HomeMy WebLinkAbout3395 Ward Roadi CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type:
Job Address: J r'?
Permit Number: u U �` U`,
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes ;Nor
When corrections have been made, schedule for re -inspection online at:
h ttp://www. ci. wheatridge. co. uslinspection
Date: Inspector: 1 r
®O NOT REMOVE THIS NOTICE
City of Wheat Ridge
E -Res. Window Replacement PERMIT - 202001704
s �
PERMIT NO: 202001704 ISSUED: 08/27/2020
JOB ADDRESS: 3395 Ward Rd EXPIRES: 08/27/2021
JOB DESCRIPTION: Replacing one window in bedroom. U -value is .27
*** CONTACTS ***
OWNER (303)601-0324 SKAFLEN LINDA K
SUB (303)574-9594 RICK ROSE 080085 WINDOW WORLD OF DENVER
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,063.00
FEES
Window Replacement 50.00
Total Valuation 0.00
Use Tax 22.32
** TOTAL ** 72.32
*** 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. Window Replacement PERMIT - 202001704
PERMIT NO: 202001704 ISSUED: 08/27/2020
JOB ADDRESS: 3395 Ward Rd EXPIRES: 08/27/2021
JOB DESCRIPTION: Replacing one window in bedroom. U -value is .27
I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications;
applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest that I am legally authorized to include all 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 thepermit 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 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 gr ting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
app4able code or iW 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.
Cit' of Whea Ridge
U8/�?/2U2O O8:24 CDBB
IJ-
,�8BU23458 AMOUHT
DPSP J395 Ward Rd 72.J2
APPL/PEKMlT N0: 2U2O017D4
rI@
T0TAL
Dina Kemp
From: no-reply@ci.wheatridge.co.us
Sent: Thursday, August 27, 2020 8:01 AM
To: CommDev Permits
Subject: Online Form Submittal: Residential Window/Door Replacement Permit Application
Categories: Dina
Residential Window/Door Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT WINDOWS and
DOORS - LIKE FOR LIKE ONLY.
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM AND
WINDOW/DOOR CUTSHEET (SPEC SHEET) 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 Yes
replacement window(s)
and/or door(s) like for
like?
PROPERTY INFORMATION
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**
3395 Ward Road
Linda Skaflen
303-601-0324
N/A
3395 cc wr.pdf
CONTRACTOR INFORMATION
1
Contractor Business Window World
Name
Contractor's License 080085
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 303-574-9594
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address tengh@windowworldcolorado.com
Retype Contractor Email tengh@windowworldcolorado.com
Address
DESCRIPTION OF WORK
Number of window 1 Window
and/or doors being
replaced
Location of Bedroom
window(s)/door(s) being
replaced (for example,
master bedroom, kitchen,
bathroom, etc):
What is the a -value of the .27
window(s)/door(s)? City
of Wheat Ridge requires
the u -value to be .30 or
better on windows..
Attach copy of 3395 order wr.pdf
window/door cut sheets
showing sizes and ii -value
Project Value (contract 1063.00
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
2
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 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 Tasha Engh
Permit
Email not displaying correctly? View it in your browser.
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: 30 M/fi
Job Address: 33 i _ k/w,
Permit Number: 20/709 WO
❑ No one available for inspection: a AM/PM
Re -Inspection required: Yes No
When correctio
ns have been made, call for re -inspection at 303-234-5933
Date: i Inspector:_ 1�1�
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
- 0.-
'(+ Residential Roofing PERMIT - 201708210
PERMIT NO: 201708210 ISSUED: 10/11/2017
JOB ADDRESS: 3395 Ward RD EXPIRES: 10/11/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles - 32 sq Pitch = 4/12
*** CONTACTS ***
OWNER (303)601-0324 SKAFLEN LINDA K
SUB (720)626-5866 Francisco Miery Teran 130035 USA Roof Restoration LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2403 / APPLEWOOD VILLAGES, PROSPECT V BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 12,000.00
FEES
Total Valuation 0.00
Use Tax 252.00
Permit Fee 236.00
** TOTAL ** 488.00
*** COMMENTS ***
*** CONDITIONS ***
Midroof & Final Roof inspections for ROOFS 6/12 PITCH & OVER: 3rd party inspection will be
required for both the midroof and final inspections. The 3rd party inspection report AND
THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat
Ridge. The report MUST BE SIGNED by the Homeowner.
REGARDING ROOF VENTILATION: Roof ventilation shall comply with IBC Sec. 1203.2 or IRC Sec.
R806. The installation of ridge venting requires the installation or existence of soffit
venting. For calculation purposes, one hat or turtle vent equal to one-half of one square
foot of opening.
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 -roofs may be called in at the same time, one hundred percent of the sheathing must be
complete and 25-75 percent of the mid -roof may be complete. 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.
K , City of Wheat Ridge
Residential Roofing PERMIT - 201705210
PERMIT NO: 201708210 ISSUED: 10/11/2017
JOB ADDRESS: 3395 Ward RD EXPIRES: 10/11/2018
JOB DESCRIPTION: Residential Re -roof to install asphalt shingles - 32 sq Pitch = 4/12
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, applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the operty and am authorized to obtain this permit and perform the work described and approved in conjunction with
this permit. I further attest hat I am legiy authorized to include all entities named within this document as parties to the work to be
performed and that all wor1F to �e perf6rmed is disclosed in this document and/or its' accompanying approved plans and specifications.
0/'o/ice
Signature of OWNER or 'CONTRACTOR (Circle one) Date '
1. This permit was issued based on the information provided in the permit application and accompanyingplans 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 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 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 co "byordinanceor rSulation o this jurisdiction. Approval of work is subject to field inspection.
Jam"'
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
l(
Dane Lovett � 70 L
From: no-reply@ci.wheatridge.co.us
Sent: Tuesday, October 10, 2017 12:26 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Roofing Permit Application
Fallow Up Flag: Follow up
Flag Status: Completed
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 4- - -
residential roof?
How many dwelling units Single Family Home
are on the property?
PROPERTY INFORMATION
Property Address 3395 Ward Rd
Property Owner Name Linda Skaflen
Property Owner Phone 303-601-0324
Number (enter WITH
dashes, eg 303-123-4567)
Property Owner Email Field not completed.
Address
Do you have a signed Yes
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed Skaflen Contract-pdf
Contract
CONTRACTOR INFORMATION
Contractor Business USA ROOF Restoration, LLC
Name
Contractor's License
130035
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone
7204494129
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address
11765 W. 33rd. Place
(Primary address of your
business)
Contractor Email Address
usaroofrestor@gmail.com
Retype Contractor Email
usaroofrestor@gmail.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of 32
the entire scope of work:
F
Project Value (contract 12000
value or cost of ALL
materials and labor)
Are you re -decking the No
roof?
r
Is the permit for a flat Pitched roof (2:12 pitch or greater)
roof, pitched roof, or
46
both? (check all that
apply)
What is the specific pitch
4/12
of the PITCHED roof?
How many squares are
32
part of the PITCHED
roof?
Describe the roofing
Asphalt dimensional shingles
materials for the
PITCHED roof:
Type of material for the
Asphalt
PITCHED roof:
Provide any additional
Tear off and re roof
detail here on the
description of work. (Is
this for a house or
garage? Etc)
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
47
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.
Name of Applicant Francisco Mier y Teran
Email not displaying correctly? View it in your browser.
48
USA ROOF o
11765 W. 33rd PI. Wheat Ridge, CO 80033 720-449-4129 FAX 866-596-4981
Name Ianda Skailcii
Address 3315 Ward Rd
City/ State/ Zip: Wheat Ridge, CO 80033
Phone: 303-601-0329
Cell:
usaroofrestor@gmaii.com
Date: 10/4/2017
Work:
USA ROOF Restoration offers a 10 year warranty on installation
HOUSE Tear off all asphalt shingles down to decking: 31.92 SQ
Install new synthetic felt 31.92 SQ
Install new dimensional 35yr asphalt shingles 31.92 SQ
Replace and paint 2 pipe jacks and 4 metal turtle vents and chimney flashing
Remove and replace 2 furnace rain cap and collar
Install new ridge vent 61 LF
Install new drip edge 248 LF
Remove and replace guttert front only 21 LF
Install new gutter rear left 15LF
TOTAL: $12,142.38
TOTAL: $208.44
Material, labor and clean up: $12,350.82 plus any supplements paid by the insurance company
for claim Travelers No: SNY5584 for this job only.
Price does not include any other work but the instalation of building materials. Any other work needed to finish
this job, like masonry, carpentry, etc. And not especified above will be an extra charge.
CITY PERMIT IS AN EXTRA COST AND WILL BE DETERMINED WHEN OBTAINED
57WW'z ca Ma V 7ewx
Field specialist
Cisco Micr y 'I'cran
Print name
10/1/2017
Date
All payments must be made to USA ROOF Restoration, LLC.
Hohieowner
LA' . e�
Print name
10 I� 4'1
Date
♦ i CITY OF WHEAT RIDGE
� Building Inspection Division
(303) 234 -5933 Inspection line
(303) 235 -2855 Office • (303) 235 -2857 Fax
INSPECTIO NOTICE
Inspection Type: it C'X'T
Job Address: r J�
Permit Number: 1
❑ No one available for inspection: Time AM /PM
Re- Inspection required: Yes No
'When corrections have been made, call for re- inspection at 303 - 234 -5933
Date: 01 05 Inspector:
DO NOT REMOVE THIS NOTICE
" 1 City of Wheat Ridge
I Residential Roofing PERMIT - 091502
PERMIT NO: 091502 ISSUED.: !08/20/2009
JOB ADDRESS:. 3395 WARD RD EXPIRES: 02./16/2010
DESCRIPTION:` Reroof ?30 sqs
CONTACTS
owner 303/601-0324 Linda Seaflen
sub 303/484-1115 08-.0146 TKO 'Custom Construction Inc
PARCEL INFO
ZONE CODE: UA " USE: UA
SUBDIVISION: 0695 BLOCK/LOT#: 0/
FEE SUMMARY ESTIMATED PROJECT VALUATION: 10,000.00 -
FEES
Permit Fee 235.70 r
Total Valuation , 00 ~bU,3~S
Use Tax 180.00
**..TOTAL. 415.70...
Conditions:
6 nail installation mid roof inspection required. Board sheathing spaced more
than a 1/2 of an inch apart requires plywood overlay on entire roof. ice and
water shield required from eave edge to 21 inside.: exterior walls.
Subject to field inspections.
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 r that I assume full responsibility for compliance with the Wheat Ridge :Building Code 1(I.B.C) and all other....
app ca Wheat Ridge Ordinances, for work under this permit. Pla/ins subject to field inspection.
/nc
Signature of c actor/owner date
1. This permit was issued in accordance with the provisions set forth in your application. and is subject to the laws of the
State of Colorado and to the Zoning Regulations and Building Codes of Wheat Ridge,'. Colorado or any. other.: applicable
ordinances of the City....
2. This permit shall expire 180 days from the issue date. Requests for an extension must be received, prior to expiration
date. An extension maybe granted at the discretion of the Building Official..
3. If this permit expires, :a new permit may be :acquired for a fee of one-half the amount normally required, provided no
lchanges have been or will be made in the original plans and specifications and anysuspension or abandonment : has not
exceeded one .(1) year. If changes have been or if suspension or abandonment exceeds one (1) year,.. full fees shall
be. :paid for a new permit.
4. No work of any manner shall be done that will change the natural :flow of water causing a drainage: problem.
5. Contractor shall notify, the Building Inspector twenty-four (24) hours in advance for all inspections and shall receive
written approval on inspection card before :proceeding with successive phases of the job.
6. The issuance of a permit or the approval of drawings and specifications shall. not be_construed to. be a permit for, nor
an approval of, any violation of the provisions of the building codes or any other ordinance, law, rule or regulation.':.
All plan review ubject to field inspections.
Signature of Building: Official :date
INSPECT N REQUEST LINE: (30.3)234-5933 :BUILDING OFFICE.: (303)235-2855
REQUEST MUST BE MADE BY 3PM ANY ' BUSINESS' DAY FOR:' INSPECTION THE FOLLOWING BUSINESS DAY.
F W"E'>~ City of Wheat Ridge Building Division
7500 W. 29th Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
cOLORP~~ ~ Inspection Line: 303-234-5933
Building Permit Application
Property Address: 33 9 ~ ~Ja>~ /~L-1 _ p
Property Owner (please print): Phone e9 3 2°17
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Date: V 91 ~1G U
Plan M
Permit
Contractor: __7 kQ lS
Contractor License ®Q
Phone: J0-3`FV7
Sub=Contractors:
Electrical City License
Company:
Exp. Date:
Use of space (description):
Description of work-.
2
Mechanical City License
Company:
Plumbing City License
Company
Exp. Date:
Exp. Date:
Construction Value: $ Q"00, O p
(as calculated per the Buildin0 aluation Data sheet)
Plan Review (due at time of submittal): $
Sq. Ft./L.Ft added: Squares 50 BTU's Gallons Amps
OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
1 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 the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
CIRLCE ONE:: ( WNE /~C7O'gTN~-R,-4~C-TOR) PERSONAL REP~R-ET~IJ~of (OWN~TRATOR)
PRINT NAME: ~~'S SIGNATUR fj~JJ Date:
Bldg Valuation: $
r
r
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office - (303) 235-2857 Fax
INSPECTION NOTICE
r
Inspection Type: X17 sal
Job Address/Permit Number: 3,7S 2r,- R0
❑ No one available for inspection: Time 2: 5~5 AM/PM
Re-Inspection required: Yes I-Iqo-)-
When corrections. have been made, call for re-inspection at 303-234-5933
Date: 5 ~ X2,7 Inspector:
DO NOT REMOVE THIS NOTICE
i city of WhPat Ridup
tallation.& mid roof inspection
r'
sa!
rd sheeting spaced
entire roof. Ice
oFw"EgrR City of Wheat Ridge Building Division
F s ° 7500 W. 29th Ave., Wheat Ridge, CO 80033
U 1-1 i m
Office: 303-235-2855 * Fax: 303-235-2857
c - ° Inspection Line: 303-234-5933
OIORP~
~
Building Permit Application
Property Address: 3 3 S -vzj ~
Property Owner (please print): A d2 5ell-t -4A Pf
Mailing Address: (if different than property address)
Address:
State,
Contractor:
Contractor License N6
Sub Contractors:
Electrical City License
Company:
Exp. Date:
Use of space (description):
Description of work:
9
Date: 511T114'
Plan
Permit /fl7 0,-)
t
k3 Phone: 303-- 364
Plumbing City License Mechanical City License
Company Company:
Exp. Date: Exp. Date:
Approval: Approva
(
U Construction Value: $
(as calculated per the Building aluation Data sheet)
Plan Review (due at time of submittal): $
Sq. Ft./L.Ft added: Squares y 7-13TU's Gallons Amps
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 the Wheat Ridge Building Code (I.B.C) and all other applicable Wheat Ridge Ordinances, for work
under this permit. Plans subject to field inspection.
CIRLCEONE:: {(OWNER) NTRACTOR) o PERSONAL REPRESENTATIVE(OW ER) ( ONTRATOR)
LS aa I,- SIGNATURE !::~J~ Dater
PRINT NAME: L.PS
DEPARTMENT USE ONLY
ZONING COMMENTS
Zoning:
Reviewer
PUBLIC WORKS COMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS OCCUPANCY:
Reviewer:
FIRE .DEPARTMENT; ❑ approved w/ comments ❑ disapproved no review required Bldg Valuation: y