HomeMy WebLinkAbout5059 Ward RoadCity of Wheat Ridge
Community Development Department
Memorandum
TO: Accounting Department
FROM: Kim Cook, Building Division
SUBJECT: Refund for Permit
DATE: March 3, 2018
Reason: Customer submitted application to incorrect jurisdiction. Contractor
requested to have permit #201800295, for 5059 Ward Road closed out.
Please refund: Contractors License$ (acct 01-510-00-513)
80% permit fee: $ 252.20 (acct 01-510-00-516)
0% plan review $ (acct 01-550-05-551)
100 % use tax: $ 336.88 (acct 01-500-02-505)
Total: $ 589.08
TO:
Stellar Restoration Services LLC
10497 Town and Country Way Suite 930
Houston TX 77024
Thank You!
WLR eOO4
Permit Technician
cp 315,:�s Z),g_o
City of
COMMUNITY DEVELOPMENT
City of Wheat Ridge Municipal Building 7500 W. 291h 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. 29`h Ave., Wheat Ridge, CO 80033.
Company Name/Name (to whom check should be made out to): Ste U lq- .SERL/iCf' S l lC
Address: I Uq Cl f
l "�b
City: ac -&2s±20 State: TK Zip: 2 -qG 2 L(
Phone: __ �3 I- Fax: J3 Email: OkCV AA- 1'1C'A0(0], S+e (jA(_rV, `tb 101 f) Vni (CM
Permit #: ] e00,Ci:S Permit Address: C>sq WPfL0 Q0 : WitU)cir (ZI0C17E" CC
Reason for request:
�2%
Printed Name: ErOL U SC(j)-CL.. Signature: ✓ Date: :2—
For office use only
This request has been: ❑J4ed ❑ Denied Ref nd Amount: $ �,
Approved by: Date:"
www.ci.wheatfldge.eo.us
I
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: -'� y L ;V
Job Address: _Q
Permit Number: OrD
❑ No one available for inspection: Time i s5' 6PM
Re -Inspection required: Yes No
When corrections have been made, call for re -inspection at 303-234-5933
Date:a) 1 inspect
o
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
Commercial Roofing PERMIT - 201800295
PERMIT NO: 201800295 ISSUED: 01/30/2018
JOB ADDRESS: 5059 Ward RD EXPIRES: 01/30/2019
JOB DESCRIPTION: Reroof with composition shingles; 7/12 to 9/12 pitch; 23 squares
*** CONTACTS ***
OWNER (303)423-0591 ROBERT L JONES TRUST NUMBER ON
SUB (800)731-1804 Michael De La Mera/Richard Bai 170131 Stellar Restoration Svcs LLC
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 273 / BLOCK/LOT#: 0 /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 16,042.13
FEES
Total Valuation 0.00
Use Tax 336.88
Permit Fee 315.25
** TOTAL ** 652.13
*** 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.
� - 1: � 'I, �s
PERMIT NO:
JOB ADDRESS:
JOB DESCRIPTION
City of Wheat Ridge
Commercial Roofing PERMIT - 201800295
201800295
5059 Ward RD
ISSUED: 01/30/2018
EXPIRES: 01/30/2019
Reroof with composition shingles; 7/12 to 9/12 pitch; 23 squares
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 pe it and perform the work described and approved in conjunction with
thisppermit. I further attest that I am legally authorized to include all entities named within this document as parties to the work to be
pertor�n d and that all worlk to be performed is disclosed in this document and/or its' accompanying approved plans and specifications.
Signature of OWNER or CONTRACTOR (Circle one) Date
I . 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 5 days after the date of issuance regardless of activity. Requests for extension must be made in writing and
received prior to the date o36f 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 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 andspecific 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 n t be cnstrued to be a permit for, or an approval of, an violation of any provision of any
applicable code or any ordinance or regula n of tohis 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
WheatR� ie
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: permits(@ci.wheatridge.co.us
I FOR OFFICE USE ONLY)
Date:
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: Se�S�1 W fL D fzD
Property Owner (please print): ?3(Db C)p CS Phone: ?(jam - 1-j23 -- C'Sq
Property Owner Email: bOb @ �X h I P 1 e . CC. M
Mailing Address: (if different than property address)
Address: � I'SS C. 9f' n fZ 1)
City, State, Zip: W)+fIRT 7'2-) 0 Cjt~ 1 C_C.> 00 3
Arch itectlEngineer: n�>�
Architect/Engineer E-mail:
Phone:
Contractor: STE-UP fL
P)USTV 61e T-1 c) Yl
i C E=' S I
Uf
Contractors City License #:
) ---7' C 13 )
Phone:
'
Contractor E-mail Address: '�-- C hC'\ -- Mc- 0 re S? -c (cl\t un. C&(k)
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print):
l6H LW
CW f�TmA tl
Phone:
CONTACT EMAIL(p/ease print):
1L W�J (Z
(ZeST6610i C,0
C(,�v)
Sub Contractors: r 11
r
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
[.3;COMMERCIAL ❑ RESIDENTIAL
Description of work: (Check all that apply)
❑ NEW COMMERCIAL STRUCTURE ❑ ELECTRICAL SERVICE UPGRADE
❑ NEW RESIDENTIAL STRUCTURE 0 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�� � S ► �l � �� S h 1 r�c� � �
717 +0 b 510,PL
Sq. Ft./LF ;2 ` 33-7, Btu's Gallons
Amps
Squares
L.1 —� Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$
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 O.'VE. (OWNER) QNTRACTO) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Signature (first and last name): DATE: /�CI
DEPARTMENT USE ONLY
ZONING COMMMENTS: OCCUPANCY CLASSIFICATION:
Reviewer:
BUILDING DEPARTMENT COMMENTS -
Reviewer!
Building Division Valuation: $