HomeMy WebLinkAbout10805 W. 41st Avenuei CITY OF WHEAT RIE)GE,
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:? -L,.
Job Address: I LO 4 L)
Permit Number:
❑ No one available for inspection: TiAM/PM
Re -Inspection required: Yes Cug.�
When corrections have been made, -,-W for re -inspection at 303-234-5933
Da �• Inspe,
DO NOT REjW6VE THIS NOTICE
A i CITY OF WHEAT RIDGE
�(303)
Building Inspection Division
(303) 234-5933 Inspection line 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number: 2 I> CF C
❑ No one available for inspection:
Re -Inspection require' S s �No
When corrections have been mad , cal r re-inspat 303-234-5933
r � i
Date �"" Inspeeer s
DO NOT RE VE THIS NOTICE
i CITY OF WHEAT RIDGE
Build ng Inspection D vision
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:' I' JobAddress:
Permit Number:
�1-
❑ No one available for inspection: Time r - ` AM, IPM
Re -Inspection requiredYes�/ No
When corrections have been made, call for re -inspection at 303-234-5933
Date:_ 1_- ' ? . ) ) Inspector: /"'—,
DO NOT REMOVE THIS NOTICE
( CITY OF WHEAT RIDGE,
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: - 'K-... CE~ _
Job Address:
Permit Number:
i
❑ No one available for inspection: Ti M/PM
Re -Inspection required: Yes No
City of Wheat Ridge
Residential Solar PERMIT - 201900721
PERMIT NO: 201900721 ISSUED: 04/22/2019
JOB ADDRESS: 10805 W 41st Ave EXPIRES: 04/21/2020
JOB DESCRIPTION: Install roof mounted, flush mount, grid -tied 4.35 kw solar pv, 15 panels,
no structural required
*** CONTACTS ***
OWNER (970)690-5956 MALONEY PATRICK
SUB (303)577-9628 Andy Nyman 070159 Sunrun Installation Srvs. Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,134.00
FEES
Total Valuation 0.00
Residential Solar 500.00
** TOTAL ** 500.00
*** COMMENTS ***
*** CONDITIONS ***
Approved per plans and red -line notes on plans. Must comply with 2012 IRC, 2017 NEC and all
applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections.
I, by in 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 ennrt. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
perform nd that all wo k tame perforrmmed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNED or COiViRiCC O (Circle one) Date
I, This permit was issued ba ormation provided in the permit application and accompanying poIpplans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, jcies 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. Isuance 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 Budding 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. Ty& -issuance or gr ng of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
p abl code or y ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Ik
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
,axe
- City of
Wheat j , dgc
COMMUNITY DEVELOPMENT
Building & Inspection Services
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 " Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: perm its(ailci.wheatridge.co.us
FOR OFFICE USE ONLY
Date;
PlaniPermit # ! �,
I
1
Plan Review Feer-� (5`0 0
Building Permit Application
*** Complete all applicable highlighted areas on both sides of this form.
Incomplete applications may not be processed. ***
Property Address: 10805 W 41 st Ave Wheat Ridge CO 80033
Property Owner (please print): Patrick Maloney Phone: 970-690-5956
Property Owner Email:
Tenant Name (Commercial Projects Only)
Property Owner Mailing Address: (if different than property address)
Address:
City, State, Zip:
Arch itectlEngineer:
Architect/Engineer E-mail:
Contractor Name: Sunrun Installation Services
Phone:
City of Wheat Ridge License #: 070159 Phone: 303-577-9628
Contractor E-mail Address: colorado.permitting@sunrunhome.com
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print): Thomas M. Brook Phone: 720-537-0235
CONTACT EMAIL(p/ease print): thomas.brook@sunrun.com
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.
Roof -mount, flush mount, grid -tied 4.35 kW Solar PV
Sq. FULF
BTUs
Gallons
Amps Squares For Solar: 4.35 KW 15 # of Panels 1/10 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)
s 8134
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: (OWNE (CONTRACTOR) (AU ORIZED REP SENTATI E) of (OWNER) (CONTRACTOR)
Signature (first and last name) -- DATE: `- 7 Z
Printed Name: Thomas M. Brook
ZONING COMMMENTS:
Reviewer:
BUILDING PARTME MMENTS:
Reviewe
PUBLIC WORKS COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Building Division Valuation:
l
w
I
I
I
9
2?vyoa�Z�
2811.11 9701359)_ 3875 [SAS) y
q�p X51 _._._._.... _...........
a
773oz
[0.43308]
I
20.530
(0.7820D8 Ia41208[471 a
s
I
YEAR PRODUCT WARRANTY
YEAR LINEAR POWER OUTPUT
WARRANTY
1�
US IMPORT DUTY FREE
r TEMPERATURE RATINGS
Nominal operating cell temperature(NOCT) 44.6"C(t2"C)
1 Temperature coefficient ofP,,, -0.36%/°C
city of
Wheat Ridge
g ' ding Division
RCC
www.recgroup.com
r -
3a[Isl
Temperature coefficient ofVoc -0.30%/"C
Meas,rnrnlcs�mm[tnl
ELECTRICAL DATAGENERALDATA
4
Temperature
P sc 0.066%/°C
Nominal Power-PMpg(Wp) 275
280 285
290
295
Celttype: 6strings of20RECHCmulticrystallinePERC
Watt Class Sorting -(W) 0/+5
0/+5 0/+5
0/+5
0/+S
Glass: 0.13"(3.2 mm) solarglass with
Nominal PowerVoltage-Vx,,P(V) 31.5
31.7 31.9
32.1
32.3
anti -reflective surface treatment
Nominal PowerCurrent-1,,,,,(A) 8.74
8.84 8.95
9.05
9.14
Backsheet: Highly resistant polyester
polyolefin construction
Open Circuit Voltage -VocIV) 38.2
38.4 38.6
38.8
39.0
Frame: Anodized aluminum
Short CircuitCurrent -Isc(A) 9.52
9.61 9.66
9.71
9.76
(Avai lab le in s i lver or b lack)
Panel Efficiency(%) 16.5
16.8 17.1
17.4
177
Junction box: IP67 rated, 3 -part with 3 bypass diodes
12 AWG (4 mm2) PV wire, 35"+47"(0.9 m+1.2 m)
Values at standard test conditions STC (airmass AM I.S. irradiance 1000 W/m', w(l temperature 25`C).
Atlow irradiance of200 W/m2 (AM 1.5 and cell temperature 25C) at least95% of the STC module efficiencywill
be achieved
Connectors: StaubliMC4PV-KBT4/PV-KST4,
`Where xxx indicates the nominal power class (P,,p,) at STC above, and can be followed by the suffix BLK for black framed modules.
12 AWG (4 mm2)
Origins: Silicon: Made in USA &Norway
ELECTRICAL DATA
Wafer/Cell/Module: Made in Singapore
Nominal Power- P,,, (Wp) 206
210 214
218
223
Operational temperature: -40...+185"F(-40...+85"C)
Nominal Power Voltage-VMPp(V) 29.2
29.4 29.6
29.8
30.0
Maximum system voltage: 1000V
Nominal PowerCurrent-1,,(A) 7.07
7.15 7.24
7.32
7.43
Design Loads: (+)75.21bs/ft2(3600Pa)
Open CircuitVoltage -Voc (V) 35.4
35.6 35.8
36.0
36.2
(-)33.4lbs/ft2(1600Pa)
Short Circuit Current- Isc(A) 7.52
7.59 7.68
7.75
7.85
Referto installation manual
Nominal operating cell temperature NOCT (800 W/mz, AM 1.5, windspeed 1 m/s, ambient temperature 2("C).
Max series fuse rating: 20A
"Where xxx indicates the nominal power class (P_)at STC above, and can be followed by the suffix BLK for black framed modules
CERTIFICATIONS
Max reverse current: 20A
10 year product warranty
MECHANICALDATA
Dimensions: 65.9 x 39.25 x 1.5 (1675 x 997x 38 mm)
C/ DVE
C �� us
c
25 year linear power output
warranty
Area: 1798 ft2 (1.67 m2)
(max.degressloninperformance
ofO.7%p.a.from
97%after
UL1703, Fire classification Type 2IEC 61215,IEC 61730,
thefirstyear)
Weight: 40.8 lbs (18.5 kg)
IEC61701(salt Mist -severity leve[6),IEC62804(PID Free),
IEC 62716 (Ammonia Resistance), 15011925-2 (Ignitability Class 1),
See warranty conditions for further
details.
UNI 8457/9174 (ClassA), ISO 90012015,15014001, OHSA518001
Note! Specifications subject to change without notice.
city of
Wheat Ridge
g ' ding Division
RCC
www.recgroup.com
r -
TWINPEAK 2
SERIES
PREMIUM SOLAR PANELS
100% MADE IN SINGAPORE
REC TwinPeak Z Series solar panels feature an
innovative design with high panel efficiency and
power output, enabling customers to get the most
out of the space used for the installation.
Combined with industry-leading product quality
and the reliability of a strong and established
European brand, REC TwinPeak Z panels are ideal
for residential and commercial rooftops
worldwide.
INTEGRATED MANUFACTURING IN SINGAPORE
s o I a r- • . Single Phase Inverters for North America
SE3000H-US / SE380OH-US / SE5000H-US / SE6000H-US/ SE760OH-US /
SE10000H-US/SEI 140OH-US
Maxim um DCPower•..•_....•.•....
SE3000H-US
I SE380OH-US
SESOOOH-US
I SE6000H-US i
SE760OH-US
SE10000H-US
SE1140OH-US
OUTPUT
Maximum Input Voltage
........................................
....................................................
480
Vdc
NominaI DC Input Voltage
380 ...............
Rated AC Power Output
3000
3800 @240V
5000
6000
7600
10000
11400
VA
.......................................
...... I ......
, 3300,Q208V ,
Adc
MaximuminputCurrent 240V
8.5 :I:::::::
10:5
13:5
Max. AC Power Output
3000
3800 @240V
5000
6000
7600
10000
11400
VA
.. . ........... I ......... I .... I .........
....... , .........
. 3300,(x, 208V ,
................
. ...............
.........................................................
Ground -Fault Isolation Detection
6001m Sensitivity
AC Output Voltage Min. -Nom.-
✓
✓
...................... I ............ ,4 .................
%
CEC Weighted Efficiency............
............................................................9....................................................
................
.................
.......... . .....
................
...................
....
................
W
Vac
AC Output Voltage Min. -Nom.-
✓
✓
✓
✓
..........................................
/
✓
Max;,(211•-W.-.: 64) ....... ......
Vac
AC Fre9uenry (Nominal).............................
..
...............
............. . ..
59,3 - 60 - 60.5"......................................................H?.
Maximum Continuous Output
Current 208V . ...................
-
16
24
-
-
-
-
q
. .
Maximum Continuous Output
..................................
................
.............................................................................
Current240V .......................
12.5
16
21
25
3242
47.5
A
GFDI Threshold
.................................
.............. ...
................................................
........ I........
................
................ ................1............I....
1
.
p,.,,..
Utlllty Monitoring, Islanding
..........................................................
Protection, Country Configurable
Yes
Thresholds
INPUT
Maxim um DCPower•..•_....•.•....
......4 650,,...,,.,,..5900
�..... 9300 11800
I 15500,..,,,.,17670..,..
Transformer -less, Ungrounded
Yes
,,,.W.....
Maximum Input Voltage
........................................
....................................................
480
Vdc
NominaI DC Input Voltage
380 ...............
.........................................
400. • .... • .................
• • • Vdc
Maximum 19 u4 Current 208V
9
13.5
1
I
_................
!
Adc
MaximuminputCurrent 240V
8.5 :I:::::::
10:5
13:5
16:5
20,,,,,,,,,,,,27
1...,,,30:5..,,,,
Max. •Input Short Circuit Current • ,45
.....................................................................................................................................
,.,Adc,.,,
Adc
Reverse -Polarity Protection
.......................................
.....................................................................................................................................
Yes
Ground -Fault Isolation Detection
6001m Sensitivity
Maximum Inverter Efficiency..
.......99 ......
...................... I ............ ,4 .................
%
CEC Weighted Efficiency............
............................................................9....................................................
%
Nighttime Power Consumption I
< 2.5
....
................
W
ADDITIONAL FEATURES
Su orted Communication
pP RS485, Ethernet, ZigBee (optional), Cellular (optional)
Interfaces
....................................................................................................................... ....... ....... ....... I .............. ......
.....
Revenue Grade Data, ANSI C12.20 OptionalM
...................................................................
,.............
......
.....
Rapid Shutdown -NEC 2014 and
1n,v cen ,e Automatic Rapid Shutdown upon AC Grid Disconnect
Safety UL1741, UL1741 SA, UL1699B, CSA 022.2, Canadian AFCI according to T,I.L: M-07
Grid Connection Standards IEEE1547, Rule 21, Rule 14 (HI)
......... ......... .... .. ......... ...... .................
Emissions FCC Part 15 Class B
Range
...............................
DC Input Conduit Size / # of Strings
1 AWG, Rang@ ........ I ... I ......... .
Dimensions with Safety Switch
(HxWxD)
Weight with Safety Switch
.................
Noise
Cooling
O eratin Tem erature Ran e
Protection Rating,
Ill For other regional settings please contact Solar
1�1Revenue grade Inverter P/N: SExootH-1.15000Nh
(4) For power de -rating information refer to: https
isl -40 version P/N: SES H-USOOONNU4
3/4" minimum/ 20-4 AWG
...................................... .
3/4" minimum / 1-2 strings / 14-6 AWG
minimum / 1-3 strings%
.......................................................... 14-6 AWG
................ ............................
21.3 x 14.6 21.3 x 14.6
17.7 x 14.6 x 6.8 /450x370x174 x7.7/540x x7.3/540x in/mm
370 x 195 370 x 185.
.............. 22/10 ............. �..25.1/11.4..�.......... 26:2/11:9.............
..................................25................................ <50 dBA....
Natural convection and internal fan (user
Natural Convection re _ laceable
............. I ......
......:13to+140(: 25 to+60<4l(:40°F/-40'Coption)!'1................................. C...
NEMA 3R (Inverter with Safety Switch)
.. . .............
:dge support
C2
//www. sol a redge.com/sites/defau lt/flles/se-temperature-de roting-note-na.pdf
solar =@@
SolarEdge Single Phase
for North America
SE3000H-US / SE380OH-US / SE5000H-U
SE760OH-US / SE10000H-US / SE11400H-
0 solar M.; .AJID -i- awn
:127
WSJ
u
A
0
• Q
Optimized installation with HD -Wave technology
Specifically designed to work with power optimizers
Record-breaking efficiency
Fixed voltage inverter for longer strings
Integrated arc fault protection and rapid shutdown for NEC 2014 and 2017, per article 690.11 and 690.12
UL1741 SA certified, for CPUC Rule 21 grid compliance
Extremely small
High reliability without any electrolytic capacitors
Built-in module -level monitoring
Outdoor and indoor installation wave
— Optional: Revenue grade data, ANSI C12.20 Class 0.5 (0.5% accuracy)
— Simple configuration and commissioning with smartphone app and built in Wi-Fi (SE10000H-US, SE11400H-US)
USA -CANADA -GERMANY -UK -ITALY -THE NETHERLANDS -JAPAN -CHINA -AUSTRALIA -ISRAEL -FRANCE -BELGIUM -TURKEY -INDIA -BULGARIA -ROMANIA -HUNGARY -SWEDEN- www.solaredge.us
SOUTH AFRICA -POLAND -CZECH REPUBLIC
so I a r' • • :. SolarEdge Power Optimizer
Module Add -On for North America
P300 / P320 / P370 / P400 / P405
INPUT
P300 P320 P400� P405
(for 60 -cell mod- (for hi h- ower (for higher -power
g P r and 72 -cell (for 72 & 96 -cell (for thin film
ules) 60 -cell modules) modules) modules)
Rated Input DC Powerlrl 300 320 370 400 405 j W
Absolute Maximum Input Voltage " l
cVoc at lowest tem erature 48 60 80 125 Vdc
...................p.......................................................,....................................................................... i ......
MPPTOperatingRange ......................... ..<....,......5-148, 8-60 8-80 12.5-105 1 Vdc
S. ................................<..... ...................... ...,..................
Max.imum...Short......Circuit .Current (Isc) 10 11 10.1 Adc
........................................................... ...................... 1111.<.............,.....<..................................,.......
Maximum DC Input Current 12.5 13.75 12.63 Adc
................................... 1111
.......
Maximum Efficiency 99.5
............................................................................................................................................................. ..... g'.......
Weighted Efficiency 98.8
.................................................................................................................. J ...%1111..
Overvoltage Category II
OUTPUT DURING OPERATION (POWER OPTIMIZER CONNECTED TO OPERATING SOLAREDGE INVERTER)
Maximum Output Current # 15 Adc
Maximum Output Voltage 60 ( 85 Vdc
OUTPUT DURING STANDBY (POWER OPTIMIZER DISCONNECTED FROM SOLAREDGE INVERTER OR SOLAREDGE INVERTER OFF)
Safety Output Voltage per Power
Optimizer
STANDARD COMPLIANCE
EMC
Safety
RoHS
1
FCC Part15 Class B, IEC61000.6,2, IEC61000:6-3
..................... ........... IEC62109.1 (class II safety), UL1741
......................................�..............
Yes
Vdc
INSTALLATION SPECIFICATIONS
Maxim.um..Allowed..System...Volta
.ge.
.............................�................,..........................,.........................................,..............-...,..,......
1000
Vdc
Compatible inverters
............................................................
i All SolarEdge Single Phase and Three Phase inverters
asea...Thre .hose inver.........
-------1111...
Dimensions (W x L x H)
.........,............
128x152x35J 128x152x50/
128 x 152 x 27.5 / 5 x 5.97 x 1.08
..............
mm/in
/in
.............................................................................................................
x
Sx5.97x1.96
1111... 1.9
Wei ht (includin cables)
g.............$....................,......i.....................
.,.................... ...5 ....x ....
630 / 1 4 750/1.7 845./J..9.
-............. .P ........
..............
...grJ lb 1111
Input Connector
MC4 Compatible MC4 / MC4 Compatible
P Amphenol AH4
........Insulated;............... ...........
........... *......... .,'
t-------1111...
Double
ouble
jj
Output Wire Type / Connector
Double Insulated; MC4 Compatible MC4/ Double Insulated; MC4 Compatible i
...................................
1111 _..,... -.......,.......,.....,...-1111. AmphenolAH4.. ...............................1111..........
Out ut Wire Len h
?...........................................................................
0.95/3.0 .............-....-.....,....1.... . ...............
m/ft
Operating Temperature Rangy?.........
..............
+185
............................................0 , +85 / 40. ....,.....,.....................,,..........
..............
Protection Rating ... ..................................
.......................................IP68 / NEMA6P
...��.�.�F....
Relative Humidity
........... .....................................
0 100
...........
%
Irl Rated STC power of the module. Module of up to +5%
power tolerance allowed.
