HomeMy WebLinkAbout4775.5 Kipling Streeti CITY OF WHEAT RIDGE
Building Inspection Division
(303) 235-2855 Office
INSPECTION NOTICE
Inspection Type: _ r.
,.
Job Address:
Permit Number: 7
❑ No one available for inspection: Time 5ZDAM/PM
Re -Inspection required: Yes
When corrections are complete,
it
Date21'//77 Inspgcto
44" City of Wheat Ridge
_A� Commercial Electric PERMIT - 202002695
PERMIT NO: 202002695 ISSUED: 12/30/2020
JOB ADDRESS: 4775.5 Kipling St EXPIRES: 12/30/2021
JOB DESCRIPTION: Install new Electrical service for a Traffic signal over build, SW Corner
*** CONTACTS ***
OWNER JOANNE MARRIOTT JOHN
MARRIOTT
SUB (303)530-4212 JEFF MORGAN
210001 INTERFACE COMMUNICATION
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE: 380 / Restaurants
BLOCK/LOT#:
/
*** FEE SUMMARY *** ESTIMATED
PROJECT VALUATION:
31000.00
FEES
Total Valuation
0.00
Use Tax
63.00
Permit Fee
93.35
** TOTAL **
156.35
*** COMMENTS ***
*** CONDITIONS ***
A printed copy of the permit and city
stamped
on-site plans must
be available on-site for
the first inspection.
Work must comply with the 2020 NEC, 2018
IBC
and other applicable
codes and ordinances.
Work is subject 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,
applicae building codes, and all applicable municpal 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�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: Electrical Service Change/Upgrade/Electrical Work Permit Application
Date: Wednesday, December 30, 2020 12:40:53 PM
Electrical Service Change/Upgrade/Electrical Work 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 No
electrical service
change or upgrade -
200 amps or less?
PROPERTY INFORMATION
Is this Residential or
Commercial?
Property Address
Commercial
4775.5 Kipling Street
Property Owner Name CDOT
Property Owner Phone 303-365-7312
Number (enter WITH
dashes, eg 303-123-
4567)
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
CONTRACTOR INFORMATION
Contractor Business Interface Communications
Name
Contractor's License
0101600
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
7202408980
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
eric.vigil@interface.cc
Address
Retype Contractor
eric.vigil@interface.cc
Email Address
DESCRIPTION OF WORK
Scope of Work
Install new Electrical service for a Traffic signal over build
Location of work
South West Corner of Intersection
(garage, house, etc)
Provide additional
Intersection of Kipling & 48th Ave
details, if needed.
Project Value (contract
3000$
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 Eric vigil
Permit
Email not displaying correctly? View it in your browser.
♦SII
City Of
�7�Iheatdge
COMMUNITY DEVEIAPMENT
City of Wheat Ridge Municipal Building 7500W.29th Ave. Wheat Ridge,CO 80033-8001 P: 303.235.2846 F: 303.235.2857
December 22, 2020
OFFICIAL ADDRESS NOTIFICATION
NOTIFICATION is hereby given that the following address has been assigned to the property/properties as
indicated below:
NEW ADDRESS: 4775.5 Kiphne Street
NOTES: This is a courtesvp7nnotificcation. Address is for electrical service only.
AUTHORIZEDBY: ✓J. /)tPn.4,Nt7 DATE: 12/22/20
1. Property Owner
2. Applicant
3. Xcel Energy, jacob.van.laere&2jcelenerev.com
4. Wheat Ridge Building Division
5. Log File
NOTE: Please notify all other parties concerned.
ADDRESS MAP UPDATED BY: DATE:
www.ci.wheatridge.co.us
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