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Home My WebLink About3292 Simms Street1* ► � i City of Wheat Ridge '/� Residential Foundation Repair PERMIT - 201902265 PERMIT NO: 201902265 ISSUED: 10/24/2019 JOB ADDRESS: 3292 Simms St EXPIRES: 03/04/2021 JOB DESCRIPTION: Foundation repair - 4 helical piers and 5 carbon strips *** CONTACTS *** OWNER (303)345-7918 SH I EH THERESA SUB (303)805-8751 RODNEY MARTIN 060125 COMPLETE BASEMENT SYSTEMS *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 91810.00 FEES Total Valuation 0.00 Plan Review Fee 132.80 Use Tax 206.01 Permit Fee 204.30 ** TOTAL ** 543.11 *** COMMENTS *** *** CONDITIONS *** 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, applicae building codes, and all applicable municpal 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 alI 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 �pplicabje code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. 10/24/2019 Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. ♦6 A♦ City Of 19cor eat dge COMMUNITY DEVELOPMENT CityofWheat Ridge Municipal Building 7500 W. 2u'Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929 Permit Extension Request Form Permits 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 maybe granted at the discretion of the Chief Building Official and maybe subject to a fee equal to one-half of the original permit fee. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. Please complete this form in its entirety and submit to the Building Division at vermitsaci.wheatridge.co.us or fax to 303-237-8929. Party requesting permit extension: Complete Basement Systems Permit# 201902265 Property Address: 3292 Simms Street Wheat Ridge CO 80033 Phone # 303-805-8751 opt 2 Email Address: cbs.permits@completebasementsystems.net Reason for extension request: Need to schedule final inspection if required and request to close permit Number of days requested: 30-60 Printed Name: Cara Curry Signature: Cp2CL(247,Date: 2-4-2021 For office use only 11,,//'' This request has been: >(Approved ❑ Denied Extended until: 3/4/2021 Approved by: Date: 2/4/2021 www.d.whca dgexo.us s_ CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: e � e f f Job Address: C`l � __� M il-. S Permit Number: Ou t C; L) � a _ � ❑ No one available for inspection: Time I ry AM/PM ss t Re -Inspection required: Yes" No When corrections have been made, schedule for re -inspection online at: http.11www.cLwheatridge.co.uslinspection Date: � 0 � > i ; I a Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: -,Dc-) ��' r,. S Permit Number: 0 U t Gi C) ❑ No one available for inspection: Time _ AM/PM Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at; http.-Ilwww.cLwheatridge.co.uslinspection Date: v ) u - k '1 Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Foundation Repair PERMIT - 201902265 PERMIT NO: 201902265 ISSUED: 10/24/2019 JOB ADDRESS: 3292 Simms St EXPIRES: 10/23/2020 JOB DESCRIPTION: Foundation repair - 4 helical piers and 5 carbon strips *** CONTACTS *** OWNER (303)345-7918 SHIEH THERESA SUB (303)805-8751 RODNEY MARTIN 060125 COMPLETE BASEMENT SYSTEMS *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,810.00 FEES Total Valuation 0.00 Plan Review Fee 132.80 Use Tax 206.01 Permit Fee 204.30 ** TOTAL ** 543.11 *** COMMENTS *** *** CONDITIONS *** 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 thispermrt. I further attest that I am le ally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signat' re of �O R or CON RACTOR (&ircle ne) %gate I . This permt was sued based`o the information provided in the peit application and accompanying plans and specifications and is subject to the co pliance 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 Budding 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 holy der 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 spall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code orrdinance or r lation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Of ficial Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wheat l�, ComMUN ITy DEVELOPMENT Building & Inspection Services Division 7500 W. 2911 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: Permits(c)-ci.wheatridge.co.us FOR OFFICE USE ONLY Date: L h n ] Plan/Permit # a o jq J� Plan Review Fee: Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 3292 SIMMS ST Property Owner (please print): THERESA SHIEH Phone: 303-345-7918 Property Owner Email: THERESASHIEH(a)_HOTMAIL.COM Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Engineer: DL ENGINEERING Architect/Engineer E-mail: khoinessCa)_dlengineer.com Phone: 720-440-9450 Contractor: Complete Basement Svstems Contractors City License #: 60125 Phone: 303-805-8751 Contractor E-mail Address: cbs.permits(a)_completebasementsystems.net For Plan Review Questions & Comments (please print): CONTACT NAME (please print): Sara Hasse Phone: 303-805-8751 CONTACT EMAIL(p/ease print): cbs.permitsC@-completebasementsystems.net Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # City License # Plumbing: W.R. City License # Other City Licensed Sub: Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL t? 