HomeMy WebLinkAbout12565 W 31st AvenueCity of Wheat Ridge
Residential Roofing PERMIT - 201705050
PERMIT NO: 201705050 ISSUED: 07/28/2017
JOB ADDRESS: 12565 W 31st AVE EXPIRES: 07/28/2018
JOB DESCRIPTION: Residential Re -roof to install OWENS CORNING DURATION STORM asphalt
shingles with 32.2 SQ REROOFING TO DECK , INSTALLING ONE LAYER OF ASPHALT
SHINGLES. ON A 5/12 PITCH ROOF.
*** CONTACTS ***
OWNER (303)421-7368 RUMAGIT NETTY
SUB (303)794-3573 Brad Gramke 140221 Heritage Roofing Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,270.00
FEES PAI
Total Valuation 0.00
Use Tax 236.67
Permit Fee 236.00__!
** TOTAL ** 472.67
*** 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
Residential Roofing PERMIT - 201705050
PERMIT NO: 201705050 ISSUED: 07/28/2017
JOB ADDRESS: 12565 W 31st AVE EXPIRES: 07/28/2018
JOB DESCRIPTION: Residential Re—roof to install OWENS CORNING DURATION STORM asphalt
shingles with 32.2 SQ REROOFING TO DECK , INSTALLING ONE LAYER OF ASPHALT
SHINGLES. ON A 5/12 PITCH ROOF.
I, by my signature, do hereby attest that t work to be performed shall comply with all accompanying approved plans and specifications,
applicable building co cable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owne the pro a d am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I fu er ttet at I am egally authorized to include all entities named within this document as parties to the work to be
performed an th t ork to be rformed is disclosed in this document and/or its' accompanying approved plans and specifications.
D-7 /3 I /(`-
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 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 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 ofL`lilMfBuilding Official — C) Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dan Schultz
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, July 20, 2017 2:27 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Gina
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address 12565 W. 31 st Av%,fi
Property Owner Name Netty Rumagit
Property Owner Phone
Number
Property Owner Email
Address
3034217368
Field not completed. q 7 Z_ (,�7
Do you have a signed Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Business Heritage Roofing
Name
Contractor's License 140221
Number (for the City of
Wheat Ridge)
Contractor Phone 3037943573
Number
Contractor Email Address victoria@heritageroofing.com
Retype Contractor Email victoria@heritageroofing.com
Address
DESCRIPTION OF WORK
Are you re -decking the No
roof?
Description of Roofing Owens Corning Duration Storm
Material
Select Type of Material: Asphalt
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 32.2
material selected above?
Does any portion of the No
property include a flat
roof?
If yes, how many squares Field not completed.
on the flat roof?
TOTAL SQUARES 32.2
(pitched + flat) of all
roofing material for this
project
7
Provide additional detail Re-roofingto deck, installing one layer of asphalt shingles. on a
here on the description of 5/12 pitch
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 11270
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 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 Victoria Cullison
Email not displaying correctly? View it in your browser.
3
-, - - —
Sales Rep: _
Name:
Phone (14) 3 s
Job Worksheet
Co:
Email -
house: ActualWaste fame: 1 �
Garage: Actual Sq — Waste Factor � --� Til Sq,
ITotal : House 'Z _ ZGarage: _ — h : - —_
Product i -_
Lavers M L - --C=o®'mood
Redeck? vee N
New Product: 0!2,� IA� tk
Colne:- -
Ridge& end liighEcoids
Fek: is# 3# _
Pit -h: f1-
P'rtch:
'bitch: }' _= Sq
High: _Sq
teedWater: ---t—ft at eaves
a� / �
Flip: — Il ft
Budge: S1 - ft
Valley: 2-0 ft
Eaves: 7JS 6 ft
Rakes: ft
Step: ft
Headwall:
un rflaShing:
Turtle; # -- - -
Bath: #
Pipe Jam 3inI ##—_ 2_ 411
Electric Masthead?
Open Eaves? (short "ails)
Access?
G—munii drop Iii ai :
,P)A rvo� ' psi blew,.
Chimneys:
Reffash w/CF?
Skylights: #
itellash?
Replace?
Yes 60
Yep
Yes
size:�
Size
Swamp Cooler?
ices
Refla w/CIF? Yes 24d
IFri iliL I SI
i Sixes Size:
ft
Gutters? Yes Na
Size: S,d
Colon - R
Downspouts? Yes No
Cc l'or: 4ewv
021,Size. 2x3 3A
Color:
colon - -
Color:
i F
Colon
$ff reitibkl mevsa)nz.
Cola '35 5
Size=
f*v+
r (-a S:a►4Z:
No
di ti i
6A T bod Vt}
No
0
Total Contract S l' '
i CITY OF WHEAT RIDGE
_1�9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: r
Job Address: Z S &
Permit Number: 'Z %.1'7(,7 uT U
❑ No one available for inspection: Time -I u ,< �ll/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
I 'r
Date: f Inspector: r `�
DO NOT REMOVE THIS NOTICE
�n
i CITY OF WHEAT RIDGE
- Building Inspection Division `
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
b / <
Inspection Type: Z/--� T �, P
Job Address: SC % I,1 J
Permit Number: ,?('/-)n S 6 <�_D
a..
❑ No one available for inspection: Time M/PM
J
Re -Inspection required: Yes
When correcti ns have been made, call for re -inspection at 303-234-5933
Date: G `� Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Community Development Department
Memorandum
TO: Accounting Departmen!
AM
DATE: January 3 2012
Reason: Contractor submitted letter requesting that Permit #111174, for 12565
W 31 st Ave. be cancelled due to investors buying the property and wanting to
use their own contractor.
Please refund: Contractors License$ (acct 0 1 -510-00-513)
80% permit fee: $56.56 (acct 01-510-00-516)
0% plan review $ (acct 01 -550-05-551)
100 % use tax: $31.50 (acct ■1 -500-02-505)
Total: $88.06
TO: Chaz Electric Inc.
Attn: Charles Abad
PO Box 3518■1
Westminster, CO 80035
?z 2. # 2
111,
Mr-19111) E I
U \ LAI .
Ct UJ L"
0 VI/Z
Cf
t 15
4 r t�,
"4' City of Wheat Ridge
Residential Electric PERMIT - 111174
PERMIT NO: 111174 ISSUED: 09/30/2011
JOB ADDRESS: 12565 W 31ST AVE EXPIRES: 09/29/2012
DESCRIPTION: 150 amp service change
* ** CONTACTS * **
owner 303/720 -1772 Porscha Ridl
sub 303/949 -5520 Charles R. Abad 02 -2224 Chaz Electric Inc.
** PARCEL INFO
**
ZONE CODE:
UA
USE:
UA
SUBDIVISION:
0705
BLOCK /LOT #:
0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 1,750.00
FEES
Permit Fee 70.70
Total Valuation .00
Use Tax 31.50 «I•
** TOTAL ** 102.20
Conditions:
Must comply w/ 2006 IRC & 2005 NEC. 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
enti es within this document as parties to the work to be performed and that all work to be performed is disclosed in
thi do and /or its' acggmpap approved plans and specifications.
(�LU�', ? •3a_ r/
Siqnature of OWNER o CONTRACTS (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. I£ 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.
S. 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 fie E Vf on.
Signatur of ief Building Offical Date
INSP TION REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
Wheat �idge 65V
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 29" Ave., Wheat Ridge, CO 80033
Date:
Plan #
Permit # `
Office: 303 - 235 -2855 * Fax: 303 - 237 -8929
Inspection Line: 303 - 234 -5933
Building Permit Application
Property Address; /a T( 15 W . 31 S-f 4 ti-C
Property Owner (please print) P0 y S Ct Phone: 3 , -7.2 -E
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Contractor:
Contractors
License #
X1&7 t-Ct,6
License #:
L
ewe
Phone:
Plumbing:
City License #
Mechanical:
City License #
�^ 5 t/ $ ontra21;
Review Fee (due at time of submittal):
Squares BTU's Gallons Amps Sol Ft. $
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 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: `; r (AUTHORIZED REPRE EN' ATIVE) of (OWNER) (CONTRACTOR)
PRINTNAM �L,M 4 Q 4-/ SIGNATU DATE: � .�4 • �/
1,
✓� �zxr, M
N : U' ' s lz✓� s' EPEPRTMENT t7`S O�!!�l ✓ Q
ZONING COMMENT5 ✓ � � Cs'�� �x ✓ � � ' l✓3� � `�y ./�. � r'm �,?�� G ,�'��� x ✓�,✓ u'L.+ �y r i r i r
✓ ✓ ZOn,�,.9 � � < r � � 't .�' "✓fir✓ ✓z✓ ri r ' y rj .✓/ t ? .�7 < cap --� t s �
y ✓ ReVIBWBT .±.� ✓ � .Y f .,5 ,, _.? ✓ - �'-✓ y _ � �� t ✓ ✓ ` fi � �✓ > /✓ �.,.c„k d`u� z ✓ d� � � .'?
� S e�✓" i ✓: � �a?f� xa��'�`b4vr✓ ✓r a� m"'rv�^ °s� rE
BUILDING DEPfiRTM1ENT COMMF,NTS �' ✓ � ✓ � ✓^ �1:^ �"''✓' + �"�✓�' � "'� ✓`� °"> �
v
3 r ReV�ewet ^ l'l i Y. �F✓ � ✓a ^. -y ✓ r r' � �, ?� �. � ✓: fi {�, � ` r � � ? 'vK `��
✓e r S✓✓ K� ✓p ✓ r y z 2✓ Y ✓"Y a� � ✓) � l s ✓�✓ ✓zf r ✓� R i ^a!
i � � � 1 � u^ /rt✓ i I✓ l✓��"��✓ r .�SM' z '✓" ✓ ✓ �/ .Y✓�.tY 1 t ✓ ��� ✓ l
� .0 ✓ t s ✓ ✓ 4 w^' ✓ .r' � A.� s u,,. �v. v 'Y'G -a ' „^ >xo
PUBLIC COMMEN)•S ' �� , s,.a �i��' ..�.? `; ,r . r emu,. \i.^ ��„ � ,� ���rJ. � ��OC�UPANCY�! fi r. i. 'c.
16 FIRE DEPAR7MF�NT ❑ ap W/ COInmQ41t5 ,-O dlsapproV ❑ nOYew f Bldg ValUatlOn:
i _,rW
INSPECTION RECORD o ccupancy /Type
INSPECTION LINE: (303) 234 - 5933
Inspections will not be made unless this card is posted on the building site
Call by 3:00 PM to receive inspection the following business day. 7
JF�1n� Iii nn 4= 191f) nr.—
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS
DATE
INSPECTOR
INITIALS
COMMENTS: -
Footings /Caissons
Stemwall / (CEG) Concrete
Encased Ground
Reinforcing or Monolithic
(b `L)
Weatherproof / French Drain
Sewer Service Lines
Water Service Lines
INSPECTIONS FOR PLANNING S, ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
CONCRETE SLAB FLOOR -
Electrical (Underground)
Heating (Underground)
ROUGHS
Lath /Wall tie
Mid -Roof
Electrical Service
Rough Electric
Gas Piping
Rough Mechanical
Insulation
Drywall Screw
ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING
FINALS
Electrical
Plumbing
Mechanical
Roof
(b `L)
Building Final
Fire Department
R.O.W & Drainage
INSPECTIONS FOR PLANNING S, ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
Parking & Landscaping
* * NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE OF OCCUPANCY IS ISSUED, FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OF A CERTIFICATE OF OCCUPANCY NO R PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
♦ i CITY OF WHEAT RIDGE
Bung Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:'--
Job Address: r2 ~i o f L 7 31 ST AV
Permit Number: Qc~
❑ No one available for inspection: Time AM/PM
Re-Inspection required: Yes No,
"When c o r r e c t i o n s have been made, call for re-i spechon at 303-2345933
Datej~-f0 Inspector:
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Bung Inspection Division
r (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 1011frfir
Job Address: 1;Z54 S (,4),
Permit Number: F1 026( )2
❑ No one available for inspection: Time 1f'16 (AM IPM
Re-Inspection required: Yes No
When corrections have been made, call for re-inspection at 303-234-5933
Date: Inspector: ) 'TI
DO NOT REMOVE THIS NOTICE
City of Wheat
Ridge
Residential Ro
ofing PERMIT -
092607
PERMIT NO: .092607
ISSUED:'
09/22/2009
JOB ADDRESS: 12565 W 31ST AVE
'EXPIRES:
03/21/2010
DESCRIPTION:, T/o
: Install 30.67 sgs.30
yr tamko comp shingle.
r
CONTACTS
x" owner 303/232-8264 Annette Groves
gc 303/646-3977 Mike Essary.. 09-0139 Shield Const. & Exteriors
FBI
Permit Fee 181.'
Total Valuation
Use Tax 113.1
TOTAL :.294.:
r Conditions:
:.:USE: dUA
BLOCK/LOT#: 0/:.
PROJECT VALUATION: 6,287.851
:d:: Board sheathing spaced more
•lay on entire roof. Ice and
exterior walls.
application are accurate, and do not violate'. applicable
nants, easements or restrictions of record; that all
read and aa,p rn ahidp by nit rnnAi.i- ...-i, nro ..e fi,4-
is subject to the laws of the
o or anyother applicable
eceived prior to expiration
Signature of Chi~.~ B ding Official ` date
INSPECTION/R%EQUEST LINE: (303)234-5933 BUILDING. OFFICE:. (303)235-2855
''',REQUESTS MUST. BE MADE BY 3PM'ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING. BUSINESS DAY.
" City of Wheat Ridge Building 1)Ivision Dater
7500 W. 29N Ave., Wheat Ridge, CO 80033
Offi6e: 303-235-2855 * Fax 303-235-2857 Pian
Inspection Line: 303-234-5933
Parrett
Building Permit Application
Property Address: I a 5 ta5 W. 31-.-r AV E
Property Owner (please print): _ j rj 1.1 BTf e & Ro y ES Phone: '303-1,3Z-
Mailing Address: (ifdlf/bront than property address]
Address:
City, State, Zip:
Contractor. S4 1w4> 1 otJ
Contractor License C-n 6 13 Phone: 30 vet{ to(']
/ D
I
Sub Contractors:
Electrical City License # Plumbing City License # Mechanical City License #
Company: Company Company:
Exp.. Date: Exp. Date- Exp. Date:
Approval: Approval: Approval:
Use of space (description)- CoRatnrctlon Value: $ (o2SZ . FS S
Description of work: (ea cakularednorme srmarns v;raaffon Daft snaetl
QarKCDP 3>,(P'l GrR Olr-- T-~"w-o "30Y2 Plan Review (die of tlme ofsubnoal).
L.O,A p 4-Hh a& t-E
Sq. FtfLFt added: Squares BTU's GallortsAmps
OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hems certify that the salback distances proposed by this permit appicaton arc accurate, and do not violate applicable ordinances,.
rules or regulations of the City of Wrcet Ridge or covenants, easemerns or realfidiorrs of record; that ait massurements shovm, and
alregatlons male are accurate: that I have read and agree to abide byy all conditions printed on this application and that I assume full
responsibility for compliance with the Wheat Ridgye Building Code Q.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit Plstrs aubiact to fletd htapaotlon,
CIRLMONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRES`E`NTA.TNEo~11 1ER} {r (CONTRATOR)
PRINT NAME J S~v V . SIGNATURE: ~ " V 17aEe: 9 • i (n'
ZONING COMMENTS:
Zoning:
Reviewer.
PUBLIC WORKS COMMENTS:
Reviewer
eUaD1NG DEPARTMENT COMMENTS:
Reviewer.
FIRE DEPARTMENT.. 0 approved w/ oommerds q disapproved 0 no review required
OCCUPANCY:
DEPARTMENT USE ONLY
FORM (M) 41F02-1123 PUBLIC SERVICE COMPANY OF COLORADO
/ CITVToj+yORCOUNtt 5 F
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OWNER~' TENANT ~ AGENT ~ OTHER ~
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ACTION TAKEN ] NO SHUT OFF '
APPLIANCE OFF
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❑ METER SHUT OFF
- HAZARO - ,
CONdTON TO BE CORRECTED RS SHOWN BELOW CREATES AN IMMEDIRTE HAZAND.7XI5 EOUIPMENT MUST NOT BE PIIT BACK IN UNTIL
MADE
BEEN
QUALIFIED BUI~L NG EPABTMENT OR CAOE NDGMRMR REOU PEMENTS PRIOR N PERFORM NG REPAINWOPK. CONTRACTOR. CONTRC7 YOUR LOCAL .
REPAIRS
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' City of Wheat Ridge
Residential Plumbing PERMIT - 070947
PfiRMIT NO:070947
SSSUED:
. 09/06/2007
JOSADDRESS: 12565W
31ST AVE
SXPIRfiS:.
03/04/2006
DESCRIPTION:Replace
water heater w/ 40
gallon
gas w.h.
: . .C014'f'ACT9
. . .
. . .
owner 303/232-6264
Slwyn Groves
gc 303/534-0861
13ary Keafield
01-7152
Precise Plumbing
PARC$I,IISFO.,**.. .
. .
ZONECODS: UA
.
.
USE:
r-3
SUBDIYISION: 0705
BLOCK/LOT#:
0/
**FSBSUMMARX .
ESTIMATED
PROJECT VALUATZON: 975.00
.
FEES
Permit Fee
50.40
Total Valuation
.00
wvr~
TOTAI,
.
50.40
Commenttl:
I heraby cestiEy thaG.'Che 6etbaekdietancee propoeed by thie pexmit application are accuzate, and do not violate applicable
ordinancee,.ruleg ai'T¢gulatione of the City oC Wheat Ridge or covenante, eaaemente or reetrictiona of record; tqat all
meaetiremenke atwvm,and sllegatione made axe accuiate; that I have read and agree to abide by all conditrone printed on thie
applicatlon arW that i -acYWxlullreeponeibility for compliance with the wheat xidge Suilding Code(I.B.C) and all other
applicable Nheat RidgC Or8lnancee,for work und¢r Chie perm4t. elane eubject to field inepectlon. 6lgnatureof contractor/ownes . date 1. Thie pexmit wae.~ieeued.in accosdance with the provieions eet forth in your application and ie aubject to the lawe of the
State of.COlorado and.to theZOnin9 Regulatione and Huilding Codee of Nheat Ridge, Colorado or any other applicable
oxdinencee Of the.City:.2. Thie pexmit shalkezpire 180 daye £rom the ieeue date. Requeete Cor an exteneion.muet be reeeived prior to expiration
date.An ex4enmion.msgbe granted at the diecretion oE the Building Offickal. 3. If this peimit expizee,anew pexmit may be acquired for a fee of one-half the amount nornally requirad, pmvlded no
changee tlave 6een o;.'will.be m#de Sntha original plane and epecificatione and any auepension or abandonment hae not
exceededone (1) yeac. :If changes have been or if euepeneion or abandonmenE exceede one (1) year, Eull Eees ehall
be paid Yor a new.peimit.
t. Novrork of any mannet phall be Cone that will change the natural flow of water caueing a drainage pmblem. .
5. COntractox e4a11 rio6ity thG:BUilding Inepector twenty-four.(2a) houre in advance foz all inepectione an8 ehall zeceive
written.apprwal oainepecYion~.card befOre pzoceeding with eucceeeive pha9ee of the ]ob. 6. The ieeuance of a permlt or the approval of drawinge and epecificatione ehall not De conetxved to be a pesmiC for, nor
an approval of, any~~ }}o dtion of the provieione of the building codee or any oCher ordinance, law, rule or regulation.
xilplan rev~~ct to field inspectione.
[lding Official date
RSTLINB: (303)434-5933 BUILDING OFFICB: (303)235-2855
3MADS:BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
~~UCATION
Building Permit Number:
Date:
Proper[y Owner: ~ l`"'y n 6: ~,••P
Properry Address: J.Z s' c. s"'. 3
Phonejo3-z3
Conuactor License No.: / 7/ f2,
ComPanY P~,,r c i sc Pl~.+, 61',1,0 rr -17h G Phone: S3
0 WNER/COMRACTOR SICNATUR& OF i1NDER8TANDING AND A6R8&M&NT
I hearby ceitify Net the aetbeck distencea propoeed by tfa pumit appliaatim ue
accurate, and do not violate applionble otdinutoet, mle, or rogulatiom of the City
of Wheat Ridge or covednU, euemecVa at rakloUau of reoord; Uut dl
mezsuremenls shown, md nllegntiom made ue uavate; that I have nad end
agree to abide by Wl conditiom printed on thia applicttiow end Uut I auume fGll
nlI mher applicable Wheat Ridge Ordinmces, for wotk underihis pMnit Construction Value: ,5 9 0
responsibility for camplimce with the Wheei Ridge Building Code (U.B.C) md
PermitFee: sa vo
Plan Review Fee:
T1arTair• S~r.an.s Y'uVZ
TOt3I: .5`O• YO
(OWNER)(COMRACI0R):9IONHIJ ' Al'&
Description:
Electrical License No: Plumbing License No: Mechanical License No:
Company: Company: Company
Expiration Date: Expiration Date: Expiration Date:
Approval: Approval: Approval:
(I) 77tie pemut wu ivved in eeeotdutce wiN ihe pctrvitioni fal fo[th in your appliatlm md is suhjat W ihe taun of the 8tak of ColonAa end W lhe Zarting
Regulations md Buildiny Code of Whut Rid{4 Celondo ot s¢y otha applicable ordinunea oCNe Ciry.
(1) 71us pecmit shall aXp'vs if (A) qu wark mUutiud'u nol aommanoed witLin tixly (60) dryi from iuus dab w(B) Ne Wilditu authonzed is mpended or
abandoned for s period af 110 dayi.
;i ) if this pamilt exp'vw, t nsw pamit mq be aequ'ved fm & ta oC onslulf Ne umowt nocmilly tequirod, prwideA no ahmya heve been or will be made in
ihe ongvul Pluu md spmit~atioru u.d ury wpwion oi sbmdanment hu not exeeaded one (1) yac. It ahuiQm hrve beert or if wperuion ar abendamnmt
exceeds one (1) yau, fWl fsa ilull ba pud for I Uw pmnit
(a) No work aC ury mmnv ilull be doro tlul will aAan{s W uNn111ow of wLLer ewitg a drunQe pro6lem
(5) Conhacbr shafl noliCy the Htlildiny Lupxtw tVnMly-fmII (14) houn in advuwe foc alt ilupeetiwu md dull reeeive written sppraval on wpection cud be(orc
pmceeding with rveeusive phua oCqw job.
(6) The issuance of a pennit w Ne appravd af Mw'uW md tpetlfiu4au dull not be ewuCUed W be a pemut for, not m approvd of, my violaLLOn o(Nc
provisions of Ihn building codm or ury alha ardinuicq Lw, rvle ot mgufatlon.
Chief Building Inspector
~t . < . . . ~+&.•,~"~~~^"~'~'.°`ac"+wsw^`r,~^-k+,e!r ,s+F+s~'u;~, „ e . a.
' - ~ COMMUNITY DEVELOPMENT DEPARTMENT
BUCLDIN6 INSPECTION LINE - (803-234-5933)
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Property Owner: ELWYN GROVES
Property Address : 12565 W 31 ST AVE
Contractor License No. : 17885
Phone : 232-8264
Company : Lakewood Plumbing LLC Phone : 233 7007
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by thls pertnit appiication are accurale, and
do not violala applicable ordinances, rules or regulations of the City of Wheat RidAe or
covenants, easements or restrictions of record; ihat all measurements shown, and allegations
made are accurate; that I have read and agree to abide by all conditions printed on this
applicaAon, and that I assume full responsibility for compliance with the Wheat Ridge Building
Code (I.B.C.) and all other applicable ~%h~ga~t/Fji/dgyeJ Lor7ginances, for work under this~p/ermit.
(OWNER)(CONTRACTOR)SIGNEDATE7~27-06
Description : REPLACE BOILER (140,000 BTU)
Building Permit Number : 18649
Date : 4/27/2005
Valuation : $4,300.00
Permit Fee : $144.70
Plan Review Fee : $0.00
Use Tax : $77.40
Total: $222:10
Ilce • a ~ 100.UJ Carx
BUILDING DEPARTMENT USE ONLY
SIC : Sq. Ft. :
__......emmre e~tFRGY CODE
rHy of Wheat Rid
BOILERS 1 FURNACES A MINIMUM [~r nu~o.. K
GAg WpTER HEATERS A MINIMUM OF .80 ENERGY FACTOR
~LECTRIC WATER HEATERS A MINIMUM OF .93 ENERGY FACTOR
ATBACK THERAAOSTAT REGUIRED ( R 19 CRAWL.SPACa n
R-21 WALLS • RJt CEWN6S
Approval :
Occupancy: Walls
Roof
Electrical License No :
Company:
Expiration Date :
Approval :
Plumbing License No :
Company :
Expiration Date :
Approval :
Stories : Residential Units :
Mechanical License No :
Company :
Expiration Date :
Approval :
(1) TAis pennit wes iscued in accoMance with the pmvisions set foAh in yopur application and is subjecl M the laws of ihe Stete of Cdorodo and W Me Zoning
Repulations and Building Code of W heat Ridge, Colorado or any other applicable ordinances W ihe City.
(2) This pertnR shell exqre if (A) tha work authonzed is not commenced within sixty (60) days fiom issue date or (B) the buiWing authorized is suspended or
abaiWoned for a pariod of 180 tlays.
(3) If this pertnit explres, a new parmit may be acquired for a fee of one-half tha amaunt nortnally required, provided no changes Imve been or will 6e made In the
original pians and specificetions and eny suspension or abandonment has not ezceeded one (1) year. If changes are mede or H suspensbn or abandonment
euceeds one (1) year, full tees shall be paid for a new pertnit.
(4) No work of any menner shall he done Uial will change the natural flow of water causing a drainage problem. (5) Contractor shell notify Ure Building Inspector Mrenty-four (24) Mure in advance far all inspecGOns and shall recaive wriken approval on inspection caM before
proceediing with succeesive phases ot the job. (8) The iasuance of a pertnk a the approval of Crswings and specKCations shall no[ be consWed lo be a pemilt kr, nor an approval of, any violation of the
pryvbf he bVYtln@-cZ3e_s3haAyother ordinance, lew, Nle or regulation.
Chief Buildir?g Inspector
Please sign Terms and Conditions on reverse side of page.
BUILDING (NSPECTION DIVISIpN - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
PropeRy Owner: C~wYn Gev Vr.a--
Properiy Address : ~ a rjjp rj !,J ?j 1 51 Aile-.
Contractor License No. :
Date : Y/a'F/o S
Phone :
Company : La.~C'ewood ~lu.rv.b; L(_G Phone : 303 _ a 3 3-76o9
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEnnFnir
1 hereby eeR~YY tliat Ne xlbadc distynas propoxd by this pemtR apO~~Catlon arE aerurate,
and do nM vio~ate ap0l'iCable ordinances, rulPS ar regulations ef the Ciqr of Wheat Ridge or
cavenanls, ea5ements or reslftions of recWd; that ell rtxasuremenls Shown, anC allega0ons
made are aceuratc; Nat I have read and agree fo abide by all Wndillons printed on Ihia
applicaGon, and Ihat I assume full responsiboily for pomplian wkh the vVAeat Ridge Building
CoAe (U.B.C.) and a0 ofher applicable Whe fiiCge Ordinan woAk under Olis
pertnft.
(OWNER)(GOIYTFtAGTOR) SIGNED ppJE
Roo(
oescri tip on : Gflcuz. boilP.r (LQt) Doo B7kH) .
BUII.DING DEPARTMENT USE ONLY
~ SIC
Approval :
Zoning :
~I~~INAi~~
Approval;
MUg7I~•VIIaHiN;6fRmiSm
Approval :
Occupancy : Walls
Electrical License No ;
Company ;
Expiration Date :
Approval :
Conswction Value : 4/3 p p, O°
Permit Fee :
tlse :
Plumbing License No ;
Company:
Expiration Date :
Approval :
Mechanical License No :
Company:
ExpireHon Date:
Approval:
TNx oem+d ms W uad In sem~dance wilh the provWOns eel ronn n rwur aPPNaSOn ara ls su ~
(21 Regulapans ane BwM.g Coae o14Meat Ridge, Calarapo or arry e~er appu~eade avlnanr:s oi y~ I~ ~ ol Ne Sy1e o1 CplpryEu uq
nw, wmnamxa«are u ra u. p yk
nI
(8)
a(B) the 6u4Whq au0iaited is auspeneeu a
01 wtbfWf IAG irmunl IqmuPP n'4unedOrovidGd ro danqee Mara lean a MA Oa msEt in mC
OOI1TCIl (qs IIOI GiCeedM OM (1) rnf. II dlitlgNNO TidG? if suspellgimR iDilMafRlenl
ual Ilav al walerfauiu~q a dral^a9e MoOkm.
noun In aevance ror a~i fnspeclions ana znan rec.eive r,rt{aen appnwl m Inapetllpl ard pe(qs
67calbns shift MI6e QOnsW e0 b De a penNt fef. rqr On epptOM Of. BnY MMaGon of Ns PAVlsloro
uum
Chief guilding Inspector For Mayor
THIS PERMff VALID ONLY WHEN SIGNED BY THE CHIEF BUILOING INSPECTOR ANO MqYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
Sq, Ft :
Stories : Residential Units ;
Use Tax :
Total: $0.00
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DEPARTMENT OF COMMUNITY DEVELOPMENT
7500 wE57 29th AvENUE BUILDING INSPECTION DIVISION PERMIT N0. M91Ik17478
237-e944 ExT. 255 P.O. BOx ssa CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BEIOW.
APPLICATION FOR MISCELLANEOUS PERMIT
JOB AODRESS OWNER F
CONTRACTOR ( i ii=`-~. ADDRESS
r
ADDRESS 0~ C C- ~ II PHONE ZIP CODE 212 T> CONTRACT PRICE $
CITV~-~ C;- ZIP CODE
PHONE-_l1- 6HV U IICENSE N0. {L-I
TVPE Ground ❑ Wall❑ Proitctinp❑ O1Mr 5 or D Foce
1
.
2. MATERIAL 7otal Squors F"t
SIGNS
Parmit No
pa Eleet
ILLUMINATION Ysa❑ No❑ T
3
y
.
.
.
4 SET BACK FROM PROPERTY LINE N- 5_ E_ W Zone_ ADDrmad,Zona Inspaetor
(Spxifywhithiefront) ❑ ❑ ❑ ❑ Disopprwed
1. TYPE Solid0 More TMn BO% ODan❑ Len TAon 80% Open
S. MATERIAL Heipht
FENCES
3. SET BACK FROM PROPERTY LINE N_ S_ E_ W Zone_ Approved,Zons Intpeeta
(Spacify w1+leA ia front) ❑ ❑ ❑ ❑ Dieapprowd
~
Tn ?,T
OTHER
s
DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,Oft OTHERSTRUCTURE,GMNG DISTAHC4SFRQMPROPER7Y.L'NES..-__
(SETBACKS OR PROJECTIONS INCLUDEA)
INSPECTION TICKET
J
Joa l~
ADDRESS T -
DATE: / -11 BLOG. PERMITB 1 7 V7
PERMITN
BLDG. CONTR.
STREET
SHOW DISTANCES FROM THE MAIN BUIIDING TPADJOINING HOUSES,STRf SUBCONTRACTOR
OISTANCE TO PROPERTV LINES, NOT MAXIMUM OR AVERAGE DISTAN /
DATE INSP. REQ.
APPLICATION FOR PLUMBING; ELEC
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATEO TYPE OF INSP. ISION.
PERMIT WILL EXPIRE 60 DAYS FROM DATE OF ISSUAM (J
ELECTRICAL PERMIT
STATE IICENSE N0.
PLUMBING INSPECTION MADE n
STATE LICENSE N0.
- ~
REMARKS ~
ALUMINU41 WIRE UNDER SRE 8 IIIEGAL
FLOOR
BSM
. ElxSdor
Np,
WATER CLASET
TEMPORARY METER
WASH BOWL
NEW SERVICE AMPS
BATH TUB
CHANGE SERVICE-AMPS
SHOWER
LIGHTIN6
SINK
W.R. FORM 6-19
HEATING
GARBAGE DISP
POWER SUB-CIRCUITS
WATER HEATER
UTILITY(RANGE,OISPOSER,ETC)
AUTO.WASHER
FIXTURES
DISH WASHER
WIRING MOTORS d CONTROLS
FLD(M DRAIN
EIEMTOR
SIGNS
URINAL
TRANSFORMERS 9 RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FIXTURES
REMARKS
lico-
t thia a
tn
l
d
PERMIT FEE
a
a
Qe
I hsreby ucknow
vD
tion is torrect and underatand thot I
li'
USE TAX
~p • i?U
-
eonnof sfart this project uniil this oDp
oation is avoroved. I aholl comolY with
TOTAL FEE
$
fhs lows 01 the Sfate of Colorado and to
the Zoninp Repulationa ond Buildina
ApPR
Any
t Rid
e
f Wh
if
a
- `
q
.
eo
y o
Code of fAe C
violation ot the above termn will cauae
CHIEF BUILDI
NSPECTOR, City of Wheat Ridqe
immadiote revocotion of tnia permit
Date Issued 6
aoo am. a~o~a~~.. .
)T VALIO UNLESS RE EIPTEI
,e,& V-uas
CAL1237-8944 EXT.255
24 HOURS IN ADVANCE
FORINSPECTIONS