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Home My WebLink About4620 Queen CourtFrom: no-reolvCalci.wheatridae.co.us To: CommDev Permits Subject: Online Form Submittal: PERMIT APPLICATION Water Heater Replacement Date: Wednesday, February 2, 2022 9:50:54 AM CAUTION:This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Report any suspicious activities to the IT Division. PERMIT APPLICATION Water Heater Replacement This application is exclusively for RESIDENTIAL REPLACEMENT WATER HEATERS - LIKE FOR LIKE ONLY. YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. Your Permit will be emailed to the email address provided below once it is processed. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. Do Not use this form if the Water Heater is changing locations or if this is a conversion to a Tankless Water Heater. Please use the General Permit Application for a more comprehensive review. Is this application for a Yes replacement water heater like for like? Ki],A36'd10I0]NtLTjIG\1 ffl0 Property Address 4620 QUEEN CT Property Owner Name DAVE HALL Property Owner Phone 303-421-1562 Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email Field not completed. Address (Leave blank if not known) Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" CONTRACTOR INFORMATION Contractor Business PLUMBLINE SERVICES Name Contractor's License 021818 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 720-584-3345 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email PERMITS@PLUMBLINESERVICES.COM Address Retype Contractor PERMITS@PLUMBLINESERVICES.COM Email Address DESCRIPTION OF WORK Number of gallons 40 Is the water heater GAS GAS or ELECTRIC? If GAS, enter # of 40K BTUs. If electric, enter n/a Where is the water MAIN LEVEL heater located (for example, basement, crawlspace, etc)? Project Value (contract 2878 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have Yes been authorized by the legal 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 TAYLOR VAN SKY Pe rm it Email not displaying correctly? View it in your browser. DEPARTMENT OF GOMMUNITY DEVELOPMENT 7500 wE5729thAVENUE BUILDING INSPECTION DIVISION PERMIT NOM94#19694 234-5933 P.O. BOX6aa CITY OF WHEAT RIDGE, COLO. THIS PERMIT VALID ONLY WHEN SiGNED BY THE CHIEF BUILDING INSPECTOR ANC RECEIPTED BELOW. ' APPLICATION FOR MISCELLANEOUS PERMIT ADDRESS OWNER ~`-'"_'si C~'~ ~7 i JOB ADDRESS CONTRACTOR ~ cT9 In i."if}O(1 PHONE ~ ZIP CODE CITY ZIP CODE ZI LICENSE NO. I. TVPE Ground❑ DATE PRICE $ Woll❑ Proiecfinp❑ 01Mr 5 w D Fec* 2. MATERIAL Tolal SQuen Foof SIGNS 3. ILLUMINATION Ya❑ No❑ TYCe Eiaf. Pvmit No. 4. SET BACK FROM PROPERTY LINE N- 5_ E.- W Zoro_ Apprwb,ZOne Inspeetor fSeeeilv whicA ie front) ❑ ❑ ❑ ❑ DisoDDroved I. TYPE SolidO Mon Than 80% OpsnU Lest Thon BO% OMM HoiQht MATERIAL FENCES 3. SET BACK FROM PROPERTY LINE N_ S_ E_ W Zme_ ApprwW,Zons, ImDeetw (Soetifv whieh is tront) ❑ ❑ _ ❑ ❑ DiaaDProved OTHER I` 3. DRAW SKETCH OR SHOW BELOW, THE FENCE,SIGN,OR OTHER STRUCTURE, GIViNG DISTANCES FROM PROPERTV LINES. (SETBACKS OR PROJECTqNS INCLUDED) ~ SPECIFV NORTH STREET N4ME CI~ ecn V SHOW DISTANCES FROM THE MAIN BUILDINC TPADJOINING HOUSES, STREETS, AND PROPERTY LINES;ON IRREGULAR WTS,SHOW LEAST DISTANCE TO PROPERTV LINES,NOT MAXIMUM OR pVER11GE OISTANCE. APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT THIS APPLICATION~W~I^^ BECOM yvaFR RO ~AYSERROMM HE DATE OF IS~UAWORK NCE IOF WORK IS NOT SDTARTOEO W THEN THAT TGMESPECTION DNISION. , MECHANiCAL PERMIT ELECTRICAL PERMIT PLU MBING PER MIT TATE LICENSE N0 STATE LICENS E N0. S LUMI . NUMWIREUNDERSIZEBILLE6AL FLOOR BSM IST 2ND 3RD 4TH NQ FUEICircNOns6wd~ReVO^s ElseSolar A ET BTU FORCED AIR ~ WATER ClAS WASH BOWL = HOT WATER BTU TEMPORARY METER _ STEAM BTU NEW SERVICE - AMPS BATH TUB AIF CONDITIONING-BN CHANGE SERVICE-AMPS SHOWER OTHER LIGNTING SINK ISP REFRICaERAT10N SYSTEM HEATING GARBAGE D HE/+TER Refri erant GrouO POWER SUB-CIFCUITS WAtER pounAS C~ar e UTILI7Y (RANGE, DISPOSER, ETC ) AUTO. WASHER AUTOMATIC SPRINKLER SYSTEM FIxTUAES DISH WASHER ELEVATOR WIRING MOTORS 9 CONTROlS FLOOR DRAIN SIGN$ URINAL TRANSFORMERS d RECTFIERS SEWERS ADDITION TO OLD WORK OTHER MOTORS OVER I HP TOTAL FIXTURES VALID UNLE55 RECEIPTED I hereby ocknowledpe Ihot thia op0Iica- fion it torrect ond understond ihot I connot start this Drojbct unfil thia opDli- oolion is approved. I shall comply with the lows of the Stofe o1 Colorado and to ihe Zoninp Repulntions and Bwldinq tion ol the ov~e terme will couse ilit. of the CitY o I+ea t RidQe. Any di revo atiof of lnis Oermit nt~ On u • ' . PERMIT FEE usE Tax 170 TOTAL FEE CHIEF BUILDING ~PECTOR,City of Wheat Rid9e CALL 2345933 24 HOURS IN ADVANCE ~ 6 !g FOR INSPECTIONS Dote Issued ~