HomeMy WebLinkAbout4575 Flower Street1* ► � i City of Wheat Ridge
'/� Residential Sewer Repair PERMIT - 202002696
PERMIT NO:
202002696
ISSUED:
12/30/2020
JOB ADDRESS:
4575 Flower St
EXPIRES:
12/30/2021
JOB DESCRIPTION:
Sewer repair - 30
ft long
*** CONTACTS ***
OWNER (720)366-8158
POTTRUFF AMY S
SUB (303)746-7104
MARISA BEAVER
202185 A MUSTARD
SEED CONST. COMPANY
*** PARCEL INFO ***
ZONE CODE:
UA / Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE:
2002 / KI PL ING , 1-70
& CLEARCREEK ARE BLOCK/ LOT# :
0 /
*** FEE SUMMARY ***
ESTIMATED
PROJECT VALUATION:
41500.00
FEES
Total Valuation
0.00
Use Tax
94.50
Permit Fee
125.05
** TOTAL **
219.55
*** COMMENTS ***
*** CONDITIONS ***
ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive
written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection
by any Sanitation District representative. Inspection and approval of work by any
Sanitation District representative DOES NOT grant authority to cover work without the
approval of the Building Division.
**For trenchless sewer replacements - The contractor will verify proper slope of new sewer
piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed
specifically by the applicable code. The plumbing contractor will provide verification of
proper slope and drainage in writing as a condition of approval of the permitted work.**
1* � 4 41'
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Residential Sewer Repair PERMIT - 202002696
202002696
4575 Flower St
Sewer repair - 30 ft long
ISSUED: 12/30/2020
EXPIRES: 12/30/2021
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 al entities 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: Electrical Service Change/Upgrade/Electrical Work Permit Application
Date: Wednesday, December 30, 2020 12:40:53 PM
Electrical Service Change/Upgrade/Electrical Work Permit
Application
This application is exclusively for RESIDENTIAL ELECTRICAL SERVICE
CHANGE OR UPGRADE (200 amps or less).
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 No
electrical service
change or upgrade -
200 amps or less?
PROPERTY INFORMATION
Is this Residential or
Commercial?
Property Address
Commercial
4775.5 Kipling Street
Property Owner Name CDOT
Property Owner Phone 303-365-7312
Number (enter WITH
dashes, eg 303-123-
4567)
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
CONTRACTOR INFORMATION
Contractor Business Interface Communications
Name
Contractor's License
0101600
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
7202408980
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
eric.vigil@interface.cc
Address
Retype Contractor
eric.vigil@interface.cc
Email Address
DESCRIPTION OF WORK
Scope of Work
Install new Electrical service for a Traffic signal over build
Location of work
South West Corner of Intersection
(garage, house, etc)
Provide additional
Intersection of Kipling & 48th Ave
details, if needed.
Project Value (contract
3000$
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 work Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have Yes
been 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 Eric vigil
Permit
Email not displaying correctly? View it in your browser.
a rl
INSPECTION RECORD
wtNSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Occupancy/Type
— A?Zc
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 Comments
Initials
Pier
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.
Concrete Encased Ground (CEG)
Foundation/ P.E. Letter
Do Not Pour Concrete Prior To Approval Of The Above Inspections
Underground/Slab Inspections Date . Inspector Comments
Initials
Electrical
Sewer Service
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.
ROW & Drainage / Public Works Dept.
Mid -Roof
Fire Inspection / Fire Protection Dist.
Lath /Wall Tie
Final Plumbing
Rough Electric
Final Mechanical
Rough Plumbing/Gas Line
Roof
Final Window/Doors
Rough Mechanical
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.
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
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
City of Wheat Ridge
Residential Roofing PERMIT - 201706747
PERMIT NO: 201706747 ISSUED: 08/30/2017
JOB ADDRESS: 4575 Flower ST EXPIRES: 08/30/2018
JOB DESCRIPTION: Residential Re -roof to install GAF Timberline HD asphalt shingles with 28sq
.Pitch 5/12
*** CONTACTS ***
OWNER (720)366-8158 POTTRUFF DONALD A/AMY ,
SUB (303)804-0303 Tom Brown 070055 Northwest Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2002 / KIPLING, I-70 & CLEARCREEK ARE BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,542.86
FEES
Total Valuation 0.00
Use Tax 179.40
Permit Fee 188.45
** TOTAL ** 367.85
*** 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.
Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be
required, 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.
City of Wheat Ridge
`f Residential Roofing PERMIT - 201706747
PERMIT NO: 201706747 ISSUED: 08/30/2017
JOB ADDRESS: 4575 Flower ST EXPIRES: 08/30/2018
JOB DESCRIPTION: Residential Re -roof to install GAF Timberline HD asphalt shingles with 28sq
Pitch 5/12
*** CONTACTS ***
OWNER (720)366-8158 POTTRUFF DONALD A/AMY
SUB (303)804-0303 Tom Brown 070055 Northwest Roofing
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2002 / KIPLING, I-70 & CLEARCREEK ARE BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,542.86
FEES
Total Valuation 0.00
Use Tax 179.40
Permit Fee 188.45
** TOTAL ** 367.85
*** 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.
Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be
required, 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.
'* r
® ►r
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION:
City of Wheat Ridge
Residential Roofing PERMIT - 201706747
201706747 ISSUED: 08/30/2017
4575 Flower ST EXPIRES: 08/30/2018
Residential Re—roof to install GAF Timberline HD asphalt shingles with 28sq
Pitch 5/12
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, and al applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized
by the legal owner of the and am authorized to obtain this permit and perform the work described and approved in conjunction with
this e furth . a am leggally authorized to include all entities named within this document as parties to the work to be
pe a at lI t erformed is disclosed in this documentand/or its' accompanying approved plans and specifications.
( �o ( Z
gn ure of OWNER or CONTRACTOR (Circle one) Date
1, is 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 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 ' of a permit shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code o g2of
dpinaniceor ion tetii jurisdiction. Approval of work is subject to field inspection.
Jam. v�
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
RECOGNIZED AS A
* North West
YOx+u wt OU+IM6 �
..n. ».,., Roofing
Since 1963
4465 Northpark Drive, Suite 308 ( Colorado Springs, CO 80907 ) (719) 632-6185 1 fax (888) 846-5545
ACCREDITED
BUSINESS
Proposal subfitted to
r
l
North West Roo fi stim or
Date
Street
Ell
/ �
Y
City, S e, Zip (
_►T ,
of3
Job Location/Community
Phone t _
tt
Insurance Company
Policy ii
Email
Adjuster t
t t
Claim #
Scope of *ork and Materials to be Provided: The scopc�o work and materials identified ❑
W
will be completed by North West Roofing.
ear Off Layers
❑ Install Decking (7/16 in. OSB) CHECK DECKING
Install 90 Ib or Ice & Water Shield in Valleys
X,�
nstall 2 x 4 in. Metal Drip Edge Color Initials
Install new Felt
Recover Roof with
I L
❑ AI t ar Manufacturer's Warranty
❑ Shingle Manufacturer Colo Initials
el -Closed Valleys - With Ice and Water Shield Underlay ment in
pen Valley - With Painted Metal
Ridges to be color coordinated s 'ogles
Replace -Rubber Pipe Jacks
Paint Roof Stacks To Match Shingle ColorAL
Rep
lace - Low Profile Vents Turbine Vents
,., West Roofing 3 Year Labor Warranty
�Metal Step Flashing ❑ Step Flashing Chimney
North West Roofing will Provide General Liability Insurance of at least $1,000,000.00
fP
lean Up and Haul Off all Trash
rotectt and Clean Up Landscaping
wClean around bushes and shrubs
IQ Clean Out Gutters
Roll yard with magnetic roller
EL/ermit Furnished by North West Roofing
el
PUEBLO
(719)633-7773
0
By signing this agreement the homeowner authorizes North West
Roofing to represent the homeowner's best interest in pursuit of
roof replacement or repair due to storm damage. This contract does
not obligate the homeowner or North West Roofing until the claim is
approved by the Insurance Company and accepted by North West
Roofing. Upon Approval of the claim, North West Roofing will
complete specific work at the price agreeable to the Insurance
company and to North West Roofing. There is no additional cost to
the homeowner except for their deductible. The agreed upon price
will become the final contract price and North West Roofing will
receive all insurance proceeds and supplements for the work
completedby N West Roofing.
Initials
The Approximate Costs of the Services $ �(J
Shall Be The Agreed Upon Cost Between North West Roofing and
Your Insurance Carrier. Their RCV Cost Plus Supplements.
❑ NOTICE If the Property Owner Plans to use The Proceeds Of a
Property and Causality Insurance Policy, Part 1 of Article 4 of Title
10, C.R.S., In accordance to Title 10 C.R.S., section 6-22-105, the
roofing contractor cannot pay waive rebate, promise to pay or
waive rebate or any part of insurance deductible applicable to the
insurance claim for payment fqr the work on the covered property
❑ Deposit Amount $ •Date:
North West Roofing shall hold in trust any payment from the
property owner until materials are delivered or have performed a
majority of the roofing work on the property. *May not include any
additional taxes, base service fees and or supplements that pertain
to the claim.
❑ Approximate Dates of Service: 10 DAYS AFTER AGREEMENT
These dates of service are subject to change due to unusual delays in
transportation of materials, ordinary weather delays, or by any other
causes beyond the reasonable control of Contractor.
D4
DENVER
(303) 804-0303 ) fax (888) 846-5545
INSTRUCTIONSSPECIAL
c�rai r��
Date of Acceptance
FORT COLLINS
(970)484-9430
1104,e)(
Dan Schultz /IU
From: no-reply@ci.wheatridge.co.us
Sent: Monday, August 28, 2017 2:52 PM
To: CommDev Permits
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
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 j
Property Address 4575 FLOWER ST
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
AMY POTTRUFF
720-366-8158
53
4' ��, W I (t I -D
Property Owner Email
Address
Do you have a signed
contract to reroof this
property?
Applications cannot be
submitted without an
executed contract
attached below.
Attach Copy of Executed
Contract
pottruffa0269@gmai1.com
Yes
170431 -Contract. Pd
CONTRACTOR INFORMATION
Contractor Business Northwest Roofing
Name
Contractor's License 070055
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 3038040303
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Address 2425 S Colorado Blvd #280
(Primary address of your
business)
Contractor Email Address Ihammons@northwest-roofing.com
Retype Contractor Email Ihammons@northwest-roofing.com
Address
DESCRIPTION OF WORK
TOTAL SQUARES of 28
the entire scope of work:
Project Value (contract 8542.86
value or cost of ALL
materials and labor)
Are you re -decking the No
roof?
54
Does the scope of the No
project include a flat roof
(less than 2:12 pitch)?
Does the scope of the Yes
project include a pitched
roof (2:12 or greater
pitch)?
How many squares are 28
part of the pitched roof?
Describe the roofing GAF TIMBERLINE HD
materials for the pitched
roof:
Type of material for the Asphalt
pitched roof:
Provide any additional
detail here on the
description of work. (Is
this for a house or
garage? What is the roof
pitch? Etc)
HOUSE / GARAGE 5/12
/
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 this
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
may not begin on this
property until a permit
has been issued and
posted on the property.
Yes
Yes
Yes
55
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.
Name of Applicant LEILA HAMMONS
Email not displaying correctly? View it in your browser.
56
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:
Job Address: L-� 7 n In %A
Permit Number: ''0/">U
❑ No one available for inspection: Time 1. pr�11�17P
Re -Inspection required: Yes No -
When corrections have been made, call for re -inspection at 303-234-5933
Date: `/ %! Inspector:
DO NOT REMOVE THIS NOTICE
_.
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:
Job Address:
Permit Number:
❑ No one available for inspection: Time '�� `-�� AM/PM
Re -Inspection required: Yes IVo
When corrections have been made, call for rs-inspection at 303 -234 -
Date: '� Inspector:-,
r,s
7
DO NOT REMOVE THIS NOTICE
INSPECTION REQUEST LINE: (303) 234-5933
Inspections will not be perforated unless this card is posted oil the project site.
Call the inspection request line before 11:59 p.m. to receive an inspection the following business day.
Monoil�hjc it�b Reinforcement
1 1111
Footing/Stemwall P.E., Letter
WNW— am —all
Service (Underground)
(Below / tn-slab)
MEN=�-
�In;sulallcnc
Drywall Scraw I Nall
Final Inspections Inspector Comments
Initials
Final Electrical
Final Plumbing
Final Mechanical
inal Ruilding / F
LandscaDina & Parkino Plannin t. Inspections from these entities should be requestec
one week In advance. For landscaping and parking
ROW & Drainage / Public Works Dept. inspections call 303-235-2846. For ROW and drainage
inspections call 303-235-2861, For fire inspections
Fire Inspection / Fire Protection Dist. contact the Fire Protection District for your project,
**IVote: 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.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
INSPECTION RECORD
INSPECTION •
33 1
Inspections will not be perfornied unless this card is posted on the project site.
Call the inspection request line before 11: 59 pm. to receive an inspection the following business day.
or . .; :. •
. e.: . ,
Foundation Inspections
initials
«
Concrete, GroundDo
Not Pour Concrete Prior To �M%
I �
Underground/Slab In"ctiorl;-,
initials
.:. •
Sewer .:.
Water Service (Underground)
Plumbing (Below / In -stab)
Heating »: ► ,,�
Rough Inspections
Wall Sheathing
-------------------
«« Sheathing
Lath /Wall Tie
t« «Electric
Mechanical
Do Not Proceed Without A val Of Above Rou Insspections
*• •Framing
....���
Final Insinitials r ?Z=
pections
i III
ElectricalFinal
Final Plumbing
,« ...���
Final Building
ROW & Drainage / Public Works Dept.
Fire Inspection / Fire Protection Dist.
"Note: AM items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of OccupancyIssued. Approval '«the Final BuildingInspectiondoes ♦.constitute♦ occupancy.
F OR OFFICE USE ONLY
fft R~ F".1
Suliding Permit Application
MOW then propedy abWress)
Address:
efed�,,
WA. CRY LICOnSO 0,
Othor City 40rlsod $0,
Ofty ucense 0
" III OL_.
Complete aft information on BOTH Wes of this form