HomeMy WebLinkAbout4795.5 Ward Road�1s z.�Jaxqj t74� INSPECT
RECORD Occ ° °v /Type
SI117(d. INSPECTION REQUEST LINE: (303) 234 -5933
Inspections will not be performed unless this card is posted on the project site.
Call the inspection request line before 3:00 p.m. to receive an inspection the following business day.
Insp Must Sign ALL Spaces pertinent to this project
Foundation Inspections Date Inspector Comments
Monolithic Slab Reinforcement
Caissons
Concrete Encased Ground ICE
Footing /Stemwall P.E. Letter
Do Not Pour Concrete Prinr Tn Annrnval t)f Thn Ahnvc Inc narfinnc
Underground /Slab Inspections
Date
Inspector
Initials
Comments
Electrical (Underground)
Sewer Service (Underground)
Date
Inspector
I nitials
Comments
Water Service (Underground)
Plumbing (Below/ In -slab)
Heating (Below / In -slab)
-
uo Not Vover underground or Below /in -Slab Work Prior To Approval Of The Above Insnertinnc
Rough Inspections
Date
Inspector
Comments
omments
Wall Sheathing
Roof Sheathing
Date
Inspector
I nitials
Comments
Lath / Wall Tie
Rough Electric
Rough Plumbing
-
Rough Mechanical
Gas Piping
uo Not rroceed Without Approval Of Above Rouah Inspections
Rough Framing
Drywall Screw / Nail
Final Inspections
Date
Inspector
I nitials
Comments
Final Electrical
Final Plumbing
Final Mechanical
Roof
Final Building / Frarge
Landscaping & / Planning Dept.
Inspections from these entities should be requested
one week in advance. For landscaping and parking
inspections call 303 - 235 -2846. For ROW and drainage
inspections call 303 - 235 -2861. For fire inspections
contact the Fire Protection District for your project.
ROW & Drainage / Public Works Dept.
Fire Inspection / Fire Protection Dist.
"Note: All items must be completed and approved by Planning, Public Works, Fire and Building before a Certificate
of Occupancy is issued. Approval of the Final Building inspection does not constitute authorization of occupancy.
Occupancy Is Not Permitted Until A Certificate of Occupancy Is Issued
Protect This Card From The Weather
CITY OF WHEAT RIDGE
Building Inspection Division
( (303) 234 -5933 Inspection line
(303) 235 -2855 Office ' (303) 237 -8929 Fax
INSPECTION NOTICE
Inspection Type
Job Address
Permit Number
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❑ Nopne avail
for inspec i&
red: Yes N9
AM /PM
' A City of Wheat Ridge
-iY
► J Commercial Electric PERMIT - 111180
PERMIT NO: 111180 ISSUED: 10/03/2011
JOB ADDRESS: 4795.5 Ward Rd. EXPIRES: 10/02/2012
DESCRIPTION: Install new service for traffic signal
* ** CONTACTS * **
owner Ciryt of Wheat Ridge
sub 720/530 -4215 Brent R. Newton 11 -0224 Rocky Mountain Power Solutions
** PARCEL INFO **
ZONE CODE: UA
SUBDIVISION: UA
USE: UA
BLOCK /LOT #: 0/
** FEE SUMMARY ** ESTIMATED PROJECT VALUATION: 925.00
FEES
No Fees .00
Total Valuation .00
** TOTAL ** .00
Conditions:
Must comply w/ 2006 IBC & 2005 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, 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 this permit and perform
the work described and approved in conjunction with this permit. I further attest that I am legally authorized to include all
entities named within this docum nt as pa ties o the work to be performed and that all work to be performed is disclosed in
this document and r 'ts' accom ng a ro d p ti
and specifications�.
ll
Signature of OWNER or CO RA& ( '.rcl 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 required 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, any violation of
any provision of any applicable code or any ordinance or regulation of this jurisdiction. Approval of work is subject
to fi d ection.
Sig ure f Chief Building Offical Date
2 2PECTION REQUEST LINE: (303)234 -5933 BUILDING OFFICE: (303)235 -2855
REQUESTS MUST BE MADE BY 3PM ANY BUSINESS DAY FOR INSPECTION THE FOLLOWING BUSINESS DAY.
. ¢* City of
Wheatl g
COMMUNiTy DEVELOPMENT
Date:
Plan #
Building & Inspection Services Division
7500 W. 29" Ave., Wheat Ridge, CO 80033
Office: 303 - 235 -2855 " Fax: 303 - 237 -8929
Inspection Line: 303 -234 -5933
Building Permit Application
Property Owner (please print):
Mailing Address: (if different than property
Address: �j� Wr 1 (`
City, State,
Contractor:
Contractors City License #:
Permit #
L f' S %D
aiYY, V
� la
GV
Electrical /n � � -(C lumbing:
City License # ` O�CL� City License #
Descrloti6n.of:wo0k I _�
"La2, G
Phone: 7�- 530 -
Mechanical:
City License #
Contract Valu^�'- _ �
Review Fee (due at time of submittal):
quares _ BTU's Gallons _ Amps � Sq Ft. L"
OWNERICONTRACTOR SIGNATURE OF UNDERSTANDING AND AGREEMENT
I hereby certify that the setback distances proposed by this permit application are accurate and do not violate applicable ordinances;
rules or regulations of the City of Wheat Ridge or covenants, easements or restrictions of record; that all measurements shown and
allegations made are accurate; that I have read and agree to abide by all conditions printed on this application and that I assume full
responsibility for compliance with applicable City of Wheat Ridge codes and ordinances for work under any permit issued based on
this application; that I am the legal owner or have been authorized by the legal owner of the property to perform the described work
and am also authorized by the legal owner of any entity included on this application to list that entity on this application.
CIRCLEONE: (OWNER) (CONTRACTOR or (AUTHORIZED REPRESENTATI ) of (O ATR) CONTRACTOR)
PRINT NAME (�r SIGNATURE: !l/ /;DATE:
Bldg Valuation: