HomeMy WebLinkAbout9780 W. 36th AvenueFrom: retylosed.h grll a J:
To: OrminDev Penn!
legal Online Fmm SUMnitdI: PERMIT APNCATDON Electri Sal Clangelupyrade/Eledrid WOM
Date: today, February 11, 202211:9548 AM
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PERMIT APPLICATION Electrical Service
Change/Upgrade/Electrical Work
This application is exclusively for RESIDENTIAL ELECTRICAL SERVICE
CHANGE OR UPGRADE (200 amps or less).
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN
ORDER FOR THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for Yes
electrical service
change or upgrade -
200 amps or less?
PROPERTY INFORMATION
Is this Residential or Residential
Commercial?
Property Address 9780 W. 36th Ave. Wheat Ridge CO 80033
Property Owner Name Gayle Miller
Property Owner Phone 720-9714093
Number (enter WITH
dashes, eg 303-123-
4567)
Attach City of Wheat WR Dern 1 sop cc form 9780 w 36th ave odf
Ridge Electronic
Payment Form - "*DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"*
CONTRACTOR INFORMATION
Contractor Business
Sin Jac Electric Inc
Name
Contractor's License
018NI
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
3034243888
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
amandawolf@nn sinjac.com
Address
Retype Contractor
amandawolfQmysinjac.com
Email Address
DESCRIPTION OF WORK
Is this an electrical
Upgrade
service upgrade or
change?
Number of Amps
200
Location of work
outside, bade
(garage, house, etc)
Provide additional
Upgrade electrical panel
details, if needed.
Project Value (contract
5500.00
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full
yes
responsibility for
compliance with
applicable City of
Wheat Ridge codes
and ordinances for
work under any permit
issued based on this
application.
I understand that work Ves
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have Yes
been authorized by the
legal owner of the
property to submit this
application and to
perform the work
described above.
I attest that everything r08
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.
Person Applying for Amanda wolf
Permit
Email not displaying coneetly? view it in your linowser
a2
City Of
Wheatjdge
COMMUNITY DWELOPMENT
Date:
Plan #
Building & Inspection Services Division Permit #
7500 W. 29 Ave., Wheat Ridge, CO 80033
Office: 303 - 235 -2855 * Fax: 303 - 237 -8929
Inspection Line: 303 - 234 -5933
Building Permit Application
propertyAtidressa c r i s o yJ 3 b u\ -, 1'. 1 F Ca b
Property Owner (please print): 67 A 1e y �N L° Phone/;�
Mailing Address: (if different than property address)
Address:
City, State, Zip: t� / 1
Contractor: t 1 N � / V � 0 vj (O dv 51 f J
Contractors City License #: , �1 0 2f2 . ho
5 -4 b Contractors_'
Electrical: d Plumbing: Mechanical:
City License # City License # City License #
descrlpt'rtn of wodt
6 N Pr) ivb�cy
`I!' IV
Ft-
OWNER/CONTRACTOR
I hereby certify that the setback
rules or regulations of the City 4
allegations made are accurate; tl
responsibility for compliance w
this application; that I not th 0e
contract Value: � O o v I
8 fJ
Review Fee (due at time of submittal):
$
PURE TANDING AND AGREEMENT
proposed 's permit application are accurate and do not violate applicable ordinances,
jidge or cov , easements or restrictions ofrecord; that all measurements shown and
read and a to ide by all conditions printed on this application and that I assume full
and am also authorized by $lie legal owner
CIRCLE ONE:
PRINT NAME: P o t-1 J i AP-
y of eat Ridge codes and ordinances for work under any permit issued based on
e bc authorized by the legal owner of the property to perform the described work
included on this application to list that entity on this application.
(AUTHORIZEDREP. A7YVE) (O R) ( NMICTOR)
{9� < t
$ i \ I SIGNATIIRE: DATE:
Bldg Valuation:
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City of Wheat Ridge
Community Development Department
emorandum
TO: Accounting Department
FROM: Melissa Mackey, Building Division
SUBJECT: Refund for Permit
DATE: July 26 2010
Reason: Contractor was notified that a permit will not be required as of August
15t for fence work and requested to have the permit cancelled but we had already
processed the credit card. Permit application #09 -0291 for 9780 W. 36 Ave.
Please refund
Contractors License$
100% permit fee: $35.00
0% plan review $
100% use tax: $50.40
(acct 01- 510 -00 -513)
(acct 01- 510 -00 -516)
(acct 01- 550 -05 -551)
(acct 01- 500 -02 -505)
Total $85.40
TO: Pine Hollow Construction
Attn: Michael Sprankle
2709 S. Adams St.
Denver, CO 80210
Thank You!
Hd4m H AdMil
Permit Technician
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
roooo"F (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: x-j o / Ajt=
Job Address: q? PO :4,g. 3G rte/ ,&lf.
Permit Number: f✓90 1*06
❑ No one available for inspection: Time /i SS AM/PM
Re-Inspection required: Yes No b
"When corrections have been made, call for re-inspection at 303-234-5933
Date: 7f2?,62 Inspector:?
DO NOT REMOVE THIS NOTICE
fNsp Co
A
Ra
v ~ W H~'•:l m
Q0
City of Wheat Ridge Building Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-235-2857
Inspection Line: 303-234-5933
Building Permit Application
Property Address: 0 w 3 <<~'A
Date: 0-~ b0 0q
Plan
(y
Permit Qa 060
Property Owner (please print): 6 7 1111 r L r Phone: z X'77/
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Contractor: L<-p~ D,~.2 JSCy A~~ t' IA1
Contractor License Phone:
Sub Contractors:
Electrical City License Plumbing City License Mechanical City License
Company: Company Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description): Construction Value: $
Description' of work: (as calculated per the Building Va uation Data sheet)
~c 7Lac n Plan Review (due at time of submittal): $
~.[~Yu,?¢~ ~r x;(/ S7` i C 12..c»-o =a n ~ `fit"~
4- .1-NJ` /t'i't+e. S r iit-l yr,' rLet$ I''i4,¢• ~lt ~O 4.F✓p~Y1=(~fit/~'t c`YS
Sq. Ft./L.Ft added: Squares_ BTU's Gallons Amps
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, 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 the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
CIRLCE ONE::
(OWNER)
4
(CONTRACTOR)
S
or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR)
;Z
PRINT NAME:
434%J?
e 2et~/sa-t~
SIGNATURE:
, Date:
?Avbsm~ tK,
49.6163 eAbL1dAAe4AV&GL
@ 979vw•36VA-f,
Customer
Address
Home
Date
N
State Zip
Bus. Phone
~
xN v' ~
A/Up
AA a 6`~ r~hvs'~ £;~sn,fs 10' /.v7t7 /"C - £x51571.v6 duA/L/ 56rrA s
i~
fwwt ~vvw/J9~~d>r/ >iu1~b 5E0 - l3" t.~V io' - )k~:6s6 cwT /5 30 " c~i ff*
S''CAL~ 3a ' / e
~a5is: w 6
I TERMS:
WORK AUTHORIZED B~Y:
WORK SCHEDULED FOR:
~rT~f awik.w-L/ 6-r.vf _
JOB TO BE PAID IN FULL UPON COMPLETION UNLESS OTHERWISE NOTED!
~
rvice Inc.
~ Tree SeANKO
(303) 425-1256
Owner John Vanko
• NATURAL PRUNING
i ¢S~~NG
) . REMOVALS
PLANTING
•
• LANDSCAPING • SNOW REMOVAO<
Certified - Licensed • insured
Free Estimates Stumping Griuding
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 95-1266
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date :6/22/95
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner : CONNER JON J
Property Address : 9780 36TH AV
Contractor License No. : 17742
Company : J & K Roofing
Phone : 421-8642
Phone : 237 0157
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value : $2,928.00
I hereby certify that the setback distances proposed by this permit application are accurate, Peffllit Fee : $54.00
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 U58 TaX : $43.92
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 wmpliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. TOt81 : $97.92
(OWNER)(CONTRACTOR) SIGNED E
Description : REROOF
Electrical License No : Plumbing License No : Mechanical License No :
Company: Company: Company:
Expiration Date : Expiration Date : Expiration Date :
Approval: Approval: Approval:
um aii°m~~.Rts~ 3 ~W m
(1) This permitwas issued in accordance wiih the provisions setforth in yopur application and is sub1'ect to ihe laws of the State of Colorado and to the Zoning
Regulations and Building Code of Wheat Ridge, Coloredo or any other applicable ordinances of the City.
(2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the builtling authorizetl is suspended or
abandonetl for a period of 120 days.
(3) If this permit expires, a new permi[ may be acquiretl for a fee of one-halFthe amount normally requiretl, provided no changes have 6een or will be made in ihe
original plans and specifca6ons antl any suspension or abantlonment has not exceeded one (1) year. If changes are made 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 tlone thatwill change the naturel flow ofwater causing a drainage problem.
(5) Contractor shall notiry the Building Inspectortwenry-four (24) hours in advance for all inspections and shall receive written approval on inspeclion cartl before
proceediing with successive phases of the job.
(6) Th issuance of a permit or the approval of drewings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions
ofAe bpiltling code~5.yr any oJher ortlinance, law, rule or regulation.
Building Inspector
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
~S~
~L. . iv Lv i VI' YLHIVNIN6 F1fVU UtVL'LUYtIVIL'N I
E3UILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Hppucauon ',funiuC' .
Date : &~~1;~
Property Owner :
Property Address :
Gontraclor License No.
Company :
Phone :
Phone :
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
1 hereby cenity ihat the setback dislaaces proposed by this permit appiiwUOn are accurele,
and do nol violale applicable ordinances, rules or regulations of the City o( Wheat Ridge or
covenanls, easements or restridions ot record; lhal all measuiements shown, and ailegaGons
madc are accurate; Ihat I have read and agree lo abide by all conditions printed on lhis
applicalion , and Iha( I assume tul nsibility for wp~ liance wilh the Wheal Ridge BuiWing
Code (U.B.C.) antl all olher appli ble eal Ridge Fd nances, jor work under this pertnd. (OWNER)(CONTRACTOR) GNE v / DATE_~~ /
Description
Construction Value :~yo(JJ
Permit Fee : ~
Use Tax : Q/ 3- a
Total : l'/'7• I`~
Approval:
Zoning '
I~1i~~Cpm~S'~
Approval :
F~I~AIfortks;C„OLt q 9 Le nt s 11
Approval:
Occupancy : Walls
BUILDING DEPARTMENT USE ONLY
Roof : Stories : Residen6al Units :
Electrical License No : Plumbing License No : Mechanical License No :
Company :
Expiration Date
Approval :
Company:
Expiration Date :
Approval :
Company :
Expiration Date :
Approval:
JJ ~,Plarls~Requiretl,•,~ J ,~Plans,ReqUl[e:i~~ ~
(7) This permn was issued in accoroance with Ihe provisions sei torui in yopur applicatian and is subject ro the laws ot tna State af Cobr'ado aod b Ihe Zau^9. . Regulaaons antl Builtling CoOe d Wheat Ridp CobwCo or any olher applicade adinances d Ihe Ciry. (2) TAis'permil snall ezDire it (A) ihe work auliwnzetl is nol commenceE wilhin sixty (60) daYs from issue Eale «(B) tlre builOing aultarized k susPendeO a
abandonea loi a period W 120 days.
(3) n this permn exprtes, a new permt may be acquired la a iee o1 one-nan the amount namialH require0• poviEeO no dun9es have been or m~ be made 1n the
origmai pians and specifica(ions and any suspension a a0anaonmenl has nol exceeOeG one (1) yeac If cAanyes are made or B suspension a WandO~l
excee0s one (1) year, lull fees 5ha11 be paid fa a new permil.
(a) No wom ol any manner shall be OaM that wdl Change Ihe naNral now o1 water Uusing a A2inage prODlem.
(5) Conuaclm shau noufy Ihe BuiWirg InspeUa NrenWdom (24) hows in a0vance for all inspedions an0 5ha0 receive written approval m insDeclan wd befare
p~omed~mq wnh wccessrve phases of Ihe job.
e a~ ~~sp~
(fi~ Tne issnnnce of a permii w 1he approval o Orawings an0 specnications shall nol be construeE lo be a permit fa, nor an approrW W. ny
of lile budnniy codcs or any olher w0inanee. law. mle w regulauon
Chu ! C3wlding InspectOf
For Mayor
THIS Pt::RMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION