HomeMy WebLinkAbout7500.5B W 29th AvenueFrom: no-reolv(alci.wheatridae.m. us
To: CommDev Pets
Subject: Online Form Submittal: Electrical Service Change/Upgrade/Electrical Work Permit Application
Date: Wednesday, March 24, 20214:30:13 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
►l+i818181'21iTAP&IIiT-' n
Property Owner Name City of Wheat Ridge
Property Owner Phone
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"
720-244-3306
CONTRACTOR INFORMATION
Contractor Business Electrical Solutions Corp
Name
Contractor's License
130192
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
303-901-7838
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
ken@electricalsolutionscorp.com
Address
Retype Contractor
ken@electricalsolutionscorp.com
Email Address
DESCRIPTION OF WORK
Scope of Work
Install the EV charger provided by the City..on a pad provided by
the City, with wire and conduit provided by Sturgeon Electric. per
attached permit... and no fees apply
Location of work
North side of city building
(garage, house, etc)
Provide additional
We are only installing the EV charger.
details, if needed.
Project Value (contract
1875
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 Kenneth R. Foust
Permit
Email not displaying correctly? View it in your browser.
� ► 44" City of Wheat Ridge
'/� Commercial Electric PERMIT - 202100572
PERMIT NO: 202100572 ISSUED: 03/26/2021
JOB ADDRESS: 7500.5B W 29th Ave EXPIRES: 03/26/2022
JOB DESCRIPTION: Install the EV charger provided by the City..on a pad provided by the City,
with wire and conduit provided by Sturgeon Electric. per attached
permit ... and no fees apply
*** CONTACTS ***
OWNER CITY OF WHEAT RIDGE
SUB (303)777-9095 KENNETH R. FOUST 130192 ELECTRICAL SOLUTIONS CORP.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned USE: UA / Unassigned
SUBDIVISION CODE: 520 / Office; 0 BLOCK/LOT#: /
*** FEE SUMMARY *** ESTIMATED PROJECT VALUATION: 11875.00
FEES
Total Valuation 0.00
** TOTAL ** 0.00
*** 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
�pplicabje code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
03/26/2021
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
44" City of Wheat Ridge
_A� Commercial Electric PERMIT - 202100430
PERMIT NO: 202100430 ISSUED: 03/05/2021
JOB ADDRESS: 7500.5B W 29th Ave EXPIRES: 03/05/2022
JOB DESCRIPTION: Electrical change, 200 AMPS in parking lot.
*** CONTACTS ***
OWNER CITY OF WHEAT RIDGE
SUB (303)286-8000 DIANA LYNCH - LICENSE
HOLDER
018567 STURGEON
ELECTRIC CO.
*** PARCEL INFO ***
ZONE CODE: UA / Unassigned
USE:
UA / Unassigned
SUBDIVISION CODE: 520 / Office; 0
BLOCK/LOT#:
/
*** FEE SUMMARY *** ESTIMATED
PROJECT VALUATION:
21250.00
FEES
Total Valuation
0.00
** TOTAL **
0.00
*** 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
�pplicabje code or any ordinance or regulation of this jurisdiction. Approval of work is subject to field inspection.
03/05/2021
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: Thursday, March 4, 2021 12:42:07 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 Yes
electrical service
change or upgrade -
200 amps or less?
PROPERTY INFORMATION
Is this Residential or
Commercial?
Property Address
Commercial
rbi8181 .11 MEM W01iIT-=
Property Owner Name City of W,eatridge
Property Owner Phone
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"
303-234-5900
CONTRACTOR INFORMATION
Contractor Business Sturgeon Electric Company Inc
Name
Contractor's License
018567
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
303-591-0931
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
jmondragon@myrgroup.com
Address
Retype Contractor
jmondragon@myrgroup.com
Email Address
DESCRIPTION OF WORK
Is this an electrical
Change
service upgrade or
change?
Number of Amps
200
Location of work
Parking Lot
(garage, house, etc)
Provide additional
n/a
details, if needed.
Project Value (contract
2250
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 Jacob Prinz
Permit
Email not displaying correctly? View it in your browser.
City of
9cormm-uNiTy Wheati e DEVELOPM, ENT
City of Wheat Ridge Municipal Building 7500 W. 24thAve. Wheat Ridge, CO 80033-8001 P:303.235.2846 F:303.235.2857
March 1, 2021
OFFICIAL ADDRESS NOTIFICATION
NOTIFICATION is hereby given that the following address has been assigned to the property/properties as
indicated below:
NEW ADDRESS: 7500.5B West 20 Avenue
NOTES: This is a courtesy notification. Addressing is for electrical service only.
AUTHORIZED BY:_4bm DATE:
DISTRIBUTION•
1. Property Owner
2. Applicant
3. Xcel Energy,_ _ _ _ aiaAcelenergy.com
4. Wheat Ridge Building Division
5. GIS Specialist
6. Log File
NOTE: Please notify all other parties concerned.
ADDRESS MAP UPDATED BY:
www.ci.wheatridge.co.us
DATE:
Vicinity Map