HomeMy WebLinkAbout11658 W. 40th CirclePERMIT: %� ADDRESS: f �G 4'(�� 0�6t�)013 CODE: t kr
INSPECTION RECORD
Inspection online form: http://www.ci.wheatridge.co.us/inspection 11-
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Inspections will not be performed unless this card is posted on the project site
Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business
Foundation Inspections
Date
Inspector
Initials
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
0
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
0
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
Rough Inspection (continued)
Date
Inspector
Initials
Comments
316 Rough Mechanical Residential
317 Rough Mechanical Commercial
318 Boiler / Furnace
CT11
319 Hot water tank
320 Drywall screw and Nail
321 Moisture board / shower walls
322 Rough Grading
323 Miscellaneous
/�
p
Final Inspections
Date
Inspector
Initials
Comments
402 Gas Meter Release
403 Final Electrical Residential
404 Final Electrical Commercial
CT11
405 Final Mechanical Residential
406 Final Mechanical Commercial
407 Final Plumbing Residential
408 Final Plumbing Commercial
409 Final Roof
/�
p
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
J
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.
The City of Wheat Ridge
Third Party Form Check List
Property Address;
Permit Number t
Permit Issued Date
Owner Information
Property Owner Information
Property Owner Address v
Inspector Information
Inspection CompanyLLCjL_,
Inspector Name ' ,
Inspector Contact info. ?l
Inspector Statement and Acknowledgement
* I hearby acknowledge the roof I am inspecting is 6/12 or over all roofs
that are under 6/12 must be inspected by the City of Wheat Ridge Buiding Dept.
* I hearby acknowledge the roofing system for the referenced building has been inspected
and found to be in compliance with the minimum requirements of the 2012 IRC and 2012
IBC as well as all City of Wheat Ridge Policies and Procedure and Manufacturer's
recommendation a ifications_
Inspector: Date:
ProQerly Owner Siaiement of Acknowledgement
*1 hearby acknowledge that I am the owner of the building referenced above and I give
my consent for the listed third -party inspection company to perform my roof inspection
in lieu of the City of WheatRide �' ding Division inspection.
Propery Owner/ Agent: Date:
This original document as well as the roofing check list, must be submitted to the Chief
Building Offical within seven days of the final inspection.
Drop off in person Submit via Email
Permit counter 2nd floor KcoolC�ci w eatrid eco us
7500 W. 29th Ave
Wheat Ridge CO 80033
Drafted Date_ 7/26/17
Please add note to reverse side
The City of Wheat Ridge
Inspection Check List notes
Final Roof
Roofertion
N/A
[_� Pass
Fail
❑ N/A
( Pas
rail
Structural roof components
N/A
Pass
❑ Fail
Verify that no more than 2 layers of shingles exist
C7 N/A
[�( Pass
[:1 rail
Flashing for roof and walls
❑ Pas
[J rail
If new sheathing is installed verify that it is listed in the
permit description (Valuation must be adjusted)
Il N/A
El Pass
C -J rail
Verify sheahing nail pattern ( See policy & Proceedures)
[2� N/A
El Pass
[_I Fal
Crickets and saddles where needed
C 1 nvA�J
pass
f-] Fail
Verify B vent must have boot same gauge as pipe
[_) N/A
(jll Pass
[_] Feu
Verify vent caps
[) N/A
�j Pass
[_-J Fa'l
Verify no flashings are damaged or rusted
[J N/A
l Pas
❑ Fail
Step flashing shall be min. of 4x4 piece per shingle
j N/A .
O Pas
C J Fail
Verify scuppers allow for proper drainage
N/A
[,� Pass
C.l Fail
Ice and water shield 2° in heated wall spaces
N/A
Pass
❑ Fail
Underlayments must follow 2012 IRC / 2012 IBC
N/A
,{
Pass
[=J Favi
Verify roof slope for proper drainage
Cl N/A
( Pass
❑ Fan
Dripedge shall have min of 2" overlap
N/A
Pass
Fail
Dripedge should extend down min 2" past roof deck
E N/A
Pas
[J rail
Dripedge shall be mechanicaly fastened 12" OC
i N/A
C I Pass
C7 Fa;;
90 LB roll roofing shall not be applied to roof slopes
less than 2:12 slope: Exception, detached garages,
patios, carports, open on three sides with min. slope of
1:12
IfJN/A
❑ Pas
[] rail
Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
[Y N/A
❑ Pass
D Fail
.Above roof insulation R-25
N/A
[-_) Pass
Fail
Below roof residential R-38
YN/A
❑ Pass
Fan
Below roof commercial R-32
N/A
CJ pass
rail
Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
must be installed in accordance with the manufacturers
specifications- Must have manufactures letter of
warranty with the address on the letter for final inspection
Natal R_op_ f
Shinales Requirements
[-I N/.4
I Pas
C ra all
Metal roof shingles shall not be installed on slope less
3:12
(=1 N/A
J(� Pass
C] rail
Metal valley flashing shall be the same material as roof
I J N/A
Pass
❑ rail
Metal valley flashing shall extend a min of 8" from the
centerline with a min. of 3/4 " high splash diverter
rib built-in at the flow line with sections overlapping a
a min. of 4"
Tile Roofs FLegy:irpmqnts
I N/A
F- Fuss
[_ rail
Clay and concrete tile shall have a min. 2-1/2:12 slope
Slopes 4:12 and under require double underlayment
The City of Wheat Ridge
Inspection Check List notes
Final Roof
Company Name:
Q
t t
inspector signature:
Date of Inspection:
The City of Wheat Ridge
Third Party Form Check List
Property Address
Permit Number 201`?
