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6958 W 48th Avenue
("o SS QcgjMoy/TNpe INSPECTION RECORD INSPECTION ONLINE FORM: tp://www.ci.wheatridge.co.us/inspection INSPECTIO Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Inspections will not be performed unless this card is posted on the project site. **Request an inspection before 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 ADDroval Of The Above Insoections Underground/Slab Inspections Date Inspector Comments Initials Electrical Comments Sewer Service 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. Plumbing Do Not Cover Underaround or Below/in-Slab Work Prior To ADDroval Of The Above Insaections Rough Inspections Date Inspector Initials Comments 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. Mid -Roof t Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Rough Electric " Final Mechanical Rough Plumbing/Gas Line Roof Final Window/Doors Rough Mechanical 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. Rough Framing Rough Grading Insulation Drywall Screw/ Nail 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 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 Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather INSPECTION RECORD Occupancy/Type 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'ttr day dj the inspection Inspections will not be performed unless **Request an inspection before 11:59 p.m. (midnight) t reIs card is posted on the project site. ceive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent is pro " Foundation Inspections Date Inspector Initials Comm Pier Mid -Roof Concrete Encased Ground (CEG) Lath / Wall Tie Foundation / P.E. Letter Rough Electric * Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground/Slab Inspections Date Inspector Initials Comments Electrical Comments Sewer Service Plumbing Do Not Cover Underaround or Below/In-Slab Work Prior To Approval Of The Above Inspections Rough Inspections Date Inspector Initials Comments Wall Sheathing Mid -Roof Lath / Wall Tie Rough Electric * Plumbing/Gas Line _ —Rough Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw/ Nail 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 _1117F 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 Fire District and electrical low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather a : City of Wheat Ridge v Resid. Windows/Doors PERMIT - 201707056 PERMIT NO: 201707056 ISSUED: 09/08/2017 JOB ADDRESS: 6958 W 48th AVE EXPIRES: 09/08/2018 JOB DESCRIPTION: residential window replacement of 14 windows with vinyl soft -lite windows like for like u -factor of .16 *** CONTACTS *** OWNER (303)915-5375 SPURGEON TONI T SUB (303)421-7100 Ted Roland 018516 K & H Windows & Exteriors *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / UnassigneU SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,103.00 FEES Window Replacement 50.00 Total Valuation 0.00 Use Tax 128.16 ** TOTAL ** 178.16 *** COMMENTS *** *** CONDITIONS *** Windows shall comply with all applicable codes, have a .32 or better U -factor and shall be safety glazing if within a tub enclosure, less than 18 inches above the floor or within, 24 inches of a vertical edge of a door. I, by 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 that, am tl�e 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. Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the original Permit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for or an approval of, an violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to fyeld 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 Wheat Ridge Residential Roofing PERMIT - 201706751 PERMIT NO: 201706751 ISSUED: 08/30/2017 JOB ADDRESS: 6958 W 48th AVE EXPIRES: 08/30/2018 JOB DESCRIPTION: Residential Re -roof to install Oakridge Amber asphalt shingles with,l9sq *** CONTACTS *** OWNER (303)915-5375 SPURGEON TONI T SUB (303)421-7100 Ted Roland 018516 K & H Windows & Exteriors *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT*: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,883.00 FEES Total Valuation 0.00` Use Tax 102.545 Permit Fee 125.05 ** TOTAL ** 227.59 *** 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. Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. .p City of Wheat Ridge �9r Residential Roofing PERMIT - 201706751 PERMIT NO: 201706751 ISSUED: 08/30/2017 JOB ADDRESS: 6958 W 48th AVE EXPIRES: 08/30/2018 JOB DESCRIPTION: Residential Re -roof to install Oakridge Amber asphalt shingles with 19sq I, by my sign re, do her by attest that the ork to be performed shall comply with all accompanying approved plans and specifications, applicable b ding codes, and a li ble unicippal codes, policies and procedures, and that I am the legal owner or have been authorized by the leg owner of t e rope a d m a thorized to obtain this permit and perform the work described and approved in conjunction with this perms . further atte a am ally authorized to include all entities named wit n t is cumen s parties to the work to be performe ii l that a be o d is disclosed this document and/or its' ioi��ig apoved and specifications. Signature of OWNERT'or CONTRACTOR (Circ one) late ` 1. This permit was issued based on the information p ovided in thepermit applicatio 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, anew 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 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 org 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 an . rdinartce 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 From: no-reply@ci.wheatridge.co.us Sent: Monday, August 28, 2017 1:59 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Gina 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 Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION sA Property Address 6958 W 48th Ave Property Owner Name Toni Bishop/Spurgeon Property Owner Phone 3039155375 Number enter WITH dashes, g 303-123-4567) 69 7Sr n Property Owner Email Field not completed. Address Do you have a signed Yes contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Roof Contract.pdf Contract CONTRACTOR INFORMATION Contractor Business K&H Windows and Exteriors Name Contractor's License 018516 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 7204201727 Number (enter WITH dashes, eg 303-123-4567) Contractor Address 5805 W. 56TH AVENUE (Primary address of your business) Contractor Email Address RRobinson@khwindows.com Retype Contractor Email RRobinson@khwindows.com Address DESCRIPTION OF WORK TOTAL SQUARES of tear out and install 19 squares in Oakridge Amber the entire scope of work: Project Value (contract value or cost of ALL materials and labor) Are you re -decking the No roof? 70 Does the scope of the No project include a flat roof (less than 2:12 pitch)? Does the scope of the No project include a pitched roof (2:12 or greater pitch)? Provide any additional House detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. I attest that everything Yes stated in this application is true and correct and 71 that falsifying information in this application is an act of fraud and may be punishable by fine, imprisonment, or both. Name of Applicant Rachael Robinson Email not displaying correctly? View it in your browser. 72 Fully Insured 5805 West 56th Avenue Lic. #29338 Arvada, Colorado 80002 LBBB ROOFING - Office: (303) 421-7100 1 Fax: {303} 423-7326 �� srNc~ isss PROW OFOUR A+RATINs Roofing Contract www.khHomeSolutions.com Bu er -....-- ;��p InsuranceCompan r _Address._ CJ w�.- Phone Fax City - *r. State CD Zip 003? policy #0C ,--CrC-!(._ -�5— Claim #(�jtotStowL Phone # 151 Y-9Z� CeI I # Project Manager Email 3& or, Payment ❑ Check/Cash ❑ Credit Card ❑ Finance Date ~ 1 t — Approval # COPE OF WORK HOA Approval Required: E Yes No Initial c�20 3 UNIT QUANTITY COST NOTAL � i 1 t t i A ' _..