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HomeMy WebLinkAbout7055 W. 42nd AvenueGSA !v, 2� �j %Q �� 70 '�'�`1NSPECTION RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Occu anc /T e Inspections will not be performed unless this card is posted on the project site. **Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Underground/Slab Inspections Date Inspector Comments sheathing J Mid -Roof Initials Comments Electrical Sewer Service Plumbing Rough Mechanical Rough Inspections Date Inspector Initials Comments sheathing J Mid -Roof f jr 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. w 11plu- lull, wt; rile vltsinut ana eiecincai low voltage by the Building Division. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather PEr.MIT NO: 7 " ADDRESS: JOb DESCRIPTION: City of Wheat Ridge Residential Roofing PERMIT - 201704670 201704670 7055 W 42nd AVE Residential Re -roof to install ROOF DECKING - 19.33 sq. ISSUED: 07/24/1ft17 EXPIRES: 07/24/2018 GAF Timberline HD asphalt shingles with OSB *** CONTACTS *** OWNER (530)263-6123 COLLINS LYNNE SUB (303)804-0303 Tom Brown 070055 Northwest Roofing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,725.24 FEES Total Valuation 0.00 Use Tax 162.23 Permit Fee 172.60 ** TOTAL ** 334.83 *** 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 one half 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 manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. City of Wheat Ridge Residential Roofing PERMIT - 201704670 PERMIT NO: 201704670 ISSUED: 07/24/2017 JOB ADDRESS: 7055 W 42nd AVE EXPIRES: 07/24/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline HD asphalt shingles with OSB ROOF DECKING - 19.33 sq. *** CONTACTS *** OWNER (530)263-6123 COLLINS LYNNE SUB (303)804-0303 Tom Brown 070055 Northwest Roofing *** PARCEL INFO *** ZONE CODE: 11A / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,725.24 FEES Total Valuation 0.00 Use Tax 162.23 Permit Fee 172.60 ** TOTAL ** 334.83 *** 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 one half 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 manufacturer installation instructions, whichever is more stringent. In order to pass a final inspection of elastomeric or similar type roof coverings, a letter of inspection and approval from the manufacturer technical representative stating that "the application of the roof at (project address) has been applied in accordance with the installation instruction for (roof material brand name) roof covering" is required to be on site at the time of final inspection. Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report will be collected at final roof inspection performed by City of Wheat Ridge. If report is not available the final inspection will not be completed. 1* i 4 4� City of Wheat Ridge , Residential Roofing PERMIT - 201704670 PERMIT NO: 201704670 ISSUED: 07/24/2017 JOB ADDRESS: 7055 W 42nd AVE EXPIRES: 07/24/2018 JOB DESCRIPTION: Residential Re -roof to install GAF Timberline HD asphalt shingles with OS3 ROOF DECKING - 19.33 sq. 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 th�1&aI owner of th property and am authorized to obtain this permit and perform the work described and approved in conjunction with this .rthperfand th�rk to be performed is disclosed in this document and/oar its' accompanying approved plans and specifications. nature oT' (4�J f' ER or CONTRACTOR (Circle one) Date ` If 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 originalpermitfee. 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 changeof the natural flow of water without prior and specific approval. 5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Division. 6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief b%2k1 t''TMiicial %.;' Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Dan Schultz �1764 C 20 From: no-reply@ci.wheatridge.co.us Sent: Friday, July 14, 2017 1:39 PM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Danny Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process O varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR 7 1 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 n your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number Property Owner Email Address 7055 W 42ND AVE LYNNE COLLINS 530-263-6123 Field not completed. -t . R-3 Do you have a signed Yes contract to reroof this property? It will need to be provided at the time of permit pick-up. CONTRACTOR INFORMATION Contractor Name Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number LEILA HAMMONS 070055 3038040303 Contractor Email Address Ihammons@northwest-roofing.com Retype Contractor Email Ihammons@northwest-roofing.com Address DESCRIPTION OF WORK Are you re -decking the �S roof? Description of Roofing Material Select Type of Material: If "Other" is selected above, describe here: How many squares of the material selected above? Does any portion of the property include a flat roof? If yes, how many squares on the flat roof? GAF TIMBERLINE HD / 7/16THS OSB Asphalt Field not completed. 19.33 No 1/ Field not completed. TOTAL SQUARES of all 19.331V roofing material for this project Provide additional detail HOUSE / 5/12 PITCH here on the description of 2 work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 7725.24 value or cost of ALL materials and labor) SIGNATURE OF UNDERSTANDING AND AGREEMENT I assume full Yes responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application. I understand that this Yes application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work Yes may not begin on this property until a permit has been issued and posted on the property. I certify that I have been Yes authorized by the legal owner of the property to submit this application and to perform the work described above. Name of Applicant LEILA HAMMONS Email not displaying correctly? View it in your browser. 3 RECOGNIZED AS A -.® 201s WINNER ACCREDITED eanr rccr aooneu *North West a BBBBUSINESS :.:°..:..,o.. Roofin 1388 Rating: A+ CiQ Since 1963 i V 4465 Northpark Drive, Suite 308 ) Colorado Springs, CO 80907 1 (719) 632-6185 ) fax (888) 846-5545 Proposal submitted to North West Roofing Estimator mAtltl Slime Date -7-) - , --7 Street 7055 kJ. �fZ � City, State, Zip wkea Lv TC03 3 lob Location/Community Phone S30- - !r. /Z Insurance Company N4 c-6 Lourie-cMIIk Policy # nc& M '? S 115-06 578 4 Email Adjuster 7i uelr-05 Claim N s 3 5 oo 1 N Scope of Work and Materials to be Provided: The scope of work and materials iaenunea Qf by signing ims agreement cne nomeowner aucnorzes ivorcn west below will be completed by North West Roofing. J� Roofing to represent the homeowner's best interest in pursuit of roof replacement or repair due to storm damage. This contract does Tear Off Layers not obligate the homeowner or North West Roofing until the claim is approved by the Insurance Company and accepted by North West Install Decking (7/16 in. OSB) CHECK DECKING Roofing, Upon Approval of the claim, North West Roofing will Install 90 Ib or ice & Water Shield in Valleys complete specific work at the price agreeable to the insurance company and to North West Roofing. There is no additional cost to 6( -ow A the homeowner except for their deductible. The agreed upon price Install 2 x 4 in. Metal Drip Edge Color Initial s� i CITY OF WHEAT RIDGE _1�9�Building Inspection Division (303) 234-5933 Inspection line '(303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 0 Job Address: 05 Permit Number: "Z01-1 0.44 o —U-) ❑ No one available for inspection: Time ()q 90M Re -Inspection required: Yes No When corrections have been made, call fo e -inspection at 303-234-5933 Date:D �� 1 Inspector: c DO NOT REMOVE THIS NOTICE '2L! �_ CITY OF WHEAT RIDGE _:�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTI E ,, Inspection Type: A 0 � �� , Job Address: Permit Number: -i �� 76 ❑ No one available for inspection: Time �P .- 'i , AMTV Re -Inspection required: Yes (No/ When corrections have been made, call for re -inspection at 303-234-5933 Date: �IYI�7 Inspector: i /�, DO NOT REMOVE THIS NOTICE 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: .4 10 0 /— Job Address: 7U % `��' 4' Permit Number: ❑ No one available for inspection: Time ` to AM/� ,-Inspection required: �e) LN, C-1 When corrections have been made, call�®re-inspection at 303-234-5933 Date: (k� Inspector: f'rA DO NOT REMOVE THIS NOTICE FOR OFFICE USE ONLY City of tater -(("qrWh6at COM1 ii7t itsi LC7 a t" Planlpermit Building & Inspection Services Division 7500 W. 29"' A e., Wheat Ridge, CO 80033Man Roview Office: 303-235-2355 * enc: 303-237-3929 Inspection Line: 303-234«5933 Building Permit Application _, ...., x_ ' _"' m.."im^....p „. -m ^•^» +.,.�..,n.e ..�+.* s ""4•°'' """"�' a��sFs�#1/sR9A #I7'RY X"W& f4mX36 &fi Property Address: _2 x 14 Property Owner mail Mailing Address: (if different than property address) Address: City, rch tectd rtgir r E-mail: Pty Contractor.- ex, 0 rye ContractorE-mail Address: ss: Sub Contractors: Electrical. Plumbing: Mechanicals W.R. City License # W.R, City License # W.R. City License Other City Licensed Sub: Other City Licensed Sub: City License # City License # Complete all information oe BQTH sides of this for S iker 4f t CL Sq. FULF Stu's Gallons Amps Squares Other FOR OFFICE USE ONLY City of !Dater ( 1d le COMMUNITY 1 L P Ptanlpermit# Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Marr Review Office: 343-235-2355 * Fax: 303-237-8929 Inspection Line: 343-234-5933 Building r it Application ma i �� Xivr $ t" ... k Property r (please print): ,, ,, , � P phone: g Property Owner Email. 7 1 v 1 � � � �° �ty=� ,. e, Mailing Address: if different than property address) Address: e° . k 6 v L,,, City, State, Zip-,--_ AVA richt ,hgin r E-mail: Phone: Contractor: L)C'hver -TIC Contractor E-mail A►iclra:. , } Sub Contractors: Electrical. Plumbing: Mechanical: WR City License # W.R, City License # W.I . City License Other City Licensed Sub: Other City Licensed Sub. City License # City License Complete all information on BOTH sides of this farm W� A. W• X W W y W: � W 'W + rent Of materials to be used, etc.) �..,7 { p y p g"+p� vt i � I' m'�� r�i t`,% �` # 3 b'Eb. �' f w e ,I'c C 1 DC10,4rv, Dqo V - SqFULF Stu's Gallons Amps � � �� squares tither City of COMMUNryy DEVELOPMENT # MUMN M1 lfl�KMM-�# M M FOR OFFICE USE ONLY Date. plawpormit # 1") Plan Review Fee: ME'llilillililippilis MOORE NMll111-11 IN' 111111,1111111 M1 lill 11 Ill'i 1111 lill 11,111111 Vj I tto—��lt Lplease Print): ri)ory)as McZf+Me-7-- 3 9 1 - 0 00 Address: City, State, Zip: M Plumbing: W.R. Citv Licartse # M111 RIM flffl� rFORTUOFFICE E ONLY City of : COMMUNrry DEVELOPMENT Building & Inspection Services C?vi8orr C 7,500 W. 29t Ave., Whet Ridge, CO 80033 Plan Review Fee. Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234.5933 Building Permit Application Please *ete all hightighted4reas on toth sides of this form.' Incomplete appti i a may not beprooessed. **� Property Address: '1055 Property Owner Email* Archite+ tl ng r r E-mail.- Phone: Contractor: L , R Contractors City Licenses Ee L)01. D Contractor E-mail Ad+dress. Sub Contractors. - Electrical: Plumbing: Mechanical: W,R. City License ## W.R.City License # WR. City License # Other City Licensed Sub: Cather City Licensed Sub: City License # City License # Complete all information on BOTH sides of this for $ NEW COMMERCIAL STR«<«<f» $ ELECTRICAL CTRICA ER I»°UPGRADE $ NEW RESIDENTIAL STRUCTURE $ COMMERCIAL ROOFING COMMERCIAL TION $ RESIDENTIAL f■e2° $ RESDENTIAL ADDITION $ WINDOW REPLACEMENT COMMERCIAL A % «:#fr STRUCTURE(Garag shed, deck, RESIDENTIALACCESSORY STRUCTURE(Garage, shed, deck,% -c. ,,MECHANICALSYSTEM/APPLiANCE\2 2§ REPAIR r REPLACEMENT $i PLUMBING SYSTEM/APPLIANCREPAIR or REPLACMENT ELECTRICAL / ■ SYSTEM/APPLIANCE\/\\� /?E REPAIR REPLACEMENT 3}«§ ■ \!�#/ � /� -�� <2 8- 10% 6Tƒ) ct, \ �^\� 'Lf,*j i ns \-iwo 'vzharb .. ..y ..y . .� . \� U \A(S \ (V\z . .. . 7 Sq.RZLF \\. \ . au \ \©/ c C) \ \\\ Gallons .A Squares Other r I ? FOUNDATION INSPECTIONS DATE - INSPECTOR - '. .INITIALS CommENrs: Footings /Caissons ? Stemwall / (CEG) Concrete Encased Ground nbing (Underground) Reinforcing or Monolithic ting (Underground) Weatherproof / French Drain Sewer Service Lines': IGHS atfiing Water Service Lines /Wall tie OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER POUR No CONCRETE: UNTIL ABOVE HAS BEEN SIGNED NCRETE SLAB FLOOR :trica I !(Underground) nbing (Underground) ting (Underground) LDo NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED IGHS atfiing /Wall tie Roof trical Service Ih Electric Ih Plumbing Piping' h Mechanical ABOVE INSPECTIONS TO BE SIGNED PRIOR: TO PROCEEDING 'g 3tlon 311 Screw .S Ical ling ,j /V .le 3nical Ig Final epartment & Drainage H� INSPECTIONS FOR PLANNING ZONING, FIRI SHOULD BE CALLED AT LEAST ONE WEEK PF & LandSCaping TE: ALL ITEMS MUST BE COMPLETED AND APPROVED BY PLANNING AND ZONING, BUILDING AND f rIFICATE OF OCCUPANCY IS.ISSUED. FINAL INSPECTION BY THE BUILDING DIVISION DOES NOT COt - OF -A CERTIFICATE OF OCCUPANCY FOR OCCUPANCY.—�. OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF OCCUPANCY IS ISSUED PROTECT THIS CARD FROM THE WEATHER A 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: PFZ — w7 11M Job Address: ?dS� w Y���r✓� Permit Number: 1k . Pal LIED ❑ No one available for inspection: Time M Re- Inspection required: Yes When corrections corrections have been made, call for re- inspection at 303 - 234 -5933 Date: Inspecto DO NOT REMOVE THIS NOTICE 4 City of Wheat Ridge Building Division 7500 W. 29t1 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-235-2857 0 o Inspection Line: 303-234-5933 LORP~ Building Permit Application PropertyAddre'ss; ~O \Aj HZ Property Owner (please print): V IVAIC)LIn Mailing Address: (if different than property address) Address: City, State, Zip: Contractor: Oi/~QOC~I Contractor License Sufi Contrac4ors Electrical City License # Company: Exp. Date: Phone: Date: Plan Permit Phone: Plumbing City License Company Exp. Date: Use of space (description):1 Descriptlolwwp'tfwo~~},C1 Sq. Ft./L.Ft added: t - squares BTU's Mechanical City License Company: Exp. Date: Construction Value: s "1. / :J> W (as calculated per the Building Valuation Data sheet) Plan Review (due at time of submittal): $ Gallons Amps 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 I assume full responsibility for compliance with the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridc dinances, for work under this permit. Plans subject to field inspection. CIRLCE ONE" (OWNER) (CONTRACTOR) or PERSONAL RE RES TIV of (O ER) (C 1NTRATO O"~ J~ ((0 PRINT NAME: O SIGNATURE: ate: l V DEPAR7MENT OF COMIvtUNITY DEVELOPMENT 7500 WEST 29th AVENUE BUILDING INSPECTION DIVISION PERMIT N0. M94#19716 234-5933 P.O. eOxs3e CITY OF WHEAT RIDGE, COLO. THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BEL'JW. APPLICATION FOR MISCELLANEOUS PMIT JOBADDRESS ' ~ OWNER --~-V~ ~e~_Iga CONTRACTOR CITY --'tir ✓~8 ~ ZIPCODE n80o Z- PHONE 12Z482-6 - "fZZ526( LICENSENO. PERMIT FEE v (Z-- ZIP CODE 263 3 1. TYPE Ground❑ Woll❑ Proiectinp❑ Other SorDFOCa 2. MATERIAL Tofal Squore Feat SIGNS 3. ILIUMINATION Yea❑ No❑ 7ype Elae}. Psrmil No. 4. SET BACK FROM PROPERTY LINE N (SDeeify whieh ia tront ) _ ❑ S_ E ❑ _ W ❑ ❑ Zona_ Approved,2one Inspactor Disopproved 1. TYPE SolidEl More Than BO% ODenO Lest Than 80% Open ? MATERIAL HeiQht FENCES 3. SET BACK fROM PROPER7Y LINE N (Specify whieAiefront) _ ❑ S_ E ❑ _ W ❑ ❑ Zons_ Appraed,Zone Impeota Dieapproved I b. ~ DRAW SKETCH OR SHOW BELOW, THE FENCE, SIGN, OR OTHER STRUCTURE, GIVIh'v DISTANCES FROM PROPERTY LINES. (SETBACKS OR PROJECTIONS INCIUDED) ~ SPECIFY NORTH FR/1NT S OC~ ~_5~0 Scw..- v, , STREET NAME SHOW DISTANCES fROM THE MAIN BUILDING TQADJOINING HOUSES, STREETS, AND PROPERTY LINES; ON IRREGULAR LATS, SHOW LEAST DISTANCE TO PROPERTY LINES, NOT MA%IMUM OR AVERAGE DISTANCE. APPIICATION FOR PLUMBING; ELECTRICAL; MECHP.fdICAL PERMIT THISAPPLICATION WILL BECOMEA PERMIT TO PERFORM THE INDICATED WORK ONLY UPON 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 AI.UMINUM WIRE UNDER SIZE 8 ILLEGAL FLOOR BSM I ST 2ND 3RD 4TH N0. FtIELCircbOna Ga5 ql Propone Cod Elae Solar N0. 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-8TU LIGHTING SINK OTHER HEATING GARBAGE DISF REFRIGERATION SYSTEM POWER SUB-CIRCUITS WATER HEATER qetri eranf fnoup UTiLITY(RANGE,DISPOSER,ETC.) AUTO.WASHER Poundt Char s FIXTURES DISH WASHER AUTOMATIC SPRINKLER SYSTEM WIRING MOTOFtS d CONTROLS FLAq2 DRAIN ELEVATOR SIGNS URINAL TRANSFORMERS 9 RECTFIERS SEWERS ADDITION TO OLD WORK . OTHER MOTORS OVER I HP TOTAL FIxTURES I hereby acknowledqe thot Ihis aDPlica- tion is correcf and understond ihaf I eonnot afart this projbct until ihis oppli- eation ie approved. 1 shall comply with the lawa of the Stote of Colorodo ond to the Zoninp Requlotione and Buildinp Code offhe City ot Wheat Ridpe. Any violation of the above terme will cause immediote revocofion of fhis permit ✓j / d~.-/t ~ 00. sro"m.,. USE TAX I TOTAL FEE ,r I$C R /_~I CHIEF BUI ADDRESS fiOSf~ W PHONE ~ CONTRACT PRICE $ IS o~, ~ DATE City of Wheat Ridqe Date Issued Z~L/( 7 ` CALL 2345933 24 HOURS IN ADVANCE FOR INSPECTIONS