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) Foundation Stabilization (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.) 4 helical piers and 5 carbon fiber strips Sq. Ft./LF Btu's Amps Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ 9,810 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 pennit 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) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): 1514i x�.e' DATE: 10/22/2019 DEPARTMENT USE ONLY ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: Reviewer BUILDING DEPARTMENT COMMENTS: Reviewer: a4 Building Division Valuation: $ ( �� 10/22/2019 RE: Job# 2019-6856 3292 Simms St. Wheat Ridge, CO 80033 9100 W Jewell Ave Lakewood, CO 80232 OL ENGINEERING, INC. 720-440-9450 www.dlengineer.com As requested, a site visit and observation were performed at the property located at the address above on 10/8/2019 at approximately 2:00 p.m. by Kelly Hoiness, PE. The purpose for the site visit and observation was to review the structure for movement of the front porch foundation. The subject property is a single-family home with a basement located in an established neighborhood. The building is assumed to be built in 1967 (based on an online search of the Jefferson County Assessors records). The foundation is constructed of concrete and is assumed to be on spread footings. The house appears to be constructed of wood with brick veneer. The observation was visual and limited to the exterior of the house. No observation was performed on the roof structure or interior. For purposes of this report we assume that the house faces west. Observations • Crack/damage to the foundation concrete at the northeast corner. This is likely shearing of the concrete corner and not a structural concern. • Settling of the front porch away from the house • Cracks in the front porch brick • Cracking of and settling of the driveway slab • Separation between trim and brick veneer on south side of the garage door • Cracks in the brick veneer near the southwest corner of the garage • Cracks in the brick veneer on the east wall of the garage and house • Separation between door trim and brick veneer on the east wall of the garage Commentary At the time of the observation, there were multiple areas of concern. It appears the front porch has settled away from the house. This is indicated by the slope of the porch and the cracks in the porch brick. It appears that the south wall of the house has also experienced differential vertical movement. This movement is indicated by the separation around the garage door trim, as well as the brick veneer cracks on the east and west walls toward the south end of the house. The below recommendations will help prioritize items by severity. r city 1 Wheat Ridge itpcommQn*tiori's Tlhe- cracks pbrved were likely caused by vertical movement of the foundation. These movements are `most likely caused by contraction and expansion of the soil due to changing " moisture c6ntent. The solution is to drain water away from the house and prevent it from infiltrating the soil next to the foundation. The following is a prioritized list of recommended repairs that should be made to stabilize the foundation: • Install (3) new helical piers under the front porch to help mitigate vertical movement. Continuous steel angle should be installed between the piers. • Monitor the south wall of the garage for further signs of vertical movement. These signs might include new or worsening cracks in the brick veneer, cracks in the foundation, increased separation at door frame locations, and/or doors that become difficult to operate. If further signs of vertical movement are observed, the homeowner should contact DL Engineering for further assessment. • Patch and monitor any cracks in concrete, brick veneer, and drywall. This will give a baseline for any new movement. If new movement is observed, contact DL Engineering Inc. for further assessment. Best Practices for Foundation Maintenance The following best practices are actions to maintain the service life of the foundation that can be applied to all structures. Proper site drainage and placement of vegetation alone may not prevent movement of a structure; however, they are prudent steps to avoid the contraction and expansion of the soil due to changing moisture content. As such we share the following information, which is not property specific, with all our clients. Site Drainage • The moisture around foundation elements must be controlled for the useful life of the building. Lack of proper drainage is often a contributing factor to foundation damage observed. The site drainage around the structure must be maintained such that precipitations will quickly drain away. The use of proper slope slabs -on -grade, moisture barriers, swales, and surface/subsurface drainage systems are strongly recommended. Extensions should be attached to properly functioning downspouts and roof drains such that they discharge a minimum of 10 feet away from the structure. 