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Home My WebLink About3804 Simms StreetCity of Wheat Ridge E -Res. A/C Replacement PERMIT - 202001423 PERMIT NO: 202001423 ISSUED: 07/29/2020 JOB ADDRESS: 3804 Simms St EXPIRES: 07/29/2021 JOB DESCRIPTION: Replacing 3 ton, 15 seer A/C on the side of the house. *** CONTACTS *** OWNER (303)717-8501 YTTERBERG CARL SUB (303)366-1950 KIMBALL JORDAN 070051 ACTION, INC. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,920.00 FEES A/C Replacement 60.00 Total Valuation 0.00 Use Tax 61.32 ** TOTAL ** 121.32 *** 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. ffi City of Wheat Ridge E -Res. A/C Replacement PERMIT - 202001423 PERMIT NO: 202001423 ISSUED: 07/29/2020 JOB ADDRESS: 3804 Simms St EXPIRES: 07/29/2021 JOB DESCRIPTION: Replacing 3 ton, 15 seer A/C on the side of the house. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications; applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all entities named 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 I . This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This. permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Budding Official 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 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 gra mg of a permit shall not be construed to be a permit for or an approval of, any violation of any provision of any aRpliccable.�ojleAr i iy 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. Cit> of Whext RidOp O�O231U9 AMUUNT 8PSP 38O4 Simms S� 121.32 APrUPERNIT NO02OO1423 P�"8REC TYUTI, T 7�117l T0TAL 121.32 Dina Kemp From: no-reply@ci.wheatridge.co.us Sent: Wednesday, July 29, 2020 8:44 AM To: CommDev Permits Subject: Online Form Submittal: Air Conditioner/Evaporative Cooler Permit Application Categories: Dina Air Conditioner/Evaporative Cooler Permit Application This application is exclusively for AIR CONDITIONER OR EVAPORATIVE COOLER. YOU MUST ATTACH THE ELECTRONIC PAYMENT 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. PROPERTY INFORMATION Is this a new install or replacement for an existing AC unit? Property Address 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** Replacement of Existing Unit 3804 SIMMS ST CARL YTTERBERG 303-717-8501 JDJ5555@HOTMAIL.COM Electronic Payment Form - Revised 5-1-20 Fillable 202005011620013849 202006081141368198 (1).pdf CONTRACTOR INFORMATION Contractor Business ACTION INC Name 1 Contractor's License 070051 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 303-366-1950 Number (enter WITH dashes, eg 303-123-4567) Contractor Email Address JDJ5555@HOTMAIL.COM Retype Contractor Email JDJ5555@HOTMAIL.COM Address DESCRIPTION OF WORK What type of replacement Air Conditioner unit are you installing? How many tons is the 3 unit? For AC - what is the 15 SEER? For Evaporative Coolers, what is the CFMs? Where is the unit located SIDE OF HOUSE ON GROUND (for example, rooftop, backyard on ground etc)? Is electrical needed for re- No hook? Project Value (contract 2920 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 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. 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 JOHN JORDAN SR Permit Email not displaying correctly? View it in your browser. C L cs --) 15 75 i� OggypAngyiType ep INSPECTION RECORD 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 Commenj Monolithic Stab Reinforcement M Concrete Encased Ground (CEG Footing/Stemwall P.E. Letter Do Not Pour Concrete Prior To,A pt P Inspector Underground/Slab Inspections Initials -(U—ndergrou—nd) Sewer Service (Underground) Rough Inspections I: MOO &H Rough Plumbing mllwhihw Insulation City :'f "Jh�'eat Rifte Final Inspections Date Inspector Initials Comments Pew1Ave, five windo4,s Final Plumbing qT rpsip 3814 lts _ b Si 14 71, 7 4 Hrn Final Building / Frame Landscaping & Parking i Planning Dept. Inspections from these entities should be re este A pf", 0""'54726 one week in advance. For landscaping and parking ---------- inspections call 303-235-2846. For ROW and drainage Insulation D al Screwy f Mail Final Inspections Date Inspector Initials Comments Final Electrical Final Plumbing Final Mechanical Roof Final Building / Frame Landscaping & Parking i Planning Dept. Inspections from these entities should be re este one week in advance. For landscaping and parking ROW & Drainage / Public Works Dept. inspections call 303-235-2846. For ROW and drainage inspections call 03-235-2361. For fire inspections Fire Inspection / Fire Protection Dist. contact the Fire Protection District for your project, Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather City of' '0 Comm M. .. ... w , .. DArWon <.,- CO ; •°« : Inspection0 Building «r • sr a • .-t a t t Cor*actorsM * t211-1611 3: ng; W.R. City UOense # WA City Lkalse # W.R. Cilie Lkmde ;Qw ,. rC51, s41 .- �» a M W ° ! 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Stucco -Frame 35-7/8" x 41-718"3-Ui, STD Handle Glass: 3/4" -Double 1/8 LOWE 366 NEAT & 1/8 CLEAR Lett -Hand H nge:Lelt KxedGas Screen: rTEAVUE *,v -V 1 = 0.26SH 0.1`9 ALT -0.13** 1110 1 05/13/16 26001 LITE CASEMENT Aristocrat - (X) WPE-Americoat #522 Ext Stucco—Frame 35-/"' 41-7/" 6 -UI, STD Dandle Glass: 3/4" -Double 1/8 LOWE 366 NEAT & 1/8 CLEAR Right -Hand Hi ge:Right Mixed Gas WKITE Spacers Screen, Lip -Frame FULL ERV E **U° Va 62.2°66 IGC=0.19 ' LT O°43** 2600 1 0,5%13/16 2600 PICTURE WINDOW Aristocrat PIC-WDW (0) W E-Americoat #922 Ext Stucco -Frame 71-7/8" x 417/8" 1I+UI, NONE Handle Picture Glass: /4" -Double 1/6 LOWE 366 NEAT & 1/8 CLEAR M d Gas WHI"T"E Spacers no scmen * -Val =62_25 5 - --0 IA -T 0.50** 62ILC 1 615/13/16 2600 1 L1TE CASEMENT Aristocrat I -LITE (X) WPE-Ameticoat #922 Ext Stucco -Frame 23-7/8!'x 36" 662 -UI, SrD Handle t "M Page I of 1`C i A C)l TI II M/2016 12:33 PM FROM: Fax Server TO: +17177352840SENtjj, �-O W "Pilif � r4w jya, JW ANN W1 N VOWS & D 0 0 R S M # �CONAW CONSERVATION CONSTRUCTION 8101 WEST COLFAX AVE 5360WASHINGTON ST ATTN: ACCOUNTS PAYABLE DENVER, CO 80216 LAKEWOOD, 00 80214 'USA Ph,(303) 237-107 USA Ph. -(303) 237-1687 FAX:(303) 237-1680 W - # Mixed Gas WHITE Spacers Scrftn.* Lip -Frame FULL BETrERVUE **U-Value=0.26 SHGC=0.19 VLT=0.43** 005 VW260OPW 2600 PICrURE WINDOW AdaocrztMCVMM WPEAmertoat *922 E4 ShmcwFrame 39-3/8"x 42-3/4"824AADNE Haadle Adum'C.Jaw: 3jC-Dout4e 1aNE 366 KEAT;& !A CiZAA Mixed Gas WHITE Spacers no screen **U-Value=0.25 SHGC=0.22 VLT=0,50** 006 VW610101 CAULK NOVA SLCN ON SUPPLEMENTAL GLASS WARRANTY CHARGE son d orVn Ordbr Form. Thank you. 0 M Ml Eg 99M. I" . ~ ' ~ ~ , N . . r.,.... : . t. ' , ~ ~ , r , . . _ . . ~x. . . . . . . City of Wheat Ridge ~ Residential Fence PERMIT - 080331 PERMIT NO: 080331 ISSUED: 04/14/2008 JOB ADDRESS:3804 SIMMS ST EXPIRES: DESCRIPTION: 12.5 L.F. of 6' privacy fence. CONTACTS owner 720/296-8901 Stephanie Duran . PARCEL INFO-** ZONE CODE: UA USE: UA SUBDIVISION: 0125 BLOCK/LOT#: 0/ FEESIIhHMARY ESTIMATED PROJECT VALIIATION: 150.00 FEES Permit Fee . 30.55 Plan Review Fee19.86 Total Valuation .00 L~ Use Tax 2•70 TOTAL 53.11 Conditiona: AT: approved Note: Owner/Contractor is responsible for locating proeprty lines and construoting improvements according to the approved plan and required development standarde. The City is not responsible for inaccurate information submitted within the plan set and any conatruction errors reaulting from inaccurate information. I hereby certify tha[ the eetback distancee propoeed by thie pexmit application are accurate, and do not violate applicaDle ordinancee, rulee or regulationa of the City of Wheat Ridge or covenante, eaaemente or reetrictione of record; that all meaeuremente eho an egationa made are accurate; that I have read and agree to abide by all conditione printed on thie applicat'on and f,FZ t I ase full re9poneibility for compliance with the wheat Ridge Building Code Q.B.C) and all other cwheat 9J1 rdin cea, for work under this permit. Pla~g~ 7ect to field inepection. ~t3A 1 t1 1'~ L.1 ~1C 1. Thie p@a'mit wae ieeued in accordance with the provieione ee[ fotth in }rour application and is aubject to the lawe of the State of'COlorado and tothe Zoning Regulatione and Huilding Codee of Wheat Ridge, Colorado or any othex applicable ozdlnancea of the City. 2. Thispexmit shall e?cpire 180 daye from the iseue date. Requesta tor an exteneion muet be received prior to enpiration date. An exteneion may be granted at the diacretion of [he Building Official. 3. If Chis permit expirea, a new pennit may be acquired for a fee of one-halE the amount noxmally required, provided no changes have been or will be made in the original plane and epecifications and any auepension or abandonment hae not exceeded one (1) year. if changee have been or if euspeneion or abandonment exceede one (1) year, full feee shall be paid for anew permit. 4. No workofany manner shall be done that will chan9e the natural flow of water cauaing a drainage problem. 5. Contractox ehall notify the euilding Inapector twenty-four (24) houre in advance for all inepectione and shall receive wrYtten appzoval on lnepection card before proceeding with eucceeeive phaeee of the job. 6. The iesuance of a.permit or the approval of drawinge and epecificationa shall not be conetrued to be a permit for, nor an approval of, any vi lation of the provieione of the building codes or any other ordinance, law, rule or regulation. all plan revigkv i/q ey~fct to fleld inepectlone. . Signature of INSPECTIO2iUR8QII8ST LINS: (303)234-5933 SUILDING OFFICE: (303)235-2855 REQUESTS MUST BE MADfi BY 3PM ANY BUSINESS DAY FOR INSPECTION TIiE FOLLOWING BUSINESS DAY. oF~"Eqrq City of Wheat Ridge Building Division 7500 W. 29" Ave., Wheat Ridge, CO 80033 U Office: 303-235-2855 ' Fax: 303-235-2857 Inspection Line: 303-234-5933 COCpRP00 Building Permit App ication Property Address: Property Owner (please print):__)rp(~)Y ~ r Mailing Address: (if different than property address) r I Date: 7/1 '/v' Plan Dg Permit Sub Contractors: Mechanical Cit License Electrical City License Plumbing City License Y Company. Company Company. Exp. Date: ExPDate: Exp. Date: Approval: Approval: Approval: Construction Value: $ Use of SpaCe (deSCription): (as calculated per the Building Valuation Data sheeQ Description of work: ~ Plan Review (doe at lime o(submittal): $ ~~P ~YI V~ C~~ K~ . Sq. FtILFt added'. Squares BTU's Gallons Amps OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback tlistances proposed by this permit applicalion are accurate, and do not violale applicable ordinances, rules or regulahons of the City of Wheat Ridge or covenanis. easements or restriclions of record; that all measurements shown, and allegations made are acwrate; thal I have read and agree to abide by all conditions printed on this application and thal 1 assume full responsibility for compliance with lhe Wheat Ridge Building Code (I.B.C) and all other ap ble Vvheat Ridge Ordinances, for work under this permit. Plan jecl to fleld inspection. c,i CIRLCEON (OWNE ~(CqNT TOR) or PERSONALREP T Eo~ R) (CONTRATOR) P 1 .('1 PRINTNAME: I~Q~ SIGNATURE: ~ Date: ~ ZONING COMMENTS. Zoning: Q-~ Reviewec ~ PUBLIC WORKS COMMENTS'. Reviewer. BUILDING DEPARTMENT COMMENTS: Reviewer. DEPARTMENT USE ONLY OCCUPANCY:_ . _ I FIRE OEPARTMENT:t 0 approVed w/ COmment5 ❑ disappfoved 0 no feview required Bldg Valuation: Contractor License Phone: .ocos 4Qto~° lyote~ fa~\ taSg~ 4~sS ot~~b~c ap4s~eots~6pa"°n Co~~0,G~a Cesafa a4ces4°~y ~aY'S~tc~~ S un toae , ~ot ~ieP y~~ 044 ~rJ ,~eC ;~J ~~~n6 ~ SJb ~otc5 / ~ I C--~- V~ ~ M 1-i- DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 13792 BUILDING INSPECTION LINE - 303-234-5933 Date : 5/1/02 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Property Owner: Property Address : 3804 SIMMS ST Phone 403-4277 Contractor License No. : 17152 Company : Precise Plumbing Phone 534 0881 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. (OWNER)(CONTRACTOR) SIGNED DATE Construction Value : $$00.00 Permit Fee : $32.65 Plan Review Fee : $0.00 Use Tax : $0.00 Total: $32.65 Use : I= Description : REPLACE WATER HEATER, READY FOR INSPECTION. BUILDING DEPARTMENT USE ONLY SIC : Sq. Ft. .,WWWWOW Approval : Occupancy : Walls : Roof : Stories Residential Units : Electrical License No : Plumbing License No :17152 Mechanical License No Company : Company : Precise Plumbing Company : Expiration Date : 9/13/02 Expiration Date : Approval : OKKS Expiration Date : Approval : Approval : (1) This permit was issued in accordance with the provisions set forth in yopur application antl is sublect to lhe laws of lhe Slale of Colorado and to ihe Zoning Regulalions antl Building Code of Wheat Ridge, Colorado or any other applicable ordinances of the Ciry. (2). This permit shall expire if (A) the work authorized is not commenced wiihin sixty (60) tlays from issue tlale or (B) Ihe building authorizetl is suspended or abandonetl for a period of 120 tlays. (3) If Nis permit expires, a new pemit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the original plans antl specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abantlonmem exceeds one (1) year, tull fees shall be paid for a new permit. (4) No work of any manner shall be done that will change the naWral Flow of water causing a drainage problem. (5) ContraQor shall notify the Builtlin9 Inspeclor twenry-four (24) hours in advance tor all inspections antl shall receive written approval on inspection cartl before g with su ssive phases of the job. p" (6) u n it or the approval of drawings antl specifcations shall not be constmetl to be a permit fornor an approval ofany violation of the of e di or any other ordinance, law, mle or regulation. Chief Building Inspector OEPARTMENT OF PUINNING AND DEVELOPMENT Building Permit Number : BUILDING INSPECTION DNISION - 235-2855 _ CITY OF WHEAT RIDGE Date : 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner : • Property Address : 3~(7)y 5 ~'nM' S f Convactor License No. : / 7/ f-12, companY : A- PCist .;2;~ c- i OWNEWCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT 1 neroDy cenify that Me setbadc aistanees proposaC Dy Nis pertnrt av0i"wn are aeeurate. and tlo not vlolate aopUCable oramances. rubs or reguuuons of Ne Cily of WAaa[ RiOqa or covsnan[s. easemems w rcstnctions of reoord: Nat aY meuursmsms sharm. ana allegaUOns ;-ma0s arc acwrne: tnat I hava reatl and syres to abqs Dy all eontlitbns pnMed an Nis appbptlon, ana mat 1 assurta full rosponsOtlily~for eompnancs wrth Ms WMat Ridgs BuiWing CoOe (U.B.C.) ana all oMer appticabls Wheac R ye aaunaneaa. lor work un0sr Mu psmat. (OWNER)(CONTRACTOR) SIGNED/_~ pATE U Phone : 11?~3-- y;z 7 ~ Phone : S-?Y- O g'fr'/ Construction Value : Pertnit Fee : 3 2, Lr UseTaX:,~~.^5 ym'Ox/ys rotal: 3 z Descnption : r{~,o/ce ilYO 24.- ~ rr.401, ~'s~ i n~.~ a/,•o•, BUILDING DEPARTMENT USE ONLY Approval : Zoning : Approval : 11~ a 5 a 1w.rarr.~lmn Nfts:' Approval : Occupancy : Walls Roof : Stories : Residentlal Units : Eiectncal License No : Plumbing License No : Mechanical License No : Company : Expiration Date : Approval: Company: Expiretlon Date : Approval : Company : Expiration Date : Approval : ~ .-Pllfts;~yrrea~ arnN ~ut.ea:~ ~ ~ ~~uan (i) Tnis pem+rt was iswea o accuuanaa wmi tne povuwns set awm n yoour aaqMoon ana u suopa ro tM nws d tha Srau ot Cobraao uw m Na l.mifq ReqWabons ana BuiWrtg Coaa of Wneat RWqa. Co:aaoe or arry oNx aopinda orainances of Me Cily. (2) Thu permtt snall ezpm A fAl lhe waR auvwnseu u roi cpmmencep Mnpun uaN (60) CaYs imm iuus (ta4 a(B) ft Du110uq sufnonxea n susWnaaC a aoanaoneo ror a oenoo or 120 mrs. {7) it tPHs parmrt axoins. a naw oermt mty w aeawna ror a iN W one-nae me Smoum nmruuy rapuuW. povww no eMnqes na" ewi or wai W rimW n tM otqY4l plsns ana sp0alICJOOns afM ilry auspsnlan Or a WnOafmMt nas nOt aaCaaOW one Yslt. II Uyrqq are mMe Of II aufponsqlt Of abllWanlMl laf2001 Of1! (1) ylY. MI h!7 fNY D! Gfq fOl a n!w p0lRlfl. (a) Na wofk Of any manner 3NIl D! OOne tMt will Manqe Te niNql fbw o/ wi1M e7uLnq i Ofiu49a prOdMn. (5) Coninctor Snall no4N me Bmbrtg InsDeap lwenry"louf (34) houq m aavance lOr all mapaG9on3 anG iNp feEllve wntlen aDPronfuI on msWaM nIG Oalam 0roo'Con9 wiN SuCGt35rv! WIa3l3 Of Ne pOb. (6) 7he 93u]nC! 01 i plfTR Ot Ne iOCrWiI Of Cf]Mn1195 af10 SDlOflfaUO(13 3l1aI1 n0I D! COl15INlC W D! ! DlRM f0f, flm an apPlpyal pf. aIly yoappl1 p/ Qlf p10Nfpllf ol Cf! Dutl0in9 COCGS ot any 0I0l1 OrGIninCl, 13w. N:t Of fl9uli40l1. Chief Buddmg Inspector For Mayor THIS PERMIT YALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 2345933 24 HOURS PRIOR TO INSPECTION venrrt xursex B94#4885 F 0 3 $ p o 0 ~ m m o m y o ~ a a m o 3 n ~ ~ m m ~ m ° m o ~ Om ° a ~ m a m 3 n a ~m 3 ~ sm m ~ n m ~ 0 0 f ~ ~w y c y n a~ m m m F 0 J ~ ~ I a o I 'o ~ m n ~ m ~ £ O 9 ~ x m T 0 r O f Z G) C s O N m U) r• ~ DQ N 't1 ~ ~ m a ~ t> N ? Z D 9 r m ~ y ~ N c ~1 O S F r) ~ m ~ P I Z N ~ a w m 0 A ~ ~ h H (D ~ M O O D m ro E w 00 f* 7 < ~ G N a a ~ f S S m ~ m 3 C N 9~w? m a a' + maoco m m ~ m ~ ~~00 n=..m LJ 3a=- ~m- M r ~mmm m ° f ~ m oog mmm 0 n- ~ z -om0 m ~ 3 v o~ a~^c 2 ~ a ~ n 1~3 > ~ a g m m ~ b7 O ms ; o n~ =v» of r Ib m mmp~» <ip~ m ntg= 0O m~vn » o~~ n°j° nm"~ O 19 mn n:L o o ~ y Olz m ~ y/~ /~K Y fP m t wc i, na0 a$o x o zb m g Uw a H. ~ ~ > 3. $ m y ~ ~ o = O m ..