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HomeMy WebLinkAbout10444 W. 44th AvenueCity of Wheat Ridge Residential Miscella PERMIT - 201901208 PERMIT NO: 201901208 ISSUED: 06/12/2019 JOB ADDRESS: 10444 W 44th Ave #2a EXPIRES: 06/11/2020 JOB DESCRIPTION; Installing cabinets, countertops and island with existing electrical. *** CONTACTS *** OWNER (303)420-2242 NEWGATE ASSOCIATES, LTD SUB (303)471-4982 GARY SCHAMBERS 130225 WESTERN SKY BUILDERS *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: UA / Unassigned BLOCK/LOT#: / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,360.00 FEES Total Valuation 0.00 Use Tax 70.56 Permit Fee 109.20 ** TOTAL ** 179.76 *** COMMENTS *** *** CONDITIONS *** 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 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 thisppermrt. 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 wolc to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. Z /l Signature of/,/OWNER or CONTRACTO (Circle one) Date 1. This permit was issued base o ormation 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 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 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 ss , ance or gran of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any ap is le c de ora rdinance or regulation of this jurisdiction. Approval of work is subject to geld 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 Wheat I Rr OMMUNITY DEVELOPMENT ge Building & Inspection Services 7500 W. 29t1 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 Date: 6 Plan/Permit # Plan Review Fee: Building Permit Application *** Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: l0 y7 q lq2-,4 W /-/ cl_(_4 d Ut . A.14,d A t/t i Clq Property Owner (please print): N,?"tu &'f E 4 rS o e. L 7-,0 Phone: �a t(LO - Z Z C/ Z Property Owner Email: Mfg. E C ,r Fe o,✓ f a . C- o m Tenant Name (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: /a qoo W • y�/ f k 4 (/ �. GuLi ,C A City, State, Zip: A)144 %L/D ?,e , C° o d 33 Architect/Engineer E-mail: Phone: Contractor Name: W i S 7wlr A/ ':57 jl y City of Wheat Ridge License #: l Z L S Phone: (3 03) 5_4 3— ?P Yd Contractor E-mail Address: 9 S C4 Anh� 441 e W& s7klZ N Xkll g EN?, Co rt. For Plan Review Questions & Comments (please print): jj CONTACT NAME (please print): C� �i7`7 �C!/�i�/''r����J Phone: (3"3) 9,93 —FF(lo CONTACT EMAIL(p/ease print): gSC-Indmi6l � � L!JI-S-rA&✓ I _gCNT.Cdw Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form): 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 highlighted fields, if applicable. ❑COMMERCIAL ® RESIDENTIAL Provide 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. Sq. FULF Amps Squares BTUs Gallons For Solar: Kw # of Panels Requires Structural For Commercial Projects Only: Occupancy Type: Construction Type: Occupancy Load: Square Footage: Project Value: (Contract value or the cost of all materials and labor included in the entire project) s 9,3G0. va 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)0 or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): DATE: (, /1z l/ 1 Printed Name: ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Building Division Valuation: C 1 X3 L L uioo-ipoq j 0 c 11 xo; - LJJOC)lp2q City of Wheat Ridge Residential Demolition PERMIT - 201900102 PERMIT NO: 201900102 ISSUED: 01/18/2019 JOB ADDRESS: 10444 W 44th Ave #2a EXPIRES: 01/18/2020 JOB DESCRIPTION: Residential demo of kitchen cabinets, countertops, soffit above cabinets and pony wall, 100 square feet. *** CONTACTS *** OWNER (303)420-2242 NEWGATE ASSOCIATES, LTD SUB (303)471-4982 GARY SCHAMBERS 130225 WESTERNSKY BUILDERS *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: UA / Unassigned BLOCK/LOT#: / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,160.00 FEES Total Valuation 0.00 Demolition Fee 50.00 ** TOTAL ** 50.00 *** COMMENTS *** *** CONDITIONS *** 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 specificationst 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 thisppent. 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 wor� to be performed rs disclosed in this document and/or its accompanying approved plans and specifications. ///Or-// Signature oeOWNER or CONTRACTO (Circle one) Date I . This permit was issued base ormation provided in the pen -nit 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. I. If this permit expires, a new permit may be required to be obtained. Isuance 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 not be construed to be a permit for, or an approval of, any violation of any provision of any applicable code or apy ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Sijnature of dfiief"%iFding Official Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of W heat �ge COMMUNITY DEVELOPMENT Building & Inspection Services 7500 W. 291 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 ® D A I Tj 0:—i y j Inspection Line: 303-234-5933 Email: permits(fti.wheatridge.co.us FOR OFFICE USE ONLY Dafe// Irp Plan/Permit # 0 010 2— Plan Review Fee: Building Permit Application *** Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** /1/Ew 9,4 /-E /4e-/ 4 Property Address: 14Oy-1% y w q.,1141-1 /Vye, U /✓/, f Z/4 W '1 414-1` X,CI?E Property Owner (please print): 6'C A,EG O/V IX- 042&t 7ty�P Phone:d V3) y 2D - 2 Z yz Property Owner Email: L Ny L is 4- G Ga ow Tenant Name (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: `a9oo 1-4 W -1-A City, State, Zip: A,) 6i 4 X � ,/Z / Architect/Engineer E-mail: G Foo 3.3 Phone: Contractor Name: o Z-0' ilts � C City of Wheat Ridge License #: Z Phone:�3 Contractor E-mail Address: .y SC A 6/h t; E/!S Wi S T 4X1V FL�y Al r, C ori For Plan Review Questions & Comments (please print): CONTACT NAME (please print): 69dV iC44A 4--11If Phone: ��✓ S� 3- �I�S/o CONTACT EMAIL(p/ease print): 5,49A4 ` 0"" ' 1" ,9i G W5 4 S,' 4/,E Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form): 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 highlighted fields, if applicable. ❑COMMERCIAL ❑X RESIDENTIAL Provide 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. S'°tf / & 0 .SO v / t /d % /`A/ 4- 715 ,8 IV oQ 6P #.,v y (W,4e-e. /00,3--5 :A. Sq. FULF BTUs Gallons Amps Squares For Solar: KIN # of Panels Requires Structural For Commercial Projects Only: Occupancy Type: Construction Type: Occupancy Load: Square Footage: Project Value: (Contract value or the cost of all materials and labor included in the entire project) Z' 14 0. 0 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)(CONTRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): DATE: Printed Name: Y d— e�/9 �hf ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Building Division Valuation: Reservoirs Environmental, Inc. Effective April 2, 2018 f servoirs Environmental QA Manual Q:\QAQC\Lab\Reservoirs Environmental QA Manual.doc i a REI LAB Reservoirs Environmental, lnc. January 14, 2019 Gary Schambers Western Sky Builders 68245 S. University Blvd #233 Centennial CO 80122-1555 Dear Customer, Subcontract Number: Laboratory Report: Project # / P.O. # Project Description: NA RES 426211-1 Newgate Apts. 10444-2A None Given Reservoirs Environmental, Inc. is an analytical laboratory accredited for the analysis of Industrial Hygiene and Environmental matrices by the National Voluntary Laboratory Accreditation Program (NVLAP), Lab Code 101896-0 for Transmission Electron Microscopy (TEM) and Polarized Light Microscopy (PLM) analysis and the American Industrial Hygiene Association (AIHA), Lab ID 101533 - Accreditation Certificate #480 for Phase Contrast Microscopy (PCM) analysis. This laboratory is currently proficient in both Proficiency Testing and PAT programs respectively. Reservoirs Environmental, Inc. has analyzed the following samples for asbestos content as per your request. The analysis has been completed in general accordance with the appropriate methodology as stated in the attached analysis table. The results have been submitted to your office. RES 426211-1 is the job number assigned to this study. This report is considered highly confidential and the sole property of the customer. Reservoirs Environmental, Inc. will not discuss any part of this study with personnel other than those of the client. The results described in this report only apply to the samples analyzed. This report must not be used to claim endorsement of products or analytical results by NVLAP or any agency of the U.S. Government. This report shall not be reproduced except in full, without written approval from Reservoirs Environmental, Inc. Samples will be disposed of after sixty days unless longer storage is requested. If you have any questions about this report, please feel free to call 303-964-1986. Sincerely, Jeanne Spencer President P.303-964-1986 F: 303-477-4275 5801 Logan Street, Suite 100 Denver, CO 80216 Page 1 of 1 1 -866 -RES I -ENV www.reilab.com Reservoirr-nvironmental, Inc. Reservoirs environmental QA Manual RESERVOIRS ENVIRONMENTAL INC. NVLAP Lab Code 101896-0 TABLE: PLM BULK ANALYSIS, PERCENTAGE COMPOSITION BY VOLUME RES Job Number: Client: Client Project Number / P.O. Client Project Description: Date Samples Received: Method: Turnaround: Date Samples Analyzed: RES 426211-1 Western Sky Builders Newgate Apts. 10444-2A None Given January 14, 2019 EPA 600/R-93/116 - Short Report, Bulk Rush January 14, 2019 Client Lab L Asbestos C+ Sample ID Number A Sub Number Y Physical Part Mineral E Description R (%) 1 EM 2235162 A Off white/tan drywall 100 2 EM 2235163 A Off white/tan drywall 100 3 EM 2235164 A Off white/tan drywall 100 TEM Analysis recommended for organically bound material (i.e. floor tile) if PLM results are <1 %. po,- &� Daniel Erhard Analyst P 303-964-1986 5801 Logan Street, Suite 100, Denver, CO 80216 F: 303-477-4275 Page 1 of 1 X m N .i to m v 1 as w 1.0110 " � n 3 e isoc'am i � � � m CL � O O 3 F W m n N -0 �m A 0 �€ e i ! i0. A 0 � n.wTM .o 6 o oU2 ac� �N �N I ® C o Y, a. a Q = O t- I m 0I I C C O• • NOym iv S �T o I c z gCA C j r la ilk i i' F CUP (> M'a j •� <(wt _= ®to y ry 3 a W m N h (w )` w O 3 3 p ,'Z a { Y a° O =a 1 ° IN r r>ILj-A!*)( PLM - Short,—, Point Count, Long report. OuantaiN.e TEM - AHERA, Level I{, 7442, IS4. +1- (Air. Uuik or Dust).. I Quant. Semi•Ouant, Micro -vac.. ISO -indirect Preps i j PCM - 7400A. 74008, OSHA I OUST - Total. Respirable METALS - Anaiyie(s) j RCRA 8 TCLP. Welding Fume, McWs Scan pH �' ORGANICS • METH,LE TSS 9m �Patho ens Aerobi c Plate Courn Sairnmai a, E coli C N = A o; n o QI i ! 0157 H7. Listena. S aweus, CampNobacter -/-or { p ! ! 1©uantrfrgtKMt Q Z < d . 3 .. II` II !E coil anruar conform®: .t. or OuanWicapon State Water n jC tPteass Cirds One) Yes I No a y � m w Microbial Growth Aerobic Plate Count 10. Y $ M or _. O y_Bactena.Fungal, +l- or Quantification � a ' �ii!! � � �j i Leglanesa +)- or 4uant�ficatiort � Other B obuMen, L4L or Environmental f `Mold Spore Trap or Bulk at- . Idem Geation , lQuantif�cauon, viable or Non-�eDle ' SAMPLER'S INITIALS OR OTHER NOTES: ----- i ! Sample Volume (L)1 Area m N i' �f 14 rn a p Q >22 > j Matrix Code j• I # Containers n xE a =l a 71 it d m a) Ft v m z ° m i I t i A I i I( i i I I I f i f 1 X m N .i Reservoirs Environmental, Inc. Effective April 2, 2018 Reservoirs Environmental QA Manual QiQAQC\Lab\Reservoirs Environmental QA Manual.doc R E 1 LAB Reservoirs E,n vironmen tar/, Inc. REMIT TO: 5801 Logan Street, Suite 100 Denver, CO 80216 Invoice to Western Sky Builders 68245 S. University Blvd #233 Centennial CO 80122-1555 nvoice Date: January 14, 2019 nvoice Number: RES 426211-1 TERMS: Payment due on receipt. Service Charge of 18% per annum may be charged on past due invoices. Quantity Analytical Procedure Unit Price Amount RES Job #: RES 426211-1 Desc: None Given Submitted By: Western Sky Builders P/O No: Newgate Apts. 10444-2A Contact: Gary Schambers 3 PLM Short Report Bulk Rush $18.00 $54.00 Paid Invoice Total: $54.00 P: 303-964-1986 5801 Logan Street, Suite 100 Denver, CO 80216 F: 303-477-4275 Page 1 of 1 1-866-RESI-ENV www.reilab.com i CITY OF WHEAT RIDGE �(303) Building Inspection Division (303) 234-5933 Inspection line 235-28555 Office! (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: c r•, 11 - c -� Job Address: 1-11 q q a<aj Permit Number: 1 -La 0 - `�('�Z - 17 3Sl ❑ No one available for inspection: Time C) c,".. C4 r C gYPM Re -Inspection required: ( 5) No When corrections have been made, call for re -inspection at 303-234-5933 J � Date: 1 11, Inspector: r I DO NOT REMOVE THIS NOTICE INSPECTION RECORD Inspection online form: http://www.ci.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 receiver an inspection the following busine"dday PERMIT: L011 ��� j"'� ADDRESS: JOB CODE: ill,r-+-- OA- In Foundation Inspections Date Inspectorl 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 I 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 PERMIT: )''l Q6 3)`3' ADDRESS: IQ .14q LJ 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 vi Uf, C 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 vi Uf, C 407 Final Plumbing Residential 408 Final Plumbing Commercial 409 Final Roof 410 Final Window/Door 411 Land scape/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 l Inspection Type: i4 4 Job Address: E Permit Number: 12,01-10151 S F"M ❑ No one available for inspection: Time y AM/UM Re -Inspection required: YesNo When corrections have been made, call r �r -inspection at —303 -g,? -4-593 Date: �� Inspector: 4f� (U'�' DO NOT REMOVE THIS NOTICE City of Wheat Ridge Commercial Plumbing PERMIT - 201709313 PERMIT NO: 201709313 ISSUED: 11/29/2017 JOB ADDRESS: 10444 W 44th AVE EXPIRES: 11/29/2018 JOB DESCRIPTION: Permit to remove and replace 40 gallon water heater in same location. Apartment 2A *** CONTACTS *** OWNER (303)420-2242 NEWGATE APARTMENTS SUB (303)278-6417 Jimmy W. Broomhall 020647 Broomhall Brothers *** PARCEL INFO *** ZONE CODE: UA / Unassigned USE: UA / Unassigned SUBDIVISION CODE: UA / Unassigned BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 1,680.00 FEES Total Valuation 0.00 Use Tax 35.28 Permit Fee 67.30 ** TOTAL ** 102.58 *** COMMENTS *** *** CONDITIONS *** All work shall comply 2012 International Codes, 2014 NEC (if applicable), and ordinances adopted by the City of Wheat Ridge. Work is subject to field inspections. 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 thisermit. I further attest that 1 am legally authorized to include all entities named within this document as parties to the work to be perfp ed and that all wor to be performed is disclosed in this document and/or its' accompanying approved plans and specifications. 11-71 Signature of OWNER or C TRACTOR (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 maybe subject to a fee equal to one-half of the originalpermitfee. 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 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 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 ablation 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 `Nh6at ge Building & Inspection Services Division 7500 W. 29th Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: perm its(a)ci.wheatridge.co.us FOR OFFICE USE ONLY Date: Plan/Permit # '215 Plan Review Fee: Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. I Property Address: 10444 West 44th Avenue #2A Property Owner (please print): Newgate Apartments Phone: 303-420-2242 Property Owner Email: mgr.newgate@echelonpg.com Mailing Address: (if different than property address) Address: 10400 West 44th Avenue , State, Zip: Wheat Ridge, CO 80033 Architect/Engineer: Architect/Engineer E-mail: Contractor: Broomhall Brothers Contractors City License #: 20647 Contractor E-mail Address: candy@broomhallbrothers.com Sub Contractors: Electrical: Plumbing: W.R. City License # W.R. City License # Other City Licensed Sub: City License # Phone: Phone: 303-278-6417 Mechanical: W.R. City License # Other City Licensed Sub: City License # Complete all information on BOTH sides of this form ❑ COMMERCIAL f4 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 [vrPLUMBING 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.) Replaced 40 gal water heater - Like for like. Sq. Ft./LF Amps Btu's Squares 40,000 Gallons 40 Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) 1680.00 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 information provided on the application. CIRCLE ONE: (OWNER) (CONTRACTOR) or (IIORiZEI�-REERESENTATIVE) of (OWNER) (CONTRACTOR) Electronic Signature (first and last name) G L JtDATE: ZONING COMMMENTS: Reviewer. BUILDING DEPARTMENT COMMENTS: Reviewer. DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $