HomeMy WebLinkAbout4640-4650 Independence StreetCity of Wheat Ridge
0 E -Res. Furnace Replacement PERMIT - 202000226
PERMIT NO: 202000226 ISSUED: 01/31/2020
JOB ADDRESS: 4643 Independence St 9 EXPIRES: 01/30/2021
JOB DESCRIPTION: Replace 60K BTUs, 80% eff. gas furnace in crawlspace
*** CONTACTS ***
OWNER (720)397-8733 CASADAY ELONNA J
SUB (303)232-6611 JOSH WARD 018236 APPLEWOOD PLMB, HEAT, & ELEC.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2946 / MANSFIELD BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,733.00
FEES
Furnace Replacement 40.00
Total Valuation 0.00
Use Tax 204.39
** TOTAL ** 244.39
*** COMMENTS ***
*** CONDITIONS ***
Both the front and back of this permit are required to be posted on the job site at all
times. If the complete permit is not present, inspections WILL NOT be performed.
Work shall comply with 2012 IRC & 2017 NEC. Smoke alarms shall comply with 2012 IRC Section
134. INTERIOR ALTERATIONS, REPAIRS, FUEL -FIRED APPLIANCE REPLACEMENTS, OR ADDITIONS, ANY OF
WHICH REQUIRE A BUILDING PERMIT, OCCURS OR WHERE ONE OR MORE ROOMS LAWFULLY USED FOR
SLEEPING PURPOSES ARE ADDED SHALL HAVE AN OPERATIONAL CARBON MONOXIDE ALARM INSTALLED
WITHIN FIFTEEN FEET OF THE ENTRANCE TO EACH ROOM LAWFULLY USED FOR SLEEPING PURPOSES
City of Wheat Ridge
E -Res. Furnace Replacement PERMIT - 202000226
PERMIT NO: 202000226 ISSUED: 01/31/2020
JOB ADDRESS: 4643 Independence St 9 EXPIRES: 01/30/2021
JOB DESCRIPTION: Replace 60K BTUs, 80% eff. gas furnace in crawlspace
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 ali 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 legally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180.days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3_ If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees 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 ail required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The !issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
O1/31/7U2O 15:42 C»u»
R 68K 8TUs, 8U
AMOUNT
CDDO2247O St 244 , 39
8PSP 4643 Indepondeoce
APPL/PERMIT N8: 202800226
rAM8UNT
pAyMEHT RECEIVED ' 244.39
PP / 2260
N>TH CUDE: 70532340
.39
TOTAL
------------------------
'
�� '�
Kimberly Cook
From:
no-reply@ci.wheatridge.co.us
Sent:
Friday, January 31, 2020 1:31 PM
To:
CommDev Permits
Subject:
Online Form Submittal: Residential Furnace/Boiler Replacement Permit Application
Residential Furnace/Boiler Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT FURNACE or
BOILER - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN
ORDER FOR THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
replacement residential
furnace or boiler like for
like?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
Attach Credit Card
Authorization Form -
**DO NOT ATTACHED
RANDOM FORMS**
4643 INDEPENDENCE ST
LANA CASADAY
720-397-8733
PERMITS@APPLEWOODFIXIT.COM
WHEAT RIDGE CC0).pdf
CONTRACTOR INFORMATION
Contractor Business APPLEWOOD PLUMBING HEATING AND ELECTRIC
Name
1
Contractor's License 18236
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 303-458-5988
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address PERMITS@APPLEWOODFIXIT.COM
Retype Contractor Email PERMITS@APPLEWOODFIXIT.COM
Address
DESCRIPTION OF WORK
What type of unit is being Furnace
installed?
Number of BTUs 60000
What is the efficiency 80
(%) of the unit?
Is the unit GAS or gas
ELECTRIC?
Where is the furnace or CRAWLSPACE
boiler located (for
example, basement,
crawlspace, etc)?
Project Value (contract 9733
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that work Yes
may not begin on this
property until a permit
2
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Person Applying for lacey mabe
Permit
Email not displaying correctly? View it in your browser.
I1 115� `ry� ,SON RECORD Occupancy /Type
®°IN�s�`� Tt" �1 LINE: (303) 234 -5933
WI
Inspections will not be made unless this card is posted on the building site
Call by 3:00 PM to receive inspection the following business day. _
I -LK"_ Fv) i V \ A P irlcvv S irir+t - T I o � -' �
INSPEC OR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECT IONS
DATE
INSPECTOR
INITIALS
COMMENTS:
Footings /Caissons
Stemwall / (CEG) Concrete
Encased Ground
Reinforcing or Monolithic
Weatherproof/ French Drain
-
Sewer Service Lines
Water Service Lines
CONCRETE SLAB FLOOR
Electrical (Undergroun
Plumbing (Underground)
ROUGHS
Sheathing
Lath / Wall tie
Mid -Roof
. Electrical Service
Rough Electric
Rough Plumbing
Gas Piping -
Rough Mechanical
r9S-]L41.F1=41101C6YNl:lk
Insulation
Drywall Screw
FINALS
Electrical
Plumbing
Mechanical
Roof
Building Final
Fire Department
R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD
Parking & Landscaping BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
* "NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
ua
♦ i CITY OF WHEAT RIDGE
f Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type: sz
Job Address: '/X'/C 15S2 T"
Permit Number: ICPAV,'G
❑ No one available for inspection: Time A PM .
Re- Inspection required: Yes No -
* When corrections have been made, call for re- inspection at 303 -234 -5933
Date: l% io Inspector:
a
DO NOT REMOVE THIS NOTICE
06/11/2010
12/08 /2010