HomeMy WebLinkAbout4545 Zephyr Street� ► � i City of Wheat Ridge
E -Res. Boiler Replacement PERMIT - 202001801
PERMIT NO: 202001801 ISSUED: 09/09/2020
JOB ADDRESS: 4545 Zephyr St EXPIRES: 09/09/2021
JOB DESCRIPTION: Replacing 150k, 95% efficiency gas boiler in basement.
Revision: Relocated and replaced ssu, added control transformer, Gfci
outlet and new whip; Added valuation: $350.00
*** CONTACTS ***
OWNER (303)424-5385
LANYON DAV I D N
SUB (303)407-7967
STEPHEN LANYON
017835 BLUE SKY
PLUMBING
SUB (303)407-7967
STEPHEN LANYON
017835 BLUE SKY
PLUMBING
*** 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:
13,352.57
FEES
Boiler Replacement
40.00
Total Valuation
0.00
Use Tax
280.40
Permit Fee
26.50
** TOTAL **
346.90
*** COMMENTS ***
*** CONDITIONS ***
Both the front and back of this permit are required to be posted on the job site at all
times. If the complete permit is not present, inspections WILL NOT be performed.
Work shall comply with 2018 IRC & 2020 NEC. Smoke alarms shall comply with 2018 IRC Section
134. Interior alterations, repairs, fuel -fired appliance replacements, or additions, any of
which require a building permit, occurs or where one or more rooms lawfully used for
sleeping purposes shall have an operational carbon monoxide alarm installed within fifteen
feet of the entrance to each room lawfully used for sleeping purposes.
1* � � i City of Wheat Ridge
�� E -Res. Boiler Replacement PERMIT - 202001801
PERMIT NO: 202001801 ISSUED: 09/09/2020
JOB ADDRESS: 4545 Zephyr St EXPIRES: 09/09/2021
JOB DESCRIPTION: Replacing 150k, 95% efficiency gas boiler in basement.
Revision: Relocated and replaced ssu, added control transformer, Gfci
outlet and new whip; Added valuation: $350.00
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�permrt. I further attest that I am leg ally authorized to include all entities named within this document 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 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 requ�ired
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, anviolation of any provision of any
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
From: no-reolv(alci.wheatridae.m. us
To: CommDev Pets
Subject: Online Form Submittal: Revision to Permit Application
Date: Thursday, October 15, 2020 12:43:00 PM
Revision to Permit Application
Permit Number 202001801
assigned to project
PROPERTY INFORMATION
Permit Number 202001801
Property Address 4545 Zephyr St
Property Owner Name David Lanyon
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-
4567)
720-539-4977
Property Owner Email davel14@comcast.net
Address
CONTRACTOR INFORMATION
Contact Name Randy Palato
Contact Phone Number
(enter WITH dashes,
eg 303-123-4567)
Com@ a FRI91inw-ArGRm
303-407-7967
randyp@blueskyplumbing.com
Retype Contact Email randyp@blueskyplumbing.com
Address
DESCRIPTION OF WORK
Detailed Revised
Scope of Work -
Provide a detailed
description of work
including mechanical,
electrical, plumbing
work occurring,
adding/removing walls,
etc
Per inspector need to add Electrical to to permit for Boiler
electrical connections and schedule a re -inspection.
Engineer Letter (if Field not completed.
applicable)
Additional Documents
on Letter Size
Are plans or
documents locked for
editing?
Construction Plans
scanned on 11'x17" or
larger
Additional Project
Value Only add what
the revised scope of
work is valued at.
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
Field not completed.
No plans needed
Field not completed.
350.00
Wheat Ridae Payment Form .odf
SIGNATURE OF UNDERSTANDING AND AGREEMENT
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.
I understand that work
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have
been authorized by the
legal owner of the
property to submit this
Yes
Yes
Yes
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 Submitting Randy Palato
Revision
Email not displaying correctly? View it in your browser.
i CITY OF WHEAT RIDGE
Building Inspection Division 3c)
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: f"
Job Address: .S S 2 eza\ s
Permit Number: I I �<
A/EIS2s .
P o 4 i G 7S c kl �P
to � G-�1 P %� �� � • � ./.�' - � �.
IJNo ne available for' ction: Time
Re -Inspection required: Yes No
When corrections have been made, schedule for re -inspection online at:
http✓/www. ci. wheatridge. co. uslinspection
Date:/V '9Z' Inspector: Sd
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
E -Res. Boiler Replacement PERMIT - 202001801
PERMIT NO: 202001801 ISSUED: 09/09/2020
JOB ADDRESS: 4545 Zephyr St EXPIRES: 09/09/2021
JOB DESCRIPTION: Replacing 150k, 95% efficiency gas boiler in basement.
*** CONTACTS ***
OWNER (303)424-5385 LANYON DAVID N
SUB (303)407-7967 STEPHEN LANYON
017835 BLUE SKY PLUMBING
*** 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: 13,002.57
FEES
Boiler Replacement 40.00
Total Valuation 0.00
Use Tax 273.05
** TOTAL ** 313.05
*** COMMENTS ***
*** CONDITIONS ***
Both the front and back of this permit are required to be posted on the job site at all
times. If the complete permit is not present, inspections WILL NOT be performed.
Work shall comply with 2018 IRC & 2020 NEC. Smoke alarms shall comply with 2018 IRC Section
134. Interior alterations, repairs, fuel -fired appliance replacements, or additions, any of
which require a building permit, occurs or where one or more rooms lawfully used for
sleeping purposes shall have an operational carbon monoxide alarm installed within fifteen
feet of the entrance to each room lawfully used for sleeping purposes.
City of Wheat Ridge
E -Res. Boiler Replacement PERMIT - 202001801
PERMIT NO: 202001801 ISSUED: 09/09/2020
JOB ADDRESS: 4545 Zephyr St EXPIRES: 09/09/2021
JOB DESCRIPTION: Replacing 150k, 95% efficiency gas boiler in basement.
I, by my signature, do heattest that the work to be per
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 ermit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
performed and that all work to be 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 permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and maybe subject to a fee equal to one-half of the originalpermitfee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5. The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or grant'g of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
app ca le code or anfprdinance or 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.
���t� of Whent Ridqe
O9.2O2O 11:1? CDDD
CS6U'35)Y AMOUNT
�`9' 450 Icphyr St 313.C5
ApPi/'EKM{T N0: 2O2O0l8U1
``''':�NT R9�IVED AMOUNT
�N/' CO0E/ 8U92J83»
T8),� 313.O5
Dina Kemp
From: no-reply@ci.wheatridge.co.us
Sent: Wednesday, September 9, 2020 7:28 AM
To: CommDev Permits
Subject: Online Form Submittal: Furnace/Boiler Replacement Permit Application
Furnace/Boiler Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT FURNACE or
BOILER - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN
ORDER FOR THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
replacement residential
furnace or boiler like for
like?
PROPERTY INFORMATION
Is this Residential or
Commercial?
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email
Address
Attach City of Wheat
Ridge Electronic Payment
Form - **DO NOT
ATTACH A PICTURE
OF A CREDIT CARD**
Residential
4545 Zephyr St
Dave Lanyon
303-424-5385
davel14@comcast. net
scan0046.i)df
CONTRACTOR INFORMATION
I
Contractor Business
Name
Contractor's License
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
Number (enter WITH
dashes, eg 303-123-4567)
Blue Sky Plumbing & Heating
017835
303-407-7967
Contractor Email Address randyp@blueskyplumbing.com
Retype Contractor Email randyp@blueskyplumbing.com
Address
DESCRIPTION OF WORK
What type of unit is being Boiler
installed?
Number of BTUs 150k
What is the efficiency 95
(%) of the unit?
Is the unit GAS or Gas
ELECTRIC?
Where is the furnace or basement
boiler located (for
example, basement,
crawlspace, etc)?
Project Value (contract 13002.57
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.
2
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.
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 Jesse Lanyon
Permit
Email not displaying correctly? View it in your browser.
INSPECTION RECORD Occupancy/Type
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Inspections will not be performed unless this card is posted on the project site.
**Request an inspection before 11:59 p.m. (midnight) to receive an inspection the following business day.**
Inspector Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector
Initials
Comments
Pier
Sewer Service
Concrete Encased Ground (CEG)
Plumbing
Foundation / P.E. Letter
Floodplain Inspection (if applicable)
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections Date Inspector
Initials
Comments
Electrical
Wall Sheathing
Sewer Service
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Inspections
Rough Inspections Date
Inspector
Initials
Comments
Wall Sheathing
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
Mid -Roof —f —I %
Floodplain Inspection (if applicable)
Lath /Wall Tie
Fire Inspection / Fire Protection Dist.
Rough Electric
Rough Plumbing/Gas Line
Rough Mechanical
Rough Framing
Rough Grading
Insulation
Drywall Screw / Nail
Final Inspections
Date Inspector
Initials
Comments
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
Fire Inspection / Fire Protection Dist.
Final Electrical
Final Plumbing
Final Mechanical
Roof Ja-Jz/-J7
Final Window/Doors
Final Building
NOTE: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
For low voltage permits — Please be sure that rough inspections are completed from the Fire District and electrical low voltage
by the Building Division.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
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: L/ 0 9 - rc )
Job Address: —2 e- y r- 7
Permit Number: c: 17 O (.) 7 a -,?-
t
�
t
ct
LJ/y No one available for inspection: Time = ; D Ml M
Re -Inspection required: Yes (!�D
When corrections have been made, call for re -inspection at 103 -234 -
Date: I --)� / 4LI //—,—Inspector: TD
DO NOT REMOVE THIS NOTICE
I,
A'i_ CITY OF WHEAT RIDGE
19�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: Iii I'D
Job Address: Is 45, 2 F Pp 1V ST
Permit
T -
Permit Number:
❑ No one available for inspection: Time , AM/I
Re -Inspection required: Yes /No
When corrections have been made, cal r re -inspection at 303-234-5933
c
Date: �- Inspector: I
7
DO NOT REMOVE THIS NOTICE
A City of Wheat Ridge
w
�-
Residential Roofing PERMIT - 201704702
PERMIT NO: 201704702 ISSUED: 07/24/2017
JOB ADDRESS: 4545 Zephyr ST EXPIRES: 07/24/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles with 24SQ
3/12 PITCH HOUSE
*** CONTACTS ***
OWNER (303)424-5385 LANYON DAVID N
SUB (970)663-3400 Mike O'Brien 170371 Regional Town Centre
*** 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: 10,000.00
FEES
Total Valuation 0.00
Use Tax 210.00
Permit Fee 204.30
** TOTAL ** 414.30
*** COMMENTS ***
*** CONDITIONS ***
Effective December 1, 2014, asphalt shingle installations require an approved midroof
inspection, conducted when 25-75 percent of the roof covering is installed, prior to final
approval. Installation of roof sheathing (new or overlay) requires an approved inspection
prior to installation of ANY roof coverings and is require on the entire roof when spaced
or board sheathing with ANY gap exceeding one half inch exists. Asphalt shingles are
required to be fastened to the roof deck with a minimum of 6 nails per shingle. Ice and
water shield is required. Eave and rake metal is required. A ladder extending 3 feet above
the roof eave and secured in place is required to be provided for all roof inspections.
Roof ventilation is required to comply with applicable codes and/or manufacturer
installation instructions, whichever is more stringent. In order to pass a final inspection
of elastomeric or similar type roof coverings, a letter of inspection and approval from the
manufacturer technical representative stating that "the application of the roof at (project
address) has been applied in accordance with the installation instruction for (roof
material brand name) roof covering" is required to be on site at the time of final
inspection.
Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd
party inspection report will be collected at final roof inspection performed by City of
Wheat Ridge. If report is not available the final inspection will not be completed.
City of Wheat Ridge
Residential Roofing PERMIT - 201704702
PERMIT NO: 201704702 ISSUED: 07/24/2017
JOB ADDRESS: 4545 Zephyr ST EXPIRES: 07/24/2018
JOB DESCRIPTION: Residential Re—roof to install asphalt shingles with 24SQ
3/12 PITCH HOUSE
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 munici�a'Ode spolicbyhe legal owner of the roperty and am authorizeto obtain thisthisermrtrtherattesthatamlegallyauthorizd toinclude alperformed and thatallwork tobe performed isdisclsed ithisdoc
ument 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, po plans
and procedures.
2. This permit shall expire 365 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date of expiration. An extension of no more than 180 days made be granted at the discretion of the Chief Building
Official and maybe subject to a fee equal to one-half of the originalpermitfee.
3. If this permit expires, a new permit may be required to be obtained. Issuance of a new permit shall be subject to the standard
requirements, fees androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of any manner shall be performed that shall results in a changeof the natural flow of water without prior and specific approval.
5, The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all required
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
6. The issuance or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable co ny ordinance or
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.
Dan Schultz
From: no-reply@ci.wheatridge.co.us
Sent: Friday, July 14, 2017 3:11 PM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
Categories: Gina
Residential Roofing Permit Application
This application is exclusively for new permits for residential roofs and for licensed
contractors only. This type of permit is ONLY being processed online --do not come
to City Hall to submit an application in person. Permits are processed and issued in
the order they are received and due to the volume of requests, time to process
varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR
PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE
AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if
your contractor's license or insurance has expired, and you may update those
documents at the time you are issued your permit.
For all other requests:
Homeowners wishing to obtain a roofing permit must apply for the permit in person
at City Hall. Revisions to existing permits (for example, to add redecking) must be
completed in person at City Hall. All other non -roofing permits must be completed in
person at City Hall. The Building Division will be open from 7:30-10:30 a.m.,
Monday through Friday to process these types of requests.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
REROOFING UNTIL PERMIT HAS BEEN ISSUED.
Is this application for a Yes
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address 4545 Zephyr St, Wheat Ridge, CO 80033
Property Owner Name
Property Owner Phone
Number
Property Owner Email
Address
David Lanyon
303-424-5385
Field not completed
Do you have a signed Yes
contract to reroof this
property?
It will need to be
provided at the time of
permit pick-up.
,d� - �i7�I�17i ; u _ •
Contractor Name
Contractor's License
Number (for the City of
Wheat Ridge)
Contractor Phone
Number
Regional Town Centre
170371
9706633400
Contractor Email Address niki@regionaltown.com
Retype Contractor Email niki@regionaltown.com
Address
DESCRIPTION OF WORK
Are you re -decking the No
roof?
Description of Roofing asphalt shingles
Material
Select Type of Material: Asphalt
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 24
material selected above?
Does any portion of the
property include a flat
roof?
If yes, how many squares
on the flat roof?
No
Field not completed.
TOTAL SQUARES of all 24
roofing material for this
project
Provide additional detail Reroof home 3/12
here on the description of
0)
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 10000
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
responsibility for
compliance with
applicable City of Wheat
Ridge codes and
ordinances for work
under any permit
issued based on this
application.
I understand that this Yes
application is NOT a
permit. I understand I will
be contacted by the City
to pay for and pick up the
permit for this property.
I understand that work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
Name of Applicant Josh Vicars
Email not displaying correctly? View it in your browser.
3
AUTHORIZATION FOR REPAIRS
AND
DIRECTION OF PAYMENT
CLAIM #: 5m a2 R CQOI tnR —1 —1 _-- nate of Loss: 15 9 _1
INSURED:
ADDRESS: g5gss ?-P-nh�lr �Iheraf K?C C.O ��
Farmers Insurance Group has made available direct repair services provided by contractors that are
members of the CCA Global Partners, Inc, cooperative organization. CCA members are represented
the networks of Lionsbridge Contractor Group (LCG), Carpet One Floor & Home and Flooring
Ameeiica. For the above noted Insurance claim, I/we have agreed to hire (contractor name):
Zeaiono—&- ToL.:J,r"N CeA+m
(print cmrmctor name)
I understand the use of the repair program and the program contractor is voluntary as i may choose any
independent contractor, that using a program contractor for my repairs may provide special labor
warranties, and that the program contractor may coordinate other repair vendors including flooring,
textile or fUmiture repair vendors to complete my repair process. UWo:
• authorize the program contractor to perform covered repairs to be detailed on an estimate which
must be approved by Farmers.
• understand Farmers will pay for approved repairs subject to any applicable insurance
deductible and my policy's terms and conditions.
• will timely sign a Certificate of Satisfaction when repairs are satisfactorily completed so that
payment can be made directly to the program contractor for covered repairs.
• understand that the deductible, if not already satisfied, is my/our responsibility, as are the cost
of any upgrades and additional services not covered under my policy, and that the applicable
deductible may not yet be calculated by Farmers.
Daft: Insured:` -
Data Insured:
Deductible Amount Applicable for direct repairs: S lam_
(j(matlat4r)
?b be camplWed by program cant wdor - coordinated repairs under this claim nary Include.
ucsrtral Ritaits 1:1Flooring Q Textiles,(CiothinglD Roofing Other
ftwi r So Date / J Time,, _ am om Ulmated CgII 21!3Ion Date: / 1---
M CCAfavitply 10
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City of Wheat Ridge
~ Residential Roofing PERMIT - 080333
PERMIT NO:080333 ~ . ~
ISSUED:
04/15/2008 ~ ~
JOB ADIIRESS:4545 2EPHYR ST .
EXPIRES:
10/12/2006 ~
DfiSCRIFTION:~T/O;~Inetall 30yr Heritage
II. 19 sqs
.
C4NTACTS
owner ~ $03/424-5385 Dave Lanyon~
~
gc~ ~~.303/986-9314 StEVe Carey
~
02-0082
CAREY CONST .
~ PARCEL~~~ ~INFO . . . . .
~ . .
ZONE~.CODS: ~ UA ~
USE:
s-3
SUBDYVI$ION:~~. 0311.
BLOCK/LOT#:
0/ . .
FE$ ZUMMARY ESTIMATED PROJECT VALUATION: 7,303.00 ~
FEES
Permit Fee
199~.30
Total valuation
.oo
iz
a
Use Ta3c.
131.45
TOTAL'** ~ ~ . .
330.75
~
Conditione:
6 nail inetallation & mid-roof inspection required.
x hereby certifythat the.eetback dietancee proposed by thie permit application are accurate, and do not violate applicable
orAlnancea,rulesor zegulatione oE the City of Wheat Ridge or covenante, eaeementa or reetrictiorte of recosd;t➢at..all
meaeuremeqie ehowrt,and allegatione made are accurate; that I have read and agree toabide by all Conditione pzinted on thie
applica and.that I aeeume full reaponeibiliCy for compliance with the Wheat Rid9e HuildingCOde (I.B.C) and.all bther -
applic 1 Wheet Ridge orflinancea, for work under thie permit. Plane eubject to fleld inepection. ~
1. Ttue ppzfiit wae. ieevedln accordance with the provieions aet forth in yourapplication and iesubject to the lawa.ofthe
State ofCOlorado and.to theZOnin9 Regulatione and Building Codee of wheat Rid9e, Colocado or any otherapplicable ordinance9'.oL't2seCity: ~ . .
2. Thia:peYmit ehall eYCpire180 daya from the ieeue date. Requeete for an exteneion muet be reeeived prior toexpiraCion datc. Aneztenslonmay'6e.yaanted at the diacretion of the Huilding Official. - 3. IEthie permit expinee,a new permit may be acquired for a Eee of one-halE the amount noimally requireA,proviCed no
changee have been or. wS11Ee made in the Orlginal plana and specificatione and any auapeneion or abandonment haenot
exceede4Dne`(1)pear. If changee have been.or if auepeneion or abandonment exceeda one (1) year,full feee ehall
6e paidfor.a new permi0. . . .
4. No work Of anymanner shall.De done that will change the natural flow of water caueing a drainage problem.5. Contractor s11a11 notiEy the Building Inspector twen[y-EOUr (24) houre ia advance for all inapec[iona and eGall receive
writtert-appro4alon inapection cazd before proCeeding with eucceeeive phaaea of the job. 6. The iaeuance of.apeimit.or the approval of drawinga and apecificationa ehall not be conatruedto be a permit Eoa; nor
anappspvSl oE„-a violation of the prwiaione of the building codee or any o[hez ordimnce, law, rule orregulaeion..
all plan.vsubject .to fleld inepections. .
Signature o I 8uiiding Official . date . ' , INSPBCT~. N~RSQii83TLINis~(3:03)234-5933 BUILDING OFFICE: (303)235-2855
REQUESTSM[JST BE MADE BY 3PM ANY.BUSINESS DAY FOR INSPECTION THE FOLIAWING BUSINEBSDAY.
e"'"Eqr City of Wheat Ridge Building Division
7500 W. 29`" Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-235-2857
' Inspection Line: 303-234-5933
C~LORP~~
Property Address:
Property Owner (ples
Mailing Address: (if different than property address)
Address:
City, State, Zip
Coniractor. eoa~
Contractor License
Sub Contractors:
Electrical City License #
Company.
rf)ate:
an
rmit
Plumbing City License Mechanical City License
Company Company:
Exp. Date: Exp. Date:
Exp. Date: qPProval: Approval:
Approval:
Construction Value: S ~ 3~ ~
Use of SpaCe (descrlption)'. (as calculated per the Building Valuation Data sheep
Description of wo~k ,,g~
~D fX ~Pian Review (due aI fime of submiffaq: S~
`~f- K.
/C~ d7
/
Sq. Ft./LFt added'. Squares BTU's Gallons Amps
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are acarate, and do not violale applicable ortlinances, covenants 9 fao u alte; iha`t I~have I ead and agree to ab de hy easementsl conditons psmtedeon~ hishapplicaUOnsand~lhatsl assumeafu~ll shown, responsibiliry for compliance with the Wheat Ridge 8uilding Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
allegations made are
under this permil Plans subJect to field inspection. J
CIRLCE ONE::
PRINT NAME:
or PERSONAL REF
Q (,4✓I.t;~~VL SIGNATURE:
DEPARTMENT USE ONLY
ZONING COMMENTS'.
Zoning:
Reviewer.
PUBLIC WORKS COMMENTS'.
Reviewer.
of (OWN ) (CONTRATOR)
Dale: PI
BUILDING DEPARTMENT COMMENTS'.
Reviewer'
FIRE DEPARTMEM'.: 0 appoVed w/ commenls ❑ disappmved ❑ no review required
Bldg Valuation:
OCCUPANCY:
Building Permit Application
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7500 WEST 29th AVENUE DEPARTMENT OF COMMUNITY DEVELOPMENT
237-6944 EXT. 255 P.O. BOX 638 BUILDING INSPECTION DIVISION PERMIT N0. B94#4892
CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONLY WHEN SIGNED BY THE CHIEf BUILDING INSPECTOR AND THE MAYOR - CALL 24 HOURS PRIOR TO INSPECTION
~ TWO SETS OF BUILDING PLANS AND TWO PLOT PLANS MUST ACCAMPANY THIS APPLICATION
BUSINESS
COPY OF DEED
30VEMENT SURVEY
a
LIIVG
~
SPECIFV NORTH
PROPERTY
STREET NAME (CIRCLE FRONT) N E S W
SHOW DISTANCES FROM THE MAIN BUILDING TO ADJOINING HOUSES, STREETS, AND PROPERTY LINES ON ABOVE SKETCH;
SHOW LEAST DISTANCE TO PROPERTY LINES, NOT MA7(IMUM OR AVERAGE DISTANCE.
OWNERS NAME
~J~YVI f
cO
wS~Y'
LEGAL DESCRIPTION
CONTRACTOR
S'KL II '
S ~]1~L,IC. N0.
METES AND
BOUNDS
DESCRIPTION ATTACHED
ADDRESS *S
L
S. '
pHONE q 7Z-Z33Z
ADDRESS_
~ys
ZeR~'IyE+~' SF~v`fC+
CITY "Q
/
~ l.e~
ZIP CODE $J'Z-l
i0T N0
Zg
3
BLOCK N0.
LOTWIDTH
DEPTH
AREA
SUBDIVISION
IItV
~~1 ~~L"""
PS~FILING
INDICA7E THOSE OF THE FOLLOWING OFF-SITE IMPROVEMENTS NOW EXISTINGCurbBGutter=StraetPovinq-WOter-Sewer=StamDroinaqs'
HAVE ARRANGEMENTS BEEN MADE TO PROVIDE FOR THOSE NOT NOW EXISTING: YES-NO_
ARE THERE ANY SPECIAL ASSESSMENTS AGAINST THIS PROPERTY: YES_NO_
UNITS REMARKS
V
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify thaf fhe obove setback distances shown on this permit opplication are accurate, and do not violate
applicable ordinances, rules or regulafions of ihe City of Wheat Ridge or covenonis, easemenis w resfrictions of re-
cord; ihot oll measurements shown, and allegations mode ore accurafa; fhat I hove read and agree to abide by all
condifi0ns Drinted an fhis application, and 1 1 I ssu e full responsibilify for compliance with the Wheat RidQe
Buildinq Code (U.BC) and all ofher opDlicable 1 Ri~ge ordito c(s, for work undar ihis permit.
(OWNER)(CONTRACTOR)
BASEMENT-FINISHED
GROUND FLOOR
SECOND FLOOR
GARAGE
ROOF 7i4a7
PERMIT FEE a 0 7,p-tJ
USE TAX ~ qm .D-rJ
TOTAL FEE $ 44 7, j1-
DATE
c~~s =y
BUILDINC, DEPARTMENT USE ONLY
SO.FT COST /THE PROPERTY LOCATED AT ~7/Y/W/t ,~w,
IS PRESENTLY ZONED.~-
COIAIVENTSELECTRICAL PERMIT
BUILDING COST $1
PLUMBING PERMIT
MECHANICAL PERMIT
PLANS REVIEWED (_OK)(-NOT OK) I PLANS REVIEWED (-OK)(-NOT OK) I PLANS REVIEWED-(_OK)(-NOT OK)
NO PLANS NEEDED
PLANS NEEDED PRIOR TO ISSUANCE OF
ELECTRICAL PERMIT „
PERMIT ISSUED TO r461 /+~-~7.!-F Cl-eC~
PER REOUEST AS PER PLANS NO
AS APPROVED AND ON FILE IN MY OFFICE
DO NOT ISSUE PERMIT UNTIL CIEARED BY
CHIEF BUILDING INSPECTOR
NO PLANS NEEDED
PLANS NEEDED PRIOR TO ISSUANCE OF
PLUMBING PERMIT r ~ }
YERMIT ISSUED TO 1~ S~-~/
PER REQUEST AS PER PI.ANS NO.
AS APPROVED AND ON FILE IN MY OFFICE
DO NOT ISSUE PERMIT UNTIL CLEARED BY
CHIEF BUILDING INSPECTOR
DATE CLEARED_. 6Y
NO PLANS NEEDED
PLANS NEEDED PRIOR TO ISSUANCE OF
MECHANICAL PERMIT
PERMIT ISSUED TO
PER REOUEST AS PER PLANS N0.
AS APPROVED AND ON FILE IN MYOFFICE
DO NOT ISSUE PERMIT UNTIL CLEARED BY
CHIEF BUILDING INSPECTOR
CHIEF BUILDING
BY.
(1) THIS PERMIT WAS ISSUED IN PCCOHDANCE WITH THE GROVISIONS SET FeRTH IN VWR APPLICATION AND IS SUBJECT TO THE LAW$ OF THE STATE OF COLOflADO
AND TO iHE ZONING flEGULAT10N5 AND BWLDING CODE OF WHEAT RIDGE, COLONADO OR ANY OTHER GPPLICABLE ORDINANCES OF THE CITY.
(2) THIS PERMIT SHALL EXiIAE IF (A) TME WORN AUTHORiZED IS NOT COMMENCED WITHIN 31%TY (60)DAYS FROM ISSUE DATE OR (B) TNE BUIIDiNG AUTHORIZED IS
SUSVENDED OR AB4NDONED FOR F VERIOD OF 120 DAVS.
(3) IF TMIS VERMIT E%PIRES, A NEW PERMIT MAV BE ACOUIRED FOR A FEE OF ONE-HALF THE AMOUNT NORMFLLY REOUINED, PROVIDEO NO CHANOES NAVE BEEN OR WILL
BE M40E IN THE ORIGINAL VLANS AND SPECiFIGATI0N5 PND ANY SUSGENSION OR ABANDONMENT Hp5 NOT E%CEEDED ONEIIIYEAN. IF CHANGES ARE MADE ON IF
SUSVENSION OR ABANDONMENT E%CEEDS ONE (I)YEAR, FULL FEES SHALL BE PAID FOR A NEW YENMIT
(4) NO WORN OF qNY N F SHALL E ~ONE THAT WILL OBSTRUCT TME NATIIRAL FLOW 0 TEfl CAU A DRAINAGE PR M.
(5) CONTRPCTO HALL 1 TIFY TN BUILDING INSVECTOR TWENTY-FOUR (29) HOUFS IN DV FORA I PECTIDNSDISH CEIVE WRITTEN PPPROVAL
ON INSPE ION CAR BEFOR
?E OCEEDMG WrtH SUGCESSrvF PNqSES OF THE JOB. . '
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d C7ILLAN'S F,NGINBERING, INC.
8471 Turnpike Drive, Suite 200 • WestminsteL CO 80030' 13031 <261731
~ IMPROVEMENT LOCATION CERTIFICATE
Addreas: 4545 ZEPHVER ST
Borrowar(s): COWSAR
Title BbePCh by:
Commitment no. :
Lsga1 Desarlption: PER CL1EN7
' Lot 28, Block 3,
HILLCRE6T HEI6H7S,
County ot JEFfER80N,
3tete ot COLORADO,
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IlilWfibletpllNiopNNIAe aMVeda,RiEed p~penY IoeMadwiWz a IWy~vllmdwwdha~eArY
ip ~ecadaen with ue cumr HUD Federd AAmu~nliee vrE mn day my+,
MyDnd N/H . MapNe. NI4 , 7ene AfiA'
Oe the buia of my knowled6e, infmnuiao ad beUe( I heteby celity 1htl Ihil Imptmemenl Mxrbn enifrcua wu pepvedle'
BKYLITE BPECIALISTS
ender mY+upervi,bn and tMt it Is oa . Lud SweY Fi+a lpoemeM Survey flu, eed tFU it ii ea io be nlled upaa fa Ihe mabliiMiem of
~~_.n..~.i.,.~...,.....~i~.... tlunMrcati(vNnNe inorovemsne mNeSerodndbdParceIwiAiw dYa,etuPulilily
ennnediem and fenma and bM,upnp ve enimlr
danibed rremlre, by impavameni on my d'pioiv
eiouin` a buvbnin6 anY Mn of.uid pusl. exttp I
anr dehat in N4 eurver wiWin inree reul tller rou
~pnmeneW maa Ihm ien Ya~e hom Ihe dne ot Yle
"y
JOD No.: 2757-94
Fee; $90.00
CENSU8 TRACT NO.! 108.04
HFR.-ci&- L'z54 Lt8: 4-- HTTOF'hJE'r"=~' T I TLE
P. 02
i 78018514 ;?i1f:
DEED 4F TRUST
THIS OE[O OF TRCSY is ms Ic In+. 23rd . . .dny nf FCbFFAtY.
19 ZP, amnnp ih<Grnmer..JAHES. 4~LTCR. FGMSAR ~AV 1RiMA8RIED P.ER59N a"in RCSE.AI.I.6N. ~
. Ut~YPN... AH Ud±LNAiE4 P~SAN , _ 1 hncin' BnrroWei'1, ihv Publlc Tn++me ol
.1¢.Efenson C~~un,y (Meuln Twmiea'), end ihe Penendary,
'4ESTFRY FEGERAL 51 5 & LRA` ASSMATI9ti OF bENV[R,COLURA00, a FtdetallY chvlemd vualnl:on, ~
eX'atinP undet 'he laws of Ih< ilneeC Sna"s uf Tmu.cn. whufe aAd:ns if 7P0 I;m 5irce1. Denrer.l:olo,edo 8020: (herein
13naaowen, in cnnnfderar-- „f ihe inJeh~aJn.s. h'r,~.., rc:LeJ und ihc imni hu"n frcaicd. irtmxuhly gnnf
rnd convclR In Tmun. in tout l'i;h ^o~°cr of snIa ` - inllnwing Jc•uih~•J propctl5 1,,,s¢d in thi~ Cnunty o
. ..Sef fcrsnn . . . . . Sis, a. t'nb'reJO'Iqt 78.
aloek 3.
Ni:'-r-REST NEICHTS,
]ef..e"On County, Calce.,o
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INSPECTIONS WILL NOT BE MADE UNLESS
THIS CARD IS POSTED ON THE BUILDING SITE
24 HOURS NOTICE REQUIRED FOR INSPECTIONS
WHEAT RIDGE, COLORADO
7500 WEST 29th AVENUE
INSPECTION RECORD
IOBADDRESS 4545 Zephyr Street
BUILDING PERMIT N0. B94#4892 DATE ISSUED 4/14/94 7ypE oCCUPANCv
OWNER Jim $ Rose Cowsar
CONTRACTOR Skylight Specialistt, 4655 S. Lakehurst Way, Littleton CO 80127
SETBACKS FROM PROPERTY IINES: NORTN SOUTH Epg7 YYest
T'u rr;;5 JC)B
INSPECTION
DATE
INSPECTOR
Footfn s
Caissons
Reinforcin or Monolithic +
Weather roofin
Electrical Ground Work
Plumbin Ground Work
Heatin Ground Work
~ ~ . . _
Rou h Electrical
Rou h Plumbin
•
AirTest Gas Pi in
Rou h Heatin 8, Ventilation
Framin
Insulation
;
D wall nailin
Roofin
,
Refri eration
Electrical under round
Electrical Fixtures
Plumbin Fixtures
Heatin & Ventilation
Landsca e 8 Parkin
R.O.W. & Draina e
Fire De artment
Job Com leted
OCCUPANCY NOT PERMITTED UNTIL CERTIFICATE OF
OCCUPANCY IS ISSUED
~ r~~y
71
INSPECTION TICKET
INSPECTION TICKET 1
T JOB
Jpg ADDRESS _`t S (F,~ ~
ADDRESS
rIH y~~~ rL- I DATE: BLDG. "PE MITM ~
DATE: BLDG. PERMITM ~
PERMITM
PERMIT# r
BLDG. CONTR.
BLDG. CONTR. -T- U
SUBCONTRACTOR
SUBCONTRACTOR
/I DATE INSP. REQ. ~
DATE INSP. REQ. ~ Z -CL
1 ~ TYPE OF INSP. ~
TYPE OF INSP. (~(3U / M INSPECTION MqDE //J -6-v v
INSPECTION MADE_ ` REMARKS /"GLGSc-.
REMARKS
a
/7 7- W.R. FORM 619
~
INSPECTION TICKET INSPECTION TICKET
c,
JOB JOB
ADDRESS Pi{yP ADDfiESS
DATE: BLDG !ePEM TN u~/`a_ DATE: Sy BLDG. PERM X
PERMITM PERMIT#
BLDG. CONTR._di~ ~ BLDG. CONTR. ~~C<N`•~4iLV"~o___
0
SUBCONTRACTOR SUBCONTRACTOR
DATE INSP. REQ. DATE INSP. REQ.
TYPE OF INSP. 7YPE OF INSP.
INSPECTION MADE R•~I,~,~
U ~ INSPECTION MADE 1
` ~F I
REMARKS REMARKS ~
W.R. FORM 6.19 W.R. fOFM 6.19
~ /
,
INSPECTION TICKET
,I
INSPECTION TICKET
JOB
ADDRESS
DATE: -I ;2 -~I y gLDG. PERMITB ~a
PERMITN
BLDG. CONTR.
SUBCONTRACTOR
DATE INSP. REQ. S D 'q Y
TYPE OF INSP. ~
/
INSPECTION MADE
REMARKS ~
INSPECTION TiCKET
JOB
ADDRESS
DATE: BLDG. PERMITN C~
PERMITM
BLDG. CONTR.- alx
SUBCONTRACTOR
p r ~
DATE INSP. REQ.
TYPE OF II
INSPECTIO
REMARKS
JOB ^
ADDRESS
DATE: BLDG. PEHMITM ~~--~Z-
PERM ITN
c
BLDG. CONTR. H
u-'J
SUBCONTRACTOR
DATE INSP. REQ. J ~ -J
TYPE OF INSP. _ V~t
INSPECTION M DE REMARKS ~
W.R. FORM &18
l
W.R. FORM 619
j
DEPARTMENT OF COMMUNITY DEVELOPMENT
7500 WEST 29tn AvENUE BUILDING INSPECTION DIVISION PERMIT N0. M911116878
237-8944ExT. 255 P.o. eox Bse CITY OF WHEAT RIDGE, COLO.
THIS PERMIT VALID ONLY WHEN SIGNED BY TNE CHIEF BUILDING INSPECTOR AND RELEIPTED BELOW.
APPLICATION FOR MISCELLANEOUS PERMIT
JOBADDRESS ` ly~ ~ `ez- - OWNER G,,~~g CawS~i'
. /
CONTRACTOR 4 ADDRESS
AODRESS PHONE ZIP CODE
GTY ~20 2e1° ZIP CODE ~U2 ( % CONTRACT PRICE $
PHONE C-;'> "F°ll S LICENSE NO.
1. TYPE Ground❑
2. MATERIAL
SIGNS 3. ILLUMINATION Yea❑ No❑ Typs
FENCES
OTHER
4. SET BACK FROM PROPERTY LINE N_ 5_ E-
(Soatifvwhichisfront) ❑ ❑ ❑
piMr S or D Foee
Tofal Squan Fad
Eleel. Parmit No.
Zon*_ ADWmed,ZMe Inapector
1. TYPE SolidU Mon Thon 80% ODSnU Leu Thon 80% Open
4. MATERIAL Heipht
3. SET BACN FROM PROPERTY LINE N_
(Soeaitv whien iefront) ❑
E_ W Zons_ Apprasd,ZoneImDeeta
0 ❑ DiaapOrowd
DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHER STRUCTURE,GIVihG DISTANCES FROM PROPERTY LINES.
(SETBACNS OR PROJECTIONS INCLUDED)
~
SPECIFV NORTN
2.
STREET N4ME
SHOW DISTANCES FROM THE MAIN BUILDING TUAWOININC NOUSES, STREETS, ANO PROPERTY LINESiON IRREGULAR IOTS, SMOW LEAST
DISTANCE TO PROPERTV LINES, NOT MAXIMUM OR AVERAGE DISTANCE. _
APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
THIS APPLICATIONWIR~I BE ` COME E%PIRE M 60 DAYS FROM R DATE OF ~SSUACEOF WORK Y IS NO STAIRTED WTH n{p7 TDIM INSPECTION DIVISION.
MELECTRICAL PERMIT PLUMBING PERMIT MECHANICAL PERMIT
STATE LICENSE N0.
STA7E UCENSE N0.
ALUMINUM WIRE UNDER SIZE B ILLEGAL
FLOOR
BSM
I ST
2N0
3RD
4TH
N0.
Ropane E Solar
NEL:CirclsOn§ Gat 1011]
NO
WATER CIASET
FORCED AIR - BTU
TEMPORARY METER
WASH 80WL
HOT WATER - BTU
NEW SERVICE AMPS
BATH TUB
STEAM - BTU
CHANGE SERVICE-AMPS
SHOWER
AIR CONDITIONING-BTU
LIGHTING
SINK
OTMER
HEATING
GARBAGE DISP
REFRI6ERATION SYSTEM
POWER SUB-CIRCUITS
WATER HEATER
Refri eront Grap
UTILITY(RANGE,DISPOSER,ETC.)
AUTO. WASHER
Pounds Clror e
AUTOMATIC SPRINKI.ER SYSTEM
FIxTURES
DISH WASHER
WIRING MOTORS d CONTROLS
FLDOR DRAIN
EIEVATOR
SIGNS
URINAL
TRANSFORMERS B RECTFIERS
SEWERS
ADDITION TO OLD WORK
OTHER
MOTORS OVER I HP
TOTAL FIXTURES
li
a'
hi
PERMIT FEE
3'j , p..t}
NOT VALID UNLESS RECEIPTED
a V177 S
s aDD
c
I hereby ocknowlad9a that t
fion ie corroct ond understand thot I
USE TAX
_;L O- q O
tonnof stort this projstt until this oOPli-
$
s-a V-ri,
cotion is approved. I shall comply with
TOTAL FEE
vQ
Me laws oi Ihe Stote oi Colorodo and to
ufations ond Buildinp
Re
in
h
Z
R
D
AP
n
Q
p
on
t
s
~
Code offhe Cify of Wheai Ridqe. Any violotion ot the above terma will cause
CHIEF BUILDIN SPECTOR,City of Wheat Ridqe
immediate revocation of this permit.
CALL 237-8944 EXT. 255
24 HOURS IN ADVANCE
FOR INSPECTIONS
Date Issu