HomeMy WebLinkAbout5665 W 27th AvenueM
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: `a o 3 - Sewer- U n el. pct.
Job Address: mac: L S l�I �o `7}
Permit Number: _ 19 Q 19 o D(, L
L-1A,.P- A io � ro v e c/
❑ No one available for inspection: Time 1- ::-319 AM PM
Re -Inspection required: Yes No?
When corrections ave been made, call for re -inspection at 303-234-5933
Date: L1 %4p J q Inspector: --7—b
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: '2123 - S e t -m- r- ()Ad. oP Yl
Job Address: S -(o G 4— LA) --d-7 vr'
Permit Number: a 0 1 13 0 0 4/ q
L`> -L -e- N ®-- A r,.br-n u
A O C7e`� 0A Sc44
❑ No one available for inspection: Time 10 : S7 AA PM
Re -Inspection required: Ye No
When corrections have been made, call for re -inspection at 303-234-5933
Date: g 15- Mi Inspector: 7-1)
I �
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Sewer Repair PERMIT - 201900668
PERMIT NO: 201900668 ISSUED: 04/12/2019
JOB ADDRESS: 5665 W 27th Ave EXPIRES: 04/11/2020
JOB DESCRIPTION: Replace entire sewer line from house to main
*** CONTACTS ***
OWNER (720)988-0583 ECKELBERG LEANNE
SUB (720)385-8923 HUMBERTO ARMENDARIZ JR. 170088 JUNIOR PLUMBING AND SERVICES
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,600.00
FEES
Total Valuation 0.00
Use Tax 33.60
Permit Fee 63.90
** TOTAL ** 97.50
*** COMMENTS ***
*** CONDITIONS ***
ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive
written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection
by any Sanitation District representative. Inspection and approval of work by any
Sanitation District representative DOES NOT grant authority to cover work without the
approval of the Building Division.
**For trenchless sewer replacements - The contractor will verify proper slope of new sewer
piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed
specifically by the applicable code. The plumbing contractor will provide verification of
proper slope and drainage in writing as a condition of approval of the permitted work.**
City of Wheat Ridge
4A'
Residential Sewer Repair PERMIT - 201900668
PERMIT NO: 201900668 ISSUED: 04/12/2019
JOB ADDRESS: 5665 W 27th Ave EXPIRES: 04/11/2020
JOB DESCRIPTION: Replace entire sewer line from house to main
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_�ppennit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
pertormed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying 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.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable code o�nance regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
W heat Ijdgc
COMMUNITY DEVELOPMENT
Building & Inspection Services
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(Dci.wheatridge.co.us
FOR OFFICE USE ONLY
Date:
Plan/Permit # �1 / qU��Q
Plan Review Fee:
Building Permit Application
*** Complete all applicable highlighted areas on both sides of this form.
Incomplete applications may not be processed. ***
Property Address: 0J
Property Owner (please print): L C_L 0 � t)-e!,/C4 Phone:�
Property Owner Email:
Tenant Name (Commercial Projects Only)
Property Owner Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer E-mail: Phone:
Contractor Name:
City of Wheat Ridge License #:
Phone:
Contractor E-mail
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print): i )V1t i)✓ Phone:aV��,-c%(�
CONTACT EMAIL(p/ease print):111/l l C�✓ ��[r,�k -1 cxA cM
Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form):
Electrical: Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
Complete all highlighted fields, if applicable.
❑COMMERCIAL
[RESIDENTIAL
Provide description of work: For ALL projects, 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.
-� mw i
Sq. FULF
BTUs
Gallons
Amps Squares For Solar: KW # of Panels Requires Structural
For Commercial Projects Only: Occupancy Type: Construction Type:
Occupancy Load: Square Footage:
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$ • 0C
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. 1, 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)
Signature (first
Printed Name:
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
kTE: ,(- — � CA
OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Building Division Valuation:
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,
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City of Wheat Ridge
Residential Roofing PERMIT - 201705713
PERMIT NO: 201705713 ISSUED: 08/09/2017
JOB ADDRESS: 5665 W 27th AVE EXPIRES: 08/09/2018
JOB DESCRIPTION: Residential Re -roof to install GAF ArmorShield II Laminate asphalt shingles
with 21 sq.
*** CONTACTS ***
OWNER (303)525-9368
AVILA ROSALIE F
SUB (303)895-7968
Lousberg Roofing
120073 Lousberg
Roofing and Exteriors
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE:
2412 / LAKESIDE,
STEWART GARDENS,
OLI BLOCK/LOT#:
0 /
*** FEE SUMMARY ***
ESTIMATED PROJECT VALUATION:
6,300.00
FEES
Total Valuation
Use Tax
0.00
132.30
Permit Fee
156.75''0
** TOTAL **
289.05
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name)
roof covering" is required to be on site at the time of final inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
►� 4" City of Wheat Ridge
Residential Roofing PERMIT - 201705713
PERMIT NO: 201705713 ISSUED: 08/09/2017
JOB ADDRESS: 5665 W 27th AVE EXPIRES: 08/09/2018
JOB DESCRIPTION: Residential Re -roof to install GAF ArmorShield II Laminate asphalt shingles
with 21 sq.
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 nropertv and am authorized to obtain this permit and perform the work descrihed and nnnrnved in roninnrtinn with
this permit. I fu es iat I �+m legally authorized to include all entities named within this document as parties to the work to be
performed and h if erformed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OVVT F or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a 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 issuanceting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable co a or y ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett c)600 J WS
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, August 2, 2017 8:49 AM
To: CommDev Permits c -
Subject: Online Form Submittal: Residential Roofing Permit Application
i.�
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
c�
to City Hall to submit an application in person. Permits are processed and issued in
C>
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
-
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
It
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
5665 W. 27th Ave
Rosalie Avila
303-525-9368
Field not completed.
1J
Do you have a signed
Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
Attached Copy of
Contract.pdf
Contract
CONTRACTOR INFORMATION
Contractor Business
Lousberg Roofing & Exteriors
Name
Contractor's License
120073
Number (for the City of
Wheat Ridge)
Contractor Phone
720-724-3213
Number
Contractor Email Address
jose@lousbergcontracting.com
Retype Contractor Email
jose@lousbergcontracting.com
Address
DESCRIPTION OF WORK
Are you re -decking the
No
roof?
Description of Roofing
GAf Armorshield II laminate shingle
Material
Select Type of Material:
Asphalt
If "Other" is selected
Field not completed.
above, describe here:
How many squares of the
21
material selected above?
Does any portion of the
No
property include a flat
roof?
If yes, how many squares
Field not completed.
on the flat roof?
TOTAL SQUARES
21
(pitched + flat) of all
roofing material for this
project
Provide additional detail House roof is 3/12 pitch
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contra 6300
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
Name of Applicant Jose Silva
Email not displaying correctly? View it in your browser.
3
PREFERRED
(ONTUCr0R LOUSBERG
ROOFING & EXTERIORS gm
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_. -
STAIX
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iNUMANCE COMPANY. 17 a CLAIM
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ft1-'01iQV VIWOI" XVT AF:'ROVSD HY 1NE... PALL NOT a'E PERFORMW BY LOUSSERG AoCfVoG 8 EXTERYM, iRQ�ESS e': YS APPROVED BY AND FWD FOR Ri
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w-st.•..TEAR ORF .y L4L—,,LAVfRM OF .
