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4550 Teller Street
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: C� Job Address: I -A ` S Permit Number: . C. \ C'\ ❑ No one available for inspection: Time '"Y -t: AM/PM Re -Inspection required: Yes .No-, When corrections have been made, call for re -inspection at 303-234-5933 Date: C11 Inspector: 1}. DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Sewer Repair PERMIT - 201901281 PERMIT NO: 201901281 ISSUED: 06/20/2019 JOB ADDRESS: 4550 Teller St EXPIRES: 06/19/2020 JOB DESCRIPTION: Residential sewer repair 6 feet repair in frost yard and install clean outs SDR 35 squeegee. *** CONTACTS *** OWNER (303)732-0095 SMITH SUZANNE SUB (303)287-9009 BRAD WAKEHAM 130022 TRENCH RIGHT LLC *** PARCEL INFO *** ZONE CODE.: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,800.00 FEES Total Valuation 0.00 Use Tax 121.80 Permit Fee 140.90 ** TOTAL ** 262.70 *** COMMENTS *** *** CONDITIONS *** ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection by any Sanitation District representative. Inspection and approval of work by any Sanitation District representative DOES NOT grant authority to cover work without the approval of the Building Division. **For trenchless sewer replacements - The contractor will verify proper slope of new sewer piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed specifically by the applicable code. The plumbing contractor will provide verification of proper slope and drainage in writing as a condition of approval of the permitted work.** 1 � Ii ( City of Wheat Ridge Residential Sewer Repair PERMIT - 201901281 PERMIT NO: 201901281 JOB ADDRESS: 4550 Teller St JOB DESCRIPTION: Residential sewer repair 6 feet repair SDR 35 squeegee. ISSUED: 06/20/2019 EXPIRES: 06/19/2020 in front yard and install clean outs 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 further attest that I am legally authorized to includealI 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. (e lz o I9 Signaturelpf) OWN#R of CONTRACTOR (Circle one) Date 1. This pe it was is ased 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 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 of proceed or conceal work without written approval of such work from the Building and Inspection Services Divi 6. The s c or gra g of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any ap le or ce 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. City of W heat Idge COMMUNITY DEVELOPMENT Building & Inspection Services 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: perm itsaci.wheatridge.co.us FOR OFFICE USE ONLY Date: Plan/Permit # Plan Review Fee: Building Permit Application *** Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: q Is S 0—Ie_ ( (-e r S+. Property Owner (please print): Su San S rr Phone: '%2-0 - D Z " o 011 S Property Owner Email: Tenant Name (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: State Architect/Engineer E-mail: Contractor Name: 1 r e octl 12 4 h't- City of Wheat Ridge License #: Phone: Phone: -3o3_2_�(-7- q(ooi Contractor E-mail Address:y Ffi C c rz ht- [ 0'vJ For Plan Review Questions & Comments (please print): CONTACT NAME (please print): JGSon (-ci*nb Phone: -'03-Z%-1-11 0-0� CONTACT EMAIL(p/ease print): of �;�er/� nc ►�r ��h-F-ti COv�n Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form): Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # Complete all highlighted fields, if applicable. ❑COMMERCIAL © RESIDENTIAL Provide description of work: For ALL projects, 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. Uri 5ev,� C4- r -e? a Y ,A F cDn-r- y ar-d 4^ d l VkS t -C' t I C S1�) Z 3 5 1 s %v1Q-E-- qe c - Sq. FULF b BTUs Gallons Amps Squares For Solar: KIN # of Panels Requires Structural For Commercial Projects Only: Occupancy Type: Construction Type: Occupancy