The URL can be used to link to this page

Home My WebLink About6740 W. 36th Place4, City of Wheat Ridge Residential Roofing PERMIT - 201704868 PERMIT NO: 201704868 ISSUED: 07/26/2017 JOB ADDRESS: 6740 W 36th PL EXPIRES: 07/26/2018 JOB DESCRIPTION: Residential Re -roof to install Malarkey Legacy asphalt shingles with 34 sq. *** CONTACTS *** OWNER (916)335-0610 MAHON DREWSON SUB (303)518-5389 Mark Beery 170288 "The FIrm" an Ins. Claims Spec *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT*: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 10,200.00 FEES Total Valuation 0.00 Use Tax 214.20 PAID Permit Fee 220.15 ** TOTAL ** 434.35 *** 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) 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. 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. A City of Wheat Ridge Residential Roofing PERMIT - 201704868 PERMIT NO: 201704868 ISSUED: 07/26/2017 JOB ADDRESS: 6740 W 36th PL EXPIRES: 07/26/2018 JOB DESCRIPTION: Residential Re -roof to install Malarkey Legacy asphalt shingles with 34 sq. 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 thispermit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be perform and that all work to erformed 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 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 ins ions and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services Di isio 6. The i ce or gr n of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any ap i any nancE or �gulation 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: Tuesday, July 18, 2017 9:01 AM To: Permits CommDev Subject: Online Form Submittal: Residential Roofing Permit Application Categories: Danny 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 Property Owner Name Property Owner Phone Number Property Owner Email Address 6740 West 36th Place Drewson Mahon 9163350610 Field not completed. 6 4 -- s ��- 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 Name Contractor's License Number (for the City of Wheat Ridge) Contractor Phone Number The Firm LLC An Insurance Claims Specialist 170288 3037317181 Contractor Email Address pung.thefirm@gmail.com Retype Contractor Email Address DESCRIPTION OF WORK Are you re -decking the roof? Description of Roofing Material Select Type of Material If "Other" is selected above, describe here: pung.thefirm@gmail.com No / Re -Roof Using Malarkey Legacy Asphalt Field not completed. How many squares of the 34 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 34 roofing material for this project Provide additional detail house and shed, 5/12 pitch here on the description of z work. (Is this for a house or garage? What is the roof pitch? Etc) Project Value (contract 10200 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 Darin Pung Email not displaying correctly? View it in your browser. 91 T11F.r^kF I RM i'a-nratwe Oaiilx> ripevio hm Customer Info: Job #: N/A Mahon, Dreyson 6740 West 36th Place, Wheat Ridge, CO, 80033 (916) 335-0610 Rnnfina The Firm LLC 815 S. Perry St. #100 Castle Rock, CO 80104 Phone: (855) 777-3476 Fax: (720) 638-7474 Company Representative: Cody Klatka (303)903-6361 TheFirmICS@gmail.com .lob Number: N/A Description ih Quantity Unit Price Total Remove Tear off, haul and dispose of comp. shingles - High pro. 30.21 SQ $53.35 $1,611.70 Replace 11 Lami11 nated - Deluxe 1. grd - comp. shingle rfg. - w/out felt 33.23 SQ $197.79 $6,572. 56 **Note: Malarkey - Legacy - Silverwood color or Match existing Repl11 a 11 ce Ice & 11 w 11 ater shield 1 53 4.33 SF $1.66 $2,546.9 **Note: Code Item - Please see the City of Wheat Ridge Roofing Handout for further info - 18" Soffit R& R Drip edge 238.94 LF $1.92 $458.76 **Note. Code Item - Please see the City of Wheat Ridge Roofing Handout for further info - Replace Roofing felt - 15 Ib. 30.21 SQ . _._ . $23.54 $711.14 Replace Ridge cap - composition shingles 198.91 LF $3.45 $686. 24 **Note: Malarkey EZ Ridge - Low Profile R & R Roof vent - turtle type - Metal 5 EA $23.50 $117.50 **Note: Code Item - Please see the City of Wheat Ridge Roofing f f rternfo Handout or u - R & R Furnace vent -rain cap and storm collar, 6" 2 EA $70.44 $140.88 o—fimew total- 41 2_545.77 Gutters Description Quantity Unit R & R Gutter- aluminum - up to 5" Color of Choice 234 LF R & R Downspout - aluminum - up to 5" Color of Choice w 3' drop 96 LF kickout vt,~`k,Xj � SSI Q v �- 101"(6 6, Company Authorized ignature D to Price Total $4.25 $994.50 $4.25 $408.00 Gutters total: $1,402.50 Total for all sections: $14,248.27 TntnI• $14,248.27 eti Cus omer Signature Date Date This estimate was last edited by Cody Klatka ((303) 903-6361, TheFirmICS@gmail.com) on June 28, 2017. The estimate may be withdrawn if not accepted within days. W(:F— – LO — 1,4i 24 - z K Senate Bill 38 Contract Addendum Any company performing roofing work in the State of Colorado, is now required by law to notify consumers of the recent implementation of SB -38 contract language. PAYING/WAIVING/REBATING HOMEOWNERS INSURANCE DEDUCTIBLE IS CONSIDERED INSURANCE FRAUD. Violation of 18-13-119.5, C.R.S - Contact Local Law Enforcement - Fraud Division. Penalties: 18-13-119.5, C.R.S is part of the criminal code and thus investigation of cases would lie with local law enforcement in charge of the particular jurisdiction and then prosecution would be with the district attorneys for that jurisdiction. Penalty for violation is a Class 2 Misdemeanor. Law enforcement will need facts (i.e. dates, addresses, names and documentation of the violation). SB38'S WRITTEN CONTRACT VIOLATIONS �B38 also requires a written & signed contract between the property owner and the roofing contractor, which must include at least the following: r (1) Scope of work & materials to be provided (2) Cost for same based on damages known at the time the contract is entered into (3) Approximate dates of service (4) Roofing contractor's contact information (5) Identification of contractor's surety & liability coverage insurer & their contact information (6) Contractor's policy regarding cancellation of contract & refund of any deposit including a rescission clause allowing the property owner to rescind the contract for roofing services and obtain a full refund of any deposit within 72 hours after entering the contract (7) A statement that if the property owner plans to pay for the roofing services through an insurance claim, the contractor cannot pay, waive or rebate the homeowner's insurance deductible in part or in whole (8) A statement that the contractor shall hold in trust any payment from the property owner until the contractor has delivered roofing materials to the jobsite or has performed a majority of the roofing work on the property (9) A statement that the property owner may rescind a contract for services, the payment for which will be made from the proceeds of a property insurance claim, within 72 hours after receiving notice from their insurer that the claim is denied in whole or in part Violation of Written Contract Provision -- Unenforceable Contract Penalties. A signed contract lacking SB38's specific written provisions may be found to be unenforceable r by either party. In effort to comply the spirit and intent of these consumer protection contract requirements, "The Firm, LLC" happily adopts all of the above provisions. You will find all scope of work and materials, the cost for these (once in agreement with your insurer), approximate dates of service, and our contact information on the accompanying contract with this addendum. Customer has 72 hours to rescind this contract for roofing services from the time agreement is entered into. If customer chooses to cancel after this 72 -hour period, a 15% of total claim value (RCV) penalty applies. General Liabilitv �— Centennial Insurance Group Policy #: VCGP050054 Workers Compensation Insurance Pinnacol Assurance Policy #: 4155063 THIS CONTRACT TO BE COMPOSED OF THIS PAGE AND THE REVERSIDE SIDE OF THIS PAGE AND SHALL BE CONSIDERED BY THE PARTIES. Signature: // G Date: Z 9 f =5T._ 1* � 4 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: A14' 0 Job Address: dal' () VV a l `" Permit Number: _1 ❑ No one available for inspection: Time - ( AM/Q�M Re -Inspection required: Yes No -y When corrections have been made, d,�Ififor re -inspection at 303-234-5933 Date: (Y'31�7 Inspector: DO NOT REMOVE THIS NOTICE 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) Job Address: &:2 VCi `J X. ! Permit Number: E3 -a ❑ No one available for inspection: Time - AWPM Re -Inspection required: Yes No ' When corrections have been made, call for re-inspecti rrat 303-234-5933 Date: - Inspector: DO NOT REMOVE THIS NOTICE r1 n 1 -1 V-� n n --� c-/ rL INSPECTION RECORD °ccunanw/T,pe 1',�S 192- Q `INSPECTION REQUEST LINE: (303) 234-5933 Inspections will not be performed unless this card is posted on the project site. Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.** Inspector Must Sign ALL Spaces pertinent to this project Foundation Inspections Date Inspector Comments Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Rough Electric Rough Plumbing/Gas Line Underground/Slab Inspections Date Inspector Comments Initials - - - • v■ ■ ■■c-. n■./VYG 111.7r./CI.�IVI1.7 Comments Electrical Sewer Service Plumbing Rough Inspections Date - -- Inspector Initials - - - • v■ ■ ■■c-. n■./VYG 111.7r./CI.�IVI1.7 Comments Wall Sheathing Mid -Roof Lath / Wall Tie Rough Electric Rough Plumbing/Gas Line Rough Mechanical Rough Framing 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. Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors 1 x 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. --- �� V41 IVUV I Ilovuu1V1lz� C31 uU pi"'mu irum mer -ire uistnct ana electrical low voltage by the Building Division. **For Inspection Time Window Requests — Please email insotimereouest anci.wheatridae co us by 8:00 A.M. the day of the inspection with the property address in the subject line of the email. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather City of Building & Inspection Services Division 7500 W. 29" Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 I FOR OFFICE USE ONLY Eim Plan/Permit # )0 ) -1 ou rz Plan Review Fee: *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: 111,111110 11�g;�; 1 _2 a so - 0 1 1 a * . - Property Owner (please print): Kim Kelley Phone: (925) 899-3577 Property Owner Email: not available Mailing Address: (if different than property address) Address: Same as Above City, State, Zip: Arch litect/Ena i neer: N/A Architect/Engineer E-mail: Contractor: Thd at Home Services, Inc Contractors City License #: 070156 Contractor E-mail Address: copermits@gmail.com Sub Contractors: Electrical: W.R. City License # Other City Licensed Sub: City License # Plumbing: W.R. City License # Phone: 1-855-712-8899 Other City Licensed Sub: City License # Mechanical: W.R. City License # Complete all information on BOTH sides of this form Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING ❑ RESDENTIAL ADDITION DOW REPLACEMENT ❑ COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc:) ❑ RESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) ❑ MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ PLUMBING SYSTEM/APPLIANCE REPAIR or REPLACMENT ❑ ELECTRICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT ❑ OTHER (Describe) (For ALL projects, please provide a detailed description of work to be performed, including current use of areas, proposed uses, square footage, existing condition and proposed new condition, appliance size and efficiency, type and amount of materials to be used, etc.) Replace (8) Windows, Like for like in exisiting openings. U -value = 0.32 . Sq. Ft./LF Amps Btu's Squares FITINM Project Value: (Contract value or the cost of all materials and labor included in the entire project) 6,535.8 OWNER/CONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances, rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on this application; that 1 am the legal owner or have been authorized by the legal owner of the property to perform the d c ' and am also authorized by the legal owner of any entity included on this application to list that entity on this application. CIRCLE ONE: (OWNER) (CONTRACTOR) (AUTHORI7ED REPRESENT .) of (OWNER) CONTRACTOR) Jules Landis PRINT NAME: SIGNATURE: �/' ,�y�� DATE: Building Division Valuation: $ n to o 0 w m y w o 0 O o Z 0 - $ O it 3 n w -Oo g = R w CO S ° O 3 m O N m S c o m s C n m @ w o o = x r r 0 = x x o 3 0 n o ° O 0 m o m � z @ W A N 0 = n N v z OS � w fl v z v z O w - C r N a 5 0 _ @ @ F o w N w a O � a - N r a A � Gn w v F O @ o o @ m s m m c> n @ Z O O CO D m O n D O Z U) S m m -i V ITEM # m C n C ci m o = x r r = x x o 3 0 n m o o � z N 0 = n a v z z z v z v z O w - g r a 5 0 _ @ @ F o w N w a O � c - N r r A r Gn w v v O @ o @ m c> n @ x i x z z to v_ x Interior w m � n N 0 Z N m Exterior S o 0 0 m n' 3 o 0 s n n w zt o m O @ N m = n O Height @ m ° 3 @ @ O N m @ ° Q til 0 m Type IF, S, GBG) Color z Pattern g `^ w a w a 3 Location N � O a Vertical a Horizontal � r Z Location 0 o w £ W Vertical @ Horizontal I Z O O CO D m O n D O Z U) S m m -i V ITEM # m C n C ci m o = x r r = x x o 3 0 n m o o m m N Z z Z v z z z v z v z O - r a 5 0 @ @ F r r A r r v v O @ o @ m c> n @ x i x z x z x x Interior 0 Exterior S o 0 0 0 0 0 o Width zt o m O @ N m Height m ° 3 @ c N m til Type IF, S, GBG) Color z Pattern g a Location � O Q O a Vertical Horizontal Location 0 o w Vertical Horizontal o 0 0 0 0 0 C 0 o G) G a J NTJ Tt 'D '0 UZZ° w Li n fn Ul U. W UJ N N P@1 @ 0 N r 'r, :o m O � X (no c O¢7 r m= ° N O y 3 0 p N w O Z O O CO D m O n D O Z U) S m m -i V Melissa Mackex From: Aaron Gonzales <a.gonttr@grnail.com> Sent: Tuesday, June 14, 2016 3:22 PM To: Melissa Mackey Subject: 6740 W. 36th place Hello Melissa, my name is Aaron, and I work for Native Electric. We will be taking over the job at the address in the subject line. Permit number 201600762. Can you please let me know if Native Electric is registered with you? Thanks! Melissa Mackey V-74"T�' (C". From: Kelley, Kimberly <Kimberly.Kelley@dhha,org> Sent: Wednesday, June 8, 201 1:08 PM To: Melissa Mackey Subject: hermit 201600` 7 1 TF—rul-re—IT, I r —. -t- 1111 � t"I'll Tf 1i N IF, > I poor communication and availability of workers. Please accept this as our written statement taking them off of the -termit. Our new electrician, Aaron Gonzales should be contacting you in writing shortly to be ad d to t e permit. e Please let me know if you need any additional information. Kim Kelley, LCSW Behavorial Health Consultant Southwest Family Health Center Office flours: Mon -Fri. 8:00arn-5:00prn 303-602-0096 (phone) 303-602-0050 (fax) Kirnberly.kelley(ia.dhha.org The Denver Health email system has made the following annotations --------------------------------------------------------------------- CONFIDENTIALITY NOTICE - This e-mail transmission, and any documents, files or previous e-mail messages attached to it may contain information that is confidential or legally privileged, If you are not the intended recipient, or a person responsible for delivering it to the intended recipient, you are hereby notified that you must not read this transmission and that any disclosure, copying, printing, distribution or use of any of the information contained in or attached to this transmission is STRICTLY PROHIBITED. If you have received this transmission in error, please immediately notify the sender by telephone or return e-mail and delete the original transmission and its attachments without reading or saving in any manner. Thank you, WITC.s I + 77 ��t "tragi; EwArkrok WA C , Y s - .`a ,seg sM . NEW COMMERCIAL r r.. ' f C xSERVICEr w x: NEW RESIDENTIAL STRUCTURE EOMMERCIAL ROOFING COMMERCIAL AENTIAL DDITION R ADDITION Rx AM OOFING RESyyyx� WINDOW REPLACEMENT COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) RESIDENTIAL ACCESSORY STRUCTURE (Garage, ' i. deck, MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT PLUMBING A r•x.: REPAIR * REPLACMENT ELECTRICAL x •n. x REPAIR REPLACEMENT tr° f. ,c J Sq. FULF Btu's Gallons Amps Squares Other F'rtr It (Contract value or the cost of &materials and labor included in the Sil l project) OWNEWCONTRACFOR SIGNATURE OF UNDERSTANDING AND AGREEMENT NI` 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 ents shown and allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under tory permit issued based on this application; that I am the legal owner or have been authorized by the legal owner of the property to perforce the: described work and am also authorized by the legal owner ofany entity included on tt:is application to list that entity on this application. I, the applicant for this building permit application, warrant the truthfulness of thn(OWNE��R� intoprovided on the application. (CONT C'T010 gr{ Tfl i -1s13 REPRESENTATIVE) of (OWNER) (CONTRACTOR) understand that checking this box, that I acknowledge that this constitutes a legal signature.. Suilding Division V�l 711 I M, I pw m > CL 0 rrl 153N T-1 - Cj m V 0 pw 0 rrl m V 0 t' • x -:' is ! *! #s e +� � �... a �'� + a:. « � 'gym a. su s �,„ a w ,.� w a. ;.a• a e. s a�; a a . , a �� „ , ,; �� (if different than property address) Address: City, State, Zi lh' Electrical; Plumbing: : Me hani l: W.R. City License # WA City License # WR City License # Other City Licensed Saab. Other City Licensed Serb: City License # City License Complete all information on BOTH sides of this form Sq. fULF Btu's Go"O"S Amps ua FOR OFFICE USE ONLY sk ,a Date*City of' , Building Inspection ices Division Z,, .,< L � 7500 .2 v.v Wheat Ridge, CO 80033 Pian Review Office: 303-235-2055 * Fax: 303-237-3929 Inspection Lines 303-234-5933 Frail: 2r�rs�t��r€�!r�s&q.i G,� a Archttoct/Engineer E-mail, N1,11 2 Contractor: All iil City License # JLLLit.91 1d=111 City License # Mechanical: Wk City License NEW COMMERCIAL STRUCTr ELECTRICALSERVICE UPGRADE RESIDENTIALNEW STRUCTURE "` CIAL ROOFING COMMERCIAL ADDITION RESIDENTIAL ROOFING RESDENTIAL T ADDITION REPLACEMENT ACCESSORYCOMMERCIAL SYSTEM/APPLIANCERESIDENTIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.) MECHANICAL SYSTEM/APPLIANCE REPAIR or REPLACEMENT PLUMBING , REPLACMENT ELECTRICAL..REPAIR or REPLACEMENT OTHER ;T /". :` C /t, ° '1 Sq. FULF Btu's Gallons Amps Squam Other