HomeMy WebLinkAbout4600 Independence Street46�oo e' -?o / �? 6 3 vs (?
5�1 INSPECTION RECORD
INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection
INSPECTION REQUEST LINE: (303) 234-5933
Occupancy/Type
�iL
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
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
Initial /
Comments
Wall Sheathing
Initials
Mid -Roof
l✓s
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303-235-2846. For ROW and drainage
Lath / Wall Tie
Floodplain Inspection (if applicable)
Rough Electric "
Rough Plumbing/Gas Line
inspections call 303-235-2861. For fire inspections
Rough Mechanical
Fire Inspection / Fire Protection Dist.
Rough Framing
Final Electrical
Rough Grading
Final Plumbing
Insulation
Final Mechanical
Drywall Screw/ Nail
Roof
Final Inspections
Date
Inspector
Comments
Initials
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
ROW & Drainage / Public Works Dept.
Floodplain Inspection (if applicable)
inspections call 303-235-2861. For fire inspections
Fire Inspection / Fire Protection Dist.
contact the Fire Protection District for your project.
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Window/Doors
s
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
V i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office ® (303) 237-8929 Fax
INSPECTION NOTICE
°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 -
Date: Inspector:
®O NOT REMOVE THIS NOTICE
N* i CITY OF WHEAT RIDGE
_:�9�Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INS
PECTION NOTICE
Inspection Type: __
Job Address:od �'�����= t'`' �c���!✓C sr -
Permit
r -
Permit Number:
1
❑ No one available for inspection: Time ` - AM/PM
Re -Inspection required: Yes ;y Flo'
When corrections have been made, call for re-inspection.a't 303 -234 -
Date: Inspector: I.
DO NOT REMOVE THIS NOTICE
i CITY OF WHEAT RIDGE
9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address:L5,\1a_= . S /
Permit Number:
❑ No one available for inspect o'-, me
Re -Inspection required: YestNo)
When corrections have been made, call for re -in
A f
Date: %<• Inspector
AM/PM
ction at 303-234-5933
r
J
City of Wheat Ridge
Residential Roofing PERMIT - 201703859
PERMIT NO: 201703859 ISSUED: 07/13/2017
JOB ADDRESS: 4600 Independence ST EXPIRES: 07/13/2018
JOB DESCRIPTION: Residential Re -roof to install Laminate Asphalt Shingles with 13 sq
4/12pitch
*** CONTACTS ***
OWNER (602)989-5590 TRAVISS JONATHAN
SUB (303)749-5830 Mark Pijanowski 130245 All Phase Restoration
*** 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: 5,500.00
FEES
Total Valuation 0.00
Use Tax 115.50
Permit Fee 140.90
** TOTAL ** 256.40
*** 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 - 201703859
PERMIT NO: 201703859 ISSUED: 07/13/2017
JOB ADDRESS: 4600 Independence ST EXPIRES: 07/13/2018
JOB DESCRIPTION: Residential Re -roof to install Laminate Asphalt Shingles with 13 sq
4/12pitch
I, by my signature, doh 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 thel
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 fur her attest t a m legally authorized to include alI entities named within this document as parties to the work to be
performed and t t w to performed is disclosed in this document and/or its' accompanying approved plans and specifications.
;?_ r8,. /
Signature of OWNIK or CONTRACTOR (Circle one) Date
I. 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 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 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 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, an violation of any provision of any
applica or any ordinance or regulat'on 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.
Dane Lovett O((J
From: no-reply@ci.wheatridge.co.us
Sent: Friday, June 30, 2017 12:10 PM
To: Permits CommDev
Subject: Online Form Submittal: Residential Roofing Permit Application
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
4600 Independence Dr
Jonathan Traviss ,/
6029895590
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.
CONTRACTOR INFORMATION
Contractor Name
Contractor's License
Number (for the City of
Wheat Ridge)
Contractor Phone
Number
All Phase Restoration
130245
7204421991
Contractor Email Address Icraig@aprestoration.com
Retype Contractor Email Icraig@aprestoration.com
Address
DESCRIPTION OF WORK
Are you re -decking the No
roof?
Description of Roofing Laminate/Asphalt
Material
Select Type of Material: Asphalt
If "Other" is selected Field not completed.
above, describe here:
How many squares of the 13
material selected above?
Does any portion of the No
property include a flat
roof?
If yes, how many squares Field not completed.
on the flat roof?
TOTAL SQUARES of all 13
roofing material for this
project
Provide additional detail 4/12 �0
here on the description of
2
work. (Is this for a house
or garage? What is the
roof pitch? Etc)
Project Value (contract 5500 V'
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 Lucas Craig
Email not displaying correctly? View it in your browser.
3
All P.NASE
RQRATION�
Work Authorization
All Phase Restoration
12362 Dumont Way
Littleton, CO 80125
Ph: 303.749.5830
JONATHAN TRAVISS (the "Customer") hereby affirm that I am the property owner or agent for the job location described
herein and that I have the right and power to enter into this agreement. I authorize All Phase Restoration (the "Company") to provide services to the
real property, personal property, and contents of the property described as 4600 INDEPENDENCE ST (the "Property"). I also hereby
hire and authorize the Company to provide the services (the "Work") that I have initialed below and accept responsibility to the Company for such
services rendered:
ElYes 0 No Emergency mitigation. I authorize the Company to perform emergency mitigation services. I agree that mitigation shall be
considered complete when restorable structural materials and contents have been returned to pre -loss equilibrium moisture content (EMC) as
measured with a moisture meter on similar materials in an unaffected area of the structure, if available.
91 Yes 0 No Reconstruction. Upon my acceptance of the Company's cost estimate, I authorize the Company to provide reconstruction services
as described therein. I agree that reconstruction shall be considered complete when restorable structural materials have been returned to a pre -loss
condition.
I authorize the Company to enter the Property, supply all materials and perform all necessary labor to provide all authorized Work. I also agree to
allow the Company to remove affected materials, as necessary, to achieve the goals as outlined in the written plan. I understand that should I decide
to decline service or to follow the Company's recommended procedures, estimate, or plan that I may ask them to stop, but that I will be responsible
for payment for all services rendered and any costs the Company incurs as a result of this decision. I further agree to make arrangements for
completion of the job without cost or penalty to the Company and to release, defend, and hold the Company harmless as a result of my decision.
In addition, in the absence of intentional wrongful acts or wrongful failures to act, I waive the right to bring suit against the Company, its owners,
agents, and employees and agree to release them from all liability, indemnify and hold them harmless, and agree to defend them if suit is brought by
any interested party.
Unless we expressly agree otherwise, I agree that my@insurance deductible orodeposit in the amount of 1'000.00 is due prior to the
Company commencing emergency mitigation services and that the balance is due upon completion of the Work, or any portion thereof. And, unless
we expressly agree otherwise, if the Work is not covered by my insurance company, I agree that 30% of the estimated cost of reconstruction is due
prior to the Company commencing such work, 30% is due upon the completion of 30% of the Work, 30% is due upon the completion of 60% of the
Work, and the balance is due upon the completion of the Work.
I agree that all rights to any insurance proceeds paid in connection with the Work performed by the Company are hereby assigned to the Company. I
hereby direct any insurance company to include the name "All Phase Restoration" on any checks or drafts issued in connection with the Work
performed by the Company and that such checks shall be mailed directly to the Company at the above address. In the event that an insurance
company includes other parties on checks or drafts, I agree to endorse and/or obtain necessary endorsements within three days of receipt of the
payment. I fully understand that I am responsible for all charges not paid by my insurance carrier or other materially interested party and agree to
pay any unpaid balance immediately upon demand or upon completion of the work.
JONATHAN TRAVISS
I, (the "Customer"), expressly agree that all past due amounts are subject to a service charge in the amount of
1.5% per month or 18% per annum on unpaid balances after 30 days. Additionally, Customer agrees to reimburse All Phase Restoration for all costs
and reasonable attorneys' fees associated with the collection of any balance past due.
The Company shall maintain the right to file a lien against the Property as well as any and all other legal remedies allowed by Colorado law.
I agree to remove from the Property all cash, jewelry, firearms and other valuables prior to the commencement of work by the Company.
I acknowledge that I have read the terms and conditions set forth above and on the reverse side hereof and that I understand such terms and
conditions and agree to be bound thereby. 7
Dated this 29 day of June 20 17 Print Name Jonathan TraVISS Signature/ 74yeMh7ae /����ff
Jonathan Traviss (Jun 29, 2017)
Billing
Insurance Information
Customer Name: JONATHAN TRAVISS Company:
Address: 4600 INDEPENDENCE ST Claim Number:
City:
WHEAT RIDGE
Adjuster/phone:
State, Zip:
CO, 80033
Agent/phone: _
Phone:
(602) 989-5590
Referral Name
Email: jontraviss@gmail.com Contract Total:
NATIONWIDE
204427 -GF
$12,461.69
A 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: 5 /11 K — &� l'p"4' ' 'e- SP' 11 . r .0
Job Address: �(6�o Sr
ST
Permit Number: ?OIL 61 D / L-/
( D J P 'J 4; I /k%r ze" / P �P
❑ No one available for inspection: Time 7 ZC A�/PM
Re -Inspection required: Yes
* When corrections have been made, call for re -inspection at 303-234-5933
Date: /D- / - l Inspector'. ("
DO NOT REMOVE THIS NOTICE
q U 00 -j�'\ �Iu �+ - 0.1(ocnjoj�
INSPECTION RECORD
INSPECTION REQUEST LINE: (303) 234-5933
Occupanc�L/T,ye
Inspector Comments
Initials
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
Monolithic Slab Reinforcement
Final Electrical
Caissons
Concrete Encased Ground (CEG)
Plumbing (Below / In -slab)
Footing/Stemwall P.E. Letter
uo Not Four concrete Prior To Annroval Of Thp Ahnva Incnpr_tinnc
Underground/Slab Inspections
Date
Inspector Comments
Initials
Electrical (Underground)
Final Inspections
Date
Sewer Service (Underground)
Comments
Final Electrical
Water Service (Underground)
Plumbing (Below / In -slab)
Heating (Below/ In -slab)
Final Mechanical
UO Not Cover Underground or Below/In-Slab Work Prior To Approval Of The Above Ins ections
Rough Inspections
Date
Inspector Comments
Initials
Wall Sheathing
Final Inspections
Date
Roof Sheathing
Comments
Final Electrical
Lath / Wall Tie
Rough Electric
Rough Plumbing
Final Mechanical
Rough Mechanical
Roof
Gas Piping
Do Not Proceed Without Approval Of Above Rough Inspections
Rough Framing
Insulation
Drywall Screw / Nail
Final Inspections
Date
Inspector
Initials
Comments
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Building / Frame
Landscaping & Parking / Planning Dept.
Inspections from these entities should be requeste
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.
"*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.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
FOR OFFICE USE ONLY
City of Date
],r���Wh6atl .
ie-
COMMUNiTy DEVELOPMENTPlanlpermit #
Building & Inspection Services Division
7500 W. 29th Ave., Wheat Midge, CO0033 Plan Review
Office. 03-235-2355 * x: 303-237-3929
Inspection Lime: 303-234-593
eii:emits ci.wheetrid e.co.0
Building Permit Application
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P3 perty Add# s: w d"' Jf f V
Property Owner,{please print). � � Phone:
Property Owner mall;
Mailing Address: (if different than property address
Address-
City,
ddress.twit , Mate, i
Arch tact(Engine r E-mail Phone:
Contractor: 4 2
tL: le�' zie,
a.
Contrasctors City License Phoma:
Contractor E -mall Address; Le � Z17Z'�
Sub Contract
Electrical: Plumbing: Mechanical.
W.R, City License # Waif. City License # W.R, City License '#
{'ether City Licensed ub.° Other City Licensed Sub:
City License€ City License #
Complete all information on BOTH sides of this form
YR # • ■ # • IM # imr • #
aunt of materials to be used, etc.)
de
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Sq. FULF Stu's Galleins w
Amps Squares Other
# All
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FOR OFFICE USE ONLY
Date: i
11—�9 -
Fla crit #
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11191, 1 1 111, Fillip 1 1
Property Address* 4600 Independence St 80033
Property Owner Email: not availab
g«
I III I 1111� iqlqiiiq�r p1i I I pi lli� I i
1 11 11•Ii I hill MOMM!i�
Address: Same as Above
Cite, Mate, i
1111;,11111 Ill IIIIIIIrj 11111111
Contractor: Thd at Home Services, Inc
Contractor E-mail Address: copermits@)gmail.com
Plumbing,
W.R. City License #
Phone- 1-855-712-8899
W FM Mo T 7 "M -7 r- M M IMF
City License #
Complete all information on B(YrH sides of this form
NEW COMMERCIAL STRUCTURE 0 ELECTRICAL SERVICE UPGRADE
NEW RESIDENTIAL STRUCTURE El COMMERCIALROOFING
COMMERCIALADDITION 0 RESIDENTIAL ROOFING
RESDENTIAL ADDITION 2 WINDOW REPLACEMENT
COMMERCIAL ACCESSORY STRUCTURE (Garage, shed, deck, etc.)
RESIDENTIAL
iL ♦illy STRUCTURE
il!
MECHANICAL
, l Mtlll#. REPAIR
• ir REPLACEMENT
IMLUMBING SYSTEM/APPLIANCE WP ow dF *. REPLACMENT
ELECTRICAL
11♦ SYSTEM/APPLIANCE
Mr•M rfi • i• REPLACEMENT
lx ■ F
OTHER
amount(For ALL projects, please provide a detailed description of work to be performed, including current use of areas�
of materials to •'.
Replace ( 7 ) windows. Like for like in existing openings.
U-valuea
5q. FULF _ _a _ _ Btu'` __. Gallons
Amps _.m�... .__M..._-_.. ._ . _Squares ��� � �.._. _..w. � Other
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