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HomeMy WebLinkAbout8090 W. 33rd Avenuei CITY OF WHEAT RIDGE _1�9rBuilding Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION—NAD-TICE Inspection Type: Job Address: C(5 r) /j Permit Number: 1 ;2_(), �J't�c % -- Ll ❑ No one available for inspection: Time Re -Inspection required: Yes �'No When corrections have been made, call for re --in-- ection at 303-2b4-5933 Date: �� `�� ��" Inspector: L�� Ji�i DO NOT REMOVE THIS NOTICE City of Wheat Ridge Residential Deck PERMIT - 201601456 PERMIT NO: 201601456 ISSUED: 09/23/2016 JOB ADDRESS: 8090 W 33rd AVE EXPIRES: 09/23/2017 JOB DESCRIPTION: Install 10'x12' deck; 54p #2 or better structure; redwood decking **REVISION ON ADDRESS** 8090 W. 33rd Ave. *** CONTACTS *** OWNER (720)544-3611 ZABALA JESS D GC (720)312-5349 Tyson Frank 100126 T.F. Remodeling and Repair LTD *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: / SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,800.00 FEES Total Valuation 0.00 Plan Review Fee 45.96 Use Tax 32.40 Permit Fee 70.70 ** TOTAL ** 149.06 *** COMMENTS *** *** CONDITIONS *** All work shall comply with applicable codes and ordinances and is subject to field inspections. I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications, applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with this permit. I further attest that I am le ally authorized to include all entities named within this document as parties to the work to be performed and that all work to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date I. This permit was issued based on the information provided in the permit application and accompanying dans and specifications and is subject to the compliance with those documents, and all applicable statutes, ordinances, regulations, po icies 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 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 apermit 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. 0__, e(n113I16 Signature of Chief Building fficial Date REQUESTS MUST HE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. A'- City of W heat Midge COMMUNITY DEVELOPMENT 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 Email: permits .ci.wheatridge.co.us FOR OFFICE USE ONLY Date: Add to Permit # Building Permit Revision/Amendment Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: `�" � �� 3 3"'( A "C, Property Owner (please print): CSS -2 eywt Phone: W& 5W,36 1/ Property Owner Email: Mailing Address: (if different than property address) Address: , State, Zip.- Submitting ip: Submitting Company: Contact Person: Phone: Contractor: I.( -- Contractors .r Contractors City License #: 10-0/2-6 Phone: 72613, Z �74tifX Contractor E-mail Address: Please Note: Additional valuation must include all general and subcontracted work to be performed related to the revisions and/or amendments declared in the description of work and which were not included in the original permit valuation. If revisions or amendments increase the original valuation, additional fees will be due at the time of approval. Depending on the scope of work, additional plan review fees may be due upon approval ($60.00 an hour — 2 hour minimum). Description of revised/amended work: t�1r� sc Gtnc,NoyZ add"cb IL gcxi[7 w, 33rd Sq. Ft./LF Amps Btu's Squares Gallons Other Additional Project Value: (Must include all general and subcontracted work to be performed related to revisions/amendments described above) 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. CIRCLEONE: (OWNER(CONTRACTOR) r (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME: �ys6''1 r�ril SIGNATURE:. _ DATE: ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: PROOF OF SUBMISSION FORMS Fire Department ❑ Received Water District ❑ Received Sanitation District ❑ Received DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: ❑ Not Required ❑ Not Required ❑ Not Required Building Division Valuation: $ 301ION SIHI 3AOPV3H ION OO :aoloadsul :a}ea EE6SE� OE 2e uajoedsu.i-9j jol /deo 'epew ueeq eney suo!Joe»oo ueyM ON saA :paainbai uoiloadsul-aa Wd/ y awil :uoijoedsui aol ajgejiene auo ON El i h / o ,E :aagwnN Iiwaad :ssaipp`d qof a ► :adAl uoiloadsul 30110N N01103dSNI xeJ 6,768-LE,7 (EOE) • 00VJ0 SSB,7-5E,7 (808) ew1 uoijoedsu/ ££691,£Z (£0£) uoisinM uoiloadsui 6uimin8 3901a 1d3HM d0 A110 i 1 FOR OFFICE USE ONLY City of hate: h at co Building &finsp Bart Services Division 7500 W. 29Ave., Wheat Ridge, CO 80033 Man Review Office: 303-235-2855 * Fax: 303-237-8925 Inspection line:: 303-234-5933 Email. ae itsta"9.ci.wheatridae. o.us i "t ctV-N .t -rev, 0 } t Electrical: Plumbing, Mechanical'. W.R. City License # WA, City License # W.R. City license # Other City Licensed Sub: Other City Licensed Sub: City License # City License Complete all information on BOTH sides of this form A w a r r '. � aw y r • 'Mr a W C C ; i• A i M C s � IY i t i � k i i M i• A 'Mt � i • Y Y ♦ # i • t 6M bF f [! � kk i Y P ; (Contract value or the cost of all materials and labor included in the Safto project) 0N'VNERA','ONTWXCTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT I hereby certify that the setback distances proposed by, this l rsm t applicationare- accurate and do not violate applicable ordinances. rules or regulations ofthe City of Wheat Ridge or covenants, easements or restrictions of record: that all measurements shown and allegations made are accurate; Haat I have read and agree to abide by all conditions printed on this application and than I assume fall responsibility for compliance with applicable City of Wheat Ridge codes and ordinances azar m=ark under any permit issued based on this application; that I airs the legal owner or have been authorised by the legal owner of the property, to perform the described work and arcs also authorized by the legal owner of any entity included on this applicati "7000 "-** MENEM m a a 8-j 9 I a 8 I I 0 In 0 i6 Y! -101 City #\\ *_tRidge w "r I . it Memorandum TO: Accounting Department DATE: September 23rd, 2016 Reason: Contractor has submitted written request to have permit #201601072, for 4685 Teller © cancelled due to a scheduling conflict. Please refund: Contractors License$ (acct 0 1 -510-00-513) 80% permit fee: $150.76 (a«,01-510$$«»6) 0% plan review $ (acct 01-550-05-551) 100 % use tax: $153.00 (ay°$1«$# $2y ) Total, $303.76 4,110wror"M- 13563 W.2th ® Golden, CO 80401 lot . 1 0