HomeMy WebLinkAbout6580 W. 38th AvenueCity of Wheat Ridge
x g E -Res. Sewer/Waterline Repair PERMIT - 201900784
PERMIT NO: 201900784 ISSUED: 04/25/2019
JOB ADDRESS: 6580 W 38th Ave EXPIRES: 04/24/2020
JOB DESCRIPTION: Residential sewer line repair 20 feet on the side of the building inside
the fence. Installation of double wye clean outs. Excavation and repair of
the 4 inch sanitary sewer line.
*** CONTACTS ***
OWNER (720)445-2816 MOORE FAMILY TRUST
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 102 / BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,000.00
FEES
Total Valuation 0.00
Use Tax 63.00
Permit Fee 93.35
** TOTAL ** 156.35
*** COMMENTS ***
*** CONDITIONS ***
ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive
written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection
by any Sanitation District representative. Inspection and approval of work by any
Sanitation District representative DOES NOT grant authority to cover work without the
approval of the Building Division.
**For trenchless sewer replacements - The contractor will verify proper slope of new sewer
piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed
specifically by the applicable code. The plumbing contractor will provide verification of
proper slope and drainage in writing as a condition of approval of the permitted work.**
Both the front and back of this permit are required to be posted on the job site at all
times. If the complete permit is not present, inspections WILL NOT be performed.
City of Wheat Ridge
Y
E -Res. Sewer/Waterline Repair PERMIT - 201900784
PERMIT NO: 201900784 ISSUED: 04/25/2019
JOB ADDRESS: 6580 W 38th Ave EXPIRES: 04/24/2020
JOB DESCRIPTION: Residential sewer line repair 20 feet on the side of the building inside
the fence. Installation of double wye clean outs. Excavation and repair of
the 4 inch sanitary sewer line.
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 ennrt. I further attest that I am legally authorized to include all entities named within this document as partes 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 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 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 gran ' of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
aic le code ora ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
i
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dina Kemp �q-C)l45o0 1 g -L
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, April 25, 2019 9:48 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Sewer or Water Line Repair Permit Application
Categories: Dina
Residential Sewer or Water Line Repair Permit Application
This application is exclusively for RESIDENTIAL SEWER OR WATER LINE
REPAIR - IN YARD ONLY - NO RIGHT OF WAY WORK.
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.
Is this application for Yes
residential sewer line or
water line repair - in yard
only?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
Attach Credit Card
Authorization Form -
**DO NOT ATTACH
RANDOM
DOCUMENTS**
6580 W 38th Ave
Larry Coates- moore Family Trust
720-445-2816
larry.coates@apexplumbing.com
im g02722. pdf
CONTRACTOR INFORMATION
I
Contractor Business Apex PLumbing Inc
Name
Contractor's License 060162
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 303-215-1348
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address rachelm@apexplumbing.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
Is this a sewer line or
water line repair?
Length of repair
rachelm@apexplumbing.com
Sewer Line
20'
Location of repair side of the building inside the fence
(backyard, frontyard, etc)
Provide additional details Installation of double wye clean outs. Excavation and repair of
including installation of the 4" sanitary sewer line from the building drain at the side of
clean -outs. the turn just before the fence (up to 20' of pipe, up to 4' deep).
Project Value (contract 1800
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
2
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.
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 Rachel Nugent
Permit
Email not displaying correctly? View it in your browser.
� � 4 i CITY OF WHEAT RIDGE
_:�9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: -/00/- F7' '10L I
Job Address: 5_'B o W 3 8 4" A Ne
Permit Number: -,? o I-7 0 q a s
❑ No one available for inspection: Time q = 3 I (&PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: /Jq—Inspector:
DO NOT REMOVE THIS NOTICE
0
CITY OF WHEAT RIDGE
_1�9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTIO E
Inspection Type: 0 S r
Job Address: Le V
Permit Number: D 1-7 ®
APe'ryypr3
❑ No one available for inspection: Time Q'�, AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date: a i Inspector:
DO NOT REMOVE THIS NOTICE
9
41 CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTIO E
Inspection Type: `S r
Job Address: _fin C �` w 0
Permit Number: D D I � 0 L-1 -a,
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
I
Date: Inspector:'
DO NOT REMOVE THIS NOTICE
A City of Wheat Ridge
Commercial Roofing PERMIT - 201704256
PERMIT NO: 201704256 ISSUED:
JOB ADDRESS: 6580 W 38th AVE EXPIRES:
JOB DESCRIPTION: COMMERCIAL RE ROOF CAM CO 88SQ*REDECKING 10 SQ.
*** CONTACTS ***
OWNER (214)802-5359 MOORE FAMILY TRUST
SUB (303)593-2761 Caine Knapp
07/18/2017
07/18/2018
170225 Gold Star Premium Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 102 / BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION 50 00 .00
FEES
Total Valuation 0.00 ra* t
Use Tax 1,050.00 -' 1
Permit Fee 729.55 �J
** TOTAL ** 1,779.55
*** COMMENTS ***
*** CONDITIONS ***
In order to pass a final inspection on commercial elastomeric or similar type roofing, 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. 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. 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.
City of Wheat Ridge
Commercial Roofing PERMIT - 201704256
PERMIT NO: 201704256 ISSUED:
JOB ADDRESS: 6580 W 38th AVE EXPIRES:
JOB DESCRIPTION: COMMERCIAL RE ROOF CAM CO 88SQ*REDECKING 10 SQ.
07/18/2017
07/18/2018
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document 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, 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 originalermit 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 Offial 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. TeWsuance or granting of a permit shall not be construe4-to be a permit for, or an approval of, any violation of any provision of any
a icable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
of CV>icial 1� Date
MUS ME BY 11:59PM ANY BUS SS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
11
Gofd Star Premium
Roofing Inc
GOLD STAR PREMIUM ROOFING INC SMALL HOLD INTRUST ANY PAYMENT FROM HOMEOWNER UNTIL ROOFING MATERIALS HAVE BEEN DELIVERED
1425 Brentwood Street Unit 14 Lakewood, CO 80214
AGREEMENT
THIS AGREEMENT SUBJECT TO INSURANCE COMPANY APPROVAL
ame:i J , Date: (0�l
idress:6J5p®*2L67 City/State: t
Zip:
ilingAddress: City/State: _ _ Zip:
)me Phone: Work Phone:
ROOFING � ECS ATIO� yS`r��1�
le of Shingle
r of Shinglftg e
= op�� 2 -Story:
Off:
nd Water Shield: 40
Ifeto
ing Jacks:
debris from roof, gutters and
d with magnetic roller
landscaping
Permit
SIDING SPECIFICATIONS
Existing Grade of Siding
Style of Siding: —
Backerboard:
Fascia:
Soffit:
Siders Edge:
❑ Wraps:
❑ Remove debris from yard and protect landscaping
❑ Fumish Permit
SPECIAL ATTENTION AREAS
❑ Cover Pool:
❑ Yes ❑ No
❑ Existing Gutter Damage:
❑ Yes ❑ No
❑ Existing Driveway Damage:
❑ Yes
❑ Leaks:
❑ Interior Damage:
❑ Emergency Repair:
❑ Yes ❑ No
f Es -0
T�� �� ✓�i1,�
C i
1► c
3460 J Pkll�
� , �r -
.3C172-0
COMPANY'S LIMITED WARRANTY
5 YEARS WORKMANSHIP
PAYMENT SCHEDULE
First Payments Due on Delivery of Material
Paid Date: ! ! CK#: @ $
Paid Date: ! ! CK#: @ g
Balance Due on Completion
Paid Date CK#: @ $
BALANCE S
Insurance of Warranty Certificate and Waiver Upon Final Payment
GE ERAL CONTRACTOR: Homeowner acknowledges GSPR is acting as a general contractor in CO and as such will be entitled to
Overhead and profit as allowed by insurance industry standards.
IN RANCE/MORTAGE NOTE: I hereby authorize the insurance and/or mortgage company below to make any checks payable jointly.
TE MS: This agreement does not obligate the property owner or GSPR also known as (Gold Star Premium Roofing Inc) in any way un -
les it is approved by the insurance company and accepted by GSPR. By signing this agreement the homeowner authorizes GSPR to
pu ue homeowners best interests for a roof/siding replacement or repair at a "price agreeable" to the insurance Co. and GSPR with
no additional cost to the homeowner except for the deductible. The approximate cost of services based on damages are
rroximate
he final scope and price agreed on between the insurance company and GSPR shall become the final contract price for
approved scope of work. Upgrades are hom owners responsibility.
AIDates of Service: These dates is are subject to change due to unusual delays in transportation of
nary weather delays, or by any other ca s s`� reasonable control of Contractor.
omeowner on: Date: / / BYy
Insurance Co.
Mortgage Co.
Field Supervisor.
Claim *:
Acct- A:
Management Approval
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: U tr
Job Address:
Permit Number: 1 "7 6 C) L/ 2 e
Q
❑ No one available for inspection: Time R �V AM/PM
Re -Inspection required: Yes No
*When corrections have been made, call for re -inspection at 303-234-5933
Date
`3 rr ` f Inspector:
DO NOT REMOVE THIS NOTICE
CITY OF WHEAT RIDGE
Building Inspection Division i
/ (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 12 U (,�-
Job Address: ( q1� n w � AV S
Permit Number: "Z C)) 16 C V 1 �
❑ No one available for inspection: Time l• ' ? ) AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -i 7speCtion at 303-234-5933
Date: l Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Plumbing PERMIT - 201700426
PERMIT NO: 201700426 ISSUED: 03/27/2017
JOB ADDRESS: 6580 W 38th AVE EXPIRES: 03/27/2018
JOB DESCRIPTION: Install new 1" water service line from 5 ft outside meter pit & 120 ft to
house; existing line is 3/4 in.
*** CONTACTS ***
OWNER MOORE FAMILY TRUST
SUB (303)215-1348 Brian Wilkie 060162 Apex Plumbing Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 101 / BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,800.00
FEES
Total Valuation 0.00;:.T
Use Tax 50.40 10
Permit Fee 93.35
* * TOTAL * * 143.75
*** COMMENTS ***
*** CONDITIONS ***
ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive
written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection
by any Sanitation District representative. Inspection and approval of work by any
Sanitation District representative DOES NOT grant authority to cover work without the
approval of the Building Division.
**For trenchless sewer replacements - The contractor will verify proper slope of new sewer
piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed
specifically by the applicable code. The plumbing contractor will provide verification of
proper slope and drainage in writing as a condition of approval of the permitted work.**
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Residential Plumbing PERMIT - 201700426
201700426 ISSUED: 03/27/2017
6580 W 38th AVE EXPIRES: 03/27/2018
Install new 1" water service line from 5 ft outside meter pit & 120 ft to
house; existing line is 3/4 in,
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 ermit. 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 Ian,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 accompanyingplans 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 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.
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 is subject to field inspection.
aa ,_
Signature of Chief Building Official Date
REQUESTS NUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Pleasejemail requests to insptimerequest@ci.wheatridge.co.us
between 7:30a'eand 8:OOa$M,*the•ntornin":fAW,,�&oec jc se put the address of the inspection in the subject line.
.11 A - X-, i -14-, _n 11 >> ] -
Jyr)J' (` INSPECTION RECORD
I1 I
�0'�Jtf��
IF INSPECTION REQUEST LINE: (303) 234-5933
Occupancy/Type
Inspections will not be performed unless this card is posted on the project site.
Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date
Inspector Comments
Initials
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections Date Inspector Comments
Initials
Electrical
Sewer Service
Plumbing
Do Not Cover Underaround or Below/In-Slab Work Prior To A
Rough Inspections
Date
Inspector
Initials
Landscaping & Parking / Planning Dept.