___
PV SYSTEM DESIGN USING
SINGLE PHASE
_ASOLAREDGE INVERTERI'MHD-WAVE
._—
SINGLE PHASE THREE PHASE 208V THREE PHASE 480V
Minimum String Length
$ ...�
18
—
(Power Optimizers)....,.
10
j _.....................
Maximum String Length
I
(Power 0 timizers
........P.........Z.....................................................
25 25 50
.. 1111.
Maximum Power per String
....................11.11.
s700 (6000 with
5250 6000 12750
..............
W
SE7600H -US)
Parallel Strings of Different Lengths
or Orientations
Yes
14 Fordetailed stringsizing information referto: http://www.solaredge.mm/sttes/de%ult/files/strip sizin na. f.
Isi It is not allowed to mix P405 with P300/P370/P400/P600/P700 in one string.
solar=@e m.
SolarEdge Power Optimizer
Module Add -On For North America
PV power optimization at the module -level
® Up to 25% more energy
—Superior efficiency (99.5%)
— Mitigates all types of module mismatch losses, from manufacturing tolerance to partial shading
® Flexible system design for maximum space utilization
Fast installation with a single bolt
Next generation maintenance with module -level monitoring
Module -level voltage shutdown for installer and firefighter safety
USA -CANADA -GERMANY- ITALY -FRANCE -JAPAN -CHINA -AUSTRALIA -THE NETHERLANDS -UK -ISRAEL -TURKEY- SOUTH AFRICA -BULGARIA -INDIA www.solaredge.us
DocuSign Envelope ID: 1924A270-B8E6-46AO-8416-EOE9730A5D53
a,sunrun
April 17, 2019
Subject: Structural Certification for Proposed Residential Solar Installation.
Job Number: 501R-805MALO; Plan Set: Rev A, 4/15/2019
Client: Patrick Maloney
Address: 10805 W 41St Ave, Wheat Ridge, CO, 80033
Attn: To Whom It May Concern
A field observation was performed to document the existing framing of the above mentioned
address. From the field observation, the existing roof structure was observed as Composition
Shingle roofing over roof plywood supported by 2x6 Rafter @ 24" OC. The roof is sloped at
approximately 14 degrees and has a max rafter span of 11'4" between supports.
Design Criteria:
• 2012 International Building Code
• Basic Wind Speed Vult = 105 mph (Vasd = 82 mph), Exposure C
0 Ground Snow Load = 30 psf
After review of the field observation report, the existing roof framing supporting the proposed
solar panel layout has been determined to meet or exceed the requirements based on our
structural capacity calculations in accordance with applicable building codes. Therefore, no
structural upgrades are required.
If you have any further questions on the above for mentioned, please do not hesitate to call.
Sincerely,
Jason Brown, P.
Civil Engineer
Sunrun, Inc
City of
4/17/2019
Wheot Ridge
ui in9 mvision
c
DocuSignedby:
G A AJC.
K%6.31"
16CA9954A69944F...
133 Technology Dr., Suite 100, Irvine, CA 92618 1 P 949.393.0993
DocuSign Envelope ID:1924A270-B8E6-46AO-B416-EOE9730A5D53
asunrun
Structural Calculations for the Patrick Maloney Residence PV Installation
Date:
Job Address:
Job Number
Scope of Work
4/17/2019
10805 W 41St Ave
Wheat Ridge, CO, 80033
501 R-805 MALO
These calculations are for the existing roof framing which supports the new PV modules as
well as the attachment of the PV system to existing roof framing. All PV mounting equipment
shall be designed and installed per manufacturer's approved installation specifications.
Calculation Index
Sheet Description
2 Structural Geometry, Live Load, Snow Load, Wind Load, & Dead Load
3 Roof (1) Framing Check
4 Roof Attachment Check, Seismic Check, & Scope of Work
Engineering Calculations Summary
Code: 2012 International Building Code
ASCE 7-10
Snow Load: S = 30 psf
Live Load: LL = 20 psf
Wind: Wind Speed Ult. (V) = 105 mph
PV Dead Load: DPV = 3.0 psf
Sincerely,
Jason Brown, P.
Civil Engineer
Sunrun, Inc
4/17/2019
DocuSignedpby,
18CA9954ABN"F...
133 Technology Dr., Suite 100, Irvine, CA 92618 1
Exp. = C
P 949.383.0993
City of
Wheat Ridge
Iding Division
s
DocuSign Envelope ID: 1924A270-B8E6-46AO-8416-EOE973OA5D53
TM
1
Structrure Geometrv:
Engineer: JRB
Date: 4/12/2019
Job: 501R-805MALO
Address: 10805 W 41St Ave
Wheat Ridge, CO, 80033
2 of 4
Mean Roof Height, hn =
12 ft
Eave Height, N =
8 ft
Buiding Length, L =
50 ft
Building Width, B =
27 ft
Module Area =
20 ft'
Roof Pitch, 0 =
14 degrees
Live Load:
0.93
Roof Live Load, Lr = 20.00 psf Equation 4.8-1
Snow Load:
Ground Snow Load, pg =
30 psf
Fig. 7-1
Snow Importance Factor, I: =
1
Table 1.5-1
Thermal Factor, Ct =
1.1
Table 7-3
Exposure Factor, Ce =
0.9
Table 7-2
Roof Slope Factor, C: =
0.93
Figure 7-2c
Flat Snow Load, Pf =
20.8 psf
Equation 7.3-1
Sloped Roof Snow Loads, Ps =
20.8 psf
Equation 7.4-1
Is the width of the roof > 20ft?
Yes
0.43
Drift Height, hd =
1.44 ft
Figure 7-9
Roof slope for a rise of one, S
4.01
Equation 30.4-1
Unbalanced Width =
7.67 ft
Fig 7-5
y =
18 pcf
Equation 7.7-1
Unbalanced Snow Load =
33.62 psf
Fig 7-5
Wind Load:
Roof (1):
Basic Wind Speed (3s -gust), V =
105.0 mph
Figure 26.5-1A
Building Occupancy Category =
2
Table 1.5-1
Exposure Category =
C
Sec 26.7.3
Topographic Factor, KzT =
1.00
Equation 26.8-1
Velocity Pressure, qh =
20.39
Equation 30.4-1
Edge Zone, a =
3.00 ft
Figure 30.5-1
Uplift (0.6W)
Zone 1 (psf)
Zone 2 (psf)
Zone 3 (psf)
Composition Shingle
GCp =
-0.84
-1.55
-2.43
Table 30.4-2
P30.4 =.6 x qh x GCPzone =
-10.28
-18.96
-29.67
Equation 30.4-1
Downward (0.6W)
Misc. (Ceiling, Insulation, etc.)
