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HomeMy WebLinkAbout3734 Union Court37' Y Uh I A'J C+ '—Z—& I � 0 � 0'�) INSPECTION RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Occi iia Type Fye Inspections will not be performed unless this card is posted on the project site. **Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Sewer Service Concrete Encased Ground (CEG) Plumbing Foundation / P.E. Letter Mid -Roof Do Not Pour Concrete Prior To Approval Of The Above Insnections Underground/Slab Inspections Date Inspector Comments Initials Electrical Comments Sewer Service Plumbing Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Insnections 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 •f City of Wheat Ridge Residential Roofing PERMIT - 201704051 PERMIT NO: 201704051 ISSUED: 07/14/2017 JOB ADDRESS: 3734 Union CT EXPIRES: 07/14/2018 JOB DESCRIPTION: Residential Re -roof to install Malarkey Vista IR asphalt shingles & Modified Bitumen with 35.66 sq. (32 sq. pitched, 3.66 sq. flat) *** CONTACTS *** OWNER (720)323-8768 JORGENSON FAMILY TRUST SUB (303)993-3213 John Wright 130204 Green Vista Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT*: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,164.62 FEES Total Valuation 0.00 Use Tax 192.46 Permit Fee 204.30 ** TOTAL ** 396.76 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. 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. PERMIT101 PADDRESS: iii- 4JOB CODE: �r % _ T_ INSPECTION RECORD Inspection online form: http:/www.ci.wheatridge.co.us/inspection 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 MIDNIGHT (11:59 PM) to receive an inspection the following business Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. I 105 Stem Walls____ �1u6 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext, I 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Pnof Sheathing I 304 Sheer Inspection 305 Insulation 306 Mid -Roof 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS Rough Inspection (continued) Date Inspector Initials Comments A 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 404 Final Electrical Commercial 318 Boiler / Furnace 405 Final Mechanical Residential 319 Hot water tank 406 Final Mechanical Commercial 320 Drywall screw and Nail 407 Final Plumbing Residential 321 Moisture board / shower walls 408 Final Plumbing Commercial 322 Rough Grading 409 Final Roof 323 Miscellaneous 410 Final Window/Door Final Inspections Date Inspector Initials Comments 402 Gas Meter Release 403 i=inai Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 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 Buildinq Final InSDei;tlon 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. 17 �IwPERMIT�� ADDRESS: JOB CODE: ifflz Rough Inspection (continued) Date Inspector Initials Comments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail` 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 406 Final Mechanical Commercial 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 303.235-2R 1 ***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*** X415 P L it -4 i�..- Work!c Fi;1al** f 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 RECORD Inspection online form: http://www.ci.wheatridge.co.us/inspection 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 MIDNIGHT (11:59 PM) to recei e n inspectio the following business ay PERMIT:�&J(gADDRESS: �- JOB COD C Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls tnc Cn!„.,�.�tnn -+II InGIII�}inn Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 1.403 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS City of Wheat Ridge Community Development Department Memorandum TO: Accounting Department FROM: Kim Cook, Building Division SUBJECT: Refund for Permit DATE: January 9, 2018 Reason: Contractor pulled duplicate permits for 3734 Union Court, Permit No. 201707296 needs to be refunded. Please refund: Contractors License$ (acct 01-510-00-513) 100% permit fee: $ 70.70 (acct 01-510-00-516) 0% plan review $ (acct 01-550-05-551) 100 % use tax: $ 36.75 (acct 01-500-02-505) Total: $ 107.45 TO: Positively Electric 5400 Gray Court Arvada, CO 80002 Thank You! k rr CoO4 Permit Technician City of /'Wheat idge COMMUNITY DEVELOPMENT E IV ED DEC 1 82011 U� Per City of Wheat Ridge Municipal Building 7500 W. 29hb Ave. Wheat Ridge, CO 80033 Refund Application P:3b3.235.2855 F: 303.237.8929 Complete this application in its entirety, attach all copies of permits, permit cards (if issued) and receipts that were received at the time of permit issuance. Requests for more than 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 after permit issuance. Applications received after 180 days of permit issuance will not be approved. You can mail or hand -deliver all required documents to: City of Wheat Ridge, Attn: Building Division, 7100 W. 29th Ave., Wheat Ridge, CO 80033: Company Name/Name (to whom check should be made out to): &' 5-. J - vY 4 rA .` c Address: 7— City: City: A", 4 11.4- State: Zip Phone: ; �, 3- l/,� 3 _ `y�2 Fax: Email: Ws _ � . Ue `r . r� Permit #: 2-t 17 (,-7y 9 L Permit Address: 99el- Reason for request: �: L —� = / G P�.� J4't O ,, 0 1070 7 ,4L zZL Printed Name: W.d /% Y2eU;u� mss✓ Signature: �., Date: f1 --/ -4 �7 For office use only This request has been: Appro Denied Refund Amount: $ Approved by: Date: f M19 www.d.w heatridge. co. u s City of Wheat Ridge —Opp' Residential Electric PERMIT - 201707296 PERMIT NO: 2'01707296 ISSUED: 09/15/2017 JOB APDRE.S.S: 3734 Union CT' EXPIRES: 09/15/2018 JOB DESCRIPTION: Permit to rewire swamp cooler and subpanel (adding 150 amp sub panel) *** CONTACTS OWNER (72C)323-8768 JORGENSON FAMILY TRUST SUB (303)423-1807 Bob Bevington. 019206 Positively Electric * * * PARCEI, INFO � * * ZONE CODE: UA-/ Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 1 APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#i .0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,750.00 FEES Total Valuation 0.00 Use Tax 36.75 Permit Fey= 70.70 ** TOTAL k* 107.45 * * * COMMEIQTS' * * * CONIIilrioNS * * * ~ Must comply w/ 2012 IRC & 2014 Et' Subject to field' inspection. I by my signature, do hereby attest that the work t , e perfo ¢ ppli able building codes; and all a iicable municipp , by the legal .owner ofthe property aiii authorizedto`o taiii this t- I fiirdier attest #fiat I am l ailiy-authorized to includ performed and that all work to be pe ed is disclosed in this 1 shall comply with all accompanying approved plans and specifications., licies and procedures, and that I am the legal owner or have been authorized' is permit and perform the work described and approved in conjunction with. all entities named within this document as parties to the work to be ocumentand/or its' .accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date I, This perp• it was issued based on the;information.provided "in the permit application andaccompanying plans and specifications and is subject to the compliance with those documents, and all. applicable statutes, ordinances, regulations policies and procedures. 2. Thispermit 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 Buildin Official aid maybe subject to a fee equal to one-half of the original permit tee. : , 3, If this permit expires, anew permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requireme,nts,.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. r 6. The issuaace or.granting of a permit shall not be construed to be a permit for, or an approval of, anyy violation of any provision of any applicably; code or any ordinance or regulation of this jurisdiction. Approval of work is subject tofield inspection. Signature of Chief Building Official Date REQUESTS NCST BE MAM 33Y.11:59PN AW BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Antoinette Kulick From: Antoinette Kulick Sent: Monday, December 4, 2017 2:20 PM To: positivelyelectric@msn.com' Subject: 201707296 Hi Shirley, I received your request to cancel the above stated permit located at 3734 Union Ct. I have changed the status to "cancel' however to get a refund you need to fill out a refund form. I have provided a link for the form for your convenience. Please let me know if I can be of further assistance. httPs://www.ci.wheatridge.co.us/DocumentCenter/View/24271 Antoinette Kulick Permit Technician l iii- of W hcat [ icluc -.ommtmjy Dvrrorx,vs i �- 'POSITIVELY ELECTRIC INC.. 5400 GRAY .CT ARVA®A, CO 20002 X03- zl5 -3 1�0% 1 joy '7 Liz! G } S i /� � rrr ✓ Git /1 %l s✓%!i� /ii L� 1 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: 'dam- 1,Gk Job Address: Uq aAlle'-Itl C.%"" Permit Number: PO/7i ?(,)M ❑ No one available for inspection: Time -' ANJ/PM Re -Inspection required: Yes No ' When corrections have been made, call for re -inspection at 303-234-5933 Date: /,-, ' �� /% Inspector: )eyv ('! DO NOT REMOVE THIS NOTICE I by my signature do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this ermtt. I further attest that I am le Ily authorize include alI entities named within this document as parties to the work to be perforrnX and th wo c to be per rme"frs disci ed in this document and/or its' accompanying approved plans and specifications. Signature of —OWNER,,,�PrCONTRACTQ1-(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 androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of an 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, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wheat Ridge Residential Electric PERMIT - 201707296 PERMIT NO: 201707296 ISSUED: 09/15/2017 JOB ADDRESS: 3734 Union CT EXPIRES: 09/15/2018 JOB DESCRIPTION: Permit to rewire swamp cooler and subpanel (adding 150 amp sub panel) *** CONTACTS *** OWNER (720)323-8768 JORGENSON FAMILY TRUST SUB (303)423-1807 Bob Bevington 019206 Positively Electric *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 j *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,750.00 FEES Total Valuation 0.00 Use Tax 36.75 Permit Fee 70.70 ** TOTAL ** 107.45 *** COMMENTS *** *** CONDITIONS *** Must comply w/ 2012 IRC & 2014 NEC. Subject to field inspection. I by my signature do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this ermtt. I further attest that I am le Ily authorize include alI entities named within this document as parties to the work to be perforrnX and th wo c to be per rme"frs disci ed in this document and/or its' accompanying approved plans and specifications. Signature of —OWNER,,,�PrCONTRACTQ1-(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 androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of an 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, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of _.,�PrW heat �idge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 0 - Email: DermitiO-ci.wheatridge.co.us FOR OFFICE USE ONLY Date: Plan/Permit # Plan Review Fee: 0C, K- u i, C_ t✓ Building Permit Application *"* Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 3_73Y OlVioN tT LJrfb7t7r2V4667 e."