HomeMy WebLinkAbout5305 W. 40th AvenueFrom: no-reolvCalci.wheatridae.co.us
To: CommDev Permits
Subject: Online Form Submittal: PERMIT APPLICATION Water Heater Replacement
Date: Thursday, March 24, 2022 10:15:44 AM
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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?
PROPERTY INFORMATION
Property Address 5305 W 40th Ave
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
Address (Leave blank if
not known)
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
Mas & Florence Yoshida
303-421-2776
pschmidt@coffmanco.com
PICTURE OF A
CREDIT CARD"
CONTRACTOR INFORMATION
Contractor Business
Coffman & Company Heating and AC LLC
Name
Contractor's License
18464
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
303-366-1112
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
pschmidt@coffmanco.com
Address
Retype Contractor
pschmidt@coffmanco.com
Email Address
DESCRIPTION OF WORK
Number of gallons
40
Is the water heater
gas
GAS or ELECTRIC?
If GAS, enter # of
40,000
BTUs. If electric, enter
n/a
Where is the water closet
heater located (for
example, basement,
crawlspace, etc)?
Project Value (contract 2495
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 Patricia J Schmidt
Pe rm it
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i CITY OF WHEAT RIDGE
- Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:
Job Address: 1
Permit Number: J�-
�--�
❑ No one available for inspection: Ti _a AM M
Re -Inspection required: Yes
When corrections have been made, schedule for re -inspection online at:
httpAwww.ci. wheatridge.co. usrnspection
Date: Inspector: d-,,�
DO NOT REMOVE THIS NOTICE
i CITY OFWHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
❑ No one available for inspecti
Re -Inspection required: Yes
When corrections have been made,
h ttpJ/www, ci. wheatridge. co. usrnspo
Date: ( Inspec
i
M
for re -inspection online at:
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION
City of Wheat Ridge
Residential Mechanical PERMIT - 201901830
201901830 ISSUED:
5305 W 40th Ave EXPIRES
Residential mechanical installing a new 4800
duct work. Electrical needed for hook-up.
08/29/2019
08/28/2020
CFM evaporative cooler and
*** CONTACTS ***
OWNER (303)421-2776 YOSHIDA MASATADA
SUB (303)798-8783 J. PATRICK QUINLAN 018464 COFFMAN/B & F HEATING & A/C
SUB (720)579-3017 John F. Gordon 018057 Modelco Electric Corp
*** PARCEL INFO ***,
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,421.00
FEES
Total Valuation 0.00
Permit Fee 172.60
** TOTAL ** 172.60
*** COMMENTS ***
*** CONDITIONS ***
Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
th it. further attest that�be
legally authorized to include all entities named within this document as parties to the work to be
per or d that all work toerformed is disclosed in this document and/or its' accompanying approved plans and specifications.
Sigtoture o 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
ffi
Ocial and may be subject to a fee equal to one-half of the original permit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6, T suance or gr t'ng of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
pl' abler code or ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
K
3,
a
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Building & Inspection Services Division
7500 W. 29" Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email
FOR OFFICE USE ONLY
Date:
PlanlPermit # f�
12
z/ ice/ / 1- 0
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:
Property Owner
Property Owner Email:
_/__ &'0'
/0 05/7 % dA- - - Phone: ✓'
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer:
Architect/Engineer E-mail:
ictor: l�0/25;7a,/7 /469F
Phone:
Contractors City License #: ��1(1� �T Phone:
Contractor E-mail Address: �i �C%/'I'I I Cl / r� 1 G44Man CQ, 6__U/7-7
Sub Contractors:
ElectricalAdr/C`i !�IE'z* _.1r1L` Plumbing: Mechanical:
W.R. City License #jko �7 W.R. City License # W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL
Description of work: (Check all that apply)
,305 lit/ tae
RESIDENTIAL
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
ECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
LUMBING 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 condi* appliance size and efficiency, type and
amount of materials to be used, etc.) (t*/Cu�
�ull Ale C _7 5 �/alarcr fir/P �id/�/2 .� DOwosek
.mss _
C 4 d6 Neu) Orad'd aol>- t lm;4
Sq. FLfLF
Amps
Btu's
Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
71-1 Z1 �-
O%'NER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNER) (ONTR9CT0) or (A IfORIZED REPRESENTATIVE) of (OWYER) (CONTRACTOR)
.Electronic Signature (first and last name): I `~%GSL/ DATE:
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
®XTERIORS
To Whom It May Concern,
We installed Mule Hide modified bitumen for the
roofing permit 201707677 at 5305 W 401h Avenue. This
modified bitumen was installed per manufacture's
installation specifications.
