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Revision to Permit Application
Permit Number 202002467
assigned to project
PROPERTY INFORMATION
Permit Number 202002487
Property Address 11440 W 39th PL, Meat Ridge, CO 80033
Property Owner Name Louann Wedgwood
Property Owner Phone 303-589-8554
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email 1aw42day@gmai1.com
Address
CONTRACTOR INFORMATION
Contact Name Peak structural
Contact Phone Number 718-260-7070
(enter WITH dashes,
eg 303-1234567)
Contact Email Address cx@peakstru=ral.com
Retype Contact Email cx@peakstructural.com
Address
DESCRIPTION OF WORK
Detailed Revised Added 1 Helical Pier
Scope of Work -
Provide a detailed
description of the
change in scope of
work including
mechanical, electrical,
plumbing work
occurring,
adding/removing walls,
etc
Engineer Letter (if sol and design leder- Rev 1 Dat
applicable)
Additional Documents Fnd Renair-Wedaewood- Rev 1.
on Letter Size
Are plans or No
documents locked for
editing?
Construction Plans Field not completed.
scanned on 11"x17" or
larger
Additional Project o
Value Only add what
the revised scope of
work is valued at.
Attach City of Wheat Flectronin-PeymwnM1Fnrm rvlf
Ridge Electronic
Payment Form - ""DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full yes
responsibility for
compliance with
applicable City of
Wheat Ridge codes
and ordinances for
work under any permit
issued based on this
application.
I understand that work yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have yes
been authorized by the
legal owner of the
property to submit this
application and to
perform the work
described above.
I attest that everything Yes
stated in this
application is true and
correct and that
falsifying information in
this application is an
act of fraud and may
be punishable by fine,
imprisonment, or both.
Person Submitting erayden woods
Revision
Email not displayiig wmadly? View it in war browser.
� ► � i City of Wheat Ridge
Residential Foundation Repair PERMIT - 202002487
PERMIT NO: 202002487 ISSUED: 12/02/2020
JOB ADDRESS: 11440 W 39th Pl EXPIRES: 12/02/2021
JOB DESCRIPTION: Installing 10 helical piers on south side foundation.
***REVISION*** Added 1 Helical Pier, no additional value
*** CONTACTS ***
OWNER (303)589-8554 WEDGWOOD LOU ANN
SUB (303)260-7070 PAUL SUTTON 090170 PEAK STRUCTURAL INC.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 24,000.00
FEES
Total Valuation 0.00
Plan Review Fee 277.03
Use Tax 504.00
Permit Fee 426.20
** TOTAL ** 11207.23
*** COMMENTS ***
*** CONDITIONS ***
A printed copy of the permit and city stamped on-site plans must be available on-site for
the first inspection.
Approved per plans and red -line notes on plans. Must comply with 2018 IRC, 2020 NEC and all
applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections.
Inspection by Wheat Ridge Building Inspector required prior to backfill. Observation letter
from Engineer to be provided to Wheat Ridge Building Inspector at Final Inspection.
1* � � i City of Wheat Ridge
Residential Foundation Repair PERMIT - 202002487
PERMIT NO: 202002487 ISSUED: 12/02/2020
JOB ADDRESS: 11440 W 39th Pl EXPIRES: 12/02/2021
JOB DESCRIPTION: Installing 10 helical piers on south side foundation.
***REVISION*** Added 1 Helical Pier, no additional value
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this�permrt. I further attest that I am leg ally 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 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.
12/02/2020
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
adding/removing walls,
etc
Engineer Letter (if
applicable)
Additional Documents
on Letter Size
Are plans or
documents locked for
editing?
Construction Plans
scanned on 11'x17" or
larger
Additional Project
Value Only add what
the revised scope of
work is valued at.
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
Soil and desian letter- Rev 1.pdf
Fnd Repair-Wedaewood - Rev 1.pdf
No
Field not completed.
0
Electronic -Payment -Form. odf
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of
Wheat Ridge codes
and ordinances for
work under any permit
issued based on this
application.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have Yes
been authorized by the
legal owner of the
property to submit this
application and to
perform the work
described above.
I attest that everything Yes
stated in this
application is true and
correct and that
falsifying information in
this application is an
act of fraud and may
be punishable by fine,
imprisonment, or both.
Person Submitting Brayden woods
Revision
Email not displaying correctly? View it in your browser.
From: no-reolv(alci.wheatridae.m. us
To: CommDev Pets
Subject: Online Form Submittal: Revision to Permit Application
Date: Thursday, May 6, 2021 11:38:14 AM
Revision to Permit Application
Permit Number
202002487
assigned to project
719-260-7070
PROPERTY INFORMATION
Permit Number
202002487
Property Address
11440 W 39th PL, Wheat Ridge, C080033
Property Owner Name
Louann Wedgwood
Property Owner Phone
303-589-8554
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
law42day@gmail.com
Address
Contact Name
Peak Structural
Contact Phone Number
(enter WITH dashes,
eg 303-123-4567)
719-260-7070
Contact Email Address
cx@peakstructural.com
Retype Contact Email
Address
cx@peakstructural.com
DESCRIPTION OF WORK
Detailed Revised Added 1 Helical Pier
Scope of Work -
Provide a detailed
description of the
change in scope of
work including
mechanical, electrical,
plumbing work
occurring,
City of Wheat Ridge
Residential Foundation Repair PERMIT - 202002487
PERMIT NO: 202002487 ISSUED: 12/02/2020
JOB ADDRESS: 11440 W 39th Pl EXPIRES: 12/02/2021
JOB DESCRIPTION: Installing 10 helical piers on south side foundation.
*** CONTACTS ***
OWNER (303)589-8554 WEDGWOOD LOU ANN
SUB (303)260-7070 PAUL SUTTON 090170 PEAK STRUCTURAL INC.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 24,000.00
FEES
Total Valuation 0.00
Plan Review Fee 277.03
Use Tax 504.00
Permit Fee 426.20
** TOTAL ** 11207.23
*** COMMENTS ***
*** CONDITIONS ***
A printed copy of the permit and city stamped on-site plans must be available on-site for
the first inspection.
Approved per plans and red -line notes on plans. Must comply with 2018 IRC, 2020 NEC and all
applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections.
Inspection by Wheat Ridge Building Inspector required prior to backfill. Observation letter
from Engineer to be provided to Wheat Ridge Building Inspector at Final Inspection.
1* � � i City of Wheat Ridge
Residential Foundation Repair PERMIT - 202002487
PERMIT NO: 202002487 ISSUED: 12/02/2020
JOB ADDRESS: 11440 W 39th Pl EXPIRES: 12/02/2021
JOB DESCRIPTION: Installing 10 helical piers on south side foundation.
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permrt. I further attest that I am leg ally 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 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
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.
From: no-reolv(alci.wheatridae.m. us
To: CommDev Perm is
Subject: Online Form Submittal: Foundation Repair
Date: Tuesday, December 1, 2020 12:00:29 PM
Foundation Repair
This application is exclusively for FOUNDATION REPAIRS.
YOU MUST ATTACH A VALID ELECTRONIC PAYMENT ORM IN ORDER FOR
THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
Foundation Repair?
PROPERTY INFORMATION
Property Address 11440 W 39th Place
Property Owner Name Louann Wedgwood
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
Address
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
303-589-8554
law42day@gmail.com
Electron ic20Payment2OForm. odf
CONTRACTOR INFORMATION
Contractor Business
Name
Wheat Ridge
Contractor's License
Number (This is a 5 or
6 digit number for the
Peak Structural
090170
City of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
Address
719-985-9996
permits@peakstructural.com
Retype Contractor permits@peakstructural.com
Email Address
DESCRIPTION OF WORK
Location of Work South side foundation
How is repair being Helical piers
done? Piers, strips, etc.
# of Piers or Strips
Upload engineer letter
or pages on 8 1/2" x
11" only
Repair Plan Set on
11'x17" only - if
applicable
iN
Soil and desian letter encrvoted .odf
Project Value (contract 24000.00 ok bf 12/2/2020
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
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.
I understand that work
may not begin on this
property until a permit
has been issued and
Yes
Yes
posted on the property.
I certify that I have Yes
been authorized by the
legal owner of the
property to submit this
application and to
perform the work
described above.
Person Applying for Danielle smith
Permit
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.
Email not displaying correctly? View it in your browser.
aul R. Bryant, P.E.
Job # PRJ 15547
Peak Structural, Inc.
707 County Line Road
Palmer Lake. CO 80133
Soil Evaluation
and
Structural Repair Plan
for
Louann Wedgwood
11440 West 39th Place
Wheat Ridge, CO 80033
2141 Troy Court
Colorado Springs, CO 80918
Phone: 719.330.3885
E -Mail: prbryant23@outlook.com
29 September 2020
Paul R. Bryant, P.E.
Introduction: This report describes the results of an investigation of the soil conditions at
the above -listed address for the purpose of performing a foundation repair. It also presents
a repair design for the house, as well as provides additional guidance and information
relevant to the proposed project. Soil information was obtained from limited visual
observations on site, and from the resources of the NRCS Web Soil Survey. The Web Soil
Survey (WSS) provides soil data and information produced by the National Cooperative Soil
Survey. It is operated by the USDA Natural Resources Conservation Service (NRCS) and
provides access to the largest natural resource information system in the world. The site is
updated and maintained online as the single authoritative source of soil survey information.
It is considered accurate enough to predict with reasonable certainty the probable soil
conditions that will likely be relevant for this particular project.
Observation of Property: The foundation inspection was performed by a qualified
foundation inspector, as authorized by this office. The home is listed in county records as
having been built in about 1968; it consists of a one-story home with a walk -out basement.
The foundation appears to consist of cast -in-place concrete. For purposes of this report, the
front of the house is assumed to face north.
The damage to be mitigated by this limited repair project will be to address a condition of
settlement of the south (rear) and south-west sidewall foundations, which could exceed 2" in
total. The foundation walls do not appear to be severely cracked but cracking and distortion
of surfaces and finishes are present in the affected areas.
Cause of Damage: It is our opinion the damage has resulted from long-term settlement of
the supporting soil. Possible causes of structural settlement and/or excess lateral soil
pressure usually arise from elevated soil moisture conditions, often from poor drainage,
damaged downspouts or broken sprinkler lines; poor compaction, overly -dry soils or other
adverse soil conditions can be major contributing factors as well.
Soil Profiles: The soil at this site consists of the Ulm -Urban land complex. This profile
exists in mesas and terraces as linear deposits of clays and clay loams, derived from
deeper calcareous shales. The fine-grained nature of the soil tends to lend itself to
settlement and the development of relatively high lateral soil pressures, particularly under
wet or saturated soil conditions. Although typically well -drained, shallow or perched water
can exist seasonally, particularly during monsoon season, and/or if poor drainage exists at
or near a structure. Depth to dense material could exceed 20 feet.
Project Scope: This limited repair plan will involve the use of (10) FSI Model HP2881
Helical Piers, each with a 30" long section of heavy steel angle atop each pier bracket,
located according to the design accompanying this letter. It is not expected that full
recovery of the house to as -built conditions or to a fully level, true and plumb state is
achievable or even desirable, as such work would likely result in more damage than would
be repaired. The underlying/surrounding soil is considered capable of providing long-term
support for the selected systems. Adjustment of installed components may occasionally be
required after installation and minor settlement or movement (less than 1 ") should not be
considered a defect, as post -construction adjustments are considered common and typical.
2
Construction and Materials Information: Seismic activity is not considered to be a
significant factor with respect to this project. Frost depth is considered as 36" for this
project; check with the Building Department if there is any question. All structural concrete
shall be Type 2, Sulfate -Resistant, of a strength specified by the accompanying design, or if
not stated, 3,500 psi compressive strength. Typically, slabs, such as basement floors and
driveways, are not considered structural. Below -grade steel shall be galvanized or coated
with a heavy tar layer to prevent excessive corrosion.
Unforeseen site conditions occasionally arise, often when buried obstacles are
encountered. Movement of any pier or brace laterally up to 12 inches is authorized; greater
movement requires contact with this engineer. Minimum helical pier torque is 4,000 foot-
pounds; deviations from this minimum value requires consultation with the engineer.
Interior basement pier installation may require use of a single HSS 6"x6"x1/2"x8" steel
spacer, or two HSS 4"x4"x3/8" x 8" spacers, side-by-side, to provide clearance for the floor
slab. Piers may be installed on the interior or exterior of the foundation, with coordination
and permission of the homeowner.
Subsurface Drainage: No new or additional subsurface drainage elements are required by
this document. If an existing drain is encountered, care must be exercised in preventing its
damage, and if damaged, it must be restored to an operational condition. Repairs to
foundation drains typically require inspection and approval by the Building Department.
Groundwater is not expected to be a significant consideration relative to this project;
however, groundwater elevations usually fluctuate seasonally, and mitigation of high
groundwater is not within the scope of this project.
Surface Drainage: Poor drainage is associated with many foundation problems. Property
owners and builders are cautioned that water accumulation around foundation elements is a
primary cause of structural and floor slab distress within homes. Foundation and slab
movement under virtually all conditions can be minimized by maintaining a stable moisture
content within the soil under and around the foundation. Subsequent to, and not included
within this project, the following guidelines are considered vital, as proper surface drainage
is a crucial part of a home's moisture defense system:
• The soil surface should be sloped away from the foundation at a minimum slope of
one foot in ten, for a minimum of ten feet along all sides of the structure. Areas of
ponding must be eliminated.
• Roof gutters should be employed, and all downspouts must discharge well away from
the foundation, either into a suitable drainage system or into a properly constructed
drainage swale.
• Landscaping requiring watering within five feet of the foundation should be
eliminated, or watered sparingly with drip systems.
• Use of plastic sheeting in landscaped areas near the foundation is regarded by most
experts as detrimental to the overall, long-term performance of foundations. We
discourage its use as well.
9
Backfill: Backfill, if any occurs as part of this project shall be performed accordingly:
Backfill against foundation walls should not contain heavy, expansive clays, large rocks,
organic materials, mud, ice or snow. Density of backfilled soil against foundation
components should be 85% Standard Proctor density (ASTM D698) and soil supporting
concrete slabs or other structural elements should be 95% density, at a minimum, and must
be performed by mechanical means. Water flooding is prohibited.
Conclusion and Limitations: This report is valid only for the address and the project
scope listed, by the client listed above. The observations described in this document are
valid for the date of the observation and have been made under the conditions noted in the
report. Use by any other entity or for any other purpose is prohibited, without the express,
written consent of the undersigned engineer. This report is based on published and
anecdotal information; variations from the anticipated the soil profiles may be encountered;
contact the engineer immediately if they are discovered. This report does not cover
geological hazards, such as slope stability or landslide. Such investigations require
extensive investigative techniques and are well outside the scope of this report. Should
such information be desired, contact the engineer for guidance.
This report does not express or imply any warranty of the future performance of the
structure or drainage condition. This report should not be considered a warranty of
condition, and no warranty is implied. The opinions and recommendations presented in this
report are based solely on visual observations available for viewing at the time of the site
visit and information, if any, provided by the Client and/or their representative(s). We are
not responsible for conditions that were not within the scope of our services at the time of
inspection. We did not undertake or perform any destructive or invasive testing. No
additional subsurface testing, material testing, calculations, nor monitoring over time of the
conditions presented in this report are included in this project, but may be obtained, if
desired, under separate agreement.
