HomeMy WebLinkAbout4615 Quail StreetA i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
it)
INSPECTION NOTICE
Inspection Type:
Job Address:
Permit Number:
.. f
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Y s ----Ido
When corrections have been made, call�pr re -i► tion at 303-2345933
Do t Inspector:.= -
a
DO NOT REMO,%E THIS NOTICE
i CITYOF WHEAT RIDGE
_1�9rBuilding Inspection Division
(303) 234-5933 Inspection line
(303) 235-2855 Office • (303) 237-8929 Fax
INSPECTION NOTICE
Inspection Type:
Job Address: ( sCV U 4-t (.--`c-;&
Permit Number: -72-d> f .,
❑ No one available for inspection: Time -7 _ � M&M
Re -Inspection required: No
When corrections have been made, cr re -inspection at 303-234-5933
Date: "" Inspec, or,
DO NOT REMOVE THIS NOTICE
City of Wheat Ridge
E -Res. Electrical Service PERMIT - 20,1901543
PERMIT NO: 201901543 ISSUED: 07/29/2019
JOB ADDRESS: 4615 Quail St EXPIRES: 07/28/2020
JOB DESCRIPTION: Electrical service upgrade - 200 amps
*** CONTACTS ***
OWNER (303)425-6156 GUNTLE BETTY J
SUB (720)436-1056 SANTIAGO T. ENCINIAS 190208 EMPOWER ELECTRIC & CONTROL
*** PARCEL INFO ***
ZONE CODE: UA /
Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE: 2408
/ FRUITDALE, LEES, STONERIDGE
BLOCK/LOT#:
/
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,500.00
FEES
Total Valuation 0.00
Use Tax 52.50
Permit Fee 93.35
** TOTAL ** 145.85
*** COMMENTS ***
*** CONDITIONS ***
Both the front and back of this permit are required to be posted on the job site at all
times. If the complete permit is not present, inspections WILL NOT be performed.
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
this permit. I further attest that I am legally authorized to include alI 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.
Signature of OWNER or CONTRACTOR (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 may be subject to a fee equal to one-half of the originalpermit fee.
3. If this permit expires, anew 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 a pe it shall not be construed to be a permit for, or an approval of, an violation of any provision of any
applicable code �y ordinance lyregulation 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.
Dina Kemp
�OH05�3
From: no -reply@ ci.wheatridge.co.us
Sent: Thursday, July 25, 2019 3:11 PM
To: CommDev Permits
Subject: Online Form Submittal: Residential Electrical Service Change/Upgrade Permit
Application
Categories: Dina
Residential Electrical Service Change/Upgrade Permit Application
This application is exclusively for RESIDENTIAL ELECTRICAL SERVICE CHANGE
OR UPGRADE (200 amps or less).
YOU MUST ATTACH A VALID CREDIT CARD AUTHORIZATION FORM IN
ORDER FOR THE PERMIT TO BE PROCESSED.
Your Permit will be emailed to the email address provided below once it is
processed.
THIS APPLICATION DOES NOT CONSTITUTE A PERMIT. DO NOT BEGIN
WORK UNTIL PERMIT HAS BEEN ISSUED.
Is this application for Yes
electrical service change
or upgrade - 200 amps or
less?
PROPERTY INFORMATION
Property Address
Property Owner Name
Property Owner Phone
Number (enter WITH
dashes, eg 303-123-4567)
Attach Credit Card
Authorization Form -
**DO NOT ATTACH
RANDOM
DOCUMENTS
4615 Quail Street. Wheat Ridge, CO 80033
Betty J. Guntle
303-425-6156
Credit Card Authorization Form-signed.pdf
CONTRACTOR INFORMATION
Contractor Business Empower Electric & Control Solutions
Name
I
Contractor's License 190208
Number (This is a 5 or 6
digit number for the City
of Wheat Ridge)
Contractor Phone 720-436-1056
Number (enter WITH
dashes, eg 303-123-4567)
Contractor Email Address empowerelectric@wired2it.com
Retype Contractor Email
Address
DESCRIPTION OF WORK
Is this an electrical
service upgrade or
change?
Number of Amps
Location of
upgrade/change (garage,
house, etc)
empowerelectric@wired2it.com
Upgrade
200
On back of house
Provide additional details, n/a
if needed.
Project Value (contract 2500.00
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
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.
I understand that work
may not begin on this
property until a permit
has been issued and
posted on the property.
Yes
Yes
0)
I certify that I have been Yes
authorized by the legal
owner of the property to
submit this application
and to perform the work
described above.
I attest that everything Yes
stated in this application
is true and correct and
that falsifying
information in this
application is an act of
fraud and may be
punishable by fine,
imprisonment, or both.
Person Applying for Santiago T. Encinias
Permit
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