Permit Issued Date C't--2_2--1_Ci:i
Owner information
Property Owner Information
Property Owner Address
ins actor Information
Inspection Company _U 2 M(2-5
Inspector Name
Inspector Contact info, 7/
Inspector Statement a
— —ndAcknowled-gement
I hearby acknowledge the roof I am inspecting is 6/12 or over all roofs
that are under 6/12 must be inspected by the City of Wheat Ridge Buiding Dept.
* I hearby acknowledge the roofing system for the referenced building has been inspected
and found to be in compliance with the minimum requirements of the 2012 IRC and 2012
113C as well as all C,*
,qY OVfeat Ridge Policies and Procedure and Manufacturers
recommendati d ifi tions.
Inspector:
Date:
*1 hearby acknowledge that I am the owner of the building referenced above and I give
my consent for the listed third -party inspection company to perform my roof inspection
in lieu of the City of Wheat Ridge ding Division inspection.
Propery Owner/ Agent: Date:
This original document as well as the roofing check list, must be submitted to the Chief
Building Offical within seven days of the final inspection.
Drop off in person Submit via Email
Permit counter 2nd floor Kcook Qci.wheat
7500 W. 29th Ave
Wheat Ridge CO 80033
Drafted Date: 7/26/17
Please add note to reverse side
The City of Wheat Ridge
Inspection Check List notes
Mid -Roof
Roof Inspecti Qn
❑ /A ❑ Pass ❑ Pail
[VN/A ❑ Pass ❑ fail Structural roof components
❑ N/A Pass ❑ Fail Verify that no more than 2 layers of shingles exist
❑ N/A � Pass ❑nail Flashing for roof and walls
❑ Pass ❑ Fail If new sheathing is installed verify that it is listed in the
permit description (Valuation must be adjusted)
14 N/A ❑ Pass ❑ Fail Verify sheathing nail pattern ( See policy & Proceedures)
0 N/A ❑ Pass ❑ Fail Crickets and saddles where needed
❑ N/A Pass ❑ Fail Verify B vent must have boot same gauge as pipe
❑ N/A Pass ❑ Fail Verify vent caps
❑ N/A -Pass ❑ Fail Verify no flashings are damaged or rusted
❑ N/A [ Pass ❑ Fail Step flashing shall be min. of 4x4 piece per shingle
[,XN/A ❑ Pass ❑ Fail Verify scuppers allow for proper drainage
❑ N/A Cid Pass ❑ rail Ice and water shield 2' in heated wall spaces
N/A [ Pass ❑ Fail Underlayments must follow 2012 IRC / 2012 IBC
❑ N/A Pass ❑ Fail Verify roof slope for proper drainage
❑ N/A Pass ❑ Fail Dripedge shall have min of 2" overlap
❑ N/A Pass ❑ Fail Dripedge should extend down min 2" past roof deck
❑ N/A Pass ❑ nail Dripedge shall be mechanically fastened 12" OC
[N/A ❑ Pass ❑ Fail 90 LB roll roofing shall not be applied to roof slopes
less than 2:12 slope: Exception, detached garages,
patios, carports, open on three sides with min. slope of
1:12
_ N/A ❑ Pass [] F3il Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
N/A ❑ Pass ❑ Fail Above roof insulation R-25
`f N/A ❑ Pass ❑ Fail Below roof residential R-38
[ N/A ❑ Pass ❑ Fail Below roof commercial R-32
N/A ❑ Pass ❑ F:)il Modified Bitumen, EPDM, TPO min slope 1/4:12 slope
must be installed in accordance with the manufacturers
specifications- Must have manufactures letter of
warranty with the address on the letter for final inspection
YN/A
Metal Roof Shingles Requirements
ElPass E]Fail Metal roof shingles shall not be installed on slope less
3:12
N/A ❑ Pass ❑ R)il Metal valley flashing shall be the same material as roof
N/A ❑ Pass ❑ F,)il Metal valley flashing shall extend a min of 8" from the
centerline with a min. of 3/4 " high splash diverter
rib built-in at the flow line with sections overlapping a
a min. of 4"
Tile Roofs Realuirements
�N/A ❑ Pass ❑ Fail Clay and concrete tile shall have a min. 2-1/2:12 slope
Slopes 4:12 and under require double underlayment
The City of Wheat Ridge
Inspection Check List notes
Mid -Roof
Notes
Company Name: LLG
Inspector signature:
Date of Inspection: / 3%/
► ' City of Wheat Ridge
Residential Roofing PERMIT - 201707876
PERMIT NO: 201707876 ISSUED: 09/29/2017
JOB ADDRESS: 11658 W 40th CIR EXPIRES: 09/29/2018
JOB DESCRIPTION: Residential Re -roof to install Decra metal roofing - 55 sq Pitch = 9/12
(3rd party inspector required)
*** CONTACTS ***
OWNER (303)422-9293 LECCISO PIERPAOLO
SUB (303)274-1111 Manuel Rocha 021129 Horn Brothers Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 47,556.00
FEES
Total Valuation 0.00
Use Tax 998.68
Permit Fee 706.55
** TOTAL ** 1,705.23
*** COMMENTS ***
*** CONDITIONS ***
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required for both the midroof and final inspections. The 3rd party inspection report AND
THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat
Ridge. The report MUST BE SIGNED by the Homeowner.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec.
R806. The installation of ridge venting requires the installation or existence of soffit
venting. For calculation purposes, one hat or turtle vent equal to one-half of one square
foot of opening.
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) is required on the entire roof
when spaced or board sheathing with ANY gap exceeding one half inch exists. Sheathing and
mid -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield
is required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer installation instructions,
whichever is more stringent. In order to pass a final inspection of elastomeric or similar
type roof coverings, a letter of inspection and approval from the manufacturer technical
representative stating that "the application of the roof at (project address) has been
applied in accordance with the installation instruction for (roof material brand name) roof
covering" is required to be on site at the time of final inspection.
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 - 201707876
PERMIT NO: 201707876
ISSUED
JOB ADDRESS: 11658 W 40th CIR EXPIRES:
JOB DESCRIPTION: Residential Re -roof to install Decra metal roofing
(3rd party inspector required)
09/29/2017
09/29/2018
55 sq Pitch = 9/12
I by my signature do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am a 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. 1 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 per0qeisdisclsed in this document and/or its' accompanying approved plans and specifications.
,a_— 1
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 originalpermit fee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4, No work of any manner shall be performed that shall results in a change of the natural flow of water without prior and specific approval.
5, The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
� [t1111�.. �itJ1/«J►�Lr.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Dane Lovett
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, September 27, 2017 3:25 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Follow Up Flag: Follow up
Flag Status: Completed
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
11658 W 40th Cir
Pierre Lecciso
303-422-9293
109
i
C�
Property Owner Email
humberto@hornbrothersroofing.com
Address
Do you have a signed
Yes
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed
Pierre Lecciso.pdf
Contract
CONTRACTOR INFORMATION
Contractor Business
Horn Brothers Roofing
Name
Contractor's License
021129
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
7203912444
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address
2325 S JASON ST
(Primary address of your
business)
Contractor Email Address
humberto@hornbrothersroofing.com
Retype Contractor Email
humberto@hornbrothersroofing.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of
55
the entire scope of work:
Project Value (contract
47556
value or cost of ALL
materials and labor)
Are you re -decking the
No
roof?
f
Is the permit for a flat
Pitched roof (2:12 pitch or greater)
roof, pitched roof, or
110
both? (check all that
apply)
What is the specific pitch
of the PITCHED roof?
How many squares are
part of the PITCHED
roof?
Describe the roofing
materials for the
PITCHED roof:
Type of material for the
PITCHED roof:
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? Etc)
9:12
55
Decra Roofing
Metal
Remove metal and install Decra Roofing in the whole house.
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
ill
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 Humberto Cruz
Email not displaying correctly? View it in your browser.
112
HORN BROTHERS ROOFING
A COLORADO COMPANY
In Business Since 1,984
2325 S. JASON STREET
DENVER, COLORADO 80223
303-274-1111
ROOFING AGREEMENT
OWNER Pierre Lecciso
STREETDATE 9121/2017
11658 W. 40th Cir.
CITY, STATE, ZIP _ Wheat Ridge 80033
PHONE: 303-422.9293 PHONE:
EXISTING SPECIAL ATTENTION AREAS
EMAIL: ❑
❑ GUTTERS (ANY OLD DAMAGE) _ repiacinp
®
SPECIFICATIONS PITCH: ANY AREAS UNDER 4/12
TEAR OFF � YES 0 NO one f1) LAYER (additional layers extra s) ❑ FLAT AREAS: ❑ YES ® NO
® REPLACE WITH Decra Roofing
® STYLE OF SHINGLE TILE❑ LEAKS: WHERE garage
❑ INTERIOR DAMAGE: WHERE no
® COLOR OF SHINGLE CHESTNUT
❑ DOES DRIVEWAY HAVE CRACKS ® ®YES [3 NO MANUFACTURER'S LIMITED WARRANTY lifetime YEAR(S)
® HORN BROTHERS WORKMANSHIP WARRANTY five 5 YEARS) NOTES
® VALLEY Closed pan TYPE SOFFITS boxed EXISTING TYPE ROOF installed wlrinp shanl AGE _y_
® RIDGE MATERIAL Decra TYPE PITCH 9:12 ACCESS 0.00
Mission
EDGING Decra STEEP 40.92 2 -STORY 0,00
® COLOR CHESTNUT
® SIZE 5" atone coated steel Price includes 6" steel gutters &3x4 downspouts by Santos – 720-
® REPLACE PIPE JACKBOOTS ® REPLACE LP VENTS 309-9111 with a 3 -year workmanship warranty
® PAINT ROOF STACKS COLOR match Gutters color: A i A) I C lLCZ
® I & W ®3XEAVES ®VALLEY ®PENETRATIONS CHIMNEY(S) Downspouts color: ! ,UC ! c v t
�] INSTALL SYNTHETIC UNDERLAYEMNT SKYLIGHT(S)
Install using screws. Install vertical 10 battens and horizontal 2x2
EXTRA WORK battens.
® CLEAN-UP & HAUL OFF ROOFING TRASH
®
CLEAN OUT GUTTERS Install new soffit vents (14). Matching house paint must be
supplied by homeowner at time of installation. Homeowner is
® ROLL MAGNET AROUND HOUSE PERIMETER responsible for clearing any insulation away from soffit vent holes.
SPECIAL INSTRUCTIONS n Approximate date of installation:
1 Includes 2" nolvisn and armafofl 7t'" Deposit amount received:t�%
2. Includes installation of old roof panels on azebo )r i p�} Del
3. Payment type: eke r
TERAAS
WE HEREBY PROPOSE to fumish labor and materials in accordance with the s
ifications,the
When fully executed by Company and Owner, this Roofing Agreement becomes binding conteract ub outrct t for t sum of f wor —=75,000.00 "Contract Price."
k specified hereand the terms on t
attached Buyer's Rights and Homeowner Protection Agreement. This Agreement does not include any hidden struct�loissues uncovered during the tear -off of your
root, such as bad/rotted decking, fascia, trusses, skip sheathing issues or additional layers of shingles.
BILLING AGREEMENT: f 10% de osrt• 40% u n materials arrival- remainder upon completion
AI
ACCEPTED BY "j3-TZj DATE
Pte a Lecciso 9/21/2417 ACCEPTED BY
Insurance CarlicEr. DATE 9/21/2017
Policy
SALESMAN Matthew Williams
#
matthew�hornbrothersroofing com
Phone # & Fax #:
cell: 720-394-6104• office: 303.274-1111
�o/I1�Civ.•/tC,� Gti'�i/�><5 %�' err �I' �� � C Li wt cls'
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
❑ No one available for inspection: Time / �� f AM/PM
Re -Inspection required: (Yes No
, f
When corrections have been made, call for re -inspection at 303 -234 -
Date: = Inspector:.
DO NOT REMOVE THIS NOTICE
A i CITY OF WHEAT RIDGE
��9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
Of r j-444'
INSPECTION NOTICE
Inspection Type: P R .—J—
Job
ZJob Address: J I (, 5 8 ij 4 O t -h C I k
Permit Number: (S) O 1 (0 0 10 ) 3
V (QZ , 4�QIf(zova
❑ No one available for inspection: Timel:il 3
Re -Inspection required: Yes It,
*When corrections have been made, call for re -inspection at 303-234-5933
Date:) o / / J inspecto .
DO NOT REMOVE THIS NOTICE
I ,JJ
N* � A i CITY OF WHEAT RIDGE t ; °?
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: P.191—
Job
R.2.Job Address: I I 5 f� W 4n ±L C-1 R
Permit Number: Q a/ e, O 10 1 z
Itrii 1 i tiY� ClT,.��
1 r
❑ No one available for inspection: Time I ,O� AM/PM
Re -Inspection require No
*When corrections have been made, call for re -inspection at 303-234-5933
Date.9 Inspecb5 T -CAA A
DO NOT REMOVE THIS NOTICE
JUL/11/2016/MON 88:01 AM PAX No, P, 882
AO V
Ow *"
Building Division
7500 W2e AVO., Wheat Ridge, CO 80033
303-235-2855 303-237-8929
Inspection Line: 303-234-5933
Facsimile Building Permit Application
+ .1 .* s
Property Owner (ptease
rAddress: (it dftrent than property address)
Plea ROVIOW (due at drft of WOO:
.asp►
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16 11
tr 4 �F ". f t ..i • t f' i' t..ia t f. "tAt. »*t f� t t
fPlans subjeo heldlCIRLCE OAGI.- (OWNER) NT CT f
AIM��•
of PERSONAL REPRESE ATIM
w w NAME: j
*•Z'4_446_ i. ,� it •e'»
♦ 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: nF,
Job Address: _ f l ltd. �I(� f t',✓rfP
Permit Number: / 1
r ( f 0 N
❑ No one available for inspectio Time 7- 14 AM
Re Inspection required: Yes No
"When corrections have been made, call for re- inspection at 303 - 234 -5933
Date: _ I - 210 Inspector:
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: j df`ct
Job Address:
Permit Number:
i
f
I
C
❑ No one available for inspection: Time AM /pM J
Re- Inspection required: Yes N)o
When corrections have been made,, call for re- insi3ection at 303- 234 -5933
Date: (" - L ;� Inspector: r
DO NOT REMOVE THIS NOTICE
DEPARTMENT OF COMMUNITY DEVELOPMENT
7500 Wesr 29tn AvENUE BUILDWG INSPECTION DtVISiON PERMIT N0. M921k17840
237-6944 EXT. 255 P.O. BOX 638 CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONLY WNEN SIGNED BY TFiE CHIEF BUILDING INSPECTOR AND RECEIPTED BELOW.
~7 ,APPP ATION FOR MISCELLANEOUS P RMIT ~
JOB ADDRESS o b I OWNER 2~'~ a~C ~ S(7
CONTRACTOR La Dt R1) 0 D~ ~ S S v1t\-:S
ADDRESS
CITY ZIP CODE !9S dLI d ~
PHONE ~9 3r~7 OLICENSE NO. ~?~°L%e
ADDPESS
PHONE ~O~-D~ IaDDa ZIPCODE
CONTRACT PRICE $ 355-• D f)
DATE
I, TYPE Ground❑
Woll❑
Proiectinp❑
Ofher
SaDFOaa
2. MATERIAL
TotolSquaraFeat
SIGNS
3. ILIUMINATION Yea❑ No❑
Type
Elaet. Permil No.
4 SET BACK FROM PROPERTY IINE N
_
S- E
_ W
Zone_
Approvsd,2onelnspsetor
(SDeeify which is tront )
❑
❑
❑ ❑
DiaopDrwed
1. TYPE SolidEl More Than BO% ODenO
Less Thon 80% Open
MATERIAL
Hsiphf
FENCES
3 SET BACK FROM PROPER7Y LINE N
_
S_ E
_ W
Zone_
Appraed,Zone Inspeeta
(SOecifv whieh ie tront)
❑
❑
❑ ❑
Dianpproved
OTHER 12
3.
DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHER STRULTURE,GIV
(SETBACKS OR PROJECTIONS INClUL1ED) .
G
JOB
ADDRESS I I LO S~ ve
STREET NAME
SHOW DISTANCES FROM THE MAIN BUILDING TPADJOINING HOUSES, STREETS, i
DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE.
APPLICATION FOR PLUMBING; ELECTRIC
THISAPPLICATION WILL BECOMEA PERMITTO PERFORM THE INDICATEDWORY
PERMIT WILL EXPIRE 180 DAYS FROM THE DATE OF ISSUANC..
NOT
~A 26 I
ELECTRICAL PERMIT
STATE LICENSE NO,
PLUMBING PERI REMARKS v'l
STATE LICENSE NO.
117
ALUMINUM WIRE UNDERSiZE 81LLEGAL
FLOOR
BSM
IST
ryp,
WATER CIASET
TEMPORARY METER
WASH BOWL
W,R. FORM &t9
NEW SERVICE . - AMPS
BATH TUB
✓
CHANGE SERVICE-AMPS
SHOWER
LIGHTING
SINK
HEATING
POWER SUB-GFCUITS
UTILITY(RANGE,DISPOSER,ETC.)
GARBAGE DISP
WATER HEATER
AUTO.WASHER
Pounds Chor s
FIXTURES
DISH WASHER
AUTOMATIC SPRINNLER SYSTEM
WIRING MOTORS d CONTROLS
FLAOR DRAIN
ELEVATOR
SI6NS
URINAI
TRANSFORMERS d RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FIXTURES
I hereby ecknowledQe that this apDllco- PERMIT FEE
fion ia coirect and understand thot I USE TAX
cannot afvt this project until this appli-
cotion is apvroved. I shall comply with TOTAL FEE
the lowe oi Ihe State of Colorodo and fo
ihe Zoninp Requlations and Buildinq ROVEI
Code of the City o} Wheat Ridqe. Any DISAPP
violation of the above terme will couse CHIEF BUILD
immediate revowtioq_oi,(~is permit
INSPECTION TICKET
DATE: a ~~p ~ BLDG. PERMITR 17JI`
PERMITN
BLDG. CONTR.
SUBCONTRACTOR
DATE INSP. REQ.
TYPE OF INSR
INSPECTION MADE
INSPECTOR,City of Wheot Rid9e
Date Issued
CALL 237-8944 EXT. 255
24 HOURS IN ADVANCE
FORINSPECTIONS
DEPARTRAENT OF COMMUNfTY DEVELOFMENT M 19 j
7500 wEST29fnnvENUE BUILDING INSPECTION DIVISION PERMIT N0. 3,7 2~
237-8944 ExT. 255 P.O. eox sss CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALIO ONLY WHEN SIGNED BY THE CHIEF BUIIDING INSPECTOR AND RECEIPTED BELOW.
APPLICATION FOR MISCELLANEOUS RMI ,
JOB ADDRESS CC4 OWNER 'a u ~ 4Ce j fo
CONTRACTOR ~~ymh rTcqL 'T DQii' I ADDRESS- «G Sg ~,~'z
ADDRESS ~Ji Ck lOd7 y~ I PHONE 2~-9 3 9z ZIP CODEv~q~.~z
CITY A/~bLB /O ZIP CODE CONTRACT PRICE $ Oda , e7 D
PHONE !C3
02690 LICENSENO. ~i1'7%2`T
I
TYPE Ground ❑ Woll❑ Proieefin0❑ OMer S or D Foes
1
SIGNS
.
2. MATERIAL Totai Squoee Feet
Etett
Parmit No
❑ T
❑ N
.
.
ype
o
3. ILLUMINATION Yaa
4 SET BACK FROM PROPERTY LINE N_ S_ E_ W Zona_ Approved, Zone Inspsator
(Specifywhichiafront) ❑ ❑ ❑ ❑ DinapDroved
i. TYPE Soiid❑ Mors Thon BO% OpenE3 Less Thon 80% Open
MATERIAL Hdpht
FENCES
3. SET BACK FROM PROPERTY LINE N_ E_ W Zons_ Apprwsd,Zons Inepeeta
(Speci}y whiehiatront) ❑ ❑ ❑ ❑ DinoDDroved
I.
2
OTHER
'
3
.
DRAW SKETCH OFt SHOW BELOW, THE FENCE,SIGN, OR OTHER STRUCTURE, GIVIKu DISTANCES FROM PROPERTY LINES.
(SETBACKS OR PROJECTIONS INCLUDE.D) .
~
SPECIFY NORTH
STREET NAME
SHOW OISTANCES FROM THE MAIN BUILDING TOADJOINING HOUSES, STREETS, AND PROPERTY LINESp ON IRREGULAR LATS, SHOW LEAST
DISTANCE TO PROPERTY LINES, NOT MAXIMUM OR AVERAGE DISTANCE.
APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BV THE BUILDING INSPECTION DIVISION.
PERMIT WILI EXPIRE 60 DAYS FROM DATE OF ISSUANCE !f WORK IS NOT STARTED WITHlN THAY TIfNE.
ELECTRICAL PERMIT
STATE LICENSE N0.
PLUMBING PERMIT
E LICENSE N0.
MECHANICAL PERMIT
ALUMINIfAA W7RE UWOER SIZE 8 ILLEGAL
TEMPORARY METER
LASET
WL
j
BSM
I ST
2ND
3RD
4TH
N0.
FIffL:C'vcleOne Ga ql Propone Cool Etee Solar
FORCED AIR - BTU
HOT WATER - BTU
NEW SERVICE AMPS
B
13AH
STEAM BTU
CHANGE SERVICE-AMP S
AIR CONDITIONING-BN
LI6HTING
SINK
I
OTHER
HEATING
GARBAGE DISP.
REFRIGERATION SYSTEM
POWER SUB-CIFCUITS
UTILITY(RANGE, DISPOSER, ETC.) -
FI%TURES
WATER HEATER
AUTO. WASHER
DISH WASHER
/
Refri erant Group
Pounds Char e
AUTOMATIC SPRINKLER SYSTEM
WIRING MOTORS 9 CONTROLS
FLDOR DRAIN
ELEVATOR
SIGNS
URINAL
TRANSFORMERS 9 RECTFIERS .
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FIXTURES
REMARKS 0 G.2 !IlE H<.~ /t (1 GI ~Y'O ~ L~Q ~C 1/ M-aDN I O Fi o o~'+t
lico-
} thi
h
PERMIT FEE
s app
o
I hereby acknowledge i
tion is eorrect and understand that I
li-
USE TAX
connot atart thio project unfil thia aDP
eation is approved. i shall comply with
TOTAL FEE
the lawe of the State o1 Colorado and to
the Zoninp Requlotions ond Buildinq
AppROVEI
Code of the City of Wheot Ridqe. Any
DISAPPROVEf
violation ot the above terms will cause
CHIEF BUILD
immediate revocotion of ihis permit.
I61
$ s/
City of Wheat Ridqe
I DaPe Issued e3^ 2 /
4p01ieani~ SiOnatura
CALL 237-6944 EXT. 255
24 NOURS IN ADVANCE
FOFINSPECTIONS
INSPECTION tICKET
JOB
ADDRESS
{v f'9/
DATE: BLDG. PERMITH 1~ a
PERMIT#
BLDG. CONTR.
SUBCONTFACTOR
DATEINSP. REQ. TYPE OF INSP.
INSPECTION MADE
REMARKS
W.R. FORM 619
d
DEPARTMENT OF COMMUNITY DEVELOPMENT M911q6567
7500 WEST 29th AvENUE BUILDING INSPECTION DIVISION PERMIT N0.
237-6944 ExT. 255 P.O. Box eaa CITY OF WHEAT RIDGE, C0L0. 1&
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CNIEF BUIIDING INSPECTOR AND RECEIPTED BELOW.
AP LICATION FOR MISCE
LLANEOUS P MIT
/
~
OWNER ° ~ ~1-n
10B ADDRESS
~
•
;ONTRACTOR &1 641,
L~~
ADORES~ ZZG U~. S2'3 TLq C.LY~•
+
,7'J~ 7iQ~ ST'
4DDRESS
2
PHONE 22 ' g'~_ ZIP CODE
~ ~
GTY~nL~ (:ZQ42- ZIP CODE
ONTRACT PRICE $
PHONE W=~4ICENSE NO.L4d&~_
TYPE Ground❑ Woll❑ Proieotina❑ Othsr Sor DFOee
1
.
2. MATERIAL Tofal Squara Faef
SIGNS
Permit No
ILLUMINATION Yes❑ No❑ 7yps Elwt
3
.
.
.
4. SET BACK FROM PROPERTY IINE N_ S_ E_ W Zons_ ApProved,ZOne Inspeetor
(Speeifywhichiafronl) ❑ ❑ ❑ ❑ DieapDroved
1. TYPE Solid❑ More Tlwn BO% OpanO Lese Than 80% Open
2' MATERIAL Nsipht
FENCES
3. SET BACK FROM PROPERTY LINE N_ S_ E_ W Zons_ Apprwed,Zona Inepaotw
(Specify whieA ia froni) ❑ ❑ ❑ ❑ Disapproved
I
'
.
2
OTHER
3
.
DRAW SKETCH OR SHOW BELOW, THE FENCE,SIGN,OR OTHER STRUCTURE, GIViNG DISTANCES FROM PROPERTY LINES.
(SETBACKS OR PROJECTIONS INCLUDED)
~
SPECIFY NORTH
STREET NAME
SHOW DISTANCES FROM THE MAiN BUILDING TUADJOINING HOUSES, STREETS, AND PROPERTY LINES; ON IRREGULAR IATS, SHOW LEAST
DISTANCE TO PROPERTY LINES, NOT MA%IMUM OR AVERAGE DISTANCE.
APPLICATION FOR PLUMBIN6; ELECTRICAL; MECHANICAL PERMIT
THIS APPLICATION WILL BECOME A PERMfT TO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BY THE BUILDING INSPECTION DIVISION.
PERMIT WILI EXPIRE 60 DAYS FROM DATE OF ISSUANCE !F WORK IS NOT STARTED WITHlN THAT TIME.
ELECTRICAL PERMIT
STATE LICENSE N0.
ALUMINUMWIREUNDERSfZE81l.LEGAL
PLUMBING PERMIT
STATE LICENSE N0.
FLOOR BSM IST 2N0 3R0 4TH
MECHANICAL PERMIT I
N0. RJEUCircleOneCwpolProponeCodEteeSolar
N0.
WATER CfASET
FORCED AIR - BTU
TEMPORARY METER
WASH BOWL
HOT WATER - BTU
NEW SERVICE AMPS
BATH TUB
STEAM - BTU
CHANGE SERVICE-AMPS
SHOWER
AIR CONDITIONING-BTU
LIGHTING
SINK
OTHER
HEATING
GARBAGE DISF
REFRIGERATION SYSTEM
POWER SUB-CIRCUITS
WATER HEATER
Refri eroM Group
UTILITY(RANGE,OISPOSER,ETC.)
AUTO.WASHER
Poundt CAar e
FIXTURES
DISH WASHER
AUTOMATIC SPRINKLER SYSTEM
WIRING MOTORS d CONTROLS
FLOOR DRAIN
EIEVATOR.
SIGNS
URINAL
TRANSFORMERS 9 RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTOR$ OVER I HP
TOTAL FIXTURES
I Aereby acknowledqe fho} this upplica- PERMIT FEE T/' ` (f-
fion is correet and understond thof I
li-
til this o
t thi
f
USE TAX
JA Q, (J~
un
pp
s projeC
Cannof afor
eation ia approvee. I shall comply with
nd t
d
TOTAL FEE
$ v?J-7, Ql
o a
o
tha lows of the Stote o1 Coloro
~
the Zoninp Requlations ond Buildinq
APPROVED
Code of the City of Wheat Ridpe. Any
BISAPPROMEB"
-
violotion ot the above terme will couse
CHIEF BUILDI
NSPECTOR, City of Wheat Ridqe
immediafe revoeotion of ihis permit
~ I Date IssuPd
4oolican1s sianal.r•
VAIID UNLESS RECEIPTED
,g- alo
3-ii-9
CALL 237-6944 EXT. 255
24 HOURS IN ADVANCE
FORINSPECTIONS
~
INSPECTiON TICKET
ADDRE55EV W '
Mql ' ~5 (o7
DATE: BLDG.PERMITq
PERMITN
BLDG. CONTR.
SUBCONTRACTOR
INSPECTION REQUESTED ° "p
For
INSPECTION MADE
REMARKS
W.R. Fonrn e-19
JOB
ADDRESS
DATE: 7 °L BLDG. PERMIT# 1&11
PERMITS
BLDG. CONTR.
SUBCONTRACTOR
DATE WSP. REQ. TYPE OF INSP.
INSPECTION MADE
~
REMARKS
W.R. FORM &19
DEPARTMENT 0F COiJIMUNITY DEVELOPMENT
7500 WEST 29tn AvENUE BUILDING INSPECTION DIVISION PERMIT N0. ME91114702
237-6944 ExT. 255 P.O. BoX 639 CITY OF WHEAT RIDGE, COLO.
7uIa acaMiT vni in ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BELOW.
JOB ADDRESS
CONTRACTOR G'+ G ~ l F-G4 IPL-~7G
ADDRESS I'I JG 7 .L'"" aA' t 1S G-T ~1
CITY w~ea } r1 !~3~ ZIP CODE S003
PHONE y!'15-9375 LICENSENO. a'673
WWNERVV ~GGitiS O
ADDRESS
PHONE Ll"- -ZIP CODE p~ 3
CONTRACT PRICE $ SUO. Oct~
❑
Wall[j
ProiectinQU
Othar Sor DFace
1. TYPE Ground
SIGNS
2. MATERIAL
ILLUMINATION Yea❑ No❑
3
TYGe
To1ol Squara Feat
Elaet. Permif No.
.
4 SET BACK FROM PROPERTY LINE N
(Speeity which ia front )
_ S_ E
❑ ❑
_ W
❑ ❑
Zone_ ADprwed, Zone Inapactor
DinapOrwed
1. TYPE SolidE] More Thon 80% Opsn[]
Lest Thon 80% Opan
z_ uetcpmi__
FE
_ INSPECTION TICKET
16 _ E
_
El
HsiQht .
INSPECTION tICKET
JOB JOB
0 ADDRESS
ADDRESS RUCTURE VV1 L= R (
DATE: BLDG. PERMITN q70'7-- R7VLiNE DATE: BLDG. PERMITk `r702'
PERM IT#
BLDG. CONTR.'1` gj- C-'
SUBCONTRACTOR
DATE INSP. REQ. 0
TYPE OF INSP. CJ ~-U i~'
INSPECTION MADE v_
~
REMARKS
i
T
W.R. FORM 6-19
PERMIT#
BLDG. CONTR. 0 4 ~
SUBCONTRACTOR
.
v a'7
DATE INSP. REQ.
/0
3O
4
~ rGGGG
TYPE OF INSP.
.
1
iRTY UNI
n! 7,
~
INSPECTION MADE
5,STREE
REMARKS
DISTANCE
ELECTF
ICATED W
M.
SSUANCE
nl n ~
NBING
. .
F ,
✓
-k
iE N0.
.
BSM
~ ;SOIOr
IS
Al
NO
WATER CIASET
TEMPORARY METER
WASH BOWL
HOT WATER - BTU
BTU
- AMPS
NEW SERVICE
BATH TUB
STEAM -
.
CHANGE SERVICE-AMPS
SHOWER
AIR CONDITIONING-BTU
LIGHTING
SINK
OTHER
REFRIGERATION SYSTEM
HEATING
GARBAGE OISP.
POWER SUB-CIRCUITS
WATER HEATER
qetri eronf 6roup
UTILITY(RAN6E,DISPOSER,E7C.)
AUTO.WASHER
Pound~ Char e
DISH WASHER
AUTOMATIC SPRINKIER SYSTEM
FIXTURES
WIRING MOTORS fi CONTROL.S
FLOOR DRAIN
ELEVATOR
SIGNS
URINAI
TRANSFORMERS d RECTFIERS .
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FI%TURES
w^ 13 & el R- d'. ue%
li
-
PERMIT FEE
ea
I hsreby ocknowledqe iho} this app
tion is correct and understond that I
USE TAX
~ O'U
cannot starf fhis prolecf until this oppli-
.
$
cation in opproved. I shall comply witn
TOTAL FEE
a. 6=d
the lawa of the Sto4e of Colorado and to
the Zoninq Repulationn and euildina
APPROVED
DISAPPROVED
Code of the City ot wheat Ridpe. Any
violotion ot the above terma will couse
CHIEF BUILDIN
NSPECTOR,City of Wheat Ridge
immediote revocafion of this Oermif.
Da9e Issued
2
.f 4001ieenM 9fOnamn
JLESS RECEIPTED
/f yo 6
X 3-ar-9 I N
CALL 237-8944 EXT. 255
24 HOURS IN ADVANCE
FORINSPECTIONS