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10345 W. 33rd Avenue
I v 4-1 s w , �2 i cv'INSPECTION LINE. (303) 234-5933 IMMMM Inspections will not be made unless this card Is posted on the building site Call by 3:00 PM to receive inspection the following business day. INSPECTOR MUST SIGN ALL SPACES PERTAINING To THis JOB rM. at H021 I a s - 0 • . M# limilinf-R� Ms 11111111 FINALS 6ectdcal W. In =*# Mailing AddreW (if diffOmfil ths" PrOPetty tIddr&S Addrew Phon OVILOING41 011POTMONT C*M oveowicommeats odisa0roved Cl nu qu'WO4 FIRS ogpARTm6Nr: U W I i 00AIN I N* a. 0 Facsimile Building Permit Application r: 3 ♦��4 V CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office ;- (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type Pv6 Job Address logyS _1.3 Qta .A yE Permit Number >/ ®25® e K ' ❑ No one available for inspection: Time 2 AM /PM E r Re- Inspection required: Yes w r *When corrections have been made, call for re- inspection at 303 -234 -5933 Date: s,'�® Inspector: x DO NOT REMOVE THIS NOTICE 4' ♦� PERMIT NO: 110250 ISSUED.: 03/14/2011 JOB ADDRESS: 10345 W 33RD AVE EXPIRES: 03/13/2012 DESCRIPTION: Replace 40 if of sewer line inyard only * ** CONTACTS * ** owner 303/234 -1540 Leonard McCormick sub 303/696 -9599 Steve Wakeham ** PARCEL INFO ** ZONE CODE: UA SUBDIVISION: 0813 ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 6,000.00 FEES Permit Fee 140.90 Total Valuation .00 Use Tax 108.00 ** TOTAL ** 248.90 Conditions: Subject to field inspections. 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 permit. I further attest that I am legally 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. -_Lsit (�03) 03/�� 111 Signature of OWNER or CONTRACTOR (Circle one) Date City of Wheat Ridge Residential Plumbing PERMIT - 110250 01 -9921 Pipeline Industries, Inc. USE: UA BLOCK /LOT #: 0/ 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 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�pJa applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field irAeot/X6n. Signature Offical Date INSPECTION REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 REQUESTS MUST BE MADE BY BPM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. CA f Y heat dgc CommuNrry DEVELOPMENT Building & Inspection Services Division 7500 W. 29 Ave., Wheat Ridge, CO 80033 Office: 303 - 235 -2855 * Fax: 303 - 237 -8929 Inspection Line: 303 - 234 -5933 Building Permit Application Property AdBress: ' Li S W . —rd_ . Property Owner (please print): l f Mc- Mailing Address: (if different than property address) Address: (O City, State, Zip: ITJI \Ffl � l(I(7lIP ( fS t )� l� Date: Plan # Permit # Contactor`.: Contractors License #: Siib:_Gontractors? Electrical: Plumbing: Mechanical City License # City License# City License # Destcnpttoowork^ Cxcava'VC (toff q01 © �II sa�ak i� Sra1(t. contratty, alyg: $ Review Fee (due at time of submittal): Squares BTU's Gallons Amps Sq Ft. $ 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 applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application.. i CIRCLE ONE:.(yO— WAN -ER) ( (CO ( �NTRACTOR) or (AUTHORIZED REPRESENTATIVE of (D (CONTRACTOR) y { i PRINT NAME: 1-�f SIGNATORE: \�T 1 �h�il. DATE: C3 I I I u y Jievlewe r FIRE pEP/;F;T14)Ea7' Bldg Valuation. $ ��T T � \ 11� f� �P E L JOB DATE 03/04!11 INDUSTRIES INC DATE P.O. Box 370 • Watkins, CO 80137 03/14/11 ESTIMATOR (303) 696 -9599 Ch andler Fax(303)671-6871 SERVICEMAN INVOICE# 0 41365 # Job # CALL ORIGIN Co. Sew. /Norm PO # JOB INFORMATION BfLLfNG INFORMATION- NAME Leonard McCormick NAME ADDRESS 10345 W. 33rd Ave. ADDRESS CITY WheatRid a STATE CO 80033 ZIP CITY STATE ZIP PHONE 303 - 234 -1540 PHONE DESCRIPTION OF SERVICES' ESTIMATE, Excavate /Replace 40' of 4" main drain in the front yard. s 6,000.00 Approximately 40' long and up to 8' deep. *Includes: Excavation, Plumbers, Laborers, Pipe & Fittings, C /O's, Bedding, Backfill, Compaction, Clean -up, Haul Away, Permit and Inspection. All Items included if needed. LXWARRANTY Terms of Warranty: 5 Year - Pads & Labor APPROVAL SIGNATURE Excludes: Roots & Ground Movement (Acts of Nature) COMMENTS: THANK YOU ! SUBTOTAL Excludes private utility repair, sprinlder and landscape repair. TAX THIS AMOUNT ITEMS NOT INCLUDED: Landscape, grass, sod, trees, bushes, flowers, plants, fence repair, decorative rock, utility conflicts, private utilities, sprinklers, waterlines, electrical, gas, etc. Not responsible for damage caused by unstable soil, cave -ins or any other complications TERMS:Job cancellation fees will apply. Invoices are payable -1/2 down and balance upon completion of work performed. Any invoice not paid when due, shall incur interest at the rate of 18% per annum. In the event that it becomes necessary to collect any unpaid balance owed, Pipeline Industries, Inc. shall be entitled to receive all costs of collection, including reasonable attorney fees. Pipeline Industries, Inc. shall be entitled to assert a mechanic's lien for all unpaid materials and labor supplie to building projects p suant to Colorado law. _ /J � SIGNATURE O INVOICE )( SI ATURE ❑ VISA ❑ M/c ❑ AMEX CARD # EXP APPROVAL # ❑ CASH ❑ CHECK # CHARGE A/R ACCOUNT # ♦ i CITY OF WHEAT RIDGE Building Inspection Division (303) 2345933 Inspection line 303)235-2855Office •(303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: /i ls1 iv. 's3r~ f f v sr Permit Number: 0 01 q? 94 1:1 No one available for inspection: Time A /PM Re-Inspection required: Yes No *When corrections have been made, call for re nspection at 303-234-5933 Date: M ' 6-( ( inspector: En ; P 0 P 2, DO NOT REMOVE THIS NOTICE PEGfTION REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855 : INSPECTION RECORD occupancV/TVpe INSPECTION LINE: (303) 234-5933 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: - Footings/Caissons Stemwall / (CEG) Concrete Encased Ground Reinforcing or Monolithic Weatherproof/ French Drain Sewer Service Lines Water Service Lines CONCRETE SLAB FLOOR Electrical Plumbing Heating (I ROUGHS Sheathing Lath / Wall tie Mid-Roof Electrical Service Rough Electric Rough Plumbing Rough Mechanical Framing Insulation Drywall Screw FINALS Electrical Plumbing Mechanical Roof Building Final Fife Department R O W & Dramay NO CONCRETE UNTIL POUR INSPECTIONS TO BE SIGNED PRIOR T CITY OF WHEAT RIDGE 11/23/09 3:38 PH edbb - Ryan Verstreater j -RECEIPT NO:CDD883429 AMOUNT DPSP Reroof 45 sqs 451.90 _ 094226 Permit Fee 253.98 UseTax - 190.00 PAYMENT RECEIVED - AMOUNT V5 5139 451.90 Auth Code: 023317 TOTAL--- - 451.90 INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS Parking & Landscaping SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. '"NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED 11/23/2009 04:19 3032557598 RHINO #1193 P.0011001 City of `roocooor V~heatidge °ate: M MUNI7Y DEVEIOPMENT permit #ti T 1 Building 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: W. 3324 ke, Property Owner (please pdnt)-_Je_nn_a N ('r k Phone: Mailing Address: (ff different than property address) Contractor: Contractor License Contractors: Use of s ce (descrip on ti ~e- ~ood Descrii on Hof work: ff Bar- '4* a~ i n.Stao Plan Review (due at time ofsobmittal): S 45,5:6-- 04)ee6 66rti-113 % _Jr a~,ort Sq. Ft.IL.Ft added: Squares 11~5 BTU's Gallons Amps ! hereby ceRifY 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 mad and agree to abide by all conditions printed on this application and that i assume full responsibility for compliance with the Wheat Ridge Budding Code (LB-C) and all other applicable Wheat Ridge Ordinances, for work under this permit Plans subject to field inspection. I CIRLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE-Qf (OWNER) (CONTRATOR) PRINT NAME: ~"i 1uT5c l~~"[t~? Cy'Yr_?i! SIGNATURE: pate; l I' 23'd DEPARTMENT USE ONLY ZONING COMNUNYS: Zoning. Rewkwoer. PUBLIC WORKS COMMENTS Reviewer. SUKINNG DEPARTMENT COMNFIifS: OCCUPANCY: Reviewer. FMDEPARTMEffr: 0 .wfoved wt coatumnis 0 d-tsapploved 0 no review required Bldg Valuation: $ Credit Card ment: Vse gredit card listed on f te: f~-o`7 3-O Print name: Signature: DEPARTMENT OF COMMUNITY DEVELOPMENT 7500 wEST 29tn AvENUE 6UILDING INSPECTION DIVISION PERMIT N0. M514k17276 237-6944 EXT. 255 P.O. BOX 638 CITY OF WHEAT RIDGE, COLO. TFIIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUIL0ING INSPECTOR AND RECEIPTEO BELOW. ~ AP LICATI F MISCELLANEOUS PERMIT p . IOB ADDRESS ~~GC ~=,d ' MQG'~ OWNER :ONTRACTOR , ADDRESS uq- K ADDRESS PHONE ZIPCODE CITY ZIP CODE PHONE LICENSE NO CONTRACT PRICE '7• v° DATE Z / ' . TVGE GrOUnd ❑ Wall❑ Proiectinq❑ Other S or O Fate I SIGNS . 2. MATERIAL Total Squara Faaf 3. ILLUMINATION Yea❑ No❑ 7ypa Eleet: Psrmil No. 4. SET BACN FROM PROPERTY LINE N- S_ E_ W Zone_ ApprwaO,ZOnelnspactor (Speeify whieh is front) ❑ ❑ ❑ ❑ DisopDroved 1. TYPE Solid[:] More Thon 80% ODSn[] Lsss Than BO% Open MATERIAL HsipM . FENCES 3. SET BACK FROM PROPERTY LINE N_ 5_ E_ W Zone_ Apprwed,Zons Inspeetw (Specify whieh is tront) ❑ ❑ ❑ ❑ Disapproved m'~- v'oa s h"-'e- -s " ~_s i . OTHER 3 . DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHER STRULTURE,GIVIhv DISTANCES FROM PROPERTV LINES. (SETBACKS OR PROJECTIONS INClU0E0) ~ SPECIFY NORTH STREET NAME 3 3,~^` • SHOW DISTANCES FROM THE MAIN BUILDING TOADJOINING HOUSES, STREETS, AND PROPERTY LINESi ON IRREGULAR IATS, SHOW LEAST DISTANCE TO PROPERTY I.INES,NOT MAXIMUM OR AVERAGE DISTANCE. . APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT THISAPPLICATION WILL BECOME A PERMITTO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BY THE BUILDING INSPECTION DIVISION. PERMIT WILL EXPIRE 780 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 ALUMINUMWIREUNDERSIZE8ILLEGAL FLOOR BSM IST 2ND 3RD 4TH N0. FUEUCirrleOneCa040IPropaneCOOIEIxSolar Np. . WATER CIASET FORCED AIR - BTU TEMPORARY METER WASH BOWL HOT WATER - BTU NEW SERVICE AMPS BATH TU8 STEAM - BTU CHANGE SERVICE-AMPS SHOWER AIR CONDITIONING-BTU LIGHTING SINK OTHER HEATING GARBAGE DISP REFRIGERATION SYSTEM POWER SUB-qFCUITS WATER HEATER Refri eranl Group UTIl1TY(RANGE,DISPOSER,ETC.) AUTO. WASHER Poundt Chor a FIXTURES DISH WASHER AUTOMATIC SPRINKIER SYSTEM WIRING MOTOF25 9 CONTROLS FLDOR DRAIN ELEVATOR SIGNS URINAL TRANSFORMERS d RECTFIERS SEWERS ADDITION TO OLD WORK OTHER MOTORS OVER I HP TOTAL FI%TURES ocknowledQe thot rhis ap011co- I hereb PERMIT FEE y tion is eorrect and understand that I fil this a li' f f }hi USE TAX / pp un connoi atar e prolnt eotion is approved. I shall comply with TOTAL FEE 96. / y- d t d o on o fhe lowe of the Slafe of Colora }hs Zonina Repulations and Buildinq AppROVE ~ An t Rid e f Wh Cit f " - y p . eo y o the Code o violalion of tne above terme will couse CHIEF BUILDI INSPECTOR,City of Wheat Ridge immediate revocof,isp of fhis permit Date Issued 19orreenI. sl aI,w. I N07ev~D~ ~E6SS0REEIPTED gM CALL 237-8944 EXT. 255 24 HOURS IN ADVANCE FORINSPECTIONS