HomeMy WebLinkAbout4581 Teller StreetCity of Wheat Ridge
E -Res. Water Heater Replcmnt PERMIT - 202100152
PERMIT NO: 202100152 ISSUED: 01/26/2021
JOB ADDRESS: 4581 Teller St EXPIRES: 01/26/2022
JOB DESCRIPTION: Replacing 40 gallon, 120k BTU water heater in basement.
*** CONTACTS ***
OWNER (303) 659-3400 YATES ANNE
SUB (303)659-3400 GEORGE DONALDSON 180142 FIX -IT -GROUP, 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: 41200.00
FEES
Hot Water Heater 40.00
Total Valuation 0.00
Use Tax 88.20
** TOTAL ** 128.20
*** COMMENTS ***
*** CONDITIONS ***
Both the front and back of this permit are required to be posted on the job site at all
times. If the complete permit is not present, inspections WILL NOT be performed.
Work shall comply with 2018 IRC & 2020 NEC. Smoke alarms shall comply with 2018 IRC Section
134. Interior alterations, repairs, fuel -fired appliance replacements, or additions, any of
which require a building permit, occurs or where one or more rooms lawfully used for
sleeping purposes shall have an operational carbon monoxide alarm installed within fifteen
feet of the entrance to each room lawfully used for sleeping purposes.
1* � 4 41'
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
E -Res. Water Heater Replcmnt PERMIT - 202100152
202100152
4581 Teller St
ISSUED: 01/26/2021
EXPIRES: 01/26/2022
Replacing 40 gallon, 120k BTU water heater in basement.
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�permrt. I further attest that I am leg ally 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.
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 requ�ired
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, anviolation of any provision of any
pplicab e code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
01/26/2021
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
From: no-reolv(alci.wheatridae.m. us
To: CommDev Perm is
Subject: Online Form Submittal: Water Heater Replacement Permit Application
Date: Monday, January 25, 20214:54:43 PM
Water Heater Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT WATER
HEATERS - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN
ORDER FOR THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
replacement water
heater like for like?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
Address (Leave blank if
not known)
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
4581 TELLER STREET
303-659-3400
fishtacoanne@aol.com
CONTRACTOR INFORMATION
Contractor Business FIX IT 24/7
Name
Contractor's License 180142
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
Address
Retype Contractor
Email Address
DESCRIPTION OF WORK
Number of gallons
19I819E:1.'X'NT,[sit,
J HERRERA@FIXMYHOM E.COM
J HERRERA@FIXMYHOM E.COM
0]
Is the water heater GAS
GAS or ELECTRIC?
If GAS, enter # of 120
BTUs. If electric, enter
n/a
Where is the water BASEMENT
heater located (for
example, basement,
crawlspace, etc)?
Project Value (contract 4200
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 work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have Yes
been authorized by the
legal owner of the
property to 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.
Person Applying for JULIE HERRERA
Permit
Email not displaying correctly? View it in your browser.
,, ► A a City of Wheat Ridge
® Residential Roofing PERMIT - 201700837
PERMIT NO: 201700837 ISSUED: 05/24/2017
JOB ADDRESS: 4581 Teller ST EXPIRES: 05/24/2018
JOB DESCRIPTION: Tear off 1 layer 30 year - 1 story 4/12 pitch 30 year modified torch - 27
squares
*** CONTACTS ***
OWNER (303)619-2521 GARR FRANK S
SUB (303)466-0161 Bernie Reitz 019543 Reitz Roofing, Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,100.00
FEES
Total Valuation 0.00
Use Tax 145.80
Permit Fee 188.45
** TOTAL ** 334.25
*** 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) 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. 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 manufacturera€ms 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'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.
9 518 � I r- (1 c-1
I
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
i�
Inspections will not be performed unless this card is posted on the project site.
**Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Annroval Of The Above Inspections
Underground/Slab Inspections Date Inspector Comments
Initials
Electrical
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
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
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 compieteo trom the Tire District ana eieciricai 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
d
Residential Roofing PERMIT - 201700837
PERMIT NO: 201700837 ISSUED: 05/24/2017
JOB ADDRESS: 4581 Teller ST EXPIRES: 05/24/2018
JOB DESCRIPTION: Tear off 1 layer 30 year - 1 story 4/12 pitch 30 year modified torch - 27
squares
*** CONTACTS ***
OWNER (303)619-2521 GARR FRANK S
SUB (303)466-0161 Bernie Reitz 019543 Reitz Roofing, Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,100.00
FEES
Total Valuation 0.00
Use Tax 145.80
Permit Fee 188.45 }
** TOTAL ** 334.25
*** 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) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding k/2 -inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. 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 manufacturera€t'Ms 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'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.
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION
City of Wheat Ridge
Residential Roofing PERMIT - 201700837
201700837 ISSUED: 05/24/2017
4581 Teller ST EXPIRES: 05/24/2018
Tear off 1 layer 30 year - 1 story 4/12 pitch 30 year modified torch - 27
squares
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 t7�e 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 legally authorized to include all entities named within this document as parties to the work to be
performed and that all wor�,to be�Jaerformed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in thepermit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This. permit shall expire 365 days after the date of issuance regardless of activity. Reqquests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days ma 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 oxregulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:5904 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.
City of
Wb.eat1 ���
��0:'o:,4 � ' i _,' DEVEEOPME-N-
Building & Inspection Services Division
7500 W. 291h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * I:ax: 303-237-8929
Inspection Line: 303-234-5933
FOR OFFICE USE ONLY
Date: S/
_Ia j I I I
Plan/Permit # l
Plan Review Fee:
Building Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address:
Property Owner (please print): Phone:
Property Owner Email:
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer:
Architect/Engineer E: -mail:
f
Contractor: ,t r2
C
Phone:
Contractors City License #: Phone: -3— Z-16-6 —
Contractor E-mail Address:
Sub Contractors:
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
leu,ftf-zr 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.)
Sq. FtJLF
Amps
Btu's
Gallons
Squares C� 6 — —7 Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$ F/6C.e-
—SC—)
-7-o-,,-) c.,,K,
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application.
CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTA
PRINT NAME:-,. St i,-- L G rf 4-- SIGNATURE:
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received ❑ Not Required
Water District ❑ Received ❑ Not Required
Sanitation District ❑ Received ❑ Not Required
DEPARTMENT USE ONLY
of (OWNER) (CONTRACTOR)
DATE:
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
i CITY OF WHEAT RIDGE
_:�9rr- 1ding-Ihspeciion Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: V-C)f:-
Job Address: A5M ALL L. ST
Permit Number: '2.0 (1 () () 9_p'�)'j
❑ No one available for inspection: Time � M/ M
Re -Inspection required: Yes No
When corrections have been made, call for re -in
spection at 303-234-5933
Date: -b • 5• f Inspector:
DO NOT REMOVE THIS NOTICE
CITY OF WHEAT RIDGE
' Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 01) 0
Job Address: '-1581 -TCL-0-7 57
Permit Number: Z p 1-7 C2 o -e3 7
❑ No one available for inspection: Time / / r f- /PM
Re -Inspection required: Yes C1"
When corrections have been made, call for re -inspection at 303-234-5933
Date: Inspector:
DO NOT REMOVE THIS NOTICE
'I L"I � *_ 1110
H j INSPECTION RECORD
��� INSPECTION REQUEST LINE: (303) 234 -5933
OecnnaneyTVne
Inspector
Inspections will not be performed unless this card is posted on the project site.
Call the inspection request line before 3:00 p.m. to receive an inspection the following business day.
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections
Date
Inspector
omments
Comments
Monolithic Slab Reinforcement
Water Service (Underground)
Caissons
Plumbing (Below / In -slab)
Concrete Encased Ground (CEG)
Heating (Below/ In -slab)
Footing /Stemwall P.E. Letter
Rough Mechanical
��a cni�raura• lua. aroa�u• iar• ��� aarir����ri�:r- �.�:rzrr- �rrarrs _
Underground /Slab Inspections
Date
Inspector
Comments
omments
Electrical (Underground)
Sewer Service (Underground)
Water Service (Underground)
Plumbing (Below / In -slab)
Heating (Below/ In -slab)
vu Itlul %luvur underorouno or neIOW /m-5ian WnrIc FJrinr In Onnrnuni ("If The Ahn�in Inc.....►:......
Rough Inspections
Date
Inspector
Comments
omments
Wall Sheathing
Roof Sheathing
Lath /Wall Tie
Rough Electric
Rough Plumbing
Rough Mechanical
Gas Piping
Do Not Proceed
Without
Approval Of
Above Rough Inspections
Rough Framing
Insulation
Drywall Screw / Nail
Final Inspections
Date
Inspector
Comments
omments
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Building / Frame
-
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.
Fire Inspection / Fire Protection Dist.
"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.
Occupancy Is Not vermlttea until A certificate of Occupancy Is Issued
Protect This Card From The Weather
❑ No one available for inspection: Time a Al\#P_ . __
Re- Inspection required: Yes (� No
*When corrections have been made, caH for re-inspection at 303- 234 -5933
Date: Inspector: Z / �
DO NOT REMOVE THIS NOTICE
,. • -
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office * (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type
>of A�,s -1 866v °
Job Addre §s
` Z/-5'9/ 7 5
Permit Number
x§ ///01'0
❑ No one available for inspection: Time a Al\#P_ . __
Re- Inspection required: Yes (� No
*When corrections have been made, caH for re-inspection at 303- 234 -5933
Date: Inspector: Z / �
DO NOT REMOVE THIS NOTICE
" 1 City of Wheat Ridge
Residential Roofing PERMIT - 111040
PERMIT NO: 111040 ISSUED: 08/31/2011
JOB ADDRESS: 4581 TELLER ST EXPIRES: 08/30/2012
DESCRIPTION: Reroof 20 sqs with 30 yr dim. and 4 sqs modified roofing
* ** CONTACTS * **
owner 303/421 -3238 Frank Garr
sub 303/393 -0345 Mark S. Kramer 02 -0325 S. Kramer Roofing Inc.
** PARCEL INFO **
ZONE CODE: UA
SUBDIVISION: 0307
USE: UA
BLOCK /LOT #: 0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 9,000.00
FEES
Permit Fee 188.45 //__yy
Total Valuation .00 bow
Use Tax 162.00 P.
** TOTAL ** 350.45
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. Subject to field inspection.
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 t1c ocumeu s parties to the work to be performed and that all work to be performed is disclosed in
this n do t axe/ i ac co ipanyi ng approved plans and specifications.
'Signafture of v OWNER �6 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 1B0 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 o any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject
to fie on.
Signatu of f ief Building Offical 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.
OF WHEgTR City of Wheat Ridge Building Division Date:
7500 W. 29 Ave., Wheat Ridge, CO 80033
K Y GJ Office: 303 - 235 -2855 � Fax: 303 - 235 -2857 Plan #:
�+pGORA p Inspection Line: 303 - 234 -5933 f
Permit
Building Permit Application
Property Address: �� 4
Property Owner (please print): -- 7ZA/,/ e 0, Z — 4 Pt
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Contractor: `
Contractor License #: V
oe 2 �� Phone:
Sub Contractors:
Electrical City License #:
Company:
Exp. Date:
Plumbing City License #:
Company
Exp. Date:
Mechanical City License #:
Company:
Exp. Date:
Use of space (description): Construction Value: $ spent yam`
Description of work: IF :) C � f,?i� ni - . (as calculated per the Building aluationrl/ Data sheet)
/`t "C /� C'`��� Plan Review (due at time of submittal): $
• q. Ft. /L.Ft added: Squares BTU's Gallons Amps
UvVNLMWN I RACTOR 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) (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR)
PRINT NAME: \� - SIGNATURE: nnto
ZONING. COMMENTS-
Zoning:
Reviewer.
PUBLIC WORKS COMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY:
FIRE DEPARTMENT:: ❑ approved w/ comments ❑ disapproved ❑ no review required
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DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 11327
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE Date : 10/13/2000
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Property Owner :
Property Address : 4581 TELLER ST Phone : 421-3238
Contractor License No. : 17152
Company : Precise Plumbing Phone : 534 0881
OWNER/CONTR,4CTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value ~
I hereby certiTy that the setback distances proposed by this permit application are accurate,
PeITplt FeB :
and do not violate applicable ordinances, rules or regulations of the Cily of Wheat Ridge or
covenants, easements or restrictions of record; that all measurements shown, and allegations
made are accurate; that I have read and aqree to abide by all conditions printed on this
hance wRh the Wheat Ridge Building
onsibility for com
lication
and that I assume full res
a
PIBn RevieW Fee :
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Se
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Code (U.B.CJ and all other applicable Wheat
(OWNER)(CONTRACTOR) SIGNED DATE
Description : REPLACE WATER HEATER, READY FOR INSP.
Total
Use:
IP 1. 6fl
$0.00
$0.00
$23.50
Electrical License No :
Company :
Expiration Date :
Approval :
Plumbing License No :
Company:
Expiration Date :
Approval:
Mechanical License No :
Company :
Expiration Date :
Approval :
(1) This permit was issuetl in acwrdance wlth the provisions set forth in yopur application antl is sub~~ ctto the laws ot the Sfete of Coloredo and to the Zoning
Regulations and Buildin~ Code M Wheat RidBe, Colorado or any oMer applicable ortlinances M the Ciy.
(2) This permit shall expire d(A) the vrork authonzed is nol commenced within sbdy (60) days from Issue tlate or (B) the building aWhorized is suspended or
abandoned for e periotl of 12o aays. .
(3) If this permk expirea, a new permR may be acquiretl far a fee of one-half the amount narmally required, provided no changes have been or will be made in the
original plans antl specificaUons antl any suspension or abandonmerrt has not exceeded one (1) year. If dianges are matle w H suspension or abanAOnment
exceeds one (1) year, full (eea shall be paid for a new pertnit.
(4) No vrork of any manner shell be tlone Mal will change the naturel flow of water causing a d2inape problem.
(5) Contractor shall notiy the Builtling Inspector twenty-four (24) hours in advance tor all inspeclions antl shall receive wntten approval on inspectlon caN before
proceetliing w th suaessrve hases o( tha1'ob.
(e) Th e issua a permit e approval ofCrewings and speciflcations shall not be canstrued M be a pertnit for, nor an approval of, atry violation o( Me pmvisions
ofthabuir g tlay~7rherordinance,law,ruleorregulatlon.
~ ~ .
Chief Building
OEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number :
BUILOING INSPECTION DIVISION - 235-2855 .
CITY OF WHEAT RIDGE Date :
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
~.r)Ci°~72A .
Property Owner
Property Address
Contractor License No.
company : Pl- e cis e_ .2;, C-
~ OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hersoy certAy that the sefback tlistances proposeC Oy this pertmt aDOUCation are acwqte.
anC Co not vioWte aopuable oramances. rubs or reguuuons of Ne Cily of Wheat Ridge or
COVSnantt. eaSemenl3 Of flatMllonf Of IlCOfO: Wt LI meuYflrtMlHi shOwfl. ana alllgO1011s
;ma0s arc accunce: that 1 have read apno0natgEr~se W for abWe ~Dy sll oon0itions OnMSd on tlfis
oCS~ (U.B.C.) ana a~ oNS ~ pp ~tinbk Nrtaat Hid9 o mmancea. tor work urWer Mii pem~
C
(OWNER)(CONTRACTOR) SIGNED':~~ DATE
Description : r-v/a ce Z--A'~.•~ ilYC V""- ~ rfRd F'o1- i n~.~ a/,~o•~
BUILDING DEPARTMENT USE ONLY
Approval :
Zoning :
Approval :
-06tnmbnb:'
Approval :
Occupancy : Walls : Roof : Stories : Residential Units :
i 7i s-z
Phone : yd/ 3=z3 Y~
Phone
Conswction Value :
Permit Fee : 2 i Sc-'
Use Tax : ftn`'Oj`
TOhdl : 21 S' G
Electncal license No : Plumbing License No : Mechanical License No :
Company :
Company:
Company :
ExpiraHon Date :
Approval :
~ cPl~ns:RByulretl=
Expiratlon Date :
Approval :
3 : FWlis Re'quired."
Expiration Date :
Approval :
-4 rP,~ulritl~
( t) This permn was nwea n acroraanca wrn Ne povrsnni so! IoM n yopur aOpligOOn ana u suqpft b fM Iam d Na Sts4 W Cobra00 ana m Or Za1vq
RlyWiUORS ilf0 BuJOilg ~.OCf O/ VN1lit RbQl. C0:0Ii00 d]lly dllM SDpI1tlEN dOillillClf Ol UI!
;z) Tn~s oermrt swi uan d (n) tne wa+c aumanzw o roi mmmsni»a vnvun sutY (60) aays hom osw aaa or (B) Uw EwWuq sumanzea u swcrwW a
aowoneo ror a pxqo 01720 aava.
If ws pemuc axwras. a nesw OamM m+Y w =GUwa M a f" W on"M pN ~M namWy rsOwW. provqW no tlwpes Nw Owi a wi1 W rtu0e n ON
orquw done ana sose+M1mooru +na ury ws0enwn a aoamonmxn naa na *awww one (1) rar. u wnpos ua nuaoa A wspwfm or mowwomwn
acaeas one f 11 v¢w. hM hft ann ea oaw for 8 naw oammt
(4) No WOfk Of inY ~~nof &nill EQ 0011f PYI wIN C71in9f ON MNfit IIOw d waIM GYLIIQ 7 0liYYQQ pOdMl.
(5) COt107C10f 5n111 rlpYly Qt! BYilOitg III3pQGOf lWMly.lpy! (24) tqllfi M lOVinCf IW ill mspcuona va uue recana wnnen aoorwai on u+soectioe cwa oMa~
proCeepnnq wim suCCessrva Wusaf W Ne p0.
(6) 7he usuance ot a xm+rt or Ne aoorwai of anwanqs ana soeaficaoons :nan not oe mnswca b oe a Demm hx. nor an AOOrov+i ol. arry nwoan W vr Omvnia+a
o! Cfe DutlOinq f90t5 Of iny 010lr OrORIiKl. Uw. N:! G flQWU00.
Chief Building Inspector
For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 2345933 24 HOURS PRIOR TO INSPECTION