HomeMy WebLinkAbout4365 Xenon Street#r City of Wheat Ridge
Residential Roofing PERMIT - 201705254
PERMIT NO:
201705254
ISSUED:
08/02/2017
JOB ADDRESS:
4365 Xenon ST
EXPIRES:
08/02/2018
JOB DESCRIPTION:
Residential Re -roof to install Owens
Corning Storm asphalt shingles with
27.7 (22 sq. pitched, 5.7 sq. flat)
*** CONTACTS ***
OWNER (405)640-1649
BECKFELD LAVONNE
A
SUB (303)246-9769
Alex Burker
160163 Altitude
Contracting
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE:
2408 / FRUITDALE,
LEES, STONERIDGE
BLOCK/LOT#:
0 /
** FEE SUMMARY ***
ESTIMATED PROJECT
VALUATION:
13,576.10
FEES
Total Valuation
0.00
Use Tax
285.10
Permit Fee
267.70
** TOTAL **
552.80
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name)
roof covering" is required to be on site at the time of final inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
70
43,E X pjW S1. INSPECTION RECORD Occupancy/Type
INSPECTION ONLINE FORM: http://www.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
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
Wall Sheathing
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Mid -Roof
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
Final Plumbing
Final Mechanical
Roof
i S
Final Window/Doors
Final Building
NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
*For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
i CITY OF WHEAT'iRIDGE ~;
_1�9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: i P
_. Job Address: L4 "3 �> f c n--
Permit Number: ► 7 t
d 16., C-0 c 'Pi
❑ No one available for inspection: Time c- -- 7 0 4N0/PM
Re -Inspection required: Yes�Ib
When corrections have been made, call for re -inspection at 303-234-5933
Date: 0- //,S-- S` Inspector: -76
DO NOT REMOVE THIS NOTICE
r City of Wheat Ridge
Residential Roofing PERMIT - 201705254
PERMIT NO: 201705254 ISSUED: 08/02/2017
JOB ADDRESS: 4365 Xenon ST EXPIRES: 08/02/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Storm asphalt shingles with
27.7 (22 sq. pitched, 5.7 sq. flat)
*** CONTACTS ***
OWNER (405)640-1649 BECKFELD LAVONNE A
SUB (303)246-9769 Alex Burker 160163 Altitude Contracting
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 13,576.10
FEES
Total Valuation 0.00
Use Tax 285.10
Permit Fee 267.70
** TOTAL ** 552.80-- ^�
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name)
roof covering" is required to be on site at the time of final inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
"* a 4 41 City of Wheat Ridge
r
Residential Roofing PERMIT - 201705254
PERMIT NO: 201705254 ISSUED: 08/02/2017
JOB ADDRESS: 4365 Xenon ST EXPIRES: 08/02/2018
JOB DESCRIPTION: Residential Re—roof to install Owens Corning Storm asphalt shingles with
27.7 (22 sq. pitched, 5.7 sq. flat)
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 pro erty and am authorized to obtain this permit and perform the work described and approved in conjunction with
this,permrt. I fu r atte a I am le all authorized to include all entities named within this document as parties to the work to be
performed 11 ork be pe d 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 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.
Z. 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 maybe subject to a fee equal to one-half of the originalpermitfee.
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 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, any violation of any provision of any
applicable c any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
o
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dan Schultz
From:
no-reply@ci.wheatridge.co.us
Sent:
Tuesday, July 25, 2017 5:49 PM
To:
CommDev Permits
Subject:
Online Form Submittal: Residential Roofing Permit Application
Categories:
Danny
Residential Roofing Permit Application il
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
4365 Xenon
Lavonne Beckfeld
405-640-1649
Field not completed.
Glc rxp. �/3if �-
1
Do you have a signed
Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
Attach Copy of Contact
Field not completed.
CONTRACTOR INFORMATION
Contractor Business
Altitude Contracting
Name
Contractor's License
160163
Number (for the City of
Wheat Ridge)
Contractor Phone
720-329-4113
Number
Contractor Email Address
alex.burke@altitudecontracting.com
Retype Contractor Email
alex.burke@altitudecontracting.com
Address
DESCRIPTION OF WORK
/
Are you re-decking the
No V
roof?
Description of Roofing
Owens Corning Storm
Material
Select Type of Material:
Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
22
material selected above?
Does any portion of the
Ye
property include a flat
roof?
If yes, how many squares
5.7
on the flat roof?
TOTAL SQUARES
27.7
(pitched + flat) of all
roofing material for this
project
Provide additional detail House, Pitch 7/12
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract(13576.10
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
Name of Applicant Altitude Contracting
Email not displaying correctly? View it in your browser.
3
07/19/2017 09:02 4052322127 CUSACi: MEATS I IAE 02
Miftwml$ L lCTION OF MATERIALS AND 3303nver, y ;3treet
Denver, C Z12
CONTRACT FOR CONSTRUCTION Phone:? 113
- — Fax: 3- 782
resit~ I�Nur1lli�ralllr
Attitude Contraici tg a jPelds to tnsiail the falldwing materiels selacted by the custaner, Altitude Contracting wIN pun all necessary permits and u to all
labor and maWlalh In d geed and wotkinan like ret Mwr soearding to widely accepted standarat practicas in the industry. Any changep or mod i mpa.
be In wrMktg emir tlghtftld m by U ttlf 0ortles as evidenced bytheir signatures. Homeowner aCknowlltdgea they have received, read, and unda d • do
Contrabliragls *WQ Eat)!d'ctkiwe mial. It is Ma homeowners responsibility to inform Altitude Coni rClotklg of any HOA requirements or reslt
Altitude Cair+tr*ft has Id's gam iral lidbilily lrisuranhe through Colony Insurance Company coat they may be•contacted through. pup agent, Qres
Inc. at 7901' W. MMsllippi Avbnua - l.WOWMW; CO OWN (303)986.1539. Altitude Coritrsoting shall hold. In trust zany psyn ant recAhr
drAhrery of WA trMle fid titin J6b:� W or has pahbraidd a majority of the tooting work on the property, 'Thlaconti'�a :rfty be� e&wmNetlded
within 72 hours front this decd of &Who and ANit dilliCantrweting will issue a full retund bf arty de1oaN made. It is• illegarl•for a ny. contractbr•toy, ter
any pain of an Ihadutdhrlg dt9dilRtltlfe ggmpliaitt with CWiarado Law S1386. he propratty owner may re�lnd the antra rite servititf, the paymwill
be made from the proceeds of a prdpshy InWranics Balm, within 72 hours after receiving notice from their Insurer that the claim• th•denied-ihpart;
ey eluting this tigreanteftt JAW apo to release paymants.to Altitude contraoting per -the pay echedute outlined below. Ilft agree to net• w
from AlMtudO Ounlifft tt� due to city ihapdadlians be" behind schedule. Altitude Contracting agreestp bill the insurance', company,-dimotly.fnalwork (ydthlrMdd due to hidden able egntlf oe (known as the supplement process). If there Is any. work performed do ths.propbrty that I* notl
sWpe tit lo00, Alliin lit Ftintrailtlhg *91 bill the insurance, company for the required work. Wile agree to pay, AltNnde. Controling a>!nyadditionsuthotled,sod ts4kalr� bythol lhoutence 6Mpany,. Allitude•Contracting will not hold the ausi*er• responsible for payipg;eny addtUrmpl td to
in this COh(W II tht In'suter dllHibitb addilionel Overage,
Adituds Cohtreadhg Is dot rettimkfaibb (Or Any detarWatbd: of totted items an the home that becomes further damaged duo. toslan;iw glob vH#aor or
repirtce 0iW of InrttlU & or fhfistilhge that ate requirtsr) fbr the build as this is unavoidable. It is further understood that gas pipes: p enstrAtlng IF -may
shirt durst oonstiuctitin and AltitticM Contracting "Wltmende tits homeowner hdve these pipes Inspected d sealed:it nec86sdry;. bUt WIN not. . f r such
an expatndo. Older (arid even tieweirj homes can have strueNral issues. It you are unsure as to whether or not yaur items is•stm011wally arum
reecommohd ybu have a i:O Nib ertgihdsr cheese the property prior to the beginning -of the build as we will not be•held•responslble fear anyetr r .tseeeta
that arise due Ma standard inaterted wbight and lob vlbrdbbm on the prolecAn qmldffq l ems must be addressed wlih-AhNude Contpaou a to build.
t3rarad d/r►+ . /Type `t � Ft thUwt .. . ......... HCiMEOWN�R: Li'l' C� Ii L d° G
Color �! 1 c�7^`. u" L ADDREBS: ] {it'1 tiG1 .
