HomeMy WebLinkAbout4072 Ames StreetFrom: no-reolv(alci.wheatridae.m. us
To: CommDev Pets
Subject: Online Form Submittal: Electrical Service Change/Upgrade/Electrical Work Permit Application
Date: Thursday, June 24, 20217:33:14 AM
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 Residential
Commercial?
Property Address 4072 Ames St
Property Owner Name Ames Street Condominium Association
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"
303-422-9219
CONTRACTOR INFORMATION
Contractor Business Piper Electric
Name
Contractor's License
18046
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
303-422-9219
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
licensepermitting@piperelectric.com
Address
Retype Contractor
licensepermitting@piperelectric.com
Email Address
DESCRIPTION OF WORK
Scope of Work
Update multi -meter service to 400 amps with separate meters
and new panels per unit.
Location of work
Condominium
(garage, house, etc)
Provide additional
Unit 4072
details, if needed.
Project Value (contract
3285
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 Carrie Pilcher
Permit
Email not displaying correctly? View it in your browser.
1* ► � i City of Wheat Ridge
'/� Residential Electric PERMIT - 202101360
PERMIT NO: 202101360 ISSUED: 06/24/2021
JOB ADDRESS: 4072 Ames St EXPIRES: 06/24/2022
JOB DESCRIPTION: Update multi -meter service to 400 amps with separate meters and new panels
per unit.
*** CONTACTS ***
OWNER (703)419-0317 WURDACK
KATHLEEN L
SUB (303)422-9219 J.
DAVID DOHERTY
018046 PIPER ELECTRIC CO.
*** PARCEL INFO ***
ZONE CODE: UA /
Unassigned
USE: UA / Unassigned
SUBDIVISION CODE: 2945
/ EDGEWATER AREA CONDOS
BLOCK/LOT#: 0 /
*** FEE SUMMARY ***
ESTIMATED
PROJECT VALUATION: 31285.00
FEES
Total Valuation
0.00
Use Tax
68.99
Permit Fee
109.20
** TOTAL **
178.19
*** COMMENTS ***
*** CONDITIONS ***
Must comply w/ 2018
IRC & 2020 NEC .
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 all 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.
06/24/2021
Signature of Chief Building Official Date
REQUESTS MUST BE MADE BY 11:59PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.