& St)( -)3.3 Property Owner (please print): Jct- /✓F �ZG� Phone: (3o3) yZ3 `'18-c,7 Property Owner Email: Mailing Address: (if different than property address) Address , State, Architect/Engineer: Architect/Engineer E-mail: Contractor: 1/0 SL.I l V i(-r°.cit , iG Phone: Contractors City License #: Ul q 2-0 6 Phone: f c3) /2-3 Contractor E-mail Address: Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # i& (�D WAS Plumbing: W.R. City License # Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL ❑ 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 ❑ 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.) Sq. FULF Amps Btu's Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) 65(,).o(-) 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 1 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. CIRCLE ONE: (OWNER) (CO TRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) 4 Signature (first and last name): DATE: J i ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ City of Wheat Ridge Residential Electric PERMIT - 201707248 PERMIT NO: 201707248 ISSUED: 09/14/2017 JOB ADDRESS: 3734 Union CT EXPIRES: 09/14/2018 JOB DESCRIPTION: Wire cooler; install 150 amp sub -panel *** CONTACTS *** OWNER (720)323-8768 JORGENSON FAMILY TRUST SUB (303)423-1807 Bob Bevington 019206 Positively Electric *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,750.00 FEES Total Valuation 0.00 Use Tax 36.75 Permit Fee 70.70 ** TOTAL ** 107.45 *** COMMENTS *** *** CONDITIONS *** Must comply w/ 2012 IRC & 2014 NEC. Subject to field inspection. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am t e legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this_permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 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 originalppermit fee. 3. If this permit expires, a new permit may be required to be obtained. lssuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a 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, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief B Ali"MfGiarl Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. I City of ���a,. �p�� r • . Date: . U17CoM r�rxX DLo�a�t1T Permit #. p W. 20 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Facsimile Building Permit Application 7191 91 GSI •�° „r .d .�;K� ���c%FG1a., �Gt�53 Property Owner (please print): ` La 7,rrh TOAs 4 w Phone:le4-�sas- ro 7 Mailing Address: (►f different than property address) Address: co' state, Zip: Contractor License #: Jo -rt - jy�z 7 Phone: jr:i 9- UW'Oarii}tta0Oft: carnpanv Name: Licensg ftolrattion Date: Trade/Profession: Approval: Use of space (description): D�ctl " on••o .�Irb>rtc: 5r 1, 9 fq• K. c Plan Review (due at 6hre of submittal): to Sq. Ft./L.Ft added: Squares BTU's Gallons Maps.. QWNERICONTRACTOR SFGN`ATtM OF UNDERSTANDING AN) AGREEMENT I hereby car ft that the setback dlstancss proposed by this permit application are accurate, and do not violate appilcable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrtctlons of record; that all measurements shown, and allegations made are socurate; that I have read and agree to abtdeall conditions printed on thle application and that I assume full responsibility for compliance with the Wheat Ri"e Building Code (1-0C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field Inapecdbn6PE6LONAL ClRLCEONE: (OWNER) (CONTRACTOR) or REPRESENTATIVE (OWNER) (CONTRATOM PRINT NAME: �!�'R��:•���o�✓ SIGNATURE: ZONING:OolfAlmem.. .Zoning: Reiviewer. FU84:IPi'wQRK5 t30X#WNT3. •Revie'awrr. �II�,QII�Q�.D�i111R1rYr�I.F tom! fp'[84 I FAZE DEPARTMENT:: D .app."d•w/ Comments Q d4tapprbvgtf O: no r*66w roqW 'red J Bldg Valuation: $ Credit Card Payment: Use credit card listed on file. Date: Print name: Signature.: r �. PPiRftiG'�': City of Wheat Ridge Residential Mechanic PERMIT - 201709016 PERMIT NO: 201709016 ISSUED: 11/13/2017 JOB ADDRESS: 3734 Union CT EXPIRES: 11/13/2018 JOB DESCRIPTION: Residential Mechanical Boiler replacement with a 112,000BTU Boiler *** CONTACTS *** OWNER (303)431-2201 JORGENSON FAMILY TRUST SUB (303)722-7587 Xcel Energy 020005 Public Service Co. of CO Appli *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,856.00 FEES Boiler Replacement 40.00 Total Valuation 0.00 Use Tax 227.98 ** TOTAL ** 267.98 *** 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 thisppermit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be pertatiXmed and that all work to be perrmeisdisclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po icies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180.days made be granted at the discretion of the Chief Budding Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a 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 appP . e code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official rul Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. FOR OFFICE USE ONLY ®, t s City of Date: , dgle =� COMMUNITY DEVELOPMENT Plan/Permit # Building & Inspection Services Division L".,o I 1 10 I �l 7500 W. 29" Ave., Wheat Ridge, CO 80033 Plan Review Fee: Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Building Permit Application Lo 1003.3 el (if different than property address) Address: City, State, Zip: 00--d"iirijW r- hyi y .q.. Sas @exec ten e,r5 �. CA *1 frar����ri���i�i�te`�s• � r VV Electrical: W.R_ City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Other City Licensed Sub: City License # SO- `%/- 2701 3- Mechanical: W.R. City License # Complete all information on BOTH sides of this form D scripfW 4w6& (Check all that apply) Sq. FULF Amps 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 ELECTRICAL SYSTEMIAPPLIANCE REPAIR or REPLACEMENT OTHER (Describe) R6-jol�t0,f 1-6?1A o ,8-r 3,; 4 - , Btu's /1 2PQP Gallons Squares Other P%jec Kafue: (Contract value or the cost of all materials and labor included In the entire project) >; 46 0151G.6r4p 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. C1FitCLEQIVE. (OWNER). (CONTRACTOR) or (AUTHORIZE=;V�— gm ) of (OWNER)' (CONTRACTOR) =` N - �Y. ^.�.._ — -+s. ` R E 4� l3uilding Division Valuation: $ ./ City of Wheat Ridge Residential Electric PERMIT - 201708901 PERMIT NO: 201708901 ISSUED: 11/07/2017 JOB ADDRESS: 3734 Union CT EXPIRES: 11/07/2018 JOB DESCRIPTION: Permit for a Boiler reconnect only *** CONTACTS *** OWNER (720)323-8768 JORGENSON FAMILY TRUST SUB (720)287-4748 Jay Murphy 170211 My Electric Company LLC. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 120.00 FEES Total Valuation 0.00 Use Tax 2.52 Permit Fee 26.50 ** TOTAL ** 29.02 *** COMMENTS *** *** CONDITIONS *** Must comply w/ 2012 IRC & 2014 NEC. Subject to field inspection. Ib, 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 rope and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attesthat I am legally authorized to include all entities named within this document as parties to the work to be performed and that all work tt, be performed is disclosed in this document andlor its' accompanying approved plans and specifications. It - C7 20t Signature of OWNER oreO RACTORR ircle one) Date I. This permit was issued based-on-the4tiforination 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, anew 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 Offcial and is not guaranteed. 4, No work of an 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, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. 0 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 heat jge COMMUNITY 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 Email: Perm its(a)ci.wheatridge.co.us FOR OFFICE USE ONLY Date: Plan/Permit # Plan Review Fee: O ^ Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 3734 Union Ct Wheatridge CO 80033 Property Owner (please print): Charles Jorgensen Phone: 303-431-2201 Property Owner Email: myelectriccompany@gmail.com Mailing Address: (if different than property address) Address: same City, State, Zip: same Architect/Engineer: Architect/Engineer E-mail: Contractor: My Electric Company Contractors City License #: 170211 Contractor E-mail Address: MyElectricCompany@gmail.com Sub Contractors: Electrical: LVID Electric Company W.R. City i ense 170211 Other City Licensed Sub: City License # Plumbing: W.R. City License # Phone: Phone: 720-287-4748 Other City Licensed Sub: City License # Mechanical: Xcelnergy dba Homesmart W.R. City License Complete all information on BOTH sides of this form ❑ COMMERCIAL R 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 9 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.) Boiler Reconnect Sq. FULF Btu's Amps Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) 120.00 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. 1, the applicant for this building permit application, warrant the truthfulness of the information provicled nn thn n ication. CIRCLE ONE: (OWNER)ONTRACTOR orr((A-UTHORIZ—�E,�DD REPRESENTATIVE) of (OWNER) (CONTRACTOR) Electronic Signature (first and last name):LL1 1000//GGl�li9�H DATE: DEPARTMENT USE ONLY ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: Building Division Valuation: $ City of Wheat Ridge Residential Mechanic PERMIT - 201702353 PERMIT NO: 201702353 ISSUED: 06/22/2017 JOB ADDRESS: 3734 Union CT EXPIRES: 06/22/2018 JOB DESCRIPTION: Permit for the installation of 5500 CFM evaporative cooler *** CONTACTS *** OWNER (303)431-2201 JORGENSON FAMILY TRUST SUB (303)366-7868 Morris Doss 019912 Metro Heating & Cooling, Inc. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,094.00 FEES Evaporative Cooler 40.00 Total Valuation 0.00 Use Tax 127.97 ** TOTAL ** 167.97 *** COMMENTS *** *** CONDITIONS *** I, by my signature, do hereby attest that the work to be performed shall comply with all accompany in 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 thispermit 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 }Afr orm�l and tW NI work to be performed is disclosed in this docuWnt apd/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Da£e`/6 I . This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Budding Official and may be subject to a fee equal to one-half of the 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 androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a 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_issubject 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. 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. City of �/' Wheat 'ijge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(a)-ci.wheatridge.co.us FOR OFFICE USE ONLY mate: Plan/Pemtit # 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: Z7-31Z41N2a1V (�7' Owner Property Owner Email:. Mailing Address: (if ditrerent than property address) Address: City, State, Zip: Architect/Engineer: Architect/Engineer E-mail: Contractor: /rl e rev Phone: Phone: 73")3- Contractors City License #: Phone: 3o 3- 31,G 7S-6 ff- Contractor E-mail Address: l Ooc-ERSo�t ����� �s� e'orv, Sub Contractors: Electrical: ib5= xVet y Plumbing: Mechanical: W. R. City License # W. R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # 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_) 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.) Ns-nqi-i-,q;rnn.+ oF' S-6ego Cf_M iFUAt� Sq. FtJLF Btu's Amps Squares Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) 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 1 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. CIRCLE ONE: (OWNER) (CONTRALTO A(ATHORIZED REPRESENTATIVE), of (OWNER) (CONTRACTOR) CElectronic Signature (Sist and last nsme):e DATE: /.� / % ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer. DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $ 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: IN L J�7LeF LE IZE`S . Job Address: 00 Permit Number: 2U1 Re -Inspection required: When corrections have been made, calf for re-insp'9ction-at 303-2� 34-5933 tt .` Date: Iv ��� Inspe`ct©r, r� Z DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE _:�9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: Permit Number:�� i r xxy' ❑ No one available for inspection: Time AM/PM- Re-Inspection required: /Yes`F No When corrections have been made, call for re -inspection at 303 -234 - Date: /,2:-D f , Inspector':' DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address: 1114r Permit Number: ❑ No one available for inspection: Time Vit' "Z, M( M Re -Inspection required: Yes No *When corrections have been made, call for re -inspection at 303-2_ 3_4 ,3 Date: /1-71 —Inspector: DO NOT REMOVE THIS NOTICE e CITY OF WHEAT RIDGE _1�9�Building Inspection Division (303) 234-5933 Inspection line '(30`3) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: f -A 10 Job Address: 5134- ) Q 1 Permit Number: '2-01-704 51 ❑ No one available for inspection: Time �� AMOM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: ' ` Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge f d Residential Roofing PERMIT - 201704051 PERMIT NO: 201704051 ISSUED: 07/14/2017 JOB ADDRESS: 3734 Union CT EXPIRES: 07/14/2018 JOB DESCRIPTION: Residential Re -roof to install Malarkey Vista IR asphalt shingles & Modified Bitumen with 35.66 sq. (32 sq. pitched, 3.66 sq. flat) *** CONTACTS *** OWNER (720)323-8768 JORGENSON FAMILY TRUST SUB (303)993-3213 John Wright 130204 Green Vista Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,164.62 FEES Total Valuation 0.00 Use Tax 192.46-.` Permit Fee 204.30 ** TOTAL ** 396.76 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) requires an approved inspection prior to installation of ANY roof coverings and is require on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. 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. '*#j City of Wheat Ridge r Residential Roofing PERMIT - 201704051 PERMIT NO: 201704051 ISSUED: 07/14/2017 JOB ADDRESS: 3734 Union CT EXPIRES: 07/14/2018 JOB DESCRIPTION: Residential Re -roof to install Malarkey Vista IR asphalt shingles & Modified Bitumen with 35.66 sq. (32 sq. pitched, 3.66 sq. flat) 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 ermrt. I further attest that I am legally authorized to include alI entities named within this document as parties to the work to be p ire an tha�`all wor o��bg performed is disclosed in this document and/or its accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date I. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po icies 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 originalpermit fee. 3. If this permit expires, anew 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 changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applica ode or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. v o Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett PO4-045 From: no-reply@ci.wheatridge.co.us Sent: Wednesday, July 5, 2017 7:43 AM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Gina 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 3734 Union Ct Property Owner Name Jelayne Jorgenson Property Owner Phone 720.323.8768 Number Property Owner Email johnedgarwright@yahoo.com Address 4 --:e�f7 �, -�6 Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number Green Vista Roofing 130204 7203655416 Contractor Email Address john@greenvistaroofing.com Retype Contractor Email john@greenvistaroofing.com Address DESCRIPTION OF WORK Are you re -decking the No 1/ roof? Description of Roofing Malarkey Vista 40 Year Impact Resistant roof and also SA Mod Material Bit for Flat roof Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 32 material selected above? Does any portion of the Yes property include a flat roof? If yes, how many squares 3.66 on the flat roof? TOTAL SQUARES of all roofing material for this. proj ect 'J 5 Provide additional detail For house and garage. pitch is 5/12 here on the description of 2 work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 400 — ,� � /6 value or cost of ALL cl �P 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 John E Wright Email not displaying correctly? View it in your browser. 3 SAVE ENERGY" SAVE 1ACNE`r` r 3.66 mod bit flat OFF 23.42 SQs house; 2.17 SQs shed i t�,^ h 3.66 Mod Bit, Silverwood NI � i'Ci. A ON 26 SQs house; 2.67 SQs shed 13 LF - shed olkx RIDGE 61 LF - high definition, house 6185.E56th Ave Unit.G VALLEY - n/a Commerce Ci O 800"t ' 'O ; . Co303-993-3213merceC p{TC}{ 5112 r o 0 F I n g (fl 888-661-5994 GREEN VISTA ROOFING INC. AGREES TO FURNISH ALL MATERIALS AND LABOR NECESSARY FOR THE WORK SPECIFIED BELOW ON THE PREMISES. OWNER: Jefapne.Jorgenson ADDRESS: 3734 Union Ot 303.431.2201 HOME PHONE: --.------._-_• THE OWNERAGREETO PAYTHE CONTRACTORTHE SUM OF $ CITY: 20, 693.60 WORIGPHONE: 720.323.8768 Wheat Ridge STATE: CO ZIP: 80033-5320 + SUPPLEMENTS. OWNER INITIALS ® RECOVER ROOF WITH Vista ® INSTALL match roof METAL EDGING 300 LF - house COLOR 2X2 2X4 E MANUFACTURER 1,Aalarkey ],CHECK DECKING AXI COLOR OF SHINGLES OnyxBiaci< 2) C!_OSED SOFFIT �O?FN SOFFIT IXC MANUFACTURER'S WARRANTY iimitea' lifetime ®2 YEAR GUARANTEE ON LABOR AS PER TERMS ON BACK ® INSTALL # 15 FELT TEAR OFF 1 LAYERS ®CLEAN-UP &HAUL ALL TRASH FROM ROOF ® # OF STORIES 2 ACCESS driveway ®ROLLYARD WITH MAGNETIC ROLLER 12EPLACE ROC>F jAC',<S r '_� _ _ 3 IN I 4° —6T—HER 0 CLEAN GUTTERS OF ROOFING DEBRIS REPLACE ROOF VENTS 4 turtle vents 1 CHECK FLASHINGSAND SEALS ® REPLACE HEAT STACK 6"-8" exhaust cap ® DELIVERY INSTRUCTIONS: roof load ADDITIONAL WORK: complete work per State Farm estimate dated 6/17/2017 + supplements. Modified Bit roof to match Silverwood IWS at upper eaves, large chimney flashing kit. Replace gutters/downspouts, match existing color. Match existing paint colors. provide step flashing around swamp cooler as necessary KITY WE upon installation of roof Ist CHECK FROM INSURANCE . L i-' $ 14,216.92 State Farm INSURANCE COMPANY 2nd CHECK UPON RECEIPT FROM INSURANCE $ balance + supplements CLAIM# 0616205W8 FULL PAYMENT DUE UPON INSTALLATION. PAST DUE AND DELINQUENT THEREAFTER. SUBJ-ECT TO FIINANCE CHARGE AT THE RATE OF 2% PER MONTH — ANNUAL RATE OF 24%. MAKE CHECKS PAYABLE TO GREEN VISTA ROOFING. I HEREBY AGREE TO TERMS ON FRONTAND BACK. GVR REP _Jon York OWNER MORTGAGE COMPANY: MORTGAGE LOAN ## DATE 6/22/2017 DATE ' OWNER \—/ L< �i v DATE Contact CO 2016 w my e, o e 4 V i Mailing Address: (if different than property address) Address; Complete all information can BOTH sides of this form Property Owner Email Sq. FULF Btu's Gallons Amps Squares Other • M�', fHW NAME:e4eAc�f DATE: 1-/0- 4-7 INSPECTION RECORD o ccupancy /TVpe 'ZINSPECTION 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 Plumbing (Underground) Reinforcing or Monolithic Weatherproof / French Drain -- Sewer Service Lines DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED Water Service Lines ROUGHS INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS 'SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED 'Electrical CONCRETE SLAB FLOOR Electrical (Underground) Mechanical Plumbing (Underground) Roof Heating (Underground) -- Fire Department DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED R.O.W & Drainage ROUGHS INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS 'SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. Parking & Landscaping. Sheathing - Lath/ Wall tie Mid Roof Electrical Service Rough Electric Rough Plumbing Gas Pipin Rough Mechanical ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING 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 '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 ? CERTIFICATE OF OCCUPANCY ISISSUED. FINAL INSPECTION BY THE BUILDING. DIVISION DOES NOT CONSTITUTE AUTHORIZATION OF A 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 Bung Inspection Division I (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax /CTION NOTICE Type: IN fPEt Inspection Job Address: ~J 73V/ (a ,'bn Permit Number: n Krr -0 ❑ No one available for inspeCt10jZ. Time d AM M Re-Inspection required: Yes . No 'When corrections have been made, call o re-' spection t 303-234-5933 C Date: Pn Inspector: t ;r, r DO NOT REMOVE THIS NOTICE 4' CITY OF WHEAT RIDGE Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office ' (303) 235 -2857 Fax INSPECTION NOTICE Inspection Type: MIA r,^rer Job Address /Permit Number: ?P/ r f F °- E] No one available for inspection: Time :�� AM M I � ( Re- Inspection required: Yes fN When corrections have been made, call for re- inspection a 303 - 234 -5933 J� �p , r / -� Date: `'lf�-1V Inspector: DO NOT REMOVE THIS NOTICE r " : City of Wheat Ridge Residential Roofing PERMIT - 091936 PERMIT NO: 091936 ISSUED: 09/02/2009 JOB ADDRESS: 3734 UNION CT EXPIRES: 03/01/2010 - DESCRIPTION: T/o: :Install 25 sqs of GAF/Elk30 yr timberline 5 ***-:CONTACTS. owner 303/431-2201 Chuck Jorgensen gc 303/425-7531 John Borfitz 01-9983 J & K Roofing Inc. **-PARCEL INFO ZONE CODE: UA USE: UA SUBDIVISION: 0689 BLOCK/LOT#: 0/ **-FEE SUMMARY ESTIMATED PROJECT VALUATION: 6,976.20 i~ FEES Permit Fee 181.10 sy-,~ ,may Total Valuation .00 Use Tax 125.57 ).~2 TOTAL 306.67.„a c' F~>i.~..~C,.n...,+✓ a Conditions: .6 nail installation ,&.mid-roof inspection required.. Board sheathing spaced more z thana 1/2 of an inch apart requires plywood overlay on entire roof. Iceand water shield required from eave edge to 21 inside exterior walls. F Subject to field inspection. Thereby 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 Fidge-Q;dinances, for work under this permit. Plans subject to field inspection. Z-0 Signature df contractor/ rner :date r lj 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. Re quests for an extension must be received prior to expiration 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 ^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. 4. No work of any manner shall be done that will change the natural flow of water causing a drainage problem. t, 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 x,. an approval of, any violation of the provisions of the building :codes or any other ordinance, law, rule or regulation. All plan review is t to field inspections. Signature of Chie Bui mg official date INSPECTION REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855 1.., REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. F ""~rq City of Wheat Ridge Building Division .°m 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-235-2857 cOloRro° Inspection Line: 303-234-5933 Building Permit Application 3L q `~YUa t3' eft Property Owner (please print): Mailing Address: (if different than property address) Date: Plan PP'ormit oq-1151 Phone: Address: City, State, Zip: %uyL erL ~1~ ~ a eb00 33 . Contractor License 9 ^0 3 Phone: :303_4125-1153J Emagmam Electrical City License Company: Plumbing City License Mechanical City License Company Company: Exp. Date: Exp. Date: Approval: Approval: Use of s ace descri tion): A-L- W az C ~ (&?L0_) a--.t- co-w\ 26X PA-F EIX 140j&LL4_.a- 1j1U_ab_p'z Exp, Date: Approval: Construction Value: s b9l%b (as calculated per the Building Valuation Data sheet) Plan Review (due at time of submittal): $ Sq. Ft./L. Ft added: Squares BTU's Gallons Amps 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 measurement4-shown, and allegations made are accurate; that I have read and agree to abide byy all conditions printed on this application and thatI •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 t tioon. CIRLCE ONE: (OWNE (CONTRACTIOR_ " r PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR) PRINT NAME: w7y l~-wow- SIGNATURE: / (,!?~4~ LkalL~t.Btud~- Date: L111A601 COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 15095 ^ BUILDING INSPECTION LINE - 303-234-5933 : CITY OF WHEAT RIDGE Date 2/4/03 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Property Owner: CHARLES JORGENSON Property Address : 3734 UNION CT Contractor License No. : 17082 Company : Rod Hall Co Phone: 303-431-2201 Phone : 777-7700 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 ortlinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of rewrd; that all measurements shown, and allegalions made are accurate; that I have read and agree to abide by all conditions printed on this application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Rid9e ordinances, for work under this permit. (O W NER)(CONTRACTOR) Description : CONVERT WOOD TO GAS LOGS Construction Value : $1,100.00 Permit Fee : $41.80 Plan Review Fee : $0.00 Use Tax : $13.20 Total: $55.00 Use : BUILDING DEPARTMENT USE ONLY Zoning :Gommenks: SIC : Sq. Ft. : Approval : Zoning : Build,irig Commionts: Approval : OK/M LC Public Works Comments:' Approval : Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : Company : Plumbing License No : Company : Mechanical License No : Company : Expiration Date : Approval : Expiration Date : Approval : Expiration Date : Approval: (1) This percnit was issued in accordance with ihe pmvisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Code of W heat Ridge, Colorado or any other applicable ordinances of the City. (2) This permit shall expire if (A) the work authonzed is not commenced within sixry (60) days from issue date or (B) the builtling authorized is suspentletl or abandoned for a period of 120 days. (3) If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, pmvided no changes have been or will be made in the original plans and specifcations and any suspension or abandonment has not exceeded one (1) year. If changes are made 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 naWral flow ot water causing a dreinage problem. (5) Contrhall notify ihe Building InsPector twenty-four (24) hours in advance for all inspections and shall receive written aPPmval on inspection card before proce in with ucc ive phases of the job. (6) T ua or the aPPmval of drawings and specifications shall not be construed to be a Permit for, nor an aPProval of, any violation of the pr of il an other ordinance, law, rule or regulation. v Chief Building Inspector DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date : 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 PropertyOwner:ChaY IeS JC~1' nScJ~ Property Address :3'7 3q (~yitCJ Phone :.30 3" q3 a0 Ul Contrector License No. : A;!_ Company : eca t'tL'A C"D Phone :3U,3 /1- / % d6 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I here6y ceRiy that the setback distancas proposed by this pertnit application are accurete, and do not violate applieable ortlinances, rules or regulatians of the City ot YVheat Ridge or covenants, easements or restrictions of record; that ali measurements shown, and allegations made are accurete; that I have read and agrce to abide by all conditions pnnted on this applieation, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ord~nances, for work under this pertnit. (OWNER)(CONTRACTOR)SIGNED[-Cl'!rtt, 4' A( oLkJ DATFjJ/ .0 Construction Value : C) ' <DO Permit Fee : ~ ( • ~ Plan Review Fee : use Tax : I 3. ZO Total : 5S, Dd Descri tion : CG~~-V+ U)C~Dd ~v ~~5 I O cS ~S cSV~ C N ~C-~1' 3d'1 1ZCiC( c'o p J J nn rvv. !2 il 1~ c ~i , ~ BUILDING DEPARTMENT USE ONLY Wlyfflom SIC : Sq. Ft. : Approval : Zoning : Bu(C._ Approval: P~tiR~WS~lCS@f~fi~ Approval : Occupancy : Walis : Roof : Stories : Residential Units : Electrical License No : Plumbing license No : Company : Expiration Date : Approval: im ~.r~...~~ Company : Expiration Date : Approval: m ~rmsaaar~ Mechanical License No : Company : Expiration Date : Approval: 0 12MMIlliEM (7) Thia permit wu issuaE in accoManca with Ne Drovisions ael forN in yoWr apDlicatio^ and is wbjcQ to the iaws of the State ot Colo2do anE M the Zoning Reyulatlons anE BuiWinq Code of Wheat RiEga. CobraOO w any other aD0lifaNe ortlinances of the CiN. (2) Tliis pemiit slfall e:pin d(A) the work auUwnzad h not wmmenceE wiMin si.ty (BO) Cays 1rom iasue tlate u(B) the buiWinq aWarizeE ia suspentled or awntlonea tor a perioa of 120 aays. (3) If this pertnil aprcs, a new permil may Ee aequireE for a ke of ono-half the artaunt narmaly rcquiretl, provideE rw clurqes twve been or will De made in the oriqiml plana anE spaalkn6ona an0 any swpsnsion a abantlonment lus nol aceeEad ona (t) year. If charges are maEe w H wspension or abantlonment exceatla ona (t) yW, Ntl feas shall De pa10 ror a new pamiR. (a) No work ol airy manner "ll M dwia tl+ai will Uanqe the natunl flow o( water causing a Croinaqe proClem. (5) ConVactor snall notlN ft Buildifp 1nspeUor twanN-rour (24) houn in awance tor all inspections mE shail receive wrinen a00roval o^ inspection caM Oerore xiedfing wiM auaaasive~~P^! ~saa of tMI'ob. (e) M Ou~C o ~o0a~ omN ad'~~na' r n~e~ n~+e a ro9~ ^tions snall not be construeE ro be a pertnit far, na an approval W. any violatlon of Ne Orovisians o/ Chief Building Inspector For Mayor THIS PERMIT VALID ONLY WHEN SIGNEO BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPEC710N DEPARTMENT OF GOMMUNITY DEVELOPMENT 7500 WEST 29tn AvENUE BUILDING INSPECTION DIVISION PERMIT N0. M911117593 237-e944 ExT. 255 P.O. eox 63e CITY OF WHEAT RIDGE, COLO. THiS PERMIT VALID ONLY WHEN SiGNEO BY THE CHIEF BUIL0ING INSPECTOR ANG RECEIP?ED BELOW. JOB ADDRESS n FOR Lse%. OWNER C'1.-., I2s E,_ ,~4 o~ ADDRESS 37 3 54 Ur+ . , r C/ . PHONE io" 3 i- z a o i ZIP CODE CONTRACTOR r c~. C~ n-f-r' c. c 1 O v S~ T,^ ADORESS J v3 ~ o u>, 6A.-,d pl ~30 ! CITY ,f i ~ r,V~: J~/ ZIPCODE YQa v'T PHONE 3-S 67 ' LICENSE N0. CONTRACT PRICE $ DATE /V - 1. TYPE Ground ❑ Wall❑ Proieofinp❑ OtMr 5 a D Fooe 2. MATERIAL Totul Squon FHt $IGNS 3 ILWMINATION Yea❑ No❑ Typa E4et. Parmit No. 4. SET BACK FROM PROPERTY LINE N_ S_ E_ W Zoro_ ApprwM,2one Inspector (SOecily which ia tront ) ❑ ❑ ❑ ❑ Disapprovad 1. TYPE Solid0 Mon Thon 80% ODenO Lost TAOn 80% Open MATERIAL Heiphf FENCES 3. SET BACN FROM PROPERTY LINE N_ S_ E_ W Zone_ ApprwW,Zone Impeetw (Spetify whitA is }ront) ❑ ❑ ❑ ❑ Disopprovad c. 2c 2' c> ~ Ic i n OTHER 3. Uv~ -J' " -v\ C(~04~h V " s U. s DRAW SKETCH OR SHOW BELOW, THE FENCE,SiGN,OR OTHER STRUCTURE, GINhG DISTANCES FROM PROPERTY LINES. (SETBACKS OR PROJECTIONS INCLUDED) INSPECTION TICKET JOB ~ / ADDRESS 3 7 ✓ ~=/L. fN DATE: 13 BLDG. PERMITN STREET NAME SHOW OISTANCES FROM THE MAIN BUILDING TUADJOINING HOUSES, ST DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTi APPLICATION FOR PLUMBING; ELEi THIS APPLICATION WILL BECOME A PERMIT TO PERPORM THE INDICAT' PERMIT WILL EXPIRE 180 DAYS FROM THE DATE OF PERMITN BLDG. CONTR. v~jtY4 SUBCONTRACTOR . ~II DATE INSP. REQ. 'SION. / ELECTRICAL PERMIT STATE LICENSE N0. i rrt ur irvsN.`~ -~o-r PLUMBIN /J S7ATE LICENSE NO INSPECTION MADE ALUMINUM WIRE UNDERSIZE 8 ILLEGAL FLOOR BSM' ElxSdw C N0. WaTER CtASET REMARKS / TEMPORARY WASH L NEW SERVICE BA TH 8 8 CHANGE SERVICE-AMPS SHOWER LIGHTING SINN N~; /~Lrlj f ~ 5{S"44 HEATING GARBAGE DISP W.q,FORM 6.19 POWER SUB-CIFCUITS WATER HEATER UTIUTY(RANGE,DISPO5ER,ETC) AUTO.WASHER FI%TURES DISH WASHER I WIRING MOTORS 6 CONTROLS FI1XXt DRAIN SIGNS URINAL TRANSFORMERS 9 RECTFIERS SEWER$ ADDITION TO OLD WORK OTHER MOTORS OVER I HP TOTAL FI%TURES I Aereby ocknowledqe thot this opDlica- PERMIT FEE Mf~Ty-VALID UNLESS RECEIpTED tion is correct ond understond tnot I rt thie rojeef until this opoli- f st USE TAX p o eonno eotion is oppiovee. I snall compty wirn TOTAL FEE $ r~ p{J ado ond fo l St t f C 1 th or a e o o e the lowa o the Zoninp Requlations and Bwldinp ApPROVED Code of tne C+ty oi wheat Ridpe. Any violotion of the above rerma will cause DISAPPROVED CHIEF BUILDING I SPECTOR,City of Wheat Ridqe mmediate rovocotion of fnis permlf CALL237-8944 EXT.255 Dofe Issued 24 HOURS IN ADVANCE FOR INSPECTIONS \Nfiomh 9lonalur•