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Home My WebLink About6445 W. 45th AvenuePERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge Homeowner Demolition PERMIT - 201901857 201901857 6445 W 45th Ave Demolition of old deck *** CONTACTS *** OWNER (720)560-3417 GARCIA PAUL ISSUED: 09/03/2019 EXPIRES: 09/02/2020 *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 150.00 FEES Total Valuation 0.00 Demolition Fee 50.00 ** TOTAL ** 50.00 *** COMMENTS *** *** CONDITIONS *** I, the property owner, by my signature, attest that I currently reside at the project property, intend to reside at the property for a period of one year after completion of the project, and am personally performing all work, without the assistance of hired or professional workers. If professionals are hired, those contractors are licensed with the City of Wheat Ridge and are listed on the permit. NOTE: Consultations and inspections will only be performed with the homeowner of record present. All work shall comply 2012 International Codes, 2017 NEC (if applicable), and ordinances adopted by the City of Wheat Ridge. Work is subject to field inspections. PERMIT NO: JOB ADDRESS: JOB DESCRIPTION City of Wheat Ridge Homeowner Demolition PERMIT - 201901857 201901857 6445 W 45th Ave Demolition of old deck ISSUED: 09/03/2019 EXPIRES: 09/02/2020 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�ppermit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be performe - d that all work to be rformed is disclosed in this document and/or its' accompanying approved plans and specifications. L? /c 07/v::? %bid Signature of OWNER or CONTRACTOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the originalpermit fee. 3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Official and is not guaranteed. 4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or grant;6glf a permit sh 1 not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or a!ry ce or re ation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of W heat j (...OMMUNITY DEVELOPMENT �dge 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(a)ci.wheatridge.co.us FOR OFFICE USE ONLY Date: 7 Plan/Permit # 01� Plan Review Fee: Building Permit Application *** Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: �( yy5— i'`� qS- r_k A -v -e Property Owner (please print): i(i f Aa LlJa P Le 1 la ft} Ckj de. ,Phone: `tW- , 0-30? Property Owner Email:6,�hgt'&t C --,Q M1.0% 0 r -Q 7= t_ -L37_7 Tenant Name (Commercial Projects Only) ,�� f. r �_ LP 7 Property Owner Mailing Address: (if different than property address) Address: U J ( S "' � -7 6 a U 9 ArchitectlEngineer: Architect/Engineer E-mail: Phone: Contractor Name: City of Wheat Ridge License #: Contractor E-mail Address: Phone: For Plan Review Questions & Comments (please print): CONTACT NAME (please print): Phone: CONTACT EMAIL(p/ease print): Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form): Electrical: Plumbing: Mechanical: W.R. City License # W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # Complete all highlighted fields, if applicable. [—]COMMERCIAL [RESIDENTIAL Provide description of work: For ALL projects, provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc. nti l c I c� h OLLt L 0 C (� ` �,y afoU P7 Sq. FULF BTUs Gallons Amps Squares For Solar: KW # of Panels Requires Structural For Commercial Projects Only: Occupancy Type: Construction Type: _ Occupancy Load: Square Footage: Project Value: (Contract value or the cost of all materials and labor included in the entire project) OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record: that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any entity included on this application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED EPRESE ATIVE) of (OWNER) (CONTRACTOR) Signature (first and last Dame): i%/ /,iii'_��L � DATE: l3 Printed Name: ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: (', IF DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Building Division Valuation: PERMIT: ADDRESS: - JOB CODE:( - INSPECTION RECORD x/12 Inspection online form: http://www.ci.wheatridge.co.us/inspection 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 MIDNIGHT (11:59 PM) to receive an inspection the following business Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections SEE OVER FOR ADDITIONAL INSPECTIONS v ouah Inspection (continued) 16 Rough Mechanical Kesiaenua� 