HomeMy WebLinkAbout5135 Ward RoadCity of Wheat Ridge
Community Development Department
Memorandum
TO: Accounting Department
FROM: Kim Cook, Building Division
SUBJECT: Refund for Permit
DATE: March 2, 2018
Reason: Customer submitted application to incorrect jurisdiction. Contractor
requested to have permit #201800294, for 5135 Ward Road closed out.
Please refund: Contractors License$ (acct 01-510-00-513)
80% permit fee: $ 381.24 (acct 01-510-00-516)
0% plan review $ (acct 01-550-05-551)
100 % use tax: $ 572.96 (acct 01-500-02-505)
Total: $ 954.20
TO:
Stellar Restoration Services LLC
10497 Town and Country Way Suite 930
Houston TX 77024
Thank You!
K,:.ri. C004
Permit Technician
hcat i c 1130
1FJ
City of
�`J`tMUNin 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. 29th Ave., Wheat Ridge, CO 80033.
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Company Name/Name (to whom check should be made out to): F},}2l✓�� :� SE'dZv;CY
Address: 7-b-,,ij ck,ru CC✓nty_� I vA C'Aj 3� E a SU
City: Hb Sn),'1 State: TX Zip: T:76
Phone: LO Fax: - 3 i -� ��( Email: C k c k ck + naA,,) / thZ rp 1oC�► i o►'� - t��nrt
Permit #: g ,1 C, CC )-9&jPermit Address: 5)3 S C VALD�1() htja�C/L►0gl=7 GCr
Reason for request: Re -cry -6f eLJdYY-S "jYN Aj
Printed Name: GCL ttL._ t=_ � ��� Signature: Date:
For office use only
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This request has been: ❑ I kvd ❑ Denied Refund Amount: $ , LJJ -)
Approved by: � � Date: Q/�j-hV
www.cLwheatridgexo.us
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: '-T i 3
Permit Number: a® /,?, C) c (-�,`� 4
41- cl rao-+ f ill' I rl
❑ No one available for inspection: Time,' U &/PM
Re -Inspection required: Yes o
When corrections have been made, call f077nspection at 303-234-5933
Date:Q) 11K InspectorRLQ'
DO NOT REMOVE THIS NOTICE
A City of Wheat Ridge
Commercial Roofing PERMIT - 201800294
PERMIT NO: 201800294 ISSUED: 01/30/2018
JOB ADDRESS: 5135 Ward RD EXPIRES: 01/30/2019
JOB DESCRIPTION: Commercial re -roof with composition shingles. Squares: 32 Pitch: 7/12 to
9/12.
*** CONTACTS ***
OWNER (303)423-0591 BOB JONES
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: 263 /
BLOCK/LOT#:
0 /
*** FEE SUMMARY ***
ESTIMATED
PROJECT VALUATION:
27,283.91
FEES
Total Valuation
0.00
Use Tax
572.96
Permit Fee
476.55
** TOTAL **
1,049.51
*** 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 - 201800294
PERMIT NO: 201800294 ISSUED: 01/30/2018
JOB ADDRESS: 5135 Ward RD EXPIRES: 01/30/2019
JOB DESCRIPTION: Commercial re -roof with composition shingles. Squares: 32 Pitch: 7/12 to
9/12.
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 tha�I am legally authorized to include all entities named within this document as parties to the work to be
pertor 4od that all wo5kto,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 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 obe ne-half of the original permit fee.
uired to be
3 ard
requirements, fit ees and ro eew dureslfor approval of any new permit.. Re -issuance ssuancuance of a new e o e extensiont shall be of expired permict ts is at the the sole discretion of
the Chief Building Official and is not guaranteed.
4. No work of an 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.
5. 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.
Signature of MAuilding Official ' Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
City of
W heat j�idge
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: perm its(aD-ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date: 113o I I
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:
Property Owner (please print): Phone: 303 -
Property Owner Email: h,( , h %Qj 1 1214P . Com -
Mailing Address: (if different than property address)
Address: Sar"e-
City, State, Zip: CA,, -(2k+ I6Q p- Cc `vim 3 -2.,
Architect/Engineer:
Architect/Engineer E-mail:
Phone:
Contractor: Sir 11114- Zyt'Gr<z, LLC_
Contractors City License #: I TO 13 1 nn Phone: 20c)—
Contractor E-mail Address: CA,-C.ha+01 Ct til L SfC I I ftrz- j.ESTcj9-14Tf- i on coy),i
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print): ESN Lt u
CHpj► m Fln
Phone: (,00-'-3)
- li'LLI
CONTACT EMAIL(p/ease print): ochc1 -1-Mc
n
CG M
Sub Contractors: n lc, -
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
❑ COMMERCIAL ❑ 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.)
(�b- rnpc)si +- 10 Shin le
Z-tv Ctf /'Z S lopf-
Sq. FULF 3 , 9 �C"
Amps
Btu's
Gallons
Squares �.(L Other
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
$ 02 1 C2& S. C(I
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) CONTRACT L'rr (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR)
Signature (first and last name): - DATE:
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
OCCUPANCY CLASSIFICATION:
Building Division Valuation: $