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Home My WebLink About4745-4749-4753 Robb StreetProperty Address permit Number Permit issued mate ,� Page 1 of 2 ��_ C The City of Wheat NOW j ThikdP!rtyFor Chec ist LK x/1- 1 2018 t'er ommr In o mat'!on Property owner information property owner Address inctor information inspection Company Gary Manfave inspector Name "" t!6. BM 283 urktyur.CA 67I IB inspector Contact info. Ck M400180 Ebaak � .nAOiltcom fl1SC�Ct�T ��n ,�,•"•nrst l�ui Aek111t�1A1�kYl��`fli$n� * I nearby acknowledge the roof I am inspecting Is 6112 or over, All roots that are under 6/12 must be inspected by the City of Wheat Ridge Bukiing Dept,. * I nearby acknowledge the roofing system for the referenced building has been inspected and found to be in compliance with the minimum requirements of the 2012 IRC and 2012 IBC as well as all Cp of Wheat Ridge P ivies and procedure and Manufacturer's recomr nidations d specifi o Date: — 3— Inspector. mont *1 hearby acknowledge that t am the owner the bulkitng referenced above and t gime my consent for the HMO thin arty inspe ro c any t dorm my roof i in lieu of the City of W hea go Buil t}, Ii inspp n. . ' propoy Owner/Agent ,�� tete. This tart document and permit card the Chief auAding Officialwl'f#1 ni OVQ , Drop off in person Permit counter 2nd floor 7500 W. 29th Ave Wheat Ridge CO 80033 Draft. Date. 7126/17 5 e -o ori Qr-L-, stni#ed tc Page 2 of 2 The City of Wheat Ridge The City of Wheat Ridge Inspection Checklist Notes Inspection Checklist Notes FINAL MID-ROOF ,+ i ` ray StrradU al root COmponents s r"jy "Ver#y khat no iYtof� than 2 1;3yerS CIT s�ngtes ext5# Ej tt,. r.: Fla in+a for rc►c f and instal�d �rertt i 1. it is Med In the .R.a K ,, It new shed in+2 perrrrit description (Valuation Must be adjusted) Verffy sheathing naIt path (Si* poticy& procadureS) rn; Criickets - and saddles epeeneededa n x -4 i1erft B vert must have boot same gauge as R" fi� - �� ,, verify t caps tear# 3. WA�i,y no l are damaged - :. fa3:=: Step ftshing sh .tie Mfn_ of U4 pie per 5� e_ verifypie" a�W for proper d�iiirea IG+E' and mater shield 2` In heated Wall SpaCBS Undedaymer" toust Mlow 2012 IRC 12012 18C „tra r. z ► ; drainage r i slope, propet droverlaP ains eVer�Ymin of 2" Dripe€ge shaS h8V0 ..- s i�rlp@(i�ge should extend down men 2" past reac►f dock G - . r. ; Dripedge' shad be rrt hartlCB " fastened " tJ OV .t �� , JU � E3 rod I'oo�n9 shao be applied to root sfaVes .: r less ttran 2:12 stype" Exoeptian. detached garages, patios, carpe, open on three sides v4ft mit'► sicape of 1.12 f 14 t,2 slope:; .� r-,:: Modgied Bitumen, EPL-iM, Tf'O min able #CIA Above ro+oi insulaWn R-25 g.ari� rte, £ r� seloal rr3crf reStclkbal R-38 ra m. �• yrs I i;�� ? %a.' I�EaJtA�droof GOtitirlerCiHl R-32g 1 14:12 i� kVe R°i!''i F § f.t.:.: Moaned a men EP Ms T t#i #wry+*+ Pit must to itn"W in c'imordanc a wi11i1 tt'rB manufacturers specMc ns- Mtjst hive mawfactures letter of . warranty with tate address on Me tenter for final inspection. �. i �.< eta►i resaf sfsiragies Shall not be Installed on stupe less 3:12 i e'tat vauey nastunst snail, tre uzs,=11.1 V. rc of eW wa ey ilastung sball extend a min Of iir'fR-Om the otedinae r,+ift a rain. of 314 Heigh splash diverter tib b+uitt-in at time flow tine with secuons overlapping a a min- of 411 Til I$o,&a ii UC Vr:e-t- M arta GI7 c ate the Shaft have a Itlin. ,2-11.2:12 wwe Slopes 4:12 and under require double undedaymerd Company Name: JBA C NSULTIj+IG Company Name: JBA C NSULT G Inspector Signature= Inspector Signature: Date of MID-ROOF In_-6 1 �_ Date of FINAL Inspection: ® City of Wheat Ridge Residential Roofing PERMIT - 201801822 PERMIT NO: 201801822 ISSUED: 06/25/2018 JOB ADDRESS: 4745 Robb ST EXPIRES: 06/25/2019 JOB DESCRIPTION: Reroof Units 4745-4753 Robb St, Multi -flex, remove and install Asphalt Shingles with 46 squares. Pitch 4/12. *** CONTACTS *** OWNER (303)422-5849 ROBERT G WOODWARD FAMILY TRUST SUB (303)807-4030 Steve Louden 170240 Severy Creek Roofing, Inc *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 26,500.00 FEES Total Valuation 0.00 Use Tax 556.50 Permit Fee 465.05 ** TOTAL ** 1,021.55 *** COMMENTS *** *** CONDITIONS *** Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be required for both the midroof and final inspections. The 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec. R806. The installation of ridge venting requires the installation or existence of soffit venting. For calculation purposes, one hat or turtle vent equal to one-half of one square foot of opening. 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. City of Wheat Ridge Residential Roofing PERMIT - 201801822 PERMIT NO: 201801822 ISSUED: 06/25/2018 JOB ADDRESS: 4745 Robb ST EXPIRES: 06/25/2019 JOB DESCRIPTION: Reroof Units 4745-4753 Robb St, Multi -flex, remove and install Asphalt Shingles with 46 squares. Pitch 4/12. 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 apppl-ica�e municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property arfd am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest fiat I am ally authorized to include all entities named within this document as parties to the work to be performed and that all wo o b fo is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER—or CONTRACTOIZ-4,Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying Flaps 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 originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or grantine of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any applica code or any f finance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chiet building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Lagenia Reimer From: no-reply@ci.wheatridge.co.us Sent: Sunday, June 24, 2018 6:43 PM To: CommDev Permits 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 3- or 4- Units are on the property? PROPERTY INFORMATION q7q,--- ,q7 yj LI -7,53 Property Address 4753 Robbb St Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) Robert G Woodward 303-422-5849 amily Trust Property Owner Email Address Do you have a signed contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Contract hlouden428@gmail.com Yes Woodward SC 2 properties 6 townhouses.pdf CONTRACTOR INFORMATION Contractor Business Name Contractor's License Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123-4567) Contractor Address (Primary address of your business) Contractor Email Address Retype Contractor Email Address DESCRIPTION OF WORK Severy Creek Roofing Inc. 170240 303-807-4030 1320 Simms st Unit 103 steve@severycreekroofing.com steve@severycreekroofing.com TOTAL SQUARES of 46 the entire scope of work: Project Value (contract 2650 value or cost of ALL materials and labor) Are you re -decking the No roof? Is the permit for a flat Pitched roof (2:12 pitch or greater) roof, pitched roof, or z both? (check all that apply) What is the specific r /12 of the PITCHED roo How many squares are 46 part of the PITCHED roof? I Describe the roofing Asphalt S ingles materials for the PITCHED roof: I Type for the of material Asphalt PITCHED roof: 1 Provide any additional Roof detail here on the description of work. (Is j this for a house or \ garage? Etc) 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 3 owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Person Applying for Steve Louden Permit Email not displaying correctly? View it in your browser. INSPECTION RECORD Occupancy/Type INSPECTION LINE: (303) 234 -5933 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: Footings /Caissons Stemwall / (CEG) Concrete Encased Ground Reinforcing or Monolithic . D Weatherproof/ French Drain Sewer Service Lines Water Service Lines INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. rVUR NU I ONGRETE UNTIL ABOVE HAS BEEN SIGNED CONCRETE SLAB FLOOR Electrical (Underground) Heating (Underground) DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED ROUGHS Sheathing Lath /Wall tie Mid -Roof Electrical Service Rough Electric Rough Plumbing Gas Piping Rough Mechanical Framing Insulation Drywall Screw SIGNED PRIOR TO FINALS Electrical Plumbing Mechanical Roof . D 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 IS ISSUED. 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 ♦ 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: Kai Job Address: L17q Permit Number: ftoro qq ❑ No one available for inspection: Time M M Re-Inspection required: Yes No When correctionst have been made, call for re-i spe(lco n at 3 -234-5933 Date: Inspector: v DO NOT REMOVE THIS NOTICE ♦ 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: Job Address: i/7yS S3 errhh 5r Permit Number: 100099 ❑ No one available for inspection: Time : 2>' AM /fW 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 ♦ i CITY OF WHEAT RIDGE Building Inspection Division r4000or (303) 234-5933 Inspection line - (303) 235-2855 Office (303) 237-8929Fax. INSPECTION NOTICE Inspection Type: rill, 11, v fc fi Job Address: 147q5- r- 53 Pc~b Permit Number: / 17 ❑ No one available for inspection: Time A !~M Re-Inspection required: Yes U When corrections have been made, call for re-inspection at _03-234-5933 Date: A' f Inspector: s DO NOT REMOVE THIS NOTICE f t. ♦ i CITY OF WHEAT RIDGE Building Inspection Division r (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: Job Address:~G> Permit Number: v /~~C?5 ❑ No one available for inspection: Time /,115 AM/ f~v Re-Inspection required: Yes No ' When corrections have been made, call for re-inspection at 303-234-5933 J , G Date: 5~ l0 inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge ~RMIT NO: 100099 `I iB ADDRESS:. 4745-53 ROBB ST E ,SCRIPTION:Remove/Replace40 sqs:. asphaltshingles` C - 100099 01/12/.2010 07/11/2010 sqs siding 262 Kelly Construction SUMMARY "ESTIMATED :PROJECT -VALUATION: z FEES Fee 326.703 Valuation .00_ x 270.00 'AL 596.70 11c Ti Signature of Chi Bui ng Official date "INSPECTION EQUEST LINE: (303)234-5933 BUILDING OFFICE:: (303)235-285S . REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.' x yoF""~Tp City of Wheat Ridge Building Division 7500 W. 291h Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 - o Inspection Line: 303-234-5933 O<ORA~ Building Permit Application rty-Add' 15(e Property Owner (please print): Plumbing City License Company Mailing Address: (if different than property address) Address: City; State, Contractor: Contractor License Sub Contractors: Electrical City License Company: Exp. Date: Use of space (descripti Description of work. Sq. Ft./L.Ft added: Exp. Date: 2W3 Mechanical City License Company: Exp. Date: j~t~Dnstruction Value: $ I J4 as calculated per the Building Valuation L afakh ef) ~ 110 ~.,/rC ~ Plan Review (due at time of submittaQ: Squat - ? BTU's Gallons Amps 7~//~ /~_<p S s 15 OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT 1 hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all 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 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)(CONTRAC b!~ or PERSONAL REPRES E o O ER) (CONTRATOR) PRINT NAME: SIGNATURE Dat Date: Plan Permit#: Bldg Valuation: $ STOP WORK ORDER You are hereby ordered to stop work located at: ~~ooWES729thAVENUE DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING INSPECTION DIVISION PERMIT NO 2$4-5933 P.o.eoXS38 CITY OF WHEAT RIDGE,COLO. MP94#3994 THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RELEIPTED BELOW. / APPL~ATION FY7R~II~LANEOUS P RMIT JOB AQ~DRESS `I ~ N 1 -7 OWNER ~A W C1C1.C7 WA✓ep CONTRj4CTOR S IFi)JEs pL~'MBl/3G V/Cl- ADDRESS 'y33 5! ADDRdSS S-72-5 w• =~-.~F'~• i✓'~ PHONE c ZIP CODE CITY ~~TVqV~'sl~ p ZIP CODE 2 ~ CONTRACT PRICE lS PHON4 LICENSE NO. L77~ ~ DATE ~I I. TVPE Ground❑ Woll❑ Proiectinp❑ Othv SorDFea I 2. MATERIAL Tolel Squon FeN SIGNS 3. ILLUMINATION Yes❑ No❑ 7ype EIeN. Permif No. i ~ 4 SET BACK FROM PROPERTV LINE N (SOeci}y wl+ich ia f roni ) _ ❑ S- E ❑ _ W ❑ ❑ Zons_ ApprweA,Zpns Incpetlor DisoOprowd 1. TYPE Solido Mon Tnan 80% ODen❑ lut Thon 80% Open 9' MATERIAL Hei M FENCES , ' 3, SET BACK FROM PROPERTY LINE N (Specify whieA is front) _ ❑ 5_ E ❑ _ W ❑ ❑ p Zona_ ApprwW,Zons Inspeetw DiaoDProved I. Ol~HER Z I 3. RAW SKETCH OR SHOW BEIOW, THE FENCE,SIGN,OR OTHER STRUCTURE,GIVI1:6 DISTANCES FROM PROPERTY I.INES. (SETBACNS OR PROJECTIONS INCLUDED) I REAR PROPERTY LINE W 2 W Z ~ J ] T ~ } r 0 ~ SPECIFY NORTH a W ~ VI I N I~I FRONT PROPERTY LINE I STRE ET NAME 4HOW DISTANCES FROM THE MAIN BUIIDING TOADJ0INING HOUSES, STREETS, AND PROPERiY LINESiON IRREGULAR LATS, SHOW LEAST ! DISTANCE TO PROPERTY LINES,NOT MA%IMUM OR pVERAGE DISTANCE. , APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT ' THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BY THE BUILDING INSPECTION DIVISION. PERMIT WILL EXPIRE 180 DAYS FROM THE DATE OF ISSUANCE IF WORK IS NOT STARTED WITHIN THATTIME. ' ELECTRICAL PERMIT PLUMBING PERMIT MECHANICAL PERMIT 4 TATE IICENSE N0. SiATE LICENSE N0. ALU INUMWIREVNDERSIZE8ILLEGAL FLOOR BSM IST 2N0 3RD 4TH N0. FUEL:CimJe Cw{ IPropar EI*eSolm N0. WATER CLASET FORCED AIR - BTU TEMPORARY METER WASH BOWL HOT WATER - BTU 75'T'9-(a NEW SERVICE - AMPS BATH TUB STEAM - BTU CHANGE SERVICE-AMPS SHOWER AIR CONDITIONING-BTU LIGHTING SINK OTHER ' HEATING GARBAGE DISP REFRIGERATION SYSTEM POWER SUB-CIFCUI7S WATER HEA7ER Refri sronl Group UTILITY (RANGE, DISPOSER, ETC) AUTO.WASHER ppundt CAOr e FIxTURES DISH WASHER AUTOMATIC SPRINKLER SYSTEM WIRING MOTORS 9 CONTROlS FI.DDR DRAIN ELEVATOR SIGNS URINAL TRANSFORMERS 9 RECTFIERS SEWERS ADDITION TO OLD WORK OTHER MOTORS OVER I HP TOTAL FIXTURES REMARr (5 I PERMIT FEE ~7 j'~ NOT VALID UNLESS RECEIPTED I bsro by ocknowledQe ihat fhis opplico- tion ul tonect and undeistond thot i USE TAX l cannof stort this Droject unfil thia o001i- l totion tha lo it opproved. I shall comply with a ot the Stote of Colorado and fo TOTAL FEE fhe Zo inp Repulahons ond BuildinQ / A f wh Rie DISAPPROVED ' Code o ear qe. ny f tne Ciiy o violati¢ n of the above terme wilt couse CHIEF BUILDIO INSPECTOR,Cit f Wheat Ridqe immedil ote revocalion of tnls permlr CALL 234-5933 24 HOURS IN ADVANCE Date IsSUed FOR INSPECTIONS +oo~ieenn~ slanaiu,. DEPARTMENT OF COMMUNITY DEVELOPMENT 7500 WEST 29tn AvENUE BUILDIN6 INSPECTION DIVISION PERMIT N0. 737-e944 ExT. 255 P.O. eox 538 CITY OF WHEAT RIDGE, COLO. M921118340 THIS'. PERMIT VAUD ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RELEIPTED BELOW. APP ICATION FORvIISCELLANEOUS P RMIT JOB ADDRESS y7`1S- yy~ 213 S~• OWNER eiPf_if 1- 6~- 4/aiej✓.4iP'0 CONTF#ACTOR DlI/~++ER ADDRESS N70 -LJoQ(3 ST ADDRESS N 133 lfOAB S7 PHONE "-s 9y7 ZIP COOE Fp~33 CITYJ'/1 A G/° ZIPCODE rf0033 :ONTRACTPRICE$ IaZXuO 1. TVPE GrounO ❑ Woll❑ Proieotinp❑ OMer SaDFeee 2. MATERIAL Totol Squere Faef SIGNS 3. ILLUMINATION Yea❑ No❑ Typs Eleet. Permif No. 4. SET BACK FROM PROPERTY LINE N_ 5_ E_ W Zom_ ApprwM,2one Inspoetw 1. TYPE SolidU Mon 7Mn 80% ODSnU Losa Thon 80% Open FF-NCES ? MATERIAI Heiphf 3. SET BACK FROM PROPER7Y LINE N_ 5_ E_ W Zme_ Approvsd,Zoro Impeata (SDSei}y whieh ie }ront) ❑ ❑ ❑ ❑ Disopprovad OfiHER 12' DRAW SKETCH OR SHOW BELOW,THE FENCE,SI6N,OR OTHER STRUCTURE,GNINv" DISTANCES FROM PROPERTY LINES. (SETBACKS OR PROJECTIONS INCLUDED) ~ SPECIFY NORTM LICENSE NO. STREET NAME SHOW DISTANCES FROM THE MAIN BUILDING TUAWOtNING HOUSES, STREETS, AND PROPERTY LINES; ON IRREGULAR LATS, SNOW LEAST DISTANCE TO PROPERTV LINES, NOT MAXIMUM OR AVERAGE DISTANCE. APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT THIS APPLICATION WILL BECOME A VERMIT TO PERFORM THE INDICATED WORN ONLY UPON VALIDATION BV THE BUILDING INSPECTION DIVISION. PERMIT WILL E%PIRE 60 DAYS FROM Q4TE OF ISSUANCE !F WORK IS NOT STARTED WITHlN THAT TIfAE. ELECTRICAL PERMIT . STATE IICENSE N0. AWMINUMWIREUNDERSIZE8ILLEGAL PLUMBING PERMIT STATE LiCENSE N0. F1.00R BSM 15T 2ND 3RD 4TH MECHANICAL PERMIT NQ FLE4CirtJsOnoGoiOilPeopar EI~eSolm NO. WATER CLASET FORCED AIR - 8TU TEMPORARY METER WASH BOWL HOT WATER - BTU NEW SERVICE AMPS BATH TUB STEAM - BTU CHANGE SERVICE-AMPS SHOWER AIR CONDITIONING-BTU LIGMTING SINK OTHER HEATING GARBAGE DISF REFRIGERATION SYSTEM POWER SUB-GFCUITS UTILI7Y(RANGE,DISPOSER,ETC) WATER HEA7ER AUTO.WASHER Refri erant Group Pounds CMr e FIXTURES DISH WASHER AUTOMATIC SPRINKLER SYSTEM WIRING MOTOF2S d CONTROLS FLDOR DRAIN ELEVATOR SIGNS URINAL TRANSFORMERS 6 RECTFIERS SEWERS ADDITION TO OLD WORK OTHER MOTORS OVER I HP TOTAL FI%TURES 1 tlsreby acknowladqe that thia apPlioo• fiom w correct ond underatond }haf I cannof sfvt tAis projaet until this aDpli' eotipn it opOrovsd. I nhall eomply with the laws of the Sfafe ol Colorado and to fhe'2oninp Requiations and Buildinp Codp of the City of Wl+eai RidQe. Any violption of the above ferme will cauae immediate revocation oi ihis permit •ooiwa~r. s~o~w~~.• PERMIT FEE USE TAX TOTAL FEE CHIEF BUILDING/iNSPECTOR,City Date Issued NOT V l10 UNLESS RECEIPTEI ~/~16 7-D~ CALL 237-8944 EXT. 255 24 HOURS IN ADVANCE FORINSPECTIONS