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Home My WebLink About3383 Vivian Drive3-3S-3UI,V1,A_r0 Dp. INSPECTION RECORD Occupancy/Type INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection P, INSPECTION REQUEST LINE: (303) 234-5933 Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site. **Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Initials Comments Pier Sewer Service Concrete Encased Ground (CEG) Mid -Roof Plumbing Foundation / P.E. Letter Lath / Wall Tie Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Initials Comments Electrical Wall Sheathing Sewer Service Mid -Roof Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof Lath / Wall Tie Rough Electric' Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw/ Nail Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof c Final Window/Doors Final Building NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy. "For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather 3011ON SIHI-9AOR.9H ION 00 :aoloadsul � f ££65-b£Z-£o£;e uo►joadsui-aa ao} ileo `apew uaaq aneq suoi;oaaaoo uayM.x dN saA `:paainbaa uoiloodsul-ad WdIA d` d owil :uoiloodsui aol algeliene auo ON r oh 1.4 i') a- :aaquanN Iluaaad yu7 - :ssaippd qof :adA1 uolloadsul 33110N N01133dSNI xeJ 6z6g-LEz (CCE) • aq�_4o 5sga sgz (Cog) augj uoijoadsui EE65-ti£Z (EOE) uolslnla uoi}oadsul Bulpiln8 3Jala lV3HM 30 A113 \i f ►1 A ` City of Wheat Ridge Residential Roofing PERMIT - 201705800 PERMIT NO: 201705800 ISSUED: 08/09/2017 JOB ADDRESS: 3383 Vivian DR EXPIRES: 08/09/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles to include Ice and Water with 30 sq. *** CONTACTS *** OWNER (303)237-1616 DURBIN NAIDA L TRUSTEE SUB (303)237-7663 Thomas J. Roatch 020669 Universal Roofing Applicators *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,000.00 ai FEES Total Valuation 0.00 Use Tax __ 252.00 Permit Fee 236.00 ** TOTAL ** 488.00 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. City of Wheat Ridge Residential Roofing PERMIT - 201705800 PERMIT NO: 201705800 ISSUED: 08/09/2017 JOB ADDRESS: 3383 Vivian DR EXPIRES: 08/09/2018 JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration asphalt shingles to include Ice and Water with 30 sq. 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 thi2,penni further attesf that I am le ally authorized to include all entities named within this document as parties to the work to be ped that all work to be pe rmed is disclo d in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CdNTRACTOR (Cirde one) Date I, This permit was issued based on the information provided in thepermit application and accompanying plaps 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 maybe 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 Off-cial and is not guaranteed. 4, No work of anmanner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holdy er 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 issu e o ranting of a perm be construe be a permit for, or an approval of, an violation of any provision of any applicable c any-ordi a ion of this juris tion. Approval of work is subject to field inspection. taiwrt _ _t• I Signature of Chief - ui al �� Date REQUESTS MUST BE MAD BY MW ANY B X DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. UNWER.SAL C0A--kN--e-k/ Proposal No. ROOFING - Sheet No. � APPLICATORS Date 2030 Lewis Street * Lakewood, CO 80215 - 303 -237 -ROOF, 303-237-7663 * FAX 303-237-1365 Proposal Submitted To Work To Be Performed At J C� 17, b ` & 1 L` Nam ,E ---u: -Scree Street 23 V . O E City Stafe of Plan f r y St ve :33 Telephone Number -3L23 We herebypropose miissph/rall the aterials and perform all ,the labor n ry for the pf �� Ico1mplleetion —v -"e-'44 /�I'� . J 1IT L'�r' /Al `t /.i ^(/ •t T••.J g 1 f 4�� -s"` ✓L� &44J 7 ti.. VAut L r TZ All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings .and sped cations Emitted for Dove work and completed in a substantial workmanlike manner for the sum of c — Dollars l$ Allwith ley paytmaents to be made as fellows: 1,U If-' ✓L1 " �} stir ,r�`� L��i�lt%rJ,C Any aiteration or deviation from above specifications involving extra costs, will be executed only upon written orders, and wig become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control_ Owner to carry fire, tornado and other neces a insurance upon ab ve work. W kmen's :A pensation and Public P-zf - Liability insurance an above work to be taken out by L=;:-/ i /i � Respectfully submitted. Per Note This proposal may be withdrawn by us if not, accepted within •� days ACCEPTANCE- OF PROPOSAL 1 k� �"=7 The above prices, specifications and condfiions are satisfactory and are hereby- a pted..You are authorized to do the work as specified. Payment win be made as out il�ed above. Accepter ./cahf�! �v,�3�o Signature Daft ^✓ 5gnabr'��' - TOPS MRM 3450 Dan Schultz �1Xre_w From: no-reply@ci.wheatridge.co.us Sent: Friday, August 4, 2017 7:56 AM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Danny Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address 3383 Vivian Drive Property Owner Name John Durbin Property Owner Phone 303-237-1616 Number Property Owner Email N/A Address Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. Attached Copy of Field not completed Contract CONTRACTOR INFORMATION Contractor Business Universal Roofing Applicators Name Contractor's License 020669 Number (for the City of Wheat Ridge) V/ No Contractor Phone 303-237-7663 Number Contractor Email Address troatch@hotmail.com Retype Contractor Email troatch@hotmail.com Address / DESCRIPTION OF WORK Are you re -decking the No roof? Description of Roofing Re -roof entire house and garage Owens/Corning Duration Material shingles, Ice&water all eaves and valleys 4/12 30 Sq. Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 30 Sq material selected above? Does any portion of the V/ No property include a flat roof? If yes, how many squares Field not completed. on the flat roof? / TOTAL SQUARES 30 Squares V (pitched + flat) of all z roofing material for this proj ect Provide additional detail re -roof Owens/Corning Duration 30 Year shingles here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract $12,000.00 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. Name of Applicant Tom Roatch (Owner Universal Roofing Applicators) Email not displaying correctly? View it in your browser. 3 i CITY. 41= WHEAT RIDGE : , , Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: M Job Address: 1 R . Permit Number: �No one available for inspection: Time AM/ M Re -Inspection required: YesNo When corrections have been made, call for re spection jatJ0 234- 933 Date: Inspector: 104w, DO NOT REMOVE THIS NOTICE F" 4 CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office' (303) 237 -8929 Fax INSPECTION NOTICE Inspection Typ Job Address 71F9 VIV1,4w L. Permit Number 11077Y ❑ No one available for inspection: Time %. A PM ` Re- Inspection required: Yes No '- *When corrections have been made, call for re-inspection at 303- 234 -5933 Date: ? , Inspector: R , DO NOT REMOVE THIS NOTICE ' ' City of Wheat Ridge _ Residential Plumbing PERMIT - 110774 PERMIT NO: 110774 ISSUED: 07/06/2011 JOB ADDRESS: 3383 VIVIAN DR EXPIRES: 07/05/2012 DESCRIPTION: 45 if of sewer replacement in yard * ** CONTACTS * ** owner 303/237 -1616 John Durbin go 303/424 -1054 Michael Enright 01 -7953 AAA Service Plumbing ** PARCEL INFO ** ZONE CODE: UA USE: UA SUBDIVISION: 0696 BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 5,200.00 FEES Permit Fee 140.90 % Total Valuation .00 Use Tax 93.60 ** TOTAL ** 234.50 Conditions: Must comply with 2006 IRC, 2005 NEC and all applicable City of Wheat Ridge Municipal Codes. Subject to field inspections. 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 nd /or its' accompanying approved plans and specific, on SignaturW of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one- half of the original permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re- issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. S. 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 c e ny ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Ofj cal ' Date INSPECTION 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. 2 4w "FATR City of Wheat Ridge Building Division :a 7500 W. 29 Ave., Wheat Ridge, CO 80033 a Office: 303 - 235 -2855 * Fax: 303 - 235 -2857 C�CORP�� Inspection Line: 303 - 234 -5933 Building Permit Application E Property Address _5 m Property Owner (please print) . - I nh n ur bin Phone: Mailing Address: (if different than poperty address) Address: City, State, Zip: rJ�le� Contractor: MT (Xj W I Cc +1 u I I lil I l -mil )U Contractor License #: Q M 53 Phone: 136 5 L L4 - 16 5 Sub Contractors: Electrical City License #: Plumbing City License #: Mechanical City License #: Company: Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description): Construction value: $ Description of Work: {— (as calculated per the Building Valuation Data sheet) U 1. 1)'�. Plan Review (due at time of submittal): $ Sq. Ft. //L.. Squares BTU's ✓ Gallons Amps 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 the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field inspection. CIRLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIVE of (OWNER) ( CONTRATOR) PRINT NAME: SIGNATURE: Date: ZONING COMMENTS: Zoning. Reviewer BUILDING DEPARTMENT COMMENTS '`oc Reviewer: FIRE DEPARTMENT: ❑ approved w/ comments ❑ disapproved ❑ no review required Bldg Valuation: $ INSPECTION RECORD o ccupancy /Type NSPECTioN - LIro - 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. V I V1(', , hV ntm1 ) INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS .JOB FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS Footings /Caissons Stemwall / (CEG) Concrete Encased Ground Reinforcing or Monolithic Weatherproof /French Drain Sewer Service Lines Water Service Lines - POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) Heating (Underground) nn NnT Pn11R FI nnP I INTII ARnVP MLC RFFN QIr NPn ROUGHS Sheathing Lath /Wall tie Mid -Roof Electrical Service Rough Electric 'Rough Plumbing ` Gas Piping Rough .Mechanical .'. "ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING Framing Insulation Drywall Screw FINALSI. Electrical Plumbing Mechanical Roof Building Final f ' Fire Department R.O.W & Drainage INSPECTIONS. FOR PLANNING & ZONING;. FIRE AND PUBLIC WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Parking & Landscaping "'NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC :WORKS BEFORE A l CERTIFICATE OF: OCCUPANCY IS ISSUED. '. FINAL INSPECTION BY: THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION '. 'OFA CERTIFICATE OF OCCUPANCY. NOR PERMISSION FOR OCCUPANCY.' OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER i CITY OF WHEAT RIDGE f (3 Building Inspection Division (303) 234 -5933 Inspection line 03) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type: 46 Job Address: =K ✓✓ ca 1 r` Permit Number: /G / 3 l . r 444 tc�e7 t ",a7 7 �e� ❑ No one available for inspectio Time /5 AM j Re- Inspection required: Yes No When corrections have been made, tail for re- inspection at 303 - 2345933 Date: 4 A) Inspector. _' DO NOT REMOVE THIS NOTICE Cit of y Y g eat COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29" Ave., Wheat Ridge, CO 80033 Date:�,2 -010 - Plan # Permit # Office: 303 - 235 -2855 * Fax: 303 - 237 -8929 Inspection Line: 303 - 234 -5933 Building Permit Application Property : 33 Property Owner (please print) yh, f �,� Phone: 3 03 Mailing Address: (if different than property address) Address: City, State, Zip: Confracton: — U 11!45A) t 9041 hCh df S Contractors City License M Phone: 303 03 s? -- 7C .G 3 $ub.Contractors Electrical: Plumbing: Mechanical: City License # City License# City License # 13es�nptton'of wore 0 Contract Value: CC �r c O sJ LxW -eS o f ( iul L.`rljvAIlo $ �)�� `� 0 " 16A rA;Z i 6 VC Review Fee (due at time of submittal): Squares 3 BTU's Gallons Amps Sq Ft. $ 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. CIRCLE ONE (OWNER) (CONTRACTTO r (AUTHORIZED REPRE NTA lT/n7VE) of (OWNER) . (CONTRACTOR)) PRINT NAME: t7r lCk SIGNATURE S� �(. DATE: RE vp ✓ DEPAR7MEt U8E OJ�Il Y ` t zONING GOMNIENTS � � - s �" � -✓ ��✓ - °��' %' i �✓.> � ' ✓? � zOnitlg a � r .r Y' ✓ � � ' T<a% a ��s 3 v✓ v y� . � r� 1�z� n' �"i s /� � � y w � � r P LC ) ✓ .."' /' G d u r q ,J' �,.. S 'RemeW @T c r° � n r ^ F � � ms 's ✓ ✓ � ,; � ^, � a r ?a x� ','✓t .✓x BUILDINGDEP�R7fulENT CO}, `� ,�/ ✓, i i r c.:., l `��N �y �r �so�r,',{�.a',� �'��i✓��✓ ��✓� ,y �,a✓'"' ✓RBV)eWeT' ✓ r _ ✓ cJ � h <r /'i t ✓ ✓ ✓� f ✓�✓ ✓ .tea ✓ ✓ , a / i � 7 ✓tr � �� i '✓ � � t `� �'�'� ^" i 3 � x. r � i � � ✓ �� i 1 f i � ��:;, da��✓!n� *fir /� /, �� 'nrz''s1�1,.:^ � ✓, PU9LIC WORKS CQMM,ENTS o r � ✓/ ,i ✓ t ✓ ✓i , > sSb '`! '� r .,,,� Vi i` Ct£tIP71 GX ` ✓ FiREDEPARTMEtvY ❑approvedwlcomments ❑dtsapprovetl L3 norevrewTegUired Bldg Valuation$ DEPARTMENT OF GOMMUNITY DEVELOPMENT 7500 WEST 29tn AvENUE BUILDING INSPECTION DIVISION PERMIT N0. 237-6944 EXT. 255 P.O. Box 5.38 CITY OF WHEAT RIDGE, COLO. M91/I17549 THIS PERMIT VAUD ONI.Y WHEN SIGNEO BY THE CHiEF BUILDING INSPECTOR AND RECEIPTED BELOW. JOB ADDRESS CONTRACTOR ADDRESS I ~ CITY ~J ZIP CODE PHONE LICENSF Nn OWNER ADDRESS PHONEI / ZIPCODE 3 CONTRACT PRICE 8 l J(~ - nero IA / i G~~C 1. TYPE GrounO ❑ Woll❑ Proiectinp❑ Olhn S or D Fots SIG 2. MATERIAL Total Squon FeN NS 3. ILLUMINATION Ya❑ No❑ Type Elftt. Parmif No. 4. SET BACK FROM PROPERTV LINE N_ S_ E._ W Zons_ Apprwed,2on~lnspecta (Spaoify which ia front) ❑ ❑ ❑ ❑ Disapprwe d 1. TYPE Solido More Than 80% OD*n❑ Lsos TAOn 80% Open FENCES MATERIAL H i h Q } e 3. SET BACK FROM PROPERTY LINE N_ S_ E_ W Zone_ ApDrovsA,Zon~lmpaetw (SPSCify whith iafront) ❑ ❑ ❑ ❑ piao00roveE I. ~ l OTHER 2 3. ancwn vrc anvw ocww, I nt ~tNGt,51GN,OR OTHERSTRUCTC (SETBACKS OR PROJECTIONS INCLUDED) ~ INSPECTION TICKET STREET NAME SHOW OISTANCES FROM TIiE M41N BUILDING TUADJOINING MOUSES, STR DISTANCE TO PROPERTV L.INES, NOT MAXIMUM OR AVERAGE DISTAlk dOS , 7 ~ L/-A, ADDRESS _ J~ ~ i /73. i DATE: 13 BLDG. PERMITM yS PERMITM BLDG. CONTR._ SUBCONTRACTOR DATE INSP. REQ. % ~ - 13 APPLICATION FOR PLUMBING; ELEC' THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATEC TYPE OF INSP. ~N PERMIT WILL EXPIRE 180 DAYS FROM THE DATE OF IS: n I ELECTRICAL PERMIT STATE UCENSE N0. PLUMBING INSPECTION MADE STATE LICENSE N0. REMARKS 7aJ AIUMINUM WIRE UNDER SIZE 8 ILIEGAL FLOOR BSM r " " :lee Sd NO. WATERCLASET ai TEMPORARY METER WASH BOWL , . NEW SERVICE - AMPS BATH TUB - CMANGE SERVICE-AMPS SHOWER W FORM &19 R LIGHTING SINK . ✓ . HEA?ING GARBAGE DISP POWER SU8-CIRCUITS WATER HEATER UTIUTY(RANGE,DISPOSER,ETC.) AUTO.WASHER FIXTURES DISH WASHER - WIRING MOTORS 8 CONTROLS FI.DOR DRAIN EIE~MTOR SIGNS URINAL TRANSFORMERS 9 RECTFIERS SEWERS ADDITION TO OLD WORK OTHER MOTORS OVER I HP TOTAL FI%TURES I hareby acknowledpe thot this aDClica- fion ia conecl and undersiond thof I cannor stmt tnie vrojecr until tnis appli- tofion is approveE. I 0all tomply wiM fhe lows of the State ol Colorado ond fo the ZOninp Requlations ond Buildinp Code ofthe Clty of Wheat Ridqe. Any violotion of ihe obova ferme win couse immediate revocohon of Ihis permit PERMIT FEE S- cF. D-U USE TAX TOTAL FEE z7 ~ $ 79 39 CHIEF BUILDINVNSPECTOR,Cifyof Wheat Ridqe Date Issued NOT VALID UHIESS flECE e~-4 U/ S.g Q =/6-, ' C ALL 237-8941 EXT. 255 24 HOURS IN ADVANCE fORINSPECTIONS