HomeMy WebLinkAbout6505-6507 W. 34th Avenue76 E153
06� u). s48 Aw, 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
Occupancy/Type
r�
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
Final Window/Doors
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
City of Wheat Ridge
Residential Roofing PERMIT - 201705153
PERMIT NO: 201705153 ISSUED: 08/01/2017
JOB ADDRESS: 6505 W 34th AVE EXPIRES: 08/01/2018
JOB DESCRIPTION: Residential Re -roof to install owens corning storm duration asphalt
shingles with 37sq
duplex bldg. 13
*** CONTACTS ***
OWNER (303)237-4626 MARSHALL PARK VILLAGE
SUB (303)761-6400 J. Bretz 018118 Excel Roofing, Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2949 / MARSHALL PARK BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,509.00
FEES
Total Valuation 0.00
Use Tax 199.69 p{
Permit Fee 204.30
** TOTAL ** 403.99
*** 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.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Residential Roofing PERMIT - 201705153
201705153 ISSUED: 08/01/2017
6505 W 34th AVE EXPIRES: 08/01/2018
Residential Re -roof to install owens corning storm duration asphalt
shingles with 37sq
duplex bldg. 13
I, by in si nature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable ' ding codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorlized
by the I a o er of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this p it. I rther attest that I am legally authorized to include all entities named within this document as parties to the work to be
perto ed a that all work to be erformed is disclosed in this document and/ its' accompanying approved plans and specifications.
Signafure of OWNER or CONTRACTOR (Circle one) Date
,,''!This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6, The issu granting of a%etiAJV construed to be a permit for, or an approval of, an violation of any provision of any
applicab c or any ord f 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.
Dan Schultz %D / % �) 5/ `La
From: no-reply@ci.wheatridge.co.us
Sent: Friday, July 21, 2017 11:21 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Gina
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Duplex
are on the property?
PROPERTY INFORMATION
Property Address 6505 & 6507 W 34th Ave V
Property Owner Name Marshall Park Village
Property Owner Phone 303237-4626
Number
Property Owner Email Field not completed.
Address �0,5 � ey
Do you have a signed Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Business
Excel Roofing, Inc
Name
Contractor's License
018118
Number (for the City of
Wheat Ridge)
Contractor Phone
3037616400
Number
Contractor Email Address excel@excelroofing.com
Retype Contractor Email excel@exceiroofing.com
Address
DESCRIPTION OF WORK
Are you re -decking the
roof?
Description of Roofing
Material
No ✓
Owens Corning Storm Duration Shingle ,/
Select Type of Material: Asphalt
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 37 /
material selected above?
Does any portion of the No ✓
property include a flat
roof?
If yes, how many squares Field not completed.
on the flat roof?
TOTAL SQUARES 37
(pitched + flat) of all
roofing material for this
project
z
Provide additional detail Duplex Bldg 13
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract U-7
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
Name of Applicant James Bretz
Email not displaying correctly? View it in your browser.
3
i CITY OF WHEAT RIDGE
_:�9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
.F
Inspection Type:
Job Address:` --
Permit Number:
❑ No one available for inspection.: Time 1601 AM/PM
Re -Inspection required: YesNo"
When corrections have been made, call for re -inspection at 303-234-5933
Date: f` �- f Inspector:
DO NOT REMOVE THIS NOTICE
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office o (303) 237-8929 Fax
INSPECTIO
_ 9"0=f,
Inspection Type:
Job Address: (I
Permit Number:
L) No one available for inspection: Time /PM
Re -inspection required: <Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: Inspector: A
DO NOT REMOVE THIS NOTICE
q
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: q, 'I,,c
Permit Number:
Ll No one available for inspection: Time j =�`: D AMIPM
Re -Inspection required: Yes No
1.
When corrections have been made, call for re -inspection at 303-234-5933
Dater Inspector:
DO NOT REMOVE THIS NOTICE
Inspector Must Sign ALL Spaces pertinent to this project
•ation Inspections r. or �- Comments
Caissons
a -+ • •
s '• • • ♦ w * •• • * •• •-
I`�'h III • 0 1 14 1 11
Rou Water Service (Undergr4
MEM
•' • •" •
C
..
... Do Not Proceed Without Approval Of Above
m.
• . • R - r
I ROW & Drainage / Public Works Dept. ! I I
MUM
8962
CITY OF WEAT RIDGE
HT EIVED ANDLI
2596
Coder
TOTAL 46.00
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card Fro
CO
Electric * Attic Insulation
IRRM[f Aemincludio'g Ms cover sheet.-
TO*- City of n e at Ridge J.-7
303-237-8929 1 Date:
Project.* Permu AAOY���
From Coffiman1B&FRea&r&ACJne-
Thanks
P� �_ 03421-1298
RIT - 7
L
I Tv if I 7
"I
Inspections will not be made unless this card 'is posted on the building site
Call u 3:00 PM to receive inspection the following business day.
11 FINALS
GElectncal
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB,
FOUNDATION INSPECTIONS
-.
DATE
NSPECTOR
I I NITIALS
COMMENTS:
Footings /Caissons
Stemwall I (CEG) Concrete
Encased Ground
Reinforcing or Monolithic
Weatherproof / French Drain
Sewer Service Lines
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
Water Service Lines
* 'NOTE: ALL ITEMS: MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, "BUILDING AND PUBLIC WORKS$EFORE A
- CERTIFICATE OF OCCUPANCY lS ISSUED. :FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OF :A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOROCCUPANCY.
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGN
5 CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing, (Underground)
Heating (Underground)
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN: SIGNED
'ROUGHS '
'Sheathing
%Lath / Wall tie
Mid Roof
'.Electrical Service
Rough Electric
Rough Plumbing
`Gas Piping
'Rough Mechanical
ABOVE INSPECTIONS' TO BE SIGNED PRIOR TO PROCEEDING
Framing
Insulation s.
. Screw
OCCUPANCY NOT PERMITTED UNTIL CE_RTLFICAT,r of OCCUPANCY IS ISSUED
PRQTECTT l CARD'�ROM THEVEATHER
11 FINALS
GElectncal
Vlumbing
Mechanical.
Roof
cBuilding Final
Fire Department
R O.W & Drainage
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
Parking & Landscaping
* 'NOTE: ALL ITEMS: MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, "BUILDING AND PUBLIC WORKS$EFORE A
- CERTIFICATE OF OCCUPANCY lS ISSUED. :FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OF :A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOROCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CE_RTLFICAT,r of OCCUPANCY IS ISSUED
PRQTECTT l CARD'�ROM THEVEATHER
♦ 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: Ka
Job Address: /,1,4£. ; °}"7 L;. s 11t y P4
Permit Number: 1�60 11
eAr ) �
❑ No one available for inspection: Time PM
Re- Inspection required: Yes (Ko
* When corrections have been made, call for re-inspect of 303- 2345933
Date: � �,- Inspector. 1 _11ALI ;
DO 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 Type:
Job Address:
Permit Number:
❑ 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: ZInspector: ,
DO NOT REMOVE THIS NOTICE
oFw"sqr City of Wheat Ridge Building Division
c 7500 W. 29to Ave., Wheat Ridge, CO 80033
U m Office: 303-235-2855 * Fax: 303-235-2857
~ roRno° Inspection Line: 303-234-5933
o'-
Building Permit Application
(OSo5 g4 T', aO'-
Property Address: l~S D 7 3 +f'-- ax~-~
Property Owner (please print):-P I
Mailing Address: (if different than property address) YY
Address:
State, Zip:
Contractor: .Cn.
Contractor License
Sub Contractors:
Electrical City License
Company:
Exp. Date:
23S - $4(06
?T7 - 9&S(
Phone:
Plumbing City License
Company
Exp. Date:
Use of space (description): ~O
Des(rkpti of wprk: ~t ~ (as
l9(t''))`~,llll V~1` ~Ilhk' tl-~' Pla
Sq. Ft./L.Ft added: Squares 41 BTU's Gallons _
Date:
Plan
Permit z~
Mechanical City License
Company:
Exp. Date:
Amps
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application: are accurate, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, basements 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 (13,C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
CIRLCE ONE:: (OWN Efj) ONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR)
PRINT NAME: I~/l) ~'lt3NATURE: Date:
DEPARTMENT USE ONLY
ZONING COMMENTS:
Zoning
Reviewer:
PUBLIC WORKS COMMENTS
Reviewer..
BUILDING' DEPARTMENT COMMENTS: OCCUPANCY
Reviewer:
FIRE DEPARTMENT:: ❑ approved w/ comments 0 disapproved ❑ no review required Bldg Valuation: $
DEPARTMENT OF COMMUNITY DEVELOPMENT
7500WEST29thAVENUE ' BUILDIN6 INSPECTION DIVISION PERMIT N0. MP93#3573
234-5933 P.O. BoX63s CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BELOW.
Wall(_]
APPUCATqION FOR MISCELLANEOUS PERMIT
JOBADDRESS ~ SO Jr I/✓ ?~1 ~ ff-✓'~- OWNER ~~o/t" /•%/rh/~~ _
CONTRACTOR ~4n✓r.w< ADDRESS
ADDRESS /DN`7y h-/' 3V t"t'-A-0-"- PHONE 2,38-/85y ZIPCODE
CITY ZIP CODE A Q`~O-~JH3 ~ CONTRACT PRICE 3'~I D
PHONE ~~O- ~I7 LICENSE NO. DATE 12-1-9-3
1. TVPE GroundLJ
2. MATERIAL
$IGNS 3. ILWMINATION Yes❑ No❑ Type
FENCES
4 SET BACK FROM PROPERTY LINE N_ 5_ E-
INSPECTION tiCKET
7
~apecnrnnicnmirvni~ u u u u JOB
I, TYPE Solido Moro Thon 80% Open[D Leet Than 6 ADDRESS
MATERIAL
3. SET BACN FROM PROPERTY LINE
OTHER IZ
3.
whieh ia front)
N_ S_ E_ W_
❑ ❑ ❑ ❑
DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHER STRUCTURE,GIVIhv(SETBACKS OR PROJECTIONS INCIUDED)
/ )n i
A
DATE: I gLDG. PEF#MITq
PERM ITp
BLDG. CONTR._641-R~
SUBCONTRACTOR
DATE INSP. REO. Ja'a(
TYPE OF INSP. W_tlb~' r^+-'~'r
INSPECTION MADE ~ Z
REMARKS
STREET NAME W.R. FORM 6-19
SNOW DISTANCES FROM THE MAIN BUIIDING TOADJOINING HOUSES, STREETS,ANO
DISTANCE TO PROPERTY LINES,NOT MAXIMUM OR AVERAGE DISTANCE.
~
APPLICATION FOR PLUMBING; ELECTRICAL;~e .
THIS APPLICATION WILL BECOMEA PERMITTO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BVTHE BUILDING INSPECTION DIVISION.
PERMIT WILL EXPIRE 180 DAYS FROM THE DATE OF ISSUANCE IF WORK IS NOT STARTED WITHIN THAT TIME.
ELECTRICAL PERMIT
STATE LICENSE N0.
PLUMBING PERMIT
STATE LICENSE N0. 17955~7
MECHANICAL PERMIT
ALUMINUM WIRE UNDERSIZE B ILI.EGAL
FLOOR
BSM
15T
2N0
3RD
4TH
N0.
Fl£LzCirc4e0ne Ga6 dlRopone ElxSolar
Np,
WATER CLASET
FORCED AIR - BTU
TEMPORARY METER
WASH 80WL
HOT WATER - BTU
NEW SERVICE AMPS
BATH TUB
STEAM - BTU
CHANGE SERVICE-AMPS
SHQWER
AIR GONDITIONING-BTU
LIGHTING
SINK
OTHER
HEATING
GARBAGE DISP
REFRIGERATION SVSTEM
POWER SUB-CIFCUI7S
WATER HEA7ER
Refri eroM Group
UTILITY(RANGE,OISPOSER,ETC.)
AUTO. WASHER
Poundt Char e
FIXTURES
DISH WASHER
AUTOMA7IC SPRINKIER SYSTEM
WIRING MOTORS 8 CONTROlS
FLOOR DRAIN
ELEVATOR
SIGNS
URINAL
TRANSFORMERS 9 RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FIxTURES
REMARKS 5_' "A"! 4 / /a f A y U . 4 / ~'c 4
PERMIT fEE
S
NOT VALID UNLE55 RECEIP'
acknowledpa thot ihis applica-
1 hareb
^
y
tion is correct ond understand thot I
USE TAX
a
li-
til thi
f
i
pp
un
s
s projxc
connof stort th
eation is approved. I sholl comply with
TOTAL FEE
$
t
o
the lawa of the S1ate of Colorodo and
the Zoninp Requlationa and Buildinq
APPROVED L
~
t~f /
Code of the City of Wheat Ridpe. Any
D~ •
violation of the above terme will cause
CHIEF BUILDING SPECTOR,Cityof Wheat Ridqe
immediote revowtion of this permit
CALL 234-5933
24 HOURS IN ADVANCE
_P/. -~..~~..A l)_A~fi?
DaiO ISSUCd
FOR INSPECTIONS
Applieanb 9ipnawr•
DEPARTMENT OF COMMUNITY DEVELOPMENT
7500 WEST 29th AVENUE . BUILDING INSPECTION DIVISION PERMIT N0. M91#17353 237-6944 ExT. 255 P.O. BOX 638 CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHiEF BUILDING INSPECTOR AND RECEIPTED BELOW.
JOB ADDRESS
CONTRACTOR
rv
ADDRESS ~ ~ 5 ~ • C'« "r
CITY ZIPCODE 00Z2-u .
PHONE 6 2::'C-- LICENSENO. _14~
OWNER....
ADDRESS ~ ~={~O~ ~~~Ufr
PHONE 233/g3/ ZFPCODE
CONTRACT PR~ICE $ /O, D.~o 'U
DATE G g _'91
TVPE Ground ❑ lr-S~=Cld
1
Wol I❑
Proieolinp❑
Othar
S or D Foos
SIGNS
.
2. MATERIAL
pa
ILLUMINATION Yea❑ No❑ T
3
Tofal Squors Feet
Eleef
Permit No
y
.
4 SETBACK FROM PROPERTY LINE N_
(Speeify whieh ie froM ) ❑
S_ E
❑
_ W
❑ ❑
.
Zone_
. _
ApDroved,Zone Inspactor
DisopDrwed
i. TYPE Solido More Thon 80% OpsnO
MATERIAL
Lest TAOn 80% Open
Heipht
FENCES
3. SET BACK FROM PROPERTY LINE N_
(Specify whieh iafront) ❑
S_ E
❑
_ W
❑ ❑
Zons_
AppraW,Zorn InsDSeta
DisoDDroved
1
.
OTHER
3
.
DRAW SKETCH OR SHOW BELOW, THE FENCE,SIGN,OR OTHER STRUCTUFFE,GIVihu DISTANCES FROM PROPERTV LINES.
(SETBACKS OR PROJECTIONS INCIUDED)
~
SPECIFY NORTH
. STREET NAME
SHOW DISTANCES FROM THE MAIN BUILDING TPADJOININ6 HOUSES, STREETS,AND PROPERTY LINES;ON IRREGULAR lATS, SHOW LEAST
DISTANCE TO PROPERTV L.INES, NOT MAXIMUM OR ^xl'^"^= OISTANCE.
APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INOICATED WORK ONLY UPON VALIDATION BY THE BUILDING INSPECTION DIVISION.
PEfiMIT WILL EXPIRE 180 DAYS FROM THE DATE OF ISSUANCE IF WORK IS NOT STARTED WITHIN THAT TIME.
ELECTRICAL PERMIT
STATE LICENSE N0.
PLUMBING PERMIT
STATE LICENSE N0.
MECHANICAL PERMIT
ALUMINUMWIREUNDERSIZEBILLEGAL
yp,
TEMPORARY METER
F1.00R
WATER CIASET
WASH BOWL
BSM
IST
2ND
3RD
4TH
N0.
FUEI:CircbOneGoShcProponeCodElxSolar
FORCED AIR - BTU
HOT WATER - BTU
NEW SERVICE AMPS
BATH TUB
S?EAM - BTU
CHANGE SERVICE-AMPS
SHOWER
AIR CONDITIONINCa-BTU
LIGHTING
SINK
OTHER
HEATING
GARBAGE DISP
REFRIGERATION SVSTEM
POWER SUB-CIFCUITS
WATER HEATER
Refri erant Group
UTILI7Y(RANGE,DISPOSER,ETC.)
AUTO. WASHER
Pounds Char a
fIXTURES
DISH WASHER
AUTOMA7IC SPRINKLER SYSTEM
WIRING MOTORS a CONTROLS
FLOOR DRAIN
ELEVATOR
SIGNS
URINAL
TRANSFORMERS 9 RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAI FIXTURES
REMARI(5
I hereby acknowledQe thot ihis ap011ca•
fion ia cmrect and understand that I
connot starf thie project unfil this oppli-
cofion is opproved. I shall comply with
ths lawe of the Stote of Colorado and to
tha Zoninp Retlulations ond Buildinq
Code offhe City o! Wheot Ridpe. Any
violafion of ihe above terma will cause
immediote ceyocafion of tnis permit
PERMIT FEE 6 • ~
USE TAX a a-~ 6
TOTAL FEE 11~7 i $A~ 6. 96
CHIEF BUILDIN~ANSPECTOR,City of Wheat Ridqe
Date Issued
UNL~,SS RECEIPTED
9! ~
X 1^ S=Si 2~
CALL 237-8944 EXT. 255
24 HOURS IN ADVANCE
FORINSPECTIONS
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