Thank You,
Alex Knoll
Project Coordinator
�W�
0: 720.536.8870 1 F: 720.438.7306 1 Endeavorexteriors.com
7808 Cherry Creek South Drive Suite 401, Denver, CO 80231
(_I
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: Ls I - P( 1_1 --I I
Job Address: S3 0 S Lt/ L44!5
Permit Number: -DO 1-7 6 -7 6, -7 77
`A -,`6,G, 1 Qctr4�a )
_RDO-�r, ®C
❑ No one available for inspection: Time = £ a �M PM
Re -Inspection required: Yes (NJ
When corrections have been made, call for re -inspection at 303-234-5933
Date: -14 9 4, A C171 Inspector: Trj
DO NOT REMOVE THIS NOTICE
M
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: y C `t - I
Job Address: S3 a S I,i/ H E 4-4 A l"e_
Permit Number: a c I -7 G -7,�, -7 -7
❑ No one available for inspection: Time 1 = 0 1 ADO
Re -Inspection required: Ye No
When corrections have been made, call for re -inspection at 303 -234-
Date: -
03 -234 -Date: / '�' /g Inspector: --J—L�
DO NOT REMOVE THIS NOTICE
I* � 4 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: �� W �%(17 P
Permit Number: �Io/ o 7677
❑ No one available for inspection: Time AM/PM
Re -Inspection required Yes No
When correcti - ns have been made, call for re-inspe tion at 303-234-5933
Date: � 7 /� Inspector: t`,I
DO NOT REMOVE THIS NOTICE
i
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:_ P,n11 nrp�
Job Address: Sys L✓ qOJ4f#
Permit Number: 7017070,7
f'ra j R04 Ao-� 4-,:�(aV4
-+r o�. (,dv(rP ;•.^,d
❑ No one available for inspection: Time / U;2 °� /PM
Re -Inspection required:es No
When corrections have been made, call for re -inspection at 303-234-5933
Date: J? V I� Inspector: hap_Cdl<&
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201707677
PERMIT NO: 201707677 ISSUED: 09/25/2017
JOB ADDRESS: 5305 W 40th AVE EXPIRES: 09/25/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles - 22.2 sq (21 sq pitched /
1.2 sq flat) Pitch = 4/12
*** CONTACTS ***
OWNER (303)589-8552 YOSHIDA MASATADA
SUB (720)536-8870 Chris Falasco 160159 Endeavor 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: 8,713.72
FEES
Total Valuation 0.00
Use Tax 182.99
Permit Fee 188.45
** TOTAL ** 371.44
*** 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.
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required, 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.
City of Wheat Ridge
Residential Roofing PERMIT - 201707677
PERMIT NO: 201707677 ISSUED: 09/25/2017
JOB ADDRESS: 5305 W 40th AVE EXPIRES: 09/25/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles - 22.2 sq (21 sq pitched /
1.2 sq flat) 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 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 atte t that I am legally authorized to include all entities named within this document as parties to the work to be
performed and tha11 rkrtb performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWTYR 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 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 granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official — Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett
77 1?0---' L7
7
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, September 21, 2017 8:3S AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Follow Up Flag: Follow up
Flag Status: Completed
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION t
I_� L
Property Address 5305 West 40th Avenue
Property Owner Name Mas Yoshida
Property Owner Phone 303-589-8552
Number (enter WITH
dashes, eg 303-123-4567)
17
1
C>-
L�
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
Field not completed.
Yes
Yoshida Client Agreement.pdf
CONTRACTOR INFORMATION
Contractor Business Endeavor Exteriors
Name
Contractor's License 160159
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)
720-536-8870
7808 Cherry Creek South Drive #401
Contractor Email Address production@endeavorexteriors.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
production@endeavorexteriors.com
TOTAL SQUARES of 2
the entire scope of work:
2.'
Project Value (contract 8713.7fi,.
value or cost of ALL
materials and labor)
Are you re -decking the No
roof?
Is the permit for a flat Flat roof (less than 2:12 pitch), Pitched roof (2:12 pitch or
roof, pitched roof, or greater)
18
both? (check all that
apply)
What is the pitch of the 1/12
FLAT roof?
How many squares are 1.2
part of the FLAT roof?
Describe the roofing Modified Bitumen
material for the FLAT
roof.
Type of material for the Rolled
FLAT roof:
What is the specific pitch 4/12
of the PITCHED roof?
How many squares are 21
part of the PITCHED
roof?
Describe the roofing Asphalt shingles
materials for the
PITCHED roof:
Type of material for the Asphalt
PITCHED roof:
Provide any additional House and detached garage.
detail here on the
description of work. (Is
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
19
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.
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.
Name of Applicant Alex Knoll
Email not displaying correctly? View it in your browser.
20
CLIENT AGREEMENT
r � ) P
EXTERIORS
7808 Cherry Creek South Dr. Suite 401, Denver, CO 80231
Office: (720) 536-8870 1 www.TheEndeavorTeam.com I Licensed & Insured
1 Client
Street Address
City, State, Zip
_Don✓e � Cb
ic; L 1 2
Home Phone
30�-s8�(-�S 2
ACC RLUI?EO
BUSINESS
Email �< Date
Endeavor Rep
Insurance Company Insurance Agent
Work Phone Claim #
Mortgage Company (only if mortgage company is present on payment)
Lender . � [Loan # ❑ Borrow Authorization Form Signed
❑ Photo of Mortgage Check Taken
Limited Lifetime Labor Warranty 'yc
Gen. Liabilit/WorkersComp 0 BBB Accredited _ _ _ No Deposit Required
ROOF SCOPE:ull Partial Repair WINDOWS: Full Partial �epair PAINT: Full Partial air
Color:
Metal Color
Felt
GUTTERS: (?)Partial Repair
Color:
50t-)
Brand:
Model/Color:
C. ass
SIDING: Full Partial
I Brand 1-�
Style:
Gutters ICO
Downspouts
Payment Terms
Client understands and agrees their insurance company will not pay the deductible
amount or any upgrade client is opting to pay for. Client's expense for these items are:
First payment will be collected when work begins or material delivered - whichever
occurs first. This is partial compensation for labor and materials. This amount is:
Work to be completed according to the specifications in the total amount of:
Brand:
Colo
OTHER:
$ CC
RCM U
Balance due upon substantial completion ❑ CASH SALE ❑Contingency Agreement (Contingent upon Ins. approval)
INSURANCE AGREEMENT. The client authorizes Endeavor Exteriors to represent their best interest In pursuit of full replacement costs for damages believed
to be covered under homeowner's insurance and allows Endeavor Exteriors to deal directly with the insurance company regarding this claim This contract does not obligate
the client to Endeavor Exteriors until the claim is approved by the insurance company, and accepted by Endeavor Exteriors. Upon approval of claim, Endeavor Exteriors
will complete all specified work at a price agreeable to the insurance company (RCV) and Endeavor Exteriors with no additional cost to the client, except for the deductible
Ordinance and Law (supplemental) items may increase the original (RCV) amount Final agreed upon price will become the final contract price and request that all payments
be made payable to Endeavor Exteriors Inc Endeavor Exteriors will not collect payment until the work has begun or materials have been delivered.
'Credit card payments are not accepted on insurance claims`
I (we) agree, by signing below, to all the contract conditions on both front and back, of this agreement
Client Signature: Date of Acceptance: 'Ir-_ 2yL
Client Signature: � _ Endeavor Signature:
The terms on the back of this contract have been reviewed with me and I (we) agree to them
Client Initials:
CLIENT AGREEMENT
:'00,0 -ND V.i R EXTERIORS
4
7808 Cherry Creek South Dr. Suite 401, Denver, CO 80231 BBB -
Office: (720) 536-8870 1 www.TheEndeavorTeam.com I Licensed & Insured
Client Email Date
I Street Address Endeavor Rep
City, State, Zip
Ince Company Insurance Agent
IHome Phone I Work Phone I Claim #
Mortgage Company (only if mortgage company is present on payment)
Lender Loan # ❑ Borrow Authorization Form Signed
❑ Photo of Mortgage Check Taken
0 Limited Lifetime Labor Warranty 0 Gen. Liability/Workers' Comp 0 BBB Accredited 0 No Deposit Required
ROOF SCOPE: Full Partial Repair WINDOWS: Full Partial Repair
I Brand: I Brand:
Color:
Metal Color,
Felt
GUTTERS: Full
1 Color,
Partial Repair
❑ Gutters
❑ Downspouts
Model/Color:
SIDING: Full Partial Repair
I Brand:
Style:
Color:
Payment Terms
Client understands and agrees their insurance company will not pay the deductible
amount or any upgrade client is opting to pay for. Client's expense for these items are:
First payment will be collected when work begins or material delivered - whichever
occurs first. This is partial compensation for labor and materials. This amount is:
Work to be completed according to the specifications in the total amount of:
PAINT: Full Partial Repair
I Brand
Color(s):
OTHER:
❑ Balance due upon substantial completion ❑ CASH SALE ❑Contingency Agreement (Contingent upon Ins. approval)
❑ INSURANCE AGREEMENT. The client authorizes Endeavor Exteriors to represent their best interest in pursuit of full replacement costs for damages believed
to be covered under homeowner s insurance and allows Endeavor Exteriors to deal directly with the insurance company regarding this claim. This contract does not obligate
the client to Endeavor Exteriors until the claim is approved by the insurance company, and accepted by Endeavor Exteriors Upon approval of claim. Endeavor Exteriors
will complete all specified work at a price agreeable to the insurance company (RCV) and Endeavor Exteriors with no additional cost to the client except for the deductible
Ordinance and Law (supplemental) items may increase the original (RCV) amount Final agreed upon price will become the final contract price, and request that all payments
be made payable to Endeavor Exteriors Inc Endeavor Exteriors will not collect payment until the work has begun or materials have been delivered.
"Credit card payments are not accepted on insurance claims'
I (we) agree, by signing below, to all the contract conditions on both front and back, of this agreement
Client Signature: Date of Acceptance: -
Client Signature: Endeavor Signatu
The terms on the back of this contract have been reviewed with me and I (we) agree to them
Client Initials:
i CITY OF WHEAT RIDGE
_��9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: ��`� I)
Job Address: �� G `� r A y t
Permit Number:
❑ No one available for inspection: Time 5 ' f AM/PtA
Re -Inspection required: Yes (N67
When correctio s%have been made, call for re -inspection at 303-234-5933
Date:% !/ Inspector: ;14 ,t -
DO NOT REMOVE THIS NOTICE
INSPECTION RECORD OccupancvlT
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.
�S ftve
3 f/
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS J OB
FOUNDATION INSPECTIONS
DATE
INSPECTOR
INITIALS
COMMENTS: -
Footings /Caissons
Mid -Roof
Stemwall / (CEG) Concrete
Encased Ground
Electrical Service
-
Reinforcing or Monolithic
Rough Electric
Weatherproof / French Drain
Rough Plumbing
Sewer Service Lines
Gas Piping
Water Service Lines
Rough Mechanical
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
Heating (Underground)
----------------
ROUGHS
Sheathing
3 f/
Lath / Wall tie
"-
Mid -Roof
r
Electrical Service
-
Rough Electric
Rough Plumbing
Gas Piping
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
Rough Mechanical
"NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE
CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
r�auvc Marco nuns IU bC aM1iNtU YltW1f I V YKVGGtUING
Framing
Insulation
Drywall Screw
FINALS
Electrical
Plumbing
Mechanical
Roof
Building Final
Fire Department
R.O.W & Drainage
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
Parking & Landscaping
"NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE
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
PROTECT THIS CARD FROM THE WEATHER
•. CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office ` (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type P41A-/
Job Address ,3,oS r� fro c
Permit Number ffr��5
� s7; �// A U ri set a f X
❑ No one available for inspection: Time AM M
Re- Inspection required: Yes o
When corrections have been made, call for r e - inspection at 303 - 234 -5933
Date: i� A+ Inspector:
DO NOT REMOVE THIS NOTICE
❑ No one available for inspection: Time AM M
Re- Inspection required: Yes o
When corrections have been made, call for r e - inspection at 303 - 234 -5933
Date: i� A+ Inspector:
DO NOT REMOVE THIS NOTICE
r CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office ' (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type r,a.L A1=
Job Address ,
Permit Number /P,aie;;2S
f ty1;�t'scJ ✓��.1���
❑ No one available for inspection: Time AMIPM
Re- Inspection required: es No
when corrections have been made, call for re- inspection at 303-234-5933
r
Date: Inspector c�
DO NOT REMOVE THIS NOTICE
`l
V CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office * (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type ns .4f
Job Address 53:x.5 w Yoxw ✓Fill
Permit Number lloe,95
❑ No one available for inspection: Time AVf/y IPM
Re- Inspection required: � No
`When corrections have been made, call f re-inspection at 303 -234 -5933
Date: � 111 Inspecto
DO NOT REMOVE THIS NOTICE
+ CITY OF WHEAT RIDGE
r Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office - (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type
Job Address
Permit Number
❑ No one available for inspection: Time ;.mac ~> AM /I?R'
Re- Inspection required: Yes s o'�
Inspector:
DO NOT REMOVE THIS NOTICE
" ' City of Wheat Ridge
r 40001op-
Residential Roofing PERMIT - 110625
PERMIT NO: 110625 ISSUED: 06/02/2011
JOB ADDRESS: 5305 W 40TH AVE EXPIRES: 06/01/2012
DESCRIPTION: Reroof and redeck 13 sqs with Owens Corning shingles
* ** CONTACTS * **
owner 303/421 -2776 Mas Yoshida
sub 720/542 -8771 Sam Martin
11 -0119 Denver Roof Systems
** PARCEL INFO **
ZONE CODE: UA
SUBDIVISION: 0438
USE: UA
BLOCK /LOT #: 0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: _ 4,100.00
FEES .:.........
Permit Fee 125.05
Total Valuation .00
Use Tax 73.80
** TOTAL ** 198.85
Conditions:
6 nails per shingle is required. Ice dam membrane is required from eave edge to
2' inside exterior walls. Board sheathing with any gap greater than 1/2"
requires panel sheathing overlay on entire roof. Sheathing inspection is
required prior to covering. Contractor shall provide ladder for inspections.
Scheduled inspections that cannot be performed due to inclement weather must be
cancelled prior to 8:30 a.m. on the day of inspection or a re- inspection fee
will be assessed. Subject to field inspection.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and
specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the
legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform
the work described and approved in conjunction with this 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 dnt its acc�g . 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 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.
Signature f Building Offical Date
INSPE IO REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
REQU TS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Ci of
7 ly
Wh e at dge Date:
COMMUNITY DEVELOPMENT ��
Plan #
Building & Inspection Services Division Permit # / 1 d &Z
7500 W. 29" Ave., Wheat Ridge, CO 80033
Office: 303- 235 -2855 * Fax: 303 - 237 -8929
Inspection Line: 303 - 234 -5933
Building Permit Application
property_Address _ � 6k) . � AVM /
Property Owner (please print) lMs yLDM( Phone( )�YO `Z
Mailing Address: (if different than property address)
Address:
City, State, Zip:
d : b'r`wa VIMF �5 / c� -g
Contractors City License #: Phone: (°7<,;;'D) S L 877r
Slili `Con #raclors?
Electrical: Plumbing: Mechanical:
City License # City License # City License #
Des�cr�p�ionof,work"�� �] '
�D f _6 rl�j�ByJ�L) i 5� ^ () Contract Value:
Review Fee (due at time of submittal):
Squares __ BTU's Gallons Amps Sq Ft. $
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.
CIRCLEONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
PRINT NAME: SIGNATURE: "� ✓ DATE: I
F FIRE DEPARTMENT O W/ corpm @ht8 ❑ tl sappfoved D n0 feVlT equlred, Bldg Valuation:
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE - (303-234-5933)
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Building Permit Number
Date
17537
7/6/2004
Property Owner: MAS YOSHIDA
Property Address : 5305 W 40TH AV
Contractor License No. : 18278
Company : Tuff Shed Inc.
Phone : 421-2776
Phone : 399-8833
OWNERlCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certity 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 Ri ge Building
Code (U.B.C.) and all olher applicabl@ \Wheat Ridge ordinances, for work under thi pe it.
(OWNER)(CONTRACTOR)SIGNED. DATE__~
~
Construction Value :
$2,035.00
Permit Fee :
$108.30
Plan Review Fee :
$0.00
Use Tax :
$24.42
Total:
$13272
Use :
Description : TUFF SHED RANCH 8X16 STORAGE SHED. REPLACING EXISTING 8X8 SHED
BUILDING DEPARTMENT USE ONLY
^z~ffl, SIC : Sq. Ft. :
~ o ~=o me_~n,~fs~
Approval : JH 7/2/04. SHED CANNOT ENCROACH INTO REAR SETBACK FURTHER
Zoning : R3 THAN EXISTING SHED AND EXISTING CONCRETE SLAP. SHED
CANNOT EXCEED 8' IN HEIGHT.
tWMWany_~_W '"MMMvN SHED MUST BE PROPERLY ANCHORED ON ALL 4,C,ORNERS
Approval : y' ~~'~e r"'^'K""
i 1. ~~JT
i t OWI1B: I COflYT3GYOP 2`llOllol - f- ~
b orl~s~Comrr~e ts• -
lines a^d constiu~tfs~ iI~;PL~ ~ nents ~ t
Approval : apn,roved ptar: and required develop' ~tA,,
OccupancY: 'Y~ ~ Walls : Roof : Storie~~ City is n' res pns~~lz fq~ ~ o~'!tr,'~c_`nY ucc~~str:
~ubmitted wn,u ~c~
. . e.enrc YeSll tlllL? CO
Electrical License No :
Company :
Expiration Date :
Approval :
Plumbing License No :
Company :
Expiration Date :
Approval:
Mechanical License No :
Company :
Expiration Date :
Approval :
(1) This pertnit was issued in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Coloredo and to the Zoning
Regulations and euilding Code of Wheat Ridge, Colorado or any other applicable ordinances of ihe City.
(2) This pertnit shall expire if (A) the work authonzed is not commenced within sixty (60) days from issue date or (B) ihe building authorized is suspended or
abandoned for a penod of 120 days.
(3) If this permit expires, a new permit may be acquired for a fee of one-half the amount nortnally required, provided no changes have been or will be made in lhe
otiginal plans and specifications and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment
exceeds one (i) year, full fees shall be paid for a new permit (4) No work of any manner shall be done that wiil change the naturel Flow of water causing a drainage prohlem.
(5) Contractor shall nofifythe Building Inspectorhventy-four (24) houre in advance for all inspections and shall receive written approval on inspection card before
proceediing with suaessive phases of the job.
(6) The issuance of rtnit or~p pprova ings and specifcations shall not be construed to be a permit for, nor an approval of, any violation of the
provision ildodes or an~y9lhecer inance, law, rule or regulation.
hief Building Inspector
Please sign Terms and Conditions on reverse side of page.
oF w"EAT COMMUNITY DEVELOPMENT DEPARTMEtv'f - Building Permit Number:
: o BUILDING INSPECTION LINE- (303•2345933) Date:
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
COLORP~~ WHEAT RIDGE, CO 80033 -(303-235-2855)
APPLiCAT10N
Property0wner: M k5 05\--t\ 0V-\
Property Address: 53 p j W, Phone : 3 Q3 ~2,\ _Z2 ~ jP
Contractor License No.:
Company: 'ul~ ~ Phone:
OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify Nat the setback distances proposed by this permil appiid6on are accurate, and do not vblale
applicable ordinances, rules or re3ulations of the C'Ay of Wheat Ridge or covenanis, easemen}s or restrictions of
reoord; that all measuremenis shown, and allega6ons made are aca2te; Uat I have mad and agree to abide by
all conditions printed on fhis appl'ication and that I assume full `esponsibiliry for compliante with the Wheat Ridge
Building Code (U.B.C) and all other applicable Wheat Ridge Ordinances, forwork underthis perm2
(OWNER)(CANTRACTOR):SIGNED DATE
(OWNER)(CONTRACTOR): PRINTED DATE
Construction Value: $ 2o:3S
Permit Fee: $
Plan Review Fee: $
Use Tax: $
Total Fee: $
DESCRIPTION: ~\XF-F
S
S~C~D 1%) Rcator-A gY,~~ --vkt
'
7\
~
`
.p~AC,0q
0 J
t.X\ST~15~ gx~'
W~.17
~Se C,
Q~t'a~.1- ~o(L Ca~~is_
~\S~1
oN
BUILDING
SIC:
OMMENTS:
ApProval:Jfl -7121of'J64, CrthHOf eVtcfauc~ rn b fPar Yavd le44,aC
Zoning: fvr4,er +kum lfX~J~ hq Jl,ed aNd, cmcrekO f[ab,
l~- 3 Jiled Cahau+` ekcPec{ ~ fQfF 1fkis{,~0
COMMENTS:
ApprovaC ~
'.S COMMEN7S:
Approval:
Company:
Expiration Date:
Approval:
Walls: Roof:
Plumbing licen:
Company:
Expiration Date:
Approval:
Sq.Ft.:
Stories: Residential Units:
Mechanical License No:
Company:
Eupiration Date:
Approval:
(1) Th4permtt was laued in accordanu witA the prorisbns set forth in your applicatlon and is w6Jeq to Me Iswa of the Strte of Gdondo and to the Zoning Repulatlons
aM Building Codea of YYheat Ridgq Colorado a any oNr appikable ordinmcea of the Ciry. -
(2) Thhpermkshalle:pltttlIAJthewwkaWhodzetlianotcwnmencedwtthinshty(60)daysfianiwuedrtea(8)thebuildingaNhwizeditsusD"dMOrabandonad(aa
per{od of 110 dayt
(3) M Ws yerwA upka, a new penNt mry he acquirsd tor a fee oF onM W the artrount nomully rcqulred, provided no chanpp have been a wlll be mada In the wiglnai
plant and apsdikaHons and ary suspensian a aWndonment h» not uoeeded one (i) Year. tl changea have been w 8 auspendon or absndonmmt ucuda one (t)
year, lufl feea fhaG be pald fw a new perML
(d) Xoworko(anymannershallbedoneNriwlflciwnyethenahunleowofwaterausingadNnageflroblem.
(5) ConVaUOr ahafl notlfy Ma BuildMg Nspec[w Mentydour (2d) houn in aaranu r« .u msPewms md anan recwe wmwn .Pao.y on m.Pewon cw berore
praeeding wHh wccesWe phua of theJo0. (6) The Itwanca of a pmnX M the approval 01 dnwinga and sDeuficadons shail nol6e construeA to be a pmMt lor, nor an apymwl of, any vblatlon of the provisians oi
' thebuildingcodesoranyothnordinance,law,ruleorreguiation.
Chief Building Inspector
PLANS FOR CONSTRUCTIOI
PROJECT LOCATION; 5305 W. 40th AVE
A
r'o
~+ienw.w.».:.r.x.,+*arr.wY~u~w."'.ww..a~.x-nw»+wW,.~,rr~»r~w.toa;.M..
e.a~ a x• lw .
V OF SHM ADDITION
NUI WHEAT 'Rtt?GE, CO 80212
:Fir)
^
a
Xl~TlNG
HOKS~RY
!
i .
30.0' SB
Ai
4018'
;
s
COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 16950
BUILDING INSPECTION LINE -(303-234-5933) Date : 4/13/2004
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Property Owner: MAS & FLORENCE YOSHIDA
Property Address : 5305 W 40TH AVE
Contractor License No. : 19574
Phone: 421-2776
Company : Carefree Recycled Products Phone : 805 7809
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurete, 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, end that I assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridge ordin es, for work under this pe mit.
(OWNER)(CONTRACTOR) SIGNED DATE_l
Construction Value :
$2,500.00
Permit Fee :
$108.30
Plan Review Fee :
$0.00
Use Tax :
$30.00
Total:
$138.30
Use:
Description : INSTALL 6' X 16' DECK W/ RAIL. APPROX. 18' TO 20' ABOVE THE GROUND.
BUILDING DEPARTMENT USE ONLY
SIC : Sq. Ft. :
~o~1Q;` 'om , s~9~'.,
Approval : MR
Zoning : R3
:
Approval: CR
Approval :
Occupancy: R-3 Walls
Electrical License No :
Company:
Expiration Date :
Approval:
4116104 ple?se
Owne: / con4raetor is respoasiblc `e: ^roper,y
tines and eonstructing imj:rcv,:men:s accarefing tofl..
4116104 appruved plan arid ; i:c, e'
The City is not rQsporoil,:., ~u :nac,,u.ate ,r;orm.
submit?ed withiii the t}las: set and any ceus>•
errcrs resuL`ir.g frn:n inacc~.r:t; in.*orr;:r.,,.
Roof : Stories : Residential Units :
Plumbing License No :
Company:
Mechanical License No :
Company :
Expiration Date :
Approval:
Expiration Date :
Approval :
(1) This pertnit was issued in accordance with the provisions set fodh in yopur application and is subjed to the laws of the State of Colorado and to the Zoning
Regulations and Building Code of Wheat Ridge, Coloredo or any other applicable ordinances of the City.
(2) This pertnit shall expire if (A) the work authorized is not commenced within sixty (80) days irom issue date or (B) the building authorized is suspended or
abandoned for a penod of 120 days.
(3) If this permit ezpires, a new pertnit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the
onginal plans and specifcations and any suspension or abandonment has not ezceeded one (i) year. If changes are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permit.
(4) No work of any manner shall be done that will change the naturel Flow of water causing a drainage problem.
(5) Contractor shall notifythe Building Inspector hventy-four (24) hours in advance for all inspections and shall receive written approval on inspection card before .
proceediin9 with successive phases of the job.
(6) The issuance of a permit or the approval of drawings and specifcations shall not be construed to be a permit for, nor an approval of, any violation of the
provisions of the building codes or any oiher ordinance, law, rule or regWation.
~A/l : !O ~'~[t~~` ~oo~ ~
Chief Building Inspector
" Please sign Terms and Conditions on reverse side of page.
a~ wNEqr COMMIiNITY DEVELOPMENT DEPARTMENT Building Permit Number:
BUII,DING IIVSPECTION LINE - 303-234-5933 Da e: ^
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
y
1~~~~ICATj
i ON
ProperiyOwner:/~~/~~/'~-o~~~~~/D~i~i~%DFf ~J
Property Address: 17(0 Phone ~4 / 2774
Contractor License No.: ►Gj > "7 cf
CompanY: 50s
ONl'NERICONTRAC70R S1GNA7URH OF UNDER57AIYDING AND ACREEMEN7
1 hercby cMify thai the xtback distanca proposcd by this pcmnit application are accu2te,
and do not violau applicable ordinanca, rula or ttgularions of Uu Ciry of Wheat Ridge or
covmants, caumrnu or ¢strictions ofrxord; that all mcazurcrnenis shown, and allcgations
made are accunte; that 1 havc read and agrcc to abide by al] conditions printed on this
application and chat I assume full responsib~ ~ry for compliance with the Whca1 Ridge
Buiiding Code (U.B.C) and ail tha appl~ Wh Ordinanca, (m work unda
ini:
F ~d ) \ ~'~~A,~
l~~af
(0NTERxCON"fRnCTOR):S7G1: (ON'NERNCOh7RACTOR): PRII.'TED' DATE
Construction Value:$ 25-0o ,
Permit Fee:$
Plan Review Fee:$
Use Tax:$
Total:$
DESCRIPTION:
~dL ~TYtl1-- ~ ~L / (d ~f 1~ G~
~j~/✓.ec~{ ~o a-o~ ~~o ✓E `fFf~~ C~,~o~NJ
li
~l9 BUILDING DEPARTMENT USE ONLY
~ 777 SIC: Sq.Ft.:
ZONIHG COMMENiS: Approval:
Zoning:
BUIlDIN6 COMMENTS:
Approval: ~jti ~ U <v
PU6LIC WORKS COMMEM3: Approval:
Occupancy: V'-e~) Walls: Roof: Stories: ResidentialUniu:
Elecuica] License No: Plumbing License No: Mechanical License No:
Company: Company: Company:
Expiralion Date: Expuation Date: Expiration Date:
Approval: Approval: Approval:
(1) Thi5 pmnil v.aT i55YeC YI iCCOrdITC< u'ith UK p(OViflOnS Stl (OrtL in }qtf lwpiiCatiOp apd jy Sub)CCi b iht Iaw50TtLe Sh40lCObtidO anA b 16C ZDOing
Reguktions and BuiMing Cadn of W6ot Aidge, Cobrado w my aha ayylicabk ordinances of ths Ciry.
This pennit shall enpirt if(A) Ja woTk audwrizcd'u oot commrnced itfiin suty (60) deys C4mn issue dau or (B) Lhe bwiding autlwrized is suspcoded w
aWndond fw a yeriod of 120 daA
(3) If thu.pemit exyirec. a nm pmnit my be acqwred fw a fa of om-6alf de amoum no`rnally+equirtd, provided no <hanga have been or x-i0 be made
io tM1e originci pians and syaiRotions aM my wsyeosiun w abaodonmrnt has na exceeded wie (i) yvr. If clunga have been or if suryension w
abandonmrnt exceeds art (1) yeu. PoII fca shall be paid fa a Mw pmnit
(4) No work of my manMr shall bc don<ilui wil <hmgt LM1e wuval flow of wyta uuting a dnimge probkm.
(5) Cmbactor s1u0 notity tM Bulding lmp~ twary-four (2I) iwun in advvntt for ill imyoc6om aod shall receiv<unaea approvil on inryecoon card
betorc proceeding witL succcvve phaxs of tLejob.
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DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 14817
BUILDING INSPECTION LINE - 303-234-5933 Date : 11/19/02
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Property Owner: MAS YOSHIDA
Property Address : 5305 W 40TH AVE
Contractor License No. : 18464
Phone : 421-2776
Company : B& F Heating & A/C Phone : 431 8914
OW NER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback disWnces 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 ordinanc ff ork under this permit.
(OWNER)(CONTRACTOR)SIGNEe"/ / DATE~J`
Construction Value :
$2,565.00
Permit Fee :
$8325
Plan Review Fee :
$0.00
Use Tax :
$30.78
Total:
$114.03
Use :
Description : INSTALL 75,000 BTU'S FURNACE. RUN SEPERATE FURNACE CIRCUIT
c
BUILDING DEPARTMENT USE ONLY
Lo"ingsrComin, eSIC : Sq. Ft. :
Approval :
Zoning :
Approval :
blis ~Comen
Approval:
Occupancy: Walls
Electrical License No : 17875
Company :Coffman & Co.
Expiration Date : 2/28/03
Approval : OK/KS
Roof
Stories : Residential Units :
Mechanical License No :
Plumbing License No :
Company :
Expiration Date :
Approval :
Company:
Expiration Date :
Approval :
(1) This pertnit was issued in acwrUance with the provisions set forth in yopur application and is subject to the laws of the State of Colorado and to the Zoning
Regulations and Buildin9 Code of Wheat Ridge, Coloredo or any other applicable ordinances of the City.
(2) This permit shall expire if (A) the work authonzed is not commenced within siuty (60) days from issue date or (B) the building authorized is suspended or
abandoned for a penod of 120 days.
(3) If this permit ezpires, 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 ihe
original plans and specifcations and any suspension or abandonment has not exceeded one (i) year. If changes are made or if suspension or abandonment
exceeds one (1) year, full (ees shall be paid for a new permik .
.(4) No work of any manner shall be done ihat will change the naturel flow of water causing a drainage problem.
(5) Contractor shall notifythe Building Inspectortxenty-four (24) hours in advance for all inspections and shall receive written approval on inspeclion card before
pmceediing with successive phases of the job. (6) The ssuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the
ions gf th iilding codes or any other ordinance, law, rule or regulation.
4
s
Chief Build~ Inspector
~
Noi
~.aµ....,
,y"r~TY '4F WHEQT REDGF»
7500 WEsr 29rH AvENuE
wHEA~r RrDGe, co 80215
A PPLICh`CION
Propertg owraer _ 4, ~ - ~
-
:
.r :)'lG [C:
Property Adc+ress
Co-itractor _icehse Nc.
04VNERICONTftAr-TpR
P here6y ce,tity, (hat the seta;
and da nat wialate app7icable
ecvenants. esse.msn!s or res
made era eecurate: that ! ha+.
applicatr^n, and that I nssum
:,cde 1U,8.C.j and a€! o?her a
(G4JNE:r;(CONTRAC70R) ;
d@SCfIpf10f1 r ~
on t$5~;;
Appro•rai :
Zoning :
Approvai
RE OF UN6ERSTANDIRlG RNp AGREEMENT
~s prooosed by this Fg!!t+'rt app;ication are atcurate,
, ruies ar reguietiens nf tMe Ciry of Whae2 Rldge ar
!ecord; that ail mee9urements sbcwn, and sllegations
apree ro a6bs by 3IX candktianS Grinted an thls
nsibrliYy for comp4anca witn the VJheaf Ridge Builtling
m$~':~+d98 for wark ander #his paq~nit
f.. . :1 L / . . „i,.. / _
P.04
/
Deie:
Phone :
15)6W 4771~;
j Phone :
GQr.struction Ya'sua
Permit Fee
:
~
Use7ax
:
j''L f!J
'fotal
: 7777 77?
USe:
f(
8UlLDIfdG pEPARTMENT USE ONIY
SiC : Sq. Ft. :
~ APProva! : ~
Occuparcy ; ttiaiis : Raof ; 5toeies : Residential Units :
ciectricaf l.icense N o: ~i~~ Plumbing License No ; Mechanical License No :
Company: Cam n
C4 1o,~ /~x..' f~` Pa Y~ Company:
Exoiratian I3ake : Expiratian Date : Expiration Date :
Approval : Approval : AGproval :
I:t Th-s pcrtnn wEa nyued L~ q ~ anbe wi(h Ilx pm~isianY set im4h in vaAur appiicetipp 0nd is sub)'eG to V1E lawe M tt~e S'atm ot Coloradv and ta ~ho- Laninq .
R?gu~sYOrr3andBuilAingCafXpeieetRii~t,COfatadQaElrya6iStapp!a~~!eottlinencesqtMeClty-
2' T his 69Rrk shall exv~re it i 1he w~k a1M0!tzM is not wmmer;xp wiryifn eiaty (80) Caps ltom Iswe Hai9 or (e) 3he puddin9 authanted is suspcrrttecf «
abamtaned for a pencA c* 1od Q3ya,
(3) . 1t Lhis pert:it; ax0ins, a neu! eitut (~y be asqu'rt6d Fpr 0 tee Jt one~hall th8 ar~mt notmely 2quired. provipttl no ehangei have Men .e ~ytp be mtlc in Uk
enomai plarts anb speclfis e i anr nuspenalan orapandcnmmi has ~wt excaerlad one (1) year. if dhmges are ma6e or R suspanpwn or aDaimanmeM
exceeCs one {t) a~ar, fsl t#$4 st~ WiE 1cr e nrx pemlt.
(s) Nc vrork of anY manntrr 4aei thet wiN Uigrge di! Riturdl Mav of water C"ng 2 drdinage proWem
q5j C.ofl1t$c,b15?t211 ngp~y Uye diqg EigyD4C1IX RvEnty'falk (24) A9utz ir, BtlvanCk for 9II Insbeciiqy afu# snBU reMive Mikl¢n aPP~I an irv6pecOOn WN bebrD
f~~etlnngwifnsu:ssw' cesa~!pfNelob.
!@; ~he I§sW~ce flf a pe~mit otlLMe 7p~ of Arewv;;~s and speG6ea~'n srysq nM be wne Ws,y tp be a pemGt tar. r" sn oPP~si p{, any w4latipl of Iha Rmvisidis
AF~ehuit0inpcGtlesw atry7hdr ance.IaW,N!lINtegfiataM1,
Chiet Bniiding fnso , tor ;