HomeMy WebLinkAbout5800 W. 39th Avenue1* ► � i City of Wheat Ridge
'/� Residential Electric PERMIT - 202100822
PERMIT NO: 202100822 ISSUED: 05/04/2021
JOB ADDRESS: 5800 W 39th Ave EXPIRES: 05/04/2022
JOB DESCRIPTION: Electrical repair- Tree branch pulled overhead line off. Re -securing mast
to meter. 150A
*** CONTACTS ***
OWNER (781)690-1776 GEER LESLIE B
SUB (720)454-2674 PAUL SMITH 202100 COMMON GROUND ELECTRIC, INC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11250.00
FEES
Total Valuation 0.00
Use Tax 26.25
Permit Fee 53.70
** TOTAL ** 79.95
*** COMMENTS ***
*** CONDITIONS ***
Must comply w/ 2018 IRC & 2020 NEC . Subject to field inspection.
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 thispermit and perform the work described and approved in conjunction with
this�permrt. I further attest that I am leg ally authorized to include alI 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 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 requ�ired
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, anviolation of any provision of any
�pplicabje code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
05/04/2021
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
0
i CITY OF WHEAT RIDGE
Buifding` Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: (-� 0 R - F: -I, " `L )
Job Address: S$ o a w 3 9 ' A .,._
Permit Number: 'D o l 8 o a) 3 -3
1 A) 0 -i
e
Lvhe n re
❑ No one available for inspection: Time 01 = 3 / 0M PM
Re -Inspection required: & No
When corrections have been made, call for re -inspection at 303 -234 -
Date: -5-,)
03-234-
Date:s a y bq Inspector: _f __6
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Mechanic PERMIT - 201801220
PERMIT NO: 201801220 ISSUED: 04/30/2018
JOB ADDRESS: 5800 W 39th AVE EXPIRES: 04/30/2019
JOB DESCRIPTION: Install new 13 SEER 3 ton AC unit
*** CONTACTS ***
OWNER (781)690-1776 BARNES JEREMY
SUB (303)233-7007 Torrey Cosgrove 017885 Lakewood Plumbing LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,907.00
FEES
Total Valuation 0.00
Use Tax 103.05
Permit Fee 125.05
** TOTAL ** 228.10
*** COMMENTS ***
*** CONDITIONS ***
Work shall comply with 2012 IRC & 2014 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
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
thispermIt. I further attest that I am I 'g ally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be per#ormed 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 and procedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Budding Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a 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 o�ny ordinance kryegulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Buildingbffcial Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City Of
�Wheat jdge
COMMWT-y DEVELOPMENT
Building & Inspection Services Division
7500 W. 29t' Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(i�ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date: I I J
,30 / )
PlaMPermit#a c i � _)
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: `✓ 1 00 U V M
Property Owner Email:
Tenant (Commercial Projects Only)
Property Owner Mailing Address: (if different than property address)
Address:
City, State, Zip:
Arch itect/Engineer:
Architect/Engineer E-mail:
Contractor:
I
City of Wheat Ridge License #: t) UV
Contractor E-mail Address:
Phone:
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print)
CONTACT EMAIL(p/ease print);
Sub Contractors (Must provide V V 11001 F%IUV W �..,.,.
Electrical: Plumbing:
W.R. City License # W.R. City License #
Other City Licensed Sub:
City License #
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
❑ COMMERCIAL 0 RESIDENTIAL
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.
ald'►��
Commercial Projects Only: Occupancy Type: Construction Type:
Sq. FULF
Amps
BTUs
Squares
Gallons
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
_ ) i n f,''7 00
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or
regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are
accurate; that I have read and agree to abide by all conditions printed on this application and that 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 provea application. _
CIRCLE ONE: (OWNER) ( NTZ# TOR) 91 (44VTH¢R)ZEP IAEPRESENTATIVE) of (OWNS (CON''RACTO;
Signature (first and last name): U170=11 'PAM ZVA,'V'lrill
Printed Name:
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer.
DEPARTMENT USE ONI.
OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Building Division Valuation:
A e City of Wheat Ridge
Residential Roofing PERMIT - 201800133
PERMIT NO: 201800133 ISSUED: 01/12/2018
JOB ADDRESS: 5800 W 39th AVE EXPIRES: 01/12/2019
JOB DESCRIPTION: Residential reroof remove and install Owens Corning 30Yr Dimensional
Asphalt Shingles and Single Ply Modified Bitumen with 28squares total
(25squares Pitched and 3squares flat) Pitch=5/12 and 1/12.
*** CONTACTS ***
OWNER (303)523-5257 REXANNE KOHLER
SUB (303)466-0161 Bernie Reitz
019543 Reitz Roofing, Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,936.00
FEES
Total Valuation 0.00
Use Tax 229.66
Permit Fee 220.15
** TOTAL ** 449.81
*** COMMENTS ***
*** CONDITIONS ***
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required for both the midroof and final inspections. 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.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec.
R806. The installation of ridge venting requires the installation or existence of soffit
venting. For calculation purposes, one hat or turtle vent equal to one-half of one square
foot of opening.
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.
City of Wheat Ridge
Residential Roofing PERMIT - 201800133
PERMIT NO: 201800133 ISSUED: 01/12/2018
JOB ADDRESS: 5800 W 39th AVE EXPIRES: 01/12/2019
JOB DESCRIPTION: Residential reroof remove and install Owens Corning 30Yr Dimensional
Asphalt Shingles and Single Ply Modified Bitumen with 28squares total
(25squares Pitched and 3squares flat) Pitch=5/12 and 1/12.
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 1 am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and th&a�,Iorto be performed is disclosed in this document and/or its' rmpanying 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 Budding
Official and may be subject to a fee equal to one-half of the oriZinal 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 an 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 oregulatio�l q this jurisdiction. Approval of work is subject to field inspection.
04 1If A Werk,
f
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
' 'k60"OSAL/CONTRACT
Reitz Roofing, Inc.
11925 Quay St.
Broomfield, CO 60020
(303) 466-0161 Fax: (303) 466-0811
Email: Reitzroofinginc@gm,eil.cozarl
www.reitzroofing.com
N E
e
PHONE DATE
ADDRESS
JOB LOCATION _
3C' h Uf f
CITY, STATER P
CIN. STATE 6 ZIP
Reroof the entireous b with 30 yr Dimensional shingles p --
with r. r r t r
Reroof the entire set uild2ng
Underlay valleys wlth roll roc or galvanized valley On,
Seal or counter flash all walls, flues and vents. Replace 1 1/2" 2" 3" 4" pipe Jack Flashings.
Clean up and haul off any debris.
Furnish Permit: Install roof to meet all City and IBC Building Codes.
Warranty roof for: (5) years on all workmanship.
Sup sto with lien waiver, proof of insurance and manufacturer's warranty,
T r off laver(s) of roofing on the entire roof.
Ins Ed e
Install Base Felt t ,� f o , l
Install Ice and Water shield
Install vents
ea -
We propose hereby to furnish material and labor - complete in accordance with above specifications for the sum of;
TERMS AND CONDITIONS
Payment to be mean ss folio.,: [a Paid in full upon completion roj*Q �e dorm Reitz Roofing is not liable or responsible for any hidden and/or unforeseen kcunl
and balance upon completion. Reitz Roofing guarantees the' all'"Kedals will be ass ifiea
stances that can nor be
above. Reitz Roofing will perform iia part of the contract in a manner consistent with industry exon on In at i advance. w Reitz Roofing will be pound
standards, Performance Real Roofs to sod' care, Te in the only if it la In writing, The property owner la
by rep is aublect to strikes, accidents
and delays heya'd to terry plan, Tornado entl other e
andother app
the control of Reitz Roofing. Reitz Rooting is not responsible for any dam pProDriete caauahy irnurancae.
Y ape to the property
before the roof is applied. Reitz Roofing carries DisabilKy and Public Liability Insurance. 1500118 of paymenL The undersigned agrees to pay Interest In V, amount d one
Three says after acceptance, If cancelled, the customer must Pay for any restocking charges,
and one-half percent (1-1/2%) per month from Ute dale due on any unpaid portion
permit fees or any other costs that Reitz Roofing Inc. tms incurred from the acoepblnca of this of the contract price. The undersigned also agrees to
Proposal. Tho unaarelgrwd agrees thathe/she VAII be liable pay all costa of collection
for the
naesonabla additional incft.tdfng the costa of perfecting a machenka liens, court caste and all reasonable
costs nareseirated by t1ls/her request for a Charge in the above
in spect(icetions, end treat Reitz a y'e
uotnefees and interest In Ute amount of one and
Roofing will be br and by such
above cations, one halt percent( 1 - 112% )
Per month on all collection conte hom the dello incurred,
Both parties have rea d u d . contract and agree to the terms and con ' ' here -in
Signature: )(
Authorized Signature:
Dale of acceptance: For: JIM Golden ! Rat flog, Inc.