Wall Sheathing
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.
Mid -Roof
Fire Inspection / Fire Protection Dist.
Lath / Wall Tie
Final Plumbing
Rough Electric "
Final Mechanical
Rough Plumbing/Gas Line
Roof
Rough Mechanical
Final Building
Rough Framing
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.
Rough Grading
Insulation
Drywall Screw/ Nail
City of Wheat Ridoe
03/t712017 12e36 CUB
Install new P4 water
CDBO14454 AMOUNT
APSE' 6580 W 38th AVE 143.75
APPVPERMIT NO: 201700426
PAYMENT RECEIVER AMOUNT
V5 / 2873 143.75
AUTH CODE: 464951
TOTAL 143.75
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
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.
-ror low voltage permits — riease oe sure tnat rougn inspections are completed from the Tire Uistrict and electrical low voltage
by the Building Division.
"For Inspection Time Window Requests — Please email insl)timerequest@ci.wheatridpe.co.us by 8:00 A.M. the day of the
inspection with the property address in the subject line of the email.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
City of
W heat j�idge
y
MUNITy 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(aD-ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date: A ! p
Plan/Permit # .a o � n 4
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: (05 $0 VI-) 3$t�-A442- .
Property Owner (please print): \L�&cP C_- Phone:(-'n5)q aL(- 1 L-( L l
Property Owner Email:
Mailing Address: (if different than property address)
Address
City, State, Zip:
Arch itect/Engineer:
Architect/Engineer E-mail:
Contractor: AP
Contractors City License #:
k6 k
Phone:
Phone:&3� �-� • l
Contractor E-mail Address: (LVCjr `G) cL'p�C'�\�
Sub Contractors:
Electrical
W.R. City License #
Other City Licensed Sub:
City License #
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
❑ RESIDENTIAL 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.) kv.5�a LC_ n \'' w4ltec'vtc�`Lt'��
,(,t. pr �X CE
.XI -A1^� Li•�
Sq. Ft./LF
Amps
Btu's Gallons
Squares
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
a'3o &
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 1 am the legal owner
or have been authorized by the legal owner of the property to perfonn 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 infonnation provided on the application.
CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Electronic Sienature (first and last name): kuu, L ___ DATE:
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
#
Building Permit* +\?>2 «?
(Complete AR highlighted areas)
M
am
I ME
I MMMZM� I LwErjEws"
,c'PARTmENT:- 0 approved wl comments 0 disapproved 0 n e required E149 Valuatlow
DEPARTMENT OF PLANNWG AND DEVELOPMENT Building Permit Number : 8133
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date : 11/16/98
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner :
Properry Address : 6580 W 38TH AVE Phone ; 303424-1411
Contractor License No. : 17696
Company : Cory Heating & A/C Phone : 237 1011
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 the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED DATE
Description : Furnace replacement
Construction Value :
$1,800.00
Permit Fee :
$57.75
Plan Review Fee :
$0.00
Use Tax :
$27.00
Total:
$84.75
Use:
Electrical License No :
Company :
Expiration Date :
Approval:
Plumbing License No :
Company:
Expiration Date :
Approval:
Mechanical License No :
Company :
Expiration Date :
Approval:
(1) This permit was issued in accordance with fhe provisions sef forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning
Re9ulations and Builtling Code of VJheat Ridge, Colorado or any other applicable ordinances of the City.
(2) This permit shall expire if (A) the work authorized is not commenced within si~cbj (60) days from issue date or (B) the building authorized is suspended or
abandoned for a periotl of 1 20 y
da s.
(3) If this permit expires, a new permit may beacquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the
original plans antl specifcations and any suspension or abandonment has not exceetled one (1) year. If changes are made or if suspension or a6andonment
exceeds one (1) year, full fees shall be paid for a new permit. (4) No work of any manner shall be done tha[ will change the natural flow of wa[er causing a dreina9e problem.
(5) Contrector shall notiry the Building Inspector hventy-four (24) hours in atlvance for all inspec[ions and shall receive written approval on inspection card before
proceediing with successive phases of thejob.
(6) The issuance of a permit orthe approval of drewings and specifications shall not be construetl to be a pertnit for, nor an approval of, any violation of the provisions
of the building codes or any other ordinance, law, rule or regulation.
a ° °
Chief Building Ins ctor
THIS PERMIT VALID ONLY WHEN SIGNED B THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
DEPARTMENT OF PLANNING AND DEVELOPMENT Buiiding Permit Number :
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date :(1-1(:,-9e
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner : ma%^-e
.,j, 3e7~ Phone :IaY'l`m
Property Address : 1,
Contractor License No.: 11 (o q 6
Company : G d¢~l j-}#~ ti~~L Phone : )37'101+
OWNER/CONTRACTOR SIGNATUREOF UNDERSTANDING AND AGREEMENT Construction Value :
I hereby ceAify that the setback distances proposed by this permit application are accurate, p@frtlit F8@ :
and do not violate applicable ordinances, niles or regulations of the City of Wheat Ridge or
covenants, easements or restriclions of record; that all measurements shown, and allegations
made are accurate; that I have read and agree lo abide bY all wnditions printed on this Use Tax :
application, and that I assume tull responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Fiidge ordinances, for work under this permil. . TOt81 :
(OWNER)(CONTR4CTOR) SIGNED ~/~,C-~fL~i~~7W~'~- DATE II "/1---i~_ U58 :
Description : ~~t.„g,4_
BUILDING DEPARTMENT USE ONLY
SIC : Sq. Ft. :
Approval :
Zoning :
EMrdMIZEMMM
Approval :
Approval :
Occupancy : Walls : Roof : Stories : Residential Units :
$0.00
Electricai License No : - Plumbing License No : Mechanical License No :»69 L
Company : Company : Company : 6-o2 ( Expiration Date : Expiration Date : Expiration Date :-tY- °/"20' 99
Approval : Approval : Approval :
(7) This pefmit was Issued in aaar0ance with the provisions set forth In yopur appliratlon an0 Is subJ'ect to the laws ol the SUIe ol Cabrado anE lo the Zoninq
Regulations and Buildiny Code o( Wheat Ridge, Colorado a any oNer applicaDle oNinances ol the Ciry.
(2) TTis permk shall e~cplre il (A) the vroAt euNOnzed Is rrol wmmenced wilMin sixly (60) days from Issue tlate or (8) the builEinO aulhorized is suspenEed u
abanEOned for a peAOd o1720 days.
(J) II Ihis permit expires, a new pemut may be acquired fw a fee ol one-hall the amount nonnalty required, provideE no changes have been a wlll be made in the
original plans anC specifications antl any auspensian w aDanAOnmenl has not exceetled one (1) year. 11 charges are made a A suspension w aban0onment
exceeds aie (7) year, lull fees shatl be palA lor a new pertnit.
(4) No wark of any manner shall 6e done Ihal will change the natural flow ol waler causing a drainage problem.
(5) Conuactor snail nouy the euilding InspeUOr twenry-four (24) hours In advance 1or all inspections aM shall receive written approval on Inspection card belwe - proceediing wiU~ successlve Vhases ot ihe ob.
(8) The issuance ol a pertnit a the epprovet o~Crawings end spedfiwllons shall rwt be consWeE to be a pemul fa, nor an apDroval of, erry WoWtion ol the provislona
. o( the buildino cades or any other adinance. Ww, iule or mpuWtion. Chief Buiiding Inspector For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY TNE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
CEPARTMEPJT OF COMMUNf i Y DEVELOPMENT
7500 WEST 29tn AVENUE BUILDING INSPECTION DIVISION
237-6944 EX?. 255 P.O. BOX 638 CITY OF WHEAT RIDGE, COLO.
PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BELOW.
AF'F'IIl:HI1VN hUK MISI.tILANtUU~..F' FfMll~^
JOB ADDRESS OWNER ~O ^
CONTRACTOR V'~•s•~~S Cp ADORESS ~'•~~h -
ADDRESS S 6S 70~ l/~J 9_0 IPHONE 'E~ /-/y1l ZIP CODE "33
C1TY Q'e^J''f ZIP CODE T=ONTRACT PRICE $~S~
PHONE 219 ` 21 5 a LtCENSE NO. ~
1. TYPE Ground❑
Woll❑
ProieetinQ❑
Other
SorOFOes
2. MATERIAL
Total Squaea Feat
SIGNS
3. ILLUMINATION Yea❑ No❑
Typs
Elee}. Permit No.
4. SET BACK FROM PROPERTY LINE N
_
S_ E
_ W
Zone_
Approved, Zone Inspeetor
(Speti4y whicA is front )
❑
❑
❑ ❑
DisapDrwed
I, TYPE SolidO More Than 80% OpenO
Lsst Thnn 80% Open
FENCES
2 MATERIAL
HsiQht
3. SET BACK FROM PROPERTY LINE N
_
S_ E
_ W
Zons_
AOPrwsd,Zons Inspeetor
(Soecifv which is front)
❑
❑
❑ ❑
Disapproved
I.
OTHER 2
13.
DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHER STRUCTURE,(SETBACKS OR PROJECTIONS INCLUDEA) .
STREET NAME
SHOW OISTANCES FROM tHE MAIN BUILDING TQADJOINING HOUSES,STREET:
DISTANCE TO PROPERTV LINES, NOT MARIMUM OR AVERAGE DISTANCE.APPLICATION FOR PLUMBING; ELECTRI
THIS APPUCATION WILL BECOME A PERMIT TO PERFORM THEINDICATED Wf
PERMIY WILL E%PIRE 60 DAYS FROM DA'fE OF ISSUANCE !
INSPECTION TICKET
JOB
ADDRESS
DATE:
BLDG. CONTR._
SUBCONTRACTOIi
DATE INSP. REQ..
iTCOt 2
PERMITp ~gy-p{
PERMIT N0. ~S~
PERM ITR
F2'-t° L/ L
TYPE OF INSP. C'Zyr-
INSPECTION MADE O
iN.
REMARKS
ELECTRICAL PERMIT
STATE LICENSE NO.
PLUMBING PI ~
STATE LICENSE N0.
AWRAINUPAWIREUNO£RSIZE81U.E6AL
FLOOR
BSM
ISl Solar
NO.
WATER CIASET
W.R. FORM 6-18
TEMPORARY METER
WASH BOWL
/
NEW SERVICE AMPS
BATH TUB
1
CHANGE SERVICE-AMPS
SHOWER
LIGHTING
SINK
HEATING
GARBAGE OISP
rtermutertninm-ararcm-------
POWER SUB-CIFCUITS
UTILITY (RANGE, DISPOSER, ETC.)
FIXTURES
WATER HEATER
AUTO.WASHER
DISH WASHER
qetri eront Goup
Poundf Chor e
AUTOMATIC SPRINKLER SYSTEM
WIRING MOTORS 9 CONTROLS
FIAOR DRAIN
ELEVATOR
SIGNS
URINAL
TRANSFORMERS 9 RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FIXTURES
1 hereby ucknowledqe ihot ihis aDPlico-
lion is Correct and underatand that i
oonnof sfurt this projeet until fhis oppli-
ootion is op0roved. I sholl eamply with
the lawa of fhe Sfate of Colorado ond to
}he Zoninq ReQutationa and Buildinq
Code of the Cify of Wheai Ridqe. Any
violotion of the above ferme will cause
immediate revoeotion of this permit.
iz~r 'T
4p01i<anlo 9i0nalarI,
PERMIT FEE (p 1:) , Qv
USE TAX
TOTAL FEE
APPROVED
DISAPPROVED ~2- 10 42
CHIEF BUILDING INSPECTOR,Cityof Wheat Ridge
Date Issued
CALL 237-8944 EXT. 255
24 HOURS IN ADVANCE
FORINSPECTIONS