2 9100 W Jewell Ave Lakewood, CO 80232 OL ENGINEERING, INC. 720-440-9450 www.dlengineer.com itpcommQn*tiori's Tlhe- cracks pbrved were likely caused by vertical movement of the foundation. These movements are `most likely caused by contraction and expansion of the soil due to changing " moisture c6ntent. The solution is to drain water away from the house and prevent it from infiltrating the soil next to the foundation. The following is a prioritized list of recommended repairs that should be made to stabilize the foundation: • Install (3) new helical piers under the front porch to help mitigate vertical movement. Continuous steel angle should be installed between the piers. • Monitor the south wall of the garage for further signs of vertical movement. These signs might include new or worsening cracks in the brick veneer, cracks in the foundation, increased separation at door frame locations, and/or doors that become difficult to operate. If further signs of vertical movement are observed, the homeowner should contact DL Engineering for further assessment. • Patch and monitor any cracks in concrete, brick veneer, and drywall. This will give a baseline for any new movement. If new movement is observed, contact DL Engineering Inc. for further assessment. Best Practices for Foundation Maintenance The following best practices are actions to maintain the service life of the foundation that can be applied to all structures. Proper site drainage and placement of vegetation alone may not prevent movement of a structure; however, they are prudent steps to avoid the contraction and expansion of the soil due to changing moisture content. As such we share the following information, which is not property specific, with all our clients. Site Drainage • The moisture around foundation elements must be controlled for the useful life of the building. Lack of proper drainage is often a contributing factor to foundation damage observed. The site drainage around the structure must be maintained such that precipitations will quickly drain away. The use of proper slope slabs -on -grade, moisture barriers, swales, and surface/subsurface drainage systems are strongly recommended. Extensions should be attached to properly functioning downspouts and roof drains such that they discharge a minimum of 10 feet away from the structure. 2 9100 W Jewell Ave Lakewood, CO 80232 OL ENGINEERING, INC. 720-440-9450 www.dlengineer.com Site Vegetation • The vegetation around the perimeter of the structure can eventually lead to foundation movements. Vegetation can hold moisture in soil and create excessive pressure on the foundation system. In order to reduce the risk, bushes, shrubs, and trees should be carefully removed by an experienced professional. Care should be taken to not further disturb or damage the existing foundation system. • Planters and other surface features which could retain water should be eliminated and properly graded to reduce the possibility of moisture infiltrating around the foundation. Figure 1: Crack/damage to the foundation concrete at the northeast corner. This is likely shearing of the concrete corner and not a structural concern. W , tuarKsc s.. 9100 W Jewell Ave IEa' Lakewood, CO 80232 OL ENGINEERING, INC. 720-440-9450 www.diengineer.com F1 I Figure 2: Cracks in the front porch brick Figure 3: Cracks in the front porch brick 4 Figure 4: Crocks in the front porch brick Figure 5: Settling of the front porch away from the house 9100 W Jewell Ave Lakewood, CO 80232 OL ENGINEERING, INC. 720-440-9450 www.diengineer.com Figure 4: Crocks in the front porch brick Figure 5: Settling of the front porch away from the house 9100 W Jewell Ave Lakewood, CO 80232 OL ENGINEERING, INC. 720-440-9450 www.dlengineer.com Figure 6: Settling of the front porch away from the house Figure 7: Cracking of and settling of the driveway slab 6 Figure 8: Separation between trim and brick veneer on south side of the garage door Figure 9: Separation between trim and brick veneer on south side of the garage door 9100 W Jewell Ave Lakewood, CO 80232 OL ENGINEERING, INC. 720-440-9450 www.dlengineer.com Figure 8: Separation between trim and brick veneer on south side of the garage door Figure 9: Separation between trim and brick veneer on south side of the garage door 'tri ' 9100 W Jewell Ave Lakewood, CO 80232 OL ENGINEERING, INC. 720-440-9450 www.dlengineer.com Figure 10: Cracks in the brick veneer near the southwest corner of the garage 9UOo s��O�� i1�3= Figure 11: Cracks in the brick veneer near the southwest corner of the garage 8 '+07 9100 W Jewell Ave Lakewood, CO 80232 OL ENGINEERING, INC. 720-440-9450 www.dlengineer.com Figure 12: West wall of house and garage Figure 13: South wall of garage CEJ' of Whaa9Ricf Figure 14: Cracking of and settling of