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Building Permit Application
Complete all information on BOTH sides of this form
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MA"NEWCONTRACTOR StGNATURE OF UNDERSTANDIV. ANDAGRIKENTENT
I k-tvkccltify that thes'ahaa diNtancei pray Miscd by xv accurate and tit) not
rules orrcgulafions o(1hc('itx ot"IN'hoil Ridgworcm casuncrusor that Al nu:w�uretri:nts sbown atul
aliqption's Madd arc as TUraf - t1w I kow r"id atic agr(,v to am&- 4y tall covditi*14S PritaJ on thii;)PPliewim and that I as-aunc full
ivsponsibilicy flor cmnpliancv Nx ith applicalwic 0 of Meat rtidl;c ctXles and twJinanckw list t«or4 undcr any pmnit i< rsr ci hawd oll
and am alai) authorized by thc l%:Vjl ("Awmr or any entity included 4111 tlliti.Ipplicitim to li'4 that entiq (in lllii:.Ipplicarion.
CIRCLEONE" WWNFR)�t��, 440710RIZ160.0
ERMNAME: SIIGNATVRE.
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Date.
Flan #
Permit A
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City of Wheat Ridge
Residential Mechanic PERMIT - 070136
T NO: 070136
DDRESS: 4670 WEBSTER ST
IPTION: replace water.heater
CONTACTS 303/534-0881 Gary Kenfield
303/403-4264 Floyd Palmer
ISSUED: 02/26/2007
EXPIRES: 08/25/2007
01-7152 Precise Plumbing
RCEL INFO
CODE: UA
VISION: UA
USE: UA
BLOCK/LAT#: 0/
* JE SUMMARY ESTIMATED PROJECT VALUATION: . 570.00
FEES
e it Fee ' 34.52
0 1 Valuation .00 TCO
* OTAL 34.52
C m nts:
S j ct to field inspection
I he eby certify that the eetback diatancee propoaed by Chis permit application are accurate, and do not violate applicable
o di nces, rulee oz regulations of the City of Wheat Rid9e or covenante, easemente or reetrictione of record; tha[ all
m as rements shown, and allegatione made are accurate; that I have read and a9ree to abide by all conditiona printed on thie
a pl cation andthat I aeeume full reeponaibility for compliance with the Wheat Ridge Building Code (I.H.C) and all other
a pl cable Wheat Ritl9e Ordinancee, for work under ehie permit. Plana aubject to field inepection.
aace
1. T ie germit wae Saeued in accordance with the provieione eet forth in your application and ie eubject to the laws of the
5 ate of Colorado and to the Zoning Regulatione and Building Codee of wheat Ridge, Colorado or any other applicable
o dinancee of the City.
2. T ie permit shall expire 180 daye from the isaue date. Requeete for an ex[enaion muet be received prior to expiration
te. An exteneion may be granted at the dieczetion of the Building Official.
3. i thie pezmSt expires, a new permit may be acquired foz a fee of one-half the amount normally required, provided no
c ngee have been or will be made 1n the original plane and specificatione and any auapeneion or abandonment hae not
e ceeded one (1) year. If changee have been ox if euepeneion or abandonment exceede one (1) year, full feea ehall
b paid for a new permii.
9. N work of any manner ahall be done that will change the natural tlow of water causing a dzainage problem.
5. C ntractor ehall notify Che 9uilding Inepector twenty-four (24) houza in advance for all inapectione and shall receive
itten approval on inepection card before proceeding with eucceeeive phasee of the job.
6. T e ieauance of a permit or the approval of dravinge and apecificatione ehall not be conetrved to be a permit for, nor
a approval of, a violation of the.provieiona of the building codea or any other ordinance, law, rule or regulation.
A 1 plan revieeubjeWto yo ~J1pectlone.
date
IN R8QU83T LINS: (303)234-5933 SUILDING OFFICE: (303)235-2855
MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTIOAI LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 R'EST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303•235•2855)
~PLICATION
Builditig Petmit Number.
Date.
C
Property Ownei~
Phone , ~G~ ~ `!G ~ G.
Property Addtess: )-{(~;'7U 1~~ u5~
Contractor License No.' / 7/ f ~
ComPanY' Prf c i s c Plv-++ c- Phone: S3 5~ 0 3'
o,aNrwCONTRACTOR 6IGNATUIi& OF UNDRRSTANDING AND A6R%EMENT
i heuby certify thnt We satbnok distencav propoeed by thin parmit tpplioelion ve
aocora•.e, uid do not violnte npplioeble otdinnncw, Nlee ot regulstiom ofthe City
of Whext Ridge or eovenanU, emsmenL or eer4ietimv of reoord; that nll
:~.casuremeq+s shown, md ellegelion.f made ete eoaunte; thrt I hnve roed md
a~cc tc xbl8e by all oondiUom pr'u3led on this nppllostiotu md ihnt I mmme fUll
r..spensibility far complimce with the Wheet Ridge Building Code (C1.B.C) md
,dl ciher xpplicxble Whent Ridge Ordinmces, for work under this petmit
;:".vw'ER1C0*IIiL4C7'0R)'.SIONHU ~ A18
Descriptros.
p/LC
Zoning CornmCilts.
Approval.
Zoning.
Builil#ng GozXlitientG'
Approval:
Publi~'i~!S~NS t:a7Xl~d~.
Approval.
Ii, Occupancy. Walls.
Hiecmcal License No,
Company.
D
Construction Value -5-20- I
Permit Fee:
Plan Review Fee:
TTCPTAY' ItQ S
Total:
BUILDING DEPARTMENT USE ONLY
SIC: Sq.Ft..
Roof. Stories: Residential Units:
Plumbing License No: Mechanical License No.
Company: Company'.
-xDuauon ate Expirarion Date, Expiration Date:
aPProval APProval: APProval:
itvy pemilt wm issued in e<cardmce wilh Ihe p[oviliom ml forch In your Ipplication md is vubject b the Isws of IEe 941e of ColonAo enA lo the LaninS
0.cguletiom mA Building Code of Wneat ftid{e, Colondo ar my o1hu ipplicable ordvuncu of Ne Ciry.
This pertnil 3hLll ezpue i[ (A) ihe work ~uthotized 13 ml aommwoeA wiNin iixty (60) drya 5om inue AIte of (B) the 6aildinQ tuthorized is mspenAeA er
abmdoned for a pedod of 110 drys.
If Jue permit expvx, a new permit mry be .equired (or . fee of one-half Ne unounl mnmlly requiroA, prwideA no ohmga hrve bem or will be meAe in
~he ongvW pluu and Spxifwationu md my Suvpension wabandanvnenl hu mt exeeeded one (1) yeu. If elwige+ hrve 6een oe if swpwion or a6enAormer.1
cxcccdn one (1) yeu, 1Wi fea ihdl be ptid foc a noa pemiiL
N. work of any n+anner Sh+LL be done Uul will chun{n Ihe'uNnl llow of waler cnuin[ , drai^aB° Problem .
Connacme shall notify the Buildint 1~Patbr ewenry-tour (24) hom in advmee Cor all'uupec4onu Lnd ihal! meeive wnnen epprwd od wpettmn cud befer
pmceeding wiN+ucemive phuee oC Ne joh.
The mumce o( & pemul or Ne apprwtl of Mwinp md speeiDu4wu ihall nat be oomtued m be e pmnil foq nor en approvel of, my vieletion of the
provisiorss aClhe 6uilding codw or any othe' ordirionc4liw, nile oc rogulition
Cluef Building Inspector
~MOARTMENT OF PLANNING AND DEVELOpMENT Building Permit Number : 3026
WtLD1NG IFISPECTIt3N DIV1510N - 235-2855
CI7Y OF WHEAT RiDGE Date : 5/6/96
7500 WEST 28TH AVENUf
WHEAT' RIDCaE, CO 80215
Properly Owner : PALMER FLOYD B
Property Address : 4670 WEBSTER ST Phone : 422-1967
Gontrector License No. : 17152
Company : Precise Plumbing Phone : 534 0881
-:111/GpNTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
yt caft tliat tha setbadc dismnces proposed by Nis permit applicetion aro ecwrate,
Aot~Mklate applkeble ordinau~ces, rulea or regulffiions of the City of Wheat RMpe or
kts, ersements wrestridians of record: that aN measuroments shown, and albgations
Ite qpDUrote; thatl hevs roed and ag~ae M~e~ 11 all eorWidona pri~ed an tMs
m~~~
~ei:C j ar that an o~ va st~wge ob eces, for twork u~ndeat erRhisp e~Build
72XCON'TRACTOR} SIGNED DATE
~Cription : REPLACE WATER HEATER
~
Zoning :
Approval :
, Approval:
I tlr.nunanev : Walis
No:
ConsVuction Value :
$473.00
Permit Fee :
$15.00
Plan Review Fee :
$0.00
Use Tax :
$0.00
Total;
$15.00
BUILDING DEPARTMENT USE ONLY
Roof : Stories
Plumbing License No :
Company :
SIC : Sq. Ft. :
Residential Units :
Mechanical License No :
Compeny :
xoMiatbn Date : Expiration Date : Expiration Date :
p~ttfval : APProval : APProval :
ft~ 'CYWs v~ wu u~aa in,cc«aance wu, n,e w~wa.e~ r«u, m yoaw avWrcena~ and a wex ro nb ~we or ms sma a cawaao and» n,e zonMO
RJpuuuons ana eww~q caa awnaac we cao~aao or arry ana.~ws wdo-~.s of the cny.
. TMa pH~t ahey expM~ ry(q) y~e wpk a zetl la not commenced within abQy (BO) Eays from Iasue dete w(B) the WdWiip autlwrizetl is suspxMed or
ahMdoneCtwaPww ott20daye.
~',,.y~a ~v~uea~~eur~is~a~ aaao~ana~wi~ nas~iro~ wnount excmded a e t+lQUre~, h~dhano~ ~ hw H ~~sfa~iia ~ np ~
p~c pis (1) Year. MI hM shdl De:naM /or a rrow Demtit.
Nq~ W~C cf ary mannsr atWl be drne Hi4t wi11 chenpa Ms naWral now of weter ceusinp a drel~ probbm. .
~ 11 LwnfpeGbr eMy-lour (24) houia in edvanee ta all Inapadiaie and shall receive wrMlen ay7provel on inspectbn cerd Defae
t ~ rp
phness of
Mepb
(e) leaance aa psrmR atl~e ~p~oval MCrawi~0e and eP~~s shen not be construed ro ba e pertnit ror, na an epprovai or, anY violatlan ot Me provieions
pf bu inp mda r a~ryo //1y r atlfnencelaw. Me or repulatlon.
ief Building Inspector
7HIS PERMIT VALID CALL234-5833 24 HOU 8 PRIOR TO I~NSPIECTION ECTOR AND MAYOR
~
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number :
BUICDING INSPECTION DIVISION - 235-2855
CiTY OF WHEAT RIDGE Date :
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner : ~ Y'
Property Address : yC 9 n Z, -lr~ s~ Phone 9E :2
Contractor License No. :
Company : Phone :
?c, Se y
04VNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I heroby certdy that the setbadc distancea proposetl oy this pertnrt appuption are accunte.
antl Oo not wolate aDDUpble ommanxs. rules or reguiabons of the Ciry of Wheat Ridge or
COVan8nt5. EaSementS or rc31nGtion3 of RGOfy: thit ill mGisufQmentS ShOWn. 8n0 aiilgit10n5
matle are acwnte: tnat 1 have reatl antl agree to abWe Ey all contlttions pnnted on this
apphption. ana that 1 assume lull respunscllhy for compuance wnh the Wheat Ritlge Building
Cafe (U.B.C.) and ail other appuwble NTeat e ominances. for work under this pertnrt.
(OWNER)(CONTRACTOR) SIGNED__` pATE
~
Descnption : r, c Q
-e~e' - ? P / S.
BUILDING DEPARTMENT USE ONLY
21~fCn~`~Ob~siS~
Approval :
Zoning :
~1 dliio?~6ie~i h~MJ
Approval :
PUhI(~WOrkk-~81i~r[N~nTs°
Approval: Occupancy : Walls : Roof : Stories : Residential Units :
Electncal License No : Plumbing License No : MechaNcal License No :
Construction Value :
y 2j-
Pertnit Fee :
/5 -
UseTax:
~c~
Total
Company Company : Company :
Expiration Date : Expiration Date : Expiration Date :
Approval:
Approval :
Approval :
~ rMillifis RSqutred7.1 ~ Plihs Requirod:"1J ~ [p~uir3tl~
(7) This pertnit waa 13sueG in eaot0ante whrh the pronypns SN IOM in yoWr aOWinGOn antl is suGjeCt 1o the laws o/ tlia Stab Of CobraGO eiM m Vle ZOning
Requlanons ana BuilCmg Caae ot Wnea[ Riaq4 Colonoo or arry omer aoplicable oromances of Ne Ciry.
;Z) This permrt snali exDin if IA1 the wonc aumonzau is noi eommanoec wimm sary (60) tlays irom issus tlate or (B) the DwlCmq auUanzeu is suspentletl a
abantloneo for a perwo ot 120 aayt.
II Itllb plrtnh ez0tR5. a neW permit miy p! yfqWfM fOr 8 1!! O/ Ontrhatl ple aR10uM nortnllM RCWISC, plOVqly n0 Chalplf MW Dlsn of WIII Df TWm NI tlle
ofpmal plans antl apeofiCabons ana arry fuspene,on or aOaMOnmenl nas not ezCeeOStl one (1) year. If Uunppt afe nyys o! rt suSpeluqn or aDW40fIlMllt
!xClQ06 On! 11) ylef, hlll IL!! 0811 DG piq (pf i IIM DQRMI.
No WOflc 0f any rtlan0er Sf1811 EE OOn! NaI mII U13nq! C1e ndNWl IIOw OI W21N WIlS10g 3 Cfelnige pI001lT.
(S) ConUiqor snall nOUry tne Buil0itlg InsplCpr IWMry-tour (44) hours m aavanCG for all mspeCOOns antl anall reCMyO wntten appfOVel on maplWOn wIC ECfIXe
procee0nng wnn su[tessrve onases ol the pb.
(fi) The usuance 01 a permn or Ne apprOVai 01 G2wmgs anC SOeafirauons Snall not De cons[ruea t0 Ge a pemml lor, rpr an approval ol. any nola0on ol tlM pro.aaqns
01 Ue owiamg cooes or any amer ommance. Ww. ru;e or reguiauon. .
Chief Building Inspector
For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION