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Home My WebLink About3485 Sheridan Boulevardr City of Wheat Ridge Residential Roofing PERMIT - 201704835 PERMIT NO: 201704835 ISSUED: 07/26/2017 JOB ADDRESS: 3485 Sheridan BLVD EXPIRES: 07/26/2018 JOB DESCRIPTION: Residential Re-roof to install Tamko Heritage 30 yr autumn brown asphalt shingles with 30 SQ TRI-PLEX tear existing materials to deck, replace with 30 yr shingles, roof pitch is 4/12 *** CONTACTS *** OWNER 720-364-0814 DALLAS SHERMAN SUB (303)999-9979 George Carrascos 170333 Carrascos Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: UA / Unassigned BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,979.15 FEES Total Valuation 0.00 Use Tax 230.56 PAV Permit Fee 220.15 _ — ** TOTAL ** 450.71 , *** 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. .I* ► i 41 City of Wheat Ridge Residential Roofing PERMIT - 201704835 PERMIT NO: 201704835 ISSUED: 07/26/2017 JOB ADDRESS: 3485 Sheridan BLVD EXPIRES: 07/26/2018 JOB DESCRIPTION: Residential Re—roof to install Tamko Heritage 30 yr autumn brown asphalt shingles with 30 SQ TRI—PLEX tear existing materials to deck, replace with 30 yr shingles, roof pitch is 4/12 I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with 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 qnd that all ear lis disclosed in this document and/or its' accompanying approved plans and specifications. /Y� 16 ry � i 16- A�7 Signature of O or CONTRACTOR (Circle one) I ate I . This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4, No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5, The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The iss ce r 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 ar ordmd or r ul ion 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. Dan Schultz c3in 1 6 S__3S From: no-reply@ci.wheatridge.co.us Sent: Friday, July 14, 2017 12:03 PM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Antoinette Un Residential Roofing Permit Application VVV 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 3- or 4- Units are are on the property? ) r pL� PROPERTY INFORMATION Property Address 3489 sheridan blvd Property Owner Name Dallas Sherman Property Owner Phone 7203640814 Number Property Owner Email Field not completed. Address 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 Carrascos roofing 170333 3039999979 Contractor Email Address carrascosroofing@gmail.com Retype Contractor Email Carrascosroofing@gmail.com Address DESCRIPTION OF WORK Are you re -decking the roof? Description of Roofing Material d No Tamko heritage 30 yr autumn brown Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 30 material selected above? / Does any portion of the v No property include a flat roof? If yes, how many squares Field not completed on the flat roof? 2 TOTAL SQUARES of all 30 v roofing material for this project Provide additional detail tear existing materials to deck replace with 30 yr shingles. roof here on the description of pitch is 4/12 2 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) 10,979.15 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 Gorge carrasco Email not displaying correctly? View it in your browser. 3 G MW arrasco's Roofing MR 1621 E 841 Ave Denver, CO. 80229 Phone:303-999-9979 Fax:1-888-385-2924 Email: carrascosroofing@gmail.com Carr co's Ro`ofm/g� Liability Insurance Contact — Atlantic Casualty Insurance Company — 800-692-6326 fSTOMER \`W (� BEET 1 V D CITY # 1, \ STATE ZIP HOME# E-MAIL APPROXIMATE START DATE WORK # CELL # APPROXIMATE COMPLETION DATE SPECIFICATIONS: M� r t— �`'�� Number of Squares. Q Manufacturer: ,) Style of Shingle: v Color of Shin le: Drip Edge Length: a_(�7 0 Color of Drip Edge: (,Turtles: V Pipe Jacks Furnace Cap: - Broans: r Gutter Length Gutter Color Layers Ice & Water Turbine Permit Notes: TOTAL CHARGE FOR ABOVE LISTED WORK IS: $ 10 i CO PAYMENT SCHEDULE IS AS FOLLOWS: 50% upon material delivery: $ S Balance to Depreciation upon roof completion: $ C (if applicable) Remaining Balance upon receipt of depreciation: (if applicable) TERMS: CUSTOMER AND CARRASCO'S ROOFING, HEREIN KNOWN AS "THE COMPANY" AGREE THAT ALL OBLIGATIONS UNDER THE AGREEMENT ARE EFFECTIVE UPON APPROVAL OF THE AGREEMENT BY THE INSURANCE COMPANY. BY SIGNING THIS AGREEMENT THE CUSTOMER AUTHORIZES THE COMPANY TO PURSUE THE CUSTOMERS BEST INTEREST FOR PROPERTY REPLACEMENT OR REPAIR AT AN AGREED UPON PRICE TO THE CUSTOMERS INSURANCE COMPANY AND THE COMPANY WITH NO ADDITIONAL COST TO THE CUSTOMER OTHER THAN THE INSURANCE DEDUCTIBLE, WITH THE EXCEPTION OF ROOF DECKING AS SET FORTH BELOW. CUSTOMER PLANS TO PAY FOR THE ROOF SERVICES THROUGH AN INSURANCE CLAIM, THE CONTRACTOR CANNOT PAY, WAIVE OR REBATE THE CUSTOMERS INSURANCE DEDUCTIBLE IN PART OR IN WHOLE. WHEN "PRICE AGREEABLE" HAS BEEN DETERMINED IT SHALL BECOME THE FINAL CONTRACT AMOUNT AND THE CUSTOMER AUTHORIZES THE COMPANY TO OBTAIN LABOR AND MATERIAL IN ACCORDANCE WITH THAT PRICE AND SPECIFICATIONS SET OUT HEREIN AND ON THE REVERSE SIDE HEREOF TO ACCOMPLISH THE REPLACEMENT OR REPAIR. WHEREFORE THE COMPANY ACTING AS YOUR CONTRACTOR WILL BE ENTITLED TO ALL INSURANCE PROCEEDS IN ACCORDANCE WITH THIS AGREEMENT. CUSTOMER RECOGNIZES THE COMPANY AS A GENERAL CONTRACTOR AND AS SUCH THE COMPANY WILL BE ENTITLED TO 10% OVERHEAD & 10% PROFIT AS ALLOWED BY INSURANCE INDUSTRY STANDARDS. ALL WORK WILL BE PERFORMED AT INSURANCE COMPANY RATES, FIGURES & MONEY. ALL PRICES ARE SUBJECT TO CHANGE. THE FINAL ROOF PRICE IS THE RCV AMOUNT ON THE INSURANCE PAPERWORK PLUS THE APPLICABLE CONTRACTORS OVERHEAD AND PROFIT. CUSTOMER AGREES TO PAY APPLICABLE INSPECTION FEE IF THE AGREEMENT IS CANCELLED AFTER THE INSURANCE COMPANY APPROVES PAYMENT ON THE ROOF REPLACEMENT. CUSTOMER CAN CANCEL THE AGREEMENT ANYTIME PRIOR TO MIDNIGHT ON THE THIRD BUSINESS DAY AFTER EXECUTION OF AGREEMENT AND OPTAIN FULL REFUND OF ANY DEPOSITS. CUSTOMER MAY RESCIND THIS AGREEMENT FOR, THE PAYMENT FOR WHICH SHALL BE MADE FROM THE PROCEEDS OF THE PROPERTY INSURANCE CLAIM, WITHIN 72 HOURS AFTER RECEIVING NOTICE FROM YOUR INSURER THAT THE CLAIM IS DENIED IN WHOLE OR PART. CARRASCO'S ROOFING SHALL HOLD IN TRUST ANY PAYMENT FROM THE CUSTOMER UNTIL CARRASCO'S ROOFING HAS DELIVERED THE ROOFING MATERIAL TO THE JOBSITE OR HAS PERFORMED A MAJORITY OF THE ROOFING WORK ON THE PROPERTY. YOU, THE CUSTOMER, MAY CANCEL THIS PURCHASE AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS AGREEMENT. CARRASCO'S ROOFING, HEREIN KNOWN AS THE COMPANY DISCLAIMS ALL WARRANTIES, EXPRESSED OR IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE EXCEPT AS SPECIFICALLY EXPRESSED ON THE REVERSE SIDE OF THIS AGREEMENT. **IF ROOF DECKING IS REQUIRED BUT NOT COVERED BY YOUR INSURANCE POLICY, IT WILL BE REPLACED AND YOU AGREE TO PAY CARRASCO'S ROOFING $2.25 PER SQUARE FOOT REPLACED FOR OSB DECKING AND $6.75 PER LINEAR FOOT REPLACED FOR PLANK DECKING AND FASCIA REPAIR OR REPLACEMENT.** ACCEPTED BY HOMEOWNER(S) ON: DATE 60 7 BY zi4�zz-e-1 DATE / / BY COMPANY REPRESENTATIVE: DATE / �n /� BY THE AGREEMENT IS SUBJECT TO ALL APPLICABLE LAWS, REGULATIONS AND ORDINANCES, AND TO THE FOLLOWING SPECIAL TERMS AND CONDITIONS. The Company shall have no responsibility for damages from fire, windstorm or other hazards, as is normally contemplated to be covered by homeowners insurance, unless specific written agreement has been made prior to commencement of work. ACCORDING TO APPLICABLE FEDERAL AND STATE CONSTRUCTION LIEN LAW THOSE WHO WORK ON YOUR PROPERTY OR PROVIDE MATERIALS AND ARE NOT PAID IN FULL HAVE THE RIGHT TO ENFORCE THEIR CLAIM FOR PAYMENT AGAINST YOUR PROPERTY. THIS CLAIM IS KNOWN AS A CONSTRUCTION LIEN. IF YOUR CONTRACTOR OR A SUBCONTRACTOR FAILS TO PAY SUBCONTRACTORS, OR MATERIAL SUPPLIERS OR NEGLECTS TO MAKE OTHER LEGALLY REQUIRED PAYMENTS, THE PEOPLE WHO ARE OWED MONEY MAY LOOK TO YOUR PROPERTY FOR PAYMENT, EVEN IF YOU HAVE PAID YOUR CONTRACTOR IN FULL, IF YOU FAIL TO PAY YOUR CONTRACTOR, YOUR CONTRACTOR MAY ALSO HAVE A LIEN ON YOUR PROPERTY. THIS MEANS IF A LIEN IS FILED YOUR PROPERTY COULD BE SOLD AGAINST YOUR WILL TO PAY FOR LABOR, MATERIALS, OR OTHER SERVICES THAT YOUR CONTRACTOR OR A SUBCONTRACTOR MAY HAVE FAILED TO PAY. APPLICABLE FEDERAL AND STATE CONSTRUCTION LIEN LAW IS COMPLEX AND IT IS RECOMMENDED THAT WHENEVER A SPECIFIC PROBLEM ARISES, YOU CONSULT AN ATTORNEY. The Company shall not be liable for failure of performances due to labor controversies, strikes, fires, weather, and inability to obtain materials from usual sources, or any other circumstances beyond the control of the company whether of similar or dissimilar nature. The company is not responsible for any damage below the roof, due to ice dams, hail or preexisting construction defects during the period of the warranty. This includes but is not limited to faulty AC lines, supply lines, and water lines, installed along the rafters or attached to the underside of the roof decking. These lines are to be installed a minimum of 4 inches below roof -lines to prevent roof nails from penetrating the lines, therefore Company cannot be responsible if damage occurs to the AC lines, or any other water lines, during the roof construction, or any other damages caused by a penetration to one of these lines. If roofing and sheet metal work is involved, the customer understand s and agrees to that the company's our standard roof guarantee shall be acceptable and that all terms and provisions therein shall prevail, unless otherwise specifically agreed to in writing prior to the commencement of the work. If this agreement is breached or canceled by customer after insurance company approval and prior to materials arriving, customer will be liable for and agrees to pay and inspection fee of $2000 paid to contractor as liquidated damages. If materials have been dropped at the site customer will be liable for and agrees to pay $4000 for material charges. This agreement constitutes the entire agreement between the parties. It may be changed only by written instrument by both parties. If any provision of this agreement should be held to be invalid or unenforceable, the validity and enforceability of the remaining provisions of this agreement shall not be affected thereby. Any representation, statements or other communications, not written in this agreement are agreed to be immaterial, and not relied on by either party, and do not survive the execution of this agreement. During the duration of the work the customer's homeowners insurance will be responsible for any interior damage as long as th a Company has taken appropriate action to protect the roof during the repair of the roof. The company will provide the customer with a one (2) year limited warranty, which warranty shall be limited to repair or replacement of defective material or defective workmanship, company shall not be liable for any consequential damages and any damages shall be limited to the return of the agreement price. The agreement and warranty shall not be assigned and is non- transferable. For the warranty to be valid the agreement must be paid in full. Lien Laws. Any person or company supplying labor or materials for this improvement to your property may file a lien against your property if that person or company is not paid for the contributions. In the event of default by the property owner, the property owner agrees to pay all expenses incurred in collection including reducing to judgment this obligation including a 33% attorney's fee. The proper venue for all legal proceedings arising from this contract shall be in Colorado. The company has the right to order excess. These materials will not be charged above the agreed upon price. All excess materials belong to the company. The company is not responsible for evaluating your home venting and circulation system status. We will install roof vents in accordance with local building codes. Mold is common occurrence in US homes and any question about the dangers from mold can be determined by contacting the centers for Disease Control and US Department of Health. Customer agrees that the company will not be responsible for any damage caused by mold or any other fungus or biological material, regardless of whether it may be associated with defects in the Company's construction or services, including but not limited to property damage, personal injury, loss of income, emotional distress, death, loss of use, loss of value, adverse health effects or any special consequential, punitive or other damages. These conditions shall be considered a part of any agreement entered into or authorized to proceed, the same as if they were included therein. "Default "— If customer defaults in any of the terms and conditions contained herein, the Company may terminate this agreement and payments made hereunder may be retained by Company as liquidated damages. If customer owes payments to the company, customer agrees to pay attorney's fees, cost, disbursements, and interest (at maximum rate allowed by law) for the cost incurred by the company to enforce its rights under this agreement to collect such payments from customer. "Permits and licenses" -Customer hereby appoints Company as agent to procure all necessary or appropriate permits and licenses to complete the project. "Change Orders and Allowances" — Any changes in the agreement, including all changes that affect the price, must be approved in writing by both parties, indicating the change and any increase or decrease in the price. Unless otherwise agreed to in writing, all adjustments to the agreement price shall be payable upon completion of the work. However, the company reverses the right to require additional monies for any increases in the agreement price prior to completion of the work without written approval if deemed necessary to complete the work contracted. A i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE 9 9 Inspection Type:i? f. Job Address: -z, a Permit Number: ❑ No one available for inspection: Time Y . _v AM/PM Re -Inspection required: es No When corrections have been made, call for re -inspection at 303 -234 - Date: Inspector<,�, i 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 } D Job Address: -3 V T _j !�A V rc i 0 A Permit Number: 4 4/ "'1 6 V g 3 !' ❑ No one available for inspection: Time ffI AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: F" Z -17 Inspector: DO NOT REMOVE THIS NOTICE o~ 3 W N 7 A n ~ O t~D N W a W O 7 N ~ fll < fD 6 (D fD 7 a m 0 ~ 0 , (D 3 N V ~ 0 ~ ~ ~ L- 0 s D a a N N 0 ~ C O 0 ? < 0 02 = T N0 O Z D % ~N 3 ~ o m < z 0 v► M o v ~ M ~ COMMUNITY DEVELOPMENT DEPARTMENT BUILDING INSPECTION LINE - (303-234-5933) CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) Building Permit Number Date 17805 9/29/2004 Property Owner: VAN HEE PROPERTIES Property Address : 3485 SHERIDAN BLVD Contractor License No. : 22110 Company : Manness Roofing Phone : Phone : 781-5665 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 restriclions of record; that all measurements shown, and allegations made are accurate; that I have read and agree lo abide by all conditions printed on this application, and that I assume full responsibiliry for compliance with the W heal Ridge Building Code (U.B.C.) and all other applicable W heat Ridge ordinances, for work under this permit. (OWNER)(CONTRACTOR) SIGNED DATE Construction Value : $8,000.00 Permit Fee : $199.30 Plan Review Fee : $0.00 Use Tax : $96.00 Total: $295.30 Use : Description : RE ROOF COMP 20 YR TAMKO 3-TAB. 55 SQ. BUILDING DEPARTMENT USE ONLY Zoning Gomment61 SIC : Sq. Ft. : Approval : Zoning : Documents,fmm the mattufacturnr shall be BU#IdEng Comr►ients; i onsite for final roof inspecdon which specify Approval : roofing maferials hewe fieen tttstalled to meet Putilic Works G4mments; 110 MPB three-second wind gust---IBC (90 MPH wind load-IIBC). 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: (i) This permit was issued in accordance with the provisions set forfh in yopur appliwtion and is subjed to lhe laws of the State of Colorado and to the Zoning . Regulations and Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the City (2) This permit shall expire if (A) ihe work authorized is not commenced within sizty (80) days from issue date or (B) the building authorized is suspended or abandoned for a period of 120 days. (3) If ihis permit expires, a new pertnit may be acquired for a fee of one-half lhe amount normally required, providetl no changes have been or will be made in the original plans and specifcations and any sus0ension or aban0onmenl has not exceetled one (1) year. If changes are made or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit. (4) No work of any manner shall be tlone that will changa the naNral Flow of water causing a drainage probiem. (5) Contractor shall notify the Building Inspector iwenty-four (24) hours in advance for all inspections and shall receive wntten approval on inspedion card before proceediing with successivh~ses of the job. (6) The issuangeof a peyx+iCOr the appro ! drawings and specifications shall not be construed lo be a pertnit for, nor an approval of, any violation of the provis th i din code er ordinance, law, rule or regulation. Chief Building Inspector Please sign Terms and Conditions on reverse side of page. COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number: o~ ""'E"~ p BUIIDWG INSPECTION LINE • 303•234-5933 Date: CfTY OF WHEAT RIDGE ~ ^ 7500 YYEST 29TH AVENUE WHEAT RIDGE, CO 50033 - (303-235-2855) APPLICATION PropertyOwaer. U'14y Kel- P0 ~2rhe4 Property Address' y4$ Sheoucf a, 2/v e(. Phone: Contractor Liccnsc No-: a1.:z! t d ~ C3 7 g/ S-6 ~ S- Company: /71ANNesS ,Qoo-Fen Phone: 9 OyyNUXpN7pACTpp $IGNATURE OF UNDERSTANDING AND AGREEMEMT ConsWction V alue:$ i herapy ppLM yat Ow yelDayc tlistancec Woposed by this pertnii aOWicatio^ are Permit Fee:S acwrdy~. yW do nd viqa4 applicaWe a0inanoes, ruks a repulationa of Ne City ol wn" awpe«cmerwnu.easemer+uaresvmmsm^eoow:tha'ae"'eaw'effients Plan Review Fee:S srwwn, and aWDatio^+ made arc aaurau: that i have rosA anA spree w abi0e by atl corWipons printeA un mis applicaoon an0 ihat 1 aasume ku responsibiiify iw 1 ice Tax •P cortpliance with ihe Wfroal R1tlpe BuiWinp Code (U.B.C) and all other appficabb wn" aiax aanan«s, w..valc u.we. av: oerryfit. Total (O.YrERMCONTiUCTOfi.SK~+ED (OWNER)(Cd1TRACTOA)7PRINTEO Bi~I M06EA1Sc,V Desc►iption: r-G F,oo-F C ovn -J .1 0~ r T9M iC0 3( i¢~ '55- J# Sq.ft.added Expiration Date: ExPirdtivn Date: Expqatpn Oate: qPPmal: Approval: ADProval- ) Th° pamst was "ad acowdonoo and BuYdrq ~ C,oOp d wheat R~Ops• CdoraOoa ~b°vD~dadnanws of CobriAD an0 b CM Zar+➢ ep~Dan IM Cily. (2) Tlrs yMnM stfaY lxpse if (A) IM wak suRfoize0 k nd conunsnOSd rvitlwn sulY (60) OaYs han isiue da4 oI (8) Vro drWwV xpqAUA's ws0wwod v abandonW for s poWO d 120 Mys- (3) M Otls Dsm* I I. s nwr qrmN mrY W sopuYVd for s M d W04M IM wnnuM ~ pov~ on~ 11M ClMn OI1MO a~Iltl~ iI fM011~11"pWM i10 ~wb (1) Yqr. 11 ponpk Iwe bMn w B wapnsio^ O/ abandoninsM aaosWs oM (1) Yase.lu! Issa aW Ua pai0 for i new Vs^iL (I) No wA ol a^Y mrnr ahr W da+s MW wi ctwVe IM na►rY Ibw d wsW wsin0 + Orai^sW Pobis^- (5) ContraCb NY noYlY M&AWV kopeclor twentY4our (2I) Mvs in a0varw7lar aII inapsmons antl sfW rsowoe writbn ypprovy oniMpscBOn wd bdon poosodnY wln wcaane 0mmm d M joC. . {6) 7ns iswr+oe d s v«mN a er appoval d drswirqt arW svecilclibons and na os conwwd a oa s vo^^n ro.. n« an aPWOVaI ot anr v"atbn ol the provisions a the DuNdmC wOes «anr otlw ordnanee. law, ru4 a ropuUtion. Electrical Licanse Na Plumbing license No: Mechanicat License No: Company. Ca^Pa^Y ComPe^Y