17 Rough Mechanical Commercial 19 Hot water tank 20 Drywall screw and Nail ,)i nnni--ti irP hoard/ shower walls 0-- 14�U7:-" I Inspector I Comments "inalInspections Date Initials M2 Gas Meter Release 103 Final Electrical Residential 104 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof 410 Final Window/Door 411 Landscape/Park/Planning 412 Row/Drainage/Public Works 413 Flood plain Inspection 414 Fire Insp. / Fire Protection 415 Public Works Final 416 Storm Water Mgmt. 417 Zoning Final Inspection 418 Building Final Inspection Inspections from these entities shall be requested one week in advance. For landscaping and parking inspections please call 303-235-2846 For ROW and drainage inspections please call 303-235-2861 For fire inspections please contact the Fire Protection District for your project. 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 by the Fire District and Electrical low voltage by the Building Division. ► City of Wheat Ridge w Residential Roofing PERMIT - 201707436 PERMIT NO: 201707436 ISSUED: 09/19/2017 JOB ADDRESS: 6445 W 45th AVE EXPIRES: 09/19/2018 JOB DESCRIPTION: Residential Re -roof to install GAF asphalt shingles - 25.33 sq Pitch = 5/12 *** CONTACTS *** OWNER (720)560-3417 GARCIA PAUL SUB (303)804-0303 Tom Brown 070055 Northwest Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT*: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,499.43 FEES Total Valuation 0.00 Use Tax 178.49 Permit Fee 188.45 ** TOTAL ** 366.94 *** 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 6/12 PITCH & OVER: 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. City of Wheat Ridge Residential Roofing PERMIT - 201707436 PERMIT NO: 201707436 ISSUED: 09/19/2017 JOB ADDRESS: 6445 W 45th AVE EXPIRES: 09/19/2018 JOB DESCRIPTION: Residential Re -roof to install GAF asphalt shingles - 25.33 sq Pitch = 5/12 I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable buildin odes, and 1' plicable municippal codes, policies and procedures, and that I an tl�e legal owner or have been authorized by the legal ow bf the pr and am uthorized to obtain this permit and perform the work described and approved in conjunction with this pe er attes I le authorized to include all entities named within this document as parties to the work to be pero e that all t e ormed is disclosed in this document and/or its' acc7panying a roved plans and specifications. ig)atreCdf or CONTRACTOR (Circle one) Date 1� permit was issued based on the information provided in the permit application and accompanyingplans and specifications and is ect to the compliance with those documents, and all applicable statutes, ordinances, regulations, po Flans and procedures. 2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building Official and may be subject to a fee equal to one-half of the 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 Budding Oficial and is not guaranteed. 4. No work of anmanner 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 aid ll not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance pe t 141bonstrued to be a permit for, or an approval of, an violation of any provision of any applicable co ce drthis 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. Dane Lovett Z o 17 � q 6 From: no-reply@ci.wheatridge.co.us Sent: Thursday, September 14, 2017 3:22 PM Com. To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Follow Up Flag: Follow up Flag Status: Completed c3 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 Property Address 6445 W 45TH AVE Property Owner Name PAUL GARCIA Property Owner Phone 720-560-3417 Number (enter WITH dashes, eg 303-123-4567) 101 Property Owner Email Address Do you have a signed contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Contract Ihammons@northwest-roofing.com Yes 170454 - Contract.pdf CONTRACTOR INFORMATION Contractor Business Northwest Roofing Name Contractor's License 070055 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123-4567) Contractor Address (Primary address of your business) 3038040303 2425 S Colorado Blvd #280 Contractor Email Address Ihammons@northwest-roofing.com Retype Contractor Email Ihammons@northwest-roofing.com Address DESCRIPTION OF WORK TOTAL SQUARES of 25.33 the entire scope of work: Project Value (contract 8499.43 value or cost of ALL materials and labor) Are you re -decking the No roof? Is the permit for a flat Pitched roof (2:12 pitch or greater) roof, pitched roof, or 102 both? (check all that apply) What is the specific pitch 5/12 of the PITCHED roof? How many squares are 25.33 part of the PITCHED roof? Describe the roofing GAF TIMBERLINE HD materials for the PITCHED roof: Type of material for the Asphalt PITCHED roof: Provide any additional HOUSE detail here on the description of work. (Is this for a house or garage? 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 103 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. Name of Applicant Mary Elaine Priddy Email not displaying correctly? View it in your browser. 104 &ECOGN" iG Ary A North West ........ Rofing Since 1963 2425 S. Colorado Boulevard, Suite 280 1 Denver, CO 80222 (303) 804-0303 Fax (888) 846-5545 3630 Sinton Road, Suite 100 1 Colorado Springs, CO 80907 (719) 632-6185 fax (888) 846-5545 n 17 --. ACCREDITED BUSINESS Proposal submitted to Gti ` t UCJ r North West Ro g�Esst' ator ' Street �� , t<- p City, State, Zip lob Location/Community Phone yf Insurance Company Policy a Email yy-1264 '} Adjuster ( Claim q 6abpe of Work -arW Materials to be Provided: The scoPY cf work and materials identified below will be completed by North West Roofing, XF, Tear Off Layers _ :3 Install Decking (7/16 in. OSB) CHECK DECKING Install 90 Ib or Ice & Water Shield in Valleys �< Install 2 x 4 in. Metal Drip Edge Color W Initials_ 7 Install new Felt ecover Roof with Y,1{,/ Lc „jTttll,Q__ Year Manufacturer's Shingle Manufacturer Colorl��C "OrICn`i}ti}als L YI Closed Valleys - With Ice and Water Shield Underlayment Open Valley - With Painted Metal Ridges to be color coordinated shingles eplace - Rubber Pipe lacks ` Paint Roof Stacks To Match Shingle Color ALL Replace - Low Profile Vents CV �. Turbine Vents North West Roofing 3 Year Labor Warranty IsfMetal Step Flashing Step Flashing Chimney ):,"'North West Roofing will Provide General Liability Insurance of at least $1,000,000.00 tPtect Clean Up and Haul Off all Trash and Clean Up Landscaping XC CClean around bushes and shrubs lean Out Gutters YR, oll yard with magnetic roller ermit Furnished by North West Roofing I agree, by siggnning below, to all the contract conditions, both front & back of this agreement. Client's Signature �l t Representative Signature PUEBLO (719) 633-7773 ❑ By signing this agreement the homeowner authorizes North West Roofing to represent the homeowner's best interest in pursuit of roof replacement or repair due to storm damage. This contract does not obligate the homeowner or North West Roofing until the claim is approved by the Insurance Company and accepted by North West Roofing. Upon Approval of the claim, North West Roofing will complete specific work at the price agreeable to the Insurance company and to North West Roofing. There is no additional cost to the homeowner except for their deductible. The agreed upon price will become the final contract price and North West Roofing will receive all insurance proceeds and supplements for the work complet5d by North West Roofing. Initials�� ❑ The Approximate Costs of the Services S. Shall Be The Agreed Upon Cost Between North West Roofing and Your Insurance Carrier. Their RCV Cost Plus Supplements. ❑ NOTICE If the Property Owner Plans to use The Proceeds Of a Property and Causality Insurance Policy, Part 1 of Article 4 of Title 10, G.R.S., In accordance to Title 10 C.R.S., section 6-22.105, the roofing contractor cannot pay waive rebate, promise to pay or waive rebate or any part of insurance deductible applicable to the insurance claim for paymcen{nt for the work on the covered property ❑ Deposit Amount $ 1B t ) , ate: North West Roofing shall hold in trust any payment from the property owner until materials are delivered or have performed a majority of the roofing work on the property. 'May not include any additional taxes, base service fees and or supplements that pertain to the claim. NO CASH ACCEPTED ❑ Approximate Dates of Service: 10 DAYS AFTER AGREEMENT These dates of service are subject to change due to unusual delays in transportation of materials, ordinary weather delays, or by any other causes beyond the reasonable control of Contractor. ❑ SPECIAL INSTRUCTIONS (800) 333-1704 DENVER (303) 804-0303 ( fax (888) 846-5545 i Date of A ecc ptance FORT COLLINS (970) 484-94j30 #y 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: W ca - F-,' ! Job Address: �L! S L✓ �l S1J A Permit Number: 1-? c -7 L/ 3 to ❑ No one available for inspection: Time ) O = C'' UM�'PM Re -Inspection required: Yes VQo When corrections have been made, call for re -inspection at 303-234- Date:- i b / Inspector: _T_�b DO NOT REMOVE THIS NOTICE ZR 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: 1-10 R - Job Address: (o c/ q S - W Permit Number: -,), o f -7 o -7 Ll -3 COL 11Ce 1I-e—ct ❑ No one available for inspection: Time AM/PM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303 -234 - Date: /0,L3 o �/-7_lnspector: _r_z) DO NOT REMOVE THIS NOTICE i CITY OFWHEAT RIDGE Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 3 G G - Job Address: & II LI S" Permit Number: a 0 1 7 t; 7 g 79 (n ❑ No one available for inspection: Time 1 - --5-7 AM/6M) Re -Inspection required: Yes '& When corrections have been made, call for re -inspection at 303-234-5933 Date: -9,/ 5� f / 7 Inspector: Tb DO NOT REMOVE THIS NOTICE 4 oF wr+earA ~ ~c., City of Wheat Ridge °~~oRao° Residential Electric PERMIT - 071216 PERMIT NO: 071216 ISSUED: 11/06/2007 JOB ADDRESS: 6445 W 45TH AVE EXPIRES: 05/04/2008 DESCRIPTION: 125 Amp service change. CONTACTS owner 303/717-1698 Dave Cooper , gc 303/254-8007 Kirby Johnson 06-0170 Safe Light Electric, LLC PARCEL ZNFO ZONE CODE: UA USE: r-3 SUBDIVISION: 0378 BLOCK/LOT#: 0/ FEE SUMMARY ESTIMATED PROJECT VALUATION: 2,000.00 FEES Permit Fee 90.10 Tota1 Valuation .00 ma Use Tax 36.00 TOTAL 126.10 Comments: Must comply w/ 2005 NEC & 2003 IRC I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements sh , and allegations made are accurate; that I have read and agree to abide by all conditions printed on this applicatio a hat I assume full responsibility for compliance with the Wheat Ridge Suilding Code (I.H.C) and all other applicabl W t Ridge Ordinances, £or work under this permit. Plans subject to field inspection. Sig of contractor/owner date . 1. This 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 2oning 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 espiration date. An extension may be granted at the discretion of the 8uilding Official. 3. If this permit expires, a new permit may be acquired for a fee of one-half the amount normally reqvired, pxwided no changes have been or will be made in the original plans aad specifications and any suspension or abandonmenC 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 euilding 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 pesmit or the approval of drawings and specifications shall not be construed to be a permit for, nor an approval of, y' lation of the provisions of the building codes or any other ordinance, law, rule or regulation. All plan rev w' ject to field inspections. Signature of C ef ilding Official . date INSPECTION REQUEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855 REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. oF"'"Eqr,~, City of Wheat Ridge Building Division Date: m 7500 W. 291' Ave., Wheat Ridge, CO 80033 OffCe: 303-235-2855 ~ Fax: 303-235-2857 Plan ~~~oRPO° ° Inspection Line: 303-234-5933 Permit#: Building Permit Application PropertyAddress: AV'Z. Property Owner (please print): i' Phone41;a 71 Mailing Address: (if different than property address) Address: City Contractor: 1^GG Contractor License Phone: D.~,) Sub Contractors: Electrical City License Plumbing City License Mechanical City License Company: Company Company: Exp. Date: Exp. Date: Exp. Date: Approval: Approval: Approval: 45 ZO Do. Use of space (description): u~~~ (L Construction Value: $ DeSCfiptlOn of Wofk: (as calcWated per the Building Valuation Data sheet) Plaa Review (due at time of submittal): $ Sq.Ft.7L.Ftadded: Squares BTU's Gallons Amps /2~✓,d56dw~--c. C.-vkw~ OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate applicable ordinances, rules or regulations of the Ciry of Wheat Ridge or covenants, easements or 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 ihis application and that I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wneat Ridge Ordinances, for work under this permit. Pians subject to fleld inspection. - CIRLCE ONE(OWNER ONTRACTOR or PERSONAL REPRESEN IV of (OWNER) (CONTRATOR) PRINT NAME: ~✓~L ~ ~s SIGNA7URE: ~ . Date: ZONING COMMEIdTS: Zoning: Reviewer. PUBUC WORKS COMMENTS: Reviewer: DEPARTMENT USE ONLY BUILDING DEPARTMENT COMMENTS: OCCUPANCY: Reviewec FIRE DEPARTMENT:: 0 approved w/ comments ❑ disapproved ❑ no reviewrequired Bldg ValUation: $