� \J i SUB TOTAL I FIVE YEAR LABOR WARRANTY! , } TOTAL Initial _ initial If initialed by Buyer, then the contract price is contingent upon insurance approval, and the buyer is only responsible for the deductible per insurance policy. Once insurance company agrees to pay the property damage claim Buyer will have K&H Roofing & Restoration perform all repairs specified by the insurance company's adjuster report. By this reference, the adjuster's report and estimate are a oart of this Contract Notice of Right to Cancel Buyer may cancel this transaction any time prior to midnight of the third business day after the date of this transaction by writing "I hereby cancel" at the bottom of this contract and returning a copy to Seller at the address shown above. Any payments made by Buyer will be returned to Buyer within ten business days following Seller's receipt of Buyer's cancellation notice. In compliance with insurance practices, If Buyer plans to use insurance proceeds for this job then K&H may not pay, waive, rebate or promise to pay, waive or rebate all or part of any insurance deductible applicable to the claim. K&H Roofing & Restoration is fully insured and carries Worker's Compensation, General Liability and Automobile insurance. Buyer/owner, — Consultant: �Q white - Office canarf - custor TERMS AND CONDITIONS 1. This Contract is subject to final approval by K&H Roofing & Restoration ("K&H") and, in conjunction with any additional change orders (collectively referred to as the "Contract"), represents the entire agreement and understanding of all parties. There are no verbal representations that have not been set forth in writing on this Contract. and therefore no other terms will be recognized. 2. Any change to the terms of the Contract shall require a written document signed by all parties. 3. Any supplemental payment from the Owner's insurance company is due to K&H, including Contractor's Management Fees, Overhead and Profit. 4. K&H will perform all work in a professional and workmanlike manner according to current local building codes and specifications. S. K&H shall not be liable for any structural movement, settling, damage to drywall, damage to driveway, or any damage to personal property which occurred as a result of construction. 5. No warranties cover damage caused by natural disasters (including but not limited to tornados, lightning, gale force winds, hailstorms) impact from foreign objects, damages due to failure of the foundation of the building from any reason such as settling of the soil or failure of the walls or any other existing structure outside the scope of K&H's work. 7. K&H is not responsible for providing any materials or the performance of any work other than what is described in the Contract. 8. Buyers will .provide, without charge, all electricity needed for the work under this Contract. Buyer agrees that materials and product may be delivered by K&H and its suppliers to Buyer's premises. Buyer shall provide to K&H, its suppliers and subcontractors timely access to job site. Ail surplus materials shall remain the property of K&H. 9. Buyer agrees that Buyer is responsible for removing all personal property from the area where the work will be performed by K&H pursuant this this Contract. Any damage to personal property of Buyer as a result of not moving the property will not be the responsibility of K&H. Buyer acknowledges having been advised that there is a possibility of collateral damage to items hanging from ceiling and walls. Damage to lawn, flowers, trees, gardens, landscaping, shrubs, plants, cable TV wiring or cables, electrical wiring, piping and plumbing. K&H shall not be liable for any incidental, consequential, or exemplary damages of any nature, however caused, whether by its own negligence or otherwise. K&H maximum liability for any reason, including its own negligence or the negligence of its subcontractors, is limited to the amount of this Contract. 10. If this Contract is cancelled by the Buyer after the Right to Cancel but before K&H has begun work on the Contract, Buyer and K&H agree that it will be difficult to ascertain actual damages incurred by K&H. Buyer and K&H agree to liquidate these damages and Buyer shall pay K&H an amount equivalent to thirty percent (30%) for approved Replacement Cost Value, and K&H agrees to accept compensation for said cancellation and consequential loss of profits. 11, Each trade represented will be payable in full at completion of said trade. 12. All payments shall be made to K&H Roofing & Restoration. 