HomeMy WebLinkAbout4450 Zephyr Streety
Occupy/Type
gPECT10 RECORD
'N4-5933
ION REQUEST LINE:
IN(303) 23SPECT ect site.
Inspections will not be performed unless this card is posted on the prof
p m. to receive an inspection the following business day.**
Call the inspection request line before 11:59 p.
Inspector Must Sign ALL Spaces p
eminent to this project
Inspector Comments
ndation Insp
ections Date Initials
;rete Encased Ground (CEG) ections
idation / P.E. Letter royal Of The Above Insp
Do Not Pour Concrete P 101Inspector,App Comments
jergroundlSlab Inspections Date Initials
;trical
ver Service
mbing
o Not Cover Unde
>ugh Inspections
all Sheathing
d -Roof
ith 1 Wall Tie
ough Electric
sough Plumbing/Gas Line
tough Mechanical,
tough Framing
lough Grading
Insulation
Drywall Scram
Final Inspections
round or Below/Inp11211
ec oWork Prior To
Date Initials
Landscaping & Parking 1 Planning Dept.
ROW & Drainage 1 Public Works Dept.
Floodplain
nspection (if applicable)
ion I Fire Protection Dist.
ical
ing
anical
Of The A_
Comments
ons
I sn pector Comments
Date Initials
Inspections from these entities should bd papkingte
one week in advance. For landscaping
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2$61. For fire ou pproject.
contact the Fire Protection District for y
Final Window/Doors
Final Building roved by Planning, Public Works,
Fire and Building before a Certificate
NOTE: All items must be completed and app inspection does not constitute authorization of occupancy.
anc is issued. Approval of the Final Building leted from the Fire District and electrical low voltage
of Occup Y 8:00 A.M-
*For low voltage permits —Please be sure that rough inspections are com
the Building Division. inspection time window please email ins timere nest a�ci.wheare sig e s a
by our assigned Insp
For notification of y address in the subject line of the email. Time windows are assigned base on
the day of the inspection with the property
of occu
inspection routing.
Occupancy Is Not Permitted Unhis Cl
ardF From The We pancy Is Issued
her
Protect T
A i CITY OF WHEAT RIDGE
1�9rBuilding Inspection Division
(303) 234-5933 Inspection line
,(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION
OF
Job
Inspection Type: q/�f F
Job Address: C� ,-, / e
Permit Number: O
❑ No one available for inspection.: Time / 7 �?L-" AM/PM
Re -Inspection required: Yes°No
When correcti shave been made, cal for re -inspection at 303-234-5933
Date: U/ - / 17 Inspector:
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
_1�9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax V
INSPECTION NOTICE
Inspection Type: Inz7jD
Job Address:� yrS�
Permit Number: �;)y / %O lF O
❑ No one available for inspection: Time I ArT
Re -Inspection required: Yes /No
,
When corrections have been made, call for re -inspection at 303-234-5933
Date: 5 I Inspector: ? 6z
DO NOT REMOVE THIS NOTICE
s City of Wheat Ridge
Residential Roofing PERMIT - 201701860
PERMIT NO: 201701860 ISSUED: 06/11/2017
JOB ADDRESS: 4450 Zephyr ST EXPIRES: 06/11/2018
JOB DESCRIPTION: Residential Reroof: Install GAF Timberline HD house only 7-9:12 pitch, 23
squares
*** CONTACTS ***
OWNER (303)514-7800 DUARTE JESUS G
SUB (303)548-5000 Alan Parkes 021001 Roof Corp of Metro Denver Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11,100.00
FEES
Total Valuation 0.00
Use Tax 233.10
Permit Fee 236.00
** TOTAL ** 469.10 -
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding k/2 -inch exists. Asphalt shingles are required to
be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and water shield is
required. Eave and rake metal is required. A ladder extending 3 feet above the roof eave
and secured in place is required to be provided for all roof inspections. Roof ventilation
is required to comply with applicable codes and/or manufacturer&Oms 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's 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.
City of Wheat Ridge
Residential Roofing PERMIT - 201701860
PERMIT NO: 201701860 ISSUED: 06/11/2017
JOB ADDRESS: 4450 Zephyr ST EXPIRES: 06/11/2018
JOB DESCRIPTION: Residential Reroof: Install GAF Timberline HD house only 7-9:12 pitch, 23
squares
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. I4cirther attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed,,and thatpll work -to beperformed41 disclosed in,tdiis document and/ its' ompanying approved plans and specifications.
Signature of OWNER or CONTI X CTOR (Circle one) Date
I. This permit was issued basexi.ert'ihe 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 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 an 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 code or any 'ordinance or regulatio -of this jurisdiction. Approval of work is subject to field inspection.
._ e l
Signature of Chief Building Official Date
REQUESTS NUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequestgci.wheatridge.co.us
between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line.
Antoinette Kulick
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, June 8, 2017 9:11 AM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
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. 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. Permits are currently being
processed within 24-48 hours, subject to change based on volume.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Existing permits that require amendments (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.
PROPERTY INFORMATION
Property Address 4450 Zephyr St
Property Owner Name Jesse & Susana Duarte
Property Owner Phone 303-514-6824
Number
Property Owner Email Field not completed.
Address
Do you have a signed Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
CONTRACTOR INFORMATION
Contractor Name Roof Corp.
Contractor's License 021001
Number (for the City of
Wheat Ridge)
Contractor Phone 303-766-2444
Number
Contractor Email Address permits@roofcorpinc.com
(permit pick-up
instructions will be sent
to this email)
DESCRIPTION OF WORK
Is this application for a Yes
new permit for a
residential roof?
Are you re -decking the No
roof?
Description of Roofing GAF Timerline HD
Material
How many squares of 23
material?
Provide additional detail House only - 7-9:12 pitch
here on the description of
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 11100
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
2
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
Name of Applicant Victor Aguilar
Email not displaying correctly? View it in your browser.
1685 S. Colorado Blvd, Ste 240 6890 South Tucson Way
Depver, CO 80222 Centennial, CO 80112
(303) 766-2444 Jii
OOFCORP
Of Metro Denver Inc.
�• 1
Not just another house... BBB
It's your home! AGREEMENT FOR ROOF INSTALLATION �®
Gold Star Award
A+ Rating
%�' '' y ( %�"� pzp DATE: �r
ADDRESS: i � �, Cit �/ r Gc� �Zi
OWNER:)(7�j5�,y� S� Vii,, �4 c'�Y`t�"� SALES REP: P4
OF
PHONE: home: ; j s l L, 6� - cell: 3t� S%! f' work/email: / 'e �f'U
If this contract is for an insurance or manufacturer defect claim, AGREEMENT SHALL BE CONTINGENT UPON
INSURANCE COMPANY OR MANUFACTURER APPROVAL.
Roofcorp Inc. hereby agrees to supply all materials and labor necessary to install roof as,speci e below:
✓ New roofing material: manufacturer:- rating. .5.5 color:
✓ Remove and dispose of existing layers of shingles wood shake other
Install new manufacturer approved underlayments on entire roof. Felt grade shall be #
v/Remove existing valley and replace. New valley material shall be e� w
✓ New plywood/OSB decking shall shall not / be installed.
✓ Remove trash and debris from property and use magnetic sweep for nails.
✓ Replace/install new flashing as required by code.
✓ In addition to manufacturer warranty, Roofcorp will provide 1:12 5 year transferable workmanship warranty.
✓ Upon request homeowner shall receive a written invoice with lien waiver and 5 year roof certification.
Misc items:
Aild :PLA- -11-V A tem -
In the event there are hidden layers of existing roofing found, damagelfd decking is replaced, damaged siding is replaced,
code upgrades are required, or other misc repairs are needed, customer understands that Roofcorp shall submit a supplemental claim
to insurance company and shall be paid full recovered amount of supplemental claim including overhead profit. In the event that
said required additional items are not recovered from insurance company, customer agrees to reimburse Roofcorp for said repairs on
material and labor basis. /
Insurance Company/Manufacturer: �,Lfi G -� 1�'j� l2 CLAIM # �31�� 0/
Phone: •• �'� C� ��- C;;� � �- Fax: Type Of Loss
Adjuster Name:
Adjuster Phone #: Email:
Full Replacement Coverage Yes No , Actual Cash Value Coverage Yes _ No Code Upgrade Coverage Yes No
Roofcorp hereby agrees to replace roof to above
�specifications
Lfforr�p' surance company RCV (Replacement Cost Value)
�TOTAL$ .TOTAL A441 D BY IN RANCE $
Payment terms: Payment is due upon completion and shall be cash or check. In the event the city inspections are delayed,
customer aqrees to pay 90% of contract price (or first insurance check) within 10 days of completion and balance once
Insurance Companytvianufacturer: 1�t•C� v� Lam'-'''`' "_.•'`'
� � 1
Phone:c� l�,3 Fax: eC TQ2:
Adjuster Name: Adjuster Phone #: trali:
Full Replacement Coverage Yes No _, Actual Cash Value Coverage Yes _ No / Code Upgrade Coverage Yes
Roofcorp hereby agrees to replace roof to above specifications for surance company RCV (Replacement Cost Value;
TOTAL $ J T���3 ✓ TOTAL A7OVED BY FRANCE $
Payment terms: Payment is due upon completion and shall be cash or check. In the event the city inspections are delayed.
customer agrees to pay 90% of contract price (or first insurance check) within 10 days of completion and balance once
inspection is closed out. If payment is made with credit card there shall b additional charge of 1.5% added to balance paid.
By Ll _ Date: `' -` "
Own er Da..
PLEASE MAKE ALL PAYMENTS PAYABLE TO "ROOPCORP-
i) Orce signed by bpi^ paresc.—_ _ �c _
ii) Replacement of bad deck .g s h. =a a , = s _
S40 per sheet. Vents, flashing e.c rot rec.. -roo= s de a-=
-. -- - _
iii) This contract constitutes entire agreement. No changes or :e,ba c re = __ _ _
shall be part of this contract unless agreed upon by both parties it nurg.
iv) Homeowner has the right to cancel this contract in writing within 3 days of i —a= -
signing with no penalty. pay a 2 ca'
v) Warranties are as stated above and shall be limited to exterior repairs only. value. I ad _--. s _
Interior damage shall not be covered under said warranties. court a .d toll ctio a_ _ c_ _
vi) Homeowner is hereby notified to remove all pictures, mirrors, breakables from walls or Said fe s shall be added to *,o'a; a
shelves. Homeowner also understands that there may be significant amounts of dust and viii) Owner understands that not all claim_ a, e a: --
debris
_ debris which will fall into attic and/or garage and should cover or remove items as necessary.
K`f
• s. .:
f
Ins #. ces pertinent to this p roject
[ Foundation Inspections inspector Comments
L ���n��
Initials
##
#. .
Comments
Initials I
Rough Inspections
bate
Inspector
Comments
..�
Initials
Wall Sheathing
Roof Sh
Lath d Wall Tie
Roug Electric
Rough Plumbing
Rough Mechanic
Gas Pipi
�
Not Proceed Without A rovaf Of
Above I
Rough Fra ming
C ITY OF WHEA
tip" 1 4 1 AN cdb
l nst3lattf}n
Drywall Screw tail
-�
"1��
.- 88148
ANOUH
Final Inspections
Cate
Inspector
RPSP Install, 58 gallon ho
t,.
Initials
Final Electrical
P ermit Fee
Use Tax
17.57
Final Plumbing
PAYNENT RECEIVFD
AQWT
Final Mechanical
VS 2667
57.57
Roof
Auth Code:
064195
Final Building 1 Frame
TOTAL
57.5
Rough Mechanical
,III III I��. II 4 #I � ��� � �R'�. �� � � ��ti��l �■����
Sub Contractors;
gornpagy Name: LWOle gMLtj§ofl R-ft jr
� - -olomfuglow- 'Awqo—yal.
------------ - -------
yug at tifft Of submiftf) -
BUILDING DIEFARTMENT COMMENTS:
Reviewer
FIRE DEPARTMENT:: 0 approved w/ comments 0 disapproved 0 " review required
C41
Dt~BWLC)tNG I 3PECTION DIVISIONE 235 2855
r'CITY OF WHEAT RIDGE
7500 WEST 29TH AVENUE
WHEAT RIDGE, CO 80215
Property Owner : EACHUS EARNEST ELLISTON
Property Address : 4450 ZEPHYR ST
Contractor License No. : 18675
Company : QuaAty Electric, Inc.
Building Permit Number : 3632
Date : 8/12/96
Phone : 421-2961
Phone : 295 2221
Ob
vrvcrvUvrv i ruvc i vK tiilirvA I UKt Uh UNUERSTANDING AND AGRE
MENT
COnShUChOlt V81U8 :
$2,840.00
heroby certify that the eeEbeqc dlstsnoes propoaed by thia pertnit eppIication aro a
md do notviofMeapW IpbN oMinancea, rubs or ropulatfora of the Cily M Wheat
~
rate,
or
Permit FC@ :
$57.00
bvenanrts, ea~emfn
ls areaMcHona of record; that sll measuremenb ahown, and al
nads ars ac¢urate; that i have iead em1agree W abkeby all condqknapn Med on t
i
N
N
miM
t
'
atlons
is
Plan Review Fee :
$0.00
pp
ca
on, e
s
I essume fullresponsd~N
for com fiarwe wiM the Wheat
BuiMing
USe T2X :
$34.08
:ode (U.B.C J and all oMer applMab Mge o. , r woAc under thb
OWNER)(CONTRACTOR) SICiNE '
TOfal :
$91.08
Description : UPGRADE ELEC SERVICE TO 200 AMPS
BUILDING DEPARTMENT
SE ONLY
SIC : Sq. Ft. :
Approvai :
Zoning :
Approval :
Approval :
Occupancy : Walls : Roof :
tories :
Residendal Units :
Electrlcal License No : Plumbing License No : Mechanical License No :
Company: Company: Company:
Expiretion Date :
Approval :
s
Expiration Date :
Approval :
0 -
Expiradon Date :
Approval :
a
(t) 7Me Permit wae isga~u~ed~ ~In aa
(2) TR1do~pker~mit shaN 00reB GU
aWrMaiWfwe of13
(3) If MIS.pMMt ~/9s, a new j
(5)
(8)
aMll not
iPef Building Inspector THIS PERAAIT VALID ONLY WHEN SIGNED BY THE
CALL: 234 '~i933 24 HOURS P
issubjeel: Eo tM lawe of 1M Sho of Colarado wM to the Zordnp
es dtlia Ciq~, iom lasus 0a0e or (6) Ma OWkHnG auUiorize0 b awpenCed or
M ~e7wmd. pohded rw dianpes have been a'vAY Os made hi tlie
b(7) year. It eharq~ a~e maAS or Hsuapanebn u abanAOnnent
eiitl BIw6 feceiw wrryNn eppipv9l on inapedidi nN 6efoie
bB a GermR M, nor en approvel Of. anY vioktlon of tlM Provislwis
AND MAYOR
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
PropertyOwner:
Property Address : Phone :
Contractor License No. :
Company : Q~~`, Phone :~`4 a a\
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT Construction Value :~`~~s`~°•
I hereby certrfy that the setback tlistances proposed by this pertnit appliwtian are accurate. Pelrtllt FE8 : -Z~ -1
and do not violate applicable ordinances, rules or regulations of the City of VJheat Ridge or
covenants, easemeots or restnctions of record: that all measurements shown. and allegatwns
made are accurate; that I have read and agree to abide by all conditions pnntetl on this US@ T8X :
application, and that I assume full responsibiliry for compliance wrth the Wheat Ridge Building
Code (U.B.C.) and all other appliwble Wheat Ridge ordinances, for work untler this pertnrt.
Total
(OWNER)(CONTRACTOR) SIGNED DATE t- V-*` ~y
Description : v Iii
BUILDING DEPARTMENT USE ONLY
Approval :
Zoning :
ing_,~~
Approval :
epklt~ _Wneta~e~ctits~
Approval :
Occupancy - Walls : Roof : Srories : Residential Units :
Electncal License No : Plumbing License No Mechanical License No :
Company Company : Company
Expiration Date : Expiration Date : Expiration Date :
Approval : Approval : Approval :
~ Plans R§qutred -'1 J, Ptins Required I Pl~ns~qt~_
(1) This oermit was issuetl in accortlance wrth the provisions set torth in yopur appuUtion and is suoiW to the laws of the State ot CobreEO and to Ne Zoning
Regwanons and Builtling Cotle of VJheat RiOge, Coloraao or any other appliwcie orCinances of tne Ciry.
(2) This cermit shall expire rt (A) the work authonzetl 1s not commencetl within sixry (60) tlays trcm issue aate or (B) the bwltling autnonzetl is suspenAeE or
aoanaoneU br a penotl of 120 days.
(3) If this pertnR expires. a new permit may be acquired fa a fee of one-balf the amount normaiN requiretl, providetl no changes have 6een or will De ma0e in the
original olans and specifications and any suspension or aDantlonment has not exceetled one i i i yeac If changes are made or if suspension or abantlonmenl
exceetls one (1) year. tull fees shall be paitl for a new permit.
f4) No wofR of any mdnnef Snall bC tlOnC 1h2t Wil1 Lhange Ihe naWfal floW of Wate/ Causing a dranage problem.
(5) Contractor shali nobty [he Builtling Inspector hvenN-four (24) hours m aavance br au mspecuons ana shali recerve wntten approvai on inspeIXion cartl before
croceeming wi[h successrve phases of Ihe job.
!fi) The issuance o( a permit or the approval of tlrawmgs and specifcations snall nci oe consimea to be a permrt for. nor an aOProval of. any violabon of the pronsions
it tM1e butltlmq CAtles or any other ortlinance, law, mle or regulation.
Chief Building Inspector For Mayor
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEF BUILDING INSPECTOR AND MAYOR
CALL: 234-5933 24 HOURS PRIOR TO INSPECTION
7500 WEST 29tn AvENUE DEPARTMENT Of COMMUNITY DEVELOPMENT
237-6944 ExT. 255 P.O. eox s.3e BUILDING INSPECTION DIVISION PERMIT N0. Mp91i/3298
CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VAt-ID ONLY WHEN SIGNED BY THE CNfEF BUiLDING INSPECTOR ANC RECEIPTEDBELOW.
APPLICATION FOR MISCELLANEOUS PERMI7
JOB ADDRESS . J U~ U L£d-' rI OWNER N
y- c
CONTRACTOR ,.Ij ,:p , , ti
ADDRESS K ADDRESS u y IQ. 1..._ ~
PHONE 4 ' ~ ZIPCODE
CITY 1~~~\ trl\ C'ZIpCODE iOt: : S
. . CONTFACT PRICE $ PHONE ? j 41 E, 2. j Pia. c,. s~ 23n
-,ICENSE NO. DATE
SIGNS
1. TYPE GrounC❑ Wall❑ ProietfinQo
2. MATERIAL SorDFau_
3. ILLUMINATION Yea❑ No❑ Type Total Squan Faaf
4 SET BACK FROM PROPERTY LINE N_ 5_ E E~K}- P~rmif No.
W Zone_ ADDrored,ZOnalns d
(SDetity whitA is trene 1 n rl I-"l P"1 ~ 0f
L. TYPE SolidU Mon Than 80% Opan❑ Lut Than BO%
FENCES MATERIAL
3. SET BACK FROM PROPERTV L,INE N__ E_ W
(Specify which is Iront) ❑ ❑ ❑ ❑
I.
OTHER 2 _
oaa INSPECTION TICKET
TURE, GIVII:
JOB
ADDRESS LME
DATE: 7 BLDG. PERMITN Z9 15~
PERMITfl
BLDG. CONTR. !C 6-e~"
DISH WASNER
FLO(N7 DRAIN
PERMITX
SUBCONTRACTOH SUBCONTRACTOR
'LWE -
DATE INSP. REQ. X-,=;)
SHC
D TYPE OF INSP.
lf ~J
T INSPECTION MADE G~O C7~- G'fGk~,
REMARKS o73 4 400S-
STA
JMIN
LW.R. G79
IRCfll7 5
WIRING MOTORS 6
TRANSFORMERS 9 RELTFIERS SEWERS
QDDITION TO OLD WORK OTHER
MOTORS OVER I HP 7n7ei r
T'n,),j 7rl l/ _ AU c" z..,' G H S L
I hereby ocNnowledpe that ihia applico-
}ion ie correct and undersiand lnaf I
GannOt 7faff this prOlbCf unfil thls oppli-
cotion it opproved. I shall comply witA
fha laws of Ihe Slate of ColoroEo ond to
fhe Zoninp Requlationa ond Bulldinp
LoEe oftAe City of Wneat Ridpe. Any
viololion of tne above fermn will couee
immediate revocotron of Inle pe.mH 111ooficanl, siYnmer.
PERMIT FEE
USE TAX
TOTAL FEE
A'BfSkED
CHIEF BUILDir
DATE INSP. REp, ' - T r f'
'REE7S,AN TYPE OF INSP.
ANCE.
INSPECTION MADE ~G
CTRICA
ED WORK 0 REMARKQi0~~
ISSUANCEI
G PERMf ~ a,~j ~li~~i'~- ~l¢~►'
IST 2~
W.R. FORM &19
_ j
6
Heipht
Zms- Approvei InspeCtor
INSPECTION TICKET
JOB
ADDHESS ; r:.~ ..,7.,~-" ,
i
DATE: l
BLDG. PERMITN
.
BLDG. CONTR.
NOT VALiD UNLESS RECEI
$ Tk'l~
, City of Wheat Ridqe
Datelssued "
CALL 237-8944 EXT. 255
24 HOURS IN ADVANCE
FORINSPECTIONS