HomeMy WebLinkAbout8025 W. 44th Placer _
PERMIT: ; ADDRESS:
INSPECTION RECORD
JOB CODE:
Inspection online form: http://www.ci.wheatridge.co.us/inspection
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Inspections will not be performed unlessAhis card is posted on the project site
Request an inspection before MIDNIGHT (1to receive an inspection the following business
Foundation Inspections
Date
Inspector
Initi --
Comments
102 Caissons / Piers
103 Footing / P.E. Letter
104 Foundation Setback Cert.
105 Stem Walls
106 Foundation wall Insulation
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground / Slab Inspections
Date
Inspector
Initials
Comments
201 Electrical / Cable/ Conduit
202 Sewer Underground Int.
203 Sewer Underground Ext.
204 Plumbing Underground Int.
205 Plumbing Underground Ext.
206 Water Underground
*
��
Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections
Rough Inspection
Date
Inspector
Initials
Comments
301 Rough Framing
302 Wall Sheathing
303 Roof Sheathing
304 Sheer Inspection
305 Insulation
306 Mid -Roof
*
��
307 Metal / Lath / Stucco
308 Rough Electrical Residential
309 Rough Electrical Commercial
310 Electrical Meter Residential
311 Electrical Meter Commercial
312 Temp. Const. Meter
313 Rough Plumbing Residential
314 Rough Plumbing Commercial
315 Shower Pan
SEE OVER FOR ADDITIONAL INSPECTIONS
St -Z'�- Z,� �� P/
^------- -.
mougn inspeciion (contlnu6a-,)
vale
Inspector
Initials
..
1,L� mments
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
ILI f,
C3
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
ILI f,
C3
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.
City of Wheat Ridge
r
Residential Roofing PERMIT - 201707683
PERMIT NO: 201707683 ISSUED: 09/25/2017
JOB ADDRESS: 8025 W 44th PL EXPIRES: 09/25/2018
JOB DESCRIPTION: Residential Re -roof to install GAF asphalt shingles - 26 sq Pitch = 5/12
*** CONTACTS ***
OWNER (303)282-8882 ISABELL ROSEMARY
SUB (720)449-2662 Joel Lucius 170281 Colorado Construction & Restor
*** 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: 6,682.00
FEES
Total Valuation 0.00
Use Tax 140.32 a'
Permit Fee 156.75
** TOTAL ** 297.07
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is .required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name)
roof covering" is required to be on site at the time of final inspection.
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required, the 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped
off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the
Homeowner.
City of Wheat Ridge
Residential Roofing PERMIT - 201707683
PERMIT NO: 201707683 ISSUED: 09/25/2017
JOB ADDRESS: 8025 W 44th PL EXPIRES: 09/25/2018
JOB DESCRIPTION: Residential Re -roof to install GAF asphalt shingles - 26 sq Pitch = 5/12
I, by my sin o ereby attest that the work to be performed shall comply with all accompanying approved plans and specifications;
applicable ilding co es, and }applicable municipal codes, policies and procedures, and that 1 am the legal owner or have been authorized
by the I al owner of the erty end am authorized to obtain this permit and perform the ork described and approved in conjunction with
this rt. I further a that l a leggally authorized to include all entities named within t is docu ent as partes to the work to be
perfprmed and tha work to berformed is disclosed in this document and/or its'orpanyinpproved plans and specifications.
Signature or OCONTRACTOR (Circle one) Date j /
1. This pe as issued based on the information provided in the permit application and accompanying Flans and specifications and is
subject to the compliance with )hose 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 original ermit fee.
3. if this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Budding Off-cial and is not guaranteed.
4. No work of an 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 gra 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 dinance or. ion thi risdiction. Approval of work is subject to f any
inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett
contractors only. This type of permit is ONLY being processed online --do not come
From:
no-reply@ci.wheatridge.co.us
Sent:
Thursday, September 21, 2017 10:40 AM
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
To:
CommDev Permits
Subject:
Online Form Submittal: Residential Roofing Permit Application
documents at the time you are issued your permit.
