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HomeMy WebLinkAbout4465 Jay Street-w?06W `rbc j�yS+, INSPECTION RECORD INSPECTION ONLINE FORM: http://www.ci.wheatridge.co.us/inspection INSPECTION REQUEST LINE: (303) 234-5933 Cancellations must be submitted via the online form hafnrP R n m +ho ,4� , .,f +k„ ;....----:__ Occu anc /T e 'S'/ 1 ^) 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 Foundation Inspections Date Inspector Initials Comments Pier Concrete Encased Ground (CEG) Foundation / P.E. Letter nn Nn+ Pniir r_ w____ - - - - - - - .., • •Nv, -1 1 iv —uuve inspections round/Slab Inspections Date Inspector Landscaping & Parking / Planning Dept. Initials Comments pPlumbing rvice 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 Floodplain Inspection (if applicable) Do Not Cnvpr I Inrlprnrn, ,nA .- 0-1- .,ii L% K_ 1w._ _I_ P,_- ..-..,uw � 9_11V! 1 V /A rvvai yr i ne 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 ROW & Drainage / Public Works Dept. 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 Floodplain Inspection (if applicable) Fire Inspection / Fire Protection Dist. contact the Fire Protection District for your project. 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 rnunh incnortinnc pro nn.,, IM -4 f.. ..., a._ r:__ r Dy trie building Division. - - ----- ......- "- , "- - lu MULArlcdl luw voltage Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued Protect This Card From The Weather The City of Wheat Ridge Third Party Form Check List Property Address Permit Number Permit Issued Date Owner Information Property Owner Information Property Owner Address Inspection Company L ` r- Ej, ady Inspector Name Inspector Contact info. f� Inspector Statement and Acknowledgement * I hearby acknowledge the roof I am inspecting is 6/12 or over all roofs that are under 6/12 must be inspected by the City of Wheat Ridge Buiding Dept. * I hearby acknowledge the roofing system for the referenced building has been inspected and found to be in compliance with the minimum requirements of the 2012 IRC and 2012 IBC as well as all City of Wheat Ridge Policies and Procedure and Manufacturer's recommendation$ en i Inspector: �° Date: Pro rt Owner Statement of Acknowledgement *1 hearby acknowledge that I am the owner of the building referenced above and I give my consent for the listed third -party, ' spection company to perform my roof inspection in lieu of the City of W i ing Division inspection. Propery Own gent: Date: 2 This original document as well as the roofing check list, must be submitted to the Chief Building Officai within seven days of the final inspection. Drop off in person Permit counter 2nd floor 7500 W. 29th Ave Wheat Ridge CO 80033 Drafted Date: 7/26/17 Submit via Email cooi`.r6,Aiheatridge no. us Please add note to reverse side The City of Wheat Ridge Inspection Check List notes Mid -Roof Roof insPection 13 N/A 0 Pass t7 Fail • N/A , Pass 0 Fail Structural roof components o Fail Verify that no more than 2 layers of shingles exist ❑ N/A Pass • N/A }� Pass 0 Fail Flashing for roof and wails If new sheathing is installed verify that it is listed in the 0 Pass Q Fail permit description (Valuation must be adjusted) 0 Fail Verify sheathing nail pattern ( See policy & Proceedures) N/A 0 Pass Crickets and saddles where needed N/A 0 Pass 13 Fail 0 N/A �• Pau 0 Fail Verify B vent must have boot same gauge as pipe 0 N/A � Pass 0 Fail Verify vent caps 13 Fail Verify no flashings are damaged or rusted (3 N/A Pass ❑ Pass 0 Fail Step flashing shall be min. of 4x4 piece per shingle N/A Pass 0 Fail Verify scuppers allow for proper drainage 0 N/A 0 Fail Ice and water shield 2' in heated wall spaces 0 N/A Jst. Pass 0 N/A /� Pass 0 Fail Underlayments must follow 2012 IRC 12012 IBC 0 N/A A Pass o Fail Verify roof slope for proper drainage 0 N/A ip Pass Q Fail Dripedge shall have min of 2" overlap p N/A Pass 0 Fail Dripedge should extend down min 2" past roof deck 0 N/A ,Pass 0 Fail Dripedge shall be mechanicaly fastened 12" OC 90 LB roll roofing shall not be applied to roof slopes N/A 13 Pass 13 Fail fess than 2:12 slope: Exception, detached garages, patios, carports, open on three sides with min, slope of 1:12 c Fail Modified Bitumen, EPDM, TPO min slope 114:12 slope N/A 0 Pass a Pass 0 Fail Above roof insulation R-25 N/A `A Q Pass q Fail Below roof residential R-38 �•,r"N"/A 0 Pass o Fail Below roof commercial R-32 N/A U Pass 0 Fail Modified Bitumen, EPDM, TPO min slope 1/4:12 slope must be installed in accordance with the manufacturers specifications- Must have manufactures letter of warranty with the address on the letter for final inspection Metal Roof Shingles Reguirements Metal roof shingles shall not be installed on slope less N/A a Pass 0 Fail 3;12 Metal valley flashing shall be the same material as roof N/A Pass 13 Fall Metal valley flashing shall extend a min of 8" from the N/A Gi Pass a Fail centerline with a min. of 314 " high splash diverter rib built-in at the flow line with sections overlapping a a min. of 4" Tile Ro fs Reguirements 0 Fail Clay and concre te file shall have a min. 2-112:12 Slope j� N/A 0 Pass Slopes 4:12 and under require double underlayment qL16,s T� S)- The City of Wheat Ridge Inspection Check List notes Mid -Roof Notes Company Name: :��`��,� •.���„� ���4 ���� Inspector signature:-' Date of Inspection: qL1 &S-- i , �S4- The City of Wheat Ridge Inspection Check List notes Final Roof ion J/A a Pass D Fall O/A pan o Fail Structural roof components VA �, PUS is Fail Verify that no more than 2 layers of shingles eft VA X pass a Fall Flashing for roof and walls _ a Pass a Fall If new sheathing is installed verify that it is listed In the permit description (Valuation must be adjusted) VA a Pam a Fail Verify sheahft nail pattern ( See policy & Proceedures) wA a Pass ❑ Fart Crickets and saddles where needed N/A � Pan a Fall Verify B vent must have boot same gauge as pipe WA � PM U Fal{ Verify vent caps N/A pan a Fall Verify no flashings are damaged or rusted N/A Pass a Fan Step flashing shall be min. of 4X4 piece per shingle N/A Pan a Fail Verify scuppers allow for proper drainage N/A A pan a Fall Ice and water shield 2' In heated wall spaces N/A Pass a Fail Undertayments must follow 2012 IRC / 2412 IBC N/A Pass m Fail Verify roof slope, for proper drainage WA pass to Fail Dripedge shall have mire of 2" Overlap N/A ; Pass 0 Fall Drlpedge should extend down min 2" past roof deck N/A Pass r Fall Drlpedge shall be mechanicaly fastened 12" OC N/A p Pass 0 Fall 90 LB roll roofing shall not be applied to roof slopes less than 2:12 slope: Exception, detached garages, patios, carports, open on three sloes VAM mtn. slope of 1:12 N/A a Pan a Fall Modified Bitumen, EPDM, TPC min slope 1/4:92 slope ,N/A 0 Pas a Fart Above roof insulation R-25 WA la Pass D Fail Below roof residential R-38 `N/A 0 Pan c Fail Below roof commercial R-32 N/A A Pass 0 Fall Modified Bitumen, EPDM, TPO min slope 1/412 slope must be installed in accordance with the manufacturers specifications- must have manufactures letter of warranty with the address on the letter for final Inspection .lea[ o,�d Shingles Retwif®menfa �IOi�I TULY N/A la Fan a Fait Metal roof shingles shall not be installed on slope less 3:12 WA a pass a Fail wmtal 'valyl sawing shall be the sarr . matertat asmal N/A a Pam Cl Fan Detail valley flashing shall extend a min of 8" from the centerline with a min. of 3/4 " high splash diverter rib built-in at the flow line with sections overlapping a a min. of 4„ ,Jlle Roofs ROWE= E N/A a FM a Fan Clay and concrete file shall have a rein. 2-1/2:12 slope Slopes 4:12 and under require double undedayment J Company Name: z'x/ Inspector signature: Date of Inspection: i The City of Wheat Ridge inspection Check List notes Fina{ Roof Notes je./. �/NG�S—S�cS9— ,;-� /is PERMIT: 0I�JADDRESS:�-IIS. ��` JOB CODE: INSPECTION RECORDc� Inspection online foril frhftp://www.cl.wheatridg-e.co.us/inspectio C E J Cancellations must be submitted vi inspection Inspections will not be performed unless this card is posted on the project site Request an inspection before MIDNIGHT (11:59 PM) to receive an inspection the following business Foundation Inspections Date Inspector Initials Comments 102 Caissons / Piers 103 Footing / P.E. Letter 104 Foundation Setback Cert. 105 Stem Walls 106 Foundation wall Insulation Do Not Pour Concrete Prior To Approval Of The Above Inspections Underground / Slab Inspections Date Inspector Initials Comments 201 Electrical / Cable/ Conduit 202 Sewer Underground Int. 203 Sewer Underground Ext. 204 Plumbing Underground Int. 205 Plumbing Underground Ext. 206 Water Underground Do Not Cover Underground or Below / In -Slab Work Prior To Approval Of The Above Inspections Rough Inspection Date Inspector Initials Comments 301 Rough Framing 302 Wall Sheathing 303 Roof Sheathing 304 Sheer Inspection 305 Insulation 306 Mid -Roof 307 Metal / Lath / Stucco 308 Rough Electrical Residential 309 Rough Electrical Commercial 310 Electrical Meter Residential 311 Electrical Meter Commercial 312 Temp. Const. Meter 313 Rough Plumbing Residential 314 Rough Plumbing Commercial 315 Shower Pan SEE OVER FOR ADDITIONAL INSPECTIONS t 2 Rough Inspection (continued) Date Inspector _ ornments 316 Rough Mechanical Residential 317 Rough Mechanical Commercial 318 Boiler / Furnace 319 Hot water tank 320 Drywall screw and Nail 321 Moisture board / shower walls 322 Rough Grading 323 Miscellaneous Final Inspections Date Inspector Initials Comments 402 Gas Meter Release 403 Final Electrical Residential 404 Final Electrical Commercial 405 Final Mechanical Residential 406 Final Mechanical Commercial 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof 410 Final Window/Door 411 Landscape/Park/Planning Inspections from these entities shall be requested one week in advance. For landscaping and parking inspections please call 303-235-2846 For ROW and drainage inspections please call 303-235-2861 For fire inspections please contact the Fire Protection District for your project. 412 Row/Drainage/Public Works 413 Flood plain Inspection 414 Fire Insp. / Fire Protection 415 Public Works Final 416 Storm Water Mgmt. 417 Zoning Final Inspection 418 Building Final Inspection 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 by the Fire District and Electrical low voltage by the Building Division. `14�5 J°� 9/8/2017 contractJay_st-justin_h.jpg (3492x4656) t�to - 4 Dimension Concepts, TOP RATED BB Yc' -NXj ek C�eae Yea( o� Colot ado,% PROPERTY OWNER PRIMARY PHONE �t4n o !a2O- S�JO"Q STREET ADDRESS SECONDARY PHONE 2-- / CITY, STATE, ZIP ZIIP EMAIL ADDRES5 �C`7�'t INSURANCE COMPANY CLAIM, h a PROPOSAL DATE ZI/O Scope of Work: .—r Roofing Manufacturer Roofing Product Roofing Color Z'4DC - 5 Year Roofing Labor Warranty 2"4DC - $1,000,000 Liability Insurance ❑ Register Manufacturer Warranty E�Frovide City Building Permit 9Tear off --L— Layer(s) of Composition & Layer(s) of — Inspect Decking & Attic [l Install All New Decking ❑ Replace D malted Deckin a fnstalf Starter Course Shingles % �4 Vic. gc n r� ccwtr. Q install Underlayment lnstafl ice along Eaves &alt Protrusions instaii Drip Edge (Color L^�_ } Fortify valleys using= A -/C6 [riinstall Valleys - Closed elr Open— (W) install Upgraded Ridge Vent System ❑ Install New Turtle Vents Er Install New Step Flashing (sidewall, chimney, skylights) ❑ instali Upgraded High Profile Ridge Cap eirstall Classic Style Ridge Cap install New Vent Pipe Flashing (aka, jack or b/cot) ©lnstai; Design Course along Headwalls [] Remove &Cover O'Detach & Rese rNt ( Sweep Site with Magnetic Roller Z' j"Clean Up Trash & Clean Out Gutters E Other Xw IAdditional W k/ Special instructions: >1- f"l P��4wrrmc,r� �u^f" 9'�OfJ+164T f_ t-i� Approximate Date(s) of Service: �'��/ " �j Payment Terns: �fl 7 • �t ^' 'Z `�-� ,j�++� Wit^ (41 Dimension Concepts is not responsible for any property and casualty insurance carrier's delay or denial of an insurance claim, in whole or in p,t1 H; WORK TO BE COMPLETED IN ACCORDANCE WITH THE SPECIFICATIONS ABOVE FOR THE COST OF: By approving this agreement, the property owner authorizes 4°1 Dimension Concepts, LLC to represent the best interests of the property owner tot restoration of damages. 4' Dimension Concepts, LLC shall communicate with the property and casualty insurance company to come to an agreement for works to be performed. Following approval of claim, 4' ,Dimension Concepts, LLC will complete specified work for a price agreeable to the insurance company and to 41 Dimension Concepts, LLC with no additional cost to the property owner except for the deductible. This agreed upon price shall become the final contract price, and 41, Dimension Concepts, LLC �,w receive all insurance proceeds for work completed by 4" Dimension Concepts, U.C. The property owner ,s ffis not0-intendingto make payment from the proceeds of a property and casualty insurance policy Pursuant to C.R.S. Section 6-22-105, 4', Dimension Concepts cannot pay, waive, rebate or promise to pay, valve or rebate dif or part of any insurance deductible applicable to the insurance claim for payment for work on the covered property. 4' Dimension Concepts shall hold in trust any payment received within tinanci;tl institution until the delivery of materials. 411' DimensioYConcerts Representative Signature www.4thdc.com Aurora, a Abilene 2 Suite 204 4 �,��tl � � �yvo�aV Aurora, CO 80012 Ll 1 t ` c Acceptance Date ACCP, tanC«' D to Office: {303) 750-4295 Fax: (303)459-5111 https://files.acculynx.com/store/companies/4de9a854-5193-4feC-b030-fe363c49988e/jobs/73114b26-a389-4ae1-90ba-13d0cd21 c647/documents/9f2f3... 1/1 City of Wheat Ridge Residential Roofing PERMIT - 201706886 PERMIT NO: 201706886 ISSUED: 09/03/2017 JOB ADDRESS: 4465 Jay ST EXPIRES: 09/03/2018 JOB DESCRIPTION: Residential Re -roof to install Tamko Heritage asphalt shingles with 18 sq. Pitch = 5/12 *** CONTACTS *** OWNER (720)530-3300 HOGGATT JUSTIN SUB (303)750-4295 Seth Curry 170393 4th Dimension Concepts *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 5,500.00 FEES Total Valuation 0.00 Use Tax 115.50'a Permit Fee 140.90? Reinspection Fee 60.00 ** TOTAL ** 316.40 *** COMMENTS *** *** CONDITIONS *** 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 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. Midroof & Final Roof inspections for ROOFS OVER 6/12 PITCH: 3rd party inspection will be required, the 3rd party inspection report AND THE ORIGINAL PERMIT CARD needs to be dropped off to the Permit Desk at the City of Wheat Ridge. The report MUST BE SIGNED by the Homeowner. 4-e City of Wheat Ridge Residential Roofing PERMIT - 201706886 PERMIT NO: 201706886 ISSUED: 09/03/2017 JOB ADDRESS: 4465 Jay ST EXPIRES: 09/03/2018 JOB DESCRIPTION: Residential.Re-roof to install Tamko Heritage asphalt shingles with 18 sq. Pitch = 5/12 I, by my signature, do hereby attest that the work to be performed shall comply with all accompanying approved plans and specifications1 applicable building codes, and all ap�am cable municipal codes, policies and procedures, and that I am the legal owner or have been authorized by the legal owner of the property aauthorizedoobtainthisthis permit. I further attest that amally authorized to include aperormed and thatallwork tobe permed is disclosed in this document and/or its' accompanying approved plans and specifications. 0 Signature of OWNER or CONTRACTOR (Circle one) Date i 1. This permit was issued based on the information provided in the permit 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 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' gr g of a pe l not be c nstrued to be a permit for, or an approval of, an violation of any provision of any applicable code a or r ati of is 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. Dan Schultz 2f17Q(0 From: no-reply@ci.wheatridge.co.us Sent: Wednesday, August 30, 2017 2:52 PM To: CommDev Permits Subject: Online Form Submittal: Residential Roofing Permit Application Residential Roofing Permit Application This application is exclusively for new permits for residential roofs and for licensed contractors only. This type of permit is ONLY being processed online --do not come to City Hall to submit an application in person. Permits are processed and issued in the order they are received and due to the volume of requests, time to process varies and is subject to change. YOU WILL BE CONTACTED WHEN YOUR PERMIT IS READY FOR PICK-UP AND WILL BE GIVEN A SPECIFIC DATE AND TIME WINDOW TO COMPLETE THE TRANSACTION. You will be notified if your contractor's license or insurance has expired, and you may update those documents at the time you are issued your permit. For all other requests: Homeowners wishing to obtain a roofing permit must apply for the permit in person at City Hall. Revisions to existing permits (for example, to add redecking) must be completed in person at City Hall. All other non -roofing permits must be completed in person at City Hall. The Building Division will be open from 7:30-10:30 a.m., Monday through Friday to process these types of requests. THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN REROOFING UNTIL PERMIT HAS BEEN ISSUED. Is this application for a Yes residential roof? How many dwelling units Single Family Home ! ( l! are on the property? PROPERTY INFORMATION Property Address Property Owner Name Property Owner Phone Number (enter WITH dashes, eg 303-123-4567) 4465 Jay St. Wheat Ridge, CO 80033 Justin Hoggatt (720)530-3300 Property Owner Email Jhoggatt1 @gmail.com Address 65 Do you have a signed contract to reroof this property? Applications cannot be submitted without an executed contract attached below. Attach Copy of Executed Contract Yes Contract Jay St -Justin H (1),Ipq , / CONTRACTOR INFORMATION Contractor Business 4th Dimension Concept Name DLI Contractor's License 170393 Number (This is a 5 or 6 digit number for the City of Wheat Ridge) Contractor Phone Number (enter WITH dashes, eg 303-123-4567) Contractor Address (Primary address of your business) 303-750-4295 1730 S. Abilene st. Contractor Email Address jcontreras@4thdc.com Retype Contractor Email Address DESCRIPTION OF WORK TOTAL SQUARES of the entire scope of work: jcontreras@4thdc.com 18 Project Value (contract 5500 value or cost of ALL materials and labor) Are you re -decking the No roof? Does the scope of the No project include a flat roof (less than 2:12 pitch)? 66 Does the scope of the project include a pitched roof (2:12 or greater pitch)? How many squares are part of the pitched roof? Describe the roofing materials for the pitched roof: Type of material for the pitched roof- Provide oof Provide any additional detail here on the description of work. (Is this for a house or garage? What is the roof pitch? Etc) Yes Z 18 Tamko Heritage Asphalt House, Pit 5/12 SIGNATURE OF UNDERSTANDING AND AGREEMENT 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. I understand that this application is NOT a permit. I understand I will be contacted by the City to pay for and pick up the permit for this property. I understand that work may not begin on this property until a permit has been issued and posted on the property. I certify that I have been authorized by the legal owner of the property to submit this application Yes Yes Yes Yes 67 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. Name of Applicant Seth Curry Email not displaying correctly? View it in your browser. 68 City of Wheat Ridge Residential Mechanic PERMIT - 201708207 PERMIT NO: 201708207 ISSUED: 10/11/2017 JOB ADDRESS: 4465 Jay ST EXPIRES: 10/11/2018 JOB DESCRIPTION: Permit to remove and replace downflow evap cooler on roof, same location, same legs, same capacity. *** CONTACTS *** OWNER (720)530-3300 HOGGATT JUSTIN SUB (303)948-6280 Luke & Don Milne 170083 D&L Heating & AC *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 850.00 FEES Evaporative Cooler 40.00 Total Valuation 0.00 Use Tax 17.85 ** TOTAL ** 57.85 *** COMMENTS *** *** CONDITIONS *** work shall comply with 2012 IRC & 2014 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. 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 this permit. I further attest that I am logally authorized to include all entities named within this document as parties to the work to be performed an at all worf losed in this document an /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 )tans 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 androcedures for approval of any new permit. Re -issuance or extension of expired permits is at the sole discretion of the Chief Building Offcial 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 re uired inspections and shall not proceed or conceal work without written approval of such work from the Building and Inspection ervices 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 ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. 011 - __--r" a e 6 Signature of Chief Building Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of Wheaticlge COMMUNITY 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: perm its(cDci.wheatridge.co.us I FOR OFFICE USE ONLY Date: 1, ` i I 11 -� Plan/Permit # ?— 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: ` 7`f �D`� J Ail 5T G✓fx-� 12 e12-) 6,�VJ Property Owner (please print): �sTi ti rlo , 714 Phone: �Z20 -96,11-15 Sen Property Owner Email: Tu5i.' C-? Mailing Address: (if different than property address) Address: City, State, Zip: Arch itect/EIng 1neer: Architect/Engineer E-mail: Phone: Contractor: L /4 �� n -�F 14/c Contractors City License #: l C)a 3 Phone:3 , Contractor E-mail Address: Co;" Sub Contractors: 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 # Complete all information on BOTH sides of this form ❑ COMMERCIAL [I RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE ❑ COMMERCIAL ROOFING ❑ COMMERCIAL ADDITION ❑ 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 ❑ 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.) �c�vil ry -�la�.✓ e VAP ft�c�G Fe'+2 , Sq. FULF Amps Btu's Squares LiK,t= 51Z15 nN b C,JfA6, ty . .S G5LL4O 7-1' Qdc1 f Gallons Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) c 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. 1, the applicant for this building permit application, warrant the truthfulness of the information provided on the application. CIRCLE ONE: (OWNER) ONTRACT ) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) -� Signature (first and last name): -'' � DATE: /0 ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $