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Home My WebLink About4495 Pierson StreetCity of Wheat Ridge Residential Foundation Repair PERMIT - 202100406 PERMIT NO: 202100406 ISSUED: 03/18/2021 JOB ADDRESS: 4495 Pierson St EXPIRES: 03/18/2022 JOB DESCRIPTION: Foundation repair with 5 smart jacks. *** CONTACTS *** OWNER (970)999-2662 SUDDUTH DAVID LEE SUB (303)260-7070 PAUL SUTTON 090170 PEAK STRUCTURAL INC. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 61741.00 FEES Total Valuation 0.00 Plan Review Fee 101.89 Use Tax 141.56 Permit Fee 156.75 ** TOTAL ** 400.20 *** COMMENTS *** *** CONDITIONS *** A printed copy of the permit and city stamped on-site plans must be available on-site for the first inspection. Approved per plans and red -line notes on plans. Must comply with 2018 IRC, 2020 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. Inspection by Wheat Ridge Building Inspector required prior to backfill. Observation letter from Engineer to be provided to Wheat Ridge Building Inspector at Final Inspection. 1* � 4 41' PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Residential Foundation Repair PERMIT - 202100406 202100406 ISSUED: 03/18/2021 4495 Pierson St EXPIRES: 03/18/2022 Foundation repair with 5 smart jacks. 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 permrt. I further attest that I am leg ally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 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 requ�ired 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, anviolation of any provision of any pplicab e code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. 03/18/2021 Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. From: no-reolv(alci.wheatridae.m. us To: CommDev Perm is Subject: Online Form Submittal: Foundation Repair Date: Tuesday, March 2, 20219:47:38 AM Foundation Repair This application is exclusively for FOUNDATION REPAIRS. YOU MUST ATTACH A VALID ELECTRONIC PAYMENT ORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes Foundation Repair? PROPERTY INFORMATION Property Address 4495 Pierson St Property Owner Name David Sudduth Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" 9709992662 davidsudduth4@gmail.com Wheatridae EFT.odf CONTRACTOR INFORMATION Contractor Business Peak Structural Name Wheat Ridge 090170 Contractor's License Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123- 4567) Contractor Email Address 7199859826 permits@peakstructural.com Retype Contractor permits@peakstructural.com Email Address DESCRIPTION OF WORK Location of Work 4495 Pierson St How is repair being Smartjacks done? Piers, strips, etc. # of Piers or Strips 5 Upload engineer letter or pages on 8 1/2" x 11" only Repair Plan Set on 11'x17" only - if applicable Project Value (contract value or cost of ALL materials and labor) Desian Letter - 4495 Pierson St.odf 6741 Valuation OK 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 work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have Yes been authorized by the legal owner of the property to submit this application and to perform the work described above. Person Applying for Paul Sutton Permit 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. Email not displaying correctly? View it in your browser. -1// YY 11l_'a1t F�1�E CL�wvt+1R' WIYLLiRMil�t APPROVED BiYtiN� _10f_G�i_G41YiplliiSCi Mike Theisen 03/17/2021 Plans Examner Lmi, uor�u+�aiweiwnt or.+l��kca+�x+n��'n6 n2fit iT�'u('Y!'i8MlKsll4 ofi Yv $ry NyY+ati lk wGL 26 ok\Nheal 0, �ti1� N Cing /<A �� J aka to 30. UTI. wvne. 3.Oft. 10. Oft. 3.Oft 2. ASPHALT SHINGLE ROOF 15 PSF . DL 5 1ST STORY -40 PSF LL+ 15 PSF DL 4 \7(N) ATTIC - 10 PSF LL+15PSF DL SUPPLEMENTAL W8X15 STEEL BEAM STEM WALLS CONCRETE -125 PSF 9.5ft. 10.5ft. 9.5ft. 8.5ft. 2000 PSF SOIL BEARING Oft' 7. 1 2 3 8. SEISMIC ZONE B (E) MAIN BEAM (N) SMARTJACK (1-5) 13. Oft. CRAWLSPACE Do,N SMART JACK NOTES 1. INSTALL 3 NEW SMARTJACK 288 CENTERED ON EXISTING TRIPLE 2x8" BEAM. 2. CONTRACTOR TO EVALUATE EXISTING PIERS FOR SMARTJACKS 1-3 FOR ADEQUACY. PIERS MAY BE RE -USED IF DETERMINED TO BE ADEQUATE. 3. SMARTJACKS FOR MAIN BEAM SHALL BE CONSTRUCTED ON CENTERLINES SHOWN. 4. SHORE STRUCTURE AS NEEDED DURING CONSTRUCTION PHASE 5. SMARTJACK LOCATIONS CAN BE ADJUSTED 12" IN THE FIELD WITHOUT ENGINEER APPROVAL 6. INSTALL 2 NEW SMARTJACK MODEL 288 AND NEW SUPPLEMENTAL W8X15 STEEL BEAM AT LOCATIONS SHOWN. CANTILEVER BEAM V-0" ON EACH SIDE FROM NEW POSTS. 7. CONSTRUCT NEW CONCRETE PIER (Z-0"xZ-0"x8") OR CRUSHED STONE PIT (Z-0"xZ-0"xZ-0") PER DETAIL ON NEXT SHEET FOR NEW POSTS 4 & 5. per 2018 I RC/I BC ENGINEERS STATEMENT THE REPAIR IS INTENDED TO STABILIZE THE MAIN FLOOR OF THE HOME AND PROVIDE SUPPORT FOR THE FLOOR JOIST SYSTEM. THE REPLACEMENT OF THE POSTS WITH SMARTJACKS IN THE CRAWLSPACE IN THE HOME IS INTENDED TO ALLEVIATE UNEVENNESS IN THE MAIN FLOOR OF THE HOME. IT IS RECOMMENDED THAT THE HOMEOWNER WAIT 3-6 MONTHS AFTER BEAM REPLACEMENT AND PUSH PIER INSTALLATION TO MAKE REPAIRS TO DRYWALL IN THE HOME. THIS IS INTENDED TO ALLOW TIME FOR THE FOUNDATION TO STABILIZE BEFORE REPAIRS ARE MADE. THIS PROJECT IS NOT A GUARANTEE THAT FURTHER SETTLEMENT OR WALL CRACKING WILL NOT OCCUR IN OTHER PARTS OF THE HOUSE NOT INCLUDED IN THIS PROJECT, OR THAT SETTLEMENT OR MOVEMENT OF UNPREPARED PORTION WILL NOT RESULT IN ADDITIONAL CRACKING IN THE REPAIRED SECTIONS. PROPER GRADING AND DRAINAGE WILL HELP PROTECT THE REPAIR WORK FROM BECOMING A CONDUIT FOR MOISTURE INTRUSION TO THE DEEPER SOIL STRUCTURES. REPAIRING A FOUNDATION SYSTEM IN A SUDDEN OR DRAMATIC FASHION USING TECHNIQUES LIKE HELICAL PIERS,PUSH PIERS, PRESSURE GROUTING, OR OTHER QUICK -ACTING LEVELING WITHOUT PROPER METHODOLOGIES CAN HAVE ADVERSE EFFECTS. SUCH AS EXTENSIVE INTERIOR FINISH (DRYWALL) DAMAGE,CRACKS IN TILE FLOORS BUCKLING OR SEPARATION OF WOOD FLOORS, STICKING OR NON-FUNCTIONING WINDOW AND DOOR JAMBS. CONTACT ENGINEER IF UNEXPECTED FIELD CONDITIONS ARE DISCOVERED. NOTES -LOAD SUMMARY 1. ROOF -30 PSF LIVE LOAD (LL) Nrs SNOW 2. ASPHALT SHINGLE ROOF 15 PSF DL 3. 1ST STORY -40 PSF LL+ 15 PSF DL 4. ATTIC - 10 PSF LL+15PSF DL 5. STEM WALLS CONCRETE -125 PSF 6. 2000 PSF SOIL BEARING STRENGTH -ASSUMED 7. 135 MPH Vult WIND SPEED 8. SEISMIC ZONE B DNrd Ndm SUPPORT POST INSTALLATION PREPARED FOR: PEAK STRUCTURAL �oDO Lice ( 57038 m ��'••............. NAV No. I111IMM 116— Dab w. r. r AM— Criterium Cona Engineers 17565 Muzzleloader Way Monument,CO 80132 r.Mr N.. r AM— DAVID SUDDUIH Mis PIERSON Sr WHEAT RIDGE. 00 80033 w.►+ PM102 w 1 OF 2 no03/01/ l Nrs SMARTJACK DETAILS 1. SMARTJACK MODEL SJ288 OR EQUIVALENT 2. 10 KIP CAPACITY 3. IF SMARTJACK IS INSTALLED AT A BEAM SPLICE, BOLT JACK TO BOTH BEAMS. 4. ADJUST ALL -THREAD ROD AS NEEDED TO LEVEL AND SUPPORT BEAM 5. INSTALL SMARTJACKS VERTICALLY IN BOTH PLANES 6. ATTACH SMARTJACK BRACKET TO BEAM PER MANUFACTURER'S INSTRUCTIONS. 20181RC/IBC SUPPORT POST DETAIL PREPARED FOR PEAK STRUCTURAL o�ypDO tw o: 57038 roNAV ra.r•r. CRITERIUM-CONA ENGINEERS 17565 MUZZLELOADER WAY MONUMENT,CO 80132. wyr w r arm DAVID SUDDUrH 4405 RSON 91' WHEAT RIDGE. CO 80033 awr w PR88102 —03/01/2021 2 of 2 Hi8 / I // Existing Floor Joists Supplemental Girder — Tap Plate [SJ3SOTP ] (Varies) 01,25" All Thread Rod Threaded Insert (SJ 125ATR) Must be fully engaged (SJ350T1) through the thickness of the threaded insert i F 03,50" Tube Field Cut to Length +n (SJ350T36. SJ35OT65. SJ35OT64, or SJ35OT108) Cast Aluminum Base {SJ AFTC) 20 rnll x 16" Square Inert Membrane (if requried) f Sol 1 Well Crushed Stone �f \. � ��r��``4.�'�`�1��''�� -compacted or Recycled concrete by GontraCLO r Typically 2'-0" SO. x 2'-DDIP. SMARTJACK DETAILS 1. SMARTJACK MODEL SJ288 OR EQUIVALENT 2. 10 KIP CAPACITY 3. IF SMARTJACK IS INSTALLED AT A BEAM SPLICE, BOLT JACK TO BOTH BEAMS. 4. ADJUST ALL -THREAD ROD AS NEEDED TO LEVEL AND SUPPORT BEAM 5. INSTALL SMARTJACKS VERTICALLY IN BOTH PLANES 6. ATTACH SMARTJACK BRACKET TO BEAM PER MANUFACTURER'S INSTRUCTIONS. 20181RC/IBC SUPPORT POST DETAIL PREPARED FOR PEAK STRUCTURAL o�ypDO tw o: 57038 roNAV ra.r•r. CRITERIUM-CONA ENGINEERS 17565 MUZZLELOADER WAY MONUMENT,CO 80132. wyr w r arm DAVID SUDDUrH 4405 RSON 91' WHEAT RIDGE. CO 80033 awr w PR88102 —03/01/2021 2 of 2 Hi8 GE W heat 011 R� CRITEA U4`4 IF E E R S Cona Engineers LLC Independently Owned and Opetated 17565 Muzzle LoaderWay Monument, CO 80132 720 788 6680 Phone March 1", 2021 Peak Structural Inc 707 Count, Line Road Palmer Lake, CO 80133 4495 Pierson Dr Wheat Ridge, CO 80033 RE: Structural Inspection To Whom It May Concem; In accordance with your request we reviewed the structural requirements for the subject address. The property was visited on Monday, 02/15/2021 by Joe O'Neil, P.E. The scope of the project was determined by Peak Structural and accepted by the homeowner. DESCRIPTION All descriptions of the structure are based on observation from Pierson St. The front of the structure is assumed to face East for the purpose of this report. The subject structure is a one-story single-family home, wood -framed construction with lapped siding. Structure has a hip -style, asphalt -shingle roof with gutters and downspouts for drainage. Structure was reportedly built in 1960. There is a crawlspace with a concrete stem wall and assumed footer. No foundation or as -built construction drawings were available for review for this project. No soils testing was available for this report. LICENSED PROFESSIONAL ENGINEERS HOME AND BUILDING INSPECTION STRUCTURAL EVALUATION DESIGN COMMUNITY ASSOCIATION SERVICES GE W heat 01, R� CRITEA U4`4 IF E E R S Cona Engineers LLC Independently Owned and Opetated 17565 Muzzle LoaderWay Monument, CO 80132 720 788 6680 Phone ANALYSIS There is some identifiable settling of the foundation as indicated by an elevation survey completed by Peak Structural utilizing the Techrddea Pro 2000 instrument. Unevenness in the main floor of the home can be felt by walking across the area in direct contact with the beam. The floor of the structure is supported by 2x8" dimensional lumber floor joists on 16" centerlines. Floor joists span from the front to rear of the home. Joists bear on the front and rear stem walls and a triple 2x8" wooden beam. The beam is currently supported by (3) 7X7' concrete posts in the crawlspace. The posts bear on concrete piers that are approximately 30"x30". There is a supplemental beam located near the crawlspace entrance at the left rear comer of the crawlspace. The beam is a wooden 4x4" member bearing on a wooden 4x4" post. Post bears on a rotated CMU block in the crawlspace. Structural modifications included in this project is the planned replacement of the 3 concrete posts with three (3) Supportworks SmartJacks model SJ288 to support the main beam of the home. Concrete footers for the posts will be re -used if determined adequate by the Contractor. A new steel W8xl5 wide -flange beam will replace the existing beam near the crawlspace entrance. The beam will bear on 2 new Supportworks Smartjack model SJ288 posts on 10'-0" centerlines. Posts will bear on new concrete or crushed stone footers per the manufacturer's instructions. Please see enclosed drawing # PR68102 — 1, 2 for design details associated with this project. LICENSED PROFESSIONAL ENGINEERS HOME AND BUILDING INSPECTION STRUCTURAL EVALUATION DESIGN COMMUNITY ASSOCIATION SERVICES GE W heat 011 R� CRITEA U4`4 IF E E R S Cona Engineers LLC Independently Owned and Opetated 17565 Muzzle LoaderWay Monument, CO 80132 720 788 6680 Phone CONCLUSION AND LIMITATIONS This report is valid only for the address and the project scope listed, by the client listed above. The observations described in this document are valid for the date of the observation and have been made under the conditions noted in the report. Use by any other entity or for any other purpose is probibited, without the express, written consent of the undersigned engineer. This report is based on published and anecdotal information; variations from the anticipated soil profiles may be encountered; contact the engineer immediately if they are discovered. This report does not cover geological hazards, such as slope stability or landslide. Such investigations require extensive investigative techniques and are well outside the scope of this report. Should such information be desired, contact the engineer for guidance in obtaining it. This report does not express or imply any warranty of the future performance of the structure or drainage condition. This report should not be considered a warranty of condition, and no warranty is implied. The opinions and recommendations presented in this report are based solely on visual observations available for viewing at the time of the site visit and information, if any, provided by the Client and/or their representative(s). We are not responsible for conditions that were not within the scope of our services at the time of inspection. We did not undertake or perform any destructive or invasive testing. No additional subsurface testing, material testing, calculations, nor monitoring over time of the conditions presented in this report are included in this project, but may be obtained, if desired, under separate agreement. Not included in this site visit was a review of the architectural, mechanical, electrical, plumbing, cosmetic, landscaping, drainage or structural conditions, other than those items specifically discussed, nor a comprehensive review of compliance with applicable building codes. The work covered by this project is not held out as being a complete repair for all known or suspected structural or foundational issues within the building; other work may be justified or needed, but work not included is outside the scope of this project. If it is required LICENSED PROFESSIONAL ENGINEERS HOME AND BUILDING INSPECTION STRUCTURAL EVALUATION DESIGN COMMUNITY ASSOCIATION SERVICES GE W heat 011 R� CRITEA U4`4 IF E E R S Cona Engineers LLC Independently Owned and Ope/eted 17565 Muzzle Loadel-Way Monument, CO 80132 720 788 6680 Phone at a future date, it will be under a separate contract. This report has been prepared for your benefit and in strict confidence with you as our client. No reproduction or reuse of this report for the benefit of others is permitted without expressed written consent, except as may be required by Colorado real estate regulation. Further, except as required by real estate regulation, we will not release this report to anyone without your consent. Regards, Joe O'Neil -PE 0057038 j oneil @ criterium -c ona. c om attachment- drawings #PR68102 - 1, 2 _s "..vggq\t \ U.. sCj i STAMPED i-57038 i 1/ LICENSED PROFESSIONAL ENGINEERS HOME AND BUILDING INSPECTION STRUCTURAL EVALUATION DESIGN COMMUNITY ASSOCIATION SERVICES "4J hcls 5,-� INS P Cf11 WRECORD,-¢ INSPECTION REQUEST LINE: (303)34-5933 Occupancy/Type osted on the project site. Inspections will not be performed unless this carrecticn Call the inspection request line before 11:59 p.m. to receive an in th wing business Inspector Must Sign ALL Spaces pertine o th s o' Foundation Inspections Date Inspector Co nt Initials Lath / Wall Tie Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Rough Plumbing/Gas Line Do Not Pour Concrete Prior To Approval Of The Above Insnectic Underground/Slab Inspections Date Inspector Comments Initials Electrical Sewer Service Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Aauroval Of The Above Inspections Rough Inspections Date Inspector Comments Initials 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 j (� Final Window/Doors Final Building NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. *For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. *"For Inspection Time Window — Please email inSptimerequest@Ci.wheatridge.co.US by 8:00 A.M. the morning of the inspection with the property address in the subject line of the email. Time window is based on the inspector's route. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather �A i CITY,OF WHEAT RIDGE OOF7(303) Building Inspection Division (303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: `" _F0 Job Address: �� r7 '6 /Z -S el ILI/ Permit Number: ❑ No one available for inspection: Time ) ( AM(PM Re -Inspection required: Yes`"� Nom. When corrections have been made, call for re -inspection at 303-234-5933 r Date:(9A ! � Inspector: t) (_-'' 1/ / . -? DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201700694 PERMIT NO: 201700694 ISSUED: 05/17/2017 JOB ADDRESS: 4495 Pierson ST EXPIRES: 05/17/2018 JOB DESCRIPTION: Remove all existing composite underlayment and flashing; install new underlayment, flashing and shingles. GAF armour shield II class 4 - 50 year 130 mph windw - ASTM D3161, type 1, class F; 18.39 squares *** CONTACTS *** OWNER (303)898-5119 KOSTER KATHRYN ELIZABETH SUB (303)732-6625 Dennis Benoit 100219 Allegiant Roofing & Restoratio *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,213.08 FEES Total Valuation 0.00 Use Tax 183.84 _-- Permit Fee 220.15 ** TOTAL ** 403.99`l *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding A/2 -inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturera€Tms installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer's technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. City of Wheat Ridge Residential Roofing PERMIT - 201700694 ?RMIT N0: 201700694 ISSUED: 05/17/2017 )B ADDRESS: 4495 Pierson ST EXPIRES: 05/17/2018 )B DESCRIPTION: Remove all existing composite underlayment and flashing; install new underlayment, flashing and shingles. GAF armour shield II class 4 - 50 year - 130 mph windw - ASTM D3161, type 1, class F; 18.39 squares iy myy signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, �licable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with s ermit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be formed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. ,nature of OWNER or CONTRACTOR (Circle one) Date 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 maybe subject to a fee equal to one-half of the originalpermit 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 androcedures for approval of any new pen -nit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. No work of an manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. The pennit 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, an violation of any provision of any applicable coo any ordinancl"_ reg�}l4tion of this jurisdiction. Approval of work is subject to field inspection. ;nature of Chief Building Official Date 2UESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. ;pection time requests will be accepted by email only. Please email requests to insptimerequestgci.wheatridge.co.us :ween 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. (l_ r) 1 i nn(A cl 4q ci t) `�� 1 NS ECTION IRECORD t G G INSPECTION REQUEST LINE: (303) 234-5933 Occupancy/Type Inspections will not be performed unless this card is posted on the project site. Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Sewer Service Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing ROW & Drainage / Public Works Dept. Mid -Roof Floodplain Inspection (if applicable) Lath / Wall Tie Fire Inspection / Fire Protection Dist. Rough Electric Final Electrical Rough Plumbing/Gas Line Final Plumbing Rough Mechanical Rough Framing Rough Grading Roof Insulation Final Window/Doors Drywall Screw / Nail Final Inspections Date Inspector Initials Inspections fro one week in ad inspections call inspections call contact the Fire Landscaping & Parking / Planning Dept. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors Final Building NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. *For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. **For Inspection Time Window — Please email InSptimerequest@Ci.Wheatridge.Co.US by 8:00 A.M. the morning of the inspection with the property address in the subject line of the email. Time window is based on the inspector's route. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather 05/16/2017 16:13 7203356073 ALLEGIANT ROOFING PAGE 02 e� A4, City of _ '�heag 'e COMPMENIMUNIIY DVFLO Pel nrt;: Building Division 7500 W. 29th Ave,, Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Facsimile Building Permit Application p.0W4 iq5 Property Owner (please print): Pitrs0V') G+. Phone: Mailing Address: (if different than orooerty adrim ) Address: S"?, - City; State., ,dip-, .r; A I GUS a o-� Y),A GwI QA5� r6tH 61i\ Contractor License.#!: U 1002-19 Phone: a0_-3,) 732--42 (p2_5 4mnY dlne'' License #• Exp(ration Date- Trade/Profession ARProvar . 4' * Cnnet��t tion v�l�ic>: e 1 1TIS, n ! ��l I Plan Review (due at time of submittal): $ Ft dded:. Squares _ IUSASTU's Gallons Amos OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I ben:by ceitify'that the: setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules .or ,regulations erf the City of Wheat Ridge or covenants, easements or restrictions of. record; that all measurements shown, and allegations made are accurate,, tW.l have read and agree to abide by all conditions,prihtod on this application and that I assume full resparisiRillty for coMplienoe tenth the Wheat .Ridge Building Code Q. B.C) and all other applicable Wheat Ridge Ordinances, for work under thls permit. Plans subje ion. - - ---- - -- -' -jR - - e:^ (UVVMi Or et"UNALKLFKtJCNIAIM:ot(UVVf4hK) 1,17UNJKAIUK) _ lilKLtit,VIV P NAME: btl& \S D e -LAO f SIGNATURE: Date: 'iso Ztal t-",. /n'-.ra,lir•.:d N.ai: .iio _I.,<i � ... l I Hi:<iJR ;s=.r..,RkmC a' I rr r S is 1 lJCC,. ferllCI1�11 iJ G V1VL1' 1 •Y.•• r 1• .,.41 •, ,;, .. ,.r., rte ,`r• rr •.:•.1 ,'. r.; •J 9 \RN1OWWI P'pr r. t. 1 ! til � ,�� ;• .,., Ci'1GC'd11pAAICN: y_�;, 1 i'PRi 1 / 1 ,. / •e':•' .r :. frRE;�`, O approxed 1eH corltrrt��ts 17 d+sapyraveq l3: no revlovr aregUlred Bldg Valuation: Credit Card Payment: Use credit card listed on file. Date: Print name: Signature: A i CITY OF WHEAT RIDGE _:�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION -NOTICE Inspection Type: Job Address: Permit Number: 7 5�� n ❑ No one available for inspection: Time ° 0 AM/F Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234- C; 5933 1 ,% Date: Inspector: �O� Cir DO NOT REMOVE THIS NOTICE t I o c � e rte„ qK 4-!)'n )/- I-) n > -� �`� ----,,j r k v• t[ til,(,/ IV", L, U__ U�_D If jINSPECTION RECORD t 0 rep 01 INSPECTION REQUEST LINE: (303) 234-5933 Occu.1ancv/1'%,�e Inspections will not be performed unless this card is posted on the project site. Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier 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. Concrete Encased Ground (CEG) Foundation / P.E. Letter Fire Inspection / Fire Protection Dist. Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Comments Sewer Service Plumbing 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. Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing 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. Mid -Roof Fire Inspection / Fire Protection Dist. Lath /Wall Tie Final Electrical Rough Electric Final Plumbing Rough Plumbing/Gas Line Final Mechanical Rough Mechanical Roof Rough Framing Final Window/Doors Insulation Final Building Drywall Screw/ Nail 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. 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. Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors Final Building NOTE. All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. *For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. **For Inspection Time Window Requests — Please email insptimerequest(d.)ci.wheatridge.co.us by 8:00 A.M. the day of the inspection with the property address in the subject line of the email. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather 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: S N C Job Address: 9 s P' C J2 so ;N s r Permit Number: 7,0 / & 0 2 o 3 -7 �G'wc� r r P(74 V ❑ No one available for inspection: Time / • A /PM Re -Inspection required: Y *When corrections have been ma , call for re -inspection at 303-234-5933 Date: Inspector: rte (/_ DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Plumbing PERMIT - 201602037 PERMIT NO: 201602037 ISSUED: 12/28/2016 JOB ADDRESS: 4495 Pierson ST EXPIRES: 12/28/2017 JOB DESCRIPTION: 10 ft spot repair on sewer line in front yard and install clean outs; 30 LF *** CONTACTS *** OWNER (303)898-5119 KOSTER KYLE WALTER GC (303)287-9009 Brad Wakeham 130022 Trench Right LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,900.00 FEES Total Valuation 0.00 4 Use Tax 70.20 Permit Fee 109.20 i ** TOTAL ** 179.40 *** COMMENTS *** *** CONDITIONS *** ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection by any Sanitation District representative. Inspection and approval of work by any Sanitation District representative DOES NOT grant authority to cover work without the approval of the Building Division. **For trenchless sewer replacements - The contractor will verify proper slope of new sewer piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed specifically by the applicable code. The plumbing contractor will provide verification of proper slope and drainage in writing as a condition of approval of the permitted work.** ,. City of Wheat Ridge Residential Plumbing PERMIT - 201602037 PERMIT NO: 201602037 ISSUED: 12/28/2016 JOB ADDRESS: 4495 Pierson ST EXPIRES: 12/28/2017 JOB DESCRIPTION: 10 ft spot repair on sewer line in front yard and install clean outs; 30 LF I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, appl�ca le 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 ized to obtain this permit and perform the work described and approved in conjunction with this permit. I further he that I le 1 aut rized to include all entities named within this document as parties to the work to be performed and that all work todisclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNVeascodon (Circle one) Date 1. This permit was imation provided in the permit application and accompanying plans and specifications and is subject to the comith those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4, No work of an manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, 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. Signature of Chief Building Official Date t REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. City of Wheat -Midge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 291h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 I FOR OFFICE USE ONLY I Date: Plan/Permit # �� Plan Review Fee: Building Permit Application ' Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: qq95 1�=ecSc�n - Property Owner (please print):(a Phone: 303 - -7/ Property Owner Email: Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Engineer: Architect/Engineer E-mail: Contractor: _TT e_ Contractors City License #: Contractor E-mail Address: Sub Contractors: Electrical W.R. City License # Plumbing: W.R. City License # Phone: Phone: 30.5 -(;�S%,7OO! Other City Licensed Sub: Other City Licensed Sub: City License # City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT UMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) i n +k p-- n i- yCkC-d- �n� Sq. Ft./LF Btu's Gallons Amps Squares Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) 3, 9W 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 (RUTH �_'ED RESENT 9�1I) of OWNER) (CONTRACTOR) PRINT NAME: W t 1, v1Ce✓n ZO� SIGNATURE: DEPARTMENT ZONING COMMMENTS Reviewer BUILDING DEPARTMENT COMMENTS. Reviewer. PUBLIC WORKS COMMENTS Reviewer PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District Received ❑ Not Required LY 0 9V�*-!6 OCCUPANCY CLASSIFICATION: Building Division Valuation: $ # # • 122 �=Z*L PhwPonn qot Prope!�L2wner ( please efint). hU I e_ Phone: Property Owner Email* T 11111 1 1 111 Kong I 1� 1, 1111111plill rt 'rrt 111 11 '11111 IK MY ArchiteeVEngineer E-mail: Phone- Mechanicst WA City Ucen # Other City Licensed Sub, Other City Licensed Sub; City License # City Ucense # Mar. 12= 2014 9:35AM N P. 3 �+ZS�r� ncui7 Sf� jlin �fG S FULF Btu's R INSPECTION RECORD Occupancy/Type 'ZINSPECTION LINE: (303) 234 -5933 KOUG HS _. Sheathing Lath / Wall tie Mid -Roof Lc Electrical Service Rough Electric Rough Plumbing Gas Piping.': Rough Mechanical Framing Insulation Drywall Screw "NALS Electrical Plumbing .Mechanical - - Roof Building Final Fire Department —� R.O.W & Drainage INSPECTIONS FOR PLANNING S. ZONING, FIRE AND PUBLICE WORKS Parking $ Lan dscaping SHOULD BE CALLED AT LEAST ONE.WEEK PRIOR TO FINAL INSPECTIONS — NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER Inspections will not be made unless this card is posted on the building site all by 3:00 PM to receive inspection, the following business day. INSPECTOR MUST SIGN ALL PACES PERTAINING TO THIS .106 FOUNDATION INSPECTIONS DATE INSPECTOR COMMENTS: INITIALS Footings /Caissons - Stemwall / (CEG) Concrete - Encased Ground Reinforcing or Monolithic Weatherproof / French Drain Sewer Service Lines Water Service Lines - - POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) Heating (U nderground) KOUG HS _. Sheathing Lath / Wall tie Mid -Roof Lc Electrical Service Rough Electric Rough Plumbing Gas Piping.': Rough Mechanical Framing Insulation Drywall Screw "NALS Electrical Plumbing .Mechanical - - Roof Building Final Fire Department —� R.O.W & Drainage INSPECTIONS FOR PLANNING S. ZONING, FIRE AND PUBLICE WORKS Parking $ Lan dscaping SHOULD BE CALLED AT LEAST ONE.WEEK PRIOR TO FINAL INSPECTIONS — NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER ♦ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line dooooo (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: 9 5- fl e~ err z -.S 7- Permit Number: to c- 3 `0,,~ ❑ No one available for inspection: Time AM/PM Re-Inspection required: Yes No *When corrections have been made, call for re-inspection at 303-2345933 Date: - > ~j OInspector: IVie- 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: jo~ sc~G2err/z Job Address: VY75 f>/~2S s sr Permit Number: ir7c~ X Y41, ❑ No one available for inspection: Time Ll: 1~ C~ypM Re-Inspection required: Yes No ' When corrections have been made, call for re -Inspection at 303-234-5933 Date: Ffiv/i y Inspector: z° DO NOT REMOVE THIS NOTICE t CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: rK)1l0 _zz Job Address: _y G~t r n_ tq Permit Number: /On fir', ❑ 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: O Ins e~ctGf ! p.. -3 R DO NOT REMOVE THIS NOTICE ~oF w"Eq?q City of Wheat Ridge Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 " Fax: 303-237-8929 cOrORA00 Inspection Line: 303-234-5933 Date: W/O Plan Permit Building Permit Application Property Address; /(~5: 6`A7 Property Owner (please print): rT Phone: ~yj~j l `R Zld Mailing Address: (if different than properVaddress) Address: City, State, Contractor: Contractor License Phone: 3(D?3 RI )Ly z"1 z Sub Contractors: Electrical City License Company: Plumbing City License Company Mechanical City License Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description): T11,72 1q~p Construction Value: $ Cz,271 Dbscriptlon of work. 1 (as calculated per the Building Valuation Data sheet) Plan Review (due at time of submittat): $ te~ylti-Uy- 3 56b~ RFC Sq. Ft./L.Ft added: Squares 117,L BTU's Gallons Amps OW NER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations. of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that 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 (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. C)RLCE ONE:: (OWNE (CONT ) or PERSONAL REPR ENTATI E of (OWNER) NTRAT PRINT NAME: SIGNATURE: Date: » ❑ ' ! m m ~ g y z O O a O CD N < w i Q O N ~ (D -0 Q m a o ' CD n d m N ~ ~ m i OC O C .Z o~ , ~ . 3 m CD N I R » 7 o ~ W ~ W ~ A N ~ W W C- 0 v D G Q N N & V 5 m 3 ~ C) c 0 Q ~ N ~ 4' ~ Z m ~'oc Z cn ~ O T 0 m •5.°. . 1 m ~ ^ 0 N ( a (n Q < ~ T ID ~ k C ,h 1 n', ~ F~R~s7 U~S~£ # k . "iI 5. ~C ~ 6. 'jT ;t1 g490M R8~}C t "kidge . . . Proptrt3,lY~i`: u. tiiqkajncea gYOpoeedby..this permltappllCation aze accuzaGe, au4 fla rtot vPolate;, L<thp GatBf'o! NheatRidge or co8eneate,easemenCe or.reaCCictiqhBoB recOY•&p i4ro?f1S are'ACCUraCe; that i hav9 re8dand agree to ab18e 8y all cgnditians,fw'4 i,~fqr'vork iandeY thql0.pexml0.,Plane aubject to field inepeCYlari; d -~f `Off , date ordance with.trie pr4viaione'aet forth in your:agBl7.CdG.4on a7y# ia fypject G57~1 p{yp~g RlgqYStipne 8nt! BUilding COtlea of WhBat RS+Sge, Cblara8o oxa dny oCh6T,@j d9 xip,}fpp one,f j*qp iwC wiaY chaagethe x+atural F1oW of yacer cauatpg a dzai~srigp,pX~Y~afe•.atjt(ic~grlhqpectoz twenGy-EOUr (24) hours in advance iorali Snetimdi3o~ie ~.t.~o n.~tcr115Mta~e..procecding with eucceaslve phaeee of rLe job. ' pe.;.'app$ovelpf drawiage.and epeclficat3ona eha}1 not be.contrtzued eo be a pqt roE,Lh* pxOViblona of. rhe'bnilddtv3~ cadeeor.sny attmt oz~Qlndace, `Tdnk, .tul~", dr." ~taFd knePect3onm: . . . . . , I . ~1'q" 11~'e9e daEC. RE~`UE6C9 LoY ffi~exEChiian 1 ~ 4t be Teed4'V!'d ~61~[os'• 6Q rq~"qd a6 tbg,diecretionof the HuSlding oEficial. ~requdsed,, p pedp j@imett an May~bE acqulred foz a fee oE one-half the amount n6zqea1l~',,'. r{1fe origlxeal,Plana and sp~cifications:and any eusgaasio~l+aY~..a4amidnfie , ~ lqgea ta3va 6eitn or >t suspenainn oi abanaonaene exceees cne tit enlx ti" ~ . . daCe~.~ . ~ ~ . . . i i, 5 ~x ey,. , ; oF'""~Tq City of Wheat Ridge Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 ` Fax: 303-235-2857 ~OCORPO° Inspection Line: 303-234-5933 Property Address: Building Permit Application Date: oq -0 (DS Plan Permit V~/ Z~:Z~ V ! G/- SO.Y S~ Property Owner (please print): Phone: 3 - / Q Mailing Address: (if different than property address) Address: City, Contractor: W /c/ Contractor License L, g(JZ/ ? Phone: Sub Contractors: Electrical City License Plumbing City License Mechanical City License Company: Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Useofspace (description): (~ld5)ConstructionValue: DeSCI'Iptlon Of Wofk: (as calculated per the Buildinq Valuation Data sheet) Plan Review (due at time ol su6miftal): $ Sq. Ft./L.Ft added: Squares BTU's Gallons Amps /-~-D OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT 1 hereby certi(y that the setback distances proposed by this permit application are accurete, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easemenls or restrictions of rewrd; that all measurements shown, and allegations made are accurete; that I have read and agree to abide by all conditions printed on this application and that 1 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) TRACT or PERSONAL REPRESENTATIVE of (OyYNER) (CONTRATOR) PRINTNAME: n1/'u,J SIGNATURE✓//~ Date: 9`11b - ~ DEPARTMENT USE ONLY ZONING COMMENTS: Zoning: Reviewer: PUBLIC WORKS COMMENTS: Reviewer BUILDING DEPARTMENT COMMENTS' OCCUPANCY: Reviewer: PIRE DEPARTMENT:: ❑ approved w/ comments ❑ disapproved ❑ no review required ~ . . , . . . 1 . . . . . . . City of fteat Ridge ~ ~ Raidential Mechanic PERMIT - 0$1054 PERMET NQ:081054 . . ~ ISSUED: 09/10/2008 . JOSRDDBESS: 4495PIE1i50N.9Tl.. . . EXPIRES: .03/09/2009 DESCRIPTION: ,90,06'0 BTE4'~Furnalce replacement . - ~~~.r~ ~.w.. ' . . G6N'£ACTS..~~~ . . . . . owner 393J906-2012 Doug I',POllock gc 303j731-9173 .5hawsi~ McClure 08-0222Rocky MounCain Heating & Air. . ,I . ~r~e.~ . . . * . . : . . . . . . . . ~ r PP.RC$L INFO ZONE C0D$: . UA . USE: UA. SV$DIV23ION: 0161 . 'BLOCK/LOT#: 0/ . . **FEE SUMMARY ESTIMATED.PROJECT VALUATION: 1,400.00 . . . . FEES. . . . . Permit Fee . , 66.28 S1 . Total valuation . " ~ .00 Use 1'ax, 25.20i~ . TdTAL. 91.48 , . . . Ihereby cerEify that Crie aetbackdistaTiceepropoeed by this permit applicatlon are accurate, and do not violate appli¢a03coidYnanCab, nilea or regulatlqn8 bE theiCity of Wheat Ridge or covenante, easemente or restrictione of record; that e17.~ . , measurem94 wn, andallegaClons mad~ are accurate; that I have read and agree toabide Ly a1lCOndStione:printed on.4hie. applica on t t'EssUm fu21 reeppneibility for compliance with.the wheat Ridge Build3ng Cofle- Q.a.Cl And all otkier . applicab ta't ncea, for work under t'e pemit. elane eubject to field inepection.. ' ~ Y sSgna re of.'coneraccor/owneY date . 1.. Ths9 permit wae ieeued in accordancewiththe provieione aet forth in your applicatiw and ie euUject to the lawe of the State oC Colorado and to tha2oning kegulatione and Building Codee of Wheat Ridge, Colorado ar..any othet applicqhle . ordinancee o€ the Cmty. ' . a: Thie germit shall exp.ise 160.<iaye frpm the issue date. RequesCa for an exCenaion must be aeceivcd pnor to'expimtion. date. An:extefiGion may bq granted ai~t thediaeretion of the Bu7.lding oPficial. ` .3.If this,pezmik exp4iee, a newpexmit'! may be acquired for a fee of one-half the.amountnornully required, pxovided wo . chan9eehave been oYwiil be inade Sn the o=iginal plana and epecificatione and any.euapaneioa or abandonmBnt hae ndG .'e3cc+et8edphe t1I yeas.. If' changee have been or if suspeneion or abandonment exceede. one (S) ..yeer, fu1l.fEeaehall . . be gaid £Or a new geimxC. : , . . . . . . , . 4. No woYk of aRy mannez.shalS be.done tha[ w111 change the natural flow of water caueing a drainflge gxobiem:' . . 5. COntractorahali notiLy Apb euildangInapector twen[y-£ouz (24) lwura in advance for all inepectione ahQ ehall tece9va writ[en approval on 3nepectiom card ~hefote proceedin9 with eucceaeive phases of the job. - - 6. .,1'he ieevanee Of a pexmit oF tbe.appxpval.of.drawinge and apeciEicatione ehall not be conatiued to be a pe=mlt toz, not an appT6Vakl~of, ~ny'v4oldEfo of'Chq~provieione of the building codee or any other ordinance; 3aw, zule ot.regul8tiqn..All planreoiew is$ j Cc ield,inspectione: Signeture ofCRie€ Bui~ ing Eic1,.a1 ! . date . . INgpgCTYpN~RgQ ST'LZNSs -(30~)234-5933 BUILDING OFFICE:(303)235-2855 . REQUE$TS' MUST BE MAI7~'u B7 3PM IIANY BUSINESS DAY FOR: INSPECTION THE FOLLOWING BIJSINESS DAY. . . . I~ . . . . . City of Wheat Ridge Building Division 7500 W. 291h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 " Fax: 303-235-2857 Inspection Line: 303-234-5933 Building Permit Application Property Address: `Z' 7' l 5 Vz& ` Property Owner (p/ease print): Mailing Address: (if different than Address: y vq address) Date: P/an Permit Phone: -96(0-0~b ra City, State, Zip: 0Lrj 'J Contractor: Contrector License Phone: 3~ --73l1- 1)73, Sub Contractors: Electrical City License Plumbing City License Mechanical City License Company: Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval Use of space (description):~~ Construction Value: SlyDU DeSCfiptiOn Of Work: (as calculatedperthe Building Valuation Data sheet) Plan Review (tlue at time o/submiftaQ: S Sq. FL/L.Ft added: Squares BTU's_/d/= Gallons Amps OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify lhat lhe setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, mles or regulations of the City of Wheat Ridge or covenants, easemenls or restrictions of record; that all measurements shown, and allegations made are accurate; lhat I have read and agree to abide by all conditions printed on this application and that 1 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 su6ject to field inspectioa . C/RLCEONE:: ~ NER) CONTRACTOR) PERSONALREPRE E ATNE R)CONTRATOR) Gj PRINTNAME. I~SIGNATUR Date: /-lD-of ZONING COMMENTS: Zoning: Reviewer: PUBLIC WORKS COMMEN7S: Reviewer. DEPARTMENT USE ONLY BUILDING DEPARTMENT COMMENTS: OCCUPANCY: Reviewer: FIRE DEPARTMENT:: ❑ 3ppfoVed w/ CommOntS ❑ di5appfoVOd ❑ no feVieW rBqUifed DEPARTMENT OF COMMUNITY DEVELAPMENT 7500 WEST 29th AVENUE BUILDING INSPECTION DIVISION PERMIT NO. M93H18618 237-6944 ExT. 255 P.O. BOX 638 CITY OF WHEAT RIDGE, COLO. THI$ PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUIIDING INSPECTOR AND RECEIPTED EL'JW. APPLIO'~1 ION FOR MISCELLANEOUS PER IT JOBADDRE5S--~a~(-~I'_-L.1~ ~ 'OWNER CONTRACTOR ~ /1 ADDRESS ~ ADDRESS V .r I PHONE ~ ~ZIP CODE CITY ZIP CODE CONTRACT PRICE ~ PHONE L'I FI 4 LICENSE NO. TYPE Ground❑ i Wall❑ Proiectinp❑ Othsr SaDFace SIGNS . 2. MATERIAL ILLUMINATION Yas❑ No❑ 3 7ype Tofal Squan Faat Permit No Eleel . . 4 SET BACK FROM PROPERTY LINE N (Spxify whioh ii front ) _ ❑ S_ E ❑ _ W ❑ ❑ . Zons_ . Apprwed, 2one Inapector Disapproved 1. TYPE SolidO More Thon 80% OpsnO '2 ' MATERIAL Lesa TAan 80% Open Neipht FENCES 3. SET BACK FROM PROPERTY LINE N (Specify whieh iafront) _ ❑ S_ E ❑ _ W ❑ 2ons_ ApprweO,Zons Inspeeta DisoDDrovad I . Z OTHER 3 . DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHER STHUCTURE, GIVIh& DISTANCES FROM PROPERTY LINES. (SETBAGKS OR PROJELTpNS INCLUDED) ~ SPECIFV NORTM STREET NAME SHOW DISTANCES FROM THE M41N BUILDING TOAWOINING HOUSES, STREETS, AND PROPERTV LINES;ON IRREGUTAR IATS, SHOW LF_A5T DISTANCE TO PROPERTY LINES, NOT MA%IMUM OR AVERAGE DISTANCE. J APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLV UPON VALIOATION BV THE BUIIDING INSPECTION DIVISION. ocquiT Wu. L E%PIRE 60 DAYS FROM DATE OF tSSUANCE !F WORK IS NOT STARTED WITHtlJ THAT TIME ELECTRICAL PERMIT STATE LICENSE N0. ALUMINt3MWIREUNDEHSIZEBiLLE6At. PLUMBING PERMIT STATE LICENSE NO. FLOOR BSM IST 2ND 3RD 4TH MECHANICAL PERMIT NQ Fl£UCirGsOnaGM011Propane EbeSdor cood WATER UASET FORCED AIR - BTU TEMPORARY METER WASH BOWL HOT WATER - BTU NEW SERVICE - AMPS BATH TUB STEAM - BTU CMANGE SERVICE-AMPS SHOWER AIR CONDITIONING-BTU LIGHTING SINK OTHER HEATING GARBAGE DISP REFRIGERATION SYSTEM POWER SUB-CIRCUITS UTIUTY(RANGE,OISPOSEF,ETC.) FIXTURES WATER HEA7ER AUTO.WASHER DISH WASHER Refri eront Croup Pounds CMCr e AUTOMATIC SPRINNLER SYSTEM WIRING MOTORS 9 CONTROIS FLOOR DRAIN ELEVATOR SIGNS URINAL TRANSFORMERS B RECTFIERS SEWERS ADDITION TO OLD WORK OTHER MOTORS OVER I HP TOTAL FI%TURES REMARKS 1 hereby ocknowledqe thot thin applico- tion is eorrect ond understand fhaf I eonnof stort fhis project until this aDpli' totion it ap0roved. I aholl comply witA ths lowa of tAe Stote of Colorodo and to the 2oninp Requlationa and Buildina Lode of ihe City ot Wt+eat Ridqe. Any I~ PERMIT FEE 3 USE TAX TOTAL FEE $ AP~ O ' 6 n CHIEF BUILDI G INSPECTOR,City of heat Ridqe a -lD-~7J NOT VA110 UNLESS RI e- A~ S"3,;' / 6 3 CALL 237-8944 EXT. 255 24 HOURS IN ADVANCE FORINSPECTIONS