Note: This proposal may be withdrawn by us if not accepted within _days.
Dina Kern
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, January 11, 2018 12:55 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Dina
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
5800 W. 39th Ave.
Rexanne Kohler
Property Owner Phone 303-523-5257
Number (enter WITH
dashes, eg 303-123-4567)
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 Signed proposal for 5800 W. 39th Ave..pdf J
Contract
CONTRACTOR INFORMATION
Contractor Business
Reitz Roofing, Inca/
Name
Project Value (contract
Contractor's License
019543
Number (This is a 5 or 6
materials and labor)
digit number for the City
Are you re -decking the
of Wheat Ridge)
roof?
Contractor Phone
3034660161
Number (enter WITH
roof, pitched roof, or
dashes, eg 303-123-4567)
Contractor Address
11925 Quay St., Broomfield, CO 80020
(Primary address of your
business)
Contractor Email Address
reitzroofinginc@gmail.com
Retype Contractor Email
reitzroofinginc@gmail.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of
28
the entire scope of work:
Project Value (contract
10936.00
value or cost of ALL
materials and labor)
Are you re -decking the
No
roof?
Is the permit for a flat
Flat roof (less than 2:12 pitch), Pitched roof (2:12 pitch or
roof, pitched roof, or
greater)
10
both? (check all that
apply)
What is the pitch of the 1/12
FLAT roof?
How many squares are 3
part of the FLAT roof?
Describe the roofing Single Ply Modified Bitumen
material for the FLAT
roof:
Type of material for the Other (specify below)
FLAT roof:
If "Other" is selected Torch down system
above, describe here:
What is the specific pitch 5/12
of the PITCHED roof?
How many squares are 25
part of the PITCHED
roof?
Describe the roofing Owens Corning 30 Year Dimensional Shingles
materials for the
PITCHED roof:
Type of material for the Asphalt
PITCHED roof:
Provide any additional Tearing off(3) layers of 3 -Tab - reroofing house and flat roofs -
detail here on the 1 story
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.
11
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
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Name of Applicant Bernard Reitz
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12
i CITY OF WHEAT RIDGE
Buiiding Inspection"Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: 3 e b- 171, C/
Job Address: S S o o w 3 9
Permit Number: -PO I R 00 1 3 7
I Ii - EQ Qi 10 '1"
❑ No one available for inspection: Time/ AM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303 -234 -
Date: u / T Inspector:
DO NOT REMOVE THIS NOTICE
INSPECTION RECORD
Inspection online form: http://vrtjvw.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, inspectiMeforeIDNIGHT (11:59 PM) to receive an inspe in a following busine
PERMIT. DDRESS: t K(_,t)
B BODE:
Foundation Inspections
1 102 Caissons / Piers I
Date
I Inspector
Initials
1 103 Footing / P. E. Letter I I
104 Foundation Setback Cert.
105 Stem Walls
106 Foundation wall Insulation
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground 1 Slab Inspections
201 Electrical /Cable/ Conduit
202 Sewer Underground Int.
203 Sewer Underground Ext.
204 Plumbing Underground Int.
1205 Plumbing Underground Ext.
Date
I Inspector
Initials
Comments
Comments
206 Water Underground
Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections
' FOR ADDITIONAL INSPECTIONS
PERMI-O69lIg ADDRESS
Rough Inspection (continued)
Date
Inspector
Initials
316 Rough Mechanical Residential
317 Rough Mechanical Commercial
318 Boiler / Furnace
319 Hot water tank
320 Drywall screw and Nail
406 Final Mechanical Commercial
'
321 Moisture board / shower walls
407 Final Plumbing Residential
322 Rough Grading
408 Final Plumbing Commercial
323 Miscellaneous
409 Final Roof
�11/ / i.LJOB CODE:
Final Inspections
—
Date
Inspector
Initials
402 Gas Meter Release
403 Final Electrical Residential
404 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*
Inspectio
one week
412 Row/Drainage/Public Works**
413 Flood plain Inspection**
*For land!
. / Fire Protection'**
41EZOning
call 303-2
For ROb
303-235-2
41orks Final**
41ater Mgmt.**
41inal Inspection*
*"*For fire
Protectior
41Final Inspection
Comments
ns from these entities shall be requested
in advance.
5caping and parking inspections please
35-2846
V and drainage inspections please call
661
inspections please contact the Fire
i 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.
I i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOT
Inspection Type: q03 F E A
Job Address: 5-8 0 062
Permit Number: ALO _70 C'7/ a
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes (N)o
When corrections have been made, call for re -inspection at 303-234-5933
Date: 1 / 7 / / 8 Inspector: M T4
i
DO NOT REMOVE THIS NOTICE
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: 43 tit. tFLf_-CT. FFS.
Job Address: C w - "
Permit Number: 20(101:1_71e
A-9 ,L>2
❑ No one available for inspection: Time AM/PM
Re -Inspection required:s) No
When corrections have been made, call fo e -inspection at 303 -234 -
Date: 111(o ) (!K Inspectar � `"
®� A r City of Wheat Ridge
Residential Electric PERMIT - 201709718
PERMIT NO: 201709718 ISSUED: 12/28/2017
JOB ADDRESS: 5800 W 39th AVE EXPIRES: 12/28/2018
JOB DESCRIPTION: Residential electrical permit for electrical service upgrade to 150amp and
wire dryer outlet.
*** CONTACTS ***
OWNER (303)523-5257 ROXANNE KOHLER
SUB (303)843-6108 Rod Hansen 018356 ROD HANSEN ELECTRIC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,000.00
FEES
Total Valuation 0.00
Use Tax 42.00
Permit Fee 77.50
** TOTAL ** 119.50
*** COMMENTS ***
*** CONDITIONS ***
Must comply w/ 2012 IRC & 2014 NEC. Subject to field inspection.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include alI 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 thepermit 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 granting of a permit shall not be construed to be a permit for or an approval of, any violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official %J Date
REQUESTS MUST BE MADE BY 11:59PH ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
W heat age
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 2911 Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: Permits(o)ci.wheatridge.co.us
FOR OFFIC USE ONLY
Date: % �'% g/ 1 7
PlanlPermit # � /1I70971t
Plan Review Fee: � t �Vl
Building Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address: _S /q 0 C% z.,u 3 9 A lle__-
Property Owner (please print): Re "Z C� d-,? �'�, `— Phone:
Property Owner Email: XC x 'n ") e ta, t� l am ' ` / ,
Mailing Address: (if different than property address)
Address
City, State, Zip:
Architect/Engineer:
Architect/Engineer E-mail:
Phone:
Contractor: 8 0 d Hc( 11 5_eA % le c 7( 'C
Contractors City License #:�l ?7 _>l r Phone: _ �iG —Ad
Contractor E-mail Address: vl 4
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print): c) Phone: -S�
CONTACT EMAIL(p/ease print):
Sub Contractors:
Electrical
W.R. City License #
Other City Licensed Sub:
City License #
City License #
Plumbing:
W.R. City License #
Other City Licensed Sub:
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL O'f�ESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE LECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION ❑ WINDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT 2 P OF / r l- a �-` let``
❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ OTHER (Describe)
(For ALL projects, please provide a detailed description of work to be performed, including current use of areas,
proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and
amount of materials to be used, etc.)
Sq. Ft./LF
Btu's
Amps / 5- ,, Squares
Gallons
Other
IProject Value: (Contract value or the cost of all materials and labor included in the entire project) I
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)
ONTRRACTOR -)or (AUTHORIZED REPRESENTATIVE)
of (OWNER)
(CONTRACTOR)
Signature (first and last name):
4 -
DATE:
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
DEPAR7MENT OF COMMUNITY DEVELOPMENT
1500 WEST 29tn AveNUE BUILDING INSPECTION DIVISION PERMIT N0. M914i17129
237-6944 EXT. 255 P.O. BOX 638 CITY OF WHEAT RIDGE, COLO.
TlIIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIP7ED BEL'JW. J08 ADDRESS OWNERY
CONTRACTOR _ r? 49_ ADDRESS
ADDRESS PHONE~~7" ZFPCODE
CITY ~ ZIP CODECONTRACT PRICE dC
-7W-5'- llr.FNSF Nn_ oa-rei~~~2
TYPE Ground❑
1
Woll❑
-
Proiectinq❑ &Zr
SaDFec!
SIGNS
.
2. MATERIAL
ILLUMINATION Yea❑ No❑
3
Typa
Total Squors Faat
Elaet. Psrmif No.
,
4 SE7 BACK FROM PROPERTY LINE N
(Speeify whieh is front )
_
❑
S_ E
❑
_ W Zone_
❑ ❑
Apprwad, 2one Inspaotor
DisapDroved
I, 1YPE Solid[3 Mon Thon 80% OpenO
MATERIAI
?
Lnt Than 80% Opm
Heipht
FENCES
.
3 SET BACK FROM PROPERTY LINE N
(Specify whieh itfront)
_
❑
S_ E
❑
_ W Zme_
❑ ❑
Apprwed,Zont ImDeefa
Disa ved
OTHER
DRAW SKETCH OR SHOW BELOW, THE FENCE,SIGN,OR OTHER STRUCTURE,GIVIh'u DISTANCES FROM PROPERTV LINES.
(SETBACKS OR PROJECTIONS INCLUDED)
~
SPECIFY NORTH
STREET NAME
SHOW DISTANCES FROM TNE MAIN BUILDING TOADJOINING HOUSES, STREETS, AND PROPERTY LINES;ON IRREfiULAR tATS,SHOW LEAST
DISTANCE TO PROPERTY LINES,NOT MAXIMUM OR 4vFRAGE DISTANCE.
APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
THIS APPLICATION WILL BECOME A PERMIT TO PERFOfiM THE INDICATED WORK ONLY UPON VALIDATION BY THE BUILDING INSPECTION DIVISION.
PFRMIT WILL EXPIRE 180 DAYS FROM THE DATE OF ISSUANCE IF WONK IS NOT STARTED WITHIN THAT TIME.
ELECTRICAL PERMIT
STATE LICENSE N0.
PLUMBING PERMIT
STATE LICENSE N0.
MECHANICAL PERMIT
AIUMINUMWIREUNDERSREBIILEGAI
FLOOR
BSM
IST
2ND
3RD
4TH
N0.
FIEL:C'rccleOnaGaiCNIPropane EleeSolm
Np.
TEMPORARY METER
NEW SERVICE AMPS
WATER CIASET
WASH BOWL
BATH TUB
FORCED AIR - BTU
HOT WATER - BTU
STEAM - BTU
CHANGE SERVICE-AMPS
SHOWER
AIR CONDITIONING-BTU
LIGHTING
SINK
OTHER
HEATING
GARBAGE DISF
REFRIGERATION SYSTEM
POWER SUB-CIFCUITS
UTILITY(RANGE,DISPOSER,ETC.)
FIXTURES
WATER HEATER
AUTO.WASHER
DISH WASHER
Refri eronf Group
Pounda CAer e
AUTOMATIC SPRINNLER SYSTEM
WIRING MOTORS B CONTROLS
FI_OOR DFAIN
ELEVATOR
SIGNS
URINAI
TRANSFORMERS d RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FIXTURES
1 hereby ocknowledqe that this opvliCa' PERMIT FEE 0 d
tion ie correct ond understand thot I USE TAX a sa~
connof Etort fhis projbct until this oDPli- -
Cotion if apOroved. I shall comply wifh TOTAL FEE $ q~
the lawe oi the S1ote of Colorado ond to
the Zoninq ReQulationa and BuildinQ APPROVE~
Code of the City of Wheat Ridqe, Any -BF~iA'PPR6b`~D violation of the above terme will cause CHIEF BUILDI INSPECTOR,City of Wheat Ridqe
immedrevoc on of 1Ns pe i1
2- Date Issued~
400 ~ an~ 4i0ne1
NOT VAIID UNIESS
'7 -ati ~g
7
CA11237-8944 EXT.255
24 HOURS IN ADVANCE
FORINSPECTIONS