HomeMy WebLinkAbout11250 W 47th Avenuellzso w. 447�* *6 INSPECTION RECORD
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. the day of the inspection
Occunancy/Type
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
�I•I\'196161=wSIMFMIJ/J J rl.lANEW.W•tel �lr T��'\�1TA7fT-S^_T_�T
Underground/Slab Inspections Date Inspector
Initials
Comments
Electrical
--- IIV VV\IVIIJ
Comments
Sewer Service
Plumbing
1111111■ui►i6Aaa9r1aM•uuI:Jui■•isI■nt&lall :T:3fNIJ/11dr7_lblW7VA1FTI7
Rough Inspections
TDate
Inspector
Initials
--- IIV VV\IVIIJ
Comments
Wall Sheathing
Mid -Roof
Lath / Wall Tie
Rough Electric "
Rough Plumbing/Gas Line
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
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.
- -. -_ -_ - I—— r_......v ,.,,,, , .,,, 111—-„y„ 11, V�� LJUJla aic wn1pizLvu III/VI ule rlre uisinci ano eiecincai iow voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
A' x. City of Wheat Ridge
Residential Roofing PERMIT - 201705884
PERMIT NO: 201705884 ISSUED: 08/10/2017
JOB ADDRESS: 11250 W 47th AVE EXPIRES: 08/10/2018
JOB DESCRIPTION: Residential Re -roof to install Owens Corning Duration Storm IR asphalt
shingles with 22.6 sq. (19 sq. pitched, 3.6 sq. flat)
*** CONTACTS ***
OWNER (303)902-2184 WARZECHA ERNEST D
SUB (720)468-7841 Mike Guerrero 090212 Mike's Roofing LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2408 / FRUITDALE, LEES, STONERIDGE BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 9,707.00
FEES
Total Valuation 0.00
Use Tax 203.85
Permit Fee 204.30
** TOTAL ** 408.15
*** 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.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
City of Wheat Ridge
Residential Roofing PERMIT - 201705884
PERMIT NO: 201705884 ISSUED: 08/10/2017
JOB ADDRESS: 11250 W 47th AVE EXPIRES: 08/10/2018
JOB DESCRIPTION: Residential Re—roof to install Owens Corning Duration Storm IR asphalt
shingles with 22.6 sq. (19 sq. pitched, 3.6 sq. flat)
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 own of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed t 11 work to be performed is disclosed in this document and/or its' accopanying approved plans and specifications.
16 oZ . J
Signature of OWNER or CONTRACTOR (Circle one) Date
I. This permit was issued based on the information provided in thepermit application and accompanying Flans 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 ermit 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 c any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
1� If
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett
ON; 01 i
RO -
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, August 3, 2017 1:13 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Follow Up Flag: Follow up
Flag Status: Flagged
Categories: Danny
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
Property Owner Name
Property Owner Phone
Number
11250 W 47th Ave.
Ernie Warzecha
303-902-2184
1�
Property Owner Email
Address
Do you have a signed
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
Attached Copy of
Contract
mikesroofingllc@yahoo.com
Yes
Field not completed.
CONTRACTOR INFORMATION
Contractor Business Mike's Roofing LLC
Name
Contractor's License
Number (for the City of
Wheat Ridge)
Contractor Phone
Number
7204687841
V q 00 � r.=)-
Contractor Email Address mikesroofingllc@yahoo.com
Retype Contractor Email mikesroofingllc@yahoo.com
Address
DESCRIPTION OF WORK
Are you re -decking the No
roof?
Description of Roofing
Material
Select Type of Material
If "Other" is selected
above, describe here:
How many squares of the
material selected above?
Does any portion of the
property include a flat
roof?
Owens Corning Duration Storm IR
Asphalt
Field not completed.
19
If yes, how many squares 3.6
on the flat roof?
z
TOTAL SQUARES
(pitched + flat) of all
roofing material for this
project
Provide additional detail
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
22.6
House Patio 4/12 and 2/12
Project Value (contract 8707
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 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.
Name of Applicant Mike Guerrero
Email not displaying correctly? View it in your browser.
3
APPROXIMATE DATE
OF SERVICE ° "',7
MIKE'S ROOFING, LLC
1303 MURIEL DRIVE
NORTHGLENN, CO 80233
mikesroofingllc@yahoo.com
(720) 468-7841
SOLD TO
s 16? o L4 -0*
\ -7 /'n n -) —,-:j 15W
C
DATE
EXISTING LAYERS—
PITCH
AYER PITCH
Z� C- rym� n i , r✓1� �
QUANTITY
DESCRIPTION
UNIT PRICE
AMOUNT
Ridge Cap
Dimensional
1 ca
Tarco Valley Flash �_
'60,.r,
mC ?A,
Modified Granulated -
�� �ti -
& I
3g
j
Modified Sealant
, 9 i C>
G?
15 # Felt Synthetic
3 g , .
9.00
Modified Base Felt
W11. 00
Coil Nails 1 '/z"
!4, - G C
Plastic Cap Nails
4
Simplex Metal Cap Nails
LA160
I A ct,
Tar Sealant
• 3 ' C
a '
Roof Jack 3 in 1
ct' co
7 6
Drip Edge
v'I CaCC
DC7
70 Step Flashing
Counter Flashing
12" Square Roof Vent
Ra,r_V--
Turbine
Ice & Water Shield ; R
��\� _ \-
1 5
X223 S
11�
i ")
7,co
SUB TOTAL
.
State Tax (4.8%)
333
Delivery Fee
" ;
L4,b
1bQ\`
Application
! Chi
9ra
r,
A
Tear - Off
)W,,6
5" Aluminum Seamless Guttersgio
Permit Fee
TOTAL
,3 q
We Propose hereby to furnish material and labor, complete in accordance with the above specifications, for the
sum of dollars($
Pavment to be made as follows: This proposal
C
P.Layytw�
3 it
Dimensional
crrn i '
1
'
-�
Tarco Valley Flash 0-
bO'i a,04
Modified Granulatedr7.
�
Modified Sealant
15 # Felt Synthetic
� �`
i C)
��
ry
Modified Base Felt
Coil Nails 1 ''/z"
i O
�-
Plastic Cap Nails
Simplex Metal Cap Nails
ce
Tar Sealant
3
C23;(!
Roof Jack 3 in 1
Cr ' a-1
76
Drip Edge
• C7C?
�- _ J
70 Step Flashing
Counter Flashing
12" Square Roof Vent
or
06y
Turbine
Ice & Water Shield ;7 a S\C+
\`
i
IaSr7, 5
c: F � it,
SUB TOTAL
IC,q j
State Tax (4.8%)
333
Delivery Fee
Application
0 Q0
00
4 i"o
r 007ucc
Tear - Off C
C
-S
5" Aluminum Seamless Gutters
4
Permit Fee
TOTAL x 3 ct
We Propose hereby to furnish material and labor, complete in accordance with the above specifications, for the
sum of dollars($ `3 i; 40 .Csq ).
Payment to be made as follows: This proposal may
be withdrawn if not accepted within ten days. Contractor shall hold any payment from the property owner in trust
until the contractor has delivered roofing materials toels site-+ar- med a majority of the roofing work
on the property.
i{ t� i Paid on
$ Pid on
OTHER: 3C _ G71 t a\� a C ,
Acceptance of Proposal The above prices, specifications, and conditions are satisfactory and are hereby accepted. You
are authorized to do the work specified. Subject to the terms and conditions herein customer acknowledges s/he has read
and approved this agreement in it's entirety.
SignatureZ_,7-Acceptance Date
Signature Acceptance Date
♦ i f CITY OF WHEAT RIDGE
��(303)
Building Inspection Division
(303) 234-5933 Inspection line
235-2855 Office • (303) 237-8929 Fax
INSPECTIO&NOTICE
Inspection Type:
Job Address:
Permit Number:
2 n _� 7 1i� 6t C�Cai
❑ No one available for inspection: Time () 5 56_
�,M/PM
Re -Inspection required: Yes
When corrections have been made, call for re -inspection at 303 -234 -
Date: `` /`,/ % % Inspector: H6,
DO NOT REMOVE THIS NOTICE
fl'�? � I
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: ) /✓
Job Address: 1/7 C U`1' �l?
_
Permit Number: ?V%u � V `l
❑ No one available for inspection: Time !tet >� AM/f?�
Re -Inspection required: Yes &
When corrections have been made, call for re -inspection at 303-234-5933
Date:! `� Inspector:
DO NOT REMOVE THIS NOTICE
♦ A i CITY OF WHEAT RIDGE
Building Inspection Division
r (303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 235 -2857 Fax
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number: c0 5
❑ No one available for inspection: Time AM /PM
Re- Inspection required: Yes No
When corrections have been made, can for re- inspeeotion at 303 -234 -5933
Date: Inspector:
00 NOT REMOVE THIS NOTICE
INSPECTION RECORD occUDanwrvice
'INSPECTION LINE: (303) 234 -5933
E: 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 JOB
FOUNDATION INS=Drain
ENTS:
otings /Caisson
Stemwall / (CEG)
Encased Ground
- -
.Reinforcing or Mo
t?
r
Weatherproof / Fr
_
Sewer Service Lines
Water Service Lines
-
YOUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
CONCRETE SLAB FLOOR -
Electrical (Underground)
Plumbing (Underground) -
Heating (Underaround)
127.GSi
ROUGHS
Sheathing
Lath /Wall tie
Mid -Roof
Electrical Service
Rough Electric
Rough Plumbing
Gas Piping
Rouah Mechanical T
Framing
Insulation _
Drywall Screw
FINALS
Electrical
Plumbing
Mechanical
Roof
t?
r
Building Final
-
Fire Department
R.O.W& Drainage
INSPECTIONS FOR PLANNING &.ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL. INSPECTIONS.
Parking $ Landscaping
-
` *NOTE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND PUBLIC WORKS BEFORE A
CERTIFICATE AF OCCUPANCY IS ISSUED: FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
- A - C:E RTIFICATE - OF- OCCUPANCY - NOR- PERMWIIINFOR . -- -
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
P RO-TF-CT THIS -CARD -F- ROM --} F WEAT -HE _
♦ i CITY OF WHEAT RIDGE
/� Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 235 -2857 Fax
INSPE TIO N ICE (_
Inspection Type:
Job Address:
Permit Number:
❑ No one available for inspection: Time AM /PM
Re- Inspection required: Yes No
* When corrections have been made, caff for re- inspection ot 303 - 234 -5933
E >L Date: � Inspector:
_L�W DO NOT REMOVE T NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 091576
r4000r,
PERMIT NO: 091576 ISSUED:: 08/24/2009
JOB ADDRESS: 11250 W 47TH SAVE EXPIRES: 02/20/2010
DESCRIPTION:: Reroof 27 sqs
***.CONTACTS
owner 303./902 2184 Ernie Worzecha
sub 303/921-4257 Blain Ovlnd. 09-0205 Ovind Construction
**'PARCEL: INFO
ZONE CODE: UA `USE: UA
SUBDIVISION:' 0153 :BLOCK/LOT#: 0/
FEE SUMMARY ESTIMATED PROJECP_V 7V T~_ •...o, 7,100.00:
FEES ~"4
Permit Fee 199.30 (~-QUO-~~
Total Valuation .00
Use Tax -127.80 <
**TOTAL 327.10
Conditions:
6 nail installation& mid roof inspection required. Board sheathing spaced more
' than 'a 1/2 of an inch apart requires plywood overlay on entire roof. Ice and
water shield required from eave edge to 21 inside exterior' walls.
Subject to field inspections.
I hereby certify that the setback distances proposed by this permit application are accurate, and do not violate. applicable
ordinances, rules or regulations of of Wheat :Ridge. or covenants, easements or restrictions.. of record; that all
measurements sh , and allegationsm are ccurate;.that I have read and agree to abide.: by all conditions printed on this
application a t I ass a full responsib' ity for compliance with the Wheat: Ridge Building Code l'(I.B.C) and all other
applicabPfcntrc!or/owner e 0 i nc a, for wor der this pei . Plsubject tofield inspection.
'date
p 1. This permit was issued in accordance with the, provisions set forth in your application and is Subject to the '.laws of the
5- State of Colorado and to the Zoning. Regulations and Building Codes of Wheat Ridge, Colorado or any other applicable
e-, ordinances of the city.
2. This permit shall expire 180 days from the issue date. Requests for an extension must be received lprior to expiration
date. An extension may be granted at the discretion of the Building Official.
E„ 3. If this permit expires, 'a new permit may be acquired fora fee of one-half . the amount normally required, provided no
yG 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
r 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.
o 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::
l: 6. The. issuance of a permit or the approval of drawings and specifications shall not be construed to be a permit for, nor
9 r
an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation.
:
All plan review is ubj ect to field inspections.
Signature of ildmg.Official date
:INSPECTI R VEST LINE: (303)234-5933 BUILDING OFFICE: (303)235-2855
G, REQUESTS ST. BE MADE BY 3PM ANY BUSINESS DAY FORINSPECTION THE. FOLLOWING BUSINESS DAY.
j.
a.<
Y
r~
r
City of Wheat Ridge Building Division
m 7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
- o Inspection Line: 303-234-5933
OCORP~
Building Permit Application
Property Address: 11-2,50 (1 I ~ 7 14II
I _e
It/Qf~
Property Owner (please print): 1~7r^r)I
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Contractor: Vf ` ~ CJ "A(4
Contractor License Z j Phone:
Sub Contractors;
Electrical City License
Company:
Exp. Date:
Plumbing City License
Company
Exp. Date:
Date: b 1
Plan M
Permit
Phone:
Mechanical City License
Company:
Exp. Date:
Use of space (description):
Description of Work.
Sq. Ft./L.Ft added:
Construction Value: $ Q 0
(as calculated per the Building Valuation Data sheet)
Plan Review (due at time ofsubmittaq: $
117 Squares /,*tTu's Gallons Amps
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 the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
CIRLCE ONE:: (OW E(2) (CONTRACTOR) or PERSONAL REPRES AT ?f(OWNE~TRA OR) tJ
PRINT NAME: Q/n .//°Fj siGNATURE: 7/ pate: 2' /
Bldg Valuation:
C317_ V02--- z1~?y
7500 WEST 29th AVENUE
237-6944 EXT. 255 P.0. BOX 638
JOB ADDRESS
CONTRACTOR
ADDRESS _
GITY
PHONE
SIGNS
VALID ONLY WHEN
DEPARTMENT OF GOMMUNITY DEVELOPMENT pERMiT N0. ~921k3844
BUILDING INSPECTION DIVISION
CITY OF WHEAT RIDGE, COLO.
BY THE CHIEF
BEL'JW.
OWNER .
_p
ZIPCODE x 0 /10
LICENSE NO. LSSqO
ADDRESS
PHONE q y0 S o~~~ OQ ZIP CODE -
CONTRACT PRICE $
DATE
Woll❑ Proiectinp❑ Othar SorDFacs
I. TYPE GrounO ❑ Total Sauon FNt
2. MATERIAI
3. ILLUMINATION Yn❑ No❑ TYDe ElKf. Pnmil No.
Zom_ ApprovW,Zon~ Insp~etw
4. SET BACN FROM PROPERTY UNE N_ S_ E_ W pisopprowd
(Soeeifv which if }rOnt ) ❑ _ ❑ ~ . ~ -
I. TYPE SolidO Mor~ Than 90% ODe~~ ~
MATERIAL FENCES 3 SET BACN FROM PROPERTY LINE N_ S- E- W
fSoecifvwhic~ietrOnt) ~ ~
1.
OTHER Z
3.
PLUMBING PEI
DRAW SKETCH OFt SHOW BELOW,THE FENCE,SIGN,OR OTHER STRUCTURE,GI
(SETBACKS OR PROJECTIONS MCLUDED)
STATE UCENSE N0.
n
BLDG. CONTR. -~tL
SUBCONTRACTOR '~~~,s
DATE INSP. REQ.
TYPE OF INSP. ~
INSPECTION MADE
REMARKS
STREET NAME
DS A'NCE N TO S PRFROM OPETY ~ IINEAIN SBNOT Df MAXIMUM J OR 1 AE~E DISTANCES
APPLICATION FOR PLUMBING; ELECTRI
THISAPPLICATION EWILL RMITWIOLME PERFORM
HE E DAT DEOF S8 AN
ELECTRICAL PERMIT
STATE LICENSE N0.
ALUMINUM VAFE UNDER SIZE 8 ILLEG
NO.
TEMPORARY METER _
NEW SERVICE - AMPS
CHANGE SERVICE-AMPS
LI~HTING
HEATIN~
POWER SUB-CIFCUITS
UTILITY (RANGE, DISPOSER, E
FIXTUAES
WIRIN6 MOTORS d CONTROLS
SIGNS
TRANSFORMERS B RELTFIER
ADDITION TO OLD WORK
MOTORS OVER I HP
REMARKS
I hsreDy ocknowledQe thot this 0p0I1c0-
fion ie correct ond understand tnat I
cannot start this prolect until thie oppii-
cotion ia opproved. I sholl comDlY wifn
iM lowa oi the State o1 Colorado ond ro
ihs Zoninq Requlationa and Bwldinq
Code of 1he City ot Wheai Ridpe. Any
violation ol fhe above terme wdl cause
immediote revocotion of this vermit
~yofi slonmu,.
JOB
ADDRESS
DATE: --j- / S BLDG. PERMITB
WASH
DISH WPSnt1(
FI.pOR DRAIN
SEWERS
c
INSPECTION TICKET
PERMITk
Gos pl A
- B
8
_ P
. E E $ ED DB G SPECTOR,City of Wheat Ridqe CALL 237-8904 eX7. 255
24 HOURS IN ADVANCE
/i FOR INSPECTIONS
~7-
FORM 678
v