HomeMy WebLinkAbout4495 Teller Streeti CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: -30&- /) ! . j
Job Address: _/ 9 5__ Te //1,- G4
Permit Number: o+ 7 D -7 S' a 5—
J
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303 -234 -
Date: q /D- Lf 7 Inspector:
DO NOT REMOVE THIS NOTICE
PERMIT: . � ADDRESS: Tfi er Ski JOB CODE:
INSPECTION RECORD��
Inspection online form: http://www.ci.wheatridge.co.us/inspection
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Inspections will not be performed unless this card is posted on the project site
Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business
Foundation Inspections
Date
Inspector
Initials
Comments
102 Caissons / Piers
103 Footing / P.E. Letter
104 Foundation Setback Cert.
105 Stem Walls
106 Foundation wall Insulation
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground 1 Slab Inspections
Date
Inspector
Initials
Comments
201 Electrical / Cable/ Conduit
202 Sewer Underground Int.
203 Sewer Underground Ext.
204 Plumbing Underground Int.
205 Plumbing Underground Ext.
206 Water Underground
_ ..
Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections
Rough Inspection
Date
Inspector
Initials
Comments
301 Rough Framing
302 Wall Sheathing
303 Roof Sheathing
304 Sheer Inspection
305 Insulation
306 Mid -Roof
_ ..
307 Metal / Lath / Stucco
308 Rough Electrical Residential
309 Rough Electrical Commercial
310 Electrical Meter Residential
311 Electrical Meter Commercial
312 Temp. Const. Meter
313 Rough Plumbing Residential
Rough Plumbing Commercial
E35
Shower Pan
SEE OVER FOR ADDITIONAL INSPECTIONS
Rough Inspection (continued)
Date
Inspector
Initials
Comments
316 Rough Mechanical Residential
317 Rough Mechanical Commercial
318 Boiler / Furnace
319 Hot water tank
320 Drywall screw and Nail
321 Moisture board / shower walls
322 Rough Grading
323 Miscellaneous
o ILI /
Final Inspections
Date
Inspector
Initials
Comments
402 Gas Meter Release
403 Final Electrical Residential
404 Final Electrical Commercial
405 Final Mechanical Residential
406 Final Mechanical Commercial
407 Final Plumbing Residential
408 Final Plumbing Commercial
409 Final Roof
o ILI /
410 Final Window/Door
411 Landscape/Park/Planning
Inspections from these entities shall be requested
one week in advance.
For landscaping and parking inspections please
call 303-235-2846
For ROW and drainage inspections please call
303-235-2861
For fire inspections please contact the Fire
Protection District for your project.
412 Row/Drainage/Public Works
413 Flood plain Inspection
414 Fire Insp. / Fire Protection
415 Public Works Final
416 Storm Water Mgmt.
417 Zoning Final Inspection
418 Building Final Inspection
Note: All items must be completed and approved by Planning, Public Works, Fire and Building
before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not
constitute authorization of occupancy.
For Low Voltage permits please be sure that rough inspections are completed by the Fire District and
Electrical low voltage by the Building Division.
' City of Wheat Ridge
Residential Roofing PERMIT - 201707525
PERMIT NO: 201707525 ISSUED: 09/21/2017
JOB ADDRESS: 4495 Teller ST EXPIRES: 09/21/2018
JOB DESCRIPTION: Residential Re -roof to install OC asphalt shingles with ROOF DECKING - 26
sq Pitch = 4/12
*** CONTACTS ***
OWNER (303)467-9811 DAMRAUR EDITH
SUB (303)763-9114 Scott Riopelle 019938 Interstate Roofing Incorporate
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,713.25
FEES
Total Valuation 0.00
Use Tax 182.98
Permit Fee 188.45
** TOTAL ** 371.43
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name)
roof covering" is required to be on site at the time of final inspection.
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required, the 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped
off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the
Homeowner.
► ' , City of Wheat Ridge
Residential Roofing PERMIT - 201707525
PERMIT NO: 201707525 ISSUED: 09/21/2017
JOB ADDRESS: 4495 Teller ST EXPIRES: 09/21/2018
JOB DESCRIPTION: Residential Re -roof to install OC asphalt shingles with ROOF DECKING - 26
sq Pitch = 4/12
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
_p
thisermrt. 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 worktobe erfo ed is disclosed in this document and/or its' accompanying approved plans and specifications.
I' & I — (
Signature of OWNER or CONTRACTOR (Circle one) Date
I. This permit was issued based on the information provided in thepermit application and accompanying Flans 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 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 proeeed-or coot al 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.
Dane Lovett
2-o1707.7Z)
From: no-reply@ci.wheatri dge.co.us
Sent: Monday, September 18, 2017 9:47 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Follow Up Flag: Follow up
Flag Status: Completed
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes Ut q7_W 1,7
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address 4495 Teller St
Property Owner Name Larry Damraur
Property Owner Phone 303-467-9811
Number (enter WITH
dashes, eg 303-123-4567)
Ads
41
C�
X
cs�
Property Owner Email
Address
Do you have a signed
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed
Contract
jwiles@interstateroof.com
Yes
contract. pdf
CONTRACTOR INFORMATION
Contractor Business Interstate Roofing
Name
Contractor's License 019938
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 303-763-9114
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address 1000 W 47th Ave
(Primary address of your
business)
Contractor Email Address jwiles@interstateroof.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
jwiles@interstateroof.com
TOTAL SQUARES of 26
the entire scope of work:
Project Value (contract —7200'
value or cost of ALL -'
materials and labor) l
Are you re -decking the Yes
roof?
Is the permit for a flat Pitched roof (2:12 pitch or greater)
roof, pitched roof, or
42
both? (check all that
apply)
What is the specific pitch
of the PITCHED roof?
How many squares are
part of the PITCHED
roof?
Describe the roofing
materials for the
PITCHED roof:
Type of material for the
PITCHED roof:
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? Etc)
4:12
26
O/C Duration Designer
Asphalt
19 squares on house + 7 squares on garage
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
43
submit this application
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Name of Applicant John Quante
Email not displaying correctly? View it in your browser.
44
Is 40 D IY
A w
lei I
Vn
'i" -1 'n V'I I AV -'r C.G, j 1: .j .1 11T P i
�,4 I,� ki 1.% f -e- rim
1kc me -TV.
-j-x i� -.VLf iv
7"1 •w 4, L"
*jV
"A' &
9%L-. L_
A IP I U%I FW -V-, : f
'I .,, -r. -1 1 - a " I ,
'.F, 4, c'.—, ki-i f-, r,4- , :,j oil J'A � It"
P*r - 'Wit -�_ ps. Aov,m m -j
T
c?f* t,*,Pjfl C. JO W zz�n,=_,-�"Af
a vo ly
e
irwalmo RWhng thfill hcVO in trust ony pmyn-4M1 U00n til Wopqvjy owrKw t. ill Initwemito iil�fimg rtmm d4riLwwod roolIN
mojerialm at Woo t*41don1W PIOP6MV Sim Gt hms prieoilw*0 A MINICRfly 01 tiliff MOD ng WOM On WVV EXOPWIty
I ,**I W;,opo my VOT-1,g tl".,Vw 1.-,, ftil I" eralfwl <'004jMnn*_ txpth qt91 s1 46 bar-* of Llts arpeepN"I
Dale Df ACCeplanCe
Repr�mcniative -4UV.
44,1 vot'.4 co-fe C."U'o tisdeft WN* kgojm4l
1'. 1 , - , I . " r.:., I'. L' _ - 6-w. ' - z'_j d'_
"Noi? #t-Ihol"Etl
z ej
SKI,pno fil Work Anil MM&P-Co
P e*OIIAM4�r
weva
id
AAK? -44440�-� "r' AW -4-441f"'_
IF 4:;)
rj
Is 40 D IY
A w
lei I
Vn
'i" -1 'n V'I I AV -'r C.G, j 1: .j .1 11T P i
�,4 I,� ki 1.% f -e- rim
1kc me -TV.
-j-x i� -.VLf iv
7"1 •w 4, L"
*jV
"A' &
9%L-. L_
A IP I U%I FW -V-, : f
'I .,, -r. -1 1 - a " I ,
'.F, 4, c'.—, ki-i f-, r,4- , :,j oil J'A � It"
P*r - 'Wit -�_ ps. Aov,m m -j
T
c?f* t,*,Pjfl C. JO W zz�n,=_,-�"Af
a vo ly
e
irwalmo RWhng thfill hcVO in trust ony pmyn-4M1 U00n til Wopqvjy owrKw t. ill Initwemito iil�fimg rtmm d4riLwwod roolIN
mojerialm at Woo t*41don1W PIOP6MV Sim Gt hms prieoilw*0 A MINICRfly 01 tiliff MOD ng WOM On WVV EXOPWIty
I ,**I W;,opo my VOT-1,g tl".,Vw 1.-,, ftil I" eralfwl <'004jMnn*_ txpth qt91 s1 46 bar-* of Llts arpeepN"I
Dale Df ACCeplanCe
Repr�mcniative -4UV.
44,1 vot'.4 co-fe C."U'o tisdeft WN* kgojm4l
1'. 1 , - , I . " r.:., I'. L' _ - 6-w. ' - z'_j d'_
r7
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: L-10
Job Address: L/Y9S'
Permit Number: -7 y� _S—
F-1
1 n o, I ArJ)"1 14
❑ No one available for inspection: Time 9 f� IPM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303 -234 -
Date:— / c y i-7 Inspector: "T --b
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: 3 c �- - a-) j
Job Address: 9 Z-! 9 S` T- ►1 x S �
Permit Number: 0 i-� 0 -7 S a S
❑ No one available for inspection: Time I-.) --U LI AMW
Re -Inspection required: Yes 6
When corrections have been made, call for re -inspection at 303-234-5933
Date:'3 9 r 11'7 Inspector: -J-L)
DO NOT REMOVE THIS NOTICE
30I1ON SIH13AOW3bl lON 00
,Q 1--
aoloodsul G� /b :GIB(]
gg g�;e uoijoadsui-aa ioj Ileo `apew uaaq aney suoi}oaaaoo uagM,
ON seA :paainbaa uoiloodsul-@H
INd/Wy auail :uoi}oadsui aol ajgejiene Guo ON r
S e s c. o L 1 o e• :aagwnN PwJGd
f S ''/l aj —51.171-2 :ssaappd qof
r t -170 & :edA1 uoiloadsul
331ION N01133dSNI
xeJ 6268-LEz (000) • aq1-40 s5gz-5sz (000)
Gull uo/loedsul ££69-b£Z (£0£)
uoisinia uoiloadsul 6uiplin8
3901a 1V3HM d0 A110 A
t�
■ 111111Mww�w
c
m
r
5;
zi
flirriIPAAIRV MnT- IpPRMITTFI
INSPECTOR MUST SIGN ALL SPACES PERTAINING O THIS JOB
T
FOUNDATION INSPECTIONS
DATE
INSPECTOR
JNITIALS'
COMMENTS:
Footings /Caissons
Stemwall / (CEG) Concrete
Encased Ground
Reinforcing or Monolithic
Electrical Service
Weatherproof / French Drain
Rough Electric
Sewer Service Lines!
Rough Plumbing
Water: Service Linesl.
Gas Piping
YOUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
CONCRETE SLAB FLOOR
Electrical. (Underground)
Plumbing (Underground)
Heating .(Underground)
ROUGHS
Sheathing
Lath / Wall tie
Mid Roof
Electrical Service
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
ABOVE
INSPECTIONS TO BE SIGNED PRIORTO PROCEEDING s
Framing
Insulation
Drywall;Screw
FINALS
Electrical
Plumbing
Mechanical
Roof
Building Final
Fire Department
ROW &Drainage
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD
BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
Parking & Landscaping
" * NOTE ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE OF.00CUPANCY'ISISSUED.!FINAL INSPECTION BY THE BUILDING. DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OF :A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
W E
♦ A i CITY OF WHEAT RIDGE
Building Inspection Division
I r (303) 234-5933 Ins ection lin
p e
(303) 235-2855 Office • (303) 237-8929 Fax
INSPEC(T~ION~1 TIC E
Inspection Type: ~t7 r14( j
Job Address:
Permit Number: /t~ca7
C ❑ No one available for inspection- Time AM~
Re-Inspection required: Yes ~Q
When corrections have been made, call for re-inspection at 303-234-5933
Date: 1 F ~ Inspector:
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
�r (303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 237 -8929 fax
INSPECTION NOT I4CE
Inspection Type: i
Job Address: _L�� '��} I
Permit Number: / t» (,0
❑ No one available for inspection: Time' U' � b 'wwPM
Re- Inspection required:
"When corrections have N
f ` Date: 43° Q." () Inspector:
:0)
DO NOT REMO
VE all for re- Inspection at 303- 234ti5933
THIS NOTICE
W City of Wheat Ridge Building Division
7500 W. 291h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Date:
Plan
Permit (Q~ pO
Building Permit Application
Property Address; 44 7 ~r --~Ltr~ G~
Property Owner (please print): L624" -EwM (L (L Phone: Z-) I4(ol-
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Contractor: L- o L L C
Contractor License Phone: -77- 0 - 29 9-55- 3 (o
Sub Contractors:
Electrical City License
Company:
Plumbing City License
Company
Mechanical City License
Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval:
Approval:.
Use of space (description): O F. Z$511p. Construction Value: -7
Description of work- (as calculated per the Building valuation Data sheet)
g&f -C` 6~' 1 1~ ~r1`)T'~' Plan Review (due at time of submittal): $
Sq. Ft./L.Ft added: Squares BTU's Gallons Amps
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
Eallegations lations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and
ade are accurate; that I have read and agree to abide by all cond itions printed on this application and that I assume full
for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
rmit. Plans subject to field inspection.
E:: ,(OWNE ONTRAnCTO or PERSONAL REPRESENTATILE of (OW ER) ( T A, OR) E: a-bs.7 t+ IAabAJ SIGNATURE: ~~ii Q Date:7~t~lt~
DEPARTMENT OF COMMUNITY DEVELOPMENT
750o WEST 29th AVENUE BUILDING INSPECTION DIVISION PERMIT N0. MP93#3580 '
237-8944 EX7. 255 P.O. eox 838 CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BELOW.
JOB ADDRESS T~ /4's- S'4/ CONTRACTOR e/6~~-•~r ,2., c ADDRESS If(% /;Z c5
CITY xlr', /iZIP CODE
PHONE S3 y- rQir,~ LICENSE NO._4G~C'<
1. TYPE Ground❑
Wall❑
Proiectinp❑
01h•r
SaDFOee
SIGNS
2. MATERIAL
3
ILIUMINATION Yss❑ No❑
TyDe
Tofal Spuors F"t
Elxt
Psrmif No.
.
4 SET BACK FROM PROPERTY LINE N
(Spxifywhithiefront)
_
❑
5_ E
❑
_ W
❑ ❑
.
Zone_
Apprwsd, Zme Inspecta
Diwpproved
1. TYPE SolidO Mo.e Than BO% ODenEl
Lest Than BO% Opon
MATERIAL
Heipht
FENCES
3 SET BACN FROM PROPERTY LINE N
(Spseify whieAiefront)
_
❑
5_ E
❑
_ W
❑ ❑
Zone_
Approved,Zone InsDeeta
DinapDroved
I
.
2
OTHER
3
.
DRAW SKETCH OR SHOW BEIOW,THE FENCE,SIGN,OR OTHER STRUCTURE,GNIhG DISTANCES FROM PROPERTY LINES.
(SETBACKS OR PROJECTIONS INCIUDEA)
FOR
i ~
J
Y
W~
4 SPECIFY NORTH
~
N
FRfNJT
STREET NAME
SHOW DISTANCES FROM TliE MAIN BUILDING TPADJOINING HOUSES, STREETS, AND PROPERTY LINES{ ON IRREGULAR IATS, SHOW LFAST
DISTANCE TO PROPERTY LINES, 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 BUIIDING INSPECTION DIVISION.
PF:RMIT WILI E%%RE 60 DAYS FROM DATE OF ISSUANCE !F WORK IS NOT STARTED WITHW THAT TIYAE.
ELECTRICAL PERMIT
STATE LICENSE N0.
ALUMINUA9SVIREUNDERSIZE8ILLEGAL
PLUMBING PERMIT
STATE LICENSE N0. /qJ.3 y6~
FLOOR BSM I5T 2N0 3R0 4TH
MECHANICAL PERMIT
NQ FUELCirthOtrGoidlPropdis ElaeSdm
Np.
WATER CLOSET
FORCED AIR - BTU
TEMPORARY METER
WASH BOWL
HOT WATER - BTU
NEW SERVICE AMPS
BATH TUB
STEAM - BTU
CHANGE SERVICE-AMPS
SHOWER
AIR CONDITIONING-BN
LIGHTING
SINK
OTHER
MEATING
GARBAfiE DISP
REFRIGERATION SYSTEM
POWER SUB-CIFCUITS
UTIUTY(RANGE,DISPOSER,E7C.)
FIXTURES
WATER HEATER
AUTO. WASHER
DISH WASMER
Retri eranf Group
Pounds CMr e
AUTOMATIC SPRINKLER SYSTEM
WIRING MOTORS 9 CONTROLS
F100R DRAIN
ELEVATOR
SIGNS
URINAL
TRANSFORMERS B RECTFIERS
SEWERS
ADDITION TO OlD WORK
OTHER
MOTORS OVER I HP
TOTAI FIXTURES
REMARKS
1 hsreby acknowled9e that ihis opplica-
tion is correct and undersfand thot I
cannof sto.t this projecf until this oppli-
toti0n is approved. I sholl comply with
fhe lows of the Sfate o1 Colorado ond to
ihs ZoninQ ReQulatioro and Buildinp
Code offhe Cify of Wheai Ridqe. Any
vioiation of the above termn will cause
immediate fevocotion ot this permit
PERMIT FEE
I USE TAX /uY I ~ r I
I TOTAL FEE 1-) 1$ j~ 1
CHIEF BUILDING
OWNER
ADDRESS '-e"" 'E PHONE y,/- 2- y"I ZIP CODE~?12'2 j.
:ONTRACT PRICE $
City of Wheat Ridqe
Date Issued It 7 Y ~3
CALL 237-8944 EXT. 255
24 HOURS IN ADVANCE
FORINSPECTIONS
Oplieanl i aNi"