HomeMy WebLinkAbout3155 Xenon StreetPERMIT: ZL?i?o7g5'1
ADDRESS:
JOB CODE: RRF
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
103 Footing / P.E. Letter
104 Foundation Setback Cert.
105 Stem Walls
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.
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
304 Sheer Inspection
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
3/55 Xel ���--
Rough Inspection (continued)
Date
Inspector
Initials
Comments
316 Rough Mechanical Residential
317 Rough Mechanical Commercial
318 Boiler / Furnace
319 Hot water tank
-
320 Drywall screw and Nail
321 Moisture board / shower walls
407 Final Plumbing Residential
322 Rough Grading
408 Final Plumbing Commercial
323 Miscellaneous
409 Final Roof
.
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.
The City of Wheat Ridge
Third Party Form Check List
Property Address 5153- X_ F
Permit Number -L2 7
Permit Issued Date
Owner Information ti
Property Owner Information
Property Owner Address 3 t Sr 5 . !il UG'1
Inspector Information
Inspection Company /,"-I�
Inspector Name 7T>04 / ".) in
Inspector Contact info.
Inspector Statement and Acknowledgement
* I hearby acknowledge the roof I am inspecting is 6/12 or over. All roofs
that are under 6/12 must be inspected by the City of Wheat Ridge Buiding Dept.
* I hearby acknowledge the roofing system for the referenced building has been inspected
and found to be in compliance with the minimum requirements of the 2012 IRC and 2012
IBC as well as all City of Wheat Ridge Poli rocedure and Manufacturer's
recommendations and specifications.
Inspector: _'4_2hz1 411f. Date: 12�2 "7 1
Property Owner Statement of Acknowledgement
*1 hearby acknowledge that I am the owner of the building referenced above and I give
my consent for the listed third -party inspection company to perform my roof inspection
in lieu of the City of Wheat Ri uildin Division inspection.
Propery Owner/Agent: _ Date: /D Z /
This original document 2f5(�rmit card, as well as the roofing check list, must be submitted tc
the Chief Building Off' al within seven days of the final inspection.
Drop off in person
Permit counter 2nd floor
7500 W. 29th Ave
Wheat Ridge CO 80033
Draft Date: 7/26/17
Please add note to reverse side
The City of Wheat Ridge
Inspection Check List notes
Mid -Roof
_Roof Inspection
❑ N/A
❑ Pass
❑ Fail
❑ N/A
W Pass
❑ Fail
Structural roof components
❑ N/A
Pass
E
❑ Fail
Verify that no more than 2 layers of shingles exist
❑ N/A
Pass
❑ Fail
Flashing for roof and walls
❑ Pass
❑ Fail
If new sheathing is installed verify that it is listed in the
❑ N/A
Pass
❑ Fail
Permit description (Valuation must be adjusted)
Verify sheathing nail pattern (See Policy & Procedures)
❑ N/A
O -Pass
❑ Fail
Crickets and saddles where needed
❑ N/A
Z Pass
❑ Fail
Verify B vent must have boot same gauge as pipe
❑ N/A
Pass
❑ Fail
Verify vent caps
❑ N/A
[Pass
❑ Fail
Verify no flashings are damaged or rusted
�N/A
N/A
❑ Pass
❑ Pass
❑ Fail
❑ Fail
Step flashing shall be min. of 4x4 piece per shingle
Verify
scuppers allow for proper drainage
❑ NSA
Pass
❑ Fail
Ice and water shield 2' in heated wall spaces
❑ N/A
Pass
❑ Fail
Underlayments must follow 2012 IRC / 2012 IBC
❑ N/A
Pass
❑ Fail
Verify roof slope for proper drainage
❑ N/A
Pass
❑ Fail
Dripedge shall have min of 2" overlap
❑ N/A
❑ N/A
Pass
Pass
❑ Fail
❑ Fail
Dripedge should extend down min 2" past roof deck
Dripedge
❑
91
shall be mechanicaly fastened 12" OC
N/A
Pass
❑ Fail
90 LB roll roofing shall not be applied to roof slopes
less than 2:12 slope: Exception, detached garages,
patios, carports, open on three sides with min. slope of
1:12
N/A
❑ Pass
❑ Fail
Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
N/A
❑ Pass
❑ Fail
Above roof insulation R-25
N/A
❑ Pass
❑ Fail
Below roof residential R-38
N/A
❑ Pass
❑ Fail
Below roof commercial R-32
N/A
❑ Pass
❑ Fail
Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
must be installed in accordance with the manufacturers
specifications- Must have manufactures letter of
warranty with the address on the letter for final inspection
Metal Roof Shingles Recauirements
N/A
❑ Pass
❑ Fail
fetal roof shingles shall not be installed on slope less
3:12
N/A
❑ Pass
❑ Fail
Metal valley flashing shall be the same material as roof
N/A
❑ Pass
❑ Fail
Metal valley flashing shall extend a min of 8" from the
centerline with a min. of 3/4 " high splash diverter
rib built-in at the flow line with sections overlapping a
a min. of 4"
Tile Roofs Reguirements
I N/A
❑ Pass
❑ Fail
Clay and concrete the shall have a min. 2-1/2:12 slope
Slopes 4:12 and under require double underlayment
The City of Wheat Ridge
Inspection Check List notes
Mid -Roof
Notes
G
Company Name:
Inspector signature:
Date of Inspection:
IBM
The City of Wheat Ridge
Inspection Check List notes
Final Roof
Roof Inspection
❑ N/A
❑ Pass
❑ Fail
PJN/A
❑ Pass
❑ Fail
Structural roof components
❑ N/A
liq -Pass
❑ Fail
Verify that no more than 2 layers of shingles exist
❑ NIA
Pass
❑ Fail
Flashing for roof and walls
p Pass
❑ Fail
If new sheathing is installed verify that it is listed in the
permit description (Valuation must be adjusted)
N/A
❑ Pass
❑ Fail
Verify sheathing nail pattern (See Policy & Procedures)
N/A
j Pass
❑ Fail
Crickets and saddles where needed
❑ N/A
_Pass
❑ Fail
Verify B vent must have boot same gauge as pipe
❑ N/A
E1Pass
❑ Fail
Verify vent caps
❑ N/A
O' Pass
❑ Fail
Verify no flashings are damaged or rusted
07N/A
❑ Pass
❑ Fail
Step flashing shall be min. of 44 piece per shingle
QN/A
❑ Pass
❑ Fail
Verify scuppers allow for proper drainage
❑ N/A
Pass
❑ Fail
Ice and water shield 2' in heated wall spaces
❑ N/A
le—Pass
❑ Fail
Underlayments must follow 2012 IRC / 2012 IBC
❑ N/APass
❑ Fail
Verify roof slope for proper drainage
❑ N/A
Pass
❑ Fail
Dripedge shall have min of 2" overlap
❑ N/A
Pass
❑ Fail
Dripedge should extend down min 2" past roof deck
❑ N/A
Pass
❑ Fail
Dripedge shall be mechanicaly fastened 12" OC
❑ N/A
10 pass
❑ Fail
90 LB roll roofing shall not be applied to roof slopes
less than 2:12 slope; Exception: detached garages,
patios, carports, open on three sides with min. slope of
1:12
N/A
❑ Pass
❑ Fail
Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
N/A
❑ Pass
❑ Fail
Above roof insulation R-25
N/A
❑ Pass
❑ Fail
Below roof residential R-38
N/A
❑ Pass
❑ Fail
Below roof commercial R-32
N/A
❑ Pass
❑ Fail
Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
must be installed in accordance with the manufacturer's
specifications - Must have manufacturer's letter of
warranty with the address on the letter for final inspection
Metal Roof Shingles
Reguirements
N/A
❑ Pass
❑ Fail
Metal roof shingles shall not be installed on slope less
3:12
N/A
❑ Pass
❑ Fail
Metal valley flashing shall be the same material as roof
N/A
❑ Pass
❑ Fail
Metal valley flashing shall extend a min of 8" from the
centerline with a min. of 3/4 " high splash diverter
rib built-in at the flow line with sections overlapping a
a min. of 4"
Tile Roofs Requirements
N/A
❑ Pass
❑ Fail
Clay and concrete the shall have a min. 2-1/2:12 slope
(//
Slopes 4:12 and under require double underlayment
The City of Wheat Ridge
Inspection Check List notes
Final Roof
Notes
Company Name:
Inspector signature:
Date of inspection:
City of Wheat Ridge
Residential Roofing PERMIT - 201707951
PERMIT NO: 201707951 ISSUED: 10/03/2017
JOB ADDRESS: 3155 Xenon ST EXPIRES: 10/03/2018
JOB DESCRIPTION: Residential Re -roof to install OC asphalt shingles - 33 sq Pitch = 3/12
*** CONTACTS ***
OWNER (909)370-4892 THORNHILL BARBARA J
SUB (720)207-3965 Jocelyn Trepanier 170238 TRP Roofing LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 13,262.65
FEES
Total Valuation 0.00
Use Tax 278.52
Permit Fee 267.70
** TOTAL ** 546.22
*** COMMENTS ***
*** CONDITIONS ***
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required for both the midroof and final inspections. The 3rd party inspection report AND
THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat
Ridge. The report MUST BE SIGNED by the Homeowner.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec.
R806. The installation of ridge venting requires the installation or existence of soffit
venting. For calculation purposes, one hat or turtle vent equal to one-half of one square
foot of opening.
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.
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required, the 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped
off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the
Homeowner.
City of Wheat Ridge
Residential Roofing PERMIT - 201707951
PERMIT NO: 201707951 ISSUED: 10/03/2017
JOB ADDRESS: 3155 Xenon ST EXPIRES: 10/03/2018
JOB DESCRIPTION: Residential Re -roof to install OC asphalt shingles - 33 sq Pitch = 3/12
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 furthe st that I am legally authorized to include all entities named within this document as parties to the work to be
performed and work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
9�t � /
Sign of OWNER or CONTRACTOR (Circle one) Date
lo -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 andmay 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 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 shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
a
Signature of Chief ' mg fficial Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett 2 0 � 70 7 r(fl
From: no-reply@ci.wheatridge.co.us
Sent: Friday, September 29, 2017 11:54 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Follow Up Flag: Follow up
Flag Status: Completed
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 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
residential roof?
How many dwelling units
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Yes
Single Family Home
bL
3155 xenon st wheat ridge co 80215
Barbra thornhill
909 370 4892
1�
45 1
Property Owner Email Field not completed.
Address
Do you have a signed Yes
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed Scan0122.pdf
Contract
CONTRACTOR INFORMATION
Contractor Business trp roofing
Name L
J
Contractor's License 170238
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 720 207 3965
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address 2345 garrison st lakewood co 80215
(Primary address of your
business)
Contractor Email Address trproofing03@gmail.com
Retype Contractor Email trproofing03@gmail.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of
the entire scope of work:
Project Value (contract
value or cost of ALL
materials and labor)
Are you re -decking the
roof?
Is the permit for a flat
roof, pitched roof, or
33 SQ O/C
$13, 262.6'
No
Pitched roof (2:12 pitch or greater)
46
both? (check all that
apply)
What is the specific pitch
of the PITCHED roof?
How many squares are
part of the PITCHED
roof?
Describe the roofing
materials for the
PITCHED roof -
Type of material for the
PITCHED roof:
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? Etc)
3/12
33 SQ
O/C shingles, ice and water on the eves, double felt
Asphalt
house only
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
47
submit this application
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Name of Applicant jocelyn trepanier trp roofing
Email not displaying correctly? View it in your browser.
48
TRP: PROPOSAL & CONTRACT
PHONE 720-207-3965 EMAIL: trproofing03@gmaii.com
(Roofing
Trepanier Roof ing.A Colorado limited liability company(T.R.L.L.C).Agrees to cause the following services listed on
the attached to be prosridedat the location listed here in capon customer's execution of this contract and payment.
Customer
Job Location
Email
Cell# SC'`l •'�` :iJ�(.Work#
Date �)A'! T J
Insurance
Policy# Claim#
Agent
Adjuster
Phone# Fax#
Company Rep r L.3✓i ;1 s i✓j Cell # Yf `' :j C Date Y0 011 7
Existing Roof Type: ) 1 (�
Roof Pitch 5, r/�
Type
/Waste
Repair or Replace with:
Style C, 0,
Color
Mfrs Warranty% tj i 7
Company Warranty _ tl
Notes
Tear Off Layers to decking
Install:
O New Felt Underlayment
O New Drip Edge -
0 New Rake Edge
O Pipe Jacks 1 3 O Vents.
. 4.
J Valley Underla meet --
O Step Flashing 1� JC
O Starter Course V i te O Ridge
0 Cont. Flashing O Chimney Flashing
Services:
Clean Up/Haul Away Trash
Clean out Gutters (Roofing Trash)
Seal around Pipes & Vents as Needed
Clean Up Daily & Protect Landscape as Needed
Pick Up Debris Daily / Roll Magnet Through Yard
Inspect Roof Upon Completion
Permit Provided
Insurance Provided
Lien Waiver
ADDITIONAL NOTES / INSTRUCTIONS:
Inclusive JV
Inclusive 3
Inclusive
Inclusive
Inclusive
Inclusive 3
Inclusive O/
Inclusive �3
Inclusive
Insurance Claim Contingency Agreement: This proposal and contract is contingent upon the Insurance Company paying for the work to be completed on this contract and will be voided only ifthe claim
is disallowed by them. R.P.L.L.C. will invest its time, resources and expertise in assisting Customer with the insurance claim. Customer hereby grants R.RL.L.C. the right to represent Customer in the claims and
approval process. The Customer and R.P.L.L.C. will not be obligated unless the repairs and contract amount are approved by the Customer's Insurance Company. The contract amount will be equal to the total
replacement cost as set by the Insurance Company or the total sum agreed to and signed for below, whichever is greater. Customer agrees to let R.P.L.L.C. cause the work as specified on the Insurance Loss
Sheet and/or this contract to be performed. The Customer's out of pocket expense will not exceed the deductible amount plus any upgrades requested by them or except for other costs as provided herein.
Property Owner Initial Date
I HAVE READ AND AGREE TO THE TERMS ON THE REVERSE SIDE
Payment Schedule: 35% Deposit upon work initiation $
If Applicable, Balance of ACV at Completion $
Due upon Completion OR Final payment from INS $
Supplemental Funds Issued by INS Company_ $
Property Owner ,,
Printed Name L
Date
IF NEEDED: Property Owner/INS Reimburse Permit cost O
Additional Per LayerTear Off Charge $ per sq
Damage Decking Replacement $ per sq
GRAND TOTAL LABOR & MATERIALS $
r
Title
Date
i
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: 3 0 G - /)) . c)
Job Address: -3)5-57- XIff m„ S
Permit Number: 'a d 1-7 a -7 q
CCn ce lle�
❑ No one available for inspection: Time ' = o o �OpM
Re -Inspection required: 667s,"
When corrections have been made, call for re -inspection at 303-234-5933
Date: 10/-9 1Inspector: -7-b
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: /l LD Roo
Job Address: 3 / 5-S x lcYv
Permit Number: 7 O/ `� C) i 9r /
❑ No one available for inspection: Time u f U' AM/PM
Re -Inspection required: (Yes" No
w_
When corrections have been made, call for re -inspection at 303-234-5933
Date: Inspector:
DO NOT REMOVE THIS NOTICE
♦►�
r CITY OF WHEAT RIDGE
�f Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 office * (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type L6
Job Address 2155 x,5,,vn r1 5
Permit Number
❑ No one available for inspection: Time 7 P .70 Alvlt
I Re- Inspection required: Yes No)
ff
*When corrections have been made, call for re- inspection at 303-234-5933
s<
t,^ Date: 3A « Inspector: y
r
DO NOT REMOVE THIS NOTICE
" ' City of Wheat Ridge
Residential Plumbing PERMIT - 110222
PERMIT NO: 110222 ISSUED: 03/08/2011
JOB ADDRESS: 3155 XENON ST EXPIRES: 03/07/2012
DESCRIPTION: Replace 14' if of .sewer line in yard only
* ** CONTACTS * **
owner 720/220 -5549 Richard Smith
sub 303/696 -9599 Steve Wakeham 01 -9921 Pipeline Industries, Inc.
** PARCEL INFO **
ZONE CODE: UA
SUBDIVISION: 0813
USE: UA
BLOCK /LOT #: 0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 3,750.00
FEES
Permit Fee 109.20 "
Total Valuation - .00
Use Tax 67.50(
** TOTAL ** 176.70
Conditions:
Subject to eld inspections.
I, by my sign ture, do hereby attest that the work to be performed shall comply with all accompanying approved plans and
specificati s, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the
legal owns or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform
the work scribed and approved in conjunction with this permit. I further attest that I am legally authorized to include all
entities ad within this document as parties to the work to be performed and that all work to be performed is disclosed in
this A n nd /or its' accompanying approved plans and specifications.
atu e of OWNER or CONTRACTOR (Circle one) Date
1
2
3
4
5
6
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.
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.
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.
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.
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.
The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of
any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject
to field inspection.
urrrcai
Date
N REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
C{ f
iyo
. heat
COMMUN nY DEVELOPMENT
Building & Inspection Services Division
7500 W. 29" Ave., Wheat Ridge, CO, 80033
Office: 303 - 235 -2855 * Fax: 303 - 237 -8929
Inspection Line: 303 - 234 -5933
Building Permit Application
Property Address �j d
Date:
Plan #
Permit #
Property Owner (plea print): tC ;)(q � M I W Phone:
- Z zr� -5 5'tq
Mailing Address' (if different than property address)
Address:
City, State, Zip:
Conf"ractor: V N P pr
Contractors CityLicense #
Phone:
Sub;Gontractors; ,
Electrical: Plumbing: Mechanical:
City License # City License # City License #
D.escrlpttorioftyork
�2v(tf� �CC �jICQ �CnO alr Contract Value:- x
�r �n cc� � c -TY o ( lq
$ 3i � xR
I J4 I / o &o Review Foe (due at time of submittal):
Squares BTU's Gallons Amps Sq Ft. $
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 ofPt p operty to perform the described work
and am also authorized by the legal owner of any entity included on this application to ist at entity on this application.
CIRCLE ONE: ( 7 , R) (CONTRACTOR) o THORIZED REPRESENTAT f (OWNER) CONT
PRINT NAME: : SIGNATURE:. DATE: h u
h " � r / / ' �� C ' t <' z � w .��e / ;n � � y ✓, xs? n��. /.,r , „'�: �,� ,'�.. e,_., �� F °�;
�Pl18LIC VyORKS COMM�EIJTS �-�.�
r
_ FIRE DEPARTMENT D a�r04ed,�M(%
r
Bldg Valuation:.$
.I „ ���I JOB DATE
j� � J anot��
INDUSTRIES INC. DATE
P.O. Box 370 • Watkins, CO 80137 03109111
ESTIMATOR
(303) 696 -9599 1 Chandler
Fax(303)671-6871 SERVICEMAN
INVOICE#
oi- 4135
JOB #
CALL ORIGIN
Co. Sew./Richard
PO#
. .. .. 'JO &'itNFAHNNA'rfON. .. �'
�; � .,
�78[ N4iNFO
NAME
Richard Smith
NAME
ADDRESS 3155 Xen St.
ADORESS
CITY
Wheatrid
STAVE
CO
ZIP
SD215
CITY
STATE
ZIP
PHONE 720 -220 -55549
PHONE
Excavate/Reptace 10` of -° main drain in the front yard_
s 3,750,00
Approximately 1a' long and up to 6' deep.
*Includes: t=xcdvaton, Plumbers, Laborers, Pipe & Fittings, Mir,
Bedding, Backfill, Compaction,
Clean -up, Haul Away, permit and Inspection.
* All Items included if needed.
(%WARRANTY Terms of Warranty: 5 Year - Parts & Labor
APPROVAL
SIGNATUR
Excludes: Rom. & Ground Movement (Acts of Nature)
COMMENTS:
THANK
Y OU!
SUBTOTAL
Excludes private utillfty spnnkW and
landscape repair.
TAX
PLE"E PAY
THM AMOUNT
$
ITEMS NOT INCLUDED: Landscape, grass, sod, trees, bushes, flowers, plants, fence
repair. decorative rock, utility conflicts, private utilities, sprinklers, waterlines, electrical, gas,
etc. Not responsible for damage caused by unstable soil, cave-ins orany other complications.
TERMS:Job cancellation fees will apply. Invoices are payable - 112 down and balance upon
completion of work performed. Any invoice not paid when due, shall Incur interest at the rate
of 18% per annum. In the event that it becomes necessary to collect any unpaid balance
owed, Pipeline Industries, Inc. shall be entitled to receive all costs of collection, Including
reasonable attorney fees. Pipeline industries, Inc. shall be entitled to assert a mechanic's
Ilan for all unpaid materials and labor supplied to building projects pursuant to Col do law.
SIGNATURE
IZ
ACCEPTANCE
OF INVOICE
SIGNATURE
❑ VISA ❑ MIC ❑ AMEX
CARD # EXP
APPROVAL. #
❑ CASH ❑ CHECK#
CHARGE A/R ACCOUNT #
♦ A CITY OF WHEAT RIDGE
� ° Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type: gy C�
Job Address: �/Sg
Permit Number: c 9L y
❑ No one available for inspection: Time 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
t s CITY OF WHEAT RIDGE
• Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type: zsj:� sY A�
Job Address: 3 /SS X any t/ ST
Permit Number: 0 ?,4
fl�G//77�.� r oZ /r�ht'vfOflYS J �fFi7/rvG' d
i
❑ No one available for inspection: Time 1 2s AMA
Re- Inspection required: Yes No
When corrections have been made, call for re- inspection of 303 - 234 - 5933
E
Date: —E� Z//,9 Inspector ?/
DO NOT REMOVE THIS NOTICE
a INSPECTION RECORD occupancy/Type
'P INSPECTION LINE: (303) 234 -5933
Inspections will not be made unless this card is posted on the building site
Call by 3:00 PM to receive inspection the following business day.
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS
DATE
INSPECTOR INITIALS
COMMENTS: '.
Footings /Caissons
Stemwall / (EEG) Concrete
Encased Ground
Reinforcing or Monolithic
Weatherproof / French Drain
Sewer Service Lines.
Water Service Lines
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
Heating (Underground)
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
ROUGHS
Sheathing
„ Lath / Wall tie
Mid -Roof'
Electrical Service
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING
Framing
Insulation
ff Drywall Screw
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER `
- .FINALS
Electrical `
Plumbing
Mechanical
Roof
Building Final
Fire Department
R.O.W - .& Drainage
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
Parking & Landscaping
' *NOTE:. ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONIN 3, . BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE OF OCCUPANCY. IS ISSUED... FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OF ACERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
CITY OF WHEAT RIDGE
a ° Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type: Awl_
Job Address: 3?IS5 XgAle t0 s7
Permit Number: P7,� 9?
❑ No one available for inspection: Time AM /PM
Re- inspection required: Yes No
When corrections have been made, caif for re-inspection at 303- 234 -5933
Date: 4 Inspector �
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: Xd
Job Address: 0 o
Permit Number: r 4SGf
No one available for inspection: Time // � AM /PM
Re- Inspection required: Yes No
* When corrections have been made, calf for re- inspection at 303-234-5933
l
Date: Inspector
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
r Bung Inspection Division
1 (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:' 1 f c/~~ I~avF
Job Address: 3/ S S' XCr7oN
Permit Number: i 2bg~/
❑ No one available for inspection: Time , 'r AM/
E
Re-Inspection required: je No
When co rrections have beds, call for re-inspection at 303-234-5933
Date: -e ° Inspector: /5~/
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: Al P . /rr)t
Job Address: 5 i _~5 YrefM14 4f,
Permit Number: 411). Irdl M, 1~
r
El No one available for inspection: Time AMtl~
!Vl
Re-Inspection required: Yes No
When corrections have been made, calf for re-Inspection, at 303-234-5933
Date: Inspector: ~nli,,F,l,~SPr~u97
DO NOT REMOVE THIS NOTICE
44' City of Wheat Ridge
Residential Roofing PERMIT - 092689
PERMIT NO: 092689.. ISSUED: 09/24/2009
JOB ADDRESS: 3155 XENON ST 'EXPIRES: 09/29/2010
DESCRIPTION:. T/o: Install 34.66 Sqs.. GAF s. TP, dbl felt I/W o eaves
***CONTACTS
owner 720/480-6610 Colin Pence
gc 303/816-1888 Derek Lindsay 02-2377 Infinity Restoration
**'PARCEL :.INFO
ZONE CODE: UA USE: UA
SUBDIVISION:. 0705 '.BLOCK/LOT#: 0/
FEE SUMMARY ESTIMATED.: PROJECTVALUATION: >10,500.0.0
FEES _s~.&`."~.
Extend Expired Permi 126.95 ,
Permit Fee 253.90;GgL'L5
Total Valuation .00 i"'va
Use Tax 189.00 j
TOTAL .569.85
Conditions:'
Permit extended 180 days. Expiration date 9/29/10.
6 nail installation & mid-roof inspection required. Board sheathing spaced more
thana 1/2 of an inch apart requires plywood overlay on entire roof. Ice and
water shield' required from eave edge to 2' inside exterior walls.
Subject to :field inspection.
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 Cityof Wheat Ridge or. covenants, :easements or restrictions of record; that all
measurements Jshown, and allegations mads are accurate;. that I have read and agree to abide by all conditions printed on this
application and that I assume full responsibility for compliance with the Wheat Ridge Building Code 7(I.B.C) and all other
apph ab e 5t dge Ordinances, for work under this permit. Plans subject to field inspection.
Bigna re of-contractor/ownerdate
1. This permit was issued in accordance with the provisions set forth in your application: and is subject to the laws of the
State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable
ordinances of the City.
r,
This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration
date. An extension may be granted at the discretion of:. the Building Official.
I. If this permit expires,a new permit may be acquired for a fee of one-half the amount normally required, provided no
changes have been or will be mads in the original plans and specifications: and any suspension or abandonment has not
exceeded one %(1) year. It changes have been or if suspension or 'abandonment exceeds one (1) year, full fees shall
be paid for anew permit.
No :work of any manner shall be done that will change the natural (flow of water causing a drainageproblem.
Contractor shall notify.:: the Building Inspector twenty-four (24): hours in advance for all inspections and shall receive
written approval on r sp.`'don card before proceeding with successive phases of the fob'.
The issuance of a' or the approval of drawings and specifications shall not be construed to be a permit for, nor
an approval of, ation of the provisions of the building codes or any other ordinance, law, rule or regulation.
All plan review a s set to field inspections.
ignature of Chief. Building.` Official date
CNSPECTION REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855
REQUESTS MUST. BE MADE BY '3PM ANY ' BUSINESS` DAY FOR INSPECTION THE <FOLLOWING BUSINESS DAY.
City of Wheat Ridge
roooor Residential Roofing PERMIT - 092689
PERMIT NO: 092689 'ISSUED:' 09/24/2009
JOB ADDRESS: 3155 XENON ST '.EXPIRES: 03/23/2010
DESCRIPTION:`. T/o: Install 34.66 Sqs;. GAF TP, dbl felt &I/W @ eaves
CONTACTS
owner 720/480-6610 Colin Pence.
gc 303/816-1888 Derek Lindsay 02-2377 Infinity Restoration
PARCEL INFO
ZONE CODE: UA 'USE: UA
SUBDIVISION:: 0705. 'BLOCK/LOT#: 0/'
FEE SUMMARY ESTIMATED PROJECT VALUATION: 10,500.00
FEES
Permit Fee 253.90 m.
i, Total Valuation .00 t
Use Tax 189.00
TOTAL 442.90
Conditions:
6 nail installation& mid roof inspection required.' Board sheathing spaced more
than a 1/2 of an inch apart :requires plywood overlay on entire roof. Ice and
r- water shield required from eave edge to 2' inside exterior walls.
2.
Subject to field inspection.:
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
Fi measurements shown, and allegations made are accurate; thatlI have read and agree to abide by all conditions printed on this
annli~atlnn anA.':h Fah i ~cc~~~ne f.l l...-e n.. s..l.a
is subject to the laws of the
or any other applicable
:eived prior to expiration
Lly required, provided no
61, - W
N Signature ofr Chi Building Official date
`INSPECTION REQUEST LINE: (303)234-5933 BUILDING OFFICE:, (303)235-2855
P REQUESTS MUST BE MADE BY 3PM:ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING. BUSINESS DAY.
"
rr
s
N
Fw"E4rp City of Wheat Ridge Building Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
co o Inspection Line: 303-234-5933
~ORAO
I AI°
Building Permit Application
Date:
Plan
Permit
Property Address: ~ Iw yo too clT
Property Owner (please print):-LtIot Pevtce, Phone: 120 46 (CID
Mailing Address: (lf different than property address)
Address:
City, State,
Contractor: _ nn Z l tt (-es-Vp(-oAib,)
Contractor License O as 377 Phone: 303 - 01(o -10 313
Sub Contractors:
Electrical City License
Company:
Plumbing City License Mechanical City License
Company Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description): 5~9 Construction Value: $ ID, c', 0e7
Description f work: ~ I (as calculated per the Bui"i Valuation. Data sheet)
9-0 0 -t I J y Plan Review (due at time of submittall:$...
IS.¢_ t We,- 4~ eav-$ I ~vszr v i v`b4q_
Sq. Ft./L.Ft added: Squares 34•U0 BTU's Gallons Amps
OWNERICONTRACTOR 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 1 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 (1.&C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to fi I,t:. „p„ 'on.
CIRLCE ONE:: (OWNER) CONTRACTOR) or PERSONAL REPRE N ATI o OV,FIER) (CONTRATOR)
PRINT NAME: ' L SIGNATURE: Date: 21
DEPARTMENT USE ONLY
ZONING COMMENTS;
Zoning:
Reviewer.
PUBLIC WORKS COMMENTS:
Reviewer.
BUILDING DEPARTMENT COMMENTS: OCCUPANCY:
Reviewer.
FIRE DEPARTMENT.: 0 approved 4comments 0 disapproved ❑ no review required Bldg Valuation: $
City of Wheat Ridge
Community Development Department
Memorandum
TO: Accounting Department
FROM: Melissa Mackey, Building Division
SUBJECT: Refund for Permit
DATE: January 8th, 2009
Reason: Permit cancelled by Pipeline Industries due to another company doing
the work at 3155 Xenon St, permit # 090011.
Please refund:
Contractors License$
100% permit fee: $70.25
100% plan review $
100% use tax: $27.00
Total:
TO: Pipeline Industries
PO Box 370
Watkins, CO 80137
Thank You!
$97.25
(acct 01-510-00-513)
(acct 01-510-00-516)
(acct 01-550-05-551)
(acct 01-500-02-505)
W14" M
Permit Technician
CITY OF WHEAT RIDGE'
Building Inspection Division
`(303) 234-5933 Inspection line
(303) 235-2855 Office ' (303) 235-2857 Fax
INSPECTION NOTICE /C~VcFz-~ (I
Inspection Type: c~// ~l rn b
Job Address/Permit Number: WT/ SS key vim '
i\l G e-„- 4f- h ~
❑ No one available for inspection: Time Lo <AM/pM
Re-Inspection required: No
When corrections have been made, call for re-inspection at 303-234-5933 _
Date: I G Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
r4000or-, Residential Plumbing PERMIT - 090011
PERMIT NO: 090011 ISSUED: 01/07/2009
JOB ADDRESS: 3155 XENON ST EXPIRES: 07/06/2009
DESCRIPTION: Repair sewer line in yard
CONTACTS
owner 720/480-6610 Collin Bence
sub 303/696-9599 Steve Wakeham 01-9921 Pipeline Industries, Inc.
PARCEL INFO
ZONE CODE: UA USE:. UA
SUBDIVISION: 0705 BLOCK/LOT#: 0/
FEE SUMMARY ESTIMATED PROJECT VALUATION: 1,500.00
FEES
Permit Fee 70.25
Total Valuation .00
Use Tax 27.00 MM
TOTAL 97.25
Conditions:
Subject to field inspections.
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable
ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all
measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this
application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other
applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection.
Signature of contractor/owner date
2
4.
5.
6.
This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the
State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable
ordinances of the City.
This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration
date. An extension may be granted at the discretion of the Building Official.
If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no
changes have been or will be made in the original plans and specifications and any suspension or abandonment has not
exceeded one (1) year. If changes have been or if suspension or abandonment exceeds one (1) year, full fees shall
be paid for a new permit. -
No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive
written approval on inspection card before proceeding with successive phases of the job.
The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor
an approval of, any violation of the provisions of the building codes or any other ordinan('e, law, rule or regulation.
All plan review is subygcth,' field inspections.
Signature of Chief Bu' din fficial date
INSPECTION RE_ ST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY
a City of Wheat Ridge Building Division Date:
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-235-2857 Plan
Inspection Line: 303-234-5933 Permit
g Permit Application
Buildin
Property Address: 31S_S Xenan sf
Property owner lease rint : 6 en Phone: 7Zo Ygo- 6616
Mailing Address: (if different than property address)
Address:
City, State,
Contractor:
Contractor License
Sub Contractors:
Electrical City License
Company:
Phone: 3c73-6
Plumbing City License
Company
- %S
Mechanical City License
Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of space (description): Construction Value: $ ! Sod
(as calculated per the Building valuation Data sheet)
Description of work: S e Cu 1, n e ve p v
.C, Plan Review (due at time of submittal): $
Sq. Ft./L.Ft added: Squares _ BTU's Gallons Amps
OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
CIRLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR)
//yyr/SL~G SIGNATURE: v/s Date: i-7-o
PRINT NAME: ~ / ~
DEPARTMENT USE ONLY
FZICININGCOMMENTS:
OCCUPANCY:
BUILDING DEPARTMENT COMMENTS:
Reviewer -
FIRE DEPARTMENT:: ❑ approved w/ comments ❑ disapproved ❑ no review required Bldg Valuation: $
Building Permit
CITY OF WHEAT RIDGE
7500 West 291'H Avenue
Wheatridge, CO 80033
303-235-2855
t;
CilyaFVMezt[sdpe
Residential Plumbing
PROPERTY 3155 Xenon St
owNex: Colin Pence
Permi[ Number
19760
2/7/2006
Inspectlon Line
303-234-5933
Unit:
(303) 973-0301
DescripGOn .
Hot WaYei Hea.tei - ceplacement
40 gallon gas/ta119 year
~FEES
[Fees
__IDue _
_ Paid _J
-
[UseTax - -
I$9.00
1$9.00 ]
Lermit Fee
1$30.55
I$30.55
LTotal Fees__
_I$39.55
ICONT_RACTORS__
_
~Name License #
-
[Metro Mechanical _ ]22394
r
1-
1Phone ~
-
- -
866 293 3031
Chy of Wheat Ridae PRESCRIPTIVE ENERGY CODE
BOILERS ! FURNACES A MINIMUM OF 90% AFUE
GAS WATER HEATERS A MINIMUM OF.60 ENERGY fACTOR
ELECTRIC WA7ER HEATERS A MINIMUM OF.93 ENERGY FACTOR
iETBACK THERMOSTAT REQUIRED (EXCEPT HYDRONIC HEAn
R•27 WALLS • RJB CEILINGS • R-19 CRAWLSPACES
Units: Occupancy: Walls: Roof: Stories: Sq Feet:
I hereby ttrlify tM1a10e vNbaak tl4hnces propased by [hle permil aOPliceHOn are ottunh, and da mt vialan applicable oNincnces, rules or rteWmlom of Ihe Cily of
W hent Rtdee a nts, evsemmb or reetricHOro of record; tAm vll mensuremmb vhown, ana al4eatlans mnde vre vecunle, that 1 have rua antl aerre m vbide by
sll aondi[iane pdnhdmm thie applkatloq mJ Ihat 1 assume full responsibiliry forcompllonce witM1 the wheal Ridga Bdlding Code (I..B.C.) uitl all otherappliwble
W hevt Ridge ordinancu, (or work under IM1if permit.
(OWNE0.)(CONTRACTOR)
SICNED DATE
1 Thlsyermllwesissue0inaoeordanocwithmeprovisionsxlforlbinyourapplicatiannndiasubJ¢itoMelawiohheStateofColurvdoan4lotheZoning
RegnlvHOns and Bulldlne Code of W M1enl IUJge, ColanJO or any other upplicvble ordlnancu of the City.
I Every permil iseued sM1OII become Invnlitl uNess the work on [M1C eite nuMOrizeJ Ly such permit is commrncal wi[hin 180 tlrys afler ils issmntt, or if the work
amLOrized oo the eih by mcM1 permis is empmJeJ or nbandoned 6r v period of 180 days nhn Ne lime o(wark u wmmrneM.
J If [hiv pttmil espfttta, . new pnmll mvy be vayuired for a&c of nne-half Ihe nmounl namully requirtd, provid<d m chaneea M1nve been or will be made In the
origlnal pbns md apecltintlom mtl imy suvpenslon or abandonmrnt hes mt exceetleJ ane (p ywr. If cA.nges are mitle or If suspmsion ar vbmdonmmr
exceetls one (1) Yeaq full feea ihall be PoIA for n new penNt.
a NoworkolmymanntrshullbeJOne[hnIw111chmeetM1envmrnlllowofwvteruueingvdrainagcprobbm.
5 Cmtr¢IOrshv11no11fy1M1eBU1ldinglmpeororMenty-fourQGJhoursinadvmtt(orallinapenlonavntleAvpnceivewriuenapprmnlaninspeatloncvrdbefore
proattdlne wlth sumesslve phvvu of the job.
6 The
specificnlions ehall nal be mnstrueJ la be a permil foq nonv upprovvl o( vny vialatlon ofthe
in, rule or regvlvllon.
Tuesday, February 07, 2006 Page I of l
- - _ _ ~
- - -
COMMtlN1T1f DEVELOPMENi DEPARTIYENT Buflding Permft Numbar.
~ BUILDNGINSPECTI6NLINE-J03.234.6933 papB;
CRY OF WHEAT RIDGE
7500 WE3T 29TH AYENUE
YVHFAT RIDGE, CO 80053 - (3D3-233,2856~
wnnz rre'117snILr
a R1op~4y 6mse= CsAj n
m~~rwaa~.s:3~SS t..>..~.e.~ ~cz:,C e ~a, Phone•3o 3 '„3
~ ooneiaetaIao~e vo.: 1%053$ ~
C°mpanY 36Dcne~mov,aLP•ti:,.~. ~o ~"d~ a~3:3~~i
QVnERMCKMACrae aMnnuRE oF uMr:w,srai+oo+c uao wc+cEMIErR gVlldinIIDeatValuatlonFigure: $ 1pt IM aaWadc diamntes PrvPCaCG bY tltie PertnR appllca[lon are
~ x no~ Wo4Ae aaa~a warrenw., iwes or reQulatlon. athe ciy of
~AION~srr4, aaeemerts w reatrfctlona Wbewrd; Ihal all msasuromarta
gnee l ana made aro aecurab; fh# I have read and apree W adde 6y all
on tl~ts pkafiart ~d l~at I aaaume fun raswnslMtur
RAwirofW ~ Po~ oDCalep.B anda/olhxappNcableWhea[
pe iG hr s~WJaR to fleltl ;nspectlon.
. ~ mwrrRXconrw.ctow:
PermitFee:$ 30,
Plan Review Fee:$
Use 00
Total:$
SS
Use of S'pace (descrfptlon):
Do scrIptlon of wo►k:
s4w..aa.a
Expeation Date: Expiradon Date: Expiratlon Date:
ADDmvel: APProval: APProval:
~
(1) 71ds Fefmltwa bavad in axondsws wdh She provhbns aet forfn In yw appNqtion end is aubJectto the lavrs Ofthe StaOa of
CokradoandtothaZoNrqRepiletlonsandBuddnpCadeaofWheatRldpe,COloraiooraryotherapplkahlea[d'nencn of
tliaCily.
(2) . TRi@ psmik sha9 axphe It (A) the work autlfaAxed is no[ eommeneed within e6dy (90) daye from lasue date or (B) rie bNimng
audhaAasd fs awpecWed a ahendaiad iv e period of 180 daya
(3) NINaW+n* exWos.anawPemY[maD'beeoVUiretlforafeaofone-lulHheamouNrwrmalbraqutl/ed, Providedmdmnpes
.Mrabe9n.aFwsl6ematlelnthsoApirmtpianaendapecrka/onsendanyauepembnorabandommdithasnotekeededone
. (1)Year. Ndfarpeaharsbeanot'rfWOperolonorabandOmlrnlmuxetkone(1)yaEr.fWifeeashellbepalCtotanawpertnR
(4 NpwptpfefrymmuierSheEl6EdDnwYretwRlChenyeMena4ualllwtdwaRxwwlepadraNwpbprobbm.
. (51. Contradar.hal notiyr a,e ecidGw Inspeetor ri+erdyKOUr (24) na:ra m aavance ror an Inspecxne ane shen recewe wiuen
appavat an 4upectlan cad beAore proaeedhq wNh euaoesalve phasee of the Job. . (0) Tha hsuanm af a psmat or Ihe approval of drawlnps and spedflcatione ahatl not be aoisOnied tn be a permi: hr, nor an
. appravalof, rryviolatlonoflheprovktonavfNehuidnpcx'esorerryotlrerordkance,law,fulewrepulation.Allpiannvlaw
MM Inspmtl
L2 nc i
, iy 'Ljt
Elealf'tcal License No: Pium6fng Licens No: I0 6 Mechanical License No:
Company: Comparry:`~~ ~ ComPanY
DEPAR'f'aIENT OF PLANNING AND DEVELbPMEPIT
BUILDIWG EN'5PECTION DIVfSION - 235-2855
CITY OF WHEA7 RiDGE
7600 1NEST 29TM AVENUE
V1lFfEAT'RIDG€, CO 80215
~
Propeety Qwner :
Property f►ddfess : 3155 XENON ST
Contractor tieense No: : 19819
Company ; Discount Fence
OWNERICONTR#GTpR 5103Nb#TURE OF UNQERSTANDING Ah7D AGREEM
WNER)(CONTRAC70R) SI4FIED&Z,~{hN 'L~v ~ATE Ol1
_~T
De9cription : 93' OF 8' GEDAR VNTH GATE (6 FOR NEIGHBOR
BY HOM€bWNERS
Approval : S1Yl 815/97
Zoning R.y
' APProval :
aPpra+at :
Occupancy : Wails :
Electrical License No :
Company ;
Expiration Date :
Approval :
' ~
(1)
This
~
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R
Op
(2)
spedod
(3)
ff
09ftnt'0001014t 0.
aiWnaf
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contraoser
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nI r..a.n n~nwn~Icur I Ie
FENCE MEETS
Roof :
Plumbing License No :
Company :
Expiration Date :
Approval :
k
Permit Number : 5601
Date : 8/5/97
Phone : 238-3092
Phone : 450 66043
Construction Vatue
$895;00
Pemdt Fee
$33.00
~
Plan Review Fee :
$0•00
i
Use Tax ;
$10:74
y
To471 i
$43.74
3175 XENON SF WITH GOST TO BE SPLIT
.Y
SIC : Sq. Ft. :
ResidehUal Units :
Mechanical License No :
Company :
Expiration Date :
Approvaf:
0
ewe a me sreb orcdaa
rtreGN euspentletl w ror
qvinsep '=isoelvewTitlen+PprovalonNUpsc§OnnrdDePa'a
conaYUN bm a peimR br, nor an 9pDGVW«. W9'vbla4on W Ma Pmvlebnt
IIS PERMII' V11UD ONLY WHEN SIGNED BY 7HE CHIEF BUILDiNti {WSPEC70R AND MAYOR
CALL: 234-5833 24 HOURS RR14R 70 INSPECTION
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number :
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date :
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner :Aq~J~j9o-AJf~
Property Address XEN0A) -5' Phone : 0736-~O9.~2
Contractor License No. : 4#&Omr ~ C(O (ti
Company : pjf~y,~-~NPF Phone :
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this pertnit application are accurate,
and do not violate applicable ordinances, rules or regulations of the City of UVheat Ridge or
covenants, easements or restrictions o( record; that all measurements shown, and allegations
made are accurate; that I have read and agree to abide by all conditions printed on this
application, and that I assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridge ordinance5, for work under Ihis permit.
(OWNER)(CONTRACTOR) SIGNEDa7 21" /.Cri'fI'7-as'°9'~ATE FIS
/ i
_
Description df(p c4FJ)W-
W,~ 6~Aj7e
ZonifiI[Cb►m'fn4h"tS 51y ,,"q 7
Construction Value :
Permit Fee :
Plan Review Fee :
Use Tax :
& ( aw- /UFi0'ezt'0?
BUILDING DEPARTMENT USE ONLY
Approval : '-M
Zoning : rZ2 D
Buitdtn C3 niYen'ts~7
Approval:
bl
Approval:
Occupancy : Walls : Roof : Stories
Total : 89.~•°~
_S~75
SIC : Sq. Ft. :
Residential Units :
I ~i
Electrical License No : Plumbing License No : Mechanical license No :
Company:
Expiration Date :
Approval:
IN +apigimg-comm
Company:
Expiration Date :
Approval:
~ al
Company :
Expiration Date :
Approval:
n ImmyQUiC89~
(7) TTis pertnil was issued in accordance with the provisions sel forth in yopur appliralion and is subject to the laws o( the Slate of Cob2tlo and to the Zoning
Regulations antl Building Code ot Wheat Ridye, Colorado or any other appli`able ortlinances of the Ciry.
(2) TTis permil shall expire d(A) the work authonzed is not commenced witnin sixry (80) tlays from issue date or (8) the huil0ing authonzed is suspended or
abandoneC for a pena0 of 120 days.
(7) If this pertnit ex0ires, a new pertnil may 6e acQUiretl for a fee of one-I+att the amaunt normally required, provitled no c0ange5 have been or will be made in the
on9inal plans anC speci(irations antl am suspension or abandonmenl has not exceeded one (1) year. If changes are maCe or if suspension or abanEOnment
ezceeds one (7) yeaq NII Mes shall Ce paid for a new pertnit.
(3) No work of any manner shall be tlone thal will change the natu2l Ilow of water wusing a tlraina9e Oro01em.
(5) Contractor shall notiy the Building InsOector twenry-four (24) hours in aavance for all inspections anC sha11 receive written approval on inspection wrd belore
Tmceediin9 wilh successive phases of the Iob.
(6) e issuance of a pertnit or the approval ol tlrawin9s an0 s0ecifications shall not 6e construetl to De a pertnit for, nor an approval ol, any violation ol the provisions
of the building mdes or any other orUinance, law, rule or regulalion.
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
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