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Home My WebLink About5785 W. 38th AvenueFrom: no-reolvCalci.wheatridae.co.us To: CommDev Permits Subject: Online Form Submittal: PERMIT APPLICATION General Date: Monday, April 11, 2022 1:19:03 PM 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 General This application is exclusively for Scopes of Work that do not already have a specific form. YOU MUST ATTACH AN ELECTRONIC PAYMENT FORM IN ORDER FOR THE PERMIT TO BE PROCESSED. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN WORK UNTIL PERMIT HAS BEEN ISSUED. PROPERTY INFORMATION Is the property Commercial Residential or Commercial? Property Address 5785 W 38th Ave Property Owner Name SB West 38th, LLC Property Owner Phone Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email Address Attach City of Wheat Ridge Electronic Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" CONTACT INFORMATION Submitting General Contractor or Architect Contractor's License 303-909-4100 jay.siegel@storybuilt.com Eco Tech Environmental Inc. Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contract Phone 303-997-5175 Number (enter WITH dashes, eg 303-123- 4567) Contact Email Address brisa@etechenviro.com Retype Contact Email brisa@etechenviro.com Address Check the appropriate Field not completed. boxes if the following work is involved in the project. Are there any No ADDITIONAL Sub Contractors associated with this project? DESCRIPTION OF WORK Detailed Scope of asbestos abatement Work - Provide a detailed description of work including mechanical, electrical, plumbing work occurring, adding/removing walls, etc. Square footage of 100 scope of work Location of work exterior & HVAC room (backyard, on roof, etc) Project Value (contract 6330.00 value or cost of ALL materials and labor) Upload Engineer letter Field not completed. Upload Asbestos 5785 W 38th Ave Air Clearance ndf Report if triggler level is met per CDPHE regulation. Upload Drawings Upload Additional Drawings 5725, 5785, 5807, 5817 W 38th Ave- approved SEK Ddf Field not completed. Upload Additional Field not completed. Drawings Upload Additional Field not completed. Drawings 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 Brisa Tapia Pe rm it Email not displaying correctly? View it in your browser. INSPECTION RECORD Inspection online form: http://www.cl.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 , inspection before MIDNIGHT (11:5 M) to receive an ins cti n the following business d _ PERMITSOI_765Z(�J ADDRESS:- JOB CODE: Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground I 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 303 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 PERMIT��IU ADDRESS: �� 1�JQB CODE: HE 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 , j -,- L 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 , j -,- L 410 Final Window/Door 411 Landscape/Park/Planning* Inspections from these entities shall be requested one week in advance. *For landscaping and parking inspections please call 303-235-2846 **For ROW and drainage inspections please call 303-235-2861 ***For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works** 413 Flood plain Inspection** 414 Fire Insp. / Fire Protection*** 415 Public Works Final** 416 Storm Water Mgmt.** 417 Zoning Final Inspection* 418 Building Final Inspection Note: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not constitute authorization of occupancy. For Low Voltage permits please be sure that rough inspections are completed by the Fire District and Electrical low voltage by the Building Division. CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 1 l 9 O F Job Address: 5-7 l.✓ 3 Permit Number: ❑ No one available for inspectio • Time7)17/r AM/PM Re -Inspection required: Yes N When corrections have been made, call for re -inspection at $03-234-a933 Date:I D Inspector: fiT/ DO NOT REMOVE THIS NOTICE LJ A i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: hQ Job Address: y S t J 32"t4 /av Permit Number: ❑ No one available for inspection: Time t _�, / AM/SNF Re -Inspection required: Yes ('N6,) When corrections have been made, call for re -inspection at 303-234-5933 Date: r/ / ° ) Inspector: %��. /'11, DO NOT REMOVE THIS NOTICE A i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: M 1 D /s) Job Address: 52 9 S Uj 3'5 -?MI A U6 Permit Number: Zo1'7QS--7 b P v� Ityll 'y ❑ No one available for inspection: Time M/PM Re -Inspection required: Yes No When co�r9rec "ons ave been made, call for re -inspection at 303-234- At { 5933 Date: CJ j Inspector: I, DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Roofing PERMIT - 201705761 PERMIT NO: 201705761 ISSUED: 08/09/2017 JOB ADDRESS: 5785 W 38th AVE EXPIRES: 08/09/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline HD asphalt shingles - 22 sq (17 sq pitched / 5 sq flat) *****revision add redecking 20sq************************ *** CONTACTS *** OWNER (303)503-1844 CORDOVA HENRY E SUB (303)421-7663 Stephen W. Simpkin 120242 All Around Roofing & Exteriors *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,000.00 FEES Total Valuation 0.00 Use Tax 210.00 Permit Fee 204.30 ** TOTAL ** 414.30 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. City of Wheat Ridge j_ Residential Roofing PERMIT - 201705761 PERMIT NO: 201705761 ISSUED: 08/09/2017 JOB ADDRESS: 5785 W 38th AVE EXPIRES: 08/09/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline HD asphalt shingles - 22 sq (17 sq pitched / 5 sq flat) *****revision add redecking 20sq************************ I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am le ally authorized to include alI 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 CONTTOR (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 maybe subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees 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 an 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 iss�grantmgof a permit shall not be construed to be a permit for or an approval of, any violation of any provision of any applica lor r 1 'on 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 -Midge 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: perm its(oci.wheatridge.co.us FOR OFFICE USE ONLY Date: 6- -7 Add to Permit # U1� V Building Permit Revision/Amendment Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 5% "(� J t- 3 9 j�A fkV —e Property Owner (please print): \-I CC, r Phone: Property Owner Emai Mailing Address: (if different than property address) Address: City, State, Zip: * ext Contact Person: 2Phone: t Contractor: Ir -t l Contractors City License #: Phone: J �� ca / — (() Contractor E-mail Address: Please Note: Additional valuation must include all general and subcontracted work to be performed related to the revisions and/or amendments declared in the description of work and which were not included in the original permit valuation. If revisions or amendments increase the original valuation, additional fees will be due at the time of approval. Depending on the scope of work, additional plan review fees may be due upon approval ($60.00 an hour — 2 hour minimum). Description of revised/amended work: Sq. Ft./LF Amps 1 e— c Oec I Btu's Squares Gallons Other Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above) OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT 1 hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESE TATIVE) of (OWNER) (CONTR CTOR) PRINT NAME: [ / �I'' / ` � SIGNATURE: ATE: / DEPARTMENT USE ONLY i ZONING COMMMENTS: OCCUPANCY CLASSIFICATION: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: PROOF OF SUBMISSION FORMS Fire Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required Building Division Valuation: $ ti i City of Wheat Ridge Residential Roofing PERMIT - 201705761 PERMIT NO: 201705761 ISSUED: 08/09/2017 JOB ADDRESS: 5785 W 38th AVE EXPIRES: 08/09/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline HD asphalt shingles - 22 sq (17 sq pitched / 5 sq flat) *** CONTACTS *** OWNER (303)503-1844 CORDOVA HENRY E SUB (303)421-7663 Stephen W. Simpkin 120242 All Around Roofing & Exteriors *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,000.00 FEES Total Valuation 0.00 Use Tax 168.00 Permit Fee 172.60 ** TOTAL ** 340.60 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. t L ® City of Wheat Ridge Residential Roofing PERMIT - 201705761 PERMIT NO: 201705761 ISSUED: 08/09/2017 JOB ADDRESS: 5785 W 38th AVE EXPIRES: 08/09/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline HD asphalt shingles - 22 sq (17 sq pitched / 5 sq flat) I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications; ap�he cable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with thiermit.IfurtherattestthatIamlegally authorized toincludealI entities named within this document as parties to the work to be permed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or�ONTRACTOR (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 ermit 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 ho der 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 ChiefIftffcring Official -- _ -- Date REQUESTS MUST BE MADE BY 11.59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dane Lovett �t�70 -5 76 1 From: no-reply@ci.wh eat ridge.co.us Sent: Wednesday, August 2, 2017 1:34 PM ' To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application 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 Residential Roofing Permit Application j 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 c� 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 5785 W 38th Ave Property Owner Name Henry Cordova, Teena Cordova Property Owner Phone 303-503-1844 Number Property Owner Email teenacordova@comcast.net Address Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. Attached Copy of contract 5785 W 38th Ave.pdf Contract CONTRACTOR INFORMATION Contractor Business All Around Roofing and Exteriors Name Contractor's License 120242 Number (for the City of ' Wheat Ridge) Contractor Phone 303-421-7663 Number Contractor Email Address frontdesk@allaroundroofing.net Retype Contractor Email frontdesk@allaroundroofing.net Address DESCRIPTION OF WORK Are you re -decking the No roof? Description of Roofing GAF Timberline HD Laminate Shingles Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 17 material selected above? Does any portion of the Yes property include a flat roof? If yes, how many squares 5 on the flat roof? TOTAL SQUARES 22/ (pitched + flat) of all f z roofing material for this project Provide additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract value or cost of ALL materials and labor) Replacing roofs on House, Detached garage and shed 1/12,2/12,3/12,6/12,7/12, 12/12, 14/12 8000 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 Pam Thomas Email not displaying correctly? View it in your browser. 3 ym 5665 Gray St. Unit A Arvada, CO 80002 MFERRE6 CORTRA40R aR 0, www.allaroundroofing.com 303 -421 -ROOF (7663) F: 303-433-1017- y `e'ee aero:n. Property Owner: �� CLbGAChtQ, Email: `L2��ilClc�Vc. L'�at"I_ , 0e-+ _ Date:%y�1 / Phone 1: Phone 2: Street: s r7ss� � 7 0 !'t veCity: � State: Zip: 9b2 We propose to furnish all materials and labor completed in accordance with the specilcations below for the sum of: insurance claims. With your approval, All Around Roofing and Exteriors Inc. (hereafter the "Company'l, will perform the repairs or replacements specified by (A) you; or (B) by your insurance company for insurance approved proceeds only and with no additional costs to you except for your deductible and any upgrades or additional work authorized by you that are not part of your insurance claim. Supplemental claims billed by Company on behalf of the Property Owner (hereafter "Owner'), and are approved by your insurance company for additional work or increases in costs, in addition to this contract, are a part of this contract as if contained herein. �=($) i3,a�8.�3 t s4eeteweKfis Shingle Manufacturer: 6 4 F Year: Color: &f 1; wa p l Initials: ,21' Remove layers of asphalt shingles and/or wood shingles. ,a'Install New Felt Synthetic. install pre -painted Drip Edge to code ❑ White ❑ Beige d Brown ❑ Light Gray ❑ Charcoal ❑ Forrest Green ❑ Initials ,Install New Decking. ,'Valley(s) will be,21"Closed ❑ Open 10 Ridge(s) to be color coordinated. �Ridge(s) will be "High Profile Ridge" color coordinated shingles. "Install new Pipe Jacks. ,Replace vents as needed. Re -flash chimneys and wall abutment as eeded and if possible (stucco or siding may be a deterrent.) X Install linear feet of series ridge vent. Install 4 linear feet of Ice & Water Shield to code. Install 6 nails per shingle. Install Ice and Water Shield around all penetrations and in valleys Clean out gutters. Year Warranty on Workmanship only. The Company will provide general liability insurance coverage of at least $2,000,000. Make a magnetic sweep of driveway and yard for removal of any nails & Remove all debris resulting from work above. Special instructions: ❑ Insurance Company: 5 e c cry __Claim #: Policy #: ❑ Cash Estimate $ Sk0A16—e^V�-> ❑ Golden Pledge Warranty $ THE SCOPE OF ROOFING SERVICES AND MATERIALS TO BE PROVIDED: Approximate Dates of Service: 17 00 (Subject to change with possible shortages in materials and weather delays.) The approximate costs of services based on damages known at this time are entered as: The Company, however, will perform the scope of the work approved by the insurance company for the amount of the insurance approved proceeds, with no additional costs to you other than you deductible. The final scope and price agreed on between the insurance company and Company shall become the final contract price for the insurance approved scope. You will be responsible to pay for any upgrades or any additional work authorized by you that the insurance company determines is not covered within the scope of coverage provided by your insurance policy. THE COMPANY SHALL HOLD I1 TRUST ANY PAYMENT FROM THE PROPERTY OWNER ONTIL THE COMPANY HAS DELIVERED ROOFING MATERIALS AT THE RESIDENTIAL PROPERTY SITE OR HAS PERFORMED A MAJORITY OF THE ROOFING WORK ON THE RESIDENTIAL PROPERTY. AMOUNT $ Project Manager Initials: C$ I (We) also authorize any legal representative and or agent of The Company to obtain information necessary to complete any funding process relative to claim number and referred above. I (We) further authorize The Company to pick up in person any loss drafts or checks on both my (our) behalf of The Coly. r Date of Acceptance:.Z0 pp Owner's Signature(s): Representative: f �_,!7 � A ROOFING CONTRACTOR THAT PERFORMS ROOFING WORK, THE PAYMENT FOR WHICH WILL BE MADE FROM THE PROCEEDS OF A PROPERTY AND CASUALTY INSURANCE POLICY ISSUED PURSUANT TO PART 1 OF ARTICLE 4 OF TITLE 10, C.R.S., SHALL NOT ADVERTISE OR PROMISETO PAY, WAIVE, OR REBATEALL OR PART OF ANY IIVSURANCEDEDUC77BLE APPLICABLE TO THE CLAIM FOR PAYMENT FOR ROOFING WORK ON THE COVERED RESIDENTIAL PROPERTY. . ullding P~irlnil. . . PernAtNumber D 17J72 : . CITY OF WHEAT RIDGE 7soowe5c29TH nvenue 10/19/2005 wneatriage, Co sooss - Inspection Line . . . 303-235-2855 .Ciyd~3MeatCr~dgx 1 . . . 303-234-5933 Residential Miscellaneous ' PROPERTY 5785 . 38th Ulllt:.. . . . . owtvER: Hank Cordova (303) 861-5284 . Description . . . . . . . . . . Remove wall for bathroom to comply with ADA FEES Fees Due Paid Permit Fee $30.55 $30.55 ICONTRACTORS Uni[sb 'Accupaucyd Walls: Roof: Stories: Sq Feet: 0 Iheretiyre'tifytheHhesefbacktlufnncu.proposedbycWspermrcappliwHOAarzaccura[yantldomt nalvte.applirshleor3mancw,rulesorregWafiam af[heCity of Wheet Rtdge or rovenents, easemeufs or res 'ctions of rccord; Net ali messniemenb shown, and allcgations mnae ar a ta[e; Nat I have reed avd v,ee m abide by - I. . vllbondifionspriu[ ovtM1isapplica[io tM1at mefWiresponsibility torcompliancewffhtheWheaRidgeBwldingCOde(U.e.C.)endnllnNerapplieable . Whee[ IUtlge . ances, for work ' pe . . . . . ..(O . )IWN'CRA R) . . . . SIGNEDDATE . . . . iThis permit was issued iu amordanee wifh [M1e mravisions set forth in yow appGcation and is su6jec[ to tM1e Inws ofthe State o(COlondo and to Ne Zoning . Regulations antl Buadlvg Cotle of Wheat Ridge, Caloredo or any oOer app@eLle aidinavices a(the City. , . . 2 This permit shall expire if(A) Ne work aulhorized is uo[ cammenced wi[hin sia[y (60) deys from isme dare or (B) Ne building au[horiutl k suapevded or . abandonedforapwloaofl2Udays;. . . . . . . . 3.II[hispermi[expira,anewpermttmnybeacqwredfora@eofoncM1alfNevnouutnormallyrequired,pmvidednochangeshaveheenormObematleinthe originel phm and spxifications antl any suspenslon or abmdovment has mt excecdetl one (I) year.lf cM1nuges ma, made or ifsospension or abandownent . eaceedsone(1)yeaqfullRUShellAepatd(oranewpermiG . . . . . 4Noworkdfauym ushvilbedonethafwJlchange[henahraiflowofwatereaosmga.dninageprobiem. . 5: ~ Contrac[or shall noUfy the Huilding Inspecfor hventy-four (20) M1wrs in dvence for all mspections and shell receivewntren approval on tnspeeHOn card before . ..proceedidgwithsuttessivePhasesatNeJad... . . . . . . . . . b The issuance of n permi[ or M1e approval of tlra tl specJicahons sha0 no[ 6e covsfrued m be a permit for, nor an apprvvai of, auy viola[ion oftM1e provisionsofthc gcodesoranyot nm,lawrvleotregulation SWI . spenm . . . . . SIGNEDDATE . . . Wednesday, Oc 19, 2005 . . . . . Page f of I . . ~ u. . . . . . Lu11dlllg 1 Vlllllt . . ~ ~ . . . . . . ~ PermitN . . y~, 19372 ~ CTTY OF WHEAT RIDGE ~ . 10/19/2005 7500 West 29TH Avenue . Wheatridge, CO 80033 ~ IpSpeCfIOtl.LIfIB 303-235-2855 GtyotvMePC~ye.~ ~ 303-234-5933 Residential Miscellaneous . . PROPERTY. 5785 ~ 38t$ . . . . . . . . . . . . . ~ ULIt: . . ~ ~ . . . ~ ~ ~ owNEx: Hank Cordova (303) 861-5284 . . Description Remove wall fox bathroom to comply with ADA . .Authorized..By Building~APProval Zoning ~ . ~ ~ . . ~ AuthorizedOn . . 10/19/2005 ~.ApprovedBy. aroot ~ ` ~ Wednesday, October 19, 2005 Page.l of 1 ~ ~ . ~ ~ COMMUNITY DEVELOPMENT DEPARTMENT ~ of WHEqr,~ gUILDING INSPECTION LINE - 303-234•5933 _ GTY OF WHEAT RIDGE " 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235•2855) °aCORPa~ t1 FAF FCR A Property Address: Cogtractor License No.: Company: h OWNER/CONTRACTORSIGNATURE OF UNDERSTANDING AND AGREEMENT I Buildinq Dept. Va/uafion Figure: I hereby certiiY.that the setback dfstances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations. of the City of V3Ill0:$ Wheat Ridge or covenants, easements or restrictions of record; thatall measurements shown, and allegations made are accurete; Nat I have read and agree to abide by all Pernut Fee:$ conditions printed on.this application and that I assume full rasponsibility for compliancewiththeWheatRidgeBwdingCode(I.B.C)andallotherapplicableWheat P1anReviewFee:$ Ridge Ordinances, for work under t's permit. P ns(~f$ubject to field inspection. USe T2-X1:$QnWIJ~RI(CQNTRACTOR):SIGNED DATE'O^( /-U~ TOCbI:S (OWNER)(CONTR4CTOR):PRINTED DATE ~ ~ I I Use of Space (description): UWIUkh° ~JSeT +v C Lvit~'1 (4'chd:C,-P Description of work: Ac6Se S ~~~1 S; Jr, S Sq. Ft. added Is subJeM to fleld inspectfons. Building Permit Number: Expiration Date: Expiration Date: Expiration Date: Approval: . Approval: Approvai: (1) This permitwas issued in accordancewith the provisions setforth In your application and is subjectto the laws ofthe State of Coloredo and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any nther applicable ordinances of the City. (2) This pertnit shall expire if (A) the work authorized is not commenced wi}hin slxty (90) days from Issue date or (B) the building authorized is suspended or abandoned for a period of 180 days. (3) If this pertnit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been orwill be made in the originai plans and specifications and anysuspension or abandonment has notexceeded one (1) year. If changes have been or if suspensfon or abandonment exceeds one (1) year, full fees shall be paid for a new pertnlt (4) No work of any manner shall be done thatwill change the natural flow of water causing.a dreinage problem. (5) Contractor shall notify the Bullding inspector iweniy-four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceeding with successNe phases of the job. (6) The issuance of a permit.or the approval of drewings and specifications shall not be consWed to be a permit for, nor an approval of, anyviolation ofthe provislons ofthe bu(Iding codes or anyother ordinance, law, rule or regulation. All pian revlew Date: Phone: Phone: Buildina Official Electrical License No: Plumbing License No: Mechanical License No: Company: Company: Company: .Bl.Lll.dlllg 1 Vlllllt . ~ . . . Number . . CITY OF WHEAT RIDGE 10/13/2005 7500 we5t 29TH nvenue wheauidge, Co 80033 Inspection Line 303-235-2855 . C~tyatVMe~u[adge, ~ . . 303-234-5933 . . Residential Roofing PROPERTY 5785 38tI1 AV Urilt: - owNER: - Hank Cordova (303) 861-5284 Description . . . : s~ . .i . Tear off one layer, mstall rooled roofing on flat roo£ ~FEES Uuits; --0ccupancyi Walls. Roof: . ' ~ Stories: Sq Feet' ~ IhereLycertifytFa[tFese[backtlivtevcespropasedby[hispwmi[epp4cationarcaccurate,enddom[violateapplicableortlinences,rvlesorrcgWatiom a(NeCiryof Whes[ Ridge or coveneots, easemeuta or ratrict6re otrecoN; [ha[ all meesuremena shown, antl ailegafious matle are accon[e; [hst I have read and agrm ro ahude by . . all <ontltllom printed au Nis app4caHOq vud t4at] asswne N11 responsibi4ty (or compliance with the WLeeUlidge Building Code (U.B.CJ and ali oNerppphca6le Wheatl4dgeorNnancu,forworkunEerthbpermie . . - ~ (OWNER)(CONTRACTOR) . . . SIGIVEDDATE 1. TM1is permit wss tuuM 1n v«ordauie wiFli the prwtviovs se[torth in your eppGretian ana is suhJectlo Ne laws ofthe State ofColoratlo end m tM1e Zoutng RegWnfions end Builtliug Cotle of Whest Ridge, Colaredo or any olher app4ceble ardinanla otNe City. . T lTtspe'mltshallezp'veif(A)NeworkouNor'u.edisvotmmmencedwi[hinuaty (60)deysfrombsued2reor(B)fhebuflNUgauNOrizedissuspendedor abandoned6raperlodaf120daya.. . ' ' 3 ffehkpermiteapiru,anewpuMtmaybeacqutretltorvfeeo(onnhaVthevnoon[normellyrequ'ved,proNdcdvochvugeshavebeeumwillbemadefnthe . originvlplansandapecifica[ionsandenysuspensionorabavdoumen[hsam[exceededone(I)yeer.lfchanguaremetleorifsuspernionore6avdonmen[ . ceeds ove (1) Y.q fu11 Rw shv116e paid for a new Permie . . . . . . . . . . 0 .Nowarkofanymannershnlibedouetha[wiilchaugeNenaNralllowatwaterrausingaJrninagepkobl<m. . 5 ContrvcmrshalluotifytM1eBuildinglnspeMOrhventy-four(24)hoursinedvnnce(orallinspecrio¢sandsha0receivewrittenapprovvionivspu[ionsartlbe(ore . . ..proeeetlin.SwithmcressivePM1Uaofthejah. . . . . . . . . . . . . . . 6 Theissuanceofepermltor[heapprovvlof rawingsantlspaifirnfianssAallmtberoustmedWbeapermit(ar,noranapproviof,anyviolvfionofNe . . provfslo s oftM1ex odes or er ortlinan rvle or re6uietioa . . . . . . . . . . f ~ I . CM1iefBdillbrig.Iii.v~ SIGNEDDATE . . . . Thursday, Ocmber 13, 2005 Page I of 1 , COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number: ;of WHEqp,~ gUILDING INSPECTION LINE - 303-234•5933 . Date: _ ~ CITY OF WHEAT RIDGE " 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235•2855) ~CORPO~ . . APPMCA HO1F D~ G°~ e. i..ll.. " . Property Address: ~j l ~ ~ • ~ ~5 t ~ Phone: Contractor License No.: L Pll conipanY: Phone: y OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENi I Bui/dina Deat. Va/uation Figufe: $ 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 V3~lle:$ U. Wheat Ridgeor covenants, easements or restrictions of record; thatall measurements shown, and allegations made are accu2te; that I have read and agree to abide by all Perxnit Fee:$ conditions printed on-this applicatlon and that I assume full responsibility for ' compliancewith the Wheat Ridge Building Co e(1.8.C) and atl otherapplipble Wheat Plan Review Fee:$ Ridge Ordinances, for work under hj6 pe . lans subject field inspection. Se •r3X: ~/J~-r~~~ @ (OWNER(CONTRACTOR):SIGNED DATE~ TOt~:y (OWNER)(CONTRACTOR):PRINTED DATE Use of Space (description)s G c~ ✓L' z°1 P tl--C cz-k-TC Description of work: Q- Sq. Ft. added a(-/ y 3,9 Expiration Date: Expiration Date: Expiration Date: Approvai: , Approval: Approval: (1) This permitwas issued in accordance with the provisions setforth in your applicatlon and is subjectto the laws of the State of Colorado and to the Zoning Regulations and Building Codes of W heat Ridge, Colorado or any ofher applicable ordinances of the City. (2) This pertnit shall expire if (A) the work authorized is not commenced within sixty (90) days from Issue date or (B) the 6uilding authorized is suspended or abandoned for a period of 180 days. (3) If this pertnit expires, a new permit may be acquired for a fee of one-halfthe amount normally required, provided no changes . have been orwiil be made in the original plans and specifications and anysuspension or abandonment has not exceeded one (1) year. If changes have been or if suspenston or abandonment exceeds one (1) year, full fees shall be paid for a new permik (4) No work of any manner shall 6e done ihat will change the naturel flow of water causing-a drainage problem. (5) Contractor shall notiiy the Building inspector iwenty-four (24) hours In advance for all inspections and shall receive written approval on inspection card before proceeding with successive phases of thejob. - (6) The issuance of a permit.or tha approval of drawings and speclficaUons shall not be construed to be a permit for, nor an approval of, anyvfolation of the provislons of the building codes or.any other ordinance, Iaw, rule or regulation. AII pian review issubjecttofteidinspectfons. Chief Buildina Official Electricai License Na Plumbing License No: Mechanicai License No: Company: Company: Company: DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 4942 BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date : 4/23/97 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner : Property Address : Contractor License No. : Company 5785 38TH AV 18381 Electrimax, Inc. Phone: 423-0163 Phone: 4223919 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value : $200.00 I hereby certify that the setback distances proposed by this permit application are accurate, PBffillt F22 : $25.00 and do not violate applica6le ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations Plan ReVi2w Fee : $0.00 made are accurate; that I have read and agree to abide by ali conditions printed on this application, and that I assume full responsibility for compliance withthe heat Ridge Building Use Tax : $2.40 Code (U.B.C.) and all other applicable Wh at Rigevr inances, f under this permit. (OWNER)(CONTRACTOR) SIGNE -~DATETOf81 : $27.40 Description : REPAIR OVERHEAD METER DAMAGE BUILDING DEPARTMENT USE ONLY RMW~~`osic : sq. Ft. : Approval : Zoning : 8~offl Approval : F~1~1~~-ftNOMC'='!~IN~ Approval : Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : Company : Plumbing License No : Company: Mechanical License No : Company: Expiration Date : Expiration Date : Expiration Date : Approval: Approval: Approval: M ~ ~~~~Em I- (1) This permit was issued in accordance with the provisions set forth in yopur application and is subjecl to the laws of the State of Coiorado and ro the Zoning Regulations and Building Code of Wheat Ridge, Coloretlo or any other applicable ortlinances of the City. (2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) Ihe building authorized is suspended or abandoned for a period of 120 days. (3) If ihis 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 Ihe original plans antl specifcations antl any suspension or abandonment has not exceeded one (t) year. If changes are made or if suspension or abandonment exceeds one (1) year, fWl 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. (5) Contractor shall notify the Building Inspector twenry-four (24) hours in advance For all inspections antl shall receive written approval on inspection cartl before pmceediing with successive phases of the job. (6) The issuance of a permit or the approval of drawings and specifcations shail not be constmed to be a permit for, nor an approvai of, any violation of Ihe provisions of the building codes or any other orjinance, law, rule or regulation. Building Inspector THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : BUILDING INSPECTION DNISION - 235-2855 CITY OF WHEAT RIDGE Date :a : Z3 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner : &'t' TE) w 'a~ff Property Address : r5-7 F'S'- A/, ai9~ 47jR-- Phone : ~2.3 01 (v3 Contractor License No. : Company Phone 22 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby ceRiy that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or re9ulations 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 appliration, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Whe* Ridge ordinances, for ylWunder this pertnit. (OWNER)(CONTRACTOR) SIGNED D DATE Construction Value : 0094W Permit Fee : Plan Review Fee : Use Tax : Total : Description : BUILDING DEPARTMENT USE ONLY SIC : Sq. Ft. : Approval : Zoning : Approval: P..fi6licVWork` s~,~_orifsa Approval: Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No Company : Expiration Date : 2' Approval: Ed sPian Plumbing License No : Company : Expiration Date : Approval: m Mechanical License No : Company: Expiration Date : Approval: OR ~E_faes Req (1) This permit was issuetl in accordance with the provisions set forth in yopur application and is subject to the laws of the Stale of Colo2tlo and to the Zoning Regulations and Building Cotle of Wheat Ridge, Colorado or any other appiicabie ortlinances of the Ciry. (2) This pertnit shall expire if (A) the work authonzetl is not commenced wiNin sizry (60) tlays from issue date or (B) the builtling authonzetl is suspentled or abandoned for a penotl of 120 days. (3) If this pertnit expires, a new pertnit may be acquired for a tee ot one-half the amount normally required, providetl no changes have 6een or will be made in the onginal plans antl speafiwfions antl any suspension or abantlonment has not exceetled one (1) year. If changes are made or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new pertnit. (4) No work of any manner shail be done that will change the natural flow of water causing a dreinage pro6lem. (5) Contractor shall noli(y the Builtling Inspector twenry-four (24) hours in advance for all inspections and shall receive written approval on inspection card betore proceediing wiih successive phases of the job. (6) The issuance of a permit orthe approval of tlrawings an0 specifcations shall not be construetl to be a permit for, nor an approval of, any violation ot the provisions of the 6uilding cotles or any other ortlinance, law, rule or regulation. Chief Building Inspector For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION