HomeMy WebLinkAbout3252 Vivian DriveCity of Wheat Ridge
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Residential Mechanic PERMIT - 201708457
PERMIT NO: 201708457 ISSUED: 10/19/2017
JOB ADDRESS: 3252 Vivian DR EXPIRES: 10/19/2018
JOB DESCRIPTION: Permit to remove existing boiler and Install new Dunkirk DXL-100 100K BTU,
83% AFUE gas fill boiler. Disconnect/reconnect, Install new backflow
preventer, new PRV and expansion tank.
*** CONTACTS ***
OWNER (303)807-1823 TORBORG PAUL
SUB (720)690-1247 Michael Hawley 150164 Hawley Mechanical Corporation
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,200.00
FEES
Total Valuation 0.00
Use Tax 109.20
Permit Fee 140.90
** TOTAL ** 250.10
*** COMMENTS ***
*** CONDITIONS ***
Work shall comply with 2012 IRC & 2014 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
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.
G v/
Signature of OWNER or CONTRACTOR (Circle one) Date
I. This permit was issued based on the information provided in thepermit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
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 obe ne-half of the ori ginal�ppermit fee.
uired to be obt
3. If thisard
requirements, fermit es andprocedures a new ifor approval of any new permit.Rles Re -issuance ornew ext permit
of expired permitct s ishat the sole discretion of
the Chief Building Offiial 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 gra g 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 ce or reg>�n of is j risdiction. 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.
City of
�W heatIidgc
MUNITy 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
FOR OFFICE USE ONLY
Date: OIL
Plan/Permit #
6?- �0 110�`� i
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: 3252 Vivan Drive, Wheat Ridge, CO 80033
Property Owner (please print): Paul Torborg Phone: 303 - 807-1823
Property Owner Email
paultrbrg@hotmail.com
Mailing Address: (if different than property address)
AcirlrPss:
City, State, Zip:
Archie E e :
Architect/Engineer E-mail:
Hawley Mechanical Corporation
Contractors City License #: 150164
C_mail OrifirCCC-
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Phone:
Phone: 720 - 690-1247
michael@Hawleymechanicalcorp.com
Plumbing:
W.R. City License # 15-6/(9 y
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License # IJ -991(01
Complete all information on BOTH sides of this form
❑ COMMERCIAL ❑ 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.)
n MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ OTHER (Describe)
(For ALL projects, please provide a detailed description of work to be performed, including current use of areas,
proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and
amount of materials to be used, etc.)
�Iee- .0,0t- (1) 'C'V44•:5 ,ao••iT a_ _= Cl_) AJtw vvnLc."(C 6 XL. - /Co /oo/o asig- v
Sq. Ft/LF
Amps
.15
�rc..e ► +f.-�_J Q2 u ,P— e.)ces.-, s ;-- -7--�i, 4c-' -
Btu's / Ooy o"c7
Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$ 5 Lav
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 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 pv' plication.
(CONCIRCLE ONE: (O roTRACTOR)
(AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Electronic Signature (first and last name): DATE: 0 ZdT�
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
INSPECTIO RD
Inspection online form ttp://www.ci.wheatridge.co.us/inspection
Cancellations must be submitted via of spection
Inspections will not be performed unless this card is posted on the project site
Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business day
PERMADDRESS: 3�;, V'I✓ l"%
PERMIT -7 -IN -� LFYQ5 jDDRESS: ,�r.� �/, �'�� �°� JOB CODE: (,�.
Rough Inspection (continued)
Date
Inspector
Initials
Comments
316 Rough Mechanical Residential
317 Rough Mechanical Commercial
318 Boiler / Furnace
319 Hot water tank
/%
�✓�
Sc�.� LCL
320 Drywall screw and Nail
f
321 Moisture board / shower walls
322 Rough Grading
323 Miscellaneous
Final Inspections
Date
Inspector
Initials
Comments
402 Gas Meter Release
403 Final Electrical Residential
404 Final Electrical Commercial
405 Final Mechanical Residential-�c+
/%
�✓�
Sc�.� LCL
406 Final Mechanical Commercial
f
407 Final Plumbing Residential
408 Final Plumbing Commercial
409 Final Roof
410 Final Window/Door
411 Landscape/Park/Planning*
Inspections from these entities shall be requested
one week in advance.
*For landscaping and parking inspections please
call 303-235-2846
"For ROW and drainage inspections please call
303-235-2861
***For fire inspections please contact the Fire
Protection District for your project.
412 Row/Drainage/Public Works**
413 Flood plain Inspection*
414 Fire Insp. / Fire Protection***
415 Public Works Final**
416 Storm Water Mgmt.**
417 Zoning Final Inspection*
418 Building Final Inspection
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 by the Fire District and
Electrical low voltage by the Building Division.
Inspection Type:
Job Address:
Permit Number:
CITY OF WHEAT RIDGE
Building Inspection Division
303) 234-5933 Inspection line
9) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
/ZG.T C -
r,
t
1
i
❑ No one available for inspection: Time \ AM/PM
Re -Inspection required: Ye No
When corrections have been made, call for re-inse on at 303-234-5933
Date:( `
2 � Inspector: %
INSPECTION RECORD
OccupancvlTvpe
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.
G7� H /h A 1
NSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS J OB
INSPECTIONS
*Reinforcingor
DATE
INSPECTOR
INITIALS
COMMENTS:
sons
G) Concrete
nd
Sheathing
g Monolithic
Lath / Wall tie
Weatherproof / French Drain
Mid -Roof
Sewer Sery ice Lines
Electrical Service
Water Service Lines
Rough Electric
YuUR rvO I:ONORETE UNTIL ABOVE HAS BEEN SIGNED
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
Heating (Underground)
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
ROUGHS
Sheathing
Roof
Lath / Wall tie
Mid -Roof
Electrical Service
Rough Electric
Rough Plumbing
Gas Piping
Rough Mechanical
ABOVE
Framing
INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING
Insulation
Drywall Screw
FINALS
Electrical
Plumbing
Mechanical
Roof
a ,
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 IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
UGGUPANGY N OT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
♦ ♦ CITY OF WHEAT RIDGE
-� Building Inspection Division
tI (303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type: fFa?"i
Job Address: 3DEZ? Wllf 'rt r,
Permit Number: M) /Q4
❑ No one available for inspection: Time f X , A /P
E Re- Inspection required: Yes , No
(� *When corrections have been made, call for re -insp lion at 303 - 2345933
�). p
Date: Inspector:
DO NOT REMOVE THIS NOTICE
I
♦ 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: t` O
Job Address:
Permit Number: fOfgfn fi
❑ No one available for ins ction: Time 1 /;/O AWN
Re- Inspection required: No
'When corrections have been made, call for re- inspection at 303 -234 -5 933
Date: 9 "a'li) Inspector: A r,.4
DO NOT REMOVE THIS NOTICE
41 City of Wheat Ridge
_(-
Residential Roofing PERMIT - 101965
PERMIT NO: 101965 ISSUED: 08/13/2010
JOB ADDRESS: 3252 VIVIAN DR EXPIRES: 08/13/2011
DESCRIPTION: Reroof 28 sqs with 50 kyr shingles
* ** CONTACTS * **
owner Paul Torborg
sub 303/425 -7531 John Borfitz
01 -9983 J & K Roofing Inc.
** PARCEL INFO **
ZONE CODE: UA
SUBDIVISION: 0696
USE: UA
BLOCK /LOT #: 0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 7,196.00
FEES
Permit Fee 172.60
Total Valuation .00
Use Tax 129.53
** TOTAL ** 302.13
Conditions:
6 nails per shingle is required. Ice dam membrane is required from eave edge to
2' inside exterior walls. Board sheathing with any gap greater than 1/2"
requires panel sheathing overlay on entire roof. Sheathing inspection is
required prior to covering. Midroof inspection is not required on permits
purchased after 4/18/10. Contractor shall provide ladder for inspections.
Scheduled inspections that cannot be performed due to inclement weather must be
cancelled prior to 8:30 a.m. on the day of inspection or a re- inspection fee
will be assessed.
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 R�`O�inances, for work u =it.. Plans subject to field inspection.
Signature
1
4
5
6.
-/,3 -C
date
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.
This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration
date. An extension may be granted at the discretion of the Building Official.
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
exceeded 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.
No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
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.'
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.
All plan review 4 s #}ect to field inspections.
Signature of Chyff ayt4ding Official
date
INSPECTIOWREQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of Wheat Ridge Building Division
7500 W. 29"' Ave., Wheat Ridge, CO 80033
Office: 303 - 235 -2855 * Fax: 303 - 235 -2857
C�<t,RPa Inspection Line: 303 - 2345933
Building Permit Application
Date:
Plan #:
F�rmit #:
e orc_�
Property Owner (please print): Pd, LA_ _ I `ra V_
Mailing Address: (if different than property address)
Address: 2vZ�2 V y i av, � DV —
City, State, Zip: Wh2AY ( a QPi
Contractor License M Phone:
Electrical City License #:
Company:
Plumbing City License #: Mechanical City License #:
Company Company:
Exp. Date: Exp. bate: Exp. Date:
Approval: Approval: Approval:
Use of s ace descri tiio_n): Construction Value: (� _
V— (as calculated per'the Building Valuation Data sheet)
tj
17� Plan Review (due at time of submittal): $
Sq. Ft.IL.Ft added: Squares BTU's Gallons Amps
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
1 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 measuremenO- 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 ail other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
CIRLCE LEPRINT NAME: �=� ON7,R,yCTOR) PERSO NATUREPRE Tp7,l o ( () -R n ( I CO ATOR) 12, V H ir � 1l 5 1 J lA�J p 4SIG tl Y Date.
DEPARTMENT OF GOMMUNITY DEVELOPMENT
PERMIT
ME93~f5642
N0
E BCITDIOF WHE TCRIDGE,COLO.N
t
S
.
BOX638
PO
2345933
THIS PERMIT VALID ONLY WNEN SIGNED BY TNE CHIEF BUILDING INSPECTOR ANC RECEIPTED BELOW.
APPLICATION FOR MISCELLANEOUS PERMIT
~~~P OWNER Vir inia Carl
;
i
D
r
v
v
an
JOB ADDRESS 3252 Vivian Drive
CONTRACTOR Denver BllY'cj1dT AlaY'I[t ADDRESS
237-3446
$0033
ZIPCODE
1955 Sherman St. PHONE
ADDRESS
80203 CONTRACT PRICE $ 2500.00
CITY T)RnV ZIP CODE
16528
DATE
292-2222 LICENSE NO.
PHONE -
nd❑ Woll❑ Proisolinp❑ Othtr
G
SaDFOeI
rou
TYPE
~
(S
MATERIAL
ILLUMINATION Yes❑ No❑ TYDS
J L3
SET BACK FROM PROPERTY LINE 5__ E.-_ W
❑
INSPECTI
ON TICKET
(SDsCify wnicA ie f ront ) ❑ ❑ ❑
JOB
9
C
lid~ Mon Thon 80% ODen❑ Lns TAon 801
S
~S ~
"`e'Y
J~~
o
1. TYPE
D
DRESS
✓
v
~
°
MATERIAL
SET BACK FROM PROPERTY LINE N__ S__ E_ N'
(SpecifywhicAiatroM)
PERMITN
G
DATE:
SeCUYlt & Fire S Stem
.1
BLD
.
OTHER I2'
3.
DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHER STRUCTURE,GIVIhv W
(SETBACNS OR PROJECTpNS INCIUDED)
PERMITM
BLDG. CONTR. ~ e✓Ck
SUBCONTRACTOR
C~ m
DATE INSP. REQ.
TYPE OF INSR
INSPECTION MADE
REMARKS
G~
STREET NAME W.R.FORM 6-19
SHOW DISTANCES FROM THE MAIN BUILDING TPADJOINING HOUSES, STREETS, AND PR ~
DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANI:E.
APPLICATION FOR PLUMBING; ELECTRICAL; D
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY UPON VALIOATION 6Y IMt tlUiLUlnU irvartu iiUrv uiviaiUrv.
PERMIT WILL ERPIRE 180 DAYS FROM THE DATE OF ISSUANCE IF WORK IS NOT STARTED WITHIN THAT TIME.
ELECTRICAL PERMIT PLUMBING PERMIT MECHANICAL PERMIT
STATE LICENSE N0. STATE UCENSE N0.
AWMINUAWIREUNDERSIZE8ILLEGAI F1.00R BSM IST 2ND 3RD 4TH NQ FUE4CirdeOn~CwiO~~RopaN E Sda
WATER LlASET FORCED AIR BTU
NO.
TEMPORARY METER WASH BOWL HOT WATER - 8TU
STEAM - BTU
NEW SERVICE - QMPS BATH TUB p~p CpNDIT10NIN6-BTU
CHANGE SERVICE-AMPS SHOWER OTMER
LIGHTING SINN
GARBAGE DISP REFRIGERATION SYSTEM
MEATING R~bieeranl GrWD
CONTROLS
TRANSFORMERS 9 RECTFIERS
ADDITION TO OLD WORK
unrnRS OVER I HP
I hsreby acknowledqe tnat tnis aDOlico-
tion u correct and undeistond tAat I
eannot stort thie Droject unlil this oppf-
talian is ap0roved. I sholl comply with
the lows of the Stofe o1 Colorado and to
tAS Zoninp Repulations and Buildinq
Code of tha City of Wheai Ridpe. AnY
vi0lotion ol the above ferma will couse
immediote revocation of tnls permit
on~aoi. s~o~
DISH WPSntR
FI,DOR DRAIN
NOT VALID UNLE55 RLceirIw
PERMIT FEE 90.00
USE TAX T• n~o 1 - ojvly-'3
TOTAL FEE $ 90.00
CNIEF BUILDIN INSPECTOR,Cityof Wheat Ridqe
CALL 2345933
24 HOURS IN ADVANCE
/ 1 - Y Ct'"3 FOR INSPECTIONS
Date Issued L
7500 WEST 29th AVENUE
237-8944 EXT. 255 P.O. BOX 838
1 PERMIT VALID OND WNEN SIGNED
JOB ADDRESS
CONTRACTOR
ADDRESS ~
GTY~
PHONE V
TSIGNS
6 TYPE Solid❑ Mon Thon 80% ODanU Leu TAon 80%
MATERIAL
7FENCES 3 SET BACK FROM PROPERTY LINE N__ S_._ E__ W
(Soscify whieA ie Tront) ❑ Ei 0 n
✓
DEPARTMENT OF COMMUNITY DEVELOPMENT
6UILDIN6 INSPECTION DIVISION PERMIT N0.MP92113281
CITY OF WHEAT RIDGE, COLO.
BY THE CNIEF BUILDING INSPECTOR AND RECEIPTED BEIOW.
APPI,I TION FOR MISCELLANEOUS P~ IT
nl OWNER
ADDFESS 3 l•~ • ~1UI~1. 0~.
u ✓1 ( " ~
j L,v(-)-' PHONE ZIPCODE
7~ Q
ZIP CODE 1 CONTRACT PRICE $ ~~l'
LICENSE NO.
L TYPE Ground❑ Woll❑ Proiectinp❑ 01har SorDFaG
2. MATERIAL Totol Sqmn Fest
3. ILLUMINATION Ysa❑ No❑ TYVe Elnt. Permit No.
4. SET BACK FROM PROPERTY LINE N_ 5_- E- W Zone Insp4tta
(Seetitv whicA is }ront ) ❑ ~ ~ 13 D wpprwad
I.
OTHER
13.
Heipht
2me_ AppaW,Zone InsOSCtor
DRAW SKETCH OR SHOW BEIOW,THE FENCE,SIGN,OR OTHER STRUCTURE,GMNG DISTANCES FROM PROPERTY LINES.
(SETBAGKS OR PROJECTIONS INCLUDEA)
~
SPECIFV NORTH
STREET NAME
SHOW DISTANCES FROM THE M41N BUILDING TOADJOINING HOUSES, STREETS, AND PROPERTY LINES; ON IRREGULAR LATS, SHOW LEAST
D15TANCE TO PROPERTV LINES, NOT MA%IMUM OR AVERAGE DISTANCE.
APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT PERFO
THE THIS APPUCATION~RMITEyOMEEXPIREM60 DAVS FR MRDATE OFaSSUANCEO'.F WORIfYI3 NOT SYALIDATION TARTED WIBTHW TF1pT TLDING IYAE. INSPECTION DIVISION.
ELECTRICAL PERMIT PLUMBING PERMIT MECHANICAL PERMIT
STATE UCENSE N0. STATE LICENSE NO.~
BSM I5T 2N0 DRD 4TH N0. ~L'C~°~~t0*al~0P0fN EbeSALUMINUM WIRE UNDER SIZE 8 II.LEGAI FI~ FORCED AIR - 8TU
~ WATER CLASET HOT WATER _ BTU
WASH BOWL
n.d
B REC
WORK
DRAIN
I hereby ocknowladqe thot ihia appllca'
tion u emrect and understand ihaf I
eannof stort this project until thia op
cotion is apOroved. I shall tom0ly with
tha lowe oi the State of Colorado ond to
ths ZoninQ Repufations ond Buildinq
Code of the City of Wheaf Ridpe. Any
violafion of fhe above ferms will oause
e revocati ot ih'i Derm1
im t
~
~OVlieanb 9i na ur~
~ NOT VAIID UNLE55 F
PERMIT FEE ~ l2/~ `F4(16~?-
uSE TAx -~lo
TOTAL FEE $ ( -7.
CHIEF BUILDING f~IVSPECTOR,City oVWheat Ridqe CALL 237-8904 ex7. 255
24 HOURS IN ADVANCE
FORINSPECTIONS
Date Issued
DEPARTMENT OF COMMUNITY DEVELOPMENT
7500 wEST 29tn AvENUE BUILDING INSPECTION DIVISION PERMIT NO
237-8944 ExT. 255 P.O. BOX 63e CITY OF WHEAT RIDGE, COLO. M91~I17446
THIS PERMIT VALID ONLY WHEN SiGNED BY THE CHIEF BUILDING INSPELTOR AND RECEIPTED BELOW.
APPUCATIO FOR MISCELLANEOUS PERMIT
JOBADDRESS o+A.) OWNER ~l0 lI
CONTRACTOR ADDRESS `
ADORESS I " D- ' (2P-0 (I X2 l..l~/~-'~ PHONE ZIPCODE
CITY ~ZIP CODE ~ y T~~~~`} 6y CONTRACT PRICE $
PHONE LICENSE NO. DATE - 2-)-4~-C11
TYPE Gr0un0 ❑
1
Woll❑
ProitClinQ❑
OMer
S W D Fac1
.
2. MATERIAL
Totol SQUOre Feef
SIGNS
ILLUMINATION Yn❑ No❑
3
7
pe
Permil No
Eteet
.
4. SET BACN FROM PROPERTV LWE N
(SOetily which is lront )
y
_
❑
5_ E
❑
_ W
❑ ❑
.
Zone_
.
ApprwMi lnspootor
Diaapproved
1. TYPE Solid[] More Than BO% OpenE3
S. MATERIAL
Loss Thon 80% Open
Heiphf
FENCES
3. SET BACN FROM PROPERTY LINE N
(SPetify which it }ront)
_
❑
S_ E
❑
_ W
❑ ❑
Zom_
ADMwW,Zone Impecta
Disapproved
1
.
2 v
OTHER
3
29
.
DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHER STRUCTURE,GIVIhG DISTANCES F PR RTY LINES.
(SETBACNS OR PROJECTIONS INCLUDEA)
/4
INSPECTION TICKET
JOB
ADDRESS ;-f
FRONT PttOPERTV LWE DATE: BLDG. PEflM1T8
STREET
PERMITM
SHOW DISTANCE$ FROM THE MAIN BUILDING TQADJOINING HOUSES, STREETS
DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR DISTANCE. BLDG. CONTR. ~ 14L
APPLICATION FOR PLUMBING; ELECTRIi
THIS APPLICATION WILL BECOME A PERMITTO PERFORM THE INDICATED WOF
PERMIT WILL EXPIRE 180 DAYS FROM THE DATE OF ISSUANi
ELECTRICAL PERMIT
STATE LICENSE NO.
lMINUM WIRE UNDER SIZE 8 II.I.EG,i
TEMPORARY METER _
NEW SERVICE - QMPS
CHANGE SERVICE-AMPS
LIGHTING
HEATING
POWER SUB-CIFCUITS
UTILI7Y (RANGE, DISPOSER, ET
FIXTURES
WIRING MOTORS 8 CONTROlS
SIGNS
TRANSFORMERS d RECTFIER$
ADDITION TO OLD WORK
un7nRS OVER I HP
I Mreby acknowledpe that thia applico-
fi0n H tonect and undeisfond thaf I
tonnot starf this Drojett until 1his aDDli-
cotion is opproved. I shall comply witn
tne lawa o1 1he Slate ol Coloroao ond ro
the Zoninp Repulofiona ond Butldinq
Code ofthe City of Wneot Ridqe. Any
violotion of the above terme will couee
immediate revocofion of Ihis permil
PLUMBING PEP
STATE LICENSE N0.
FLOOR 8SM IST
WATER CLDSET
WASH BOWL
BATH TUB
SHOWER
SINK
GARBAGE DISP
WATER HEATER
AUTO.WASHER
DISH WASHER
FIt10R DRAIN
URINGL
SEWERS
OTHER
TOTAL FIXTURES
PERMIT FEE
USE TAX
TOTAL FEE ~
SUBCONTRACTOR
DATE INSP. REQ.
TYPE OF INSP
INSPECTION MADE
REMARKS OIC ,
l~ ~
~<J I I ~q n~
W.R. FORM Stq,~
~0.60
f VAIID UNlESS RECEIMED
JI v V/9Z.
Ff"
CHIEF BUILDIpQSd'INSPECTOR,City of Wheat Ridye
Date Issued_o~/' ~
CAL1237-8944 EXT.255
24 HOURS IN ADVANCE
FORINSPECTIONS