Not included in this site visit was a review of the architectural, mechanical, electrical,
plumbing, cosmetic, landscaping, drainage or structural conditions, other than those items
specifically discussed, nor a comprehensive review of compliance with applicable building
codes. The work covered by this project is not held out as being a complete repair for all
known or suspected structural or foundational issues within the building; its scope has been
limited to that work described within this report with the full knowledge, understanding and
cooperation of the homeowner and/or their designated representative. Other work may be
justified or needed, but, work not included within this report is outside the scope of this
repair project. If additional work is required at a future date, it will be under a separate
contract.
4
PERMIT®®ADDRESS: _//y�Q AJ -35S JOB CODE: IZ�3 W
Rough Inspection (continued)
Date
Inspector
Initials
Comments
316 Rough Mechanical Residential
317 Rough Mechanical Commercial
318 Boiler / Furnace
319 Hot water tank
320 Drywall screw and Nail
321 Moisture board / shower walls
322 Rough Grading
323 Miscellaneous
Final Inspections
Date
Inspector
Initials
Comments
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*
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.
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
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 CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: y i F Ul) 1L)
Job Address: w 39 -rk FE
--
Permit Number: ® 1 (o U Q 3
'� 1 0 -
❑ No one available for inspection: Time / (3, 3y JI /PM
Re -Inspection required: Yes
When corrections have been made, call for re -inspection at 303-234-5933
Date: I 1 a b s
Inspect n
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
�o
Resid. Windows/Doors PERMIT - 201706623
PERMIT NO: 201706623 ISSUED: 08/28/2017
JOB ADDRESS: 11440 W 39th PL EXPIRES: 08/28/2018
JOB DESCRIPTION: residential door replacement 1 door Ufactor will be .30 or better
*** CONTACTS ***
OWNER 303-589-8554 LOUANNWEDGWOOD
SUB (303)945-1519 Matthew Seiler 130206 Renewal by Andersen
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: UA / Unassigned BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 4,508.00
FEES
Window Replacement 50.00
Total Valuation 0.00
Use Tax 94.67
** TOTAL ** 144.67
*** COMMENTS ***
*** CONDITIONS ***
All work shall comply 2012 International Codes, 2014 NEC (if applicable), and ordinances
adopted by the City of Wheat Ridge. Work is subject to field inspections.Windows shall
comply with all applicable codes, have a .32 or better U -factor and shall be safety glazing
if within a tub enclosure, less than 18 inches above the floor or within 24 inches of a
vertical edge of a door.
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 theproperty and am authorized to obtain this permit and perform the work described and approved in conjunction with
this_permtt. 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 w to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
P%8%7
Signat e of OA iIA or CONTRACTOR (Circle one) Date
1. Tis 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, anew 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 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 or any ordinance or regulation of this jurisdiction. Approval of work is subject to fyeld 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
Pr _ Wheat Ijdgc
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 29°1 Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 ' Fax: 303-237-8929
Inspection Line: 303-234-5933
FOR OFFICE USE ONLY
Date: z
Plan/Permit #2,0116
6/16 66Z3
Plan Review Fee: l.Y-7
- N4
Building Permit Application PAID
Please complete all highlighted areas on both sides of this form. Incomplete applications may no1-be processed.
Property Address: 11440 W 39th PI
Property Owner (please print): Louann Wedgwood Phone: 303-589-8554
Property Owner Email:
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer:
Arch itect/Eng1neer E-mail:
Contractor: Matthew Seiler
Contractors City License M CL3-130206
Contractor E-mail Address: mseiler@renewalcolorado.com
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Phone:
Phone: 303-945-1519
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
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.)
Replacing 1 door. U factor will be .30 or better
Sq. FULF
Amps
Btu's
Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
s 4,508
OWNERICONTRACTOR 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 1 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 1 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.
CIRCLEONE: (OWNER) (CONTRACTOR) er (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
PRINT NAME: Matthew Seiler
ZONING COMMMENTS.
Reviewer
BUILDING DEPARTMENT COMMENTS:
Reviewer.
PUBLIC WORKS COMMENTS:
Reviewer
PROOF OF SUBMISSION FORMS
SIGNATURE:, Apir DATE:
Fire Department ❑ Received ❑ Not Required
Water District ❑ Received ❑ Not Required
Sanitation District ❑ Received (] Not Required
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
N
OPTIONS
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INSPECTION RECORD Occupancy/Type
1 9 - INSPECTION LINE: (303) 234 -5933
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 J OB
FOUNDATION INSPECTIONS
DATE
INSPECTOR
INITIALS
COMMENTS:
Footings /Caissons
Stemwall / (EEG) Concrete
Encased Ground
Reinforcing or Monolithic
f k�
Weatherproof / French Drain
Sewer Service Lines
Water Service Lines
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLICE WORKS
SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
POUR NO GONCRETE UNTIL ABOVE HAS BEEN SIGNED
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
Heating (Underground)
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED
ROUGHS
Sheathing -
Lath / Wall tie
Mid -Roof i.
Electrical Service
Rough Electric
Rough Plumbing -
Gas Piping
Rough Mechanical
ABOVE INSPECTIONS TO BE SIGNED PRIOR TO PROCEEDING
Framing
Insulation
Drywall Screw
FINALS
Electrical
Plumbing
Mechanical
Roof
f k�
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 OF OCCUPANCY IS ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT CONSTITUTE AUTHORIZATION
OF A CERTIFICATE OF OCCUPANCY NOR PERMISSION FOR OCCUPANCY.
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
"i
MIHIWA
in
FAK
Inspection Type
Job Address 11-IlV® _7y AG.
