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Home My WebLink About5012 Kipling Streetk} City of Wheat Ridge Commercial Plumbing PERMIT - 201801603 PERMIT NO: 201801603 ISSUED: 06/01/2018 JOB ADDRESS: 5012 Kipling ST EXPIRES: 06/01/2019 JOB DESCRIPTION: Installing backflow preventor on main water line as requested by Denver Water *** CONTACTS *** OWNER (719)640-8250 SUB (303)421-2161 OLD PROSPECTORS Stephen Lanyon LIQUOR STORE 017835 Blue Sky Plumbing *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 330 / General Retail BLOCK/LOT#: / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 900.00 FEES Total Valuation 0.00 Use Tax 18.90 Permit Fee 40.10 ** TOTAL ** 59.00 *** COMMENTS *** *** CONDITIONS *** Approved per plans and red -line notes on plans. Must comply with 2012 IBC, 2014 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. **Prior to final inspection approval - As-builts are required before approval of the Building Final Inspection and Certificate of Occupancy can be issued. 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 legally authorized to include all entities named within this document as parties to the work to be per ed and that all work to be performed is disclosed in this document and/or ats' 7cM opanying approved plans and specifications. Signature of O R or CONTRACTOR (Circle 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 maybe 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 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 rot be construed to be a permit for, or an approval of, an violation of any provision of any applicable code or any ordinance or regulaf li 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 W heat midge COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 291' Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permits(cDci.wheatridge.co.us FOR OFFICE USE ONLY Plan/Permit# �� II1✓ �� 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: SD12-. Y I plt nog, SJ Property Owner (please print): MCI Phone: Property Owner Email: Tenant (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: Citv. State Arch itect/Enaineer: Architect/Engineer E-mail: Contractor: City of Wheat Ridge License #: Contractor E-mail Address: umLiin� `� Phone: Phone: 3_-f5—({2 [' 2J % 1 For Plan Review Questions & Comments (please print): CONTACT NAME (please print): t��,lo-� Phone: 3J3'gbg— 1 CONTACT EMAIL(p/ease print): Sub Contractors (Must provide Wheat Ridge License No.): Electrical: Plumbing: W.R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # Mechanical: W.R. City License # ((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+nS'�11i bc�c.Yl tmeny 401 tie r 11r�sL aS Commercial Projects Only: Occupancy Type: Construction Type: Sq. FULF Amps BTUs Squares Gallons Project Value: (Contract value or the cost of all materials and labor included in the entire project) S 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. I, the applicant for this building permit application, warrant the truthfulness of the infonnation provided on the application. CIRCLE ONE: (OWNER) (C TRACTOR or (AUTHORIZED R RESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): DATE: Printed Name: 7d y S ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Building Division Valuation: Blue Sky Plumbing & Heating, Inc. ph. (308) 421-2161 fax (303) 424-0495 www.blueskypiumbing.com (11squares/inch) Page __of___ Water Quality Operations — Cross Connection Control DENVER WATER 6100 W. Quincy Ave. Denver, CO 80235 Phone: 303-628-5969 Email CrossConnectionControl@denverwater.org Cross -Connection Control Survey - Inspection Notice ■ Commercial ❑ Multi -family ❑ Residential ❑ Dedicated irrigation ■ Installation requirement ❑ Installation correction ❑ Test Due requirement Property Information Premise address: 5012 KIPLING ST Facility name: Old Prospector Liquor Contact: Ken Phone: Account ID: Premise ID: 2364130000 Meter #: 93000 Survey date: 1/17/18 Site Type: SHOPFOOD Email: mckenro68@gmail.com BFPA: ❑Yes ■No Device: ❑Reduced pressure ■Double check ❑Pressure vacuum breaker ❑Air gap Type of use: ■Domestic ❑Fire ❑Irrigation ❑Recycled Protection: ■Containment ❑lsolation USC Approved orientation: []Yes ■No Degree of hazard: ❑High ■Low Variance request: EYes ❑No Location: Liquor Store Bathroom Make: Model: Size: Serial #: Comment: An approved USC FCCCHR reduced pressure backflow assembly OR a double check backflow assembly is required to be installed on the liquor store service line. The building shares one meter but has seperate entry points and both require backflow assemblies. A double check backflow assembly should be installed if drainage is not available. As per State of Colorado Regulation 11.39/Policy 7 and Denver Water Engineering Standards. BFPA: ❑Yes []No Device: ❑Reduced pressure ❑Double check ❑Pressure vacuum breaker []Air gap Type of use: ❑Domestic ❑Fire ❑Irrigation ❑Recycled Protection: ❑Containment ❑!solation USC Approved orientation: ❑Yes []No Variance request: ❑Yes []No Make: Model:_ Comment: Degree of hazard: ❑High ❑Low Location: Size: _Serial #: ❑ Customer/representative to follow up with installation letter of intent INSTALLATIONITEST DUE DATE (Calendar Days): ❑ 18 days M 60 days ❑Other: The Operating Rules of Denver Water allow for the suspension of water service for non-compliance with rules and standards. Visit our website at www.denverwater.org/WaterQuality/BackflowPreventionProgram for more information. Erik Cancanon DW Technician printed name Erik Cancanon � '2016.MW 07i 42 WW DW Technician signature Technician contact numberlemail: 303-634-3493 Erik.Cancanon@Denverwater.org Customer printed name Customer signature WHITE — Cross -Connection Control YELLOW — Customer/Site Contact 5/8/18 Date 2015068FA/6/15 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: lscz Job Address: 501 D. V (PC, 5T. Permit Number: 2-OV70-6 ISO ❑ No one available for inspection: ime I ( M/ M Re -Inspection required: Yes No When corrections have been made, call for re-insbection at 03-24-5933 j Date: I�� I �� Inspector/J, fi�4'0 DO NOT REMOVE THIS NOTICE 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: Job Address: `U l - i Permit Number: 201702'ISO e- � �YL � C � �tlY�1 I ri � ►Z.r1NT (,),P -TAVr Wil -1 PA1,r-L. ❑ No one available for ins ection: Time Zo Re -Inspection required: Yes - No When corrections have been made, call for refl spection a 303-234-5933 Date: o (In Inspector: DO NOT REMOVE THIS NOTICE City of Wh6-atp.%,.iAd,c BUSINESS LICENSE INSPECTION PERMIT NO. 2002130 BUSINESS NAME: ADDRESS: CONTACT NAME: _ �(") l (( Y3 SQ FT OCCUPANCY TYPE OCCUPANCY LOAD SPRINKLERED NOWSPRINKLERED 0 � 0//, � /(-7-