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PERMIT NO. 201900352
City of
Wheat �ge
BUSINESS LICENSE INSPECTION
INSPECTION DAY/TIM
INSPECTION DAY/TIM
INSPECTION DAY/TIME
BUSINESS NAME: SGS North America Inc.
ADDRESS: 4036 Youngfield Street
Friday, March 8th @10 AM
J 03--q,A -& 6 2 I
CONTACT NAME:
Scott Heideman
aR b
r
OCCUPANCY TYPE
(0 OCCUPANCYLOAD
CONSTRUCTION TYPE
SPRINKLERED
❑ NON-SPRINKLERED
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:
Job Address:
Permit Number: �`j'c� k�2
,
❑ No one available for inspection:.,Time �-MPM
f�
Re -Inspection required: Yep,' No
:�)
When correct" ns have been made, call for re -inspection at 303-234-5933
l
Date: Inspector:--
' �
DO NOT REMOVE THIS NOTICE
This certificate verifies that the building constructed and /or
di the use proposed of the building and/or premises, under the
above permit number and on property described below, does comply
with the Wheat Ridge Building Code and development standards of
the zone ., an may +r,
All other licensing requirements for the City must be met.
Site Address: i
ACCUTEST MID LABORATOR
4 036 YOUNGFIELD ST.
RI DGE , WHEAT ! :!i
C ontractor :
F or the Following Purpose: Commercial Mechanica
*s � -• ra+r- •
FOR OFFICE USE ONLY
e.
on
avoloattons may not bo far .
I
Mailing A+dress„ (if different than property address)
,Address:
Complete all information can BOTH sides of this form
Property Owner Email:
Sci. FULF Eau's I Gallons
Amps Squares Other
Building Division
"M
2diiamLaw
W f2r- - 7 T-ME
ILM,K,K,n-m
momr
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10/21/2013 13:35 3037449129 LHITED REFRIGERATION PAGE 01/01
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CERTIFICATE OF COMPLETION
City of Wheat Ridge
7500 W 29th Ave
Wheat Ridge CO 80033
Permit# 102655 Issued: 01/05/11
Stipulations: Minor Interior Remodel & Demo
Non - Bearing Wall.
This certificate verifies that the building constructed and/
or the use proposed of the building and /or premises, under
the above permit number and on property described below,
does comply with the Wheat Ridge Building Code and
development standards of the zone district in which it is
located and may be occupied. All other licensing
requirements for the City must be met.
Site Address: 4036 Youngfield St
Parcel Number: 39- 203 -03 -005
Owner: Sharon Mullings
4036 Youngfield St
Wheat Ridge CO 80033
Contractor: Goro Morris
Square Plumb Level Builders
5470 Mohawk Rd.
Littleton, CO 80123
For the Following Purpose: Commercial Remodel
Code Editions NO change shall be made in the USE of
_ 06 ICC /2008 NEC this building without prior notice
2006 ICC /2005 NEC and a new Certificate of Completion
_ 2003 ICC /2005 NEC from the City of Wheat Ridge.
Sprinkler System
ng Inspector Zoning Administrator
E MUST BE POSTED BY FRONT DOOR OF
COMMERCIAL OCCUPANCIES
01/05/11 14:58:26 City of Wheat Ridge Page 1
bp7O1 -1s PERMIT INFORMATION - 102655 mmackey
PERMIT INFORMATION:
Permit #: 102655 Address: 4036 Youngfield St
Permit Type: Commercial Remodel Parcel Cd: 39- 203 -03 -005
Permit Dt: 11/30/2010 OWNER: Sharon Mullings
Expires: 11/30/2011 Address: 4036 Youngfield St
City /St /Zip: Wheat Ridge CO 80033
LAND PARCEL INFORMATION:
Zone Cd: Unassigned DU: 0 SetBacks- Front: 0.0
Funct Use: Unassigned Last Zone Dt: Left: 0.0
Subdivision: YOUNGFIELD PLAZA Annex Dt: Right: 0.0
Cont Type: UNASSIGNED Lot: Block No: 0 Back: 0.0
Legal:
JOB DESCRIPTION: Minor interior remodel & demo non bearing wall
FEES QTY DUE PAID:
Permit Fee 5,000.00 125.05 125.05
Permit fee additiona .00 43.50 43.50
Plan Review Fee .00 81.28 81.28
Plan Review Addtiona .00 28.28 26.28
Total Valuation 5,000.00 .00 .00
Use Tax 5,000.00 90.00 90.00
Use tax additional .00 18.00 18.00
---- - - - - -- --- - - - - --
386.11 386.11
CONTACTS:
owner Sharon Mullings 4036 Youngfield St Wheat Ridge CO 80033 3034319536
sub CIE Square Plumb Level Builders Born Morris 5470 Mohawk Rd. Littleton, CO 80123 9202935651
sub CIA KELLY ELECTRICAL SERVICES INC PAUL PARSONS 11437 W. I -70 Fr Rd North Wheat Ridge, CO 80033 3032025030
sub CLB Precision Plumbing Ltd Cheryl /Lance Graham 3162 Troy St Aurora, CO 80011 3033609474 -
PARCEL INFORMATION:
10 Structure Type 301
20 Year Built 1982
30 Property Type COMMR
PERMIT CONDITIONS:
KC: Approved per plans and notes on plans. Must comply with 2006 ISO, 2005 NEC, _
and all applicable City of Wheat Ridge Municipal Codes. Subject to field
inspections.
KC (12/21/10): Approved plans for relocation of floor drain and change to
indirect floor sink.
APPROVALS:
REQUIRED INSPECTIONS STATUS:
PERMIT NOTES:
12/21/10 Contractor submitted plan to amend permit to include moving of floor drain and change ti indirect floor sink. Given
KC for review.
11/30/10 Given to KC for review.
11/30/10 CREATED. FROM APPL# 10 -0412
INSPECTION INFORMATION:
# TYPE CONTR# CALLED CNCL WHO REQ DT INS DT STATUS 01/05/11 14:58:26.
bp7O1 -18 PERMIT INFORMATION - 102655 mmackey
1 PRA:Framing Inspection 10 -0190 12/16/10 no KC 12/17/10 12/17/10 COMPLETE
2 DWS:Drywall screw /nail 10 -0190 12/17/10 no BCSI 12/20/10 12/20/10 PARTIAL
3 PUG:Plumbing Underground 10 -0380 12/20/10 no BCSI 12/20/10 .12/20/10 COMPLETE
4 EFI:Electiical Final Ins 02 -0650 01/04/11 no EC 01/05/11 01/05/11 COMPLETE
5 PFI:Ply ing Final Insp 10 -0380 01/04/11 no EC 01/05/11 01/05/11 COMPLETE
6 BFI:Building Final Insp 10 -0190 01/04/11 no EC 01/05/11 01/05/11 COMPLETE
z
INSPECTION RECORD
Occupancv/Tvpe
°'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.
SCE C�� L d
INS PECTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS
DATE
INSPECTOR
INITIALS
COMMENTS:
Footings /Caissons
Roof
Stemwall / (CEG) Concrete
Building Final
Encased Ground
Fire Department
Reinforcing or Monolithic
R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PU9LICE WORKS
Parking & Landscaping SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
Weatherproof / French Drain
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.
Sewer Service Lines
Water Service Lines
POUR NO CON CRETE UNTIL ABOVE HAS BEEN SIGNED
CONCRETE SLAB FLOOR
Electrical
Plumbing
Heating (I
ROUGHS
Sheathing
Lath / Wall tie
Mid -Roof
Electrical Service
Rough Electric
Rough Plumbing /z
Gas Pioina
Rough Mechanical
Framing
Insulation
FINALS
Electrical
Plumbing
Mechanical
Roof
Building Final
Fire Department
R.O.W & Drainage INSPECTIONS FOR PLANNING & ZONING, FIRE AND PU9LICE WORKS
Parking & Landscaping SHOULD BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
"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.
vrr%.UrlvrvcT INU I rtKMITTED UNTIL UERTIFICATE OF OCCUPANCY IS ISSUED
PROTECT THIS CARD FROM THE WEATHER
♦ i CITY OF WHEAT RIDGE
Building Inspection Division
I r (303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type: 6 Pis
Job Address: V2296 ,Y�a . s�,�> t y -57
Permit Number:
/�7s
W
❑ No one available for inspection: Time AM /PM
Re- Inspection required: Yes No
* When corrections have been made, calf for re inspection at 303
Date: 11,5 Inspecto s�
DO NOT REMOVE THIS NOTICE
" ' City of Wheat Ridge
ro
Commercial Remodel PERMIT - 102655
PERMIT NO: 102655 ISSUED: 11/30/2010
JOB ADDRESS: 4036 Youngfield St EXPIRES: 11/30/2011
DESCRIPTION: Minor interior remodel & demo non bearing wall
* ** CONTACTS * **
owner 303/431 -9536
Sharon Mullings
sub 720/273 -5651
Goro Morris
10 -0190
Square Plumb Level Builders
sub 303/202 -5030
PAUL PARSONS
02 -0650
KELLY ELECTRICAL SERVICES INC
sub 303/360 -9474
Cheryl /Lance Graham
10 -0380
Precision Plumbing Ltd
** PARCEL INFO **
ZONE CODE: UA
USE:
UA
SUBDIVISION: 0122
BLOCK /LOT #:
0/
** FEE SUMMARY **
Permit Fee
Permit fee additions
Plan Review Fee
Plan Review Addtiona
Total Valuation
Use Tax
Use tax additional
** TOTAL **
ESTIMATED PROJECT VALUATION:
FEES
125.05
43.5
81.28
28.2
.00
90.00
18.00
386.11
5,000.00
0
Conditions:
KC: Approved per plans and notes on plans. Must comply with 2006 IBC, 2005 NEC,
and all applicable City of Wheat Ridge Municipal Codes. Subject to field
inspections.
KC (12/21/10): Approved plans for relocation of floor drain and change to
indirect floor sink.
1, 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
entijjies named within this document as parties to the work to be performed and that all work to be performed is disclosed in
th}sydocument and /,or its' accompanying approved plans and specifications.
of OWNER or /' CONTRAC'4OR (Circle one)
1.
2.
3.
4.
S.
6.
Jl —
Date
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 160 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
Signature of Chi Bu fling offical Date
INSPECTION EQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
C�t of
`�� iy
. y hcat �ld e
COMM UNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 29" Ave., Wheat Ridge, CO 80033
Office: 303 - 235 -2855 * Fax: 303 - 237 -8929
Inspection Line: 303- 234 -5933
Building Permit Application
Pro
Property Owner (please print) j „ 114,) Phone: 903 .- 25 xe
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Contractor',,: ✓Q ..c> ILI'sv� f� �C /�yl` Z✓�
Contractors City License #: Zf2! 1 Q Phone: 7w - 2zs — s�rss�l
Sub Contractors: �!!�� A //
Electrical. Plumbing: ?eej'!® A /woa?f Mechanical:
City License # City License# / 0- L2390 City License #
b 66tl n'f an�o rk , //
Ot/C �,90✓ 4d - A 4 ' - k G L a ContractVaIM:
$ 6 04
Review Fee (due at time of submittal):
Squares BTU's Gallons Amps Sq Ft. $
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on
this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work
and am also authorized by the legal owner of any entity included on this application to list that entity on this application.
