HomeMy WebLinkAbout10355 W. 41st AvenueCity of Wheat Ridge
Residential Sewer Repair PERMIT - 201802263
PERMIT NO: 201802263 ISSUED: 08/15/2018
JOB ADDRESS: 10355 W 41st Ave EXPIRES: 08/15/2019
JOB DESCRIPTION: Sewer line repair, under concrete floor in basement up to 5 feet long.
*** CONTACTS ***
OWNER (720)299-4852 JACKSON LYNN L
SUB (303)215-1348 Brian Wilkie 060162 Apex Plumbing Inc.
*** PARCEL INFO ***
ZONE CODE: UA
/ Unassigned
USE: UA / Unassigned
SUBDIVISION CODE: UA
/ Unassigned
BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,300.00
FEES
Total Valuation 0.00
Use Tax 27.30
Permit Fee 53.70
** TOTAL ** 81.00
*** COMMENTS ***
*** CONDITIONS ***
ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive
written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection
by any Sanitation District representative. Inspection and approval of work by any
Sanitation District representative DOES NOT grant authority to cover work without the
approval of the Building Division.
**For trenchless sewer replacements - The contractor will verify proper slope of new sewer
piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed
specifically by the applicable code. The plumbing contractor will provide verification of
proper slope and drainage in writing as a condition of approval of the permitted work.**
' City of Wheat Ridge
Residential Sewer Repair PERMIT - 201802263
PERMIT NO: 201802263 ISSUED: 08/15/2018
JOB ADDRESS: 10355 W 41st Ave EXPIRES: 08/15/2019
JOB DESCRIPTION: Sewer line repair, under concrete floor in basement up to 5 feet long.
I, by my signature, do here y attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, nd pplicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the p op nd am authorized to obtain this permit and perform the work described and approved in conjunction with
Aeit.er a est t I a le ally authorized to include all entities named within this document as parties to the work to be
t al or ormed is disclosed in this document and/or its' accompanying approved plans and specifications.
o CONTRACTOR (Circle one) to
1. This permit as issued based on the information provided in the permit application and accompanying plans and specifications and is
subject tot a compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This perm' shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received for 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 tee.
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 ing of a perm thall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or finance egulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
city of
W heat j idge
COMMUNITY DEVEIOPMENT
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(oki.wheatridge.co.us
FOR OFFICE USE ONLY
Date:
X//A'JI1
Add to Permit # ao/MJJ�3
Building Permit Revision/Amendment Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address: 1 r%�.�5 to % -S
Property Owner (please print): Phone:
Property Owner Email:
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Contact Persorj Phone: �� _ `�2 /S
Contractor: A ?""' 0 ryl 6 -L N' (7
Contractors City License #:
Contractor E-mail Address:
Phone:
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:
bF P4_17_��,Wf_�_7
Sq. Ft./LF
Amps
Btu's
Squares
Gallons
Other
Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above)
E
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: (OWNERR)' (CONTRACTOR) or (AUTHORI
PRINT NA11fE� C V v�K C&r<-SIGNATi1RE:
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received ❑ Not Required
Water District ❑ Received
Sanitation District ❑ Received
.ENT TIVE) of (OWNER) (CONT CTOR)
DATE:
a.�
ONLY
OCCUPANCY CLASSIFICATION:
❑ Not Required
❑ Not Required Building Division Valuation: $
�r
COMMUNITY DEVELOPMENT DEPARTMENT Building Permit Number : 15168
' BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE Date : 2/26/03
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Property Owner: HALLER & LYNN JACKSON
Property Address : 10355 W.41STAVE
Contractor License No. : 21473
Phone : 303-2383324
Company : Million Air Mechanical Inc. Phone : 568-3709
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value : $1,300.00
I hereby certify that the setback distances proposed by this permi[ application are accurate, and
do not violate applicable ordinances, rules or regulations of the City of W heat Ridge or
covenants, easements or restrictions of record; that all measurements shown, and allegations
made are accurate; that I have read and agree to abide by all conditions printed on this
application, and that I assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C J and all other applicable YMeat Ridge p/Xlinances, for work under this permiL .
(OW N ER)(CONTRACTOR)
Description : INSTALL 80 BTU FURNACE
Permit Fee : $47.90
Plan Review Fee : $0.00
Use Tax : $15.60
Total: $63.50
Use :
BUILDING DEPARTMENT USE ONLY
SIC : Sq. Ft. :
Zon~yng Commentstii
Approval :
Zoning :
Bwlding Comi";'ments~
Approval : OKIM LC
Publ~c`Works Comments:,
Approval :
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No :
Company :
Plumbing License No :
Company :
Mechanical License No :
Company :
Expiration Date :
Approval:
Expiration Date :
Approval :
Expiration Date :
Approval :
(7) This permit was issued in accordance with the provisions set fodh in yopur application and is subject to the laws of the State of Colorado and to ihe Zoning Regulations and Buildin9 Code of W heat Ridge, Colorado or any other applicable ordinances of the City.
(2) This permit shall expire if (A) the work authorized is not commenced within sixly (60) days from issue date or (B) the building authorized is suspended or
abandoned for a period of 120 days (3) If ihis pertnit expires, a new permit may be acquired for a fee o( one-half the amount normally required, provided no changes have been orwill be made in ihe
originai plans and specifcations and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment
ezceeds one (7) year, full fees shall be paid for a new permit (4) No work of any manner shail be done that will change the nalural Flow of water causing a drainage probiem.
(5) Contractor shall notify lhe euilding Inspector hvenry-four (24) hours in advance for all inspections and shali receive writlen approval on inspection card before
proceediing w" successive phases of the job.
(6) The issua of' per it o e approvai of drawings and specifcations shall not be constmed to be a permit for, nor an approval of, any violation of the
provision f t b es or any other ordinance, law, mle or regulation.
e ~
Chief Building Insplctor
COMMUNITY DEVELOPMENT DEPARTMENT
oE WHEqp.p BUII,DING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
VVHEAT RIDGE, CO 80215 - (303-235-2855)
C~CORAQ~ '
44-PPi..e~jCAdd 5~pOj~~j
~l~'
Property Owner: J'J ~ 'ct- C
Property Address:
Coniractor License No.: r
comuanv:
OWNER/CONIRACTOR SIGNAI'l7RE OF
I hereby ceriify that the setback distances proposed by ttus pemut application aze accurate,
and do not violate applicable ordinances, rules orregulations of the City of Wheat Ridge or
covenanFS, easemeats orrestriclioas ofrecotd; thatallmeasurements shown, md allegatlons
made are accurate; that I have read md agree to abide by al] condirions printed on this
applicaVOn md that I assume full responsibiliry for compliance with tUe Wheat Ridge
Building Code (U.B.C) md all oth/er~ applicable Wheat Ridge Ordinanas, for work under
this peimit.
Building Pemut Number:
Date:
N I
Phone : '3
Phone:
Construction Value:$
Permit Fee:$
Plan Review Fee:$
Use Taar:$
Total:$
v v I -V
i \
DESCRIPTION: CC 1~~ V
S--
BUII,DING DEPARTMENT USE ONLY
SIC: Sq.Ft.:
ZONING COMMENTS; '
Approval:
Zoning:
BUILDING COMMENTS: Approval: . PUBLIC WORKS COMMENTS:
Approval:
Occupancy: Walls: Roof: Stories: Residential Units:
Elechical License No: Plumbing License No: Mechanical License No:
Company: Company: Company:
Expuation Date: Expiration Date: Expirarion Date:
Approval: Approval: Approval:
(1) This pemit was issued iu accordaace witL che prov9sions set foith in your application md is subject to the laws ofihe Sate ofColoredo md ro tLe Zoning
RegulaROns a¢dHuilding Codu of Nheat Ridge, Coloredo or eny other applica6le ordinances ofthe City.
(2) This pumit shall expire if (A) the wak authonzed is not cortmenced within sixty (60) days from issue date or (B) the build'mg authorized is suspended or
abandonedforaperiodof120days. '
(3) Ifttis persnit eapires, a¢ewpelmitmaybe acquvedfor a fee of one-half the amomt noxmally mquired, provided no changes have been or will be made in
theodgivalplans andspecificaSOns and enysuspeasion orabandonmeufLssnotexceededone (1) yeaz. Ifchanges havebern orifsuspensiou orabandonment
uceeds one (1) yeaz, full fees shall be paid for a uewpemiit -
(4) No work ofany manner shallbe done 8hat will change ihe naWral flow of water causing a daiuage problem.
(5) ConhactorshallnotifytheBuildingInspectoriwenty-four(24)hoursiuadvanceforall inspec¢onsandsLall receivewrittenapprovalonmspec¢oncardbefore
proceeding with successive phases ofihe job.
(6) The issuance of a pemit or the appmval of drawiugs and specifications shall not be conshued W be a persnit for, nor aa approval o( any violation of the
pmvisions of the building codes or any other ordiuance, law, xule orregulation. C"nief Building Inspector