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HomeMy WebLinkAbout4615-4625 Simms Streetet Cd 30IION SIH13AOPV3b1 ION 00 d :aoloadsul :vvb a�aa ££6S-b£Z-£o£;e ugijoadsui-aa ao{ ❑eo `apew uaaq aney suoijoaraoo uayM„ ON /so :paainbaa uoiloodsul-oH Wd�Wy�u -L :uopadsui aol apep-nLl auo ON r -1 rpvl-4t62�-- :aagwnN Iivaaad 4 :ssaippd qor t :adAl uoil3odsul 331ION N01133dSNI xeJ 6268-L0z (000) - 9q!40 s5gz-5sz (000) oug uolloadsul EE69-tICE (EOE) uoisinia uoizoodsul Buippa 3Jala IV3HM =10 A113 x s 3 Il N SIHI3A W3N ION OO :ioloadsul L 1 £E69-b£Z-£0£ je uoi;oadsupai ao} ileo `apeui uaaq aneq suoijoaaaoo uayM, oNsaA :paainbaa uoiloodsul-aa [Nd/AVquail :uoii aol epupeAU quo ON IM i'A 4(a,y ? : 7-5 *-07-51 TC :aagwnN 1luaaad FF S S : S �h :ssaippd qof —Tj :adA1 uoil3adsul 331ION NO1133dSNI XeJ 6069 -ZOO (000) • aD/110 ssgz 50z (000) au!j uoijoadsul MG-b£Z (£0£) uolslnla uolioadsul 6ulppe 3Jala 1d3HM =10 A113 A CITY OF WHEAT RIDGE r Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: E F�Z Job Address: L4 L , M M s �- Permit Number: 0 ,-.p ) 9 ❑ No one available for inspection: Time 1 '0 Re -Inspection required -Yes No *When corrections have been made, call for re -inspection at 303-234-5933 Date: /3, 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 0_5D INSPECTION NOTICE Inspection Type: f -7 . Job Address: M 5 z}'' Permit Number: L}--7 9 MV& &.)-s��. c+� -, rj ❑ No one available for inspection: Time! (4p- AMI Re -Inspection require No When corrections have been made, call for re -inspection at 303-234-5933 Date: L. 111 1 Inspector ,_ -," y DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Electric PERMIT - 201700479 PERMIT NO: 201700479 ISSUED: 04/10/2017 JOB ADDRESS: 4625 Simms ST EXPIRES: 04/10/2018 JOB DESCRIPTION: Change repair meter housing from 100 amp to 200 amp *** CONTACTS *** OWNER 303-278-3400 RALSON TERRY SUB (720)261-3945 Aaron Hernandez 170085 Apostolic Electric *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,250.00 FEES Total Valuation 0.00 Use Tax 40.50 Permit Fee 93.35 CM -N -S - ** TOTAL ** 133.85 *** 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 accompanyingg 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 roperty and am authorized to obtain this permit and perform the work described and approved in conjunction with this permyf. I further att iat I am legally authorized to include all entities named within this document as parties to the work to be per or ,7d and that all ork to be per ormed is disclosed in this document and/or its' accompanying approved plans and specifications. 2. 3. 4. 5. 6. na?ure of O*NER or CONTRACTOR (Circle one) Date This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code Lan ordinance or regulation of this jurisdiction. Appr. val of work is subject to field inspection. l � e Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. J ,= City of Wheat gle COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 291'' Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: perm its(a)ci.wheatridge.co.us FOR OFFICE USE ONLY Date: V to/ ! 1 I Plan/Permit # �c 1 70047 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: `�� j c ►�'� ,� zfsl Owner (please print): \ ll 1Vl P A K k rk (A 0 , Phone: Property Owner Email: —I f f fl Mt i` n C) rjJ) CLWXZI .(f C Mailing Address: (if different than property address) Address City, State, Zip: Architect/Engineer: Architect/Engineer E-mail: Contractor: � j Phone: Contractors City License #: C5 Phone: % Zn ' -Z-G LS�'C�S Contractor E-mail Address: V^\CK I e n %2-0) ('j, k0o(1 ,ia Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: Mechanical: W.R. City License # W.R. City License # Other City Licensed Sub: City License # Complete all information on BOTH sides of this form (�Q0 ❑ COMMERCIAL ff 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 ❑ECTRICAL SYSTEM/APPLIANCE REPAIR or ERLACE T _ �J OTHER (Describe) \f i 'Q%0� W� �e-t�_�C�`��t YItT� �c%�1 C� lu 1C�2C (For ALL projects, please provide a4letailed 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. Ft./LF Btu's Amps Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) OWNEWCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner 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. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. a CIRCLE ONE: (OWNER) (CONTRACTOR) (A=ORIZREPRESENTATIVE) of (OWNER) (CONTRACTOR) Electronic Signature (first and last nam LT DATE: �© ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ t% g City of Wheat Ridge Community Development Department Memorandum TO: Accounting Department FROM: Kim Cook, Building Division SUBJECT: Refund for Permit DATE: Reason: Permit was not required for work to adjacent yard. Contractor requested to have permit #201601742, for 4615 Simms Street closed out. Please refund: Contractors License$ (acct 01-510-00-513) 80% permit fee: $ 40.24 (acct 01-510-00-516) 0% plan review $ (acct 01-550-05-551) 100 % use tax: $ 21.60 (acct 01-500-02-505) Total: $ 61.84 TO: Stone & Concrete Inc. 5500 E. 56th Avenue Commerce City, CO 80022 Thank You! Permit Technician City of ' W lz�at i� -dt Cc)rmlmu 1CrY Dwrtormfw 0y 0r VjMM Ridge %tunicip+ul Building 7;01114'.:4'" A, -c N Fkui Kt4x. l 1 $00114101 P: 303135-703 F: 303137.19" Refund Avolication Complete this application in its entirely, attach all Copies of permit., permit cards (if issued) and receipts that were received at the time of permit issuance. Requests for more dwn 80 percent of the amount paid will not be approved without prior approval from the Building Official. The refund application must be received by the Wheat Ridge Building Division no later than 180 days alter permit issuance. Applications received after 180 days of permit issuance will not be approved. You can mail or hand-deliverall required documents to: City of Wheat Ridge. Attn: Building Division, 7500 W. 29`k Ave.. Wheat Ridge. CO 80033. C a,m fan} ti 9me �f arrle (so wha�a dled� �nwrto (+e a� rli -mi i. • i s o j 1�.4T 0' rd r�LR��4 , - Nddress: .SQUO Z. r% '`" Citv: ��071mEw6o !, " _ i State: Phone: Fax:;'�i'-�'rt�ail: Permit #: a .Si iw w r %. Reason for request: -,P , tides % ,�nicZ� _/a e -'e - � Printed Name: Signature: fV4&M�e I)ae:_/,P l For uttiCx usc ant? This request has been: Approved Denied Refund Amount: S _ Approved ty: _ Datc:---- !1Y M Ai.RilFftiNt�c.t n,bt ofW-hW Ridge r t f �� iwsideatbet Plumbing PERI — 201601742, le 11�D3i2�2bi g ,;+.. - 7aid{3Iii2 ExPIii�;z 311 31201 JW AMORMS C tfi5:Sia*c =_ . liaa tv 450i5 i�ae iss cre Ir' - Apo-. :rr= cam.-sib]IgWqLr aA Ol�lt I3g317c'�=�� +� � i' 24QQBS StMr.$ imd Cdas�ratt C. eARCIU, Uwe , { til► ! uma igned jL gtt$i?Ii^S�ClK 'CGflE: l6� �liliT08E�. LE..M S 2�E $tAC�G/ eG'�f: Y Total, utluatio1--21, 9 r -r PAfO 0.00 t Use Tax Stt.31D Ft vLjt Fee• 71.80 CM f BEE Z -j 7'LiT;,2. «�• IIIT2 ••"to field de 1 wan'Jt.a3li c1ti �dzh app2lcahle cos Sr�d orditsaa�s anti �� stihf rt�rsr:rrieats~tsssts tar +i� s mit is its�Y+e¢ be sad TideiVe }` Wr:zrAn � :ssm s2we z:sLy wheat Ri3u'e-a s= 0XV:61ow, reasiu c =�•� any i t: man Y7i:strict r�8*4OtAtsva. Irss�tti and approval of +tar3t by ter! tw anytS"itiasriC a¢sess�:stive I =T =-asst esVtherity to sOVOW wbck ori t avpzays 1 WE the Sul idim Division . e1� o i . ae++ sewer �t� ti � i�4 contrera tOI vr_ L' vtss l�`YPrOPDX ����_` � •�FOT tr"w:hI as i� r� gale" otheruk" FtginYq cwyt,.a�ra.+arO=ra�'ith the IRC a0d = of-I/t tz�h poi r Oil .�T �.caticn t0: i `i=4 1y t he 4i�Y'l.� code. The. Dltakbiz% ,' a=tr&ctOt � �i••i r �� . a 7rOpE= SIX** and iz IOC4tiss4 &0 a r�adlLioif of Nail O: ct,e plliL'�L�#'1 leoliG. qW�' 1 P921I3' No: 241,62_742i��a�is�� ZSS�: 11TG?✓�1 34b ADDFZM-. f 6i3 simm V. `•3v4' asiS'i'�6b�o�ring sswez lies Co a�iM iiia is L - i&r � i�4 1 11�is 1l�Nd s a" �a.oreent fndAo�c it3��000�gi�f P� +'°�" w wd ardixQw" . - and awde De fat-aatia' of#�a o<a er,ait. ita•i�aace ar exp WPe�rnia' �ta� flo!'vi� c: s o[ rr ibaw h 4}t fac.__atyors pyo of . .NOLwooravad ,�'`° D wm R � .. � oar sss �. .�:. .ona.•• - d u to Q. W y A ~ F F Cl) it " q t0 d N rn� O v Z O d0 � od a u O v C) a U� c 4 a d d a 2° LL A CL C O o " u v W l0 � � ti F c U q a p m � -, O 0 N O C> N u M Ok O W y A ~ F F Cl) t0 O Z N N O u v C) a v 4 a v d a 2° A CL 00 Z u c U � O b W -, O 0 N O C> N Cl) O O Cl) O m y o o v v , o 10 N 10 tN N v o U m I I u v o o v . ro O o m L A e CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: S Com! 6 Job Address: 5t Alm S �T Permit Number: 2co/(, at 7 5-2- El Z ❑ No one available for inspection: Time APM Re -Inspection required: Yes No *When corrections have been made, call for re -inspection at 303-234-5933 Date: Inspector: "-"W/( DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Plumbing PERMIT - 201601752 PERMIT NO: 201601752 ISSUED: 11/07/2016 JOB ADDRESS: 4625 Simms ST EXPIRES: 11/07/2017 JOB DESCRIPTION: Sewer Line repair in backyard to city main in neighbors yard. Approx 60 LF *** CONTACTS *** OWNER 303-278-3400 RALSON TERRY SUB (303)434-1730 Jesus Garcia 140085 Stone and Concrete *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: / SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,200.00 FEES PAID Total Valuation 0.00 Use Tax 21.60 Permit Fee 50.30 ** TOTAL ** 71.90 *** COMMENTS *** *** CONDITIONS *** ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection by any Sanitation District representative. Inspection and approval of work by any Sanitation District representative DOES NOT grant authority to cover work without the approval of the Building Division. **For trenchless sewer replacements - The contractor will verify proper slope of new sewer piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed specifically by the applicable code. The plumbing contractor will provide verification of proper slope and drainage in writing as a condition of approval of the permitted work.** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. City of Wheat Ridge Residential Plumbing PERMIT - 201601752 PERMIT NO: 201601752 ISSUED: 11/07/2016 JOB ADDRESS: 4625 Simms ST EXPIRES: 11/07/2017 JOB DESCRIPTION: Sewer Line repair in backyard to city main in neighbors yard. Approx 60 LF I, by my si Jnature, do hereby attest that the work to be on erformed shall comply with all accompanying approved plans and specifications applicable uiIding codes, and all applicable municipal odes, policies and procedures, and that I am the legal owner or have been author, zed by the legal owner of the property and am authorized toobtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am le ally authorized clude 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. Thispermit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180.days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4, No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. 40 Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11t59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. U((,, 0 I� 5 v Occupancy/_Tvae 4Z5 S)mms IRECORD (O LF S60 Mfr-- INSPECTION REQUEST LINE: (303) 2345933 Inspections will not be performed unless this card is posted on the project site. FCall the inspection request line before 11:59 p.m. to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior To A roval Of The Above Ins ections Underground/Slab Inspections Date Inspector Comments Initials Electrical Sewer Service Plumbing lin Nnt Cnvar llndarnrnund or Relow/In-Slab Work Prior To Aa Rough Inspections Date Inspector Initials ---------- Wall Sheathing Final Plumbing Mid -Roof Lath / Wall Tie Final Mechanical Roof Rough Electric' Final Window / Doors Rough Plumbing/Gas Line Final Building Rough Mechanical Rough Framing Landscaping & Parking / Planning Dept. one week in advance. For landscaping and parking ROW & Drainage / Public Works Dept. Insulation inspections call 303-235-2861. For fire inspections Fire Inspection / Fire Protection Dist. Drywall Screw/ Nail NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of nrrunnnry is icc„cri annrnval of the Final Ruildino inspection does not constitute authorization of occupancy. City of Wheat Ridge 11/87/2916 09:56 CDDA Sewer Line repair in CDA813558 AMOUNT BPSP 4625 Simms ST 71.90 APDL/PERMIT NO: 281601752 PAYMENT RECEIVED AMOUNT VS / 0157 71.98 AUTH CODE: 107904 TOTAL 71.90 Final Inspections Date Inspector Initials ---------- Final Electrical Final Plumbing Final Mechanical Roof Final Window / Doors Final Building Inspections from these entities should be requested Landscaping & Parking / Planning Dept. one week in advance. For landscaping and parking ROW & Drainage / Public Works Dept. inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections Fire Inspection / Fire Protection Dist. contact the Fire Protection District for your project. NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of nrrunnnry is icc„cri annrnval of the Final Ruildino inspection does not constitute authorization of occupancy. *For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. **For Inspection Time Window Requests — Please email insptimereguest(cDci 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 City Of ��h�at,�icl�e tmuNm DEVELOPMENT Building & Inspection Services Division 7500 W. 29"' Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 FOR OFMCE USE ONLY Data: plan/permit # I l Plan Review Fes: Building Permit Application 15.5°_.. ,. _ ... �r .... 5..,.... .. ._ - . _... ....... ....». ... __.M .._ .. _... (if different than property address) Address: City, State, Zip: �.� •y,_,N,.�,j � � fir i �;�,. �, •��•. =r'.. ,ice ��� 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 '� ojcl (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 Z i!d R L %tee PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT .... - ._ __ Sq. Ft./LF Btu's Snuares Gallons Uthor City of Wheat Ridge .,g Residential Plumbing PERMIT - 201601742 PERMIT NO: 201601742 ISSUED: 11/03/2016 JOB ADDRESS: 4615 Simms ST EXPIRES: 11/03/2017 JOB DESCRIPTION: Connecting neighboring sewer line to main line in the backyard. Approx 12 LF *** CONTACTS *** OWNER (303)278-3400 RAILTON TERRANCE L GC (303)434-1730 Jesus Garcia 140085 Stone and Concrete *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: / SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,200.00 FEES Total Valuation 0.00 PAID Use Tax 21.60 Permit Fee 50.30 ** TOTAL ** 71.90 Q&13 __ 3� rS *** COMMENTS *** *** CONDITIONS *** All work shall comply with applicable codes and ordinances and is subject to field inspections. ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection by any Sanitation District representative. Inspection and approval of work by any Sanitation District representative DOES NOT grant authority to cover work without the approval of the Building Division. **For trenchless sewer replacements - The contractor will verify proper slope of new sewer piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed specifically by the applicable code. The plumbing contractor will provide verification of proper slope and drainage in writing as a condition of approval of the permitted work.** City of Wheat Ridge 4 Residential Plumbing PERMIT - 201601742 PERMIT NO: 201601742 ISSUED: 11/03/2016 JOB ADDRESS: 4615 Simms ST EXPIRES: 11/03/2017 JOB DESCRIPTION: Connecting neighboring sewer line to main line in the backyard. Approx 12 LF I, by m 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 le 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. Thispermit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. ?, This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original permit fee. 3. If this permit 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 gr nting 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 r ny ardmacz;&� f this jurisdiction. Approval of work is subject to fiield inspection. Ili 3l) 0 Signature of Chief Building Official Date ' REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. 1015 I M ms - 9,0 I b 01 142 Occupancyfrype INSPECTION RECORD 12 6 S?� N A r✓ INSPECTION REQUEST LINE: (303) 2345933 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 I Initials Comments Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date inspector Cc Initials Electrical /1.98 Sewer Service Plumbing AMOUNT mments Do Not Cover Underground or Below/In-Slab Work Prior To A royal Of The Above inspections Rough Inspections Date Inspector Comments g AMOUNT Initials /1.98 Wall Sheathing PAYMENT RECEIVED AMOUNT Mid -Roof 71.98 AUTH CODE: 325782 Lath /Wall Tie 71.90 Rough Electric' Rough Plumbing/Gas Line Rough Mechanical Rough Framing Insulation Drywall Screw / Nail Final Inspections Date Inspector Initials Final Electrical Final Plumbing Final Mechanical Roof Final Window / Doors Final Building Landscaping & Parking / Planning Dept. ROW & Drainage / Public Works Dept. Fire Inspection / Fire Protection Dist. City of Wheat Ridqe 11/83/2016 15:86 CDRA Connecting neighbori CDA813552 AMOUNT BPSP 4615 Sim®s ST /1.98 APDL/PERMIT NO: 201681742 PAYMENT RECEIVED AMOUNT VS / 0157 71.98 AUTH CODE: 325782 TOTAL 71.90 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. NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. *For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. **For Inspection Time Window Requests — Please email insptimereauest(aDci wheatridae.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 of `1`T heat R�e CommumTy DBrELOPMEtJT s Building & Inspecdon Services Division 7500 W. 29' Ave., Wheat Ridge. CO 80033 Office: 303-235-2855 ' Fax: 303-237-8929 Inspection Line_ 303-234-5933 FOR OFFICE USE ONLY P6 Pt fL1% rmft x I aolboicy-L fin Revtow F«: Building Permit Application Address: city, State, zip: digit than property address) Arc hitecdEnaineer _ ArchitecUEngineer E-mail: Contractor, . .vim . 40"y"'?4T -A�,vr Contractors City License #: / yezz phone: 2'e a Contractor E-mail Address:; /f66,.r ,E' J r,dd cc .v .,"A' T Sub Contractors: Electrical, W.R. City L,cwme # Other City Licensed Sub. City License # Plumbing W.R Crty License # Otter City Licensed Sub. Cev License # Mechanical: W.R. City License a Contplety all information on BOTH sides of this form Descritl"pgyf (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 Larol� ELECTRICAL SYSTEMIAPPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Desmbe) (For AJ -]IL prtarfda.a desa# tl n of work to be pwbiru d. g'came proposed usm SRMS bOfte, exishrig axi Won and proposed new o mddm. apoiam size w T amount nt of n ail: etc l ,Gp,trN66r%v tfi� q�6a•�s f6�f�P aGii�G Sq. fOLF Arnps Btu's Squares Gallons Otte. psojectyi*W (Contract value or t1;e cast of all maters ats and labor included in the entire pro)ec t) OWNERICOI\TRA4TOR SIGNATURE OF UNDEkSTAN\'DING AND AGAMMEN 1 I hereby certify dirt tttt sethaA distances proposed by this perrrtt applicatiuu are accurate and do not violate applicable ordinances rules or rcgulations of the City o: Wheat Ridge or cove rumis, easements or temricttans of recons that all tocasutrnXM shown and aliegat►ons made are accurate; that 1 have read and agree to abide by all conditions printed on this sppitcaucm and the I assume full reWasfbiiity for compliance with applicable City of wheat Ridge codes and ordinances for work tutdcr any permit issued based on this application: the! I am the legal owner or have been authorized by the legal ourtet or the prop"- to perfotm the d -+mesad wort and am also authorized by test legal owner or=.% entity included cc this application to list that entity on this appltcattun CMCM ONF- e0K ER) /C ATRA(70P) !'L IAC77/ORLZEI) ".PRF_S£:1T.4T11 Et of tOWATiRj ICOATR4CTORi DEPAIVIIIE T USE ONLY 113 R&wmwf aUit.l3tt)c-DEPART tare COLUCHrs: rRevmrRr Pth-t-K Rtwwwer PROOF OF SUBNOSSIORI FORMS Foe 0-pasrneyn ❑ i-c..kod ❑ NarRepwred Wer F7+d ❑ Retched ❑ IWsF Regi.d 1S8n>3tm c slid 13 Rceesmd ❑ Not c}CGit AW:Y czns.1F+rknrt Building Division Valuation: INSPECTION RECORD Occupancv/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 I French Drain Sewer. Service Lines.:. Water Service Lines POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) Heating (Underground) DO N OT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED ROUGHS Sheathing Lath / Wall tie Mid-Roof Electrical Service Rough Electric Rough Plumbing Gas Piping' Rough. Mechanical ABOVE INSPECTIONS TO RF SIGNFn: PRInP Tn PRnr PPnlNn Kq~ Framing Insulation Drywall Screw FINALS _ Electrical Plumbing Mechanical. Roof Building Final - Fire Department R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS Parking & Landscaping SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. "NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING. AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY Iq ISSUED. FINAL INSPECTION : BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OF A CERTIFICATEOF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER ~ ` It 14' CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line _ (303) 235-2855 Office - (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: Poop Job Address/Permit Number: /r~'rrr~c P(9/ r r? 4 (1?K s fip ❑ No one available for inspection: Time 11.'1119 f P PM Re-Inspection required: "Yes o J r When corrections have been made, call for re-inspection at 303-234-5933 F bate: Inspector: aL>r i DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE ,-� lo op Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 235 -2857 Fax INSPECTION NOTICE Inspection Type: Job Address: Permit Number: �tCP2 , v All" ' + ✓AM.f_ ❑ No one available for inspection: Time LPDO AM/UM Re- Inspection required: Yes i When corrections have been made, call for re- inspection at 303 -234 -5933 ' � A Date: 04 Inspector. DO NOT REMOVE THIS NOTICE r"~~ City of Wheat Ridge Residential Roofing PERMIT - 091598 PERMIT NO: 091598 - ISSUED: 08/24/2009 JOB ADDRESS:. 4615-25 Simms St ..EXPIRES: .02/20/2010 DESCRIPTION.:. Reroof 32 sqs CONTACTS owner ...303/278-3400 Terry Railton sub 303/665-.7663 Kyle Larson -.09-0262 Kyle W. Larson Enterprises PARCEL INFO ZONE CODE:. UA USE: UA SUBDIVISION: 0103 BLOCK/LOT#: -0/. FEE SUMMARY ESTIMATED PROJECT VALUATION: 5,664.00 i. FEES Permit Fee : 162.90 Total Valuation .00'--•r~=v'~ ' Use Pax 101.95 TOTAL 264.85 Conditions: 6 nail installation & mid-roof inspection required. Board sheathing spaced more than 'a 1/2..ofan inch apart requires plywood overlay on entire roof. Ice and '".water shield required from eave edge to 2' inside exterior walls. Is Subject to field inspections. u I hereby certify that the setback distances pproposed by this permit application are accurate, and do not violate applicable ordinances le or regulations of the City of Wheat Ridge or covenants, easements. or restrictions of record; that all measure to a wn, and allegations made are accurate; that I have. read and agree to abide by all conditions printed on this k appl' tion d that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C). and. all 'other ap icable heat Ri a Ordinances, for work under. this permit.. Plans subject to field inspection. Signatuof c r or/owner date r 1. This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the State of Colorado and. to. the Zoning Regulations and Building. Codes of Wheat: Ridge, Colorado or. any other applicable ordinances of the. city. 2. This. permit shall. expire 180 days. from the issue date. Requests for an extension must be received prior to expiration. r. date. An extension may. be granted at the discretion of. the Building Official. 3. If this permit expires, a new permit may be acquired for a fee of one-half the amount normally. required, provided no changes. have been. or will be made in the original plans and specifications and any suspension or. abandonment has not yexceeded one ,(1) year. If changes have been or if suspension or abandonment exceeds one (1). year, full fees. shall - `be paid for. a.. new permit. 4. No work of any manner shall be done that will change the natural flow of water causing a drainage problem. K 5. Contractor :shall notify the Building Inspector twenty-.four (24). hours in. advance for all. inspections. and shall receive. written approval. on inspection card before proceeding with successive phases of the job. 6. The issuance of. a. permit or the approval of drawings and specifications shall not be construed to be a permit. for, nor. 'an approval of, any violation of the provisions of the building codes or any other ordinance,. law, rule or regulation. ;a All plan revie i ject to field inspections. J ,.Signature of, i uilding Official <.'date `INSPECTS REQUEST LINE: (303)234-5933 BUILDING. OFFICE: (303)235-2855 "''REQUESTS MUST BE MADE BY 3PM ANY BUSINESS.. DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY..` p t, ~oF ""s??q City of Wheat Ridge Building Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-235-2857 °ocoRno° Inspection Line: 303-234-5933 y(o/S4- `rG;lS' S1~~ ,J S1, Property Owner (please prino: I rv~y Phone: 3Y3 ) 7 e-3 WV Mailing Address: (if different than property address) Address: NJ c vo U, J 1- City, State, Zip: L• U 16-e- W oo,~ CO 8-0 Cortracto~: ILY(t ~~vJN •~"t/~"~'S Contractor License Phone: 303 - (06 F - 7GG 0 Building Permit Application Date: Plan Permit N contractors: Electrical City License Company: Plumbing City License Company Mechanical City License Company: Exp. Date: Exp. Date: Exp. Date: Use of space (description): I Construction Value: $ J 7 TV O'eSrlp~•tlOn~Of 1N0►C (as calculated per the Building Valuation Data sheet) cd t-o1I[ fc ee-'Nv.w f I- V CdJfa Ce. .,0- Plan Review (due at time of submittal); $ 01 eval~ Sq. Ft./L.Ft added: Squares BTU's Gallons Amps PT -Ta5~ OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to ' ction. CIRLCEONE:: (OWNER) ONTRACTORor PERSONALREPRES~~[(1TAT_IV~E of (OWN ER) (CONTRATOR) PRINT NAME: /L~ ✓J C- SIGNATURE: Date: COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 15944 BUILDING INSPECTION LINE -(303-234-5953) Date : 7/29/2003 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) Property Owner: TERRY RAILTON Property Address : 4615 SIMMS ST Phone : 278-3400 Contractor License No. : 21709 Company : Front Range Mechanical Phone : 980-5544 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback disfances proposed by this permit appliration are accurate, and do not violate applicable ordinances, rules or regulations of the City of W heat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree lo abide by all conditions printed on this application, and that 1 assume full responsibility for compliance with the W heat Ridge Building Code (U.B.C.) and all other applicable W heat Ridge ordinances, for work under this permit. (OW NER)(CONTRACTOR) SIGNED DATE Construction Value : $3,550.00 Permit Fee : $126.50 Plan Review Fee : $0.00 Use Tax : $42.60 Total: $169.10 Use : Description : INSTALL 10 SEER 2.5 TON A/C, 80K BTU 80% FURNACE & ELEC. HOOK UP BUILDING DEPARTMENT USE ONLY SIC : Sq. Ft. : Zoning Comments:: Approval : Zoning : Building ;Comtnents Approval : Pub'lic Wprks;Commentsi; Approval : Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : Plumbing License No : Mechanical License No : 21709 Com an Company : Front Range Company : p y ~ Mechanical Expiration Date ExPiration Date : Expiration Date : 7/29/2004 : Approval : Approval : Approval : OKIKS (1) This permit was issuetl in accordance with the provisions set forth in yopur application and is subject to the laws of the Stata of Colorado and to the Zoning Regulatlons and Building Code of W heat Ridge, Coloretlo or any other applicable ordinances of the City. (2) This permit shall ezpire if (A) the work authorized is not commenced within sixry (80) tlays from issue date or (B) the buildin9 authorized is suspended or abandoned for a period of 720 days. (3) If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the original plans and speciFlcations and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abantlonment exceeds one (t) year, full fees shall be paitl for a new permil. (4) No work of any manner shall be done that will change the naNral Oow of water causing a drainage problem. (5) Contrador shall notify the Building Inspeclor lwenty-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceediing with successive phases of the job. (6) The issuance Y permil or th approval of drawings and specifcalions shali not be construed to be a permit for, nor an approval o(, any violalion of the provor&4 e jui or anY other ordinance, law, rule or ragulation. Chief Building Insp . or Please sign Terms and Conditions on reverse side of page. •6y-VV-VL V! T~I1 VL~f~VYI M JV.J LJJ LVJ/ rVL DEPAR'INIENT OF PLANNING AND DEVf LOPMEN7' Building Permit Number: . A~ gUII,DING INSPECTION LINE - 303-23 -5933 Date: CITY OF WUAT RIDGE ~ 7500 WEST 29TH AVENUE ~oR^pO WHEAT RIDGE, CO 80215 -(303-235•28° i) APP~~: ~~70N Property Owner.T QR y f(R iL 10 N[ rropacynadres::t~(oISS!MHSSt, ~.U/)E'!1'~/1/4y, CO F(DU.30Phone:j303)a77~-,3 4 U() Contractor License No.: 2( 7 C~j Phone: OWNFRlCYlN7RACTOR SICNATUR6 OA UNDFASGNDIIVG AND AGA6EM6.N7 1 hereby urt~fy that the seibatk distances poposed by Nis permit applicetion are acc vete, anC do aotvblue applicablc or0loenccs, n0u or rcgutuiaa oftla Ciry of Wheu Ri ge a covrnws,euanenrsorresMctlaieoP+ecord;Natallmeasmwenrss6o.m,andalleq umu mede are xwrete: Nm I have rzad and sgree to abide by ail conditions printcd c i[his epplieation and tlwt I assume (uil iesponsibility kr comDlimee with thr Wheai :idgc Building Code (U-BC) enA dl other ap0~~cab1t WMat Ridye OrOMances, for worh mEer this pmnk (0w.'MxC0,TR,(7MR): s~0~FD~"dc"ax~LE-6l3t63 Construction Value:$3;53 0•" Pemvt Fee:$lol(ig - SD Plan Iteview Fee:$ Use 1 ax.S Totat:$i69, / o Descripdon:~Q,Q / O S~eQ 'q ,s IoN n /c, / g°X Qru so~~ BUILDING DEPARTMENi JSE ONLY ZONINO COmMNITf: Approvat: Zoning! suIwma CorreMs: ppproval: SIC: Sq.Ft.: Uy Wusuc vwMKS corrwrs: Approval: OeGUpaney: Wa115: Root: Stt ies: Residential Units: Electrica! License No: Plumbing Liceose No: CompanY FRDNt)PfFtiYePech c«npany: Mechanicai License No, comvanr:FRoN1 ktr,vVe Mech AN `c4C Expirntion Date: Expirauon Date: ExpiratSon Date~ Approval: Approval: Approval: (1) 7Dis pmmit waa iswsd m aeeotdaax w+W ihe povicaos tt~ taM in your appliWiu ~od is aWijea w Ws laws af Ne SWa o( Coloeado and m ~lie Zm~ing Ae9elauwa aod BWldiog Cadt+of Whw RidE. Calmado or any eeher applicable t dimeces of tlK Ciy. (I) lltispement shallaWinif(A)dw workwqhafiseda aoteoameeocadwiWinwKty(6) 6ysfivuisaasdNCa(B)1Acbaildaeart4otixadits+opendcdo- ab.ndmsd far a penad of l30 Mfa. (3) If ine eereartaxvir•s.. om vm" m+r e..cP.ea tm. rav of me-wrbe isaa.rc to.natb Tw-i••a wowaw m chmeees n.K ex. «.n n. ma& to theoriyfodplmsaaMsWci6enwnardmYnWK^Tion wkandommedlasnol evas MAms(11veu.IfcMnFnhmebttnrrif.wspensinn~+6audnnmeni e[ceeds ma (1) ye~r. Cvll fw fHall lx Wid fm a new pvmit. (t) Na wwk of qy maooer aWll ba d"¢ thN'witl c6mge fhe naned flow of wm1u utis ie a dninage Drobien. . (31 CmmclarsWllooti[y1heBVilNaqNSpeelo~twenh-~R<)hwainad•w[o•all ispecnonSanEShdlmeeivewrirtenrpprovd oninspemmo cardbdbrr p~ooae6n~ v6h .stiw yleass ofeha job. (6) iM isnmw of a pnmir or rW ypmvd of Aawup aed speciBudm+swl ow M cnnmsd t0 6e A pmvii fa. nor m apryoril of, anY hamion of IAe prnvuiw dcAe Mi1doG saEq m my dhtt aAwmd.'. W+, rok wre{dsUau Chief Buildittg Inspector