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Home My WebLink About6905 W. 36th AvenuePERMIT NO: JOB ADDRESS: JOB DESCRIPTION City of V' Residential +1701326 201701326 ISSUED: 06/01/2017 6905 W 36th AVE EXPIRES: 06/01/2018 Reroof- architectural shingles; redeck garage; 34 squares *** CONTACTS *** OWNER (303)910-3926 SECORD JASON ANTHONY SUB (303)807-4030 Steve Louden 170240 Severy Creek Roofing, Inc *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 23,000.00 FEES Total Valuation 0.00 Use Tax 483.00 Permit Fee 410.35 ** TOTAL ** 893.35 *** 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) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding k/2 -inch exists. 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 manufacturera€rms 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's 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. �NSPECT ON RECORD Occupancy/Type INSPECTION REQUEST LINE: (303) 234-5933 — Inspections will not be performed unless this card is posted on the project site. Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector CommentsInitials Pier Concrete Encased Ground (CEG) Electrical Foundation / P.E. Letter Sewer Service Do Not Pour Concrete Prior 10 Approval UT I ne Apove 1n5peUL1V11a Underground/Slab Inspections Date Inspector Comments Initials Electrical % % Sewer Service Plumbing G r1.. K1-4- r.,.,nr 11nrCgrnrnl Intl. nr Rainwiln-Slah Work Prior To Approval Of The Above Inspections VV 1\VL VVIIGI Rough Inspections Date Inspector CommentsInitials W heathing % % Mi d -Roof G Lath / Wall Tie Rough Electric Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw / Nail Final Inspections Date Inspector CommentsInitials 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 Z 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 compielea rrurrr me r -w-, IUa 01-U amu, �•• - ,.uy by the Building Division. "For Inspection Time Window — Please email insptimerequest@Ci.Wileatridge.CO.US by 8:00 A.M. the morning of the inspection with the property address in the subject line of the email. Time window is based on the inspector's route. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather City of Wheat Ridge Residential Roofing PERMIT - 201701326 PERMIT NO: 201701326 ISSUED: 06/01/2017 JOB ADDRESS: 6905 W 36th AVE EXPIRES: 06/01/2018 JOB DESCRIPTION: Reroof- architectural shingles; redeck garage; 34 squares *** CONTACTS *** OWNER (303)910-3926 SECORD JASON ANTHONY SUB (303)807-4030 Steve Louden 170240 Severy Creek Roofing, Inc *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 23,000.00 FEES Total Valuation 0.00 Use Tax 483.00 Permit Fee 410.35 ** TOTAL ** 893.35 *** 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) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding k/2 -inch exists. 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&4Erms 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's 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. PERMIT NO: JOB ADDRESS: JOB DESCRIPTION City of Wheat Ridge Residential Roofing PERMIT - 201701326 201701326 ISSUED: 06/01/2017 6905 W 36th AVE EXPIRES: 06/01/2018 Reroof- architectural shingles; redeck garage; 34 squares 1, 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-1)iat I am 1pplly authorized to include all entities named within this document as parties to the work to be performed and that all Work to obe pertorfined is disclosed in this document and/r i ;�ompanying approved plans and specifications. Signature of OWNER or CON' "CTOR"-,Circle one) Date v 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 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 any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to yield inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. City of COMMUNITY c COMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29"' Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 ` Fax: 303-23778929 Inspection Line: 303-234-5933 Email: permits( a�ci.wheatridge.co.us FOR OFFICE USE ONLY Date: PlanlPermit # Plan Review Fee: Building Permit Applicati®n Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed.'"° Property Address: �9G15 Property Owner (please print):Phone: 3U3- /0 Property Owner Email: �)&Z ygCag fiD7/►AZ57; r.G Mailing Address: (if different than property address) Address: O o S 36 City, State, Zip: Archltect/Enginsera /A/4 ArchltecUEngineer E-mail: %VA Phone: Contractor: Ste✓ Contractors City License 0: Sash Contractors: to 79 Electrical W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # qD'3 0 Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING [I TESDENTIAL ADDITION ❑ WINDOW REPLACEMENT E]OMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ELECTRICAL SYSTEM/LANCEPAIR or REPLACEMENT OTHER (Describe) e -2M - (For ALL projects, please provide a detailed &scription of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) 3q , E Sq. Ft.1LF ;Z Amps Btu's A Gallons Squares 31b&l �y"Y Project Value: (Contract value or the cost of all materials and labor included in tha entire project) $ cr2 —3-) oz OWNEWCONTRACTOR 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 l 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. CIRCLE ONE, `(OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR 6� NAME: ✓ T�� L 'RA) SIGNATURE: DATE: —Q307 DEPARTMENT USE ONLY ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: Reviewer: TYPE OF CONSTRUCTION: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer PROOF OF SUBM9i1SSION FORMS Fre Department ® Received ® Not Required Water District ❑ Received ❑ Not Required Sanitation District ® Received ® Not Required SPRINKLERED: OCCUPANTLOAD: Building Division Valuation: $ City of Wheat Ridge Residential Roofing PERMIT - 201701326 PERMIT NO: 201701326 ISSUED: 06/01/2017 JOB ADDRESS: 6905 W 36th AVE EXPIRES: 06/01/2018 JOB DESCRIPTION: Reroof- architectural shingles; redeck garage; 34 squares *** CONTACTS *** OWNER (303)910-3926 SECORD JASON ANTHONY SUB (303)807-4030 Steve Louden 170240 Severy Creek Roofing, Inc *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 23,000.00 FEES Total Valuation 0.00 Use Tax 483.00 Permit Fee 410.35 ** TOTAL ** 893.35 *** 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) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding k/2 -inch exists. 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&4Erms 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's 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. PERMIT NO: JOB ADDRESS: JOB DESCRIPTION City of Wheat Ridge Residential Roofing PERMIT - 201701326 201701326 ISSUED: 06/01/2017 6905 W 36th AVE EXPIRES: 06/01/2018 Reroof- architectural shingles; redeck garage; 34 squares 1, 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-1)iat I am 1pplly authorized to include all entities named within this document as parties to the work to be performed and that all Work to obe pertorfined is disclosed in this document and/r i ;�ompanying approved plans and specifications. Signature of OWNER or CON' "CTOR"-,Circle one) Date v 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 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 any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to yield inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. City of COMMUNITY c COMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29"' Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 ` Fax: 303-23778929 Inspection Line: 303-234-5933 Email: permits( a�ci.wheatridge.co.us FOR OFFICE USE ONLY Date: PlanlPermit # Plan Review Fee: Building Permit Applicati®n Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed.'"° Property Address: �9G15 Property Owner (please print):Phone: 3U3- /0 Property Owner Email: �)&Z ygCag fiD7/►AZ57; r.G Mailing Address: (if different than property address) Address: O o S 36 City, State, Zip: Archltect/Enginsera /A/4 ArchltecUEngineer E-mail: %VA Phone: Contractor: Ste✓ Contractors City License 0: Sash Contractors: to 79 Electrical W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # qD'3 0 Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING [I TESDENTIAL ADDITION ❑ WINDOW REPLACEMENT E]OMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ELECTRICAL SYSTEM/LANCEPAIR or REPLACEMENT OTHER (Describe) e -2M - (For ALL projects, please provide a detailed &scription of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) 3q , E Sq. Ft.1LF ;Z Amps Btu's A Gallons Squares 31b&l �y"Y Project Value: (Contract value or the cost of all materials and labor included in tha entire project) $ cr2 —3-) oz OWNEWCONTRACTOR 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 l 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. CIRCLE ONE, `(OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR 6� NAME: ✓ T�� L 'RA) SIGNATURE: DATE: —Q307 DEPARTMENT USE ONLY ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: Reviewer: TYPE OF CONSTRUCTION: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer PROOF OF SUBM9i1SSION FORMS Fre Department ® Received ® Not Required Water District ❑ Received ❑ Not Required Sanitation District ® Received ® Not Required SPRINKLERED: OCCUPANTLOAD: Building Division Valuation: $ 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: r ` Job Address: g cr�, Permit Number: -14,17 L 137 (� ❑ No one available for inspection: Time=�='' A�I�i'I/PM Re -Inspection required: Yes /No When corrections have been made, call for re -inspection at 303 -234 - Date: et/7-Inspector: C DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE _��9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: �� /- _ Job Address: (� �Ib) v✓ 36 G Permit Number: 3 44 4 � 41 i ❑ No one available for inspection: Time &IM/PM -Inspection required: ,Ye� No 1 *When corrections have been made, call for re -inspection at 303-234-5933 Date: i, a,/ii Inspector: '( DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE -.A Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: AOF Job Address: Permit Number: _ G- 0/7 6 /_Tz, I 1-x20\i 104, / A W(if ()n1 '7 S6 CvXb I ouSt F70C 114�P/ C_g0P i . i CSV ❑ No one available for inspe ction: Time 1 CMo A Re -Inspection required: )No *When corrections have been made, call for re -inspection at 303-234-5933 Date: p 0 Inspector: DO NOT REMOVE THIS NOTICE ®� 4 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).1 S C A _ Job Address: t!r 9 (� �� s U Permit Number: ❑ No one available for inspection: Time ' ._' A 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 ®� 4 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).1 S C A _ Job Address: t!r 9 (� �� s U Permit Number: ❑ No one available for inspection: Time ' ._' A 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 m 91 City {If ,�? plan # Pemit # Nokw000iw 0*04*0" (pleaw print) if different than property address) EMBM= Emm z3mm= EMB22M I I II I I I I I I 11: 11111 1 1 1 1 1 1111 1111 111 1 1 1 1 1 1 11 1111 11 11! 1 1 111 =ar� Coobvid V** OfO W(Wk: Review Fee (due at time of subtnitI ICONS C' SIGNATURE OF UNDERSTANDINCi AND AGREEMENT I herchy cedify that the setback disawlcvs projx)SW by this Perotit applica tic mi are accurate and do not violate applicable ordinanccs, rules or regulations of the City of 'AI Ridge or covenants, casernents or re stfictions of record; that all mcasurcmcnvs, shown and allegations nuad-c are accurate, that I have trdd and ignx to abide !ay' all conditions prinmi on this al anal ication nixt that I assume foil rcsjxmsibifity for comphance, with applicable City of Wlicat Ridge ctules and onlinances for wxxi under tiny permit issued basej on this aj)pfication; that I am the legal o%vncr car havcfrees authorized fay the le a t o wner of the propaty to perfomi the d mritxd w(wk g and am also authofizW by the legal (woInes of any cnifit) included on this application to fist that enfity on this applicatiom CIMN" (OWNER) fWATRACTION) gr fIUTHORIZEI)REPRESEVf,47'11 s (007VER) (CONTRACTOR) 4-1 7 City of It kil"101"WINVA'" D ate: lla,.11 plan # Pe it •aw . t Pho Mailing Addjjj�� ff different than property address) Address: e � ` G City, State, Zip. Contractor: . rr� . s C. M + • s City License # City License # City License # e1gli Lion of work- (Fully describe worts to be performed . Attach additional sheet if ssM) Contract Value of all work: w " r e ., / S 1 Review Fee (due at time of submittal): Squares _ �1�„ . , BTU's Gallons Amps S Ftn r r r Reviewer , . 7500 WEST29th AVENUE 234-5933 P.O. BOX 638 THIS PERMIT VALID ONLY WHEN SIGNED BY TFiE CHIEF BUILDING INSPECTOR AND RECEIPTED BELrJW. JOB ADDRESS 6fdS- - - - CONTRACTOR ig d C,o~~r ur.'~ ADDRESS %33s' ~v y y a.~..+ - CITY ZIPCODE PHONE y z~--5'~ u? LICENSE NO. I. TYPE Ground ❑ 2. MATERIAL SiGNS 3. ILLUMINATION Yes❑ No❑ 4. SET BACK FROM PROPERTY LINE (Soecifv which is fronl ) FENCES I, TYPE SolidU Mo.e Than 80% MATERIAL 3. SET BACK FROM PROPERTY LINE (SpeCify whieh is }ront) DATE: BLDG. PE M T# S 1. OTHER Z S_ E_ W_ ❑ a c 3 PERMIT# ORAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHERSTRUCTURE,GIVihG BLDG. CONTR. (SETBACKS OR PROJECTIONS INCIUDED) SUBCONTRACTOR DATE INSP. REQ. (~_3 r TYPE OF INSP. _ INSPECTION MADE A n - ~L REMARKS STREET NAME SHOW DISTANCES FROM THE MAIN BUILDING TOADJOINING HOUSES, STREETS, AND DISTANCE TO PROPERTV LINES, NOT MA%IMUM OR AVERAGE DISTANCE. W.R. FORM 6-19 5~3 JL. p O ✓ - APPLICATION FOR PLUMBING9 ELECTRICAL THISAPPLICATION WILL BECOME A PERMITTO PERFORM THE INDICATED WORK ON-..,•..., .............r.-,.,.-,,.-..,..,...------ PERMIT WILL EXPIRE 180 DAYS FROM THE OATE OF ISSUANCE IF WORK IS N0T STAflTEO WITHIN THAT TIME. ELECTRICAL PERMIT STATE LICENSE N0. / PLUMBING PERMIT STATE LICENSE N0. MECHANICAL PERMIT ALUMINUMWIREUNDERSIZE8ILLEGAL FLOOR BSM IST 2N0 3RD 4TN NQ FLEUCrtcla0nsG0d011Pr0p0ibC00IElaeSolm WATER CIASET FORCED AIR - BTU TEMPORARY METER WASH BOWL HOT WATER - BTU NEW SERVICE AMPS BATH TUB STEAM - BTU CHANGE SERVICE-AMPS p p SHOWER AIR CONDITIONING-BTU LIGNTING SINK OTHER HEATING GARBAGE DISP REFHIGERATION SYSTEM POWER SUB-GFCUITS UTILI7Y(RANGE,DISPOSER,ETC.) FIxTURES WATER HEA7ER AUTO.WASHER DISH WASHER Refri eranf Group Poundt Char e AUTOMATIC SPRINKLER SYSTEM WIRING MOTORS d CONTROIS FLOOR DRAIN EIEVATOR SIGNS URINAL TRANSFORMERS 9 RECTFIERS SEWERS ADDITION TO OLD WORK OTHER MOTORS OVER I HP TOTAL FI%TURES I hereby ocknowledqe ihot this opplico- fion is eoriect and understand ihai I connot sfart this projett until this opDli- cotion is aDProved. I sholl comply with tAs lawe of the Stote of Colorado and to ihe Zoninp Requlations ond Buildinq Code of ihe City oi Wheat Ridpe. Any violation of the above terme will cause immediale revocation of this permit PERMIT FEE USE TAX TOTAL FEE $ CHIEF BUILDI INSPECTOR,City Wheat Ridqe Datelssued ~ 3~~9 -3 DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING INSPECTION DIVISION CITY OF WHEAT RIDGE, C0L0. PERMIT NO.ME93#5557 OWNER _ ADDRESS PHONE _ ZIP CODE CONTRACT PRICE $ 4"0 U DATE pthar S a D Fooe Tofal Sauors Fset INSPECTION tICKET Lase Than JOB J~~~ /~ili. ADDRESS /n L,~~` NOT VALID UNLESS RECEIPT j4o CALL 234-5933 24 HOURS IN ADVANCE FOR INSPECTIONS