, Zip'In ,t Coriteactor: Contractors C License M Phone: aun voniracxors; Electrical Plumbing: Mechanical: City License # City License# City License # t�13'♦- Descrl �kiori�ofu�oxkv- Ekwna� -e cwt re plate th,� t � rl t me<t� san��a + t h { S�cdct 1iv�c t�/� F ✓Ovvt CcS� jt ©�I ©Y\ \oCU�Ev �foa held SC ContractValue:l� /V McLiA lw4o u h� c� a�p�.e 1 5kreti`— $ I C't VLJ iN5k'GI` ducil 563(f ckcm Q6N'S r Review Fee (due at time of submittal): Squares BTU's Gallons Amps Sq Ft. (or $ OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT - I hereby certify that the setback distances proposed by this permit application we 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; 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. CIRCLEONE: (OWNER) (CONTRACTOR) ar (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME: lt' Ci SIGNATURE: � t t�f l ('' DATE: 21 I II a✓ i y ten: �i ✓ y� r y '✓ 4...✓ �-r / ✓ ✓ P /✓6 - '�',`;„ -� � ✓/ l " ✓,✓ � xi ✓✓ �.✓ -. Z' l -��x .�,� ✓._ . %,�, ✓�_t,'�..,.�� ��DEP�RTNIEN�US>r.!OTCt�f M ✓,�.,N��,�'� ��.,,_. ��� ,. ,.7.,.� „•. r ✓ r ,. LOI,{Ing ✓ a ✓!�; �'"v r 1 >'�N v � r >c✓;n ✓ ✓�;. 7 j nL,�l1 s ✓, rw „✓ a ✓ ,Gnu ✓ ✓y / � �f RBVICWer' ✓�� �'^ � i§ iv u+ ✓ a ya�ray��jr���: ^w ✓ /��� �Tr ✓ice �F �✓ � c✓� ✓r' ✓ ✓ � r U” '��n J xl ? +i>= ' n i f� ✓�/ r ; � ✓ r l G t r � � � r e� � y. f ✓'Ss'i /i„�i, in, � s'`s"����� ✓� .� zvv v ",��5 ""~�.r'"�U r BUILDING DEPARTh11 =NT CAMME�TSi t l �.� � u i ✓.�' ✓l ✓ r a q✓i^" ���'"�"��� -u, ��✓�� snrv`y ��+�)�v' '�` � ✓' c.. ' ✓ F ReweWer r 2 y `' g, � `✓ n -� ✓' � u:�r+' S e%. �. 4 J 5 Jn /1 ✓ ' F,x� n- ✓ ✓„�s. ✓' n �,.r ✓ ✓: ✓ n S r ✓� rGk <,ry �y %r �"%, °i/!S �rr���r✓a {n�sf }iti✓ � ✓� y ✓ ✓ 7 ✓G v✓iu ✓ r� ✓ v ✓ .. z f r r� � � fn'. rw �,. n� ✓ n �".ni ?4� ✓3"D J ,�;�r� ��p. �� �G,,,g Y ' y a i"�>� ✓G y E � �^J "'' � r < } s ✓ > >F it ✓ � g ." r✓ ��� ,u`'ri��x- � &,✓ ✓ ✓, ✓ � � ✓" y ✓ ✓. .( J✓.; T/ ! C, ✓ F �i Sr ✓� �lAS ✓f T ✓ ✓ � a r� 9'r✓C ✓ ✓T `��? n� ✓ Y; r J � '"✓ r'"f Gy1 T d� S e '„�� ✓i`' ' ': ✓a y 1 >�� ✓ �� t '�y� y ✓.a'�'�✓Y���Y �i✓"�. `.%e�ary��� "����a�� f ✓ �' UBLICIyORKS CO MMENTS ✓✓ - ',sir s r .%'� , ,� �✓ "'« j ✓ �" ✓� ✓,��"', n 06,,CUP,A y a R @vIOWBT. y , l i C• , ✓ ✓..✓ r k f r ti fa i ��'`� n ''t �" ✓ `�� ' FIR>= IJEPgJtTtutENT ❑approvedv✓I comr�ehts ❑ tlisappYoved s4 qA revleW Yegplredr Bldg ValUatlOn: $ mn ` r. INVOICE# � P JOB DATE EL IN E 11�1' o - 41330 . INDUSTRIES INC. DATE J OB # P.O. Box 370 • Watkin§, CO 80197 5 - 23 - 1 1 CALF ORIGI ESTIMATOR (303) 696 -9599 �,o PO # Fax (303) 671 -6871 SERVICEMAN - JOB INFORMATION BILLING INFORMATION NAME 1 ME 1 Q ,! I ADDRESS ° ADDRESS - CITE', I� n IZIP CITY ' STATE ZIP _ PHONE- I ,� PHONE DESCRIPTION OF SERVICES ESTIMATE A . LA s �Y - t r Y n Inc)AiLn I Oc4 4 _ ' 12 1,1 4 �1r b ocd 5we ci i n aJiz:' • inc 2 to r d r 11m (bk�� i rmch lt25 J echnolb - 'To- 4d `' r77'50 bar o ' UE l �n U l 1ea1) U P o f 4iV ARRANTY Terms of Warranty: APPROVA , 44 AT Nu COMMENTS- '' THANK YOU! SUBTO AL YlC e e �( r TAX [ PLEASE PAY THIS AMOUNT $ ITEMS NOT INCLUDED: Landscape, grass, sod, trees, bushes, flowers, plants, fence n n ., repair, decorative rock, utility conflicts, private utilities, sprinklers, waterlines, electrical, gas, etc. Not responsible for damage caused by unstable soil, cave-ins or any other complications. ACCEPTAN E �, ,r !/, TERMS:Job cancellation fees will apply. Invoices are payable -1/2 d9wn and balance upon - SloqATUR completion of work performed. Any invoice not paid when due, shall incur interest at the rate El of 18% per annum. In the event that it becomes necessary to collect any unpaid balance VISA M/C AMEX owed, Pipeline Industries, Inc. shall be entitled to receive all costs of collection, . including CARD f reasonable attorney fees. Pipeline Industries, Inc. shall be entitled to assert a mechanic's lien for all unpaid materials and labor supplied to buildin projects p want Colorado law. gPPROVAL # `- - ° ❑ CASH ❑ CHECK # -. - SIG URE CHARGE A/R ACCOUNT # a Inspection Type =r , Job Address V� a'.sa� Permit Number s n rte. A55& ,nA-s A FS n No one available for inspection: Time ,/: 2 0 AIMVPM DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: 6591 BUILDING INSPECTION DIVISION - 235 -2855 CITY OF WHEAT RIDGE Date: 2/12/98 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner: Property Address `. 4465 Balsam Street Phone: 773 -9763 Contractor License No.: 19559 Company: The Roof Guys Phone: 227 9100 OWNER /CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT $2,375.00 Construction Value : - 1 hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulatio s of the City of Wheat Ridge or Permit Fee : $63.00 ::.covenants, easements or restrictions of record;. t all m surements.shown, and allegations A Plan Review Fee: $0.00 made are accurate; that I have read and ree o abide all conditions printed on this " application,' and that I assume full resp n bi' y for co Marco -with the Wheat Ridge Building Use Tax : $35.63 Code (U. B.C.) and all other applicabl a o ces, for work under this er / Ridge J t. (OWNER)(CONTRACTOR) SIGNED `�-�` DATE I Total : $98.63 Use: Description: Take off 1 layer and s ' gle roof with 3 tab. BUILDING DEPARTMENT USE ONLY REMENMIEW SIC : Sq. Ft. Approval : Zoning: Approval Approval Occupancy: Walls : Roof ; Stories : Residential Units Electrical License No: Plumbing License No: Mechanical License No: Company Company: Company: Expiration Date: Expiration Date : Expiration Date Approval:' Approval: " Approval: (1) 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 Wheat Ridge, Colorado or any other applicable ordinances of the City. (2) 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: - (3) 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 s'.exceeds one (1) year, full fees shall . be paid for anew permit (4) No work of any manner shall be done that will change the natural flow of water causing a drainage 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 apermit or the approval of drawings and specifications shall not be censtmed 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. Chief Building Inspector THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234 -5933 24 HOURS PRIOR TO INSPECTION ;DEPARTMENT 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: �j Property Address Phone : 1 Contractor License No.: r�� ] � Company: ��e Ic �� Phone: ` w 1Dr OWNER /CONTRACTOR SIGNATURE OF UNDERSTANDING AND 1 hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that 1 have read and agree o abide by all conditions printed on this application, and that I assume full rest Ili for compl' nce with the Wheat Ridge Building Code (U.B.C.) and all other applicable i a idge ordjrInces, for work under this permit. (OWNER)(CONTRACTOR) Description ction Value: Permit Fee: Use Tax: Use: BUILDING DEPARTMENT USE ONLY SIC Approval: Zoning: Approval: P_�ii[c�W3rk��tsSPri fYt�f iii Approval: Occupancy: Walls Electrical License No: Company: Expiration Date Approval: Roof Plumbing License No: Company: Expiration Date Approval: Mechanical License No: Company: Expiration Date Approval: (1) This permit was Issued in accordance with the provisions set forth in yopur application and is subjIect to the laws of the State of Colorado and to the Zoning Regulations and Building Code of wheat Ridge, Colorado or any other applicable ordinances of tie City (2) This permit shall expire if oned for a period of 120 days. (A) the work authorized is not commenced within sixty (60) days from Issue date or (B) the building authorized is suspended or aband (3) If this permit expires, a new permit may be acquired for a fee of one-half the amount nornelly required, provided no changes have been or will be made in the odginal 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. - 4 No work of any manner shall be done that will change the natural Now of water causing a drainage 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 proceediingwith successive phases of the ob. (6) The issuance of a permit or the approval o4drawings 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. 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 Total: $0.00. Sq. Ft. : Stories : Residential Units : DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: 6300 BUILDING INSPECTION DIVISION -235 -2855 CITY OF WHEAT RIDGE Date 11/28/97 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner: Property Address : 4465 BALSAM ST Phone: 985 -4555 Contractor License No:: 19757 Company: ARC ELECTRIC Phone: 722 -7652 OWNER /CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value : $1,500.00 t hereby certify that the setback distances proposed by this permit application are accurate, Permit Fee: $45.00 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 Plan Review Fee: $0.00 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 Use Tax: $18.00 `.Code (U.B.C.) and all other applicable Whe t Ridge ordinances, for work under this permit. (OWNER)(CONTRACTOR) SIGNED -'✓ UJ DATEy Total : $63.00 Description : SERVICE UPGRADE TO 125A BUILDING DEPARTMENT USE ONLY 'r SIC : Sq. Ft. Approval Zoning Approval Approval Occupancy: Walls: Roof: Stories : Residential Units Electrical License No : Plumbing License No: Mechanical License No: Company: Company: Company:, Expiration Date : Expiration Date: Expiration Date Approval: Approval: Approval: 11 14 {, .d IMANiF,.... (1) This permit was issued In accordance with the provisions set forth in yopur application and is sub act to the laws of the State of Colorado and to the Zoning Regulations and Building Code of Wheat Ridge,: Colorado or any other applicable ordinances of the City. (2) 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. (3) 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 (4) No work of y manner shall be done that will change the natural flow of water causing a drainage problem. miefB uilding l note the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on Inspection card before su ssrve phas bf the job. f a ermlt o he proval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the promslons Oft as oro r ordinance, law, rule or regulation ng Inspector THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234 -5933 24 HOURS PRIOR TO INSPECTION DEPARTMENT 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: jpl5 al-/y ,q,(old Property Address : geI6 3 /3: Phone: Contractor License No. : " y j � - /A hM 6e Company: Phone: jf33 4 .7 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 Whea Rid ordinances, for work under this permit. (OWNER)(CONTRACTOR) SIGNED 1 - DATE Description : BUILDING DEPARTMENT USE ONLY Zonm Approval: Zoning: Bu1Fdin .CO mew Approval: PUI51! WbTW o me - s I Approval : Occupancy: Walls 0 - Roof : Stories Electrical License No : Plumbing License No: Mechanical License No: Company: Company: Company Expiration Date Approval: fiPlans Req�� ( (2) ( (4) No work of an (5) Contractor sh: proceediing w (6) The issuance of the building Expiration Date Approval: IN �PiaflBR€Qgfd Construction Value : 15 o Permit Fee: Plan Review Fee: Use Tax: Total : SIC: Sq. Ft. : Residential Units : Expiration Date Approval: �d 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 ling Code of wheat Ridge, Colorado or any other applicable ordinances of the City. re d (A) the work authorized is not commenced within sixty (60) days from issue date or (8) the building authorized is suspended or A of 120 days. 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 .c fications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment , full fees shall be paid for a new permit. er shall be done that will change the natural flow of water causing a drainage problem. r the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before assive phases of the ' Iob. mit or the approval of drawings and specifications shall not be wristmed to be a permit for, nor an approval of, any violation of the provisions or any other ordinance, law, rule or regulation. Building Inspector For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234 - 593324 HOURS PRIOR TO INSPECTION