T eo
• Remove Exlifting Rauf and InepOet the deeking CITY/STATEfZII
Re,DOck Roof with 088 ab per code - YESN CONTACT PHONE: „.
• r, �"` MAIL: _
Install 2" Dtiq Metal - Cdibr .� �J� -
Undeday�m"a�rit.:2 �() �ei�^ PPROX START DATE:, y
n+. APPROX END DATE: , / 6
Aaplaca any unussfka flashings dssooisteed with sealing the, toot properly
per city code. insurance Company:
Install ail cbvwd for til pipb leelks and Vents. ISLU&
hr,
Ventilation:) ` Claim d
Cleon up bohIrActitili site and haid away all debris. 11A.-�
Sweep rob tdntine pr0pertt► With magnets. RCV: $ -
Specie) Ndtuss / cadt items /AdtlNfdrial Work being performed: t Deductible. $ „ too �
At L) Depreciation: $_3)_nL
gR ND • L: ` b' +All Su en1§ J!ermlitS AppE9vgdWOM
First Payntiont of $ _ + the Deductible of $ : -� will be. due Upton dollvwsry of the t els:
Final Payttilint of $ + any approved supplements t permits will be due upon rxampletivn of Nle V10D
CO�Iymxnll'
ave read this contract and agree with as of the terms and conditions provided within. Ime e p y
d In a erpar tete payment SChed le• outikted above 3
DATE: % / / AtiTH. REQ',�.�. DA B:
1
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: MT -b
Job Address:Sf--
Permit Number: 20176-5
❑ No one available for inspection: Time I ')A
M , 10 M
Re -Inspection required: Yes Nom,
*When corrections have been made, call for re -inspection at 303-234-5933
Date: F' ,_�;L3 ' 0 Inspector: a�lkr+-
DO NOT REMOVE THIS NOTICE
J
�.4
.. r
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office ' (303) 237 -8929. Fax
INSPECTION NOTICE
Inspection Type
Job Address
Permit Number
11 ,2 � ✓ (
} } pp/ ° y
X.
S.
y
F
available for inspection: Time .rf
:tion required: Yes No
Date: Inspector:
DO NOT REMOVE THIS NOTICE
r 0000 r-
City
of Wheat Ridge
Residential Plumbing PERMIT - 110479
PERMIT NO: 110479 ISSUED: 05/02/2011
JOB ADDRESS: 4365 XENON ST EXPIRES: 05/01/2012
DESCRIPTION: Repair 7 if of sewer line in yard only with clean -outs
* ** CONTACTS * **
owner 303/940 -7231 Cindy Beckfield
sub 303/696 -9599 Steve Wakeham 01 -9921 Pipeline Industries, Inc.
** PARCEL INFO **
ZONE CODE: UA USE: UA
SUBDIVISION: UA BLOCK /LOT #: 0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 5,000.00
FEES
Permit Fee 125.05
Total Valuation .00 1;[
Use Tax 90.00 �j(ka�n1, /fir
** TOTAL ** 215.05 p
Conditions:
Subject to field inspections.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and
specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the
legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform
the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all
entities named wit�document s parties to the work t o be performed and that all work to be performed is disclosed in
this document and /g approved plans and specifications
��� hl
Signature of 0 trf CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and
specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances,
regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must
be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted
at the discretion of the Chief Building Official and may be subject to a fee equal to one- half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to
the standard requirements, fees and procedures for approval of any new permit. Re- issuance or extension of .expired
permits is at the sole discretion of the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior
and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy
of all required inspections and shall not proceed or conceal work without written approval of such work from the
Building and Inspection Services Division.
6. The 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 iraps i n.
Signature f Building Offical Date
INSPE ION 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.
II
i7e,tdlli'a41;ill
Pian #
Building 8, Inspection Services Division Parrnii �
7500 W. 29 Ave., Wheat Ridge, CO 80033 _ _ �_,
Office: 303- 2.35 -2855 ' Fax` 303- 237 -8929
Inspection Line: 303 - 234 -5933
Building Permit Application
PtopsrtyAddress: Nl7 A/
Property Owner (please print): 01 ,r lS IAJ Pho ne: 3 qqo ?� j
Mailing Address: (if different than property address)
Address: q3 4
City, Statg, Zip: n
e_ CIO
contractors City License #: Phone: 2 4q A c c a a
SubCon4}�ct5is
Electrical: Plumbing:
City License # City License #
�LS�rt ,1$ 7t?Yi U� Ur�'a
FF ;e,wer Sc° r VIc e /lne relcg7r ►
El,e Yard w41, �Pqn crtJ�S.
Mechanical:
City License #
Contract Value:
Review Fee (due . at time of submittal):
Squares BTU's Gallons Amps Sq Ft. I $
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 1 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.
CIRCLE ONE (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
PRINT NAME: J. (-L{d"'IO) SIGNATURE: DATE:
` �, �� �� � � ,r b�P�'R7irdiEiN�'CIS�01+1�Y `, �� T��- ��, �'� ��,z
`ZON)NG C0 ENTS r ' xfa s ti .Et%'G s ,.w mw d z z G`,' / z s ✓ "'. ✓� �Je z .vs r
� , � � � � a yet s �?�� � s Yz ✓ ✓ �� - n Gam✓,z✓yy f z s r�K ✓ * a s b rz�i � � f ��
a m � T"� 'e' � f"" �* � 4/ ✓ F r✓ �i: ✓r ✓,✓' ✓; ," � ,"✓ r a 5 - il' r � s r 1 rz-
s� tiArr < s s✓ al xe�- `&` ^sr Ht g ✓ „ C o � f . 2 sS ,
,. ,,�a�,..�2eviewer �, ,�;.s, s.?�? ... .tea ,,, ��: � x.�. w ✓...kr'✓,_�.c�aa s,.. �?�;;✓.c✓n,�,_ �r�
J s ✓z cn� / > ✓- 1��a r ''�Jr� �h �i%2aGx �C T"d J- ��✓�sts��s✓C��? r � %< i
2 g ✓n � p ,r ✓ ✓ . N� '" t '� ✓lr S 5. s ,a r /:�'"p�C"''eA Y � � Cgs c- � 55, ++r' :� G ' ;.
7 ✓; gJ ✓.+ sr ✓ h ��✓ i 'sg z. s .+!y ✓,�, �yg ✓ �z�i z "'✓1zj?."`,Jk"'%l yy'�3 �� z i p �d.r
i ✓ c r r za ✓."' . ) Jsw ✓ z' {Y r�N ry✓ t S v � i
P21BL1Gw1zR�S � ✓ >lars'�✓ i r:r r`" i e� i ,��i s ✓- ,y� r f ✓y ',
r v s ✓ s. ,✓ .� /; r ✓r ✓ ✓ g `' ".;.',�' > ✓ rr� r A S�r'.�<+''� 2 P,�1� 'z--r= `3-c
✓{�eVlewer cgv g r 1 x s z � � g '� �^ � s
" ✓/ ,z. F l az l � �,., '" � �^r ...- _ vr. t s {,a si;;�
-FIRE DEPARTMENT ❑ �
applovedv ,+ /e�nm�nis`L38�sapprover7 [��oreliewre'qu�rad': Bldg Valuation $
JOB DATE
r-JI E ■l I ]� E 1
INDUSTRIES INC DATE
P.O. Box 370 • Watkins, CO 80137
(303) 696 -9599 1 ESTIMATOR
Fax(303)671-6871 SERVICEMAN
INVOICE#
01-
JOB #
CALL ORIGIN
PO #
JOB INFORMATION
' BILLING INFORMATION >'
NAME
NAME
ADDRESS cJt
` � j
ADDRESS
CITY MQ
'h'd ST
�
ZIP 0,65
CITY
STATE
ZIP
PHONE �f (a /
PHONE
DESCRIPTION( OF SERVICES
':ESTIMATE
$6
�Q
Q,r�utI tta s 1 `
F
s
❑ WARRANTY Terms of Warranty:
APPROVAL X
SIGNATURE
COMMENTS:
THANK
YOU
SUBTOTAL
1 5000.
TAX
PLEASE PAY
THIS MOUNT
$
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 fordamage caused by unstable soil, cave-ins orany other complications.
- -- _ —_— -- _ — --
TERMS: Job cancellation fees will apply. Invoices are payable -1/2 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
lien for all unpaid materials and labor supplied to building projects pursuant to Colorado law.
ACCEPTANCE
— OFINVOICE X
SIGNATURE
❑ VISA ❑ M/C ❑ AMEX
CARD # EXP
APPROVAL #
.
° ~ CD
Z
~ N O
O
~ n N
~ O N
0\ ~ ID
O "
a y C 6
a ~
m
~
~ c~Di y \
O o m
m o =
= o
m
D
~
w ~
A
~T
b
W
W
C-
0
c
D
O.
Q
N
~
V 3
.0
A W
(D
C 7
m m
4'
~
Z
M
m
w W ~
Noc
n
~~w a n
O
Z
o44'
O
m W
°w
-1
mx
•~~m
m
N ~ O p
n
~ p G ~
N
V ; ~ RI
jx
o
~
~
❑
m
m
~
z
o
°
7
~
<
O
H
~
O
~
pr4
~
~
w
6
(D
O
Q
a
.
o
m
N
=
~
_
~
N
(D
0
0
a
~ .
.
o
o
0
W
N
W
A
H
N
W
W
~
C-
0
c
D
a
a
m
N
N
(D (A
0
_
z o
C ~
CY
M ~
Z
N
'D
m
n
1
z
Z
O
n
m
41
~
~
w
co~~ ~
cn O
O ~ y T
:w
wa0=-Di
~ p
N~
N
m
7
k
wn
0
~
m
~
~
~
N
a
m
a
0
n
s
~
0
m
~
O
~
N
S
w
m
a
m
7
w
m
m
0
~
m
~
m
n
~
m
w
w
N
A
~
W
W
-n
m
~
~
~
m
C)
0
7
(D
-0
c
m
a
Z
0
z
0
0
=3
m
v
<
fll
N
Q
CD
O
~
5
N
~
m
~
o'
~
~
~
N
W
0
D
~
C-
0
a
D
a
a
m
N
N
fD t/1
~a
CD
,n..
Zo
C 3
W ~
\ j
K ~
h ~
~
h
\
n
Z
0
m
~
0
Z
w ~
o
O
~ p
z
N m
OWG
Z
0
c
n
m ~ C' Im
I
WCL:O
_
n
m
~~3rn
~ W y Z
o~fDv
n
wtn
+m
0a
X
-
N
~
U ~ 5. ~
m
k fD 3 ~
City of Wheat Ridge
PERMIT
JOB ADI}j~.'
f Residential Mechanic PEItMIT - 080126
Nb:. 080126 . . ISSUED:
~SS: 4365:XENON ST . EXPIRES:
ON:.INSTALL 40GALLON WATER HEATER- GASFUELED
02/12/2008
08/10/2008
*re ..C"L3NTACTS <«r, ~ ~ . . ~
GC 303/421-2161 ~ 01-7835 Blue Sky Plumbing~.. ~
OWNER .3~03~/940-7231. . CINDY BECKFIELD
PARCfi4INFO~
ZONE CO}3$~;~ ~ UA USE: UA ~ . ~ .
SUBDIVIS'TON:UA~~ ~ BLOCK/LOT#: 0/
+s
PermxE.Fee.
Total Valuation
Use Tai
'l'OTAL
ESTIMATED PROJECT VALUATION: ~ .975.00
FEES
50.40
gm . ~ . . . :
.00
17.55
67.95
:ommentU i `
3UBJECT TO FIELD INSPECTION I hereby CpCtify that the aetback dietances propoaed by thie permlt application are accurate, and do not violate applicable
ordinancepi rulee or regulatione of the City of Wheat Ridge or covenanta, easements or reetrictiona of recoxd; that all
meaeuzemex[¢g ehovm, andallegationa made ar accurate; that I have read and agree to abiQe hy all conditione printeCon thieappluati~f dn8 that I aee e full reep bi7ity for compliance with the wheat Ridge Building Code (I.e,C)and all oiher
applicab;wkh 'ndge 0~~~ s,o er thie permit. Plane atibject td field inepection. i
1. Th18✓
S[ate
ordia
2. Thae
date.
3. If th
chang
ezcee
be pa
4. NO wo.
5. COntn
writt
6. The i
an api
All p.
C~wae ieeuedin accordance with the provieiona eet forth in youz application anfl ie euDject Eo the lawe of the
Dlosadoand toChe Zoning Regulatione and Building Codea of wheat Ridge, Colozado or any other applicable`of [ha"City. . G eriall expize180 daye from the ieeue date. Requeete for an exteneion muet be received prior to expiiation
izteneSon.may be granted at the diecretion of the Euilding OfEicial. .
rmie ezpiree, aaew pemit may be acquired foz a fee oE one-half the amount noxmally zequired,pmvided no
ye..tieen or will be made in the original plane and epecificationa and any euepenaion or abanCOnmeat hda ¢ot
x (1)year. Ifchangee have been or if euapenaion or abaadonment exceede one (i) year, Eull feee.shaII.^ a new pexmit. any inannerehall lae done that will change the natural flow of water caueing a drainage pTOblem:.
'ahall notify trie Building Inepector twenty-four (24) houre in advance for all inepections and shall receive
iY.aval on inapecCion card before proceeding wi[h eucceaeive phaeee of the job. '
:e.of a pemit or Che approval of drawinge and epecificatrone ahall not be conetrued to be~a pemit for, nor
.~.of,.any v;olation of the provieiona of the building Codee or any other ordinance, law, rule oz regulation.
Wiew ie eubje~ct.1o Wedinapectione. .
date
:4!LIN&s(303.)234-5933 SUZLDING OFFICE: (303)235-2855 .MAI1E BY3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
. ~ wNen
R
ti1 a
u
COMMUNITY OEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE -3D3-2345933
CITY OF WHEqT WpGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Property Owner: C,'Ind~
PropertyAddress: L~~✓~os`{.e
Contractor I,icense No.: 3 S
companv~"BlU_2 SK
Ct
OY1
P l wnti.b i
OWNERlCONTRACTOR SI6NATUI2E OF UNOERSTANDING AND AGREEMFNT
Phone: ?j-94~ 'Ja3 ,
-2IB.P. G
8uildino DenL Valuation Figure: $
I hereDy cer6ty mat the sethack dlstances proposed by this permft applicatlon are aecurale, and do not Aolate appllcable ordlnancee, rules or regulations af the Gity of
Wheat Rfdge or cove118nts, eesement9 of restrfetltlns of rECOrd; lhat all measurem0nts
ehwun, and sllegations made aro accurate; that i have tead and eyree M a61de by all
condifiona pdnMd on thls applicatlon end that I assume futl responsi6111(yforcompliance
with the Wheat Ridge Building Code (1,6.0) and all athef 6ppticaple Wheat Rldge
Ordinaneea, for work under }his pomlit, Plans subject !o field ln,spectlon,
(OwN91e)roourwAcrors7:
Bullding Permit Number:
Date;
~
Use of Space (descripdon):
Description of work:
'I dl44-t (I L-O Sa l[
Sq. Ft added
~
Permit Fee;$
Plan Revzew L'ee: $
_ se la&S
TOt1l:$
ha+- j~'tS
Expiration Date: Expiration pate: Expiration Date:
Approvat: Approval: Approval'
~
(1) This permR was issued in aaordanca wIth the provislons set forth in your application and is eu6Ject to the Iews oi the Stata of
Colorado and to the Zoning Regulations and Bullding Codas of Wheat Ridge, Coloredo or any otherapplicable ordirrances otthe
Clty,
(2) This permft ehsli e7tpire 160 days hom the iseue dale. Requests for an aktension must be reeeiveq prior to expiration date. An
aMensien may,be grented at the dlscretion of the Butlding Offidal.
(3) If [hlS pertnk explre9, a new permif may be acquired fw z fee of one-half the emount normelly requlred, prevlqed np changes hzve
beonorwillbemaaelnlhaoriglnalplansantlspeciFleationsandanysuspeneionor ebaltUonmenthasnotexceededone(1)year, If
changes haVe 6een or if Suspension or ebandonment exceeds one (1) year, full feeg shall be paid for a new petmit.
(4) No Work of any manner shap be dpne that wlll change the nalurei 1low of watar causing e dtainage proNem,
(5) ContractwsheilnotiytheBuildinglnspectortwenly-faur(2a)hourslnadvence tarallmspecrWnsandahanreceivewftneppro,ral
on inspection cerd befota ptoceeding wikh suxessWe pha8es of the job.
(S) TheissuanCaMapartnROr theapprOVala{drawlligsandspeCificatjOns9hallnotbecons}ruedteheaperreft}or,noranapprwaloF,
any volatlon of the proviaions of the building Codes or any other ordinance, Iaw, Yule or regWation. AII plan review is subject to
fleld inspect9ons.
Chief 8uilding Oificial
Elecfical License Ne: Plumbing License No; Mechanical License No:
Company: Company: Company: