HomeMy WebLinkAbout8180 W. 39th Avenuee City of Wheat Ridge
Residential Electric PERMIT - 202000383
PERMIT NO: 202000383 ISSUED: 02/21/2020
JOB ADDRESS: 8180 W 39th Ave EXPIRES: 02/20/2021
JOB DESCRIPTION: Remove and replacing meter and disconnecting. 125 AMPs and new ground rods.
Replacing indoor panel, 100 AMPS
*** CONTACTS ***
OWNER (303)326-7706 MAHAFFY GILFORD L
SUB (303)238-1111 JERAD ARON HARPER 180175 H.E.L.P. ELECTRIC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA f Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME 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 & 2017 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 ennit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and maybe 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 grdinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
f ` W heat Idge_
COMMUNny DEVELOPMENT
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: Permits(cDci.wheatridge.co.us
I FOR OFFICE USE ONLY I
Date:
Plan/Permit #
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: V LL W 314
Property Owner (please print): CUAA�i Vke- �.0 VLX�� Phone:%
Property Owner Email: (.:vvtc Mc,,9-t,i 1J W'AL l - Cowl
Tenant Name (Commercial Projects Only)
Property Owner Mailing Address: (if different than property address)
City, State, Zip: UAe A X d�
Architect/Engineer E-mail: Phone:
Contractor Name:
City of Wheat Ridge License M t aD l 15 l Phone: 30 3 Z3�S-1 l l
Contractor E-mail Address: 'j �w (�2) 'VVI
For Plan Review Questions & Comments (please print):
q$3 - g-4--+ 3
CONTACT NAME (please print): Phone: 31 -'
CONTACT EMAIL(please
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:
City License #
Other City Licensed Sub:
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.
e wu l &'1sr (D\'A1vte CJ ai P �b I)v v'\ - o 0- .
Z5 CI - p . �Y-OVM J
lvvA" fIA'O - CeVt6"C (-
Sq. FULF C BTUs
Vr1)�5 ' � � ae'o goo "-f
Z-1-'\.zc 6 -
Gallons
Amps 't,12E� 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: (OWN (CONTRACTOR) Er AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Signature (first and last name): t DATE: Z —I —
Printed Name:,c � eru(�'VA"' F- /
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Building Division Valuation:
.'. �.A,► i ")M11-. R 1)in1fln11-I -I'1
1'6U�`�' � INS`�ECT10`V I RECO )
W-r—p INSPECTION REQUEST LINE: (303) 234-500
Occupancy/Type
ype
Comments
Inspections will not be performed unless this card is posted on the project C.
Call the inspection request line before 11:59 p.m. to receive an inspection the following business
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date
Inspector Comments
Initials
Pier
Mid -Roof
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Lath / Wall Tie
Do Not Pour Concrete Prior To Approval Of The Above inspections
Underground/Slab Inspections Date
Inspector
Initials
Comments
Electrical
Wall Sheathing
Sewer Service
Mid -Roof
Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Insnections
Rough Inspections
Date
Inspector
Initials
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.
"For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage
by the Building Division.
"For Inspection Time Window — Please email inSptimerequest Ct Ci.wheatridge.cc).LIS by 8:00 A.M. the morning of the
inspection with the property address in the subject line of the email. Time window is based on the inspector's route.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
City of Wheat Ridge
Residential Roofing PERMIT - 201700772
PERMIT NO: 201700772 ISSUED: 05/22/2017
JOB ADDRESS: 8180 W 39th AVE EXPIRES: 05/22/2018
JOB DESCRIPTION: Reroof house with Malarkey shingles; tear off old layer, new ice & water
shield; felt; valleys; ridge; starter metal edge; gutter metal; new vents;
plumbing jacks etc - 40 squares
*** CONTACTS ***
OWNER (303)888-9588 MAHAFFY GILFORD L
SUB (303)670-3048 Terry Harper 018383 Harper Services
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
S-BDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 15,000.00
FEES
I Valuation 0.00
Pax 270.00
it Fee 283.55
JTAL ** 553.55
'OMMENTS ***
v
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) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding A1/2 -inch exists. 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 manufacturera€-s 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's 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.
I
A 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: 6 % /} V10:
Permit Number: 2,Q /`/0 0 1`7 `��;2,
❑ No one available for inspection: Time LAM
Re -Inspection required: YesN3
When corrections have been made, call for re -inspection at 303-234-
Date:_&�67 Inspector: Lb�_210L
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 201700772
PERMIT NO: 201700772 ISSUED: 05/22/2017
JOB ADDRESS: 8180 W 39th AVE EXPIRES: 05/22/2018
JOB DESCRIPTION: Reroof house with Malarkey shingles; tear off old layer, new ice & water
shield; felt; valleys; ridge; starter metal edge; gutter metal; new vents;
plumbing jacks etc - 40 squares
*** CONTACTS ***
OWNER (303)888-9588 MAHAFFY GILFORD L
SUB (303)670-3048 Terry Harper 018383 Harper Services
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 15,000.00
FEES
Total Valuation 0.00
Use Tax 270.00
Permit Fee 283.55
** TOTAL ** 553.55 0
*** 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) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding k/2 -inch exists. 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 manufacturera€ms 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's 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 - 201700772
PERMIT NO: 201700772 ISSUED: 05/22/2017
JOB ADDRESS: 8180 W 39th AVE EXPIRES: 05/22/2018
JOB DESCRIPTION: Reroof house with Malarkey shingles; tear off old layer, new ice & water
shield; felt; valleys; ridge; starter metal edge; gutter metal; new vents;
plumbing jacks etc - 40 squares
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,permit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that aJI 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 originalermit 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 andprocedures 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, 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 Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequest@ci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
® City of
-�WheatjOge
CnMMOUWFY DEVELOPMENT
Building & Inspection Services Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(a)ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date: _
Plan/Permit # � � 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: ��� co' /,(�� 3
Property Owner (please print): 14�� yy'V - Phone:
Property Owner Email:
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Arch itectlEng! neer:
ArchitectlEngineer E-mail:
Contractor: ""wt_ 1
Phone:
City License #: _ l q Phone:
Contractors-3U�'(�-- X 201_
Contractor E-mail Address: to Gam" P� s
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
❑ COMMERCIAL RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL 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
❑ 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.)
UA s _
k,l E;c�
�kLA yes;
Sq. FtJLF
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
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 n the application.
CIRCLE ONE: (OWNER) (CONTRACTOR) (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Electronic Si¢nature (first and last name)::�—G��"`1�/l-� DATE:
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
I* � 4 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: M_r !D A4001'
Job Address: iii/
Permit Number: 2 0/2 ', 7;2,
❑ No one available for inspection: Time�� : 0 A y /PM
Re -Inspection required: Yes No
*When corrections have been made, call for re -inspection at 303-234-5933
Date: (0 I Inspector:
t
DO NOT REMOVE THIS NOT CE
DEPARTMENT OF COMtviUNITY DEVELOPMENT
' 7500 WEST 29th AvENUE BUILDING INSPECTION DIVISION PERMIT N0. MM94#4492
237-6944 EXT. 255 P.O. BOX 63e CITY OF WHEAT RiDGE, COLO.
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHVEF BUILDtNG INSPECTOR AND RECEIPTED BEL'JW.
J08 ADDRESS
CONTRACTOR ~
ADDRESS ~73195 ~
CITY
PHONE " ~
OWNER
ADDRESS ~
PHONE
CONTRACT PRICE $ ~
DATE
J
ZIP CODE ~
1.
TYPE Ground ❑
Woll❑
Proieetina❑
Othsr
S or D Foea
2.
MATERIAL
Tofal Squore Fest
$IGNS
3.
ILLUMINATION Yas❑ No❑
7ype
Elset
Psrmif No.
4.
SET BACK FROM PROPERTY LINE N
(Specify which ia front)
_
❑
S_ E
❑
_ W
❑ ❑
.
Zons_
Approvsd, 2ona Inspsctor
Diaopproved
I,
TYPE SolidE] Mora Than 80% OpanO
Lass Than 80
% Opan
.
MATERIAL
HeiQht
FENCES
3.
SET BACK FROM PROPERTY LINE N
(Specify which ie }ront)
_
❑
S_ E
❑
_ W
❑ ❑
2ms_
Appraed,Zono Inspsetw
DisapDroved
7
OTHER
3
DR
AW SKETCH OR SHOW BELOW, THE FENCE,SIGN, OR OTHER STRUCTURE, GIV1hv" DISTANCES FROM PROPERTY LINES.
(SETBACKS OR PROJECTpNS INCLUDED) ~
SPECIfY NORTH
FR/1NT
ZIP CODE ~
LICENSE NO
. STREET NAME
SMOW DISTANCES FROM THE MAIN BUILDING TOADJOINING MOUSES, STREETS, ANO PROPERTY LINES; ON IRREGUTAR LOTS, SHOW LEA57
DISTANCE TO PROPERTY IINES, NOT MAXIMUM OR AVERAGE OISTANCE.
APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
THISAPPLICATION WILL BECOMEA PERMIT TO PERFORM THE INDICATED WORK ONLY I1PON VALIDATION BYTHE BUILDING INSPECTION DIVISION.
PERMIT WILL EXPIRE 780 DAYS FROM THE DATE OF ISSUANCE IF WORK IS NOT STARTED WITHIN THAT TIME.
ELECTRICAL PERMIT
STATE LICENSE N0.
PLUMBING PERMIT
STATE LICENSE N0.
MECHANICAL PERMIT
ALUMINUM WIRE UNOEH SIZE 8 ILIEGAL
FLOOR
BSM
I ST
2ND
3RD
4TH
N0.
F1EUCircbOna Go5 dl Propane Elx Solor
N0.
WATER CLASET
0
FORCED AIR - BTU /Ti
TEMPORARY METER
WASH BOWL
HOT WATER - 8TU
NEW SERVICE AMPS
BATH TUB
STEAM - BTU
CHANGE SERVICE-AMPS
SHOWER
AIR CONDtTIONING-BTU
LIGHTIN6
SINK
OTHER
HEATING
GARBAGE DISP
REFRIGERATION SYSTEM
POWER SUB-CIFCUITS
WATER HEATER
qetri erant Group
UTILITY(RANGE,DISPoSER,ETC.)
AUTO. WASHER
Poundi Char e
FI%TURES
DISH WASHER
AUTOMA7IC SPRINKIER SYSTEM
WIRING MOTORS BiCONTROIS
FLOOR DRAIN
ELEVATOR
SIGN$
URINAL
TRANSFORMERS Bi RECTFIERS
SEWERS
I~l
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FIXTURES
I Aereby acknowledqa thot lhis applico-
fion is eorrect and understand ihot I
Connof stort this Droject until fhis opDli-
eotion it apOroved. I sholl comply wifh
tha lowe oi the Slote ol Colorado and to
the Zoninp Repulations ond Buildinq
Code offhe City of Wheat RidQe. Any
viololion of the above ferme will cause
immed~Q te revocation of fhis permit
. \ 1\ f C
PERMIT FEE ' "7 , NOT VAUD UNLESS RECEIpTED
USE TAX 19 '2, ' TOTAL FEE $ ;1 rF"
APPROVED
DISAPPROVED
CHIEF BUILDING INSPECTOR,City of Wheat Ridye
CAL1237-8944 EXT.255
24 HOURS IN ADVANCE
Z 47 c` FORINSPECTIONS
Date Issued
0064 0 (if different than property address)
Address: ` , 1 4 u
2!!y, State, i A4 +e. v
Ar hl
„
Electrical: Plumbing: Mechani 1.
MR. City License # WR City License # W.R. City License
Complete all information on BOTH sides of this form
Sq. FULF Stu's Gallons
Amps Squares -- - -- - -- Other