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Home My WebLink About3045 Vance Street,4 . 3A%� va<rle S14 Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 6' 318 Boiler / Furnace 405 Final Mechanical Residential 319 Hot water tank 406 Final Mechanical Commercial 320 Drywall screw and Nail 407 Final Plumbing Residential r 321 Moisture board / shower walls 408 Final Plumbing Commercial 322 Rough Grading 409 Final Roof 323 Miscellaneous 410 Final Window/Door Final Inspections Date Inspector Initials Comments 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof 410 Final Window/Door 411 Landscape/Park/Planning Inspections from these entities shall be requested one week in advance. For landscaping and parking inspections please call 303-235-2846 For ROW and drainage inspections please call 303-235-2861 For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works 413 Flood plain Inspection 414 Fire Insp. / Fire Protection 415 Public Works Final 416 Storm Water Mgmt. 417 Zoning Final Inspection 418 Building Final Inspection Note: All items must be completed and approved by Planning, Public 'Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not constitute authorization of occupancy. For Low Voltage permits please be sure that rough inspections are completed by the Fire District and Electrical low voltage by the Building Division. PERMIT: �Gl-1 ( � � ZDRESS:,)Q�q:St'i-OCA.__5'� JOB CODE: n� INSPECTION RECORD Inspection online form: http:/www.ci.wheatridge.co.us/inspection Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business Foundation Inspections Date Inspector Initials Comments -� 102 Caissons / Piers r 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls S 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. S 205 Plumbing Underground Ext. 206 Water Underground Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 0.30 4 Si ie: !n -_p 6u.ti3 S 305 Insulation 306 Mid -Roof 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS Va4vu- INSPECTION RECOR INSPECTION ONLINE FORM: http://wwrv.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//T Te 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 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 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 7 �` 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 occupan€v. *For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather City of Wheat Ridge ?residential Electric PERMFT - 201705587 PERMIT NO: 201705587 ISSUED: 08/07/2017 JOB ADDRESS: 3045 Vance ST EXPIRES: 08/07/2018 JOB DESCRIPTION: ADD 200 AMP SERVICE WITH LEVER BYPASS METER, 2 GROUND RODS, COULD WATER CLAMPS AND CSST. 30 AMP AIRCONDITIONER PRE -WIRE & SERVICE OUTLET *** CONTACTS *** OWNER (303)237-0097 SHEPPARD JILL L SUB (303)437-0084 Kenneth D Boley 100074 Matzen Electric 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: 2,750.00 FEES Total Valuation 0.00 Use Tax 57.75 Permit Fee 93.35 ** TOTAL ** 151.10 *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2012 IRC & 2014 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on ever; level of the structure.Must comply w/ 2012 IRC & 2014 NEC. 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 le 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 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 Budding 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 ay manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit ho ider 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 uny applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. �,,;r - i�j�� L� - City of Wheat Ridge Community Development Department Memorandum TO: Accounting Department FROM: Kim Cook, Building Division SUBJECT: Refund for Permit DATE: September 29, 2017 Reason: Contractor was charged use tax and it needs refunded for Permit No. 201707297 at 3045 Vance Street. Please refund: Contractors License$ (acct 01-510-00-513) 100% permit fee: $ (acct 01-510-00-516) 0% plan review $ (acct 01-550-05-551) 100% use tax: $ 194.84 (acct 01-500-02-505) Total: $ 194.84 TO: Coffman/B&F Heating & AC Inc. 11919 1-70 Frontage Road N #122 Wheat Ridge, CO 80033 Thank You! " C404 Permit Technician �ity«E Wh6a-tjkj1cge City of Wheat Ridge Municipal Building 7500 W. 29`h Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929 Refund Application Complete this application in its entirety, attach all copies of permits, permit cards (if issued) and receipts that were received at the time of permit issuance. Requests for more than 80 percent of the amount paid will not be approved without prior approval from the Building Official. The refund application must be received by the Wheat Ridge Building Division no later than 180 days after permit issuance. Applications received after 180 days of permit issuance will not be approved. You can mail or hand -deliver all required documents to: City of Wheat Ridge, Attn: Building Division, 7500 W. 29th Ave., Wheat Ridge, CO 80033. Company Name/Name (to whom check should be made out to): Address: x/� /I City: - State:_ Phone: / ��D .�� P/ Fax: � CaU Zip: Email• !/1U!'LI(��(.j �C'd f �'Ol� Permit #:%��1 �'� / Permit Address: � l � � V� Reason for request: `5 /Z)a&'/j- � Printed Name: /�% J—j'ka IC.L�igna For office use only This request has been'. �1Ap roved El Denied Refund Approved by: Date:� '." lIvii".CI.v# 11c IS'if��,E. C6.v. Date: 09/29/17 13:44 City of Wheat Ridge cr121_pg.php/Job No: 3348 Valuation/Fee Money Postings List/Update In Update Mode Permit Receipt Payment Fee Amount No No Date Code Description Paid 201707297 CDA016686 09/15/17 USE Use Tax 194.84 - TOTAL 194.84- Page 1 of 2 USER:K000K 09/29/17 13:44 City of Wheat Ridge cr121_pg.php/Job No: 3348 Valuation/Fee Money Postings List/Update Page 2 of 2 USER: KCOOK GL Posting Summary GL Account Description Debits Credits l I 01-101 BPS PERMIT PAYMENTS 194.84- 0.00 1ST WR/CI 01-500-02-505 BPS PERMIT PAYMENTS 0.00 194.84 USE TAX TOTAL 194.84- 194.84 WE INSPECTION RECORD Date Inspector Initials INSPECTION REQUEST LINE: (303) 234-5933 Wall Sheathing Inspections will not be performed unless this card is posted on the project site. Call the inspection request line before 11:59 p.m. 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) Rough Electric " Foundation / P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Insaections 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 Insaections Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof j 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 completed from the Fire District and electrical low voltage by the Building Division. For notification of your assigned inspection time window please email insptimerequest(a_)ci.wheatridge.co.us by 8:00 A.M. the day of the inspection with the property address in the subject line of the email. Time windows are assigned based on inspection routing. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather PERMIT NO: 201702003 ISSUED: 06/14/2017 JOB ADDRESS: 3045 Vance ST EXPIRES: 06/14/2018 JOB DESCRIPTION: Residential Reroof: Remove existing layer of shingles. Install 6' of ice and water, jacks & vents. Certainteed Presidential Shingles. 23 squares *** CONTACTS *** OWNER (303)237-0097 BLASCO JILL L SUB (303)659-3735 Ralph Bolyard 170214 Paramount Enterprises 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: 8,050.00 FEES Total Valuation 0.00 Use Tax 169.05 Permit; Fee 188.45 ** TOTAL ** 357.50 *** 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 Ads -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€lMs 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. City of Wheat Ridge Residential Mechanic PERMIT - 201707297 PERMIT NO: 201707297 ISSUED: 09/15/2017 JOB ADDRESS: 3045 Vance ST EXPIRES: 09/15/2018 JOB DESCRIPTION: Permit to install 80K BTU Furnace, 2.5 ton A/C. Electric on separate permit 201705587 *** CONTACTS *** OWNER (303)237-0097 BLASCO JILL L SUB (303)798-8783 J. Patrick Quinlan 018464 Coffman/B & F Heating & A/C *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,278.00 FEES A/C Replacement 60.00 Furnace Replacement 40.00 Total Valuation 0.00 Use Tax 194.84 ** TOTAL ** 294.84 *** COMMENTS *** *** CONDITIONS *** I, by m 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 thispermit. I further attest that I am le ally authorized to include all entities named within this document as parties to the work to be performed a ll wo to be ormed is disclosed in this document and/or i ' companying proved plans and specifications. 4Z'--, 1/151"17 Signature of WNER or CONTRACTOR (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 original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of an manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Ef Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. ti tl9WI-le, zit RJd L -ye Building & Inspection Services Division 7500 W. 29`h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: FOR OFFICE USE ONLY Date: , i Plan/Permit # ` 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: 30 Owner Property Owner Email: r1 if P Mailing Address: (if different than property address) ►w:rri ffc-0 City, State, Zip: Architect/Engineer: Architect/Engineer E-mail: Phone: Phone: : f71Z. O()91% Contractor: COWTW17 &I-:7��--��- Contractors City License M �� Phone: 3z�-33�� Contractor E-mail Address: 1--7, )'Cf%fn I6 / [ 1 C )V t`177ai'l Cts < -_0 t7-? Sub Contractors: Electrical: 1)1Z&-zeo k / e�jL Plumbing: Mechanical: W. R. City License # W W.R. City License # W.R. City License # Other City Licensed Sub: %0I r? 0b� 7 Other City Licensed Sub: City License # !•' City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑5ESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ LUMBING 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.) � 11 � `V 17�,q tzew 4 Xae4-i6 1,,2ra I/;- djr?�q` e fn �0rq �� Sq. Ft./LF Btu's Amps Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ ONN'NER/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 1 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 pennit application, warrant the truthfulness of the information provided on the application. CIRCLE O_NE: (Ofi'NER) (OhTR4C'TO) or (A ' HORIZED REPRESE:�'T.9TIhE) of (Off VER) (CONTRACTOR) Electronic Signature (first and last name): `r`iG DATE: / r ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: ity of Wheatc c_ City of Wheat Ridge Municipal Building 7500 W. 29`h Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929 BUILDING DIVISION CREDIT CARD AUTHORIZATION FORM • Please complete this form and email or fax, along with the completed building permit apptication(s)Jcontractor license to the Building Division desk: Email to Lsrro)n, ,r .a%!i iErid cc�>,u> (for permit applications) or conn ic:io:, a ci%lire )t)idge.co� iii (for contractor license) • You can also fax to 303-237-8929. • Please allow up to 24 hours for processing. DATE: 09/14/2017 PERMIT ADDRESS: 3045 Vance St COMPANY NAME: Coffman/B&F Heating & AC Inc NAME OF CARDHOLDER: (AS 1T APPEARS ON CARD) BILLING ADDRESS: IAS rr APPEARS ON CARD) Judith T Quinlan 10160 Vrain Ct Westminster,CO 80031 CONTACT PHONE: 303-366-1112 METHOD TO RECEIVE PERMIT(S) BACK (fax or email): pschmidt@coffmanco.com CARD INFORMATION: CARD NUMBER: 4147098707799144 CARD TYPE: (Circle One) Ol✓ VISA OMASTERCARD CARD EXPIRATION DATE: 6/20 CVV NUMBER: 888 (3 DIGIT NUMBER ON BACK OF CARD) I, the applicant for this Credit Card Authorization Form, warrant the truthfulness of the information provided in this application. I further attest that I am legally entitled to authorize the City of Wheat Ridge to process any and all building permit related charges authorized by me or my authorized agent to this card and, through the execution of a Building Permit Application form provided to the City, and by my signature below, do authorize such charges. ELECTRONIC SIGNATURE: Judith T QuinlanDATE: 09/14/2017 I understand that checking this box, that I acknowledge that this constitues a legal signature. t',�'4C-_l•1 _li, i5. t'�4(P'(`cl?Tf'. C�i. tlti City of Wheat Ridge Residential Electric PERMIT - 201705587 PERMIT NO: 201705587 ISSUED: 08/07/2017 JOB ADDRESS: 3045 Vance ST EXPIRES: 08/07/2018 JOB DESCRIPTION: ADD 200 AMP SERVICE WITH LEVER BYPASS METER, 2 GROUND RODS, COULD WATER CLAMPS AND CSST. 30 AMP AIRCONDITIONER PRE -WIRE & SERVICE OUTLET *** CONTACTS *** OWNER (303)237-0097 SHEPPARD JILL L SUB (303)437-0084 Kenneth D Boley 100074 Matzen Electric T,Tc *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,750.00 FEES Total Valuation 0.00 Use Tax 57.75 Permit Fee 93.35 ** TOTAL ** 151.10 *** COMMENTS *** *** CONDITIONS *** Work shall comply with 2012 IRC & 2014 NEC. Per IRC Sec. R314, smoke detectors are required to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every level of the structure.Must comply w/ 2012 IRC & 2014 NEC. 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 thispermit and perform the work described and approved in conjunction with this�permit. I further attest that I am legal authorized to inc de all entities named within this document as parties to the work to be performed and t work to be rfo d i disci di his document and/r i ' ac ompanying approved plans and specifications. e Signature of OWNER or CONTRACTOR ircle one) Date 1. This permit was issued base n t e 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 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, an violation of any provision of any applicable c e or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wheat Midge 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: germitseci.wheatridge.co.us f.. wAUD Building Permit Application �-------- "* Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *'* FOR OFFICE USE ONLY Date: 7 Planm wmit 7 Plan Review Fee: i Property Address: 6185 W. 29th Ave., Wheat Ridge, CO Property Owner (please print): Betty Jo Page Phone303-232-9105 Property Owner Email: bettyjpagel @comcast.net Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Engineer E-mail: matt@livsolar.com q'� �/" Phone: 720-552-0881 E, (z C �r kC;, Contractors City License *: I sc 1 I 5- Phone: Z 5-'-2- o b? i Contractor E-mail Address: A11" k� P C i V ° ('r - 0;1^ Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Other City Licensed Sub.- City ub:City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL ® RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESIDENTIAL 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) Detatch 27 solar modules for roofer. Roofer will reroof and we will re -attach modules exactly the same. (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.) The homeowner is getting a new roof due to the recent hailstorm. We will be detaching 27 solar modules and reinstalling once the new roof is in place. The modules will be the only thing removed from the roof. No changes will be made to the electrical. Sq. FtAF Btu's Amps Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) 3900.00 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) r (AUTHORIZED REPRESENTATIVe of (OWNER) (CONTRACTOR) Electronic Signature (first and last name): DATE: ZONING COMMMENTS: Reviewer. BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ City of Wheat Ridge .. r Residential Roofing PERMIT - 201702003 PERMIT NO: 201702003 ISSUED: 06/14/2017 JOB ADDRESS: 3045 Vance ST EXPIRES: 06/14/2018 JOB DESCRIPTION: Residential Reroof: Remove existing layer of shingles. Install 6' of ice and water, jacks & vents. Certainteed Presidential Shingles. 23 squares *** CONTACTS *** OWNER (303)237-0097 BLASCO JILL L SUB (303)659-3735 Ralph Bolyard 170214 Paramount Enterprises 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: 81050.00 FEES Total Valuation 0.00 Use Tax 169.05 Permit Fee 188.45 ** TOTAL ** 357.50 *** 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 A1/2 -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. * ` 4 le City of Wheat Ridge Residential Roofing PERMIT - 201702003 I PERMIT NO: 201702003 ISSUED: 06/14/2017 JOB ADDRESS: 3045 Vance ST EXPIRES: 06/14/2018 JOB DESCRIPTION: Residential Reroof: Remove existing layer of shingles. Install 6' of ice and water, jacks & vents. Certainteed Presidential Shingles. 23 squares 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 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 work tobeperormeisdisclsed in this document and/or its' accompanying approved plans and specifications. OFl- Signature of OWNER;'or CONTRACTOR (Circle one) Date 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 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 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. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM 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. Antoinette Kulick Zol'1 C)Zoo��) From: no-reply@c i.wheatridge.co.us Sent: Thursday, June 8, 2017 2:25 PM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received. 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. Permits are currently being processed within 24-48 hours, subject to change based on volume. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Existing permits that require amendments (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. PROPERTY INFORMATION Property Address 3045 Vance Street Property Owner Name Jill Blasco Property Owner Phone 303-237-0097 Number Property Owner Email n/a 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 Paramount Enterprises, Inc. dba Paramount Roofing and Gutters Contractor's License 170214 Number (for the City of Wheat Ridge) Contractor Phone 303-659-3735 Number Contractor Email Address ralph@paramountroofingandgutters.com (permit pick-up instructions will be sent to this email) DESCRIPTION OF WORK Is this application for a Yes new permit for a residential roof? Are you re -decking the No roof? Description of Roofing Certain Teed Presidential Shingles Material How many squares of 23 material? Provide additional detail Remove existing layer of shingles. Install 6' of Ice & water, here on the description of jacks, vents, etc. work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 8050.00 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. 2 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 Ralph Bolyard Email not displaying correctly? View it in your browser. ge'M oU ROOFING &GUTTERS Contract Agreement May 18, 2017 Jill Glasco 3045 Vance St Wheatridge, CO 80033 (303)237-0097 Work to Be Completed: House Shingles: CertainTeed Limited Lifetime Presidential: Remove existing layer (25.56 SQ) and felt down to the existing decking, and dispose of all debris. Remove the existing swamp cooler, duct work, and all components that go with the swamp cooler, dispose of all debris, and replace 1 sheet of plywood. Inspect the balance of the existing decking for any deterioration, and replace as needed for an additional $45.00 per sheet. Install ice and water shield on all eaves and valleys to prevent ice damming to meet city code requirement of 24" inside the exterior wall. Install synthetic felt dry in over the balance of the roof area using plastic caps. Install colored 2X4 drip and 2X2 rake metal on the entire perimeter. Install Certain Teed swift start shingles on all eaves and rakes. Install Certain Teed Presidential Starter colored eave starter strip. Install Certain Teed Presidential shingles using a six nail pattern to meet high wind requirements. Install all needed side wall step flashings, head 992S.4 th Ave, Ste 100/#116 Office (303) 659-3735 Brighton, CO 80601 Fax (303) 637-7374 "Quality Above The Rest" www. paramountrootingandgutters. coin ROOFING & GUTTERS wall, back flash, and counter flashing, all side walls, and chimney. Install new plumbing jacks on all plumbing pipes. Install new split roof jack. Install new pitched roof jack, rain cap, and storm collar. Install new exhaust fan vent. Install new colored slant back roof vents. Install proper Certain Teed Cedar Crest hip and ridge cap. Seal and paint all roof top penetrations as needed to complete. Payments to be made as follows: Final payment needs to be paid in full within 10 days from day of completion or late charges will apply. If payment is not received within this time 18% Monthly Rate will be added. A fee of $75.00 will be assessed for all returned checks and all denied credit card payments. A 3% convenience charge applies to all credit card payments. This proposal is subject to the approved credit of the purchaser. It is valid until June 5th, 2017 due to continuous price increases from our suppliers, and is subject to change or withdrawal after that date. Terms and Conditions: The above proposal, if accepted as a contract or accepted on any other contract form, incorporates all provisions stated herein. If any legal action arises from this statement, the unsuccessful party shall Pay to the prevailing party all costs and expenses, including attorney's fees and court cost, so incurred by the prevailing party and such items shall be made a party of any judgment rendered for nonpayment. Reasonable Control: The Company shall not be responsible for damage or delay (weather or wind) due to considerations beyond its reasonable control including the availability of all materials. Substitutions may be required. Additions or deviations shall be considered as a change to the contract. All materials shall be applied 992 S. 4" Ave, Ste 100/#116 Office (303) 659-3735 Brighton, CO 80601 Fax (303) 637-7374 "Quality Above The Rest" www.paramountroofingandgutters.com _RAM qtr. ROOFING & GUTTERS free of defects. The Company is not responsible for reasonable wear and tear to driveways, walks, lawns, shrubs or other vegetation caused by movement of trucks, men, equipment, materials and debris. All work areas will be water tight at the end of each work day. We will have emergency contact info for 24 hour service for the duration of the job. There will be an on-site foreman available for any questions or concerns during work hours. All debris will be cleaned up on daily basis thoroughly and a magnet sweep of all driveways, sidewalks, and adjacent landscaping. PRG will be responsible for disposal of all existing materials being removed. All work will be completed by experienced craftsman and supervised by a foreman to assure a quality installation. All job sites are supplied with proper safety equipment (harness, cones, flags, first aid kit, fire extinguisher, etc ...). Facilities: The Accepting Party agrees to provide the Company with sufficient storage room for all materials, trailers, and staging area for the duration of the job. Working Hours: will be between 7:30 am — 6:30 pm Mon — Fri, & 9:00 am — 5:00 pm Sat Solar Panel: Any roof sections with solar panels installed are not warrantable. Permits: PRG will provide and billed with final invoice for reimbursement. All work completed will be completed to conform to local building department codes and manufacturer requirements. Exclusions: All other items of work not specifically mentioned are excluded. Workmanship Warranty: 5 year on Shingles Roof Manufacturer's Warranty: Limited Lifetime Shingle We would like to thank you for allowing PRG to bid on your roofing and gutter needs. If you have any questions or concerns, please do not hesitate to call. Thanks, Ralph Bolyard, Jr - (303)550-8224 Paramount (PRG) Roofing & Gutters ralphAparamountroofingandgutters com 992 S. 4th Ave, Ste 100/4116 Office (303) 659-3735 Brighton, CO 80601 Fax (303) 637-7374 "Quality Above The Rest" www.paramountroofingandautters com Ag�1vt OU Aq -dwh AoN .. �--,�- ROOFING +& GUTTERS Acceptance of proposal: The above price, specifications and condition are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. j IS- t � Date Shingle Manufac;irer, Type, & Color: Certan'Feed Presidential Metal Trim Color: Brom Gutter System: ?92 S. 4th Ave, Ste 100/#116 Office (303) 659-3735 Brighton, CO 80601 Fax (303) 637-7374 "QuAity Above The Rest" �ar�mountroofi ngandgutters.com i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line o (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: �5 Ack !`/ Na- / Job Address: �L Ce Sf' Permit Number: 0/720 7,27 % .g4,,No one available for inspection:_ Time I - :>f_/AM/PM Re -Inspection required: Yes ( No ,) When corrections have been made, call for re -inspection at 303-234-5933 Date: ' Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE _��9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: b-15 1/o=/1CC S Permit Number: ❑ No one available for inspection: Time 5 AM/PMj Re -Inspection required: Yes (! When corrections have been made, call for re -inspection at 303 -234 - Date: o,4�_ I Inspector: t�®� DO NOT REMOVE THIS NOTICE A 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: P E I Job Address:oL/ 5 VA1JC0 ST Permit Number: 7_01 -� USS S' ❑ No one available for inspection: Time ! AM/PM Re -Inspection required: (Yes No *When cFl, tions have been m e, callfor re -inspection at 303-234-5933 Date:'7 Inspector: MTH 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 NOT E Inspection Type: k r i ffA 4 Job Address: t3 ID U _� kftyct T Permit Number: `z0 1 -) 0 51S19) ❑ No one available for inspection: Time IV !/ V AM/PM ' Re -Inspection required: Yes$1for *When correc ions have been made, cre-inspection at 303-234-5933 Date: w �� Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE - Building Inspection Division F (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type:�o Job Address:l Permit Number: -Z 0126.2 -'U 3 ❑ No one available for inspection: Time `)` rt)t'i M/PM Re -Inspection required: Yes N'_ When correctipns have been made, call for re -inspection at 303-234-5933 Date: z,lJ� fJ �'�'� � � Inspector. ��t DO NOT REMOVE THIS NOTICE yam;, Contractor License #: 070156 Phone: Contractor; home services, I nc. 303-360-0126 i Contractors* Not applicable Use of •. ce (descriptio Description of work: Plan Review ( due a ti me #' under -Sq Ft./L.Ft added: Squares BTU's Gallons Amps OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT allegations made are accurat 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 subject field inspection. this permit, Plans CIRLCEONE (OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) icoxTR PRINT NAME, Jules Landis SIGNATURE M Credit Card Payment: Use credit card listed on file. pate: _...._ Print name:.., __ _ _ .. _ ... Signature: I W cep j ca I F a. O ra E ii 1 2 1 ro re ro p is v7 dx t,4 v is Jr. r 4 EL Ci tR W cep j ca I F a. O ra E ii 1 2 1 ro re ro p is v7 dx t,4 v is 7500 WEST 29th AVENUE 237-6944 EXT. 255 P.O. BOX 838 OEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING INSPECTION DIVISION PERMIT N0. M92#18075 CITY OF WHEAT RIDGE, COLO. tuie o[aMi7 VGI ID ONLY WHEN SIGNED BY THE CHIEF BUILUINCi msrM ivrt APPLICATION FOR MISCELLANEOUS PERMI7 3045 Vance St. OwNER Larrv Blasco - JOB ADDRESS 3045 Vance St. CONTRACTOR Alpine Roofing Co. Inc. ADDRESS g0215 4780 YOYk St. PHONE 232-7550 ZIPCODE ADDRESS Denver 80216 CONTRACT PRICE $ 7,950.00 CITY ZIP CODE PHONE 295-7769 ~ICENSE NO.1$40$ SIGNS L TYPE Ground❑ Woll❑ Proieefinp❑ Otnn SaDFOee - 2. MATERiAL Total Squan Foot 3. ILLUMINATION Ysa❑ No❑ TYVa Elmt. Permif No. 4. SET BACH FROM PROPERTY IINE N_ SE_ W Zon*__ ADVrwb, Za^a inapsefor (Soetifv which ia front) ❑ ❑ ❑ ❑ DiaaDDroved 1. TYPE SolidEl More TMn 80% ODanO Lest Thon BO% OpOn MATERIAL HeiQht FENCES 3 SET BACK FROM PROPERTY LINE N_ 5__ E_ W Zone_ ApyrwW,Zon$ InsDecta (SPecify wnieh ia front) ❑ ❑ ❑ ❑ Diaopprorsd i Reroof C, 2 Heavy Shake INSPECTION TICKET OTHER 3, 30 squares of roofinQ. _ DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHERSTRULTURE,~ (SETBACKS OR PROJECTqNS INCLUDED) PLUMBING PI DATE: ~ - :7 BLDG. PERMITM IXG_2a PERMITN BLDG. CONTR. SUBCONTRACTOR DATE INSP. REQ. - STREET NAME SHpW DISTANCES FROM THE MAIN BUILDIN6 TPAWOINING N'vuqES, STREET! D15TANCE TO PROPERTV LINES, NOT MAXIMUM OR AVERAGE DISTANCE. APPLICATION FOR PLUMBING; EIECTRV THIS APPLICATION~RMIT WILL EXPIE R60 DAY O SPFROMRDATE OF ISSUANCE ELECTRICAL PERMIT STATE LICENSE N0. IMINUM WIRE UNOER SRE B ILLEGA TEMPORARY METER NEW SERVICE . - AMPS CHAN~E SERVICE-AMPS LIGHTIN~ _ HEATING pOWER SUB-CIRCUITS UTILITY ( RANGE, DISPOSER, ET FIXTURES WIRING MOTOFtS 6 CONTROlS SIGNS TRANSFORMERS 9 RECTFIERS nnronnN TO OLD WORK I hareby ocknowled9e that thia appIMe- ti0n 16 COrretl Ond undaratond t11a1 I comnot atart fnis project until thia opvii- cction ie aDOroved. I shall comply with iha low, of the Sfate of Colorado und to the Zoninp Repuletions and Buildinq Code of tl+e Cify of Wl+eai Ridqe. Any viololi~{ of the obove terme will couse immeQioTe revocotion of Mis permit. ~y)IYcanb 9i0naNn STATE LICENSE N0. DISH PERMIT FEE USE TAX TOTAL FEE JOB ADDRESS TYPE OF INSR + -r- ttf~ - INSPECTION MADE `z= 7 REMARKS ~ N. W.R. FORM 6-19 / r ✓ L 95.40 $ 194.40 O'k. di /v7 g--d 8' CHIEF BUILDI INSPECTOR,City of Wheat Ridqe Date Issuad T~ZJ CALL 237-8944 EXT. 255 24 HOURS IN ADVANCE FOR INSPECTIONS