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4619 Teller Street
i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: b� Job Address: L4 Xk6i L? Permit Number: r-`)(��"1��{) ; (� ,n 41A -y5 u� r)+ t ❑ No one available for inspection: Time:..�jAM/PM Re -Inspection required: Yes No When corrections have been made, schedule for re -inspection online at: http✓/www.ci. wheatridge.co. usfinspection Date:A ,-) -20 " Inspector: DO NOT REMOVE THIS NOTICE s CITY OF WHEAT RIDGE Building Inspection Division r (303) 235-2855 Office INSPECTION NOTICE Inspection Type: !!CA 4 55001 Job Address: 41A 1-t t S� Permit Number: COv! d -\9 J No one available for inspection: Time O.OtA- 3 AM/PM Re -Inspection required: Yes When corrections have been made, schedule for re -inspection online at: http://www. ci. wheatridge. co. usfinspection Date: Inspector:_ DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: Job Address: Permit Number: Q GT 6 S rN C, V\ ( C [—As J No one available for inspection: Time AM/PM Re -inspection required: �� s No When corrections have been made, schedule for re -inspection online at: httpYlivvww. ci. wheatridge. co. uslinspection Date: —inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge IF Residential Foundation Repair PERMIT - 202000508 PERMIT NO: 202000508 ISSUED: 03/05/2020 JOB ADDRESS: 4619 Teller St EXPIRES: 03/05/2021 JOB DESCRIPTION: Install 22 pilings at south side of crawlspace and garage foundation area *** CONTACTS *** OWNER (720)280-7054 CASSELL ZACHARY T GC (303)467-1933 KELLY FARRIS 080160 OLSHAN FOUNDATION SOLUTIONS *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE, UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 32,000.00 FEES Total Valuation 0.00 Plan Review Fee 339.66 Use Tax 672.00 Permit Fee 522.55 ** TOTAL ** 1,534.21 *** COMMENTS *** *** CONDITIONS *** Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. Inspection by Wheat Ridge Building Inspector required prior to backfill. Observation letter from Engineer to be provided to Wheat Ridge Building Inspector at Final Inspection. 1, 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 mu icipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal ow roperty and am a O zed to obtain this permit and perform the work described and approved in conjunction with this,permit. rther atte that am le�gall au orized to u e all entities named within this document as parties to the work to be performe and t at all ork e perfo - e s disclose m t 's document and/or its' accompanying approved plans and specifications. Sign OWNER or CO T OR (Circ o e) Date 1. This permit was issued based on the information pravided 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 b 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 subjectto the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4, No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all re uired inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. t; The issuance or ting of a pe t shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable codpr ny grdinanc r 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 WheatOgle 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: permits6i.ci.wheatridqe.co.us FOR OFFICE USE ONLY Date: �'Jf^ "vW V LJ Plan/Permit # ao D 1-11,08 Plan Review F e. Building Permit Application *** Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 4,40/5? �6c�Eiz � ,C,EET Property Owner (please print): 7—'4Ct, e'450' --e_1 Phone: /2�70 -Z"- 705t/ Property Owner Email: Tenant Name (Commercial Projects Only) &/ A Property Owner Mailing Address: (if different than property address) Address: 15090lE 145 1960UE City, State, Zip: Architect/Engineer: ' `"-17 'q _ Architect/Engineer E-mail:Phone: 71,3 - 775- q 716— Contractor Name: City of Wheat Ridge License #: dg��%0 Phone: c /CJ �Q.3- q& 7-33 // Contractor E-mail Address: Pct r -o4 J 0 &,6Ain-42 " ,n /I . t_ -7/1M For Plan Review Questions & Comments (please print): CONTACT NAME (please print): G / Phone: Z :�/ %" / CONTACT EMAIL(p/ease print): r 7'L0,,k-7 - 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 4 Complete all highlighted fields. [--]COMMERCIAL Z 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. ya r � e YT �/1�T�-LU�r/G' Z Z ��� il�'S l.�-�� �1.�`1 �5<c�•� ��Q�!//�S.o��'F /_ Sq. FULF BTUs Gallons Amps Squares For Solar: KW # 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) $ Z (5106 0 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) Signature (first and last Printed Name: ZONING COMMMENTS: Reviewer: BUILDING D;PrAF412 T CO NTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: A DEPARTMENT USE ONLY 6f (OWNER) (CONTRACTOR) DATE: r 2y --?L/) OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: JA atc Building Division Valuation: W _ 4619 Teller Street, Wheat Ridge, Colorado 80033 133 FOUNDATION CONSULTANT: HOMEOWNER'S NAME/ADDRESS: ZACK CASSELL WRepair SinceO1933 PHONE: 303-467-1933 4619 TELLER STREET Foundation Co. DATE: FEBRUARY 2020 WHEAT RIDGE, COLORADO 80 4 5 6 7 12 31 8 9 10 11 GARAGE 2 22� 21 201 17 16 14 19 18 15 13 ADDITIONAL NOTES: BUILDING CODE - IRC 2018 GROUND SNOW LOAD- 43 ROOF SNOW LOAD- 30 WIND DESIGN-13OMPH ULTIMATE EXPOSURE B SEISMIC - CAT B vtj%tillitill,: `,4o¢ROO `'esti Ci:Qo �p r% 39893 N W+E ••.•• ••' !V REVIEW OF PILE ''••»••••''�,c�``�! LAYOUT ONLY �`'� A �' .,NJ S� NOTES UNLESS OTHERWISE SPECIFIED Q7 PILES SHOULD BE INSTALLED TO REFUSAL WHICH, IS DEFINED AS WHEN THE EXISTING FOUNDATION START TO HAVE UPLIFT FROM THE DRIVING FORCE EXERTED ON THE PILE. (2) EXTERIOR PILINGS SHOULD BE AT A SPACING NOT GREATER THAN 8 FEET CENTER TO CENTER ON ONE STORY HOMES AND NOT GREATER THAN 6 FEET ON TWO STORY HOMES. © ELEVATION READINGS SHALL BE TAKEN BEFORE AND AFTER THE FOUNDATION LIFT. ® ® INDICATES AREA AFFECTED BY NEW PILINGS. ® ELEVATIONS HAVE BEEN ADJUSTED FOR VARIATIONS IN FLOOR COVERINGS. © ADJUST EXISTING PILINGS AS REQUIRED, IF ANY. �+ STRUCTURE DESCRIPTION LEGEND Whe�d SIDING: • EXTERIOR PIER PE POOL EQUIPMENT ® A/C UNIT STORIES: • INTERIOR PIER © GAS LINE — SLOPE FOUNDATION: 0 BUILDERS PIER FENCE X PREVIOUS WORK WALL CRACKS 133 February 26, 2020 Olshan Foundation Repair and Waterproofing 1655 W. Girard Ave. Englewood, CO 80110 doaova�$ Subject: Review for Permit Letter Re: 4619 Teller Street, Wheat Ridge, Colorado 80033 We have reviewed the sketch and the foundation repair system proposed for the subject location. In our opinion, the proposed foundation repair should minimize the foundation settlement at the subject location providing proper installation techniques which includes the manufacturer's technical manual/specifications for pre -cast concrete segmental pilings FPA -SC -08 latest edition which can be found at www.foundationperformance.org industry standards and per pre -cast attached, pier pile systems specification and in accordance to 2018 International Residential Code for City of Wheat Ridge. The areas that are represented by cross -hatching on the attached sketch are the areas, in our opinion that will be affected by the proposed foundation repair system, provided the foundation system is of acceptable strength. If the actual strength of the foundation system is found to be inadequate to support the spacing of the piles as shown on the attached sketch then additional piles may be required to support the foundation. We appreciate being of service. If you have any questions or require additional information please contact the undersigned. Regards, Ronald C. Roche, P.E. illlil/ Ito, 1' VO .••�p1A R l�� • tP� �i i 39898 = .1 cc 9�®rs�ONAL E� %♦��ji 27564 Southern Crossing Drive, Splendora, TX 77372 Ph: 713-775-4715 City of wheat Rici�ze TI cn cn Z t/1 Z ;u D c o ql!� —I CCn N w �a O C Z m tCL y O �to m a0 I v G) M I � oW CO) c I M rn p O®®® © Q p -0 -n oM O O c< < o� Z (n g N � m Z Z . . -Di m 0 o = Cl) � ;7 G) W Co ~ fTl D -Il o z 0 zz a� ° oc z m p� c En-zpp r= —I m U) —I = C) m �� U)p C —n= W 00 O O -. X(,�• ° < m( m o =G) O(n Dm r M=O G-) W Z m 00 z � cn �— -i z N D m n LJ) n — � C A n O z m x U) v o C D z�0 OCa y -u Ca_ �czx z D= D C= oZ r C O m W- 0 � '� �, <pMm >` m D 00 <o r C Cw>O D O C omp� � cn U) m oo Zo m 03 M ` D� o rQ G) —I O Co (j) 0 p m m �-1 CO) O O =off , rn N W D m� c o o --1 p �> rr°X nM CO) Z� c _o =! p O Z .Z0Fn 7��� M o Z D-U -nC C r- -u -rl w CO D — -� o °� D cr M m �u r z m mC) N Qm M m < o z ZZO �_ c = M M Cl) w ` t� = n T -uG) (n Zn D �� m m < o y �fffo 0 m O h m G-) D z o m -n -' -n rn N' J� —i m n r C) r rn r z r o m O m z� -n Z Orn N s �'� a s :(7 M r > Z n z m m v o -� o •0 Rt �•,....••,,� 'v� .• •� �� ApW '; 0 oo r� Q ITI M C) o n O m 7 o z m +. •CA) ��; m � r Cn m m o ZX 0-n m m= S X z '11 — ; -� �. -• , e City of (n r Z G) o _ -A o = v �MUNIIY O O m o m z 'n •• ®s• l)tVtl(�PMENi O M M �� z mz `� --j =� % ��*;•'`���® 0. - APPROVED r M O -� D o 71 Z •�? o r� view for de Compliance C) m m 1 mz Q1 .m 00 I.- Date O WNdkv of Permit: The )squame of a p~or approve! of plans swijkatlons w and compurotwns s" not be a permit fo, or an approval of, arty walabon to W any of the provisions al the nwlding code or of oW City ordinances. Permits presuming to gw outhor/ty to WokW at mncel the prowhara of the NWtg codas or other ordinonoes of the City shoa not be m" City of Wheat Ridge opt Residential Sewer Repair PERMIT - 201900903 PERMIT NO: 201900903 ISSUED: 05/07/2019 JOB ADDRESS: 4619 Teller St EXPIRES: 05/06/2020 JOB DESCRIPTION: Sewer repair 55-60 ft long in front yard, 4-6 feet deep, installing dual sweep clean outs. *** CONTACTS *** OWNER (720)280-7054 CASSELL ZACHARY T SUB (303)519-0240 R. ANDREW RUSSELL 120161 THE ELITE PIPE MD *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,700.00 FEES Total Valuation 0.00 Use Tax 77.70 Permit Fee 109.20 ** TOTAL ** 186.90 *** 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.** City of Wheat Ridge Residential Sewer Repair PERMIT - 201900903 PERMIT NO: 201900903 ISSUED: 05/07/2019 JOB ADDRESS: 4619 Teller St EXPIRES: 05/06/2020 JOB DESCRIPTION: Sewer repair 55-60 ft long in front yard, 4-6 feet deep, installing dual sweep clean outs. I, by my signature, do hereby attest that the work to be performed shall comp]y with all accompanying approved plans and specificationsa 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 roperty and am authorized to obtain this permit and perform the work described and approved in conjunction with this ermrt. I further attes that I am legally authorized to include all entities named within this document as parties to the work to be peri med and that all w o be performed is disclosed in this document and/or its' accompanying approved plans and specifications. 5f 7 Jr Signature of OWNER orONTRACTO (Circle one) Date I . This permit was issued based on the information provided in thepermit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Budding 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 shallot proceed or conceal work without written approval of such work from the Building and Inspection Services Div. 6. T ange or 4grag of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any 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 heatIidge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits cDci.wheatridae.co.us Date: 6-P,1119 PlanlPennit # Plan Review Fee: Building Permit Application *" Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. I Property Address L f 6 1 'cae- e - c� . W kms•+ 6L Owner Property Owner Email: SIte-, Mailing Address: (if different than property address) Address: City, State, Zip: Arch itect/Enaineer: Architect/Engineer E-mail: Contractor: Phone: Phone: 7 Contractors City License #: I W 6 ( Phone: 7 W ' 66 Z-' c/ 3 s 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 5L( ❑ COMMERCIAL A� SIDENTIAL Descft ion 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 L�-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. 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) $ 370o 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): DATE: 7 DEPARTMENT USE ONLY ZONING COMMMENrS: OCCUPANCY CLASSIFICATION: Reviewer. BUILDING DEPARTMENT COMMENTS: Reviewer. Building Division Valuation: $ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 2 J�:: J<fZ r i Job Address: Permit Number: ❑ No one available for inspection: Re -Inspection required: Yes -No When corrections have been made, call for re -inspection at 303-234-5933 Date: - Inspector: ''^----T F - DO NOT REMOVE THIS NOTICE City of Wheat Ridge opt Residential Sewer Repair PERMIT - 201900903 PERMIT NO: 201900903 ISSUED: 05/07/2019 JOB ADDRESS: 4619 Teller St EXPIRES: 05/06/2020 JOB DESCRIPTION: Sewer repair 55-60 ft long in front yard, 4-6 feet deep, installing dual sweep clean outs. *** CONTACTS *** OWNER (720)280-7054 CASSELL ZACHARY T SUB (303)519-0240 R. ANDREW RUSSELL 120161 THE ELITE PIPE MD *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,700.00 FEES Total Valuation 0.00 Use Tax 77.70 Permit Fee 109.20 ** TOTAL ** 186.90 *** 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.** City of Wheat Ridge Residential Sewer Repair PERMIT - 201900903 PERMIT NO: 201900903 ISSUED: 05/07/2019 JOB ADDRESS: 4619 Teller St EXPIRES: 05/06/2020 JOB DESCRIPTION: Sewer repair 55-60 ft long in front yard, 4-6 feet deep, installing dual sweep clean outs. I, by my signature, do hereby attest that the work to be performed shall comp]y with all accompanying approved plans and specificationsa 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 roperty and am authorized to obtain this permit and perform the work described and approved in conjunction with this ermrt. I further attes that I am legally authorized to include all entities named within this document as parties to the work to be peri med and that all w o be performed is disclosed in this document and/or its' accompanying approved plans and specifications. 5f 7 Jr Signature of OWNER orONTRACTO (Circle one) Date I . This permit was issued based on the information provided in thepermit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Budding 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 shallot proceed or conceal work without written approval of such work from the Building and Inspection Services Div. 6. T ange or 4grag of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any 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 heatIidge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits cDci.wheatridae.co.us Date: 6-P,1119 PlanlPennit # Plan Review Fee: Building Permit Application *" Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. I Property Address L f 6 1 'cae- e - c� . W kms•+ 6L Owner Property Owner Email: SIte-, Mailing Address: (if different than property address) Address: City, State, Zip: Arch itect/Enaineer: Architect/Engineer E-mail: Contractor: Phone: Phone: 7 Contractors City License #: I W 6 ( Phone: 7 W ' 66 Z-' c/ 3 s 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 5L( ❑ COMMERCIAL A� SIDENTIAL Descft ion 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 L�-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. 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) $ 370o 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): DATE: 7 DEPARTMENT USE ONLY ZONING COMMMENrS: OCCUPANCY CLASSIFICATION: Reviewer. BUILDING DEPARTMENT COMMENTS: Reviewer. Building Division Valuation: $ �i 70 �ls21� ¢��9 T�l�er�• INSPECTION RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Occcupancy/Type C. 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) Mid -Roof 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 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 Op Lath / Wall Tie 1-7 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 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 A r City of Wheat Ridge Residential Roofing PERMIT - 201704542 PERMIT NO: 201704542 ISSUED: 07/20/2017 JOB ADDRESS: 4619 Teller ST EXPIRES: 07/20/2018 JOB DESCRIPTION: Residential Re -roof to install Malarkey asphalt shingles with 22 sq. *** CONTACTS *** OWNER (720)280-7054 CASSELL ZACHARY T SUB (303)691-5035 Michael Dye 100355 APEX Roofing Consultants 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: 5,654.00 FEES Total Valuation 0.00 Use Tax 118.73 PAICO Permit Fee 140.90 ** TOTAL ** 259.63 - - _yJ *** 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 one half 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 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. * � A 10 City of Wheat Ridge Residential Roofing PERMIT - 201704542 PERMIT NO: 201704542 ISSUED: 07/20/2017 JOB ADDRESS: 4619 Teller ST EXPIRES: 07/20/2018 JOB DESCRIPTION: Residential Re—roof to install Malarkey asphalt shingles with 22 sq. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications= applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work jo be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CON A ftOR (Circle one) Date 1. This permit was issued based on t`` w4nformation 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 originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6, The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. O�A I e Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dan Schultz From: no-reply@ci.wheatridge.co.us Sent: Wednesday, July 12, 2017 10:19 AM To: Permits CommDev �J Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Gina Residential Roofing Permit Application This application is exclusive) for new permits for residential roofs and for licensed Pp Y 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 fora 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 Property Owner Email Address 4619 Teller st Zack Cassell 7202807054 Field not completed. 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 Apex Roofing Consultants nnia �(S(�,5-- 3036975035 Contractor Email Address apexdenveroffice@gmail.com Retype Contractor Email 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: apexdenveroffice@gmail.com No malarkey Asphalt Field not completed. How many squares of the 22 material selected above? No V/ Does any portion of the property include a flat roof? If yes, how many squares Field not completed. on the flat roof? TOTAL SQUARES of all 22v roofing material for this proj ect Provide additional detail roof here on the description of i work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 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 Jose Martinez Email not displaying correctly? View it in your browser. r L BEST r#i coi..d. Cort ,.J Y Mem. '332 South Alton Way, Suite 13K ,'entennial, CO 80112 )ffice: 303-691-5035 = ax: 303-265-972255 / ;ustomer,7--> vlG I ;ity Al he4 I :maile�� I lome L%1PEmX` ROOFING CONSULTANTS APEXDENVERROOFING.CON1 ST Zip Cell A0 SPECIFICATION R r Mfg. of Shingl Mot of 4 Style / ColorAij Warranty - m Valley Vents y Drip Edge 2x2 Color l: i Drip Ed 2x4 W Color e e 0 Layers �' 2 Story L, Chimney Flash edt AeW Pipe Boots e, 4/ Bath Vents tl/ Stepflashil / Ice & Water Shie Rows q / Modified Bit Color Decking 1/2 OSB r`v ( l rtt a Skylights: How many. Size L Permit Furnished: Y ❑ N • e��ynC PAYMENT '/ Contract Price Due Upon Signing 8 glance Due Upon Completion of Each Trade BEST : ', oFTHF 8 , r Estimated Start Date Number of Squares ' For Agent SPECIAL INSTRUCTIONS A)Joc 10?tX/4 PO4 �Q ,A kx hn? Pry Yx� Debris Removal Tax Permit Overhead/Profit TOTAL/ *PLUS PERMIT AND SUPPLEMENT$` Te ms: This agreement is for FULL SCOPE OF INSURANCE PROCEEDS and is subject to insurance company approval. This does not IAL ob igate client or Apex Roofing Consultants, unless repairs are approved by homeowner's insurance company. By siqninq this agreement the ho neowner authorizes Apex Roofing Consultants to pursue homeowners best interest for all repairs at a price agreeable to the insurance co npanv and Apex Roofing Consultants at NO COST TO THE CLIENT EXCEPT FOR THE INSURANCE DEDUCTIBLE The final pric�Z�. C. ag.•eed on between the insurance company and Apex Roofing Consultants shall become the final contract price. The specification'�rIAL an set out herein and on the reverse side hereof to accomplish the replacement or repair. Apex Roofing Consultants is hereby authorized to pe form at their discretion all insurance prescribed repairs for the price of full scope of insurance proceeds agreed upon by my insurance co npany and Apex Roofing Consultants. The terms and specifications stated and special conditions are accepted. TI- REE DAY RIGHT OF RESCISSION: I h ive hereby been notified that I may cancel this agreement at any time prior to midnight of the third business day after the da a of this agreement. J AC''EPTED BY: `\ DATE: 615-1n CONSULTANT: DATE: VERBAL COMMITMENTS WILL NOT BE HONORED AND MAKE ALL PAYMENTS TO APEX ROOFI G CONSULTANTS. TF IS AGREEMENT CONSISTS OF THE FRONT AND BACKSIDE OF THIS DOCUMENT. CLIENTS RESPONSIBLE FOR H. ).A. OR COVENANT APPROVAL FOR SHINGLES. *Ir sured by Pinnacol, Policy #4165472 i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax Inspection Type: Job Address: Permit Number: INSPECTINOTICE C%/7 ✓ c 10ell > f ❑ No one available for inspection: Time j ` �M/PM Re -Inspection required: Ye" I� "Whenc7�"7�7 have been made, call for rection at 303-234-5933 r Date: Inspector DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE 1�9Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type:_ Job Address: Permit Number: L/5e/2 j ❑ No one available for inspection: Time A Re -Inspection required: YesNo, When correctionp have been made, callfor rre-_ins ection at 303-234-5933 i r i Date: % ' 2 Inspector: DO NOT REMOVE THIS NOTICE i , "'n Inspector Must Sign ALL Spaces pertinent to W$ project Final Inspections I Date City of - PAP( ,:��Wh6at 'dgle PM COMMUNI-rY DEVELO ENT phwrerm*y # aq 1+uilidl s� 7 �. 2 W t CO 80033 Plan Review Few O : 30 3-235-2855 " Fax: 303-237-8929 InspecOon Line: 303-2 933 Email: a Building er pried+ °Iw Fi' I MAO(", WA. City License # k COMMERCIAL ?,(RESIDENTIAL OUCTURE ELECTRICAL TRUCTURE RCIAL • Or y ROOFING e fWINDOWREPLACEMENT MORY STRUCTURE #. o. .+, dook etc.) 1 :..111 REPAIR Y e REPM4CEMEAT ANbE "R or REPLACMENT UANCE REPAIR a * M t R W a f 0 too ^# w..: f f i r:. #:# a+ ®; w w A ;. # w' o W. #... ,# .. t lr.:. R # rXRk.♦ R R" l..:, R! ::: # `:M ,i! R# 4R' ! .: R ..:: R ::. {. ,: fR. ♦ R # Y Rr # # g Ry R'R.. # #.. RR# # ! R iR:. 8 #wti ,.. R.. t .i f w ,,: R" R. "# «,:.. ,: R .: R •. i # #. ; . i.. R R ' R f i is # R R R ! R :: R R :. # R # •. R # # R R R ## R : ; # : ! R : !R# # R # ♦ ! Ri 3RR «.. R # f R :9 ,R#'., «R R.:..M # R l.. R,...• # + ,# Building Permit C1TY OF WHEAT RIDGE 7500 West 29TH Aveaue W6eahidge, CO 80033 303-235-2855 Ctvotwim.tW~dpe~: Residential Plumbing Permit Number 19604 12/20/2005 Inspection Llne 303-234-5933 PROPERTY 4619 T011¢i St Uuit: owNER: Jim Aldfinger (303) 972-0289 Description Replacement hot water heater - 40 gallons, gas, tall, 6 yr. FEES Fees Due Paid Use Tax $6.30 $6.30 Pertnit Fee $30.55 30.55 Total Fees $36.85 $36.85 F- mo CONTRACTORS Name License # Phone Metro Mechanical 22394 866 293-3031 GJy of Who at Ridge PRESCRIPTIVE ENERGY COCE BOILERS ! FURNACES A MINIMUM OF 90'k AFUE (M WATER itEATERS A MINIMUM OF.60 ENERGY FRCICR ELECTRIC WATER HEATERS A MINIMUM Of.93 ENERGY fACTCR SE7'dACK THERMOSTAT REQUIRED (EXCEPT HYDRONIC HEAn R•21 WALLS • R-38 CEILINGS • R-19 CRAWLSPACES Units: Occupancy: WI mndlWee pieled on W6 ipplk,tba aaa I6.t Is W6aI RW{e OrNonom, tor NO[k Yndv Nb pvmlL nlt apptlcatloo art o¢eumta, ud do not vblnl<opplkable ordivaoeu, raW ar raedltlow NIYe tlty of Mot aII meueremmb ahowe, .nd aIklf-tlov mWe art -h; NeI I Yare rca6 ud Oparro abWe by I wposelbWry for comPtlmce MtY Me Whnt Ridse SuWieg f.ode (L.B.C.) NA a efher.ppYubk (OWN611)(CONTRACTOA) S[Cd1ED DATL 1 ]fi4 permlt wu loaed le eccordence wlth Ne provitlov ee1 forM lo yow ~pptlnHOO aod b aubJM m Ae hxY oft6e 51v1e ofCObrWO mnJ ro LLe 74elo( Reeobtlew utl BaWiog Cotle of WEwt RWeq Colondo or aoy otber oppYaW4 ardlmota of tbe Clry. 1 Every, permi, IuYW sWII Ecome levalid unleu He work oo Ihe We authorbN bY me pmoN b rnmmeead wIM1W t!0 tlrya aflx Ib Imnna, w M We wwic aethorbed ou Me elte by such perm114 mVmdd or abantlooW f r v perbd of 180 dap afler Ne tlme ofwork Y mmmeaad. 3 Vth4pere11exp4q,a wo qrmltmayLeacqutreCtora &eofoeo-dttNeamouotnoruAIlyrequbetl.proWENOOrWVeaWVebeuorwiN UemWel. tie oNyWl phor ud qKel9eallou aed my wpentloo m Wandonmeet Iw not exceeeed oee (1) yur. If tluo,a ve mude ar iftespembo r Wa~d~t easaeds me(qYw.fvYfwihNCepWtlfor. vewpermit 0 IVO wort ofur maonr shotl be Aove Nm xW shoo{e the u[ural0ow otwater ueelnE a dralnage probeen. S CoutrMOr'WtleotlfyWeHu1WYLImP+rt^rMmy-tonr(34)hounlnadwecetoralilvspeeUOwmedMWlrteelveminmapprovYaoloryactlmpN6efurc pro[eMiat; wifb suaeWrs p0aue of Oe Jo0. 6 'ILelNuntto Itwt provelofMww,.odepecllkatbes eWllnetberoeNUedtobea permltfor,norm approvdo4uyvbYtb" ofthe pmv4b a or smy aW oa, bw, rvk or muhtbe. Bdbaa[ k ketar SICd7FD DAS@ Tuesday, December 20, 2005 Page t of 1 Walls: Roof: Stories: Sq Feeh $36,ss . *Wwt CAhAMU~BTY DEVELOPMEl~T DEPARTMENT Building PemiR Number. BUILDMG INSPECTION LINE - 903-234~933 Date: CRY OF WHEAT RIDGE 7560 WEST ~TM AVENUE WHEAT RIDGE, CO 80053 - (303-295-2855~ APrZJeATralv eraprryAaaress: 4/1,/ rhone: 302 -q~~-b concmccor T.Aonsc vo.: 1$053$ C0mpanr P10ne: 3t~3-5~~ • Ilo~(j OYIRIFWCONTRpCTOR SICNATURE OF UNOERST/WDINO AND AQtEEMENT J guildincOeoLValuationFigule: 1 hereby c0fdfy 11+at the sel6adc dislances proposed by ihia Oertnft appllcation are ~accwale, and tlc nolviolab appRmbte ardrmnoes, rWes v rcpuletlans Mthe Cityot WheatRidpo crwvenants,easemenfsorrestrictloudrewfd;fielalimeasuremarts shown, and allegatlons made eie accurele; that I have reed md a{pee Oo aDltle by all condtlons priad on thEs eppkatian and tiat I aaaume kull resamslWlty, tor wmp9ancewilhtlieWheatT3fpe pollilling ) andaialFiaappRCSbleWheal Rldpe Ordlnances, forwork u} per~lt Plar subjert to 9eld inspectlan. cOWrM(corrtFtAcro W. Permit Fee:$ Plan Review Fee:$ Use Tax:$ Total:$ 350 -O Use ofSpace (descripiion): n Q Desaiptbnofwork: h~ Sq. F. addad Expiration Date: Expiration Date: Exp6ration Date: Approvel: ApProval: ApProval: (1) CTMs olaredo lan lh~eZ n1n9ReW~~s and ev9bnC~esWWh~ G0.Cdo~raioorany ol~ VieraP7licebleaM'neneesof Buid the Cily. (2) 71ds pertnit shail explre IT (A) the wak autMarized ls nol eammenced within scdy aaya from lasue date or (B) rie tHnkMB audoraed fs suspanded or abendoned fa a periotl of 180 daya. (3) Ifthfaparmltexpina,anewpennRrnaybeac4viretlforafaeotone-IaIHheamouMnomielNre9uired,providadmdisnges have been orw1A be rtiade In Vie oAginal plans and apecl~catlona end any swpemron or abandnsentlas not eueeded one (1) year. M chanyp iwe bew or if sucPwwlon or abandOnmentexcseES one (1) yasr, full teea shall be Paltl tor a naw pamR (4) No wa'k of arry rtunner shdl he donetlretwill chsnge the natural flovt ot water eaudr8 a dratm9e prob:em. (5) Cantrador ahaN nolify the Buddng Inspector lwenb4our l24) hcun I^ advanro for a11 Enspecione and she11 receWe wrPten approvat on inspectlon catl bafire Praaeedk9 wlMi wccesdva Phases of ths}ob. (0) The issuance af a pertnR a' Ihs approval of drawinpa and aper3flcatiwe shall nwt 6e ~sMretl tn be a permi: for, nor an apprwaloi,ariyvblatlonoftheprovlsfonaottAabuflmn8cocesoferryotherordinanCe,law,ruleorregElation.Allplar+revlew , N subJed lo tkld ImpseNans. Chief Builclng Officfal ~ Electrical License No: Plumbing License No: ~ 80 Sc~ ~ Mechanical License No: Company: Company. ComPany. : COMMUNITY DEVELOPMENT DEPARTMENT BUILDING INSPECTION LINE - (305-2345933) CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) Property Owner: CLARK Property Address : 4619 TELLER ST Contractor License No. : 18091 Phone: 424-6309 Company : Sin Jac Electric Phone : 424 3898 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certiry that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheal Ridge or covenants, easements or reslrictions of record; that all measurements shown, and allegations made are accurate; that I have read and a ree to abide by all conditions printed on this applicatlon, and that I assume full r on ility for compliance 'th the Wheat Ridge Buil ing Code (U.B.C J and all other applicable ~ at Ridge ordin nc for work under this rmi . (OWNER)(CONTRACTOR)SIGNED DATE Description : SERVICE CHANGE TO 100 AMP Building Permit Number : 75967 Date : 7/31/2003 Construction Value : $1,195.00 Permit Fee : $58.34 Plan Review Fee : $0.00 Use Tax : $14.34 Total: $72.68 Use : BUILDING DEPARTMENT USE ONLY ziq"nliny Cortlments: SIC : Sq. Ft. : Approval: Zoning : $4lildin9 ES#mMertlls:;: Approval: BG uB11cr~►u~rk~.Comrrlents:'; Approval: Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : Company: Expiration Date : Approval: Plumbing License No : Company : Expiration Date : Approval: Mechanical License No : Company: Expiration Date : Approval : (7) This permit was issued in accordance with the pmvisions set forth in yropur application and is subjed to ihe laws of the Sfate of Colorado and W the Zoning Regulations and Builtling Code of Wheat Ridge. Coloredo or any other appiicable ordinances of the City. (2) This permit shall expire i( (A) the wark authonzed is not commenced within sixty (80) days lrom issue date or (B) the building authonzed is suspentled or abandoned for a penod of 120 days. (3) If this permit expires, a new permit may be acquired for a fee of one-half the amount normally requiretl, providetl no changes have been or will be made in the original plans and specifications and any suspension or abandonment has nol ezceeded one (1) year. IF changes are made or if suspension or abandonment exceeds one (1) year. (ull (ees shall be paid tor a new permit. (4) No work o( any manner shall be tlone that will change Ihe naNral Oow of water causing a dreinage problem. (5) Contrector shall noti(y the Building Inspector hvenry-four (24) hours in advanca for all inspections and shall receive wntten appmval on inspeclion prd before proceediing with successive Dhases of the job. (e) The issuance of a pertnit or the approval of drawings and specifcations shall not be construed to ba a pertnit for, nor an approval of, any violation of the provisions ihe uildg cotles or any other ordinanca, law, rule or regulation. Chie Building Ins ctdr Please sign Terms and Conditions on reverse side of page. DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number: oE WHEql F a BUILDING INSPECTION LINE - 303-234-5933 Date: ° CITY OF WHEAT RIDGE U m 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 -(303-235-2855) ~~~UCATION Property Owner: ZZ/ -lc 30 ~ Property Address: Phone Contractor License No.: I $C'f1 I Company: '51 Phone: 2 y .~004' OWNER/CONTRACTOR SIGNATURE OF l1NDER5TANDING AND AGREEIIENT I hereby ceRify tha[ the setback distances proposed by this permit application are accurace, md do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; tha[ all measuremen[s shown, md allega[ions made are acwrate; tha[ I have read md agree [o abide by all conditions printed on this application md that I assume fuI] responsibiliTy for comp(iance with Ihe Whea[ Ridge Building Code (U.B.C) md all other applicable Whea[ Ridge Ordinances, for work under this ertnit. (owNEx)(cormucrox): sicrED ~nrE l' 3/ -CS3 Description: r /0~~J Construction Value: Permit Fee: Plan Review Fee: Use Taac: Total / M 4'~ BUILDING DEPARTMENT USE ONLY SIC: Sq.Ft.: 20NING COMMENTS: Approval: Zoning: BUILOING COMMENTS: Approval: Ae-~ PUBLIC WORKS COMMENTS: Approval: Occupancy: Walls: 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) Tttis pelmit was issued in accordauce with the provisions set forth in your application md is subject to the laws o£the State of Colorado md to the Zoning Regulafions md Bwlding Coda of Wheat Ridge, Colorado or any other applicable ordinauces of the City. (2) T6is permit shall exp've if (A) the work authorimd is not commeoced within sixty (60) days from issue dfl[e or (B) Ihe buildi¢g au[horized is suspended or abandoned for a pedod of 120 days. (3) If Uils peimit expires, a new permit may be acquired for a fee of ono-half tlie amount normally required, provided no chauges have bern or will be made in i6e odginal plans md specifications md any suspension or abandonmevthu mt exceededone (1) year. Ifchanges have been or ifsuspension or abandonment exceeds oue (1) yeaz, full fees shall be paid for a uew pe`mit. (4) No work of any manner shall 6e done t6at will changc the ualural flow of water causing a drainage problem. (5) ContracmrshallvotifytheBuildinglnspectornvenry-fow(24)hoursiuadvanceforallinspecfiovsandshallaceivewrinmapprovalonivspectioncardbefore pmceeding with successive phases of the job. (6) Eae issuance of a pe*mit or Ne approval of drawings md specifica¢ovs shall ¢ot be co¢swed to be a pecmit foq nor an approval of, a¢y violatlon of the pmvisions of Ne building codes or avy other ordinauce, law, rule or regulatlon. Chief Building Inspector