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4620 Wadsworth Boulevard
City of Wheat Ridge M° Commercial Roofing PERMIT - 201701910 PERMIT NO: 201701910 ISSUED: 06/12/2017 JOB ADDRESS: 4620 Wadsworth BLVD EXPIRES: 06/12/2018 JOB DESCRIPTION: Remove and replace 31 squares of laminated shingles, replace w/GAF Timberline 30 year shingle. *** CONTACTS *** OWNER (303)429-8645 4620 WADSWORTH BLVD LLC SUB (720)789-8985 Patricia Gardener 170280 The Claim Builders, LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 410 / Auto Service/Car Washes; 0 BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,302.08 FEES Total Valuation 0.00 Use Tax 258.34 Permit Fee 251.85 ** TOTAL ** 510.19 *** 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 A/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 manufacturer&€T"s installation instructions, whichever is more stringent. City of Wheat Ridge Commercial Roofing PERMIT - 201701910 PERMIT NO: 201701910 ISSUED: 06/12/2017 JOB ADDRESS: 4620 Wadsworth BLVD EXPIRES: 06/12/2018 JOB DESCRIPTION: Remove and replace 31 squares of laminated shingles, replace w/GAF Timberline 30 year shingle. 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 ermrt. I furthei attest that I am le ally authorized to include all entities named within this document as parties to the work to be performed,�nd that all rwo k to be permed is disclosed in this document andJor its' accompanying,approved plans and specifications. Signature of O�v'NER or CONTRACTOR (Circle one) Date 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 Budding 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 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 ap 1 of, any violation of any pro_ ision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work s sub cptyto®field ' 'on. J¢,, 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. EOR OFFICE USE ONLY City of Date: heati (�={ l2'�( OMM1JNiT'y DEVELOP ENT- t ling &thInspection Services Division - �, (� izl 10 J W. 29 Ave., Wheat Ridge, CO 80033 Plana Review Fee: .rice: 303-235-2855 * Fax: 303-237-8929 aspection Line: 303-234-5933 Email: perm its(cDci.wheatridge.co.us *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: Property Owner Mailing Address: (if different than property address) Address: %_Nl Com, State, Zip: Architect/Engineer E-mail: Phone: LicenseContractors City i�� � _ •.. • Contractor E-mail Address: ' Sub Contractors: �bt4 L— Electrical: W.R. City License # Other City Licensed Sub: City License # 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 4l" jCOMMERCIAL ❑ RESIDENTIAL DesclroctBon of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ ESIDENTIAL 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.) S}-i')�.1�s Sq. Ft./LF Amps Btu's Gallons Squares " 7� J Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) l�) -� K--,,-,,) na 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. C[RC'LE GNE. (OWNER) �RACTOR)or (A DEPARTMENT USE ONLY ZONING COMMMENT& Reviewer - BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: PROOF OF SUBMISSION Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ® Received ® Not Required of (OWNER) (CONTRACTOR) OCCUPANCY CLASSIFICATION TYPE OF CONSTRUCTION. SPRINKLERED: OCCUPANT LOAD. [Building Division Valuation: $ T. Hackbarth Ro©. f ng 9751 W. 44th Ave., Suite 103 Wheat Ridge, Co. 80033 Offlee: (303) 433-6762 Fax: (303) 679-3072 Email: thackbarth@comcast.net Website: thackbarthroofing.com 6/12/2017 I Todd Hackbarth, owner/operator of T. Hackbarth Roofing do authorize Tammy Hackbarth to be a signer on my account with the City of Wheat Ridge Building Department. Lic. # 020443. If you have any questions call the office at 303-433-6762. Thank You, Todd Hackbarth T. Hackbarth Roofing ACCREDITED BUSINESS INSPECTION RECORD Occupancvffype °'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 G` FOUNDATIO=AfE ONS DATE INSPECTOR INITIALS CONMENTS: Footings /Ca Stemwall / (ete Encased Gr Reinforcing Roof 1.4 2Z //o Weatherprorain Sewer Servi Water Service Lines POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) Heating (Underground) DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNEn ROUGHS Lath / Wall tie Mid -Roof - h Electrical Service Rough Electric Rough Plumbing Gas Piping Rough Mechanical ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROC F Drywall Screw . FINALS Electrical Plumbing Mechanical Roof 1.4 2Z //o Building Final Fire Department R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS Parking & Lan dscaping SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. " 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 AUTHORIZATION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. UCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER 1 ♦ 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: Fini4L F Job Address: 1 11.,2ro dot az2 Permit Number: Jbd73* C ❑ No one available for inspection: Time ' AM/P Re- Inspection required: Yes No When corrections have been made, call for re Inspection at 303234 - 5933 Date: 1,112 7�.r Inspector T G DO NOT REMOVE THIS NOTICE ♦ I 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� Job Address: & a_ Permit Number: lra) 2 'Q ( s _(j J ! ❑ No one available for inspection: Time 2 AM /Rgf _� Re- Inspection required: es No When corrections have been made, call for re inspection at 303 Date: Inspector: DO NOT REMOVE THIS NOTICE f " ' City of Wheat Ridge Residential Roofing PERMIT - 102738 PERMIT NO: 102738 ISSUED: 12/14/2010 JOB ADDRESS: 4620 WADSWORTH BLVD EXPIRES: 12/14/2011 DESCRIPTION: Reroof 36 sqs with 40 yr Shakewood shingles * ** CONTACTS * ** OWNER 303/429 -8645 D&A Inc sub 303/433 -4055 J.& B. Hernandez 08 -0062 United Roofing & Gutters Inc. ** PARCEL INFO ** ZONE CODE: UA USE: UA SUBDIVISION: 0301 BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 12,425.93 FEES Permit Fee 251.85 Total Valuation .00 Use Tax 223 :67 l3Cr ;t ** TOTAL ** 475.52 ;r Conditions: 6 nails per shingle is required. Ice dam membrane is required from eave edge to 2' inside exterior walls. Board sheathing with any gap greater than 1/2" requires panel sheathing overlay on entire roof. Sheathing inspection is required prior to covering. Contractor shall provide ladder for inspections. Scheduled inspections that cannot be performed due to inclement weather must be cancelled prior to 8:30 a.m. on the day of inspection or a re- inspection fee will be assessed. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and /or its' accompanying approved plans and specifications. dd'w Ilyandd 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 permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re- issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Building Ottical Date N REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. 9 of W "�?''. City of Wheat Ridge Building Division m 7500 W Moat Ave., Wheat Ridge, CO 80033 �.t �. o Office: 303 -235 -2855 * Fax: 303 -235 -2857 °O<oRn °° Inspection Line: 303 - 234 -5933 Building Permit Application Property flittliess:- �(��G��,�U1DY7� �/1/� Property Owner (please print): £ i1 G Phone: —36 � e(p - / ° j Mailing Address: (If different than property address) Address: ��! w 70 Avg Clnc f ,8 City, State, Zip: A )M, Date: Plan #: Permit A Goratracto: Contractor Phone: S',ub 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 (descnption : Construction Value: gss Cr�tIon-, -D I t wo , rk'; MJl/ (as calculated per the Building ally uaffon pata'sheet) r w n 7�7 -G'I Plan Review due at time ofsubmittat : C74 4o r Sq. Ft /L.Ft added: Squares `fir BTU's Gallons Amps OWNEWCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT - - I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that 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) J (CONTRACTOR)>.r PERSONAL REPRE of(O�V (CONTRATOR) PRINT I G`- +'1C[�, IGNATURE: : I ,{'�i ��G;L btf' '. ly' 10 Bldg Valuation: 4,NRE42. City of Wheat Ridge Residential Roofing PERMIT - 060503 PERMIT NO: 060503 ISSUED: 06/16/2006 JOB ADDRESS: 4620 WADSWORTH BLVD EXPIRES: 12/16/2007 DESCRIPTION: Re-roof w/ 30yr composition asphalt shingles. CONTACTS . owner 303/279-4141 D& A Inc. gc 303/279-4141 01-9667 WESTERN ROOFING PARCEL INFO ZONE CODE: C-1 USE: ua SUBDIVISION: UA BLOCK/LOT#: 0/ FEE SUMMARY ESTIMATED PROJECT VALUATION: 7,500.00 FEES Permit Fee 199.30 Total Valuation .00 mz Use Tax 135.00 TOTAL 334.30 ~f~,.... c. .1 comments: 4 D`l 3a uocuments.from the manufacturer shall be onsite for ftnal roof inspection which specify roo, fing materfals have been tnstalled to meet 110 MPFt three-second wrnd prrat--4BC I hereby rer[ify that Che setback distances proposed by this permit application aze accurate, and do not violate applicable ordinances, rvlea or regula[ions of [he City of Wheat Ridge or covenants, easemen[s or restrictions of record; [haC a11 measurements shown, and allegations made are accumte; that I have read and agree to abide by all conditions printed on this applicatl1~ ~nd that I assume full responsibility for compliance with the wheat Ridge Building Code (I.9.C) and all other annlictfle Wat Ridq/'0~dinances „Eor work vnder this permit. P1ans subject to field inspec[ion. Signature of mpft4ct0r/owner \1 date 1. This permit was issued in accordance with the provisions set forth in your application and is subjece Co the laws of the State of Colorado and [o the Zoning Regulations and Building Codes of Wheat Aidge, Colorado or any other applicable ordinances of the City. 2. This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue daee or (B; the building authorized is suspended or abandoned for a period of 180 days. 3. If this permit expires, a new permit may be acquired for a fee of one-halE the amoun[ normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (ll year, full fees sha11 be paid for a new permit. a. No work of any manner shall be done that will chan9e the natural flow of water causing a drainage problem. 5. Con[ractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceeding with successive phases of the job. 6. The issuance of a permit or the apprwal of drawings and specifications sha11 not be construed to be a permit for, nor an approval of, any viola ' of the provisions of the building codea or any other ordinance, law, rule or regulation. All plan is 7ect to fie inspections. s 5 date INSPECTION REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855 REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. f WHEAl o ,P _ o U m c~~ORPa~ City of Wheat Ridge Community Development Department MINO~°l B~.B.e~~~~~~ PE"IT. Property Owner: Property Address: Contractor License No.: company: u waBSU~or-EG~ rQ1vQ GVeSf~t'~ ~nq THC, 6~3-a19-qrq1 Pnone: W3-9-'N-35// OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I BuildinaDept. Valuation Figure: $ I hereby certify that the setback distances proposed by this permit application are acwrate, and do nofviolate applicabie ordinances, rules or reguiations of the City of Wheat Ridge or covenants, easements or reslrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions prinied on this application and that I assume full responsibility for compliance withtheWheatRidgeBUildingC (I.B.C) and all other applicable Wheat Ridge Ordinances, forwork w~Rri,s p P ans subjjlct to field inspection. (OWNER)(CONTPACTO0.): SIGNE ~ DATE ~ ~-4 ~ Use of Space (descrip Description of work: Sq.Ft.added 7.5-00 Permit Fee:$ Plan Review Fee:$ Use Tax : Total:$ Expiration Date: Expiration Date: Expiration Date: Approval: Approval: Approval: (1) TFiis permitwas issued in accordance with the provisions set forth in your application and is subject to the Iaws of the State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any otherapplicable ordinances of the City. (2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) the building authorized is suspended or abandoned for a period of 180 days. (3) If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been orwill be made in the original plans and specifcations and any suspension or abandonmenl has not exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. (4) No work of any manner shall be done that will change the natural flow of water causing a drainage problem. (5) Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceeding with successive phases of thejob. (6) The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation ofthe provisions ofthe building codes or any other ordinance, law, rule orregulation. Ail plan review is subject to field inspections. Building Permit Number: Date: Chief Building Official Electrical License No: Plumbing License No: Mechanical License No: Company: Company: Company: Z LLI C ~ L w a `V i J . ~ 0 ~ 7 m W G C~a eU)o _ N ~ M LL ~i O V « ~ V ~ L ~ 0 ~ L O V V ~ ~ w ~ 0 ~ A rn m e ~0 ~ V ~ e y O N ~ Y ; ~ C ~o C p 9 £ y 'o E 'r~ c,c > ° a _ ~ c _ar L dl c a 0 e o °oi = i d w e Y W r E o ~ c W L C L M o ~ d 3 I $ m ~ « 0 Fa- N _L w ~ W LV Z 0 ~ ~ LL DEPAtTAl1ONT 4F PLl4NNING AND DEWELOPMENT Building Permit Number : 4519 14 ° BEJILbO'3 tWVECTION DIVISION - 235-2865 ' C!`I''rf':OF YYFIEAT RIDGE Date : 1129l97 ` 754E11AiE3T 29TH AVENUE YVHEAT'itfDGE, CO 80215 , Prcperiy Owner : ' Properly Address : 4620 WADSWORTH BLVD Phone : Gohtractor lkense No. : 19351 Cprnpany : 9& T Electric, Inc. Phone; 9043606 OWNfFi/GONTMCT:OFt 3IfNATURE OF UNDERSTANDING AND AGREEMEMT ConstucdmVatue". $800.00 I heroby cetfiry tMlt p10 iiei{fsolc dbl9rYobs propored by this pertnR epFlicetion arc accurata, anQ do not vkl~tte,aobfloAClslMtlMdtObs, ndes or repulaUons of the Cny of YYheat R&ipe or PBfrtllt FeC : $45.00 cwsnapla, eps~nei~ or ~rkebns d rocord; Mat all measuromenta shown, and allepationa Plan Review Fee : .$0.00 mstla 4ro aca~ta4l; thatl have i'e11(JAWN to.abiEe by all conditions printed on thia l t t ' i 'U T 60 . $9 iance .,~wt~e Nmoat Ridge Bu lding : y sxld. U~t u~ . r amp ~ ~ ' 3x se . . m , unaer Mts pemn. C Wd .C.y anLL 409, l ahP ' / . r (OUYNER)(G~RACTClR) 31CiNE DATE I-7AY-9-11 TOtal: . $54.60 . Descriptlon : avidng #or underground w ste o storage tank, automatic tank gauge system. Wire 120V cathodic recti8er BUILDING DEPARTMENT USE ONLY . SIC : Sq. Ft. : Approv~l : Zoning : Approval: Apprdvai' I (Jccupancy : Walls Electrica►licotsse No: Company : Explrption Date : ARProval : (2) : (3) (5): @)' ~ THiS PERMIT VALII ~ Roof : Stories : ResidenGal Units : Plumbing License No : Mechanicai ticense No : Company : Company : Expiration Date : Expiration Date : Approval : Approvai : 9 I pmWMOna aet toM in yopurapplMatian end b Iha Cftyn~e rewed nb snue a caweao a,a roub zo~ne i, eao~ «eny omer+q~a~~~~e ortHnenoee a Wie mt commanced withln dxry (80) tlaya trom leaus dpte a(B) tlie butltlrg aWpiized is tu o parx etl a uired for a ree a ono-n.rc n» amaum mRnaiy reyuirea. ~rovidaa no diarpes tme Ceen w rnu be meae in the weron w acandonmeM nes not e~cceeded oiro (I) y~. f drerqse aro mads or if wepennion a sbenaonmeM . ~ Ure~neWral flaw of waM cawfnp a drainsBe WObbm• . tenty-four (24) hours in advence Por all inapecbwis and aheN receivewiitten appnmral on inepeetion earA Oebre rwinps and specifications shall not be cona6uetl to be a pem* for, nor.anapprOVal of, arry vbledon ot Me povisbna iw, ivle or repuletlon. WMEN SIGNED BY THE GHIEF BWLdING INSPECTOR AND MAYOR ; 2345933 24 HOURS PRIOR TO iNSPECTION DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date : 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner: GR-f1;sf_ l-k»--k'LY Property Address : 0 Phone : Contractor License No. : yp 2;7.- CompanY : Phone : cjb</-3 I, o L OWNER/CONTR,4CTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby ce rtify 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 oi 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 (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. (OWNER)(CONTRACTOR) SIGNED DATE 4, UndQ/'9/'o✓n~Jk'*_6~'e- O") Sk'rn'4z J Construction Value : 800 Permit Fee : Plan Review Fee : Use Tax : Total : ,INJOP 19111 i+e. i Description . T,..K ~j'c..v~2 .~ys,~e~.. c✓•`,.L l20✓ ~ji c~~red.•~ ,~~,,e,~.~ BUILDING DEPARTMENT USE ONLY SIC : Sq. Ft. : ~ Approval : Zoning : Bul ra nc,ca~e~t~a Approval: PjUdli~WbY Approval : Occupancy : Walls : Roof : Stories : Residentiai Units : Electrical License No : Plumbing License No : Mechanical License No : Company: Company: Company: Expiration Date : Expiretion Date : Expiration Date : Approval: Approval: Approval: N ~la~[~HOIPSt1~ m lPl_~*.RBBQI~ii 0 EMMEM (i) 7Tis permit was issued in accordance with the provisions set foAh in yopur applicatlan and is sub'ect to the laws of the State ol Colo2do and to the Zoning Regulalions anE Builtlin9 Cotle o( Wheal Rid4e, Colorado Or any other aOPliwble ordinances of the Cily. (2) This permil shall expire if (A) the work aulhonzetl is not commencetl within sinty (60) tlays irom issue tlale or (B) the building authonzeC is suspended or abanOOned for a penod ol 120 days. (3) If Nis pertnit expires, a new pertnit may be acquired lor a fee ol one-half the amount normalty required, provitletl no changes have been or will be made in the onginal plans antl speci(cations and any suspension ar aDandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment ezceeds one (1) year, full tees shall Ee paitl /or a new permit. (4) No work of any manner shall be tlone thal will Uange the naWral Oow of water wusing a d2inage problem. (5) ConVactor shall noUfy the euilding Inspector hvenry-four (24) hours in aCvance tor all inspections an0 shall receive wntten approval on inspection wrd be(ore Voceetliing with suaessive phases of the job. (6) e issuance ot a pertnit or Ihe approval of drawings and speufications shall not be conslrued to be a permit for, nor an approval o( any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. Chief Buiiding Inspector For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION