HomeMy WebLinkAbout4585 Yukon Courtaem: mplvft wheamdae co us
To: Cnmm�P Miis
Sugen: Wine wnn sua toi n c mema croswmnn
om: welneway, Jure lo, 2021 12:42:M M
New Commercial Construction
Items Needed to Submit
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Do you have the Signed Pion( of Submission Form to Water District, Signed Proof
following ready to of Submission Form to Sanitation District, Signed Proof of
attach to this Submission Form to Fire District
application? These
forms are required to
submit for plan review.
Upload Proof of 4585 Yukon Court Proof of Submission Wateaodf
Submission to Water
District
Upload Proof of 4585 Yukon Court Proof of Submission Sanifation.odf
Submission to
Sanitation District
Upload Proof of
Submission to Fire
District
Step 2
PROPERTY INFORMATION
Property Address 4585 Yukon Court
Property Owner Name OREP YUKON COURT W LLC
Property Owner Phone 720-795-3746
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email 720-795-3146
Address
APPLICANT INFORMATION
Applicant Name Service First Permits- Authodzed Representative of Modus
Architecture
What is your role in the
Architect
Project?
Contact Name for Plan
Kim Cook
Review Comments
Contact Phone Number
720-795-3146
(enter WITH dashes,
eg 303-123-4567)
Contact Email Address
comm8mS@s1mvMits.com
for Plan Review
Comments
Plan Review Contact
commeMs@sipermits.00m
Email
DESCRIPTION OF WORK
Detailed Scope of
New commercial building for a leasing office at Yukon Court
Work -Example: New
Apartments -605 N it total
Commercial Building
for Roger's Grocery
Market
Square Footage of
605 605 for new ground up
New Construction
building & 860 for deck
Upload Soils Report
4585 Yukon Court Construction Plans odf
Engineering Letters
Field not completed.
and Other Letter Size
Attachments
Energy Calcs
Field rot completed.
Structural Calcs
4585 Hann Cmnr Stnunsal Cnlmmf
Construction Plans
4585 Yukon Court Construction Plans 1 oM
Additional Drawings
Field not completed.
Additional Drawings
Field not completed.
Additional Drawings
Field trot completed.
Project Value (contract
$300,000.00 Okay
value or cost of ALL
materials and labor)
PLAN REVIEW FEE IS REQUIRED AT TIME OF SUBMITTAL
Attach City of Wheat aoeo ruaan court ravmem rormmr
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
Mcc] J.t ill aXWall 2Ill 7:;,]W2Ill 12"01U1ACINA? LI7211
I assume full
'res
responsibility for
compliance with
applicable City of
Wheat Ridge codes
and ordinances for
work under any permit
issued based on this
application.
I understand that work
Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have
Yes
been authorized by the
legal owner of the
property to submit this
application and to
perform the work
described above.
I attest that everything
Yes
stated in this
application is true and
correct and that
falsifying information in
this application is an
act of fraud and may
be punishable by fine,
imprisonment, or both.
Person Applying for
Kim Cook
Permit
Email not displaying immadly? View H in arnm hrnwaer.
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:
Job Address:
Permit Number:�r
❑ No one available for inspection: Time f AM/RM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303 -234 -
Date: (/ fl Inspector:" f
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Commercial Roofing PERMIT - 201707899
PERMIT NO: 201707899 ISSUED: 10/02/2017
JOB ADDRESS: 4585 Yukon CT EXPIRES: 10/02/2018
JOB DESCRIPTION: Reroof with asphalt, Owens Corning shingles; 5/12 pitch; 104 squares total
*** CONTACTS ***
OWNER 303-359-5777 GIBRALTER PROPERTY MANAGEMENT
SUB (720)280-5368 ERIK PEIKER 170516 LAKOTA CONSTRUCTION
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: UA / Unassigned BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 26,728.00
FEES
Total Valuation 0.00
Use Tax 561.29
Permit Fee 465.05
** TOTAL ** 1,026.34
*** COMMENTS ***
*** CONDITIONS ***
In order to pass a final inspection on commercial elastomeric or similar type roofing, 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.
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 -roof inspections may be called in at the same time, 100 percent of the sheathing must
be complete and 25-75 percent of the midroof may be complete. Asphalt shingles are required
to be fastened to the roof deck with a minimum of 6 nails per shingle. 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.
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Commercial Roofing PERMIT - 201707899
201707899
4585 Yukon CT
ISSUED: 10/02/2017
EXPIRES: 10/02/2018
Reroof with asphalt, Owens Corning shingles; 5/12 pitch; 104 squares total
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 t`be legal owner or have been authorized
by the legal owner of the propeI arty m and am authorized to obtain this permit and perform the work described and approved in conjunction with
this ermrt. I further attest that le m
ally authorized to include all entities named within this docuent as parties to the work to be
performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date /
1. This permit was issued based on the information provided in the permit application and accompanying plans and specifications and is
subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, policies and procedures.
2, This.pennit 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 any
applicable cede or any prance o regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
W heat --Midge
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 291h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits@ci.wheatridge.co.us
I FOR OFFICE USE ONLY I
Date:
Plan/Permit # 01 �
Plan Review Fee:
Building Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address:
Property Owner (please print): (nb cn t +,ei�scPCI/ Phone:
Property Owner Email:
Mailing Address: (if different than property address)
Address: /) V
City, State, Zip: ,I -
Architect/Engineer:
Architect/Engineer E-mail:
Phone:
Contractor: Lok 1(15 - C3 kA X6 ( 4-� 6 �—'
Contractors City License #: Phone:
Contractor E-mail Address: ex- \y ( L61�-�
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
❑ COMMERCIAL ❑ RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING
❑ RESIDENTIAL ADDITION ❑ WINDOW REPLACEMENT
❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT
❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
❑ OTHER (Describe)
(For ALL projects, please provide a detailed description of work to be performed, including current use of areas,
proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and
amount of materials to be used, etc.) /.? Kff()-�— /t t) P 1'�O 0 I ( �, & , Yl
Sq. FULF
Amps
Y/O� p I A--(- (--)
Btu's
)� � --,�8
Gallons
Squares 1� L Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
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. 1, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Signature (first and last name): i _ DATE:
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer.
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $
City of tater m .o "2'
j.,d
gc
��Wh6atp.
MENTy DEVELOPMENT PianlPennit#''
;wilding &tIInspection Services Division � �
7500 W. 2g Ave,, Wheat Ridge, CO 80033 Plan Revierw
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Lime: 303-234-5933
Email: emit ci.faeetrict e.co.rs
Building Permit plication
* Please complete all highlighted areas on troth sides of this form. Incomplete applications may not be processed.
Mailing Address: it different than property address)
Address.
Ci!y, State, i
Architect/Engineer E-mail: Phone. -
Contractor. A 4xhi-i
Contractor Citi License #. 0 01 phone: I Z - H
Contractor E-mail Address:
Bash Contractors:
Electrical: Plumbing: Mechanical:
WR City License ## W.R. City License ## W.I . City License # 1 +
Other City Licensees Sub: Other City Licensees Sub.
City License # City License ##
Complete all information on BOTH slides of this form
.00
0 NEW COMMERCIAL STRUCTURE ELECTRICAL SERVICE UPGRADE
NEW RESIDENTIAL STRUCTURE COMMERCIAL ROOFING
COMMERCIAL ADDITION RESIDENTIAL ROOFING
RESDENTIAL ADDITION WINDOW REPLACEMENT rr #
COMMERCIAL ACCESSORY STRUCTURE (Garage, Shed, deck, etc.)
ESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
MECHANICAL x rr a REPAIR or REPLACEMENT
F
PLUMBING SYSTEM/APPLIANCE
IM # x REPAIR
i.. M or • #
,E'ILECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
10
I OT
«.
00
y
Sq. FULF tutu's Gallons
Amps Squam Other
FOR OFFICE USE ONLY
City of gars:
'OMMAJNt'7 VI-LOP"jLg
i iI plan1permit
Building & Inspection Services Ctivtsfcr ..... I (---, I�=
7500 W. 29h A ee, Whet Ridge, CO 80033Plan Review
Office:. 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Building er it Application
a a ►*s,,,.r� � �a� w*I, "�r S�r; a l�+p aa'e .Y, ."+�, I'i'➢-.
h
Property Owner Email.
Mailing Address: (if different than property address)
Address:
city, State, zip:
Arch tectiEnglin ' r E-mail.- Phone:
Contractor:
Contractors City License Phone:
Sub Contractors. -
Electrical: Plumbing, Mecham
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 on BOTH sides of this form
NEW COMMERCIAL STRUCTURE B-6L`iCTRICAL SERVICE UPGRADE
Cot
NEW RESIDENTIAL STRUCTURE COMMERCIAL ROOFING
COMMERCIAL ADDITION RESIDENTIAL ROOFING
RESDENTIAL ADDITION WINDOW REPLACEMENT
COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc)
MECHANICAL
# ## REPAIR REPLACEMENT
PLuMBING SYSTEM/APPLIANCE
III tlM# i • #Y!M #. REPLACMENT
ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
OT
ll
. FULF Btu's Gallons
Amps Squares Other
City of Date '.. � .. t
OPvla' tµltat17Y DEVELOPMENT ENT PianlP rmirr
Building & Inspection Services Division
2, �, i �
7500 WN 2e Ave,, Wheat Fridge, CO 80033 Plan Review Fee:
Office: 303-235-2855 * Fax: 303-237-8929
Inspection line: 303.234-5933
Building er ' it Application
Please complete all highlighted areas on both sides of this form.Inc pl+ete applications May not be processed.
* ..m..$,, I##
-jrintl
Mailing Address: (if different than property address)
Address:
Q , state, i
Architect/Engineer E-mail: Phone.,
Contractor: R I e, q A
Contractors Cao Ucense Phone.*11
Contractor E-maildress: I
Saabs Contractors:
Electrical: Plumbing: Mechanical:
Vii k City License # W.R. City License # Wi k City License
Other City Licensed Sub: Other City Licensed Sub:
City License ## ; City License #
Complete Piste all information on BOTS sides of this form
0 NEW COMMERCIAL STRUCTURE ELECTRICAL SERVICE UPGRADE
NEW RESIDENTIAL STRUCTURE COMMERCIAL ROOFING
COMMERCIAL ADDITION RESIDENTIAL ROOFING
RESDENTIAL ADDITION WINDOW REPLACEMENT
COMMERCIAL ACCESSO# STRUCTURE
(Garage, shed, deck, etc.)
RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
PLUMBING SYSTEM/APPLIANCE
911M1M M M A4 or w 1► b
CMENT
ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT
OTHER t«
«. .. ,rc rxrcxaa+rr r cv wap .'&cur xc,,g
5
�e 0'
Sq. FULF Btu's Gallant
Amps Squares Other
Line Item: l♦ -1 None Assigned
Quantity: 48
ROSIze: 58.75"X35-5"
QUO40 Naive: Yukon fit.
'Quote Number 1070687
Order Date: 10/1212015
PO Plumber,
Comments,
*** PRODUCT
Row 1 Professional M - 5800 2-1-1to Slider - xO - 'I Units - 58.2 x
35H
*** DIMENSIONS ***
58.25W x 35H
*** MS ***
West, Vinyl, Frame Type - Finless, Exterior Color.
GLASS ***
Glazing 7 - Insulated, Mess lint - Clear, Low -E, Mass Strength -
SSS, Thinplate Intercept
� * SCREEN ***
Screen - Half, Screen Mesh Type - Charcoal Finer Screens Packed
Separately- No
*** HARDWARE
Calock
w*. N'RC ***
*** PRODUCT
Row I Professional 5000 - 5 -Lite Slider _ XO - 9 units. 34W x
23
*** DIMENSIONS
34W x 2H
*** FRAME ***
Weak vinyl, Frame T - Finless. Exterior Color - Adobe
Glazing Type- Insulated, Glass Tint -'C r, Low -E, Mass Strength W
SSR, Thin late Intercept
*** SCREEN ***
Screen - Ralf, Screen M h a a; Fiber, Screens Packed
Separately - No
*** HARDWARE *w*
Cara
w** NFRC *«*
Quoted by, JererW TrgsjEBo Quote Nornber 1070087
U.S. BulkI rg Su er iia t of 3 Ptir4 Date, 10/1=01511,57,44
Line ftem- 300-1 None Assigned
Quantity-
Line Item 400-1 *, Assigned
Quantity:
*** PRODUCT ***
Rove 1 Professional 5000.6800 -Lrte Slider - XO - 9 Units - 34.26W
3H
DIMENSIONS
34.25W x 35H
*** FRAME ***
West, yl* . T - Finless, Exterior Color -Adobe
GLASS
Glazing Type - Insulated, Mess Tint - Clear, Low—E, Class Strength
SSE, Thin, to intercept
*** SCREEN
Screen - Half, Screen Mesh T - Charcoal Fiber, Scree Packed
Separately - No
*** HARDWARE
Camlock
*" NFRC ***
*** PRODUCT «"*
Row 1 Professional 5 _580 2 -Lite Slider - XC .1 Units .46W x
35H
* DIMENSIONS ***
46W x 35H
*** FRAME ***
Vilest, Vinyl, Frame Type - Finless, Exterior Color - Adobe
*** CLASS
Glazing T - Insulated, GlaSS Tint - Clear, Lour E, Glass Strength
SSE, Thinplate Irr= pt
* SCREEN ***
Screen - Half, Screen Mesh Type - Charcoal Fiber, Screens Passed
Separately _ No
*** HARDWARE ***
Carrilock
NFRC'**
*
Quoted by. Jeremy Trupilo Quote umber: 07'aw
U.S. folding Su r Pages: 2 of 3 Print DOW. WOWS 35:57A4
5ubrnittod By: Please Print Name,
Aecepted sy: Please Print Name
Signature: Signature:
Date: Date:
"Effective May 12013, U -Value
and SHGC Informationbeen rr• to the MIWD Paradigm 0 1 uoting Tool. This information
shouldis in beta -test format for the next 60 days and not belabel, Your help In reporting any discrepancies In the thermal values shown on the MIWO Paradigm Quote vs. MIWD Order
used as a reliable source for specifying thermal performance of
thewindows. The thermal values printed on the MIWD Order Acknowledgementbe printed on •r
w's NFRC
Acknowledgement is greatly appreciated,"
Quoted by: Jemmy 'rrujMo Quote Number. imm?
iy. . ; kng b Pot r i�egee: of rir E ii 10Jt 16'M67:44
City of
Wheat
qgc
COMMUNITY DEVELOPMENT
City of Wheat Ridge Municipal Building 7500 W. 29'" Ave. Wheat Ridge. CO
July 13, 2415
The Planning & Zoning Resource Corporation
Attn: Shenice Lewis
100 NE 5th Street
Oklahoma City, OK 73104
RE: 4585 Yukon Ct / Ref. No. 85969-1
Dear Ms. Lewis:
80033-8001 P: 303.235.2846 F: 303.235.2857
This letter is to inform you that the property located at 4585 Yukon Court is located within the
corporate limits of the City of Wheat Ridge. The property is zoned Residential -3 (R-3).
Currently, the property is occupied by an apartment complex, operating as Yukon Court
Apartments. Apartments are considered a permitted use in the R-3 zone district. Below are
responses to your specific inquiries:
1. The current zoning classification for the subject Property is Residential -3
2. Adjacent property zoning designations:
North Neighborhood -Commercial (N -C) and Residential -2 (R-2)
South Mixed Use -Commercial (MU -C)
East Commercial -1 (C-1). Restricted Commercial (R -C) and R-2
West R-2
3. Is the property part of a Planned Unit Development?
Yes
x No
4. Is the subject property part of an Overlay District?
Yes
x No
5. The subject property is currently regulated by:
X Section 26-201 to 204, 26-211 and 26-224 of the Zoning Ordinance
Planned Unit Development Ordinance No. _
Site Plan Approval Case No.
6. According to the zoning ordinances and regulations for this district, the use of the subject
property is a:
www-cl.whestridge.co.us
Permitted Use by Right
Permitted Use by Special/Specific Use Permit
Copy Attached
Copy Not Attached
x Legal Non -conforming Use
Non -permitted Use
Comments: The City has a residential density limit of 21 dwelling units per acre Per
Jefferson County Assessor, the development contains a total of 96 units which is 5 more
than the density limit allows based on the land area of the parcels The development was
constructed in 1961, which predates the City of Wheat Ridge's incorporation in 1969 The
development also exceeds the density of 12 dwelling units per acre defined in the R-3
development standards.
7. The subject structure(s) was developed:
In accordance with current zoning requirements and is
Legal Conforming
Non -conforming
In accordance with previous zoning code requirements and is legal non-
conforming to current zoning requirements
X Prior to adoption of the zoning code and is
X Grandfathered/legal non -conforming to current zoning requirements
In accordance with approved site plan and is legal conforming to
approved site plan. If any nonconforming issues exist with respect to
current zoning requirement: the subject property would be considered
legal non -conforming
Comments: See Comment 6 above.
Information regarding variances, special permits/exceptions, ordinances or conditions:
x There do not appear to be any variances, special permits/exceptions,
ordinances or conditions that apply to the subject property
The following apply to the subject property:
Variance
Special permit/exception
Ordinance
Conditions
9. Rebuild: In the event of a casualty, in whole or in part, the structure located on the subject
property:
x May be rebuilt in its current form (i.e. no loss of sq. footage, same footprint,
with drive through(s), if applicable)
May not be rebuilt in its current form, except upon satisfaction of the following
conditions, limitations or requirements. See section of the current zoning
code/ordinance for details.
Comments: Refer to code section 26-120.C.8.
10. To the best of your knowledge, do your records show any unresolved zoning code violations:
Yes, there are open violations on file in our records
x No, there are no open violations on file in our records
11. Information regarding the site plan
x The subject property was not subject to a site plan approval process
The subject property was subject to a site plan approval: a copy of the
approved site plan is attached
The subject property was subject to site plan approval, but a copy of the
approved site plan is no longer in existence (was lost or destroyed). All other
existing documents applicable to the site plan approval for the site are attached
if available.
Other, (as noted)
Please call the undersigned at 303-235-2852, if you have questions or concerns
Name: Lisa Ritchie Dept: Community Development
Title: Planner II Email: Iritchie(a1ict-wheatridge.co.us
Sincerely,
Lisa Ritchie
• Q I +x i A s • I..
DEPARTMENT OF PLANNING AND DEVELOPMENT
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Building Permit Number : 95-897
Date :5/5/95
Property Owner :
Property Address : 4585 YUKON CT
Contractor License No. :
Company :
Phone : 431-6914
Phone:
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certity that the setback distances proposed by this permit application are accurate,
and do not violate applicable ordinances, rules or regulations of the CRy of Wheat Ridge or
covenants, easements or restrictions ot record; that all measurements shawn, and allegations
made are accurate; that I have read and ayree to abide by all eonditions printed on this
application, and that I assume full responsibility for compliance with the Wheat Ridge Building
Code (U.B.C.) and all other applicable Wheat Ridge ordinances, for work under this permit.
(OWNER)(CONTRACTOR) SIGNED DATE
Description : DUMPSTER ENCLOSURE
Construction Value :
$600.00
Permit Fee :
$0.00
Use Tax :
$0.00
Total:
$0.00
BUILDING DEPARTMENT USE ONLY
Approval : MR 04/26/95
Zoning : R-3
Approval : SE 05101/95
Approval :
Occupancy : Walls
DUMPSTER MUST BE SETBACK 15' FROM BACK OF WALK
ENCLOSURE MUST HAVE BOLLARDS ON PARKING AREA SIDE.
GATES CANNOT SWING OVER SIDEWALK OR RIGHT OF WAY
Roof : Stories : Residential Units :
Electrical License No : Plumbing License No : Mechanical License No :
Company:
Expiration Date :
Approval:
11 ~
Company:
Expiration Date :
Approval :
Company:
Expiration Date :
Approval:
(1) This pertnit was issued in accordance with the Orovisions set forth in yopur application and is subject to the laws of the State of Colo2do and to ihe Zoning
Regulations anC euiltlin8 Code of Wheat Ridge, Colo2tlo or any other applicable ordinances of the Ciry.
(2) This permit shall expire if (A) the work authorized is not commenced within siMy (80) tlays from issue date or (B) the Duilding authonzeA is suspended or
abandonetl for a period of 120 days.
(3) If ihis permit expires, a new permit may be acquire0 for a fee of one-half the amount nortnally required, proviGetl no changes have Oeen or will be made in the
onginal plans and speciflca6ons and any suspension or abandonment has not exceedetl one (1) year. If changes are made or if suspension or abandonment
exceetls one (1) year, (ull fees shall be paitl tor a new permit.
(4) No work of any manner shall be tlone that will change the natural flow of water causing a d2inage problem.
(5) Contrac[or shall no6fy the Building InspeQOr twenty-four (24) hours in advance for all inspections and shall receive writlen approval on inspection card before
proceetliing with s ssive phases of ihe'ob.
(6) The issuance ot~rtoit or the approval ~drawings and specifwtions shall not be construed to be a pertnit for, nor an approval of, any violation of the provisions
of the builtling s or aqy other ordinance, law, mle or regulation.
Chief
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
DEPARTMENT OF PLANNING AND DEVELOPMENT Building Permit Number :
BUILDING INSPECTION DIVISION - 235-2855
CITY OF WHEAT RIDGE Date :
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner:
Property Address :
Contractor License No. :
Company :
~54 c Z
~ stws Y
Phone: l.F3/-(o~'f,/0
Phone:
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setbadc distances proposed by this permd application are accurate.
and do not violate applicable ordinanees. rules or regulations of the City of Wheat Ridge or
covenants, easements or restnctions of rewrtl; that all measurements shown, antl allegahons
matle are accurete: that 1 hava read and agree ro ahide by all contlitions pnnted on this
applica[ion, and that I assume full responsibility for compliance with the Wheat Ridge Building
Cotle (U.B.C.) and all other applicable W,at Ridge ordinance fo ork under this pertnrt.
(OWNER)(CONTRACTOR) SIGNED ~it~ DATEr~°~~ 9s
Description
Construction Value : vo
Permit Fee :
Use Tax:
Totat :
~ 1tUILDING DEPARTMF,NT USE ONLY
~-"C2~
Approval ~
Zoning ~,~J"'p "0~0P
i J
Approval :
~P~~•
Approval: - ~ Q-
Occupancy : Wails : Roof : Stories : Residential Units :
Electrical License No :
Company :
Expiration Date :
Approval :
Plumbing License No :
Company
Expiration Date :
Approval :
P fns'Risquired
Mechanical License No :
Company:
Expiration Date :
Approval:
A '
(1) This pertnrt was msued m accortlance wrth the Orowsions set forth in yoDUr aOPllcatlon and B suoiecl to Na laws of the State of Cob2tlo and to the Zomng
Regula6ans and Builtling Cotle of VJheat RiCge. Coloratlo or any other aDPliwCle oWinances of fie Ciry.
(2) This permit shall axpire R(A) Ne vroB authonzetl Is not commencetl witnm sixry (60) Cays from tssue Eate or (B) ihe Duiltling auNOnzeO is suspentletl or
aban netl for a penotl of 120 tlays.
(3) 1( thi it expiros, a new permit may ba acawred br a(ee of ono-haM Me amount normalry reowred, provl0ed no Uanges nave Deen ar will De matle m the
ongi al ians and apecifica6ona and any suspension or ahantlonment has not ezceetletl one (7) yeac If changes are matle or if suspension or a0an0onment
ex one (1) year. full fees shall be paiE for a new pertnrt.
(4) No 0 of any manner shall De Eone that will change the natural Ilow o( water causing a tlrainage problem.
(S) Co ctor shall notiy Me Buiitling Inspector twenh-four (24) hours in aCVance tor all inSpecGOns and shall recerve wntlen approval on inspec6on wrtl 6efore
pr iing with successi nases of the lob.
(6) Th iss ance of a P. r Ne appmval o( Crewings and SpecificaU0n5 Shall not De construetl to x a pertnit for, nor an approval of. any violatlon of Ne provisiong
o ~eilCing coCes o otnt ortlmance, law. Me or regulauon.
Chief Building
For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
~s g S u c
Ivl eA-~ e. Lo. -
g~3 3
\
,
,
,
~
,
r
~
C
n ~
. ~
~
~
n
J
-1 t
C-1-7
~
`J
~
V
3
ti
~
d
G
~
~
~
-t-
~
~
~
~
T
~
~
t'
V
-7) w
~
(\Y
~t
~
-4 '
-c
f I~jyouv-,A
~
d
~
I I I ( I ~r
~
~F
~
~n
V~
O
9
~
r
O
I
I
U
~
~
~
~
-
-
_
i
i
I'
~
~
CP
~
i
I I~ I l ~ I 1
~L
P
V \
Dq
C>1
~
V ~
1~h
V '
~
~
0,53
v
INSPECTION tICKET
ADDRESS 4 /-9
77 4
INSPECTION TICKET
JOB
ADDRESS
DATE: BLDG. PERMIT# BI I93
PERMIT#
BLDG. CONTR. YCD/iK,OW nCY
SUBCONTRACTOR
DATE INSP. REQ.
r f f
TYPE OF INSR ' Jvv ~ -
INSPECTION MADE ~
REMARKS
W.R. FO_RM 6-19
~
~;,~A9-/~ f `~1~
~
INSPECTION TICKET
,los ~S ~s
ADDRESS
DATE: 9-3 BLDG. PERMIT# L&
q PERMIT#
BLDG. CONTR. LL d
SUBCONTRACTOR
DATE INSP. REO.
TYPE OF INSP. 7~ ~
INSPECTION MADE
REMARKS L''1
L..~
W.P. FORM 619
C
DATE: ( U _s BLDG. PERMITM ~
PERMIT#
q ~
BLDG. CONTR._ ~,V1
SUBCONTRACTOR
DATE INSP. REQ.
TYPE OF INSP.
INSPECTION MADE ~ c;- cl 3
REMARKS
W.R. FORM 619
~
DEPARTMENT Of COMMUNITY DEVELAPMENT
7500 WEST 29tn AvENUE BUILDING INSPECTION DIVISION PERMIT N0. M921I18183
237-8944 ExT. 255 P.O. eox 638 CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALIO ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND RELEIPTED BEl'JW.
JOB ADDRESS 1" OWNER ~ A_<~~ f
CONTRACTOR ADDRESS ~ 9U ~ U IJJS"C~ ~„1
ADDRESS /o U PHONE O~` ZIPCODEav1 Z .71 CITY ZIP GODE
ounuc --ri rl ! i ir.FNSF
d❑ Wall❑ ProietfinQ❑ 01har SorDFaee
TYPE G
SIGNS
roun
1.
2. MATERIAL Total Squon Faat
ILIUMINATiON Yes❑ No❑ Type Eleef. Permit No.
3
.
4. SE7 BACK FROM PROPERTY LINE N_ S_ E- W Zone_ ApprwM, 2ons Inspeetor
(Speeify whiaA is front) ❑ ❑ ❑ ❑ DiwpDrwW
1. TYPE SolidEl More Than 80% ODSnO Less Than 80% Open
MATERiAL Heipht
Z
FENCES
.
3 SE7 BACN FROM PROPERTY LINE N_ S_ E_ W ime_ ApprwWi ImDeeta
(Specity whieh is front) ❑ ❑ ❑ ❑ DiaoODrowd
Q
1.
OTHER
Z'
3
.
DRAW SKETCH OR SHOW BELOW, THE FENCE,SIGN,OR OTHER STRUCTUNE, GIVIhG DISTANCES FROM PROPERTV LINES.
(SETBACKS OR PROJECTIONS INCIUDED)
~ I
L!
'b
~
SPECIFY NORTH
STREET NAME v.~~~t1iuv ~
SHOW DISTANCES FROM THE MAIN BUILDING TUADJOtt1iNG HOUSES, STREETS, AND PROPERTY LINES; ON IRREGULAR LATS, SHOW LEAST
DISTANCE TO PROPERTV LINES, NOT MA%IMUM OR AVERAGE DISTANCE.
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORN ONLY UPON VALIDATION BV THE BUILDING INSPECTION DIVISION.
ELECTRICAL PERMIT
PERMIT
~PLUMBING
MECHANICAL PERMIT
STATE UCENSE N0.
NSE N0
j
BSM
IST
2N0
3RD
4TH
N
FUE4CirtlOn~CoFOII ElxSdor
~
T
FORCED AIR - BTU
TEMPORARY METER
HOT WATER - BTU
NEW SERVICE - AMPS
STEAM - 8TU
CHANGE SERVICE-AMPS
SHOWER
AIR CONDITIONING-BN
LIGHTIN6
SINK
OTHER
HEATINfi
GARBAGE DISF
FHIGERATION SYSTEM
POWER SUB-CIRCUITS
WATER HEAT
Rafri eront GouD
UTILITY (RANGE, DISPOSER, ETC.)
A 0. S
Pa+nda Chor s
IS WA ER
AIiTOMATIC SPRINKIER SYSTEM
FIXTURES
WIRING MOTOFtS fi CONTROI.S
FLOOR ~N
ELEVATOR
SIGNS
A~
TRANSFORMERS 9 RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAI FIXTURES
REMARKS
I hereby ocknowledqe tAot thia opplico-
tion is eorreet ond underatand fhaf I
eonnof stort fhis project unfil thia oppli-
eation is aDCroved. I sholl comDly with
ths lawf of the State of Colorado ond to
fhe Zoninp ReQufations ond Buildinp
Code of the City of Wheat Ridqe. Any
violofion of fhe abova terma will cause
immediote rsvocation ot-
A
kOVlitenb 9ipnaNr•
PERMIT FEE
USE TAX
TOTAL FEE
APPROVEI
DIS~
CHIEF BUILD
,City of Wheat Ridge
Date Issued ~
NOT VALID UNl.E55 RECEII
CALL 237-8944 EXT. 255
24 HOURS IN ADVANCE
FORINSPECTIONS
0
~
~
~
N
~
~
~
~
v~
-C:
~
~
~
0
p_
~
z~
~
~
~
v
~
d ~
~
~
0.
N~
~
-s
Z m,q- /,67- eA,
~
~
I'
I_
0
i-
i
i
.-nl\
~
~
2~-'
~
r
~
r
~
v ~
V• ~ ~
n
~a.
4
~
X
~
~
~
\
K
~
~
i ~
.
C-4
~
i
~
~
~
'
Q
~
V '
~
9
~
~
t
O
S'
3
n
N
~
n
0
- ~
b
lf'
4
m
~C.
~
~
1 ~
I I
l
~
u\
i
i'
0
0
fi
~
I
f
'
y
I
;
i
~
I
~
!I
-
-
-
~
~
~i
~I
f
i~
~
I
~
~
~
~
~
0
CT
7
INSPECTION TICKET
Jos ~g j ~
ADDRESS
DATE: ZBLDG. PERMITM
PERMIT#
BLDG. CONTR.
SUBCONTFACTOR
DATE INSP. REQ. ~
TYPE OF INSP.
INSPECTION MADt
REMARKS A' ~ ~ Z
W.R. FORM &19
DEPARTMENT OF GOMMUNITY DEVELOPMENT M921117951
7500 WEST 29tn AvENUE BUILDING INSPECTION DIVISION PERMIT N0.
237-6944 Exr. 255 P.O. eox 67e CITY OF WHEAT RIDGE, COLO.
THI$ PERMIT VAUD ONLY WHEN SiGNED BY THE CHVEf BU4DING INSPECTOR ANC RECEIPTED BELOW.
JOBADDRESS q5g-TY~
CONTRACTOR.
CITY I--< < ZIP CODE
PHONE LICENSENO. J31101OWNER _
ADDRESS
PHONE _
ZIP CODE SW3S
CONTRACTPI.q ICEy/ $ j_,:,? 1 J -
DATE 3I5-1°I 1+
TVPE Ground ❑ Woll❑ Proietlinp❑ Othsr 5 or D Face
I
.
2. MATERIAI Tofal Squon Faet
$IGNS
Psrmit No
3 ILIUMINAT10N Ya❑ No❑ Type Eled
.
.
4. SET BACK FROM PROPERTY LINE N_ S- E_ W Zons_ Appraved,Zone Inspootw
(Specily whicniafront) ❑ ❑ ❑ ❑ DisaDDroved
1. TVPE Solido More Tnon BO% ODenO Leu Thon 80% Open
MATERIAL Hoiphf
?
~
~
FENCES
.
3. SET BACK FROM PROPER7Y LINE N_ S_ E_ W Zmi ApprwM,ZoM Inspacta
(Specify whicA is }ron ) ❑ ❑ ❑ DiaaOProvad
oo Cv~ ~ 2 'E~K~
I
.
2
OTHER
~1
'L'
4
'
lti
-
- G
;
3
.
DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHER STRUCTURE, GIVtKu DISTANCES FROM PROPERTV LINES.
(SETBACKS OR PROJECTqNS INCLUDED)
_ 1
~ , /
,--1 Co ~
>
Af-t, ~
N
+ 0
SPECIFV NORTH
STREET NAME 7 ~ "~+w v
SHOW DISTANCES FROM THE M41N BUILDING TPADJOINING HOUSES, STREETS, AND PROPERTY LINES;ON IRREGULAR LATS,SNOW LEAST
DISTANCE TO PROPERTV LINES, NOT MAXIMUM OR AVERAGE DI5T4NCE.
APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
THIS APPLICATION WILL BECOME A PERMIT TO PERFORM THE INDICATED WORK ONLV UPON VALIDATION BY THE BUILDING INSPECTION DIVISION.
PERMIT WILL EXPIRE 180 DAYS FROM THE OATE OF ISSUANCE IF WORK IS NOT STARTED WITHIN THAT TIME.
ELECTRICAL PERMIT
STATE LICENSE N0.
ALUMINUMWIREVNDERSIZE81Ll.E6AL
PLUMBING PERMIT
STATE LICENSE N0.
FLOOR BSM IST 2ND 3RD 4TH
MECHANICAL PERMIT
N0. FUEI: CirGeOneGo{qlROparr EleeSda
Np.
WATER CIASET
FORCED AIR - BTU
TEMPORARY METER
WASH BOWL
HOT WATER - BTU
NEW SERVICE ° AMPS
BATH TUB
STEAM - BTU
CHANGE SERVICE-AMPS
SHOWER
AIR CANDITIONING-BTU
LIGHTING
SINN
OTHER
HEATING
GARBAGE DISF
REFRIGERATION SVSTEM
POWER SU6-GFCUITS
WATER HEATER
Refri eranl Grwp
UTILRY(RANGE, 0ISPO5ER, ETC )
AUTO. WASHER
Pounds Cnar a
FIXTURES
DISH WASHER
AUTOMATIC SPRINNLER SYSTEM
WIRING MOTOftS 9 CONTROIS
F100R DRAIN
EIEVATOR
SIGNS
URINAL
TRANSFORMERS 9 RECTFIERS
SEWERS
E
ADDITION TO OLD WORN
OTHER
F
MOTORS OVER I HP
TOTAL FIXTURES
I Mreby ocknowledqe rnat this a0olico-
tion is correct ond understand thai I
connof stort thie DrojeCt until this aD71i-
totion if opproved. I shall com0ly with
tM laws of the State ol Colorado ond ro
ihe Zoninp Repulotiona and Buildinq
Code af tAe City of Wheot Ridpe. Any
violafion of the above terme will couse
immediate revocotion of tnis Dermit
PERMIT FEE
~ ~~f
NOT VAIID UNLESS RECEIMED
fFf 7a33
USE TAX
%
TOTAL FEE
1V
iz-
DISAPPROVED
CHIEF BUILDING WSPECTOR,Cifyof
eat Ridqe
CALL 237-8944 EXT. 255
FiS IN ADVANCE
HO
-
24
U
Date Issued
FOR INSPECTIONS
~fplieanb 9lynaron
~
c
8
~
m
F
H-
m
R
~
~
m
r
m
D
m~
Z
g
a
Z
o
'
m
z
~
m
Z
a
SL
}n I
~
r
n
C
~
R
N
~
m
Ln
~
-
_
•
_
ti
-
C1
m
0
x
X
~
~
~
C
K
N
m
^
0
N
~ '1
F
~
~
.'a
0
ti
D
r
r
Ln
r-,
~
0
2
II F
6
~
R
0
N
I
-n
~
D
~
~
r~
~
,
~
T
C '
~
~
0
N
O
I I 7M, OMMO EMtf ~.Fii QC. ~
I
~
I I
I
z
i -
-
~
I f
R 0.46 IqOF 0(CN ~
Y
n
It:p•
e
. . _ _
o
~
~
~
~
~
~
Ia
T" 01N r
o~ *
F -
L'EFAh'TMEiJT OF COMMUNITY DtVELOPMENT
7500wES729tnAVeNUE BUILDWG INSPECTION DIVISION PERMIT N0 ME93#5576
237-6944 EXT. 255 P.O. BOX 638 CITV OF WHEAT RIDGE, C0L0.
THIS PERMIT VAUD ONLY WHEN SIGNED BY THE CNIE.F BUILDING WSPECTOR ANC RECEtPTED BEL`.?H'.
PLICATION FOR MISGELLANEOUS PE~MIT
?LL_U~~1'1_----OWNER ~~1~'ir~~l
JOB ADDRESS
CONTRACTOR MCBRIDE ELECTRIC A D D R E S S ADDRESS 1860 W. WILTIXV PL. PHONE ~c ZIP CODE
:ITY BIG'EWOM ZIP CODE builu
~HONE 761-6776 LICENSE NO. 916
-
CUNTRACT P
DATE
IGE $
"
I. ?VPE Ground❑
2. MATERIAL
Woll❑ Proietlmp❑
01hsr SorDPoCe
Total Spuare Faet
SIGNS
3. II.LUMINAT10N Ysa❑ No❑
4. SET BACK FROM PROPERTY LINE N
TYOe
_ 5_ E
_ W
ElKt. P*rmil No.
Zone_ ADVrovad,Zons Inspeclor
eE
(Specily whitMm front)
❑ ❑
❑ ❑
DieoDDrOV
1. TYPE Solido Mora Thon BO% ODenO
IA
Lssa Than BO%
Opan
HeipM
FENCES
MATER
L
3 SET BACK FROM PROPERTY LINE N
.
_ S_ E
_ W
Zons
_ ADDrwW,Zonsi Impecia
d
(SDeciry which is tront)
❑ ❑
❑ ❑
DisaDDrove
I.
OTHER
2
3.
DRAW SKETCH OF7 SHOW BELOW, THE FENCE,SIGN,OR OTHER STRUCTURE,GIVi1:G DIST4NCE5 FROM PROFERTY LINES.
(SETBACNS OR PROJECTIONS INCLUDED)
REAR PROPERTV LINE
w ?
Z J
PV (Y'
w T ~
a
w ~
N
N
FRONT PROPERTV LINE
STREET NAME
SHOW DIS?ANCES FROM THE MAIN BUILDIN6 TPADJ0INING HOUSES, STREETS, AND PROPERTY LINES; ON IRREGULAR LATS, SHOW Lceer
DISTANCE TO PROPERTY UNES,NOT MAxIMUM OR AVERAGE DISTANCE. _
APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
THIS APPLICATION~WI~LL BE^OM Fx~ RFMHO flAVSRF OM THE DATE OF ISSU NCEOIF WORK I$ NOT 3TARTED WITHIN THAT TIMEPECTION DIVISION.
,
PLU
MBING
PER
MIT
MECHANICAL PERMIT
ELECTRICAL PERMIT
STCTE LICENSE N0
STATE LICENS
E NO
.
NO
FiJEUC'ucle0rn GW d~ Propo^e ElseSdor
8 ILLEGAL
FLWR
BSM
15T
2ND
3RD
4TH
ALUM
INUM WIRE UNOERSIZE
BTU
FORCED AIR
NO
WATER CIASET
=
F10T WATER BTU
TEMPORARY METER
WASH BOWL
STEAM - BTU
NEW SERVICE - AMPS
BQTN 7UB
AIR CONDITIONING-BTU
CHANGE SERVICE - AMPS
SHOWER
OTHER
UGHTING
SINK
REFRIGERATION SYSTEM
HEATING
GARBAGE DISP
R
Re}ri e~onf Group
ppWER SUB-GRCUITS
WATER NEATE
'
Pounds C~ar e
UTILITY (RANGE, DI5PO5ER, ETC )
ASHER
AUTO. H
R
qUTOMATIC SPRINKLER SYSTEM
FIXTURES
DISH WASHE
ELEVATOR
WIRING MOTOFtS 9 CONTROLS
Fl_IXOR DRAIN
SIGNS
URINAL
TRANSFORMERS 9 RECTfIERS _
SEWERS _
ADDITION TO OLD WORK
OTHER
MOTORS OVER I MP
TOTAL FI%7URES
Y-
I
~
SPECIFY NORTN
rtEMartrc " '_-5-)'-?~Ce---~As:Di-~.
I hereby ocknowledQe thol this apDlica-
tion it correct ond understand 1hat I
connot atart fhis Drojbct untii ihif apDli-
totion if a07roved. I snall comvlY wrtn
iha lawe of the Stnfe of Colorodo and fo
ihe ZoninQ ReQulntwns and Buildin0
Code of the City o1 Wheai Ridqe. Any
violalion of ihe above fermf will cause
imm dlale "svocation o( ;~is permit
~ o ~ao s~o~am,.
PERMIT FEE
USE TAX
TOTAL FEE
CMEF BUILUININSPECTOR,City cf Wheat Ridqe
Date Issued__
VALID UNLESS RECEIPTED
1~
CAL - -8944 EXT 55
24 HOURS ANCE
FOR PEC NS