the sidewalk slab Figure 15: Cracks in the brick veneer on the east wall of the garage 10 9100 W Jewell Ave Lakewood, CO 80232 CIL ENGINEERING, INC. 720-440-9450 www.dlengineer.com Figure 14: Cracking of and settling of the sidewalk slab Figure 15: Cracks in the brick veneer on the east wall of the garage 10 do 9100 W Jewell Ave � Lakewood, CO 80232 OL ENGINEERING, INC. 720-440-9450 www.diengineer.com mimic HIS Figure 16: Cracks in the brick veneer on the east wall of the garage Figure 17: Cracks in the brick veneer on the east wall of the garage Cly of �h�at �'dQe 9100 W Jewell Ave .. Lakewood, CO 80232 OL ENGINEERING, INC. 720-440-9450 www.dlengineer.com Figure 18: Separation between door trim and brick veneer on the east wall of the garage IMP Figure 19: Cracks in the brick veneer on the east wall of the house 12 r ..� •... - .. +�•:� - �.� ^ .-. 1!� - ..-meq E R� ,, •E�j►* . � Lir ,,. .�iy�vYj� � y�,•.n.,. r. �O 1 ft17— • /: Cracks in the brick veneer on east wall of the house II^ tt � KR R1F 110 / 0 E 1201"9 4C 9100 W Jewell Ave Lakewood, CO 80232 CIL ENGINEERING, INC. 720-440-9450 www.diengineer.com In as much as the site review of an existing structure for the purpose of observing the structure conditions requires that certain assumptions be made regarding existing conditions and because some of these assumptions may not be verifiable without expending additional sums of money or destroying otherwise adequate or serviceable portions of the building, the Client agrees that, except for negligence on the part of the Engineer, the Client will hold harmless, indemnify and defend Engineer from and against any and all claims arising out of the professional services we have provided. If you should have any further questions, please feel free to contact me at (720) 440-9450 or khoiness@dlengineer.com -..,.CTTTV„_ Sincerely, Kelly Hoiness, PE 901POSS" 1' N�4;(, 0054409 } �s`r�ONAL EAG` EXP. 10/31/21 14 INDEX: S1-1 GENERAL NOTES S1-2 GENERAL NOTES/LEGEND S2-1 FOUNDATION PLAN S3-1 TYP. HELICAL PIER DETAIL S4-1 SITE PLAN BUILDER INFORMATION: Complete Basement Systems of CO 11795 East 45th Ave Denver, CO 80239 1-303-219-7646 General Notes: 1. Construction documents are valid for a single use at the project location and shall not be reused, copied, or reproduced without written approval of the registered design professional in reasonable charge. 2. The contractor is responsible for the methods, means and sequence of all structural erection except when specifically noted otherwise in the construction documents. The contractor shall provide temporary shoring and bracing, providing adequate vertical and lateral support during erection. Shoring and bracing shall remain in place until all permanent members are placed and all final connections are completed. 3. The contractor agrees that, in accordance with generally accepted construction practices, the contractor will be required to assume sole and complete responsibility for job site conditions during the course of construction of the project, including safety of all persons and property. This requirement shall be made to apply continuously and not be limited to normal working hours. The contractor further agrees to defend, indemnify and hold owner and engineer harmless from any and all liability, real or alleged, in connection with the performance of work on this project, exempting liability arising from the sole negligence of engineer. 4. All existing sizes, dimensions and foundation damage shall be field verified by the contractor and owner prior to construction. Discrepancies with the construction documents shall be reported to the structural engineer for additional recommendations (if any). 5. Per the owner's request, the contractor shall stabilize the structure only. No attempt shall be made to lift or plumb the foundation wall without approval for the owner and structural engineer. Field Verification: 1. Contractor and Owner shall thoroughly inspect and survey existing structure to verify dimensions, elevations, framing, etc. which affect the work shown on the drawings. 2. Report any variation or discrepancies to the structural engineer before work proceeding. Foundation Design: 1. Soil conditions and types shall be verified by a Engineer during excavation. 2. All helical piles, push piers, helical anchor tiebacks, wall anchor tiebacks and connection hardware shall be designed and installed by supplier, such that they provide the minimum allowable capacities as indicated on the drawings. All capacities shown on the drawings are unfactored service loads and have not been reduced for live load reductions. 3. Design of individual and continuous footings is based on a maximum allowable bearing pressure of 1500 lbs, per square foot (dead load plus full live load), placed on the natural undisturbed soil, or compacted structural fill below frost depth. Design Criteria: 1. Building code: 2012 IBC, 2012 IRC with City of Wheat Ridge Amendments 2. Dead loads 2.1. 2.2. Roof 15psf Floor 12psf - City of "WhCal �ge � COMMUNI TY DEVEL0 �Pr,4N r 2.3. Walls 10psf 3. Live loads APPROVED 3.1. Residential40psf 3.2. Roof 20psf Reviews d for Code Compliance 4. 4.1. Snow loads Ground snow load 30 psf / 5. Wind loads PlanExa Iner Date 5.1 Exposure Category C VWWkyofpernlll:Theistmoveofop~orapprovalo/ptansSperppwnons 5.2 105 mph 3 -Second Gust Wind Speed and aompu umm shah not be a permit for, or an approval ^1' ,iny mlobon to mry of Me prov/sions of the building code or of a* City ardtAuncet AnmHs pvesutrnnp to vw a thomy to wow& or cancel the pvevn om at Vw &sra v coda or older ordlnorowt of theChy shoo not be m" STEEL HELICAL PIERS: 1. Grip Tlte: Model GTRDS2875-0203 (round shaft) Helical Pier with FP3BA Retrofit Bracket 2. Install with Pro -Dig X9 torque head to 5,555 ft -lbs torque. 3.. flier depth is dependent on depth of bearing soil adequate to provide the specified torque resistance, therefore, depth is not specified. Pier to be advanced until torque is attained. 4. Installation torque serves as empirical verifications of pier capacity, yielding an onsite load test for each pier. Therefore, soils testing is not necessary for generating a theoretical capacity. 5. fliers shall be 8" minimum helical piers, installed at locations shown on the plans. 6. It is assumed the each new pier will achieve penetration into bedrock or competent soil, and can be installed to the specified capacity. Should bedrock or competent soil not be reached within reasonable depth this office should be notified for further instructions. 6. vontractor is to maintain accurate pier depth and pressure / torque charts for each pier, showing depth and pressure / torque at each shaft section. Charts shall be filled out in real time during installation, and maintained onsite for engineer review during inspection. Charts shall be provided to engineer in final form upon completion. Cast -in -Place Concrete 1. All concrete design is based on the "Building Code requirements for Reinforced Concrete" (ACI 318-05/318R-05) All structural concrete shall have a minimum 28 -day compressive strength as follows.- 1.1 ollows:1.1 Footings:3,000psi 1.2 Slab on Grade: 3,500psi 1.3 Foundation walls: 3,000psi 2. Concrete shall be placed on proportioned utilizing Type 1 cement except, concrete exposed directly to soil shall use Type 2 cement. Concrete susceptible to freeze shall be formulated or maximum frost resistance in accordance with the ACI manual of Concrete Practice. 3. Cold weather and or hot weather placing procedures shall be provided, if conditions warrant, as recommended in the A:,I manual of Concrete practice. Reinf3rcing Steel: 1. All detailing, fabrication, and placement of reinforcing steel shall be in accordance with the ACI Manual of Concrete Practice. 2. Reinforcing bars shall conform to ASTM A615-79 and shall be grade 60. 3. Except as noted on the drawings, minimum concrete protection for reinforcing shall be in accordance with ACI 318-05/318R-05. 4. No. 5 or larger reinforcing bars shall not be re-bent. 5. Welding of rebar is not permitted unless procedure is approved by the Structural Engineer. Structural Steel: 1. Structural Steel shall be detailed, fabricated and erected in accordance with 2010 AISC Specification for Structural Steel Buildings, and "Code of Standard Practices" 2005. 2. Structural Steel shall be confirmed to the following grades: 2.1 W- & WT- Shapes: ASTM A36, A992 2.2 Plates & Angles: A36 2.3 HSS: ASTM A500 gr B 2.4 Steel Pipe: ASTM A53 gr B 3. All bolts shall conform to the ASTM A325 except anchor bolts which shall conform to �PpO L/C ASTM A307. Bolt Size shall be'/4", unless noted otherwise on the drawings. All welding shall be by a certified welder in accordance with ACIS and AWS specifications and recommendation. SIO SS 0054409 Cr a„ k�EXP, s/ONAL �; ol � 10/31/21 REVISIONS DATE 0 71 N U) N W C Z31V0 J � J W Z W A9 0 NAHO T`-I As Z O M 0 N W V)0,� my�� W 0: U) to a 19W Z N Z Q M W O Z 3: O W N 2 V W M O Z > N V IU Z J O a W CDZ Z -) O 4 Z .0 LU Z;3Io W 0 2019-6856 SHEET S1-1 OF 5 Structural Wood framing: 1. Except where noted otherwise, all 2" members shall be Hem -Fir No. 2 and better. 2. Except as noted otherwise, minimum nailing shall be provided as specified in Table No 2304.9.1 "Fastening Schedule" of the IBC. All nails shall be common type, unless noted otherwise. 3. Unless noted otherwise, steel connectors such as those manufactured by Simpson Company, shall be used to join rafters, trusses, joists, or beams to other members at flush -framed conditions. Use maximum number and size of nails indicated in manufactures tables U.N.O. all nails holes shall be filled. 4. All multiple members shall be glued & nailed together. 