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Home My WebLink About4341 Oak Streeti CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: �� /V2'124 Pcc+c Job Address: 041<1 -57 Permit Number:/3i;- LiNo one available for inspection:, Time fir'.` AM/PM Re -Inspection required: Yes 0_o) When corrections have been made, schedule for re -inspection online at. http✓/www.ci. wheatridge.co.uMnspection Date: 3'-//- U Inspector: k ? -$I ) DO NOT REMOVE THIS NOTICE 41 CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE InspectionType: Job Address: -Z-;-y Number: ❑ No one available for inspection: Time A� PM Re -Inspection required: Yell' No When corrections have been made, sahedu/e for re -inspection online at: http✓/www.ci. wheatridge.co. uslinspection Date: z_8:�L'= Inspector: r��'--------- DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 202000135 PERMIT NO: 202000135 ISSUED: 01/17/2020 JOB ADDRESS: 4341 Oak St EXPIRES: 01/16/2021 JOB DESCRIPTION: Reroof with OC duration asphalt shingles, 4/12 pitch, 16 squares *** CONTACTS *** OWNER (303)421-5462 SCHOCK QUINTON M SUB (720)271-3718 JOSH MUDOCK/BILLY SWEENEY 150095 1ST PRIORITY ROOFING *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,376.00 FEES Total Valuation 0.00 Use Tax 175.90 Permit Fee 188.45 ** TOTAL ** 364.35 *** COMMENTS *** *** CONDITIONS *** ALL PITCHED ROOFS REQUIRE A MIDROOF INSPECTION REGARDLESS OF PITCH. FOR ROOF PITCH 6/12 AND OVER: Midroof & Final Roof inspections for ROOFS with 6/12 PITCH & OVER REQUIRE A 3RD PARTY INSPECTION. The 3rd party inspection report must 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 Building Division Policy BD -18-001 for Balanced Ventilation Systems, or manufacturer installation instructions, whichever is more stringent. MIDROOF & SHEATHING: Effective December 1, 2014, asphalt shingle installations require an approved mid -roof inspection, conducted when 25-75% 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% 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. LADDER MUST BE SET FOR ALL ROOF INSPECTIONS: A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. COMMERCIAL ROOFS: 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. .i City of Wheat Ridge Residential Roofing PERMIT - 202000135 PERMIT NO: 202000135 ISSUED: 01/17/2020 JOB ADDRESS: 4341 Oak St EXPIRES: 01/16/2021 JOB DESCRIPTION: Reroof with OC duration asphalt shingles, 4/12 pitch, 16 squares 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 tl�e 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 ermIt I further attest that I am legally authorized to include alt 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 originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4, No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5, The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or grantag of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any d'c''b apgle code or arkfirdinance 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. Ci��mt��e 01/17/2020 6uoo R,mof with OC durat C0k022172 AMOUNT 364.35.35 �� 4�1 0OakSt APPIL/PER'lllT NO: 2020110135 PAYMENT RECEDEDAMOUNT Pp / 8529 364.35 AUTH CODE: 69843691 364.35 Kimberly Cook ao a000/35 From: no-reply@ci.wheatridge.co.us Sent: Thursday, January 16, 2020 5:52 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Kim Residential Roofing Permit Application This application is exclusively for new RESIDENTIAL roofing permits and for licensed contractors only. Permits are processed and issued in the order they are received. You will be notified if your contractor's license or insurance has expired. The license and insurance must be current before the permit will be processed. 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. The Building Division permit counter is open from 7:30 am to 3:30 pm, 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 RESIDENTIAL reroof permit? How many dwelling units are on the property? Yes Single Family Home PROPERTY INFORMATION Property Address 4341 Oak St Property Owner Name Quinton Schock Property Owner Phone 303-421-5462 Number (enter WITH dashes, eg 303-123-4567) Property Owner Email N/A Address I Do you have a signed Yes contract to reroof this property? CONTRACTOR INFORMATION Contractor Business 1st Priority Roofing Name Contractor's License 150095 Number Contractor Phone 720-271-3718 Number (enter WITH dashes, eg 303-123-4567) Contractor Email Address info@1 stpriorityroofing.com Retype Contractor Email info@1 stpriorityroofing.com Address REQUIRED: Credit Card Wheatridge Credit Card Authorization Authorization Form Form 201906141051228536.pdf DESCRIPTION OF WORK TOTAL SQUARES of 16 the entire scope of work: Project Value (contract $8376.00 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 both? (check all that apply) What is the specific pitch 4/12 of the PITCHED roof? How many squares are 16 part of the PITCHED roof? Describe the roofing Shingles materials for the PITCHED roof: 2 Type of material for the Asphalt PITCHED roof: Provide any additional Tear off to deck Replace with OC Duration shingles detail here on the description of work. (Is this for a house or garage? Etc) SIGNATURE OF UNDERSTANDING AND AGREEMENT 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. I understand that this 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 may not begin on this property until a permit has been issued and posted on the property. I certify that I have been authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything 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. Yes Yes Yes Yes Yes 3 Person Applying for Josh Murdock Permit Email not displaying correctly? View it in your browser. q3�+l Oak s+ INSPECTION ('Kyl INSPE��IO"ECORD ONLINE FORM: http://www.ci.wheatridge.co.us/forms.aspx?fid=79 INSPECTION REQUEST LINE: (303) 234-5933 Occupancy/Type Inspections will not be performed unless this card is posted on the project site. Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Initials Comments Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Plumbing Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Wall Sheathing Sewer Service — Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof Lath / Wall Tie Rough Electric Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw / Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing 7 -/Tt Final Mechanical Roof Final Window/Doors Final Building (VOTE: A// items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. *For low voltage permits – Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather City of Wheat Ridge Residential Plumbing PERMIT - 201702187 PERMIT NO: 201702187 ISSUED: 06/20/2017 JOB ADDRESS: 4341 Oak ST EXPIRES: 06/20/2018 JOB DESCRIPTION: Replace 40 gallon water heater *** CONTACTS *** OWNER (303)421-5462 SCHOCK QUINTON M SUB (303)431-8015 Edward Terranova 019402 Aaark Heating & Air Conditioni *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,100.00 FEES Hot Water Heater 40.00 Total Valuation 0.00 Use Tax 23.10 ** TOTAL ** 63.10 *** 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. 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 ermit. I further attest that I am legally authorized to include all entities named within this document as pairties to the work to be performed and tha}e te-1periormed is dis_ closed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date I. This permit was issued based on the information provided in thepermit 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 andprocedures 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, any violation of any provision of any applicable code or any ordinance or regp�ation o 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 email requests to insptimerequestgci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. .'' 14 City of COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 291h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(aD_ci.wheatridge.co.us FOR OFFICE USE ONLY Date: Plan/Permit # Plan Review Fee: Building Permit Application I Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: Property Owner (please print): Q U f TONJ E �,K Phone: � -a i-�54q(Qa Property Owner Email: Mailing Address: (if different than property address) .Address: =94p (IUAY qqy, State, Zip: AkVADA 2rM3 Arch itect/Engineer: Architect/Engineer E-mail: Contractor: i Phone: NG Pr aike LN01tiolVIN6 /NG Contractors City License #: �� Phone: ,qDA 1&-WL5 Contractor E-mail Address:1I!� Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL ❑ RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) eP ECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT LUMBING SYSTEM/APPLIANCE REPAIR M LECTRICAL 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. FULF Amps �SPLAbAJG �X.IS-Cl/V(a 406,4�.LpN ��4TAe �?6_Q Btu's 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 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) Electronic Signature (Fust and last name): 10DATE: ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ r, CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION JVOTICt Inspection Type: Job Address: Permit Number: 2 Gf f 2 /;�`? ❑ No one available for inspection: Time T-.� AM/PM Re -Inspection required: Ye<N When corrections have been made, call for re-inspec ion f 303-234-5933 DateJ Inspector: I 41 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: __"cl , 0 / 17 L) No one available for inspection: Time; AM/PM Re -Inspection required: Yes No When corrections have been made, call for re-inspect,io'n at 303-234-5933 Date: Inspector: DO NOT REMOVE THIS NOTICE INSPECTION RECORD Occupancv/Tvpe INSPECTION LINE: (303) 234 -5933 Inspections will not be made unless this card is posted on the building site r. Call by 3:00 PM to receive inspection the following business day_ INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FTION INSPECTIONS DgiE INSPECTOR INITIALS COMMENTS: Caissons / (CEG) Concrete Ground ng or Monolithic roof / French Drain rvice Lines rvice Lines CONCRETE SLAB FLOOR Electrica ( Un d e rg round) Plumbi ( Un d erground) Heating (Underground) ROUGHS Lath / Wall tie Mid -Roof ERoug Service ectric mbing g chanical Framing Insulation Drywall S crew POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SKIt 1_t9,. ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEE FINALS -- Electrical Plumbing Mechanical Roof Building Final E INSPICT1111 Fire Departme nt R.O.W S Drainage OR PLANNING &ZONING, FIRE AND PUBLICE WORKS Parking Landsca ,._ SHOULD BE_GALLEP AT.LEAST ONE WEEK PRIOR: TO. FINAL .INSPECT — �NOTE: /7tMS"ry1U57 BE APPROVED P PLANNING AND ZONING, 661 1WG AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY U11,cu1`HNCr ntUT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER ;f. ♦ i CITY OF WHEAT RIDGE Building Inspection Division r (303) 234 -5933 Inspection line u -. (303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE 1 . Inspection Type: �'i tU/ & Job Address: 04* 5� Permit Number: 0 2q, ?D A.� 5my4o,jea - 1S ❑ No one available for inspection: Time AM /PM t Re- Inspection required es No When corrections have been made, call for re- inspection at 303 - 234 -5933 Date_ Inspector: DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE Bung Inspection Division I r (303) 234-5933 Inspection line r(303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: ti w 42 J~Oa Job Address: Oal< S Permit Number: 09.49Po ❑ No one available for inspection: Time,3 - A M Re-Inspection required: Yes DO When corrections have been made, call for re-inspection at 303-234-5933 Date: /2-!-o3 Inspector: 2V 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 .,tom Inspection Type: Job Address: ,3 `Itt ~z S Permit Number: 7 t~ I ❑ No one available for inspection: Time AM/PM Re-Inspection required: Yes No f When corrections have been made, cali for re-inspection at 303-2345933 Date: 7 E i, Inspector: DO NOT REMOVE THIS NOTICE 41 City of Wheat Ridge Residential Roofing PERMIT - 093980 PERMIT NO: 4.093980:. ISSUED:.' 11/10/2009 JOB ADDRESS: 4341 OAK ST EXPIRES: 05/09/2010 "DESCRIPTION:' T/o: Install 17sgs 3 -tabs; 4 'sqs torch down '***'CONTACTS owner 303/421-5462 Quinten Schock '.%gc 303/792-1347 Roger Heflin 01-8182 Heflin Roofing **'-PARCEL INFO ,ZONE CODE: UA > USE: UA SUBDIVISION:' UA :BLOCK/LOT#: 0/ **FEE SUMMARY ESTIMATED= PROJECT VALUATION: 6,480.00. FEES z Permit Fee 181.10 t z K Total Valuation .00 %f3Zi 1 x Use Tax 116.64 TOTAL `297.74 ` Conditions 6 nail installation mid roof inspection required. Board sheathing spaced more than a 1/2 of an inch apart requires plywood overlay on entire roof. Ice and ;.water shield required from'eave edge to 2' inside exterior walls. ***Contractor/Property owner shall; provideladder.(s) secured in place for. ~inpsections.` ;`-Subject to field inspection. 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 lead 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 WheatRi rdinances,.for work under this permit. Plans.. subject to field.: inspection. c~c Signature of ontra r/ weer / date c" 1. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the t State of Colorado and to the Zoning Regulations and Building Codes of Wheati Ridge, Colorado or any other applicable ordinances of. the City.'.. :2. 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 granted. at the discretion of'. the Building Official. =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 have been or if suspension or abandonment exceeds one (1) year,`. full fees shall be paid for anew permit. E;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 a~ written approval on inspection card before proceeding with successive phases of the job: .q 6. The issuance of a pe it or the approval of drawings and specifications shall' not be construed to be a permit for, nor ` an approval fny olation of the provisions of the building codes or any other ordinance, law,. rule or regulation. All plan re i ubject to field inspections. t`Signature of fief Building Official date ;INSPECTION 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. ~ti ~oF "t"E?T City of Wheat Ridge Building Division 7500 W. 291h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 °acoRnoo Inspection Liner 303-234-5933 Property Address;• Property Owner (please print): Mailing Address: (if different than property address) Address: City, State, Contractor: Contractor License Sub Contractors; Electrical City License Company: Building Permit Application C9 SC Phone: Plumbing City License Company Date: Plan Permit Phone: Mechanical City License Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description): pp r Construction Value: Description of works d v (as calculated per the Buildi q action Data sheet) ^ Plan Review (due at time of submittal): $ f✓3djJ /_3 7l>YG {7 O~c> Cpl! Sq. Ft./L.Ft added: Squares BTU's Gallons Amps OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed. by this permit application are accurate, and do not violate applicable ordinances, rules or,' egulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that 1 assume full responsibility for compliance with 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. - CIRLCEONE:: (OWNER) (CO TRACTO or PERSONAL REPRESENTA VE of(O/WWNNE.R) (CONTRATOR) PRINT NAME: c, P U SIGNATURE: l~l~4~ Date: Bldg Valuation: