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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&#39;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&#39;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&#39;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) 60Z0S OD 'JanuaO OOS-OOZ alinS 'Aempeoag glnos £OE Januaa 41 Or LS �aIeQ uoilaiduloD 'lsg � Z 698L -8b9 (6TL) ST608 OJ 'sSuudS opejoloD E£T al!nS 'Amid sj4nl8 u!lsnd 49TV s8uljd5 opejolo:) oui 2uldoog main ltwwns ia,Cngpoump Xq paid000d •s;uowSud asogl uo ooSvd-oo 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