HomeMy WebLinkAbout4340 Pierce StreetINSPECTION RECORD
Inspection online form: http://www.cl.wheatridge.co.us/inspection
Cancellations must be submitted via the online form before 8 a.m. the day of the inspection
Inspections will not be performed unless this card is posted on the project site
Request an inspection before MIDNIGHT (11:59 PM) to recei a an inspection the following business day
PERMIT: ADDRESS: 7� JOB CODE:
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
'2
100t,
PERMIT: ?? � ADDRESS: 4/`9D r 1P��37 JOB CODE:
Rough Inspection (continued)
Date
Inspector
Initials
Comments
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.
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: �1 arm
Job Address:
Permit Number:
❑ No one available for inspection: Time
Re -Inspection required: Yes No
When corrections/ have been made, call for re -inspection at 303- 34-5933
Date: ( lel �� inspect
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: G 1=+
Permit Number:
0 En SS Cd2
f2 N — LL11='
❑ No one available for inspection: Time 3y AM6)
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-2W4-5933
Date: (I /14- Inspector: APL -Z -z--(
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
w Homeowner Roof PERMIT - 201708795
PERMIT NO: 201708795 ISSUED: 11/02/2017
JOB ADDRESS: 4340 Pierce ST EXPIRES: 11/02/2018
JOB DESCRIPTION: Residential roofing remove and install Owens Corning Asphalt Shingles with
redecking 21.86sq for house and shed, also reroofing patio with fiberglass
panels approx 250sgft.
*** CONTACTS ***
OWNER (303)929-9220 CHAVEZ MELICIA
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS, COULEHAN GRANGE, WHEAT BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 8,000.00
FEES
Total Valuation 0.00
Use Tax 168.00
Permit Fee 172.60
** TOTAL ** 340.60
*** 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.
6 nails per shingle is required. Ice dam membrane is required from eave edge to 2'
inside exterior walls. Board sheathing with any gap greater than 1/2" requires panel
sheathing overlay on entire roof. Sheathing inspection is required prior to covering.
Contractor shall provide ladder for inspections. Scheduled inspections that cannot be
performed due to inclement weather must be cancelled prior to 8:30 a.m. on the day of
inspection or a re -inspection fee will be assessed. Subject to field inspection.
City of Wheat Ridge
Homeowner Roof PERMIT - 201708795
PERMIT NO: 201708795 ISSUED: 11/02/2017
JOB ADDRESS: 4340 Pierce ST EXPIRES: 11/02/2018
JOB DESCRIPTION: Residential roofing remove and install Owens Corning Asphalt Shingles with
redecking 21.86sq for house and shed, also reroofing patio with fiberglass
panels approx 250sgft.
I, by my signature, do hereby attest thatthe 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
thispermit. 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.
f -
Signature of `OWNER or CONTRACTOR (Circle one) Date
I, 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 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 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 easle 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.
City of
Building & Inspection Services Division
7500 W. 29#n Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: pt:rrni!
I FOR OFFICE USE ONLY I
Date: ,0/
0/ t) 2) 17
pii"T"Pen" " #J61 -1 b ^i' -7 � --
Plan Review Fee:
I I Ill i I' ITEM: I ii I 1101111 1
Property Address. I 4rlo P /. — e 'S f
30
Property Owner (please print):
/?I L 4-_ _72 AS Q y Phone: 112
Property Owner Email: co'k;'T -
Mailing Address: (if different than property address)
Address: V3 Y6) ftc9C_6- -5-7-
City, State, Zip: WR 4! �-,4 -r R , 4o c C e-' Q 21 e) 6 3Z . ..... . .....
Arch1tegVELigjj3p,!gr,
���I�Jneer E-mail: Phone:
Contractor:
Contractors City License Phone: . ... .......
Contractor E-mail Address:
Electrical:
W.R. City License #
Other City Licensed Sub:
City License #
Plumbing:
W.R. City License #
Other City Licensed Sub:
City License #
Mechanical:
WK City License #
Complete all information on BOTH sides of this form
0 COMMERCIAL [] RESIDENTIAL
MEIN COMMERCIAL STRUCTURE � ELECTRICAL SERVICE UPGRADE
NEW RESIDENTIAL STRUCTURE COMMERCIAL ROOFING
COMMERCIAL ADDITION WRESIDENTIAL ROOFING
RESDENTIAL ADDITION 11 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 SYSTEMIAPPLIANCE REPAIR or REPLACEMENT
OTHER (Describe)
(Por 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.)Tta'r OX. roa�0 40 deck, WN
0573 nal/ed 14 d"Ie.Ths�
ylLS 'fD SAe-GS .
�1'►'c o � �' �-✓ d /i � � c �'� �_ �1� �� pv �I Gfi � i a e= RG Lf9's1' /��-w � �s
ApMe" . '250 s1 F 7 --
Sq.
=
Sq. Ft./LF - Btu's
Value: (Contract value or the cost of all materials and labor included in the entire project)
OWNERIC'ON7'RACTOR SIGNATURE OF 1INDERS't'.iNDING AND AGREEMENT
I hereby ccrflfy that the setback distances proposed by this pennit application are accurate and do not v loixe applicable ordinances, rules or
regulations of" the City of Wheat Ridge or covenants, easements or restrictions of record, that ail measurements shown and allegations made are
accurate, that I have read and cagrL to abide by all conditions printed on this application and that I assume frill responiibility= for compliance
with applicable. City ol'Wheat Ridge codes and ordinances ,"or work udder any permit issued based on this applicationa that I am the legal (Avner
or have been authorized by the legal owner of the property to perform the described work and arra also authorized by the legal owner of atay
entity included on this application to list that entity on this application,
t
C IRCLE O E (fi WN ) (C:O N TkA CTOR) or (-ItT IIOR/ZI,. D Rl PRL,'Sfa, t'il.-i 7"iV E) of (Off °AER) (CONT" CTOR)
PRINT T NAME. f/OC'' C � ice!' �......��G��'� _ SIGNATURE`--/ / _��� _ DATE.: _..
ZONING Ct3MMMENTS,
Reviewer
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS
Reviewer
P OF OF SUBMISSION FORMS
Fire Department t��tl Receives t t Not Required
a
Water District t,,..t Received ® Not Required
Sanitation Dfstrict ❑ Received Not Required
oCCUPANCYCLASSIFICATION.
TYPE O CONSTR tCTILN
SPRINKLERED
OC tJPANT LOAD
Building Division Valuation: $
City of
OPA
Wheat id
e
COMMUNITY DEVELOPMENT
Official Certification of Property Owner for Trade Specific 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): a2 EL i C I� RAs0/t
Project Property: y3 `YO 11;169r-6 _5F
Notarized signature of Applicant
State of Colorado }
County of ss
The foregoing instrument was acknowledged by me this � day of Y� , 201-7by
a
A D ODEANY PUBLIC COLORADOID 20164015451XPIRES APRIL �� 2020
�--� My Commission Expires I�' / J20 .)_D
Notary Public