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HomeMy WebLinkAbout9785-9795 W. 38th Avenueu" City of Wheat Ridge Residential Plumbing PERMIT - 201902108 PERMIT NO: 201902108 ISSUED: 10/04/2019 JOB ADDRESS: 9785 W 38th Ave EXPIRES: 10/03/2020 JOB DESCRIPTION: Waterline repair in yard - 10 ft *** CONTACTS *** OWNER (303)887-9676 IBACH FAMILY TRUST SUB (303)287-0889 JESUS GARCIA 140085 STONE AND CONCRETE *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,500.00 FEES Total Valuation 0.00 Use Tax 31.50 Permit Fee 60.50 ** TOTAL ** 92.00 *** COMMENTS *** *** CONDITIONS *** All work shall comply 2012 International Codes, 2017 NEC (if applicable), and ordinances adopted by the City of Wheat Ridge. Work is subject to field inspections. I, bym 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 ermit. 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 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees 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, any violation 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. i1tVof' Building & Inspection Services 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits .ci.wheatridge.co.us I FOR OFFICE USE ONLY I Date: Plan/Permit �01 (fi Plan Review Fee: Building Permit Application *** Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: :] 7M Lk) , \ )� `-� I 61&--- Pronertv Owner Property Owner Email: Tenant Name (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: City, State, Zip: Architect/Engineer: Architect/Engineer E-mail: Phone: Phone: Contractor Name: S- OYnz. Qr) d C C)n(\ rite � c - City of Wheat Ridge License #: .� . 1p Phone:,- 0'3 Contractor E-mail Address: �� 1 �Yi'�I VY1� C ©n • nt f For Plan Review Questions & Comments (please print): CONTACT NAME (please print):rn i c�� ltd UYYione:�eZ) ' Lp S� CONTACT EMAIL(p/ease print):12(11 u0't\kQk2 C !�Y) . n it+ (Dl 1P Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form): Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # Complete all highlighted fields. ❑COMMERCIAL [✓❑RESIDENTIAL Provide description of work: For ALL projects, provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc. J Sq. Ft./LF BTUs Gallons Amps Squares For Solar: Kw # of Panels Requires Structural For Commercial Projects Only: Occupancy Type: Construction Type: Occupancy Load: Square Footage: Project Value: (Contract value or the cost of all materials and labor included in the entire project) 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 1 am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. 1, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) ON T ) or (AUTHO PRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): — DATE: 1 Printed Name: MN Q �,t ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer. DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Building Division Valuation: 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: t� yj Permit Number: i r,� �' ► -' ❑ 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 - Date: Inspector: DO NOT REMOVE THIS NOTICE 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: JobAddress: Permit Number:? ❑ No one available for inspection: Time /5 AM PM Re -Inspection required: Yes o When corrections have been made, call for re -inspection at 303-234-5933 Date: / Inspector:' DO NOT REMOVE THIS NOTICE ® � 41 City of Wheat Ridge Residential Sewer Repair PERMIT - 201901435 PERMIT NO: 201901435' ISSUED: 07/12/2019 JOB ADDRESS: 9795 W 38th Ave EXPIRES: 07/11/2020 JOB DESCRIPTION: Residential sewer repair, 10 feet in front yard, C/O's, SDR 35, strongback coupling squeegee. *** CONTACTS *** OWNER (303)506-8225 NOVAK DELAINE SUB (303)287-9009 BRAD WAKEHAM 130022 TRENCH RIGHT LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,500.00 FEES Total Valuation 0.00 Use Tax 94.50 Permit Fee 125.05 ** TOTAL ** 219.55 *** COMMENTS *** *** CONDITIONS *** ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection by any Sanitation District representative. Inspection and approval of work by any Sanitation District representative DOES NOT grant authority to cover work without the approval of the Building Division. **For trenchless sewer replacements - The contractor will verify proper slope of new sewer piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed specifically by the applicable code. The plumbing contractor will provide verification of proper slope and drainage in writing as a condition of approval of the permitted work.** City ®f Wheat Ridge Residential Sewer Repair PERMIT - 201901435 PERMIT NO: 201901435 ISSUED: 07/12/2019 JOB ADDRESS: 9795 W 38th Ave EXPIRES: 07/11/2020 JOB DESCRIPTION: Residential sewer repair, 10 feet in front yard, C/O's, SDR 35, strongback coupling squeegee. 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 th t I am legally authorized to include alI entities named wn this document as parties to the work to be per and th 1 w�r)o be performed is disclosed in this document and/or its' accompanying approved plans and specifications. i:z - Signature OA ER or CONTRACTOR (Circle one) Date 1. This lWrmit 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 extensi the Chief Building Offial and is not guaranteed. on of expired permits is at the sole discretion of 4. No work of an 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_ or gr g of a permit shall not be construed to be a permit for, or an approval of, anviolation of any provision of any ie or ordinance or regulation of this jurisdiction. Approval of work is subject to f eld inspection. Signature of Chief Building Official Date 1EQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of `)`Iheat P COMMUNITY DEVELOPMENT Building & Inspection Services 7500 W. 291 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: perm its(a)ci.wheatridge.co.us FOR OFFICE USE ONLY Date: -q, / / Plan/Permit #/ l n � �L Plan Review Fee: Building Permit Application *** Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: _ V;7 9'S l j� %1%I Property Owner (please print): =2_T ,,41. 17 Phone:_5;r !�r Property Owner Email: Tenant Name (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: City, State, Zip: Arch itect/Eng 1 neer E-mail: Contractor Name: City of Wheat Ridge License #: l Contractor E-mail Address: For Plan Review Questions & Comm CONTACT NAME (please print): CONTACT EMAIL(p/ease print): (please print): Phone: Phone:4�.2�/�l� Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form): Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # Complete all highlighted fields if applicable. [—]COMMERCIAL ;RESIDENTIAL Provide description of work: For ALL projects, provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc. Sq. FULF BTUs Gallons Amps Squares For Solar: KW # of Panels Requires Structural For Commercial Projects Only: Occupancy Type: Construction Type: Occupancy Load: Square Footage: Project Value: (Contract value or the cost of all materials and labor included in the entire project) 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) (CONTRACTTOO�or (AUT I IZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name] l / 1Z AIL./iC J DATE: 7 /iC Printed Name: ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Building Division Valuation: City of Wheat Ridge Residential Roofing PERMIT - 201705114 PERMIT NO: 201705114 ISSUED: 07/31/2017 JOB ADDRESS: 9785 W 38th AVE EXPIRES: 07/31/2018 JOB DESCRIPTION: Residential Re -roof to install Armored Shake asphalt shingles - 33 sq *** CONTACTS *** OWNER (303)880-5303 RANBERGER PATRICIA SUB (720)298-0037 Alejandro Morales 120026 Easy and Fast Roofing LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 13,484.00 FEES Total Valuation 0.00 Use Tax 283.16 Permit Fee 267.70 ** TOTAL ** 550.86 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof. eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. INSPECTION RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Occupancy ype Inspections will not be performed unless this card is posted on the project site. **Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior To Ap roval Of The Above Inspections Underground/Slab Inspections Date Inspector Comments Initials Electrical Wall Sheathing Mid -Roof Lath / Wall Tie Sewer Service Plumbing Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. nn kin+ r_nvar I Indarnrnuncl nr Relow/In-Slab Work Prior To ADDroval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof Lath / Wall Tie Landscaping & Parking / Planning Dept. Rough Electric Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Rough Plumbing/Gas Line Floodplain Inspection (if applicable) Rough Mechanical Fire Inspection / Fire Protection Dist. Rough Framing Final Electrical Rough Grading Insulation Drywall Screw/ Nail Final Mechanical Roof Final Window/Doors A If Final Inspections Date Inspector Initials Comments Landscaping & Parking / Planning Dept. Inspections from these entities should be requested one week in advance. For landscaping and parking inspections call 303-235-2846. For ROW and drainage inspections call 303-235-2861. For fire inspections contact the Fire Protection District for your project. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors A If ILA -- Final Building 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 from the rare District and eiectncai ww vcnraye by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather City of Wheat Ridge Residential Roofing PERMIT - 201705114 PERMIT NO: 201705114 ISSUED: 07/31/2017 JOB ADDRESS: 9785 W 38th AVE EXPIRES: 07/31/2018 JOB DESCRIPTION: Residential Re -roof to install Armored Shake asphalt shingles - 33 sq *** CONTACTS *** OWNER (303)880-5303 RANBERGER PATRICIA SUB (720)298-0037 Alejandro Morales 120026 Easy and Fast Roofing LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 13,484.00 FEES Total Valuation 0.00 Use Tax 283.16 Permit Fee 267.70 ** TOTAL ** 550.86 *** COMMENTS *** *** CONDITIONS *** Effective December 1, 2014, asphalt shingle installations require an approved midroof inspection, conducted when 25-75 percent of the roof covering is installed, prior to final approval. Installation of roof sheathing (new or overlay) is required on the entire roof when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and mid -roofs may be called in at the same time, one hundred percent of the sheathing must be complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave and secured in place is required to be provided for all roof inspections. Roof ventilation is required to comply with applicable codes and/or manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar . type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. City of Wheat Ridge "r Residential Roofing PERMIT - 201705114 PERMIT NO: 201705114 ISSUED: 07/31/2017 JOB ADDRESS: 9785 W 38th AVE EXPIRES: 07/31/2018 JOB DESCRIPTION: Residential Re -roof to install Armored Shake asphalt shingles - 33 sq I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications; applicable b ildi g codes, and all applicable municipal codes, policies and procedures, and that I am tl�e legal owner or have been authorized by the legal wn r of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this,permit f i r attest that I am legally authorized to include all entities named within this document as parties to the work to be perform d 11 work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. AV\a. a 0 1 -1?- 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, po Flans 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 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 applic 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. Dan Schultz Z,6170 S1I� From: no-reply@ci.wheatridge.co.us Sent: Friday, July 21, 2017 1:17 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Dane Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a YeslG`�e� residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number Property Owner Email Address 9785 w 38th ave b L, -- Patricia Ranberger 3038805303 teamof3@msn.com Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Business Easy and Fast Roofing Name Contractor's License 120026 Number (for the City of Wheat Ridge) Contractor Phone 7202980037 Number Contractor Email Address alex@easyandfastroofing.com Retype Contractor Email alex@easyandfastroofing.com Address DESCRIPTION OF WORK / Are you re -decking the No roof? Description of Roofing Armored Shake Material Select Type of Material: Asphalt If "Other" is selected Field not completed. above, describe here: How many squares of the 33 material selected above? Does any portion of the % No/ property include a flat roof? If yes, how many squares Field not completed. on the flat roof? TOTAL SQUARES 33 (pitched + flat) of all roofing material for this project 2 Provide additional detail 5/12 pitch here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 13484 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. Name of Applicant Alejandro Morales Email not displaying correctly? View it in your browser. 3 Homeowner's OOIPINGS 1018 Plum Ave. Lochbuie, CO 80603 (720) 298-0037 Info@easyandfastroofinp,.com www.F-asyandFastRoofing.com Zip Code: ,+ Home Phone: Cell: Email: Insurance Com any�l cj ni Q ` 1 p liY Claim: ` Adjuster's Name: Phone: Insurance Claim Aereement Easy and Fast Roofing will invest its time and expertise in assisting the property owner with the insurance claim. This proposal is contingent upon the insurance company settling the claim with assistance of Easy and Fast Roofing and will be void if the claim is not approved by the insurance company. Easy and Fast Roofing is authorized to invoice the insurance company for additional repairs and supplements, as necessary. The property owner and Easy and Fast Roofing will agree to the work as specified on the insurance adjuster's claim summary. This agreement is for FULL SCOPE OF INSURANCE PROCEEDS and does not obligate the property owner or Easy and Fast Roofing unless repairs and payment are approved by the insurance company. By signing this agreement, the property owner agrees to use Easy and Fast Roofing as its restoration contractor to complete the insurance scope of repairs. In the event the property owner cancels this agreement after the insurance approval, the property owner shall pay Easy and Fast Roofing a fee based upon work performed and expense incurred for parts, materials and overhead- The property owner's initial out-of-pocket expense is the insurance deductible. Any expense over the deductible will only apply in the case where: (1) the property owner wants to upgrade product; or (2) property owner's insurance policy only covers the actual cash value of the loss (if property owner carries an ACV policy they will be responsible for the non-recoverable depreciation amount), or (3) Property owner's insurance policy does not include "ordinance and law" coverage. If the property owner's policy does not have "ordinance and law" coverage, the property owner will be responsible for all costs not covered by the insurance settlement of complying with current government law and codes. Shall the claim be denied by the insurance company; this contract is Null and Void Scope of work Roof Type: Tear off: Drip edger Roof vents: j Step Flashing: a ..— Rldge Vent: _ Daily Clean Up Mag sweep: Gutters: WindWindows: Ry y�rs�� Liability Insurance Provided Special Instructions Initials Color: Color: u � . Install Ice and Water Shield.- Deck hield:Deck tents: Felt: , Color. -' Ridge Cap: Pipe Jacks: Ca Swamp Cooler: Satellite Dish: Co r. Siding: Color: Painting: IW Aspen Insurance Contact: Ana Taylor (720) 542-9556 Anana ase. The estimated cost of tli � contract is entered is: $Mb� materis and tTies opo� Services provided, based on damages known at the time en Easy and Fast Roofing come to an agreed price and scope insurance company, it shall become the final work contacts and final price. The insurance Proceeds will be paid to Easy and Fast Roofing. Easy and Fast Roofing will begin work within ten business days after the first payment is received by Easy and Fast Roofing of work with your r Initials: By signing this agreement below, you acknowledge that you have read this agreement, understand and agree to all terms and conditions of this agreement and no other conditions ap sinless stated on this form, Homeowner or Agent Sig ture n,, 41 City Of Wh6atps- CCOMXAMUNiTy DEVELOPMENT 7500 W. 2911 Avenue * Wheat Ridge, CO 80033 * O: (303)235-2855 * F: (303)235-2857 Contractor Waiver for Workers' Compensation Insurance I, (print your name), verify that I am the sole owner or partner of (company name): which has no employees and is not req workers' compensation insurance. by the State of Colorado to carry I further state that if I hire subcontractors, they are in compliance with the State of Colorado Workers' Compensation insurance requirements and have obtained the required contractor`' b siness license from the City of Wheat Ridge. Signature: Date: Aug 02 2017 00;55 HP Fax page 1 ,4COR17® CERTIFICATE OF LIA131LITY INSURANCE DATE ND111Y TYPE OF INSURANCE OBJ0 06/02120177 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME! VIRIDIANA ARROYO ASPEN INSURANCE PHONE 20)542-9556 FAXfid.Not:(720)542,9567 7293 MONACO ST EMAIL ADDRESS: ALEX@ASPENINSURANCEGROUP.COM Commerce City, CO 80022 INSURE AFFORDING COVERAGE NAIC p INSURERA: SI (Preferred Contractors Insurance INSURED EASY & FAST ROOFING LLC �`� INSURERS : DBA EASY & FAST ROOFNG LLC V INSURER C: INSURER D: 1018 PLUM AVE INSURER E: LOCHBUIE, CO 80603 INSURER F; _ _. _- _ _- __— __—_ ___-_. ___. ____ .._. •ter SIV, VIS I�VIIIYLr�. iY THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LT TYPE OF INSURANCE ADDL SUBR WVDPOLICY NUMBER POLICY EFF MMIDD/YYYYI POLICY EXP LIMITS A X COMMERCIAL GENERAL LuaBILITY CLAIMS -MADE D OCCUR PC224677 04114/2017 -fMWDDNYYYI 04/14/2018 EACH OCCURRENCE S 1,000,000 DA O RENTED PREMISES occurrence) ce S 50.000 MED EXP Any one person) S 5,000 PERSONAL &ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: %( POLICY ❑ JECTPRO-LOC GENERAL AGGREGATE S 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ F -a aimdenl ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Peraoddent) $ HIRED NON -OWNED AUTOS ONLY AJTOS ONLY PROPERTY DAMAGE 1perace,denI3 S UMBRELLA LIAR H'LA"' OCCUR EACH OCCURRENCE $ __[EXCESS LIAR MADE AGGREGATE $ DED RETENTIONS $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY vim ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED7 ❑ N/A I PER OTH- STATUTE I JER E.L. EACH ACCIDENT S E.L. DISEASE • EA EMPLOYE S (MandatoryInNH) II s, casvibe under InOF OPERATIONS below I E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES (ACORD 101, Addition at Rarra.rks Schedule, may ba attached If nm re apace is requ trod) CITY OF WHEAT RIDGE 7500 W 29TH AVE Wheat Ridge, CO 80033 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, (L) 1999.2015 ornRn r_nMOVIVATtnu All ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Printed by VAR on August 02, 2017 at 01:52PM /L CITY OF WHEAT RIDGE tt �(303) Building Inspection Division (303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: f7 Ur r Job Address:.�N S~ LL_ Permit Number: ❑ No one available for inspection: Time i� ��� 4AIPM Re -Inspection required: Yes c4o When corrections have been made, call for re -inspection at 303 -234 - Date: t ' ? Inspector: DO NOT REMOVE THIS NOTICE 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: '-,�� 0 Job Address: 7 4 U-- A"' �! V Permit Number: Lf 7 0 5- `L( IJ No one available for inspection: Time/PM Re -Inspection required: Yes IN When corrections have been made, cail for re -inspection at 303-234-5933 Date: / / Inspector: DO NOT REMOVE THIS NOTICE COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 77590 BUILDING INSPECTION LINE -(305-234-5933) Date : 8/23/2004 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) Property Owner: Linnea Thompson Property Address: 9785/9795 W. 38th Ave. Phone :(303) 422-6223 Contractor License No. : 21756 Company : New Life Roofing & Remodeling Phone : 921-0904 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value : $4,850.00 I hereby certify that the setback distances proposed by this permit applicafion are accurate, and Permit Fee : $144.70 do not violate applicable ordinances, rules or regulations of the Ciry of Wheat Ridge or covenants, easements or resvictions oF record; that all measurements shown, and allegations Plan Review Fee : $0.00 made are accurate; that I have read and agree to a II conditions printed on this appliration, and that I assume full responsiy IA or complian th the Wheat Ridge Building US0 T8X : $58.20 Code (U.B.C.) and all other applicable eat Ridge ordin es, for work under this pe it. (OWNER)(CONTRACTOR)SIGNE - DATETotal: $202.90-1-, Use: Description : T/O 1-layer roofing, install 30 yr. dimensionals BUILDING DEPARTMENT USE ONLY 000g.,Co~~np~~ts SIC : Sq. Ft. : Approval : Zoning : D~ t'~+ents. from the manufaaturer shatl be ~o gor.~nal rnofi~,pection which speci Approval : 110 fi~'H th els have been instalJed to meet ~ AbOH wind [~.dsecond wind gust-- uHfic'~Works~ o~nr~r er~s I1BC). ~C (90 Approval : Occupancy : Walls : Roof : Stories : Residential Units : Electrical License No : Plumbing License No : Mechanical License No : Company: Company: Company: Expiration Date : Expiration Date : Expiration Date : Approval: Approval: Approval: (1) This pertnit was issued in accordance with ihe provisions set foAh in yopur application and is subject to lhe laws of the State of Coloredo and to the Zoning Regulations and Buildin9 Code of Wheat Ridge, Colorado or any other applicable ordinances of the City. (2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) days from issue date or (B) ihe building authorized is suspended or abandoned for a period of 120 tlays. (3) If fhis permit expires, a new pertnit may be acquired for a fee of one-half ihe amount nortnally required, provided no changes have been or will be made in the original plans and specifications and anysuspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new pertnit. (4) No work of any manner shall be done that will change the naturel flow of water causing a d2inage problem. (5) Contractor shall notirythe Building Inspector twenty-four (24) hours in advance for all inspedions and shall receive writtenapproval on inspection caN before proceediing with successive phases of the job. (6) The issua a pertnit~~r WuQ val~ of drawings and specifications shall not be construed to be a pertnit for, nor an approval of, any violation of the pr he b' g cIS~ odes or any~tp r ordinance, law, rule or regulation. Chief Building Inspector Please sign Terms and Conditions on reverse side of page. COMMUNITY DEVELOPMENT DEPARTMENT - Building Permit Number. of W"E^'9 BUILDING INSPECTION LINE - 303-234-5933 Date: f ~ ~ ~ C1TY OF WHEAT RIDGE " ^ 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80033 - (303-235-2855) `°~~RP°° APPLICATION Property Owner: WA4F4 , /ovv-PSvYtl . PropertyAddress: ~{$S 9~95"' GJ,3g~A~ Phone: .~7207- Contractor License No.: / CompanY: /j~Cy✓e Phone: OWNERlCON7RACTOR SIGNA7URE OF UNDERSTANDING AND AGREEMENT I hereby certify Nat the setback disfances proposed by ihis pemit applicalion are accurete, and do not violate applicable ordinances, rules or regulations of the City of W heat Ridge or wvenants, easements w restrictions of record; that all measuremenis shown, antl allegations made.are accurate; that t have read and agree to abitle byall conditions printed on this application and that I assume full responsibiliry for compiiance with the Wheal Ridge Building Code (U.B.C) and all other applicable Wheat Ridge Ordinances, tor work under this pertnit. / ~ Description: Sq. Ft. added _ >nstruction Value:$ 21SSa•00 Permit Fee:$ Plan Review Fee:$ I Tce Tax'-'~ Total:$ a0~, 9 d 7S, r 3 Expiration Date: Expiration Date: Expiration Date: ApProvaP ApProval: ApProval: (1) This pemit was issued in accordance with the provisions set forth in your applipGOn and is subjecl to the iaws oi tlhe State oi Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colo2do or any oUer applicable ordinances of the Ciry. (2) This pemit shall expire if (A) the work authorized is not commenced wiMin sixty (60) days hom issue date or (B) ihe buil0ing authorized is suspendeO or abandoned for a period of 120 days. (3) tf this yemiR expires, a new pertnit maY be acquiredfor a fee of one-half the amount nortnally required, provided no changes have been orwill be made in the original plans and specifiwtions arM any suspension a abardonment tws not exceeded ane (1) year. lf changes have been or if suspension or abandonment exceeds one (1) year, full fees shall be paid for a new permit (4) No work of any manner shall be done that wifi change the natural flow of water pusing a drainage problem. -(5) Contraclor shall noli(y the Building Inspector iwentydour (24) hours in advance tor all inspections and shall receive written approval on inspection card before proceeding with successive phases ot tlie job. (6) The issuance of a pemit or Me approval of drawings and speafica6ons shall not be consWed to be a pemit tor, nor an approval oi, any violalion of the provisions of the building codes or any other ordinance, law, rule or re9ulalion. Chief Building Official Electrical license No: Plumbing License No: Mechanical License No: Company: Company: Company: - UtPARTMENT OF PLANNING AND DEVELOPMENT ' BUILDWG INSPECTION DIVISION - 235-2855 CITY OF WHEAT RIDGE 7500 WEST 29TH AVENUE WHEAT RIDGE, CO 80215 Building Permit Number : 95-2375 Date :12/13/95 Property Owner : Properry Address: Contractor License No. : Company : 9785-95 38TH AV 17865 Lakeside Heating Co. Phone: 424-2226 Phone : 421-3572 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 Ciry of Wheat Ridge or 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 wnditions printed on this application, and that I assume full responsibility for compliance with the Wheat Ridge Building Code (U.B.C.) and all other applicable Wheat Ridge yoprd/inances, or work under this permit. (OWNER)(CONTR4CTOR) SIGNF~_ic~?~!G~ DAT Desc(ption : INSTALL 2 FURNACES Construction Value Permit Fee Plan Review Fee Use Tax Total $2,200.00 $54.00 $0.00 $33.00 $$7.00 Electrical License No : Plumbing License No : Mechanical License No : Company : Company : Company : Expiration Date : Expiration Date : Expiration Date : Approval : Approval : Approvai : (1) This permit was issued in accortlance wiih the provisions set forth in yopur applicatlon and is sub1'ect lo the laws of the State of Colorado and to fhe Zoning . Regulations antl Buildin~ Code of Wheat Ridge, Colorado or any other applicable ortlinances of the City (2) This permit shall expire if (A) the work authorized is not commenced within sixty (60) tlays hom issue date or (6) the building authorized is suspended or abantloned for a period of 120 days. (3) If this permit expires, a new permit may be acquired for a fee of on~half the amount normally requiretl, provided no changes have been or will be made in the oriuinal olans and specifications antl any suspension or abandonment has not exceedetl one (7) year. If changes are made or if suspension or abantlonment (4) Noworkofany'mannershallbetlonetliatwillchangethenaturalflowofwatercausingadraina9eproblem. (5) ConVactor shall notify the Building Inspectornvenry-four (24) hours in advance for all inspections and shall receive written approval on inspection cartl before proceediing with successive phasesofthejob. (6) issuance of a permit or the approval oF drawings antl specifcations shall not 6e consirued to be a permit for, nor an approval of, any violation of the provisions ofAe bpilding cocjes,or any ogpr ordinarX law, rule or re9ula6on. Building Inspector THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION m 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 : Property Owner : NC,a f ~ ~~,r_ Property Address : ~ ` ~ Contractor License No. : Company : Phone : Phone : /lW-3 ,5"7 Z OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certiy that the setbaek 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 resMctions of rewrtl: that all measurements shown. and allegations made are accurate; that I have read and agree to abide by all wnditions printed on this application, and that I assume full responsibility for wmpliance with the Wheat Ridge Building Code (U.B.C.) and all other applieable Wheat Ridge ordinances, for wo~ under [his permit. (OWNER)(CONTRACTOR) SIGNEfYIO~yi Description : Approval : Zoning : Approval : Approval : Construction Value : Permit Fee : Use Tax: TOtal : BUILDING DEPARTMENT USE ONLY Occupancy : Walls : Roof : Stories Residential Units : Electrical License No : Company : Expiration Date : Approval: ~ P(ans,Req Plumbing License No : Company : Expiration Date : Approval : j- Plans Required ,I Mechanicai License No : Company : Expiration Date : Approval: "A vF~-~smm (1) This permrt was issuetl in accortlance with the provisions set forth in yopur applicahon antl is subject to the laws of Ihe State of Colorado and to Ne Zoning Regulations antl Builtling Code of VJheat Ritlge. Coloraao or any other applicable ortlinances of ihe City. (2) This permit shall expire rf(A) the work au[honzetl is not commencetl within sixry (60) days fmm issue tlate or (B) the building auUonzetl is 5u5pendeC or abandone0 for a periotl of 120 days. (3) If this permR expires, a new pertnit may be acquiretl for a fee of one-half the amount normalry required, providetl no changes have been orwill be matle in the original plans antl specifiwtions antl any suspension or abandonment has not exceetled one (1) year. if changes are matle or if suspension or abantlonment ezceeds one (1) year, full fees shall be paitl for a new permit. (4) Na work of any manner shall be done lhat will change tne naNral Flow of water causing a drainage pro6lem. (5) Contractor shall notify the Builtling Inspector hvenry-four (24) hours in atlvance for all inspecuons antl shail receive written approval on inspeclion cartl before . pmceediing wiN successive phases of the lob. (6) 7he issuance of a permit or the appmval of drawings ano specifcations shall not be construeo to be a pertnit for, nor an approvai of, any violation ot lhe provisions of the builtling wtles or any other ortlinance. law, rule or regulalion. Chief Building Inspector For Mayor THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR CALL: 234-5933 24 HOURS PRIOR TO INSPECTION