HomeMy WebLinkAbout6705 W 29th AvenueFrom: no-reolv(alci.wheatridae.m. us
To: CommDev Pets
Subject: Online Form Submittal: Electrical Service Change/Upgrade/Electrical Work Permit Application
Date: Tuesday, November 16, 20219:36:08 AM
Electrical Service Change/Upgrade/Electrical Work 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
Is this Residential or Residential
Commercial?
Property Address 6705 west 29
Property Owner Name Key offer Ilc
Property Owner Phone 303-884-5930
Number (enter WITH
dashes, eg 303-123-
4567)
Attach City of Wheat mage iDo
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
CONTRACTOR INFORMATION
Contractor Business RC Electric Inc
Name
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 Ruben Richard archilla
Permit
Email not displaying correctly? View it in your browser.
Contractor's License
020448
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
303-884-5930
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
Papiarchilla@gmail.com
Address
Retype Contractor
Papiarchilla@gmail.com
Email Address
DESCRIPTION OF WORK
Is this an electrical
Upgrade
service upgrade or
change?
Number of Amps
200
Location of work
House
(garage, house, etc)
Provide additional
Upgrade service to 200amps
details, if needed.
Project Value (contract
2500
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
City of Wheat Ridge
Community Development Department
Mpmnrandum
TO: Accounting Department
FROM: Kim Cook, Building Division
SUBJECT: Refund for Permit
DATE: September 29, 2017
Reason: Contractor submitted duplicate permits and paid twice for the same
permit; permit fees need refunded for Permit No. 201701,,1328 at 6F05 W. 29th
Avenue. 1 -10 1 u
Please refund: Contractors License$ (acct 01-510-00-513)
80% permit fee: $138.08 (acct 01-510-00-516)
0% plan review $ (acct 01-550-05-551)
100% use tax: $151.20 (acct 01-500-02-505)
Total: $289.28
TO:
Summit View Roofing
1630 Carr Street Suite A-3
Lakewood CO 80215
Thank You!
" 01"4
Permit Technician
City of
Wheat�dge
COMMUNITY DEVELOPMENT
C!1�1014�5 �'1 �1d.lro �3f og
0011
_7
City of Wheat Ridge Municipal Building 7500 W. 29`b Ave. Wheat Ridg , 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. 291h Ave., Wheat Ridge, CO 80033.
Company Name/Name (to whom check should be made out to):
Address: /63o C rr-z e' d s7t, /
City: Z�LkG'L-j�t� '/� State: (:fv Zip: `f
Phone: --303— � � o>— Fax:
Email: Ina fifi. -S." 644-)
'0- -
Permit #: �(� 0 � Permit Address: (,e4%-0 5
Reason for request:
Printed Name: LTJ /1' Signature: Dater
For office use only Qlj� O K
This request has been: A prove Denied Refund Amount:
Approved by:
L Date: q
www.ci.wheatridge.co.uS
City of Wheat Ridge
09/29/17 14:37 Valuation/Fee Money Postings List/Update
crl2l_pg.php/Job No: 3361
In Update Mode
Permit
Receipt
Payment
Fee
I Amount
No
No
Date
Code Description
I I
Paid
201701328
CDA014565
06/01/17
PRM Permit Fee
138.08-
201701328
CDA014565
06/01/17
USE Use Tax
151.20 -
TOTAL 289'28
Page 1 of 2
USER: KCOOK
09/29/17 14:37
City of Wheat Ridge
cr121_pg.php/Job No: 3361
Valuation/Fee Money Postings List/Update
Page 2 of 2
USER:KCOOK
GL Posting Summary
GL
Account
Description
01-101
BPS PERMIT PAYMENTS
its
Credits
O1-500-02-505
BPS PERMIT PAYMENTS
289.28-
0.00 1ST WR/G
O1-510-00-516
BPS PERMIT PAYMENTS
0.00
151.20 USE TAX
TOTAL
0.00
138.08 BUILDING
289.28-
289.28
City of Wheat Ridge
Residential Roofing PERMIT - 201701328
PERMIT NO: 201701328 ISSUED:
JOB ADDRESS: 6705 W 29th AVE EXPIRES:
JOB DESCRIPTION: Reroof - 45 squares GAF Timberline
*** CONTACTS ***
OWNER (303)906-1810 PADIA NADINE B
SUB (303)898-5915 Matthew Mazur
06/01/2017
06/01/2018
170111 Summit View Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 1
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,200.00
FEES
Total Valuation 0.00
Use Tax 151.20
Permit Fee 172.60
** TOTAL ** 323.80
*** COMMENTS ***
*** CONDITIONS ***
Effectiva Tlarambar 1 JniA acnhalt shingle inetallations require an approvcd m' -I rof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding k/2 -inch exists. 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 manufacturera€ms 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's 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.
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Residential Roofing PERMIT - 201701328
201701328 ISSUED: 06/01/2017
6705 W 29th AVE EXPIRES: 06/01/2018
Reroof - 45 squares GAF Timberline
Ib, m�sigat
uredo hereby attestthat theworktobe perfomed shapplcaleilding codesand all applicable municipalcodespolicby the gal 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 ali entities named within this document as pames to the work to be
performed,nd, at all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
nifture of OWNER or CONTRACTOR (Circle one) Date
This permit was issued based on the information provided in thepermit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
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.
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 andprocedures 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.
No work of an manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
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.
The issuance or grantirkgf 4. 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 ord nce or regul� of this j isdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS NUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. 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
eat i
Building & Inspection Services Division
7500 W. 29'x' Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-23778929
Inspection Line: 303-234-5933
Email: per mits(aD_ci.wheatridge.co.us
FOR OFFICE USE ONLY
Plan/Permit # dlJ
/o)3�S
Plan Review Fee:
**° Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed.
Property Address: G 7o s &/ z 2 � ,a,,, goo 3o
Property Own®r (please print):a✓, �?e_ o% �- Phone: 30 3 - 90� - �g/O
Property Owner Email: 9 P4.4o6 . �0.�•7
Meiling Address: (if different than property address)
Address:
City, State, Zip:
Archltect/Englneer E-mail: Phone:
Contractor: SL"In_041 • , l f/;!2 4..
Contractors City License #: 170 &1 Phone: 7zo -
Contractor E-mail Address: Tres'ol.
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH stases of this form
❑ COMMERCIAL ❑ RESIDENTIAL
DescriRtion of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION URESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION LJ 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 detiiillga 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.) it a roo d,� : ( oda..-.cu�� . .Z 3 sg -4---s of ones,�,�
7—,'o"44er/Ae— .
Sq. Ft./LF
Amps
6Ar
Btu's
Squares 23
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 perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application.
CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
PIM NAME: SIGNATURE:
ZONING COMMMENTS:
Reviewer;
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received
Water District ❑ Received
Sanitation District ❑ Received
DEPARTMENT USE ONLY
❑ Not Required
❑ Not Required
❑ Not Required
DATE: /,—/—/7
OCCUPANCY CLASSIFICATION:
TYPE OF CONSTRUCTION:
SPRINKLERED:
OCCUPANTLOAD:
Building Division !Valuation: $
City of Wheat Ridge
Residential Roofing PERMIT - 201701328
PERMIT NO: 201701328 ISSUED:
JOB ADDRESS: 6705 W 29th AVE EXPIRES:
JOB DESCRIPTION: Reroof - 45 squares GAF Timberline
*** CONTACTS ***
OWNER (303)906-1810 PADIA NADINE B
SUB (303)898-5915 Matthew Mazur
06/01/2017
06/01/2018
170111 Summit View Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 1
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,200.00
FEES
Total Valuation 0.00
Use Tax 151.20
Permit Fee 172.60
** TOTAL ** 323.80
*** COMMENTS ***
*** CONDITIONS ***
Effectiva Tlarambar 1 JniA acnhalt shingle inetallations require an approvcd m' -I rof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding k/2 -inch exists. 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 manufacturera€ms 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's 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.
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Residential Roofing PERMIT - 201701328
201701328 ISSUED: 06/01/2017
6705 W 29th AVE EXPIRES: 06/01/2018
Reroof - 45 squares GAF Timberline
Ib, m�sigat
uredo hereby attestthat theworktobe perfomed shapplcaleilding codesand all applicable municipalcodespolicby the gal 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 ali entities named within this document as pames to the work to be
performed,nd, at all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
nifture of OWNER or CONTRACTOR (Circle one) Date
This permit was issued based on the information provided in thepermit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
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.
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 andprocedures 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.
No work of an manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
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.
The issuance or grantirkgf 4. 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 ord nce or regul� of this j isdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS NUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. 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
eat i
Building & Inspection Services Division
7500 W. 29'x' Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-23778929
Inspection Line: 303-234-5933
Email: per mits(aD_ci.wheatridge.co.us
FOR OFFICE USE ONLY
Plan/Permit # dlJ
/o)3�S
Plan Review Fee:
**° Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed.
Property Address: G 7o s &/ z 2 � ,a,,, goo 3o
Property Own®r (please print):a✓, �?e_ o% �- Phone: 30 3 - 90� - �g/O
Property Owner Email: 9 P4.4o6 . �0.�•7
Meiling Address: (if different than property address)
Address:
City, State, Zip:
Archltect/Englneer E-mail: Phone:
Contractor: SL"In_041 • , l f/;!2 4..
Contractors City License #: 170 &1 Phone: 7zo -
Contractor E-mail Address: Tres'ol.
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH stases of this form
❑ COMMERCIAL ❑ RESIDENTIAL
DescriRtion of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION URESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION LJ 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 detiiillga 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.) it a roo d,� : ( oda..-.cu�� . .Z 3 sg -4---s of ones,�,�
7—,'o"44er/Ae— .
Sq. Ft./LF
Amps
6Ar
Btu's
Squares 23
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 perform the described work and am also authorized by the legal owner of any
entity included on this application to list that entity on this application.
CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
PIM NAME: SIGNATURE:
ZONING COMMMENTS:
Reviewer;
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received
Water District ❑ Received
Sanitation District ❑ Received
DEPARTMENT USE ONLY
❑ Not Required
❑ Not Required
❑ Not Required
DATE: /,—/—/7
OCCUPANCY CLASSIFICATION:
TYPE OF CONSTRUCTION:
SPRINKLERED:
OCCUPANTLOAD:
Building Division !Valuation: $
s City of Wheat Ridge
Residential Roofing PERMIT - 201701833
PERMIT NO: 201701833 ISSUED: 06/10/2017
JOB ADDRESS: 6705 W 29th AVE EXPIRES: 06/10/2018
JOB DESCRIPTION: Residential reroof: Install GAF Timberline, main house and shed, 25.33
squares
*** CONTACTS ***
OWNER (303)906-1810 PADIA NADINE B
SUB (303)898-5915 Matthew Mazur 170111 Summit View Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 13,100.00
FEES
Total Valuation 0.00
Use Tax 275.10
Permit Fee 267.70
** TOTAL ** 542.80 -_-
*** 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) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding A/2 -inch exists. 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 manufacturera€lms 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's 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 - 201701833
PERMIT NO: 201701833 ISSUED: 06/10/2017
JOB ADDRESS: 6705 W 29th AVE EXPIRES: 06/10/2018
JOB DESCRIPTION: Residential reroof: Install GAF Timberline, main house and shed, 25.33
squares
I, by in 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 mwIicipal 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.
n4ure of OWNER or CONTRACTOR (Circle one) Date
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.
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.
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.
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.
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.
The issuance or granting of a permit shall not be construed to be a permit for, or an approvals t,, n violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field iinspection.
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.
Antoinette Kulick
�C)noig33
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, June 8, 2017 7:43 AM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
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. 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. Permits are currently being
processed within 24-48 hours, subject to change based on volume.
For all other requests: V
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Existing permits that require amendments (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.
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
Do you have a signed
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
6705 W 29th Ave., Wheat Ridge, CO 80030
Nadine Padia
303-906-1810
swseibukan@yahoo.com
Yes
CONTRACTOR INFORMATION
Contractor Name Summit View Roofing
s
Contractor's License
Number (for the City of
Wheat Ridge)
Contractor Phone
Number
170111
720-965-0126
Contractor Email Address jreid.summitview@gmail.com
(permit pick-up
instructions will be sent
to this email)
DESCRIPTION OF WORK
Is this application for a
new permit for a
residential roof?
Are you re -decking the
roof?
Description of Roofing
Material
How many squares of
material?
Provide additional detail
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Yes
No
GAF Timberline
25.33
Main house and shed.
Project Value (contract 13,100
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
z
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 Jake Reid
Email not displaying correctly? View it in your browser.
NL
PREFERRED
CONTRACTOR
Name:
SUMMIT VIEW
ROOFING
Contract for Repairs
A+ RATED
_363. 093 , vrvelS
Job Address: (j 7 0 J� Ne! c) ! 7h Jq—Email:-_s �A S E L Q>U VC4,rti ` ye, �0 E
City/State/Zip:
Insurance Co
lyn
Claim # o /..7 7 :� a/? 7
CONTRACT FOR REPAIRS INCLUDE:
Man„cture__ AA Shingle/tile col
nsta11 new shingles
Tear off Shingle Layers
Referral Bonus $100
11�Drip Edge %01 % k t
Skylights# Size
Pipe vents Base and Sealer
Protect all Landscaping
t
rkkwvo
cr-
Clean up removal
elt paper 15#_30# Syn
ashing Metal Ice/Water
Roof Venting -per existing vents
tarter/Ridge X_High profile
ermits/Inspections
Syr Labor Warranty
1 I Cash Bid Price and estimate scone: Summit View Roofing, Inc. will perform the above specifications for
the amount of $
The Insurance contract price and scope INSURANCE WORK TERMS/SCOPE: By signing this agreement,
the Owner authorizes SUMMIT VIEW ROOFING INC. to pursue and perform all repairs approved by the
insurance company and SUMMIT VIEW ROOFING INC. at a price agreed to by the insurance company
(Replacement Cost Value) and SUMMIT VIEW ROOFING INC. SUMMIT VIEW ROOFING INC. is not
obligated to perform any part of the scope that is not approved by the insurance company. The final price and scope
agreed between the insurance company and SUMMIT VIEW ROOFING INC. shall become the final contract price
and approved scope of repairs (final insurance contract price and scope). SUMMIT VIEW ROOFING INC. will
perform the final insurance contract price and insurance scope at NO COST TO THE OWNER, EXCEPT FOR THE
INSURANCE DEDUCTIBLE. For payment schedule please see below and terms and conditions on back of
contract. '
Total Insurance contract price/Replacement Cost Value: (
Payments shall be: Initial ACV (Actual Cost Value) check payab e upon receip � /, n;7 ials n
Remaining amount due upon receipt of Depreciation checks and any checks for Supplemental work”,
ACCEPTANCE OF CONTRACT
SUMMIT VIEW ROOFING INC. is hereby authorized to perform all prescribed repairs for the "final insurance
contract price and scope" or the "cash bid price." The terms and specifications identified on the front and back of
9ZTO-S96 (OZL)
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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:
❑ No one available for inspection: Time ' AM/PM))
Re -Inspection required: Yes \No
When corrections have been made, call for re -inspection at 303-234-5933
i ��_ /r' �T
Date: G � Inspector: --
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE: s
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: AeD ,
Job Address: Lj a `! �' -A u
Permit Number: �}q� 7 Q 1 -1 4 7
❑ No one available for inspection: Time S AM/PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303:2134 933
Date: 7 Inspector:
ti
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • 003) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address:'1C�`��
Permit Number: �2C/'>0/S7 3
1 \
L!, No one available for inspection: Time Ci /PM
Re -Inspection required: Yes/ Noj
When corrections have been made,( call -fir re -inspection at 303 -234 -
Date: 0 - y` \
,
Inspector: e�'
DO NOT REMOVE THIS NOTICE
s
1 \
L!, No one available for inspection: Time Ci /PM
Re -Inspection required: Yes/ Noj
When corrections have been made,( call -fir re -inspection at 303 -234 -
Date: 0 - y` \
,
Inspector: e�'
DO NOT REMOVE THIS NOTICE
Inspection Typ
Job Address - 7 `
Permit Number
s
3
F
o No one available for inspection: Time AM /f
Re- Inspection required: (1'es,z' No
.
When corrections have been made, call for re-inspection at 303 - 234 - 5933
Date: 2e� fr Inspector ` e
DO NOT REMOVE THIS NOTICE
"4 City of Wheat Ridge
r40 00 or-
Residential Plumbing PERMIT - 110845
PERMIT NO: 110845 ISSUED: 07/19/2011
JOB ADDRESS: 6705 W 29TH AVE EXPIRES: 07/18/2012
DESCRIPTION: Replace 60 if of sewer line inyard with clean outs
* ** CONTACTS * **
owner 303/232 -2421 Nadine Padilla
sub 303/696 -9599 Steve Wakeham 01 -9921 Pipeline Industries, Inc.
** PARCEL INFO **
ZONE CODE: UA
SUBDIVISION: 0516
USE: UA
BLOCK /LOT #: 0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 4,640.00
FEES
Permit Fee 125.05
Total Valuation .00
Use Tax 83.52 !t
** TOTAL ** 208.57 e'
Conditions:
Subject to field inspections.
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 name _ ment as parties to the work to be performed and that all work to be performed is disclosed in
this doc ent and acco anying approved plans and specifications. /
Signature of /JOWNEA 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.
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 fiel in etion.
Signs e o hief Building Offical Date
IN ECTION 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.
Y 7 City of
Wheat lC'ge Date:
COMMUNITY DEVELOPMENT
Plan #
Building & Inspection Services Division Permit
7500 W. 29" Ave., Wheat Ridge, CO 80033
Office: 303 - 235 -2855 * Fax: 303 - 237 -8929
Inspection Line: 303 - 234 - 5933
/7 Building Permit Application
Propertq Address: t/ f% G{/ 2 Y AVC
Property Owner (please print): ADIA- tG /� / / Phone:
Mailing Address: (if different than property address)
Address:
City, State, Zip: 0
Coiitracto : ! j - t N��t/ �1
Contractors City License #: Phone: 95 g
SutiContracttiis
Electrical: Plumbing: Mechanical:
City License # City License # City License #
bescrlptlorrof aaock
6 0 P4, SQwCI $ei VICt• y i►v.0 fZe 1 ContractV�}e,
Review Fee (due at time of submittal):
Squares BTU's Gallons Amps Sq Ft. $
OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
1 hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on
this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work
and am also authorized by the legal owner of any entity included on this application to list that entity on this application.
CIRCLE ONE: (OWNER) CONTRACTOR) r (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
PRINT NAME: V � /'lA�rS V SIGNATU : DATE:
�-
�/ ,! rs < u a 's' � t"'�. ✓ .-.. q wa /,� �,�.r2t = '> F5'` l:%. c,- r'�/ � 'r , s !`��
✓ �.ONI{dO COMMENTS "' > ✓'✓ ✓' r YY>' r, t" un -. rF �� ea ✓ ✓` y �Si„ s :.. / � f ;. � ✓ ` J^ > o � � i
� �1 YOhl va' �f_✓ +J F. mr�N ;, l < ✓� � .,'✓ x ,�
R9 r `- .✓.,•.�� 15 -c ,'- „C..mw 4�, (.� r'' n ?� ✓ 5 u .. "wj` / G� i� -
i, ✓.✓� � oe.,� w , , ..��..,. fir. ,... <Cl��s. ✓tir,Y..� -T , :.G'� e �.F.u.%.<P.,,. z�� , ✓,:r S :.ft..,. � usywr�. �s✓ $k`,... .^s.U..e�
FIRE pEPARTMENT ❑ approu�d W/ GOmme �O"FL58OpfoVed +Deno y vleW reged �� Bldg Valuation $
f F �
"I mr M111 1111111.\
r wnanllncJi
■� `( �� ■rte
/■��'1111�_ � ," .. __� ■ J AI „ ��` /j.�r■jlr'��� JOB DATE
07/20/11
INDUSTRIES INC. DATE 07/19/11
P.O. Box 370 • Watkins, CO 80137
(303) 696 -9599 ES J eS e
Fax(303)671-6871 rRVICEMAN
[earvw��r
01_
J "610718055
CALL ORIGIN
PO #
JOB INFORMATION
BILLING INFORMATION
NAME Nadine Padilla
NAME
ADDRESS 6705 W 29th Ave
ADDRESS
CITY Wheat Ridge
IF09
zIP 80214
CITY
STATE
ZIP
PHONE 303 - 232 -2421
PHONE
DESCRIPTION OF SERVICES
ESTIMATE
EXCAVATE AND RELPACE 4" SEWER 70' YARD REPAIR FROM SIDE OF
$ $4,640.00
HOUSE TO FRONT, 9' DEEP. CORRECT GRADE; EXCAVATION WILL CROSS
WATER LINE
*Includes: Excavation, Plumbers, Laborers, Pipe & Fittings,
Bedding, Backfill, Compaction, Asphalt remove and replace
lean -up, Haul Away and Permit and Inspection.
All it ems Inc u ed if necessary
-
❑ WARRANTY Terms of Warranty:
APPROVAL X
SIGNATURE
Excl un ovemen (Acts OT Nature)
COMMENTS:
THANK
YOU
ACCEPTANCE
OF INVOICE X
SUBTOTAL $4,640:00
TAX
PLEASE PAY
THIS AMOUNT $ 4,640.00
SIGNATURE
ITEMS NOT INCLUDED: Landscape, grass, sod ,rtrees, bushes, flowers, plants, fence
repair, decorative rock, utility conflicts, private utilities, sprinklers, waterlines, electrical, gas,
etc. Not responsible for damage caused by unstable soil, cave -ins or any other complications.
TERMS: Job cancellation fees will apply. invoices are payable -1/2 down and balance upon
completion of work performed. Any invoice not paid when due, shall incur interest at the rate
of 18% per annum. In the event that it becomes necessary to collect any unpaid balance
owed, Pipeline Industries, Inc. shall be entitled to receive all costs of collection, including
reasonable attorney fees. Pipeline Industries, Inc. shall be entitled to assert a mechanic's
lien for all unpaid materials and labor supplied to building projects pursuant to Colorado law.
X SIGNATURE
VISA E! M/C ❑AMEX
CARD # - EXP
APPROVAL #
❑ CASH ❑ CHECK #
CHARGE A/R ACCOUNT #
OF WHE'~A~' City of Wheat Ridge
°OLoRpa° Residential Plumbing PERMIT - 061196
PERMIT NO: 061196 ISSUED: 12/11/2006 .
JOB ADDRESS: 6705 29TH AV EXPIRES:
DESCRIPTION: sewer line repair in yard 10' pipe + 2 clean outs
CONTACTS
gc 303/288-0400 Corp.. 01-7959 Roto Rooter Service Co.
owner Nadine Padilla
PARCEL INFO
ZONE CODE: UA . USE: UA
SUBDIVISION: UA BLOCK/LOT#: 4/
FEE SUMMARY **ESTIMATED PROJECT VALUATZON: 31350.00
FEES
Permit Fee 126.50
Total Valuation .00
Use Tax 60.30
TOTAL **186.80
Comments: -
Subject to field inspection
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 ahown, and allegatione made are accurate; Chat I have read and agzee to abide by all conditions printed on this
application and thAt I assume.full responsibility for compliance-with Che Wheat Ridge Building Code (I.B.C) and all other
applic e Wheat Ridge Ordinancee, for work under this permit..Plans subject to field inspection.
2-i(-o(~
date
1. This permit was issued in accordance with the provisions aet forth in your application and is subject to the laws of the
State of Colorado and to the Zoning Regulations and Building Codes of wheat Ridge, Colorado or any o[her applicable
ordinances of the City.
2. This permit ahall expire if (A) the work authorized is not commenced wi[hin sixty (60) days from issue date or (H) the
building authorized is suapended or abandoned for a period of 180 days. 1
rovided no
3. If thie permit expires, a new permit may be acquired for a fee of one-half the amount normally required, p
changes have been or will be made in the original plane and specifications and any suspension or abandonment has not
exceeded one (1) year. If changes have been or if suspension or abandonmen[ exceeds one (1) year, fu11 fees shall
be paid for a new permit.
4. No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
5. Contractor shall notify the Building Inspectar twenty-four (24) hours in advance for all inspections and ehall receive
written approval on inspection card before proceeding with svccessive phases of the job.
6. The isauance of a ermit o the a rovV10i,.nt gs and specifications shall not be construed to be a permit for, nor
an apprwal of, any vio . n of Pp p the building codes or any other ozdinance, law, rule or regulation.
All plan review is s ec f ~ Signature of Chief Huilding Offical ~ date
INSPECTION REQUEST LINH: (303)234-5933 BUILDING OFFICE: (303)235-2855
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY POR INSPECTION THE FOLLOWING BUSINESS DAY.
COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number:
ofW"E9r~, BUILDINGINSPECTIONLINE-303-234-5933 Date:
~ o CITY OF WHEAT RIDGE
° " 7500 WEST 29TH AVENUE PLAN #
WHEAT RIDGE, CO 80033 - (303-235-2855)
cOLORPO~ MrNon aPPLleATroN
Property Owner: , nP. V. C~. t ( q
Property Address: 6 7 0 Phone:
Contractor License No.:
Phone:
. -
Company: Ra}D.- r-
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT guildinq Dept. Valuation Figure:
I hereby certify that the setback distances proposed by Ihis 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 appiication and that I assume (ull responsibility for
compliance with lhe W heat Ridge Building Code (I.B.C) and all other applicable W heat
Ridge Ordinances, for work under this permit. Plans subJect to field inspection.
(O W NER)(CONTRACTOR): SIGNEO_.~o M
Z -11-
V alue: $
Permit Fee:$
Plan Review Fee:$
Use Tax:
TOt31: $
Use of Space (description):
Descriptionofwork:Scue~_ U ,1 fZ~f,o,, ' S~{-G`~'~~~lS.,.~--tP
Sq.Ft.added
BUILDING DEPARTMENT USE ONLY SIC: Sq.Ft.:
COMMENTS:
Approval:
Zoning:
COMMENTS:
Approval:
W ORKS COMMENTS:
Approval:
IRE DEPARTMENT COMMENTS: I I
Approval:
Occupancy Walls Roof: Stories: Residential Units:
Electrical License No: Plumbing License No: Mechanical License No:
Company: Company: Company:
Expiration Date: Expiration Date: Expiration Date:
Approval Approval: Approval:
(1) This permit was issued in accordance with the provisions set forth in your application and is subject to the laws of ihe State of
Colorado and to the Zoning Regulations and Building Codes ot Wheat Ridge, Colorado or any other applicable ordinances of
the City.
(2) This permit shall expire if (A) the work authorized is not commenced within sixry (60) days from issue date or (B) the building
authorized is suspended or abandoned for a period of 180 days.
(3) If this permit ezpires, a new permit may be acquired for a fee ot one-half the amount normalty required, provided no changes
have been orwill 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 a new permit.
(4) No work of any manner shall be done that will change the natural flow of water causing a drainage problem.
(5) Contractor shall notify the Building Inspector lwenty-four (24) hours in advance for all inspections and shall receive writlen
approval on inspection card before proceeding with successive phases of the job.
(6) The issuance of a permit or the approval of drawings and specifications shall not be wnstrued to be a permit for, nor an
approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan review
is subject to field inspections.
Chief Building
COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 17674
BUILDING INSPECTION LINE -(303-234-5933) Date : 9/9/2004
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80033 - (303-235-2855)
Property Owner: NADINE PADIA
Property Address : 6705 W 29TH AVE
Phone : 232-2421
Contractor License No. : 17152
Company : Precise Plumbing
Phone : 534 0881
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value : $580.00
I hereby certify that the setback distances proposed by this permit application are accurate, and
permit Fee : $34.52
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 allegalions
Plan Review Fee : $0.00
made are accurate; that I have read and a9ree to abide by all conditions printed on this
00
Use Tax : $0
application, and that I assume full responsibility for compliance with the W heat Ridge Building
.
Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
To I: $34.52
(OW NER)(CONTRACTOR) SIGNED DATE
Use:
Description : REPLACE WATER HEATER
BUILDING DEPARTMENT USE ONLY
Z,ant60oww@Hts: SIC : Sq. Ft. :
Approval:
Zoning :
ButCdi6g C?MnlWk5a~
Approval:
hutiljC-Norks Com~~6ts
Approval :
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No :
Company:
Plumbing License No :
Company :
Mechanical License No :
Company :
Expiration Date :
Approval :
Expiration Date :
Approval :
Expiration Date :
Approval :
(1) This permit was issued in accordance wilh the provisions set forih in yopur application and is subjecl to the laws of the State of Colorado and to the Zoning
Regulations and Building Code of W heat Ridge, Cobrado or any other applicable ordinances of ihe Cily.
(2) This permit shall ezpire if (A) the work authorized is not commenced within sizty (60) days from issue date or (B) the building authonzed is suspended or
abandonad for a period of 120 days.
(3) I( this permit expires, a new partnit may be acquired for a fee of one-half the amount normally required, provided no changes have been or wilt be matle in the
original plans and specifcations and any suspension or abandonment has not exceeded one (1) year. If changes are matle or if suspension or abandonment
exceeds one (1) year, full tees shall be paid for a new permit (4) No work of any manner shall be done that will change the natural 9ow of water causing a drainage pmblem.
(5) Contractor shall notiy the Building Inspector hventy-four (24) hours in advance for all inspections and shall receive writlen ap0mval on inspedion wrd before
proceetliing with successive phases of the job.
(6) The issuance of a permit or the approval of tlrawings and specifcations shall not be construed to be a permit tor, nor an approval of, any vialation of the
provisions of the building codes or any other ortlinance, law, rule or regulation.
~
Chief BLit ing I
Please sign Terms and Conditions on reverse side of page.
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Pernut Number:
BiTILDING IN5PECTION LINE - 303-234-5933 Date:
CITY OF WHEAT RIDGE
7500 WE5T 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
~~UCATtON
Property Owner: lV.a d~'., z~~'
Property Address: Phone :-303-2 31" a
Conhactor License No.: / 7/ 3" 2.
ComPal'Y Prr c i s r P/v~ kl,L t 'Zv L Phone: S3 y M rS' Sr/
OWNER/CONCRACTOR 9IGNATUR& OF UND&RBfM'DING AND AGR&&t.f&NT
I hearby ceR.ify that ihe aetback diatances propoud by this pmmit application ero
accurate, end do not violate applioabla ordinances, ntlee or ngulatiwu of the CiTy
eF Whont Ridge or covmWS, oosommfq or ioa4'i9tivua of raoord; Lut dl
measurements shown, uid ellegations made are accurate; that I have reed md
agrx to ebide by n(l coaditione pri¢ted m iSis applioetions and that I asaume full
reaponaibility for oomplia¢ce witk the Wheat Ridge Build'wg Code (U.B.C) md
sil other applicable Whea[ Ridge Ordimnoes, for wmk uaderthie pmmit
COIISISI1CLloII V31ll8: l^ a-45'
Permit Fee: > s Q,
Plan Review Fee:
TOt31: _3 5"}..
(OWNMXCON712ACfOR): SIl}NZC A1R
Description:
~.Ir/o/lc¢ wAL/-.- b.rA
fy 'f
BUILDING DEPARTMENT USE ONLY
SIC: Sq.Ft.:
Approval:
7,oIl1Rg:
owmtw":
Approval:
mm:kViwai"
Approval:
Occupancy: Walls: Roof: Stories: Residential Units:
Elechical License No: Plumbing License No: Mechanical License No:
Company: Company: Company:
Eacpiration Date: Expiration Date: Expiration Date:
Approval:. Approval: Approval:
(1) 11tis peanit wu issuad in sccacdance with the pravisiom eat forth in yow eppliution md is mbject W rbe Inws of the Stata of ColoreAo and W the Zoning
Regula4ona md Building Coda of Whut Ridge, Colaado or my oNe epplimble ocdimnw of Yua Ciry.
(2) Tlua pexmit shall mryue if (A) the wwk autlvuizad 'u ¢nt commmcad withiu vixry (60) drya frwn iuue date o[ (B) Ne btilding authorized ia xuspended or
ebendonad for e peciad of 170 daya.
(3) tf Uila pmnit mep¢as, a mw pewit may be ecquved tor a tee of ono-Lolt the emount nomally [equued. Pravided m ctwnyei luve bem or will 6e made in
tLe origuulplam md apaifiutiom aod em' wpamion o[ ebaodammt ha+aot mcceadad ona (1) Yeu. [CeherQm hm been ar if supuuian ar abmdooment
mcceedeme(1)ye¢.fuRfeesaFWlbepudfva newpamut
(4) NowodcofaaymamersdeRbedomtlutwilLeMngethemNNaowofwatxuroin¢a drumyepcoblem
(5) ConhacWr shall noL'Sy the Huilding Inspectox twanty-fou (24) Loucs in sdvaoce ta all ioapactions and nhall cxeive wriken eppcwal on impectlon cud before
proceediog with succmssve phuw of thejob.
(6) 'Ihe nwnce of a pamiit or the appraval of Mwinge and speciLutiou shell not be conuutued m be a pmnit for, nor an approval of, vry violation of the
provuiws of Ihe btildiog wdm or am' othar oedimneF Lw. iule wregulatlon.
Cluef Building Inspector
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 4849
BUILDING INSPECTIf?N DIVISION - 235-2855
" CI7Y OF WHEAT RIDGE Date : 4/9/97
~S 7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner .
Property Address : 6705 29TH AV Phone : 973-2621
ContractorLicense No. :
Company : Phone :
OWNER/CONTRACTOR StGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit applicatbn are accureta,
and do not violate applicaWe oMinances, mles or regulatlons of the City of Wheat Ridge or
covenants, easemerrts or restAdions of reCOrcl; that all measurementsshown, and allegations
madeare accurate; thatl bave read and agree to abide by all conditio printed on this
application, and that I aseume fud responslbility frn complience wit N/heat Ridge BuiWing
Code (U.B.C.) and all otlrer appliwbt4 W~t Ridye o~inances r workunder this permN.
.
Description : 6 SQUARES
Construction Value :
$600.00
PermiCFee :
$24J5
Plan Review Fee :
$0.00
Use Tax:
$12.00
Total:
$36J5
BUILDING DEPARTMENT USE ONLY
SIC : Sq. Ft. :
Approval :
Zoning :
Approval :
Approval:
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No : Plumbing License No : MechaniCal License No :
Company: Company: Company:
Expiration Date : Expiration Date : Expiration Date :
Approval : Approval : Approval :
m
(7) This permft waa issued M eccoMance with the provisions set foM in yopur pppllcatlon and is subiecl to Me lawa of the State ot Cdaado and to the Zaning
RegWaUons and BuiitlingGode W 1Mlest RMQe, Cobretlo or any WMr applkable adMances of the Ctty.
(2) This perm~t shaXexqre R(A).the xrork auMonzetl is not commencetl mthinsizty (80) tlays from issue date w(B) the bulltlirg autlwrizetl ia suspendetl or
abandoned for a period ot 130 tlays. .
(3) If this permit expires, a new parmi t may be acquired for a fee of one-helf the amount normaly requiied, provided rro chenges have been or witl be made in fhe
ai9inal plana and spea0cafions and any suspension or aDendonment has not ezceedatl one (1) year. If changes are maAe w if suspeireion or abandomment
exceetls one (t) year, PuN tees shall be paltl for a new permk. (4) No work of eny manner shell be tlone that will change the naWref Aow of water causing a Arainage proMem.
(5) CoMreclor shalt rrodry Me BuBdirq Inspector N'eny-four (24) houn in aavance kr all inspeetions and shall receive vMften approval on inspection card betore proceediinp wtth succeafvepha eea M theIob.
(s) . The issuance M a pertMtor tha: approval atdrawinps and specifications shall rwt be construed lo be a permk for, noran approvel ot, aMj vblation M the proWeions
of theAuiWing cotlea w,em oMer oNhance, Iaw, rule or regula4on . .
jilding Inspector
PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number :
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date :
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
~ Property Owner :N AD iNC QAtDIA
A- Property Address : y° z1y Phone :
Contractor License No. :
Company : k Phone : q -73- 26 Z)
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 Rid9e 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 pnnted on this
application, and that I assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR)
Construction Value :'~5~°"
Permit Fee :
Plan Review Fee :
Use Tax :
Total :
Description: SwJctieS Da 5iq(r^'
BUILDING DEPARTMENT USE ONLY
SIC : Sq. Ft. :
Approval :
Zoning :
BUi fdi~CjoFri'fiieFts~
Approval:
Approval :
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No :
Company:
Expiration Date :
Approval:
n FAMSM
Plumbing License No :
Company :
Expiration Date :
Approval :
9 CI_~RMMM
Mechanical License No :
Company:
Expiration Date :
Approval:
n ~era~~sR~at~~
(1)
This permit was issued in ai
Regulations and Building Ci
(2)
This pertnit shall expire if (A
abandoneE for a period of 1
(J)
If ihis permit expires, a new
original plans anC specifical
exceeds one (7) year, full fe
(41
No work of any manner sha
(5)
Contractor shall noliry the B
proceetliing with successive
(6)
The issuance o( a permit or
of the buil0ing codes or any
ith the provisions set torth in yopur appliwtion antl is sub1'ect to the laws of the SWte of Colo2tlo antl to the Zoning
it Ridge, Colorado or any oMer applicable ordinances of the City.
uthonzed is not commencetl within sixty (60) tlays from issue dale or (e) the buildinq authonzed is suspended or
be acquired lor a fee of one-half the amount nortnally required, provided no changes have been or will be made in the
y suspen5ion or abandonment has not exceetle0 ane (1) year. If changes are made or if suspension or aban0onment
oaid for a new permit.
at will change the natural tlow of water causing a drainage problem.
:ctor Iwenly-four (24) hours in advance tor all inspedions and shall receive wririen approval on inspection card before
de Ioh.
d of drewings and specifcalions shall wt be construetl to be a permit for, nor an appmval oC any violation of the provisions
ince, law, rule or regulali0n.
Chief Building Inspector
For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION