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HomeMy WebLinkAbout3652 Wright StreetCity of Wheat Ridge E -Res. Water Heater Replcmnt PERMIT - 202002465 PERMIT NO: 202002465 ISSUED: 11/25/2020 JOB ADDRESS: 3652 Wright St EXPIRES: 11/25/2021 JOB DESCRIPTION: Replacing 50 gallons, 38k BTU gas water heater in basement. *** CONTACTS *** OWNER (303)424-4871 BURNHAM D ARTHUR SUB (719)227-0500 TRENT URBAN 090158 WIRENUT HOME SERVICES *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 850.00 FEES Hot Water Heater 40.00 Total Valuation 0.00 Use Tax 17.85 ** TOTAL ** 57.85 *** 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 2018 IRC & 2020 NEC. Smoke alarms shall comply with 2018 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 shall have an operational carbon monoxide alarm installed within fifteen feet of the entrance to each room lawfully used for sleeping purposes. 1* � � i City of Wheat Ridge E -Res. Water Heater Replcmnt PERMIT - 202002465 PERMIT NO: 202002465 ISSUED: 11/25/2020 JOB ADDRESS: 3652 Wright St EXPIRES: 11/25/2021 JOB DESCRIPTION: Replacing 50 gallons, 38k BTU gas water heater in basement. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this�permrt. I further attest that I am leg ally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This.permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180, days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and��procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all requ�ired 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, anviolation 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. From: no-reolv(alci.wheatridae.m. us To: CommDev Perm is Subject: Online Form Submittal: Water Heater Replacement Permit Application Date: Tuesday, November 24, 2020 3:49:16 PM Water Heater Replacement Permit Application This application is exclusively for RESIDENTIAL REPLACEMENT WATER HEATERS - 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 water heater 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 (Leave blank if not known) Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" 3652 Wright Street IGGi:I11ii1Imm, 303-424-4871 Field not completed. CONTRACTOR INFORMATION Contractor Business Wirenut Home Services Name Contractor's License 090158 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123- 4567) Contractor Email Address Retype Contractor Email Address DESCRIPTION OF WORK Number of gallons WGINV�Q81.78161 cromero@thewirenut.com cromero@thewirenut.com 1.9181 Is the water heater gas GAS or ELECTRIC? If GAS, enter # of 38000 BTUs. If electric, enter n/a Where is the water basement heater located (for example, basement, crawlspace, etc)? Project Value (contract 700 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 has been issued and posted on the property. I certify that I have Yes been 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 Permit Chelsea Romero Email not displaying correctly? View it in your browser. PERMIT: ADDRESS: JOB CODE: INSPECTION RECORD Inspection online form: http://www.cl.wheatridge.co.us/inspection Cancellations must be submitted via the online furrn before g a.rn. tlhe day of the inspection: Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business Foundation. Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections! Date I Inspector Initials 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground Comments Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof LQ ,24( 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS 0 FI) r> (Rough Inspection (continued) I Date I Initials Inspector I Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 323 Miscellaneous Final Inspections 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof 410 Final Window/Door 411 Landscape/Park/Planning 412 Row/Drainage/Public Works 413 Flood plain Inspection 414 Fire Insp. / Fire Protection 415 Public Works Final 416 Storm Water Mgmt. 417 Zoning Final Inspection 418 Building Final Inspection Date I Inspector I Comments Initials Inspections from these entities shall be requested one week in advance. For landscaping and parking inspections please call 303-235-2846 For ROW and drainage inspections please call 303-235-2861 For fire inspections please contact the Fire Protection District for your project. Note: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not constitute authorization of occupancy. For Low Voltage permits please be sure that rough inspections are completed by the Fire District and Electrical low voltage by the Building Division. i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: -at i" Job Address: S (- lJ r �� + 4 t Permit Number: ❑ No one available for inspection: Time r5 AM/PM Re -Inspection required: Yes No�) When corrections have been made, call for re -inspection Jat 303-234-5933 Date: /� Inspector: i DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line i��O(303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: = S w Q r c, Permit Number: f' �J J Vl ❑ No one available for inspection: Time (b V'� --�1/I/PM Re -Inspection required: Yes Vo When corrections havbeen made, call)for re -inspection at 303-234-5933 Date: ,1�7 �` / Inspector± -- DO NOT REMOVE THIS NOTICE ' 41 City of Wheat Ridge "r Residential Roofing PERMIT - 201708223 PERMIT NO: 201708223 ISSUED: 10/11/2017 JOB ADDRESS: 3652 Wright ST EXPIRES: 10/11/2018 JOB DESCRIPTION: Residential Re -roof to install OC asphalt shingles - 26 sq Pitch = 2/12 *** CONTACTS *** OWNER (303)424-4871 BURNHAM D ARTHUR SUB (303)567-9218 Steve Cline 170623 Handmade, Inc *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,845.00 FEES Total Valuation 0.00 Use Tax 248.75 Permit Fee 236.00 ** TOTAL ** 484.75 *** 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. ► A , City of Wheat Ridge Residential Roofing PERMIT - 201708223 PERMIT NO: 201708223 ISSUED: 10/11/2017 JOB ADDRESS: 3652 Wright ST EXPIRES: 10/11/2018 JOB DESCRIPTION: Residential Re -roof to install OC asphalt shingles - 26 sq Pitch = 2/12 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 ow r of the grope an am authorized to obtain this permit and perform the work described and approved in conjunction with this�permrt. I f rt)i r att t that am le ally authorized to include all entities named within this document as parties to the work to be performed and thall irk to per rmed is disclosed in this document and/or its' accompanying approved plans and specifications. c-, — Signature of or C OR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. lssuance 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 an manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett O > 7V From: no-reply@ci.wheat ridge.co.us Sent: Tuesday, October 10, 2017 7:12 PM To: CommDev Permits Q -- Subject: Online Form Submittal: Residential Roofing Permit Application -� Follow Up Flag: Follow up Flag Status: Completed n 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 3652 Wright St. Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Art & Dottie Burnham 303-424-4871 x$4,7 ) 97 Property Owner Email Field not completed 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 burnhaml .pdf Contract CONTRACTOR INFORMATION Contractor Business Handmade, Inc. Name , Contractor's License 170623 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-902-5489 Number (enter WITH dashes, eg 303-123-4567) Contractor Address PO box 1122 Idaho Springs, CO. 80452 (Primary address of your business) Contractor Email Address handmadeinc@msn.com Retype Contractor Email handmadeinc@msn.com Address DESCRIPTION OF WORK TOTAL SQUARES of 26 the entire scope of work: Project Value (contract $11,845 value or cost of ALL materials and labor) Are you re -decking the No roof? Is the permit for a flat Pitched roof (2:12 pitch or greater) roof, pitched roof, or 98 both? (check all that apply) What is the specific pitch of the PITCHED roof? How many squares are part of the PITCHED roof? Describe the roofing materials for the PITCHED roof: Type of material for the PITCHED roof. Provide any additional detail here on the description of work. (Is this for a house or garage? Etc) 2/12 26 Owens Corning Duration Storm Lifetime Asphalt House with attached garage SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to 99 submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Name of Applicant Steve Cline Email not displaying correctly? View it in your browser. 100 C (W 5TEvf- GL�A,9 PtopoSarl Proposal He. FROM tf A%J0MA-0f-T-AA- Sheet No. B0,4 Date— C. I l Proposal Steed To Work To Be Per$attraed At Ck& eawmf-m Street city— Str Gly Sale Tetepbont Nu r t%3 Dk We iteveby propose to furnish oli the materich and performs all the lobar necessary tar the eatptetion of R-Movf--T m- i OW LAJ fA A rT. © q d0ISIMC44- WOEt C >aJ A! MP A.d i r;LAITM �`�' i Q hJS T 9 81VA P N oT AU material is guaranteed to be as speciried, +std tfee above work to be performed is accordance with tfte drawings and spee;lseatwi ns submitted for above vrorh ted completed in o sabsta nt'ral work r<anok a manner for the sum of kt,p f -t✓ 'T NowsArAJn GAG j t4cJbftd FC> P� r so I pA Dallars is with payments to be motto as follows: I Any elterarma or deviod?an from above spe'icor ass imrowsspcg extra costs, we''t be executed only upon written orders, and will become an extra charge over and ab*M the All 00reements contingent upan strikes, accidents or dakrfs beyond out control. Owner to carry tire, tornado and other assurance above atom. Workmen's Compe:rnsalioo and Public Liability instrrance by c 'j!' r� rt awork to be taken ora {ll �i , j- . �9 ffeqmctI#Ay milted Nate — This proposal may he mrWWrawa by ars if rand aocetated within dcrfs 1 ACJCWANCE OF PROPOSAL The above prices, spt cilicatians and conditions ore satisfactory and are hereby accepted. You are owhari=ed to do the work as specTied. Poyoaetat will be trade as auttined above - J'). A&t &th IQ &A41� 5'rgrsatnse Signolurt_ rdi� ClSsaa a�.e.. dY� . WW W Lrrtw IM a. E. w. INSPECTION RECORD OccupancylTVpe ®°INSPECTION LINE: (303) 234 -5933 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. G �L UC H- s 1, 14SPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE INSPECTOR - INITIALS COMMENTS: - Footings/Caissons M"... Stemwall / (CEG) Concrete Encased Ground El o / Reinforcing or Monolithic Weatherproof I French Drain Sewer Service Lines Water Service Lines rUUKIVU4UNV K= I= UN11LX VVC. l MO VCCIV J1Vn u CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) Heating (Underground) nun Ci r�nn I lum Aenvo Ync Rccu Gnuvn - ROUGHS- Sheathing -Lath / Wall tie Mid -Roof El o / Electrical Service Rough Electric Rough Plumbing ` Gas Piping Rough Mechanical AUUVt ]NbrtU nvNJ I nG JwrveU MIUK w rnvcoeomv Framing Insulation Drywall Screw FINALS -.. Electrical Plumbing'' Mechanical Roof Building Final Fire Department R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS -- :Parking A andaca pin g - .:. C SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. ""'NOTE_ALL ITEMS MUST 8E COMPLEYED AND APPR0VEtl BY PLANNIN GA ND ZONING, BUILDING AND PUBLI0- WORI<SBEFOREA - - - CERTIFICATE OF OCCUPANCY IS ISSUED, FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. +" OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF UCCUPANGY Is- ISbUtL) PROTECT THIS CARD FROM THE WEATHER ♦ ' CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office - (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: K()flf*" Job Address: Or "n 1W >w, Permit Number: 62 G7(112 ❑ No one available for inspection: Time AM(OM) Re-Inspection required: Yes No} "When corrections have been made, call for re-inspection at 303-234-5933 Date: /24_61 Inspector: .z,. ii rk' a DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE Building Inspection Division r (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: rvrroQefz>,c Job Address: >GS? vz,,21~?w7- c-7 Permit Number: i ❑ No one available for inspection: Timer Yo AM/PM Re-Inspection required: Yes No When corrections have been made, call for re-inspection at 303-2345933 Date: Inspector: DO NOT REMOVE THIS NOTICE ' A City of Wheat Ridge Residential Roofing PERMIT - 092798 PERMIT NO: 092798 ISSUED:' 09/28/2009 JOB ADDRESS:'. 3652 WRIGHT ST: EXPIRES: 03/27/2010 DESCRIPTION: Reroof.22 sgssand install metal fascia 200 if CONTACTS owner 303/424-4871 Art Burnham sub I' 303/567-9218 Steve Cline' 09-0366 Aggressive Construction Inc. `PARCEL INFO ZONE CODE: UA "USE: UA SUBDIVISION:r 070.0 BLOCK/LOT#: 0./ **'FEE SUMMARY ESTIMATED PROJECT VALUATION: 7,200.00 FEES Permit Fee 199.30 _ rn Total Valuation .00 C,~ Y s Use Tax 129.60 TOTAL '.328.90:...__. Conditions:c 6 nail installation mid roof inspection required. Board sheathing spaced more thana 1/2 of an inch apartrequires plywood overlay on entire roof. Ice and water shield required from'eave edge to 2';inside exterior : walls.:. Subject to field inspection'. date !BUILDING OFFICE: (303)235-2855 SS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. WHEq~ ~oF , City of Wheat Ridge Building Division 'yt, m 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 °4 <oRro° Inspection Line: 303-234-5933 Building Permit Application Property Address; & W R~ Property Owner (please print) :-(z-c 4:: l7®iiZi, &1&Vi,E )LA Phone: Ye-71 Mailing Address: (if different than property address) Address: City, State, Contractor: A GGasss-ue- t3 ~JST Contractor License Phone: 30-7~ 43- 4-7 9a-f-A> Sub Contractors: Electrical City License Company: Exp. Date: Use of space (descripv). Description of workV Date: Plan Permit it., Mechanical City License Company: Exp. Date: Construction Value: -r -~V" - (as calculated per the Buildinv Valuation Data sheet) ice' ST A i. L 6'n 1&-r t t- i'i4SCs.ilc O i®frl'L• I Plan Review (due at time of submittal): $ E >t-,v, S-r..T- + "ev .y~F FiT ©cs` Aa A0Vtr + R~PLr~r Reso~s..G Sq. Ft./L.Ft addedluD~ Squares BTU's Gallons Amps OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT 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 I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. CIRLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRESENT I! E of (O p)n (CONTRATOR) PRINT NAME: aTVE Gt-SNv SIGNATURE: Vv~ Date: Plumbing City License Company Exp. Date: Bldg Valuation: