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CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
'3031235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number:
Q
❑ No one available for inspectnN
e%� M
Re -Inspection required: Yes
*When corrections have been made, can for re- i
pection -23 33
Date: 10// I / ( ;
Inspector:
DO NOT REMO VE TH/S NOT/CE
A 41 CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: i�r.,IQ)
Job Address: / 00 ,�
Permit Number:
c
1 VL -1 S
❑ No one available for inspection: Time //, 3 0 ANI
Re -Inspection required: ' �Yes'o
* When corrections have been made, call for re -inspection at 303-234-5933
Date: /0-3 j Inspector:
DO NOT REMOVE THIS NOTICE
A i CITY OF WHEAT RIDGE
�(303)
Building Inspection Division
(303) 234-5933 Inspection line 235-2855 Office - (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: G A S
Job Address: i oz $ O
Permit Number: O
^A l2ES J0
❑ No one available for inspection: Time f °► AM(PM
Re -Inspection required: Yes No
*When corrections have been made,,_call for re -inspection at 303-234-5933
Date: I Inspect
DO NOT REMOVE THIS NOTICE
*** COMMENTS ***
*** CONDITIONS ***
All work shall comply with applicable codes and ordinances and is subject to field
inspections.
I, byy myy si mature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications
applicableuilding codes, and all applicable municipal codes, policies and procedures, and that I am �e 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 le ally authorized to include all entities named within this document as parties to the work to be
performed 4md that alt work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature OWNER or CONTRACTOR (Circle one) Date
I. This rmit 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.
?. 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 I 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.
q, 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 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 code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
A A
S�&OaKjkghp�DY rdin?"Offficial Date
REQUESTS MUST BE MADE BY 11:59PM ANY B NESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of Wheat Ridge
Commercial Mechanica PERMIT - 201601694
PERMIT NO:
201601694
ISSUED: 10/27/2016
JOB ADDRESS:
10080 W 27th AVE
EXPIRES: 10/27/2017
JOB DESCRIPTION:
Vent unit heater, pressure test gas pipe for vent heater. 30,000 btu, 2800
sf.
*** CONTACTS ***
OWNER (720)298-5560 SHEPPARD ALAN SCOT
SUB (303)748-5413 Preston Clay Scurlock
130099 Complete Maintenance LLC
*** PARCEL INFO ***
ZONE CODE:
C-1 / Commercial
USE: /
SUBDIVISION CODE:
112 /
BLOCK/LOT#: /
*** FEE SUMMARY *** ESTIMATED
PROJECT VALUATION: 1,000.00
Total Valuation
FEES
0.00
"Alli
Use Tax
Permit Fee
18.00
43.50
** TOTAL **
61.50
*** COMMENTS ***
*** CONDITIONS ***
All work shall comply with applicable codes and ordinances and is subject to field
inspections.
I, byy myy si mature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications
applicableuilding codes, and all applicable municipal codes, policies and procedures, and that I am �e 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 le ally authorized to include all entities named within this document as parties to the work to be
performed 4md that alt work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature OWNER or CONTRACTOR (Circle one) Date
I. This rmit 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.
?. 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 I 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.
q, 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 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 code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
A A
S�&OaKjkghp�DY rdin?"Offficial Date
REQUESTS MUST BE MADE BY 11:59PM ANY B NESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
IV' 141W, City of
YYWheat -MMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 29`h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permitsta ci.wheatridge.co.us
I FOR OFFICE USE ONLY I
Date:
Plan/Permit #
Plan Review Fee:
Building Permit Application
*** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. ***
Property Address: /1002 0 (V,
Property Owner (please print): SC'0-1� Phone:- ,do '�7OV- 6306
Property Owner Email:
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer
Architect/Engineer E-mail:
Contractor: Co mfi k�c I I l
Contractors City License #:
Contractor E-mail Address: 614-o
Sub Contractors:
Electrical
W.R. City License #
Other City Licensed Sub:
City License #
4:e_
s-url&6k 0.
Plumbing:
W.R. City License #
Phone:
Phone: 303
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
COMMERCIAL ❑ RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
❑ COMMERCIAL ADDITION ❑ RESIDENTIAL ROOFING
❑ RESDENTIAL ADDITION ❑ WINDOW 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.)
V U :�
Sq. FtJLF MOO
Amps
he,,Ve,I
Btu's
C
Squares
- ,o,&o
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
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 I am the legal owner
or have been authorized by the legal owner of the property to perform the described work and am also authorized by the legal owner of any
entity included on this application to list-thauntity on this application.
CIRCLE ONE. (OWNER CONTRACTOR) r (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
PRINT NAME: �^ y J��!(/G/� SIGNATURE:
DEPARTM
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received ❑ Not Required
Water District ❑ Received ❑ Not Required
Sanitation District ❑ Received ❑ Not Required
i; ,04glfe L.�G�^�DAT E: Q 22 — l 6
E ONLY
OCCUPANCY CLASSIFICATION:
TYPE OF CONSTRUCTION:
SPRINKLERED:
OCCUPANT LOAD:
Building Division Valuation: $
3�
i CITY OF WHEAT RIDGE 3 3
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type: F F •Z
Job Address: 1 0 g 6 AV
Permit Number:
❑ No one available for inspection: Time 3 q AM4�)
Re -Inspection required: YesCN
When corrections have been made, cafl for re -inspection at 303-234-5933
Date)y r ► I I G -_Inspector-)
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Commercial Electric PERMIT - 201601582
PERMIT NO: 201601582 ISSUED: 10/10/2016
JOB ADDRESS: 10080 W 27th AVE EXPIRES: 10/10/2017
JOB DESCRIPTION: Replacing romex wiring for the lights, refrigerator and heater to code with
M/C; old contractor pulled romex which is not allowed. Also repair
receptacles by the front entry switches.
*** CONTACTS ***
OWNER (720)298-5560 SHEPPARD ALAN SCOT
SUB (720)514-3008 Dalibor Perovic 160220 Alpine Electrical Contractors,
*** PARCEL INFO ***
ZONE CODE: C-1 / Commercial USE: /
SUBDIVISION CODE: 112 / BLOCK/LOT#: /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,250.00
FEES
Total Valuation 0.00
Use Tax 22.50 +M,
Permit Fee 53.70
** TOTAL ** 76.20
*** COMMENTS ***
*** CONDITIONS ***
Work must comply with the 2014 NEC, 2012 IBC and other applicable codes and ordinances.
Work is ubject to field inspection.
1, 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 mw�icipal 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 per . I r a that I am le ally authorized to include all entities named within this document as parties to the work to be
perfo e an t t w k to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Si
1.
2.
3.
4.
5.
6.
9'ature of, 61"ER or CONTRACTOR (Circle one) Date
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, pot,cies and procedures.
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 B I[ding
Official and may be subject to a fee equal to one-half of the original permit fee.
If this permit expires, a new permit may be required to be obtained. Isuance 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.
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.
The permit holder shall notify the Building and Inspection Services Division in accordance with established policy of all re uired
inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection Services
Division.
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
applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
�) &%-% A_('0Qk 1/01)011�_'
Signature of Chief Building Official Date f
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
FOR OFFICE USE ONLY
City of Date:
Wheat -Midge
COMMUNITY DEVELOPMENT
Plan/Permit #
Building & Inspection Services Division U I O
7500 W. 29" Ave., Wheat Ridge, CO 80033 Plan Review Fee:
Office: 303-235-2855 ' Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: perm its6Dci.wheatridae.co.us
Building Permit Application
*" Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. '"'
Property Address: I� ��� W. a1, \'�vz �J\�e�� Y � d �� . co sows
Property Owner
\ar) '�LoA '-) he P 0o& j Phone:
Property Owner Email: 0 /j9
Mailing Address: (if different than property address)
Address:
City, State, Zip:
Architect/Engineer:
Architect/Engineer E-mail:
Phone:
Contractor: �fk. Ct�� C o"'f f'X-L lyf ,
Contractors City License #: Phone:
Contractor E-mail Address: Cot's
Sub Contractors:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Other City Licensed Sub:
City License #
Mechanical:
W.R. City License #
Complete all information on BOTH sides of this form
Go
CJ COMMERCIAL ❑ RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING
COMMERCIAL ADDITION RESIDENTIAL ROOFING
RESDENTIAL ADDITION WINDOW 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.)
CJ 1,Jr
AvN
00 6ar\Ayi ck� p�i`¢� �(�r��-x �i�� fQ ,r�i
.
Sq. Ft./LF Btu's
Amps IDOAMe Squares
Gallons
Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
1500
5—
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 I am the legal owner
or have been authorized by the legal owner of the property to perform the described work 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) or (AUTHORIZED REPRESENTA
PRINT NAME: DAU &A, PE 9,->t, L
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
PROOF OF SUBMISSION FORMS
Fire Department ❑ Received ❑ Not Required
Water District ❑ Received ❑ Not Required
Sanitation District ❑ Received ❑ Not Required
DEPARTMENT USE ONLY
of (OWNER) (CONTRACTOR)
DATE: I ib '(,
OCCUPANCY CLASSIFICATION:
TYPE OF CONSTRUCTION:
SPRINKLERED:
OCCUPANT LOAD:
Building Division Valuation: $ /� ��� t
CITY OF WHEAT RIDGE
0 Building Inspection Division
U"C" g pe
214_5933 Inspection line
3 855 #«e-(30
ff
03) 23 5 2 ice - (303) 237-8929 Fax
d»* I
M51"r-MM .... ... ... .
RMTRUJIMM EMM , , M
0 <:o« available for inspection - Time Ll i" 3 2 »« »,.
Re -Inspection required: g 2,
flDate: /0-3 inspector: ........... 9:LL —__
DO NOT REMOV\T \I NOTICE