5. All wood in contact with concrete or exposed to weather, shall be pressure treated Douglas Fir -Larch No. 2 or equal. Structural members shall not be cut for pipes, etc. Unless specifically noted or detailed. Periodic surveys: 1. Periodic surveys of the supported structures should be conducted to assure project success. The Owner should be responsible for annual surveys certifying project success. We would suggest that a baseline survey be conducted immediately. The owner shall submit all findings and reports to the Structural Engineer. 2. If vertical movement of the piers is discovered, the piers should be re -pressured. A representative of the Geotechnical Engineer should be present to observe the re -pressuring. A final report should be provided by the Geotechnical Engineer after observing the re -pressuring. Foundation Stabilization: 1. Although observed foundation damage typically does not pose an immediate health and hazard risk, delaying mitigation will likely make future repairs more difficult and costly. Furthermore, it has been our experience that once a structure begins moving, it will likely continue to so (unless action is taken) resulting in further settling, heaving, unsightly cracks, doors/widows not functioning properly and possible foundation wall collapse. The extent and aggressiveness of the foundation repairs should be carefully considered by the Owner and will depend on their tolerance for risk, the possibility of future damage, and cost. 1. If the owner chooses to do so the foundation could be stabilized only at visibly damaged locations and areas where movement is concentrated. Although this will address specific situations, it is possible that foundation movements will occur elsewhere. 2. If the Owner chooses to do so, the entire foundation could be mitigated. A general system repair, although more costly, would greatly reduce the risk of future foundation damage and movement. It is our understanding that the Owner would not like to pursue this repair option. Site Drainage 1. We believe that the moisture around foundation elements must be controlled for the useful life of the building. Lack of proper drainage is often a contributing factor to foundation damage observed. It is our opinion that site drainage around the structure must be maintained such that precipitations will quickly drain away. The use of proper slope slabs -on -grade, moisture barriers, swales and surface/subsurface drainage systems are strongly recommended. Extension should be attached to properly function downspouts and roof drains discharge a minimum of 10 feet away from the structure. Site vegetation 1. We believe that vegetation around the perimeter of structures can eventually lead to foundation movements. Vegetation can hold moisture in soil and create excessive pressure on the foundation system. In order to reduce the risk, bushes, shrubs and trees should be carefully removed by an experienced professional. Care should be taken to not further disturb or damage the existing foundation system. 2. Planters and other surface features which could retain water should be eliminated and properly graded to reduce the possibility of moisture infiltrating around the foundation. Irrigation systems and excessive moisture adjacent to structures can introduce unwanted moisture, possibly resulting in settling and or heaving. The Owner should consider removing irrigation systems or simply not use them. Disclaimer: 1. In as much as the site review of an existing structure for the purpose of observing the structure conditions requires that certain assumptions be made regarding existing conditions and because some of these assumptions may not be verifiable without expending additional sums of money or destroying otherwise adequate or serviceable portions of the building, the Client agrees that , except for negligence on the part of the Engineer, the Client will hold harmless, indemnify and defend Engineer from and against any and all claims arising out of the professional services we have provided. LEGEND: (E) EXISTING (N) NEW �— PUSH PIER P.P. #X PIER # xxxx# ( ) LOAD ON PIER WALL ANCHOR W.A. #x ANCHOR # MONO POST M. P. #x POST # xxxx# ( ) LOAD ON PIER HELICAL PIER PIER # H. P. #x (xxxx#) � LOAD ON PIER REVISIONS DATE as N U) N_ W Q 0 31Va Z J W 0� W W J Z W A9 V' x03HO Z xe. Z M O eh F, o N ~ LU Lu NOJ a W 0: WOO lu ZNrxZ 00) QMWO Z 3 7 O U. 4j Ld N2 Z_ > N U Q 0 ZJO.4W 2LU0cpZ ZWp-JZ O 0 J Z;3tio W Z JOB NO. 2019-6856 SHEET S7-2 OF 5 co 1 (N) H.P. #2 S3-1 (9.0 k) o� co (N) H.P. #1 ' FRONT OF (9.0 k) HOUSE L6x8x7/16 STEEL ANGLE. CONTINUOUS BETWEEN PIERS FOUNDATION PLAN -- H.P. #3 FRONTPORCH HOUSE/ BASEMENT GARAGE/ SLAB NOTES: v 1. SEE SHEETS S1-1 THROUGH SI -2 FOR GENERAL NOTES. 2. INSTALL HELICAL PIERS AND STEEL ANGLES PER PLAN. 3. SEE SHEET S4-1 FOR SITE PLAN. REVISIONS DATE H Q N 2 ui mo z>N u Q0aci Z J O g W rgW V m Z Z W O g W O O J Z;3nc W O L �1 Jr KO O Digi�aAy s(oi d lyE Hane DN _Nz O=DL Cng g, E-khol e @ (, •V� Reason'. h this n A L—tso nttt��, I' 1 J J I (aeon cP . JOB NO. UVo,,4@a 9-1 O-321025 2019-6 6 -p� 01. ��!/Sks EG\ S16' `S/ONAUXP. 10/31/21 FIELD VERIFY T.O. (E) FOOTING L6x8x7/16 CONTINUOUS STEEL ANGLE OVERLAP AT CORNER AND GROUT TO FOUNDATION U W n. Z_ (N) HELICAL PIER w W_ GRIP TITE: MODEL GTRDS2875-0203 W/ FP3BA RETROFIT BRACKET INSTALL W/ PRO -DIG X9 TORQUE HEAD TO 5,555 FT -LBS TORQUE_ 0 TYP. HELICAL PIER DETAIL 1" = V-0" 0. U 0 H a w 0 REVISIONS DATE N 2 U w M O Z > ca U lz Q p O Z J O v W FeWt»Z ZW0 Z OoJ z;3tio ss W O Z QOD L/C 12 Hffi,�' p.b :oisaau 1% Q k N . 3 JOB NO. 0054409 PORCH 2019-6856 SHEET J � S3-1 r EXP. 10/31/21 r 5 N N W p O T W 31VO d Q J U � W A8 = NO3K BRACKET CL = xa H Q N 2 U w M O Z > ca U lz Q p O Z J O v W FeWt»Z ZW0 Z OoJ z;3tio ss W O Z QOD L/C 12 Hffi,�' p.b :oisaau 1% Q k N . JOB NO. 0054409 2019-6856 SHEET X0,0'. '\��/� �SS�ONAI EAG S3-1 r EXP. 10/31/21 of 5 PROPERTY LINE NOTE: 1. THE EXISTING PROPERTY LINES AND EXISTING HOUSE LOCATION ARE SHOWN AS DRAWN ON THE ILC BY R.E.PORT LAND SURVEYING, JOB # 92-5871. DATED 10/15/2019 SITE PLAN 1/20" = 1'-0" 0.. REVISIONS DATE w Z F - a J Z O O _.._ 29'-4" ----- 26'-5" qH W �1~0W J H V p Z 09 yyOW J Z N CC Z QMWO HOUSE/ zz 3 w M BASEMENT C O 1 aY FRONT OF Lo D_ HOUSE it C? GARAGE/ SLAB I� LL- t� �- 24'-1" -�— - - �_ PROPERTY LINE NOTE: 1. THE EXISTING PROPERTY LINES AND EXISTING HOUSE LOCATION ARE SHOWN AS DRAWN ON THE ILC BY R.E.PORT LAND SURVEYING, JOB # 92-5871. DATED 10/15/2019 SITE PLAN 1/20" = 1'-0" 0.. REVISIONS DATE w Z F - a J Z O O LLI qH O a �1~0W J H V p mWO' 09 yyOW Z N CC Z QMWO zz 3 0 O U. 20' (s uiN E Z_>Nti 190002 ZJO'TW 2 L 0z 13 Zn01 C J Z;;n WC OZ E Ibneaa Q cn kRC415.0.0. Reaaon:l�m W-ryd��'gin..,.c 661 V,q$ •Y N: 0054409 /ONAt � {P. 10/31/21 2019 Sig S ET 5 i CITY OF WHEAT RIDGE Building Inspection Division (303) 234=5933 Inspection line y (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: Permit Number: QD ► Q Lt -4 v i l___ }j I 1� 2c -J ^)G I jv ❑ No one available for inspection: Time KMVPM Re -Inspection required: <�*b li�o When corrections have been made, call for re -inspection at 303-234-5933 Date:_,>i2 Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201704406 PERMIT NO: 201704406 ISSUED: 07/19/2017 JOB ADDRESS: 3292 Simms ST EXPIRES: 07/19/2018 JOB DESCRIPTION: Residential Re -roof to install Owen Corning asphalt shingles with 25 sq *** CONTACTS *** OWNER (303)345-7918 SHIEH THERESA SUB (303)778-8010 Scott Lawerance 019349 AquaDuct Roof & Gutters *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,848.19 FEES Total Valuation 0.00 Use Tax 269.81 Permit Fee 251.85 ** TOTAL ** 521.66 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or 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. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. City of Wheat Ridge Residential Roofing PERMIT - 201704406 PERMIT NO: 201704406 ISSUED: 07/19/2017 JOB ADDRESS: 3292 Simms ST EXPIRES: 07/19/2018 JOB DESCRIPTION: Residential Re -roof to install Owen Corning asphalt shingles with 25 sq I, by my signa re,{do hi"�reby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable W ding codand all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by th legal nor of throperty and am authorized to obtain this permit and perform the work described and approved in conjunction with thisermit. f er at st that I am legally authorized to include all entities named within this document as parties to the work to be per med n a or to be perforn4ed is disclosed in this document and/or its' accompanying approved plans and specifications. 7- Z/7, 1 Signattire of' OWNER C&TRAC-`O (Circle one) Date 1, This permit was issued`6 ased-apt ormation 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 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 %1-_,J Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. (*-7 Dan Schultz Kj� � 1 From: no- reply@ci.wh eatridge.co.us Sent: Tuesday, July 11, 2017 10:15 AM To: Permits CommDev 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 3292 Simms Street Wheat Ridge, CO 80033 Property Owner Name Theresa Shieh Property Owner Phone 303-345-7918 Number Property Owner Email theresashieh@hotmail.com Address ,_, a � t (; Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number Aquaduct Roof & Gutters 01-9349 303-778-7663 Contractor Email Address quotes@aquaductgutters.com Retype Contractor Email quotes@aguaductgutters.com Address DESCRIPTION OF WORK Are you re -decking the roof? Description of Roofing Material Select Type of Material If "Other" is selected above, describe here: No Owen Corning Asphalt Field not completed. How many squares of the 25 material selected above? Does any portion of the No property include a flat roof? If yes, how many squares 25 on the flat roof? TOTAL SQUARES of all 25 roofing material for this project Provide additional detail Re -roofing here on the description of 2 work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 12,848.19 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 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 submit this application and to perform the work described above. Name of Applicant Scott Lawrence Email not displaying correctly? View it in your browser. 3 Bid generated for Theresa Shleh Company Receipt Page Owens Corning Oakridge LLT 8rownwood 110 mph wind resistance warranty UL Class A Fire Rating Tough FiberglasO mat core Limited Lifetime warranty, 10 year Tru PROtection@ Coverage Weathering grade asphalt Owens Corning Oakridqe LLT Total Cost: $ 12,848.19 , 8rownwood Custom bid generated for Theresa Shieh 3292 Simms Street Wheat Ridge, Colorado 80033 303-345-7918 Job site address 3292 Simms Street Wheat Ridge, Colorado 80033 303-345-7918 Product Choice: 0 , C A Color Choice: Authorized Signature: Customer Signature: Date: 7 .z 7 Date 1-7 Cc 1 C -oz-,- �`5 ea AquaDuct Roof & Gutters - § @ H 2 ! ` o « � G\/ \H3R 2 my;OC, � % 65\\ / aQ�w \ ! k � / \ \ « i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: ',� Job Address: �. ` Permit Number: ❑ No one available for inspection: Time ,E ` ` A/P , Re -Inspection required: Yes 1Vo When corrections have been made, call for re -inspection at 303 -234 - Date: 03-234-Date:''a ` Inspector: �f7 DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE Bung Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Kt''r Job Address: h9 ~,^inht c, ~f Permit Number: C ' 37, V /y /Glu~ mp Ls ~/ur~Q. !w ❑ No one available for inspection: Time P P AM Re-Inspection required: Yes No When corrections have been made, call for re-inspection at 303-234-5933 Date: O Inspector: t)v , f/ f%1 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:'( Jff o Job Address: Permit Number: ~0/K ❑ No one available for inspection:: Time f A /PM Re-Inspection required: Yes TV When corrections have been made, call for re-inspection at 303t 303• 234-5983 Date: Inspector: c DO NOT REMOVE THIS NOTICE " 1 City of Wheat Ridge Residential Roofing PERMIT - 093401 PERMIT NO: `093401 S. ISSUED:. 10/15/2009 JOB ADDRESS:. 3292 SIMMS ST 'EXPIRES: 04/13/2010 DESCRIPTION:< Reroof 24 sqs CONTACTS owner 303/955-2882 Pruyn sub 303/778-8010 Scott Lawerance 01-9349 AquaDuct Roof & Gutters **:PARCEL INFO ZONE CODE: UA USE: UA SUBDIVISION:: 0659. -.BLOCK/LOT#: 0/. FEE SUMMARY ESTIMATED :PROJECT 'VALUATION: 9,153.00 FEES Permit Fee 235.70 Total valuation oo Use Tax 164.75 i **TOTAL 400.45 2onditions: 5 nail installation& mid-roof inspection required. Board sheathing spaced more -hall a 1/2 of an inch apart requires plywood overlay on entire roof. Ice and water shield` required from'eave edge to 21 inside exterior walls. a**Contractor/Property owner shall provide -iadder.(s) secured in place for inpsections.' Subject field inspection. I hereby cer ifylthat the setbac distances proposed by this permit application are accurate, and do not violate applicable ordinanc s, lea or regulatio of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurem nts shown, and alleg ions made are accurate; that I have read and agree to abide by all conditions printed on this applicat on d- at assum full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other app ab a i Ordi ances, for work under this permit. Plans subject to field inspection. S' n t contract owner '..date Th it was issued in accordance with the provisions set forth in your application and is subject to the laws of the Sta of Colorado and to the zoning Regulations and Building Codes of Wheat .'Ridge, Colorado or any. other applicable Drain noes ofrl the city. This permit shall expire.180 days from the issue date. Requests for an extension must be received prior to expiration date. An extension may be grantedat the discretion of the Building Official. 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 changeshave been or if suspension or abandonment exceeds one (1) year'. full fees zshall he naid fnr znPw narmi♦ Lgnature f Building Official : date NSPEC ON REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855 EQUESTS MUST BE MADE BY 3PM ANY BUSINESS ;DAY FOR INSPECTION THE 'FOLLOWING BUSINESS DAY.:. ~oF W"E r~o City of Wheat Ridge Building Division m 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 °O<orxno° Inspection Line: 303-234-5933 Building Permit Application Date: Plan Permit#:V 1 Property Address; m~- Property Owner (please print): Pew Y\ Phone )qw ZaZ= Mailing Address: (if different than property address) Address: n , ~ „ Sub Contractors: Electrical City License Company: Plumbing City License Company Mechanical City License Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description): 7 Construction Value: $ Description of~work; p (as calculated per the Building Valuat on Data sheet) w \ 2,4- LnY/ t MO-✓~ Plan Review due at time of submittal : y Sq. Ft./L.Ft added: Squares z,4-~ BTU's Gallons Amps OWNER/CONTRAC'OR 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 re rictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all con ions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I. B. C) an 11 other applicable Wh t Ridge Ordinances, for work under this permit. Plans subje r e, on. CIRLCE ONE:: (OWNE (C 7RA TOR) or P 'SONAL REP NT VE o WN ) (CONTRATOR) PRINT NAME: SIGNATU - Date~b Contractor License Phone: 3 L)J (7(Y -7iZ3