HomeMy WebLinkAbout3495 Wadsworth Boulevardww
MA,
_._.
L ' EPDM ROOFING MEMBRANE LIMITED WARRANTY
A' SERIAL - 1031708JUN17MO SQUARE FOOTAGE 3976
h, y.
BUILDING OWfJE}2 Sandh8l Husker LLP Conmhaual Building
"Ai BUILDING ADDRESS.,3495WadsworthBlvd
Wheat Ridge, CO 801M
= j EFFECTIVE DATE, 06flO l7 EXPIRATION DATE 6MWW
MULE -HIDE PRODUCTS CO., INC. ("Seller") vamps to the above n awed W Icing Cwher ("Buyer"), installed at the above rened laxbon, that its EPDM roofing membrane
("Merbrard') is free from mar dachrirg debts axl that tte Merrtrae wIl rid delenorate due to the action of moisture, congen, cz ne and ultra idet light mrdfied bytime and
terrperahre ("Weat"ing") to the aAe t MA it becomes incapable of rrertarirg a w3terfigtt cardfion for the wratyperiod ind cated abow as a sirgl e•plyroofirg mentrae and
that the Membrane is manufactured in accordance with the manufacturers specifications. This Vtarralydoes not oau the appearance, cleanliness or clscdcration of the Membrane
for aryreason
Though the Marbrare is quiteinert and will resist weathering well, it will riot Wthsiand the mons of menymderials. Byweyd illustration (but not lirritel to) such matelots include -
strong
acids, fats, ails, greaseandmst
hycirocarbons. Care must betalen in delaTrinirg corrpalible"ronirnertal conditions for installation.
Sella assures ro liabilityfor ayfailuedt a mentorae resetting from (1) Ads of Gcd, irrdudng wtlnri lirritatim floods, liglting, hrricaies, Wads (wheffer gusts or
*` sustained),uaies, earth tremors, tornados, ales, tel, fire, the infestation esenced art, mid i, bacteria and insects or animals d
e3thq g pr a ting' anyorigina caseor arydaxis
resdfing frorntheforegoing; (2) Installat oR (3) Any act of negligence, acdd3t mase orapse byBAu, fhe irsdier or arydher person, inducing but not l irritedtowrdAism
1(; fire,f211irgotjed,cNIc1sabedence, act dWrorayairrinalconcka(4)Ernirorrrvtalfalloutdherricalattadcorthe presencewthinoroulsidetheBhilcirgdayoormerdalor
'
industrial sdhert, acid casticfluid p &detm Frockict vEK grease, absorbent, dayor plasticize; (6) Anyfalue deterioration, set0erert or nhaenehtofthe roof structure, rod
^i dedtsulstrateorbAldrgco ponerts(inducigbutn)tlirriteltoHVACs);(6)Defectsinthebuilcingorroddesigrr;(7)Ladcddranageirhdudrgbutnotlirritedtoayoord6rn
cased byinadequ ate or inprope rod pitch or drains, condensation from rrachinery, or deflection in the rod surface; and (8) Use in an incompatible enurarrat as irhdcated in the
precejng paragraph.
To require a performanceof Seller's obligations oder this VUararly, Buys must within Dirty (30) days d dscaeryd the purported defector deterioration to which the dam relates,
sad witteh notification of such defect at its own evense byroertfiel nail to
MULE -HIDE PRODUCTS CO., INC.
q"
ATTN: WORRANTY DEPARTMENT
[s P.O. BOX 1057
BELOIT, VN 53512-1057
-his notice mist include a general description of the purported defect or p rerehre deterioration Failure to nolifythe Seller in this manner shall be deemed a v,6%w of aypurpated
defect or premature deterioration Wthin thirty (30) days after witten notice of the alleged defect has been recayed try Seller, its represertafi\e will irnestigate the claim Seiler shall
°. beetitleitoinspecttherofbeforeinurTingaydiigationFereuder.Itshallbetheresposihilitydthebuiidngowertoprovidesafeaccesstotheroof.Aninspetionfee(in
accordance with Seller's stadad charges) shalt be pad by Buyer to Seller prior to inspection (the"Inspection FeC). In the eat tlhe case of the leakis rid co Bred bythe Wxrarty,
Seller will retain the Inspection Fee. Such irnestigation may include the sec rernaht of adequate sarpes of the Memtrane from the structure to vlich it is affixed for testing pry Seller
as part of its dams investigation Failure to be permitted such irnmsfigation constitutes a %ei,er of the purported defect or prereve deterioration
` Upon being permitted su c h op oat ntyto irnesti de, Seller will then
9 pramptlyperfarnaryadigabon imposed byttisWE3rrahtyasaresult dsuch irnestigatim
If upon inspection byrthe Seiler, the Membrane shoos prerretcre deterioration because dwaadvring vithin the warartyperiod stated herein, Seller's liabilityand aWs sde and
adue a rernodyshall be l irrited at Seller's option to ft sugplyd repair material sufficient to replace the affected area of Membrane or credit to be applied tmwds the pardhase of a
f t newMerrbrae, the vdlue d these rffnecies being determined bythe seller based Lipon the nunter of remairing montins, of the unieDpired vAiTartyused to pro -rate at current prices
for the Merrixane The nmdmm pro -rated due ails ed by Seller for repair or aeit shall riot ahcead the original Mentrahe purd we priceL This limited va ra tydoes not apply
�t f to labor, other materials or anyother items.
} BUYER'S REMEDIES STATED HEREIN ARE THE SOLE AND B(CLUSIVE REMEDIES FOR CLAIMS AND DAMAGES ARISING FROM FAILURE OF THE MEMBRANE
fAl.
+f SELLER MADS NO WARRANTIES, EITHER EXPRESSED OR IMPLIED, WHICH EXTEND BEYOND THE FACE HEREOF. SELLER SPECIFICALLY DISCLAIMS ANY
j IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE S8J.ER SHALLNOT BE LIABLE UNDER ANY CIRCUMSTANCE OR
4 THEORY OF ACTION, INCLUDING BUT NOT LIMITED TO CONTRACT,TORT, PRODUCTS LIABILITY OROTHERWISE(1)FOR ANY INCIDENTAL OR
f CONSE-OUENTIALDAMAGES,INCLUDINGBUTNOTLIMITEDTOPERSONALINJURY,LOSSOFPROFITORDAMAGETOTHEBUILDINGORANYMERCHANDISE
OR OTHER CONTENTS THEREIN, FOR WHATEVER CAUSE INCLUDING BUT NOT LIMITED TO MOLD, FUNGI, AND BACTERIA EVEN IF THEVVARRANTY
PROVIDED HEREIN FAILS OF ITS PURPOSE AND (11) FOR LOSS OR DAMAGE CALLED OR CONTRIBUTED TO BY SELLEIR S APPROVAL OF THE CONTRACTOR
OR INSPECTION OF, OR FAILURE TO INSPECT, THE BUILDING ROOF. IN THE EVENT OF ANY ARBITRATION OR LITIGATION REGARDING THIS WARRANTY OR
ITS SUBJECT MATTER, IF SELLER IS THE PREVAILING PARTY, BUYER SHALL REIMBURSE SELLER FOR ALL OF SELLER'S DISPUTE RESOLUTION COSTS,
INCLUDING ATTORNEYS FEES FOR PURPOSES OF THIS WARRANTY, SELLER WILL BE DEEMED THE PREVAILING PARTY IF THE BUYER RECOVERS NOTHING
* ORA SUM LESS THAN WAS OFFERED IN SETTLEMENT. THIS WARRANTY TAKES PRECEDENCE OVER ANY OTHER DOCUMENTS OR REPRESENTATIONS
(WHETHER ORAL OR WRITTEN AND BY WHOMEVER MADE) WHICH CONFLICT WfTH THIS WARRANTY.
'A Seller shall riot be tiadefa incidahfal, consequential or ether es such as
i arty easel damages daragatothestruxiuretowlichthe Merrtxaheisafi>ador its contents; arhdaryresUting
damage or carhdtcr , in cl u cling but n ct l imited to, rml d fungi or bacteria, nor shall Seller be l iatie for aydanages wich are mei on negligence, breach d vsrrarhty, strict liability
or ayot her t hwycMer than the liadlilysd forth aboz Incidental and arsequshtial damages shall not be reco ealie een if the re-supplyreredyp rW cbd for herein fails d its
'. PRrposp-
SApe wll not be liable for ayacbons or ehperdtues which ere irharred prior towideh adrhadedgment of Seller's resporsiblityrelating to the re -at piyre medypraided fv
herein. This m rrahlyis net birhdng upon Shcer vias aeuted byrah secubw dficer of Seller or a dlyalhoriwd err) loyee d Seller's WaratyDepertmait No represeriathe or
arployee d Seiler, or ayotu perty, mayalter this Wdrraty%it hat the priorwitten corset d ah e>eculihe dfioer of Seller or a d lyallhoizel errplcWe of Seller's Warranty
Department This Werralycrostitutes the afire understanding of the pates vith raped to the su be t matter contained herein, ad reales and syyasedes al i prior agreements,
wlheltu witten or oral, between the parties. This Warraiyshall tale precedence ere- amydha docrnerts or rep nese tatons (W Ather oral or Witten, ad bywhon ew Trade) which
rrayaxilictwtht is Wharra ty.
NULEHIDEPRODUCTSCGL, INC
��
— — ` Technical ServiceAdministrdor 652017
jBy Its: Date
q Pageld2 Form ID:1031708JUN17
City of Wheat Ridge
Commercial Roofing PERMIT - 201701572
PERMIT NO: 201701572 ISSUED: 06/06/2017
JOB ADDRESS: 3495 Wadsworth BLVD EXPIRES: 06/06/2018
JOB DESCRIPTION: Remove and replace 36 sq EPDM Replace 3" Poly ISO new cap metal.
*** CONTACTS ***
OWNER (303)455-1932 PROFESSIONAL HEALTH CARE
SUB (303)777-7999 Rick Carter 018009 Palace Construction Co., Inc..
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 520 / Office; 0 BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 38,732.80
FEES
Total Valuation 0.00
Use Tax 813.39
Permit Fee 603.05
** TOTAL ** 1,416.44
*** COMMENTS ***
*** CONDITIONS ***
In order to pass a final inspection on commercial elastomeric or similar type roofing, 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. 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 kh-inch exists. Asphalt shingles are required to be fastened to the roof
deck with a minimum of 6 nails per shingle. 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&40'ms installation
instructions, whichever is more stringent.
INSPECTION RECORD
C - INSPECTION REQUEST LINE: (303) 234-5933
Occupancy/Type
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
Initials
Comments
Pier
Electrical
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour
Concrete Prior To Approval Ut I ne Above Inspections
Underground/Slab Inspections
Date Inspector
Initials
Comments
Electrical
Sewer Service
Plumbing
Lath / Wall Tie
nn Nnt Cnver Underaround or Below/in-Slab Work Prior To Approval Ut i he 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
'ZA
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 rougn inspections are compietea from the rare uistnct ana electrical low voltage
by the Building Division.
"`For Inspection Time Window — Please email insptimereguest ci.Wheatridge.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
Commercial Mechanica PERMIT - 201706444
PERMIT NO: 201706444 ISSUED: 08/23/2017
JOB ADDRESS: 3495 Wadsworth BLVD EXPIRES: 08/23/2018
JOB DESCRIPTION: Permit to raise existing roof top unit. Using 2 X 10 making extension to
the curb, cap and roof in.
*** CONTACTS ***
OWNER (303)455-1932 PROFESSIONAL HEALTH CARE
SUB (303)423-7905 Timothy Bartels 017674 B & B Heating & A/C
*** PARCEL INFO
ZONE CODE:
SUBDIVISION CODE
***
UA / Unassigned
520 / Office; 0
USE: UA / Unassigned
BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,800.00
FEES
Total Valuation 0.00
Use Tax 37.80
Permit Fee 70.70
** TOTAL ** 108.50
*** COMMENTS ***
*** CONDITIONS ***
Work shall comply with 2012 IRC & 2014 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
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 �elaI
egownerofthe propertyandamauthorzedtoobtain thisin conjunction with
thisermit.IfurtherattestthatIam legally authorized to include all entities named within this document as parties to the work to be
perrmed and that 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 thepermit 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 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 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, an violation of any provision of any
applicable code or any ordinance or regulatithis jurisdiction. Approval of work is subject to f any
inspection.
Signature of Chief Building Official Date W
REQUESTS NUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
M�Vh',45V)0&1NSPECT10N RECORL
SPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Occupancy/Type
Inspections will not be performed unless this card is posted on the project site.
**Request an inspection before 11:59 p.m. (midnight) 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 Approval Of The Above Inspections
Underground/Slab Inspections Date InspArtor Comments
Initra
Electrical _
Sewer Service
Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To App
)f The Above Inspections
Rough Inspections
Date
Inspector
Initials
,n ntF
_
_
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
14, lbt
DIL
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.
"For low voltage permits — Please be 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
Commercial Mechanica PERMIT - 201706444
PERMIT NO: 201706444 ISSUED: 08/23/2017
JOB ADDRESS: 3495 Wadsworth BLVD EXPIRES: 08/23/2018
JOB DESCRIPTION: Permit to raise existing roof top unit. Using 2 X 10 making extension to
the curb, cap and roof in.
*** CONTACTS ***
OWNER (303)455-1932 PROFESSIONAL HEALTH CARE
SUB (303)423-7905 Timothy Bartels 017674 B & B Heating & A/C
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 520 / Office; 0 BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,800.00
FEES
Total Valuation 0.00
Use Tax 37.80
Permit Fee 70.70
** TOTAL ** 108.50
*** COMMENTS ***
*** CONDITIONS ***
Work shall comply with 2012 IRC & 2014 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
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 and
and am authorized to obtain this permit and perform the work described and approved in conjunction with
this ermit. I further attest that I am le ally authorized to include all entities named within this document as parties to the work to be
performcd and that work to be per rmed is disclosed in this document and/or its' accompany ;ng approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
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 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 an 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, an violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
C
Signature of Chief Building Official Date 0
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
FOR OFFICE USE ONLY
Date: l
City of
Wheat Ic
C(?MMUNIiY I7EVI:L01'MENT Plan/Permit#
Building & Inspection Services Division —(D I'I c�) ( q
7500 W. 29th Ave., Wheat Ridge, CO 80033 Plan Review Fee:
Office: 303-235-2855 " Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: oermits(cD.d.wheatridae.co.us
Building Permit Application
Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. '**
Property Address: W'5.
�A Sy�D2Tt1 CVb
Property Owner (please print):7���5�L�PGZ �I� Phone:
Property Owner Email:
04L,AA)�-, C7(!, PH,�
Mailing Address: (if different than property address)
t
Address: D ���J I n -fwTe. V t Sim
City, State, Zip:
Architect/Engineer:
Architect/Engineer E-mail:
Contractor:
Contractors City License #:
Contractor E-mail Address: i
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Phone:
i(" T<�-b e- Gv'_% rn-OK), )► K��" I
Phone: 2b 1"7
Plumbing: Mechanical tJ)
W.R. City License # W.R. City L(ense # ��-
Other City Licensed Sub:
City License #
Complete all information on BOTH sides of this form
*OMMERCIAL ❑ RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT
❑ COMMERCIAL 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/APPLIANCE REPAIR or REPLACEMENT
❑ OTHER (Describe)
(For ALL projects, please provide a detailed description 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.)
CA rb 'T 6C caoed
And cooW in
Sq. FULF
Amps
Btu's
Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$ �2m( 'too
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNER( (CONTRACTOR) )or (AUTHORIZED
Electronic Signature (first and last name):
ZONING COMMMENTS:
Reviewer:
ATIVE) of (OWNER) (CONTRACTOR)
DATE: OZ (/%
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
� —7
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: �_ 1 4s L- �_A t. C .�4
Job Address: ?)4�5 W)S4?5WV
Permit Number: *2,() k; U (,P 4
❑ No one available for inspection: Time C-) I A )PM
Re -Inspection required: Yes No
When corrections have been made, call forge -inspection at 303-234-5933
�J
Date: lU -2-4 . 11 Inspector:t.m�it ►_(L
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: I V_ wor—
Job Address: 5495 BLVD
Permit Number: 'LD 1-70 1 5-72
❑ No one available for inspection: Timeii71 C 4N PM
Re -Inspection required: Yes No
When corrections have been made, call f ,re-inspeccti�on at 303-234-5933
Date: �� S4 Inspector: `�� Ic
1&�
DO NOT REMOVE THIS NOTICE
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: _ D N bLVP,
Permit Number:
❑ No one available for inspection: Time MM
Re -Inspection required: Yes No
When corrections have been made, call fo/' -inspection at 303-234-5933
(0/2-b Date:� Inspector:
DO NOT REMOVE THIS NOTICE
Ili
SSS Df7
AM��
❑ No one available for inspection: Time MM
Re -Inspection required: Yes No
When corrections have been made, call fo/' -inspection at 303-234-5933
(0/2-b Date:� Inspector:
DO NOT REMOVE THIS NOTICE
� ► I f City of Wheat Ridge
a
V-
Commercial Roofing PERMIT - 201701572
PERMIT NO: 201701572 ISSUED: 06/06/2017
JOB ADDRESS: 3495 Wadsworth BLVD EXPIRES: 06/06/2018
JOB DESCRIPTION: Remove and replace 36 sq EPDM Replace 3" Poly ISO new cap metal.
*** CONTACTS *** '
OWNER (303)455-1932
PROFESSIONAL HEALTH
CARE
SUB (303)777-7999
Rick Carter
018009 Palace Construction Co., Inc..
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE: UA / Unassigned
SUBDIVISION CODE:
520 / Office; 0
BLOCK/LOT#: 0 /
*** FEE SUMMARY ***
ESTIMATED
PROJECT VALUATION: 38,732.80
FEES
Total Valuation
0.00
Use Tax
813.39
Permit Fee
603.05
* * TOTAL * *
1,416.44
*** COMMENTS ***
*** CONDITIONS ***
In order to pass a final inspection on commercial elastomeric or similar type roofing, 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. 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 KI/2-inch exists. Asphalt shingles are required to be fastened to the roof
deck with a minimum of 6 nails per shingle. 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€lms installation
instructions, whichever is more stringent.
City of Wheat Ridge
Commercial Roofing PERMIT - 201701572
PERMIT NO: 201701572 ISSUED: 06/06/2017
JOB ADDRESS: 3495 Wadsworth BLVD EXPIRES: 06/06/2018
JOB DESCRIPTION: Remove and replace 36 sq EPDM Replace 3" Poly ISO new cap metal.
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. further attest that I am le ally aut ized to include alI entities named w'thin this document as partes to the work to be
performed d that all wor to be p9rf9Mclosed in this document and/or it cco anying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Data( '
I . This permit was issued based on the information provided in thepermit 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 androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Budding Offcial 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 regulat�f 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 MOLLOWING 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 Wheat Ridge
Commercial Roofing PERMIT - 201701572
PERMIT NO: 201701572 ISSUED: 06/06/2017
JOB ADDRESS: 3495 Wadsworth BLVD EXPIRES: 06/06/2018
JOB DESCRIPTION: Remove and replace 36 sq EPDM Replace 3" Poly ISO new cap metal.
*** CONTACTS ***
OWNER (303)455-1932 PROFESSIONAL HEALTH CARE
SUB (303)777-7999 Rick Carter 018009 Palace Construction Co., Inc..
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 520 / Office; 0 BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 38,732.80
FEES
Total Valuation 0.00
Use Tax 813.39
Permit Fee 603.05
** TOTAL ** 1,416.44
*** COMMENTS ***
*** CONDITIONS ***
In order to pass a final inspection on commercial elastomeric or similar type roofing, 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. 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. 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 manufacturerdoms installation
instructions, whichever is more stringent.
City of Wheat Ridge
Commercial Roofing PERMIT - 201701572
PERMIT NO: 201701572 ISSUED: 06/06/2017
JOB ADDRESS: 3495 Wadsworth BLVD EXPIRES: 06/06/2018
JOB DESCRIPTION: Remove and replace 36 sq EPDM Replace 3" Poly ISO new cap metal.
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 alI entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
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 original ermit 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 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 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 field 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.
/7
City of
�Wh6atRj,
COMMMMUNiTy DEVELOPMENT igic
Building & Inspection Services Division
7500 W. 29" Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits( a �ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date: ce
Plan/Permit #
Ib��
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: 3 V 9 S_ AlaOSZ-001?1 4!&
Property Owner (please print): /aftSS�(���/G� /ash L"Gi Phone: 303 5�L- 2 -
Property Owner Email:
Mailing Address: (if different than property address)
Address: SGi, r.7 e
City, State, Zip:
Architect/Engineer E-mail:
Contractor: 61Gr C e 6iyt�i�Gt C'//0 'V
0
Phone:
Contractors City License #:
�/ (� OD�'t
Phone: 71.0-
Y) / - ::FlGo '7
Contractor E-mail Address:
/V.
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
t.sk
Plumbing:
W.R. City License #
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
0 COMMERCIAL ❑ RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE I COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT
❑ COMMERCIAL 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/APPLIANCE REPAIR or REPLACEMENT
❑ OTHER (Describe)
(For ALL projects, please provide a detailed description 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
amniint of mats?rialc to be used etc )
Sq. Ft./LF
Amps
,(�rnozlef a .vol r%�a le,- C-� 36 Sq
126 /V/ — � S 6 Nein 0-41,9
Btu's
Gallons
Squares ze� Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
. C�6
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application.
CIRCLE ONE: (OWNER) (CONTRACTOR) r (AUTHORIZED PRESENTATIVE) of (OWNER) (CONTRACTOR)
PRINT NAME: ,16 l ,-a,,y4 iL SIGNATURE: DATE: (D
ZONING COMMMENTS.
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received ❑ Not Required
Water District ❑ Received ❑ Not Required
Sanitation District ® Received ❑ Not Required
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
TYPE OF CONSTRUCTION:
SPRINKLERED:
OCCUPANT LOAD.
Building Division Valuation: $
i CITY OF WHEAT RIDGE
_:�9�Building Inspection Division
(303) 234-5933 Inspection line
'(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: r::l b,141— t2.Mi✓
Job Address: 5VQNi L V�
Permit Number: SO 17 /715 7
k I _ \C lJ P Lem 9
t:.
j)1
1
1
❑ No one available for inspection: Time -12,W_ AM/'ti ) i
Re -Inspection required: Yes No*
When corrections have been made, call for re -inspection at 303-234-5933
Date: 2 Inspector: , cv,� I
i
DO NOT REMOVE THIS NOTICE
Or Current Owner/Occupant
Professional Home Health Care
PO BOX 33
OAKLEY KS 67748
Regarding Permit: 201301094; Upgrade existing restrooms to comply with ANSI/ADA and add
one mop sink. **Add water fountain.
3495 Wadsworth BLVD, Wheat Ridge, CO 80033
Our Records indicate that the above noted permit was issued on 08/16/13. Our last
inspection related to that permit was on 03/03/15.
Because of the inactivity
• this permit, it will become void as of 12/31/2015.
Please contact this office within one week from the date of this letter to update us on
the status of this permit, or call for a final inspection on the property. You may call
303-234-5933 or request inspections online at www.ci.wheatridge.co.us. Information needed
are permit number, property address, type of inspection and date to be inspected.
If you do not contact this office, and wish to resume work at a later date, you will be
required to submit a new permit application, drawings with appropriate code edition
information and pay applicable fees. Incomplete or inactive permits may be reported to
agencies such as Jefferson County Assessor, title companies, etc., and could affect future
transactions related to this property.
Thank you for your cooperation concerning this matter. If we can answer any questions,
please don't hesitate to contact us at 303-235-2855, option 7.
Melissa Mackey
Senior Permit Technician
This certificate verifies that the building constructed and/or
the use proposed of the building and/or premises, under the
above permit number and on property described below, does comply
with the Wheat Ridge Building Code and development standards of
the zone district in which it is located and may be occupied.
All other licensing ,. City must be met.
• PROFESSIONAL A«
• BOX
OAKLEY KS •
Contractor:
4875 VALKYRIE M
BOULDER 80301
For the Following •• •..: Install
Terry McClain
TLM Construction Services, LLC
4875 Valkyre Drive
Boulder, CO 80301
Reference: Structural Engineer's Construction Observation
• Steel to Steel Member Welding
• Steel Stair Framing
Project No. 2014-0314
3495 Wadsworth - Steel Stair
Wheatridge, CO
EMMM
Boulder
Denver
At your request, a representative from our firm visited the above referenced project on January 7, 2015, for the
purpose of observing the elements listed above. We found the elements to be in general conformance with the
construction documents prepared by our firm.
amsm
Sep 02 14 10 24a TLM Construction Services 3035303510 •
• t ng 47partment
7500 West 29th Avenue
Wheat Ridge, Colorado 8W33
ww"al
[a NUM70 W, kkVzMMkV
request the final inspections associated with this permit. E-rnafl= +, -ImccJainILTgO_MoLt , ,ngt_ or
fax to 303-530-3510.
A
Nv�
u
(
K4 PPLIFEWOOD
PIUMING HUM & UECrOC
SINCE 1973 5 d
E 000 West 29th Averwe - Denver, CO 80212
rom
We are requesting an extension on our City of Wheat Ridge permit #
201401094 for 180 days in order to complete work originally started by us.
We will also be providing information on additional scope of work to be
added to this existing permit. (see application)
Please let me know if there is any more information needed in regards to
this job.
dm�
Diana Lindsey
Phone 303-232-6611 - Fax 30,3477-4310
BBB i
www,App�ewoodFixft,corn V=
0 1 City of
atl, dge
COMMUNn DwaopmFNT
M�
FOR OFFICE USE ONLY
Bung Permit Application
Noo**M**� �:>ctciS WaJs(,u�Z!X
11pill
Address:
Appis"011 fk*M% & No" ce
Contractor. $00 W. 2 Avo.
$8212
Elect(ical:
Wk City License #
NZIMAM
Plumbing:
1 .
Complete all information on BOTH sides of this for
wIF•
MY &BMA S.Y{4M MAi BAiBAMV`B 3GBiti? 1MA &AMw M &Ji.AMRfi MfiG•
Sq. FULF Stu's Gallons
Amps Squares Other
City of
hat l jd
Sub Contractors.*
Electri f VI r ,a. P lumbing '. 1 a °'� e h ni l; r
t
1iV. t. City enee � V .0, WA, City Licen � °� � � � :; � � '. . Cq
License
Other City Licensed Sub Other City Licensed Stab;
City License # City L
Complete all information on BOTH sides of this form
(
c4lio
Sq. FUL F Stu's Galiom
May 29, 2014
City of Wheat Ridge
7500 W. 2e Avenue
Wheat Ridge, CO 80033
3495 Wadsworth Blvd Phone (303) 455 -1932
'heat Ridge, Colorado 80033 Fax (303) 455 . 1410
C*ty of
wlat
CCOOMMMAUNiTYDEWLOPMENT
* &
1M I MMIUS
, r
Project Address: Pennit
General Contractor:
Electrical Contractor
Plumbing Contractor
Company Name: Phone#:
State License #: Master #:
Wheat Ridge License
Signature of Authorized Agent Date I
- - ----- - ------
Mechanical Contractor
Company Name: Phone;
Wheat Ridge License
a - of Authorized Agent
Im
Pill III I Fill iiiii�l�'ll ill ililill IIIIIIIIII t 11111!1111 1111111 111111�11�11111 I III 1 1111
;�q r
.► w
ME
Mailing Add (if different than Property address) ( wk, c -
Address:
City atete, Zi
Ar+ etIEngl E alt: r .. W ° f Ptt+
,.
C o mplete f on B OTH sides of this form
Sq. FVL.F Stu's Gallons
Amy Squares Other
City of
Wh6at e
c 0mmUNrry DwEmPMEN" r jg
City of Wheat Ridge Municipal Building 7500 W. 29 Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2846 F: 303.235.2857
FOUNDATION SETBACK AND ELEVATION CERTIFICATION
Van 111 11 pip�qipwi�piiijjq
1 110 l�i
and approval prior to the FIRST FRAMING I P MON and before proceeding wi y
further construction.
DATE: I U
PERMIT#
ADDRESS:,,,,,
LOT BLOCK
SUBDIVISION
described above as been measured by me or directly under my supervision, The foundation
0-611MIMF • - - - • MMKTM
FRONT: REAR: -- 4a9, 5 SIDE: — j - 5 - 0 SIDE: 19 -
The MINIMUMELEVATION has been determined to be: ".119.
(NAVD88).
The above measurements have been determined on the following location:
Check only one): — Top of foundation prior to placement of concrete
--X— Top of proposed foundation subsequent to placement of concrej
M
Date f?
FOR OFFICE USE ONLV
Approved by
Inspector Date
Professional surveyor
www.6wheatridge.co.us
Rev 02112
EXHIBIT
WEST 282H AVENUE
80.47
I
zu
um
El
Vol
COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 15590
BUILDING INSPECTION LINE -(303-234-5933) Date : 5/27/2003
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Property Owner: BAPTIST TEMPLE
Property Address : 3495 WADSWORTH BLVD Phone : 234-9204
Contractor License No. : 21638
Company : Western Systems Inc. Phone : 772-4131
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 regula[ions of the City of W heat 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 re spo ibility for com ance with the Wheat Ridge Building
Code (U.B.C.) and all other applicabl/e,' e idge or inan.;4m, ~,(~p~.,,w_ork under this per it.
lf ' z"'✓~' `J Z O~
(OWNER)(CONTRACTOR) SIGNED DATE
Description :
Zoning Comments:
Approval :
Zoning :
Buifding Comments;
Approval :
Public Works Comments:
Approval :
Occupancy: Walls
Electrical License No :
Company:
Expiration Date :
Approval :
Construction Value :
$11,800.00
Permit Fee :
$272•10
Plan Review Fee :
$0.00
Use Tax :
$0.00
Total
$272.10
Use :
METAL ROOF W ITH INSULATION AND SINGLE-PLY MEMBRANE
BUILDING DEPARTMENT USE ONLY
SIC : Sq. Ft. :
Roof : Stories : Residential Units :
Plumbing License No : Mechanical License No :
Company: Company:
Expiration Date : Expiration Date :
Approval : Approval :
(1) This permit was issued in accordance wilh the provisions set foRh in yropur application and is subject to the laws of the State of Colorado and to the Zoning
Regulations and euilding Code of W heat Ridge, Colorado or any olher applicable ordinances of the Clty.
(2) This permit shall expire if (A) the work aulhorized is not commenced within sixty (60) days Bom issue date or (B) the building aufhorizetl is suspended or
abandoned for a penod of 120 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 specificalions and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abantlonment
exceeds one (1) year, full fees shall be paid for a new permit.
(4) No work of any manner shall be done lhat will change the naWral Flow of water causing a drainage problem.
(5) Contractor shall notity the Building Inspeclor twenty-four (24) hours in advance for all inspactions and shall receive writlen approval on inspection card befare
proceediing with successive phases of the job.
(6) The issuanc f 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
prov'sion f t e bui ing es or any other ordinance, law, rule or regulation.
Chie uilding In ctor
COIMIIIIITNITY DEVELOPMENT DEPARTII'IENT Building Pemut Number:
of W~E'T y BUILDING INSPECTION LIlNE - 303-234-5933 Date:
CITY OF v1'HEAT RIDGE
U 7500 WEST 29TH AVENLE
R'HEAT RIDGE, CO 80215 - (303-235-2855)
iry ~y
APPijJCATdN4♦
Property Owuer: ~A'0"715'I 76-Y"Pt-&
PropertyAddress: Phone: Z3q_yZ0q
Contractor License No.: ~4 3 Fj
Company: i.c~ E:5 ~ Cyt rJ 5 4 S i~~tcS1 iuc,. Phone: ;7jCJ3- 77-2 - N 1~i I
OKTER/CONTRACIOR SIGNATIiRE OF liNDERSTANDINC AND AGREEMEfJT
1 htteby certify tAat th<setback distances proposed by this permit application are accurdte,
and do not violatc applicablc ordinances, rules or regulations of the Ciry of Whcat Ridge or
covcnants, cucmcnts or restrictions of rccord; that aIl mcasuremrnts shown, and al legaeons
made aze azcunte; that I have read and agree to abide by all conditions pnnted on [his
applica6on and Ihat I assume full responsibility tor compliance with the Whwt Ridge
Building Code (U.B.C) and all otha applicable Wheat Ridge Ordinances, tor work under
this pmnit ,
(OWNTERxCONiRACfOR): SIG ' DATID5 zY V%
~
+
Construcrion Value:$ go0
Permit Fee:$
Plan Review Fee:$
Use Tax:$,ew LVq.c
TOLaI:$
(Ce
~
DESCRIPTION:
j?EQOOG 00G2 1M-_E-7Ac. P-Ur}F7 L,c)rTt{ itiSuc~7~aJ qN> S~~uGCE-PLr n1EM8~2}~t
BUII.DING DEPARTMENT USE ONLY
SIC: Sq.Ft.:
20NIHG COMMENTS:
Approval:
Zoning:
BUILDIN6 COMM[NT3:
Approval:
PUBUC WOR1(S COMMENTS:
Approval:
Occupancy: Walls: Roof: Stories: Residential Units:
Electrical License No: Plumbing License No: Mechanical License No:
Company: Company: Company:
Expuation Date: Expiration Date: Expiration Date:
Approval: Approval: Approval:
..(1) iSis paunt was iuued'm acmidance wit6 Poe pmrivom M tatL in Yow WDlicmm aod u subject m the Lm of the Shte otColondo and m the Zoning
Re;ulatow and Bmldioy Coda o( Whut Ridge, Colaado m any otLa apptiobk ordo+ao MtLe Ciry.
(2) 7Lis pamdt sWll eW've if (A) the woh autho`vW u mt wvmmnced witL'm sizry (60) d,ys fiom issue da¢ w(B) the bwlmng authorized is susymded or
,wmoma ror. ycioa of Izo a.yi
(3) llthuyaEaitaiyues,anewymmit¢uYbe +Wuimd fwa fuofoncWlfHeamowtnor+dllYR9uite4Provided oocWngcWv<b«aor.vIDMmadsio
the urigivalplans ndsyxi5o5om and aoy surymsion wab~ndowomtSasmtuceededme (I) ya. ItcLavges Lave been m if susyrasion or abavdmwent
aweeds ooe (1) Ynr. [u➢ fen aN➢ be Dtid fQ a ttw pmnic
(4) NawaAcofanymmvahali MdoxiWtwig cLwgeihemaWflowolmoQanmgadnivagepoblem.
(5) Cootraciorsh+llnocfyibeBwldwglaqKCtlutwmry-tour(24)hausmWvance(oran mspeccoasands6illrecrivewrittmapymv~loniaspectioncardbetme
ploceedmg with succarive yEUa of the job.
(6) The iaxuaix< of a pamil ar the appaovA of Msvmgs aod syeci5utions; sWll mt be construed m be a pmnct for, nor m aypm.al o( mY violatian of the
p`ovisims of de bWWmg coda m my ot6c ordiwme, 4w, rvIC or rzgu4rioa
Chief Building Inspector
Dfl 1601M1)
DEPARTMENT OF REVENUE
1375 SHERMANSTflEET
DENVER, COLORAD080261
THIS LICENSE IS NOT TflANSFEPABLE
BAP'TIST 'PIIMPLE
3495 WADSWOR'Ifl BLUD
WkIFAT RIDGE OD 80033
State of Colorado
CIItTIFICATE OF F~1P'PION
FOR SALF.S TAX AND USE TAX ONLY
uAax.m wcowuTaw
-
AGCOUNTNUNBER
98-07050
11 0124 8661 02 01 87
MAR 27 1991
OC)
' X.-ia! O' .
~~~"--IS<'ir•~~•W
EwcWwOYacta:
ppanmem d Mwnw
" DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 11658
BUILDING INSPECTION LINE - 303-234-5933 Date : 1/5/2001
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Property Owner :
Property Address : 3495 WADSWORTH BLVD. Phone : 234-9209
Contractor License No. :
Company : Phone :
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 reeord; that all measurements shown, and allegations
made are accurate; that I have read and a$ree to abide by all conditions printed on this
application, and that I assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable~(Vheatr~icye "nances, for work under this pertnk.
(OWNER)(CONTRACTOR) SIGNEDr&,~~_DATEO %0_q5;'Q%
Permit Fee
Plan Review Fee
Use Tax
Total
$5,695.00
$125.25
$0.00
$142.38
$267.63
Use:
Description : REPLACE EXISTING SIGN WITH NEW 5X8X10 FOOT TALL SIGN
BUILDING DEPARTMENT USE ONLY
SIC
Occupancy : Walls
OKAY NO ELECTRICAL PART OF THIS PERMIT
Roof
Electrical License No :
Company :
Expiration Date :
Approval :
Plumbing License No :
Company :
Expiration Date :
Approval:
Sq. Ft. :
Stories : Residential Units :
Mechanical License No :
Company :
Expiration Date :
Approval:
(1) This pertnil was issued in accortlance with the provisions set forth in yopur applicetion and is sub ect to the laws of the State of C01o2tlo and ro Ne Zoning
Regulations and Buildin~ Code of Wheat RidBe, Coloredo or any other applicable ortlinances of e Ciry.
(2) This permit shall expire d(A) the work authorized is not commenced within sixry (80) days from issue dale or (B) the building authorized is suspended or
abandoned for a period of 120 days.
(3) If this pemnl expires, a new permit may be acquired For a fee o( one-half the amount normally required, providetl no changes have been or will be made In the
onginal plans and apecifcatlons and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or ebandonment
euceetls one (1) year, full fees shall 6e paid for a new permit.
4) No work of any manner shall be done that will chanqe the nalural flow ot water causing a tl2inage proWem.
~5) Contrador shall notify the Building Inspector lwenry-four (24) hours in advance for all inspections and shall recelve wntten approval on inspection card before
proceediing with asupc2c[emssive phases of the~'ob.
(e) The QsFUa~ce or~s trianvtofhei.erUirna'ncfetl lawnrule sifimtions shall not be consWetl to be a permtt for, nor an approval of, any violation of Me provisions
r2 - Z C) 67
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pleanNote:
pwnet / ooNtactor is rosponsible for loeadng property
lines and tonstructing improvements according to the
approved plan and required development standards.
The City is not responsible for inacwrate information
submitted within tha plan set and any construction
errors resulting from inaccurate information.
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Custom sizes are available.
N--- 6'
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THREE LINES OF
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Readability is a function of speed and distance.
i Letter Size S eed Readability Distance
4" to 25 mph~ 165' '
6" to 40 mph 220'
8" to 55 mph ' 385'
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with
4"
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without '
6"
5' x 10'
with
6" '
I 5' x 10'
I without I
8" i
8'
8'
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:
:
POUH LINES OF 4-INCH CHANGEABLE LETfEH ~
OR
„ THREE LINES Of 6-INCH
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I (32 sq ft.) I
Available With Logo Panel!
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Of
~ 6-INCH LETTERS
(wtthout symbal area)
=5w
(40 sq. ft.)
RO arkland Dr.
"SUSar"as'ot"a FL 3424
Corporation
-Ae best buy in sigkis"
02000 Robson Corporation
10'
5'
I FOUR LINES OF 6-INCH CHANGEABLE LETTERS
OR
THREE LINES OF 8-INCH
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7 10,
5'x10'
(50 sq. ft.) I
:
Available With Logo Panel!
1-800-770-8585
All signs manufactured at Robson's state-of-the-art facility.
Buy direct and save!
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DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number :
BUILDING INSPECTION LINE - 303-234-5933
CI7Y OF WHEAT RIDGE Date :~a 12`10 7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
APPL►cRT~oN
Praperty Owner: P--)6PT%S1- f cM6D lL
Property Address : ~j~~ q 5' (,v(~,,~SI~lO✓L~- ~-l/' ~ , Phane : 303-11~-3 y • ~~(j ~
ContrectorLicenseNa.: --303 -o2~3Fs'-9 4dY
Company : Phone :
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEiNENT
Construction Vaiue :
I nerehy certiAy !hat !he setCaCt Cis;anczs crccoszc cy ;his permit appiica[ion are accura[e,
ano do not violate applicaCle ordinances, rules or regulations of the City of Wheat Ridge or Permit Fee :
covenants, easements or restnCions of recortl; that ali measurements snown, and allegations
made are accurete; that I have reatl antl agree to abide by all conditions printed on this U52 TaX :
application, antl that I assume fuli responsibiliry for compliance with the Wheat RiCge Building
Code (U.B.C.) and all other applicable at Ri ge 'nances, for work under this pertnit.
Total :
(OWNER)(CONTRACTOR) SIGNED ~ M" DATE~
O'~ ~'21 ~v Use :
Description : NL t.-z r--t T'o s;-1 tr c' Si, C~ v.1
BUILDING DEPARTMENT USE ONLY
Approval
Zoning ;
(2G 1.
ONEMBBE
Approval:
M
Approval :
_
Occupancy': Walls : Roof : Stories
SIC : Sq. Ft. :
DEC 2 ~ 2000
Residential Units :
Electrical License No : Plumbing License No : Mechanical License No :
Company : Company : Company :
Ecpiretion Date : Expiretion Date : Expira6on Date :
Approval : Approval : Approvai :
(1) This Pam°t w~ iwua0 in aarxdance wilh Ne pmviaians set krth in yapur ap0lkatlon aoC is suOject W Ne laws o! Ne State of Calo2GO anC to Ne 2aning
Regulatlons anE BuiWing Coae dVMeat RiEge, CobnEO or arty olher applirable a~Einancea ot Na Ciry.
(2) T1us pemut aha11 ez0iM J(A) tha work aulnanzeE is not commenceE wiNin aiMy (80) Eaya hvm issue Cate or (B) rhe buiiCing aumorized is suspenCeC ar
ahantloneC fpr a penoE o! 710 Eays.
(J) If Nis pertnd expires, a new pem%t rtyy ye acquimp far a ke of one-half the artrount nortnalty rcquirtW, pmvipeE no Chan es hava heen ar will be matle in Ne
009ina1 plans antl apeclidtlwy yp yry, yuspenyon ar abanEanmmt has not exceedeE one t q
exceeCa one (1) yeaz, fWl feey yyl Oe paq for a new permit ( 1 Y~~ 1! Uanqm aro matle or if suapensian or abandonment
(a) Na work of amJ mannv atuY W Epne Nat wiY change Ne naWral Ilaw ot water cauaing a Cninage pmblem.
(5) Cantractcr fMall noUfy Ne Buikug Inapector lWmry-fmu (24) nours in atlvance for all ins0~ona aM shall receive wntten a roval on ins ectlon prE belora
p~oceaElinq wiN sute~yyve pry~ a! Nep' 0. PP P
(fi) Th8 i3lU2nCe Of rtry( Q/ y~a apqpyy Q( Crawings anC apecilicatlana shall not Ce construeC (e pe a peimit for, nor an a ivVal of, a
o! Me buibing pr py~ p~y~~~~. Nle or regulatlan. PP ~y violadon of tne pmvisians
Chief Eruildina7ns6ector
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 95-1074
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date :5/25/95
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner :
Property Address : 3495 WADSWORTH BLVD
Contractor License No. : 18250
Company : Foothills Construction
Phone: 234-9209
Phone : 234-9744
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby cedify that the setback distances proposed by this permit application are accurete,
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 ayree to abide by all conditions printed on this
application, and that I assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR)
Description : DUMPSTER ENCLOSURE
Construction Value : l$350.00
Permit Fee : n,,U $0.00
Use Tax:/ ~ 00
Total: $0.00
BUILDING DEPARTMENT USE ONLY
Approval : MR 05/22/95
Zoning : R-C1
~
Approval : SE 05/22/95
Approval:
Occupancy : Walls
ENTIRE ENCLOSURE CANNOT EXCEED 6' IN HEIGHT
Roof : Stories : Residential Units :
Electrical License No :
Company:
Expiration Date :
Approval :
r.
Plumbing License No :
Company:
Expiration Date :
Approval:
.
Mechanical License No :
Company:
Expiration Date :
Approval :
iw
(1) This permit was issued in accordance with the provisions set forth in yopur application and is subject [o the laws of ihe Slale of Coloratlo antl to the Zoning
Regula[ions antl euilding Cotle of VJheat Ridge, Cobrado or any o[her applicable ordinances of the City(2) This permit shall expire if (A) the work authorized is not commenceC within SiMy (80) days from issue date or (B) the building authonzed is suspended or
abantloned tor a penod of720 tlays.
(3) IFthis permit expires, a new permit may be acquired for a Fee of one-0alf the amount normally required, provitletl no changes have been or will be made in the
original plans and specifications and any suspension or abandonment has not exceeded one (i) year. If changes are made or it suspension or abandonment
exceeds one (1) year, NII fees shall be paid for a new permit.
(4) No work of any manner shall be tlone that will chan9e the natural flow of water wusing a dreinage problem.
(5) Contraclor shall notify ihe 8uilding Inspector lwenty-four (24) hours in advance for all inspections antl shall receive written approval on inspection card before
proceediing with successive phases of ihe job.
(6) The issuance of a permit or the approval of drawings and specifcations shall not be consVUed to be a permit for, nor an approval ot, any violation of the provisions
he building wdes or any other ordinance, law, rule or regula[ion.
Chief Building Inspector
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
~ DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number :
~ BUILDING INSPECTION DIVISION - 235-2855 ~07
CITY OF WHEAT RiDGE Date :
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner :bvl(3 7 7'~orl OL~
\ Property Address 3 f~q~~116°,y W~,?S (,y 0;7,# ~ N 61~ RAG Phone : 7-3 q-q Z 0~l
Contractor License No. : I 2 '---D
Company: l~-~ ,
r'p~rk'/LLS COWY712!/7~'j0All Phone: y3
~ 4~"9y~/~fi
OWNER/CONTR,4CTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value :
I hereby certlfy that the setbaek distances proposed by this pertnrt appGCation are accurate,
PgfTf11t FEE : I
and do not violate appticable ortlmances. rules or regulations of the Ciry of Wheat Ridge or
covenants, easements or restnctions of recortl: tha[ all measurements shown, and allegations
~
made are accurete: that I have read and agree to abide by all contlitions printed on this
Use Tax : i1
'
application, antl that I assume full responsibility for eomphance wrth tha Wheat Ritlge Building
'
Code (U.B.C.) and all other appliwble Whe idge ordinangps. forwork under thls parmit.
/
5-17
4
TO
(OWNER)(CONT
RACTOR) SIGNED DATE
-
,
_
/
Description : D U /Kps'r&;A A Wc;GOSG$E
BUILDING DEPARTMENT USE ONLY
Approval :
Zoning :
~BltdinQ ~~nmsh"t~!
Approval jE -How ~^1~2€ ~1C.~ObV2C L'Rt'YYST Esak1s (v Sf\ 'i%S6,41T
~!II~A►1l~#'~+,~n~nZSti
Approvaf :
Occupancy : Walis : Roof : Stories : Residentiat Units :
Electricai License No :
Company :
Expiration Date :
Plumbing License No :
Company :
Expiration Date :
Mechanical License No :
Company:
Expiration Date :
Approval: Approval: Approvat:
~ 3 P..~ii.s.,Rir9uf_f";~?I ~ , B ihs_Re4uii'detl' .l ~
(t) This permrt was issuad in acmrdance wim the provisions set lortli in yopur applirauon antl Is subject to Ne laws of Me Siate of Colo2tlo antl to the Zoning
RegulaGOns antl BuilEing Code of Nfieat RiEge, Colo200 or any other appB[aEle ominances of Me Ciry.
(Z) abThis ando^ea fp al a l expire rf(A) the wOrk auNOnzetl is not cammencetl wiMin Sixty (60) Oays from i55ue tlate or (B) Ne huiltlmg euNOnieC is su5pentletl ot
penotl of 120 tlays.
(3) If this It ezpires, a new permR may be acqutreE tor a tee of ono-haM the amount narmally required, pmvltletl no changes have been or will Ce matle in the
ongin pl ns and apecificatlons anE any suspensbn or ahantlonment has not exceetled one (1) year. If changes ere matle or if suapension or abantlonment
ex s ne (1) yeac full feee shall be oaitl (ar a new permR.
(4) No of any manner shall De tlone tbat will cliange Ine natu2l Bow o/water wusing a tlrainage problem.
(5) Con or shall notiry ihe BuilEing Inspettor Iwenry-tour (24) hours in atlvance for all inspectians antl shall recelve wntten apOroval on inspeclion cartl before
pr iing with successrv nases of ine jo6.
(6) Th ssuance of a permit me approvai of Crewings antl specifications shall not be mnstruetl to be a pertnrt for, nor an approval ot any vlolaUOn o( Me Omvimons
of bui~ling cotles or ny oNer or0inince, law, rule or regulatlon.
Building
For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
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DEPARTMENT OF GOMMUNITY DEVELOPMENT 17013
7500 WEST 29tn AVErtUE BUILDING WSPECTION DIVISION PERMIT N0 M91d/BXT
237-6944 Ex7. 255 P.O. eox e38 CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONIY WHEN SWNED BY THE CNIEF BUILDING MSPECiORANDRECEIPTEDBELOW.
JOB ADDRESS
CONTRACTOR
ADDREZS(e~.~~' rv-(',C_-.-~
CITY ~4-scc~
PHONE 4. qS
mrrUl,c~nVN rurc m1SGELLANEOUS P MIT -1 ~
OWNER
-'"ADDRESS
ZIP C DE PHONE Qy ZIP CODE
CONTRACT PRIC~E $ ~IO C c'a
LICENSFNf1 /~/5~ nnTV (n~) 70,
1.
TVPE Ground
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Proieclinq❑
01~~r SorDFOte 1)_
SIGN$
2.
MATERIAL '
C.
,
fK
Total Squore FeN
3
ILLUMINATION Yu~ No❑
Type
'
El~cf rrqif No.
4 SET BACK FROM PROPERTV LME
(Spetify which ia front)
N_
❑
S E
❑
W
❑
Zon~ row , one t1
OOrwad
1.
TYPE SolidO More 7
hon BO% ODenD
Lest Thon 80% Open
FENCES
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MATERIAL
H
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3.
SET BACK FROM PROPERTY LINE
(Spscify whieAis front)
N_
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DisopDrovsd
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OTHER
2
3.
jKETCH 0m anOvr oeww, int l-trveE,SIGN,DR OTHER STFUCTURE,GIVIhG DISTANCES FROM PROPERTY LINES.
(SETBACKS OR PROJECTIONS INCIUDED) 1
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REAR PROPERTY L~NE V~
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SPECIFY NORTH
(
STREET NAME- W+CIS(./ d K.*It `
SHOW DISTANCES FROM THE MAIN BUILDING TQADJOINING MOUSES,STREETS,AND PROPERTV LINES;ON IRREfiULAR LATS.SYIOW LEAST
DISTANCE TO PROPERTY UNES,NOT MAXIMUM OR AVERAGE DISTANCE.
APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BY THE Bl11LDING INSPECTION DIVISION.
PERMIT WILL EXPIRE 180 DAYS FROM THE DATE OF ISSUANCE IF WORK IS NOT STARTED WITHIN THAT TIME.
LECTRICAL PERMIT
ICENSE N0.
PLUMBING PERMIT
57ATE LICENSE NO
MECHANICAL PERMIT
WLUMINU*M
IREUNDERSIZEBILIEGAI
F1.00R
WATER CIASET
BSM
IST
2ND
3RD
4TH
N0.
F£
lUCi Q
rclewCw{qlProporrLodEloeSolm
FORCED AIR BTU
ORARYETER
WASH BOWL
HOT WATER BTU
ERVICE - AMPS
BATH TUB
STEAM - BTU
CHANGE SERVICE-AMPS
SHOWER
AIR CONDITIONING -BTU
LIGHTING
SINN
OTHER
HEATING
GARBAGE DISP
REFRIGERATION SYSTEM
POWER SU6-GFCUITS
UTIIITY(RANGE,DISPOSER,ETC)
WATER HEATER
AUTO. WASHER
Refri sranf Crap
Poundf Char s
FIXTURES
DISH WASHER
AUTOM4TIC SPRINKLER SYSTEM
WIRING MOTORS 9 CONTROLS
FI.OOR DRAIN
ELEVATOR
SIGNS
URINAL
TRANSFORMERS B RELTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FI%TURES
REMARKS
I hsreby acknowledQe thot this opplica-
fion ia tonect and undersiond tAOf I
eannof ftort thie projeef until fhie appli-
tofi0n is approved. I sholl comply wifA
fhe laws of Ihe Slafe o( Colorado and fo
ihe Zoninp Repulatione and Buiidinp
Code ofihe Cify o! Wneat Ridpe. Any
violation of the above ferme will couse
immediate revowhon of tnls vermlt
n
eolieanr. sia~al w.
PERMIT FEE
USE TAX
TOTAL FEE
APPROVED
DISAPPROVED-
CHIEF BUILDING
L-i fl NO,J ~VALID UNL~ESS RECEIPTED
~c-e-~-`-~w-i F! YiO
e
p . 8 c)
$
6~
,Cityof Wheat Ridqe
Date Issued 2- ~ cy /
~ 6- ? 1i. 71
8d
CAL1237-8944 EXT.255
24 HOURS IN ADVANCE
FORINSPECTIONS
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