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ACi:ACxtdRER Fl7.0
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,_� ,_ L4AaS A GE EUTT'�CS RARiT .. vmwvo g -., OTHM Mo ,
__... STANDARD RB)GE H*H PROFILE R*GE
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PROFRLE T/.. SiAM7 AIIfF TO YAx'LN %
RLCU3MN . AN. ALL SM WALLS E Pl38At8l.E
QENERAL LLA$TCtTY COVERAGE �' Eti A^ TE: WORRQAFB COME CA T7 R,`.ED CU ALL CSEE'¢r5
C4FAk f IiARA. OFF &AASK PIOTECT . 01MLx OVA" QTAN (w girmNA .,__. xAft ", R►AHE'TC R#LER
G.*: OAAAWAS ROCDVM AT TW TAFF OF ON THE ORTE ABOVE THE APPRXii WTS ARO &LWT Of &OAK AN—^ VArVtALS ::NOER T9"CO."tTTTAC7 IS &
-_., _.,__.�,.......- W S tK WORK aY - Tle . C ANY WVL BE PET 100RUM aT LOUS'SFP< : WXF!% 8 EXTEMORS, POR THE AMOONT OF
7UE ARPROV MRM MDQ. COM TO VOW IN M THEVACEP7ION Of YOLK( OtOUCTISM UNLESS AUTUDTUDAND PART fORR BY TUE
"ONMONNERAS AN UPG*AAX ALL UPGISkAMS YET Of AliRE'60'1!0 IN VMTP$d SIGNED By SQTlH PARMS "Oa , rt7tYwd.,tFK "s F+A' L,d 5 i:�?!8d`a Eta'FE ES, 'tii.
emA _6btSF£A' Ri'%C'P,�G $ - @iG."f"GiT.-u..Tia'7'; 'SCF saaNw'� P .F, i fii6t c<ifi'T�..A�kiPPCF t4E.S4 $Y'ECr� ? :? TfK:£a Ar,EF+tE':N7. iY4$ CCFfiRILGT �
OPOR THE APPROVAA. Of THE MOURANCE COMPANY. ONCE APPROVED BY THE 00TURANCE COMPANY A C000VAMATION OF A REPLACEMENT COST POLICY, LOU
A, EX TERiORT.. NC WO A. COI PUM SPSCIPMD WOW AT THE PRICE AGREEABLE TO HE VOURANCE COMPANY AND TO THE CONTRACTOR. THE f WMEQV MR $a ONLY
RESPONSUILE FDR t05 OR HER. IN" AND >4l W COST V AM ACTUAL CASM POLACY IS 0 PLACE. SY RE-VgE.NC'E. '=°?E !DYiS'7ERS RE"7 AND ESTmATE -FCLN
€`t COVES, PART .,X T 4 CONTRACT AND THE PRBCE HE.$?E h vt,'X : AN -E .A&o CCNTHACTtJR MLL F CEV Z -4« k "��d±.:E T' EE" 5 r '7rcLVYit
C.CSAd>ai.E'+ 0. THE i'iCRiC i9TLc BE EDN ACOORCANCE YRTTH THE A$(T>�E ;P:^.bv.EQ TERM ANDCONDMKMTArHE`.iT O4 P txY OIIti'AER q,Y OCs"yT
A C4`4TRA—, FOR IER°L'A;ES. 7s6 PAtiatN'- F4„'R RP t 5}S+ALi. A*RUE f6iflLf : tiF' A I[TY C" ' &. 6r'4Y+£+t 8i S ArrrP a€ f . v. `Y6T'
FROM THEW PkWIER THAT TW CLAW IS DFW*D R "K.R.E OR PARS
T HE OI,"R WWSPONSISLE 900 HS OR HER Df&,CTTfftE AT"Tt'B SL40 R
ri* PROPE-411 tAWWR MAY C Tit£ CONTRACT FOR ROCIFPC SE•FTV' E -S TO BF 0llrUl SY LQL. ,BERG ROOFING Ai r EKTE.RiORS AND .'}BTA@( A Ful RZ.FUNO rf AW
'*YOSM Mr" 77 *tO i tS AFTER ENTEFRM* THE CONTRACT
LOUSMING
€ NTRACT
LOQ ROOFING AND EXTERAVIS SHALL, HOLD tM TRUST AWAY PAY6W3(r FROM TATE PROPERTY OWNER UNTIL TUE C}NTRACTOR KAS OELNER£D TTM ROOFINO MATERtAL9 TO
TUE JOBBFTE OR HAS MWORMV0 A ReA3A2R[TY Of T'NE WOW ON THE PROPERTY.
Lr +S E A St9TOM T*.&T OA" ES OF SEFtu;C':c
&YAW 4�aYw>F7 C+tii3fi:SBEYOND T! a CONTROL OF CONTRACTOR, FSTROATED DATES Of S£R' E ARE
NOTFM P THE IRJ04 TO USE. TFcE PROCEEDS OF A FgCMERTY AND CA54A,7X gaqkANCXPOLRCY tSg:t.'EL` To PART I OR ARTICLE A OF TTtE TTTLE i®.. CRS TO PAY
FOR THE ROOFTWG WORK VURSU41T TO SECTOR &.22, 116, TST€ Rte; C', V, RAC"T CANNOT PAY WAI . AFRA T'E, CAR PR WIw E TO PAY, WANE: OR RE'EATE ALL OR PART OF
ANY WAANCE OFOUCT ,E APPL"SLE rO THE Pc',3 AW4C:E, CLAW FOR PAYhWNT FOR T'sM NOW ON THE CC YfAED RESUE14T3AL PROPERTY
.ACCEWAUCE OF - *mF AMR, .'T 7ER US AKC, CONIVTPONS ,ARE SATtSFAC:ORY AND ARE mERE73 ACCEP-ED
I POW, H£RM AUTHC Y.f, L RNSTPAXT'T'HECa? A n Ate'^ ALL LM 140LDERS TO 9R.YLOlE.'L ROOFKCCi 3 €XT?k¥:NTffi. INC • A$ CtSPAYEf ITU AN,
SRMSEGUENT LOSS GRAFTS CA C4ECKS AMR TODAY'S VATE AS NVCATED AI GVf
R gVE)ALSO ANY LF� ;WFAEWNT,ATi4E AND OR AGENT (0 CONTRACTOR TO OUT'AN**ORMAT i. Y'TOC E ANY FL;Amo PRL'C'€Ss RELATE TO
CLAW 04AMM SES' FORTH TdERE."F&.
R IWEI AUrT� CONTRACTOR T43 ftaCE^ FOR RA.�E PROM—DS ON BEW$r, OF :.: R. rOR *OR% KRFORLVD BY CrRiTRA::.'.M
"At', AGREE. BY 91rGR3YYtG BELOW,
SO A{jLt/JS�jW CONTRA,"? TFRUS AND CO Vll.t 04 0%8OTH FRONT & BACK OF Tos AGREem aT
NOM9s
i7W#4*R SIGNATUREHOMEOWNER
DATE OP ACCEPTANCESFAxiFRE_ _._.-.._...
3705 W. 73:° Avenue, Westminster, Co 80030 ' Ph::303.895.7968 Fax, 88.804.8377
e -mad#: tnfoolousber9contraCUng.com
f
t
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
.g
INSPECTION NOTICE
Inspection Type: F
Job Address: n ,4,4
Permit Number: )' ?
f� A L
1
❑ No one available for inspection: Time - AWPM
Re -Inspection required: Yes-' No
When corrections have been made, call .for re -inspection at 303-234-5933
Date: 2 - 17 Inspector: t o a! lbeo-
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201705713
M
PERMIT NO: 201705713 ISSUED: 08/09/2017
JOB ADDRESS: 5665 W 27th AVE EXPIRES: 08/09/2018
JOB DESCRIPTION: Residential Re -roof to install GAF ArmorShield II Laminate asphalt shingles
with 21 sq.
*****revision add redecking 20.54 sqs*******
*** CONTACTS ***
OWNER (303)525-9368 AVILA ROSALIE F
SUB (303)895-7968 Lousberg Roofing 120073 Lousberg Roofing and Exteriors
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,055.00
FEES
Total Valuation 0.00
Use Tax 169.16
Permit Fee 188.45
** TOTAL ** 357.61
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name)
roof covering" is required to be on site at the time of final inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
A . City of Wheat Ridge
Residential Roofing PERMIT - 201705713
PERMIT NO: 201705713 ISSUED: 08/09/2017
JOB ADDRESS: 5665 W 27th AVE EXPIRES: 08/09/2018
JOB DESCRIPTION: Residential Re—roof to install GAF ArmorShield II Laminate asphalt shingles
with 21 sq.
*****revision add redecking 20.54 sqs*******
I, by my signature, dohneby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building cd all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal o perty and am authorizedto obtain this permit and perform the work described and approved in conjunction with
this permit. at I am legally authorized to include all entities named within this document as parties to the work to be
performed a to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER ok CONTRACTOR—Xircle one) Date
1. This permit was issued basea-3-57E 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 changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
appl►cab e or any ordinance or re �l 'on of this jurisdiction. Approval of work is subject to field inspection.
Jam"'
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
�" Wheat -Midge
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 291h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits _ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date: I tj
Add to Permit #
90100,76
Building Permit Revision/Amendment Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address: S (Oto
Owner
Property Owner Email:
Mailing Address: (if different than property address)
Address:
City, State, Zip:
'r)Jt(to� -
Phone: ?� - szZ - 93 ba
Contact Person: Sty Jl'to&,: Phone:_ _-7 20 -L3
Contractor: tcx'-',5 6ef�'-, l U '� t o'-ej Luc S
Contractors City License #: ZC� Phone: 3&' 04 r
Contractor E-mail Address: ��j2�i C��jP�r� color--� �n� . C01'l,
Please Note: Additional valuation must include all general and subcontracted work to be performed
related to the revisions and/or amendments declared in the description of work and which were not
included in the original permit valuation.
If revisions or amendments increase the original valuation, additional fees will be due at the time of
approval. Depending on the scope of work, additional plan review fees may be due upon approval
($60.00 an hour — 2 hour minimum).
Description of revised/amended work:
Sq. Ft./LF Z! ) f�l S:f 4 Btu's
Amps
Squares
Gallons
Other
Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above)
$ 1 X55 0 o v
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 THORIZED R SENTATIV of (OWNER) (CONTRACTOR)
PRINT NAME: V " SIGNATIIRE: DATE:
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received ❑ Not Required
Water District ❑ Received ❑ Not Required
Sanitation District ❑ Received ❑ Not Required
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
Or Current Owner/Occupant
AVILA ROS IE F
5665 W 27TH AVE
WHEAT RIDGE CO 80214
Regarding Permit: 201401576; Replace 40 gallon water heater.
5665 W 27th AVE, Wheat Ridge, CO 80214
Our Records indicate that the above noted permit was issued on 10/13/14. Our last
inspection related to that permit was on NONE.
Because of the inactivity on this permit, it will become void as of 12/31/2015.
Please contact this office within one week from the date of this letter to update us on
the status of this permit, or call for a final inspection on the property. You may call
303-234-5933 or request inspections online at www.ci.wheatridge.co.us. Information needed
are permit number, property address, type of inspection and date to be inspected.
If you do not contact this office, and wish to resume work at a later date, you will be
required to submit a new permit application, drawings with appropriate code edition
information and pay applicable fees. Incomplete or inactive permits may be reported to
agencies such as Jefferson County Assessor, title companies, etc., and could affect future
transactions related to this property.
Thank you for your cooperation concerning this matter. If we can answer any questions,
please don't hesitate to contact us at 303-235-2855, option 7.
Melissa Mackey
Senior Permit Technician
DEPARTMENT OF PLANNING AND DEVELOPMENT
` BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Praperty Owner : PARKER MAXINE E
Property Address : 5665 27TH AV
Contractor License No: : 17770
Company : Thompson Construction Co.
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certiry that the setback distances proposed by this permit application are accurete,
and do not violate applicable ordinances, rules or regulations of 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 ayree to abide by all conditions printed on this
application, and that I assume full responsibility for complian ~ ith the Wheat Ridge Building
Code (U.B.C.) and all other applicable W t Rid e o dina for work under this permit.
(OWNER)(CONTR4CTOR) SIGNED r - ~ 4?*~DATE
Description : REROOF
Building Permit Number : 95-278
Date :2/7/95
Phone: 237-0908
Phone: 433 8629
Construction Value : $1,900.00
Permit Fee :
$43.00
Use Tax :
$28.50
Total:
$71.50
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 accrordance with the provisions set forth in yopur appliw6on and is sub1'ed to the laws of the State of Coloredo antl to the Zoning
Regula4ons and Builtlinp Code of Wheat Ridge, Colorado or any other applica0le oMinances of the City.
(2) This pertnit shall expire d(A) the work authorizetl is not commenced within siMy (60) days from issue date or (B) the building authorized is suspentletl or
abandoned for a periotl of 120 tlays.
(3) If ihis permit expires, a new permit may be acquired for a fee of one-half the amount normally requiretl, provided no changes have been or will be made in the
original plans and speGfications antl any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment
exceeds one (1) year, NII fees shall be paid (or a new pefmit.
(4) No work o( any manner shall be tlone ihat will change the natural ilow of water causing a tlreinage problem.
(5) Contrac[or shall notiy the euilGing Inspector twenty-(our (24) hours in advance for all inspections and shall receive written approval on inspeclion card bekre
proceetliing wiM suasssive phases of ihe1'ob. (6) The issuance of a permit or the approval of drawings and specificalions shall not be consUUetl to Oe a permit for, nor an approval o(, any violation of the provisions
ot the building codes or any other ordinance, law, rule or regulalion.
~ ~Lc~ G ~ wt
Chief Building Inspector
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR
CALL: 2345933 24 HOURS PRIOR TO INSPECTION
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number :
BUILDING INSPECTION DIVISION - 235-2855 Date :
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner : FIPfG4iA-e-
Property Address : S66,5'
Contractor License No. : / 7770
Company : 7;4p,V ~
Phone :~3 7" U/`bp
Phone :
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value : / C/ Ov • ev
I hereby certAy that the setback distances proposed by this pertnil appliwtion are accurate.
and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
Peffillt F2@ :
covenants, easements or restnctions of record; that all measurements shown, and allegatlons
de are accurate; that I have read and ayree to abide by all wnditions pnnted on this
US2 T8X S'~
~
ma
application, and ihat I assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridge ordinance r work under this permit.
TOt81 :_7 I' S-3 $0.00
-lO SS
DATE 12
f
_
~)(CONTRACTOR) SIGNED '
i
ti
D
p
on
escr
BUILDING EP RTMENT USE ONLY
Approval:
Zoning :
Approval:
-
- - M N
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 accortlance with the provisions set forth in yopur app6caUon antl is subject to the laws of the State ot Coloredo and to the Zoning
Regulations and Building Code of Wheat Ritlge, Cobratlo or any olher applicable oMinances of the City(2) This permit shall ecpire if (A) the work authorizetl is not commenced wilhin sixry (60) Aays from issue date or (8) the building authonzed is suspendetl or
aDantlonetl for a penod of 720 Gays.
(3) If Nis permit expires, a new pertnit may be acquiretl for a tee of one-half the amount nortnally required, provitled oa changes have been or will be ma0e in the
onginal plans antl specificaUons antl any suspension or abentlanment has not exceetled one (1) year. If changes are made or if suspansion or a6andonmant
exceeds one (1) year, full fees 5hall be paitl for a new permit.
(4) Nb work of any manner shall be done that will change the natural flow of water causing a dminage problem.
(5) Conlrador shall notity the Builtling Inspeclor Iwenry-four (24) hours in aEVance for all inspeclions antl shall receive written appmval on inspec6on card before
proceetliing with successive Dhases of the job.
(6) 7he issuance of a permit or the approval of drewings antl specifications shall not 6e wnstruetl to be a permit for, nor an approval of, any violation of the pmvisions
of the builtlinq cotles or any other ordinance, law, rule or regulatlon.
Chief Building Inspector
Mayor
THIS PERMIT VALID CONLY ALL W 34 5933 24 HOURS PRIOR TO~INSPIE TIION ECTOR AND MAYOR
DEPARTMENT OF COMMUNITY DEVELOPMENT
7500 wEST 29tn AVENUE BUILDING INSPECTION DIVISION PERMIT N0. M921118114
237-6944 EXT. 255 P.O. eox saa CiTV OF WHEaT RIDGE, COLO.
THIS PERMIT VALID ONLY WHEN SiGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BELOW.
JOB ADDRESS
CONTRACTOR
ADDRESS , S
CITY/4
PHONE
IICENSE NO.
ZIP CODE
1. TYPE GrounA ❑ Woll❑ ProieNinp❑ Otnn S w D Fou
2. MATERIAL Total Squan Feet
SIGNS 3. ILLUMINATION Yea❑ No❑ TYVe Eloct. Parmit No.
4, SET BACK FROM PROPERTY LINE N_ S_ E_ W Zone_ Apprwad, 2ons Inspeetor
(Soeeifv which is front ) ❑ ❑ ❑ ❑ DisoPDroved
L TYPE SolidU Mon Than 80% OpsnL.J Leu Than 80% Opm
MATERIAL Heipht
FENCES B. SET BACK FROM PROPERTY LINE N_ S_ E_ V' '^"•'"•"'^r"'
(SDSCify whieh ia froni) ❑ ❑ ❑
i.
OTHER
13.
FOR
INSPECTION tICKET
DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHER STRUCTURE,(
(SETBACKS OR VROJECTqNS INCLUDED)
~
JOB 5(a6S ~'~l~ ,2~~' ~
ADDRESS
DATE: 0S'IZ BLDG. PERMITM O`! i4
PERMITN
BLDG. CONTR. hILY P.L~~
SUBCONTRACTOR
DATE INSP. REO. (~S I J'q 2-
TYPE OF INSP.
STREET NAME INSPECTION MADE sf- /3 / ~SHOW DISTANCES FROM THE MAIN BUILDING TOADJOINING NWSES, STREET REMARKS
DISTANCE TO PitOPERTY LINES, NOT MA%IMUM OR AVERAGE DISTANCE.
APpl_fCATION FOR PLUMBING; ELECTF
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED W
PERMIT WILL E%PIRE 60 DAYS FROM DA"(E OF ISSUANCE
~
)N.
ELECTRICAL PERMIT
PLUMBING P W R. FORM 619
STATE LICENSE NO.
STATE LICENSE N0.
l
S
?LUtAIN±X01vnitEUWCERS¢E8 ILLEGAL
FLOOR
BSM
o
a
IS e
NO
WATER CLASET
~
TEMPORARY METER
WASH BOWL
NEW SERVICE AMPS
BATH TUB
STEAM - BTU
CHANGE SERVICE-AMPS
SHOWER
AIR CONDITIONING-8TU
LIGHTING
SINK
OTHER
HEATING
GARBAGE DISP
REFR,GERATIO
M
N
POWER SUB-CIFCUITS
WATER HEATER
'
ITY(RANGE,DISPOSER,ETC)
UTIL
AUTO. WASHER
.
ISH WASHER
D
N
SYSTEM
FIXTURES
WIRING MOTORS 9 CONTROLS
FOR DRAIN
SIGNS
URINAL
TRANSFORMERS 9 RECTFIERS
SEWERS
ADOITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FI7(TU ES
i
e
~ I herepy ocknowledpe thot fl}F uDOlica'
fion it correcf and undersfond thot I
cannof start fhif projecf until ihia apDli-
eation ie aDCroveO. I ahall comply with
the lawf oT fhe State of Colorodo and to
ihs 2oninQ Repulationa and Buildinq
Code offhe City of Wheai Ridqe. Any
vioiation oi ihe obove ferms will cauae
immediate revocatis of thia permit.
ooliean~. li0nelun
PERhPT FEE LA` NOT VALID UNLESS RECEIPTED
USE TAX a~ , bD 5_y q
TOTAL FEE
CHIEF BUILDING/~~1SPECTOR,City of Wheai Ridqa
CALI.237-8944 EXT.255
24 HOURS IN ADVANCE
~~-FORINSPECTIONS
Date Issued , `G
OWNER
PHON~ 3/-~
~ONTRACT PRICE $ ~