HomeMy WebLinkAbout9490 W. 37th Avenuei 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: "A t -10
Permit Number:
❑ No one available for inspection: Time AM PM
Re -Inspection required: YesNo
When corrections have been made, call for re -inspection at 303-234-5933
Date: Inspector:
DO NOT REMOVE THIS NOTICE
f( City of Wheat Ridge
E -Res. Sewer/Waterline Repair PERMIT - 201901598
PERMIT NO: 201901598 ISSUED: 08/02/2019
JOB ADDRESS: 9490 W 37th Ave EXPIRES: 08/01/2020
JOB DESCRIPTION: Residential 40 feet front yard water line repair.
*** CONTACTS ***
OWNER (303)424-4609 LEHR GWEN M
SUB (303)433-6077 GOLDEN WEST PLUMBING 021754 GOLDEN WEST PLUMBING, HEATING
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,200.00
FEES
Total Valuation 0.00
Use Tax 151.20
Permit Fee 172.60
** TOTAL ** 323.80
*** COMMENTS ***
*** CONDITIONS ***
ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive
written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection
by any Sanitation District representative. Inspection and approval of work by any
Sanitation District representative DOES NOT grant authority to cover work without the
approval of the Building Division.
**For trenchless sewer replacements - The contractor will verify proper slope of new sewer
piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed
specifically by the applicable code. The plumbing contractor will provide verification of
proper slope and drainage in writing as a condition of approval of the permitted work.**
Both the front and back of this permit are required to be posted on the job site at all
times. If the complete permit is not present, inspections WILL NOT be performed.
City of Wheat Ridge
E -Res. Sewer/Waterline Repair PERMIT - 201901598
PERMIT NO: 201901598 ISSUED: 08/02/2019
JOB ADDRESS: 9490 W 37th Ave EXPIRES: 08/01/2020
JOB DESCRIPTION: Residential 40 feet front yard water line repair.
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 I hisdoc
ument and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
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 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 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 o[dinance or regulation of this jurisdiction. Approval of work is subject to Field inspection.
Signature of ChiefRuilding Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
From: no-reply@ci.wheatridge.co.us
Sent: Friday, August 2, 2019 2:32 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Sewer or Water Line Repair Permit Application
Residential Sewer or Water Line Repair Permit Application
This application is exclusively for RESIDENTIAL SEWER OR WATER LINE
REPAIR - IN YARD ONLY - NO RIGHT OF WAY WORK.
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
residential sewer line or
water line repair - in yard
only?
PROPERTY INFORMATION
Property Address 9490 w 37th ave
Property Owner Name Kathy Lehr
Property Owner Phone 303-424-4609
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email kathylehr2yahoo.com
Address
Attach Credit Card cc2.PDF
Authorization Form -
**DO NOT ATTACH
RANDOM
DOCUMENTS**
CONTRACTOR INFORMATION
�
3 a �t7
Contractor Business Golden West Plumbing, Heating & Air Conditioning
Name
I
Contractor's License 021754
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 303-433-6077
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address permits@goldenwestph.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
Is this a sewer line or
water line repair?
Length of repair
Location of repair
(backyard, frontyard, etc)
Provide additional details
including installation of
clean -outs.
Project Value (contract
value or cost of ALL
materials and labor)
permits@goidenwestph.com
Water Line
40 feet
Front yard water repair
NA
rNiff
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 work
may not begin on this
property until a permit
has been issued and
posted on the property.
Yes
Yes
2
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.
Person Applying for GARY KIWIMAGI & SHARON KIWIMAG
Permit
Email not displaying correctly? View it in your browser.
INSPECTION RECORD
Inspection online form: http://www.ci.wheatridge.co.us/inspection
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Inspections will not be performed unless this card is posted on the project site
Request an inn/spection before MIDNIGHT (11:59 PM) to receive an inspection the following business day J
PERMIT: 00( O ADDRESS: 9910 CEJ � 3-l' �Avl� JOB CODE:lk
L/
Foundation Inspections
Date
Inspector
Initials
Comments
102 Caissons / Piers
103 Footing / P.E. Letter
104 Foundation Setback Cert.
105 Stem Walls
106 Foundation wall Insulation
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground / Slab Inspections
Date
Inspector
Initials
Comments
201 Electrical / Cable/ Conduit
202 Sewer Underground Int.
203 Sewer Underground Ext.
204 Plumbing Underground Int.
205 Plumbing Underground Ext.
1206 Water Underground
Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections
Rough Inspection
Date
Inspector
Initials
Comments
301 Rough Framing
302 Wall Sheathing
303 Roof Sheathing
304 Sheer Inspection
305 Insulation
306 Mid -Roof
307 Metal / Lath / Stucco
308 Rough Electrical Residential
309 Rough Electrical Commercial
310 Electrical Meter Residential
311 Electrical Meter Commercial
312 Temp. Const. Meter
313 Rough Plumbing Residential
314 Rough Plumbing Commercial
315 Shower Pan
SEE OVER FOR ADDITIONAL INSPECTIONS
JOB CODE:
PERMIT60'bqqqo��u � ADDRESS: I�� ����v
Rough Inspection (continued)
Date Inspector Comments
Initials
316 Rough Mechanical Residential
Comments
317 Rough Mechanical Commercial
L'
318 Boiler / Furnace
402 Gas Meter Release
319 Hot water tank
r
320 Drywall screw and Nail
321 Moisture board / shower walls
322 Rough Grading
323 Miscellaneous
Final Inspections
Date
Inspector
Initials
Comments
401 Gasline
402 Gas Meter Release
403 Final Electrical Residential
404 Final Electrical Commercial
405 Final Mechanical Residential
`_� ° .3 P
406 Final Mechanical Commercial
407 Final Plumbing Residential
408 Final PiUrnbin, Conliiiero�Q!
409 Final Roof
410 Final Window/Door
411 Landscape/Park/Planning*
Inspections from these entities shall be requested
one week in advance.
*For landscaping and parking inspections please
call 303-235-2846
**For ROW and drainage inspections please call
303-235-2861
'For fire inspections please contact the Fire
Protection District for your project.
412 Row/Drainage/Public Works**
413 Flood plain Inspection**
414 Fire Insp. / Fire Protection***
415 Public Works Final**
416 Storm Water Mgmt.**
417 Zoning Final Inspection*
418 Building Final Inspection
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 by the Fire District and
Electrical low voltage by the Building Division.
4 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: qyjo Gdl 37eA ire.
Permit Number: 6161Z%5�- 7
❑ 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:, ' aj Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Plumbing PERMIT - 201800567
PERMIT NO: 201800567 ISSUED: 03/01/2018
JOB ADDRESS: 9490 W 37th AVE EXPIRES: 03/01/2019
JOB DESCRIPTION: Replacement furnace 100K BTUs, 80% efficiency; using existing connections
*** CONTACTS ***
OWNER (303)424-4609 LEHR RAYMOND A
SUB (303)433-6077 Golden West Plumbing 021754 Golden West Plumbing, Heating
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,625.00
FEES
Furnace Replacement 40.00
Total Valuation 0.00
Use Tax 118.13
** TOTAL ** 158.13
*** COMMENTS ***
*** CONDITIONS ***
All work shall comply 2012 International Codes, 2014 NEC (if applicable), and ordinances
adopted by the City of Wheat Ridge. Work is 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
thi _permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
pe or ied and that al )� k to be per orn�d is disclosed in this document and/or its' accompanying approved plans and specifications.
C
SignaturepKOWNER or CONTRACTOR (Circle one) Date
'permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
2.
3.
4.
5.
6.
Ts Eject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
his 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 Budding
Official and may be subject to a fee equal to one-half of the originalpermit fee.
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 Official and is not guaranteed.
No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
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.
The issuance or granting of a permit sl .alI 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 r ' ulation 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.
.* k 1 4
City of
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h6at
COMilhUNi'iy DEVELOPMENT
Building & Inspection Services Division
7500 W. 2911 Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(a.ci.wheatridge.co.us
FOR OFFICE USE ONLY I
Date:
Plan/Permit #
Plan Review Fee:
Building Permit Application
*'* Please complete,all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address:
Mailing Address: (if different than property address)
Address: ufl.
, State, Zi
Arch itect/Engineer:
Architect/Engineer E-mail:
Contractor:
Contrars City License;;#:
Contractor El -mail Address:
For Plan Review, « uestions & Comments (please print):
Phone.
Phone:
CONTACT NAME (please print): ) 0-o-c(a,�b j�� Phone: 72d -�/D- OZ57�
CONTACT-EMAIL(please print):
Sub_ Contractors:
Electrical:
W.R. City License
Other City Licensed Sub:
City License #
City License #
Plumbing:
W.R. City License #
Other City Licensed Sub:
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
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INSPECTION RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/forms.aspx?fid=79
INSPECTION REQUEST LINE: (303) 234-5933
Occu ancv/TyEae
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 Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Annroval Of The Above Incnpr_tinnc
- r -
Underground/Slab Inspections Date Inspector Comments
Initials
Electrical
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
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.
ror iow voltage permits — Hease De 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 - 201702466
PERMIT NO: 201702466 ISSUED: 06/23/2017
70B ADDRESS: 9490 W 37th AVE EXPIRES: C' -k,123/2018
70B DESCRIPTION: Residential Re -roof to install Atlas asphalt shingles with 41 sq.
*** CONTACTS ***
OWNER (303)424-4609 LEHR RAYMOND & GWEN
SUB (303)993-2862 Luis Canales & Richard Garcia 150257 Roof Evolution LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 13,000.00
FEES
Total Valuation 0.00
Use Tax 273.00
Permit Fee 251.85
** TOTAL ** 524.85
*** 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 A�5-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€'"s 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.
*** 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 A3�-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€'"s 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.
City of Wheat Ridge
Residential Roofing PERMIT -
201702466
PERMIT NO:
201702466
ISSUED:
06/23/2017
JOB ADDRESS:
9490 W 37th AVE
EXPIRES:
06/23/2018
JOB DESCRIPTION:
Residential Re -roof to install Atlas asphalt shingles with 41 sq.
*** CONTACTS ***
OWNER (303)424-4609 LEHR RAYMOND & GWEN
SUB (303)993-2862 Luis Canales & Richard Garcia
150257 Roof Evolution LLC
*** PARCEL INFO
***
ZONE CODE:
UA / Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS,
ME BLOCK/LOT#:
0 /
*** FEE SUMMARY
*** ESTIMATED PROJECT VALUATION:
13,000.00
FEES
gk
Total Valuation
0.00
Use Tax
273.00
Permit Fee
251.85
** TOTAL **
524.85
*** 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 A3�-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€'"s 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.
City of Wheat Ridge
Residential Roofing PERMIT - 201702466
PERMIT NO: 201702466 ISSUED: 06/23/2017
JOB ADDRESS: 9490 W 37th AVE EXPIRES: 06/23/2018
JOB DESCRIPTION: Residential Re -roof to install Atlas asphalt shingles with 41 sq.
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 permrt. I further attest that I am 1e- ally authorized to include all entities named within this docwnent as parties to the work to be
performed and tt=all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
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 Budding
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 androcedures 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 andspecific 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 construe to be a permit for or an approval of, any violation of any provision of any
applicable code or any ordip '�cc or regul-a '' of th' 'firi diction. Approval of work is subject to field inspection.
� (l
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 insptimerequestgei.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.
Antoinette Kulick
From: no-reply@ci.wheatridge.co.us
Sent: Tuesday, June 13, 2017 4:12 PM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
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. 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. Permits are currently being
processed within 3-5 business days, subject to change based on volume.
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
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
9490 W 37th Ave
Gwen Lehr
303-424-4609
Field not completed.
-& Q � a 4 1 V V
Do you have a signed Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Name
Contractor's License
Number (for the City of
Wheat Ridge)
Contractor Phone
Number
Roof Evolution LLC
150257
3039932862
Contractor Email Address tara@RoofEvolution.com
(permit pick-up
instructions will be sent
to this email)
Retype Contractor Email tara@roofevolution.com
Address
DESCRIPTION OF WORK
Are you re -decking the No
roof?
Description of Roofing Asphalt - Atlas
Material
Select Type of Material: Asphalt, Other (specify below)
If "Other" is selected modified
above, describe here: /
How many squares of the 36 ✓
material selected above?
Does any portion of the Yes
property include a flat
roof?
If yes, how many squares 5
on the flat roof?
2
TOTAL SQUARES of all
roofing material for this �C l
proj ect
Provide additional detail Reroof house and storage with 5/12 roof pitch
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc) —
Project Value (contra
value or cost of ALL
materials and labor) 13000
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
submit this application
and to perform the work
described above.
Name of Applicant Tara Rivera Mendez
Email not displaying correctly? View it in your browser.
3
�U'V�Lur�01� MBBB �t
I i,
S(,t)h Sau111 t'rJar til I.i111rum t't 1 81)120 - (720) 33-1-7311
hurl I'Noltllion I L(' I.iahilil) Insuraluc t'untacl RKA Insurance Services — ( 303) 374-0753
CONTRACT CONFIRMATION
CUSTOMER: & �U �� (-c'_� r
STREET: c 2L.1L.J VL
STATE: CO ZIP:
CITY:
PHONE #: ,?o EMAIL:
Z Y �G�y �I EMAIL:
SPECIFICATIONS:
Manufacturer: A 1 I k �:'
Style of Shingle: S VJ I + '
Color of Shingle: b't! mer
Color of Drip Edge: W k I-ve
Color of Gutter. L :z v\i r--, &—u")
Repairs:
TOTAL CHARGE FOR ABOVE LISTED WORK IS:
PAYMENT SCHEDULE 15 AS FOLLOWS:
Number of Squares: 'D S (
Notes: hCPtLc�'- yup s )I^ 1400)&
wr cik1 p fc,�,n 01/JP r
w 1y'
1" Payment (upon material delivery):
Remaining Balance (upon completion of work):
$
$ 1 �-) S 107 12-0
SOMETIMES SUPPLEMENTS ARE REQUIRED ON YOUR JOB IN ORDER TO COMPLETE THE WORK: Potential supplements
include, but are not limited to re -deck, building permit, additional ventilation, ridge cap, and additional material. You
understand that these supplemental items may be required by your Building Ordinence. By signing, you agree to allow
Roof Evolution LLC to supplement your insurance carrier for additional funds, including overhead & profit, which are
payable to ROOF EVOLUTION LLC.
CHANGE ORDERS:During the course of construction there may be changes that incur, this will be considered a change
order and the base contract price will adjust accordingly. The person who signs the contract will be responsible to sign
all change orders or provide written confirmation.
AUTHORIZED BY: r
17
Homeowner Date
Homeowner
Date
We hereby agree to furnish labor and materials — complete in accordance with the above specifications and in conjunction with the original
contract at above stated price. Please make all checks payable to Roof Evolution I.I.C. Roof Evolution LLC will not be responsible for checks made
payable to any other party.
APPROXIMATE START DATE
APPROXIMATE COMPLETION DATE:
Contractor Date
Certaifted M it
Roofing Products
Scanned by CarnScanner
� i4 CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: rl t
Job Address: q 0 (,J 3 71
Permit Number: 626176,? Q
1\�ClA �4pf'oV, CI`
❑ 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: a t67 Inspector: j��.
DO NOT REMOVE THIS NOTICE
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: /"!Z
❑ 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
A i CITY OF WHEAT RIDGE
! - -
�9Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: U
Job Address: 4gv- "ry c� L) (1✓ 37 f h IVF
Permit Number: 2 t,/7 U 2ql,,
❑ No one available for inspection: Time 61PM
Re -Inspection required: Yes
When corrections have been made, callforre-inspection at 303-234-5933
Date: 2, % Inspector: %
DO NOT REMOVE THIS NOTICE
HEgTp'O COMMUNITY DEVELOPMENT DEPT.
cm Inspection Services Division
(303) 235-2855
Correction Notice
COL O R Abp
Job Address: 9~9Gf ~7 ~h A~
f' ` C1C3ii' n/G
j oo CLoss.~~
~
When corrections have been made, call for re-inspection at
303-234-5933.
Date: 1 Spector
OF WHEgrP
City of Wheat Ridge
CO( OR 9100 Residential Roofing PERMIT - 060149
PERMIT NO: 060149 ISSUED: 03/28/2006
JOB ADDRESS: 9490 37TH AV EXPIRES: 09/28/2007
DESCRIPTION: re-roof with Heritage 30 year dimensional shingles
CONTACTS
gc 303/995-9368 Charles Lujan 01-9519 Charles Lujan Roofing Co., Inc
owner 303/424-4609 Ray Lehr
PARCEL INFO
ZONE CODE: UA USE: UA
SUBDIVISION: UA BLOCK/LOT#: 0/
FEE SUMMARY ESTIMATED PROJECT VALUATION: 2,890.00
FEES
Permit Fee 108.30
Total Valuation .00 \
Use Tax 52.02 l.I
TOTAL 160.32
Comments:
Re-roof with Heritage 30 year Dimensional Shingles
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 respons ility for compliance with the Wheat Ridge Building Code (I.B.C) and all other
appli le 4 at R' ge Ordinances, for under this permit. Plans subject to field inspection.
Signature of contractor/owner date -
1. This permit was issued i accordance with the provisions set forth in your application and is subject to the laws of the
State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado 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
building authorized is suspended or abandoned for a period of 160 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 specifications and any suspension or abandonment has not
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 approval on inspection card before proceeding with successive phases of the job.
6. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor
an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation.
All plan review is subject to field inspections.
Signature
data
INSPECTION REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
noc.rKentc mm the manufacturer shall be
o-size for final roof inspection which specify
,jfing materials have been installed to meet
I o A?&H three-second wind gust IBC
COMMUNITY DEVELOPMENT DEPARTMENT
of w"Far BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE.
7500 WEST 29TH AVENUE .
WHEAT RIDGE, CO 80033 .(303-235-2855)
OOIORP~e "PUCA
Property Owner: 9~;,,,~ 1.-e-ti
Property Address: 91f U btW , r e
Contractor License No.: /0t9 c,
Company:
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 p"t. Plans subject Id Inspection.
(O W NER)(CONTRACTOR):
building Permit Number:
Date:
Phone:
Phone: 303 ~9~ ~3
Valuation Figure: $ r1o
Value:$
Permit Fee:$
Plan Review Fee:$
Use ax:
Total:$
Use of Space (description):
Description of work:
2r~fGLyG~ 3Oy/
Sq. Ft, added
Rl s k
Expiration Date: Expiration Date: Expiration Date:
Approval Approval: Approval;_
(1) This permit was issued in accordance with the provisions setforth in your application and is subject to the laws of the State of
Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of
the City.
(2) This permit shall expire if (A) the work authorized is not commenced within sixty (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 specifications and any suspension or abandonment has not exceeded one
(1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid for anew 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
approval on inspection card before proceeding with successive phases of the job.
(6) The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an
approval of, anyviolation of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan review
is subject to field inspectlons: -
Chief Building Official
Electrical License No: Plumbing License NO: Mechanical License No:
Company: Company: Company:
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