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Home My WebLink About7380 W 29th AvenueCity of Wheat Ridge Community Development Department Memorandum TO: Accounting Department FROM: Kim Cook, Building Division SUBJECT: Refund for Permit DATE: May 8, 2017 Reason: Customer cancelled work request prior to start of work. Contractor requested to have permit #201700447, for 7380 W. 29th Avenue closed out. Please refund: Contractors License$ (acct 01-510-00-513) 80% permit fee: $ 188.80 (acct 01-510-00-516) 0% plan review $ (acct 01-550-05-551) 100 % use tax: $ 214.20 (acct 01-500-02-505) Total: $ 403.00 TO: American Dream Home Improvement Inc. 6746 S. Revere Parkway Suite B-150 Centennial CO 80112 Thank You! " C004 Permit Technician City of W heat d e COMMUNITY DEVELOPMENT City of Wheat Ridge Municipal Building 7500 W. 29`h Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929 Refund Application Complete this application in its entirety, attach all copies of permits, permit cards (if issued) and receipts that were received at the time of permit issuance. Requests for more than 80 percent of the amount paid will not be approved without prior approval from the Building Official. The refund application must be received by the Wheat Ridge Building Division no later than 180 days after permit issuance. Applications received after 180 days of permit issuance will not be approved. You can mail or hand -deliver all required documents to: City of Wheat Ridge, Attn: Building Division, 7500 W. 29`h Ave., Wheat Ridge, CO 80033. Company Name/Name (to whom check should be made out to): American Dream Home Improvement, Inc. Address: 6746 S. Revere Pkwy. Ste. B-150 City: Centennial State: CO Zip: 80112 Phone: (720) 398-6672 Ext. 1718 Fax: (303) 951-8447 Email: cncoprod.adhi@gmail.com Permit #: 20170044 Permit Address: 7380 W. 29th Ave. Reason for request: The homeowner has canceled all contracted work to be performed with American Dream Home Improvement, Inc. Printed Name: Rachel Colbert Signature: nxI QL &&_ Date: 05/03/2017 For office use only This request has been: ❑ Approved ❑ Denied Refund Amount: $ Approved by: Date: www.ci.wheatridge.co.us _.. _v.. w.:.s.-��►�..r'X'�=:a--_++*s �:t-r?.':u.: ',�_Y".:L�rc5.ia4,.r±A1ur±�a�f!'�:am--- ► I . City of Wheat Ridge Residential Roofing PERMIT - 201700447 PERMIT NO: 201700447 ISSUED: 04/04/2017 JOB ADDRESS: 7380 W 29th AVE EXPIRES: 04/04/2018 JOB DESCRIPTION: Re -deck and Re -roof 28 squares w/asphalt shingles; 6:12 pitch; house structure only ***CONTACTS *** OWNER (303)232-2521 IRINA STORM SUB (630)353-1900 Mike Gray 130198 American Dream Home Improv. "* PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 0576 / BARTHS BLOCK/LOT#: 0 / FEE SUMMARY *"* ESTIMATED PROJECT VALUATION: 11,900.00 FEES Total Valuation 0.00 Use Tax 214.20 Permit Fee 236.00 ** TOTAL ** 450.20 * * * 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% -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 manufacturer&f—s installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection a_d approval from the manufacturer's technical representative stating that *the application of the roof at (project address) has been applied in accordance with the 'tion instniction for Jill(roof material brand name) roof covering" is required to a time of final inspection. i 4 City of ftat Ridle 64/4/2617 11:19 CDBB Rt -deck end Rt -roof CDP814487 A UNT PPSP 7386 Y 29th AVE 456.28 APPL/PUMIT NO: 261788447 BPSL LIC -CLE- TOTAL FEE PAID 75.88 CONTRACTOR NO: 138196 �CFC):66MIVED AMOUNT TOTAL, 525.28 le City of Wheat Ridge � Residential Roofing PERMIT - 201700447 PERMIT NO: 201700447 ISSUED: 04/04/2017 JOB ADDRESS: 7380 W 29th AVE EXPIRES: 04/04/2018 JOB DESCRIPTION: Re -deck and Re -roof 28 squares w/asphalt shingles; 6:12 pitch; house structure only *** CONTACTS *** OWNER (303)232-2521 IRINA STORM SUB (630)353-1900 Mike Gray 130198 American Dream Home Improv. *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 0576 / BARTHS BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,900.00 FEES Total Valuation 0.00 Use Tax 214.20 ra Permit Fee 236.00 ** TOTAL ** 450.20 ---- �2��01�- 4 57 *** 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 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. 4 41, City of Wheat Ridge Residential Roofing PERMIT - 201700447 PERMIT NO: 201700447 ISSUED: 04/04/2017 JOB ADDRESS: 7380 W 29th AVE EXPIRES: 04/04/2018 JOB DESCRIPTION: Re -deck and Re -roof 28 squares w/asphalt shingles; 6:12 pitch; house structure only 1, 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 leu�al 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 performM and that ap k to performed �s disclosed in this document and/or its' accompanying approved plans and specifications. 1 Signature of OWNER or QNTRACTOR (Circle one) Date 1. This per was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3, If this permit expires, anew permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit, Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval. 5, The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6, The issuance or grarathag 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 dinance or regulation of this jurisdiction. Approval of work is subject to field inspection. -._. e JLJOOL 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. WCity of heat �e P CCiM,NUNITy DEVELOMENT Building & Inspection Services Division 7500 W. 29" Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 ` Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(a)ci.wheatridge.co.us FOR OFFICE USE ONLY Date: q �- 1 l Plan/Permit # �Vj �ooqq) Plan Review Fee: Building Permit Application *** Please complete all highlighted areas on both sides of this form Incomplete applications may not be processed. *** Property. Address: ---7380 W 29th St, - Wheat Ridge, CO 80030 ----------------- ---- Property owner (please print): Trevor Storm Phone: 303 909-3054 Property Owner Mailing Address: (if different than property address) Address: City, State, Architect/Engineer: Architect/ Engineer E-mail: Contr-actor" American Dream Home Improvement Contractors City License #: Phone: --------------------------- Phonec303 506-8209 Contractor ddress: cncoprod.adhiContractor E-mailE-rail Address: cncoprod.adhi@gmail.com 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 sides of this form ❑ COMMERCIAL [3 RESIDENTIAL Description of work (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION RESIDENTIAL ROOFING ❑ RESIDENTIAL ADDITION ❑ WINDOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) jot os -e- 4v, 0 &uf-Q- Sq. Ft./LF Amps Btu's Squares N9 Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) --------11-900------ 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. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) ��c Electronic Signature (first and last name): ,F+-�� wAAn4�DATE: 4/3/2017 ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $______________ e' qt C ontractor License Pho Electrical City License Plumbing City License Mechanical City License Company: Company Company: xp. Cate: Exp. late: Exp, Cate: Approval: Approval: Approval: Use of space (description): ' � ... �l VJ6t 40 1 6 B"N (as calcuthtedper the Building Valuation Data sheet) Plan Review (due at time of submittal): S q. t.1L Ft added: Squares TU's Gallons Amps « • • •- • g FR1 1T tVA I SIGNATURE: Data: ,. . ♦ 1, / i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 235-2857 Fax INSPECTION NOTICE inspection Type: 5d. z5 ~ Job Address: ~3g-r7 zc 2 ~d Permit Number: V53 APPA9 dF, i r r ❑ No one available for inspection: Time,` s AM/PM Re-Inspection required: Yes _D0 ' When corrections have been made, call for re-inspection at 303-234-5933 Date: 5~n Inspector DO NOT REMOVE THIS NOTICE ♦ i CITY OF WHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line 4000 q (303) 235-2855 Office • (303) 235-2857 Fax INSPECTION NOTICE Inspection Type: ~r-,4W~ l Job Address: 73E<~ r t 5' 'd` Permit Number: ❑ No one available for inspection: Time AM/PM Re-Inspection required: Cam' No When corrections have been made, call for re-inspection at 303-234-5933 Date: Inspector: DO NOT REMOVE THIS NOTICE ! M3 tion are accurate, and. aeements or restrrctim agree to abide by all heat ;Ridge Building Cc( t to field inspection.° oFw"E?T~ City of Wheat Ridge Building Division Date. °m 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-235-2857 Plan ~OtoRAO° Inspection Line: 303-234-5933 Permit ac , : 5 Building Permit Application toperty Ad firers 7 3 C SO W a q-it, A y :2 Property Owner (please print): 3 , T j e r h n, TL() s± Phone: 303- 23?- U $ 6 Mailing Address: (if different than property address) Address: City, State, Zip: C r ontractor: r~ L A56L GLc;r-IMllc Contractor License r7 i Q -7 (e S Phone: 3C) 3. z1a q- 9 7 3 3 ntraetors _ 9- W-9 Electrical City License Plumbing City License Mechanical City License Company: Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: Use of space (description): 51v e Ch /3 n Construction value: s a ROO. r) 0 0esicri6-on_o1 vo 4 n (as calculated per the Building valuation Data sheet) U P9 race SV C f"D a o0 AA4 P S Plan Review (due at time of submittal): $ ~'5 ~anc~e ovtto~f c(Nd 3 6ase- bo ark h ~2wF2rs Sq. FtJLFtadded: Squares BTU's _ Gallons Amps OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the city of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work under this permit. Plans subject to field Inspection. CIRLCE ONE:: ,(OWNER) (CONTRACTOR) or PI PRINT NAME: 1° 1 Q.~AQ.f P S i t Date: S-(o-U4 - DEPARTMENT OF PLANNING AND DEVELOPMENT BUILDING INSPECTION LINE - 303-234-5933 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 - (303-235-2855) Building Permit Number Date 8639 3/17/99 Property Owner : Property Address : 7380 W 29TH AVE Contractor License No. : 18236 Phone : 237-0866 Company : Applewood Plumbing & Heating Phone : 433 9983 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certiTy that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit. (OWNER)(CONTRACTOR) Description : Boiler replacement Construction Vaiue : $3,800.00 Permit Fee : $97.25 Plan Review Fee : $0.00 Use Tax : $57.00 Total: $15425 Use: Electrical License No : Company : Plumbing License No : Company: Mechanical License No : Company: Expiration Date : Expiration Date : Expiration Date : Approval: Approval: Approval: (1) This permit was issuetl in accortlance wiM the provisions set forth in yopur appliwtion and is sub'ect [o the laws of the State ot Colorado and to the Zoning Regulations antl Builtling Cotle of Wheat Ritlge, Colorado or any other applica6le ordinances of t~e Ciry. (2) This permit shall expire if (A) the work authonzed is not commencetl within sinty (80) days from issue tlate or (B) the builtling authonzed is suspended or abandonetl for a penotl of 120 tlays. (3) If ihis pertnit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the original plans and specifiwtions and any suspension or abandonment has no[ exceeded one (1) year. If changes are matle or if suspension or abandonment exceetls one (1) year, PoII fees shall be paitl for a new pertnit. (4) No work of any manner shall be tlone that will change the natural flow of water causing a drainage problem. (5) Contrector shall notify the Building Inspector Iwenry-tour (24) hours in a0vance for all inspections and shall receive wntten approval on inspection cartl beFOre proceetliing with sucCe53ive phases of the'ob. (e) The issuance of a permit or the approval o~drawings and specifications shall not be consWetl to be a permit tor, nor an approval of, any violation otthe provisions cotles or any other ortlinance, law, mle or regulation. Mlw eChief Bui ding Inspector DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : BUILDING INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE Date.~ • ~ 7`~~ 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Property Owner Property Address Contractor License No. Company 1`~~ 3 6 1 ✓ , C~ ►~A ~4 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 ot the City of Wheal 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 pnnted on this application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all olher applicable Wheal Ridge ordyiarr$es, for work under this permit. (OWNER)(CONTRACTOR)SIGNED-DATE Description Phone :'„Z_~_) - p`S 6 ~ Phone: 657] Construction Value : ~19 O 0.c2Q Permit Fee : Plan Review Fee : Use Tax : Total : BUILDING DEPARTMENT USE ONLY Zb'fil~ Approvai: Zoning : Approval: Approval: Occupancy : Walls Roof : Stories SIC : Sq. Ft. : Residential Units : Electrical License No : Plumbing License No : Mechanical License No : Company : Company : Company : Expiration Date : Expiration Date : Expiration Date : Approval: Approval: Approval: im KWEM~~ N dR~IR~Q(~tl~ m ~d~3B~QQIP~~ (1) This permit was issued in accordance with the provisions set forth in yopur applicatlon and is subject to the laws of the SWte of Colo2do an0 to the Zoning Regulalions and Building Code ot VJheat Ridge, Coloratlo or any oNer appliwble ordinances of the Ciry. (2) This permit shall expire if (A) the work authonzed is not wmmenced within sixly (80) tlays from issue tlate or (B) the Guiltling authorizetl is suspended or abandoned for a penod ot 120 days. (3) If this permit expires, a new permil may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the original plans and speGflwGons and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment exceeds one (i) year, lull fees shall be DaiE for a new permit. (4) No work of any manner shall be done ihat will change the natural flow of waler causing a Orainage Oroblem. (5) Coniractor shall notiy the euilding Inspector twenry-lour (24) hours in advance for all inspections anC shall receive wntlen approval on inspection card before proceetliing wiN successive Phases of the ~ob. (6) The issuance of a permit or the approval o~drawings and specifications shall not be construed Io be a permit for, nor an approval ol, any violation ot the provisions of the buittling codes or any other ordinance, law, rule or regulation. Chief Building Inspector Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION DEPARTMENT OF GOMMUNITY DEVELOPMENT 7500WES729thAVENUE BUILDING INSPECTION DIVISION PERMIT N0. 234-5933 F.O. BOxs38 CITY OF WHEAT RIDGE, COLO. THIS PERMIT VALID ONLY WHEN SiGNED BY ThE rHIEF BUiLDiNG INSPECTOR ANC RELEIaTED BELDW. 73 ~I _IQPPLICATIQyN FOR MISCELLANEOUS PERMIT r ~TUP• OWNER C1 - " ~ - JOB ADDRESS ~ ~ CONTRACTOR PCL~ D~'f~~~S ~~s ADDRESS ~.j ?Lj~{~~ ADDRESS 4PrPHONE "~3 1/ ZIPCODE 3 Z0S CITY ZIP CODE CONTRACT PRICE $ Z PHONE LICENSE NO. DATE 1~ S S~ 1. TYPE GrounE❑ Wall❑ Proieclinp❑ Oth SorDFOCo 2. MATERIAL Total Squan Fpt SIGN$ 3. ILLUMINATION Ya❑ No❑ TYDS Elect. Psrmil No. 4. SET BACK FROM PROPERTY LWE (SOecify which ia front) N_ ❑ 5_ E ❑ _ W ❑ ❑ Zone_ Approvb,ZOne Inspetlor DisoDWa'ed 1. TYPE SolidE3 More Tnon BO% ODSn❑ Less Thon BO% Open S. MATERIAL Htiphf FENCES 3. SET BACK FROM PROPERTY LINE (Specify whichietront) N_ ❑ S_ E ❑ _ W ❑ ❑ Zme_ Apprwed,Zonli impeeta DisoDDraved z. %•4kP a. ~ ~r4 3C7 ~-r/ f DRAW SKETCH OR SHOW BELOW, THE FENCE,SIGN,OR OTHER STRUCTURE,GIViNn D15T4NLES FROM PROPERTY LINES. (SETBACKS OR PROJECTIONS INCIUDED) ~ SPECIFV NORTH STREET NAME SNOW DISTANCES FROM THE MAIN BUILDING TPADJOINING HpU5E5, STREETS, AND PRpPERTY UNES;ON IRREGULAR LATS, SMOW LEAST DISTANCE TO PROPERTY LINES,NOT MAXIMUM OR AVERAGE DISTANCE. APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BY THE BUILDING INSPECTION DIVISION. PERMIT WILL EXPIRE 180 DAYS FROM THE DATE OF ISSUANCE IF WORK IS NOT STARTED WITHIN THAT TIME. ELECTRICAL PERMIT STATE IICENSE NO. PLUMBING PERMIT STATE LICENSE N0. MECHANICAI PERMIT ALUMINUM WIRE UNDER S12E 8 ILLEGAL FLOOR BSM 15T 2ND 3RD 4TH N0. FUEUCircle0n* Gai ql Ptopora Elee Solar N0. WATER CLASET FORCED AIR BTU TEMPORARY METER WASH BOWL HOT WATER - BTU NEW SERVICE - AMPS BATH TUB STEAM - BTU CMANGE SERVICE-AMPS SHOWER AIR CONDITIONING-BTU LIGHTING SINK OTHER HEATING GARBAGE OISP REFRIGERATION SYSTEM POWER SUB-CIFCWTS WA?ER HEATER Refri erant Woup UTILITY(RANGE,DISPOSER,ETC.) AUTO.WASHER Pounds CAar s FIXTURES DISH WASHER AUTOMATIC SPRINNLER SYSTEM WIRING MOTORS 9 CONTROLS FI1XOt DRAIN ELEVATOR SIGNS URINAL TRANSFORMERS B RECTFIERS SEWERS ADDITION TO OLD WORK OTHER MOTORS OVER I HP TOTAL FIXTURES 1 Aareby ocknowledae ihot this applico- fion u correct ond undersfand fhoi I tonnot ftart this projtlct until this aDDli- Calion is aOProveE. I shall comply with the lawa oi the State of Colorado ond to fhe 2oninp Requlotions ond Buildina Code ofthe City ot Wheat RidQe. Any violafion Of the above terme wdl come imme te revocohon of Ihis permit ~~oo~icani. 9iynamr• / PERMIT FEE USE TAX TOTAL FEE , $ '40L/_z,2 GHIEF BUILDING WSPECTOR, Wheat Ridqe Date Issued::L~ y`'~ NOT VAIID UNLESS RECEIpTED CALL 234-5933 24 HOURS IN ADVANCE FORINSPECTIONS