HomeMy WebLinkAbout10040.5 W. 38th AvenueA i CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: UO3 F.`%A ( Fla.
Job Address: oo low L- AVC.
Permit Number: o o Ss
❑ No one available for inspection: Time AM/PM
Re -Inspection required: Yes No
When corrections have been made, schedule for re -inspection online at:
hUp✓/www. ci. wheatridge.co. uarinspection
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Date: � Y - l Inspector:
DO NOT REMOVE THIS NOTICE`,
Inspection Type:
Job Address:
Permit Number:
CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE la
❑ No one available for inspection: Tim
p /PM
Re -Inspection required: Yes (N
When corrections have been made, sFkedule for re -inspection online at:
http✓/www.ci. wheatridge.co. usrinspeclVok
Date: I nspQctvt
i CITY OF WHEAT RIDGE
- Building Inspection Division
(303) 235-2855 Office
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INSPECTION NOTICE
Inspection Type: ��-
Job Address:
Permit Number: `-20(e(� l .�-
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❑ No one available for inspection: Time 1 Z 711
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Re-inspeclon required: Yes4 No�
When corrections have been made, schedule for re -inspection online at:
http✓/www.ci.wheatridge.co.us,,rinspectio� r----.-1 ------- - -
Date. 0 - Inspec
City of Wheat Ridge
Commercial Electric PERMIT - 201901881
PERMIT NO: 201901881 ISSUED: 09/05/2019
JOB ADDRESS: 10040.5 W 38th Ave EXPIRES: 09/04/2020
JOB DESCRIPTION: New pedestal and mater for pedestrian lights - 60 amps
*** CONTACTS ***
OWNER CIRCLE K
GC (830)331-7440 DAVID T. VALSASSINA 180214 BLACK CANYON CONSTRUCTION CO
SUB (719)540-5216 SUSAN NOVAK 021138 JOE'S ELECTRIC COMPANY
*** PARCEL INFO *** 16
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 3 / PW Vacant BLOCK/LOT#: /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 2,000.00
FEES
Total Valuation 0.00
Use Tax 42.00
Permit Fee 77.50
** TOTAL ** 119.50
*** COMMENTS ***
*** CONDITIONS ***
Work must comply with the 2017 NEC, 2012 IBC and other applicable codes and ordinances.
Work is ubject to field inspection.
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 1 gal owner of the property and am authorized to obtain this permit and perform the work described and approved in conjunction with
this it. I further esfryo
am legally:authorized to include all entities named within this document as parties to the work to be
perfp d and that wore rfo edis disclosed in this document and/ r its' accompanying approved plans and specifications.
_ 9/.5 �i
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 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 and procedures 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 anting of a it shall not be construed to be a permit for, or an approval of, any violation of any provision of any
applicable c anordma 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
C=ity of
jd
COMW h6atMUNI fY DEVELIJPM_gc
Building & Inspection Services
7500 W. 291' Ave., Wheat Ridge, CO 80033
Office: 303-235-2855 * Fax: 303-237-8929
Inspection Line: 303-234-5933
Email: permits(a ci.wheatridge.co.us
FOR OFFICE USE ONLY
Date: a
!e�
Plan/Permit # 1 i
Plan Review Fee:
Building Permit Application
*** Complete all applicable highlighted areas on both sides of this form.
Incomplete applications may not be processed. ***
Property Address:
10040.5 West 38th Ave
Property Owner (please print): City of Wheat Ridge Phone: 303-235-2846
Property Owner Email:
Tenant Name (Commercial Projects Only)
Circle K
Property Owner Mailing Address: (if different than property address)
Address: 7500 W 29th Ave
City, State, Zip: Wheat Ridge, CO 80033
Architect/Engineer: N/A
Architect/Engineer E-mail: N/A Phone: N/A
Contractor Name: Black Canyon Construction
City of Wheat Ridge License #:
Phone: 210-753-1171
Contractor E-mail Address: Davidw@blackcanyonconstruction.com
For Plan Review Questions & Comments (please print):
CONTACT NAME (please print): Dave Whitaker Phone: 210-753-1171
CONTACT EMAIL(p/ease print): Davidw@blackcanyonconstruction.com
Sub Contractors (Must provide Wheat Ridge License No & Signed Subcontractor Authorization form):
Electrical: Plumbing: Mechanical:
W.R. City License # #21138 W.R. City License # W.R. City License #
Other City Licensed Sub: Other City Licensed Sub:
City License # City License #
Complete all highlighted fields.
OCOMMERCIAL ❑ 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.
Install pedestal and meter for pedestrian lights.
Sq. Ft./LF
N/A BTUs N/A
Gallons N/A
Amps 60 Squares N/A For Solar: N/A Kw N/A # of Panels N/A Requires Structural
For Commercial Projects Only: Occupancy Type: Construction Type:
Occupancy Load: NA Square Footage: NA
Project Value: (Contract value or the cost of all materials and labor included in the entire project)
S 2000.00
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) (C
Signature (first an last name):
c
Printed Name:
ZONING COMMMENTS:
Reviewer:
BUILDING DEPARTMENT COMMENTS:
Reviewer:
PUBLIC WORKS COMMENTS:
Reviewer:
DEPARTMENT USE ONLY
of (OWNER) (CONTRACTOR)
DATE: l
OCCUPANCY CLASSIFICATION:
CONSTRUCTION TYPE:
Building Division Valuation:
ej
e
City of
" Wheat Midge
MUNITY DEVELOPMENT
City of Wheat Ridge Municipal Building 7500 W. 29th Ave. Wheat Ridge, CO 80033-8001 P: 303.235.2846 F: 303.235.2857
August 29, 2019
OFFICIAL ADDRESS NOTIFICATION
NOTIFICATION is hereby given that the following address has been assigned to the property/properties as
indicated below:
NEW ADDRESS: 10040.5 West 38' Avenue
NOTES: This is a courtesy notif
AUTHORIZED BY:
DISTRIBUTION:
1. Property Owner
2. Applicant
3. Xcel Energy, jacob.van.laere(axcelenergy.com
4. Wheat Ridge Building Division
5. Log File
NOTE: Please notify all other parties concerned.
ADDRESS MAP UPDATED BY:
wwwxi.wheatridgexoms
DATE: O (-z- L-,
DATE:
10040 5 West
38th Avenue
L-a mm
1111FRI.