Permit Number /lr5;4i ,z7
i
❑ No one available for inspection: Time AM
Re- Inspection required: Yes �a)
F
When corrections have been made, call for re-inspection at 303 - 234 -5933
Date: Inspector:
�'--
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Residential Roofing PERMIT - 110027
PERMIT NO: 110027 ISSUED: 01/11/2011
JOB ADDRESS: 11440 W 39TH PL EXPIRES: 01/11/2012
DESCRIPTION: Reroof 17 sqs with Decra and 2.25 sqs with 30yr (shed)
* ** CONTACTS * **
owner 303/589 -8554 LouAnn Wedgewood
sub 303/274 -8601 Don Drury 02 -0185 Drury Bros Roofing
** PARCEL INFO **
ZONE CODE: UA USE: UA
SUBDIVISION: 0813 BLOCK /LOT #: 0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 13,489.00
FEES
Permit Fee 267.70
Total Valuation .00
Use Tax 242.80
** TOTAL ** 510.50 °
Conditions:
6 nails per shingle is required. Ice dam membrane is required from eave edge to
2' inside exterior walls. Board sheathing with any gap greater than 1/2"
requires panel sheathing overlay on entire roof. Sheathing inspection is
required prior to covering. Contractor shall provide ladder for inspections.
Scheduled inspections that cannot be performed due to inclement weather must be
cancelled prior to 8:30 a.m. on the day of inspection or a re- inspection fee
will be assessed. 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 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 y Ynd /or ij accoWanying ®approved plans and specifications.
ignature of OWNER or CQIrTRACTOR (Circle one) Date
1
2
3
4
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.
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.
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.
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.
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.
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.
Building Offical
Date
, N REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
of "' "�"' City of Wheat Ridge Building Division
m 7500 W. 29 Ave., Wheat Ridge, CO 80033
Office: 303 - 235 -2855 * Fax: 303 -237 -8929
4 c�<ORA00 Inspection Line: 303- 234 -5933
Building Permit Application
Property Address. I j V 4 0 �Az 3 �'
Property Owner (please print): L OLA N n rl u
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Date:
Plan A
Permit # :' �1
Phone: 5M --
Contractor: 1��'v�V1 lj(7'3.�_ I-- f�(1 T Y ,
Contractor License #: OZp \b Phone: SO-S 2D (SL0o I
Sub Contractors•
Electrical City License #:
Company:
Plumbing City License #:
Company
Mechanical City License #:
Company:
Exp. Date: Exp. Date: °Exp. Date:
Approval: Approval: Approval:
Use of space (description : �Q (Z�C� Construction value: $ / 3 V S ,
Description of work: (as calculated per the Building: Valuation. Data sheet .
p � -A �`C� Vl $� c�` )
r7 0 O Plan Review (due at time of submittal): $
a - �-a (4rCi,- COQ V -15 A 4
Sq. Ft. /L.Ft added: Squares BTU'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:: (OWNER) (CONTRACTOR) r PERSONAL REPRESENT VE o OWNE ( ATOR)
PRINT NAME: C 9 E 1� 0 - P �— SIGNATURE: CV1� Date: l
1I
City of Wheat Ridge
Residential Roofing PERMIT - 101506
PERMIT NO: 101506 `ISSUED: 06/15/2010
JOB ADDRESS: i 11440 W: 39TH PL EXPIRES: 12/12/2010
DESCRIPTION: .T /o: Install 18.8 sqs of 50 yrdecra teak.
* ** CONTACTS * * *'
owners 303./589 -8554 Louann Wedgwood
go 303/274-8601 Don Drury 02-0185 Drury Bros 'Roofing;
d
c:
v. ** PARCEL INFO **
ZONE CODE: UA <USE: UA
t;
SUBDIVISION:i 0193: '.BLOCK /LOT #: 0./
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 14,600.00
FEES
Permit Fee 326.70
r Total Valuation .00 t7
�. Use Tax 262.80 '
TOTAL * *. =
£: Conditions:
,�,,� 6 nails per shingle is required. Ice dam membrane is required from eave edge to
m'Gr COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING INSPECTION LINE - 383- 234 -5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80933 - (303 -23s -2855)
APPLICATION
PropertYOwner. �an>l We gwod
Property Address: `j q qL-) W- ' j PL
Contractor License No.:
Company:
OWNEWCONTRACTORSIGNATURE OF UNOERSTANOW13 AND AGRI
I hereby certify that the setback distances proposed by this permit application are
accurate, and do not violate applicable ordkmnms, rules orregulatiom, of the CAyof
Wheat Ridge or covenants, easements or resfictions of record; that an
measurements shown, and allegations made are accurate that I have read and
agree to abide by all conditions printed on this applicafion and that 1 assume full
responsibility for compliance with the Wheat Ridge Building Code (U.B.C) and all
Other applicable Wheat Ridge Ordipances, for work,ender this merma.
( :mFwmED
-- DATE
-
Building Permit Number.
Date:
Phone: 303 — sic — d'SSy
Phone:
D12StrUCtion VA
Permit Fee:$
Plan Review Fee:$
Use Tax'S
Total:$
Description:
7,o
'/rr(3r 0 r lJ S3 0 C / of Shq)(Q
Sq. Ft. added
COMMENTS:
Approval:
Zoning:
USE
. .r .
WORKS COMMENTS:
Approval:
Walls: Roof:
Stories:
Residential Units:
Electrical License No: Plumbing License No: Mechanical License No:
Company Company:
Company:
Expiration Date: Expiration Date: Expiration Date:
Approval: Approval• Approval -
(1) This permit was issued in accordance with the provisions set forth in your application and is subject o t the laws ofthe State of
Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge, Colorado or anyofherapplicatnle ordinances of
the City -
(2) This permit shall expire if (A) the work 3u0ror¢ed is not commenced wWm sixty (60) days from issue date or (B) the bulding
authorized is suspended or abarkdoned for a period of 120 days.
(3) If this permit expires, a new permit may be acquired for a fee of one- haIf the amount normalyrequired, provided no changes
have been Or Will be made in the Original plena and spedfica§onsand any suspension oratraodotat ,okn h not exceededone
(4)
(1) year- if changes have been mifsrrspensbn orabandonment exceeds one (1) year, fug fees shall be paid fora new .permit
No work of my manner shah be done that will change the natural flow of water causing a drainage problem.
(5) Contractor shag notify the Building Inspector twenty low (24) hours in advance foray inspections and shall receive Written
approval on IasPeclion rand before Proceeding with successive phases of the job.
(6) The issuance of a Pemnit or the approval of drawings and spe6gcgtions shag not be oonshued to be a permit for, nor an
approval of. any violation W the provisions of the bttgdirtg codes or any otrer ordinance. taw. ride or mgplaton.
Chief Building Official
DEPARTMENT OF PLANNING AND DEVELOPMENT
. BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Building Permit Number
Date
9918
12/16/99
Property Owner :
Property Address : 11440 W 39TH AVE
Contractor License No. : 19441
Company : Bacon &Schramm, Inc.
Phone : 424-4776
Phone : 295 2938
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certi(y 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 (UB.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED DATE
Construction Value :
$7,676.00
Permit Fee :
$153.25
Plan Review Fee :
$0.00
Use Tax :
$115.14
Total:
$268.39
use:
Description : Reroof 30 squares, tear off existing and install new built up roof
Electrical License No :
Company :
Expiration Date :
Approval :
Plumbing License No :
Company :
Expiration Date :
Approval:
Mechanical License No :
Company:
Expiration Date :
Approval:
(1) This pertnitwas issued in accortlance wifh the provisions set forth in yopur application antl is subject to the laws of the State of Coloredo and to the Zoning
Regulations and Building Code of Wheat Ridge, Coloretlo or any other applirable ortlinances of the City.
(2) This permit shall expire if (A) the work authorized is not commenced within sinty (60) days from issue date or (B) the building authorizetl is suspended or
abantlonetl for a period of 120 days.
(3) If this permit expires, a new permit may be acquired for a fee of one-half the amount normally required, provided no changes have been or will be made in the
original plans and specifications and any suspension or abantlonment has not exceeded one (1) year. If changes are made or if suspension or abandonment
exceeds one (1) year, full fees shall be paitl for a new permit.
(4)No work of any manner shall be done that will change the naW21 flow of water causing a drainage problem.
(5) Contrector shall notify the Building Inspector iwenty-four (24) hours in advance for all inspections and shall receive written approval on inspec[ion card before
proceediing with successive phases of thejob.
(6) The issuof a permit or the approval oF drawings and specifcalions shall not be wnsirued to 6e a pertni[ for, nor an approval of, any violation of the provisions
of the b' in wtlgs oC^ other ordinance, law, rule or re9ulation.
' DEPARTMENT OF PLANNING AND DEVELOPMENT
- BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Building Permit Number :
Date :
Property Owner : -RuaQr
Property Address (y-( p w
Contractor License No. : k qyL-u
Company: ~C0115- a
Ny r~~
"~ciAQA~nr\ml Z`Y_.
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this pemit 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 (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR)SIGNED1~t ~Q ' ~ DATE~'Ld I a1Q'{
Description : ~10 - -TCAtt <-)C 15TIN3C, a t.
~s~ - vp
BUILDING DEPARTMENT USE ONLY
ZOWing„Co-~Fii~fit"s;3 SIC : Sq. Ft. :
Approval :
Zoning :
B~ilfdip~st ~a~nifien-ts;~
Approval :
Ptibl~W~_
Approval :
Occupancy : Walis : Roof : Stories : Residential Units :
Electrical License No : Plumbing License No : Mechanical License No :
Company: Company: Company:
Expiration Date : Expiration Date : Expiretion Date :
Approval: Approval: Approval:
~P~a"[~i aR~am e a IN rr~s_ RM
(t) This pemit was Issued In accordance wiM ihe provisions set lorih In yopur application and is su6ject to the laws of the State of Colorado and to the Zoning
Regulations antl Builtlin4 Cotla of Wheat Ridge, Coloredo or any olher appliwhle ortlinances of the City.
(2) This pertnit shall expire it (A) lhe work auMOnzed is not commencetl within sizly (60) Eays irom issue late or (e) the builaing authonzed is suspended or
a0andoned tor a penod of 120 days.
(3) If this pemit ezpires, a new pemit may he acquired for a fee of one-half ihe amount normally required, provided no changes have been or will be made in the
onginal plans antl specifcatlons anE any suspension or abantlonment has not exceeded one (1) year. If changes are made or it suspension or abantlonment
eace(ads one (1) year, full (ees shall be paid (or a new permit.
(4) No work of any manner shall be tlone that will change the naWral tlow ol water wusing a drainage problem.
(5) Contraclor shall notify ihe Building Inspector hventy-four (24) hours in aevance for all inspections and shall receive wntlen approval on inspection card before
proceetliing wilh successive phases of the I~ob.
(6) The issuance of a permit or ihe approval oldrowings and specifcalions shall not be construed to be a permit for, nor an approval of, any violation of the provisions
of the Ouiltling wdes oF any other ortlinance, law, rule or regulation.
c3r'z)
Phone : 4^1')L
C3
Phone
Construction Value :
Permit Fee :
Plan Review Fee :
Use Tax :
0y 0-1 bt:
Total :
Chief Building Inspector For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
DEPARTMENT OF COMMUNITY DEVELOPMENT
7500 WEST 29th AVENUE BUILDING INSPECTION DIVISION PERMIT N0. M91#17628
237-6944 ExT. 255 P.O. BOX 638 CITY OF WHEAT RIDGE, COLO.
THiS PERMIT VALID ONLY WHEN SIGNED BY TFiE CHIEF BUILDING INSPECTOR AND RECEIPTED BELOW.
APPLIC`A~TION FOR MISCELLANEOUS PE IT
JOB ADDRESS 1~~ i"D Ii✓ L OWNER ~~~7n1~2 77
CONTRACTOR ~OU~C~S FL 13~/L'} ADDRESS
ADDRESS F/g%IT1215'
qTY ZIP CODE
PHONE ~2 } LICENSE NO.
PHONE ( d ~ ZIP CODE
CONTRACT P/R/I/C@E
DATE
TYPE Ground ❑
1
Woll❑
Proitetina❑
Othsr
5 or D Foee
.
2. MATERIAL
Tofal Square Feat
SIGN$
3
ILLUMINATION Yea❑ No❑
Type
Eteet
Permit No
.
.
.
4 SET BACK FROM PROPERTY LINE N
_
S_ E
_ W
Zone_
Apprwsd, 2one Inspaetor
(Spetily which ia fionl )
❑
❑
❑ ❑
DisapDroved
1. TYPE Solido More TAOn 80% OpenO
Lest Than 80% Opan
MATERIAL
Hoiphf
~
-
FENCES
3. SET BACK FROM PROPERTY LINE N
_
5_ E
_ W
Zona_
Appraed,Zone InspeNa
•
(Specify whieA is front)
E]
❑
❑ ❑
OieaDProved
L
2
.
OTHER
7
'
3
.
DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHER STRUCTURE,GIVIhv DISTANCES FROM PROPERTY LINES.
(SETBACKS OR PROJECTiONS INCIUDED) -
.~A9(/~C1=
15'q1GO/A1c
STREET NAME V '/d---z fL
~
SPECIF~ ORTH
SHOW DISTANCES FROM TNE MAIN BUIIDING TQADJOINING HOUSES, STREETS, AND PROPERTY LINES; ON IRREGULAR IATS, SHOW LEAST
DISTANCE TO PROPERTY LINES,NOT MAXIMUM OR AVERAGE DISTANCE.
APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
THISAPPLICATION WILL BECOMEA PERMITTO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BY THE BUILOING INSPECTION DIVISION.
PERMIT WILL EXPIRE 180 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 UNDER SI2E B ILI.EGAL
FLOOR
BSM
IST
2ND
3RD
4TH
NQ
FLEL:CircbOne Ga5 ql Propone Cod Elee Solar
Np,
WATER CLASET
FORCED AIR - BTU
TEMPORARY METER
WASH BOWL
HOT WATER - BTU
NEW SERVICE AMPS
BATH TUB
STEAM - BTU
CHANGE SERVICE-AMPS
SHOWER
AIR CONDITIONING-BTU
LIGNTING
SINK
OTHER
HEATING
GARBAGE DISP
REFRIGERATION SVSTEM
POWER SUB-GFCUITS
WATER HEATER
Refri eranf Group
UTILITY(RANGE,DISPOSER,ETC.)
AUTO. WASHER
Pounda Char e
FIXTURES
DISH WASHER
AUTOMA7IC SPRINKIER SYSTEM
WIRING MOTORS BiCONTROlS
FLOOR DRAIN
ELEVATOR
SIGNS
URINAL.
TRANSFORMERS 9 RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
-
MOTORS OVER I HP
TOTAL FIxTURES
I hereby ecknowledQe thot this ap011ca-
tion ia corroct and understand that I
connot atarf thie projett unfil thia opDli-
eotion ie apDroved. I shall comply with
}ha lowa ot Ihe Sfate ot Colorodo and fo
the Zoninp ReQulations and Buildinq
Code of the City of Whaot Ridpe. Any
violationof the above ferme will cause
immediate revocation oi this permit
~.Cc'h f 61t ^
40Vlieant, 4i0nebn
~
$-3 6,-)0
of Wheat Ridqe
PERMIT FEE
USE TAX
TOTAL FEE
APPROVED
DISAPPROVED_
CHIEF BUILDING
Date Issued y- C~ /
)T VAUD UNLESS RECEIPTEi
I2Lt c~g6
~i~
#1~3
CALL 237-8944 EXT. 255
24 HOURS IN ADVANCE
FORINSPECTIONS
1;J IIYJI'G1+11V1Y ✓IYIJIVIY -
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner :
Property Address : 11440 39TH PL
Contractor License No. : 17835
Company : Blue Sky Plumbing
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 restridions 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 (U.B.C.) and all other applicatileWheat Ridge ordmances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED DATE Description : BROKEN SEWER LINE REPAIRS
IIIIIJIiI . v~~ . .
Date : 7/23/97
Phone: 424-4776
Phone : 421 2161
Construction Value :
$2,000.00
Permit Fee :
Plan Review Fee :
$0.00
Use Tax :
$24.00
Total:
$24.00
Electrical License No : Plumbing License No : Mechanical License No :
Company : Company : Company :
Expiration Date : Expiration Date : Expiration Date :
Approval : Approval : Approval :
Em M m:.~5,~'~i.MM
(7) This permif was issued in accordance with the provisions set fodh in yopur application and is subjeq to the laws of [he State of Colorado and to the Zoning
Regulalions antl euildin~ Code of Wheat Ridge, Colorado or any other applirable ordmances of the Ciry.
(2) This permit shall expire if (A) the work authorizetl is not commenced within siaty (60) days fmm issue date or (e) the building authorized is suspended or
abandoned for a period of 720 days.
(3) If this permit expires, a new permit may be acquired for a fee of one-haif the amount normally required, provided no changes have been orwill be made in the
original plans and specifcations and any suspension or abandonment has not exceeded one (1) year. If changes are made or if suspension or abandonment
exceeds one (7) year, full fees shail be paid for a new permit.
(4) No work of any manner shali be done thatwill change the natural Flow of water causing a drainage problem.
(5) Contractor shall noti(y the Building Inspectortwenty-four (24) hours in advance for all inspections and shall receive writ[en approval on inspection card before
proceediing with successive phases of the'ob.
(6) The issuance of a permit or the approval o~drawings and speciflcations shall not be constmed to be a permit for, nor an approval of, any violation of the provisions
qjthg builtling codes or any other ordinance, law, rule or regulatiort .
Building Inspector
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
DEPARTMENT OF PLANNING AND DEVELOPMENT
- BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 -
Building Permit Number :
Date : s S6
v
Property Owner: boJ Af,-W -/r!- ~
Property Address : f/L f(1o (~J, i
Contractor License No. : ~
Company:'0 1 l)-e SL~ tu R~.A t~=cy
~J
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certi(y lhat the setback distances proposed by this pertnit application are accurate,
and do not violate applicable ordinances, rules or regulations of the City of Wheal Ridge or
covenants, easements or restrictions of record; that all measurements shown, and allegations
made are accurate; lhat I have read and agree to abide by all conditi s printed on this
appliwtion, and that I assume tull responsi i ty for co liance wit the eat Ridge Building
Code (U,B.C.) and all other applicable Wt~t~ldgenayeR, f r w under this pelmiL /
(OWNER)(CONTRACTOR) S
Description :
Phone : F fa2y _ (F
Phone : 1121 -~6 f
Construction Value : h ~ap'T
Permit Fee :
Plan Review Fee :
Use Tax :
Total :
. ~^PtiJG-C..li/✓~~'~~7~
BUILDING DEPARTMENT USE ONLY
Z"oniSIC : Sq. Ft. :
Approval:
Zoning :
Bulfd ni g Coi~ments.
Approval:
PyUtiiic_~_. --___-•1
Approval:
Occupancy : Walls Roof : Stories : Residential Units : Electrical License No : Plumbing License No :40 V-'z/ Mechanicai License No :
Company : Company : Company :
Expiretion Date : Expiration Date Expiration Date :
Approval: Approval: ~ Approval:
IM se.in Ipli~R~gutr~~9 n CEMSE~a~
(1) This pertnil was luuetl In axorEance vnth the proWSions sel torth in yopur appliration arW is sub ecl to the laws of the SUte of Cobrado and to the Zoning
Regulalions and Buildin9 Code ol Wheal Ritlge, CobroCO or any other appiiwble oNinances of e Ciry.
(2) TTis pertnit shall expire d(A) the vrork aulhonzetl Is nat tommenced wiNin sizly (60) days tmm issue Cate or (B) the buildinq aulhwized Is susperMed or
abandoned lor a penod of .720 Cays.
(7) If Uis pertnit expires, a new pertnd may be atquired lor a fee of one-halHhe artaunt nortnalty require4 provided no changes have been or will be made in the
onginal plans and specificatioas and any suspension or abandonmen( has nol exceeded one (1) yeac If changes are made or il suspension or abandonment
exCeeES one (t) year, iull (ees shall be paid for a new permit.
(a) No work of any manner shall be done thal will change the natural Ilow ot waler wusing a Orainage prohlem.
(5) Cont2ctor snail notiry the Builtlinq Inspector lwenry-four (24) hours in aavance br all inspectbns and shall receive wrinen approvat on inspection caN before
pioceediin9 with sucassive pnases ol lhe'ob. (6) TTe issuance ot a permit or the appmval o~drawinqs and specifcatians shall not be consWed to be a permit for, nor an approval ol, any violaUon of the provisions
. ot the builCinq Codes or any other ofdinanCe, law, Nle or regulatlon. Chief Building Inspector
For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION