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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 Email not displaying correctly? View it in your browser.