C
Follow Up Flag:
Follow up
Flag Status:
Completed
C
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 8025 W 44th PI
Property Owner Name Rosemary Isbell
Property Owner Phone 303-282-8882
Number (enter WITH
dashes, eg 303-123-4567)
41
Property Owner Email
Address
Do you have a signed
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed
Contract
Field not completed.
Yes
Colorado Construction Signed Contract.pdf
CONTRACTOR INFORMATION
Contractor Business Colorado Construction & Restoration
Name ,
Contractor's License 170281
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 303-906-0221
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address 6535 S Dayton ST
(Primary address of your
business)
Contractor Email Address ericka@coloconstruction.com
Retype Contractor Email ericka@coloconstruction.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of
the entire scope of work:
Project Value (contract
value or cost of ALL
materials and labor)
Are you re -decking the
roof?
Is the permit for a flat
roof, pitched roof, or
26
Pitched roof (2:12 pitch or greater)
42
both? (check all that
apply)
What is the specific pitch 5/12
of the PITCHED roof?
How many squares are 26
part of the PITCHED
roof?
Describe the roofing GAF Armorshield
materials for the
PITCHED roof.
Type of material for the Asphalt
PITCHED roof:
Provide any additional House
detail here on the
description of work. (Is
this for a house or
garage? Etc)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
43
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 Joel Lucius
Email not displaying correctly? View it in your browser.
M
6535 S. Dayton St. Ste. 1500
Greenwood Village, CO 80111
720-449.2662 Office
720.836.3349 Fax
www.ColoConstruction.com
RESIDENTIAL AGREEMENT
THIS AGREEMENT IS SUBJECT TO INSURANCE COMPANY APPROVAL Military
Y1 C� l Veteran
Name: , 1 /1 ,) Date: { / 11 �j } YES_NO_
Address• t. � 4� City/Zip: � j ty'ul�tx (i(jj Rank @ EAS
Phone: Email: C 4t l'+7xtc Ci,: 'C„0. Branch
wV-0- ,on-,
hroo L SCOPE OF WORK ROOF SPECIFICATIONS
-7Lt - .ff 12
Manufacturer:
PAYMENT SCHEDULE
Total Contract Price:* S
Down Payment
Paid Date: `/_ /_ CKif & S
Balance Due Upon Completion
Paid Date: _ /_, /_ C" @ $
'Contract Prke equals the Replacement Cost value IRM
Plus supplements & O&P, approved by Insurance Company for
Work rendered by Colorado Construction & Restoration, 11C,
Style of Shingle:/
Color of Shingle:
;
R e Material:
Valle •
Val Metal
vents g:
5
f
PlumbingStacks C:VNO
Metal E •ColorTear
Off p Le n:
Underlayment. dI U .1
!'Tt
tt of Stories: f
Pitch /Pitch < 2(12 / 12 /
Yes No
Remove Trash From Root, Gutters, & Yard
Protect Landscaping Where Applicable
Rall Yard With MagnetIC Roller
Furnish Permit
(_ )*Homeowner acknowledges that contract price will change based on supplements approved by Insurance company, and
homeowner agrees to fumish a copy of updated Insurance poperwom to Colorado Construction & Restoradon, LLC upon request.
It"t - It- agreement RIA4 NUI LJKLIUAlk IHC HtJatkUWNkjj or sabre o I.atanxnar & Reftaratlen, LLL m arty manor wOess"b APproved by the 4tsutente
twnPany and aoaepted by Colarado Cnratructsmt & RMWMtlon, LLC and the haneoMma. Lty IS i Oft aVesment the horneowrer uAhorhes Colorado
Catstruatort & RestoM604 LLC to p.osua the homeew ners' best buerest fm a rod replacement or repab and/Or anterior re toraUat at a `pdm agrW&W to the
b*wunce oanpany and Cobrado C0r4b`u tion IL ReRoraWA, LCC w Nh no addkkm f cmu to the ha teowner with the emptlon of hair btsurance deductmle.
CONTRAMOR CANNOT PAT WAAM 0Wrsusrrt to CQk-& State Lown C.S.R. 6622.104 11) and Part I at Ankle 4 of Tide to,
CSR. and Paragraph 4 & S n declared In the tarns and catdltlmn of this Ween ent, 9 N>1keMo- COLORADO CONSTRUCTION AND RESTORATION, LLC SHALL
HOLD IN TRUST ANY PAYMENT FROM THE PROPERTY OWNER UNn1 CONTRACTOR HAS DELIVERED ROOFING MATERIALS TO THE XMITE OR HAS KRWMED A
M4)ORRY OF THi WORK r1N THF DRnDFRTY, f..rwnt 11nMl.ry tne„ A thm,�rA ,-[krrevtn tn.umntr - tl►nwr M {'Yli! i7r1(}g
Accepted by Insured on: Date: (/1,� j I't ((�J By:
.'YVt Gl f �V a
Insurance Company: Ciairrttl:
Date of Lou:
Approximate Date Start/Completion:
Project Manager:
Management Approval:
Pr.,ud
SYDDOrtOr or
VETERAN OWNED COLORADO PROUD
i CITY OF WHEAT RIDGE
_1�9�Building Inspection Division
(303) 234-5933 Inspection line f
,(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: Li/ �t�cJa.
Job Address: OL
Permit Number: 72 7
❑ No one available for inspection: Time
Re -Inspection required:
When corrections have been made, call -for re -inspection at 303
/-t
Date: �(
•/2 •%Inspector: ' -; I 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: �7L�
Job Address: .,�_,s
Permit Number:
❑ No one available for inspection: Time AM/F OM
Re -Inspection required: `e"_ No
When corrections have been made, call for re -inspection at 303-234-5933
Date: O. 5` f Inspector:
DO NOT REMOVE THIS NOTICE
I
i
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: koo f- /-,.T-b
Job Address:
Permit Number: �; )4/%t' 7 �3
❑ No one available for inspection;, -Ti e � AM/PM)
Re -Inspection required: Yes/ No
When corrections have been made, ca re -inspection at 303-234-5933
Date: ��' ��' 17 Inspector: )bXj
DO NOT REMOVE THIS NOTICE
I FOR OFFICE USE ONLY I
it of
Wh6atp,,:,kd e
COMMUNrry DEVELOPMENT
m
planlpwmit#
I i IN
Address
gy, State, Kip:
contractor
• Zmall AWd
City License # City License #
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number:
BUILDING INSPECTION DIVISION - 235-2855 A ,
CITY OF WHEAT RIDGE Date:
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80115
7.72-TW715 �z i 1 1:1 1 1 J ,' p 11 ---- 11 1 1 1 1110
171 11 11 , 1 11"1
a im am
0
n.#Ai IWO I &I It] U#A w a "M ; 6
MCI Ililll VIII II �III�I II
im
Company:
SIC: Sq. FL:
Chief Building Inspector For Mayor
THIS PERMIT VAUD ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL.- 234-5933 24 HOURS PRIOR TO INSPECTION
I
Melissa Mackv
From: Levi Pletcher <clevip7@gmail.com>
Sent: Tuesday, October 22, 2013 2:19 PM
To: Melissa Mackey
Subject: 44th Place permit expiration extension request
8020 W. 44th Place
03t •�
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number : 9921
. BUILDING INSPECTION LINE - 303-234-5933
CITY OF WHEAT RIDGE Date : 12/17/99
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215 - (303-235-2855)
Property Owner :
Property Address : 8025 W 44TH PL Phone : 238-6726
Contractor License No. : 19222
Company : A PLUS MECHANICAL, INC. Phone : 446-3050
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 (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED DATE
Description : Replace furnace
Construction Value :
$2,075.00
Permit Fee :
$$3.25
Plan Review Fee :
$0.00
Use Tax :
$31.13
Total:
$114.38
Use:
Electrical License No : 20543
Company : Fluorscent Maintenance
Expiration Date : 2/28/2001
Approval :
Piumbing License No :
Company :
Expiration Date :
Approval :
Mechanical License No :
Company :
Expiration bate :
Approval :
(1) This permitwas issuetl in accordance with the provisions set forth in yopur appliration and is subject to the laws of the State of Coloredo and to the Zoning
Regulations and Building Cotle of Wheat Ridge, Colorado or any other applicable oMinances of ihe Ciry.
(2) This permit shall expire if (A) the work authorizetl is not commenced within sizty (60) days from issue date or (B) the builtling authorizetl is suspended or
abandoned 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 orwill be made in the
original plans and specifications and any suspension or abandonment has not exceeded one (i) year. If changes are made or if suspension or abantlonment
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 naturel Flow of water causing a drainage problem.
(5) Contractor shall notify the Builtling Inspector hventy-four (24) hours in advance for all inspections and shall receive written approval on inspection card before
proceediing with successive phases of theob.
(6) The issuan f a permi[ or the approval o'~drawin9s and specifca[ions shall not be wnstrued to be a permit for, nor an approval of, any violation of the provisions
of the bu iR wtles or artir other ortlinance, law, rule or regulation.
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEATRIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
S~
Building PermitNumber<
Date :
„
Property Owner : Ploc~emar eQA-
Property Address : Phone : 23 E'"
Contractor License No. :I `i z z y
Company : R Phone : 44 b - 30'5 0
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify lhat the setback distances proposed by lhis 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 Wheai Ridge Building
Code (U.B.C.) and all other applicable Wh t Ritlge ordinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED(il ~.tIX.Gia(8 }~TE / ? 1(6,9 9
Description : `~r e-
Construction Value :
~ z, 6"145< Co
PermitFee:
~v~izS
Plan Review Fee :
"
UseTax:
3G• t-3
Total :
* 1 (4 "b Pj
BUILDING DEPARTMENT USE ONLY
Approval:
Zoning :
Approval :
P., ublic.Wo~ks;GoifimeFits,~
a
Approval :
SIC : Sq. Ft. :
Occupancy : Walls : Roof : Stories : Residential Units :
Electrical License No :4, ~ lumbing License No : Mechanical License No : Cct ZZ Z-
Company : N\aw1keA1Z'6Wpany : Company :P% Q 41.i,5 rM2:C.~Vvn«-A
Sq3 To,.,,,,._Kso,-,
Expiration Date :'z1z~a1oo Expiration Date : Expiration Date : 3t4
Approval : Approval : Approval :
,p ~Pians'~ReqLired~j m P~Plans'Requiretl~c7 ~ a~Plans+ReqUirecl~
(1) This permil was issued in accardance with the provisions set forth in yopur appliwtion and is subject to the laws of the State o( Colorado antl to the Zonin9
Regulalions and Buildiny Cotle of Wheat Ridge, Colorado or any olher applica0le ordinances of the City.
(2) This permit shall ezpire if (A) the work authorizetl is not commenced within sixry (60) tlays from issue date ur (0) the builtling aulhorizetl Is suspentled or abantloned for a period of 120 days.
(9) I( this permil expires. a new permR may be acquired for a(ee of one-half the amount nortnally required, providetl no changes have been or will be made in the
original plans and speaficalions and any suspension or atandonmenl has nol exceeded one (t) year. If changes are matle or il suspension or abantlonment
exceeds one (1) year, full lees shall be paid lor a new permiL
(4) No work of any manner shall Ge done that will change the naNralBOw of water wusing a tlrainage pmblem. (5) Conlractor shail notify the Building Inspector Iwenry-/our (24) hours in advance for all inspections and shail receive writlen approval on inspection wrtl before
proceetliing with successive phases of the ob.
(6) The issuance ol a permit or the approval o~tlrawings and specifcations shall not 6e construed to be a permit tor, nor an approval of, any violation of the provisions
of the builtling codes or any other ortlinance, 1aw, rule or regulacion.
Chief Building Inspector For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOFZ
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
DEPARTMENT OF COMMUNITY DEVELOPMENT
7500 WEST 29tn AvENUE BUILDING INSPECTION DIVISION PERMIT N0. M91#16440
23-e94+E*_ 2S5 P.O. sox 638 CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VAUD ONLY WHEN SIGNED BY THE CNIEF BUILDING INSPECTOR AND RECEIPTED BELOW.
]APPUCATION FOR MISCELLANEOUS PE~
JOB ADDRESS r ~ OWNER 'S~e' I~ .
CONTRACTOR E~5 ADDRESS `77 ~d )4W1'SO''
ADDRESS W~Ol (~r PHONE 93(/s3-11 _ ZIP.oooe
d-
CITY W~( ZIP CODE ~U~Z ( Z. rONTRACT PRICE $
PHONE `IZ (61 G 1-\ LICENSE NO.~~ 01-30-91
1. TYPE Ground❑
Wail❑
Proieetin0❑
Other
SaDFaee
2. MATERIAI
Totol Squara Feat
SIGNS
3. ILLUMINATION YeaO No❑
Typa
Eleef. Parmif Na .
4. SET BACK FROM PROPERTY LINE N
_
E
_ W
Zona_
ApDroved, Zone Inspector
(Speeify which ia froM )
❑
❑
❑ ❑
DisapDroved
1. TYPE SolidD Mors Thon BO% OpenO
lsu Thon 80% Open
? ' MATERIAL
HsipM
FENCES
3. SET BACK PROM PROPERTY LINE N
_
S_ E
_ W
Zons_
Apprwed,Zone Inepaciw
(Soeaifv whieA ia froM)
❑
❑
❑ ❑
. Disapproved _
OTHER
i. 1(4 ° -I-A S No ttaA
z. -rn a R 0_1:k
3.
INSPECTION TICKET
V
DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHER STRUCTURE, JOB p ~j. P
(SETBACKS OR PROJECTIONS INCIUDEA) ADDRESS ~
D Oo~ S ~CF
rnCl /
DATE: BLDG. PERMITN /(OyV0
PERM ITR
BLDG.
SUBCONTRACTOR
DATE INSP. REQ. 5L_S~ r
STREET NAME SHOW DISTANCES FROM THE MAIN BUIIDING TPADJOINING HOUSES, STREET; TYPE OF INSP. `
DISTANCE TO PROPERTV UNES, NOT MAXIMUM ORAVERAGE DISTANCE. ~ 3. / _
INSPECTION MADE_
~ APPLICATION FOR PLUMBING; ELECTRI(
THIS APPUCATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WO REMARKS
PERMIT WILI EXPIRE 60 DAYS FROM DATE OF ISSUANCE !F ~ .
ELECTRICAL PERMIT
STATE ItCENSE N0.
PLUMBING PE v I
STATE UCENSE N0.
ALUM
INUMWIREUNDERSIZE8ILLEGAL
FLOOR
BSM
ISTiolor
FORM 849
R
W
ryO.
WATER CIASET
.
.
TEMPORARY METER
WASH BOWL
NEW SERVICE AMPS
BATH TUB
CHANGE SERVICE-AMPS
SHOWER
LIGHTING
SINK
HEATING
GARBAGE DISP.
REFRIGERATION SYSTEM
POWER SUB-CIFCUITS
UTIUTY (RANGE, DISPOSER, ETC.)
FIXTURES
WATER HEATER
AUTO. WASHER
DISH WASHER
Betri eronf Group
Poundi Char e
AUTOMATIC SPRINKLER SYSTEM
WIRING MOTORS Bi CONTROLS
FLAOR DRAIN
ELEVATOR
SIGNS
URINAL
.
TRANSFORMERS 9 RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
P
P
MOTORS OVER I HP
TOTAL FIXTURES
~
REMARKS
PERMIT FEE
1 hereby ocknowledqe ihot this applico-
tion is CorrECt vnd understand ihaf I
USE TAX
connot afarf fhis project until ihis oppii-
cation in approved. I sholl comply with
TOTAI. FEE
the lowe of the State of Colorado ond to
the ZoninQ Requlotions and Buildin4
EI
PPRO
V
A
Code of the City of Wheat Ridpe. Any
I
~
O
~
violation of the above terme will couse
CHIEF BUILD
immediate rovocation of this permit,
w6l6i.o ) Date
4001ieanlO 9ipnal • ~
S~/. DD NOT VALID UNLESS RECEIPTEI
9765
as vu
E
r.`.~
INSPECTOR, City of Wheat Ridge
^ ~ 0- 6i~l
CAL1427 49Ad EXI 2s4
24 HOURS IN ADVANCE
FORINSPECTIONS
G