HomeMy WebLinkAboutJeffco School DistrictDEPARTMENT OF COMMUNITY DEVELOPMENT
7500 WES7 29tn AvENUE BUILDING INSPECTION DIVISION PERMIT NO.M91//16949
237-6944 ExT. 255 P.O. BOX 638 CITY OF WHEAT RIDGE COLO
r
THIS PERMIT VALID ONLY WHEN SiGNED BY THE CHVEF OUILDING INSPECTOR AND RECEIPTED BELOW.
APPLICATION FOR MISCELLANEOUS PMIT ~
JOB ADDRESS OWNER a/J l
CONTRACTO G .T • iti ~ ` t ~c- I
^~C.~hY)N L-~'r i L_ I ADDRESS
ADDRESS Q~f UAi~ PHONE ~~~"~~bf`ZIPCODE
CITY ZIP CODE I~~ CONTRACT P~RIC~,.E,~ 11 PHONE LICENSE NO. DATE t2
1.
TYPE GrounO❑
Wall❑
Proieclinp❑
O}hsr
SaDFOCe
2.
MATERIAL
Tolel Squan FNt
$IGNS
3
ILLUMINATION Yes❑ No❑
Type
Eleef. Permit No.
4.
SET BACK FROM PROPERTY LINE N
(Specily whicn is front )
_ 5_ E
❑ ❑
_ W
❑ ❑
Zone
_ Apprwad,2one lnspeeta
DiwpproveA
1.
TYPE SolidO Mon Thon BO% OOan❑
lest TAan BO% Open
FENCES
3.
MATERIAL
SET BACK FROM PROPERTY LINE N
(Spedfy whitAis }ront)
_ S_ E
❑ ❑
_ W
❑ ❑
Heipht
iano
_ ApprwW,Zom Inspatw
Disc00roved
! -
' -/i'~'' J
F-~ <
•
✓ c r" <cJ
z.
Zsl 1,:-.Z l', c= tJ'~ <si- - N=_ .I
c.'
r'1 D
OTHER
3.
GA1i<1='-/ rL~l•-
2.~ c i
✓i
AL✓
~t - 2 o-f T
DRAW SKETCH OR SHOW BELOW,THE FENCE,SIGN,OR OTHER STRUCTURE,GIJG~fSTANCES FROM PROPERTV LINES. ~
(SETBACKS OR PROJECTIONS INCLUDED)
~
SPECIFY NORTH
STREET NAME
SHOW DISTANCES FROM THE M41N BUIIDING TPADJOINING MWSES, STREETS, AND PROPERTV lINES; ON IRREGULAR IATS, SNOW LEAST
DISTANCE TO PROPERTY IINES,NOT MAXIMUM OR AVERAGE DISTANCE.
APPLICATION FOR PLUMBING; ELECTRICAL; MECHANICAL PERMIT
THIS APPLICATION WILL BECOME A PERMITTO PERFORM THE INDICATED WORK ONLY UPON VALIDATION BY THE Bl11LDING INSPECTION DIVISION.
PERMIT WILL EXPIRE 780 DAYS FROM TFIE OATE OF ISSUANCE IF WORK IS NOT STARTED WITHIN THAT TIME.
~ ELECTRICAL PERMIT
STATE LICENSE N0.
PLUMBING PERMIT
STATE LICENSE N0.
MECHANICAL PERMIT
ALUMINUM WIRE UNDER SIZE 8 ILLEGAL
FLOOR
BSM
15T
2ND
3RD
4TH
N0.
FUEL:CiiclsOrr Cw{ dl RoparN E Solm
N0.
WATER CLASET
FORCED AIR - BTU
TEMPORARY METER
WASH BOWL
HOT WATER - BTU
NEW SERVICE - AMPS
BATH TU8
STEAM - BTU
CHANGE SERVICE-AMPS
SHOWER
AIR CANDITIONING-9TU
LIGHTING
SINK
OTHER
HEATING
GARBAGE DISP
REFRIGERATION SYSTEM
POWER SU6-CIFCUITS
WATER HEATER
Reiri sronl Goup
UTILITY(RANGE,DISPO5ER,ETC.)
AUTO. WASHER
poundt CAOr e
FIXTURES
DISH WASHER
AUTOMATIC SPRINKLER SYSTEM
WIRING MOTOF25 9 CONTROLS
FLOOR DRAIN
ELEVATOR
SIGNS
URINAL
TRANSFORMERS 9 RECTFIERS
SEWERS
ADDITION TO OlD WORK
OTHER
MOTORS OVER I HP
TOTAL FIXTURES
I Mreby ocknowledqe tnot this applica-
PERMIT FEE
lion u correct and understand tnot I
USE TAX
dtt until tAis appli-
nnot stort thie
ro
p
ta
l
cotion is approved. I snall comply wirn
TOTAL FEE
nd ro
Sl
t
t C
l
d
f th
a
o
oro
o a
e
e o
the lows o
ihe Zoninp Requlationa and Buildinp
APpROVED
Code oi tne City of wheat Riepe. nny
DISAPPROVED_
violafion of the obove te me will cause
imme iate revopahon of ~nie permit
CHIEF BUILDING
Date Issued
,City of Wheat Ridqe
- I 2- (7(
CALL 237-8944 EXT. 255
24 HOURS IN ADVANCE
FORINSPECTIONS