1.0
Misc. (Insulation, etc.)
2.0
GCp =
0.43
0.43
0.43
Table 30.4-2 City of
P30.4 =.6 x qh x GCPzone =
9.60
9.60
9.60
Equation 30.4-1
Wheat Ridge
Dead Load:
-
SU L71ng D3v5ion
Roof (1):
-%
Roof
Walls - Exterior
Composition Shingle
3.0 psf
Wood
s
5/8 OSB Sheathing
2.0
2x4 Studs @ 16"
V2.
2x6 Rafter @ 24" OC
1.0
Gypsum
Misc. (Ceiling, Insulation, etc.)
1.0
Misc. (Insulation, etc.)
2.0
PV System, Ppv
3.0
Total Roof DL =
10.0 psf
Total Wall DL =
12.0 psf
133 Technology Dr., Suite 100, Irvine, CA 92618 1 P 949.393.0993
J
DocuSign Envelope ID:1924A270-B8E6-46AO-B416-EOE973OA5D53
TM
1
Roof (1) Framing Check:
Engineer: JRB
Date: 4/12/2019
Job: 501R-805MALO
Address: 10805 W 41St Ave
Wheat Ridge, CO, 80033
3 of 4
Roof Framing
= 2x6 Rafter @ 24" OC
Timber Species
= Doug Fir -Larch #2
Max Beam Span
= 11.33 ft
b
= 1.5 in
d
= 5.50 in
Moment of Inertia, Ix
= 20.80 in
Section Modulus, Sx
= 7.56 in;
Bending Stress, Fb
= 900 psi
Elastic Modulus, Emin
= 580000 psi
CD (Wind)
CD (Snow)
CLS
CM
Ct
Wood Adjustment Factors: 1.60
1.15
1.00
1.00--7
1.00
CL
CF
Cfu
Ci
Cr
1.00
1.30
1.00
1.00
1.15
PV Tributary Width, Wp� =
3.30 ft
PV Tributary Length, Lp� =
4.0 ft
PV Tributary Area, At =
13.2 ftZ
PV Dead Point Load, PD = Ppvx At =
38 Ib
Roof Distributed Load, wDL =
14 plf
Load Case: 0.6DL + 0.6W (CD = 1.6)
Roof Zone =
1
Pup = Pnet x At + 0.6 x PD x COS(e) =
113 Ib
Mb(wind_up) =
1691b -ft
Fb' (wind) = Fb XCD XCLS XCM XCt XCL XCF XCfu XCi XCr =
2153 psi
Mallowable = Sx x Fb' (wind) =
1357 Ib -ft > 169
Load Case: DL + 0.6W (CD =1.6)
Pdown = Pnet x At + PD X COS(0) =
165 Ib
Mb(wind_down) =
619Ib-ft
Fb' (wind) = Fb XCD XCLS XCM XCt XCL XCF XCfu XCi XCr =
2153 psi
Mallowable = Sx x Fb' (wind) =
1357 Ib -ft > 619
Load Case: DL + 0.75(0.6W) + 0.755 (CD =1.6
Roof Snow Distributed Load, wSL = 42 plf
Psnow = Ps X At = 266 Ib
Mb(wind_snow) = 10281b -ft
Fb' (wind) = Fb XCD XCLS XCM XCt XCL XCF XCfu xG XG = 2153 psi
Mallowable = Sx x Fb' (snow) = 1357 Ib -ft > 1028
Load Case: DL + S (CD =1.15)
Roof Snow Distributed Load, wSL = 42 plf
Psnow = Ps x At = 266 Ib
Mb(snow) = 9591b -ft
Fb' (snow) = Fb XCD XCLS XCM XCt XCL XCF XCfu XCi XCr = 1547 psi
Mallowable = Sx x Fb' (snow) = 975 Ib -ft > 959
133 Technology Dr., Suite 100, Irvine, CA 92618 1 P 949.393.0993
OK
OK
Ow oS
wheat Rid9®
'i,s'n9 oi%s�%on
O
OK
DocuSign Envelope ID: 1924A270-B8E6-46A0-8416-EOE9730A5D53
TM
Rafter Attachments: 0.6D+0.6W (Zone 21
Puplift = At X Pnet =
227 Ib
Connector Uplift Capcity per SnapNRack Test Results =
600 Ib
5/16" Lag Screw Withdrawl Value =
266 Ib/in
Lag Screw Penetration =
2.5 in
Allowable Capacity with CD =
1064 Ib
Seismic Check:
Engineer: JRB
Date: 4/12/2019
Job: 501R-805MALO
Address: 10805 W 415t Ave
Wheat Ridge, CO, 80033
4 of 4
> 227 OK
Table 11.2A - NDS
> 227 OK
%Increase = (Wtotal + Warray) / Wtotal = 25011 *100%-100% = 3.21% **
24234
**The increase in weight as a result of the solar system is less than 10% of the existing structure and therefore no further seismic analysis
is required.
Limits of Scope of Work and Liability
We have based our structural capacity determination on applicable building codes, professional engineering inspection and design
experience, opinions and judgments. The calculations produced for this dwelling's assessment are only for the proposed solar panel
installation referenced in the stamped plan set and were made according to generally recognized structural anlaysis standards and
procedures.
wheat Ridge
133 Technology Dr., Suite 100, Irvine, CA 92618 1 P 949.393.0993
Existing Dead Load:
Solar Dead Load:
Aroofexisting
= 1350 ft2
Wpanel =
42 Ib
Wroofexisting
= 9450 Ib
NUmpanel =
15
Awallexisting
= 1232 ftZ
Wpanel_tot =
630 Ib
Wwallexisting
= 14784 lb
Wbos =
147 lb
Wtotal
= 24234 lb
Warray =
7771b
%Increase = (Wtotal + Warray) / Wtotal = 25011 *100%-100% = 3.21% **
24234
**The increase in weight as a result of the solar system is less than 10% of the existing structure and therefore no further seismic analysis
is required.
Limits of Scope of Work and Liability
We have based our structural capacity determination on applicable building codes, professional engineering inspection and design
experience, opinions and judgments. The calculations produced for this dwelling's assessment are only for the proposed solar panel
installation referenced in the stamped plan set and were made according to generally recognized structural anlaysis standards and
procedures.
wheat Ridge
133 Technology Dr., Suite 100, Irvine, CA 92618 1 P 949.393.0993
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4'
CITY OF WHEAT RIDGE ''�
s
Building Inspection Division
(303) 234-5933 Inspection line -'
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: M 1 Q C� _
Job Address: I G 7 G T v j LI l A V C
Permit Number: -I G ) -, t3 (-, (, � 4
r �P �v L) —e
e
❑ No one available for inspection: Time S s AM/PM
Re -Inspection required: Yes No
*When corrections have been made, call for re -inspection at 303-234-5933
Date: I ` -?�- "' ' Inspector: -
DO NOT REMOVE' THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201700684
PERMIT NO: 201700684 ISSUED: 05/16/2017
JOB ADDRESS: 10805 W 41st AVE EXPIRES: 05/16/2018
JOB DESCRIPTION: Reroof 23.67 squares; tearing off to deck and replace with shingle color
Owens Corning driftwood
*** CONTACTS ***
OWNER (303)595-4440 MALONEY PATRICK
SUB (303)422-2725 Gary Theriaque 021170 Bear Brothers Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,273.99
FEES
Total Valuation 0.00
Use Tax 184.93
Permit Fee 220.15 -
** TOTAL ** 405.08
*** COMMENTS
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding k/2 -inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturera€ms installation
instructions, whichever is more stringent. In order to pass a final inspection of
elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer's technical representative stating that "the application of the roof at
(project address) has been applied in accordance with the installation instruction for
(roof material brand name) roof covering" is required to be on site at the time of final
inspection.
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.
PERMIT NO
JOB ADDRESS:
JOB DESCRIPTION
City of Wheat Ridge
Residential Roofing PERMIT - 201700684
201700684
10805 W 41st
Reroof 23.67
Owens Corning
ISSUED: 05/16/2017
AVE EXPIRES: 05/16/2018
squares; tearing off to deck and replace with shingle color
driftwood
I, by in 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 games 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 andprocedures 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, 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.
Signature of Chief BuilTi—ng Official " Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequestgci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
W
C) 111 ""lel"<�d
�J, i I"� � INSPECTION RECORD
Occupancy/Type
13 ..(� 7 5 INSPECTION REQUEST LINE: (303) 234-5933
Electrical
Inspections will not be performed unless this card is posted on the project site.
Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date
Inspector
Initials
Comments
Pier
Lath / Wall Tie
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Anr)roval Of The Above Insnections
Underground/Slab Inspections
Date
Inspector Comments
Initials
Electrical
Wall Sheathing
Sewer Service
Mid -Roof
Plumbing
Do Not Cover Underaround or Below/In-Slab Work Prior To Aonroval Of The Above Insnections
Rough Inspections
Date
Inspector
Initials
Comments
Wall Sheathing
Mid -Roof
Lath / Wall Tie
Rough Electric "
"3 ry ni :sheat Pi ripe
X33/tG/ac,l/ 09!2@ CDRP
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw / Nail
Final Inspections
Landscaping & Parking / Planning Dept.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Window/Doors
Final Building
Date
Inspector "erccf 23=6'-7 squares
I A+�1UhiT
Initials B@14E7n
Inspections froinF;yF{ f�isti` �` 41st A�iE 4i5,0„
one week in ads
aPPUPERM?T NO: 20117@0684
inspections call ;
inspections call ; KYKEN REC-EiVE1, A1101UitiT
contact the Fire I 46TH BODE
t?t�- CODE.!. @3887
TOTAL 4@__ E„
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 Fire District and electrical low voltage
by the Building Division.
"For Inspection Time Window — Please email insptimerequeSt@ci.wheatridge.co.US by 8:o0A.M. the morning of the
inspection with the property address in the subject line of the email. Time window is based on the inspector's route.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
Wheat I jck e
COMMLJNHN DLV1t0 l'..NA(-NI
Building & Inspection Services Division
7500 W. 29`x' Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: perm its65�ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date:
Plan/Permit # jOD
o
Plan Review Fee:
Building Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. I
Property Address: _ rJ T 1 4VE
Property Owner (please print): p'T2iCK MgLpA/JV Phone: 303. 595—q"o
Property Owner Email: K 2 M 0.l #O_Qrnvc ) • Co m
Mailing Address: (if different than property address)
Address:
City, State, Zip:
ArchitectlEngineer:
Architect/Engineer E-mail:
Contractor: �t9--&&T4s:_:reS ROOMIJO LL.G
Phone:
Contractors City License #: 0-21170 Phone:_ _ 303 —LIZZ- 2725
Contractor E-mail Address:
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL X RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION V RESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION In 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.)
r�e.rlot�t. Z3.6 7 �%s of ���lv(�' mA-y-,C•��►C, TA'�
4L 4!5
Owers C0 raJG vkrr tNO
ob
Sq. Ft.JLF P-3-67 IT Btu's
Amps Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
/0
,, •� 7. 79
OWNERJCONTRACTOR 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 arc
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)(CONTRAC O
Electronic Signature {first and last na DATE: 2620a/
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
1 City of Wheat Ridge
Residential Mechanic PERMIT - 201700239
PERMIT NO: 201700239 ISSUED: 02/16/2017
JOB ADDRESS: 10805 W 41st AVE EXPIRES: 02/16/2018
JOB DESCRIPTION: Replace 70K BTU Furnace and 2 -ton AC unit
*** CONTACTS ***
OWNER (970)690-5956 MALONEY PATRICK
SUB (303)618-5722 Tim Evans
170043 Aim High HVAC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,500.00
FEES
A/C Replacement 60.00
Furnace Replacement 40.00
Total Valuation 0.00
Epp
Use Tax 81.00
* * TOTAL * * 181.00
*** COMMENTS *** J
*** CONDITIONS ***
All work shall comply with applicable codes and ordinances and 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,
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 and/or its' accompanying approved plans and specifications.
1
Signature of OWNER orlC NTRACTO� (Circle one) Date
I. This permit was issued base—Ic 6—n-ffie 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 Budding 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 r ny ofdman or reg tion 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.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
,a
City of
�W heat Iid ,e
COMMIUNrry DEVELOPMENT
Building & Inspection Services Division
7500 W. 291h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: perm its(a-)-ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date: �� K-11 i .I
Plan/Permit # au' /Do�"3
Plan Review Fee:
Building Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address: /0 O C) S 5 2 121 e� � o3�'
Property Owner (please print): P0. ��� C_ Phone: ! ?n --(,/ �6 - _!�- (�
Property Owner Email:
Mailing Address: (if different than property address)
Address
City, State, Zip:
Arch itect/Engineer:
Architect/Engineer E-mail:
Contractor: 11'r/ "C'�j
Contractors City License #:
Contractor E-mail Address: -
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
C
Pho
Phone• ILO- ;2 7[,,=-7-,, .-a -4
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License # / ?00
Complete all information on BOTH sides of this form
❑ COMMERCIAL ❑ 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. FULF
Amps
Btu's ,U Gallons
Squares
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
,-2-5 00
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 1 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)( (CONTRACTQJ) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Electronic Signature (first and last namejP,��b _ DATE: 2
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
City of Wheat Ridge
Residential Electric PERMIT - 201601892
PERMIT NO: 201601892
JOB ADDRESS: 10805 W 41st AVE
JOB DESCRIPTION: Wire air conditioner
*** CONTACTS ***
OWNER (970)690-5956 MALONEY PATRICK
GC (303)884-7107 Dennis/Sue Graham
ISSUED: 11/30/2016
EXPIRES: 11/30/2017
018442 Graham Electric
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 500.00
FEES
Total Valuation 0.00
Use Tax 9.00 PAID
Permit Fee 26.50
** TOTAL ** 35.50 ,
*** COMMENTS ***
*** CONDITIONS ***
Must comply w/ 2012 IRC & 2014 NEC. Subject to field inspection.
1, b my signature, do hereby attest that the work to be performed shall comply with all accompanyingg 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 performed is disclosed in this document and/or its' accompanying approved plans and specifications.
VAA ldt I _-tiv i I Co
Signature of OWNER or CONTRACTOR (Circle one) Date
I . This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of'
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The 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 Chie?BU ding Tfficia�' 1 � mrsmbft^w Date 1
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
FOR OFFICE USE ONLY I
Cit of Date: J �3V
�Wheat�ge I "
MUNITY DEVELOPMEN T Plan/Permit #
Building & Inspection Services Division )_01
7500 W. 291' Ave., Wheat Ridge, CO 80033 Plan Review Fee:
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(Dci.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: /y 0,S7 li(> yl Sr h1ye �� 3
Property Owner (please print): 1 C)(\,e �, Phone: / 70 -L9
Property Owner Email:
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer:
Architect/Engineer E-mail:
Phone:
Contractor: FG, , Ir k C L L C
Contractors City License #: Phone:
Contractor E-mail Address:
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL N RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING
❑
RESIDENTIAL ADDITION ❑ WINDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
B 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.) 1 .) f f q,, -
Sq.
,_
Sq. FtdLF
Btu's
Amps �3 (� 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. 1, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNER) (CONTRACTOR) or (AtfTHORIZED REPRESENTATIVE) of (OWNER) (CO.N'TRACTOR)
Electronic Sienature (first and last name):
ZONING COMMMENTS:
Reviewer
BUILDING DEPARTMENT COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
DATE:
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
A 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: S
Job Address: C 7 S 0 J!'� k
Permit Number: (,C7 I L1 L3 L
I 2e2JV�-_n
❑ No one available for inspection: Time 11 a 7 3 (kMIpM
Re -Inspection required: Yes No
* When corrections have been made, call for re -inspection at 303-234-5933
Date: Inspec
✓
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Plumbing PERMIT - 201601484
PERMIT NO: 201601484 ISSUED: 09/26/2016
JOB ADDRESS: 10805 W 41st AVE EXPIRES: 09/26/2017
JOB DESCRIPTION: Replace 3 if of sewer line in yard only.
*** CONTACTS ***
OWNER (720)243-0190 HINOJOSA ANTHONY
SUB (720)296-7972 Trevor Harbey 130129 Afford -A -Rooter
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: /
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,400.00
FEES
Total Valuation 0.00
Use Tax 25.20 All D
Permit Fee 57.10
* * TOTAL * * 82.30 �.��
*** 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.**
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION
City of Wheat Ridge
Residential Plumbing PERMIT - 201601484
201601484
ISSUED:
10805 W 41st AVE EXPIRES:
Replace 3 if of sewer line in yard only.
09/26/2016
09/26/2017
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 le ally authorized to include all entities named within this document as parties to the work to be
performed and that all work tgbe performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or f,�VTRACTOR (Circle one) Date
1. This permit was issued ased on the information provided in thepermit application and accompanying ppplans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. Thispermit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
A=
The iss iicp or granting of permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
p is a code or any o in lice or egulation of this jurisdiction. Approval of work is subject to f ield inspection.
Signature of Chief Building Official U Date
REQUESTS MUST SR MAD$ BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City Of
Wheat j,dg,e
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 291h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits4ci.wheatridge.co.us
I FOR OFFICE USE ONLY I
Date:
Plan/Permit #
Plan Review Fee:
Building Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address: iO�-C`� �_` - �-1 � Si- t `t
Property Owner (please print):,3oo,bv� -� V,,i O , X54 Phone:
Property Owner Email:
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer:
Architect/Engineer E-mail:
'/1( (�
Contractor: 4_!(L)C�
4
Contractors City License #:
Contractor E-mail Address: C
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Phone:
Phone: t
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL '( RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING
❑ RESIDENTIAL ADDITION ❑ WINDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑-PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ OTHER (Describe)
(For ALL projects, please provide a detailed description of work to be performed, including current use of areas,
proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and
amount of materials to be used, etc.)
Sq. Ft./LFBtu's
Amps
Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$ / I 4) - --
OWNEWCONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
1 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: (OW -MER) ( )!Lr (AUTHORIZED REPRESENTATIVft) of (OWNER) (CONTRACTOR)
PRINT NAME: I Y^'t ��i LvL SIGNATIii DATE: 2 6Lk I �p
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received ❑ Not Required
Water District ❑ Received ❑ Not Required
Sanitation District ❑ Received ❑ Not Required
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
TYPE OF CONSTRUCTION:
SPRINKLERED:
OCCUPANT LOAD:
Building Division Valuation: $
FOR OFFICE USE ONLY
Da
City of ate: 9
]�Whe_a-W
31141
OtrvtUM ' DEVELOPMENT plan/it
Building 8Inspection Services Division
7500 W, 29�h Ave., Wheat Midge, CO 80033 Plan Reviewr
Office. 303-235-2555 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email; earnits ci. l�eatrcl e.co.ats
Building Permit Application
Please tomplete all highlighted areas on both sides of this form, Incomplete applioations may not be processed. � *
Rr+l 0erty Address'. 16865�
r
Pro Owner (please paint) � t�, .;�,M � .�® � � PhQnr�: 'ms µ
Property OWner Email:
Wiling Address: (if different than property address)
Address:
City, State, i
Architect/Engineer E-mail. Phone:
Contraii0stily License phone:
ContractorE-mailAddress:
Sub Contractors:
Electrical: Plumbing: mechanical:
WR City license ## W.R. City License # W.R. City license #
Other City Licensed Sub: Other City Licensed Sub:
City license # City License ##
Complete all information on BOTH sides of this form
a ter!•
r
y A y '# ar ; • ar A w � MM... • y.
• � y+rr y r ry .. * «. ag y
r y y r r y s r* � • a y
amount of materials to be used, etc.) }
t% C, 1
. Ft.Jt kV Btu's Gallons
Amps Squares tither
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 14149
BUILDING INSPECTION LINE - 303-234-5933
Date
CITY OF WHEAT RIDGE : 7/10/02
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Property Owner: LUIS ALONSO
Property Address : 10805 W 41STAVE Phone : 431-6301
Contractor License No. :
Company: Phone:
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 f mplian with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Whe id rdin s, for work under this rmi
(OWNER)(CONTRACTOR) SIGNED . DATE_.
Description : SERVICE CHANGE
Construction Value :
$500.00
Permit Fee :
$23.50
Plan Review Fee :
$0.00
Use Tax :
$10.00
Total:
$33.50
Use:
DO
Electrical License No :
Company :
Plumbing License No :
Company:
Mechanical License No :
Company :
Expiration Date :
Approval:
Expiration Date :
Approval :
Expiration Date :
Approval:
(1) This pertnit was issuetl in accordance with the provisions set forth in yopur application and is subject to the laws of the Staie of Colorado and to the Zoning
Regulations antl Building Cotle of Wheat Ridge, Coloratlo or any other applicable ordinances of the Ciry.
(2) This pertnit shall expire. if (A) the work authorized is not commenced wi[hin sixty (60) days from issue tlate or (e) the building authorized is suspended or abantlonetl for a period of 120 days (3) If this pertnit expires; a new permit may be acquired for a Fee oF one-half the amount normalty required, provided no changes have been or will be made in the
original plans and specifications and any suspension or abandonment has not exceedetl one (1) year. If changes are matle or if suspension or abandonmen[
exceetls one (1) year, full fees shall be paitl for a new permit.
(4) No work of any manner shall be done thatwill change the naturel flow of water causing a tlrainage problem.
(5) Cont2c[or shall notify the Building Inspectortwenty-four (24) hours in advznce for all inspections and shall receive written approval on inspection card before
proceetliin th success'g phases of thejob. -
(6) The rf F a g~9~a the approval oF drawings antl specifications shall not be construed to be a permit for, nor an approval of, any violation of the
prove e
r ordinance, law, mle or regulatioa Chief Building Inspector
DEPARTMENTOFPLANNINGANDDEVELOPMENT BuildingPermitNumber.
~~F W HEq r o BUII.,DING INSPECT'ION LINE - 303-234-5933 Date:
P
~ m CITY OF WHEAT RIDGE
7500 WEST 29TFI AVENiJE
WFIEAT RIDGE, CO 80215 - (303-235-2855)
C~~ORA00 ~y
APPU1~.~TF
d ON
Property Owner: 41A,(S f60
PropertyAddress: lOpUJr (fJ• 4is+At/~ W11exbC Phone{~09~~4 1001
Contractor License No.:
'J
Company: QIqJ~'er Phone:
OWNER/CONTRACTORSIGNATUREOFUNDERSTANDINGANDAGREERENT
I hereby certify thatthe setback distances proposed by this pe=mit apptica6on aze accurate,
and do notviolate applicable ordinances, mles or regutatlons ofthe City of VJheatRidge or
covenants, easeme¢fs orreshic5ons ofrecord; ihatallmeasurements shovrq md allegazions
made are accurate; that I have read md agree to abide by all condifions printed on this
applicatlon md thaz I assume full responsibility for compliance with the Wheat Ridee
Building Code (U.B.C) md ali other applicab(e Whe Ridge O;dinances, for work under
this permit. (OWNE2xCOMRAGTOR):SIG3~~ED' ✓'y DATE / U~
Description: se-V ` r, C~
lJ
Construction Value:$ 5790
Permit Fee:$
Pian Review Fee:$
Use "i ax:$
Total:$
BUILDING DEPARTMENT USE ONLY
SIC: Sq.Ft.:
ZONING COMMENTS: .
Approval:
Zoning:
BUILDING COMMENTS:
Approvai:
PUBLIC WORKS COMMENTS:
APProval:
Occupancy: Walls: Roof: Stories: Residential Units:
Electrical License No: Plumbing License No: Mechanical License No:
Company: Company: Company:
Expirarion Date: Expiration Date: Expiration Date:
Approval: Approval: Approval:
(I) 'Ihis pamit was issurd iu accordance with the provisions set foRh ia yow applicatlon md is subject to the Iaws of the Staro of Coloiado md to the Zoning
Aegulafions md Building Codes of Wheat Ridge, Colorndo w any other applicable ordiuances ofNe City. '
(2) 173is peemit shall esp'se if (A) flw work authorized is not commenced vrtttin siaty (60) days from issue da[e or (B) the building authorized is suspended or
abandoned for aperiod of 120 days.
(3) iftlilspumitexpaes,aaewpumitmaybeacqurtedforafeeofone-Italftheamountnormallyroquired,providedmchmgeshave6eenorwilibemadein
theoriginalplens and specificatlons md any suspeusion ore6andonmenc hu notexceeded onc (1) year. ifchanges M1ave been or ifsuspensinn or nhandonmmt
ezceeds one (I) year; fvil fees shall be paid fir a new prnuit.
(4) No woik of a¢y mauner shaLL be do¢e that will change the natwal flow of wata causiug a drainage problem.
(5) Con4acMrshallnoGfyEaeBuild'mgTnspectortwenty-foi¢(24)hoursinadvanmforallinspectionsands6a11receivevrtittenapprovaloninspectioncardbeforc
praceeding with successiva phases ofUiejob. (6) 11m issuance of a pemit or the approvel of drawings md speei5ca¢ons shall not 6e constued to 6e a pemit For, nor an approval of, any violaNon of the
provisions ofihe btrild'wg codes or any othex oxd'mance, law, xule orregula¢on.
Cluef Building Inspector