HomeMy WebLinkAbout6090 W. 35th Avenue201706433
60go �35�� INSPECTION RECORD Occppupaancy/Tyke
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection I� ILF
INSPECTION REQUEST LINE: (303) 234-5933 �`
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection 2-//Z-7112
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
Initials
Comments
Pier
Sewer Service
Concrete Encased Ground (CEG)
Plumbing
Foundation / P.E. Letter
Do Not Pour Concrete Prior To ADDroval Of The Above Inspections
Underground/Slab Inspections
Date Inspector Comments
Initials
Electrical
Wall Sheathing
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
Th
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 - 201706933
PERMIT NO: 201706933 ISSUED: 09/04/2017
JOB ADDRESS: 6090 W 35th AVE EXPIRES: 09/04/2018
JOB DESCRIPTION: Residential re -roof to install Owens Corning TruDefinition Duration asphalt
shingles and Owens Corning Deck Seal rolled roofing 30 sq. Pitch = 4/12 &
2/12
*** CONTACTS *** '
OWNER (720)237-0827 SANDOVAL MARY ANN CERRONE & JA
SUB (303)752-1317 Troy Bergman 160020 First General Services
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,150.00
FEES
Total Valuation 0.00
Use Tax 213.15
Permit Fee 220.15
** TOTAL ** 433.30
*** 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.
. ` A s City of Wheat Ridge
,
1` 9 Residential Roofing PERMIT - 201706933
PERMIT NO: 201706933 ISSUED: 09/04/2017
JOB ADDRESS: 6090 W 35th AVE EXPIRES: 09/04/2018
JOB DESCRIPTION: Residential re -roof to install Owens Corning TruDefinition Duration asphalt
shingles and Owens Corning Deck Seal rolled roofing 30 sq. Pitch = 4/12 &
2/12
I, by in 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 atinit. I further attest that I am legally authorized to include all entities named within this document as parties to the work lobe
per nnhd and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
A A 0<-� `� IS
Signature of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in thepermit application and accompanying Flans 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 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 ordinance o, a latioi of Viis 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 4:57Ul 401 X33
From: no-reply@ci.wheatri dge.co.us
Sent: Friday, September 1, 2017 4:37 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Applications
I
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed J
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
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
6090 W , r, A -t% /�
James Sondoval "�
720-237-0827
mythics2@gmail.com
161
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
Yes
9.1.17 Roof Contract A Sandoval.pdf
CONTRACTOR INFORMATION
Contractor Business
First General Services
Name
Contractor's License
160020
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)
303-752-1317
7079 S Jordan Rd
Contractor Email Address connie@fgsofdenver.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
connie@fgsofdenver.com
TOTAL SQUARES of 30
the entire scope of work:
Project Value (contract 10150
value or cost of ALL
materials and labor)
Are you re -decking the No ✓
roof?
Does the scope of the (:: Yes
project include a flat roof
(less than 2:12 pitch)?
162
What is the pitch of th 2:12
flat roof? <�
How many squares are
part of the flat roof? 0
Describe the roofing
material for the flat roof:
Type of material for the
flat roof:
Owen Corning Deck Seal
Rolled
Does the scope of the Yes
project include a pitched
roof (2:12 or greater
pitch)?
What is the pitch? 4:12
How many squares are 28
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)
Owen Corning Tru Def Duration
Asphalt
Dwell, Garage and Carport
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
Yes
Yes
163
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Name of Applicant Connie Silver
Email not displaying correctly? View it in your browser.
164
l First General Services
7079 S Jordan Rei, Ste 6
Centennial, CO 80112
Fli: 303-752-1317
Fax: 303-496-1212
This agreement dated 8/21/2017 between Mary Ann Sandoval 'herein after referred to
as "Owner(s) and First General Services of Denver, herein after referred to as "Contractor" for the roofing project located at:
6090 W 35TH AVE WHEAT RIDGE CO 80033
Insurance Company: USAA Claim #: 035119806-5
Insurance Adjuster Name: l 11
Owner is X / is not
a property and casualty insurance policy.
Phone: IV, t
intending to make payment from insurance proceeds of
Article 1. - Scope of Work
The Contractor agrees to repair/replace the roof at the above mentioned address according
to the approved estimate dated: 6/28/2017 Owner(s) and Contractor acknowledge
the attached estimate as part of this Contract.
Owens Corning
Manufacturer of Shingles
Sroxvnwood TruDef Duration Storm
Calor Series
Approx Start/Completion Dates: 1 11 - I-1 (Owner(s) initiall2ue
Special Instructions:
Contract total includes full scope of work notated in the approved insurance estimate referred to above in
Article 1.
7079 S Jordan Rd, Ste.# 6, Centennial, CO 80112 1':301-752-1317 F:303-496-1212
(Arch Specialty Insur Co — GL# 72094-03) (Pinnacol Assurance WC# 4142956) (Six & Geving 719-590-9990)
Pagel of 3
First General Services
7079 S Jordan Rd, Ste #6
Centennial, CO 80112
Fh: 303-752-1317
rax: 803-496-12 12
Article 2. Contract Price `/�
2.1 The contract price of $22.436.29 matchesthe approved Estimate. (Owner initialer i
Less Deposit $ $11,000.00 received 8/18/2017 Deductible $500.00
Balance due within 10 days after completion $ $11,436.29
Contractor will hold in trust any payment from the Owner(s) until we have delivered
materials to the jobsite or have performed a majority of the roofing work on the
property.
2.2 The owner(s) and contractors acknowledge that the Owner(s) is responsible for his/her deductible
and any cost associated with changes made to the Scope over and above the approved Estimate.
Owner(s) is responsible for any and all approved cost and fees not paid by the provider. First
General Services of Denver cannot pay, waive, rebate or promise to pay, waive or rebate all or part
Of arty insurance deductible applicable to the insurance claim for payment for roofing work on your
property. At no additional cost to the Owner(s), First General Services of Denver also reserves the
right to file supplemental insurance claims due to material and labor price increases due to storm
environment.
2.3 Any and all changes to this Contract will be addressed in a Change Order to be signed by both the
Owner(s) and Contractor. All parties acknowledge the Change Order as part of this Contract
Miscellaneous:
1. Each party hereby agrees that he/she has read this agreement carefully and fully understands
that the terms of the same.
2. Each party agrees that the other has given sufficient consideration to the other for the benefits
and restraints provided for in this contract.
3. Neither party may assign its rights or delegate its duties under the Agreement, unless such party
shall first obtain written consent of the non -assigning party (which consent may be withheld in the
non -assigning party's sole and absolute discretion).
4. This Agreement shall be binding upon and inure to the benefit of the parties to this agreement
and their respective successors and assigns.
S. The article and section headings are inserted only for convenient reference and do not define,
limit or prescribe the scope of this Agreement or any exhibit attached hereto. The Recitals of this
Agreement are included as an aid to interpretation of this Agreement, but do not themselves create,
limit or define any rights or obligations of the parties hereto.
6. Should it become necessary for First General Services of Denver to employ an attorney to enforce
any of the conditions or covenants hereof, including the collection of any unpaid amounts due to
First General Services of Denver or upon material breach by Owner(s), Owner(s) agrees to pay all
expenses so incurred, including any and all costs and reasonable attorneys' fees if judgment is found
in favor of First General Services of Denver.
7. This Agreement shall be governed by and interpreted in accordance with the laws of the State of
Colorado. The parties hereto consent to venue and jurisdiction in the District Court in and for Denver
County, Colorado, or in the United States District Court for the District of Colorado in any action
commenced relating to this Agreement or the transactions contemplated hereby.
7079 S Jordan Rd, Ste.# 6, Centennial, CO 80112 P:303-752-1317 1`:303-496-1212
(Arch Specialty Insur Co — GUI! 72094-03) (Pinnacol Assurance WC# 4142956) (Six & Geving 719-590-9990)
Page 2 of 3
First General Services
7079 S Jordan Rd, Ste # 6
Centennial, CO 80112
Ph: 303-752-1317 Email: hrciuda(c71''ssofdelnver conn
Fax: 303-496-12I2
TERMS AND CONDITIONS
All material guaranteed to be specified and above work to be performed in accordance with specifications submitted for above work
and completed in a substantial workmanlike manner. Warranties may be transferrable upon request at the discretion of First
General Services of Denver. Labor warranties are void if roof has been tampered with by anyone other than First General Services
of Denver. All warranties void if payment is not made when due. This agreement is contingent upon strikes, accidents, weather or
delays that are beyond First General Services of Denver control. owner(s) to carry fire, tornado and other necessary insurance
upon above work. Workers compensation and general liability insurance shall be carried by First General Services of Denver. The
contract is the entire agreement between the Owner(s) and Contractor and can only be modified with a separate written agreement
signed by both parties.
Owner(s) has the right to rescind this contract and obtain a full refund of any deposit within 72 hours after entering into this
contract. if you plan to use the proceeds of a property and casualty insurance policy to pay for the roofing work you may rescind
this contract within 72 hours after you receive written notice from the property and casualty carrier/insurer that your claim has
been denied in whole or part. However, First General Services of Denver is entitled to retain payments for deposits to
compensate First General Services of Denver for roofing work actually performed in a workmanlike manner consistent with
standard roofing industry practices. Owner(s) may cancel this contract by providing the Contractor a signed, written notice at
any time prior to 72 hours after the time of this transaction by delivering in person or US Postal Service mail to 7079 S Jordan Rd,
Ste 6, Centennial, CO, 80112. After 72 hours, there will be a 15% cancellation fee.
First General Services of D e n v e r is not responsible for any existing cracked or broken driveways. Verbal understanding and
agreements with representative shall not be binding. All understanding and agreements must be set forth in writing on this contract.
Owner(s) agrees to remove breakables from outside wall of home during installation of work. First General Services of Denver is
not liable for interior damage due to normal construction vibration and extreme weight load changes and is not responsible for
any damages below the roof due to leaks by wind, ice, hail or poor building structure during the period of the warranty.
Owner(s) is responsible for complying with their homeowners association and architectural control requirements. Contractor will
not be responsible for unapproved materials installed. Skylights are not warranted unless First General Services of D e n v e r
replaces them. All materials are the property of First General Services of Denver.
For purpose of this agreement, in the event that the work to be provided hereunder requires a final and approval by a local building
authority, the work to be performed hereunder by the Contractor shall be considered completed when local building authority
that the work has passed final inspection. The Contractor shall correct any deficiencies following such inspection that is required
by the local building authority in order for the work to pass final inspection. The Contractor is not responsible for any delay
in final inspection by any local building authority after the Contractor notifies the applicable local building authority the work is
ed nd ready for fin I inspection
4
Owners) Signature Dat Owners) Printed Name
Authorized Representative for Contractor Date
7079 S Jordan Rd, Ste.# 6, Centennial, CO 80112 F:303-752-1317 F303-496-1212
(Arch Specialty Insur Co — GL# 72094-03) (Pinnacol Assurance WC# 4142956) (Six & Geving 719-590-9990)
Page 3 of 3
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: I� OF
Job Address:
Permit Number: 7 -J7(, % `l
❑ No one available for inspection: Time 1�-} (� /PM
Re -inspection required: Yes Undo
When corrections have been made, call for re -inspection at 303-234-5933
N2
Date: Inspector:
DO NOT REMOVE THIS NOTICE
O
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:
Job Address:
Permit Number:
❑ No one available for inspection: Time AM/I"
Re -Inspection required: Yes No:)
When corrections have been made, call for re -inspection at 303-234-5933
Date: Inspector:'
DO NOT REMOVE THIS NOTICE
fi
i CITY OF WHEAT RIDGE
�(303)
Building Inspection Division
(303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
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: Inspector:
DO NOT REMOVE THIS NOTICE
N A 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: 11_�_77b
Job Address: 4J 3 �' � ✓e
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 -
Date: Inspector:
DO NOT REMOVE THIS NOTICE
�2
COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number: 18642
BUILDING INSPECTION LINE -(303-234-5933) Date : 4/26/2005
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Property Owner: MARYANN SANDOVAL
P[operty Address : 6090 W 35TH AVE
Phone :
237-4365
Contractor License No. : 18986
Company : Efectrical Remodel Services
Phone :
947-0682
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Valuation
: $1,400.00
I hereby certify thaCthe setback distances proposed tiy this permit application are accurate, and
Pefmlt Fee
:$66.28
do not violate applicable ordinances, rules or re9ulationsof fhe City of Wheat Ridge dr
00
$0
covenants, easements or restrictions of recortl; that all measurements shown; and allegations
Pla(1 ReVIBW. Fee
.
:
made are accurate; that I have read and agree to abide by all contlitions printetlbn this
U
e
20
$25
or c om liance with e Wheat Ridge Building
application, and that I assume full respo
bl
,
s
Tax
:
:
y
Code Q.B.C J and all other applicable ge
nces oYk under this pertnit.
.
.
TOtBI
i'. $91.48
(OWNER)(CONTR4CTOR)SIGNE
DATE
,
Use:
Description : 150 AMP SERVICE CHANGE. 220 CIRCUIT TO BASEMENT:
WIRE E-VAP COOLER
51~, , t~
Approval :
Zoning :
BUILDING DEPARTMENT USE ONLY
SIC : Sq. Ft. :
Approval:
APProval:
Occupancy : Walls : Roof : Stories : Residential Units '
Electrical License No : 18986 Plumbing License No : Mechanical License No :
Company : Electrical Remodel Company : Company : .
Services
Expiration Date : 2128/2007 Expiration Date : Expiration Date :
Approval: OK/KS Apptoval: P,pproval:.
. (1) 7his permitwas issued in accordance with the pmvisions set forth in yopur application antl is subject to the laws of the State of Coloredo and to the Zoning... Regulations and Building Code of Wheat Ridge, Colo2do or any other applicable ordinances of the City.
(2) : This pertnit shall expire if (A) ihe work authorized is not commencetl within sizty (60) days fromissue date or (B) the building authonzed is suspended or
abandoned for a period of 180 days. (3) Ifthis permit expires, a new pertnit may be acquired for a feeof one-half the amount nortnally required, provided no changes have been orwill be matle in the -
. original plans antl specifcations and any suspension or abandonment has not exceeded one (i) year. If changes are made or if suspension or abandonment
ezceeds one (1) year, fullfees shall be paidfor a new permit -(4) No work of any mannefshallbe done fhat wiil change fhe natural flow ofwater causing a tlrainage problem. ' .
..(5) . Contrddor shall noli(ythe Building Inspectorhaenty-four (24)~hours in advance for all inspections and shall receive written approval on mspechon card befo're ~
proceediing with successrve ph f ihejob. - (6) The issuan ~ pertniA e approval o- wings antl specifcahons shall not be construed to be a pertnit for, nor an approval of, any violation of the . .-pmvis bupyNlfg c des or erbrdinance, law, iule or regulation. . . ~ Chief Building Inspector
Please sign Terms and Conditions on reverse side of page.
COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number:
oE W"Eq' ~ BUILDING INSPECTION LINE - 303-234-5933 Date:
~ o CITY OF WHEAT RIDGE
° 7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
~°`°R"°° APPLICATION
PropertyOwner: YY)q,4-uQhn Sct✓.c~oVc;~
Property Address: lp Q~( ~(ij, 3$fi" A"F.'..
Conhactor License No.: 3~,~ S
Phone: 3 'a 37-'f3/~5
Company: !~-7 Jec`Nricaj Remcdle,l ,S2rtliG.CS Phone: j- ~'17-V6 F-;~
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Buildinq Dept. Va/uation Figu.re: $
I hereby certity that the setback distances proposed by this permit application are
accurate, and do not violate applicable ordinances, rules or regulations of the City of
W heat Ridge or covenants, easements or restrictions of record; ihat all measurements
shown, and allegations made are accurate; Nat I have read and agree to abide by all
conditions printed on this applicatlon and that I assume full responsibility for
compliancewiththeWheatRidgeBuil nqCode(I.B.C)andallotherapplicableWheat
Ridge Ordinances, for work unpermil. Fjlans, subjqct)p field inspection.
(O W NER)(CONTRACTOR):
Use of Space (description):
Description of work: ! 5'o iqmP 5erv t(e C
pZaD {'o b5Vn"f"
Sq.Ftadded WN'c lc.-v6p C«y)'er
Value:$ /yOQ.
Permit Fee:$
Plan Review Fee:$
Use Tax:$
Total:$
Expiration Date: Expiration Date: Expiration Date:
Approval: Approval: Approval:
(1) This permit was issued in accordance with the provisions set forth in your applicalion and is subject to the laws of the State of
Cdorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado orany other applirable ordinances of
the City.
(2) This pertnit shall expire if (A) the work auNorized is not commenced within si#y (90) days from issue date or (B) the building
authorized is suspended or abandoned for a period of 180 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 specificatlons and anysuspension or abandonment has notexceeded 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 pusing a drainage problem.
(5) ContracWr shall no6ry 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 d2wings and specifications shall not be construed to be a permit for, nor an
approval ot, anyviolatlon of the provisions of }he building codes or any other ordinance, law, rule or regulation. All plan review
is subject to fteld inspections. Chief Building Official
Electrical License No: Plumbing License No: Mechanical License No:
Company: Company: Company: