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HomeMy WebLinkAbout3244 Youngfield Street (H)City of Wheat Ridge Commercial Sign PERMIT - 202000100 PERMIT NO: 202000100 ISSUED: 01/15/2020 JOB ADDRESS: 3244 Youngfield St Unit H EXPIRES: 01/14/2021 JOB DESCRIPTION: Manufacture and install 2 sets of channel letters Tenant: Applewood Modern Dentistry *** CONTACTS *** OWNER (303)300-5353 REGENCY CENTERS SUB (303)629-6121 FALLON VISUAL PRODUCTS 018033 GORDON SIGN CO. *** PARCEL INFO *** ZONE CODE: C-1 / Commercial USE: B / Business SUBDIVISION CODE: 360 / Shopping Centers BLOCK/LOT#: / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,137.12 FEES Total Valuation 0.00 Plan Review Fee 70.98 Use Tax 65.88 Permit Fee 109.20 ** TOTAL ** 246.06 *** COMMENTS *** *** CONDITIONS *** Approved per plans and red -line notes on plans. Must comply with 2012 IBC, 2017 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. **Prior to final inspection approval - As-builts are required before approval of the Building Final Inspection and Certificate of Occupancy can be issued. City of Wheat Ridge Commercial Sign PERMIT - 202000100 PERMIT N0: 202000100 ISSUED: JOB ADDRESS: 3244 Youngfield St Unit H EXPIRES: JOB DESCRIPTION: Manufacture and install 2 sets of channel letters Tenant: Applewood Modern Dentistry 01/15/2020 01/14/2021 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 this permit. 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' a co anying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Doe 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 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 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 6. The ' 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 ie de ora rdinance 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 (heatOgie COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 291' 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: ) j'S ao y� Plan/Permit# Plan Review Fee: r%lj l j Jul Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Applewood Shopping Center Property Address: 3244 YOUNGFIELD STREET SUITE H, WHEAT RIDGE, CO 80033 U.S. RETAIL PARTNERS, LLC Property Owner (please print): Regency Centers Corp. - Property Management Phone: (303) 300 - 5353 Property Owner Email: MichaelReisch@RegencyCenters.com Tenant (Commercial Projects Only) Pacific Dental Services - dba: "Applewood Modern Dentistry" Property Owner Mailing Address: (if different than property address) Address: Regency Centers Corp. 8480 E. Orchard Road, Suite 6900 City, State, Zip: Greenwood Village, CO 80111 Architect/Engineer: N/A Arch itectlEngineer E-mail: Contractor: City of Wheat Ridge License #: Gordon Sign Company 018033 Contractor E-mail Address: bogorman@gordonsign.com Phone: Phone: (303) 627-6121 For Plan Review Questions & Comments (please print): CONTACT NAME (please print): Bill O'Gorman Phone: 720.979.0762 CONTACT EMAIL(p/ease print): bogorman@gordonsign.com Sub Contractors (Must provide Wheat Ridge License No.): Electrical: Pine Valley Electric (Shawn Clifford) Plumbing: Mechanical: W. R. City License #C18273 W. R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # V COMMERCIAL ❑ RESIDENTIAL 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. Commercial Projects Only: Occupancy Type: Sq. Ft./LF Amps BTUs Squares Q -( Construction Type: Gallons Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ 3,137.12 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 Por 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 a lication. CIRCLE ONE: (OWNER (CONTRACTOR) r (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) SiEnature (first and last name): DATE: 1/13/2020 Printed Name: Bill O'Gorman ZONING COMMMENTS: -Zawd! PCV Reviewer: Z -r 1' LJ BUILDING DE=NThOMME TS: Reviewer PUBLIC WORKS COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Of Building Division Valuation: 3 1— Wall Sign Calculation Sheet You must complete this sheet and include it in the submittal package for any new wall signs. You will also need to create a site plan and a detail sheet of the signage. Project Address: 3244 Youngfield St. Suite H Contractor: Gordon Sign Company You are allowed 1 square foot of signage for every 1 linear foot of wall to which you are attaching a sign. All wall signs must be adjacent to a street or major interior drive. Step 1: Measure the length of the wall(s) where you are attaching the sign: Wall 1 - 73'- 0" feet Wall 2 - 61'- 0" feet Wall 3 - n/a feet Step 2: The length of the wall is the allowable square footage for the wall sign. Wall 1 allowable signage - Wall 2 allowable signage - Wall 3 allowable signage - Site Plan 61 square feet 61 square feet - square feet See sign submittal set sheet 001 8480 East Orchard Road P 303 300 5300 Suite 6900 F 303 691 6905 Greenwood Village, CO 80111 RegencyCenters.com Regency January 6, 2020 Pacific Dental Services, LLC 2460 Paseo Verde Parkway, Suite 145 Henderson, Nevada 89074 Attn: Real Estate Department Re: Pacific Dental Services, LLC Applewood Village Signage Approval Dear Pacific Dental Services, Pacific Dental Services, LLC 5114 Balcones Woods Drive Suite 307 —Box 398 Austin, Texas 78759 Attn: Property Management Regency Centers has reviewed the signage specifications prepared by Encore Image, January 3,d, 2020 for Pacific Dental Services. The sign design is approved subject to: 1. Tenant is responsible to obtain all permits and approvals from the governing authority. 2. Please install this sign from 6am-9am, if the road will be blocked. 3. This approval applies only to the attached signage submitted by Tenant. Any additional signage on the building, window signage or decals on the glass is subject to review and approval by Landlord prior to installation. 4. Tenant is responsible to obtain all permits and approvals from the governing authority. Any comments or revisions required by governing authority shall be resubmitted to Landlord for review. This review has been made only to confirm compliance with the Landlord's minimum specifications for tenant signage under the terms of the Lease Agreement. The Landlord assumes no responsibility in design, constructability, means, methods or conformance to specific tenant requirements. The Landlord is not responsible for the verification of dimensions or compliance with City regulations and ordinances. Compliance with all comments herein is mandatory, with the understanding that any variance thereof is an acceptance of liability. If you have any questions, please contact me at 303.300.5353. Sincerely, Michael Reisch Property Manager Encore Image, Inc. Mailing Address: P.O. Box 9297 Shipping Address:303 W Main St Ontario, CA 91762-9297 P 909 986-4632 License: Contractor Lie. #947727 Billed To: Gordon Sign Co./ CGF Sign 2930 W. 9th Ave. Denver CO 80204 Purchase Order Order#: 25799 Date: 01/07/2020 Project: Applewood Modern Dentistry 3244 Youngfield St. Suite H Wheat Ridge CO 80033 You are hereby requested to provide the following materials/services to the above named project for the price listed below. Ordered By: 118 - Jeffrey Brown Accepted By: Date: Part # Description Unit Quantity Price Amount Permit Acquistion Labor 1.00 500.00 500.00 Permit Fees at cost (T.B.D.) 1.00 Subtotal: 500.00 Notes Terms: All changes to quantity, specification or price must be approved in writing. All Subtotal: 500.00 materials/services must be delivered to job site unless otherwise instructed in writing. Failure to deliver materials or services in a timely fashion will release contractor from Sales Tax: 0.00 any obligation to purchase implied by this order. Total Order 500.00 J EXISTING BUILDING L— EXISTING HC STALL— AND RAMP TO REMAIN �: The issuance f"W"IW or of and oom totionssha"0t nNt r {P: 'y A1N Velid � i`Ire prof o sof Me building code or oJ� ,,.wmrrsfL �' � � a» appy o 0 la wr r - EXIST presuming to give outhorrty to Wolote or cancel the provisions; of the NuRa tp coda or other ordinorwes of Me City stall not be vplid. li [N] SCALE: NTS APPLEWOOD MODERN DENTISTRY ®MANUFACTURE AND INSTALL (1) SET OF INTERNALLY ILLUMINATED 3 244 YOUNGFIELD 5T SurrE H CHANNEL LETTERS MOUNTED ON TOP OF RACEWAY WHEAT RIDGE, CO 80033 © MANUFACTURE AND INSTALL (1) SET OF INTERNALLY ILLUMINATED CHANNEL LETTERS MOUNTED ON TOP OF RACEWAY • = ;r= iewed or Zoning Compliance by the Cit of Wheat Ridge Planning Division =l/� A PROVED d D, TE: C MME PROJECT 1-1 Appl wood Village >a m v li.,' G1 3 44 Youngfleld Street l, - tIIZ SALES RICHAUDETTE DRAWN BY CHRISTIAN.D DATE 12/20/19 SCALE AS NOTED FOLDER 5/SKETCHE5/P/PD/WHEATRiDGE2, c0/51161 FILE 51161.cDR DES GN# 001 DATE By I DATE By This proof drawing is for customer review and approval before fabrication begins. Encore Image will not be responsible for problems or discrepancies that could have been reasonably prevented by the proper review of this document. • The customer shall provide accessibilityto remotetransformers and/or ballasts for installation, final inspection and service. • Dedicated 120 Volt sign circuits with a ground wire to be provided within 6' of the display(s) by the customer. • Sketch may vary from specified colors. Photos are for visual reference only, size and placement of signs may vary. SIGNATURE DATE PRINTED NAME T I T L E All electrical signs shall comply with National Electrical Code (Article 600) and manufactured according to Underwriters Laboratories U.L. 48 standard and appropriately labeled. �OCOPYRIGHT 2019 Phis drawing, and all images therein, sre the sole property of Encore Image and may not be reproduced, displayed x transmitted, in full or in part, to anyone /vithout the written permission 'roman officer of Encore Image Inc. , I Hill 0 LEI U LD ef �- EXISTING HC STALL— AND RAMP TO REMAIN �: The issuance f"W"IW or of and oom totionssha"0t nNt r {P: 'y A1N Velid � i`Ire prof o sof Me building code or oJ� ,,.wmrrsfL �' � � a» appy o 0 la wr r - EXIST presuming to give outhorrty to Wolote or cancel the provisions; of the NuRa tp coda or other ordinorwes of Me City stall not be vplid. li [N] SCALE: NTS APPLEWOOD MODERN DENTISTRY ®MANUFACTURE AND INSTALL (1) SET OF INTERNALLY ILLUMINATED 3 244 YOUNGFIELD 5T SurrE H CHANNEL LETTERS MOUNTED ON TOP OF RACEWAY WHEAT RIDGE, CO 80033 © MANUFACTURE AND INSTALL (1) SET OF INTERNALLY ILLUMINATED CHANNEL LETTERS MOUNTED ON TOP OF RACEWAY • = ;r= iewed or Zoning Compliance by the Cit of Wheat Ridge Planning Division =l/� A PROVED d D, TE: C MME PROJECT 1-1 Appl wood Village >a m v li.,' G1 3 44 Youngfleld Street l, - tIIZ SALES RICHAUDETTE DRAWN BY CHRISTIAN.D DATE 12/20/19 SCALE AS NOTED FOLDER 5/SKETCHE5/P/PD/WHEATRiDGE2, c0/51161 FILE 51161.cDR DES GN# 001 DATE By I DATE By This proof drawing is for customer review and approval before fabrication begins. Encore Image will not be responsible for problems or discrepancies that could have been reasonably prevented by the proper review of this document. • The customer shall provide accessibilityto remotetransformers and/or ballasts for installation, final inspection and service. • Dedicated 120 Volt sign circuits with a ground wire to be provided within 6' of the display(s) by the customer. • Sketch may vary from specified colors. Photos are for visual reference only, size and placement of signs may vary. SIGNATURE DATE PRINTED NAME T I T L E All electrical signs shall comply with National Electrical Code (Article 600) and manufactured according to Underwriters Laboratories U.L. 48 standard and appropriately labeled. �OCOPYRIGHT 2019 Phis drawing, and all images therein, sre the sole property of Encore Image and may not be reproduced, displayed x transmitted, in full or in part, to anyone /vithout the written permission 'roman officer of Encore Image Inc. MANUFACTURE AND INSTALL (1) SET OF ILLUMINATED CHANNEL LETTERS MOUNTED ON TOP OF RACEWAY ,-,viewed for Zoning Compliance by the ► �, =ity of Wheat Ridge Planning Division A 11")nne-%1 Ir -I _.. SCALE: NT5 BY: Z1 u DATE: a� a COP,Xvl E NTS: O � A �Q, CD , APPLEwOOD MODERN DEN-mTKY 3244 YOUNGFIELD 5T 5UrrE H W HEAT RIDGE, CO 80033 SALES RICHAUDETTE DRAWN By CHRISTIAN.D DATE 12/20/19 SCALE A5 NOTED FOLDER 5/5KETCHE5/P/PD/WHEATPJDGE2, co/51161 FILE 51161.CDK DESIGN# 002 DATE By 01/03/20 CM This proof drawing is for customer review and approval before fabrication begins. Encore Image will not be responsible for problems or discrepancies that could have been reasonably prevented by the proper review ofthis document. The customer shall provide accessibility to remote transformers and/or ballasts for installation, final inspection and service. • Dedicated 120 Volt sign circuits with a ground wire to be provided within 6' of the display(s) by the customer. Sketch may vary from specified colors. Photos are for visual reference only, size and placement of signs may vary. SIGNATURE DATE P R I N T E D N A M E T I T L E K16 All electrical signs shall comply with National Electrical Code (Article 600) and manufactured according to Underwriters Laboratories U.L. 48 standard and appropriately labeled. This drawing, and all images therein, are the sole property of Encore Image and may not be reproduced, displayed or transmitted, in full or in part, to anyone without the written permission from an officer of Encore Image Inc. MANUFACTURE AND INSTALL (1) SET OF ILLUMINATED CHANNEL LETTERS MOUNTED ON TON OF RACEWAY Reviewed for Zoning Compliance by the N►'le City of Wheat Ridge Planning Division APPROVED BY: 7—:1 SCALE:NT5 DATE: COMMENTS: CRY of (wheat Ridge APPLEw00D MODERN DENTISTRY 3244 YOUNGFIELD 5T 5UrE H WHEAT PIDGE, CO 80033 SALES RICHAUDETrE DRAWNBY CHRISTIAN.D DATE 12/20/19 SCALE A5 NOTED FOLDER 5/5KETCHE5017D/WHEAT RIDGE 2, co/51161 FILE 51161.CDR DESIGN# 003 DATE BY 01/03/20 CM This proof drawing is for customer review and approval before fabrication begins. Encore Image will not be responsible for problems or discrepancies that could have been reasonably prevented by the proper review of this document. 0 The customer shall provide accessibility to remote transformers and/or ballasts for installation, final inspection and service. • Dedicated 120 Volt sign circuits with a ground wire to be provided within 6' of the display(s) by the customer. 0 Sketch may vary from specified colors. Photos are for visual reference only, size and placement of signs may vary. SIGNATU RE D A T E PRINTED N A M E T T L E All electrical signs shall comply with National Electrical Code (Article 600) and manufactured according to Underwriters Laboratories U.L. 48 standard and appropriately labeled. This drawing, and all images therein, are the sole property of Encore Image and may not be reproduced, displayed or transmitted, in full or in part, to anyone without the written permission from an officer of Encore Image Inc. 23'-&" I 112" FACE RETAINER MANUFACTURE & INSTALL: TWO SETS OF ILLUMINATED CHANNEL LETTERS MOUNTED ON TOP OF RACEWAY LETTER RETURNS: 3" DEEP ALUMINUM, PAINTED TO MATCH SHERWIN WILLIAMS 6257 "G15RALTAR" FACE RETAINERS: ALUMINUM RETAINERS PAINTED TO MATCH SHERWIN WILLIAMS 6257 "GIBRALTAR" PUSH THRU FACES: 1/2" CLEAR ACRYLIC WITH FIRST SURFACE WHITE FILM OVERLAY WITH SECOND SURFACE WHITE DIFFUSER FILM ILLUMINATION: WHITE LED MODULES RACEWAY: 10" X 8" DEEP ALUMINUM RACEWAY PAINTED TO MATCH SHERWIN WILLIAMS 6257 "GIBRALTAR" PTM MATTHEW SHERWIN WILLIAMS 6257 ''GIBRALTAR" 3" 5" ATTACHMENT DETAIL TOTAL SIGN SQ FT: 60.64 SCALE: 1/2"= 1'-0" L E G E N D I 3" DEEP ALUMINUM LETTER RETURN 2 ALUMINUM FACE RETAINER i - 3 1 /2" ACRYLIC PUSH THROUGH FACE 4 WHITE LED MODULES 5 .050 ALUMINUM LETTER BACKS 6 1/4"0 DRAIN HOLES (MIN. 2 PER LTR) 7 10" X 8" ALUMINUM RACEWAY 83 112 VOLT LED POWER SUPPLY 9 18AWG 2 CONDUCTOR INSULATED WIRE 00 EXISTING PRIMARY ELECTRICAL SOURCE II DISCONNECT SWITCH 2 #10 SCREWS INTO NYLON ANCHORS (MIN. 4) 13 3/8" TOGGLE BOLTS ( MIN. 4) 14 1/2" SPACERS 15 ALUMINUM WIREWAY 16 .100 ALUMINUM BACKING FOR SUPPORT COY W Wheat Rfd9e SCALE: NTS APPLEwooD MODERN DENm5TRY 3244 YOUNGFIELD ST SurrE H WHEATFJDGE, CO 80033 SALES RICH AUDETTE DRAWNSY CHRISmAN.D DATE 12/20/19 SCALE AS NOTED FOLDER 5/SKETCHE5/P/PD/WHEATFUDGE 2, co/51161 FILE 51161.cDR DESIGN# 004 DATE BY 01/03/20 CM This proof drawing is for customer review and approval before fabrication begins. Encore Image will not be responsible for problems or discrepancies that could have been reasonably prevented by the proper review of this docu ment. 0 The customershall provide accessibilityto remote transformers and/or ballasts for installation, final inspection and service. • Dedicated 120 Volt sign circuitswith a ground wire to be provided within 6' of the display(s) by the customer. Sketch may vary from specified colors. Photos are for visual reference only, size and placement of signs may vary. S I G N A T U R E D A T E PRINTE D NAME All electrical signs shall comply with National Electrical Code (Article 600) and manufactured according to Underwriters Laboratories U.L. 48 standard and appropriately labeled. This drawing, and all images therein, are the sole property of Encore Image and may not be reproduced, displayed or transmitted, in full or in part, to anyone without the written permission from an officer of Encore Image Inc. City of Wheat Ridge Commercial Sign PERMIT - 202000100 PERMIT NO: 202000100 ISSUED: 01/15/2020 JOB ADDRESS: 3244 Youngfield St Unit H EXPIRES: 01/14/2021 JOB DESCRIPTION: Manufacture and install 2 sets of channel letters Tenant: Applewood Modern Dentistry *** CONTACTS *** OWNER (303)300-5353 REGENCY CENTERS SUB (303)629-6121 FALLON VISUAL PRODUCTS 018033 GORDON SIGN CO. *** PARCEL INFO *** ZONE CODE: C-1 / Commercial USE: B / Business SUBDIVISION CODE: 360 / Shopping Centers BLOCK/LOT#: / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 3,137.12 FEES Total Valuation 0.00 Plan Review Fee 70.98 Use Tax 65.88 Permit Fee 109.20 ** TOTAL ** 246.06 *** COMMENTS *** *** CONDITIONS *** Approved per plans and red -line notes on plans. Must comply with 2012 IBC, 2017 NEC and all applicable City of Wheat Ridge Municipal Codes. Work is subject to field inspections. **Prior to final inspection approval - As-builts are required before approval of the Building Final Inspection and Certificate of Occupancy can be issued. City of Wheat Ridge Commercial Sign PERMIT - 202000100 PERMIT N0: 202000100 ISSUED: JOB ADDRESS: 3244 Youngfield St Unit H EXPIRES: JOB DESCRIPTION: Manufacture and install 2 sets of channel letters Tenant: Applewood Modern Dentistry 01/15/2020 01/14/2021 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 this permit. 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' a co anying approved plans and specifications. Signature of OWNER or CONTRACTOR (Circle one) Doe 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 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 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 6. The ' 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 ie de ora rdinance 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 (heatOgie COMMUNITY DEVELOPMENT Building & Inspection Services Division 7500 W. 291' 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: ) j'S ao y� Plan/Permit# Plan Review Fee: r%lj l j Jul Building Permit Application *** Please complete all highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Applewood Shopping Center Property Address: 3244 YOUNGFIELD STREET SUITE H, WHEAT RIDGE, CO 80033 U.S. RETAIL PARTNERS, LLC Property Owner (please print): Regency Centers Corp. - Property Management Phone: (303) 300 - 5353 Property Owner Email: MichaelReisch@RegencyCenters.com Tenant (Commercial Projects Only) Pacific Dental Services - dba: "Applewood Modern Dentistry" Property Owner Mailing Address: (if different than property address) Address: Regency Centers Corp. 8480 E. Orchard Road, Suite 6900 City, State, Zip: Greenwood Village, CO 80111 Architect/Engineer: N/A Arch itectlEngineer E-mail: Contractor: City of Wheat Ridge License #: Gordon Sign Company 018033 Contractor E-mail Address: bogorman@gordonsign.com Phone: Phone: (303) 627-6121 For Plan Review Questions & Comments (please print): CONTACT NAME (please print): Bill O'Gorman Phone: 720.979.0762 CONTACT EMAIL(p/ease print): bogorman@gordonsign.com Sub Contractors (Must provide Wheat Ridge License No.): Electrical: Pine Valley Electric (Shawn Clifford) Plumbing: Mechanical: W. R. City License #C18273 W. R. City License # W.R. City License # Other City Licensed Sub: Other City Licensed Sub: City License # City License # V COMMERCIAL ❑ RESIDENTIAL 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. Commercial Projects Only: Occupancy Type: Sq. Ft./LF Amps BTUs Squares Q -( Construction Type: Gallons Project Value: (Contract value or the cost of all materials and labor included in the entire project) $ 3,137.12 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 Por 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 a lication. CIRCLE ONE: (OWNER (CONTRACTOR) r (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) SiEnature (first and last name): DATE: 1/13/2020 Printed Name: Bill O'Gorman ZONING COMMMENTS: -Zawd! PCV Reviewer: Z -r 1' LJ BUILDING DE=NThOMME TS: Reviewer PUBLIC WORKS COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Of Building Division Valuation: 3 1— Wall Sign Calculation Sheet You must complete this sheet and include it in the submittal package for any new wall signs. You will also need to create a site plan and a detail sheet of the signage. Project Address: 3244 Youngfield St. Suite H Contractor: Gordon Sign Company You are allowed 1 square foot of signage for every 1 linear foot of wall to which you are attaching a sign. All wall signs must be adjacent to a street or major interior drive. Step 1: Measure the length of the wall(s) where you are attaching the sign: Wall 1 - 73'- 0" feet Wall 2 - 61'- 0" feet Wall 3 - n/a feet Step 2: The length of the wall is the allowable square footage for the wall sign. Wall 1 allowable signage - Wall 2 allowable signage - Wall 3 allowable signage - Site Plan 61 square feet 61 square feet - square feet See sign submittal set sheet 001 8480 East Orchard Road P 303 300 5300 Suite 6900 F 303 691 6905 Greenwood Village, CO 80111 RegencyCenters.com Regency January 6, 2020 Pacific Dental Services, LLC 2460 Paseo Verde Parkway, Suite 145 Henderson, Nevada 89074 Attn: Real Estate Department Re: Pacific Dental Services, LLC Applewood Village Signage Approval Dear Pacific Dental Services, Pacific Dental Services, LLC 5114 Balcones Woods Drive Suite 307 —Box 398 Austin, Texas 78759 Attn: Property Management Regency Centers has reviewed the signage specifications prepared by Encore Image, January 3,d, 2020 for Pacific Dental Services. The sign design is approved subject to: 1. Tenant is responsible to obtain all permits and approvals from the governing authority. 2. Please install this sign from 6am-9am, if the road will be blocked. 3. This approval applies only to the attached signage submitted by Tenant. Any additional signage on the building, window signage or decals on the glass is subject to review and approval by Landlord prior to installation. 4. Tenant is responsible to obtain all permits and approvals from the governing authority. Any comments or revisions required by governing authority shall be resubmitted to Landlord for review. This review has been made only to confirm compliance with the Landlord's minimum specifications for tenant signage under the terms of the Lease Agreement. The Landlord assumes no responsibility in design, constructability, means, methods or conformance to specific tenant requirements. The Landlord is not responsible for the verification of dimensions or compliance with City regulations and ordinances. Compliance with all comments herein is mandatory, with the understanding that any variance thereof is an acceptance of liability. If you have any questions, please contact me at 303.300.5353. Sincerely, Michael Reisch Property Manager Encore Image, Inc. Mailing Address: P.O. Box 9297 Shipping Address:303 W Main St Ontario, CA 91762-9297 P 909 986-4632 License: Contractor Lie. #947727 Billed To: Gordon Sign Co./ CGF Sign 2930 W. 9th Ave. Denver CO 80204 Purchase Order Order#: 25799 Date: 01/07/2020 Project: Applewood Modern Dentistry 3244 Youngfield St. Suite H Wheat Ridge CO 80033 You are hereby requested to provide the following materials/services to the above named project for the price listed below. Ordered By: 118 - Jeffrey Brown Accepted By: Date: Part # Description Unit Quantity Price Amount Permit Acquistion Labor 1.00 500.00 500.00 Permit Fees at cost (T.B.D.) 1.00 Subtotal: 500.00 Notes Terms: All changes to quantity, specification or price must be approved in writing. All Subtotal: 500.00 materials/services must be delivered to job site unless otherwise instructed in writing. Failure to deliver materials or services in a timely fashion will release contractor from Sales Tax: 0.00 any obligation to purchase implied by this order. Total Order 500.00 J EXISTING BUILDING L— EXISTING HC STALL— AND RAMP TO REMAIN �: The issuance f"W"IW or of and oom totionssha"0t nNt r {P: 'y A1N Velid � i`Ire prof o sof Me building code or oJ� ,,.wmrrsfL �' � � a» appy o 0 la wr r - EXIST presuming to give outhorrty to Wolote or cancel the provisions; of the NuRa tp coda or other ordinorwes of Me City stall not be vplid. li [N] SCALE: NTS APPLEWOOD MODERN DENTISTRY ®MANUFACTURE AND INSTALL (1) SET OF INTERNALLY ILLUMINATED 3 244 YOUNGFIELD 5T SurrE H CHANNEL LETTERS MOUNTED ON TOP OF RACEWAY WHEAT RIDGE, CO 80033 © MANUFACTURE AND INSTALL (1) SET OF INTERNALLY ILLUMINATED CHANNEL LETTERS MOUNTED ON TOP OF RACEWAY • = ;r= iewed or Zoning Compliance by the Cit of Wheat Ridge Planning Division =l/� A PROVED d D, TE: C MME PROJECT 1-1 Appl wood Village >a m v li.,' G1 3 44 Youngfleld Street l, - tIIZ SALES RICHAUDETTE DRAWN BY CHRISTIAN.D DATE 12/20/19 SCALE AS NOTED FOLDER 5/SKETCHE5/P/PD/WHEATRiDGE2, c0/51161 FILE 51161.cDR DES GN# 001 DATE By I DATE By This proof drawing is for customer review and approval before fabrication begins. Encore Image will not be responsible for problems or discrepancies that could have been reasonably prevented by the proper review of this document. • The customer shall provide accessibilityto remotetransformers and/or ballasts for installation, final inspection and service. • Dedicated 120 Volt sign circuits with a ground wire to be provided within 6' of the display(s) by the customer. • Sketch may vary from specified colors. Photos are for visual reference only, size and placement of signs may vary. SIGNATURE DATE PRINTED NAME T I T L E All electrical signs shall comply with National Electrical Code (Article 600) and manufactured according to Underwriters Laboratories U.L. 48 standard and appropriately labeled. �OCOPYRIGHT 2019 Phis drawing, and all images therein, sre the sole property of Encore Image and may not be reproduced, displayed x transmitted, in full or in part, to anyone /vithout the written permission 'roman officer of Encore Image Inc. , I Hill 0 LEI U LD ef �- EXISTING HC STALL— AND RAMP TO REMAIN �: The issuance f"W"IW or of and oom totionssha"0t nNt r {P: 'y A1N Velid � i`Ire prof o sof Me building code or oJ� ,,.wmrrsfL �' � � a» appy o 0 la wr r - EXIST presuming to give outhorrty to Wolote or cancel the provisions; of the NuRa tp coda or other ordinorwes of Me City stall not be vplid. li [N] SCALE: NTS APPLEWOOD MODERN DENTISTRY ®MANUFACTURE AND INSTALL (1) SET OF INTERNALLY ILLUMINATED 3 244 YOUNGFIELD 5T SurrE H CHANNEL LETTERS MOUNTED ON TOP OF RACEWAY WHEAT RIDGE, CO 80033 © MANUFACTURE AND INSTALL (1) SET OF INTERNALLY ILLUMINATED CHANNEL LETTERS MOUNTED ON TOP OF RACEWAY • = ;r= iewed or Zoning Compliance by the Cit of Wheat Ridge Planning Division =l/� A PROVED d D, TE: C MME PROJECT 1-1 Appl wood Village >a m v li.,' G1 3 44 Youngfleld Street l, - tIIZ SALES RICHAUDETTE DRAWN BY CHRISTIAN.D DATE 12/20/19 SCALE AS NOTED FOLDER 5/SKETCHE5/P/PD/WHEATRiDGE2, c0/51161 FILE 51161.cDR DES GN# 001 DATE By I DATE By This proof drawing is for customer review and approval before fabrication begins. Encore Image will not be responsible for problems or discrepancies that could have been reasonably prevented by the proper review of this document. • The customer shall provide accessibilityto remotetransformers and/or ballasts for installation, final inspection and service. • Dedicated 120 Volt sign circuits with a ground wire to be provided within 6' of the display(s) by the customer. • Sketch may vary from specified colors. Photos are for visual reference only, size and placement of signs may vary. SIGNATURE DATE PRINTED NAME T I T L E All electrical signs shall comply with National Electrical Code (Article 600) and manufactured according to Underwriters Laboratories U.L. 48 standard and appropriately labeled. �OCOPYRIGHT 2019 Phis drawing, and all images therein, sre the sole property of Encore Image and may not be reproduced, displayed x transmitted, in full or in part, to anyone /vithout the written permission 'roman officer of Encore Image Inc. MANUFACTURE AND INSTALL (1) SET OF ILLUMINATED CHANNEL LETTERS MOUNTED ON TOP OF RACEWAY ,-,viewed for Zoning Compliance by the ► �, =ity of Wheat Ridge Planning Division A 11")nne-%1 Ir -I _.. SCALE: NT5 BY: Z1 u DATE: a� a COP,Xvl E NTS: O � A �Q, CD , APPLEwOOD MODERN DEN-mTKY 3244 YOUNGFIELD 5T 5UrrE H W HEAT RIDGE, CO 80033 SALES RICHAUDETTE DRAWN By CHRISTIAN.D DATE 12/20/19 SCALE A5 NOTED FOLDER 5/5KETCHE5/P/PD/WHEATPJDGE2, co/51161 FILE 51161.CDK DESIGN# 002 DATE By 01/03/20 CM This proof drawing is for customer review and approval before fabrication begins. Encore Image will not be responsible for problems or discrepancies that could have been reasonably prevented by the proper review ofthis document. The customer shall provide accessibility to remote transformers and/or ballasts for installation, final inspection and service. • Dedicated 120 Volt sign circuits with a ground wire to be provided within 6' of the display(s) by the customer. Sketch may vary from specified colors. Photos are for visual reference only, size and placement of signs may vary. SIGNATURE DATE P R I N T E D N A M E T I T L E K16 All electrical signs shall comply with National Electrical Code (Article 600) and manufactured according to Underwriters Laboratories U.L. 48 standard and appropriately labeled. This drawing, and all images therein, are the sole property of Encore Image and may not be reproduced, displayed or transmitted, in full or in part, to anyone without the written permission from an officer of Encore Image Inc. MANUFACTURE AND INSTALL (1) SET OF ILLUMINATED CHANNEL LETTERS MOUNTED ON TON OF RACEWAY Reviewed for Zoning Compliance by the N►'le City of Wheat Ridge Planning Division APPROVED BY: 7—:1 SCALE:NT5 DATE: COMMENTS: CRY of (wheat Ridge APPLEw00D MODERN DENTISTRY 3244 YOUNGFIELD 5T 5UrE H WHEAT PIDGE, CO 80033 SALES RICHAUDETrE DRAWNBY CHRISTIAN.D DATE 12/20/19 SCALE A5 NOTED FOLDER 5/5KETCHE5017D/WHEAT RIDGE 2, co/51161 FILE 51161.CDR DESIGN# 003 DATE BY 01/03/20 CM This proof drawing is for customer review and approval before fabrication begins. Encore Image will not be responsible for problems or discrepancies that could have been reasonably prevented by the proper review of this document. 0 The customer shall provide accessibility to remote transformers and/or ballasts for installation, final inspection and service. • Dedicated 120 Volt sign circuits with a ground wire to be provided within 6' of the display(s) by the customer. 0 Sketch may vary from specified colors. Photos are for visual reference only, size and placement of signs may vary. SIGNATU RE D A T E PRINTED N A M E T T L E All electrical signs shall comply with National Electrical Code (Article 600) and manufactured according to Underwriters Laboratories U.L. 48 standard and appropriately labeled. This drawing, and all images therein, are the sole property of Encore Image and may not be reproduced, displayed or transmitted, in full or in part, to anyone without the written permission from an officer of Encore Image Inc. 23'-&" I 112" FACE RETAINER MANUFACTURE & INSTALL: TWO SETS OF ILLUMINATED CHANNEL LETTERS MOUNTED ON TOP OF RACEWAY LETTER RETURNS: 3" DEEP ALUMINUM, PAINTED TO MATCH SHERWIN WILLIAMS 6257 "G15RALTAR" FACE RETAINERS: ALUMINUM RETAINERS PAINTED TO MATCH SHERWIN WILLIAMS 6257 "GIBRALTAR" PUSH THRU FACES: 1/2" CLEAR ACRYLIC WITH FIRST SURFACE WHITE FILM OVERLAY WITH SECOND SURFACE WHITE DIFFUSER FILM ILLUMINATION: WHITE LED MODULES RACEWAY: 10" X 8" DEEP ALUMINUM RACEWAY PAINTED TO MATCH SHERWIN WILLIAMS 6257 "GIBRALTAR" PTM MATTHEW SHERWIN WILLIAMS 6257 ''GIBRALTAR" 3" 5" ATTACHMENT DETAIL TOTAL SIGN SQ FT: 60.64 SCALE: 1/2"= 1'-0" L E G E N D I 3" DEEP ALUMINUM LETTER RETURN 2 ALUMINUM FACE RETAINER i - 3 1 /2" ACRYLIC PUSH THROUGH FACE 4 WHITE LED MODULES 5 .050 ALUMINUM LETTER BACKS 6 1/4"0 DRAIN HOLES (MIN. 2 PER LTR) 7 10" X 8" ALUMINUM RACEWAY 83 112 VOLT LED POWER SUPPLY 9 18AWG 2 CONDUCTOR INSULATED WIRE 00 EXISTING PRIMARY ELECTRICAL SOURCE II DISCONNECT SWITCH 2 #10 SCREWS INTO NYLON ANCHORS (MIN. 4) 13 3/8" TOGGLE BOLTS ( MIN. 4) 14 1/2" SPACERS 15 ALUMINUM WIREWAY 16 .100 ALUMINUM BACKING FOR SUPPORT COY W Wheat Rfd9e SCALE: NTS APPLEwooD MODERN DENm5TRY 3244 YOUNGFIELD ST SurrE H WHEATFJDGE, CO 80033 SALES RICH AUDETTE DRAWNSY CHRISmAN.D DATE 12/20/19 SCALE AS NOTED FOLDER 5/SKETCHE5/P/PD/WHEATFUDGE 2, co/51161 FILE 51161.cDR DESIGN# 004 DATE BY 01/03/20 CM This proof drawing is for customer review and approval before fabrication begins. Encore Image will not be responsible for problems or discrepancies that could have been reasonably prevented by the proper review of this docu ment. 0 The customershall provide accessibilityto remote transformers and/or ballasts for installation, final inspection and service. • Dedicated 120 Volt sign circuitswith a ground wire to be provided within 6' of the display(s) by the customer. Sketch may vary from specified colors. Photos are for visual reference only, size and placement of signs may vary. S I G N A T U R E D A T E PRINTE D NAME All electrical signs shall comply with National Electrical Code (Article 600) and manufactured according to Underwriters Laboratories U.L. 48 standard and appropriately labeled. This drawing, and all images therein, are the sole property of Encore Image and may not be reproduced, displayed or transmitted, in full or in part, to anyone without the written permission from an officer of Encore Image Inc. i CITY OF WHEAT RIDGE Building Inspection Division (303) 235-2855 Office INSPECTION NOTICE Inspection Type: LI 0, ED= it^ ren A l M e c Job Address:' a"t N 1-4 v f e G # Permit Number: -ao ) 9 p -,-? ",:� 9 ❑ No one available for inspection: Time 43-z -,P9 gm,,M Re -Inspection required: Yes When corrections have been made, schedule for re -inspection online at: http✓/www. ci. wheatridge. co. uslinspection Date: 11 Inspector: 17N DO NOT REMOVE THIS NOTICE City of Wheat Ridge Commercial Mechanical PERMIT - 201902229 PERMIT NO: 201902229 ISSUED: 10/18/2019 JOB ADDRESS: 3244 Youngfield St Unit H EXPIRES: 10/17/2020 JOB DESCRIPTION: Commercial mechanical replacing 3 trane, 4 ton HVAC units on roof with new ones, like for like. 35 AMPS and 100k BTUs. *** CONTACTS *** OWNER (303)300-5353 REGENCY CENTERS SUB (303)547-8509 ANTHONY MURPHY 100306 AIREFIX *** PARCEL INFO *** ZONE CODE: C-1 / Commercial USE: B / Business SUBDIVISION CODE: 360 / Shopping Centers BLOCK/LOT#: / *** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 28,000.00 FEES Total Valuation 0.00 Use Tax 588.00 Permit Fee 476.55 ** TOTAL ** 1,064.55 *** COMMENTS *** *** CONDITIONS *** All work shall comply 2012 International Codes, 2017 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 specifications2 applicable building codes, and all applicable municipal codes, policies and procedures, and that I am the legal owner or have been authonzed 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. /A` -. Signature of O\GNER or C(SNTR&TOR (Circle one) Date 1. This permit was issued based on the information provided in the permit application and accompanyingplans 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 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 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. 6. The issuance or grafi ting of a permit shall not be construed to be a permit for, or an approval of, any violation of any provision of any a ble code or ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection. Signature of Chief Building Official Date v REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY. City Of W heat Rj,,.dge COMMUNITVT Y DELOPMENT Building & Inspection Services 7500 W. 2911 Ave., Wheat Ridge, CO 80033 Office: 303-235-2855 * Fax: 303-237-8929 Inspection Line: 303-234-5933 Email: permitsp_ci.wheatridge.co.us FOR OFFICE USE ONLY Date: Plan/Permit # 0, Plan Review 7ee- Building Permit Application *** Complete all applicable highlighted areas on both sides of this form. Incomplete applications may not be processed. *** Property Address: _3auq 1 Oun�f eo V� �A N Owner Phone: -3 - GC -- S 3 S_3 Property Owner Email: �Cch�t�l f 215 ���- t'���%�LyCf'€\ i�S . C �� t Tenant Name (Commercial Projects Only) Property Owner Mailing Address: (if different than property address) Address: City, State, zip: cee-VX wC Architect/Engineer: e 1 A Architect/Engineer E-mail: Phone: Contractor Name: f City of Wheat Ridge License M /0 0:&rib Phone: 3 c 7 Contractor E-mail Address: Ct C M �9"6 16 1 C ob (--q For Plan Review Questions & Comments (please print): CONTACT NAME (please print): Phone: 3 G 3 15 c( 7" � CONTACT EMAIL(p/ease print): C,- nit 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. Z�k 3 Cs���� vv� o ���ac v��` s ova P Sq. FULF BTUs /61/ "Z Gallons Amps � 5 Squares 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) 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) (CO TRACTOR) or (AUTHORIZED REPRESENTATIVE) of (OWNER) (CONTRACTOR) Signature (first and last name): L DATE: [[�� V Printed Name: N tf �� nS=4Z ZONING COMMMENTS: Reviewer: BUILDING DEPARTMENT COMMENTS: Reviewer: PUBLIC WORKS COMMENTS: Reviewer: DEPARTMENT USE ONLY OCCUPANCY CLASSIFICATION: CONSTRUCTION TYPE: Building Division Valuation: City of �W heat dge COMMIL)NiT-y DEVELOPMENT City of Wheat Ridge Municipal Building 7500 W. 29th Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2846 F: 303.235.2857 July 19, 2018 OFFICIAL ADDRESS CHANGE NOTIFICATION is hereby given that the following address has been assigned to the property/properties as indicated below: NEW ADDRESS: 3244 Youngfield Street Unit G and Unit H CURRENT ADDRESS: • 3244 Youngfield Street Unit G Applewood Village Shopping Center, Tract/Key 18, Section 29, Parcel #: 39-292-00-018 NOTES: AUTHORIZED BY: DISTRIBUTION: DATE: T I M I 1. Property Owner 2. Jefferson County Assessor, ATTN: Data Control, Lacey Baker email to lbaker@jeffco.us 3. Jefferson County Elections, ATTN: H. Roth, 3500 Illinois St., Laramie Building, Suite 1100, Golden, CO 80401 4. Email to Jeffco IT (Mapping) Services at smitchel@jeffco.us and edelynkoAjeffco.us 5. Jeffco Public Schools, ATTN: Communication Services, 1829 Denver West Dr., Bldg. 27, Golden, CO 80401 6. U.S. Post Office, 4210 Wadsworth Blvd., Wheat Ridge, CO 80033 7. Email to erlinda.i.martinez(&usps.gov and krissyj.summerfieldAusps.gov and arlene.a.vickrey(&usps.gov and billy. e.cog_hill(a-)usps.gov 8. Xcel Energy, sandra.cardenasna—xcelenergy.com 9. Century Link, Capacity Provisioning Specialist, 5325 Zuni St., Room 728, Denver, CO 80221 10. Comcast, Attn: Scott Moore, 6850 S. Tucson Way, Englewood, CO 80112 11. Consolidated Mutual Water District 12. Northwest Lakewood Sanitation District 13. West Metro Fire District 14. Wheat Ridge Planning Division 15. Wheat Ridge Building Division 16. GIS Specialist 17. Log File NOTE: Please notify all other parties concerned. ADDRESS MAP UPDATED BY: www.ci.wh eatridge.co. u s DATE: Site outlined in red =1 z Vicinity Map A in A