HomeMy WebLinkAbout3843 Balsam StreetCity of Wheat Ridge
E -Res. A/C Replacement PERMIT - 201801947
PERMIT NO: 201801947 ISSUED: 07/09/2018
JOB ADDRESS: 3843 Balsam ST EXPIRES: 07/09/2019
JOB DESCRIPTION: Remove and install 16 SEER/3Ton Air Conditioning Unit, like for like.
*** CONTACTS ***
OWNER (303)761-9276 KAOWTHUMRONG VIRA
SUB (303)761-9276 Christopher Reister 170100 Steel T Heating, Inc.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,570.00
FEES
A/C Replacement 60.00
Total Valuation 0.00
Use Tax 179.97
** TOTAL ** 239.97
*** 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. 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 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 1 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�ppermit. 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 andJor 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 thepermit 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 originalermit tee.
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, any violation of any provision of any
applicable code or any gr¢mance or regulation of this jurisdiction. Approval of work is subject to field inspection.
Signature of Chie/Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
."t
r City of
Wheat�idge
COMMUNITY DEVELOPMENT
Building & Inspection Services Division
7500 W. 2911 Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(fti.wheatridge.com
FOR OFFICE USE ONLY
Date:/LY
17 Plan/Permit# 8 0 '
Plan Review Fee: y
Building Permit Application
Please complete all highlighted areas on both sides of this form. Incomplete applications
may not be processed. ***
Property Address:
Provertv Owner
Phone:
^ ^ -4'- l
Property Owner Email:. d -p t�T ��--. ( ay) J
Tenant (Commercial Projects Only) n [ A
Property Owner Mailing Address: (if different than property address)
Address:
City, State, Zip:
Arch itectlEngineer: (' nals(,S�
Architect/Engineer E-mail: t Phone:
Contractor:
City of Wheat Ridge License #: 11=0 (f� � (f Phone:;a�_-1(Q1
�(
Contractor E-mail Address: �-�li-- -^' 14-- ONY)
For Plan Review Questions & Comments (please print): (`�
CONTACT NAME (please print):�1124ha ���Phone: / 1 ' `.1a7u
CONTACT EMAIL(please print): (l � ,J, ,174-, C r )
Sub Contractors (Must provide Wheat Ridge License No.):
Electrical: Plumbing: Mechanical:
W.R. City License # W.R. City License # W.R. City License #
Other City Licensed Sub:
City License #
Other City Licensed Sub:
City License #
-) 4 -1 () � 0'
� ( 1 0
❑ COMMERCIAL RESIDENTIAL
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.
I l� se erzrz
Commercial Projects Only: Occupancy Type:
Sq. FULF
Amps
BTUs
Squares
('uz ,41C
Construction Type:
Gallons
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$ /z t 5--� A
O\VNER/CONI'kACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
1 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 perforin the described work and am also authorized by the legal owner orally
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.
CIRCLE O.\7i: (OIVNFR) (0N'' `TRACTOR) nr ( h. THORIZED REPRESENTATIVE) (OII'tVER) (CO:YTRACTOR)
5lenature (rt and Inst name):UA'1'E:
Printed Name:
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Building Division Valuation:
INSPECTION RECORD
IN 12ECTIONLINE FORM: http://www.ci.wheatridge.co.us/forms.aspx?fid=79
�(T INSPECTION REQUEST L°NE: (J03) 234-5933
V
Occupancy/Type
1 '
Do Not Pour Concrete Prior To Aaaroval Of The Above Insnectinns
Underground/Slab Inspections Date
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
Inspec+:,r Comments
Plumbing
InitirAs
Pier
Concrete Encased Ground (CEG)
Foundation / P.E. Letter
Do Not Pour Concrete Prior To Aaaroval Of The Above Insnectinns
Underground/Slab Inspections Date
Inspector Comments
Initials
Electrical
Comments
Sewer Service
Plumbing
Do Not Cover Underground or Below/In-Slab Work Prior To Aaaroval Of The Ahove Insnectinns
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
711Z
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 iow voltage permits — Rease oe 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
City of Wheat Ridge
Homeowner Roof PERMIT - 201702605
'ERMIT NO: 201702605 ISSUED: 06/27/2017
FOB ADDRESS: 3843 Balsam ST EXPIRES: 06/27/2018
FOB DESCRIPTION: Homeowner Re -roof permit: Remove existing roof and install Owens Corning
Duration laminated dimensional shingles. 28 squares
** CONTACTS ***
)WNER (303)422-4536 KAOWTHUMRONG VIRA
** PARCEL INFO ***
;ONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
a** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,196.00
FEES
Cotal Valuation 0.00
Jse Tax 151.12
?ermit Fee 172.60
k* TOTAL ** 323.72
k** COMMENTS ***
k** CONDITIONS ***
I, the property owner, by my signature, attest that I currently reside at the project
property, intend to reside at the property for a period of one year after completion of the
project, and am personally performing all work, without the assistance of hired or
professional workers. Consultations and inspections will only be performed with the
homeowner of record present.
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 k1/2 -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&Elms 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's 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.
nv nnna A r
1 1\Vl VJt1L
Penny Enterprises
ROOFING 8r. CONSTRUCTION
8850 W 50m Avenue, Arvada CO 80002 - Mobile 303-523-4473 - Fax 1-866-329-6489
Email: KTPenny@katewwdb.com
Date:
August 25, 017
Proposal submitted to:
Work to be performed at:
Name: Nipa and Vira Kaowthumrong
Street: 9395 W 44th Avenue - Silveroil
City: Wheat Ridge
E-mail:
Contact Person: Vira
Other:
Street: 3843 Balsam Street
City: Wheat Ridge
State: CO Zip: 80033
Telephone: 303-422-4536
Remove roof to deck on Building
Apply new felt, drip -edge gutter flashing and ice/water shield at eaves
Install pipe jacks, turtle vents and furnace vent cap
Install Owens Coming Tru Definition Duration roof system to Home
Limited Lifetime Warranty
Color. Shasta White
Apply modified to Flat roof
Post Permit*
Cleanup and haul away all trash created by above work
Work carries a 5yr workmanship warranty
All material is guaranteed to be as specified, and the above work to be performed in accordance with the drawings and
specifications submitted for the above work and completed in a substantial workmanlike manner for the sum of:
Dollars ($ 8,240.00
Eight Thousand Two Hundred Forty "Pus cost of Pennto Insurranceanee billed
With payments to be made as follows:
Upon completion of above work —
Respectfully submitted K.evi. nevi.
Any alteration or deviation above specifications involving extra costs will be per
executed only with a written order, and will become an extra charge over and
above the estimate. All agreements are contingent upon strikes, accidents, or
delays beyond our control. Note -this proposal may be withdrawn
by us if not accepted within days.
ACCEPTANCE OF PROPOSAL
The above prices, specifications and conditions are satisfactory and are hereby accepted. You are
authoriz dto do tl}e Uork as specified. Payments will be made as outlin d above.
—T
Signature: I Dakte:
Signature: Harp
City of Wheat Ridge
Homeowner Roof PERMIT - 201702605
�M
PERMIT NO: 201702605 ISSUED: 06/27/2017
JOB ADDRESS: 3843 Balsam ST EXPIRES: 06/27/2018
JOB DESCRIPTION: Homeowner Re -roof permit: Remove existing roof and install Owens Corning
Duration laminated dimensional shingles. 28 squares
*** CONTACTS ***
OWNER (303)422-4536 KAOWTHUMRONG VIRA
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2406 / BEL AIRE,HILLCREST HEIGHTS, ME BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 7,;196.00
FEESk:a '
Total Valuation 0.00
Use Tax 151.12 `�— •��
Permit Fee 172.60
** TOTAL ** 323.72
*** COMMENTS ***
*** CONDITIONS ***
I, the property owner, by my signature, attest that I currently reside at the project
property, intend to reside at the property for a period of one year after completion of the
project, and am personally performing all work, without the assistance of hired or
professional workers. Consultations and inspections will only be performed with the
homeowner of record present.
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 A/2 -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 manufacturera€T"'s 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's 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.
City of Wheat Ridge
Homeowner Roof PERMIT - 201702605
PERMIT NO: 201702605 ISSUED: 06/27/2017
JOB ADDRESS: 3843 Balsam ST EXPIRES: 06/27/2018
JOB DESCRIPTION: Homeowner Re -roof permit: Remove existing roof and install Owens Corning
Duration laminated dimensional shingles. 28 squares
1, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications,
applica le 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 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' ac c mp nying approved plans and specifications.
nature of OW'r4fk or CONTRACTOR (Circle one) Date `
This permit was issued based on the information provided in the permit application and accompanyingplans 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.
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 Off�ial 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 required
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, 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.
Signature of Chief Building Official Date "
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
Inspection time requests will be accepted by email only. Please email requests to insptimerequestgei.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
�Wheat Midge
C(OMMMUNiTy DEVELOPMENT
Building & Inspection Services Division
7500 W. 291h Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(aD_ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date: (� F�
Plan/Permit #
—0 11 G Z ('0 0 5
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:
3 8`/3 ga�sQ.� S -r alle'i- le"4' G Poa.5
Property Owner (please print): {i' l P/i KA wI un -1 O'Cs� Phone: c53 `iZ Z -9T-46"
Property Owner Email:
Mailing Address: (if different than property address)
Address: -��-
City, State, Zip:
Architect/Engineer:
Architect/Engineer E-mail:
Contractor:
Contractors City License #:
Contractor E-mail Address:
Sub Contractors:
Electrical
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Phone:
Phone:
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 I RESIDENTIAL ROOFING
❑ RESIDENTIAL 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.)
�e✓vw � � K i � � � �d � • /�� l tJ` c� u.+evf" � � .2/�-� � ��c/' «� o n�
Sq. FULF
Amps
Btu's
Gallons
Squares )600 �,2! t 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 pen -nit 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 1 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.
CIRCLE ONE: (OWNER) (CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Electronic Sienature (first and last name):
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
DATE:
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $ `C
x, x
City of
h6atldc
4000
--y COMMUNITY DEVELOPMENT
Official Certification of Property Owner Permit
THIS IS TO CERTIFY that I, the property owner, by my signature, attest that I currently
reside at the project property, or intend to reside at the property for a period of one year after
completion of the project, and am personally performing all work, without the assistance of
hired or professional workers, or, if hiring sub -contractors, list them on the permit.
Consultations and inspections will only be performed with the homeowner of record present at
the project property.
Property Owner(s):
'�ilYq
Project Property: IS/3'
' L,
A/Y1 ft9k-<}
I -
T i5 ,.
Notarized signature of Applicant
State of Colorado
County of 3_ el } ss
The foregoing instrument was acknowledged by me this 9 7 day of Ji.,ne , 20J3 by
V; m ka oL., I4L
TAMARA D ODEAN
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID 20164015481
MY COMMISSION EXPIRES APRIL 22, 2020
cl�22.._. My Commission Expires 1/20 ad
Notary Public
0, 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:
(J
Job Address: 3 Yy 3 -S+
Permit Number: 2 vi ?yZ(, f
❑ No one available for inspection: Time ` 6kpm
Re -Inspection required: Yes UNo'
When corrections have been made, call for re -inspection at 303-234-5933
Date: 7//z-/ Inspector: k &—
DO NOT REMOVE THIS NOTICE