HomeMy WebLinkAbout8765 W. 32nd AvenuePERMIT � �G� - 'ADDRESS: �7/s� �'�?/JOB CODE: . j&T
INSPECTION RECORD 511.)_
Inspection online form: http://www.cl.wheatridge.co.us/inspection
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Inspections will not be performed unless this card is posted on the project site
Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business
Foundation Inspections
Date
Inspector
Initials
Comments
102 Caissons / Piers
103 Footing / P.E. Letter
104 Foundation Setback Cert.
FO5StemWalls
Foundation wall Insulation
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground / Slab Inspections
Date
Inspector
Initials
Comments
201 Electrical / Cable/ Conduit
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
Initials
Comments
301 Rough Framing
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
F70
Rough Inspection (continued)
Date
Inspector
Initials
Comments
316 Rough Mechanical Residential
317 Rough Mechanical Commercial
318 Boiler / Furnace
319 Hot water tank
320 Drywall screw and Nail
321 Moisture board / shower walls
322 Rough Grading
323 Miscellaneous
Final Inspections
Date
Inspector
Initials
Comments
402 Gas Meter Release
403 Final Electrical Residential
404 Final Electrical Commercial
405 Final Mechanical Residential
406 Final Mechanical Commercial
407 Final Plumbing Residential
408 Final Plumbing Commercial
409 Final Roof
410 Final Window/Door
411 Landscape/Park/Planning
Inspections from these entities shall be requested
one week in advance.
For landscaping and parking inspections please
call 303-235-2846
For ROW and drainage inspections please call
303-235-2861
For fire inspections please contact the Fire
Protection District for your project.
412 Row/Drainage/Public Works
413 Flood plain Inspection
414 Fire Insp. / Fire Protection
415 Public Works Final
416 Storm Water Mgmt.
417 Zoning Final Inspection
418 Building Final Inspection
Note: All items must be completed and approved by Planning, Public Works, Fire and Building
before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not
constitute authorization of occupancy.
For Low Voltage permits please be sure that rough inspections are completed by the Fire District and
Electrical low voltage by the Building Division.
1* � 4 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: �r I
Job Address:
Permit Number: 0//5 d �
❑ No one available for inspection: TimeI �" A&M
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-593
Date:-/ Inspe or:
DO NOT REMOVE THIS NOTICE
6 �j
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: /`L
Job Address: 5
Permit Number: �2&90 � 4G
❑ No one available for inspection: Time /_?"/ _�S" AM/ISM
Re -Inspection required: Yes NO-'\
When corrections have een made, call for re -inspection at 303 -234 -
Date: /`�� ' Inspector: , 7
DO NOT REMOVE THIS NOTICE
" . City of Wheat Ridge
"( Residential Roofing PERMIT - 201707866
PERMIT NO: 201707866 ISSUED: 09/29/2017
JOB ADDRESS: 8765 W 32nd AVE EXPIRES: 09/29/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles - 28 sq Pitch = 5/12
*** CONTACTS ***
OWNER (303)359-8056 HAYNES KRISTEN D
SUB (303)295-2220 Tomas Wofram 110052 Core Contractors, Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME 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 ***
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.
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required, 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.
�►r
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION
City of Wheat Ridge
Residential Roofing PERMIT - 201707866
201707866 ISSUED: 09/29/2017
8765 W 32nd AVE EXPIRES: 09/29/2018
Residential Re -roof to install asphalt shingles - 28 sq Pitch = 5/12
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 ppermit. I further attes th I am le ally authorized to include all entities named within this document as parties to the work to be
pertor 4d aM4 th4t ally rL 0 peed esed in this document�apd/pr its' a�cco��p ying approved plans and specifications.
Si at rue 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 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 an manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code rpdmanccee or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett � 0 � 70-7 � ( 6
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, September 27, 2017 12:10 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Follow Up Flag: Follow up
Flag Status: Completed
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 �iC C) rc� l 7
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
8765 W. 32nd Ave
Kristen Haynes
303-359-8056
69
c-�
It
Property Owner Email
kdsnowflake@yahoo.com
Address
Do you have a signed
Yes
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed
Haynes Contract 7 31 17.pdf
Contract
CONTRACTOR INFORMATION
Contractor Business
Core Contractors
Name
Contractor's License
110052
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
303-295-2220
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address
4049 Saint Paul St
(Primary address of your
business)
Contractor Email Address
docs@coredoes.com
Retype Contractor Email
docs@coredoes.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of
28
the entire scope of work:
Project Value (contract r
13500
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
70
both? (check all that
apply)
What is the specific pitch 5:12
of the PITCHED roof?
How many squares are 23
part of the PITCHED
roof?
Describe the roofing re -roof
materials for the
PITCHED roof:
Type of material for the Asphalt
PITCHED roof
Provide any additional Re -roof
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
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
71
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 Brady Burkholder
Email not displaying correctly? View it in your browser.
72
ioc
CONTRACTORS
ROOFING SYSTEMS
Property Owner
Agreement
"Doing it right matters"
Effective Date
Kristen Haynes 06/18/2017
Property Address
8765 W 32nd Ave
4501 Logan St,
Denver, CO 80216
303.997.1559
City/State 'Lip
Wheat Ridge 80033
Primary Phone number Secondary Phone Number
3033598056
Email Address
kdsnowflake@yahoo.com
Terms:
By signing this agreement, the property owner authorizes CORE Contractors, Inc. ("CORE") to perform the work and supply the materials as
agreed upon by the property owner's insurance carrier. The homeowner agrees to use CORE exclusively, and authorizes CORE to obtain labor
and materials in accordance with the scope agreed to by the insurance company and the specifications set out in this agreement to accomplish the
replacement or repairs. The initial proposed scope of services is attached to this agreement. This agreement does not obligate the homeowner or
CORE in any way, unless the damage is approved by homeowner's insurance carrier.
Roofing Scope:
The roofing system replacement includes all shingles,
underlayment, valley linings, and miscellaneous flashing,
per local applicable municipal code. This also includes full
clean-up of the property and a 5 year Roof Workmanship
Warranty (on full roof replacement only). A one year
workmanship warranty is included on all non -roof work
performed by CORE.
Additional Roofing Scope Notes
Due to the nature of repairs related to insurance claims, this contract includes an estimated repair price of the roof system.
13500
Because the final scope has not been agreed upon with the insurer, this repair price may change. The amount of this
contract is for 100% of the replacement cost approved by the insurance company for the work to be completed by CORE.
Reaching agreement on the full scope of repairs involves considerable time on CORE's part and we will not proceed with
that phase unless you agree to allow us to do the work once the scope is agreed upon. By signing this contract, you
authorize CORE to reach an agreement on the scope of repairs on your behalf. CORE agrees to bid the work using the
primary insurance industry pricing database (Xactimate) based on the scope of work agreed upon with your insurer. You,
the homeowner, recognize CORE Contractors, Inc. as a general contractor and as such shall be entitled to overhead and
profit, at customary insurance industry rates (20% on Xactimate line items). Any substantial additions or deductions to
the scope of work will be handled on the Customer Verification Form. The property owner, you, must agree that, once a
scope of work and project cost is agreed between CORE and the insurance carrier, they are responsible to pay ONLY the
deductible amount per their replacement cost insurance policy. Any further changes, in addition to the insurance work,
'O!N[RFC BY C= canvas www.Qocanyas.com
must be requested in writing, by the property owner.
If, you, the property owner, plan to use the proceeds of a property and casualty insurance policy issued pursuant to Part 1
of Article 4 of Title 10, C.R.S. to pay for roofing work, pursuant to Section 6-22-105, C.R.S., THE ROOFING
CONTRACTOR CANNOT PAY, WAIVE, REBATE, OR PROMISE TO PAY, WAIVE, OR REBATE ALL OR PART
OF ANY INSURANCE DEDUCTIBLE APPLICABLE TO THE INSURANCE CLAIM FOR PAYMENT FOR
ROOFING WORK ON THE COVERED RESIDENTIAL PROPERTY.
PAYMENTS ARE TO BE MADE: HALF (OR FIRST INSURANCE CHECK RECEIVED — ACV CHECK) UPON
DELIVERY OF ROOFING MATERIALS, AND FINAL BALANCE UPON COMPLETION OF WORK. THE WORK
IS TO BE COMPLETED WITHIN APPROXIMATELY 90 DAYS OF EXECUTED CUSTOMER VERIFICATION
FORM. CORE SHALL HOLD IN TRUST ANY PAYMENT FROM THE PROPERTY OWNER UNTIL THE
ROOFING CONTRACTOR HAS DELIVERED ROOFING MATERIALS AT THE RESIDENTIAL PROPERTY SITE
OR HAS PERFORMED A MAJORITY OF THE ROOFING WORK ON THE RESIDENTIAL PROPERTY.
All estimates or contract amounts include a 3.5% discount for cash or check transactions.
Property Owner's Initials
V-\ �
Right
to Cancel
You, the homeowner, have the right to rescind this agreement and obtain a full refund of any deposit within 72 hours
after entering the agreement. If you plan to use the proceeds of a property and casualty insurance policy to pay for the
roofing work, you may rescind this contract within 72 hours after you receive written notice from the insurer that your
claim has been denied in whole or in part.
Property Owner
Kristen Haynes
Property Owner Signature
Date
06/18/2017
Insurance Company
State Farm
POWERED BY »-acanvas www.gocanvas.com
CORE Contractors, Inc. ("CORE") is authorized to provide you with this NOTICE. You are therefore notified that:
(a) ANY PERSON OR COMPANY SUPPLYING LABOR OR MATERIALS FOR THIS IMPROVEMENT TO YOUR
PROPERTY MAY FILE A LIEN AGAINST YOUR PROPERTY IF THAT PERSON OR COMPANY IS NOT PAID
FOR THE CONTRIBUTIONS.
1. All contracts are subject to approval of our credit department and office without exception. The person
executing this contract must obtain the approval from the officer of the CORE Contractors, Inc. for this
contract to be effective under any conditions.
2. SHOULD DEFAULT BE MADE IN PAYMENT OF THIS CONTRACT CHARGES SHALL BE
ADDED FROM THE DATE THEREOF AT A RATE OF ONE AND ONE HALF (1 %2) PERCENT PER
MONTH (18% ANNUM) WITH A MINIMUM CHARGE OF $20.00 PER MONTH, AND IF PLACED IN
THE HAND OF A COLLECTION AGENCY, ALL COLLECTION, LEGAL, AND FILING FEES SHALL
BE PAID BY CUSTOMER ACCEPTING SAID CONTRACT.
3. CORE Contractors, Inc. shall have no responsibility for damages from rain, fire, tornado, windstorm, or
other perils, as is normally contemplated to be covered by home owners risk insurance or business risk
insurance, or unless a specified written agreement is made therefore prior to commencement of the work.
4. Should legal action be necessary, because of any act that might arise during the course of this agreement,
CORE shall be entitled to all costs incurred in connection with such action, including a reasonable
attorney's fee.
5. The parties hereto agree that all actions or proceedings arising in connection with this agreement shall be
tried and litigated exclusively in the State and Federal courts located in the County of Denver, State of
Colorado.
6. Replacement of deteriorated items (such as decking, fascia boards, roof jacks, ventilators, flashing, or
other materials) not covered by insurance, discovered during construction and required by governing code or
necessary for product warranties are NOT INCLUDED and will be charged as an extra on a time and
materials basis unless STATED IN THIS CONTRACT.
7. CORE Contractors, Inc. shall not be liable for failure of performance due to labor controversies, strikes,
fires, weather, inability to obtain materials from usual sources, or any other circumstances beyond the
control of CORE Contractors, Ins. whether of a similar or dissimilar nature.
8. Subsequent to property owner's insurance carrier approval, if this agreement is terminated by the owner,
the owner shall be financially responsible for all work performed based on the following milestones
(percentages are additive).
a. Consulting Phase: Preparation of CORE Xactimate scope of work and adjuster appointment — 3% of
total bid.
b. Substantial agreement or scope confirmation with insurer — 5% of total bid.
c. Ordering and scheduling of work — 2% of total bid.
d. Repair Phase: Any line item of physical work that has been started shall be completed by CORE; if
the owner terminates this agreement while physical work is ongoing, they shall be responsible for all
costs related to that line item, plus general contractor overhead and profit.
9. In addition, the owner shall be responsible for all other reasonable fees and expenses incurred prior to
termination of the agreement, including permit fees, deposits paid by CORE to suppliers and subcontractors,
subcontractor fees and expenses, etc. to the extent they are not already included in the line items for work
that has been completed. All fees and expenses incurred prior to termination of this agreement shall be paid
�OVJEREOBY �,' canvas www.eoeanvas.com
by the owner within 30 days of invoice date.
10. If material has to be reordered or restocked because of a cancellation by the customer; customer will
have to pay the restocking fee assessed to CORE by the supplier.
11. If any provision of this contract should be held to be invalid or unenforceable, the availability and
enforce -ability of the remaining provisions of this contract shall not be affected thereby.
12. ANY REPRESENTATIONS, STATEMENTS, OR OTHER COMMUNICATIONS, NOT WRITTEN
ON THIS CONTRACT ARE AGREED TO BE IMMATERIAL, are not relied on by either party, and do
not survive the execution of this contract.
13. The maximum liability for CORE Contractors, Inc. shall be the original cost of labor and materials for
the repair, which the customer agrees shall be the liquidated sum, under any event of default of CORE
Contractors, Inc. herein.
14. During the duration of the work, the customer's HOMEOWNER'S INSURANCE will be responsible
for any interior damage as long as CORE Contractors, Inc. has taken appropriate action to protect the roof
and siding during the repair of the roof.
15. CORE Contractors, Inc. is not responsible for existing construction problems of customer's home. If
pointed out and notified to CORE, we will try to assist you in correcting the existing construction problems
on a time and material basis.
16. THIS CONTRACT IS COMPOSED OF THIS PAGE AND THE REVERSE SIDE OF THIS PAGE
AND SHALL BE CONSIDERED THE ENTIRE CONTRACT BY THE PARTIES.
POWERED BY CZ& canvas www.gocanvas.com ;&t_ 'G
DEPARTMENT OF COMMUNITY DEVELOPMENT
7500 WEST 29tn AVENUE BUILDING INSPECTION DIVISION PERMIT N0. M92#18439
237-e944 exT. 255 P.O. sox 638 CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONIY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BELOW.
APPUCA N FOR MISCELLANEOUS P T
JOB ADDRESS 57r~ 5 ~ 2 ~ OWNER
CONTRACTOR ✓f~~~ I ADDRESS-~'
'
ADORESS PHONE Z S^'~"~, \ ZIP CODE da 3s
CITY ZIP CODE ~ CONTRACT PRICE $
PHONE _ IICENSE NO.
1. TYPE Ground❑
Wall❑
Proiecfin0❑
Ofher
SorDFOea
2. MATERIAL
Total Squars Faet
SIGNS
3. ILLUMINATION Yea❑ No❑
Type
Eleet. Parmif No.
4. SET BACK FROM PROPERTY LINE N
(Speeify which is fronl)
_
❑
S_ E
❑
_ W
❑ ❑
Zone_
AODrwed,2one inspsotor
DiaapDroved
1. TYPE Solido ra Thon 80% OpenO
Mo
Lese Than 80%
Open
MATERIAL (,d ) 06 ,
r
HeipM
FENCES
3 SET BACK FROM PROPER7Y LINE N
_
,n
S=~~~ E
_ W_67
Zons_
Approvsd,Zons IneDeeta
(Speoify whieh ie tront)
❑
❑
❑ ❑ '
Disopproved
L
Z
OTHER
3.
DRAW SKETCH OR SHOW BELOW, THE FENCE,SIGN,OR OTHER STRUCTURE,GIVflrv' DISTANCES FROM PROPERTY LINES.
(SETBACKS OR PROJECTIONS INCIUDEA)
pvl[
Fpkg
N~
z ~
J y
}
K
SPECIFY NORTM
~
SHOW DISTANCES FROM THE MAIN BUIIDING TUADJOINING HOUSES, STREETS, AND PROPERTY LINES; ON IRREGUTAH LOTS, SHOW LEAST
DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE.
APPLICATION FOR PLUMBING; EI.ECTRICAL; MECHANICAL PERMIT
THIS APPLICATtON WILL BECOME A PERMtT TO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BV THE BUILDING INSPECTION DIVISION.
PERMIY WILL EXPIRE 60 DAYS FROM DATE OF ISSUANCE !f WORK IS NOT STARTED WITHfN THAT TIfNE.
EIECTRICAL PERMIT
STATE LICENSE N0.
PLUMBING PERMIT
STATE UCENSE N0.
MECHANICAL PERMIT
dLU0.AIPIUAA WIRE UN~R SRE 8 ILI.EGAI
FLOOR
BSM
IST
2ND
3RD
4TH
N0.
R1EUCircie0ne Go¢ ql Propane Elee Solor
Np,
WATER CLASET
FORCED AIR - BTU
TEMPORARY METER
WASH BOWL
HOT WATER - BTU
NEW SERVICE AMPS
BATH TUB
STEAM - BTU
CHAN6E SERVICE-AMPS
SHOWER
AIR CONDITIONING-BN
LIGHTING
SINK
OTHER
HEATING
GARBAGE DISP.
REFRIGERATION SYSTEM
POWER SUB-GFCUITS
UTILiTY(RANGE,DISPOSER,ETC.)
FIXTURES
WATER HEATER
AUTO. WASHER
DISH WASHER
Retri eront Woup
Pounds Chor a
AUTOMATIC SPRINKLER SYSTEM
WIRING MOTORS 9 CONTROLS
FLOOR DRAIN
ELEVATOR
SI6NS
URINAL
TRANSFORMERS 9 RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FIXTURES
rtcros~nna
- -
e thol this applica-
led
k
b
PERMIT FEE
~
NOT VALID UNLESS RECEIPTED
114? ff
q
now
y oe
I here
tion is eorrecf and understond that I
a
li-
fil thi
USE TAX
pp
a
eonnof atart this project un
i
$
~
°7a~j~
fh
eotion ia apDroved. I sholl comply w
TOTAL FEE
~
tha lawa ot the Sfafe of Colorado and to
n
!
'
the ZoninO ReQulations and euildinq
APPROVED~!
Y r\`,
a
0
a
/
Any
of Wheat Ridpe
de ot the Cif
C
~D
°
'
-
.
y
o
violation ot tne above terme will couse
CHIEF BUILDI
INSPECTOR, City of
heat Ridge
.
immedia r vocation t is permit.
.
CALL237-8944 EXT.255
24 HOURS IN ADVANCE
~
FOR INSPECTIONS
Dote Issued
sovreants sianawr.