The URL can be used to link to this page

Home My WebLink About12498 W. 35th AvenueA 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: -�F t V-\ C -L I -e C, v -r— Job Job Address: 12 `i 0 Uj -_2� S -1 F Permit Number: ❑ No one available for inspection: Time Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date:1 Z ' I Inspector DO NOT REMOVE THIS NOTICE City of Wheat Ridge �J Residential Roofing PERMIT - 201707583 PERMIT NO: 201707583 ISSUED: 09/22/2017 JOB ADDRESS: 12498 W 35th AVE EXPIRES: 09/22/2018 JOB DESCRIPTION: Residential Re -roof to install OC asphalt shingles - 13 sq Pitch = 4/12 *** CONTACTS *** OWNER (303)877-3340 TORGERSEN SANDRA JEAN SUB (720)530-7258 Lou Busnardo 080251 Centennial Exteriors, 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: 12,459.57 FEES Total Valuation 0.00 Use Tax 261.65 Permit Fee 251.85 ** TOTAL ** 513.50 - *** 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 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. City of Wheat Ridge Residential Roofing PERMIT - 201707583 PERMIT NO: 201707583 ISSUED: 09/22/2017 JOB ADDRESS: 12498 W 35th AVE EXPIRES: 09/22/2018 JOB DESCRIPTION: Residential Re -roof to install OC asphalt shingles - 13 sq Pitch = 4/12 Ib,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 leggally authorized to include all entities named within this document as parties to the work to be perfp red and that all wo a perform d is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTO (Circle one) Date I. This permit was issued base ormation provided in the permit application and accompanyingplans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po icies 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 Offcial and is not guaranteed. 4, No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance 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 From: no-reply@ci.wheatridge.co.us Sent: Tuesday, September 19, 2017 11:38 AM 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 residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION L Property Address 12498 W. 35th Ave. Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Sandra Torgersen 303-877-3340 0 53 5 Property Owner Email Field not completed. 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 Scan0053.pdf Contract CONTRACTOR INFORMATION Contractor Business Name Contractor's License Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123-4567) Contractor Address (Primary address of your business) Centennial Exteriors Inc. 080251 303-986-3685 14405 W. 52nd Ave. Contractor Email Address mtnhighroofing@mns.com Retype Contractor Email mtnhighroofing@msn.com Address DESCRIPTION OF WORK TOTAL SQUARES of 13Z the entire scope of work: Project Value (contract (1�2,459D-57 value or cost of ALL materials and labor) — Areou re -decking the y g No roof? Is the permit for a flat Pitched roof (2:12 pitch or greater) roof, pitched roof, or 54 both? (check all that apply) What is the specific pitch of the PITCHED roof? 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) 4/12 13 Ownes Corning Duration Storm Asphalt Main dwelling and attached garage 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 55 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 Lou Busnardo Email not displaying correctly? View it in your browser. 56 CUSTOMER (OWNER) S dupt d&4 T� w gfr- S p n DATE 6 /9/ /7 Job Addre/ss % 2 y' 6v, 3 5 V P CityWlti6nT /Zi cue. E State CCI Zip $" o o 3 Ph. (H) (W) Cell Fax Billing Address (if different) sat rn P SPECIFICATIONS Layers of Removal_ Type of layers asphalt ! Shake Manufacturer OR,,t 4S 4!5vlfn:kgStyle cl —;-*" pn S g. ft. Color Manufacturer's Limited Warranty L 7— Eave Starter Strip -9Ic & Water width_ Over Hang�� Ridge Type Ridge Vent Roof Vents Valley Type Closed Open W -Valley Ice & Water Pipe Jacks Paint Roof Stacks!42C� Metal Edging-�- TNT' Rake 2"x4" Eave ,� ''Eolor Underlaymenty Felt 301bs _ 15lbs_Synthetic\ W Clean up and haul off roofmg trash��. Roll Magnetic Nail Roller through Yard Clean Gutters of Roof Debris Secure City uilding Permits Seamless Gutters 5"_�,/— Ln. Ft. 6" Ln. Ft. Color16)6!Je Down Spouts 2"x3"_ , Ln. Ft. 3"x4"_ Ln. Ft. Color�iv Windows —AIC Unit Painting Leaks Interior Damage NQ Emergency Repair NO Siding_ Type Fascia Type Color Special In\structions ftL kj akV i� r 11 �e �h,e A 1A4 4t rah -V�,, c �n. v n_� 4AAt WE HEREBY PROPOSE to furnish laboTlannd accordance with the above specifications, for the sum of $ 50% upon delivery of materials $ Balance due upon completion Time is of the essence for all payments required from customer. A service fee of 15% of the contract price will be charged if customer declines said work after approved by Centennial Exteriors, hic. Final payment is due upon substantial completion of work. If not paid within 30 days of final invoice, a finance charge of 1.5% per month will be charged on the unpaid balance. Customer is liable For payment of all expenses of collection, including reasonable attorney's fees and costs. ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and we authorize Centennial Exteriors, Inc. to perform the work as specified. Signa oil ate C? A5/ 7 Signature Date—/—/ ENTENNIAI EXTERIORS INC. 14405 W. 52°d Ave. Arvada, Co. 80002 Office: 303-986-3685 Fax: 303-986-2873 E-mail: mtnhighroofmg@tnsn.com Labor Warranty 5 years Estimator Name U S h a It C, Phone 7 Z O^ S 3 0 ^ 7 7 S-gj� Labor warranty does not cover damage caused by lightening, gale force winds (50 MPH or greater), tomado, hail storm, impact of foreign objects or other violent weather. This warranty is valid only if contract is paid in full. INSURANCE ALLOWANCE AGREEMENT We agree to retain Centennial Exteriors, Inc. to replace and/or repair the roof on the property aforementioned, contingent upon Centennial Exteriors, Inc. obtaining the approval of our insurance company and payment to have said work done. It is understood and agreed that Centennial Exteriors, Inc. is authorized to contact said insurance carrier and meet with insurance company representative in order to discuss the repair or replacement work to be done to said property. Upon agreement of the insurance carrier and to the extent of the damages and cost of fixing them, Centennial Exteriors, Inc. may begin to work on said property. HOMEOWNER'S OUT OF POCKET EXPENSE WILL NOT EXCEED HOMEOWNER'S INSURANCE POLICY DEDUCTIBLE FOR THE SCOPE OF WORK AGREED UPON BETWEEN THE INSURANCE CARRIER AND CENTENNIAL EXTERIORS, INC. Any additional work required by applicable building code or requested by Customer as an upgrade will be performed for additional cost as set forth in the 9Y Specifications or in a change order. Homeowner also agrees to provide all necessary documentation for claim, also providing all pertinent documentation ctofacilitate payment from insurance carrier and/or mortgage company. entennial Exteriors, Inc. reserves the right to file for settlement claim due to material or labor increases due to storm environment or if insurance measurements are proven to be incorrect. Centennial Exteriors, Inc. will charge the customer fifteen percent (15010) of the price for insurance company scope of work, if customer declines said work after approved by insurance carrier. Insurance Company: Contact Phone: Policy Number: Claim Number: Signature: Date: CUSTOMER'S RIGHT TO CANCEL: If you decide you do not want the goods or service under this contract, you may cancel this contract by mailing a notice to Contractor. The notice must say that you do not want the goods or services and must be mailed before midnight of the third business day after you sign this contract. The notice must be mailed to: Centennial Exteriors, Inc., 14405 W. 52od Ave. Arvada, CO. 80002 IF SIGNED BY CUSTOMER AND APPROVED BY CENTENNIAL EXTERIORS, INC., THIS CONTRACT WILL BECOME A LEGALLY BINDING AGREEMENT. i� i CITY OF WHEAT RIDGE y _:�9�(303) Building Inspection Division (303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: Permit Number: C7/ 10 5 ❑ No one available for inspection: Time AM/FM Re -Inspection required: Yes (_01 When corrections have been made, call for re -inspection at 303-234-5933 Date: ' >', Inspector: DO NOT REMOVE THIS NOTICE i� i CITY OF WHEAT RIDGE y _:�9�(303) Building Inspection Division (303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: Permit Number: C7/ 10 5 ❑ No one available for inspection: Time AM/FM Re -Inspection required: Yes (_01 When corrections have been made, call for re -inspection at 303-234-5933 Date: ' >', Inspector: DO NOT REMOVE THIS NOTICE Certificate • Completion Building Division 7500 W 29TH AVE WHEAT RIDGE CO 80033-8001 Stipulations: Deck Repair This certificate verifies that the building constructed and/or the use proposed of the building and/or premises, under the above permit number and on property described below, does comply with the Wheat Ridge Building Code and development standards of the zone district in which it is located and may be occupied. All other licensing requirements for the City must be met. Owner: BAUER SANDRA 10315 P• NCHA PASS LITTLETON CO 80127 Contractor: Robert J. Bauer 10315 PONCHA PASS LITTLETON CO 80127 For the Following Purpose: Residential Deck Code Editions NO change shall be made in the USE of ICC/2014 NEC this building without prior notice 006 ICC/2011 NEC and a new Certificate • Completion 2006 ICC/2005 NEC from the City of Wheat Ridge. Other nspector Zonin ins. strator of .. �w � 11I�� I �� I� II lip'" �I PlanlPermit# 11-0 4 +) Building Permit Application (please pfin;� 41 ( Property Owner � State. ZiD k� Arehitect/Engineer E-mail: Phone: Contractors City Ucenso ZZE= Electrical: Plumbing: Mechanical: W. R. City License WR City License # WR City License # Complete al I information on BOTH sides of this form Sq. RAF Btu's Gallons Amps Squares Other Work shall com with the following codes: 2006 Ili ", 2006 IECC& 2011 NEC. APPROVED Subject Date, c Sig ,tea PRESCRIPTIVE RESIDENTIAL WOOD - DECK - CONSTRUCTION GUIDE Figure 8. Post-to-Beam Attachment MIN= , to burn « shown in Figure 11. For more deeldng attachment Figure requirements, see DECKING REQUIREMENTS. 9. Prohibited Post-to-Beam Attachment Alternate Condition Figure 10. Approved Fi gure Post Cap Attachment I « De tails «- . « ,« . « MM t« threaded nails or r minimum a«« screws @ . • ;f-®— attach rim joist to end of each joist with (3)1od threaded nails or (3) #10 x " minimum weed screws rim joist rican Ame Wood Council ♦ 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: P"'rH r Job Address: i tl y (0, f v2 Permit Number: 041 r, 711 fr L^ //10 r ; ❑ No one available for inspection: Time _ AM M Re-Inspection required: Yes , 0 When corrections have been made, call for r -inspect `n at 303-234-5933 f~ it Date: (f-~~ Inspector: f` DO NOT REMOVE THIS NOTICE ♦ ♦ CITY OF WHEAT RIDGE � f� Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 235 -2857 Fax INSPECTION NOTICE Inspection Type: ( ft Job Address: ' P ue b)? Permit Number: Cal 1 _�7t! le 1 ❑ No one available for inspection: Time j ! i ANT M� Re- Inspection required: Yes /No "When corrections have been made, call r re- inspection at 303 -2 45933 //,, i Date: 77 Inspector: /. g�r > > DO NOT REMOVE THIS NOTICE " ' City of Wheat Ridge _r. Residential Roofing PERMIT - 091574 ' PERMIT NO: 091574 'ISSUED:' 08/24/2009 JOB ADDRESS:. 12498.W 35TH AVE EXPIRES: 02/20./2010 a. DESCRIPTION:. T/o: `Install 24 sqs 30 yr GAFshingles. :CONTACTS owner 303/526-1790 Fred Laurita gc 303/422-2725 Gary Theriaque 02-1170 Bear Brothers Roofing PARCEL INFO - ZONE (CODE: UA USE: UA x. SUBDIVISION: 0695 BLOCK/LOT#: 0/, FEE SUMMARY ESTIMATED PROJECT VALUATION: 7,200.0.0. FEES Permit Fee 199.30 Total Valuation .00 Use Tax 129.60'4 TOTAL 328.90 i 411 ti. r, Conditions: r. 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 s- water shield required from eave edge to 2' inside exterior' walls.: r" r' Subject to field inspection'.: g I hereby certify that the setback distances proposed by this permit. application are accurate, and do not violate applicable Sy re ordinances, rules or regulations of she 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 co liance with the Wheat Ridge Building Code '.(I.B.C) and all other lrcable wheat Ridge Ordi an es, for work under this p at. ins subject to field inspection. Signature of contractor/owner da a~ 1. This permit was issued in accordance with the. provisions set forth in your application and is subject to the laws of the r+, State of Colorado and to the zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable gg ordinances of the city. 2. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration date., An extension may be granted at the discretion ofthe Building Official. 3. Ifthis permit expires,ja 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 0~ exceeded one (1) year. If changes. have been 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 ap ro on inspection card before proceeding with successive phases of the lob.. 6. Thee. u f a permit. or the approval of drawings and specifications shall not be construed to be a permit for, nor an a f, any violation of the provisions of the building codes or any 'other ordinance, law,. rule or regulation. a Allp law rs subject to field inspections. i y„ Srgnatu$e of Chief Hua.l ding Official date R; INSPECTION REQUEST LINE: (30.3)234-5933 BUILDING OFFICE: (303)235-2855 1r REQUESTS MUST BE MADE BY 3PM ANY BUSINESS :DAY FOR INSPECTION THE 'FOLLOWING BUSINESS DAY. CouoeO-I ♦~A♦ City of Wheat Wk =Dale: COMMUNITY DEVEOPMEBuilding Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 " Fax: 303-237-8929 Inspection Line: 303-234-5933 Facsimile Building Permit Application Property Address: 6 Z q cj g C,) ~ ~ n V C Property Owner (please print):: l p.4(k , r; TA Phone 30 J Sec 17 go Mailing Address: (if different than property address) Address: Contractor: 4mnrOPS (r,n(ifyot Contractor License Phone: ~jp ~.Z8 -/000 Use of space (description): t-t rgc C Description of work: 7!0 blayer~s rb~re' /eBb+et ~.'l~ czAyR. CAP S!7'reyles. added: BTU's _ Con t ~ lion Value: S 7 Zf~ O C~ I Plan Review (due at time of submitta/): S OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREE ME T N I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or re g ulations of the Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; City th of at I have read and agree to abide by all conditions printed on this application and that 1 assume Lull responsibility for compliance with the Wheat Ridge Building Code (LB.C) and all other applicable Wheat Ridge Ordinan , under this permit. Plans subject to field inspection. ces for work CIRLCEONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) Leg NTRAT PRINT NAME: St an WS SIGNATURE: Date: L~12- C) ZONING COMMENTS. Zoning: Reviewer PUBLIC WORKS COMMENTS: Reviewer: DEPARTMENT USE ONLY BUILDING DEPARTMENT COMMENTS: Reviewer. FIRE DEPARTMENT:: ❑ approved w/ comments C disapproved 4 no review required Bldg Valuation. OCCUPANCY: Credit Card Payment: Use credit card listed on file. Date: Print name: Signature: DEPARTMENT OF COMMUNITY DEVELOPMENT ~e 114- 7500 WEST 29tn AVENUE BUILDING INSPECTION DIVISION PERMIT N0. YYI -l I /7I 7 ~ 237-6944 ExT. 255 P.O. eox sae CITY OF WHEAT RIDGE, COLO. THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BEIOW. JOB ADDRESS / G y~Z 4' 0 LJ L' 1-Mv'S CONTRACTOR _/II.749sG,'f- ADDRESS 3~/2 iJi'f/GyiX' J✓'"~ CITY ✓Ll.b P/~ ZIP CODE q-7 PHONE LICENSE NO. PERMIT FEE 1. TvPE Ground❑ Wall❑ Proiecrinp❑ 01her SorDFaaa 2. MATERIAL Tofal Squars Fest SIGNS 3, ILLUMINATION Yea❑ No❑ Typs Ela1. Permif No. 4 SET BACK FROM PROPERTY LINE N _ S_ E _ W Zone _ Approvad, 2one Inspeclor (Spetify whicA is front) ❑ ❑ ❑ ❑ DisapDroved I. TYPE SolidO Mo.e Thon 80% OpenO Less Thon 80% Open MATERIAL Heipht FENCES 3. SET BACK FROM PROPERTY LINE N _ S_ E _ W Zone _ Apprwed,ione Inspeeta (Specify whieh is front) ❑ ❑ ❑ ❑ Dieapproved OTHER 3. INSPECTION TICKET b DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHER STRUCTURE,GIVIh JOB q p ~ 5 (SETBACKS OR PROJECTiONS INCLUDED) ADDflESS J S d _,(_J2/9 / DATE: 9-/a BLDG. PERMIT# / 7171 PERMIT# BLDG. CONTR. &14k~ SUBCONTRACTOR DATE INSP. REQ. STREET NAME SHOW DISTANCES FROM THE MAIN BUIIDING TPADJOINING MOUSES, STREETS, ANI TYPE OF It DISTANCE TO PROPERTY LINES,NOT MAXIMUM OR GVFRAGE DISTANCE. INSPECTIO APPLICATION FOR PLUMBING; ELECTRICAI THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK 0 REMARKS PERMIT WILL EXPIRE 180 DAYS FROM THE DATE OF ISSUANCE If ELECTRICAL PERMIT STATE LICENSE N0. PLUMBING PERMII STATE I.ICENSE N0. . ALUM INUM N7RE UNOER S12E 8 ILIEGAL FLOOR BSM I ST 2N W q FORM 619 NO. WATER CIASET TEMPORARY METER WASH 80W1 NEW SERVICE AMPS BATH TUB CHANGE SERVICE-AMPS SHOWER . LIGHTING SINK HEATING GARBAGE DISF REFRIGERATtON SYSTEM POWER SU8-CIFCUITS WATER HEATER Refri erant Group U?ILI7Y(RANGE,DISPoSER,ETC.) AUTO. WASHER Pounds Char e FI%TURES DISH WASHER AUTOMATIC SPRINNLER SYSTEM WIRING MOTOF2S 6 CONTROLS FI_OOR DRAIN ELEVATOR SIGNS URINAL TRANSFORMERS 6 RECTFIERS SEWERS ADDITION TO OLD WORK OTHER MOTORS OVER I HP TOTAL FIXTURES I hsreby acknowledqe ihat this applica- . fion is correcf and understond that I connot atart this projett until thia oODli- eofion is approved. I shall comply wiih ths lowe of Ihe Stafe of Colorada ond to the ZoninQ ReQulations and Buildinp Code of the City of Wl+eat Ridqe. Any violotion ot tne above terms will couse immediate revocafion of this permit 40Pfieo06 SiOnalun USE TAX TOTAL FEE ADDRESS "7 'fa4 XT PHONE ~ ZIPCODE /C_P0"z3I CONTRACT PRICE $ 16 2 f__~9 DATE - 0-0 ld 1432q Z CHIEF BUI City of Wheat Ridqe Date IssuPd MISCELLANEOUS I OWNER 1 CALL 237-8944 EXT. 255 24 HOUFS IN ADVANCE FORINSPECTIONS