1.5% monthly will be added in daily increments to the balance of any and all unpaid portion of Contract, commencing upon completion date or receipt of the remaining insurance proceeds, whichever is earlier. 13. Before any warranty, written or otherwise, is to be considered valid, the Contract must be paid in full. 14. In the event Buyer has any indication that the work or material provided in accordance with this Contract may be faulty, Buyer must provide to K&H or its authorized representative written notice containing particulars sufficient to identify the potential problem as soon as practicable, and in any event no later than thirty (30) days from the date of discovery. Any claim by the parties that arises out of or in connection with this Contract shall be barred unless such notice is provided. 15. if K&H seeks to enforce its rights under this Contract (whether in contract, tort, or both) or seeks a declaration of any rights or obligations under this Contract, it shall be entitled to its reasonable attorney fees, and costs and expenses incurred. 15. This Contract shall be interpreted in accordance with the laws of the State of Colorado without regard to any conflicts of law. All claims, disputes, and lawsuits arising out of or in connection with this Contract shall be resolved or adjudicated in the county of Jefferson in the State of Colorado. 17. The invalidity of unenforceability of any term or provision or any clause of this Contract shall in no way impair or affect the validity or enforceability of any other provision of this Agreement, which shall remain in full force and effect. ' d City of Wheat Ridge Resid. Windows/Doors PERMIT - 201707056 PERMIT NO: 201707056 ISSUED: 09/08/2017 JOB ADDRESS: 6958 W 48th AVE EXPIRES: 09/08/2018 JOB DESCRIPTION: residential window replacement of 14 windows with vinyl soft -lite windows like for like u -factor of .16 *** CONTACTS *** OWNER (303)915-5375 SPURGEON TONI T SUB (303)421-7100 Ted Roland 018516 K & H Windows & Exteriors *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,103.00 FEES Window Replacement 50.00 Total Valuation 0.00 Use Tax 128.16 ** TOTAL ** 178.16 *** COMMENTS *** *** CONDITIONS *** Windows shall comply with all applicable codes, have a .32 or better U -factor and sha-1 be safety glazing if within a tub enclosure, less than 18 inches above the floor or within 24 inches of a vertical edge of a door. 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 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 ai c� had all work to e performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNK or CATRACTOR (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 Offcial 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 r any ordinance y reg Ia.ti 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 Wh6atlk c -j �CrnOMMIMUNITY 0EVELOPMENT !jg Building & Inspection Services Division 7500 W. 29h Ave., Wheat Ridge, CO $0033 Office: 303-235-2855 * Far. 303-237-8929 Inspection Request Line: 303-234-5933 Building Permit Application (Complete &I highlighted areas) Vd)r)Py'7W3 Date: Plan # Permit # 7F. Property Address: 6 ? 5 S W Ll e 14W4 L..�-+ R �dL 6c, S003 Al D Property Owner (please print): "tont �-*%o? Phone: 3c3-915`5-3`5 Mailing Address: (itdftrent than property address) Address: City, State, Zip: Contractor: K&H Windows and Exteriors Contractors City License #: 018516 Phone: 720-420-1724 Sub Contractors: Electrical: Plumbing: Mechanical: City License # City License # City License # Description of work*. {Fully describe work to be performed - Attach additional sheet if necessary) 4?[4de- tjLf� We'A,10105' WrT"% U ""'I Contract Value of all work: w7'%C10WV- C; It,- -F0 f t: tc,- $- 6 110 3 .,or 0 Review Fee (due at time of submittal): Squares BTUs _ Gallons Amps _ Sq Ft. $ 1 — 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, casements 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 , er of any entity included on this application to list that entity on this application. CIRCLEOWE, (01FAIER)EATRf�OR) -.- (4V7'HORIZEDREPRES&VIATIVE) of (00'.NER) (CONTRACMR) Shawn George 71r) ) 1 ERT?a NAME., . SIGNATURE- DATE _ DEPARTMENT USE ONLY ZONING COMMENTS: Zoning; Revlewer: BUILOING DEPARTMENT COMMENTS: Reviewer. PUBLIC WORKS COMMENTS: Reviewer OCCUPANCY. FIRE DEPARTMENT:: Ci approved wl comments 0 disapproved 0 no review required I Bldg Valuation. � 4�-� Measure Sheet Job No.: Contract pate: l� r _ Sales Rep.: Customer Name: Inside Color Exterior Color G./ Screens .} f NOV,: / lambs { }` f Ladder Needed j � ! ectric 2nd or 3rd Story s f Steel casements jyqj Steel bucks f Siding V / Grid Type Storm Removal: In or Out sfk4orFrame j Mullions Drywall Cuts J Flash Tops f L -Angle size f Casing f Sill f Apron SpeclalNotes: ,. `- c CD a < "0 t17 N J //� V) D (J N/� C m a E — d x �•� 0 h LL �J ` "- O V Z to [A d m • Z d m C r M m fir. Q � •�� f D O o i E m=@ d j •Z E Q *..q w_ v� W— :O ■ day. cc W c O f ai m` n vc3= wY oc LJ.I V �O () CCS vi c §2�� n ��$£ 2 Z z4 W O COL0-6 /A y"+ Q 4 cu n O U O- F-3� � U Q ZZ c`m Z mQ O LL €=gym a >w a� O N oEm� `sdE� . dN UJ Q LU it a W clot ��� ©m m a U?� a Z Epyo U) cz w �aU ¢ LL m mZZ2 c a® V mo ui O ■ V co� L� _p ~ p L . CD O N ti G U NEU a mt8� � W D 0 Q � e aD mo a H n ' d City of Wheat Ridge Resid. Windows/Doors PERMIT - 201707056 PERMIT NO: 201707056 ISSUED: 09/08/2017 JOB ADDRESS: 6958 W 48th AVE EXPIRES: 09/08/2018 JOB DESCRIPTION: residential window replacement of 14 windows with vinyl soft -lite windows like for like u -factor of .16 *** CONTACTS *** OWNER (303)915-5375 SPURGEON TONI T SUB (303)421-7100 Ted Roland 018516 K & H Windows & Exteriors *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 6,103.00 FEES Window Replacement 50.00 Total Valuation 0.00 Use Tax 128.16 ** TOTAL ** 178.16 *** COMMENTS *** *** CONDITIONS *** Windows shall comply with all applicable codes, have a .32 or better U -factor and sha-1 be safety glazing if within a tub enclosure, less than 18 inches above the floor or within 24 inches of a vertical edge of a door. 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 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 ai c� had all work to e performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNK or CATRACTOR (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 Offcial 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 r any ordinance y reg Ia.ti 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 Wh6atlk c -j �CrnOMMIMUNITY 0EVELOPMENT !jg Building & Inspection Services Division 7500 W. 29h Ave., Wheat Ridge, CO $0033 Office: 303-235-2855 * Far. 303-237-8929 Inspection Request Line: 303-234-5933 Building Permit Application (Complete &I highlighted areas) Vd)r)Py'7W3 Date: Plan # Permit # 7F. Property Address: 6 ? 5 S W Ll e 14W4 L..�-+ R �dL 6c, S003 Al D Property Owner (please print): "tont �-*%o? Phone: 3c3-915`5-3`5 Mailing Address: (itdftrent than property address) Address: City, State, Zip: Contractor: K&H Windows and Exteriors Contractors City License #: 018516 Phone: 720-420-1724 Sub Contractors: Electrical: Plumbing: Mechanical: City License # City License # City License # Description of work*. {Fully describe work to be performed - Attach additional sheet if necessary) 4?[4de- tjLf� We'A,10105' WrT"% U ""'I Contract Value of all work: w7'%C10WV- C; It,- -F0 f t: tc,- $- 6 110 3 .,or 0 Review Fee (due at time of submittal): Squares BTUs _ Gallons Amps _ Sq Ft. $ 1 — 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, casements 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 , er of any entity included on this application to list that entity on this application. CIRCLEOWE, (01FAIER)EATRf�OR) -.- (4V7'HORIZEDREPRES&VIATIVE) of (00'.NER) (CONTRACMR) Shawn George 71r) ) 1 ERT?a NAME., . SIGNATURE- DATE _ DEPARTMENT USE ONLY ZONING COMMENTS: Zoning; Revlewer: BUILOING DEPARTMENT COMMENTS: Reviewer. PUBLIC WORKS COMMENTS: Reviewer OCCUPANCY. FIRE DEPARTMENT:: Ci approved wl comments 0 disapproved 0 no review required I Bldg Valuation. � 4�-� Measure Sheet Job No.: Contract pate: l� r _ Sales Rep.: Customer Name: Inside Color Exterior Color G./ Screens .} f NOV,: / lambs { }` f Ladder Needed j � ! ectric 2nd or 3rd Story s f Steel casements jyqj Steel bucks f Siding V / Grid Type Storm Removal: In or Out sfk4orFrame j Mullions Drywall Cuts J Flash Tops f L -Angle size f Casing f Sill f Apron SpeclalNotes: ,. `- c CD a < "0 t17 N J //� V) D (J N/� C m a E — d x �•� 0 h LL �J ` "- O V Z to [A d m • Z d m C r M m fir. Q � •�� f D O o i E m=@ d j •Z E Q *..q w_ v� W— :O ■ day. cc W c O f ai m` n vc3= wY oc LJ.I V �O () CCS vi c §2�� n ��$£ 2 Z z4 W O COL0-6 /A y"+ Q 4 cu n O U O- F-3� � U Q ZZ c`m Z mQ O LL €=gym a >w a� O N oEm� `sdE� . dN UJ Q LU it a W clot ��� ©m m a U?� a Z Epyo U) cz w �aU ¢ LL m mZZ2 c a® V mo ui O ■ V co� L� _p ~ p L . CD O N ti G U NEU a mt8� � W D 0 Q � e aD mo a H n 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: Job Address: CGG-_ Permit Number: 23)0/ %Q _7056 1 11 -1-iRCV&r 7 ❑ No one available for inspection: Time; AM/KN)) Re -Inspection required: Yes (0 When corrections have been made, cali for re -inspection at 303-234-5933 Date: A/-)' /3 •1% Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE _1�9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: L/ / C - P • "n t /r, 1, L/ Job Address: 695-T t,✓ L -f S -LA Permit Number: -0 G f -7 o Inc �- f n itC Q . G !l e Q 4 L- 11 L'' ---b r C,, e S q!s- 7 -3 -ZS--_ Ad,gid rn Ci )CIO c,rrc, e Men -PCs- U,.)�b%. + w o U Id r cg Jl '1 ;d No one available for inspection: Time /c = )-3 013M Re -Inspection required: Ye No When corrections have been made, call for re -inspection at 303-234-5933 Date:-/ C L1, i 2 Inspector 7% DO NOT REMOVE THIS NOTICE 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: ()F Job Address: C< I T -� &4-- 6 Permit Number: -7 -I-IU 6-7T e! y ❑ No one available for inspection: Time X. /PM Re -Inspection required: Yes (Noi When corrections have been made, call for re -inspection at 303-234-593 l 3 Date: i r �� L/-(�Inspector: DO NOT REMOVE THIS NOTICE [oil Tiff �&*Mm P MAA#j4S�* (please print): 176 3p4-") P Phone:,3 j L, 33 - � I L-6 ��� I i l ,; - l mfjm�Wit� 9 t ,,9 tlaftpu . Ag,.rj7j= Address: I 1 L 2Z72 L a ;& k V /E City, State, Zip: rl- cio, 20023 a 0M NMB= 9= ME= MUM= (Fully describe work to be performed - Attach additional sheet If necessary) 000 0 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, casements 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. 00%MW (OWNER) (CONIRACTOR) ge (AUTHORIZED REPRESENTATIVE) laluation: $ QL= ss>j IN- tts C OD tun ? 0 , (p cD C. — 0 M v 3. .. v W to - # � pp �"'4 3 77 ,q ,.....,.,...�....... � ,r' «. S l r �`. s_ ,�+ t u t13 0 CL (D to CO x c> � ra to CGS 9 7 3 E cr S r e , � r yy : f i 2 e Ma m. _.. t � � , �s v^ 4 ya t w�, �* cn 11 jg tiv � t w � � a , .«,..,,...,.e:...�. ,,, ww eMariw� x , .am..,,..»u •r+wn o n.. w.«,:w, ..�,.,..,�,� -; —., ,,.,, nm.. ,, ,. ,. .A.. h Tt ( � � \ Cl . CD J » CD 3 J . \ \ \ S \ \ ° (D 0: � / . @ \ \ \ � x r r? l 5 1 4 i r s to { 3 t o� At t G his F N' 6 4 } P } 5 ` , t ro ' mwwwmnromww +arow�xrrmw..wnww«+..mmw.nnm xxa +�. ,.. e { +� ST � t Aw.•� e_:rj f ( **''� d FD` ,R. ;. S.. t r S (x. ' t e ,....> .. .....�, . .. Mme. „. , ..., w „ �.. ,...... wm ............. w A ve-, a pe-, -"r7 ", Ou CL �4 INSPECTION LINE: (303) OCCUDancV/TVpB L::7 Inspections will not be made unless this card is posted on the building site Call by 3:00 PM to receive inspection the following business day. ' "` INSPECTOR MUST SIGN ALL SPACES PERTAINING TO THIS J OB FOUNDATION INSPECTIONS DATE INSPECTOR INITIALS COMMENTS: Footings /Caissons Stemwall / (CEG) Concrete POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED ROUGHS Sheathing Encased Ground - —�® Reinforcing or Monolithic Fire Department Weatherproof / French Drain R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS Parking & Landscaping SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. * * NOTE. ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. Sewer Service Lines Water Service Lines ruurc rvu uuNGRETE UNTIL ABOVE HAS BEE SIGNED CONCRETE SLAB FLOOR Electrical (Underground) Plumbing (Underground) Heating ( Underground) DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED ROUGHS Sheathing - —�® Lath / Wall tie Fire Department Mid -Roof R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS Parking & Landscaping SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. * * NOTE. ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. Electrical Service Rough Electric Rough Plumbing Gas Piping, Rough Mechanical Framing Insulation Drywall Screw INSYEGTIONS TO FINALS Electrical Plumbing Mechanical Roof Building Final Fire Department R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS Parking & Landscaping SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS. * * NOTE. ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A CERTIFICATE OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY. UCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER U r ♦ 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: T7445 (f1. L /� ✓ �d� , Permit Number: 1 ^7 o'77 ❑ No one available for inspection: Time A P Re- Inspection required: Yes o/ "When corrections have been made, call for re -ins action at 303 -234 -5933 rD s Date: 1 " ' f Inspector: DO NOT REMOVE THIS NOTICE i CITY OF WHEAT RIDGE �-j► Building Inspection Division (303) 234 -5933 Inspection line (303) 235 -2855 Office • (303) 237 -8929 Fax INSPECTION NOTICE Inspection Type: Job Address: 6e(274 Permit Number: fGt�7� � ✓t�P ,r''�it,_ l� ❑ No one available for inspection: Time `50 A 9PM Re- Inspection required: Yes No * When corrections have been made, call for r e- inspection at 303 -234 -5933 Date: -/-/( Inspector: 44 DO NOT REMOVE THIS NOTICE I " ' City of Wheat Ridge Residential Roofing PERMIT - 102073 PERMIT NO: 102073 ISSUED: 08/31/2010 JOB ADDRESS: 6958 W 48TH AVE EXPIRES: 08/31/2011 DESCRIPTION: Reroof & redeck 19 sqs with 30yr GAF /ELK Timberline * ** CONTACTS * ** owner 303/987 -7912 Toni Bishop sub 720/579 -4370 Jayson DeBaere 09 -0233 Glacier Remodeling Inc. ** PARCEL INFO ** ZONE CODE: UA USE: UA SUBDIVISION: 0009 BLOCK /LOT #: 0/ ** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 6,500.00 FEES Permit Fee 156.75 Total Valuation .00 Use Tax 117.00 am ** TOTAL ** 273.75 Conditions: 6 nails per shingle is required. Ice dam membrane is required from eave edge to 2' inside exterior walls. Board sheathing with any gap greater than 1/2" requires panel sheathing overlay on entire roof. Sheathing inspection is required prior to covering. Midroof inspection is not required on permits purchased after 4/18/10. Contractor shall provide ladder for inspections. Scheduled inspections that cannot be performed due to inclement weather must be will be assessed. 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 ass a 11 responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other ape ca e Wheat Ridge 0 sea, for work under this permit. Plans subject to field inspection. sWitu of contractor /owner date 1. �jyPs permit was issued in accordance with the provisions set forth in your application and is subject to the laws of the State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable ordinances of the City. 2. This permit shall expire 180 days from the issue date. Requests for an extension must be received prior to expiration date. An extension may be granted at the discretion of the Building Official. 3. If this permit expires, a new permit may be acquired for a fee of one -half the amount normally required, provided no changes have been or will be made in the original plans and specifications and any suspension or abandonment has not exceeded one (1) year. If 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 will change the natural flow of water causing a drainage problem. 5. Contractor shall notify the Building Inspector twenty -four (24) hours in advance for all inspections and shall receive written approval on inspection card before proceeding with successive phases of the job. 6. The issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan review if subject to field inspections. Signature o Building Official date INSPECT N REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855 REQUES MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. t ity t t PPaa� µ Building 8- Inspection Services Division Permit # I 1 7500 W. 29 Ave., Wheat Ridge, CO 80033 1 U WT5__ Office: 303 - 235 -2855 * Fax` 303 - 237 -8929 Inspection Line: 303- 234 -5933 / �J Building Permit Application Property* Address;; C22�r� ^�A 7//// Property Owner (please print): 1 ( , �1je� Phone: 30 Y T 7 1-z mailing Address: (if different than property address) Address: City, State, Zip; Cot craGto : �/4G1 � eke Ma�21t)21 z Contractors City License #: Q /na3 Phone: 7 � ��9" 7� Sub` Coritracfio "rs Electrical: Plumbing: Mechanical: City License # City License # City License # �3 �ri�stitaan 03 ;uvt3 r� nee -r J' w 3rl $ ontr �ct Va_yJ�j — - -— � 1 "S, (" 0 '� "rah ' t! °t � � Review Fee (due at time of submittal): 1 Squares BTU's Gallons Amps Sq Ft. $ . OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that 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. - C(RCLE ONE (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWN CONTRACTOR) PRINT NAME: v Q , '- SIGNATURE: DATE: A s / ~ / tip ZONINt3 CC7M�h EN7�S ` s '� � � ✓ ' � �>✓ a S �, F` re i n � '2on)n /i'a. r 'l.r , f ,,t �' ; + t .'� r s a r3 ✓ .,E„o. �, d �.z, «....,... yr. ��,.,.,, ,,. ,, ✓., , ��.�c�u.�7l ,_ mom.. ✓vs a.,G: ✓,,,.."k._ ,. Bldg Valuation: $ DEPARTMENT OF COMMUNITY DEVELOPMENT M 9~/ 7500 WESr29thnvENUE BUILDING INSPECTION DIVISION PERMIT N0. 234-5933 P.O. eOX638 CITY OF WHEAT RIDGE, COLO. THtS PERMIT VALID ONLY WHEN SIGNED BY THE CHVEP BUILDING INSPECTOR AND RECEIPTED BELOW. JOB ADDRESS IV , "JV ln gg`AI WN hOFi MISGE OWNERUS NtKMI I - /~r / • G7 L/ y7a` ,.J,G` C~ !~l CONTRACTOR ADDRESS r/ ADDRESS PHONE W-2 U&' ZIP CODE'Kd423 3 qTY ZIP CODE /3 0U• CONTRACT PRICE $ PHONE LICENSE NO. _ / A DATE % /aI Ig+ 1~I9T I. TYPE G.ound ❑ Woll❑ ProisclinQ❑ 0ther 5 a D Faoe MATERIAL Total SQuare Fee1 2 SIGN$ . Psrmit No ILLUMINATION Yes❑ No❑ Type Eleef 3 . . . 4. SET BACK FROM PROPERTYt,ME N_ 5_ E- W Zona_ Apprwad,ZOns lnspectw (SOacify which is front) ❑ ❑ ❑ ❑ DisopDrwed L TYPE Solid[:] Mon Thon 80% Open❑ Las TAOn 80% Open S07~ MATERIAL f VG Noiant ~Q /rrc~e5 ? FENCES . q ~ i 5 Ft b. SET BACK FROM PROPERTY LINE N (o~ S O, _ E 0,3 _ W 0, Zone_ ApprwM,Zons Inopecta (Specify which is front) I'7V U ❑ ❑ ❑ aaaODroved 1 f~ ' \ ' I . 2 OTHER 3 . DRAW SKETCH OR SHOW BELOW, THE FENCE,SIGN, O9 OTHER STRUCTURE, GlVili6 DISTANCES FROM PROPERTY LINES. (SETBACKS OR PROJECTqNS INCLUDED) e. w , ~ , ~ ~ x 'e ice, d4Y G~ v\' ~ A SPECIFV NORTH STREET NAME SMOW DISTANCES FROM T11E M41N BUIIDING TOADJOINING HOUSES, STREETS, AND PROPERTV LINES;ON IttREGULAR LATS, SHOW LEAST DISTANCE TO PROPERTY LINES,NOT MAXIMUM OR AVERAGE DISTANCE. APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT THIS APPLICATION WILL BECOME A PERMiT TO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BY THE BUILDING INSPECTION DIVISION. PERMIT WILL EXPIRE 180 DAYS FROM THE DATE OF ISSUANCE IF WORK IS NOT STARTED WITHIN THAi TIME. ELECTRICAL PERMIT STATE LICENSE N0. PLUMBING PERMIT STATE LICENSE N0. MECHANICAL PERMIT ALUMINUMWIREVNDERSIZE81LLE6AL FLOOR BSM IST 2ND 3RD 4iH N0. FUEL+CktMOmGoidlRoparN EI6eSdm Np, WATER CIASET FOItCED AIR - BTU TEMPORARY METER WASH BOWL HOT WATER - BTU NEW SERVICE - AMPS BATH TUB STEAM - BTU CHANGE SERVICE-AMPS SHOWER AIR CONDITIONING-BTU LIGHTING SINK OTHER HEATING GARBAGE DISP REFRIGERATION SVSTEM POWER SUB-QFCUITS WATER HEATER Refri srant Cxou UTILITV(RANGE,DISPoSER,E7C) AUTO. WASHER PounAt Char s FIXTURES DISH WASHER AUTOMATIC SPRINNIER SYSTEM WIRING MOTOFtS B CONTROLS FI.DOR DRAIN ELEVATOR S16N5 URINAL TRANSFORMERS 9 RECTFIERS SEWERS ADDITION TO OLD WORN OTHER MOTORS OVER I HP TOTAL FIXIURES acknowledQe that tnis avDlico- I Asrob PERMIT FEE y tion ia corroct ond understond that I USE TAX til tni o li- thi t pp un s s Orolet tannot ftait eotion ie apProved. I shall comply with TOTAL FEE d t d o an o tha lowa o1 the Stote ot Coloro ths Zoninp ReQulations and Buildinp AppROVEL Code otthe City of Wheat RidQe. Any violation of tne above rerma wilt cause DI CHIEF B I immediate revocation o( thie permif -~4 ' Date Issu - ~OOlicanb 9ivmWr• NO7 VAIID UNLESS RECEIPTED $ / 7W~' I 1NG CTO City of Wheaf Ridge l n ~/~'Tl CALL 234-5933 24 HOURS IN ADVANCE ~ / L~ FOR INSPECTIONS