HomeMy WebLinkAbout11254 W. 38th Avenue1* � � i City of Wheat Ridge
E -Res. Sewer/Waterline Repair PERMIT - 202002504
PERMIT NO: 202002504 ISSUED: 12/03/2020
JOB ADDRESS: 11254 W 38th Ave EXPIRES: 12/03/2021
JOB DESCRIPTION: Water line repair in front yard - 15 feet long
*** CONTACTS ***
OWNER ( 7 2 0) 6 7 0- 7 0 6 9 GREEN CAROL DRURY
SUB (303)210-8207 TREVOR WESTON 110115 PREMIER EXCAVATION SERVICES
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 21500.00
FEES
Total Valuation 0.00
Use Tax 52.50
Permit Fee 93.35
** TOTAL ** 145.85
*** 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.**
Both the front and back of this permit are required to be posted on the job site at all
times. If the complete permit is not present, inspections WILL NOT be performed.
1* � 4 41'
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
E -Res. Sewer/Waterline Repair PERMIT - 202002504
202002504
ISSUED:
11254 W 38th Ave EXPIRES:
Water line repair in front yard - 15 feet long
12/03/2020
12/03/2021
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�permrt. I further attest that I am leg ally authorized to include al entities entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1, This permit was issued based on the information provided in the permit application and accompanying 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 requ�ired
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, anviolation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
From: no-reolv(alci.wheatridae.m. us
To: CommDev Pets
Subject: Online Form Submittal: Sewer or Water Line Repair Permit Application
Date: Thursday, December 3, 2020 11:17:16 AM
Sewer or Water Line Repair Permit Application
This application is exclusively for SEWER OR WATER LINE REPAIR - IN YARD
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.
Right of Way permits must be applied for with the Public Works Department.
Is this application for Yes
sewer line or water line
repair - in yard only?
PROPERTY INFORMATION
Is this Residential or Residential
Commercial?
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
Address
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
11254 W 38th Ave
Caroline Green
(720)670-7069
N/A
wheat ridge form Ddf
CONTRACTOR INFORMATION
Contractor Business
Name
Contractor's License
Number (This is a 5 or
Premier Excavation Services
110511
6 digit number for the
City of Wheat Ridge)
Contractor Phone
(303)210-9745
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
trevor@premierex.net
Address
Retype Contractor
trevor@premierex.net
Email Address
DESCRIPTION OF WORK
Is this a sewer line or
Water Line
water line repair?
Length of repair
15'
Location of repair
Front yard
(backyard, frontyard,
etc)
Provide additional
N/A
details including
installation of clean-
o uts.
Project Value (contract
2500.00
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
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 Trevor Weston
Permit
Email not displaying correctly? View it in your browser.
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number:.
❑ No one available for inspegtion: T.i_e ANI PNf
Re -Inspection required:6, es '
�-.
When corrections have been made, schedule for re -inspection online at:
http✓/www.ci. wheatridge.co. ueinspection
Inspector:__
DO NOT REMOVE THIS NOTICE
o CITY OF WHEAT RIDGE .
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number:
❑ No one available for inspection: Time AMIPM
Re -Inspection required: Yes ` No.
When corrections have been made, schedule for re -inspection online at:
http://www.ci. wheatridge.co.us/inspection
Date: Inspector:
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:
Job Address: -
Permit Number:
❑ No one available for inspection: Time AM/PM ,y
Re -Inspection required: ',Yes No
When corrections have been made, schedule for re -inspection online at:
h ttp://www. ci. whea tridge. co. us/ins pec tion
Date: Inspector:
DO NOT REMOVE THIS NOTICE
1* � � i City of Wheat Ridge
�� Residential Plumbing PERMIT - 202002297
PERMIT NO: 202002297 ISSUED: 11/05/2020
JOB ADDRESS: 11254 W 38th Ave EXPIRES: 11/05/2021
JOB DESCRIPTION: Repair waterline - 32 ft long
*** CONTACTS ***
OWNER (7 2 0) 6 7 0- 7 0 6 9 GREEN CAROL DRURY
SUB (303)766-7500 ROBERT LOGAN 021818 PLUMBLINE SERVICES LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 41800.00
FEES
Total Valuation 0.00
Use Tax 100.80
Permit Fee 125.05
** TOTAL ** 225.85
*** COMMENTS ***
*** CONDITIONS ***
All work shall comply 2018 International Codes, 2020 NEC (if applicable), and ordinances
adopted by the City of Wheat Ridge. Work is 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,
applicae building codes, and all applicable municpal 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�permrt. I further attest that I am leg ally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1, This permit was issued based on the information provided in the permit application and accompanying 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 requ�ired
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, anviolation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
From: no-reolv(alci.wheatridae.m. us
To: CommDev Pets
Subject: Online Form Submittal: General Permit Application
Date: Thursday, November 5, 2020 2:34:56 PM
General Permit Application
This application is exclusively for Scopes of Work that do not already have a
specific form.
YOU MUST ATTACH AN ELECTRONIC PAYMENT FORM IN ORDER FOR THE
PERMIT TO BE PROCESSED.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
PROPERTY INFORMATION
Is the property
Residential
Residential or
Commercial?
Property Address
11254 W. 38th Ave
Property Owner Name
Caroline Green
Property Owner Phone
720-670-7069
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
permits@plumblineservices.com
Address
Attach City of Wheat
11254w38thAveCCform Ddf
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
Submitting General Plumbline Services
Contractor or Architect
Contractor's License 021818
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contract Phone 303-434-8764
Number (enter WITH
dashes, eg 303-123-
4567)
Contact Email Address permits@plumblineservices.com
Retype Contact Email permits@plumblineservices.com
Address
0]:K16]CiI91 ffl0N]&TOLD]N:/
Detailed Scope of Waterline repair in yard only.
Work - Provide a
detailed description of
work including
mechanical, electrical,
plumbing work
occurring,
adding/removing walls,
etc.
Square footage of 32
scope of work
Location of work Front yard
(backyard, on roof, etc)
Project Value (contract 2550
value or cost of ALL
materials and labor)
Upload Engineer letter, Field not completed.
other documents on 8
1/2" x 11 "
Upload Asbestos Field not completed.
Report if triggler level is
met per CDPHE
regulation.
Upload Drawings 11,, X Field not completed.
17" or larger
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of
Wheat Ridge codes
and ordinances for
work under any permit
issued based on this
application.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have 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 Scott cutting
Permit
Email not displaying correctly? View it in your browser.
3i'2z's
The City of Wheat Ridge
Third Party Form Check List RECEIVED
Property Address //, y lit � Ale -
Permit Number 101- 3 Y Y
Permit [slued Date v2 - 0
A/
Pei
Owner Information
Property Owner Information (� ?� �i3 �/ �J i^v, Y �]
Property Owner Address
Inspector Information
Inspection Company
Inspector Name
Inspector Contact info. 60. 5?/
Inspector Statement and Aeknowledcaement
I hearby acknowledge the roof I am inspecting is 6112 or over. All roofs
that are under 6/12 must be inspected by the City of Wheat Ridge Buiding Dept.
* I hearby acknowledge the roofing system for the referenced building has been inspected
and found to be in compliance with the minimum requirements of the 2012 IRC and 2012
IBC as well as all City of Wheat Ridge Policies and Procedure and Manufacturer's
recommendatio's a _specffications.
Inspector: Date: 3 l - off/ `oj
Property Owner Statement of Acknowledgement
*1 hearby acknowledge that I am the owner of the building referenced above and I give
my consent for the listed third -party inspection company to perform my roof inspection
in lieu of the City of Wheat Ridge Building Division inspection.
Propery Owner/Agent: (k te- i Date:
This original document and permk-card, as well as the roofing check list, must be submitted tc
the Chief Building Official within seven days of the final inspection.
Drop off in person
Permit counter 2nd floor -
7500 W. 29th Ave
Wheat midge CO 80033
Draft Date: 7/26/17
Please add note to reverse side
The City of Wheat Ridge
Inspection Check List notes
Mid -Roof
Roof Inspection
N/A
❑ Pass
❑ Fail
❑ N/A
Pass
❑ Fail
Structural Woof components
❑ N/A
Pass
❑ Fail
Verify that no more than 2 layers of shingles exist
❑ NIA
Pass
❑ Fail
Flashing for roof and walls
Pass
❑ Fail
If new sheathing is Installed verify that it is listed in the
permit description (Valuation must be adjusted)
LL] N/A
fU Pass
❑ Fail
Verify sheathing tail pattern (See Policy & Procedures)
t� N/A
j Pass
❑ Fall
Crickets and saddles where needed
❑ N/A
Pass
❑ Fail
Verify B vent must have boot same gauge as pipe
; N/A
" Pass
❑ Fail
Verify vent caps
❑ N/A
Pass
i❑ Fail
Verify no flashings are damaged or rusted
❑ N/A
Pass
❑ Fail
Step flashing shall be min. of 4x4 piece per shingle
N/A
Pass
❑ Fail
Verify scuppers allow for proper drainage
❑ N/A
l Pass
❑ Fail
Ice and water shield 2` in heated wall spaces
❑ N/A
Pass
❑ Fail
Underlayments must follow 2012 IRC 12012 IBC
❑ N(A
Pass
❑ Fail
Verify roof slope for proper drainage
❑ N/A
Pass
❑ Fail
Dripedge shall have min of 2" overlap
E] NIA
Pass
❑ Fail
Dripedge should extend down min 2" past roof deck
❑ N/A
Pass
❑ Fail
Dripedge shall be mechanicaly fastened 12" CC
N/A
Pass
❑ Fail
90 LB roll roofing shall not be applied to roof slopes
less than 2:12 slope: Exception, detached garages,
patios, carports, open on three sides with min. slope of
1:12
N/A
❑ Pass
❑ Fail
Modified Bitumen, EPDM, TPC min slope 114:12 slope
iV/A
Pass
❑ Fail
Above roof insulation R-25
NIA
❑ Pass
❑ Fail
Below roof residential R-38
XNIA
❑ Pass
❑ Fail
Below roof commercial R-32
N/A
❑ Pass
❑ Fail
Modified Bitumen, EPDM, TPO min slope 114:12 slope
must be installed in accordance with the manufacturers
specifications- Must have manufactures letter of
warranty with the address on the letter for final inspection
Metal Roof �hincgles Requirements
qN/A
❑ Pass
❑ Faii
Metal roof shingles shall not be installed on slope less
3:12
N/A
❑ Pass
❑ Fail
Metal valley flashing shall be the same material as roof
/19
i NIA
❑ Pass
❑ Fail
Metal valley flashing shall extend a miry of 8" from the
(�
centerline With a min. of 314 " high splash diverter
rib built-in at the flow line with sections Overlapping a
a min. of 4"
Tlie Roofs Re urements
NIA
❑ Pass
❑ Fail
Clay and concrete the shall have a min. 2-112:12 slope
Slopes 4:12 and under require double underlayment
The City of Wheat Ridge
inspection Check List notes
Mid -Roof
Notes
Company Name. 40
Inspector signature: --i,
Date of Inspection: 3,50- 19
The City of Wheat Ridge
Inspection Check List notes
Final Roof
RooLjpsj22ction
N/A
❑ Pass
❑ Fail
❑ N/A
N Pass
❑ Fail
Structural roof components
❑ N/A
?-0 Pass
❑ Fail
Verify that no more than 2 layers of shingles exist
❑ N/A
Pass
❑ Fail
Plashing for roof and walls
Pass
❑ Fail
If new sheathing is installed verify that it is listed in the
permit description (Valuation must be adjusted)
❑ N/A
Pass
❑ Fail
Verify sheathing nail pattern (Bee Policy & Procedures)
NIA
❑ Pass
❑ Fad
Crickets and saddles where needed
j NIA
T Pass
❑ Fail
Verify B vent roust have boot same gauge as pipe
J N/A
V1 Pass
❑ Fail
Verify vent caps
❑ N/A
yi Pass
❑ Fail
Verify no flashings are damaged or rusted
❑ N/A
Pass
❑ Fail
Step flashing shall be min. of 4x4 piece per shingle
A2 N/A
Pass
❑ Fail
Verify scuppers allow for proper drainage
❑ N/A{
Pass
❑ Fail
Ice and water shield 2' in heated wall spaces
❑ N/A
Pass
❑ Fail
Underlayments must follow 2012 IRC / 2012 IBC
❑ N/A
Pass
❑ Fail
Verify roof slope for proper drainage
❑ N/A
Pass
❑ Fail
Dripedge shall have min of 2' overlap
❑ N/A
[� Pass
❑ Fail
Dripedge should extend down min 2" past roof deck
❑ N/A
Pass
❑ Fail
Dripedge shall be mechanicaly fastened 12" QC
N/A.
❑ Pass
❑ Fail
00 LB roll roofing shall not be applied to roof slopes
less than 2.12 slope; Exception: detached garages,
patios, carports, open on three sides with min. slope of
9:12
[ N/A
❑ Pass
❑ Fail
Modified Bitumen, EPDM, TPQ rein slope 1/4:12 slope
N/A
❑ Pass
❑ Fail
Above roof insulation R-25
N/A
❑ Pass
E] Fail
Below roof residential R-38
N/A
❑ Pass
❑ Fail
Below roof commercial R-32
N/A
❑ Pass
❑ Fail
Modified Bitumen, EPDK TPQ min slope 1/4:92 slope
/
must be installed in accordance with the manufacturer's
specifications - Must have manufacturer's leiter of
warranty with the address on the letter for final inspection
Metal Roof Shingles Requirements
iM N/A
❑ Pa55
❑ Fail
Metal roof shingicti Shall not be in5t fled on 51OPP, IdSS
3:12
N/A
❑ Pass
❑ Fail
Metal valley flashing shall be the same material as roof
NIA
❑ Pass
❑ Fail
Metal valley flashing shall extend a min of 8" from the
centerline with a min. of 3/4 " high splash diverter
rib built-in at the flow line with sections overlapping a
a min. of 4"
Tile hoofs Requirements
N/A
❑ Pass
❑ Fail
Clay and concrete tyle shall have a ruin. 2-1/2:12 slope
Slopes 4:12 and under require double underlayment
I he City of Wheat Ridge
Inspection Check List notes
Final Roof
Notes
Company Name:
Inspector signature: r
r
ate Of Inspection.-
*** CONTACTS ***
OWNER (303)420-4652 GREEN CAROL DRURY
SUB (720)446-9633 Steven Grillo 140107 Elite Construction LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 26,500.00
FEES
Total Valuation 0.00
Use Tax 556.50
Permit Fee 465.05
** TOTAL ** 1,021.55
*** COMMENTS ***
*** CONDITIONS ***
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required for both the midroof and final inspections. The 3rd party inspection report AND
THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat
Ridge. The report MUST BE SIGNED by the Homeowner.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec.
R806. The installation of ridge venting requires the installation or existence of soffit
venting. For calculation purposes, one hat or turtle vent equal to one-half of one square
foot of opening.
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75% 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% of the mid -roof may be complete. Asphalt shingles are required to be
fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name) roof
covering" is required to be on site at the time of final inspection.
City of Wheat Ridge
R r.'
W:
Residential Roofing PERMIT -
201900244
PERMIT NO:
201900244
ISSUED:
02/08/2019
JOB ADDRESS:
11254 W 38th Ave
EXPIRES:
02/08/2020
JOB DESCRIPTION:
Reroof remove and install Timberline
HD GAF Asphalt
Shingles with 47
squares. Pitch 6/12.
**REVISION: Adding 47 squares of
decking to project. Added valuation:
$3000
*** CONTACTS ***
OWNER (303)420-4652 GREEN CAROL DRURY
SUB (720)446-9633 Steven Grillo 140107 Elite Construction LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 26,500.00
FEES
Total Valuation 0.00
Use Tax 556.50
Permit Fee 465.05
** TOTAL ** 1,021.55
*** COMMENTS ***
*** CONDITIONS ***
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required for both the midroof and final inspections. The 3rd party inspection report AND
THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat
Ridge. The report MUST BE SIGNED by the Homeowner.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec.
R806. The installation of ridge venting requires the installation or existence of soffit
venting. For calculation purposes, one hat or turtle vent equal to one-half of one square
foot of opening.
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75% 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% of the mid -roof may be complete. Asphalt shingles are required to be
fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name) roof
covering" is required to be on site at the time of final inspection.
City of Wheat Ridge
Residential Roofing PERMIT - 201900244
PERMIT NO: 201900244 ISSUED: 02/08/2019
JOB ADDRESS: 11254 W 38th Ave EXPIRES: 02/08/2020
JOB DESCRIPTION: Reroof remove and install Timberline HD GAF Asphalt Shingles with 47
squares. Pitch 6/12.
**REVISION: Adding 47 squares of decking to project. Added valuation:
$3000
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 ern I further attest that I am le ally authorized to include all entities named within this document as parties to the work to be
performed and that all work to bexformed is disclosed in this document andlor its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
I. 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 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 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.
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. Theiss ce or grantin : of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
appli Thep
.bode or any finance or regulation of this jurisdiction. Approval of work is subject to Yield 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 heatjdge
CCOXMMIL)NriN DEVELOPMENT
Building & Inspection Services Division
7500 W. 291 Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(c-ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date: C�—D/ ��(� � ,q
Add to Permit #
�e/11-7
Building Permit Revision/Amendment Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address: i � )-S Lj- OcS�
Property Owner (please print): ( oro (I.rr-C-,V-\ Phone:316- !20 -�65L
Property Owner Email: Gayy—\
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Submitting Comby: F, L Cov4nx+,or-,
Contact Person: Wvv\C, �e O Phone:
Contractor:r�
Contractors City License #: 1L-40 10 '1 Phone: �L-gg6 - q6 33
Contractor E-mail Address: @
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:
UeCJJ-\.f\
Sq. Ft./LF
Amps
Btu's
Gallons
Squares L Other
Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above)
l ►m'1a.((;A .2. idj
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: n�(OWNE\R)� (CONTRACTOR) or UTHORIZED REPRESENTAT E) of (OWNER) (CONTRACTOR)
PRINT NAME: •' V �11I V��7 SIGNATITRE:yFt� DATE:
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received ❑ Not Required
Water District ❑ Received ❑ Not Required
Sanitation District ❑ Received ❑ Not Required
Building Division Valuation: $
City of Wheat Ridge
. Residential Roofing PERMIT - 201900244
PERMIT NO: 201900244 ISSUED: 02/08/2019
JOB ADDRESS: 11254 W 38th Ave EXPIRES: 02/08/2020
JOB DESCRIPTION: Reroof remove and install Timberline HD GAF Asphalt Shingles with 47
squares. Pitch 6/12.
