HomeMy WebLinkAbout4651 Pierce StreetPERMIT: ADDRESS: -
JOB CODE:
Rough Inspection continued
g p
Date
Inspector
Initials
Comments
316 Rough Mechanical Residential
317 Rough Mechanical Commercial
318 Boiler / Furnace
319 Hot water tank
320 Drywall screw and Nail
321 Moisture board / shower walls
322 Rough Grading
323 Miscellaneous
Ole -
Final Inspections
Date
Inspector
Initials
Comments
402 Gas Meter Release
403 Final Electrical Residential
404 Final Electrical Commercial
405 Final Mechanical Residential
406 Final Mechanical Commercial
407 Final Plumbing Residential
408 Final Plumbing Commercial
409 Final Roof
Ole -
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.
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 inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business day
PERMIT:'" ADDRESS:
/q�,r- `' JOB CODE:
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 I 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.
206 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
05 tnsulation
306 Mid -Roof
%7 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
A i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:"
Job Address: sl �"1!
Permit Number:
❑ No one available for inspection: Time M/ M
Re -Inspection required: Yes No
When corrections have been made, call for -inspection at 303-234-5933
Date: Inspector: c
DO NOT REMOVE THIS NOTICE
1* � 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: 3-3(L
Job Address: 4 h 3 1 ?, e r ce_
Permit Number: ? o i -9- (D S 5 3-4-
M I C) ' 12� �2 2 2 (-),x--e Q
❑ No one available for inspection: Time �Q_5_ AM4&)
Re -Inspection required: Yes ONo
When corrections have been made, call for re -inspection at 303-234-5933
Date:t j 11911 Inspector�)
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
�(303)
Building Inspection Division
(303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax
INSPECTION
AbO NOTICE
Inspection Type: �3 0
Job Address: q 6 ,�_ 1 P, PGCE' S f
Permit Number: 'c_�O/ 7 d .3
❑ 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: )1113117.. Inspector: MT
DO NOT REMOVE THIS NOTICE
► ' City of Wheat Ridge
Residential Roofing PERMIT - 201708537
PERMIT NO: 201708537 ISSUED: 10/23/2017
JOB ADDRESS: 4651 Pierce ST EXPIRES: 10/23/2018
JOB DESCRIPTION: Residential Re -roof to install OC asphalt shingles - 42.6 sq Pitch = 4/12
*** CONTACTS ***
OWNER (303)757-4404 SHAW SCOTT
SUB (303)804-0303 Tom Brown 070055 Northwest Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 16,213.59
FEES
Total Valuation 0.00
Use Tax 340.49
Permit Fee 315.25 e
** TOTAL ** 655.74 :_73
j
*** COMMENTS ***
*** CONDITIONS ***
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required for both the midroof and final inspections. The 3rd party inspection report AND
THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat
Ridge. The report MUST BE SIGNED by the Homeowner.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec.
R806. The installation of ridge venting requires the installation or existence of soffit
venting. For calculation purposes, one hat or turtle vent equal to one-half of one square
foot of opening.
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name) roof
covering" is required to be on site at the time of final inspection.
► A City of Wheat Ridge
Residential Roofing PERMIT - 201708537
PERMIT NO: 201708537 ISSUED: 10/23/2017
JOB ADDRESS: 4651 Pierce ST EXPIRES: 10/23/2018
JOB DESCRIPTION: Residential Re -roof to install OC asphalt shingles - 42.6 sq Pitch = 4/12
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 ermit. I fu st that Iam leggally authorized to include all entities named within this document as parties to the work to be
pe an at ork to be perfo` rmed is disclosed in this document and/or its' accompanying approved plans and specifications.
Si ,Zur of OWNER or CONTRACTOR (Circle one) ate
I This permit was issued based on the information provided in the permit application and accompanyingplans 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 originalpennit 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 Off-cial and is not guaranteed.
4, No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granti o a ermit shat con4r4ie# to be a permit for, or an approval of, an violation of any provision of any
applicable code or any o �r nlati ' ' d
t iction. 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.
!��f� ACCCOiiLI. {
r,r•, Mi r
North West
.,do Roofing ti 81313 Rating: A4
Since 1963
2423 s, Colorado Boulevard, Suite 180 1 Denver, CO 80221 (303) 804-0303 1 Fax (888) 846.5545
Proposals_ —•ub
3630 Sinton Road, Suite 100 ( Colorado Springs, CO 80907 (719) 631-6185 fax (Bag} 846-5545
y� North West Roofing stima —'- pate ~� 1
Str lct SSL�� — -�Ile
`Qty, 5 te. Zt
Phone aSt A � �.
Insuranc y
q� an _ Di0 33 ,_--��L I. s
Email t �C/'J j�/i polity It
zW.�aster
Scope of Work and yaterials to
below `'''ll �e pieced b N ovided: The scope Of
f North West Roofing work and materials idenGfled
Tea: Otf Layers
' 'sli4ind i1/iS ;c. OS&) CHECK DECKING G
ns aq SQ i` ,ce r.'Nater Shieid m. Valleys •� C" �E� 7
nota ' _ x4 in. Metal Drip Edge Color
Initlais
Install x Felt 4 Y: t G
Re Roof
,, 1 1 r
wit t C,
.c fAwl 7
Year Manufacturer's Warranty
ay signing this agreement the homeowrer aurhoriies north Wes,
Roofing to represent the homeowners best interest in pursuit of
roof replacement or repair due to storm damage. This contract does
rot obligate the homeowner or North West Roofing until the claim is
approved by the Insurance Company arri accepted by North West
Roofing. Upon Approval of the claim. North West Roofing vriil
complete specific work at the price agreeable to the insurance
company and to North West Roofing. There is no additional cost to
the homeowner except for their deductible. The agreed upon price
will become the final contract price and North West Roofing will
receive all insurance proceeds and scpplemenrs for the work
completed by North West Roofing.
ry initialsUY
^ he Approximate Costs of the Serolces 5
shingle Manufacturer Vr C, tolor3 Initials shad ae The Agreed Upon Cost Between North West Roofing and
F'•
y��losed VaNeys - With Ice and `Nater Shield Underiayment
v�'Pog�,Vta!'Wslof
With Painted Metal
coordinated shingles
epfa • RubberPipeiacks
Paint Roo Stacks To Match Shingle Color ALL
rlac w Profile Vents Turbine Vents
;l<.r.thW t Roofing 3 Year Labor Warranty ��
'M2tanlStepFlashing Stela' p Flashin Chimney
eY
a est Roofing will Provide General Liability Insurance of at least 51,00,000.00
Clea d Haul Off all Trash
P ect and Clean Up Landscaping
1� Clean rid bushes and shrubs /�
e,T Gutters � W e o lO /a _
Ro}I ya ith magnetic roller i /�
Permit Furnished by North West Roofing
I agree, by signing below, to all the contract conditions, bath front & back of this agreement.
our nsu Carrier. Their RCV Cost Plus Supp:ements.
OTiCE If the Property Owner Plans to use The Proceeds Of a
Property and Causality insurance Policy, Part 1 of Article 4 of Title
10, C.R,S., In accordance to Title 10 C.R•S., section 6.22.105, the
roofing contractor cannot pay waive rebate, promise to pay or
waive rebate or any pan of insurance deductible applicabfe to the
insurance aim for payment for the work on the covered property
Deposit Amount Date:
North West Roofing shall hold in trust any payment from the
property owner until materials are delivered or have performed a
majority of the roofing work on the property. 'May not include any
additional taxes, base service fees end arsupptements that pertain
to the claim.
!PPM-il.�t!DaZtes
f Service; 10 DAYS AFTER 4 •REEMENT
These dates of service are subject to change due to unusual delays in
transportation of materials, ordinary weather delays, or by any other
causes beyond the reasonable control of Contractor.
SPECIAL INSTRUCTIONS
Date of Acce tante
0—s 8
(800) 333-1704
PUEBLO DENVER
(719} 633-7773 (303) 8134-0303 1 fax (888) 846-5545
FORT COwNs
(970) 484.9430
Dane Lovett -2 N'7W3
From: no-reply@ci.wheatridge.co.us
Sent: Monday, October 23, 2017 6:33 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Follow Up Flag: Follow up
Flag Status: Completed
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 and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
L6U Fwd a/ V ( 7
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address 4651 PIERCE ST
Property Owner Name SCOTT SHAW
Property Owner Phone 303-757-4404
Number (enter WITH
dashes, eg 303-123-4567)
117
Property Owner Email Field not completed.
Address
Do you have a signed Yes
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed 170520 - Contract.edf
Contract
CONTRACTOR INFORMATION
Contractor Business NORTHWEST ROOFING
Name
Contractor's License
070055
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
303-804-0303
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address
2425 S Colorado Blvd Suite 280
(Primary address of your
business)
Contractor Email Address
Ihammons@northwest-roofing.com
Retype Contractor Email
Ihammons@northwest-roofing.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of 42.6
the entire scope of work:
Project Value (contract 16213.59 f
value or cost of ALL
materials and labor)
Are you re -decking the No
roof?
Is the permit for a flat Pitched roof (2:12 pitch or greater)
roof, pitched roof, or
118
both? (check all that
apply)
What is the specific pitch 4/12
of the PITCHED roof?
How many squares are 42.6
part of the PITCHED
roof?
Describe the roofing OC STORM
materials for the
PITCHED roof:
Type of material for the Asphalt
PITCHED roof:
Provide any additional HOUSE
detail here on the
description of work. (Is
this for a house or
garage? Etc)
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
119
submit this application
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Name of Applicant Leila Hammons
Email not displaying correctly? View it in your browser.
120
INSPECTION RECORD pcculiancy /Tvpe
"V 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
Electrical
Weatherproof/ French
Rough ElRough
Sewer Service Lines
PlGas
Water Service Lines
Pipin Rough
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD
BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. - - --
CONCRETE SLAB FLOOR
Electrical (Underground)
nn
ROUGHS
Sheathing
Lath / WaiService
Mid -Roof
Roof
Electrical
Building Final
Rough ElRough
Fire Department
PlGas
R.O.W & Drainage
Pipin Rough
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD
BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. - - --
Parking & Landscaping
Me
* "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 A UTHORIZA TION
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING
Framing
Insulation "
Drywall Screw
FINALS
Electrical
Plumbing
Mechanical
Roof
Building Final
Fire Department
R.O.W & Drainage
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD
BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. - - --
Parking & Landscaping
-
* "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 A UTHORIZA TION
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
`OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(3 03) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type: Acy/=
Job Address: yGs'l �V/6eC� ST
Permit Number: __ln95
❑ No one available for inspection: Time -pS AM /rM
Re- Inspection required: Yes
When corrections have been made, calf for re-in spection at 303- 234 -5933
Date: 23 Eo Inspector: r°
DO NOT REMOVE THIS NOTICE
{ °.m:e�..- .'¢vu:gF • Yw.y�s; cam. -"* .Y;w. t` - aW[ev.�x; y rY, , _:"i- > � k `T rz?:�.v'-�, '...,„
♦ ► t CITY OF WHEAT RIDGE
Building Inspection Division
( J (303) 234 -5933 Inspection line
./(303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: l0 5 1 ii / V iL G C S
Permit Number: / J cr _54')
❑ No one available for inspection: Time AM /PM
Re- Inspection required: Yes No
"When corrections have been made, caff for re- inspection at 303 - 234 -5933
Date: J /U ✓F✓ Inspector:
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
r Building Inspection Division
I (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 'G
Job Address: - r / P v% c S -7-
Permit Number: / t J S 5
r'
Pe
❑ No one available for inspection: Time AM/PM
Re-Inspection required: Yes No
When corrections have been made, calf for re-inspection at 303-234-5933
` Date: 16 A~) Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 100587
i PERMIT NO: : 100587 ISSUED: 03/08/2010
JOB ADDRESS.:. 4651 PIERCE ST:. `EXPIRES: 09/04/2010
'0 DESCRIPTION: Reroof 20 sqs 30 yr shingles
CONTACTS
owner 303/421-4390 Gary Favero
sub ? 303/904-3549 M.McDonald/..J.Baywe- 02-0505 JDBRoofing Inc.
t PARCEL 'INFO
SUBDIVISION: 0009
FEE '.r SUMMARY '.;ESTIMATE
FEE
Permit Fee ` 181.1
Total Valuation .0
Use `Tax 123.3
TOTAL .:304.4
Conditions
ll lMU. U11. M uuu-..tv 111b1JCl. L A.ULi 1. c1 Ui. CU. MUaiU....'uuc
f an inch apart requires plywood overlay on entii
Grequired from eave edge to 2' inside exterior w<
`owner shall provide ladder(s) secured in place f
~nsibility of the person/firm requesting the inspg
ear for inspection. Scheduled inspections that cs
ment weather must be cancelled; prior to 8:30 a.m.,
r a re inspection fee of $61.00 will be assessed',
n that the setback distances proposed by this permit application are
as or regulations of the City of Wheat Ridge or covenants, easements
>wn, and allegations made are accurate; that I have read and agree t
that I assume full responsib ity for compliance with the Wheat 'Rid
, Ridge Ordinances, or w k der this permit. Plans subject to fie
dQ '-I 2,--W^ °Ji)i -o
0', REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR 'INSPECTION THE `FOLLOWING BUSINESS DAY...
t
City of Wheat Ridge Building Division
m 7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 ' Fax: 303-237-8929
°O~oRao° Inspection Line: 303-234-5933
Property Address;
Building Permit Application
Property Owner (please print): (6 a
Mailing Address: (if different than property address)
Address:
Date:
Plan
Permit
"-4 (f 1,- 0
Phone:
) -93'~b
City, State,
Contractor:
Contractor License Phone: 30 S C0 U S 5 1-)
Sub Contractors:
Electrical City License
Company:
Plumbing City License
Company
Mechanical City License
Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval:
Approval:
Use of space (description): Construction Value: $_6 se 50
Description of,work3 q h (as calculated per the Building Valuation Data sheet)
✓ GO - G) r 'P C! C:. . r7 S`~ ' Plan Review (due at time of submittat): $
ti,+ 1~4ck Y I! Ya oochN Burn.I,t; 5 C'
1 b~ ~ lMl~ tiSlOkkS s Ott h
Sq. Ft./L.Ft added: Squares BTU's Gallons Amps
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
1 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) (CONTRACTOR) r PERSONAL REPRESEN TIVE of (OW R) (CONTRATOR)
PRINT NAME: 't NJLe,m "C.O a k o- y SIGNATURE:
r ) i Date: z
lu~ Bldg Valuation: $ 1
. IMI . . . , . .
Building Permit
CITY OF WHEAT RIDGE
7500 West 29TH Avenue
Wheatridge, CO 80033
303-235-2855
*Mdol
Residential Mechanical
Permit Number
19511
11 /22/2005
Into ection Line
-2 34-5933
3
'PROPERTY 4651 PI¢1'C0 St Unit:
owivER: Gary Favero (303) 421-4390
Descriptiort
Replacement of fiunace - relocate to upstairs from crawl space. 90% fumace complete job & use of
presentelectrical.
FEES
Fees' Due Paid
Use Taz $64.80 $6480
Permit Fee $126 50 $126.50 c,, ~
Totalfees $19130 $191.30
CONTRACTORS -I- ~ • 3 J
Natne License # Phone
Phil"s hVAC 22448 303 696-9732
Gltv of Wheat Ridg-e PRESCRIPTIVE ENERGY CODE
BOILERS 1 FURNACE$ A MINIMUM OF 90% AFUE
GAS WA7ER NEATERS A MINIMUM OF.!0 ENERGV FACTOR
eLECTRIC WA'fER HEATERS F `.%!r;IMUM OF,93 ENER6Y PACI~
SETBACK THERMOSTAT REQUif2ED J_?'.CEP? HYDRONIC HEAn
R•21 WALLS • RJ8 CEIUNGS • R-19 CFtAV,,.SpACES
Units:Ocwpancy: Walls: Roof: Stories: SqFeet: 0
. 7 herqbyttetlb Wne tbe wrbmd tl6maa propaM by this pe'mit applleatWo art aceura[e, and do oat vlohte apptlubk ordivaocµ raW or regulbtleo, o( We C1ry of
, SWatRW~s or eaveo~ob, euemmd or reetrlctlenu of rernrd; Nat e0 mworcmmb showo, and alke.tlau m+Ee are aeeunk; fhat I h. reatl rod ~pee to obitle Ey
W coMltloei pelnhytl ~oo~ G4 appikalbq mA tha[ IRxume fWl rtryonal6Wtyfor compOvnee wIM Ne Whwt Rides Bulldiog CoEe (L.H.C.) and a9.other ~pptlnble
WhutlUtlt<orEin/A!_ rlJ~w a'~~ h/U A .Z ^ae~
SI@IEO DATE
ihis permit wu WuM Naaordmae wltM1 Ns provWam aet t rth W yow ~pplimfloo and 6 aubjat W roe brMi ohhe St.e otColorando and W Ne TnninC
~RepJalbm ned BuWbe Code of Whetl Rideq Colondo or any other applkabb oMitmnm of the City.
}Every pernlHVUed sbdi berom<NVdid unku We wah on We alle autM1Orlud by mM permX ie roiomeecetl wltYlo I20 tl., ~Rer ib imuta, w ifthe aork
avtlprbN on the dh Uy such permlt 4 awpeoded or WaeEooed 4r a perbd af 180 d.ye .ib flu tLee °f wor4 Y mmouoaA. 3I1 fb4 peruit upirµ e oew permit may be .cquireJ for a fce of ono-half t6e inmouv[ normiily requ4ed, provldW oo tWOea hmve beee or M9 be mWe is the
wlelod pbm aed pxlflcatlous and my auapemba ar WmvEamoen[ ha oot eseedM one (q yev. Ifchmen ue ouJe ar itmrye~on or Waodoammc
e:mMy one(I) yuqfullheNaObep.itlfm. oewpermit. ,
1 No wor4 ofaoy mmnn sW11 be tlone Net wW ehaoCr dw oatunl Mn ofwaRr uudnQ a tlnioa{e probkm.
: 5 CantrmMr Nall ootlfy the BoiWNe Iwpeeror Mrnty-fom (34) houn In ~dvmn tor all Wpeniom mtl ~hA nodve wtlnw, ~ppmvd oo ivryectlw ord betort
piweedleSwiW maerroephuaotthejob. .
. 6 ILe iuuauee of a perdt or the ~pprvv+l of tlnMVp and ~p«iOeaHOV Aull oot be caortved to be a permi<(or, nor . approvd 4 anY violatioo of M.
nroVhNeMM161TIlAlY[ COG4lr~..TNILf m41nnICF Vwr role ofltcYlaflOn
Tuesday, November 22, 2005 Page 1 of 1
COMMUNITY DEVELOPMENT DEPARTMENT
~oF W"E'°ry BUILDING INSPECTION LINE - 303-234-5933
_ o CITY OF WHEAT RIDGE
~ 7500 WEST 29TH AVENUE .
WHEAT RIDGE, CO 80033 - (303-235-2855)
~LORPO~ ~ Arl`LlR.lJ
Building Permit Number:
Date:
PropertyOwnei:
property Address:
Contractor License No.:
Company. 141
j6lh
OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Phoae: 3(13-
PhoneLV-3
Buildina Depf. Valuation Figure: $
1 hereby certify that the setback distances pmposed by this permit apptication are
accu2te, and do not violate appllcable ordinances, rules or regulations of the City of
shown have read nd agree to abide by all
Wheat sntl allecallons made are a curategthat I ~
, 9
eonditions printed on thls epplleatlon and that I assume full responsibllity for ths
other Ridge'tOrdnanc s forweorkunderthisperm'ItdPaIB•subJectto eldanspe~cUonWheat
(OWNER)(CONTRACTOR):SIGNED ' - .
DATE
(OW NER)(CONTRACTOR):PRINTEO
Value:$,36Gyi.a
Peimit Fee:$
Plan Review Fee:$
1JEtIal
`rOt31: $
Use of Space (descriptfon):
S/~ e
h
Ha,f - lElc-vle
Description of work:
J
Sq.Ft.add@d '
ONLY
COMMENTS:
Approval:
Zoning:
COMMENTS:
Approval:
~ORKS COMMENTS:
Approyal:
Sq.Ft.:
IRE DEPARTMENT COMMENTS: I I
Approval: .
Occupancy Walls: Roof: Stories: Resldential Units:
Electrical License No: Plumbing License No: Mechanicai License No:
Company: Company: Company:
Expiration Date: Expiration Date: Expiration Date;
qpprovaP Approval: ' Approval:
(1) Thfs permitwas issued In-accordance with the provfsions setforth in your applicaUon and is subjedto the laws of the State of
Colorado and to the Zonfng Regulations and Building Codes of Wheat Ridge, Coloredo or any other applicable ordinances of
me ctry.
(p) This permit shall expire If (A) the woric authodzed (s not commenced within sixty (90) days from Issue date or (B) the 6uilding
authorized is suspended or abandoned for a perlod of 180 days.
(3) If this permit exPires, a new pertntt may be acquired for a fee of one-half Ne amount normally required, provided no changas
have been orwVll be made In the ori9lnal plsns and speclflcaHons and any suspension or abandonment has not exceeded one
('I)year. If chanBes have been or if suspension or abandonment excaeds one (1) year, full fees shall be paid for a new pertnit.
(4) No work of any manner shall be done that will change the naNml flow of water causing a dralnaga pro6lam.
(5) Contractor shall notlry the Building Inspector twenty-four (24) hours In advance for all Inspectlons and shail recelve written
approval on Inspectlon card before proceeding w(th successive phases of the job.
(g) Tha Issuance of a parmit or the approval of drawings and speciflcatlons shall not be consWad to be a permlt for, nor an
approval of, anyviolaUon of the provfslons of the building codes or any other ordinance, law, rule or regulation. AII plan revfew
is su6Ject to fleld inspectlons.
Ghiaf Ruildina Officiai