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Home My WebLink About5015 Ward RoadCity of Wheat Ridge Community Development Department Memorandum TO: Accounting Department FROM: Kim Cook, Building Division SUBJECT: Refund for Permit DATE: March 1, 2018 Reason: Customer submitted application to incorrect jurisdiction. Contractor requested to have permit #201800296, for 5015 Ward Road closed out. Please refund: Contractors License$ (acct 01-510-00-513) 80% permit fee: $ 239.52 (acct 01-510-00-516) 0% plan review $ (acct 01-550-05-551) 100 % use tax: $ 327.35 (acct 01-500-02-505) Total: $ 566.87 TO: Stellar Restoration Services LLC 10497 Town and Country Way Suite 930 Houston TX 77024 Thank You! " (3004 Permit Technician nr ��601��qy A3TS)- tt 35itypf � 3 b ��v 3)��' Whe�.t COMMUNITY DEVELOPMENT-qge City of Wheat Ridge Municipal Building 7500 W. 29' Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2855 F: 303.237.8929 Refund Application Complete this application in its entirety, attach all copies of permits, permit cards (if issued) and receipts that were received at the time of permit issuance. Requests for more than 80 percent of the amount paid will not be approved without prior approval from the Building Official. The refund application must be received by the Wheat Ridge Building Division no later than 180 days after permit issuance. Applications received after 180 days of permit issuance will not be approved. You can mail or hand -deliver all required documents to: City of Wheat Ridge, Attn: Building Division, 7500 W. 29th Ave., Wheat Ridge, CO 80033. Company Name/Name (to whom check should be made out to): �TQLA9 5 G(LV I G cS " Address: i1 G 3 ow n ani Covn 'tel 'wc V S fl- cj 3 U T City: Rw S i"D n State: X Zip: 710 Z '� Phone: %00- �'3)')?0�1 Fax: V � C6) -7�3)-)eUI-f Email: Achc,'j-MrA/) 0 S4010rrrS'ro+a-h"-)Y,,(6,,'I Permit #: '520) 90 0 gCIb Permit Address: .5G I S ujq I&n 4(), Wjj r)T- X10 (,F, CO Reason for request: 'tit' M 1 Grrc� S j i n 2 «r 5o n Uv n 7 Printed Name: /jRt tL G' SCYP ft�Z Signature:_Z�Date: '2-' I S -19 For office use only This request has been: ❑proved ❑ Denied Refund Amount: Approved by: Date: 0, www.cLwheatridgexo.us i CITY OF WHEAT RIDGE _1�9�Building Inspection Division (303) 234-5933 Inspection line (303) 235-2855 Office • (303) 237-8929 Fax INSPECTION NOTICE Inspection Type: /1,/"j roo t - Job Address: - U Permit Number: 201000 `Za FEW ❑ No one available for inspection: Time ji jD __,,AV/PM Re -Inspection required: Yes 6G) When corrections have been made, call for re -inspection at 303-234-5933 Date:%510 Inspector:/,t-, DO NOT REMOVE THIS NOTICE City of Wheat Ridge `'a y Commercial Roofing PERMIT - 201800296 F - PERMIT NO: 201800296 ISSUED: 01/30/2018 JOB ADDRESS: 5015 Ward RD EXPIRES: 01/30/2019 JOB DESCRIPTION: Commercial re -roof with composition shingles. Squares:18 Pitch: 7/12 to 9/12. *** CONTACTS *** OWNER (303)423-0591 WARD ROAD VETERINARY HOSPITAL SUB (800)731-1804 Michael De La Mera/Richard Bai 170131 Stellar Restoration Svcs LLC *** PARCEL INFO *** ZONE CODE: UA / Unassigned SUBDIVISION CODE: 173 / USE: UA / Unassigned BLOCK/LOT#: 0 / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 15,588.12 FEES Total Valuation 0.00 Use Tax 327.35 Permit Fee 299.40 ** TOTAL ** 626.75 *** COMMENTS *** *** CONDITIONS *** In order to pass a final inspection on commercial elastomeric or similar type roofing, 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. 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 -roof inspections may be called in at the same time, 100 percent of the sheathing must be complete and 25-75 percent of the midroof may be complete. Asphalt shingles are required to be fastened to the roof deck with a minimum of 6 nails per shingle. 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. City of Wheat Ridge Commercial Roofing PERMIT - 201800296 PERMIT NO: 201800296 ISSUED: 01/30/2018 JOB ADDRESS: 5015 Ward RD EXPIRES: 01/30/2019 JOB DESCRIPTION: Commercial re -roof with composition shingles. Squares:18 Pitch: 7/12 to 9/12. 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 thispermit and perform the work described and approved in conjunction with this permit. I furtber attest that I am legally authorized to include all entities named within this document as parties to the work to be Performed aidd that all work to be permed is disclosed in this document and/or its' accompanying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Date 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. �. 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 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 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 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 ordip nce or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature UChief Building Oficial Date REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City of WheatMidge COMMUNITY DEVELOPMENT 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: permits@ci.wheatridge.co.us FOR OFFICE USE ONLY Date: � C 30 � 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: 6015 W1912-0 1-7-D Property Owner (please print): &b ' wnt 5 Phone: 363- Ll a3- Gsq Property Owner Email: h2h 0 hP- ► 11211 e- . CO m Mailing Address: (if different than property address) Address: SjS� f4JafZn 2j�) City, State, Zip: W4foj- (249 C -I C , CCS 800'S3 Architect/Engineer: r) //ct- Architect/Engineer E-mail: Phone: Contractor: STt: LL Ffg_ QTc: STI o Su -2V ►Lt::5 ti -C_ Contractors City License #: O 1 I Phone: CLL Contractor E-mail Address: U_Ca' cC + n-lc.n G_ SiP_110Ar i8S-Fa f c t -h0 n , CO M For Plan Review Questions & Comments (please print): CONTACT NAME (please print): jaS kj Y C VATrnPn Phone: ecx0-3�) - 1y__44 CONTACT EMAIL(p/ease print): CQChC Try_A0 P S421 i(Ar CeSfiOfCAt) C>n . CO rY, Sub Contractors: n / 1�- Electrical W.R. City License # Other City Licensed Sub: City License # City License # Plumbing: W.R. City License # Other City Licensed Sub: Mechanical: W.R. City License # Complete all information on BOTH sides of this form 0 COMMERCIAL ❑ RESIDENTIAL Description of work: (Check all that apply) ❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE ❑ NEW RESIDENTIAL STRUCTURE Q COMMERCIAL ROOFING +.fit✓ ❑ 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.) GuCny�v -�"I (J0 S ir-,)cj Ce jo 9//Z S/v Sq. Ft./LF IL Amps Btu's Gallons n C_ Squares I U Other Project Value: (Contract value or the cost of all materials and labor included in the entire project) $_ 15 i J �, _ 1 Z 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) RACTOR� ,or (AU ORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) SiEnature (first and last name): 2 DATE: cc,, ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: Building Division Valuation: $