Load: Square Footage: Project Value: (Contract value or the cost of all materials and labor included in the entire project) i 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 REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): G DATE: 20 9 Printed Name: Jas ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Building Division Valuation: City of Wheat Ridge J Resid. Windows/Doors PERMIT - 201800588 PERMIT NO: 201800588 ISSUED: 03/05/2018 JOB ADDRESS: 4530 Teller ST EXPIRES: 03/05/2019 JOB DESCRIPTION: Residential window permit 18 windows total, 8 basement, 2 bath, 1 kitchen, 1 den, 1 family room, 2 front bed, 1 office, 2 bedroom, like for like. Ufactor will be .30 or better. *** CONTACTS *** OWNER (720)971-9878 STEVE GJEVRE SUB (303)945-1519 Matthew Seiler 130206 Renewal by Andersen *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 30,090.00 FEES Window Replacement 50.00 Total Valuation 0.00 Use Tax 631.89 ** TOTAL ** 681.89 *** COMMENTS *** *** CONDITIONS *** Windows shall comply with all applicable codes, have a .32 or better U -factor and shall be safety glazing if within a tub enclosure, less than 18 inches above the floor or within 24 inches of a vertical edge of a door. I by my signature do hereby attest that the work to be performed shall comply with all accompanyingg approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this ermit. I further attest that I am leggally authorized to include all entities named within this document as partes to the work to be performed and that all work to be pertbrmed is disclosed in this document and/or its' accompanying approved plans and specifications. Signatuif 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 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 D1vISion. 6. The issuance or granting of a per t shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinancipr regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official V . Date REQUESTS MUST HE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of W heat Ij gc -"''N COMMUNITY DEVELOPMENT 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 F R OFFICE USE ONLY :/i�--y P/an/Pennit # 10! 9 6) Plan Review Fee: )� l � Building Permit Application Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 4530 Teller st Property Owner (please print): Steve Gjevre Phone: 720-971-9878 Property Owner Email: Mailing Address: (if different than property address) Address: State, Zip: Architect/Engineer: Architect/Engineer E-mail: Contractor: Matthew Seiler Contractors City License #: CL3-130206 Contractor E-mail Address: mseiler@renewalcolorado.com Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Phone: Phone: 303-945 1519 Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form 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.) Replacing windows;8 basement, 2 bath, 1 kitchen, 1 den, 1 family room, 2 front bed, 1 office, 2 bedroom. (18 total) Like for like. U factor will be .30 or better Sq. Ft./LF Amps Btu's Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) 30,090 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 1 assume full responsibility for compliance with applicable City or 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) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME: Matthew Seiler ZONING COMMMENTS: Reviewer BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: 51CNATURE:J DATE: PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION Building Division Valuation: $ H = y3 N M �3 N M aNOAd OUiaµod z uaaj:)g N N N N N N N N N N N N N N N N N 01W W N 0 W 71 W W 01 01 d W a W N Ol N M4H c c c o c o c c o c 0 c c c c c c c c c c c o g 0 0 0 0 o 0 0 0 0 0 C O Q ¢ 19 M ¢ Q ¢ ¢ Q ¢ ¢ ¢ Q Q ¢ Q ¢ ¢ ¢ ¢ ¢ i r O w v v U U O ZS SSDID M X M X M X M X M X M X M X M X HM (� X M X M X M X M X M X V M X M X Q Z X X N M M M M M M M M u M M M M M M H M M SSD l I r z X X X X X X X X U X X X X X X U X X 7 X M X x � N a {ul MID N - N d a {Xiii H N N 1~/1 N N N N N N N N N N y N N OI{Dy ^ r C C 0 a o al45 ITv n 84 o° c N Y II, ..� w/w I T- N N M M M M M M M M h M V N M A O M P Q Q N Q N N N N N N ¢ m m m m m m m .0 m e v m m m v m m L 41P!M h 1� n n h h h h u1 M M h h h M h h iaPip P P P P P P P P to h G h ¢ U N N N N N N N N M N O V7 h N M h t(1 W/W z ,9—MM .Pd 14 a Z z Z w X-QI 0 u rn .Pd 44P! v 0 I!Da # m spay O al uy ITIS {y !aH(h c v a v v v v v m v v v\ v v UIUa V Cl M M (`7 M M m m M j M M ch M M N1 — u!{s!x3 h'0� h h v h o- v v v v v � N s{ N N N N N N ¢ LIIP!M m m m m m o` co m m a w m co m iz� uwa UI{SIX3 i P P N m p > U N N N N N N N N M yZ WE Z Z Z Z Z Z Z 2 Z Z Z Z Z Z Z Z Z ai 0 z 0 z 0 z 0 z 0 z 0 z 0 z 0 z 0 z 0 z 0 z 0 z 0 z 0 z 0 z 0 z 0 z 0 z 5 v v d d d w d v u d m a d v v v w m v v m m m m m m m m m m m m m m m m m m v a h Q N C7 C7 t7 � t9 C9 C7 C7 t7 C7 C7 C7 t7 C7 C7 C7 � C9 Al j{ QI N M v h O h m P O N M st V2 ;G h m w C c mmu=ma JEI E E E m E r c m o O a m m m m m m Y !-P O O O m m m x Q t 4 S lro INSPECTION RECORD INSPECTION 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 Initials Comments Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Lath / Wall Tie Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Wall Sheathing Sewer Service Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing ol 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 1 0 - 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 Residential Roofing PERMIT - 201704907 PERMIT NO: 201704907 ISSUED: 07/26/2017 JOB ADDRESS: 4550 Teller ST EXPIRES: 07/26/2018 JOE DESCRIPTION: Residential Re -roof to install OWENS CORNING TRU DEF asphalt shingles with 18SQ RE -ROOFING THE HOUSE, 4/12 PITCH *** CONTACTS *** OWNER (303)937-7000 SMITH SUZANNE SUB (303)937-7000 William Brown 160142 Colorado Superior RFG & Const. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,040.00 FEES Total Valuation 0.00 Use Tax 105.84 Permit Fee 140.90 ** TOTAL ** 246.74 *** 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. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. CITY OF WHEAT RIDGE-. Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: �6Cl wy2f' Job Address: Permit Number: ❑ No one available for inspection: Time U 5AM/ M Re -Inspection required: Yes No When corrections have been made, call for reLipection 303-234-5933 Date: I I Inspector:AJ�4�� 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: Job Address: S,_ Permit Number: Nlu ,nnf��2T E S c 1=0 �� N S��fi oy1 art -L1 �,No one available for inspection: Time Re -Inspection requir d: Yes No When corrections have been made, call for re -in pection at 303 -234 - Date: 11�v Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201704907 PERMIT NO: 201704907 ISSUED: 07/26/2017 JOB ADDRESS: 4550 Teller ST EXPIRES: 07/26/2018 JOB DESCRIPTION: Residential Re -roof to install OWENS CORNING TRU DEF asphalt shingles with 18SQ RE -ROOFING THE HOUSE, 4/12 PITCH *** CONTACTS *** OWNER (303)937-7000 SMITH SUZANNE SUB (303)937-7000 William Brown 160142 Colorado Superior RFG & Const. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA ! Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,040.00 FEES Total Valuation 0.00 Al P Use Tax 105.84 Permit Fee 140.90 ---- - * * TOTAL * * 246.74 *** 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. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. City of Wheat Ridge Residential Roofing PERMIT - 201704907 PERMIT NO: 201704907 ISSUED: 07/26/2017 JOB ADDRESS: 4550 Teller ST EXPIRES: 07/26/2018 JOB DESCRIPTION: Residential Re -roof to install OWENS CORNING TRU DEF asphalt shingles with 18SQ RE -ROOFING THE HOUSE, 4/12 PITCH 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 o rty and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I er attest that am legally authorized to include all entities named within this document as parties to the work to be performed that all work erformed is disclosed in this document and/or its'a compa ing 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 lans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po icies 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 maybe 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 appligaMe,Gode or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. 1 I � Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dan Schultz G From: no-reply@ci.wheatridge.co.us Sent: Tuesday, July 18, 2017 12:46 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Gina C� Residential Roofing Permit Application c� 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 residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number 4550 Teller Street Susanne Smith 3039377000 Property Owner Email jessicat@coloradosuperiorroofing.co Address �m 1 3� Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number Colorado Superior Roofing Lakewood 3039377000 Contractor Email Address JessicaT@ColoradoSuperiorRoofing.com Retype Contractor Email JessicaT@ColoradoSuperiorRoofing.com Address DESCRIPTION OF WORK Are you re -decking the roof? Description of Roofing Material Select Type of Material: If "Other" is selected above, describe here: How many squares of the material selected above? Does any portion of the property include a flat roof? If yes, how many squares on the flat roof? No Owens Corning TruDef Shingles Asphalt Field not completed. 18 No Field not completed. TOTAL SQUARES of all 18 roofing material for this proj ect Provide additional detail Re -roofing the house, 4.12 pitch, 18 squares here on the description of i work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 5040.00 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. Name of Applicant Jessica Thornton Email not displaying correctly? View it in your browser. 3 INSURANCE Colorado Superior Roofing & Construction, Inc. 950 Wadsworth Blvd., Suite 306, Lakewood, CO 80214 t. t ` 303-937-7000 OWNER 11� C'Shqk�o ADDRESS INSURANCE DATE J HOME PHONE203_ �C�_J� /DALT PHO E ���% l 1c T-� �EMAIL5 7 k t )-0 � OC7 l CSR REP NAME` - ; %( PHONE (�� - ��. -'t� �� i Approx Start Date: 1 SCOPE OF DAMAGE- INFORMATION IN BOX FOR IjVSL)RANCE PURPOSES ONLY SCOPE OF LOSS ADDITIONAL DESCRIPTION (if necessary) QUANTITY Tear Off Shingles (include # of layers) Tear Off Shake Roofing Re -sheathing (OSB) Shingle Manufacturer Shingle Color Es C fq Ice & Water Shield (if pre-existing) Drip Edge (color) f G .-- Turtle Vents Broan Vents (4", 8") Pipe lacks Skylights (#, style, length, & width) Chimney Flashing (length & width) R&R Gutters (color, LF) —Ca 6, { R&R Downspouts (color, LF) e —CIACC Siding Type & Color Fascia Type (wood, metal) Antenna/Satellite Paint (type and color) JWin dow s Window Screens Soffit Overhang (LF) Additional Info or Instructions: Mai ( The price for work contemplated in this Agreement, based on the damage known as of the date of this Agreement, is estimated to be $� OI_J f Any payments made by credit card will be subject to a 3% convenience charge. Regardless of the amount written above, this contract is for the FULL SCOPE OF INSURANCE PROCEEDS FOR THE WORK ACTUALLY PERFORMED by Colorado Superior Roofing & Construction, Inc. ("CSR&C) and includes items related to such work like dump fees and material taxes. Neither you nor CSR&C is obligated hereunder unless your insurance company approves the work at a price acceptable to CSR&C. By signing this contract, you authorize CSR&C to pursue all repairs at a price agreeable to the insurance company and CSR&C at NO COST TO YOU EXCEPT FOR THE INSURANCE DEDUCTIBLE (subject to the paragraph below). The final price agreed to by the insurance company (including any supplements and overhead and profit related to work performed by CSR&C) will become the final contract price. PLEASE NOTE: If you have an ACV policy or do not have code upgrade, then you may be responsible for paying out of pocket for certain items like replacement of decking, fascia boards, soffits, or other items. Also be aware that if you have non-recoverable depreciation in your insurance scope you will be responsible for paying that amount in addition to your deductible. Please talk to your insurance agent about your policy coverage. CSR&C is happy to assist with thi -just ask. Roof (and gutters if applicable) ACV + Deductible Deposit Due at Material Delivery: $J I ,a5� . Initial For each of the other trades (windows, siding, painting, stucco, etc.) a deposit equal to the ACV amount for that trade is due when that trade is scheduled. The balance of the total contract amount (plus any supplements related to roof, gutters or any other trades performed) is due once all work is substantially complete. Date of Current Insurance Scope: Line items to be performed: You have the right to rescind this Agreement and receive a full refund of any deposit within 72 hours after the later of (i) entering into this Agreement or (ii) receiving written notice from your insurance carrier that your claim has been denied in whole or in part. Colorado SB 38 and CRS 18.13.119.5 prohibit CSR&C from paying, waiving or rebating any portion of your insurance deductible. If the roof does not pass inspection, CSR&C will promptly fix a y problems to ensure the roof does pass inspection. However payment is due at the time the work is complete and is NOT contingent on final inspection schedule. Initial You agree to provide CSR&C with all information related to this claim, including any updated insurance scopes or approvals. You hereby grant CSR&C and its agents authorization to speak with your insurance company and mortga company about this clai nd au rize your insurance com any to share all documentation with CSR&C related to this claim. These terms and those on the reverse sid ereof are accepted. All men b you for work performed° re to be a dir ctly to &C. ACCEPTANCE I ACCEPTANCE BY HOMEOWNER/BUYE CSR REP: CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type:r Job Address: x-/15 5D Permit Number: ;`-!^'r ".D �l ire ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No *Whencor/rect" ns h ve been made, call for re -inspection) at 303-234-5933 Date:77/ Inspector: / fJ DO NOT REMOVE THIS NOTICE s 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: M t Job Address: 4 5 50 Permit Number: o2.0 j -1 D _46j' 0: j t%I V)_ (DC , LA &P ❑ No one available for inspection: Time 2J AMM Re -Inspection required: Yes No - When corrections have been made, call for re -inspection at 303-234- Date:—b,4, 03-234-Date:b,4• r7 Inspector: 0-1_ 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: M Job Address: S" 6 Permit Number: 1'7 0 V � Z-7 �i R1i ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: 9' 2 7 Inspector: DO NOT REMOVE THIS NOTICE r a< t; i 5 r+ INSPECTION RECORD Occupancy/Type ~INSP TION LINE: (303) 234-5933 H~ Inspections will not be made unless this card is posted on the building site Call by 3`:00 PM to receive inspection the following business day. INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: Footings/Caissons Stemwall / (CEG) Concrete Encased Ground Reinforcing Or Monolithic Weatherproof / French Drain Sewer Service Lines Water Service Lines Pn"R Nn ChNCRFTF IINTII ARnvg HGS RFFN CIRNFn CONCRETE SLAB FLOOR. Electrical (Underground) Plumbing (Underground) Heating :(Underground) nn NnT PnuR F. nn. I INni ARnvF Hee RFFU Sir_urn ROUGHS.. Sheathing Lath / Wall tie Mid-Roof _ v bvPoil- Electrical Service Rough Electric Rough Plumbing Gas Piping Rough Mechanical Framing Insulation 'r Drywall Screw FINALS Electrical Plumbing Mechanical Roof _ ).9., Building Final Fire Department R.O.W & Drainage INSPECTIONS FOR PLANNING& ZONING, FIRE AND PUBLICE WORKS Parking & Landscaping SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. *NOTE: ALL ITEMS. MUST BE COMPLETED AND APPROVED. BY PLANNING AND ZONING,. BUILDING AND PUBLIC WORKS BEFORE A- CERTIFICATE. OF OCCUPANCY. IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING i CITY OF WHEAT RIDGE Building Inspection Division r' (303) 234-6933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: IQ00 F Job Address: '[5,50 i E/---i-0 S! Permit Number: ©c/a S ❑ No one available for inspection: Time AM/PM Re-Inspection required: Yes No 'When corrections have been made, call for re-inspection at 303-234-5933 Date: -0 q inspector: DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE r Building Inspection Division 1 (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 235 -2857 Fax INSPECTION NOTICE Inspection Type: W IPA0aF Job Address: V65o 7'�r//5R 57 Permit Number: Og2.5.5/ g � j} /,Q}P-/° ?— '� t /ll9r f S - :JI 7 rCi�'IJFL . A ./_A,90f6c tT>Q /rr/b`6 /Jr� s sCCedtJ56�FLTi,>rrlFfr, r` l.7d�� i��.�0� Tz7�s�,�7` -. ❑ No one available for inspection: Time ttJ 3a AM /PM Re- Inspection required: `� No When corrections have been made, call for re- inspection at 303 - 234-5933 Date: _/CZZA9 Inspector DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE fj Bung Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: l 4 i p Job Address: 1f~ i f~~° Permit Number:' ❑ No one available for inspection: Time AM/PM Re-Inspection required: Yes No When corrections have been made, call re-Inspection at 303-234-5933 / n Date: Zo -(i-l9 2 Inspector: 'v DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: MUD Job Address: t 13-15) 01 r rf a_iFt 7 Permit Number:i ❑ No one available for inspection: Time AM/PM Re-Inspection required: Yes No When corrections have been made, calf for re-inspection at 303-234-5933 Date Inspector: DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE ~w Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: ~A f rt i b LOOP Job Address: ~ ~-jq(J T1 11 _I-=Q I- Permit Number: Q!( 2LS 1 g,n! 77 h Ts FzJF_ i EL) ice' ❑ No one available for inspection: Time AM/PM Re-Inspection required es No - spection at 303-234-5933 When corrections have been made, calf ror re In Date: Inspector: 9FE - i DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: l tt P ! 7 i L`~~ Job Address: _!~550 Trfl1 t-:-_K ST Permit Number: Q~ a..i 5 ! No C ~ ~ GLI 1`10 P 17 I 1 /00 S -/EP) ~ t1~5 _°I (J R FF-F-- j o F;F A 1 D BFFoR = tJ ILL 11 105Afc112n) ❑ No one available for inspection: Time AM/PM Re-Inspection required: Ye No "When corrections have been made, call for -fnqpectfon at 303-234-5933 Date: -cP~~ -0 Inspector: 130 N()T RFMiOVF THIS MOMF ♦ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line ]!?;'r(303) 235-2855 Office • (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: o ,a 5;71 -1 n J Job Address: 4 o j E.1 L_E - mi `.l Permit Number: 0 2 ,g255 ❑ No one available for inspection: Time AM/PM Re-Inspection required: Yes No "When corrections have been made, call f re~inspection of 303 234-5933 Date: 3D-0 Inspector: kz` DO NOT REMOVE THIS NOTICE n " 1 City of Wheat Ridge Residential Roofing PERMIT - 092551 PERMIT NO: 092551 'ISSUED:. 09/18/2009 JOB ADDRESS`... 4550 TELLER ST EXPIRES: '.03/17/20.10 DESCRIPTION: Reroof 27.66 sqs ***:CONTACTS owner 720/732-0095. Suzanne Smith sub 303/242-8444 Jerod Raisch 09-005? **-PARCEL :INFO ZONE .:CODE: UA USE: SUBDIVISION:' 0297 BLOCK/LOT# FEE SUMMARY ESTIMATED PROJECT VALI FEES Permit Fee 344.90 1 Total Valuation .00 Use Tax 278.36 z~.._. e....:.'._~ TOTAL 623.26 Conditions: 6 nail installation & mid roof inspection required.: Board she than 'a 1/2 of -1 ' - aster shield `i Subject to fie I hereby certify t) equired from eave edge to 2' in: 1d inspection. Metro. Construction Inc UA 0/ ATION: 15,464.44 athing spaced more e roof. Ice and 5 exterior walls. " It application are accurate, and do not violate applicable your appl wheat Ridgy or restrictions of record;; that all abide. by all conditions printed on this a Building Code (I.B.C) and all other 3 inspection. ation and is subject to the laws of the , Colorado or any (other applicable nust be. received:. prior to expiration 09/16/2009 11:22 3039352606 METRO CONSTRUCTION I PAGE 09 of wHr-q City of Wheat Ridge Building Division Date: 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-2352855 `'Fax: 303-235-2857 Plan c o Inspection Line; 303-234-5933 Permit4 11F OL OrtPO Building Permit Application Ate)( Property Address: Lie Te ,ns t~ w~q,. ~~~732 Property Owner (please prinf):0 I►(/ f 1 ► Phone: Mailing Address; (if different than propsrty address) Address: .Q City, State, Zip; Contractor: Contractor License i Sub Contractors; Electrical City License Company: Exp. Date: D©53 Phone: _0D3-2,L Plumbing City License Company Exp. Date: Mechanical City License Company: Exp. Date; construction Value: 5~(!,!7`"- Use of space (description): (as calculatad Per rile surlmcg a uarron Data sheet! Description of work' d Plan Review (due at time of 6ubmittal): i e- „Ott Wl I" Sq, Ft./L. added: Gi Square,. 10 BTU's Gallons Amps OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT applicable ordinances, I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate app 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 thet I assume full responsibility for compliance with the _ e Building Code (1.8.C) and all other applicable Wheat Ridge Ordinances, for work under this permit Plans sub) lei Ins'pecb , NE CO RA or PERSONAL REPRE I=NTATRrF ER) f:ONTRATOR) vq~ ry/~~ CIRLCE ONE:: (OW PRINT NAME al SIGNAT.U.RE,_ Date: itA DEPARTMENT USE-ONLY ZONING COMMENTS: Zoning: Reviewer; PUBLIC WORKS COMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: OCCUPANCY: Reviewer: - FIRE DEPARTMENT:: C1 approvad w/ comments ❑ disapproved Cl no review required gidg Valuation: $ Building DEPARTMENT OF PLANNING AND DEVELOPMENT Permit Number : 8277 BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date : 12/11/98 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 f Property Owner : Property Address : 4550 TELLER ST Phone : 422-9690 Contractor License No. : 20200 ' Company : KMG ELEC. Phone : 699-1973 OWUNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value : $2,600.00 1 heireby certity that the setback distances proposed by this permit application are accurate, Pefmit Fe8 : $57.00 phd do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or :Wvenants, easements or restrictions of record; that all measurements shown, and allegations Plan ReVIeW Fee : $0.00 mptle are accurate; that 1 have read and a ree to abide by all conditions printed on this Ypplice6on, end that 1 assume full responsi ity for compliance with the Wheat Ridge Building Use Tax : $39.00 GoEe (U.B.C.) and all other appiiceble Wh Ridge ordina ces, for work under this p i. Total $96.00 "C~ DATE (piNMER)(CONTRACTOR) SIGNED Use: Description : INSTALL GFI'S SMOKE DETECTORS, UPGRADE PANEL BUILDING DEPARTMENT USE ONLY ~ SIC : Sq. Ft. : Approval: Zoning : Approval: BG Approval: Occupancy : Walis : Roof : Stories : Residential Units : Electrical License No : Plumbing License No : Mechanical License No : Company: Company: Company: Expiration Date : Expiration Date : Expiration Date : ` Approval : Approval : Approval : .'(1) This pertnit was issued in exordance w@h the provisions set fodh in yopur application and is subjed to the laws of the State of Colorado antl to lhe Zoning Regulations and Bulltling Code of Wheat Ritlge, Coloredo or any other applicable ordinances of the Ciry. (2) This permit shell expire if (A) the wor1c authonzetl is not commencetl within sixty (80) tlays from issue Oate or (B) the building authonzed is suspended or ebantloned Por a penod M 120 days. ~(3) If Mis penit ex0ires, a new pBrmlt 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 aad specifications and any suspension or abandonment has not exceeded one (1) year. If changes are matle or if suspension or abandonment euceeds one (11) year, full teas shall be paid tor a new pertnit. ' (4) No vrork of any manner shall De tlone that will change the natural Flow of water causing a tlrainage problem. . (5) Contreetor shell notiy the BuilGing Inspector twenry-four (24) hours in advance for all inspections antl shall receive wntten appmval on inspection card before aceediing wtth successive phases of the ~ob. (8) pr The issuance of a pertnit or Me approvel o~tlrawings and specifcations shall not be construed to be a permit for, nor an approval oC any violation of the provisions . of the buil ing es any oMer oMinance, law, rule or regulation. ~ Chief Building In ector THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Date : Property Owner: Property Address : 1/5 5"o T~ !lg = ConVactor License No. : •~2I D(a3 Phone: 3c 3 96)clD Company: t rn Phone:,SD3_ U.~ _ r rv ;~3 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value :~UC%D,0 I hereby certify that the selback distances proposed by this permR application are accurete, and do not violate applicable ordinances, rules or regulaUons of the Cily of Wheat Ridge or covenants, easements or restrictions of tecotd; that all measurements shown, and allegations made are accurate; that I have read and ayree lo abide by all conditions printed on this application, and thal I assume full responsibil'Ry for eompliance wdh the Wheat Ridge Building Code (U.B.CJ and all other applicable Wl, qat Ridge ordinances, torwork under this pertnit. (OWNER)(CONTR4CTOR) SIGNED~j~lA~y ~IQilil~iLT- DATE~ T U50 : DescriDtion : C, r z'S , <,r ; " -ca Ae ~ BUILDING DEPARTMENT USE ONLY SIC Approval: Zoning : Approval: Approval : Occupancy : Walls Electrical License No : Company : Expiration Date : Approval : Roof Plumbing License No : Company: Expiration Date : Approval: Building Permit Number : Mechanical License No : Company: Expiration Date : Approval: (1) This permil was lesued In aaadance wiUh the pmWSions Eel lorth In yopur applica6on and Is suq'etl W IAe laws o( the Stale ol Cobndo anE to the Zoninp . RegulaGOna anC BuiWinB CaEe d VMeat RIOga, CdaraAO a any ollier applicable adiiunces of Ihe Ciry. (2) Thia permil sha4 expiro i1(A) Ua work aulMrfzeE Is rrot commenced wMm siary (60) Eays hom luue tlate a(8) the buiWMp auUaAZ[d is auspen0ed a awnoonea r« a Penod a 120 days. (J) II Nis pemiB expires, a new pemul may be acqulretl fa a lee ol one-hatl the amant namally reQUired, provitled no Cwnqes have been a vrill be maEe in the orginal plw and tpedRCaOons and afry auspensbn or abandonment Iws not e.ceetleC one (1) year. II chaiges ara ma0e «H wapensim a aOanCavnent e.ceeAS oae (i) Year. fun feea ahan be PBW (ora new Pemat. (4) No work o1 any manner shaA ba done Ihat will change the nalural flow of waler nusirg a dninaga prodem. (5) Convaaw shall notiry the BuiWinq Insr twenry•lour (z<) Ooun in advarKe for ail InscecUons anE snan receive writlen appmval on Inspadion aM Deloro - procceEnnp wM suaeasivetl» pha ses o Ne b. (8) The issuance o1 a pemW a approwl Erewings anA spetlfifatioru ahail not Ee construed lo he a pertnit lor, rar an approvat o1, any vblation of the poWsbna . d the buildinp codes or arry oUrer adlnanca, law, mla w requWUOn. Chief Building Inspector Sq. FL : Stories : Residential Units : For Mayor Permit Fee : Use Tax : Total: $0.00 THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION