HomeMy WebLinkAbout4623 Independence Streeti CITY OF WHEAT RIDGE
_:�9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office a (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number:
t
❑ No one available for inspection: Time 7 ', q `� AP
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
1
Date: i 1�1 3 Inspector:
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®O NOT REMOVE THIS NOTICE
o City of Wheat Ridge
Residential Mechanic PERMIT - 201802895
PERMIT NO: 201802895 ISSUED: 10/31/2018
JOB ADDRESS: 4623 Independence St 9 EXPIRES: 10/31/2019
JOB DESCRIPTION: Replace existing furnace with new 40k 95% horizontal like for like.
*** CONTACTS ***
OWNER (720)375-6470 JOHNSON EVELYN GWENDOLINE CUNN
SUB (720)236-1344 Howard Brooks 140153 Energy Resource Center
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2946 / MANSFIELD BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,850.00
FEES
Furnace Replacement 40.00
Total Valuation 0.00
Use Tax 38.85
** TOTAL ** 78.85
*** COMMENTS ***
*** CONDITIONS ***
Work shall comply with 2012 IRC & 2017 NEC. Per IRC Sec. R314, smoke detectors are required
to be installed in every sleeping room, in hallways outside of sleeping rooms, and on every
level of the structure.
I, by my signature, do hereby at
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 ka
he property and am authorized to btain this permit and perform the work described and approved in conjunction with
this permit. I furtheestthatIamlegayauthorizperornyd m1d thatwork toe ertormed is discl in this document and/or its' acc9mpanying approved plans and specifications.
Y 10Z 3 /
Signature of OWNER or CO TOR (Ctdcle one) Date
1. This permit was issued based on the information provided in thepermit application and accompanying Flans 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 change, of the natural flow of water without prior and specific approval.
5. The ermit holders notify the Building and Inspection Services Division in accordance with established policy of all required
in ec on and;9y
f proceed or conceal work without written approval of such work from the Building and Inspection Services
on.
6. or en -nit shall not be construed to be a permit for, or an approval of, any violation of any provision of any
deor na ce 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.
City of
�CnAMAMU'NITYhEat �dgic DFVF-I.c�r�nnr�r� r
Building & Inspection Services
7500 W. 2911 Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: oermits(d,ci.wheatridqe.co.us
FOR OFFICE USE ONLY
Date:
Plan/ ermit
P�Ver!t
Plan Review Fee:
Building Permit Application
*** Complete all applicable highlighted areas on both sides of this form.
Incomplete applications may not be processed. ***
Property Address: q& a3 I ti
s+ �9101a�ai �l�ie.�. Boo33
Property Owner (please print): E ifs ( V'� J (i �/J syxj Phone: lam- 3 76�- 6 y / 0
Property Owner Email:
Tenant Name (Commercial Projects Only)
Property Owner Mailing Address: (if different than property address)
Address:
, State, Zi
Arch itect/Engineer:
Architect/Engineer E-mail: Phone:
� n
Contractor Name: >Je I~O� �/ 5—p 1,t rCa l W kLC
City of Wheat Ridge License #: f0 i 5'3 Phone: 22C2 036 1.3
Contractor E-mail Address: %tib Rp rl a P rC C,-) , O rq
For Plan Review Questions & Comments (please print): / , /
CONTACT NAME (please print): CLl t^4Phone: 707 0 -,736-13 Y 7
CONTACT EMAIL(p/ease print):
Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form):
Electrical: Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
• � i i °i: is
❑COMMERCIALRESIDENTIAL
Provide description of work: For ALL projects, 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.
-R-Q rp eK Lk) /\J W C) rz-
5 W vW I' IiO,v �a ( v / i d --c9 r' I 1 k�?
Sq. Ft./LF
BTUs
Gallons
Amps Squares For Solar: KW # of Panels Requires Structural
For Commercial Projects Only: Occupancy Type: Construction Type:
Occupancy Load: Square Footage:
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$ X660 _-
OWNERICONTRACTOR 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. 1, the applicant for this building permit application, warrant the
truthfulness of the information provided on the application.
CIRCLEONE: (OWNER) (CONTRACTOR) or AUTHORIZ REPRESENTATIVE) of (OWNER) (CONTRACTOR)
fte � 5
SiEnature (first and last name): (J(J�./ \ DATE: 3oi
Printed Name: CL I bar— d Y0 Pct W�(-
DEPARTMENT USE ONLY
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Building Division Valuation:
41
•. •* CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office * (303) 2374929 Fax
INSPECTION NOTICE
Inspection Type
Job Address
Permit Number
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❑ No one available for inspection: Time t AM/PM
Re -Inspection required: ,,Yes,,. No
When corrections have been made, call for re -inspection of 303-234-5933
Date: Inspector:
DO NOT REMOVE THIS NOTICE