HomeMy WebLinkAbout3130 Wadsworth Boulevard4' CITY OF WHEAT RIDGE
��� Building Inspection Division
I (303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: .>)
Job Address: �13c) iVGISWu i_ (_ t
Permit Number:
------------
J No one available for inspection: Time
AM/PM
Re -Inspection required: Yes No
'When corrections are complete, schedule re -inspection online.
i
Date:ld. t t '�,; Inspector:
DO NOT REMOVE THIS No TICE
1* � � i City of Wheat Ridge
�� E -Res. Sewer/Waterline Repair PERMIT - 202002608
PERMIT NO: 202002608 ISSUED: 12/16/2020
JOB ADDRESS: 3130 Wadsworth Blvd EXPIRES: 12/16/2021
JOB DESCRIPTION: Sewer Line repair in the backyard - excavate and install a set of dual
directional clean -outs next to the foundation property - 10 ft
*** CONTACTS ***
OWNER (303)434-1223 L ENA M I TONE S
SUB (303)810-5321 JOSE GUERREO
120127 PIPELINE
SOLUTIONS
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE: 2405 / BARTHS,
COULEHAN GRANGE, WHEAT BLOCK/LOT#:
0 /
*** FEE SUMMARY ***
ESTIMATED PROJECT VALUATION:
11850.00
FEES
Total Valuation
0.00
Use Tax
38.85
Permit Fee
74.10
** TOTAL **
112.95
*** COMMENTS ***
*** CONDITIONS ***
ALL sewer repair/replacements for which a permit is issued MUST be inspected by and receive
written approval from the City of Wheat Ridge BUILDING DIVISION, regardless of inspection
by any Sanitation District representative. Inspection and approval of work by any
Sanitation District representative DOES NOT grant authority to cover work without the
approval of the Building Division.
**For trenchless sewer replacements - The contractor will verify proper slope of new sewer
piping in conformance with the IRC and IPC of 1/4 inch per foot unless otherwise allowed
specifically by the applicable code. The plumbing contractor will provide verification of
proper slope and drainage in writing as a condition of approval of the permitted work.**
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.
1* � � i City of Wheat Ridge
�� E -Res. Sewer/Waterline Repair PERMIT - 202002608
PERMIT NO: 202002608 ISSUED: 12/16/2020
JOB ADDRESS: 3130 Wadsworth Blvd EXPIRES: 12/16/2021
JOB DESCRIPTION: Sewer Line repair in the backyard - excavate and install a set of dual
directional clean -outs next to the foundation property - 10 ft
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 thispermit and perform the work described and approved in conjunction with
this,permrt. I further attest that I am leg ally 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 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 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 requ�ired
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 not be construed to be a permit for, or an approval of, anviolation 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 Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
From: no-reolv(alci.wheatridae.m. us
To: CommDev Pets
Subject: Online Form Submittal: Sewer or Water Line Repair Permit Application
Date: Tuesday, December 15, 2020 3:39:49 PM
Sewer or Water Line Repair Permit Application
This application is exclusively for SEWER OR WATER LINE REPAIR - IN YARD
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.
Right of Way permits must be applied for with the Public Works Department.
Is this application for Yes
sewer line or water line
repair - in yard only?
PROPERTY INFORMATION
Is this Residential or Residential
Commercial?
Property Address 3130 Wadsworth Blvd
Property Owner Name Lena Mitones
Property Owner Phone 3034341223
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email denpermits@gmail.com
Address
Attach City of Wheat FPF WR Ddf
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
CONTRACTOR INFORMATION
Contractor Business
Name
Contractor's License
Number (This is a 5 or
Pipeline Solutions LLC
ipillVil
6 digit number for the
City of Wheat Ridge)
Contractor Phone 3038105321
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email denpermits@gmail.com
Address
Retype Contractor denpermits@gmail.com
Email Address
DESCRIPTION OF WORK
Is this a sewer line or sewer Line
water line repair?
Length of repair 10,
Location of repair backyard
(backyard, frontyard,
etc)
Provide additional to excavate and installed a set of dual directional cleanouts next
details including to the foundation property.
installation of clean-
o uts.
Project Value (contract 1850
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full Yes
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 Yes
may not begin on this
property until a permit
has been issued and
posted on the property.
I certify that I have Yes
been 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 Jose Guerrero
Permit
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