HomeMy WebLinkAbout8150 W 48th AvenueFrom: no-reolv(alci.wheatridae.m. us
To: CommDev Pets
Subject: Online Form Submittal: Sewer or Water Line Repair Permit Application
Date: Thursday, August 5, 2021 10:15:12 AM
Sewer or Water Line Repair Permit Application
This application is exclusively for SEWER OR WATER LINE REPAIR - IN YARD
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Right of Way permits must be applied for with the Public Works Department.
Is this application for Yes
sewer line or water line
repair - in yard only?
PROPERTY INFORMATION
Is this Residential or commercial
Commercial?
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
Address
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
8150 W 48th Ave
truck driving school
(303)848-8443
N/A
Electronic -Payment -Form Ddf
CONTRACTOR INFORMATION
Contractor Business
Name
Contractor's License
Number (This is a 5 or
Premier Excavation Services
ifi[l7dill
has been issued and
posted on the property.
I certify that I have Yes
been authorized by the
legal owner of the
property to submit this
application and to
perform the work
described above.
I attest that everything Yes
stated in this
application is true and
correct and that
falsifying information in
this application is an
act of fraud and may
be punishable by fine,
imprisonment, or both.
Person Applying for Trevor Weston
Permit
Email not displaying correctly? View it in your browser.
6 digit number for the
City of Wheat Ridge)
Contractor Phone
3032109745
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
trevor@premierex.net
Address
Retype Contractor
trevor@premierex.net
Email Address
DESCRIPTION OF WORK
Is this a sewer line or
Water Line
water line repair?
Length of repair
10'
Location of repair
front yard
(backyard, frontyard,
etc)
Provide additional
Emergency water line repair 10' in front yard only.
details including
installation of clean-
o uts.
Project Value (contract
2200.00
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full
Yes
responsibility for
compliance with
applicable City of
Wheat Ridge codes
and ordinances for
work under any permit
issued based on this
application.
I understand that work Yes
may not begin on this
property until a permit
i CITY OF WHEAT RIDGE
_��9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 306 M19
Job Address: Q ,
Permit Number: :427 O i L 7f a,
❑ No one available for inspection° ime AM/PM
Re -Inspection required: YesL".110
No
When corrections have been made, call for re -inspection at 303-234-5933
Date: //7 Inspector: ink
DO NOT REMOVE THIS NOTICE
i A City of Wheat Ridge
i
Commercial Roofing PERMIT - 201705652
PERMIT NO: 201705652 ISSUED: 08/08/2017
JOB ADDRESS: 8150 W 48th AVE EXPIRES: 08/08/2018
JOB DESCRIPTION: Commercial reroof: Tear off and replace 17.85 squares with EPDM 60 mil.
*** CONTACTS ***
OWNER (303)720-6727 LAMMCO PROPERTIES LTD
SUB (303)804-0303 Tom Brown 070055 Northwest Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 420 / Storage Warehouse; 0 BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 20,230.32
FEES
Total Valuation 0.00
Use Tax 424.84
Permit Fee 378.65
** TOTAL ** 803.49 l~
*** COMMENTS ***
*** CONDITIONS ***
In order to pass a final inspection on commercial elastomeric or similar type roofing, 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.
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 -roof inspections may be called in at the same time, 100 percent of the sheathing must
be complete and 25-75 percent of the midroof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. 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.
City of Wheat Ridge
Commercial Roofing PERMIT - 201705652
PERMIT NO: 201705652 ISSUED: 08/08/2017
JOB ADDRESS: 8150 W 48th AVE EXPIRES: 08/08/2018
JOB DESCRIPTION: Commercial reroof: Tear off and replace 17.85 squares with EPDM 60 mil.
I by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this�permrt. I further attest that I am leggally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be pertbrmed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
I. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a 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 w subject to field inspection.
� y
i
Signature of Chief Building Official Date
REQUESTS MUST BE NAME BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
�Wheat Midge
CnMMMIL)NiTy 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: permits(a-ci.wheatridge.coms
FOR OFFICE USE ONLY
Date:
I I+�
Plan/Permit #
"01-1
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:
Propertv Owner
Property Owner Email: CAI Qr--rnrne I i-' - L" CIL - cy-n
Mailing Address: (if different than property address)
Address: (j
City, State, Zip:
Arch itect/Enaineer:
Architect/Engineer E-mail:
Contractor:
Phone:
Phone:
Contractors City License #: Qui Dos 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
XCOMMERCIAL ❑ RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE�YCOMMERCIAL ROOFING
F1 COMMERCIAL ADDITION X ❑ 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.)
+o f7- 95 e
Sq. FULF
Amps
Btu's
Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
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. 1, the applicant for this building permit application, warrant the
truthfulness of the information provided o e application.
CIRCLE ONE: (OWNERVNTRACTOO or (AUTHORIZED REPRESENTATIVE) of (OWNNER) (CONTRACTOR)
)24 SiEnature (first and last namDATE: LJ
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
BUILDING DEPARTMENT
237•6944 Ext. 255
CITY OF WHEAT RIDGE
. .
Correction Notice
Job Located at .:t.......................................
I have this day inspected this structure and these premises and
have found the following violations of City and/or State laws
governing same:
You are hereby notified to correct the foregoing violations.
When corrections have been made, call for inspeciion.
Da te
Inspector for Building Dept.
FORM Wp6'2E DO NOT REMOVE THIS TAG