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12271 W. 32nd Avenue
is CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: 's CJ G Job Address: / Z Z Permit Number: ZO aO 4X2 291/ ❑ No one available for inspection: Time AM/M Re -Inspection required: YesC�elle When corrections have been made, for re -inspection online at: h ttp✓/www. ci. whea tridge. co. usrnspection Date:34 02� Inspector: - DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: 'SQ6: c Job Address: ♦1'R Permit Number: ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes Nor When corrections have been made, schedule for re -inspection online at: http://www, ci. wheatridge, co. uslinspection Date:, Inspector:"}= DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Sewer Repair PERMIT - 202000881 PERMIT NO: 202000881 ISSUED: 05/13/2020 JOB ADDRESS: 12271 W 32nd Ave EXPIRES: 05/13/2021 JOB DESCRIPTION: Sewer line repair in backyard; install cleanouts - 90 sq ft total *** CONTACTS *** OWNER (720)877-8996 LAMB MICHAEL SUB (720)550-8825 JUANA MARTINEZ 170054 SHARK EXCAVATION *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 13,500.00 FEES Total Valuation 0.00 Use Tax 283.50 Permit Fee 267.70 ** TOTAL ** 551.20 *** COMMENTS *** *** CONDITIONS *** ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection by any Sanitation District representative. Inspection and approval of work by any Sanitation District representative DOES NOT grant authority to cover work without the approval of the Building Division. **For trenchless sewer replacements - The contractor will verify proper slope of new sewer piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed specifically by the applicable code. The plumbing contractor will provide verification of proper slope and drainage in writing as a condition of approval of the permitted work.** City of Wheat Ridge 3'' Residential Sewer Repair PERMIT -202000881 PERMIT NO: 202000881 ISSUED: 05/13/2020 JOB ADDRESS: 12271 W 32nd Ave EXPIRES: 05/13/2021 JOB DESCRIPTION: Sewer line repair in backyard; install cleanouts - 90 sq ft total I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications; applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of an manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance qLgranting of armit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable c e r an ordinar , 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. Kimberly Cook From: no-reply@ci.wheatridge.co.us Sent: Tuesday, May 12, 2020 3:02 PM To: CommDev Permits Subject: Online Form Submittal: Sewer or Water Line Repair Permit Application Follow Up Flag: Follow up Flag Status: Flagged Categories: Kim Sewer or Water Line Repair Permit Application This application is exclusively for RESIDENTIAL SEWER OR WATER LINE REPAIR - IN YARD ONLY - NO RIGHT OF WAY WORK. 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 Yes residential sewer line or water line repair - in yard only? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Property Owner Email Address Attach City of Wheat Ridge Electronic Payment Form - **DO NOT ATTACH A PICTURE OF A CREDIT CARD** 12271 w 32nd Ave Wheat Ridge, Co Michael Lamb 720-877-6998 lambhvac63@gmail.com Electron ic-Payment- Form. pdf 1 CONTRACTOR INFORMATION Contractor Business Name Contractor's License 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) SHARKS EXCAVATION LLC 2717 3039443794 Contractor Email Address sharkexcavation@gmail.com Retype Contractor Email Address DESCRIPTION OF WORK Is this a sewer line or water line repair? Length of repair Location of repair (backyard, frontyard, etc) Provide additional details including installation of clean -outs. sharkexcavation@gmail.com Sewer Line 90 backyard clean outs Project Value (contract 6500 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 z 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. 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 Juana Martinez Permit Email not displaying correctly? View it in your browser. i CITY OF WHEAT RIDGE Buildinglnspection 1bivision (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE I. Inspection Type: L%i4pl,4144 Job Address: /2-471 Loe, 3 2),? ire Permit Number: '- Cam Ci ' Kal/ St r` " 0 it Sed ✓c'/ //'/?P . rt --d to r- - ;Of r'7 ill, S1` z e '104- C,1 '/21 ❑ No one available for inspection: Time AM/-- Re -Inspection required: No When corrections have been made, call for re -inspection at 303-234-5933 Date: 1 ` ` S � � Inspector: aa� �', +�-- DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Sewer Repair PERMIT - 201803117 PERMIT NO: 201803117 ISSUED: 11/30/2018 JOB ADDRESS: 12271 W 32nd Ave EXPIRES: 11/30/2019 JOB DESCRIPTION: 10 ft sewer service repair in front yard *** CONTACTS *** OWNER (720)877-8996 LAMB MIKE SUB (303)519-0240 R. Andrew Russell 120161 The Elite Pipe MD *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,800.00 FEES Total Valuation 0.00 Use Tax 58.80 Permit Fee 93.35 ** TOTAL ** 152.15 *** COMMENTS *** *** CONDITIONS *** ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection by any Sanitation District representative. Inspection and approval of work by any Sanitation District representative DOES NOT grant authority to cover work without the approval of the Building Division. **For trenchless sewer replacements - The contractor will verify proper slope of new sewer piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed specifically by the applicable code. The plumbing contractor will provide verification of proper slope and drainage in writing as a condition of approval of the permitted work.** City of Wheat Ridge r*� Residential Sewer Repair PERMIT - 201803117 PERMIT NO: 201803117 ISSUED: 11/30/2018 JOB ADDRESS: 12271 W 32nd Ave EXPIRES: 11/30/2019 JOB DESCRIPTION: 10 ft sewer service repair in front yard 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 al[ entities named within this document as partes 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. /1 Signature of OWNER o CONTRACTOJ' (Circle one) Date 1. This permit was issued base on t e—m 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 changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or any ordinancetior regulation of this jurisdiction. Approval of work is subject to f any inspection. •sr ,.� . Signature of ChieMil m is Of al��- Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wlleatl � e COMMUI :TY L7EVE�OPMENT 3uilding & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permitsCa_Xi.wheatridge.co.us FOR OFFICE USE ONLY Date: Plan/Permit # 3I 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: I ZZ-? I Lk). -,�Z,,. �_ AU Owner Property Owner Email: /J k e, Le, M (Mailing Address: (if different than property address) Address: S A N\� C A-,5 A cs' o U� City, State, Zip: Arch itect/Engineer: Architect/Engineer E-mail: Phone: Contractor: Contractors City License #: 16616:11 Contractor E-mail Address: ( Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # '&'4�00L "A Plumbing: W.R. City License # Phone: 7 9q(, Phone: 7 /[� 6 Z- Q 3 3` VVV 6 . CV A- 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.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) Sq. FULF Amps Btu's Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ 7— OWNER/CONTRACTOR OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING A\ -D 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. 1, the applicant for this building permit application, warrant the truthfulness of the information provided on application. CIRCLE ONE: (OWNER) ( ONTRACTOR) o► (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name--- DATE: I i ZONING COMMMENTS: Reviewer. BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ PERMIT: _C, ADDRESS: i I ✓ j 2� h! JOB CODE: INSPECTION RECORD Inspection online form: http://www.ci-wheatridge.co.ushnspection must be submitted via the online form before 8 a.m. the da of t Inspections will not be performed unless this card is Posted specroje Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection y he inspection p on the project site p coon the following business Foundation Inspections Date Inspector 102 Caissons / Piers Initials Comments 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 Inspector 201 Electrical / Cable/ Conduit Initials Comments 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground Do Not Cover Underground or Below / In-Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector 301 Rough Framing Initials Comments 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid-Roof 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 completedmust and approved by Planning, Public Works, Fire and u before a Certificate of occupancy is issued. Approval of the Final Building Inspection does not constitute authorization of occupancy. completed by the Fire District and For Low Voltage permits please be sure that rough inspections are Electrical low voltage by the Building Divisiort." \� 3 ,b v Inspector Comments igh Inspection (continued) Date Initials Rough Mechanical Residential Rough Mechanical Commercial S Boiler I Furnace Hot water tank Drywall screw and Nail 1 Moisture board I shower walls 2 Rough Grading 13 Miscellaneous Inspector Comments Date inal Inspections Initials 02 Gas Meter Release 03 Final Electrical Residential 04 Final Electrical Commercial 105 Final Mechanical Residential 106 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial j 7 409 Final Roof 410 Final Window/Door Inspections from these entities shall be requested 411 Landscape/Park/Planning one week in advance. lease and parking inspections p 412 RowlDrainag elPublic Works For landscaping call 303-235-2846 413 Flood plain Inspection For ROW and drainage inspections p lease call 414 Fire Insp. I Fire Protection 303-235-2861 contact the Fire 415 Public Works Final fire inspections please For our project. for y 416 Storm Water Mgmt. Proction District te 417 Zoning Final Inspection 418 Building Final Inspection B ilding completedmust and approved by Planning, Public Works, Fire and u before a Certificate of occupancy is issued. Approval of the Final Building Inspection does not constitute authorization of occupancy. completed by the Fire District and For Low Voltage permits please be sure that rough inspections are Electrical low voltage by the Building Divisiort." \� 3 ,b v 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: 07 F , 7 Job Address. W "c'144ae Permit Number: j 0/7 0916� ❑ No one available for inspection: ime � 1� AM/PM Re -Inspection required: Yes o When corrections have been made, ca or ire -inspection at 303-234 )�-5933 Date: i Inspector: m /7 DO NOT REMOVE THIS NOTICE A i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTIC Inspection Type: V Job Address: Permit Number: CTI�DE lel ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303 -234 - Date: Inspector: DO NOT REMOVE THIS NOTICE 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: / 2 >> O Permit Number: 6190 ('/6-/ ❑ No one available for inspection: Time t ;= AMIPM Re -Inspection required: Yes When corrections have been made, call for re -inspection at - 03-234-5933 Inspector: - DO NOT REMOVE THIS NOTICE *** CONDITIONS *** Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required for both the midroof and final inspections. The 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec. R806. The installation of ridge venting requires the installation or existence of soffit venting. For calculation purposes, one hat or turtle vent equal to one-half of one square foot of opening. Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. City of Wheat Ridge Residential Roofing PERMIT - 201708164 PERMIT NO: 201708164 ISSUED: 10/10/2017 JOB ADDRESS: 12271 W 32nd AVE EXPIRES: 10/10/2018 JOB DESCRIPTION: Residential Re -roof to install CertainTeed asphalt shingles - 33 sq (30 sq pitched / 3 sq flat) Pitch = 4/12 *** CONTACTS *** OWNER (303)480-1895 LUNA KATHY ANN SUB (303)798-0111 Larry Johnson 150247 My Home Solution Co., LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 19,500.00 FEES Total Valuation 0.00 Use Tax 409.50 Permit Fee 362.80 ** TOTAL ** 772.30 *** COMMENTS *** *** CONDITIONS *** Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required for both the midroof and final inspections. The 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec. R806. The installation of ridge venting requires the installation or existence of soffit venting. For calculation purposes, one hat or turtle vent equal to one-half of one square foot of opening. Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. City of Wheat Ridge r Residential Roofing PERMIT - 201708164 PERMIT NO: 201708164 ISSUED: 10/10/2017 JOB ADDRESS: 12271 W 32nd AVE EXPIRES: 10/10/2018 JOB DESCRIPTION: Residential Re -roof to install CertainTeed asphalt shingles - 33 sq (30 sq pitched / 3 sq flat) Pitch = 4/12 I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications; applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am le ally authorized to include all entities named within this document as parties to the work to be performed ad=aIlto be perfo disclosed in this document and/ its' accompanying approved plans and specifications. cr) 77 Signature of OWNER or CONT CTOR ircle one) Date I. This permit was issue c�a _ on e m 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 original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4' No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The!*Ssumwe 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 c. de or any ordinance or regu ation 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 10� 70� � ( q From: no-reply@ci.wheatridge.co.us Sent: Saturday, October 7, 2017 3:07 PM�,�J To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application c Follow Up Flag: Follow up Flag Status: Completed C c� S 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 12271 W 32nd Ave. Property Owner Name Michael Lamb & Kathy Luna Property Owner Phone 303-480-1895 Number (enter WITH dashes, eg 303-123-4567) 97 Property Owner Email Address Do you have a signed contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Contract Field not completed. Yes Luna Roof Contract.pdf CONTRACTOR INFORMATION Contractor Business My Home Solution Colorado, LLC d/b/a Superoofs Name Contractor's License 150247 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-947-1608 Number (enter WITH dashes, eg 303-123-4567) Contractor Address 191 University Blvd., #317, Denver CO 80206 (Primary address of your business) Contractor Email Address Larry@superoofs.com Retype Contractor Email Larry@superoofs.com Address DESCRIPTION OF WORK TOTAL SQUARES of 33 the entire scope of work: Project Value (contract 19500' value or cost of ALL materials and labor) Are you re -decking the No roof? Is the permit for a flat Flat roof (less than 2:12 pitch), Pitched roof (2:12 pitch or roof, pitched roof, or greater) 98 both? (check all that apply) What is the pitch of the 1:12 FLAT roof? How many squares are 3 part of the FLAT roof? Describe the roofing Certainteed Flintastic SA Base & Cap Sheet material for the FLAT roof: Type of material for the Rolled FLAT roof: What is the specific pitch 4:12 of the PITCHED roof? How many squares are 30 part of the PITCHED roof? Describe the roofing Certainteed Landmark IR Shingles materials for the PITCHED roof- Type oof Type of material for the Asphalt PITCHED roof. Provide any additional Residence only detail here on the description of work. (Is this for a house or garage? Etc) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will 99 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. 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 Larry Johnson Email not displaying correctly? View it in your browser. 100 RESIDENTIAL ROOFING CONTRACT NO. MHC 17.135 XI 191 University Blvd., #317 Denver, Colorado 80206 www.SUPEROOFS.com OFFICE: 303.798.0111 FAX: 303.798.5211 Owner's Name: Owner's Address: SAiS Kathy Luna 12271 W. 32nd Ave. Cell _ , � i� - +'L�� i V, p Owner's City, State, Zip: Owner's Phone: Owner's Alt. Phone: Wheat Ridge, CO. 80033 303-480-1895 303-880-6252 Project Name & Address: Email: Same as above I/WE, the Owner(s) of the premises described above authorize My Home Solution Colorado, LLC dba Superoofs, hereinafter referred to as "Contractor", to furnish all materials and labor necessary to roof and/or improve these premises according to the following terms, specifications and provisions: PROPERTY OWNER IS INTENDING TO MAKE PAYMENT FROM THE PROCEEDS OF A PROPERTY AND CASUALTY INSURANCE POLICY. INITIALS a. Scope of Roofing Services and Materials to be Provided.: ------ gemcLve_30.21_.squares_of.existing_r.00fing-rnateriaL--to_clean-deckon.main.__.-__ dv�e�ling:�eglac�tii.�-.Germain#�e�W._iCtte[g�lar,�lc� &._Water_Shj�Lt)_41zalLea_ve�,_vatLey� mss! R�n�i9tts:...�ttajnt�S1__l�iam�n� Deels� s�ctbetic_undedayrnal�t}�_4_slrip_�ge on_atl_eaYes�and_rake:-�T_l..andmati�hinsl�s iri-(.._. �;_Sk�dQr�_Hip_�.B�dg�eaR.- Replece�li_sfaarl capM and_�c.�acs�piRQ ja�ss_ansi chimsze�l7..ashine's. ��3�------ - - _--- Qiyn$r-may--upgra(Le�_Landma& IR 01assA-sbinales-for $66 00 APP_R.QYE EGIINf_ A.iaRpR_M4dified_biiumen aw .320-s uares Ira l 1_stop_aneAL_-_turbjaeAyp>aW24,86 mei •+••v-� A2-R&R261.D0_LF_ Guitert_.Dawnspo dz-aluminum=upAo 5"—.$1,554.62___+'u,_QZN tc A3 G.er-tainteed -S-tar-extended MatenaLwarranly -andyear-Workmanship.Wmmnti--No-Gliarge.__.—__-.__ _ SE:E CQN-TINt1ATION— •Due_upon_completion of roof with ACV1Dedu_ctible Etalance Due u on n Projgct-co@PLelion Depreciation. Dua-When received from Insurer I_pgra-es arP Due-upon_camp etion with -balance -due -when re eived h)t Insurnr _ b. Description of any areas that will NOT be worked on: None This list of specifications may be continued on subsequent pages (see page number below). c. Approximate Costs of the Services for Damage Known at This Time: Contractor will perform the above, (subject to any additions and/or deductions pursuant to authorized change orders), for the Approximate Sum of $'i 9,500.73+Permit Down Payment (if any) $ 12„679.90* INSURANCE: THIS AGREEMENT IS NULL AND VOID AND DOES NOT OBLIGATE ANY PARTY TO IT SHOULD THE INSURANCE COMPANY REFUSE COVERAGE UNDER THIS CLAIM OR SHOULD THE COVERAGE OFFERED BE INSUFFICIENT FOR CONTRACTOR TO PROPERLY DO THE WORK. THE ONLY COST TO THE PROPERTY OWNER IS THEIR DEDUCTIBLE, PLUS ANY UPGRADES CHOSEN OR ANY NON COVERED ITEMS THAT MUST BE REPLACED TO COMPLETE THE REPAIRS. THE CONTRACT BALANCE (ACTUAL CASH VALUE OF THE WORK) IS PAID BY YOUR INSURANCE COMPANY PER FINAL LOSS INVOICE. ALL PROCEEDS FROM THE INSURANCE COMPANY INCLUDING, BUT NOT LIMITED TO, PROCEEDS FOR SUPPLEMENTAL CLAIMS MADE BY CONTRACTOR ON BEHALF OF OWNER, PROCEEDS FOR PROFIT & OVERHEAD, AND PROCEEDS FOR RECOVERABLE DEPRECIATION, ARE GIVEN IN PAYMENT FOR THE WORK OF CONTRACTOR AND OWNER AGREES TO TIMELY, (WITHIN 24 HOURS OF RECEIPT BY OWNER), REMIT ALL SUCH PROCEEDS TO CONTRACTOR. PER COLORADO S1338, CONTRACTOR SHALL HOLD IN TRUST ANY PAYMENT FROM THE PROPERTY OWNER UNTIL CONTRACTOR HAS DELIVERED ROOFING MATERIALS AT THE RESIDENTIAL PROPERTY SITE OR HAS PERFORMED A MAJORITY OF THE ROOFING WORK ON THE RESIDENTIAL PROPERTY. d. Approximate Dates of Service: Substantial commencement of work shall mean either the physical delivery of materials onto the premises or the performance of any labor and shall be subject to any permissible delays as per provision (5) on the reverse side. Approximate Start Date: Oct 09, 2017 Approximate Completion Date: Oct 13. 2017 e. Acceptance: This contract is approved and accepted. I (we) understand there are no oral agreements or understandings between the parties of this agreement. The written terms, provisions, plans (if any) and specifications in this contract is the entire agreement between the parties. Changes in this agreement shall be done by written change order only and with the express approval of both parties. Changes may incur additional charges. Additional Provisions Of This Contract Are On The Reverse Side And May Be CANCELLATION POLICY: Continued On Subsequent Pages (see age n ber below). Your right to cancel this contract is limited to the following: You, the Buyer, may cancel this transaction at any time prior `] to midnight of the third business day after the date of this transaction. See the attached Notice of Cancellation form for approved and acce ted (owner) date an explanation of this right. Per Colorado S838, you may also cancel this contract within 72 hours after being notified by app and a epted (owner your insurer that any part of or all of your claim is denied. See �, the notice on the reverse side for an explanation of this right. CA�t f 5 NOTE: This contract may be withdrawn or renegotiated after N/A approv d (contractor) date days from N/A if not approved and signed by BOTH parties. Form RC31-C Copyright © 1996-2016 ACT Contractors Forms (800) 820-5656 www.calform.com Page ONE of 2 Total Pages ADDITIONAL PROVISIONS- Unless otherwise specified herein, the following additional provisions are exoressly incornoratPd into thio rnnt—r+. 1. Contract, Plaits, Specifications, Permits and Fees. The work described in this contract shall be done according to the plans and the plan specifica- tions (if any) except in the case of conflict when the provisions of this contract shall have control over both the plans and the plan specifications. All required building permits will be paid for by owner and obtained by Contractor. All other charges, taxes, assessments, fees etc., of any kind whatsoever, required by any government body, telephone or utility compa- ny or the like shall be paid for by Owner. 2.Installation. Contractor has the right to subcontract any part of, or all of, the work herein 3.Change Orders. Should Owner, construction lender, or any government body or inspector require any modification to the work covered under this contract, any cost incurred by Contractor shall be added to the contract price as extra work and Owner agrees to pay Contractor his normal selling price for such extra work. All extra work as well as any other modifications to the original contract shall be specified and approved by both parties in a written change order. All change orders as well as all insurance supple- ments, shall become a part of this contract and shall be incorporated herein. 4.0wner's Responsibility: Insurance etc. Owner is responsible for the fol- lowing: (1) to see that all necessary water, electrical power, access to premises, and toilet facilities are provided on the premises. (2) to provide a storage area on the premises for equipment and materials_ (3) to relocate and protect any item that prevents Contractor from having free access to the work areas such as but not limited to TV or radio antennas, vehicles, tools or garden equipment. in the event that Owner fails to relocate such items, Contractor may relocate these items as required but in no way is Contractor responsible for damage to these items during their relocation and during the performance of the work. (4) to obtain permission from the owner(s) of adjacent property(ies) that Contractor must use to gain access to the work areas. Owner agrees to be responsible and to hold Contractor harmless and accept any risks resulting from the use of adjacent property(ies) by Contractor. (5) to correct any existing defects which are recognized during the course of the work. Contractor shall have no liability for correcting any existing defects such as, but not limited to, dry rot, structural defects, or code violations. (6) to maintain property insurance with Fire, Course of Construction, all Physical Loss with Vandalism and Malicious Mischief clauses attached, in a sum at least equal to the contract price, prior to and during performance of this contract. If the project is destroyed or damaged by an accident, disaster or calamity, or by theft or vandalism, any work or materials supplied by Contractor in reroofing or restoring the project shall be paid for by Owner as extra work. (7) to timely fill out and submit any documentation required by the insurance company. S.Delay. Contractor shall not be held responsible for any damage occa- sioned by delays resulting from: work done by Owner's subcontractors, extra work, acts of owner or owner's agent including failure of owner to make timelyrogress payments or payments for extra work, shortages of material andfor labor, bad weather, fire, strike, war, governmental regula- tions, or any other contingencies unforeseen by Contractor or beyond Contractor's reasonable control. 6.Surplus Materials and Salvage. Any surplus materials left over after this contract has been completed are the property of Contractor and will be removed by same. No credit is due Owner on returns for any surplus materials because this contract is based upon a complete job. All salvage resulting from work under this contract is the property of Contractor. 7'Cleanup & Advertising. Upon completion, and after removing all debris and surplus materials, wherever possible, Contractor will leave premises in a neat, broom clean condition. Any debris consisting of dust, dirt, asphalt, or small bits of materials that settle into attics, garage areas, or any other area being worked over with open beam ceilings or no attic, is unavoidable and Contractor shall not be responsible for this cleanup. Contractor recom- mends that Owner lay out drop cloths to protect such areas wherever owner discovers debris infiltration. Owner hereby grants to Contractor the right to display signs and advertise at the job site for the period of time starting at the date of signing of this contract and continuing uninterrupted until fourteen (14) days past the date the job is completed and payment in full has been made. Owner grants Contractor the right to publish the project street address on a "references" list and to take "before" and after" photos which may be given to prospective customers. 8.Concealed Damage & Dry Rot. Contractor will inform Owner of any dry rot or other sub -roof deterioration which is concealed and is discovered during the course of the work. Contractor is not responsible to repair any such discovered deterioration and any work done by Contractor to remedy such discovered deterioration will only be done as extra work in a written change order. 9.Termites, Pests & Hazardous Substances. Owner understands that Con- tractor is not qualified or licensed as an inspector or abatement contractor for Hazardous Materials (as defined by the government), or for Pests (in- cluding Termites). Should any such hazardous substances or Pest be sus- pected to be present on the premises, it is the Owners' responsibility to arrange and pay for inspection and abatement. Contractor cannot certify or warrant your building as being free of hazardous substances or pests. 10. Collection & Legal Fees. Owner agrees to pay all collection fees and charges that result should Owner default in payment of this contract. Overdue accounts are subject to interest charged at 18% per annum or at the highest rate allowed by law. in the event litigation or arbitration arises out of this contract, prevailing party(ies) are entitled to all legal, arbitration, and attorney fees. The court or arbitrator shall not be bound to award fees based on any set, fee schedule but shall if it so chooses, award the true amount of all costs, expenses and attorney fees paid or incurred_ 11. Arbitration of Disputes. Any controversy or claim arising out of or relating to this proposai/contract, or the breach thereof, shall be settled by arbitration in accordance with the applicable Con- struction Industry Arbitration Rules of the American Arbitration Association which are in effect at the time the demand for arbitra- tion is filed. A judgment upon the award rendered by the arbitrator(s) may be entered in any court having jurisdiction there- of. Any arbitration award shall be subject to correction and/or vacation for the reasons stated in the law. The arbitrator shall award reasonable attorneys fees and expenses to the prevailing party. After being given due notice, should any party fail to appear at or participate in the arbitration proceedings, the arbitrator shall make an award based upon the evidence presented by the party(ies) who do (does) appear and participate. Notwithstanding Contractor's right to arbitrate, Contractor does not waive any of its lien rights. Venue for arbitration hearings shall be the project county unless otherwise agreed to by the parties. NOTICE: By initialing in the space below you are agreeing to have any dispute arising out of the matters included in the "arbitration of disputes" provision decided by neutral arbitration as provided by law and you are giving up any rights you might possess to have the dispute litigated in a court or jury trial. By initialing in the space below you are giving up your judicial rights to discovery and ap- peal, unless those rights are specifically, included in the "arbitra- tion of disputes" provision. If you refuse to submit to arbitration after agreeing to this provision, you may be compelled to arbitrate under the authority of the applicable laws. Your agreement to this arbitration provision is voluntary. We have read and understand the foregoing and agree to submit disputes arising out of the matters included in the "arbitration of disputes" provision to neutral arbitration. A I Agree to Arbitration: I (Initials of Owner) (initials of Owner) NOTICES PER COLORADO SB38 1) If the client plans to use the proceeds of a property or casualty insurance policy to pay for the roofing work, the roofing contractor cannot pay, waive, rebate, or promise to pay, waive, or rebate all or part of any deductible applicable to the claim for payment for roofing work on the covered residential property. 2) Owner may rescind this contract if the insurer denies the claim in whole or in part, as long as the person notifies Contractor within 72 hours after the claim is denied. Contractor will refund any moneys paid by the customer within 10 days after receipt of this notice of rescission. Owner may not rescind the contract when supplemental claims for additional roofing services not reasonably foreseen at the time of initial inspection for this contract, (concealed damage for example), are denied by the Insurance Company. See provision (8) in this contract for details about concealed damage. Owner may give notice of rescission In writing to Contractor at the address listed herein on page one or by email to Contractor at the email listed herein (if any). Email notice of rescission is effective on the date of the email. Standard mail notice of rescission is effective upon deposit in the United States Mail, postage pre -paid. Personal delivery of notice of rescission is effective upon delivery. 3) If Owner rescinds this contract, Contractor may retain all or a portion of any payments or deposits made by Owner to compen- sate Contractor for roofing work actually performed on the residen- tial property in a workmanlike manner consistent with standard roofing industry practices. Contractor, however, may retain only an amount required to compensate Contractor for the actual work performed. Page TWO of 2 Total Pages :a on Sq. FULF Gallons Amps Square Other GENERAL INFORMATION Schedule; 0132516 Parcel ID: 39- 291 -10 --019 Print hlel Status: Active Property Type: Residential Property Address. 12271 W 32ND AVE Owner Narne(s) WHEAT RIDGE CO 800133 5345 Lt9NA THY ANN Mailing Address: 012653 W 32ND AVE LAMB MICHAEL MCLEOD DENVER CO 80211 Neighborhood: 2403 - APPLEWt' OD VILLAGES, PROSPECT VALLEY AREAS PR OPERTY DESCRIPTIO *** Kam •* i• • ray own * t Mill Levy Detail Fo U { u t lmu III, RON im RID LAKEW SAN DIST C+ PRBAN DRAINAGE&FLOOD CONTFD71LST *mac i. .: • N � �F.• *.. i t �► *** Kam •* i• • ray own * t Mill Levy Detail Fo U { u t lmu III, RON im RID LAKEW SAN DIST C+ PRBAN DRAINAGE&FLOOD CONTFD71LST *mac i. .: • N � �F.• *.. • Mn I Address: Ar Zoning: AEcess2ry ISP, ILC or site plan none if in floodplain (FLD) Ll Addition ti C and site plan - if A 2 of setback or in floodplain (FND) if in floc lain (FLD) wm_ ----------- LJ New ILC and site plan yes (FND) if w/in 2' of setback (RS) f i in �)o�jp fl Maximum Lot Coverage: % ft Existing Improvements: Proposed Improvements: House: (0 sq. ft. House/addition: sq, ft. , She , &-. � 'LLY�tll 22 — – sq. ft. Shed: sq. ft Detached garage: 41 T sq ft. Detached Garage: sq. ft. Other: _',- — - sq. ft. Other: sq. ft. Total Existing sq, ft Proposed+Existing sq. ft Lot Coverage % Lot Coverage % I a Required Setbacks: FR c. S S Provided Setbacks: FR S S — R For additions or new construction, is the structure within 2 feet of minimum setbacks? If yes, add surveying condition FIJI). Maximum Height: _ to _ ft, Maximum Size: sq. ft. Proposed Height: _ ft. Proposed Size: ___ sq. ft. Parkland: If the Permit is for new construction, have parkland dedication fees been paid? If no, add condition PFEE, notify owner, and notify building division, Streetscape: Does the permit result in any of the following conditions? Ll Construction of new roads Ll Platting of new lots U New development LJ Additions that increase floor area by 60% or more (see formula) (proposed floor area existing floor area ) / existing floor area I----.--,- = inc. If any box is checked SF/DUPLEX--Is there existing Cl Curb U Gutter L35-foot sidewalk adjacent to the property If curb, gutter or sidewalk is missing, streetscape construction or fees-in-lieu will be required. MULTIFAMILY--Does the frontage meet current city standards? If not, streetscape construction or fees-in-lieu will be required. [ ot'dedication or construction are due at the time the permit is issued. WH 94im 12271 W 32 Menu ,'Vott Red-fines inuststqv with plans. Subject to Field i�s ,VL a` s V NI, S Single Family Residential One Story Detached Garage � « �Ilj�flllllli� �rM�I�IIUN��QIi ltlli��li��v'k� I I I WWII w « � e � Building Section � 7 Provide root tie downs and solid blocking #* $.. ( #Ill gr eater) III I Pr M F r ; x- Note: Pre-engineered roof trusses Mruss clips and h ardened Diagonal wind bracing or plywood shear panels # # * x . Cont. 2x sill plate 4 fi a x Check one 'M x * « F I i x This handout was developed by the Colorado Chapter of the Internati #.* Council as a basic p subm un de r the 2000 International Residential Code. It is not intended to #u r Department of c over Building Safety for additional requirements. 2' between garage andshed 30 year arch,100.4� ed Dotads � kwotwAlsbc FNM&tmm x4 IramOg Wo. cenW l6'aftersalAroc 4 I- t I Skocoost Smhog PwW 48 X4 smad h*tl on ft mrip", top surd Iwoort, O year ehirros IONS 9 to a 2WnJo - 23'Laag, Total St 276 m Mowhohatw rf f Foumwbo~ v swhng pwws 118 Fxo 12271 W.3" A. 21r F� 81 d YAW Do.we C. k -P-,ty W t. H— f— -l—" 108 F.." 0= X) P- Csrsa t S 1� V-d sda M pm ' tsc -N 2 k. .—Y h.. Do.we C. k -P-,ty W t. H— f— -l—" 108 F.." 0= ♦ i CITY OF WHEAT RIDGE Building Inspection Division o;oa r (303) 234 -5933 Inspection line j? (303) 235 -2855 office • (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type: F l2oa< Job Address: 122 71 G1e s: T2 t Permit Number: q 4 TO ❑ No one available for inspection: Time / S O AWED l Re- Inspection required: Yes No l � When corrections have been made, call for re- inspection at 303- 234 -5933 j Date: ? - /z- /6 Inspector: ✓ DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE r Bung Inspection Division 1 (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE r~ Inspection Type: P,4, d- f"nL Job Address: 12P-71 IV, Permit Number: /,o C)7 c/c{ JIfiYi, - 1A1& I!era, w, ✓ rlilt V, •1 r`y, h- yf'o 1( h 0 J ❑ No one available for inspection: Time ; EJs AMIPM Re Inspection required: Yes PN When c orrections have been madefor re-inspection-at 303-2345933- Date: ~fi~ Inspector: of w"~9'R City of Wheat Ridge Building Division m 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-235-2857 Inspection Line: 303-2345933 ox 2~ Building Permit Application 122-:7 1 I J, 32"a A Property Owner (please print): mC)Jt Ua.~Li Mailing Address: (if different than property address) Address: I ZZ~ A 01 A Date: Plan f,ermit#: Phone: 3-4-7 8•-2952 Contractor License 9~ g 3 U Phone: 3-4 ZS --7 s31 MEMNON= Electrical City License Company: Plumbing City License Company Mechanical City License Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of s ace descri tion): Construction vatue: $ Cl 239 e nt~I \ (as calculated per the Building Valuation Data sheet) 7PI ~ti t"~ Q W / Q A tg)~ , Plan Review (due at time of submittal): $ KJ 3Q d Sq. Ft./L.Ft added: Squares 30 BTU's Gallons Amps OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurementS:-shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. CfRLCEONE:: (OWNER ONTRACTOR r PERSONAL REPRESENTATIVE of OWNER) (CONTRATOR) PRNTNAME:~ SIGNATURE: Date: 1-2f~-Ir0 ")EPARTMENT OF PLANNING AND DEVELOPMENT • BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Building Permit Number Date 9724 11 /3/99 Property Owner : Property Address : 12271 W 32ND AVE Phone : 238-2020 Contractor License No. : 17152 Company : Precise Plumbing Phone : 534 0881 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. (OWNER)(CONTRACTOR) SIGNED DATE Construction Value : $480.00 Permit Fee : $23.50 Plan Review Fee : $0.00 Use Tax : $0.00 Total: $23.50 Use: Description : Replace water heater BUILDING DEPARTMENT USE ONLY SIC : Sq. Ft. : Approval : Zoning : Approval: Approvai : Occupancy : Walls Roof : Stories : Residential Units : Electrical License No : Company : Expiration Date Approval: Plumbing License No : Company : Mechanical License No : Company : Expiration Date : Approval : Expiration Date : Approval: (1) This permit was issi Regulations antl eu (2) This permit shall ex abandoned for a pe (3) If this permit expire: original plans antl s exceeds one (1) yei (4) No work of any mar (5) Contractor shall not proceetliing with s ~ (6) The issuance of of the buildi \ de ~tl in accordance with ihe provisions set krih in yopur application and is subect to the laws of the State of Colorado and to the Zoning ling Code of VJheat Ritlge, Coloretlo or any other applicable oNinances of t~e City. re if (A) the work authorized is not wmmenced within sixty (60) days from issue tlate or (B) the building auihorized is suspended or od of 120 days a new permit may be acquired for a fee of one-half the amount nortnally requiretl, provided no changes have been or will be made in the :cifrations antl any suspension or abandonment has not exceetled one (1) year. If changes are made or if suspension or abandonmen[ , full fees shall be paid for a new pertnif. er shall be done thatwill change the natural flow of water causing a tlrainage pro6lem. ~ the Building Inspectortwenry-four (24) hours in advance for all inspeclions and shall receive written approval on inspection card before essive phases of the job. mit o the roval of drewings and specifrations shall not be construed [o be a permit for, nor an approval of, any violation of the provisions ora e ordinance,law,rule orregulation. Chief Building , DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: BUILDING INSPECTION DNISION - 235-2865 CITY OF WHEAT RIDGE Date : 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 ProPertyOwner: /n4 GAS~II.,~,s Property Address : l;zz 9/ w, Phone :Z3 8--apa0 Contractor License No. : Company : r' 3 e 3~ P/'PGiSC. li~y Phone:S~'f~ sr/ ,F OWNER/CONTR,4CTOR SIGNATU,POF UNDERSTANDMG AND AGREEMENT ' I hersby xttrly that Ne setDadc d'utanCes proposeO Gy thit pQRni( app~coWn are accurJte, aM tlo not vrolate apPhabb orouunces. rubs or regWaUons ofNe Ciry of Wheat Ridye or covenartts. easemann a restnctlons ot iaaprtl: tlut all meuurertwtts sham. ana alkyanons rmaas aro acwnu: mat I Aavs reatl and aproe tp apqe py a4 ton0ropns pnMay on this aPPbcabon. ana mat 1 assume (ud napofor ~Pnsnoe wete the When Rtege 9u8tlqV Cotlm(U.9:C.) ana au aherappiicabls W1wt aamnaneas. forwakun0arthis psrtlnt. (OWNER)(CONTFt4CTOR) SIGNED/O~s~-, DATIE~ Descn do • / cs~' ~onswction Value : y Fo - Pertnit Fee : 2 ? SO P n. r.e~o a c e nro Use Tax :.~~--5 scs.oz,y TWa1: 2~ ~o ~~Ot/~~flti8 Approval : Zoning : ~81(dUia:amu-man - Approval:_ ~~r~wo-►~ar_----- _ %+pprava! : Occupancy : Walls Electricat License No : Company : ttuu.DING DEPARTMENT USE ONLY Roof : Stories : Residential Units : Plumbing License No : Mechanical License No : Company: ComPan y: Expiratlon Date : Expiradon Date : APProval : Approval 6cpiradon Date: : Approval : ~P,f~ns: u(red~ a ~FIul[BtJ= l . Thii oermrt was nwea m acooraan= - me wowans fei torm m yoow anDUeabon ana o s Reqwauons ano BuiWug Coue of Wfteat Rwqe: Co:oraao or am ov+x sopunde oramances o( Gty~ ~0 S~ CO10~00 ~ m tne Zonirp ;27 This oertnrt snall ezDUe AlA1 me wonc aummxea u roz mmmsnoea mvun suty (80) OaYa hom usue aata a(8) Ihe MtllCUq aufnanxea nSuSWMSC or aWMOneo ror a perqp ol 120 OaYs. . (7) i( Uus permrt exouef. a new pnmt may pt Kpuup py a tae a rnMaM ths amount nortnaly rpurtstl. pp„pa nq ~s one 1~j yeuM~tee ~tn ~u ~ ua n~0"ew~oemv~t Ns not acoeeaeC one (1) Ysar. u ~qos nwr M~n a wiY De mmW n ma ~+iqe+aro mwe a if m+psmqn a+avnanwn (a) Na work ol arry msnner snait pe Oone put rM, Cunye me natuni now of wala rauynq a anw9e pmplem. (s) . Convactor snan rwury me, Bwlainq InsoeetOr nvenry.ipur (2s) nouR m aovanee rpr an mapacpons an0 tnatl race" wnrtm apppyf pn uypecDpn CaIp . vromeeunq wiui suecessne onaxe ol me po. (6) . Theusuance ot a pertntt or tne aporovar ot dravnnqs anC spea(Cauons :nall not De mnstruetl W pp a permp (pf, np/ an apP~pyi Qf am, a Cla prw~fqna or me ounamq mees ar any omer oramanrY. ww. ro:e or reguuuon. Chief Bwitling Inspecror For Mayor ;THIS..2ERMIT VALID ONLY WHEN SIGNED' BY THE,CHIEF BUILDING INSPECTOR AND MAYOR ' CALL: 234S933 24 HOURS PRIOR TO INSPECTlON Nln~q3~~~83 ~ INSPECTION TICKET JOB ADDRESS DATE: 7~I a BLDG. PERM ~`F(~ PERMIT# BLDG. CONTR. /XLd..C-& ' 5UBCONTRACTOR ~ DATE INSP. REQ. TYPE OF II INSPECTIO REMARKS W.R. FORM 6r19 / / M ~ ~ O Z ~ t W \ y ~ a ~ Z W 2 -S ~ aZ °od W y J >-O W ~U 00 • W Ip0 z f- ~ D U ~ ~aa ~ 0 W `)?3 o Lg 'L 2 ~ Z W J ~ m a a w 0 w w <O L m N 0 Na ID 0 ~ N ~ W `V Y M, U F ~ z O W i a z z ~ N 2 O ~ + z > o a i N y z H w z Q F o = m z ~ W T = A-~ F f W a ~F W m a 1 N ~ ~ ~ N 2 y O F- W U O ¢ W 'U U O 0❑ a O m N W G ~ W J F Z 04 wF p o 3NIl A1H3dOkfd 3 IS 2 ~ N¢ d 00 U y ~ U W Q Y m N F w 2 y ~ ¢ a- ~ I N ? 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O s C3 a snc()e 1 �� { SC_ S C a A t ❑ 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:Owww.ci.wheatridge.co.us inspection t Date: Inspector:° DO NOT REMOVE THIS NOTICE