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3604 Ames Street
i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: / f— Job Address: (�,® `i d19es Permit Number: 2�© Z_O <0 % 5'3 ❑ No one available for inspection: Time -�0.%MLPM Re -Inspection required: Yes f No When corrections have been made, schedule for re -inspection online at: http://www. ci. wheatridge. co. usrnspection Date: S �� Inspector: DO NOT REMOVE THIS NOTICE City of Wheat Ridge E -Res. Furnace Replacement PERMIT - 202001383 PERMIT NO: 202001383 ISSUED: 07/23/2020 JOB ADDRESS: 3604 Ames St EXPIRES: 07/23/2021 JOB DESCRIPTION: Replace 60K BTUs, 95% eff gas furnace in basement *** CONTACTS *** OWNER (303)424-7208 HARVEY LINDA SUE SUB (720)236-1321 HOWARD BROOKS 140153 ENERGY RESOURCE CENTER *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 21340.00 FEES Furnace Replacement 40.00 Total Valuation 0.00 Use Tax 49.14 ** TOTAL ** 89.14 *** COMMENTS *** *** CONDITIONS *** Both the front and back of this permit are required to be posted on the job site at all times. If the complete permit is not present, inspections WILL NOT be performed. Work shall comply with 2012 IRC & 2017 NEC. Smoke alarms shall comply with 2012 IRC Section 134. INTERIOR ALTERATIONS, REPAIRS, FUEL -FIRED APPLIANCE REPLACEMENTS, OR ADDITIONS, ANY OF WHICH REQUIRE A BUILDING PERMIT, OCCURS OR WHERE ONE OR MORE ROOMS LAWFULLY USED FOR SLEEPING PURPOSES ARE ADDED SHALL HAVE AN OPERATIONAL CARBON MONOXIDE ALARM INSTALLED WITHIN FIFTEEN FEET OF THE ENTRANCE TO EACH ROOM LAWFULLY USED FOR SLEEPING PURPOSES 1* � 4 41' PERMIT NO: JOB ADDRESS: JOB DESCRIPTION: City of Wheat Ridge E -Res. Furnace Replacement PERMIT - 202001383 202001383 3604 Ames St ISSUED: 07/23/2020 EXPIRES: 07/23/2021 Replace 60K BTUs, 95% off gas furnace in basement 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 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 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: Furnace/Boiler Replacement Permit Application Date: Wednesday, July 22, 2020 4:09:14 PM Furnace/Boiler Replacement Permit Application This application is exclusively for RESIDENTIAL REPLACEMENT FURNACE or BOILER - LIKE FOR LIKE ONLY. 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 a Yes replacement residential furnace or boiler like for like? PROPERTY INFORMATION Property Address 3604 Ames St. Property Owner Name Linda Harvey Property Owner Phone 303-424-7208 Number (enter WITH dashes, eg 303-123- 4567) Property Owner Email WALTERH@ERC-CO.ORG Address Attach City of Wheat Electronic Payment Form - Revised 5-1-20 Ridge Electronic Fillable 202005011620013849 202006081141368198.Ddf Payment Form - "DO NOT ATTACH A PICTURE OF A CREDIT CARD" CONTRACTOR INFORMATION Contractor Business Energy Resource Center Name Contractor's License 140153 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone 720-236-1344 Number (enter WITH dashes, eg 303-123- 4567) Contractor Email walterh@erc-co.org Address Retype Contractor walterh@erc-co.org Email Address DESCRIPTION OF WORK What type of unit is Furnace being installed? Number of BTUs 60,000 What is the efficiency 95% (%) of the unit? Is the unit GAS or gas ELECTRIC? Where is the furnace or basement boiler located (for example, basement, crawlspace, etc)? Project Value (contract 2340 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 Walter Heppard Permit Email not displaying correctly? View it in your browser. City of Wheat Ridge Residential Roofing PERMIT - 201705049 JF RMIT NO: 201705049 OB ADDRESS: 3604 Ames ST ISSUED: 07/28/2017 JOB DESCRIPTION: Residential Re -roof to install 15# FELTXPIRESUNDERLAYMENTO/2018 AND80WENS CORNING DIMENSIONAL asphalt shingles with re -decking 12SQ HOUSE AND ATTACHED GARAGE 5/12 PITCH *** CONTACTS *** OWNER (303)424-7208 HARVEY LINDA SUE SUB (720)202-2202 Eric Pallai' Chris Berve Josh � 170164 Kinetic Restoration *** PARCEL INFO *** ZONE CODE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: UA / Unassigned 0 / rr,r� JUMMARY *** ESTIMATED PROJECT VALUATION: 4 Total Valuation FEES 800.00 Use Tax 0.00 Permit Fee 100.80 ** TOTAL ** 125.05 225.85 �. vlvu111 ViV5 *** 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 applicoveringed required tordance with e benonasite1at theinstruction Of final(rof material brand name) 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. 'orl, G7 INSPECTION RECORD INSPECTION ONLINE FORMtREQUEST LINE- (303) 234-5933pection INSPECTION Cancellations must be submitted via the online form before 8 a.m. the day of the inspection Occupancy/Type 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 Date Inspector Comments Foundation Inspections Initials Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter Do Not Pour Concrete Prior To Approval Of The Above Inspections Inspector Comments Underground/Slab Inspections Date Initials Electrical Sewer Service Plumbinglab Work Prior To Approval Of The Above Ins Do Not Cover Underground or Below/I n pectoComments Date Rough Inspections Initials Wall Sheathing Mid -Roof Lath / Wall Tie Rough Electric " Rough Plumbing/Gas Line Rough Mechanical Rough Framing Rough Grading Insulation Drywall Screw / Nail Qate Inspector Final Inspections Initials Landscaping & Parking / Planning Dept. ROW & Drainage / Public Works Dept. Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. Final Electrical Final Plumbing Final Mechanical Roof Final Window/Doors Comments ctions 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. Final Building NOTE: All items must be completed and approved ve dby Planning, on does notWorks, rk stiFire e authorization Building bo�cupa occupancy. of Occupancy is issued. Approval of the Fina 9 *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 AC Certificate From occupancy Is Issued Protect This Card om The Weather City of Wheat Ridge Residential Plumbing PERMIT - 201701325 PERMIT NO: 201701325 ISSUED: 06/01/2017 JOB ADDRESS: 3604 Ames ST EXPIRES: 06/01/2018 JOB DESCRIPTION: 50 yards sewer repair on 4 in sewer service line in yard going into tap in street *** CONTACTS *** OWNER (303)424-7208 HARVEY LINDA SUE SUB (303)519-0240 R. Andrew Russell 120161 The Elite Pipe MD *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,200.00 FEES Total Valuation 0.00 Use Tax 109.20 Permit Fee 140.90 ** TOTAL ** 250.10 *** 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.** City of Wheat Ridge Residential Plumbing PERMIT - 201701325 PERMIT N0: 201701325 ISSUED: JOB ADDRESS: 3604 Ames ST EXPIRES: JOB DESCRIPTION: 50 yards sewer repair on 4 in sewer service line street 06/01/2017 06/01/2018 in yard going into tap in 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 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 thisermit. I further attest that I am legally 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 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 Budding 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 Budding 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 sh not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or any-bftp or re i t `is jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PN ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequestgci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. City of 1091 - C OKWUNITY DEVELOPMENT Building d Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-23778929 Inspection Line: 303-234-5933 Email: permitsCcDci.wheatridae.co.us I FOR OFFICE USE ONLY Date: �P� 1-7 Plan/Permit # ao � VR -'s Plan Review Fee: *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *`* Property Address: 56641 Auras 57 Property Owner (please print): .4;1" ala-we-�Z Phone: , k Property Owner Email: Mailing Address: (if different than property address) Address: 5 R," c? . City, State, Zip: Architect/Englneer E-mail: Contractor: 7Hc: E[z-.,c Pz ewr of t) Phone: Contractors City License 0: 1 � � � 6 � Phone: 7k • ZS Z spy Contractor E-mail Address:. 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 ❑ COMMERCIAL ❑ RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITIONH 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 LUMBING 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.) Sq. Ft./LF Amps 45'0' yaY� f -c P46,'r e,A 4'l Btu's Squares 5Lur+^r S-- -t N+t A. - Gallons Other WA0-1'^ L/aK'-( Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ .S940.01— 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 REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME: M5$(- Kc !lc SIGNATURE: i ZONING COMMMENTS: Reviewer. BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer. PROOF OF SUBMISSION FORDS Fre Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required DEPARTMENT USE ONLY DATE: 6-1-17 OCCUPANCY CLASSIFICATION: TYPE OF CONSTRUCTION: SPRINKLERED: OCCUPANT LOAD: Building Division Valuation: $ City of Wheat Ridge Residential Plumbing PERMIT - 201701325 PERMIT NO: 201701325 ISSUED: 06/01/2017 JOB ADDRESS: 3604 Ames ST EXPIRES: 06/01/2018 JOB DESCRIPTION: 50 yards sewer repair on 4 in sewer service line in yard going into tap in street *** CONTACTS *** OWNER (303)424-7208 HARVEY LINDA SUE SUB (303)519-0240 R. Andrew Russell 120161 The Elite Pipe MD *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,200.00 FEES Total Valuation 0.00 Use Tax 109.20 Permit Fee 140.90 ** TOTAL ** 250.10 *** 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.** City of Wheat Ridge Residential Plumbing PERMIT - 201701325 PERMIT N0: 201701325 ISSUED: JOB ADDRESS: 3604 Ames ST EXPIRES: JOB DESCRIPTION: 50 yards sewer repair on 4 in sewer service line street 06/01/2017 06/01/2018 in yard going into tap in 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 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 thisermit. I further attest that I am legally 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 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 Budding 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 Budding 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 sh not be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or any-bftp or re i t `is jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PN ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. Inspection time requests will be accepted by email only. Please email requests to insptimerequestgci.wheatridge.co.us between 7:30am and 8:00am, the morning of the inspection. Please put the address of the inspection in the subject line. City of 1091 - C OKWUNITY DEVELOPMENT Building d Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-23778929 Inspection Line: 303-234-5933 Email: permitsCcDci.wheatridae.co.us I FOR OFFICE USE ONLY Date: �P� 1-7 Plan/Permit # ao � VR -'s Plan Review Fee: *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *`* Property Address: 56641 Auras 57 Property Owner (please print): .4;1" ala-we-�Z Phone: , k Property Owner Email: Mailing Address: (if different than property address) Address: 5 R," c? . City, State, Zip: Architect/Englneer E-mail: Contractor: 7Hc: E[z-.,c Pz ewr of t) Phone: Contractors City License 0: 1 � � � 6 � Phone: 7k • ZS Z spy Contractor E-mail Address:. 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 ❑ COMMERCIAL ❑ RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITIONH 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 LUMBING 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.) Sq. Ft./LF Amps 45'0' yaY� f -c P46,'r e,A 4'l Btu's Squares 5Lur+^r S-- -t N+t A. - Gallons Other WA0-1'^ L/aK'-( Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ .S940.01— 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 REPRESENTATIVE) of (OWNER) (CONTRACTOR) PRINT NAME: M5$(- Kc !lc SIGNATURE: i ZONING COMMMENTS: Reviewer. BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer. PROOF OF SUBMISSION FORDS Fre Department ❑ Received ❑ Not Required Water District ❑ Received ❑ Not Required Sanitation District ❑ Received ❑ Not Required DEPARTMENT USE ONLY DATE: 6-1-17 OCCUPANCY CLASSIFICATION: TYPE OF CONSTRUCTION: SPRINKLERED: OCCUPANT LOAD: Building Division Valuation: $ f CITY OF WHEAT RIDGE 3 Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: a Kn Job Address: n C/ Permit Number: ;201-205-6 ell ❑ No one available for inspection: TimeTl)'�< z, c �NlpM Re -Inspection required: Yes No When corrections have been made, call for re -inspection at 303-234-5933 Date: C� V ) Inspector: DO' NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE _:�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type:f'1 T Job Address: 3ko6f AMeS } Permit Number: 04/S ❑ No one available for inspection: Time AM/�Nh Re -Inspection required: Yes �i) When corrections have been made, call for re -inspection at 303 -234 - Date: a �Inspector: i T" DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE �� Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 7-� L)C-- Job Address: D14 AAS Permit Number: ❑ No one available for inspecti rf Time) t) A� Re -Inspection required: Yes o *When corrections have been made, call for re -inspection at 303-234-5933 Date:-, Inspector: ; 1a�� I GGt DO NOT REMOVE THIS NOTICE 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: S L) Job Address: C Permit Number: a b l i C/ 5 a 1 b T yINnu ❑ No one available for inspection: Time / o.' 3 y AM/PM Re -Inspection required: )Ye No * When corrections have been made, call for re -inspection at 303-234-5933 Date: Inspector: / DO NOT REMOVE THIS NOTICE CITY OF WHEAT RIDGE �� Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: 7-� L)C-- Job Address: D14 AAS Permit Number: ❑ No one available for inspecti rf Time) t) A� Re -Inspection required: Yes o *When corrections have been made, call for re -inspection at 303-234-5933 Date:-, Inspector: ; 1a�� I GGt DO NOT REMOVE THIS NOTICE 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: S L) Job Address: C Permit Number: a b l i C/ 5 a 1 b T yINnu ❑ No one available for inspection: Time / o.' 3 y AM/PM Re -Inspection required: )Ye No * When corrections have been made, call for re -inspection at 303-234-5933 Date: Inspector: / DO NOT REMOVE THIS NOTICE e n r) 6)111T)1":� -1,� INSP�E�CTION RECORD INSPECTION REQUEST LINE: (303) 234-5933 Occupancy/Type /r 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 Initials Comments Pier Mid -Roof Concrete Encased Ground (CEG) Foundation / P.E. Letter Lath / Wall Tie 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 Mid -Roof Lath / Wall Tie Rough Electric " Rough Plumbing/Gas Line Rough Mechanical 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. "For Inspection Time Window — Please email inn-ptil'T'lerequest@Ci.Wheatridge.CO.US by 8:00 A.M. the morning of the inspection with the property address in the subject line of the email. Time window is based on the inspector's route. Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather City of Wheat Ridge Residential Plumbing PERMIT - 201701325 PERMIT NO: 201701325 ISSUED: 06/01/2017 JOB ADDRESS: 3604 Ames ST EXPIRES: 06/01/2018 JOB DESCRIPTION: 50 yards sewer repair on 4 in sewer service line in yard going into tap in street *** CONTACTS *** OWNER (303)424-7208 HARVEY LINDA SUE SUB (303)519-0240 R. Andrew Russell 120161 The Elite Pipe MD *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2412 / LAKESIDE, STEWART GARDENS, OLI BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,200.00 FEES Total Valuation 0.00 Use Tax 109.20 Permit Fee 140.90 ** TOTAL ** 250.10 *** 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.**