HomeMy WebLinkAbout3732 Simms StreetFrom: no-reolv(alci.wheatridae.m. us
To: CommDev Perm is
Subject: Online Form Submittal: Water Heater Replacement Permit Application
Date: Wednesday, August 11, 20219:59:42 AM
Water Heater Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT WATER
HEATERS - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM 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
replacement water
heater like for like?
PROPERTY INFORMATION
Property Address 3732 Simms St
Property Owner Name Vicky Thrasher
Property Owner Phone 812-345-5076
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
Address (Leave blank if
not known)
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
Field not completed.
CONTRACTOR INFORMATION
Contractor Business Lakewood Plumbing & Heating LLC
Name
Contractor's License 017885
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.
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.
Person Applying for Lynnette Salter
Permit
Email not displaying correctly? View it in your browser.
Name
Contractor's License 017885
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
303-233-7007
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
office@lakewoodplumbing.com
Address
Retype Contractor
office@lakewoodplumbing.com
Email Address
DESCRIPTION OF WORK
What type of unit is
Boiler
being installed?
Number of BTUs
140000
What is the efficiency
82
(%) of the unit?
Is the unit GAS or
gas
ELECTRIC?
Where is the furnace or
Downstairs mechanical room
boiler located (for
example, basement,
crawlspace, etc)?
Project Value (contract
5450
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
From: no-reolv(alci.wheatridae.m. us
To: CommDev Pets
Subject: Online Form Submittal: Furnace/Boiler Replacement Permit Application
Date: Wednesday, August 11, 2021 10:02:46 AM
Furnace/Boiler Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT FURNACE or
BOILER - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM 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
replacement residential
furnace or boiler like for
like?
PROPERTY INFORMATION
Is this Residential or Residential
Commercial?
Property Address 3732 Simms St
Property Owner Name
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"
Vicky Thrasher
812-345-5076
Field not completed.
CONTRACTOR INFORMATION
Contractor Business Lakewood Plumbing & Heating LLC
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.
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.
Person Applying for Lynnette Salter
Permit
Email not displaying correctly? View it in your browser.
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
Retype Contractor
Email Address
DESCRIPTION OF WORK
Number of gallons
office@lakewoodplumbing.com
office@lakewoodplumbing.com
IN
Is the water heater Gas
GAS or ELECTRIC?
If GAS, enter # of
BTUs. If electric, enter
n/a
Where is the water
heater located (for
example, basement,
crawlspace, etc)?
Downstairs mechanical room
Project Value (contract 1450
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 work Yes
may not begin on this
1( `CITY OFWHEAT RIDGE
V, Building Inspection Division
(303) 235-2855 Office
TIO�O��G
Inspection Type:
Job Address:
Permit Number:
F
❑ No one available for inspection: Time t ,CAM/PM
Re -inspection required: Yes""No p%
When corrections have been made, schedule for re -inspection online at:
http://www.cLwheatridge.co.usdnspec
Date: Insp c or: ..��.
City of Wheat Ridge
E -Res. Electrical Service PERMIT - 202100038
PERMIT NO: 202100038 ISSUED: 01/07/2021
JOB ADDRESS: 3732 Simms St EXPIRES: 01/07/2022
JOB DESCRIPTION: Electrical service change, 200 amps in house.
*** CONTACTS ***
OWNER (812)345-5076 THRASHER VI CKY
SUB (303)368-1100 VIRGIL VERSTEEG 190316 HES ELECTRIC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 21500.00
FEES
Total Valuation 0.00
Use Tax 52.50
Permit Fee 93.35
** TOTAL ** 145.85
*** COMMENTS ***
*** CONDITIONS ***
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.
Work shall comply with 2018 IRC & 2020 NEC. Smoke alarms shall comply with 2018 IRC Section
134. Interior alterations, repairs, fuel -fired appliance replacements, or additions, any of
which require a building permit, occurs or where one or more rooms lawfully used for
sleeping purposes shall have an operational carbon monoxide alarm installed within fifteen
feet of the entrance to each room lawfully used for sleeping purposes.
1* � 4 41'
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
E -Res. Electrical Service PERMIT - 202100038
202100038
ISSUED:
3732 Simms St EXPIRES:
Electrical service change, 200 amps in house.
01/07/2021
01/07/2022
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
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
From: no-reolv(alci.wheatridae.m. us
To: CommDev Pets
Subject: Online Form Submittal: Electrical Service Change/Upgrade/Electrical Work Permit Application
Date: Wednesday, January 6, 20214:20:32 PM
Electrical Service Change/Upgrade/Electrical Work Permit
Application
This application is exclusively for RESIDENTIAL ELECTRICAL SERVICE
CHANGE OR UPGRADE (200 amps or less).
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM 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 Yes
electrical service
change or upgrade -
200 amps or less?
PROPERTY INFORMATION
Is this Residential or Residential
Commercial?
Property Address 3732 Simms Street, Wheat Ridge, CO 80033
Property Owner Name Vicky Thrasher
Property Owner Phone 812-345-5076
Number (enter WITH
dashes, eg 303-123-
4567)
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
CONTRACTOR INFORMATION
Contractor Business HES Electric
Name
Contractor's License
190316
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
303-368-1100
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
marni@heselectric.com
Address
Retype Contractor
marni@heselectric.com
Email Address
DESCRIPTION OF WORK
Is this an electrical
Change
service upgrade or
change?
Number of Amps
200
Location of work
House
(garage, house, etc)
Provide additional
n/a
details, if needed.
Project Value (contract
2500
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 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.
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.
Person Applying for Marni Blake
Permit
Email not displaying correctly? View it in your browser.
20170315'1
3�'32S�rv/r,sS-�l INSPECTION RECORD
INSPECTION ONLINE FORM: http://vmw.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Occunancyl
Inspections will not be performed unless this card is posted on the project site.
"Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation/ P.E. Letter
lel•\'19 win]= wlmlwffJf T. ,V TTtT71"1T_T_T_f
Underground/Slab Inspections Date Inspector Comments
Initials
Electrical
Sewer Service
Plumbing
�'Aw�&lalallNNl Mla of AV �1 .1 =�ca-t7.�TeeTf7e+rl.t'�r4i•w�
Rough Inspections
9 pY
Date
Inspector
Initials
Va.Vl.a7
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 t
Final Window/Doors
Final Building
NOTE: AL' items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occup; ,ncy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
_. __ __ _ ___ r ....... . ,,,,,,,,, ,,,, ,,,,,,, ,,, ,w"', ,,—N—l,u, w aic VuniNiumu nuin uIC me uisinct anu eiectncai iow voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
City of Wheat Ridge
" Residential Roofing PERMIT - 201703151
PERMIT N(': 201703151 ISST' 07/03/2017
JOB ADDR!'SS: 3732 Simms ST 07/03/2018
JOB DESCRIPTION: Residential Re -roof to install T- -ion Architectural, IKO
Cambridge asphalt shingles -
-** CONTACTS ***
OWNER (812)345-5077
ASHLEY SHAWN
SUB (303)884-3947
Joshua Bryan
170143 JB Master
Builder
*`* PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE:
2403 / APPLEWOOD
VILLAGES, PROSPECT V BLOCK/LOT#:
0 /
*** FEE SUMMARY ***
ESTIMATED PROJECT VALUATION:
7,500.00
FEES
Total Valuation
0.00
Use Tax
157.50
Permit Fee
172.60
** TOTAL **
330.10
x** 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 one half 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 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.
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: M I D
Job Address: 37� ®� �, I MS ST'
Permit Number:
I
❑ No one available for inspection: Time ��9AMf,PM
Re -Inspection required: YesNo�
When corrections have been made, call for re -inspection at 303-2_ 34-5933
Date: % / Inspector: T I'
DO NOT REMOVE THIS NOTICE
` ACity of Wheat Ridge
Residential Roofing PERMIT - 201703151
PERMIT NO: 201703151 ISSUED: 07/03/2017
JOB ADDRESS: 3732 Simms ST EXPIRES: 07/03/2018
JOB DESCRIPTION: Residential Re -roof to install Laminated Composition Architectural, IKO
Cambridge asphalt shingles - 25 sq.
*** CONTACTS ***
OWNER (812)345-5077 ASHLEY SHAWN
SUB (303)884-3947 Joshua Bryan 170143 JB Master Builder
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,500.00
FEES
Total Valuation 0.00
Use Tax 157.50
Permit Fee 172.60
** TOTAL ** 330.10
*** 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 one half 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 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.
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION
City of Wheat Ridge
Residential Roofing PERMIT - 201703151
201703151 ISSUED: 07/03/2017
3732 Simms ST EXPIRES: 07/03/2018
Residential Re -roof to install Laminated Composition Architectural, IKO
Cambridge asphalt shingles - 25 sq.
1, by m si =nature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable wilding codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the le' al owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this per t. I f� tib Atte t that I am legally authorized to include all entities named within this document as parties to the work to be
performe and ha 11 ork to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature f ' 0 N or CONTRACTOR (Circle one) Date
I. This peirmit was.fssued based on the information provided in the permit application and accompanying plans and specifications and is
�subject o the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This peit,,shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received1prior to t}rb 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 original permit fee.
3. It this perr7it'expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
reV�uirem nts, fees and procedures 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.
4. No i ork 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.
Signature dw'SAIRK"ft Offl(f1fN:ADate
REQUESTS MUST BE MADE BY 11:59PM ANYBUSINESS 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.
Dan Schultz Zd ` 703(fl
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, June 21, 2017 3:15 PM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Dane
cb
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
tZ
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received. YOU WILL BE CONTACTED WHEN YOUR PERMIT
IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME
WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your
contractor's license or insurance has expired, and you may update those
(�
documents at the time you are issued your permit. Permits are currently being
processed within 5 business days, subject to change based on volume.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. 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
3732 Simms St
Shawn Ashley
8123455077
A/C- L-ZolVer
Property Owner Email shawnashley44@gmail.com
Address
Do you have a signed Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Name
Contractor's License
Number (for the City of
Wheat Ridge)
Contractor Phone
Number
JB Masterbuilder LLC
170143
3038843947
Contractor Email Address jbmasterbuilder@gmail.com
Retype Contractor Email jbmasterbuilder@gmail.com
Address
DESCRIPTION OF WORK
Are you re -decking the No /
roof?
Description of Roofing Laminated Composition Architectural, IKO Cambridge
Material
Select Type of Material: Asphalt
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 25
material selected above?
Does any portion of the
property include a flat
roof?
If yes, how many squares
on the flat roof?
No /
Field not completed.
z
TOTAL SQUARES of all
roofing material for this
proj ect
Provide additional detail
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract
value or cost of ALL
materials and labor)
25 /
4/12 tear off one layer arch shingle replace with 3-d laminate
arch shingle as per code
750
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 Joshua Bryan
Email not displaying correctly? View it in your browser.
3
y`1EEN- r�01
`
,:-HomeAdvisor ■`
J B MASTERBUILDER
E:rt�livr Kc'imr�tivll
ACCREDITED
BUSINESS
www.jbmasterbuilder.com Roofing - Painting - Siding - Gutters Office Phone: 720-532-0734
Licensed & Insured Insurance Restoration Specialists 1700 LIMA ST, UNIT #A
Certified Inspectors AURORA, COLORADO 80010
NATIVE
Property Owner ("Owner") '� Email
Street ("The Property")City ' �4 tate Co zip V ��
Cell Phone ictsso&Homme^ Other /� Q
Insurance Carrier: Deductible itzwcLJ L 3 ` $/n r 71 ri
Claim Total Amount �7` v" W
Claim# n S V 8a u b - L4
Roof Work Specifications:
Shingle Manufacturer�V
Type Of Shingle ^
Shingle Lifetime or 1
Tear off ILayer(s) of asphalt/shake/tile Shingles/Other.
Sheathing _7/16"056_1/2"CDX Plywood
tall Felt�15lb 301b _Rhino Roof
Gke & Wat r Shield to code- Pre -Existing Y N]
O'nstall Drip Edge to Code. - Pre -Existing [N] Color
,,U nail pattern on the shingle (+20mph wind resist)
£Valleys will be *losed _Open
Install new pipe jack boots as needed
t
nstall n vents as needed
stal LF of Vented Ridge, Pre Existing [NJ
e -flash Chimney Size
L,:Ite-flash Wall Abutment as needed/if possible
jGTo Clean & Haul up all job related debris
Magnetic Sweep of the yard for removal of nails
5 year workmanship warranty
Estimated Date to begin the work
Special Instructions & Other Work Specifications:
Estimated (RCV) Replacement Cost Value:
Work Not Doing
Upgrades
First Payment:
Total Payable to JBMASTERBUILDER*
+Supplements*
+Deductible
Improvements in exchange for Insurance Scope Breakdown and Supplemental
Proceeds.
Customer acknowledges that, after this agreement is signed, customer's insurance carrier may approve a
supplement for additional materials/labors costs and additional requests not contemplated be customer and
contractor when this agreement was signed. Customer agrees to promptly remit to contractor the amount of any
supplement paid by customers insurance carrier for such additional work carrier for such additional work performed
by or cost increases incurred by contractor.
Owner authorizes A MasterBuilder ("Contractor") to contact the Owner's insurance company regarding damage to
The Property. Owner understands that the Contractor will assist the Owner in obtaining appropriate property
insurance damage adjustments, gaining approval of damage for repair and obtaining funds to repair Owner's
Property. Owner authorizes Owner's Insurance Company to discuss all matters directly with Contractor. Owner agrees
to provide Contractor with any and all insurance information, claim number, insurance loss data and adjuster's report
provided to the Owner by the Insurance Company pertaining the above Claim Number.
Upon authorization of the Owner's Insurance Company, for a price agreeable to the Contractor, Owner agrees that
the Contractor shall perform work prescribed by the Insurance Company's loss data sheet, or adjuster's report which
includes the estimate of repair (RCV) as set forth in the insurer's claim file plus any upgrades requested by the owner,
or items necessary to pass inspection. First Insurance Check, and Deductible or 30% of RCV are due prior to ordering
and scheduling of the work. See reverse side for all terms of agreement.
Owner is obligated to pay only the deductible required by the Owner's Insurance Company plus any upgrades requested by the owner.
Owner further agrees to endorse insurance checks payable to the Contractor or to pay the contractor and equal amount.*
First Insurance Check & Deductible, or 30% of ACV are due prior to ordering and scheduling of the work, unless otherwise approved by management.
Owner owes the Contractor nothing in the event the Insurance Company does not authorize the repairs.
Property l wneE,---2
Date:
Date:
Authori entative oft e Conr ctor
1
J Date:
TERMS AND CONDITIONS
'Customer Acknowledges that, after this agreement is signed, customer's insurance carrier may approve a supplement for additional materials/labors costs and additional requests not contemplated be customer and
contractor when this agreement was signed. Customer agrees to promptly remit to contractor the amount of any supplement paid by customers insurance carrier for such acidtitional work carrier for such additional
work performed by or cost increases incurred by contractor.
All contracts are subject to approval of Management and our Credit Department without exception.
All checks for payment must be made payable to JB MasterBuilder. There will be NO exceptions. Owner will still be liable to JB MasterBuilder for payment of this contract if check is made out to any other entity or
person.
If any provision of this agreement should be held to be invalid or unenforceable, the validity and enforceability of the remaining provisions of this agreement shall not be affected thereby.
Payment in full shall not be held up while waiting for the city, county or appropriate Building Inspection Department to inspect the work. Owner understands that the city, county or appropriate building inspection
department is not within the control of the Contractor.
Owner further agrees that the equity in this property is security for this contract.
Contractor shall not be liable for failure of performances due to labor controversies, strikes, fire, weather, inability to obtain material from usual sources or any other circumstances beyond the control of the
Contractor, whether of a similar or dissimilar nature.
Should a default be made in payment of this contract, charges shall be added from the date thereof at a rate of on and one half percent per month (18% per annum) with a minimum charge of $2.00 a month and if
placed in the hands of an attorney for collection, all attorney's fees and legal filing fees shall be paid by the Owner accepting said contract.
This contract cannot be cancelled once insurance negotiations begin or work has commenced except by mutual written agreement of both parties.
If this contract is cancelled by the Owner later than 72 hours from execution but before insurance negotiations begin or work has commenced, the Owner shall pay JB MasterBuilder twenty five percent (25%) of the
contract price as liquidated damages, not as a penalty and JB MasterBuilder agrees to accept such as just compensation for cancellation.
In addition to paragraph 9, if material has been reordered or restocked because of a cancellation by the Owner, there will be a restocking fee equal to fifteen percent (%15) of the contract price.
Replacement of deteriorated sheathing, pipe jackes, ventilators, flashing or other materials unless otherwise stated in this contract are not included and will be charged as an extra on a time and material basis.
The Contractors Limited Warranty does not cover damage to roofs caused by lightning, gale (SOmph), hurricane, tornado, hailstorm, impact of foreign object, other violent storm casualty or damage to roofs due to
settlement, distortion, failure or cracking on the roof sheathing, walls or foundation of the building.
The Contractor is not responsible for any damage below the roof due to leaks by excessive wind, ice or hail during the period of the warranty. The Contractors warranty covers the roof only.
The Contractor will not be held responsible for structural movement, settling, cracks in a dry-wall, cracking or breaking of driveway during the roofing or loading process and minor scratching or denting of gutters.
All pictures, wall hangings, lights, collectable, etc. both indoors and out MUST be secured by the Owner. Any damage to personal items during installation will not be the responsibility of the Contractor. The Contractor
will not be responsible for nail damage to tires, pets, etc. Pets should not be left unattended during installation.
Any alteration or deviation from specifications involving extra cost will be executed only upon written orders and will become an extra charge over and above the estimate.
The Owner is to carry fire, tornado and other necessary insurance.
This contract and labor warranty shall not be assigned and are non transferable unless specified in writing.
The Contractor shall revoke the labor warranty if this contract is not paid in full.
This contract constitutes the entire understanding of the parties and no other understanding, collateral or otherwise, shall be binding unless in writing and signed by both parties.
This agreement is composed of a front and back page and all materials incorporated herein by reference and shall be considered the entire agreement by the parties. Any representation, statement or other
communications not written in this contract are agreed to be immaterial and not relied on by either party and do not survive the execution of this contract.
The Contractor has the right to order excess materials. All excess materials belong to the Contractor.
The Contractor reserves the right to file for supplemental insurance claims if the insurance adjusters measurements are used and prove to be incorrect.
At no additional cost to the Owner, the Contractor reserves the right to file for supplemental insurance claims due to an increase in costs or if the funds provided by the insurance company are insufficient.
Supplements paid by the insurance company for additional labor or materials needed beyond the original scope of repairs are part of this contract as if contained herein and will be paid to JB MasterBuilder either by
the Owner or the Owners Insurance Company.
Owner acknowledges JB MasterBuilder as their General Contractor and as such will be entitled to 10% overhead and 10% profit if approved by the Insurance Company as part of the claim.
Owner is responsible for the Homeowners Association's (Covenant) approval of roofing products and color.
JB MasterBuilder is not responsible for damage to stucco, siding or wall abutments as a result of installing new flashing.
JB MasterBuilder is not responsible for satellite dish realignment.
Contractor shall hold in trust any payment received from you until the Contractor has delivered roofing materials at the site or has performed a majority of the roofing work on your property. Owner has the right to
rescind this contract and obtain full refund of any deposit within 72 hours after entering the contract. Contractor cannot pay, waive or rebate all or part of any insurance deductible applicable to the insurance claim for
payment for roofing work on your property.
Otherwise, Owner understands that this is a binding agreement. If the Owner breaches this agreement before commencement of the work, Owner agrees to pay Contractor twenty five percent (25%) of the total sum
of the work authorized by the Owners Insurance Company.
Owner understands that, aside from upgrades, a summary of the work to be performed, a description of materials to be used or a list of standard features included, the total contract price, or description of the basis
on which the price will be calculated, is embodied in the insurance loss data information provided by the Owners Insurer. Further, Owner authorizes the Contractor to submit supplemental requests to the Insurance
Company for additional payment required for omitted items from the adjusters scope or due to price fluctuation caused by supply/demand issues.
Owner warrants that this contract is signed without any reliance upon any representations or promises by the Contractor, or it's agents, except those that are specifically written in this contract; and that no additional
promises or representations have been ordered as inducement for signing. Owner also acknowledges reading all the Terms and Conditions on the reverse side of this document.
i CITY OF WHEAT RIDGE
Vr
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: F
Job Address: 37 3 2 S-•UhM
Permit Number: 2,17 v 3 1 T-
co
❑ No one available for inspection: Time /., - AIM/PM
Re -Inspection required: Yes I [d
When corrections have been made, call for re -inspection at 303-234-5933
Date: ^L %7" Inspector: e/z
DO NOT REMOVE THIS NOTICE
s
T.
❑ No one available for inspection: Time /., - AIM/PM
Re -Inspection required: Yes I [d
When corrections have been made, call for re -inspection at 303-234-5933
Date: ^L %7" Inspector: e/z
DO NOT REMOVE THIS NOTICE
7 ► n s S f
f ' INSPECTION RECORD Occupancy/TyDe
200 it �V�dNc
�'}" INSPECTION REQUEST LINE: (303) 234-5933
Inspections will not be performed unless this card is posted on the project site.
Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector
Initials
Comments
Pier
Plumbing
Concrete Encased Ground (CEG)
Mid -Roof
Foundation / P.E. Letter
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 Underaround 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 eiectricai iow voltage
by the Building Division.
**For Inspection Time Window Requests - Please email insptimereguest unci 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
A i CITY OF WHEAT RIDGE
V, Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 1-F I c >'-"k �Z
Job Address: 373 Z Si�'Ms
Permit Number:
J
❑ No one available for inspection: Time Z 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, 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. [further attest that I am leggally authorized to include all entities named within this document as parties to the work to be
perform
e�t� b�performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signur of OWNER or CONTRACTOR (Circle one) Date
I, 'i§/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
receivedpnor 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 thi.s pen -nit expires, a new permit may be required to be obtained. Isuance 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, an violation of any provision of any
pp 'ca e code or any o in nce or egulation of this jurisdiction. Approval of work is subject to field inspection.
A AN I it
Signature of Chief Building Official 0 Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of Wheat Ridge
Residential Electric PERMIT - 201601584
PERMIT NO:
201601584
ISSUED:
10/11/2016
JOB ADDRESS:
3732 Simms ST
EXPIRES:
10/11/2017
JOB DESCRIPTION:
200 amp, lever by-pass meter
replacement.
*** CONTACTS ***
OWNER (812)345-5077 ASHLEY SHAWN
SUB (970)281-7987 Brock Baumgartner
150096 Watts Happening Electric & Sol
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE:
/
SUBDIVISION CODE:
2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#:
0 /
*** FEE SUMMARY *** ESTIMATED
PROJECT VALUATION:
200.00
FEES
'+x
Total Valuation
0.00
Use Tax
3.60
"AID
Permit Fee
26.50
* * TOTAL * *
30.10
�Otw 1
*** COMMENTS ***
*** CONDITIONS ***
Must comply w/
2012 IRC & 2014 NEC. Subject to field inspection.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. [further attest that I am leggally authorized to include all entities named within this document as parties to the work to be
perform
e�t� b�performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signur of OWNER or CONTRACTOR (Circle one) Date
I, 'i§/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
receivedpnor 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 thi.s pen -nit expires, a new permit may be required to be obtained. Isuance 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, an violation of any provision of any
pp 'ca e code or any o in nce or egulation of this jurisdiction. Approval of work is subject to field inspection.
A AN I it
Signature of Chief Building Official 0 Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
Wheat lkjgge
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 29`h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits .ci.wheatridge.co.us
I FOR OFFICE USE ONLY I
PlanMermit X � 0 ( �6 � �6LC.
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: 3732 Simms St. Wheat Ridge, CO 80033
Property Owner (please print): Shawn Ashley Phone -.812-345-5077
Property Owner Email: shawnashley449gmail.com
Mailing Address: (if different than property address)
Address:
City, State Zip:
Architect/Engineer
Architect/Engineer E-mail:
Contractor: Wafts Happening Electric and Solar
Contractors City License #:
150096
Phone:
Phone: 720-930-2351
Contractor E-mail Address: wattshappeningco@gmail.com
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License#
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL P1 RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
0 ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ OTHER (Describe) 200amp , lever by-pass meter replacement
(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.)
Sq. FtJLF Btu's
Amps
Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
11,E of
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 1 assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application. 1, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHO REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Electronic Signature (first and last name): Contractor DATE: 10/11 /16
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: S
l(
FOR OFFICE USE ONLY
City of
�t(�'-Wh6at'p.j.,d
DEVELOPMENT
�F
vUNI DEVELOPEN pla its
Building & Inspection Services Division
750 # W. 29`x" Ave., Wheat Fridge, CO 80033 PlenReviewFee.
Office: 303-235-2855 * Fax; 303-237-8929
Inspection Line: 303-234-5933
Building Permit Application
ib ss.
Property Address: 3732 Simms St , Wheat Ridge CO 80033
Property Owner (please print): Shawn Ashley phone: : (812) 345-5077
Property Owner Emalk shawnashley44@gmail.com
Mailing s (if different than property address
Address: Same as above
City, State, 2i
chitec In E-mail.- Phone:
2.1
Conusetors+fty License110035 Ptrye: 253-720-4461
contractor r all Address: rd@solarcity.com
Sub Con
Electrical. PlumNng: Mechanical:
W.R. City License # W.R. City License # W.R. City License #
Other City Licensed Saab: Other City Licensed Sub,-
City
ib:City License # City License
Complete all information on BOTH sides of this form
Version #61,7 a TSD
1
August s, 2016
RE: CERTIFICATION LE7TER
Project/Job # 5009179
ProjectAddress: Ashley Residence
3732 Simms St
Wheat Ridge, 00 80033
Wheat Ridge'
C Office Denver
Design Criteria:
- Applicable Codes = TRC 2012 J IBC 2012, ASCE 7-10, and 2012 NDS
Risk Category _ IT
Wind Speed = 1.35 mph, Exposure Category C
Ground/Roof Snag Load = 30 psf (Unreduced)
MP2: 2x6 @ 24" OC, Roof DL - 9.5 psf, Roof LL/SL - 30 psf
MP4. 2x6 @ 24" OC, Roof DL =" 12.5 psf, Roof LQSL = 30 Psf
MP5: 2x6 @ 24"' OC,Roof DL = 9.5 psf, RfLII L = 30 psf
Note: Per ISC 1613.1; Seismic check Is notrequired because Ss - U3116 < 0.4g and Seismic resign Category (SDQ - 8 < i;
To Whom It May Concern,
A jotite survey of the existing framing system of the address Indicated above was performed by a site survey turn from Solarity*
Structural evaluation was based on site observations and the design criteria listed above
Based ., on this evaluation, T certify that the existing structure directly supporting the PV system is adequate to withstand all loading
indicated in the design criteria above based on the requirements of the applicable existing building and/or new building provisions
adapted/referenced above.
Additionally, I certify that the PV rnoduLe assembly including all standoffs supporting It have been reviewed to be in accordance with the
manufacturer's specifications and to meet and/or exceed all requirements set forth by the referenced codes for loading.
The PV assembly hardware specifications are contained in the plans/docs submitted for approval. 0 t
Sincerely, Digitally signed by Humphrey 48680
Humphrey Kariuki, P.E.°, r $ IC!
Professional Engineer ' *•°*•****#Cal
T: 443.451.3515 Cate: 2016.08.05 1439:47 -04'00'
email: hkariuki@solarcity.co
*n.
-.,
,.,., ..�,a , _w.drt°sy,,..e.vCA 94402 7 ,.«O+a..8 102 13 =Ea�:SOL ta..V M21'
Version *61.7 - TOO
Refer to the submitted drawings for details of information collected during a site survey. All member analysis and/or evaluation is based on framing Information
gathered on site. The existing gravity and lateral load carrying members were evaluated In accordance with the ISC and the E
.. N ` ,. wt�% .� ,o".a 2t�,,, sns ,.stY C.�tn
ISVISTUTIMPI
�� 11 1 NMI: i iii
a ty,
Sol rG
August 5, 2016
R,E: CERTIFICATION LETTER
II
is
Project/Job # 8009179
Project Address: Ashley Residence
!a
3732 Simms St
Wheat Ridge, CO 80033
AHJ Wheat Ridge
SC Office Denver
Design Criteria:
- Applicable Codes = IRC 2012 I 2012, ASCE 7-10, and 2012 NOS
SL4
- Risk Category = 11
- Wind Speed = 135 mph, Exposure Category C
- Ground/Roof Snow Load = 30 psf (Unreduced)
- MP2: 2x6 0 24" OC, Roof DL = 9.5 psf, Roof LL/SL = 30 psf
- MP4: 2x6 @ 24" OC, Roof DL = 12.5 psf, Roof LL/SL = 30 psf
- MP5: 2x6 @ 24" OC, Roof DL = 9.5 psf, Roof LL/SL = 30 psf
Note: Per IBC 1613.1; Seismic check Is not required because Ss = 0.23116 < 0.4g and Seismic Design Category (SDC) = 8 < D
To Whom It May Concern,
A jobsite survey of the existing framing system of the address indicated above was performed by a site survey team from SolarCity.
Structural evaluation was based on site observations and the design criteria listed above.
Based on this evaluation, I certify that the existing structure directly supporting the PV system is adequate to withstand all loading
indicated In the design criteria above based on the requirements of the applicable existing building and/or new building provisions
adopted/referenced above.
Additionally, I certify that the PV module assembly including all standoffs supporting It have been reviewed to be in accordance with the
manufacturer's specifications and to meet and/or exceed all requirements set forth by the referenced codes for loading.
The PV assembly hardware specifications are contained in the plans/docs submitted for approval.
�O
T
CJ
Sincerely,A8680 If
Digitally signed by Humphrey
Humphrey Kariuki, P.E.Kariuki 0.
Professional Engineer . ......
T: 441451.3515 Date: 2016.08.05 14:39:47 -04'0' NAIL
email-, hkariuki@solarcity.com
ZOE's Way <'A �650" ,3F SOL CTY N'501 tr, ,x * t
Version 61.7 D
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PORiR - 29"
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(E) 2x4 OR 2x6 PURLIN --\
(N) 2x6 PURLIN ATTACHED TO (E)
PURLIN WITH ){}d COMMON NAILS
(E) STRUTS
(E) LBW
WSTALLATION NOTES:
i
1, ATTACH (N) 2X6 PURLIN TO
THE (E) PURLIN NTH 10d
COMMON NAILS STAGGERED AT
6k ON CENTER.
* SISTER PURLIN UNDER ALL
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PORTRAIT tt 1911
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ARRAY A I 89 P TCH 19
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WASHERPV MODULE.
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INSTALLATION ORDER
II,
Xti MARKLE
LOCATE II RAFTER,
LOCATION, i'
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MP2: 1x7
- - - - - - - - - - 4
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!05 ff
14
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ISC = 1&02 AM
Imp= 17 ADC
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EM
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iso = 9Z
Imp= 115
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WHEAT RIDGE, CO 80033
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Label Location:
(AC) (PCI)
Per Code;
NEC 690.17(4)
INVERTERIS
UNGROUNDED
(AC). AC Disconnect
(C): Conduit
(CB): Combiner Box
(D): Distribution Panel
(DC). DC Disconnect
(IC): Interior Run Conduit
(INV): Inverter With Integrated DC Disconnect
(LC); Load Center
(M): Utility Deter
(POI): Point of Interconnection
San Matim, CA 9"02
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INSPECTION RECORD -
Occu anc ylTvl
'PANSPECTION 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'.IOB
FOUNDATION IN
DATE
INSPECTOR
INITIALS
COMMENTS:
Footings /Caissons
—
Stemwall / (CEG) Concrete
Encased Ground
Reinforcing or Monolithic
Weatherproof / French Drain
Sewer Service Lines
Water Service Lines
- -
YOUR — 6:ONCRE I c UNTIL ABOVE HAS BEEN SIGNED
*n derground) Heating E SLAB FLOOR
Underground)
Underground)
ROUGHS'-
Lath/ Wall tie
Mid -Roof
Electrical Service
Rough Electric' -
Rough Plumbing
Gas Piping
Rough Mechanical - - - - - --
Framing
TV
o V oe
WUNLU PRIOR TO PROCEEDING _
--
Drywall Screw
FINALS -.
l
cal
oPark
Final
rtmentDrainage
INSPECTIONS FOR PLANNING $ ZONING, FIRE AND PUBLICE WORKS
'SHOULD BE CALLED AT LEAST ONE WEEKPRIOR TO FINAL INSPECTIONS
Landscaping.
i...1 0. . F LL r I ems MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZA TIC ;
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIE_ CERTIFICATE OF OCCUPANCY IS ISSV
PROTEr ,'IS CARD FROM THE WEATHER
1
♦ 1~ 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:
Job Address: 7
Permit Number: c 31 >
❑ No one available for inspection: Time AM/PM
Re-Inspection required: Yes No
When corrections have been made, calf for re-inspection at 303-2345933
i j
Date: Inspector:
DO NOT REMOVE THIS NOTICE
CITY OF WHEAT RIDGE
' Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
~~d
Job Address: : 732 Srrs~as sr
Permit Number: 09S 5471
t
❑ No one available for inspection: Time S AMA&)
Re-Inspection required: 6~_ No
When corrections have been made, call for, rem-inspection at 303-234-5933
Date: aria Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
.rte
/ Faxed Roof Permit PERMIT - 093172
PERMIT NO: 6 093172'. ISSUED:. 10/06/2009
JOB ADDRESS: 3732 SIMMS ST EXPIRES`. 04/06/2010
DESCRIPTION:: Reroof 20 sqs
CONTACTS
owner 303/423-3719 William Donahue
sub 303/699-7999 James Mosel.' 08-0268 Trinity Roofing
**PARCEL INFO
ZONE 'CODE: UA 'USE: UA
SUBDIVISION:... 068.0. 'BLOCK/LOT#: 0/
FEE SUMMARY ESTIMATED PROJECT VALUATION: .3,540.00'.
FEES
Permit Fee 126.50
Total Valuation .00 #D (l :,i✓i0~1 s
Use Tax 63.72 k --x t ?J;§
TOTAL ..190.22
Conditions:
Both front and back of permit need to be posted on job site. If one or the other
is not present, INSPECTION WILL NOT BE PERFORMED. -
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.
***Contractor/Property owner. shall provideladder(s) secured in place for
inpsections.-
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
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.S.C) and all other
applicable Wheat `Ridge ordinances, for work under this permit. Plans subject to ;field inspection.
Signature of contractor/owner -date
1. This nPrm,r was ,cm,ca .....,,.a,..,.,.
a
?855
)WING BUSINESS DAY.
INSPECTION RECORD Occupancy/TVpe
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 / (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)
AR( "GC RFFU Cirucn
ROUGHS
Sheathing
Lath / Wall tie
Mid-Roof
Electrical Service
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
ABOVE INSPECTIONS TO BE
STONED PRIOR TOP
Framing
Insulation
Drywall Screw
FINALS
CITY OF WHEAT RIDGE
1B/09l09
-
-Electrical -
-
J
ames R Mosel
Plumbing
Mechanical
RECEIPT NO:CDB802861 AMOUNT
BPSP
Reroof 20
Roof
_
_
-s4s - - 198.22
093172
Building Final
Permit Fee 126.50
Use T
ax 63
72
.
