HomeMy WebLinkAbout12103 W. 37th PlaceCity of Wheat Ridge
E -Res. Electrical Service PERMIT - 202101168
PERMIT NO: 202101168 ISSUED: 06/02/2021
JOB ADDRESS: 12103 W 37th Pl EXPIRES: 06/02/2022
JOB DESCRIPTION: Electrical service upgrade outside 200 AMPS
*** CONTACTS ***
OWNER (303) 248-3836 RAY KERRI JEAN
SUB (720)219-9890 JASON SHEPHERD 202107 WE R ELECTRIC 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: 21250.00
FEES
Total Valuation 0.00
Use Tax 47.25
Permit Fee 93.35
** TOTAL ** 140.60
*** COMMENTS ***
*** CONDITIONS ***
Both the front and back of this permit are required to be posted on the job site at all
times. If the complete permit is not present, inspections WILL NOT be performed.
Work shall comply with 2018 IRC & 2020 NEC. Smoke alarms shall comply with 2018 IRC Section
134. Interior alterations, repairs, fuel -fired appliance replacements, or additions, any of
which require a building permit, occurs or where one or more rooms lawfully used for
sleeping purposes shall have an operational carbon monoxide alarm installed within fifteen
feet of the entrance to each room lawfully used for sleeping purposes.
1* � 4 41'
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
E -Res. Electrical Service PERMIT - 202101168
202101168
12103 W 37th Pl
ISSUED: 06/02/2021
EXPIRES: 06/02/2022
Electrical service upgrade outside 200 AMPS
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permrt. I further attest that I am leg ally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1, This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This.permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180, days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and��procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all requ�ired
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, anviolation of any provision of any
pplicab e code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
06/02/2021
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
From: no-reolv(alci.wheatridae.m. us
To: CommDev Pets
Subject: Online Form Submittal: Electrical Service Change/Upgrade/Electrical Work Permit Application
Date: Wednesday, June 2, 2021 1:14:57 PM
Electrical Service Change/Upgrade/Electrical Work Permit
Application
This application is exclusively for RESIDENTIAL ELECTRICAL SERVICE
CHANGE OR UPGRADE (200 amps or less).
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
electrical service
change or upgrade -
200 amps or less?
PROPERTY INFORMATION
Is this Residential or Residential
Commercial?
Property Address 12103 West 37th Place Wheat Ridge, CO 80033 USA
Property Owner Name Ben/Katey Krupka
Property Owner Phone 970-744-0214
Number (enter WITH
dashes, eg 303-123-
4567)
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
CONTRACTOR INFORMATION
Contractor Business We R Electric
Name
Contractor's License
202107
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
720-219-9890
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
office@werelectric.com
Address
Retype Contractor
office@werelectric.com
Email Address
DESCRIPTION OF WORK
Is this an electrical
Upgrade
service upgrade or
change?
Number of Amps
200
Location of work
Outside
(garage, house, etc)
Provide additional
n/a
details, if needed.
Project Value (contract
1800
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full
Yes
responsibility for
compliance with
applicable City of
Wheat Ridge codes
and ordinances for
work under any permit
issued based on this
application.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have Yes
been authorized by the
legal owner of the
property to submit this
application and to
perform the work
described above.
I attest that everything Yes
stated in this
application is true and
correct and that
falsifying information in
this application is an
act of fraud and may
be punishable by fine,
imprisonment, or both.
Person Applying for Jason shepherd
Permit
Email not displaying correctly? View it in your browser.
lila �37t11 N1, INSPECTION RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Occuna-,cTyae
IZRF
S/e2
Inspections will not be performed unless this card is posted on the project site.
"Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections Date Inspector Comments
Initials
Electrical
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
Final Mechanical
Roof
M ,9L_'n ((.,D j
Final Window/Doors
ev
Final Building
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 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
The City of Wheat Ridge
Thi Party Form Check List
Property Address37-"Sl
Permit Number s39 (
Permit Issued Date
Owner Information
Property Owner Information
Property Owner Address i
2-A 0 It 1
Inspector Inforivation
Inspection Company fVj
Inspector Name
Inspector Contact info. ly I') —
Inspector Statement and Acknowledgement
* I hearby acknowledge the roof I am inspecting is 6/12 or over all roofs
that are under 6/12 must be inspected by the City of Wheat Ridge Buiding Dept.
* I hearby acknowledge the roofing system for the referenced building has been inspected
and found to be in compliance with the minimum requirements of the 2012 IRC and 2012
IBC as well as all City of Wheat Ridge Policies and Procedure and Manufactur is
recommendatio dfioa
Inspector: Date:
Pro Owner Statement of Acknowledgement
*1 hearby acknowledge that I am the owner of the building referenced above and I give
my consent for the listed"thnird-partor inspection company to perform my roof in pectinin lieu of the City of Wheidg�/$uilding Division inspection. ,.
Propery Owner[ Agent: �� ; �G� Date:
This original document as well as the roofing check list, must be submitted to the Chief
Building Offical within seven days of the final inspection.
Drop off in person Submit via Email
Permit counter 2nd floor Kcook, .wheatridae.co.us
7500 W. 29th Ave
Wheat Ridge CO 80033
Drafted Date: 7/26/17
Please add note to reverse side
The City of Wheat Ridge
inspection Check List notes
Mid -Roof
_Roof Inspection
0 N/A CI Pass 0 Fail
0 N/A '�d Pass Q Fail Structural roof components
0 N/A 'All Pass a Fail Verify that no more than 2 layers of shingles exist
CI N/A -b- Pass 0 Fail Flashing for roof and walls
0 Pass 0 Fail If new sheathing is installed verify that it is listed in the
permit description (Valuation must be adjusted)
N/A 0 Pass 0 Fail Verify sheathing nail pattern ( See policy & Proceedures)
'N/A ❑ Pass 13 Fail Crickets and saddles where needed
>a N/A Pass 0 Fail Verify B vent must have boot same gauge as pipe
Q N/A _'�X Pass Q Fail Verify vent caps
0 N/A X" Pass U Fait Verify no flashings are damaged or rusted
0 N/APass 0 Fail Step flashing shall be min. of 4x4 piece per shingle
M N/A � Pass
' 13 Fail Verify scuppers allow for proper drainage
0 N/A J(Pass 0 Fail ice and water shield 2' in heated wall spaces
N/A - pass 0 Fail Underlayments must follow 2012 iRC / 2012 IBC
C!
0N/A � Pass 0 Fail Verify roof slope for proper drainage
0 N/A ZI( Pass Q Fail Dripedge shall have min of 2" overlap
p N/A �/K Pass c Fail Dripedge should extend down min 2" past roof deck
U N/A Pass 0 Fail Dripedge shall be mechanicaly fastened 12" OC
� ;N/A E1 Pass Q Fail 90 LB roll roofing shall not be applied to roof slopes
less than 2:12 slope: Exception, detached garages,
patios, carports, open on three sides with min. slope of
1:12
N/A 0 Pass c Fail Modified Bitumen, EPDM, TPO min slope 114:12 slope
N/A E3 Pass CE Fail Above roof insulation R-25
N/A Q Pass p Fail Below roof residential R-38
N/A 0 Pass 11 Fail Below roof commercial R-32
N/A 0 Pass o Fail Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
must be installed in accordance with the manufacturers
specifications- Must have manufactures letter of
warranty with the address on the letter for final inspection
Metal Roof Shingles Requirements
)(N/A 0 Pass 0 Fail Metal roof shingles shall not be installed on slope less
T� 3:12
N/A 0 Pass 0 Fail Metal valley flashing shall be the same material as roof
N/A Cf Pass Fail Metal valley flashing shall extend a min of 8" from the
,, centerline with a min. of 3/4 " high splash diverter
rib built-in at the flow tine with sections overlapping a
a min. of 4"
Tile hoofs Requirements
N/A Q pass 0 Fail Clay and concrete tile shall have a min. 2-112:12 slope
,; Slopes 4:12 and under require double underlayment
The City of Wheat Ridge
inspection Check List notes
Mid -Roof
Notes
Company Name: A�
inspector signature:
Date of Inspection:
The City of Wheat Ridge
inspection Check List notes
Final Roof
sod InsaeGtlan
I/A a Pass 0 Fail
p a Fail
Structural roof components
vA
I/A ass 0 Fail
Verify that no more than 2 layers of shingles exist
IIA yPas a fail
Flashing for roof and walls
D Fall
If new sheathing is Installed verify that it is listed In the
r a Pass
permit description (Valuation must be adjusted)
a Fail
Verify sheahing nail pattern ( See policy & Proceedures)
IrA a Pass
a Fa
Crickets and saddles where needed
WX a Pais
VA j( Pass 0 Fall
Verify B vent must have boot same gauge as pipe
VA >( Pas 0 Fall
Verify vent caps
dtA X Pass a Fail
Verify no flashings are damaged Or rusted
� jA Pam a Fall
ftp flashing shall be min. of 4A piece per shingle
VA �� 0 Fail
Verify scuppers allow for proper drainage
Pass a Fail
toe and water shield 2` In heated wall spaoes
VA
Pass a Fan
underfayments must follow 2012 IRC / 2012 IBC
41A
/Paw a Fail
Verify roof slope, for proper drainage
d/A
VA p� to Fail
Drlpedge shall have min of 2" Overlap
� Pam is Fall
VA
Dripedge should extend down min 2" past roof deck
_Pass is Fail
Dripedge shall be mechanicaly fastened 12" OC
0 Fall
90 LB roll roofing shall not be applied to roof slopes
VA p Pass
less than 2:92 slope: Exception, detached garages,
patios, carports, open on !arse sides WYM min. slope of
1:12
a Pass o Fail
Modified Bitumen, EPDM, TPO min slope 1/4.12 slope
N/A
a Pais o Fait
Above roof insulation R-25
NSA
a Pau F Fall
Below roof residential R-38
WA
a Pass a Fan
Below roof commercial R-32
N/A
0 Fail
Modified Bitumen, EPDM, TPO rain slope 1/412 slope
N/A a Pass
must be installed In accordance with the manufacturers
specifications- Must have manufactures totter of
warranty with the address on the letter for final Inspection
!Roo# h, 1n In
lie ulr !
Notal
Metal roof shingles shall not be Installed on slope less
NSA a Paw 0 t=all
3:92
S vafty "'�'s36��F ing shs& b@ ��0 same �nata�►l as roof
WA a Pass a rail
Metal valley flashing shall extend a min of 8" from the
N/A o PM Cl Fan
centerilne with a rain. of 3/4 " high splash diverter
rib built-in at the flow line with sections overlapping a
a min. of 411
,1110. R
R Fall
Clay and concrete file shall have a min. 2-112.12 slope
WA a Pass
Slopes 412 and under require double underiayment
The City of Wheat Ridge
Inspection Check List notes
Fina{ Roof
Notes
Company Name:
inspector signature:
Date of inspection:
s City of Wheat Ridge
Residential Roofing PERMIT - 201706956
PERMIT NO: 201706956 ISSUED: 09/06/2017
JOB ADDRESS: 12103 W 37th PL EXPIRES: 09/06/2018
JOB DESCRIPTION: Residential Re -roof to install Atlas Pinnacle asphalt shingles - 31 sq
Pitch = 5/12
*** CONTACTS ***
OWNER (303)248-3836 RAY MACK
SUB (303)660-5133 Chris Horning&Christopher Teem 140211 Priority Res.toration Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,000.00
FEES
Total Valuation 0.00 "
Use Tax 189.00 4 31=•
Permit Fee 188.45
** TOTAL ** 377.45
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) 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 OVER 6/12 PITCH: 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.
City of Wheat Ridge
7" Residential Roofing PERMIT - 201706956
n
PERMIT NO: 201706956 ISSUED: 09/06/2017
JOB ADDRESS: 12103 W 37th PL EXPIRES: 09/06/2018
JOB DESCRIPTION: Residential Re -roof to install Atlas Pinnacle asphalt shingles - 31 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 ermrt. I further attest that I am le ally authorized to include alI entities named within this document as parties to the work to be
performed and that all work to be erformed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of v OWNER or CON\TRATOR (Circle one) Date
I. 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 th s documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This. permit shall expire 365 dayser the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expir ion. 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, anew permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change, of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicZO"' e or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
? _ 75, l
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett 7 o 6 q56
From: no-reply@ci.wheatridge.co.us
Sent: Monday, September 4, 2017 12:14 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 Tas ex0i � / 17
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION bL
Property Address 12103 W 37TH PLACE
Property Owner Name Mack Ray
Property Owner Phone 303-248-3836
Number (enter WITH
dashes, eg 303-123-4567)
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
chrishorning@priority-restoration.com
Yes
Ray Contract.pdf
CONTRACTOR INFORMATION
Contractor Business Priority Restoration Inc.
Name b /
Contractor's License 1401211
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address
(Primary address of your
business)
303-660-5133
7340 S Alton Way 11-J
Contractor Email Address chrishorning@priority-restoration.com
Retype Contractor Email chrishorning@priority-restoration.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of 31
the entire scope of work:
Project Value (contract 9000.00
value or cost of ALL
materials and labor)
Are you re -decking the No /
roof?
z
Does the scope of the
project include a flat roof
(less than 2:12 pitch)?
Does the scope of the
project include a pitched
roof (2:12 or greater
pitch)?
What is the pitch?
How many squares are
part of the pitched roof?
Describe the roofing
materials for the pitched
roof:
Type of material for the
pitched roof:
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? Etc)
No
Yes
5/12
31
Atlas Pinnacle Tan Lifetime Shingles
Asphalt
HOUSE ROOF
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.
Yes
Yes
Yes
3
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 Christopher Horning
Email not displaying correctly? View it in your browser.
CUSTOMER AGREEMENT
us
7340 South Alton Way 17-J, Centenniai. CO 80112
Phone: -103-66-3-51331 Fax: 303-660-5148 +�
Emal:Info@Priority-Restoration.comP 0`61 W B® -
S Web: www.Prionty-Restoration.com v
Uff
Restoration
r # '
Licensed & Insured • Locally Owned & Operated
Property Owner
Email Date
Street Address
1�46 13
Priori stimator n,i C
City, State, Zip /
Insuairice Company
Hornho e
�71
Work Phone
claim#
(J No Deposit Required` iJ 20 Year Roof Labor Warranty 0 Gen" LiabilityNUorkers' Comp. [0 OSHA Certified
Estimated Estimated am= Full Partial Repair
Start Date Completion Date
e •F�" Partial Repair
NOUSE jjARAGEPATIO SHED SHED2
Shingle / Color:
Drip Edge Color:
Damage: Yes No Type:
STUCCO VINYL WOOD OTHER:
Style:
Color:
It s i Ms Full Partial Repair
Inspect Decking tr ! Inspect Flashings 5: - Res. 6" - Comm. Alum. Steel
Clean Up & Remove Trash Q Permit Lf.: Color: " ' 7f
rol Pr
Work tope completed according to the above specifications in the amount of:
Inot to Gude i ranee su iements, permit costs or an unforeseen construction costs) i{ rX1
1�Aqo,A
a ce due upon completion ❑ CASH SALE
RANCE AGREEMENT. The homeowner authorizes Priority Restoration. Inc. to represent their best interest in
pursuit of full replacement costs for damages believed to be covered under homeowner's insurance and allows Priority
Restoration, Inc. to deal directly with the insurance company regarding this claim. This contract does not obligate the
homeowner or Priority Restoration, Inc. until the claim is approved by the insurance company, and accepted by Priority
Restoration, Inc. Upon approval of claim, Priority Restoration, Inc. will complete all specked work at a price agreeable to
the insurance company (RCV only) and Priority Restoration, Inc. with no additional cost to the homeowner except for the
deductible. Final agreed upon price will become the final contract price, regardless of estimated contract price above, and
we request that all payments also be made payable to Priority Restoration, IN. ` "Priority Restoration, Inc. will hold in
trust any payment from property owner until we have deliv,04d roofing aterials to the jobsite or until a majority
of the roofing work has been performed."
I (We) agree, by signing below all thq contract conditions c�ooth front and back, of this agreement.
�' !. ! >�
Homeowner's Signatures- ,/� I , f�' _ � CT 1Datejo> Acceptance; f
Homeowner's Signature:
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
❑ 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: -
03 -234 -Date: (._�?� Inspector: .{.f
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
INSPECTIONNOTICE
Inspection Type: -30 jG f./ ,O
Job Address: 1 a la 3 W -3 7th y
Permit Number: 9o1-706 910
❑ No one available for inspection: Time j AM/PM
Re -Inspection required: Yes o
When corrections have been made, call for re -inspection at 303-234-5933
Date: 1or7 Inspector:
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
❑ No one available for inspection: Time[ J U - AM/PM
Re -Inspection requiredi% LesNo
When corrections have been made, call for re -i pection at 303-234-5933
/ '..
Date: V 5 Inspector:
DO NOT REMOV "THIS NOTICE
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
]!? ;'r (303) 235 -2855 Office • (303) 235 -2857 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: �.
Permit Number: 4 la
❑ 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 -5933
t
Date: j Inspector:
NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
' - Building Inspection Division --
� (303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 235 -2857 Fax
INSPECTION NOTICE
Inspection Type: Ii tF`' troy r
Job Address: t 2 t0 S 0. '�7� � p(
Permit Number: 11hi ({) • d fa rC'
�,t( ?., fla
❑ No one available for inspection: Time /[) Ir PM
Re- Inspection required: Yes C
"When corrections have been made, call for re- inspection at 303- 234 -5933
Date: ,� (- ,. Q Inspector:,
00 NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
] r (303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 235 -2857 Fax
INSPECTION NOTICE
Inspection Type: mdl ^Z
Job Address: 1;) r
Permit Number: 6� 9 CP
,�,;;', 4# �pvr'
❑ No one available for inspection: Time 7:/^ , AN11
Re- Inspection required: � No '
"When corrections have been made, call for re-inspection at 303- 234 -5933
Date:
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
_40111111111 (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 235-2857 Fax
INSPECTI N NOTICE
Inspection Type: f" t, r aet)
Job Address: 1 P5 3 lk
Permit Number: / tv
p
❑ No one available for inspection: Time AM/PM
Re-Inspection required: Yes No
"When corrections have been made, call for re-inspection at 303-234-5933
Date: { ` i n Inspector: Y l/-,,r .
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
.rte
/ Residential Roofing PERMIT - 091224
PERMIT NO: 091224 - ISSUED:. 08/11/2009
JOB ADDRESS: 12103. W 37TH PL EXPIRES: 02/07/20.10
DESCRIPTION: Reroof 29.66 sqs, replace gutters, and 2 windows.:
"CONTACTS
owner 'Florence Harris
SUB 918/260-9435 Matthew Hibbs 09-0189 Roof It Roofing LLC
**-PARCEL .'INFO
ZONE CODE: UA USE: UA
SUBDIVISION: 0689 .'13LOCK/LOT#:...:0/
FEE SUMMARY ESTIMATED PROJECT VALUATION: 9,000700
FEES
Permit Fee 217.50
Total Valuation .00
Use ..Tax 162 . 00
**TOTAL .379.50
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 eaveedge to 2'.inside exterior walls.
Subject to field inspections.
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 Or ances, for work under this permit. Plans subject to field inspection.
Signature of contra /owner :date
1. This permit was issued in accordance with the provisions set forth in your application.. and is. subject to thelaws of the
State of Colorado. and to the zoning Regulations and Building Codes. of Wheat Ridge,.. Colorado or any other applicable
ordinances of the City. T.
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.
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
written approval on inspection card before proceeding with successive phases of the job. -
6. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor
an approval of, any violation of the provisions of the.. building codes or any=other .ordinance, law, rule or regulation.
A11. plan review is: object to field inspections
Signature of ilding Official `date -6 7 INSPECTI 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.'
cm: MyFax -Roof It Roofing, LLC (13032352857) ,18:22 08110/09GMT-04 Pg 01-01
City Ot Wheat Ridge Si ildit Division Dare-
7500 W_ 29a Ave., Wheat Ridge, CO 80033 0 0 I U 1
Office: g C r ~ / ~
l 303-235-2B55' Fax: 303-235-2857 Plan
R` Inspection Line: 3032345933 Pptrrr(tIt, y f
Building Permit Application
Prop" mdress: ~ z t a
7'~ P 7
tL ck(~ ~0~ ~3
Property Owner (please print):
1Flari4i
L[i tkq "iS
Phone'
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Cormtracko: 3 t3^!~' ~F•'~ CottY t Co>vl
ContaetoN License 9: Phone:
Sub GCW&aCtOT5:
Electrical City License N: PIUMt09 City License # Mechanical City License 1F:
Company: Company Company.
Exp. Date: Exp. Date: Exp. Date:
Approvat: Approval: Approval:
Use of space (description): conamcdon value: s 0 C
Deseiiplion of work: fee care Xaiadpxrha 9erNOrr~n Vafuarran Oad anearl
4&,Vf Z b !5LZ5 Plan nevpew fdMp at0inra aTwbnYffaq: i
Ct.W*
('q~'~~~415~i+'0`t t'C~t L~~ ~QC2 2 w+^raS+v~
Sq. FtpL.Ftadded; Sgdaoas'~,_ 9TU's Gallons Amps
i
OW NERMONTRACTOR SIGNATURE OF UHRERSTANIANG AND AGREEMENT
I hereby certify tfmt the setback drtlana a proposed by Ihk psmit appkmthm aR acctrata, mA do noeviek" app Nrabla mdinarw ,
rules ar mgWaVo m of the City cf Whast Ridge w ooyanans, aawn arft or msbacdarrs of aaoerd, that AN matsararrwiar shw .and
allegafions made are ac MW; that I have read and agree t4 abide by all conclMons printed an this application and that I assama tug
respons3Nity For compliance With the V*mt Rntlge Building Code (I.B.C) and al oa9er applicable Wtom Rags drdirmr s. ror work
under this perrdt. Alarm subject 1o field inspection.
CIRWE ONE:: (OWNER) (CONTRA= ar PERSONAL REP W
ld, [,O~Wl,NLER) (CptIrRATGI~J
PPJ NAME: / g ifthZ~ 66S simm-rURE: . ~ Z Date:
TCNNJGCDMM8W9.
zoning.
Revievnr:
DEPARTMENT USE ONLY
RerwWar
SUILC"DFFRA"EW COMMENTS!
Revjc .
FINE QtPARTMUM: Q approved Yd Cmwmats U 4Fsapprayed 17 no mvia`Y regalNrf r
Bldg Valuxtkm. $
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: 10501
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE Date : 5/9/00
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Property Owner :
Property Address : 12103 W. 37th Place
Contractor License No.: 19814
Phone: 421-2644
Company : Westside Heating and Air Conditioning Inc Phone : 469-4507
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
Description : Replace existing furnace w/n 100,000 BTU
Construction Value :
$1,500.00
Permit Fee :
$54.00
Plan Review Fee :
$0.00
Use Tax :
$22.50
Total:
$76.50
Use:
BUILDING DEPARTMENT USE ONLY
_ eTts' SIC : Sq. Ft.
Approval:
Zoning
Approval:
MERI
Approval :
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No :
Company:
Expiration Date
Approval :
Plumbing License No :
Company :
Expiration Date
Approval:
Mechanical License NO:
Company:
Expiration Date :
Approval:
(1) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning
Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City.
(2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or
abandoned for a period of "o days.
or made in the
(3) If this permit expires, a new permit may be acquired for afee ofone-half the amount normally required, providetl no changes have been or on will be
original plans and specifications and any suspension or abandonment has not exceeded one (i) year. If changes are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permit.
(4) No work Is any manner shall be done that will change the natural flow of water causing a drainage problem.
(5) Contractor shall notify the Building Inspectortwenty -four (24) hours in advance for ail inspections and shall rece ive written approval on inspection card before
proceedung with successive phases of the job.
(6) The issu e f a permitgggg the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions
of th in c'de$ "7/ other ordinance, law, rule or regulation.
i.3 j . DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number:
BUILDING INSPECTION DIVISION -235-2855
CITY OF WHEAT RIDGE Date : 5--s-0c)
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner : C Qp Li'~L C a e 2 I S
Property Address : a l O 3 lw t L Phone : j o3 Ala l - ~y
Contractor License No.
t T
Company : w eS (S I ~ e N ec l i N~ ~ HI C T NC Phone : 3 0 3- q 1, -4561
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 1 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 1-ch( (I @aa, DATE fj- 6-:96
Construction Value,
, 6<34' J 0
Permit Fee :
S41-60
Plan Review Fee :
Use Tax :
~a 50
Total :
(o •5
Description e pLr, c c 2x S! i t,32 I' q rJ Q C e WIC ! o U/ J e i w
~JffM
Approval
Zoning
Approval:
Occupancy : Walls
BUILDING DEPARTMENT USE ONLY
Roof
SIC: Sq. Ft. :
Electrical License No: Plumbing License No: Mechanical License No: y 1 7
Company : Company : Company :
Expiration Date : Expiration Date : Expiration Date : a1 a a `
Approval : Approval : Approval :
10 0f $U~ N CIWT2MMW= ® IMMMEMMM
(1) This permit was issued in accordance with the provisions set forth in yopur application and Is subject to the laws of the Stale of Colorado and to the Zoning
Regulations and Building Code of wheat Ridge, Coiorado or any other applicable ordinances of the City.
(2) This permit shall expire if (A) the work authorized is not commenced within sixty (ed) days from issue date or (B) the building authorized Is suspended or
abandoned for a period of 120 days.
(3) II Ihia permit expires, a new permit may be acquired fora lee of one-hall 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 yea' II changes are made or if suspension or abandonment
exceeds one if ) year, full fees shall tx paid for a new permit.
(4) No work of any manner shall be done that will change the natural Box of water rousing a drainage problem.
5) Contredor shall notify the Building Inspector twenty-lour (24) hours in advance for all inspections and shall receive written approval on inspection card before
proceedg with successive phases of the 77'ob.
(B) The issuance of a permit or the approval el drawings and specifications shall not be wnsWed to be a permit for, nor an approval of, any violation of the provisions
of the building codes or any other ordinance, law, rule or regulaaon.
Chief Building Inspector For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Building Permit Number : 95-1758
Date :8/31/95
Property Owner :
Property Address
Contractor License No.
Company :
12103 W. 37TH PL.
17258
Drury Bros. Roofing
Phone: 421-2644
Phone: 722 2213
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)
Description : RE-ROOF
Construction Value:
$3,100.00
Permit Fee :
$63.00
Plan Review Fee :
$0.00
Use Tax :
$46.50
Total:
$109.50
Electrical License No : Plumbing License No : Mechanical License No :
Company : Company : Company :
Expiration Date : Expiration Date : Expiration Date :
Approval : Approval : Approval :
(1) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the Stale of Colorado and to the Zoning
Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City.
(2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or
abandoned for a period of 120 days.
(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 are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permit.
(4) No work of any mannershall be done that will change the natural flow of water causing a drainage problem.
(5) Contractor shall notify the Builtling Inspectortwenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before
proceetliing with su ive pphases of the job.
(6) The issuance of a p [ orth approval of drawings and specifications shall no[ be construed to be a permit for, nor an approval of, any violation of the provisions
of the building wtl s any er ordinance, I , rule or regulaLOn.
Chief Buildi Inspector For Mayor
THIS P MIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner:CCkKL NCt 1 S
Property Address : 11103 uj 31 k~\ PL
Phone : - 3,1 -%6Ll 7
Contractor License No.: I IA 5
Company :v vvl I f Ok}~el s j (l~ Phone
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value
I hereby certify that the setback distances proposed by this permit application are accurate, Permit Fee
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 Use Tax :
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 der this permit.
Total
(OWNER)(CONTRACTOR) SIGNED r!f' /QzC,_Ly °pgTE /1 / J 1
Description : ~CL11,1\ I Cj~1QSl~CA_ a""~3 Sll
BUILDING DEPARTMENT USE ONLY
Approval
Zoning
Approval
Phifc*;VYMCMcentsrl
Approval :
Occupancy : Walls
Roof: Stories : Residential Units :
Electrical License No
Company:
Expiration Date :
Approval :
Plaps.Regulred ;~=j
Plumbing License No
Company:
Mechanical License No:
Company :
Expiration Date :
Approval
P,IansRequired:'-_;~
Expiration Date
Approval:
Ptaar§ FZ~qurr_ed ,
(1) This permit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the Slate of Colorado and to the Zoning
Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City.
(2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or
abandoned for a period of 120 days.
(3) If this permit expires, a new permit may be acquired fora fee of one-half the amount normally required, provided no changes have been orwill be made i"'the
original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permit.
(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 written approval on inspection card before
proceediing with successive phases of the job.
(6) The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of. any violation of the provisions
of the building codes or any other ordinance, law. we or regulation.
Chief Building Inspector
For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
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