~i m m m oc o3E ~z w < ~ o c . ` G 4z 0 f m ~ C co ~ omo e rn r ~n e ~ 7SGO WEST 29TH AVENUE ThB Clly 0f P.O. BOX 638 WHEAT RIDGE C080034-0638 (303) 234-590C cWheat City Admin. Fax fl 234-5924 Police DepL Fax fJ 235-2949 GRidge DATE: June 25, 1996 T0: Accounting Department FROM: Director o£ Planning & Development SUBJECT: ESCROW REFUND Reimbursement requested for escrow funds being held for: Landscaping for 3804 Simms Street The Landscaping has been completed to the City's satisfaction. RELEASE TO: Alpenglow Custom Homes LOCATION: 11885 W. 38th Avenue Wheat Ridge, CO 80033 pMpUNT; $1500.00 Glen Gidley Director of Planning & Development (OPTION D or E) l ESCROW , TO: ~ The 3u1u Of pne ThaU°°^el f9ve hundred and no/100 DOLLARS (S 1500.00 ) to be held in escrow with City of Wheat Ridge (City of Wheat Ridge, Option D) 5. (Bank, Option E) until landscaping is compieted at 3804 Simms Stxeet (Description) Wheat Ridge, Colorado by 10 Alpenglow Custom Homes (Contractor/Developer/Owner The City of Wheat Ridge sha11 have the absolute right to withdraw the Escrow funds for the purpose of completing the landscaping of should (Contractor/Developer/Owner) fail to complete or provide said landscaping prior to the date of 1. 1995 The only requirement to withdraw the Escrow funds in behalf of the City of the City, executed b,: the Director of said Department and witnessed by the Mayor o£ the City of Wheat Ridge. Said letter shall state that the landscaping, as above se•_ Forth, have not been completed or provided by 'Contractor/Developer/Owner) ar_d that the date o£ August 1 1995 has exnirod. CYty of Wheat Ridge P.O. Box 638 Wheat Ridge, Colorado 80034 (ovar) (OPTION D or E) ESCROW AGREEMENT rnuncrnntNr nwn pARKING LOT 2MPROVEMENTS -2- ACCEPTED: ~ (Director of Planning & Development Department - City o£ Wheat Ridge) (Bank - Option E) Address Phone Number l/Kl Y7 C~ / 0 W/ ( k ~/S(Contractor/Developer/Owner) Address Phone Number Date 2 - '2 ' Ls- Temporary Certificate of Occupancy for structures covered by this agreement may be issued by the Mayor o£ the City of Wheat Ridge £or a time period not to exceed six (6) months upon acceptance of this agreement by the City. 241 ALPEN oNOW CoSAOo NHOMES 82d27I1070 2/6 1e 95 1 $ *1,500.00* itiE CITY OF WHEAT RIDGE )ER , t r r > > , , ; DOLLARS ~ G ENB N ' o, oo,~A~ ~~w~ az~0~bo ~ ~ saoa sirmts sT , u~C]0024i~~' -i: 10 700 2 23 1~: 070 25 3 ~ IENMRNUYlER B94#4885 F P 3 a m o M o n m 3 ° > > 0 w ~ m ~ ~ o , T O ~ 2 m O r O f Z Z G) 0 p x 0 ~ 0 ~ m m O m ~Q ~m a m 3 ~ m 0 a m 0 3 3 ~ Erm m~ 0m ~ o 0 F~ m~ D n ~ a ~ n 00 O 'o m m n ~ F r -0 D y r m G ~ m 9 O ~ m O ~ Z w W 0 A ~ N ~ H ~ CD ~ a ~ 2 m ~ 9 ~ v ~ 3 o mm3 0 00 ~~mn m T ~ W a m pa~° ~ m m N 0 J m C"4 m ~ 7 x, N 3n~m y ~ 0 _ M ~omm rv m ~s y ~mm m ~ ~ C 9 mm o ~ _ V o n ~ a 1--1 c m z ' n ° F n tt ly ~n3o' o n ~ C29 -n ~ ^ V §04 a 9 F ' 0 o m IO im~» ~2p O =m9a ~a 0 g~~z 1%1 1~ 9 am-~ o la n ;t o O I77 ' o c ~ 9 ty o O O 1 0 0 A O m m~ p~ ~ I K °m mv°, N m 9 a~o ~ ° o x 'q z b ms 9oa 3f~ H c) h~ ✓ ~ m o ~ m° ~ , v , N v~i m m o ll ~ F o moc o N . 035 ~p (IQ W ' c t oO m Fa 0 ~ ? n~1° y y < °ms ~ (D z ~ ~O . C: CD to ~ ~ w DATE: A CERTIFICATE OF OCCUPANCY HAS BEEN REQUESTED FOR: > PURPOSE OF STRUCTURE: Building Dept. Approval: Remarks: d~- ~ j f I z ;f4u (?VAy) (rt, , 0 ,.,ZOning Approval: Remarks: , - - ~~/1'8'~✓ C~f`~~ ~ 5 v , . l bZk-:--- r-~-~, - ~ r ➢3y~~ - i.. i' ~ i: i> .r .r : F a ~ 0 0 0 3 = m m Q n m ~l 3 a - o m 0- ~ ci m m ~ m °p ~ m m O ~ ~m - 0 c m I ~ n m o; 3 = S 0 m ~ nm 0 f ~ ~ w d ~ a a n ~ ao m m f O C a 0 o~ al I m F O ~ 2 m O r r F 2 ~ C a ~ m ~ ~ I~ z (D a ~ y n (D PEpMRNUYlEq B94#qgg5 r ~ M D D 0 r m m ~ 0 D O ~ m O y ~ N w 00 0 A ~ ~ N C/) rt K m ~ N O Z D y O a D o° N y rwt N I'D CO i o w D 00 rt 7 m ~ G CD ~ ~ Z m a c $ ° F ~ a ~ 3fA w c ~ p ' m + n _ ~ ~ m m mmnm • ~ ~ m 3n~m m~m ~mmm onQw m p t0i ° m m o ~ vo n m 33v ~ o m c n > > m'avm c o m o m m m m ~ v a~ mmo m °°oa ~~n nq ^o c ~ N m ~ 0 a C aQm m na s omo 3fn m ~ ,Oo y m~~ 0 00, o3c a = G l J zy b ~ z^~ m' n o'~ IH n ` l ~0 ao f ~ M~ ° o y~ o~ I z i o ~ y 'rf rO p I D ~ ~ p d c- r ~ 1 b ~ m z ,4_ ~ x 0 `f EL m omo n lilo a ~ ♦ ` i~ 17 , 4 ' ~ DATE: `-L)7--/S TO: PUBLIC WORKS DEPARTMENT FROM: Building Department RE: 6 The property at ~ EO Y st-,.vt~,,,~ ~ signed off by the Building Department and is ready for ahCO been inspection. Once the inspection has been completed, please inform the building department as to the status. Thank you. or~ ,~o ,ss~~ G•o. 3125 ~ ys INSPECTIONS WILL NOT B'E MADE UNLESS THIS CARD IS POSTED ON THE BUILDING SITE 24 HOURS NOTICE REQUIRED FOR INSPECTIONS WHEAT RIDGE, COLORADO 7500 WEST 29th AVENUE I N S P ECT i O N R ECO R t~' 2s4~5833 3804 Simms Street JOB ADDRESS BUILDINGPERMITNO. B94#4885 DATEISSUED 3/31/94 Trpe OCCUPANCY OWNER Douglas A. Jenks CONTRACTOR Alpenelow. 11885 W. 38th Avenue, Wheat RidQe, CO 80033 SETBACKS FROM PROPERTY LINES: NORTH SOUTH _ EAST West INSPECTOR MUST SICaN ALL SPACES PERTAININCa TO THIS JOB I NSPECTION DATE I NSPECTOR Foundations Footin s - Caissons Reinforcin oriAoaelFthFc v~ Weather roofin 4- ' ! r POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED Concrete Slab Floor: Electrical Ground Work Plumbin GroundWork Heatin Ground Work DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGN9~--~ Hou h Electrical 0'- - Rou h Plumbin - V AlrTestGasPi in t 4'~ 5 Rou h Heatin & Ventilation ~J 1 C( - (above must be signed prior to lraming inspection) ' 14 Framin -It Insulation 4 7r ~ D wallnallin 7- Roofin Refri eration Eiectrical under round Final Electrical Fixtures Plumbin Fixtures 2 << S. Heatin & Ventilation Landsca e 8 Parkin R.O.W. & Dralna e Fire De artment JobCom leted ' ~ 5 OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED 7500 WEST 29th AVENUE DEPARTMENT OF COMMUNITY DEVELOPMENT 237-6944 EXT. 255 P.O. aOx 638 BUILDING INSPECTION DIVISION CITY OF WHEAT RIDGE, COLO. THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND THE MAYOR - CALL 24 ~I.TWO SETS OF BUILDING PLANS AND TWO PZT PLANS MUST ACCAMPANY THIS APPLICATION BUSINESS ~ COPY OF DEED AND ~ ! 2/~ o ri PERMIT N0. B94#4885 F NT PROPERTY LINE (CIRCLE FRONT) NC~E S W STREET NAME ~o M M S S T SHOW DiSTANCES CRO urc H n PRIOERITYDI LNESNOT ADJOINING OR AVERAGE SD STANCEPERTY LINES ON ABOVE SKETCH; I LCVllvw..n~. - OWNERS NAME - ' Z7 J 9 CONTRACTOR ' eh w LIG. N0. W, 8 f-1 e. PHONE 47 C/ - 6 d 9/ ADDRESS GTY t 4 'ke- ZIP CODE Q a, DEPTH J C O AREA METES AND BOUNDS DESCRIPTION ATTACHED aooRess 3 8Q y S~'~, ~.,s s%/. IAT N0. b r BLOCK NO.~~.-r~----_ INDICATE THOSE OF THE FOLLOWING OFF-SITE IMPROVEMENTS NOW EXISTING: Curb d tter_ HAVE ARRANGEMENTS BEEN MADE TO PROVIDE FOR THOSE NOT NOW EXISTINGYE50- ARE THERE ANY SPECIAL ASSESSMENTS AGAINST THIS PROPERTY: YES-ND.jL IOR MATERIALS: WALLS a rie /c STORIES ~ UNITS~ EMARKS; OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certity ihat ihe above setbock distances shown on this permit aDVlication are ocwrate, and do not violate opplicable ordinances, rules or regulotions of the City of Wheat Ridqe or covenants, eosements or restrictions ot re- cord; ihat all measuremenis shown, and allegalions made ore accurale; ihat I have read and ogree to abide by all conditions 0ri^ted on fhis aDPlication, ond that 1 assume full resDonsibility for compliance with the Wheat RidQe Building Code (UB.C.) and all other a licable W/heat Ridge ordina es, fo Alork undar ihis permit. y^ qG DATE (OWNER)(CONTRACTOR) SIGNED f v'~"°'~-' . n7rono7mIFNT uSE ONLY SO.FT COST THE PROPERTY LOCATED T-ROUGH -FINISHED IS PRESENTLY ZONED T _ FLOOR THE PROPOSED USE (-&-l< ~ FLOOR COMMENTS~ OTHER gU1LDING COST STATE N0. -S~Y' CITY NO. PLANSREVIEWED (-OK) (-NOT OK) NO PLANS NEEDED pLANS NEEDED PRIOR TO ISSUANCE OF ELECTRICAL PERMIT PERMIT ISSUED TO -F>V-V- PER REOUEST AS PER PLANS NO AS APPROVED AND ON FILE IN MY OFFICE DO NOT ISSUE PERMIT UNTIL CLEARED BY CHIEF BUILDING INSPECTOR MECHANICAL SIPIC rvu. ' " PLANS REVIEWED OT OK) PLANS REVIEWED-(-OK)(-NOT NO PLANS NEEDED PLANS NEEDED PRIOR TO ISSUANCE OF PLUMBING PERMIT _ PERMIT ISSUED TO w - " " - PER REOUEST AS PER PLANS N0. AS APPROVED AND ON FILE IN MY OFFICE DO NOT ISSUE PERMIT UNTIL CLEARED BY CHIEF BUILDING INSPECTOR BY PERMIT FEE USE TAX TOTAL FEE N~AL D UNDERyTME ZONING 2L NO PLANS NEEDED PLANS NEEDED PRIOR TO ISSUANCE OF MECHANICAL PERMIT - PERMIT ISSUED TO ' PER REQUEST AS PER PLANS NO.--- qS APPROVED AND ON FILE IN MYOFFICE DO NOT ISSUE PERMIT UNTIL CLEARED BY CHIEF BUILDING INSPECTOR BY LAWS TION ~ pRoviS FORTH WNEATTFIDGE CIOLOPADO flLIAN'! IOTHER PPPLICABLE ORDINANLES OF THE CITYAf E OF COLORPDO THE `I) ATHIS NO TOpTME ZONINGUH GULATIONS FND BUIWtTK GODE OFIONS (2) THIS PERMiT SHPLL EXPIRE IF (R) THE WOFK PUTHORIZED IS NOT COMMENCED WI'fHIN 51%TY I601 DAYS FPOM ISSUE DATE OR (B) THE BUILDING PUTHORIZED IS : A PERIOD OF 120 DAYS. XPIRES SUSPENDED OR ABPNDONED FOR A PERM (i) BETMADEHIS NPL PLANS PNU SPEL~IF LPTIONSIAND PNY SUS ENSION OF ABANOONMENT HPS NOTE%CEEDED ONE (I)YEAP.~ CHANGES GRE BE DE ORVIF L ~ SUSPENSION OR A NDONMENT EXCEEDS ONE (1) VEAR, FULL FEES SHALL BE PAID OR P NEW pERMIT. , (4) NO WORK OF NNER SHALL BE OONE TMAT WILL OBSTRUCT THE NATIIRAL OF WATER GAUSIN6 RAI E GROBIEM. / (5) CONTRPCT SH L NOT Y TME BUIIDING MSV TOfl TWENTY-FOUP (24) HO N PDVANLE FOR AI.L PEG I NS PND SHALL NELEIyE~ WPITTEN APPROVAI ON INSP CTION A&D ORE PROCEEDI G WIT SUCCESSrvE FNGSES Of TM J . qppROVED FOR AYOR CHIEF BUILDING INSPECTOR payinq ✓Wafar _eSewer _ZS'1ormDrainaqelG TO IY SPECIFY NORTH ~ 6 ~ Aq6 5s INSPECTION tICKET JOB ADDRESS DATE: BLDG. ERMI N ~ PERM ITM BLDG. CONTR. 7 SUBCONTRACTOR DATE INSP. REQ. TYPE OF INSP. INSPECTION MADE ~ REMARKS . ~ INSPECTION TICKET JOB ~ &0 CE ADDRESS ~Y DATE: ~~-BLDG. PERMITN PERMITk ~ BLDG. CONT~ ~ SUBCONTRACTOR DATE INSP. REa. TYPE OF INSP. INSPECTION MADE ~ REMARKS W.R. FOPM 6-19 ~ INSPECTION TICKET ~ JoB ADDRESS 7 DATE: BLDG. ERMITN PERMITM L~ BLDG. CONTR. SUBCONTRACTOR DATE INSP. REQ. TYPE OF INSR INSPECTION MADE REMARKS . -4' INSPECTION TICKET aoa ~ ~G ADDRESS /°r(( DATE: ~ BLDG. PERMITk YE&S n PERMITN BLDG. CONTR. SUBCONTRACTOR g C,- rK DATE INSP. RE0. U ~~y TYPE OF INSP. INSPECTION MADE~ REMARKS W.R. FORM 619 L p~# v 8 E INSPECTION TICKET JOB ~ ADDRESS ~ go tA DATE: S"S -q y BLDG. PERMIT# ~9 PERMIT# BLDG. CONTR.-~ ~l SUBCONTRACTOR DATE INSP. REa. TYPE OF INSP. INSPECTION MADE REMARKS _ INSPECTION TICKET JOB ADDRESS / DATE: BLDG.PE M T8 PERMIT# BLDG. CONT~~~+'-" - SUBCONTRACTOR ~ DATE INSP. REQ. LZ TYPE OF INSP. (a2~~ INSPECTION REMARKS ~ INSPECTION TICKET INSPECTION TICKET JOB ADDRESS 7 DATE: BLDG. PERMIT# ~ PERMIT# BLDG. CONTR. SUBCONTRACTOR DATE INSP. REIQ. TYPE OF INSP. INSPECTION MADE z/ f REMARKS JOB ADDRESS ~ DATE: BLD . P RMIW J~I PERM ITR Q ` ua, BLDG. CONTR. b) t~r3-> SUBCONTRACTOR ~f DATE INSP. REQ. ~ -y TYPE OF INSP.~^' ~ INSPECTION MADE REMARKS / l/K~,~ (9-_ W.R. FORM E19 W.R. FORM 6-19 j d ✓ A VERNON S. WINKEL CONSULTING ENGINEERS May 9, 1994 'I 1063 WEST 27 AVENUE LAKEWOOD.COLORADO 80215 TELEPHONE [303] 238-B080 Aspenglow Custom Homes 11885 West 38th Ave. O/C Wheat Ridge, Cotorado 80033 Re: Plans of the residence foundafion t 3804 Simms treet, eat Ridge Gentlemen; Your attention is directed to Section A-S2 of the plans: Please substitute #4 vertical rebars at 18" centers for the #5 vertical rebars at 14" centers shown when using non-expansive backfill around the basement walls. This change is made possible by the use of non-expansive backfill and is in accordance with the soil report. You truly ..G~---,.-~ Vemon S. Winkel 0At DEPARTMENT OF PLANNING & DEVELOPMENT REQUEST FOR PUBLIC WORKS REVIEW Date: f ,9 Case/Building Permit No. i✓%v vGd Location: ..3~ a CJ Please review the attached materials submitted in application for approval of a S -'~y , and indicate your decision on those items ctieck below, and piease add any other oomments which you may have under number 16. 1. p Boundary C1 2. q Area: 3. q Drainage: a. Drainage b. Drainage c. Drainage be: :)sure : CIOK n- Not ACres plan (and report) ne Plan not needed provisions have een C] OK C7 Not OK; refer to Stipulations _ Square Feet 3C10d " reviewed and are found to OK; refer to Stipulations 4. M Legal Description: O OK CtNot OK; re£er to Stipulations If not okay, please explain: 5.EJPublic Improvements: a. Street Paving needed Y~ b. Curb & Gutter needed Y c. Sidewalk needed Y d. Street Lights needed YJN e. Storm Sewer needed Yf. Escrow required Y If Es crow required, for what impYovements7 in what amount? 6. ri Development Agreement required If Yes, for 7. Ci All necessary documents have been initiated by Public Works and are attached hereto: 8• L-1 Is a traffic impact analysis and report required? Y N~ 9• I7 New roadway or alley R.O.W. dedication is recommended: lto If yes, what is recommended; 10.0 All existirg dedicated roadways and alleys meet the standards of the City: If no, which do not and what is requested: 11. Q All existing and proposed ded'ications have been reviewed and found to be: EZI'OK O Not OK; refer to numbers 8& 9. 12.F~ Approval. 24e Public Works Department has reviewed this request and hereves, ts appr7 val, subject to the above and/or attached stipulat o s. ~ ^ignature 13. o The Publ c Works Department has reviewed this requeDat steand does no approve for the reasons stated: Signature Date 14. p Stipulations attached: Yea No 15. O DEADLINS DATE FOR PUBLIC WORKS DEPARTMENT REPLY: 16. Summary Comments: G a~ lak 0 pc/reqPWreview rev.01/89 ~t~~- . i ~rv id~. ' RECOFDEu zri couNrf nF_rH,E rF CULoFAuu WARRANTY DEED THIS DEED, Made this day of January 28, 1994, between MILT KINVIG o£ the County o£ JEFFERSON and State o£ COLORADO, grantor, and DOUGLAS A. JENKS whose legal address is 11885 WEST 38TH AVEtaSTE, WHEATRIDGE, CO, 80033 of the County o£ JEFFERSON and State of COLORADO , grantee: 2 / l)[' Y 4 1 1: 4 i WITNESSETH, that the grantor, £or and in consideration o£ the sum of $52,000.00 DOLLAAS, the receipt and su£ficiency of which is hereby acknowledged, has granted, bargained, sold and conveyed, and by these piesents does grant, baxgain, sell, convey and con£iim unto the gxantee, theii heirs and assigns Eorever, all the real propezty, togeChez with impmvvr=^ts, i£ any, situate, lying and being in the County o£ JEFFERSON and State of Colorado, described as follows: w w LL ¢ c H ~ LL ~ ~ c LL ~ ~ ~ LOT 51, C-'1. MCLAVGHLZN'S APPLEWOOD SVBDIVISION AbIENDED, "Zil c ~ COIINTY OF JHFFERSON, c7 STATE OF COLORADO. e N Li.d !ao also known as street and number 3804 SIMMS STREET, WHEATAIDGE, C0, 80033 TOGETHEA with all and singular the hereditaments and appurtenances thereunto belonging, or in anywise appertaining and the reversion and zeversions, remainder and remainders, zents, issues and pxoIits thereof, and all the estate, right, ti[le, interest, claim and demand whatsoevex of the said grantor, either in law oc equity, oI, in and to the above bargained premises, with the hereditaments and appurtenances. TO HAVE AND TO HOLD the said premises above bargained and desc=ibed, witli the appuzte;,ances, wnto :he said grantee, their heirs and assigns forever. And the said grantor, for himself, his heirs, and personal repzesentatives, does covenant, gran[, barqain and agree to and with the grantee, their heirs and assigns, that at the time of the ensealing and delivery of these pzesents, is well seized o£ the premises above conveyed, has good, sure, perfect, absolute and inde£easible estate of inheritance, in law, in fee simple, and has good right, full power and lawful authority to grant, bargain, sell and convey the same in manner and £orm aforesaid, and that the same are free and cleai Irom all £ormer and othez grants, bargains, sales, liens, taxes, assessments, encumbrances and restrictions of whatever kind or nature soever, EXCEPT FOR TAXES FOfl THE CUARENT YEAA, A LIEN BUT NOT YET DUE OA PAYABLE, EASEMENT5, RESTRICTION5, COVENANTS AND RIGHTS-OF-WAY OF RECOAD, IF ANY, The grantor shall and will WAAAANT AND FOAEVER DEFEND the above-bargained premises in the quiet and peaceable possession of the gzantee his heirs and assigns, against all and every person or persons law£ully claiming the whole or any part thereof. The singular number shall include the plural, the plural the singular, and Lhe use of any gender shall be applicable to all gendeis. / / ~ IN WITNE55 WfEAEOF, the grantor has executed this deed on the STATE OF COLOAADO 1 }ss. COONTY OF JEFFERSON } The foregoing instrument was acknowledged be£ore me this day o£ January 28, 1999 by MILT KI~G . My C,otemission expires3~5e4ember 12, 1996 1 seal. . . "l~~•~"..... dQe / NotarY PUalic~ H. BECI( . - - 932A Aev. 7-84 WD (Photographic Aewrd) CaseR 20412 DOC FEE $5.20 ~yq ~ v S ~s 5 INSPECTION TICKET JOB 3 OU`-1 X_ ADDRESS DATE: BLDG. RMITN ~ a 1 PERMITM BLDG. CONTR.-Z^"~~ ~ SUBCONTRACTOR DATE INSP. REQ. TYPE OF INSP. INSPECTIO REMARKS 07 t INSPECTION TICKET JOB 7 f~~ ADDRESS '70 C.' , ~3y DATE: BLDG. PERMITB PERMIT# BLDG. CONTR. SUBCONTRACTORk)&_!-1 DATE INSP. REQ. q TYPE OF INSP.I/~"-" l . . e; INSPECTION MADE~ 11 / f REMARKS ~ a ~ fz~-5 W.R. FORM 619 / ~ INSPECTION TICKET JOB ADDRESS ~ ~ 0 Z/' 51 s~ BLD6. PERMITk y ~~S DATE: ~ /d PERMITS BLDG. CONTR.k2~~~ SUBCONTRACTOR DATE INSP. REO. iVPE OF INSP. v v INSPECTION MADE ~ REMARKS ~ 11 INSPECTION TICKET JoB ADDRESS DATE 0- ~ 3 4 4 BLOG. PERMITfl FJ'S-- PERMITM ~ 7 BLDG. CONTR. SUBCONTRACTOR DATE INSP. REQ. Cv - / ~ TYPE OF INSP. INSPECTION MADE REMARKS W.R. FORM 649