CIRCLEONE: (OWNER) (CONTRACTOR) ar (AUTHORIZED REPRESS ATIVE) of (OWNER) (CONTRACTOR)
PRINT NAME: V®ry ' "LOA 5, SIGNATURE: A" DATE: /G `LQJ
r✓
r„✓�'g
y
r�
r ,F
TMENT ❑approved W)CefOmehtS ❑dlSaplJroved ❑flO BVlew reQUlfed'� Bldg Valuation: .$
12/21/10 08:13:13 City of Wheat Ridge Page 1
bp340 -iq ESTIMATE OF VALUATIONS AND FEES mmackey
THE FOLLOWING INFORMATION ARE ESTIMATES ONLY AND NOT ACTUAL VALUES.
CODE - -- DESCRIPTION - - -- - - -- VALUATION- - - - - - -- -FEE - -- -USE TAX
prm Permit Fee 1,000.00 43.50 0.00
rvw Plan Review F 1,000.00 28.28 0.00
totva Total Valuati 1,000.00 0.00 0.00
use Use Tax 1,000.00 0.00 18.00
TOTAL VALUATION: 1,000.00
FEES VALUATION: 1,000.00
PERMIT FEE: 43.50
USE TAX: 18.00
OTHER FEES: 28.28
TOTAL FEES: 89.78
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♦ 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:
Job Address: LfU 3G ov -mss �, e_lil� 5�
Permit Number:
Ter
❑ No one available for inspection: Time c 40 AM AU�
ttt Re- Inspection required: Yes
' When corrections have been made, call for re inspection at 303 - 234 - 5933
Date: i /i Inspector: Its!
DO NOT REMOVE THIS NOTICE
MCE
.. r
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) Office * (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type
g
Job Address
W,�f
Permit Number
MCE
" ��'��' 4' City City of Wheat Ridge
///
1�
Commercial Remodel PERMIT - 102655
PERMIT NO: 102655 ISSUED: 11/30/2010
JOB ADDRESS: 4036 Youngfield St EXPIRES: 11/30/2011
DESCRIPTION: Minor interior remodel & demo non bearing wall
* ** CONTACTS * **
owner 303/431 -9536
sub 720/273 -5651
sub 303/202 -5030
Sharon Mullings
Goro Morris 10 -0190 Square Plumb Level Builders
PAUL PARSONS 02 -0650 KELLY ELECTRICAL SERVICES INC
** PARCEL INFO **
ZONE CODE: UA
SUBDIVISION: 0122
USE: UA
BLOCK /LOT #: 0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 5,000.00
FEES
Permit Fee 125.05
Plan Review Fee 81.28°
Total Valuation .00��,� - �1C�
Use Tax 90.00 "t`I
** TOTAL ** 296.33
Conditions:
KC: Approved per plans and notes on plans. Must comply with 2006 IBC, 2005 NEC,
and all applicable City of Wheat Ridge Municipal Codes. Subject to field
inspections.
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
enti ies named within this document as parties to the work to be performed and that all work to be performed is disclosed in
this kocument and /or itspanying approved plans and specifications.
- 0I - Zo o
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 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 Wy applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject
to field s t'
Signature o Chi Building Offical Date
INSPECT ON REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE .FOLLOWING BUSINESS DAY.
City of
`�' Wheatj�idg�
- COMMUNITY I3EVLLQPMtiNT
Building & Inspection Services Division
7500 W. 29 AVe., Wheat Ridge, CO 80033
Office: 303 - 235 -2855 * Fax: 303 - 237 -8929
Inspection Line: 303 - 234 -5933
Building Permit Application
of?'e ± dtl "rasa) /G3 y �V,01X T / P t^ S
Property Owner (please print) S � /A ® C
Mailing Address: (if different than property address)
Address:
MN
Date:
Plan #
Permit# C)2U
Phone: 3 .T -
6
City, State, Zip: / (J & 0g 3
-rm^�wi ca::. C�
Iafracfot'i: G✓-2 �cJ � i .�✓'r �v%-c .
�A':..:._
Contractors City License #: lc ' 01 / y Phone: 7 Z C ,22-73 S--�6 s-1
,�
A F�ot�trae�orss ,�
Electrical L 2�rNi /C'C� Plumbing: Mechanical:
City License # ®� _ City License # City License #
1Y\ \ L v` Q V L v ,e. -� oe- Contract Value:
"J.
r 1 15
$
tv�M L` ��, -w �// , Jy— Reviee Fee (due a time of submittal).
Squares BTU's Gallons Amps Sq Ft.
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances,
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on
this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work
and am also authorized by the legal owner of any entity included on this application to list that entity on this application.
CIRCLEONE: (OWNER) (CONTRACTOR) or (AUTHORIZEDREP ENTATIVE) of (OWNER) (CONTRACTOR)
(e 1
PRINT NAM p no lk ; M%3 yry� S SIGNATURE: DATE:
� is pp a re Bldg Valuation: $
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INSPECTION RECORD
Occupancy /Type
®'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.
Electrical
-.
Plumbing
IN6Pi CTOR MUST SIGN ALL SPACES PERTAINING TO THIS JOB
FOUNDATION INSPECTIONS
DATE
'
- INSPECTOR
INITIALS
COMMENTS:
Footings /Caissons
Roof
Sternwall / (CEG):Concrete
Encased Ground
Building Final
,'�
Reinforcing or Monolithic
Fire Department
Weatherproof /. French Drain
ROW &'Drainage
SewerService Lines
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC WORKS SHOULD
BE CALLED AT LEAST ONE WEEK PRIOR TO FINAL INSPECTIONS.
Parking & Landscaping
Water Service tines
' * 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.
POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
CONCRETE SLAB FLOOR
Electrical (Underground)
Plumbing (Underground)
Heating (Underground)
DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED -
"Elec tric C
rvice
c
(,-.. $) / 0
a
Rough Plumbing
Gas Piping
_
Rough Mechanical
ABOVE
INSPECTIONS TO BE SIGNED
PRIOR TO PROCEEDING
Framing
,
Insulation
Drywall Screw
FINALS
Electrical
-.
Plumbing
Mechanical
Roof
Building Final
,'�
Fire Department
ROW &'Drainage
INSPECTIONS FOR PLANNING & ZONING, FIRE AND PUBLIC 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
❑ No one available for inspectio
Re- Inspection required: Yes
When correcti ns pa been ma
Date: I ld Inspector:
O NOT REMOV
ie AM/PM
e -i spection at 303 - 234 -5933
I NOTICE
\F
i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 237 -8929 Fax
IN S NOTICE
Inspection Type:
Job Address:3
Permit Number:
�/df2
❑ No one available for inspectio
Re- Inspection required: Yes
When correcti ns pa been ma
Date: I ld Inspector:
O NOT REMOV
ie AM/PM
e -i spection at 303 - 234 -5933
I 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: 01,r/.S"
Job Address: Y_og'e. r
Permit Number:
❑ No one available for inspection: Time 'sue' AM /;
Re- Inspection required: Yes
* When corrections have been made, call for re-inspection at 303 - 234 -5933
Date: a Inspecto
DO NOT REMOVE THIS NOTICE
ISSUED: 06/22/2010
Held St '. EXPIRES: 12/19/2010
`. City of
Wheate
CGMMUNIIY DLVELOPMENT
Building & Inspection Services Division
7500 W. 29 Ave., Wheat Ridge, CO 80033
Office: 303- 235 - 2855 " Fax: 303 - 237 -8929
Inspection Line: 303 - 234 -5933
Building Permit
Property Owner (please print) e e /-ten L Z
Mailing Address: (If different thanL� /lprop /e address)
Address: y 0 y 6 KJ ✓I� CJ s/7 2+
City, State, Zip: I / / e q / "
L51* : L1,)A,ve- X oun -6
Contractors Citv License #:
fS /ee75 -�:.! Jti'✓L42+eS
City License # s /8$
010103 Tffil d
/12inoe I-tmoaa
Plumbing: A;1A
City License #
Date:
Permit # 12 4 5 - 76 -
- Y3/ -%36
- ,473 - S7GS'/
Mechanical: A-)/�
City License #
CVract Value:
Review Fee (due at time of submittal):
Squares BTU's GallonsAmps SgFt.
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 fiilP
responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on
this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the descnb oilk-1
and am also authorized by the legal owner of any entity included on this application to list that entity on this application.�j-
CIRCLEONE:
(OWNER)
(CONTRACTOR) or (AUTHORIZED REPRESENTATIVE)'
of (OWNER)
(CONTRACTOR)
PRINT NAME:
"SIGNATURE:
DATE:
W
Bldg Valuation:
e `� CITY OF WHEAT RIDGE
° Building Inspection Division
r (303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type: IDtAl - A*4
Job Address: V,:P34 57
Permit Number: 101.57?
r� P ,4" P,�,w 13A46, 'T, g eL
❑ No one available for inspection: Time a2 % /.S AM
Re- Inspection required: ' 'fie No
* When corrections have been made, call for re- inspection at 303-234-5936
Date: V
2 .311,9 Inspector:
DO NOT REMOVE THIS NOTICE
V, CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office " (303) 235-2857 Fax
INSPECTION NOTICE
Inspection Type: RICK. B ✓S~, - t> ,t3,5~~fSS
Job Address/Permit Number: 41036- yv e~€ sLra s7"
i
i
❑ No one available for inspection: Time J t/s AM/PM
Re-Inspection required: Yes <0.
When corrections have been made, call for re-inspection at 303-234-5933
Date: 41,1SAies Inspector: ~
r !
DO NOT REMOVE THIS NOTICE .
.5924 CITY OF WHEAT RIDGE P2ge 212 Job 005
DEPARTMENT Of COMMUNITY DEVEIAPMENT
7500 WESr29thAvENUE BCIT~IOF WHEA7 RIDGEOCOLO.N
234-5937 P.O.BOX&1B
NDRECEIF7ED8EL7W
4PPUCA7ipN FOR MIS
o Ya~.~4FEL ST.
JGB ADORESS 403C
CONTRACTOP GLE7A ~ rIP-E pa°TECT~o~+ =N~-•
aODRESS ~ 4~ o w ~3eO
g c>oo ~
CITY /ADq 21PCOpE
S - [nte7 $ IICENSE NO.
Oec-02 Fri 15:52 1994
~~,nm V
PERMIT N0 YJ36
ti
_LANEOUSPERM~T N~~ T~e~L L~3~eq7o~
OWNER E.iE4G46.EN /9 Y ~
`}o3V ~o~.•~Fn~16L 5 WdE^1T t
ADCRESS S~o 3
ZIP CODE
~
PHONE
S~ , oa
CON7RACT PRICE $ 4
DATE / z- 5- 9 4
PHONE
T GreundS o~ 0 fau
ro1e1 Sqoorl Fut
1AL TSIGNS HATION Wv❑ NeType EM1ct
P~rTil No~LN FROM PROPERTY UNE N.~ 5-- E~- yyO 2one> >Pwwod. pi~appo+~d Zem InwOEta
fc.,uHN ahich is Iren1 ) ❑ ❑ ~
~ f YPE Soli~ MOro Than SO°Ie OpGnO Lose Than SO°/s OWA
MATCRIAL
FENCES 3 SET BACN FROAA PROPERTY LINE N~_ 5.~.._ E~-'H
~I ~ ISP~~h ~~en fronil ❑ ❑ ❑
I
OTIdER 2
3
ans O~K Nr"~
DRAW SKETCN OFi SHOW BEIOW, TME FENCE,SIGN,OR Ot'HER STiIUCTURE,GMNv DIST►NCES FROM PROPERTY LINES.
(SETBACKS OR 7NOJECTqNS INCLUOfIO)
~
SPECiY NORTN
STREET NCME
SHpl$ AINCE NTO PpOPER ~ MAIN IMA ADJOINiNC, IA ERAGEEDISTON E S,AND PROPERTY liNES; ON IRNEfN1LN1 IATS,51~0~' LcaaT
APPLICATION POR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
TMIS APPLICAiION Wil.l BEGOMF a PCNMii tU vERFORM iHE iN01GAt6U WOHK ONIr UPON VAUU.4tiGN Bv iHE BWLDING iNSPECIION OIviSinr+
PERMIT WILL E%PipE 180 DAYS FROM THE OATE OF ISSUANCE IF WORK IS NOT STARTED WITHIN THA7 TIME.
PLUMBING PERMIT MEGHANICAL PERM17
ELECTRICAL PERMIT
STATE UCENSE NO ST4TE IICENSE NO
AlULAiuUM WRE UMDER512E 8 ILLEG►l FLOOR BSM IST 2N0 3N0 41N N0. ORGEO omG04 ' BT~ Eh
NO ' WATER G1-05E1 Fp~ yyATER - Dl'U
YEMPOi1ARY ME7ER _ WASN BOMI ~
STEpM - ETV
NEM/ SERVicE - nMPS BATN Tl1B
piq ~pITiONINO-on
SHOWER .,...~o
p RECT
REMAtMS
NOT VALID UNIESS 11ECEIp?f
I honDY aeMnowlisdpis Ihal Ihif aPGI'CO'
tion is coned ond'undontand thot i
connot sta,t Inis o,opat untu tnis avO"
[Otion is ODOrovod. 1 th011 eomply rllh
the lowI 01 Iht $la" o! Golovadn ond tn
iho Zeninp RgQulollons and 8wldinp
Godi of ~he Gty of Wneet Ridp• Anr
riolohon of IM abevO fnmt dl towe
Immiod,914 fW0<ot~On ol hi1 Dermi1
~
--~-----~r-.._
pERMIT FEE L.
usE Tax S ya
E ~D S~F~~J
TOTAL FEE
-APPRhVFI1-,l I_ ci
GHiEF BUILD J~INSPEC70R,Gryo"heatRidpe
Date Issued~~ -
ZeM_..._ ApprwM.ZOM Ine01CtOr
CA1L2345D33
?A HDURS IN APVANCE
FOR IN6PECTIONS
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DEPARTMENT OF COMMUNITY DEVELOPMENT
7500 wEST 29tn AvENUE BUILDING INSPECTION DIVISION PERMIT N0. MM921k3291
237-e944 EX7. 255 P.O. BOX 638 CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VA~ID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RECEIPTED BELOW
eoai irIn7ION FOR MISCELLANEOUS PERMIT
JOB ADDRESS
CONTRACTOR ' O/ ~u"~/a' ~'r ~ "T • . - -
AODRESS ~ S 7 0 tc.i S-E~' CITY ZIP CODE
PHONE~23833 /9 LICENSE NO. AM/7
I. TYPE Ground❑ Woll❑
SIGNS
OWNER
PHONE
ZIP CODE
00
:ONTRACT PRICE $
plha S a D Faa
Tofai Squon Fp1
Eleef. Pormit No.
MATERIAL
ILLUMINATION Yet❑ No❑ 7ypa
4 SET BACK FROM PROPERTY LINE
W Zons_ ADDrwad,2ona Insp4alor
L TYPE Solido More Than 80% OpsnU Lut Thon 80% Open
MATERIAL HNQht
FENCES 3 SET BACK FROM PROPERTY LINE N_ S__ E__ W 2om._ AOCroved,Zo^s I^sPecta
(Soacifvwhith ia}ront) ❑ ❑ ❑ ❑ Disapproved
OTHER I
3.
DRAW SKETCH OR SHOW BELOW,THE FENCE, SIGN, OR OTHER STRUCTURE, GIVIh'v DISTANCES FROM PROPERTY LINES.
(SETBACKS OR PROJECTpNS INCLUDED)
~
SPECIFV NORTH
STREET NAME
SHOW OISTANCES FROM THE MAIN BUII.DIN6 TPADJOINING HOUSES, STREETS, AND PROPERTY LINESjON IRREGULAR lATS, SHOhV LEAST
DISTANCE TO PROPERTY LINES, NOT MA%IMUM OR AVERAGE DISTANCE.
APPLICATION FOR PLUMBING; ELECTRICAI.; MECHANICAL PERMIT
THIS APPUCATION~RMIT WIOLL EXPIRE M 60 DAYS FROM DATE E OINOICATED F ISSUANCE~F WORKY IS UPON NOT STAR~TED WTHlN THAT TD1~ E. M INSPECTION DIVISION.
ELECTRICAL PERMIT PLUMBING LMIT MECHANICA~ PERMIT
STATE UCENSE N0. STATE LICENSE N0.
ALUMINUM WIHE UNDERSIZE B ILLEGAL FLOOR BSM IST 2ND 3RD 4TH N0. ~~ED ~~a11I BE S~ WATER CLASET _
~~......e.ev ..crco WASN BOWL HOT WATER BTU
9
TO
FLOOR
REMARKS
PERMIT FEE
I MrebY ocknowlsdqe tAat this aDPlica'
t I
3
~d
tion u wrrect and undentend tna
li-
i
USE TAX
-
i~
- 1-7 -93
s aDp
connot ftarf this prolect until th
FEE
$
p
cotion is opproved. I shall comDlY witn
TOTAL
1M lows oi Ihe Stote of Colorodo and to
the ZoninQ ReQutationa ond BuildinQ
APPROVED
,
Code of the City of Wheat Ridpe. Any
e
l
~
CHIEF BUILDIN
INSPECTOR,CiT
Wheat Ridqe
coue
violotion of tne above terma wil
CA~L 237-69a4 EXT. 255
imm diate revoeation of thie Dermit.
24 HOURS IN ADVANCE
~,/7
FORINSPECTIONS
Date Issued
7500 WEST 29th AVENUE
237-8944 EXT. 255 P.O. BOX 838
PERMIT VALIO ONLY
DEPARTMENT OF COMMUNITY DEVELOPMENT m(~Z ~3CA~
BUILDING INSPECTION DIVISION PERMIT N0. ~
CITY OF WHEAT RIDGE, COLO.
~ AYF'UI.N~~IJrv rvn mia
JOB ADDRESS 36 ~ U e
CONTRACTOR
ADDRESS
CITY ZIP CODE R/dr/QInO
PHONE LICENSE N0.1Ll~----
SIGNS
PLUM8ING PERMIT MECHANICAL
I. TYPE Solid❑ Mon Thon 80% ODSn~ L~~~ Than 80% Op~n
H~b~1
MATERIAI
2me_ ApVraW~Zon~ In~D~eta
FENCES
3. SET BACK FROM PROFERTY LINE N-- 5- E-- W
~ 0 ~ DiwOMovad
fSoecifv wMeh is front) ❑ _
1.
OTHER 2
3.
DRAW SKETCH OR SHOW BEIOW, THE FENCE,SIGN,OR OTHER STRUCTURE,GIVIh' DISTANCES FROM PROPERTY LINES.
(SETBAGKS OR PROJECTIONS INCLUDEA)
STATE LICENSE N0.
SPECIFY NORTH
STREET NAME~
$FpW OISTANCES FROM THE MAIN BUILDING TQADJOINING MOUSES, STREETS, AND PROPERTY LINES; ON IRRECULAR LATS, SHOW LEAST
DISTANCE TO PROPERTY LINES, NOT MA%IMUM OR AVERAGE DISTANCE.
APPLICATION FOR PLUMBING; ELECTRICAI.; MECHANICAL PERMIT
INCATED THIS APPI.ICATION~RMI BEV OME EXPIRE M60 DAVS FROM DATEEOFaSSUA CEroF WORK Y IS NOT STA I RTED WTHOJ THAT T ME ~NSPECTION DIVISION.
PERMIT
ELECTRICAL PERMIT
STATE LICENSE N0,
UMINUM `MRE UMDER SIZE 8 ILLE'
SERVICE . - AMPS
GE SERVICE - AMPS
TIN~
ING
ER SUB-CIRCUITS
iADDITION ORARY METER
ITY ( RANGE, DISPOSER, i
URES
NG MOTORS 9 CONTRO~:
S
NSFORMERS d RECTFIEI
_
TO O~D WORK_
1 hereby acknowledqe thot thie o0pI!c°'
tion is eorrect and understand thot I
eonnot ftart this project until this appli-
cotion if aDVroved. i shall eomply with
fha lowf of the Slote ot Colorado ond to
ths Zoninp Requlotions and Buildinp
Code of ths Cify of Wheat RidOa. Any
violafion of the obove t s will cause
immediote nvoccyio f;his Dermit.
I. TYPE Cround❑ Woll❑ Proiectiny❑ O1M~ SaDFoc~
Tofol Squan Fpt
2. MATERIAL
3, ILLUMINATION Yes❑ No❑ TYCS Elkt. Permit No.
Apprwad.2ona Insp~eta
Zone
4. SET BACK FROM PROPERTY LINE N_.- S Q E a W❑ DiwDD~a'~
(Cnwifv which is }font)
OWNER -
ADDRESSu
PHONE ZIP CODE 0913-
;ONTRACT PRICE $ 1,11-
~
NOT VALIO UNL[DZ Rc~.ur cv
T FEE
7PERMi
AX L FEE $
CHIEF
,City of Wheat Ridqe
CALL 237-8944 EXT. 255
24 HOURS IN ADVANCE
FORINSPECTIONS
Z~
Date Issued_
Y
1V
C
~
E E . C
~ E E E
LAB Z
I7►i~~ U8 I
(f
E E ! o- 9.. Lr
i
I~
II i (
-
E E F-11 E'
~
~
I
-I
~
L~-- - -
~
~
~
C
_
a
-
~
E
I
-
E
I
y~,
I
~
~
E
,
E
~
l
r
rs_
1
~
~
) ~
f N
'
~
I
V f
~
l..__..,i.
bi
.
E.
uIT
- ~ .
- ___~T ' ;
P
,
t.1•
Thi.s Addeudum dated August 21, 1992 supercedes document dated
Augusi. 10, 1992,
This Actdendum i s drscan to uPgrade and relocate heat and smolie
detectors to coml-d~ with regulations and standards established bS'
t,he WheaL Etidge Fire Uepcirt,ment.
S.9~cs /'F?.79ft'~~
~ I yr
wheat RidgE fiTe ~4tZL' T~ict Plans Review
Oate: F ' ~obeRs~~
Reviewed by Dauid~M~-
Unitarm Fire Code Certificess o SVstem
COlOrado State Fire $upP Y D J aI ~~s G` ~
i4sPu,-~'a~,
Inspeccor Cercification #92-113 S ~
all u
Commenu: o ev ~ % wsi~
a-S- ~ Z~{ -?.~t 3 ~~1~~5. ~ K~ ~a ~ E d ✓
~
ak,~7 r.b•
Y{~rt`'GQ1 LfiTr~Axyl~ ,
~ CJ"
L L'i i ~ I
I ~
la6p~
g E
x
- ~
-
~
~ ` '
E E S g g ' I I
t - _ ~
_ ' -
E -
~ i
E ~ f~ t s~, S
E
;
rs
E f. 6 . E A,
i ~
' ~ ~ • I ~ ~~i.t~ I-`c- ~ r
~ ~ _ - - -----~I` , bl _
_a
-==~=rC// 1= J~ • i '
I
I I I LJ ,
~
~ -dbl,
O E ~
rx ky r u,T
. .
E E g .
F_ E ^ E E . . l .
236^Z~JS
7500 WEST pgth qVENUE DEPARTMENT pF
217-s, p 0 COMMUNITY DEVELOPMENT
eox e38 BUILDING INSPECTION DIVISION
PERMIT Vq~1p QNI r ,yHEN SIGNED 8Y TH
E CITY
OF WHEA7 RIDGE, COLO.
CHIEF BUILDING INSPI JOB qDDRESS 4036 Youn APPUCATION FOR MI
.
CONTRqCTOR Pride gfleld
ADDRESS 4335 EleCtY1C CO.
Cherokee St.
ci7v Denver
COlOYddO Z~pCODE 802_____1=
PHONE
LICENSE N ~
AND
PERMIT N0. n9 9.;old yq/'~-
OWNER John barney
aooaESS 4036 Youn field
PHONE 42$_6021
h0 NTRAC7 PqICE $ 1SO.OO
TY ZIP CODE--~
~
SIGNS
PENCES
PE ~ GrounU ❑ I --2. MATERIAL Woll❑
3. ILIUMINATI P,o1eCfjng~
ON OM*r S a D Foco
4 SE7 BACK FROM PROPEROTy LINE O TYps Total Squara Feat
(SPecify whioA ia tron1 ElKf. Psrmif No.
~ ❑ S~ E~ W 2onr
TYPE
i. APMOVeC, Zons In~
MATERI LOGt Thon 80%
AL SolidO More Than 80% 0 an ❑ Mcfa
3SET BACK FROM PRppERTY ~INE N
(Specity whieh g-~ E_~ W HNphf
ie fron}) z~
I. ❑ rl ~ ADDrwad,Zone Impeefw
- a3oDDroved
07HER IZ
3
DRAW SKE7CH pq g,
(SETB4CKS OR pp
INSPECTIO ~ ` -
N TICKET ~
~oe INSPECTION TICKET
ADORESS
~ JRESS (16,,~~(o U 7~
DATE ~-~1 Ci
~BLDG. PERMIT#
E'
PERMITN ~~BLDG. PERMITk ~/9/.~
BLDG. CONTR. PERMIT#
. SUBCONTRqCTOR IG• CONTR.
SHOW OIS7ANCES F
OIS7ANCE 70 PI DATE INSP,
REQ. ~ -:;t
3CONTRACTOR
rYPE OF INSP
TE INSP. REQ.
tv
THIS APPUCATION I
,
~
F INSPECTION M
PE OF INSP.g~ .,,,.~Q
ELECTRI
qDE_ -
2
7
3
REMqRKS
STATE LICENSE
~
/
~
3PECTION MADE
ALUMINUApWI UNI E
:MARKS (,J. ie
C/
N0.
TEMPORARY
NE
W SERVICE
W'R' FORM 6.19
CHANGE SER'
LIGHTING
A. FoRnn s-is
HEATING
j
POWER SUB-
'
/
UTILITY(RAP,
FIXTURES
- DISH Wqbmtw
WIRING MOTORS 6 CONTROLS
FIpOR pRAIN
SIGN$
URINAL
ELEVATOR
TRANSFORMERS d RECTiIERS
SEWERS
ADOITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FIXTURES
IEMARits Electrical : Furnish and install 110V
to Fi rP a i a,-m
Panal Finarqanr
.
~
Circuit
PERMIT FEE
~
NOT VALID UNLE55 RECEIPTED
1 hereby ecknowledqe Mot fhie o7D11E0
v
ct and understand thaf 1
USE TAX
Q
ion ie Corre
rt this pro)sct until inis aDCli'
f
o
;onnot s
otion ia ovGroved. I sAall comply with
TOTAL FEE
$
pe lowf of 1he Stote of Colorado and to
lotiom and Buildinq
R
APP
2; 7
epu
he ZoninO
ode al Ine City of Wl+eof Ridqa. Any
-
iolotion of rne abave terme win couse
CHI"F BUILDIf~.6 NSPECTOR,Cify of Wheai Ridge
/
nmediate revocotion of thie Oermit
CAL1237-6944 EXT.255
24 HOURS IN ADVANCE
~
FOR INSPECTIONS
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DEPARTMENT OF COMMUNITY DEVELOPMENT
7500 WEST 29tn AVENUE BUILDING INSPECTION DIVISION PERMIT N0. MM92#4913
237-6944 ExT. 255 P.O. eOX 638 CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONLY WHEN SiGNEO 8Y THE CHIEF BUILDING INSPECTOR AND RECEIPTED BEL'JW.
JOB ADDRESS " ~°7~~~~ -
' ~ ~EN~En, IN CONTRACTOR `7dN:-Ti2ov C
ADDRESS Z~SU S, ~'X
CITY EN~&W--J ZIP CODE
PHONE 22761 -~5-o~ LICENSENO. ~ ~
OWNER uv1LcCN77cnY _
ADDflESS y0 3G ~C~ n~i _
PHONE ZIPCODE bC033
CONTRACT PRICE $
DATE / - Z' _ L
I. TYPE Ground❑
Woll❑
ProitotinQ❑ 0t„M
SaDFeee
2, MATERIAL
Total Squaro FNt
SIGNS
3. ILLUMINATION YSS❑ No❑
TyDe
Eleet
Permit No
4 SET BACK FROM PROPERTV LINE N
(SOkifywhiehis fronf)
_
❑
S_ E
❑
_ W
❑
.
Zom
❑
.
_ Apprwtd,20ne Incpetta
OisopprwW
1. TYPE SolidO Mon TAOn 80% OpsnO
Loss Thon BO% Open
MATERIAL
Heipht
FENCES
3 SET BACN FROM PROPERTY UNE N
(Spseify whieA is lront)
_
❑
S_ E
❑
_ W
❑
ZoM
❑
_ Approwd,Zons lmpetip
Difapprowd
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OTHER
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3.
DRAW SKETCH OR SHOW BELOW, THE FENCE,SIGN,OR OTNER STRUCTURE,GIVIIiv" D1STANCES FROM PROPERTY LINES.
(SETBACKS OR PROJECTIONS INCLUDED)
i +
J
Y
r
z
SPECIFV NORTH
ig
Vi
STREET NAME
SHOW DISTANCES FROM TME MAIN BUILDING TPADJOINING HOUSES, STREETS, ANO PROPERTY LINES; ON IRREGULAq LATS, SHOW LreeT
DISTANCE TO PROPERTY LINES,NOT MA%IMUM OR AVERAGE OISTANCE.
APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
iHISAPPLICATION WILL BECOMEA PERMITTO PERFONM THE INDICATED WOHK ONLY UPON VALIDATION BY THE BUILDING INSPECTION DIVISION.
PERMIT WILL El(PIRE 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
ALUMINU4 WIRE UNDERSIZE 81LlEGAL
FLOOR
BSM
15T
2ND
3RD
4TH
N0.
FUELCirc1sQ'Q Cw{dl ElseSolp
N0.
WATER CLASET
FORCED AIR - BTU
TEMPORARY METER
WASH BOWL
HOT WATER - BTU
NEW SERVICE - AMPS
BATH TUB
STEAM - BTU
CHANGE SERVICE-AMPS
SHOWER
AIH CONDITIONING-BTU
IIGHTING
SINK
OTMER
HEATING
GARBAGE DISF
REFRIGERATION 5`/STEM
POWER SU9-GRCUITS
WATER HEATER
qefri aront Group
UTILI7Y(RANGE,DISPOSER,ETC)
AUTO. WASHER
PouMa CMr e
FIXTURES
DISH WASHER
AUTOMATIC SPRINKLER SYSTEM
WIRING MOTORS d LONTROLS
FLDOR DRAIN
ELEVATOR
SIGNS
URtNAL
TRANSfORMERS 9 RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FIxTURES
I Mreby ocknowladqe tnot Mis o00lica-
fion u correcl and unCerstand thot I
tonnof starf this prolett until tnis oppli-
eotion is oDCrovad. I shall comply wrth
the lows of the State ol Colorado and fo
the Zoninp Requlotions and Buildinp
Code of the City of Wl+eat Ridpe. Any
violotion ol the obove terma will cause
mmediate revocofion of tnia Oermit
PERMIT FEE 3 -t-0
USE TAX
TOTAL FEE $
APPROVED
OISAPPROVED
CHIEF BUILDIN INSPECTOR,City of Wheat Ridqe
Date Issued 2- / q- 91"-
CALL 237-8944 EXT. 255
24 HOURS IN ADVANCE
FOR INSPECTIONS
1eanl~7n74
rJUettwauskrr~srorms, i~zra~ 1
.ro. • • _-Le
ENGINEERING LAYOUT AND COST ESTIMATE
Da[e
Company Name '
.~ye3 c a. ~ yoGG
Wheat Ridge Fire Protection Dis1rictfjffby,8gwiew
Name and Title R' Z_ . ~ ~ ~Revie~r.,e.d hy.Cav;d t;. i?nb rts_
- - - -
- - - - -
U i(c- fi e C de er~ caton 53 75 1 S,~uAr;E-_FT.
i„f d0 . IT F f0 S~.
~ p, ts ion Sys m
ai3 aee o erti# catr n ~2- 73
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I - - { , _
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A lrtl..+4,. _4 'A • k•i► -
T t.~L` TTTESTIMATED
INSTALLATION REQUIREMENTS
CoMroller Pre Amp Door Switches Auxiliary Equipment
SPECIAL INSTALLATION INSTRUCTIONS
Installation (one time charge) Monthly Monitor Service Charge includes Phone Line - yes_no_
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