*** CONTACTS ***
OWNER (303)420-4652 GREEN CAROL DRURY
SUB (720)446-9633 Steven Grillo 140107 Elite Construction LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 23,500.00
FEES
Total Valuation 0.00
Use Tax 493.50
Permit Fee 426.20
** TOTAL ** 919.70
*** COMMENTS ***
*** CONDITIONS ***
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required for both the midroof and final inspections. The 3rd party inspection report AND
THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat
Ridge. The report MUST BE SIGNED by the Homeowner.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec.
R806. The installation of ridge venting requires the installation or existence of soffit
venting. For calculation purposes, one hat or turtle vent equal to one-half of one square
foot of opening.
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75% 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% of the mid -roof may be complete. Asphalt shingles are required to be
fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name) roof
covering" is required to be on site at the time of final inspection.
City of Wheat Ridge
Residential Roofing PERMIT - 201900244
PERMIT NO: 201900244 ISSUED: 02/08/2019
JOB ADDRESS: 11254 W 38th Ave EXPIRES: 02/08/2020
JOB DESCRIPTION: Reroof remove and install Timberline HD GAF Asphalt Shingles with 47
squares. Pitch 6/12.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications:
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this ermrt. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
I . 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.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Re nests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees 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.
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
applle code or ant prdinance 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.
Cilof Wheat Ridqe
021/ /2019 14_:15 CDDA
hereof remove and in
CDA020388 AMOUNT
BP5P 11254 W 38th Ave 919.70
APDL/PERMIT NO: 201`'108244
PAYMENT DECEIVED AMOUNT
V5 / 0669 '119.70
AUTH CODE: 00848-.
TOTAL 919.70
enia Reimer
From: no-reply@ci.wheatridge.co.us
Sent: Friday, February 8, 2019 11:44 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Gina
Residential Roofing Permit Application
This application is exclusively for new RESIDENTIAL roofing permits and for
licensed contractors only. Permits are processed and issued in the order they are
received. You will be notified if your contractor's license or insurance has
expired. The license and insurance must be current before the permit will be
processed.
For all other requests:
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. The Building Division
permit counter is open from 7:30 am to 3:30 pm, 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
RESIDENTIAL reroof
permit?
How many dwelling units
are on the property?
Yes
Single Family Home
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
11254 West 38th Avenue Wheat Ridge, CO 80033
Carol Green
(303) 420-4652
GREENFOXFARM@AOL.COM
1
i q 19, --VJ
Do you have a signed Yes
contract to reroof this
property?
CONTRACTOR INFORMATION
Contractor Business Elite Construction
Name
Contractor's License 140107
Number
Contractor Phone 720-466-9633
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address tj@elitesc.net
Retype Contractor Email tj@elitesc.net
Address
Credit Card Authorization WRCCAF.pdf
Form
DESCRIPTION OF WORK
TOTAL SQUARES of 47
the entire scope of work:
Project Value (contract 23,500
value or cost of ALL
materials and labor)
Are you re -decking the No
roof?
Is the permit for a flat Pitched roof (2:12 pitch or greater)
roof, pitched roof, or
both? (check all that
apply)
What is the specific pitch 6/12
of the PITCHED roof?
How many squares are 20
part of the PITCHED
roof?
Describe the roofing Timberline HD GAF Shingles
materials for the
PITCHED roof -
2
Type of material for the Asphalt
PITCHED roof:
Provide any additional House
detail here on the
description of work. (Is
this for a house or
garage? Etc)
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.
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.
3
Person Applying for Nathan Weathers
Permit
Email not displaying correctly? View it in your browser.
INSPECTION RECORD
Inspection online form: http://www.ci.wheatridge.co.us/inspection
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Inspections will not be performed unless this card is posted on the project site
Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business day
PERMIT: ` ADDRESS: �% �-'� I �� UY__ JOB CO E: kpizjm�
Foundation Inspections
Date
Inspector
Initials
Comments
102 Caissons / Piers
103 Footing / P.E. Letter
104 Foundation Setback Cert.
105 Stem Walls
106 Foundation wall Insulation
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground / Slab Inspections
Date
Inspector
Initials
Comments
201 Electrical / Cable/ Conduit
202 Sewer Underground Int.
203 Sewer Underground Ext.
204 Plumbing Underground Int.
205 Plumbing Underground Ext.
206 Water Underground
Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections
Rough Inspection
Date
Inspector
Initials
Comments
301 Rough Framing
302 Wall Sheathing
303 Roof Sheathing
304 Sheer Inspection
305 Insulation
306 Mid -Roof
307 Metal / Lath / Stucco
308 Rough Electrical Residential
309 Rough Electrical Commercial
310 Electrical Meter Residential
311 Electrical Meter Commercial
312 Temp. Const. Meter
313 Rough Plumbing Residential
314 Rough Plumbing Commercial
315 Shower Pan
SEE OVER FOR ADDITIONAL INSPECTIONS
PERMIT: l`" 00�C ADDRESS: ems' V�' C h / JOB CODEg
I
60 0/A A � ( a �Lr t �J
Rough Inspection (continued)
Date
Inspector Initials
Comments �'�� �/
316 Rough Mechanical Residential
317 Rough Mechanical Commercial
318 Boiler / Furnace
319 Hot water tank
320 Drywall screw and Nail
321 Moisture board / shower walls
322 Rough Grading
323 Miscellaneous
Final Inspections
Date
Inspector
Initials
Comments
401 Gasline
402 Gas Meter Release
403 Final Electrical Residential
404 Final Electrical Commercial
405 Final Mechanical Residential
406 Final Mechanical Commercial
407 Final Plumbing Residential
408 Final Plumbing Commercial
409 Final Roof
410 Final Window/Door
411 Landscape/Park/Planning*
Inspections from these entities shall be requested
one week in advance.
*For landscaping and parking inspections please
call 303-235-2846
**For ROW and drainage inspections please call
303-235-2861
'For fire inspections please contact the Fire
Protection District for your project.
412 Row/Drainage/Public Works"*
413 Flood plain Inspection**
414 Fire Insp. / Fire Protection***
415 Public Works Final**
416 Storm Water Mgmt.**
417 Zoning Final Inspection*
418 Building Final Inspection
Note: All items must be completed and approved by Planning, Public Works, Fire and Building
before a Certificate of Occupancy is issued. Approval of the Final Building Inspection does not
constitute authorization of occupancy.
For Low Voltage permits please be sure that rough inspections are completed by the Fire District and
Electrical low voltage by the Building Division.
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: %) 016
Permit Number:
a
❑ No one available for inspe ' : Time 0 AM/PM
Re -Inspection required:(es No
When corrections have been made, call for re -inspection at 303-234-
Date:- 3/9//9 Inspector:
ry-#
DO NOT REMOVE THIS NOTICE
I i CITY OF WHEAT RIDGE
_1�9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: -905-- q�10 mn�e , a ac, ex
Job Address: 1 / a 5-y W
Permit Number: 'Do/ g O� S q
f i r o-� e
v
❑ No one available for inspection: Time 9 AM NP
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date:—S /(P fllq Inspector: `T_ f
DO NOT REMOVE THIS NOTICE
*** CONDITIONS ***
.All work shall comply 2012 International Codes, 2014 NEC (if applicable), and ordinances
adopted by the City of Wheat Ridge. Work is subject to field inspections.
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 legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
thispermit. I further attest that I am le ally authorized to include all entities named within this document as parties to the work to be
performed and that all work to d is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNE; 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 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
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
9
Signature of i effBuiId ng Offi I Date
REQUESTS MUST BE MADE BY 11159PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of Wheat Ridge
Residential Plumbing PERMIT -
201800595
PERMIT NO:
201800595
JOB ADDRESS:
11254 W 38th AVE
ISSUED:
03/05/2018
JOB DESCRIPTION:
EXPIRES:
Residential plumbing permit for water line
03/05/2019
approximately 5 feet.
repair
in yard(driveway)
*** CONTACTS ***
OWNER 303/420-4652 CAROLINE GREEN
SUB (303)766-7500 Jeff Belk 021818
Plumbline
Services
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE:
SUBDIVISION CODE:
UA / Unassigned
UA / Unassigned
BLOCK/LOT#:
0 /
*** FEE SUMMARY *** ESTIMATED PROJECT
VALUATION:
4,000.00
FEES0.00
Total Valuation
Use Tax
84.00
Permit Fee
109.20
** TOTAL **
193.20
*** COMMENTS ***
*** CONDITIONS ***
.All work shall comply 2012 International Codes, 2014 NEC (if applicable), and ordinances
adopted by the City of Wheat Ridge. Work is subject to field inspections.
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 legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
thispermit. I further attest that I am le ally authorized to include all entities named within this document as parties to the work to be
performed and that all work to d is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNE; 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 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
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
9
Signature of i effBuiId ng Offi I Date
REQUESTS MUST BE MADE BY 11159PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
W heat midge
COMMUNITY DEVELOPMENT
FOR OFFICE USE ONLY
Date: 0
,T_ k—`l
Plan/Permit # 1-44( %�� L'/ / S
Building & Inspection Services Division
7500 W. 29" Ave., Wheat Ridge, CO 80033 Plan Review Fee:
Office: 303-235-2855 * Fax: 303-237-8929 / ✓',
Inspection Line: 303-234-5933 q5
Email: Perm itsCcDci.wheatridge.co.us
Building Permit Application
Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address: 1 I",I 5 4 W 38'K INve
Property Owner (please print): Phone: _716'70-7649
Property Owner Email:,
Mailing Address: (if different than property address)
Address:
, State, Zip:
Arch itect/Engineer:
Architect/Engineer E-mail:
Phone:
Contractor: I�Mb1,nP Ser�,�e
Contractors City License #: Phone:6,--7Soo
Contractor E-mail Address: !perA&,1.)C6 taWAJ,i.r,eScrv,cP—) e�3m
For Plan Review Questions Ili Comments (please print):
CONTACT NAME (please print): Phone:
CONTACT EMAIL(p/ease print): ilP:r^,��Ua�Ww41►�Iti�P�Prw�ceS. ��nn.
Sub Contractors:
Electrical:
W.R. City License #
Plumbing:
W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License #
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL X RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
& PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ OTHER (Describe)
(For ALL projects, please provide a detailed description of work to be performed, including current use of areas,
proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and
amount of materials to be used, etc.)
Sq. Ft./LF
Amps
t :i
Btu's
Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance
with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner
or have been authorized by the legal owner of the property to 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)
Signature (first and last name): DATE:
ZONING COMMMENTS
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
Inspector Must Sign ALL Spaces pertinent to this project
__Foun
�atlon�nspections Initials
ui
Footing/Stemwall P.E. Letter
r UV I'VVL �%oVVV�FU"U�errouno or tseilownn-wao work Prior
I rival Of The Above Inspections
1 Rough Inspections
D ate
Inspecto r
Comments
Initials
Wall shea
R o ot oof Sheathing
Lath / Wall Tie
Rough Electric
Rough Plumbing
Rough Mechanical
Gas Piping
Do Not Proceed Without roval Of Above
Rough Framing
CITY OF WHEAT RIDGE
12/28/12 2:82 rs" edba
Insulation
William Darla
Drywall Screw / Nail
RECEIPT
Q.04608694
ANDONT
Final Inspections
Date
Inspector
X'S
P Reilace furnace with
k15915
161 20
Initials
Los
Permit Fee
ID&DI
Final Electrical
Use Tax
61.28
Final Plumbing
PAYNENT RECEIVED
AMOUNT
Final Mechanical
VS 2235
Roof
Auth Ede:
076093
Final Building / Frame
TOTAL
------------
16 1. 20
Rough Mechanical
W W1i12AW-W'-___
Occupancy Is Not Permitted Until A Certificate of Occupancy Is
Protect This Card From The Weather
Ary #
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•r r 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/11�1
Job Address _ _ / / 2 e 1j � IL l3
Permit Number ?.�r
,raj . E
i` E
F THIS NnTICF
' CITY OF WHEAT RIDGE
r Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office - (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type PU
Job Address /1 '? l �lz 51��ftr „✓��r4u��
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
Date: Inspector:
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
r Residential Plumbing PERMIT - 111309
PERMIT NO: 111309
ESTIMATED
ISSUED:
10/25/2011
JOB ADDRESS: 11254 W
38TH AVE
EXPIRES:
10/24/2012
DESCRIPTION: 10 if of
sewer line repair
in yard only with clean outs
* ** CONTACTS * **
Total Valuation
- .00
owner 303/420 -4652
Carol Green
49.50
sub 303/696 -9599
Steve Wakeham
01 -9921
Pipeline Industries, Inc.
*-*--PARCEL INFO
ZONE CODE: UA
USE:
UA
SUBDIVISION: 0191
BLOCK /LOT #:
0/
** FEE SUMMARY **
ESTIMATED
PROJECT VALUATION:'
2 „750.00
FEES
Permit Fee
93.35
Total Valuation
- .00
Use Tax
49.50
** TOTAL **
142.85
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 named within this document as parties to the work to be performed and that all work to be performed is disclosed in
this document an accompanying approved plans and specifications
Signature of 40/' OWNER or Qau (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 or any ordinance or regulation of this jurisdiction. Approval of work is subject
to fiel e
Signature C f Building Offical Date
INSPE ION 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.
C�t f
�- y
f heat Date:
°OMMUNITY 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
Bui Permit Application
Property Address; I , �s / j/�• 3 AVC
Property Owner (please print): 040t. OC4C -6 A/ Phone:
Mailing- Address: ( if different than property
Address: h G
City, State, Zip:
6otni tractor: / lG C- �_ I d/'C- T N 17
Contractors City License #: Phone: g 5 cf 9 6T'
Sub tCOritractors
zy
Electrical plumbing: Mechanical
City License # City License # City License #
Des�et�p'tton'ro�'uuor�:�
tya
/ 5 scontrac G ,.tt ,
/ A J 4 e yor
Review Fee (due at time of submittal):
Squares BTU's Gallons Amps Sq Ft. $
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: ^
^— I y: rCONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
/.� I.
PRINT NAME:
DATE:
Bldg Valuation:
INVOICEN
ELALA� IN Er_/� JOB DATE
/� 10/28e11
I IF J E I
INDUSTRIES INC. DATE JOB #
P.O. Box 370 o Watkins, CO 80137
10125111
ESTIMATOR CALL ORIGIN
696
1
Chandler I Co Sew. on
Fax (303) 671 -6871 _ SERVICEMAN PO #
J OB INFORMATION
BILLING INFORMATION
NAME Carol Green NAM
ADDRESS 11254 38ih Ave.
ADDRESS
qTATF
It
GI
IF -
PHONE 303- 420 -4652 PHONE
'DESCRIPTION OF SERVICES
-:ESTIMATE
Excavate /Replace 10' of 4" rrlaln drain on the north side of the house. $ 2,750.00
Approximately 10' long and up to 3' deep.
: Exca`Fration, Plumbers, Laborers, Pi � < O's,
r ra_- & Fittings, C,
Bedding, Backfilf, Compaction,
ul
Clean -up, Haul Away, Permit and Inspection.
included if needed.
E
TY Terms of Warranty: ear - Parts Labor
Roots & Ground f�! ovement (Acts of Nature)
APPROVAL
" SIGNATURE
S: -
rivate utility repair, sprinkler and
repair.
TAX
YOU
FLEASE PAY
®
THIS AMOUNT
ITEMS NOT INCLUDED. Landscape, grass, sod, trees, bushes, flowers, plants, fence
�
$
repair, decorative rock, utility conflicts, private utilities, sprinklers, waterlines, electrical, gas,
etc. Not responsible for damage caused b unstable soil, cave -ins or an othercom complications.
Y Y P
ACCEPTANCE z /
TERMS: Job cancellation . fees will apply. Invoices are payable -1/2 down and balance upon
OF INVOICE -
completion of work performed. Any invoice not paid when due, shall incur interest at the rate
SIGNATURE
of 18% per annum. In the event that it becomes necessary to collect any unpaid balance
El VISA ❑ M/C ❑ AMEX
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
CARD # EXP
lien for all unpaid materials and labor supplied to building projects pursuant to Colorado law.
APPROVAL #
( /'b� ' f
❑ CASH ❑ CHECK #
SIGNATURE
CHARGE A/R ACCOUNT #
I
i.
r
>v
z�l
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS :
DATE
INSPECTOR -
:INITIALS
COMMENTS:
Footings /Caissons
Drywall :Screw
Stemwall / (CEG)'Concrete
Encased Ground':`
Reinforcing or Monolithic
Electrical
Weatherproof / French Drain
Plumbing
Sewer Service tines
Mechanical
Water Service Lines
Roof
POUR NO CONCRETE UNTIL ABOVE. HAS BEEN SIGNED
CONCRETE SLAB FLOOR
' Electrical (Underground)
a .
Plumbing (Underground)
Heating ( Underground)
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
ROUGHS
Sheathing
Lath /Wall tie
Mid -Roof
s4, Electrical Service
Rough. Electric
Rough Plumbing
Gas Piping
Rough: Mechanical
ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING -
ti
Framing
insulation
Drywall :Screw
FINALS'
Electrical
Plumbing
Mechanical
Roof
Building Final
Fire Department
R O.W & Drainage r'.
INSPECTIONS FOR PLANNING S, ZONING, FIRE AND PUBLIC WORKS SHOULD
BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
Parking :$ Landscaping
"NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING,: BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE OF OCCUPANCY IS ISSUED 'FINAL INSPECTION By THE BUILDING DIVISION DOES NOT CONSTITUTEAUTHORIZATION
-OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
Inspections will not be made unless this card is posted on the building site
Call by 3:00 PM to receive inspection the following business day.
Electrical
r `
LCD
INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS
DATE 1
INSPECTOR
I I NITIALS
COMMENTS'
Footings /Caissons
Roof
as' d®
Stemwall / (CEG)- Concrete
Encased Ground'..
Building Final
Reinforcing or Monolithic
Fire Department
Weatherproof/ French Drain '.
ROW Sr Drainage
Sewer Service Lines
INSPECTIONS FOR PLANNING S ZONING, FIRE AND PUBLIC WORKS SHOULD
BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
Parking. & Landscaping
Water Service. Lines
* " NOTE: ALL ITEMS MUST BE'COMPLETE DAN D APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE OF OCCUPANCY IS ISSUED.'.: FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTlH ORIZATION
;OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
Heating (Underground)
` DO NOT POUR FLOOR UNTIL ABOVE HAS 13EEN SIGNED "
ROUGHS
Sheathing
Lath Wall tie
Mid Roof
Electrical Service
Rough Electric
Rough: Plumbing
Gas Piping
Rough Mechanical
ABOVE INSPECTIONS TO BE SIGNED
PRIOR TO PROCEEDING
Framing
Insulation
Drywall: Screw
FINALS
Electrical
Plumbing
Mechanical
Roof
as' d®
flG
Building Final
Fire Department
ROW Sr Drainage
INSPECTIONS FOR PLANNING S ZONING, FIRE AND PUBLIC WORKS SHOULD
BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
Parking. & Landscaping
* " NOTE: ALL ITEMS MUST BE'COMPLETE DAN D APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE OF OCCUPANCY IS ISSUED.'.: FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTlH ORIZATION
;OFA CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
PROTECT THIS CARD FROM THE WEATHER
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection , fine
(303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: f1o1 SY oy 31771 #0
Permit Number: /c9 Y,71
a
❑ No one available for inspection: Time 3l7S AM
Re- Inspection required: Yes /N0
When corrections have been made, ca// for re Inspection at 303-2345933
Date: _ 4LZ,42_L2 Inspector
DO NOT REMOVE THIS NOTICE
,.. „4 • ... , L . r „ r;.. z• .d -- ;:: �e . „, »`emu sz
♦ i CITY OF WHEAT RIDGE
f Building Inspection Division
/ (303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type: _Xuf-6
Job Address: In <c/ 50� 141,�
Permit Number: 1®1Y/G
❑ No one available for inspection: Time -7. f AMICM
Re- Inspection required: . Yes oCN
"When correction / s have been made, call for re- inspection at 303- 234 -5933
Date: g_ O Inspecto F
DO NOT REMOVE THIS NOTICE
F " City of Wheat Ridge
1 \Ga11.LG11L1Q1 1\ 1 LlvTlll iV1ii 1
MIT NO: 101471 ISSUED:. 06/10/2010
ADDRESS: 11254 'W 38TH AVE ?EXPIRES: 12/07/2010
CRIPTION: T /o: Install 25 1/2 sqs. Install #1 Prem. shake: shingle
* ** CONTACTS * **
er 303/420-4652 Caroline Green
303/989 -8816 Kent Eckhardt 01-9591 CRAFTECH ROOFING INC
PARCEL INFO **
E`: CODE: UA 'USE: UA
DIVISION: 0191 BLOCK /LOT #: 0/
FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 13,320.00
FEES
rmit Fee 308.50
tal Valuation .00
e Tax 239.76
;TOTAL * *:: ',548.26
ditions•
lication are accurate, and do: not violate applicable
INSPECTION IEQUEST LINE: (303)234 -5933 'BUILDING OFFICE: (303)235-2855 '.
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
�s.
W HEgT
City of Wheat Ridge Building Division
7500 W. 29 Ave., Wheat Ridge, CO 80033
Office: 303 - 235 -2855 . Fax: 303 - 237 -8929
o - o Inspection Line: 303 - 234 -5933
O <ORP�
Building Permit Application
Property Address: It A6 blf). 3� / �✓�
Property Owner (please print):
Mailing Address: (if different than property address)
Address:
Date:
Plan #:
Permit #:
Phone: 3D3-` " -q& 2�
City, State, Z ip: WA-6&,& IGtcCG.v, f0 0 37)
Contractor: Lrctt�
Contractor License #: 0I9 Phone: 30 3 - 1 -991
Sub Contractors:
Electrical City License #:
Company:
Plumbing City License #:
Company
Mechanical City License #:
Company:
Exp. Date: Exp. Date: Exp. Date:
Approval: Approval: Approval
Use of space (description): 1+0 uSL Construction Value: $ -13 3x0.0 0
Description Of,work ♦ ," (as calculated per the Building Valuation Data sheet)
(lQ�1PN' IV de ck, I ris t r�e4.K lti 6yy, Plan Review (due at time of submittal): $
�ta.kt, d ies
Sq. FL /L. Ft added: Squares D; a- 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 pr!nW on this application and that I assume full
responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other p livable Wheat Ridge Ordinances, for work
under this permit. Plans subject to fiel inspection. .
CIRLCE ONE:: (OWNE (CONTRACTO or PERSONAL REPRES NTATIV (OWNER) (CONTRATOR)
PRINT NAME: a.rtC LG a SIGNATURE: Date: '9` O
Bldg Valuation: $
IT NO:
annpppC-
OF W HEAT
U \� m
.__
O [ORA 00
Building Permit Application
Property Owner (please print):
Mailing Address: (if different than property
Address:
Date:
Plan #:
Permit #:
Phone: 303 - 4,do- qL Sol
Contractor Li cense #: 0 1 151 1 Phone: 36
Sub Contractors:
Electrical City License #:
Company:
Plumbing City License #:
Company
Mechanical City License #:
Company:
Exp, Date: Exp. Date: Exp. Date:
Approval: / Approval: Approval:
Use of space (description): Ga ✓ahe F SA e- Construction Value: $ 8100.0 0
Description of Work: (as calculated per the Building Valuation. Data sheet)
T ) I W " J Plan Review (due at time of submittal): $
f WOW AIfJ✓fM uti /�1edt'Ititu. SG+,t fry
Sq. Ft./L.Ft added: Squares 1T BTU's Gallons Amps
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 the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
CIRLCE ONE:: (OWNER) (CONTRACTOR) or PERSONAL REPRESENTATIV
PRINT NAME: AJA n t i1 EG!< lt.✓/ � SIGNATURE: Date:
City of Wheat Ridge Building Division
7500 W. 29 Ave., Wheat Ridge, CO 80033
Office: 303 - 235 -2855 * Fax: 303 - 237 -8929
Inspection Line: 303- 234 -5933
Bldg Valuation:
Contractor: 1�00r" , I rid,
j o CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
_(303) 235-2855 Office • (303) 237-8929 Fax
0
INSPECTION NOTICE
Inspection Type: ~o
Job Address: 4 pie
Permit Number: fnr) /4/(f)
r
,77,777,.. CAN '417,-
r
I(
❑ No one available for inspection: Time lAM! M
Re-Inspection required: Yes No
*When corrections have been made, call for re-inspection at 303-234-5933
i
Date:. Inspector: ~7 ,
DO NOT REMOVE THIS NOTICE
♦ ♦ CITY OF WHEAT RIDGE �
Building Inspection DivisionJ`�
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: I ✓2 ��i" / /�s,' ``" ry
Permit Number: /0,5 elo
i 7)
,�1 ^', ✓VS �l.','71tJ f.! l
!)/Z - /QA, Zla. c
r
r,
I ❑ No one available for inspection: Time .3 '20 AMIPM
j Re- Inspection required: Yes No
4 "When corrections have been made, call for re inspection at 303 234 - 5933
Date: ff -/v Inspector. 91
DO NOT REMOVE THIS NOTICE
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
r (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
ifJ
Inspection Type:
Job Address: 112S4 14119-5 T 28
Permit Number: 100mo
❑ No one available for inspection: Time AM/PM
Re-Inspection required: Yes o
When corrections have been made, call for re-inspection at 303-234-5933
Date: /-,20-/f3 Inspector: t3j
DO NOT REMOVE THIS NOTICE
s
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
f (303) 235-2855 Office • (303) 237-8929 Fax ~ ! L,'
0 J~
INSPECTION NOTICE
❑ No one available for inspection: Time /f 3D /PM
Re-Inspection required: Ye No
`When corrections have been made, calf for re-inspection at 303-234-5933
Date: 3-V- /O Inspector: %3y'
DO NOT REMOVE THIS NOTICE
Inspection Type: Fi U4z lc'oQF
Job Address: /f25'/-/ Algsi Sv°6! A&e
Permit Number: lb r5 /4/0
4' `CITY OF WHEAT RIDGE
Building Inspection Division
l (303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: L T
Job Address:
Permit Number: 1~ti if,
❑ No one available for inspection: Time (AM/ PM
i -
Re-inspection required: Yes No
i
When corrections have been made, call for re-inspection at 303-234-5933
Date: /4') Inspector.
DO NOT REMOVE THIS NOTICE
WHEgp
City of Wheat Ridge Building Division Dare:
v s~ m
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-235-2857 PlanM
ootoaa° Inspection Line: 303-234-5933
Permit
Building Permit Application
Property Address: s 5 (v, IV Ui✓~ i c I rNty~ ~~1 0. D~ 5 3
Property Owner (please print): ( +V t
t-tast ((~d~tt~ Phone
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Contractor:
Contractor License C~ - t b lU v Phone: 303- 1 ✓ 9 - 1 D32.
Sub Contractors:
Electrical City License
Company:
Plumbing City License
Company
Mechanical City License
Company:
Exp. Date:
Exp. Date:
Exp. Date:
Use of space (description): i cPr t
Description of work: Z--y-oo
Construction Value: $ 7.o .
(as calculated per the Building Valuation Data sheet)
Plan Review (due at time of submittal): $
Sq. Ft./L.Ft added: Squares ) 9 BTU's Gallons Amps
OWNEWCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown, and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
CIRLCE ONE:: (OWNER) (CONTRACTOR)` or PERSONAL REPRESENTATIVE of (OWNER) (CONTRATOR)
PRINT NAME: C-, (,ih Ili L,41 17V er-.) SIGNATURE:. Date: 1 t 3 1 tJ
ZONING COMMENTS:
Zoning:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY:
FIRE DEPARTMENT:: ❑ approved w/ Comments ❑ disapproved ❑ no review required
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 955
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner : NOBLE HOWARD G
Property Address 11254 38TH AV Phone : 420-4652,
~
Contractor License No. : .
Company: Phone`.
~NEWCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT , Constrilction Value $2 Z00 00.
~I fierebyicertify that the setback distances proposed by this permit application are acwrate, Pefmlt F02 r :~r $75 50 agd do ngt Viotate applicable ordinances, rvles or regulations of the City of Wheat Ridge or covenants; easements or resfridions of record; that all measurements shown, and allegations . Plari ReVIeW Fee ~ $0 00
[nai7e are ascurate; that I have read andagree to atiide by all conditions prmtedon this ~ ' ~ q4 00 ' applicatibn and thaj I assume futl responsibihty for compliance with the Wheat Ridge Budding US0 T8X
fCode {U B C) and all other applicable VJheat Wdge ordinances for work under this permR F F. R,•, f~ . S i
1' ~1~ YM1~G J` 5•• " ' f e.=
~ 'fiotal 1 9 50
(pW[JER}(CONi12ACTOR) SIGNED - ` DATE
Descripfiorr ~ ~ ROOM ADDITION - 12 6" X 24'
F
d.3
BUILDING DEPARTMENT USE ONLY
SIC ; Sq F4 300
~ Rpproval SM 1011196 ~ ADDITION APPROVED VIA CASE WF 96
v ~~in . . a s.~
px t54~ys~'
;.ZOnI❑9 R I
6~
ADDITION MAY NOT CLOSE EXISTING`MEANS OF EGRESSs SMOKE
i A~" roval : JE 9126196 -DETECTOR PER 1994 U.B.C. : ' , ti ' P,P , _ . . . , a . '
FOflM 1813V0- 24 ~ 0650 ,
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FORM IB1340 -24 0650
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AiR EQ D3.529 Fv{qCT}: ,0571eiksi
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ER
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j
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 3955 >
BUILDING INSPECTION DIVISION - 235-2855 ~
CITY OF WHEAT RIDGE Date : 71%96
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner : NOBLE HOWARD G
Property Address : 11254 38TH AV Phone : 420-4652
Contractor License No.
Company : Phone ;
ON]NER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
r-
' f hereby certify that the setback distances proposed tiy this permit appliration are accurete,
antl do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easementsor restrictions of record; that all measurements shown; and allegations made are accurate; that 1 fiave read and~agree to abide by all conditions printed-on this
. application, and that I assume fulf responsibtlity for compliance with the Wheat Ridge Building
. Code (U.B.C.).and all other applicable Wheat Ridge ordmances, for work under this permit"
(OWNER)(CONTRACTOR) SIGNED ' DATE
Construction Value :
<$2,200.00
Permit Fee :
$75.50
Plan Review Fee :
$0.00
Use Tax :
$44.00
Total:
$119.50
FOFM IB1340 24 - 0650
CO. - DI V.
City - Town _
Dept.
By
PrqE
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FOFM 191940 24 - W50
CO. - DIV.
City - Town _
Dept.
By
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s
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Sheet No
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Job No.
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`YiREC~D~~ 47.987
Si,REQD}: 2~9J36
I{REQD}: 96.412
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TIi°iBER SECTIUfJ: ~ix10
4 ~'.91 C:t 230.84
fviACfi'
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SEAM: 1OX12 DECK
TYPE: I-iTiVGEU-i-iSNGE_D
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LOADS
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I Gi .Ai_ IVUNILEIR OF
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i . .
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-rts: ri{kzGr;T;= 0 . 000 tr<<
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fitk @ 3.0000 ft
ftk @ 6.000 ft
y,NRX}: -0.1237 in e 3.0000 ft
Ax: 16.500 Sx
P{RE9D}: 15.882
5{REQD}. 11.571
I{REQD}. 25.729
TIMBF_R SECTION: 2- 2x 6
15.125 I:t: 41.59
fv{ACT.08182 ksi
Pb), AC71.0711 ks:i
!
c
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Building Permit Number
Date
3955
10/1 /96
Property Owner :
Property Address:
Contractor License No. :
Company :
NOBLE HOWARD G
11254 38TH AV
Phone: 4204652
Phone:
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value : $2 200.00
I hereby certify that the setback distances proposed by this permit application are accurate,
Pefmit F22 :
$75.50
and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
i
00
$0
ons
covenants, easements or restrictions of record; that all measurements shown, and allegat
Plan Review Fee :
.
made are accurate; that I have read and agree to abide by all conditions printed on this
T
$44
00
application, and that I assume full responsibility for compliance wit the Wheat Ridge 8uilding
Use
8X :
.
s, f r rk under this permit.
Code (U.B.C.) and all other applicable Whea idge ordi 5n
7
DATE
Total :
$119.50
e~
(OWNER)(CONTR4CTOR) SIGNED
Description : ROOM ADDITION - 12'6" X 24'
BUILDING DEPARTMENT USE ONLY
SIC : Sq. Ft. : 300
Approval : SM 1011/96
Zoning : R-1
Approval : JE 9/26196
Approval : GK 9/27196
Occupancy : Walls
ADDITION APPROVED VIA CASE WF-96-1
ADDITION MAY NOT CLOSE EXISTING MEANS OF EGRESS. SMOKE
DETECTOR PER 1994 U.B.C.
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 :
WM-RN NEI' .M
(1) This permitwas issued in accordance with the provisions setforth in yopur application and is subject to the laws of the State of Coloretlo and to the Zoning
Regulations and Building Code of Wheat Ritlge, Colorado or any other applicable ordinances of the City.
(2) This permit shall expire if (A) the work au[horized is no[ commenced within sixty (60) days from issue date or (B) the builtling auihorized is suspended or
abandoned for a period of 120 days.
(3) If ihis permit expires, a new permit may be acquired for a fee of one-half the amount normally requiretl, provided no chanqes have been or will be made in the
original plans and speaficaUons and any suspension or abandonment has not exceeded one (t) year. If changes are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paid for a new permif.
(4) No work of any manner shall be tlone thatwill change the naturel Flow of water causing a tlrainage problem.
(5) Contractor shall notiry the Buildin9lnspectorhventy-four (24) hours in advance for all inspeciions antl shall receive written approval on inspection card before
proceediing wi[h successive phases of thejo6.
(6) The issuance of a permit or the approval oF drawings and specifica[ions shall not he consirued to be a pertnit for, nor an approval of, any violation of the provisions
ofthe iltli codesoranyothe ordinance,law,ruleorregula6on.
s~
iief Building Inspector o ayor
THIS 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 INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner :
Property Address:
Contractor License No. :
Company :
i
~W~ ✓c~
Phone:
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value : -~p~-
I hereby ceRify that the setback distances proposed by this permit application are accurate, PBfR11t F2B :
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 Plan Review Fee :
made are accurate; fhat 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 U52 TaX :
Code (U.B.C.) and all other applicable Wheat Rid rdinances. for work under this permit.
(OWNER)(CONTRACTOR) SIGNED DATE ~-~~G Total :
DescriPtion: Wlwe
BUILDING DEPARTMENT USE ONLY
Zonm ; om enW 1 `ZSIC : Sq. Ft. :
Approval: ~n--&cPcQAfw>, Ff,1nvo./ecQ Vla Cs.n.e- a~ t.EJF G!a ~
Zoning : F-f
aX' 'r-JrGS;
Approval: 5 o/1N j9Q y Ul,j c-
Approval : < . 7105117C
Occupancy : Walis : Roof : Stories : Residential Units :
Electrical License No :
Company:
Plumbing License No :
Company :
Mechanical License No :
Company:
Expiration Date : Expiration Date : Expiration Date :
Approval : Approval : Approval :
lul wia" siRegnire; im EVIWI-1Reqiiicetl_~ in ~,pfa~Re~gUired~
(1) This permit was issuetl in accordance with the provisions sel (orth in yopur application and is subjecl to Ihe laws of the State of Colorado and to the Zoning
RegulaGons and Builtling Code of Wheat Ritlge, Coloratlo or any other applicable ordinances of the Ciry.
(2) This permit shall expire if (A) the work authonzed is not commenced within sixty (60) days from issue date or (B) the 6uilding authorized is suspenAed or
abandoned tor a penod of 120 days.
(3) If this permit e:pires, a new pertnit may be acquiretl for a tee of one-half Ihe amount nortnaliy required. provided no changes have been or will be made in the
original plans and specifica6ons and any suspension or abandonment has not exceeded one (1) year. It changes are made or if suspension or a6antlonment
exceeds one (1) year, full fees shall be paitl for a new pertnit.
(4) No work o( any manner shall be tlone that will Uange ihe natural ilow of water rausing a tlrainage pro6lem.
(5) Contr r shall notify the Builtling Inspector hventy-four (24) hours in advance fat tl shall receive written oval onspection card betore
pro ed~ ng with successive phases of ihe job.
(6) Th iss ance o a Dermd or the ap roval of drawings and specifications shall not e a permil for, nor a p oval , a y tion of the provisions
o ihe uildin tles or an th rdinance, law, rule or regulation.
ief Building Inspector For Mayor
Building Permit Number :
Date :
v ve:i i " a
3l/~'1 Phone :`T~d 4't5-S-2~
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND NYAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
I-
1 j 'MillIIi0. r.+.ur 15U Wr Decoaber
. r, 8464.... llorenee Mariis BtiN and
I Pr1cr BsaMt Smlth
~1► 4
~ lTATE OI COL0R
~ RECERlON N0. 12/7,VM 1II;77
II
II
rw c..,yw Dougles wwur
lu,e,a„n,w Hwazd G. Noble and
• Carol G. Noble
-
I
.r~•wnri. 11251 Natt 38th Avanus
=
~
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ircneaarnt.inutn.»NO.n iesettrrr.rw.t.rw.nd in.u.wOpy gUMµED .
TMEl1SY T60USAlID FOOR tltltmRED AND N01300 ($130,400.00) WLuM
'I
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A33 that pasc or portlon of the fVest 1/2 ot Rrac! 12
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,
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I 8PDO1t9IDE lying South ot Souiherly.o! Ua Brookside DSteh.
I
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•.r.tw....x...a.•deu.e.. 11354 Weet 38th Ave., WAeatrldge, CO
TbGETHER nih tll antl .mtular tM Mr•.lrtnmmt. snJ qqmnrn~nn~ tNrrum~ 4ebnpr~ • &q.'
~pRWn~n~.tlxmenion~nJ~r~-~ruun~.remunJ.-J r.nu.nd~n.rem~.r..~nm~ryafb~MirN:~M~G~M
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rw~e~tmhm~wrrm...~~r...~n~. .ndn. ~adnt~t.fullw~•~~nAb~lul~v~~enpb~nu.VMi~.
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MMrpanb.OVVnn-WiLrnm.tves.ur..mrnl~.'+.umbnnmM.\~trtoY.nda~n~wnwm.
Except easements dcacriDetd ir, Boow page 9 and in
Book 1754 page 585, ieszriets and righ._ nE vay o` recordo and
exCept 1981 general property taxes due Tanca:^ 1985.
-yi{:
~
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m'a'i
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RECEPTION NO. I
92009605
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*RECEPT/ON N0.
B51/6304 /
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RECEPTION N0.
8901/55/
RECfPDON N0.
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B.5/08873
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RECEPT/ONS./
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PUBLIC WORKS REVIEW FEE STRUCTURE FOR BUILDING PERMIT APPLICATIONS
PLEASE PRINT CLEARLY AND FILL OUT FORM COMPLETELY
Building Permit Number
Applicant
NeWara' ivOj/G
Date
91
2 -7 /
96
Address / I Z S 4
U1 •
38 0
A-ie,
City wAeatR.~ae State a Zip Phone 4Zo -46-5'Z
Location of Construction (address) 1125¢ tV. 39~-4 A~E
Purpose of Construction t 500 S.F, add,f,on ~CWs f, h e., se
Building Permit Value $ 2, Z°o - eL* Commercial _ Residential ~t
DEVELOPMENT REVIEW FEES (this section to be completed by City)
oe
Base Development Review Processing Fee: $50.00 minimum $ sa •
Single Family Residential: .003 x(value of improvement) $25 minimum fee $ N/A ( 5"015 5•0 ~
[includes review of construction drawings for improvements in public right-of-way]
Multi-Family/Commerciai: .0050 x(value of improvement) $50 minimum fee
[includes review of construction drawings for improvements in public right-of-way,
review of preliminary/final drainage study and erosion control plan(s) if required]
Site Plan: $50.00 (Not applicable for single family residential)
Rightof -Way/Easement: $40.00 + $5.00/page recording fee
Development Agreement: Residential = $50.00 Commercial = $100.00
State Highway Access Permit: $75.00 application fee
Traffic Impact Review & Report: $100.00 processing fee
Flood Plain Variance: Class I=$75.00 Class II =$150.00
TOTAL REVIEW FEES: (due at time of building permit issuance)
$
- o-
$
- o-
$
_e-
$
- O-
$
$
- o•
ee
$ SO , "
The above fees include one follow up review to veriTy that initial deficiencies noted are
corrected. Additional review and/or processing past the follow up review and/or processing
will be charged against the building permit applicant at the above fee schedule.
Please note that additional fees will be assessed for those permits related to construction of
public improvements. If you have any questions, piease feel free to contact the Development Review
office at 235-2868.
Signature of Appliqnt Date
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DEPARTMENT OF COMMUNITY DEVELOPMENT
7500 WEST 29th AVENUE BUILDING INSPECTION DIVISION PERMIT NO. 1491#1"1365
237-6944 EXT. 255 P.O. BOX 638 CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BELOW.
APP (CATION FOR MISCELLANEOUS PERMIT /J / Z/,-
CONTRACTOR JOB ADDRESS OWNER /azwn/~sf 4-6ADDRESS- / 7-S-~ (1J. Ve
~
ADDRESS Aly, PHONE ZIP CODE
CITY 11 ) AeO- - 12 ZIP CODE E10'3 CONTRACT PRICE $ 75/90' °J
PHONE 4~--7 :--52 LICENSE NO.
1. TYPE Ground❑
Wall❑
Proiecting❑
Other
Sor D Face
2. MATERIAL
Total Square Feet
SIGNS
3. ILLUMINATION Yes❑ NOD
Type
Elect. Permit No.
4 SET BACK FROM PROPERTY LINE N
_
S_ E
_ W
Zone_
Approved, Zone Inspector
(Specify which is front)
❑
❑
❑ ❑
Disapproved
1. TYPE Solid❑ More Than 80% Open❑
Lose Than 80% Open
MATERIAL
Height
FENCES
3. SET BACK FROM PROPERTY LINE N
_
S_ E
_ W
Zone_
Approved,Zons Inspector
(Specify which is front)
❑
❑
❑ ❑
Disapproved
I. -
OTHER 2
13.
DRAW SKETCH OR SHOW BELOW, THE FENCE,SIGN, OR OTHER STRUCTURE,
(SETBACKS OR PROJECTIONS INCLUDED)
STREET NAME
INSPECTION TICKET
JOB
ADDRESS
DATE: Id 7 BLDG. PERMIT# / 736S`
~-7 PERMIT#
BLDG. CONTR.
SUBCONTRACTOR
SHOW DISTANCES FROM THE MAIN BUILDING TOADJOINING HOUSES,STREET DATE INSP. REQ.
DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE.
rd did
APPLICATION FOR PLUMBING; ELECTR TYPE OF INSP.
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WI IN.
PERMIT WILL EXPIRE 60 DAYS FROM DATE OF ISSUANCE INSPECTION MADE
ELECTRICAL PERMIT
STATE LICENSE NO.
PLUMBING P' REMARKS
STATE LICENSE NO._
ALUMINUM WIRE UNDER SIZE 8 ILLEGAL
FLOOR
8SM
IS ~Solor
NO.
WATER CLOSET
TEMPORARY METER
WASH BOWL
NEW SERVICE . - AMPS
BATH TUB
W.R. FORM E19
CHANGE SERVICE-AMPS
SHOWER
LIGHTING
SINK
f
HEATING
GARBAGE DISP
POWER SUB-CIRCUITS
WATER HEATER
UTILITY (RANGE, DISPOSER, ETC.)
FIXTURES
AUTO.WASHER
DISH WASHER
AUTOMATIC SPRINKLER SYSTEM
WIRING MOTOf2S B CONTROLS
FLOOR DRAIN
ELEVATOR
SIGNS
URINAL
TRANSFORMERS B RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FIXTURES
1 hereby acknowledge that this opplica-
tion is correct and understand that I
cannot start this project until this appli-
cation is approved. I shall comply with
the lows of the State of Colorado and to
the Zoning Regulations and Building
Code of the City of Wheat Ridge. Any
violation of the above terms will cause
immediate revocation of this permit.
PERMIT FEE .5 • C3-0
USE TAX ~-),Ad
TOTAL FEE $ p-d
CHIEF BUILDIWINSPECTOR, City of Wheat Ridge
Date Issued
NOT
929
CALL 237-6944 EXT. 255
24 HOURS IN ADVANCE
FOR INSPECTIONS
COMMUNITY
7500 WEST 29th AVENUE DEPARTMENT
BUILD NGF INSPECTION DIVISION DEVELOPMENT
PERMIT N0.11RH
237-6944 EXT. 255 P.O. BOX 636 CITY OF WHEAT RIDGE, COLO. M91#16564
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BELOW.
14) / kLIC TION FOR MISCELLANEOUS PERMIT
JOB ADDRESS J OWNER
CONTRACTOR 'A ADDRESS
ADDRESS i C-(='Z v PHONE J 11.36 ZIP CODE 033
CITY ZIP CODE SJJ_ ~~j .ONTRACT PRICE $ b~ Ldp-
PHONE 71 ! , LICENSE NO.
1. TYPE Ground❑
Wali❑
Proiecting❑
Other
Sorb Face
SIGNS
2. MATERIAL
3. ILLUMINATION Yes❑ No❑
Type
Total Square Feet
Elect. Permit No.
4. SET BACK FROM PROPERTY LINE N
(Specify which is front)
_
❑
S_ E
❑
_ W
❑ ❑
Zone_
Approved, Zone Inspector
Disapproved
FENCES
1. TYPE Solid❑ More Than 80% Open❑
? MATERIAL
3. SET BACK FROM PROPERTY LINE N_ S_ E
(Specify which is front) ❑ ❑
Less Than 80% Open
Height
_ W Zone_
❑ ❑
1,7
Approved,Zons Inspector
Disapproved
B s
I
.
2
OTHER
.
3.
GNIh
DRAW SKETCH OR SHOW BELOW, THE FENCE,SIGN, OR OTHER STRUCTURE,
(SETBACKS OR PROJECTIONS INCLUDED)
INSPECTION TICKET
/a
JOB q
ADDRESS
DATE: 2 /O BLDG. PERMIT#
l ^ -.,t PEERMIT#
BLDG. CONTR. (vt/->~ /.CM,-~
STREET NAME SUBCONTRACTOR
SHOW DISTANCES FROM THE MAIN BUILDING TO ADJOINING HOUSES, STREETS, AN r
DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE. DATE INSP. REQ. g
I u J -/9
APPLICATION FOR PLUMBING; ELECTRICAL; TYPE OF INSP.
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK f
PERMIT WILL EXPIRE 60 DAYS FROM DATE OF ISSUANCE IF WOF
ELECTRICAL PERMIT
STATE LICENSE NO.
PLUMBING PERMI INSPECTION MADE r
STATE LICENSE NO. REMARKS
ALUMI
NUM WIRE UNDERSIZE 8ILLEGAL
FLOOR
BSM
IST
21
NO.
WATER CLOSET
TEMPORARY METER
WASH BOWL
NEW SERVICE . - AMPS
BATH TUB
CHANGE SERVICE-AMPS
SHOWER
W.R. FORM 6-19
LIGHTING
SINK
HEATING
GARBAGE DISP.
POWER SUB-CIRCUITS
WATER HEATER
UTILITY (RANGE, DISPOSER, ETC.)
AUTO. WASHER
FIXTURES
DISH. WASHER
WIRING MOTORS B CONTROLS
FLOOR DRAIN
ELEVATOR
SIGNS
URINAL
TRANSFORMERS d RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FIXTURES
acknowledge that this applica-
I hereb
PERMIT FEE
~a• O-d
NOT VALID UNLESS RECEIPTED
/
39~
y
tion is correct and understand that I
li-
til this o
t
t thi
USE TAX
60."
,
f
T
///Y
un
pp
cannot star
s projec
cation is approved. I shall comply with
TOTAL FEE
$ ~ a- ael
I L~3_~-_q/
4
nd t
3
'
o
the lows of the State of Colorado a
the Zoning Regulations and Building
APPROVED
?
An
t Rid
f Wh
y
ge.
ea
Code of the City o
violation of the above terms will cause
CHIEF BUILDIN SPECTOR,City of Wheat Ridge
immedi to revocation of this Permit.
CALL 237-6944 EXT. 255
24 HOURS IN ADVANCE
!
6_10 .
Date Issued
a / /
FOR INSPECTIONS
-
e
DEPARTMENT OF PLANNWG AND DEVELOPMENT Building Permit Number :
BUILDING INSPECTION DNISION - 235-2855
CITY OF WHEAT RIDGE Date :
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
7224
6/3/98
Property Owner:
Property Address : 11254 38th ave
Phone : 420-4652
Contractor License No. : 17835
Company : Blue Sky Piumbing
Phone : 421 2161
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value :
$325.00
I hereby certiry that the setback distances proposed by this permit application are accurate,
Pefmit F2e :
$22.00
and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or
covenants, easements or restridions of record; that all measur nts shown, and allegations
Plan ReVieW Fee :
$0.00
made are accurate; that I have read and ag e to abide by all onc{Itions printed on this application, and that I assume full respons' ' ity for p lia e w th the Wheat Ridge Building
US2 T8X :
$4.$$
Code (U.B.C.) and all other applicable W or work under this per 't.
~
Total
$26.88
.
(OWNER)(CONTR4CTOR) SIGNED
_
,
Use:
Description : install gas pipe to a kitchen range
BUILDING DEPARTMENT USE ONLY
Approval :
Zoning :
M'~~sffi,~,µ..x~. e.~
Approval
Approval:
Occupancy:
Walls : Roof : Stories
SIC
Sq. Ft. :
Residential Units :
Electrical License No :
Company :
Plumbing License No :
Company:
Mechanical License No :
Company:
Expiration Date : Expiration Date : Expiration Date :
Approval: Approval: " Approval:
(1) This pertnit was issuetl in accordance with the provisions set forth in yopur application and is subject to the laws of the State of Colorddo and to the Zoning
Regulalions and Building Cotle of Whea[ Ridge, Coloredo or any other applira6le ordinances of the Ciry.
(2) This permit shall expire if (A) the work authorized is not commenced within siMy (60) days from issue tlate or (6) the building authorized is suspentled or
abandoned.for a period of 720 days.
(3) If this permi[ expires, a new permit may be acquired for a fee of one-half the amount normally requiretl, provided no changes have been orwill be matle in the
original plans antl specifcations and any suspension or abandonment has not erzceeded one (7) year. If changes are made or if suspension or abandonment
exceeds one (t) year, full fees shall be paid for a new permit (4) No work of any manner shall be tlone fhat will change the natural flow of water causing a dreinage problem.
(5) Contractor shall notiry the Building Inspec[or twenry-four (24) hours in advance for all inspections and shall receive written approval on inspec[ion card before
proceetliing with successive phases of thejob. .
(6) The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions
iief Building Inspe
,Ofor
THIS 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: #bwA-IQ /VO
Property Address : ? ?-r-4
Phone :
ContractorLicenseNo.: j7$~j
Company: -3 (v,~- 5k L/
Phone: q21 Z!e--/
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
Construction Value
I hereby certify that the setback distances proposed by this pertnit application are accurate,
and do not violate applicable ordinances, rules or regulations of the Ciry of Wheat Ridge or
PgrmIY F0B :
covenants, easements or restridions 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
Use TaX :
application, and that 1 assume full respon ibility for complian ' the Wheat Ridge Building
Code (U.B.C.) and all other appliwble e t Rid ord' n s, f r work under this permi
TOtal : $0.00 .
(OWNER)(CONTR4CTOR) SIGNED DATE~
USB :
Description :
h L'4~ffj V`-a44 4~2,
BUILDING DEPARTMENT USE ONLY
Approvai :
Zoning :
gRIIBfPfdl~~
Approvai :
SIC : Sq. Ft :
I Approval:
Occupancy : Walis : Roof : Stories : Residential Units :
Electrical License No : Plumbing License No : Mechanical License No :
Company : Company : t , S Company :
Expiration Date : Expiration Date : Expiration Date :
Approval: Approval: Approval:
(1) This pertnd was luued in aaoidance with the provisions set IorN In yopur apPliwtion antl is subjecl to the laws ol the State of Cobado antl to the Zonirg
Regulations anC 0uilding CoAe of Wheat Ridye, Colorado w any oNer applirable oNinances o( the Ciry.
(2) This pertnit shall expire it (A) the vroik authonzed is nol mmmenceE vriNin sizty (60) days Gom Issue tlale w(8) the buiWinO aulhorized is suspeMeE w
abandoned for a period of 120 tlays.
(3) If Nis pemdl expires, a new pertnit may be acqWred for a fee o/ wie-half the amount normalty requircA, provitled no changes have been q will be maCe in the
original plans aM specifications and any suspension w abanCOnment has not exceeded one (i) year. II rhanges are made a if suspension or a6andonment
exceeds one (t) year, (ull (ees shall be paid for a new permit.
(4) No work ot any manner shall be done Ihat vrill change the nalural flow of waler fausing a dainage problem.
(5]r Contractor shall rrotily the Builtling InspectOr twenry-four (24) hours in advance Ior all inspections and shall receive written approrel on Inspection prE Defore
proceediing wilh sutcessive phaxs ol Me Iob.
(6) The issuance ol a pemut or ihe approvel a(dmwings and specifications shall rwt Ee wnsWed lo be a permil fa, rwr an approval o( eny Woiatlon ol the provislons
. of Ihe builEing coags or any oUer ordinance, Iaw, rule or repulalion. . .
hief BuildingAspector For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION