HomeMy WebLinkAbout12779-12781 W 31st AvenueMemorandum
TO:
FROM:
SUBJECT:
DATE:
City of Wheat Ridge
Community Development Department
Accounting Department
Kim Cook, Building Division
Refund for Permit
May 6, 2019
Reason: For Permit No. 201900871, the scope of work changed and did not
require a permit for 12779 W 31 st Avenue.
Please refund: Contractors License$ (acct 01-510-00-513)
100% permit fee: $70.70 (acct 01-510-00-516)
100% plan review $ (acct 01-550-05-551)
100% use tax: $36.75 (acct 01-500-02-505)
Total Refund Due: $107.45
TO:
Piper Electric
5960 Jay Street
Arvada, CO 80003
Thank You!
9�C004
Permit Technician
°!!fIr City of
`J`I heatidge
COMMUNITY DEVELOPMENT
(IAPAoan 0a. Pw �o,-�b
a- us'c 3�. 7 s > lnqs
City of Wheat Ridge Municipal Building 7500 W. 29"' Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929
Refund Application
Complete this application in its entirety, attach all copies of permits, permit cards (if issued) and receipts that
were received at the time of permit issuance. Requests for more than 80 percent of the amount paid will not be
approved without prior approval from the Building Official. The refund application must be received by the
Wheat Ridge Building Division no later than 180 days after permit issuance. Applications received after 180
days of permit issuance will not be approved. You can mail or hand -deliver all required documents to: City of
Wheat Ridge, Attn: Building Division, 7500 W. 29b Ave., Wheat Ridge, CO 80033.
Company Name/Name (to whom check should be made out to): Piper Electric
Address: 5960 Jay St
City: Arvada
Phone: 303-422-9219 Fax:
Permit #: 201900871
State: CO
Zip: 80003
Email: licensepermitting@piperelectric.com
Permit Address: 12779 W 31 st Ave Wheat Ridge
Reason for request: The scope of work turned out to not be a meter change
Printed Name: Carrie Pilcher
Signature:(0"Vu Date: 5/6/2019
For office use only (�
This request has been- App owed ❑ Denied Refund Amount: $ 10 7, l G
Approved by: Date: S/6//q
www.ci.wheatridge.coms
Kimberly Cook
From: Carrie Pilcher <cpilcher@piperelectric.com>
Sent: Monday, May 6, 2019 9:20 AM
To: CommDev Permits
Subject: RE: Piper Electric Permit refund application
sol �00V/
Sorry!
There was just 1 breaker that had a line cut to it, which we repaired this morning. The owner's tenant wrongly assumed
it was the line to the entire home.
Thanks!
Carrie Pilcher
Piper Electric Co., Inc.
303-422-9219
cDilcher(@DiDerelectric.com
www.piperelectric.com
From: CommDev Permits <Permits@ci.wheatridge.co.us>
Sent: Monday, May 06, 2019 9:17 AM
To: Carrie Pilcher <cpilcher@piperelectric.com>
Subject: RE: Piper Electric Permit refund application
Hi Carrie,
Can you clarify the actual scope of work? The Building Official wants to make sure it does not require a permit.
Thanks,
Kim Cook
Permit Technician
7500 W. 29th Avenue
Wheat Ridge, Colorado 80033
Office Phone: 303-235-2876
Fax: 303-237-8929
www.ci.wheatridcje.co.us
-�'"c�y of
WheatR,dge
City
c}i
Wheat�[
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Art"r.m,o mV ntvtIUt`mtNt
CONFIDENTIALITY NOTICE: This e-mail contains business -confidential information. It is intended only for the use of the individual or entity named above. If you are
not the intended recipient, you are notified that any disclosure, copying, distribution, electronic storage or use of this communication is prohibited. If you received
City of Wheat Ridge
E -Res. Electrical Service Upgr PERMIT - 201900871
;.4'
PERMIT NO: 201900871 ISSUED: 05/02/2019
JOB ADDRESS: 12779 W 31st Ave EXPIRES: 05/01/2020
JOB DESCRIPTION: Electrical service change to replace damaged meter - 150 amps
*** CONTACTS ***
OWNER (303)909-5111 CHRISTENSEN HOWARD LYNN
SUB (303)422-9219 J. David Doherty 018046 Piper Electric Co.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,750.00
FEES
Total Valuation 0.00
Use Tax 36.75
Permit Fee 70.70
** TOTAL ** 107.45
*** COMMENTS ***
*** CONDITIONS ***
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.
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 specifications2
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
1. This permit was issued based on the information provided in the permit application and accompanying pp.Ians and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the original ermit tee.
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 Budding 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 of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Kimberly Cook 6AU1 ( U
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, May 2, 2019 10:50 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Electrical Service Change/Upgrade Permit
Application
Residential Electrical Service Change/Upgrade Permit Application
This application is exclusively for RESIDENTIAL ELECTRICAL SERVICE CHANGE
OR UPGRADE (200 amps or less).
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
electrical service change
or upgrade - 200 amps or
less?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Attach Credit Card
Authorization Form -
**DO NOT ATTACH
RANDOM
DOCUMENTS**
12779 W 31 st Ave
Lynn Christiensen
3039095111
Piper Electric Credit Card form.pdf
CONTRACTOR INFORMATION
Contractor Business Piper Electric
Name
Contractor's License 18046
Number (This is a 5 or 6
1
digit number for the City
of Wheat Ridge)
Contractor Phone 3034229219
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address cpilcher@piperelectric.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
Is this an electrical
service upgrade or
change?
Number of Amps
Location of
upgrade/change (garage,
house, etc)
Provide additional details,
if needed.
Project Value (contract
value or cost of ALL
materials and labor)
cpilcher@piperelectric.com
Change
150
house
Replace damaged meter
575.00
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 been Yes
authorized by the legal
z
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 Dave Doherty
Permit
Email not displaying correctly? View it in your browser.
- INSPECTION RECORD
Inspection online form: http://www.ci.wheatridge.co.us/inspection
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Inspections will not be performed unless this card is posted on the project site
Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business day
PERMIT: V/W)6 �(Y ADDRESS:,.- 2 c- rr/2__�-) ell e<D. JOB CODE:
Foundation Inspections Date Inspector 01
Initials Comments
102 Caissons / Piers
103 Footing / P.E. Letter
104 Foundation Setback Cert.
105 Stem Walls
106 Foundation wall Insulation
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground / Slab Inspections Date Inspector
Initials Comments
201 Electrical / Cable/ Conduit
202 Sewer Underground Int.
203 Sewer Underground Ext.
204 Plumbing Underground Int.
205 Plumbing Underground Ext.
206 Water Underground
Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections
Rough Inspection
301 Rough Framing
302 Wall Sheathing
303 Roof Sheathing
304 Sheer Inspection
305 insulation
306 Mid -Roof
307 Metal / Lath / Stucco
308 Rough Electrical Residential
309 Rough Electrical Commercial
310 Electrical Meter Residential
311 Electrical Meter Commercial
312 Temp. Const. Meter
313 Rough Plumbing Residential
314 Rough Plumbing Commercial
315 Shower Pan
Date Inspector
Initials
SEE OVER FOR ADDITIONAL INSPECTIONS
Comments
,
RMIT� Yl �`�t��l' ADDRESS
Dugh Inspection (continued)
AA—knniral RP.gi tP.nL121
17 Rougn Mecnani
18 Boiler / Furnace
20 Drywall screw and Nail
,,..._:-..— k—lrl / chr)XAiar walls
22 Rough Grading
JOB CODE:
I I Comments J
inallnspectlons Date Inspector Inrltials
102 Gas Meter Release
103 Final Electrical Residential
404 Final Electrical Commercial
405 Final Mechanical Residential
406 Final Mechanical Commercial
407 Final Plumbing Residential
408 Final Plumbing Commercial
409 Final Roof
410 Final Window/Door
411 Landscape/Park/Planning"
412 Row/Drainage/Public Works**
413 Flood plain Inspection**
414 Fire Insp. /Fire Protection***
415 Public Works Final**
416 Storm Water Mgmt.**
417 Zoning Final Inspection*
418 Building Final Inspection
Inspections from these entities shall be requested
one week in advance.
*For landscaping and parking inspections please
call 303-235-2846
**For ROW and drainage inspections please call
303-235-2861
***For fire inspections please contact the Fire
Protection District for your project.
re and
Note: All items must be completed land appuedroved by ApprovalPlanning,
of the F Final Building Inspection does not
before a Certificate of occupancy
constitute authorization of occupancy.
For Low Voltage permits please be sure that rough inspections are completed by the Fire District and
Electrical low voltage by the Building Division.
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: 00q_ F, hfa, Roo
Job Address: )2 70 [ L/ 3 l't 4 vP I
Permit Number: 20100() 43i
❑ No one available for inspection: Time AMI('4)
1
Re -Inspection required: Yes No/
When corrections have been made, call for re -inspection at 303 -234 -
Date: 3��1 Inspector:P.
DO NOT REMOVE THIS NOTICE
r'3
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: H Jcj F -
Job Address: 3-S ) t -`i 3 ) t") Y
Permit Number: cam) `d C) _C) W 3 '�37'
DDI/ OA AXA
❑ No one available for inspection: Time AMIPM
Re -Inspection required_&
es No
When corrections have been ade, call for re -inspection at 303-234-5933
Date:a Q -3 1 !K Inspector: �)
DO NOT REMOVE THIS NOTICE
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:
Permit Number: 20j800c/s'5-
,cl re
❑ No one available for inspection: Time 1 ' �s' /pm
Re -Inspection required: Yes 60)
When corrections have been made, call for re -inspection at 303-234-5933
Date: 2//5/10 Inspector:
DO NOT REMOVE THIS NOTICE
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Residential Roofing PERMIT - 201800435
201800435 ISSUED: 02/14/2018
12781 W 31st AVE EXPIRES: 02/14/2019
Residential re -roof with asphalt shingles.Squares: 32 Pitch: 3/12
*** CONTACTS ***
OWNER 303-909-5111 CHRISTENSEN HOWARD LYNN
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: UA / Unassigned BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 16,000.00
FEES
Total Valuation 0.00
Use Tax 336.00
Permit Fee 299.40
** TOTAL ** 635.40
*** COMMENTS ***
*** CONDITIONS ***
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required for both the midroof and final inspections. 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.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec.
R806. The installation of ridge venting requires the installation or existence of soffit
venting. For calculation purposes, one hat or turtle vent equal to one-half of one square
foot of opening.
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.
City of Wheat Ridge
Residential Roofing PERMIT -201800435
y
PERMIT NO: 201800435 ISSUED: 02/14/2018
JOB ADDRESS: 12781 W 31st AVE EXPIRES: 02/14/2019
JOB DESCRIPTION: Residential re -roof with asphalt shingles.Squares: 32 Pitch: 3/12
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 ermit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
perfor and that all work to be perormed is disclosed in this document and/or its' accompanying approved plans and specifications.
47
Signa ofi, OWNER or CONTRACTOR (Circle one) e
I, T is p it was issued based on the information provided in the pe it application and accompanying plans and specifications and is
s ject to the compliance with those documents, and all applicable tatutes, ordinances, regulations, policies and procedures.
2, T 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 permitfee.
3. If this permit expires, a new permit may be required to I obtained. Issuance of a new permit shall be subject to the standard
requirements, fees an _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 r, granting of 4rmit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applic 1 co _ r aMordin ce or regulation of this jurisdiction, Approval of work is subject to field inspection.
f
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
Wheatid e
MM
CO UNITY DEVELOPMENT
Official Certification of Property Owner Permit
THIS IS TO CERTIFY that I, the property owner, by my signature, attest that I currently
reside at the project property, or intend to reside at the property for a period of one year after
completion of the project, and am personally performing all work, without the assistance of
hired or professional workers, or, if hiring sub -contractors, list them on the permit.
Consultations and inspections will only be performed with the homeowner of record present at
the project property.
Property Owner(s):
Project Property:
J
Notarized signature of Applicant
State of Colorado }
County of J J. Ar-S� } ss
The foregoing instrument was acknowledged by me this day of by
TAMARA D ODEAN
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID 20164015481
MY COMMISSION EXPIRES APRIL 220 2420
Ods My Commission Expires J2IJ204a
Notary Public
City of
f W heat jjdge
MUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 291 Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: perm its(a)-ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date: Pj/ / ` l
Plan/Permit #
Plan Review Fee:
Building Permit Application
Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed.
Property yAddress: 2 A4-."4%,�C-'
Owner
Property Owner
7t):_/ylip
Mailing Address: (if different than property address)
Address: ip
City, State, Zip:
Architect/Engineer E-mail
Contractor:
Contractors City License
Contractor E-mail Address:
For Plan Review Questions & Comments (please print):
CONTACT NAME (please
CONTACT EMAIL(p/ease
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
City License #
Phone:
Phone:
Plumbing:
W.R. City License #
Other City Licensed Sub:
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
owls
❑ COMMERCIAL RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION RESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION R 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.) j
Sq. Ft./LF
Amps
Btu's
Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
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 perforni 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. (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Sienature (first and last name): _ DATE: �L
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 16625
BUILDING INSPECTION LINE -(303-234-5933) Date : 1l6/2004
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Property Owner: LYNN
Property Address : 12781 W 31 ST AVE
Contractor License No. : 19206
Phone : 424-3096
Company : Positively Electric Phone : 423 1807
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMEN
I hereby certify that the sethack distances proposed by this permit application are accurate, an
do not violate applicable ordinances, rules or regulations of the City of W heat 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 re~ ~ ty for compli~e wit e heat Ridge Building
Code (U.B.C.) and all other appli le Wheat idge or9' nce ; fior wo under this permit.
(OWNER)(CONTRACTOR) SIGN ' ~TE
i
Description : 150 AMP 6ERVICE CHANGE
Construction Value : $1,000.00
d
Permit Fee : $50.40
Plan Review Fee : $0.00
Use Tax : $12.00
Total: $62.40
T
vac .
=
BUILDING DEPARTMENT USE ONLY
Zoning.COmmentsl' SIC : Sq. Ft. :
Approval :
Zoning :
Building Commenk4:;
Approval :
Public Works ComMents:'
Approval :
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No : 19206 Plumbing License No : Mechanical License No :
Company : Positively Electric Company : Company :
Expiration Date : 2/28/2005
Approval : OKIKS Expiration Date : Expiration Date :
Approval: Approval:
(1) This permit was issued in accordance with the provisions set forth in yopur application and is subject lo the laws of the State of Coloredo and to the Zoning
Regulations and Building Code of W heat Ridge, Colorado or any other appiicable ordinances o( the City.
(2) This permit shall ezpire if (A) the work authorized is not commenced within sixty (60) days from issue tlate or (B) the building authorizetl is suspended or
abandoned for a pariod of 120 days.
(3) If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changec have been or will be matle in the
original plans and specifcations and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment
exceeds one (t) year, full fees shall be paitl for a new permit.
(4) No work of any manner shall be done that will change the naWral Oow of water causing a drainage Oroblem.
(5) Conireclor shall noti(y the Builtling Inspector lwenty-four (24) hours in advance for all inspectlons and shall receive writlen approval on inspection card before
proceediing with successive phases of the job.
(6) The' uance of a p.rmit or the approval of drawings and specifications shall not be wnstrued to be a permil for, nor an approval of, any violation of the
.
isi ns o ' ding codes or any other ordinance, law, rule or regulation
.
" ~2~.
__hief Buildi Inspector
Please sign Terms and Conditions on reverse side of page.
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number :
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date :
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 APPLICATIo N
Property Owner
°roperty Address
Contrector License No.
Z
69
Phone: 303- yJY-~ayL
Company: ~oss;a./y PrIE- 1N%. PhOne:3d3- 4~a9
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this pertnit application are accurate,
and do not violate applicable ordinances, rules or regulations of the Ciry of Wheat Ridge or
covenants, easements or restrictions of record; that all measurements shown, and allegalions
made are accurete; that I have read and agree to abide by all conditions printed on this
application, and Mat I assume full responsibility for complianee with fhe Wheat Ridge Builtling
Code (U.B.C.) and all other appliwble Wheat Ridge ordinances, for work untler this pertnit.
(OWNER)(CONTRACTOR) SIGNED Sl~ 6.~ tr DATE
Description: Ire) AM~,
Construction Value : jpp~ o=
Permit Fee :
Use Tax :
Total:
Use:
BUILDING DEPARTMENT USE ONLY
SIC: Sq.Ft.:
Approval .
Zoning :
B?fdlig~~
Approval: '
EM
Approval:
Occupancy : Walls : Roof : Stories : Residential Units :
Electricai License No : a"7
Company: h/<.
Expiration Date : ~ 3i oS
Approval:
Plumbing License No :
Company :
Expiration Date :
Approval:
Mechanical License No :
Company :
Expiration Date :
Approval:
(1) This permil was issued in accorEance wiN Ne pmvisions set foM in yopur applifation an0 is suCjecl to Me laws of the SWIe of Coloratlo and m tne '.oning
Regulations anC 8uilding CoAe of VMeal RiAge, Colo2do or any otAer applicaGe ordinances of Me Ciry.
(2) This permit shall expire it (A) the work authonzed is not commenced within sixty (60) Eays from issue Oale or (B) the 6uilCing autlionzeA is suspendcd or
abantloneE for a penod o(120 Aays.
(3) II ihis permit expires, a new pertnit may ba acquireE for a fee oi one-half the amount normally requireQ piovided no changes have Eeen or will be maCe in the
original plans an0 specifiwtions anC any suspension or abantlonment has not exceeEed one (7) yeac If chan9es are maEe or it suspension or aDanEonment
exceetls one (1) year, NII fees shall be pai0 br a new permit.
(a) No work of any manner shall Ee tlone that will rhange Ne natu2l Bow of water rausing a tlrainage pmDlem.
(5) Contractor shan nopry the Building Inspeaor tweny-four (24) haurs in atlvance for all inspections antl shall receive wntlen apOroval on inspecGOn rartl before
praeetliing with successive phases of ihe oE.
(fi) The issuance of a permit or the appmval of`C2wings anC specifiralions shall not he wnsWM to De a pertnit for, nor an approval of, any violatwn of Me provisions
o/ Ne Ouiltling coEes or any other oWinance, law, rule or regulation.
Chief Building Inspector
Occupancy/T��
� N VO.C ION RECORD
v'
`� l
INSPECTION REQUEST LINE. (303) 234-5933
L � � ,�
Inspections will not be performed unless thisan inspis ection othe following business day.**
osted on the project site.
'all the inspection request line before 11:59 p.m. to receive
Inspector Must Sign ALL Spaces pertinent to this project
Inspector Comments
Dundation Inspections
Date Initials
ser
oncrete Encased Ground
oundat /nos P E. LetterInspections
Do Not Pour Concrete Prior To Approval Of The Above Comments
Inspector
lndergroundlSlab Inspections Date Initials
:lectrical
;ewer Service (a�
plumbing
Do Not Cover Under round or Below/In-Slab Work Prior To Approval of
he Above n
Inspect comments
Rough Inspections
Date Initials
Wall Sheathing
Mid -Roof
Lath / Wall Tie
Rough Electric
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
insulation
Drywall Screw / Nail
In
Date Initials
Final Inspections
Landscaping & Parking / Planning Dept.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Window/Doors
Comments
ons
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.
Final Building
NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
tute
of occupancy is issued. Approval of the Final Building inspection omp eted from the F re D stt ot'and elecch ization of ocal lowvoltage
*For low voltage permits — Please be sure that rough inspections
by the Building Division.
** Inspection Time Window —Please email IC1SptIC7lf hegU2St@me w ndowl is based on the inspector's outsmornin° oft e
Forl p
insp� with the property address in the subject line of the email.
Is Not Permitted Until A Certificate of Occupancy Is Issued
occupancy
Protect This Card From The Weather
City of Wheat Ridge
Residential Plumbing PERMIT - 201701376
PERMIT NO: 201701376 ISSUED: 06/01/2017
JOB ADDRESS: 12779 W 31st AVE EXPIRES: 06/01/2018
JOB DESCRIPTION: 10 foot repair in front yard - 30 LF
*** CONTACTS ***
OWNER (303)909-5111 CHRISTENSEN HOWARD LYNN
SUB (303)287-9009 Brad Wakeham 130022 Trench Right LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,800.00
FEES
Total Valuation 0.00
Use Tax 163.80
Permit Fee 172.60
** TOTAL ** 336.40
*** 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.**
City of Wheat Ridge
Residential Plumbing PERMIT - 201701376
PERMIT NO: 201701376 ISSUED: 06/01/2017
JOB ADDRESS: 12779 W 31st AVE EXPIRES: 06/01/2018
JOB DESCRIPTION: 10 foot repair in front yard - 30 LF
Ib, 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 prop and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest t am leggally authorized to include all entities named within this document as parties to the work to be
performed and t all be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature o OWNER or CONTRACTOR (Circle one) Date
I , This it was issued based on the information provided in the permit application and accompanying plans and specifications and is
su , ct o 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�yprocedures 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 wor - itho t -w itten approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of'aof be c rue tci'ae a permit for, or an approval of, an violation of any provision of any
applicable code or any ordin " ation 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.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
City of
�Wheat 1Cge
COMMUNiTy DEVELOPMENT
Building & Inspection Services Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(o-)-ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date:
Planmormit #
L l
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:! LTIq L/ , �3 ( Ave. -
Property Owner (please print): L90—VI C11y-'('4n1 Phone: > -9&1- �I I
Property Owner Email:
Mailing Address: (if different than property address)
Address: VZ� -0 1/) ° ; I S" 4v('
Ci r, State, Zip: W%i4'i iJCV, Cid so (__ 1 J
_f i
Architect/Engineer E-mail:
Contractor: 1�YAGh
Contractors City License ##:
Contractor E-mail Address:
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Phone:
Phone: '303 ` Z31- 90M
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
❑ RESDENTIAL 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.)
10 too -
int
i �
?
Sq. Ft.1LF IU XJ Btu's
Amps
Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$#--7,09d6
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: (OWNER)CONTRACTO ) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACT R)
PRINT NAME:Rn (J--K-1S SIGNATURE: DATE: S 3b I 1
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received ® Not Required
Water District ® Received ❑ Not Required
Sanitation District ❑ Received ® Not Required
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
TYPE OF CONSTRUCTION:
SPRINKLERED:
OCCUPANT LOAD:
Building Division Valuation: $
4' CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 6- _
Job Address: / "7 -7 7 t�J ° Y v
Permit Number: V-7 t? / .3 -?
(gyp v2UU� P
'S7A7()S: Cor,-P/e7'"C�_
❑ No one available for inspection: Time/,-? % f AM/PM
Re -Inspection required: Yes No
* When corrections have been made, call for re -inspection at 303-234-5933
1
Date: �` Inspector:
DO NOT REMOVE THIS NOT/CE
4' CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 6- _
Job Address: / "7 -7 7 t�J ° Y v
Permit Number: V-7 t? / .3 -?
(gyp v2UU� P
'S7A7()S: Cor,-P/e7'"C�_
❑ No one available for inspection: Time/,-? % f AM/PM
Re -Inspection required: Yes No
* When corrections have been made, call for re -inspection at 303-234-5933
1
Date: �` Inspector:
DO NOT REMOVE THIS NOT/CE
♦~~I
~ CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office - (303) 235-2857 Fax
INSPECTION( NOTICE
Inspection Type: Kra n -C,
Job Address/Permit Number: l '~17/1 10,
i
I
1~Sbu t)Ptll I -P VrRrz,~~~
3
C
j
~Ih f,~t~9P?N+¢ rh! ~'`ftt ~rf+17r(~ _
❑ No one available for inspection: Time ANM~
Re-Inspection required: Yes
o~
' When corrections have been made, call for rree-inspection at 303-234-5933
Date: Inspector:
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
f j Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 235 -2857 Fax
INSPECTION NOTICE
Inspection Type: A4 fP", 4
Job Address: t o ,"7 t 9• �!'�, -i�
Permit Number: �Ll
❑ No one available for inspection: Time iPM
Re- Inspection required: Yes o
`When corrections have been made, call f r re- inspection at 303 - 234 -5933
r� �,
Date: 71 ° �� l `r� -1` Inspector:
DO NOT REMOVE THIS NOTICE
Y
A City of Wheat Ridge
Residential Roofing PERMIT 091532
rooolor
l~ PERMIT NO: 091532: ISSUED: 08/21/2009
JOB ADDRESS: 12779 W 31STAVE EXPIRES: -02/17/2010
DESCRIPTION:, T/o: Install 30 sqs=of -asphalt shingles.
**CONTACTS
j owner 303/909-5111 Howard Lynn.. Christensen
PARCEL INFO
ZONE :CODE- UA USE : UA
SUBDIVISION: 0708 BLOCK/LOT#: 0/
**'FEE SUMMARY ESTIMATED . PROJECT VALUATION: 5,310.00
FEES
W'< Permit Fee 162.90
Total Valuation .00
t" Use Tax 95.58
TOTAL 258.48
Y'
Conditions:
r;
Subject to field inspection.
6 nail installation & mid-roof inspection required. Board sheathing spaced more
than a 1/2 of an inch apart requires plywood overlay on entire roof. Ice and
(r` water shield required from'eave edge to 2' inside exterior walls.
' I hereby certify, that the setback distances proposed by this permit application are accurate, and do not violate applicable
ordinances, rules or regulations of.. she City of :Wheat 'Ridge or covenants, easements or -restrictionaof record; that all
a=' measurements shown, and allegations made are, accurate; that I have read and agree to abide by all conditions. printed on this
h: application and that I'.. assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C). and all other
applicable W at Ridge Ordinances, for work under this permit. Plans subject to field inspection.
5 gnat re of contractor/owner date
1 This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the
F State of Colorado and to the Zoning Regulations and Building Codes. of Wheat Ridge Colorado or any. other applicable
ordinances of the city.
2. This permit. shall expire 180 days from the issue date. Requests. for an extension must be received prior to expiration
' date. An extension may be granted at the discretion of the Building official.
3. If this permit expires,.. a new permit may be acquired for a fee of one-half the amount normally required, provided no
" changes have been or will be made in the original plans and specifications and any suspension or abandonment has not
:exceeded one (1) year. If changes have been. or if suspension or abandonment. exceeds. one (1) year, full fees :shall
be paid for anew permit. ,
4. No work of any manner shall be done that will. change the natural flow of water causinga drainage problem.
5. Contractor shall notify the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive
written approval on inspection card before proceeding with successive phases of the job.
6. The issuance of epem or he ap proval of drawings and specifications shall not be construed to be a permit for, nor
an approval of tion of the provisions of the building codes or anyother ordinance, law,rule or regulation.
All plan revit to field inspections.
Signature of Ch f Building Official :date
INSPECTION 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.
~m
oFw"E"Tq, City ofWheudge Building Division
29th Ave., Wheat Ridge, CO 80033
750 - ity of
0 W- C
Office: 303-235-2855 Fax: 303-235-2857
CoioRPO° Inspection Line: 303-2345933
Property Owner (plea
Mailing Address: (If different than property address) /
Address: ® O z ok .3 O l , dr l~J o /~t -1 C F>/riPr~o
State,
e'
Contractor License Phone:
.~j Q~ ! I
Electrical City License Plumbing City License Mechanical City License
Company: Company Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval:
Use of s ace description): Construction Value: $
C O . - - - - (as calculated per the Building Valuation Data sheet)
I Ago T. Plan Review (due at time ofsubmittao: $
Sq. Ft./L.Ft added: Squares J 6 BTU's Gallons Amps
OWNERICONTRACTOR 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 (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
CIRLCE ONE:: (OWNER) / (CONTRACTOR) or PERSONAL REPR.E,S,ENNTATIVE of (OWNER) (CONTRATOR)
PRINT NAME: o-&- !/foS SIGNATURE:4 y Date:
Date:
Plan
Permit
Building Permit Application
COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 16637
BUILDING INSPECTION LINE -(303-234-5933) Date : 1/9/2004
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Property Owner: LYNN
Property Address : 12779 W 31 ST AVE Phone : 4243026
Contractor License No. : 19206
Company : Positively Electric Phone : 423 1807
OWNER/CONTRACTOR SIGNATURE OF UNOERSTANDING AND AGREEMENT Construction Value : $1,000.00
I hereby certify that the setback distances proposed by this permit application are accurate, and permit Fee : $50.40
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 Plan Review Fee : $0.00
made are accurate; that I have r d agree to abid y all itions printed on this
application, and that I ass me full respon ility for c li e wi h the Wheat Ridge Buildin9 Use Tax : $12.00
Code (U.B.C.) and all ot er applicable Wh t Ridg di nces, or work under this permit.
(OWNER)(CONTRACTO A TO181 : $62.40
Use:
Description : 150 AMP SERVICE CHANGE
CDI~~y
BUILDING DEPARTMENT USE ONLY
SIC : Sq. Ft. :
Zoniiig Commsntg;
Approval :
Zoning :
Bullding Commenta:
Approval :
_
Public WorkS Comments:
Approval :
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No : 19206
Company : Positively Electric
Expiration Date : 2/28/2005
Approval : OKIKS
Plumbing License No :
Company:
Expiration Date : Expiration Date :
Approval : Approval :
Mechanical License No :
Company :
(i) This permit was issued in accordance with tha provisions set forth in yopur application and is subject to the laws of the State o/ Colorado and lo the Zoning
Regulations and Building Code of W heat Ridge, Colorado or any other applicable ordinances of the City.
(2) This pertnit shall expire if (A) ihe work authorized is nol commenced within sixty (60) days from issue date or (B) the building authonzed is suspended or
abandoned for a period of 120 days.
(3) If ihis permil expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the
original plans and specifcations and any suspension or abandonment has not exceeded one (1) year. I( 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 natural flow of water causing a drainage problem.
(5) Contractor shall notify the Builtling Inspector lwanry-four (24) hours in advance for all inspections and shall receive wntten approval on inspection card before
pmceediing with successive phases of the lob.
(6) The issuance of a permit or the approval of drawings and specifcations shall not be conslruetl to be a permit for, nor an approval of, any violation of ihe
provision t e bui tlin des or any other ordinance, law, mle or regulafion.
Chie uilding In ctor
Please sign Terms and Conditions on reverse side of page.
DEPARTMENT OF PLANNING AND DEVELOPMENT Buiading Permit Number :
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date :
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 APPLICATlo N
Property Owner : 1 y,U i✓
sr
Property Address :/1 77 9 Phone :
Contrector License No. : 1. 91 UG
Company : F'os. r.rir Phone :,3a3- ~i13->d'o7
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this pertnit applicatian are acwrale,
and do not violate applicable ordinances, rules or regulations of the City of INheat Ridge or
covenants, easements or restriaians of record; that all measurements shown, and allegations
made are accurete; that I have read and agree to abide by all conditions printed on this
application, and that I assume full responsibility for eompliance with the Wheat Ridge Buitding
Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
~
(OWNER)(CONTRACTOR)SIGNED S6H.~y__~ ATE i-S'-Gs~
Description : G'~ A~i '
Construction Value :
Permit Fee : Sa /v
Use Tax :
Total :
Use:
BUILDING DEPARTMENT USE ONLY
29piw"CMPES-, SIC : Sq. Ft. :
Approval:
Zoning :
Approval: Approval :
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No : 1,5>> 7 Plumbing License No : Mechanical License No :
Company : y~/; y_O~isr,: Company : Company :
Expiration Date : Expiration Date : Expiration Date :
Approval : Approval : Approval :
(1) TTis pertnit was issued in aaortfance wiN the pmvisions set forth in yopur aDPlifation anC is subjeet to the laws of the Slate of ColaraEO antl to the :.oninp
Regulations antl BuilOing CoOe ol Wheal Ritlge, ColoraOO or any olher applirable oNinances of the City.
(2) Tliis permit shall expire if (A) the work aWMnzed ia not commencetl witMin ainty (80) tlays hom iawa Oate or (B) the builtling authonzetl is suspandetl or
abanCOnetl for a penod of 120 tlays.
(3) If this pertnit expires, a new permit may be acquired br a fee o/ onahalf the artwunt nomully rcpuireq proviEed no ehanges have been or will Ee made in the
oriBinal plans an0 specifiwtlons anO any auapension or abanAOnment has not exceeCetl one (7) year. If changes are matle or if suspenaion or abantlonmenl
ezceeCS one (t) year, full fees anell 6e paitl for a new permit.
(4) No work of any manner shall Ee Eone Mat will changa the naNral Bow of water causing a drainage proDlem.
(5) Conirador shall notity the BuilEing Impector twenty-/our (24) hours in advance tor all inspections an0 shall receive wrdten appmval on inspection cmrtl Defore
proceetliing with successive phases of the pb.
(6) Tha issuance of a permit or Me approval ol drawin9s antl specificalions shall not be consWed W be a permit for, nor an approval ot any viWation af the proviaions
of Na building wdes or airy oNer oMinance, law, iule or regulatlon.
Chief Building Inspector