Fire Department
PAYMENT RECEIVED
R.O.W & Drainage
US 4224, AMOUNT
INSPECTIDN3F A
190.22
-
uth
Code•
Parking & Landscaping
SHOULD BE CA 030780
**NOTE: ALL ITEMS MUST BE CO
MPLETED AN
D APPROVED BY P
LANNING AND `TOTAL 190.22
CERTIFICATE OF OCCUPANCY IS
ISSUED. FIN
AL INSPECTION B
7-17
Y THE BUILDIN
OF A
CERTIFICAT
E OF OCCUPANCY
NOR PERMISSION FOR OCCUPANCY. -
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
10/08/2009 15:24 3038142560 TRINITY ROOFING JIM PAGE 01/01
Please pracess cc o
4208 04z'9 8Is4 4224
ExV It/II VISA
I-AX IPBRMtT TO
303- wm- 7-Qgs
City Of heat7~
1~ Date:
V
COMMUNITY DEWLOYMEN 1 e Permit Cl%
I;7L
7500 W- 29th Ave., Wheat Ridge, CO 80033 6
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Facsimile Building Permit Application
Property Address:
Si TnS
Property OWner (please print):
Mailing Address: (If different than property address)
Address:
City, Stare, zip: „ .
Contractor:
23-34
Phone:
Use of $ ppace (description): IIEROO f se
Desci lption of work.- Pfan Review (due st time ofsubmittag: j
OWNEWCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
1 hereby certify that the setback distances proposed by this permit apPlicatlon are accurate, and do not violate applicable ordinancefull
rules ar regulation of the C$y of Wheat Ridge or covenants, easements or restrictions of fecord; that all measurements
s,
allegations made are accurate; that 1 have read and agree to abide by all condRions printed on this at all ea and that I sha
responsibility for compliance with th9 Wheat Ridge Building Code (LB.C) and Oil other and
under this permit. Plans eu6]ect to field Inspection. applicable Wheat Ridge Ordinances for for work
CIRLCE ONE:: OWNE (CONTRACTOR) Of PERSONAL "PRE
ATIV f(OWNe CONTRgTOR)
PRIN NAME SIGNATURE:
Date.
ZONING COMMENTS: ~ .
zoning-
wer,
ROM
PUBLIC WORKS:Cn11AMENry;
' Revtevver: '
eWLDING Dr.P.AriTMENTC6Mi9ENrs:.. .
Rev'irhMbrFIREflEPARTMENT-: q' snoroved
DEPARTMENT WE ONLY
,q tlN.?PPr°Ved d no review required Bldg Valuation:
Credit Card Payment: Use credit card listed on rile.
Print name: NIU L gignature:G
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 9149
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE Date : 7/7/99
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Property Owner :
Property Address : 3732 SIMMS ST Phone : 721-3701
Contractor License No. : 18232
Company : Aaark Heating & A/C, Inc. Phone : 431 8015
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 Wheat Ridge or
covenants, easements or restrictions of record; that all measurements shown, and allegations
made are accurate; that I have read and ayree to abide by all conditions printed on fhis
application, and that I assume full responsibility for wmpliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridge ordinances, forwork under this permit.
(OWNER)(CONTRACTOR)
Description : Install evaporative cooler with 110 volt hook-up
ConstructionValue:
$1,525.00
Permit Fee :
$57.05
Plan Review Fee :
$0.00
Use Tax :
$22.88
Total:
$79.92
Use:
BUILDING DEPARTMENT USE ONLY
SIC : Sq. Ft. :
Approval: ~
Zaning :
a , RSOMM
Approval :
Approval :
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No :
Company:
Expiration Date :
Approval:
Plumbing License No :
Company:
Expiration Date :
Approval:
Mechanical License No :
Company:
Expiration Date :
Approval:
(7) This permit was issuetl in accortlance with the provisions set forth in yopur applica[ion antl is subject to the laws of the State of Coloratlo antl to the Zoning
Regulations and Buildiny Code of Wheal Ridge, Colorado or any other appliwble oMinances of the City.
(2) This pertnit shall expire if (A) the work authorizetl is not commenced within sixly (60) days from issue date or (B) the buildinq authorized is suspentletl or
abandoned tor a period of 120 tlays.
(3) If ihis permit expires, a new permit may be acquired Por a fee of one-half the amount normally required, provided no changes have been or will be made in the
original plans and speafcations antl any suspension or abantlonment has not exceetletl one (1) year. If changes are matle or if suspension or abandonment
exceeds one (1) year, tull fees shall be paid Por a new pertnit.
(4) No work of any manner shall be done Ihat will change ihe naWral flow of water causing a drainage problem.
(5) Con[rac[or shall notiy the Building Inspector hvenry-four (24) hours in advance for all inspedions and shall receive wntten approval on inspection card betore
proceediing with successrve phases of the job.
(6) The issuance , a permit or the approval of tlrawings antl specifcations shall not be construed to be a permit Por, nor an approval of, any violation of the provisions
of [he builtl tl . y other ordinance, law, rule or regulatlon.
Chief Building Inspector
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 : Q ✓A' " ' c p
Property Address : Phone '70/
Contractor License No. : l~• g.3 L c~ S~, ~ s6
Company :/d~~ ~ OTZ" L Phone
7
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify ihat the setback distances proposed by this permit application are accurate,
and do not violate applicable orAinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restrictions of recortl; 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 complian ith heat Ridge Buiiding
Code (U.B.C.) and all other applicable Wnga} R_!A9e,ordi ork under iiiis permit.
(OWNER)(CONTRACTOR) SIGNED
Description ~j~fS~~L ~
Approval :
Zoning :
Approval :
Approval :
Occupancy : Walls
Construction Value :
/ Sos`-
Permit Fee
Use Tax :
ili s o
Total :
Pq
~
eC'aC.oc r,V-rr"f' 11VUd17-
BUILDING DEPARTMENT USE ONLY
Roof : Stories : Residential Units :
Electrical License No :
Company:
Expiration Date :
Approval :
IN
Plumbing License No :
Company :
Mechanical License No :
Company :
Expiration Date :
Approval :
.2 1`PINns it~lg!
Exoiration Date :
Approval:
IV Mt: , r:.
(1) This pertnit was issuetl In aaordance with the provisions set forth in yopur appllcation antl is subjecl ro the laws of the State o( Colorado and to the Zoning
RegulaUOns antl Builtling CoCe of lMieat Ridge, Coloratlo or any other appliwble ortlinances of the Ciry.
(2) This permit shall expire it (A) the work auNOnzetl Is not wmmenced within sixry (60) days fmm Issue date or (B) the building authonzed is suspentled or
abandonetl tor a penod of 720 tlays.
(3) If Mis permlt expires, a new permit may be acquired tor a tee of one-half the amount normalry require4 provided no changes have been or will De matle in the
onginal plans anO specifiraGOns and any 5u50ension or abandonmant has not ezceeded one (1) year. If changes are maae or if suspension or abanOOnment
ezceetls one (1) year, (ull fees shall be paitl for a new pertnit.
(4) No work of any manner shall Oe tlone thal will change the naNral flow of water causing a tlrainage problem.
(5) Contraclor shall notiry the Building Inspector Rvenry-lour (24) hours In atlvance Ior all inspections and shall receive wntlen approval on inspection cartl bebre
proceetliing with successrve phases o( the job.
(6) The issuance ot a permit or the approval of drawings antl specifications shall not be constmeE to be a permil for, nor an approval of, any violalion ot the provisions
of the Duiltling codes or any other ordinance, law. rule or regulation.
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
ISOO WEST 29tn AvENUE DEPARTMENT OF COMMUNITY DEVELOPMENT
237-6944 EXT. 255 P.O. BoX Bae BUILDING INSPECTION DIVISION PERMIT N0. M91//17141
CITY OF WHEAT RIDGE, COLO.
TMIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUI~DING INSPECTOR AND RECEIPTED BELOW.
r+rrui,iallVlV r V1t MI:
JOB ADDRESS ~2a ,~i~n y~ S•
CONTRACTOR
ADDRESS AAG
CITY ~~f ~ ZIP CODE
PHONE S~ococ. ' Q~"~3 LICENSE NO. ~s0~ 9
OWNER MiSEIhAPr ( t~~ AQBTitile3
ADDRESS-~~-3
PHONE ZIP CODE y~~
I:ONTRACT PRICE $ - ~
1. TYPE GroundU yy011❑ ProiGofinqEl Dtne SaDFOee
2. MATERIAL
$IGNS 3 ILLUMINATION Yaa❑ No 7 Tofal Squon Fset
~ ype Eleef, permit No.
4 SET BACH FROM PROPERTY LINE N_ S__ E_ W
❑ ❑ ❑ Zone_ Approved,Zonatnspector
(SOecify which if front ) ❑ Dinopprwed
1. TYPE SolidO Mon Thon BO% Opsn❑ LOSt Thon 80% Opm
FENCES 2' MATEP.IAL
3. SET BACK FROM pRppERTY LINE N__ S__ E__ W H~iphf
❑ ❑ ❑ Zme_, ApprwW,Zona Inepeetw (SOe~ify whieh it front) ❑ Diaapprovsd
OTHER
3.
DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHER STRUCTURE,GIV1Nv' DIST4NCES FROM PRppERTV LINES.
(SETBACKS OR PROJECTpNS INCLUDEA)
~
SPECIFY NORTH
STREET NAME
SHOW DISTANCES FROM THE M41N BUII.DING TQA0.10tNING HOUSES, STREETS, AND PRpPERTY LINES{ ON IRREGULAR IATS, SHOW LEAST
DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE.
APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY UPON VALIDATION 8V THE BUIIDING INSPELTION DIVISION.
PERMIT WILL EJ(PIRE 60 DAYS FROM pqTE OF ISSUANCE !F WQRK IS NOT STARTED WITHlN THAT TIME
ELECTRICAL PERMIT
PLUMBING PERMIT
MECHANICAL PERMIT
STATE LICENSE N0.
STATE LICENSE N0.
ALU
MINUMWIREUNDERSIZE81lLEGAL
FLOOR
BSM
15T
2ND
3R0
4TH
NQ
Fl1ELCicNOrwCwFqlROporrCoolg~a~Sol
WATER ClASET
w
FORCED AIR - BTU
TEMPORARY METER
WASH BOWL
NEW SERVICE AMPS
BATH TUB
HOT WATER - BTU
CMANGE SERVICE-AMPS
SMOWER
STEAM - BTU
LIGHTING
AIR CONDITIONING-BTU
SINK
OTHER
HEATING
GARBAGE DISP
REFRIGERATIpN SYSTEM
POWER SUB-CIRCUITS
WATER HEATER
Refri sronf Group
UTILITY(RANGE,DISPOSER,ETC)
AUTO
WASHER
FIXTURES
.
DISH WASHER
Pounds CAat a
WIRING MOTq75 8 CONTROLS
FLOOF2 DRAIN
AUTOMATIC SPRINKLER SYSTEM
SIGNS
ELEVATOR
URINAL
TRANSFORMERS B RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAI FIXTURES
1 hsreby ocknowiedpe thot fhia applico-
lion i6 Correcf and unders}ond tAO} I
eannot atarf thie projeet until ihia appli-
cation ie approveE. I shall comply with
fhe lows of the Stote of Colorado ond to
tha Zoninq ReQulationa ond Buildinp
Code offhe Cify of Wheaf Ridqe. Any
violation of the above ferms will couse
Alcle
n of t1ie permi t~
PERMIT FEE
!i 0_0
NOT VALID UNLESS RECEIPTED
USE TAX
TOTAL FEE
$
~-30_
APSF6~@PPROVED
S
CHIEF BUILDI
INSPECTOR,Cityof Wheat Ridqe
CALL 237-8944 EXT. 255
24 HOURS IN ADVANCE
Date Issued
FOR IN9PECTIONS