HomeMy WebLinkAbout12540 W. 29th PlaceFrom: no-reolv(alci.wheatridae.m. us
To: CommDev Pets
Subject: Online Form Submittal: Electrical Service Change/Upgrade/Electrical Work Permit Application
Date: Monday, November 8, 20218:44:50 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 Yes
electrical service
change or upgrade -
200 amps or less?
PROPERTY INFORMATION
Is this Residential or
Commercial?
Property Address
Residential
Property Owner Name Lauren Searcy
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"
415-706-8117
CONTRACTOR INFORMATION
Contractor Business Green Light Electric Company LLC
Name
Contractor's License
190032
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
303-564-2577
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
kelhuna1982@gmail.com
Address
Retype Contractor
kelhuna1982@gmail.com
Email Address
DESCRIPTION OF WORK
Is this an electrical
Upgrade
service upgrade or
change?
Number of Amps
100
Location of work
house, bathroom and kitchen
(garage, house, etc)
Provide additional
remodel bathrooms and kitchen, install smoke detectors and
details, if needed.
update panel
Project Value (contract
3500
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 Kelly Reed
Permit
Email not displaying correctly? View it in your browser.
From: no-reolv(alci.wheatridae.m. us
To: CommDev Pets
Subject: Online Form Submittal: Furnace/Boiler Replacement Permit Application
Date: Friday, October 29, 202110:46:50 AM
Furnace/Boiler Replacement Permit Application
This application is exclusively for RESIDENTIAL REPLACEMENT FURNACE or
BOILER - LIKE FOR LIKE ONLY.
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 a Yes
replacement residential
furnace or boiler like for
like?
WKi],A36'd1010]VrLTiIG\1 ffl0
Is this Residential or
Commercial?
Residential
Property Address
12540 W 29th Place, Wheat Ridge, CO 80215
Property Owner Name
Lauren Searcy
Property Owner Phone
415-706-8117
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
Field not completed.
Address
Attach City of Wheat
Electronic Payment Form - Revised 5-1-20
Ridge Electronic
Fillable 202005011620013849 202006081141368198.Ddf
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
CONTRACTOR INFORMATION
Contractor Business Pacific Air Inc
Contractor's License
022097
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
720-231-0346
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
pacificairinc@aol.com
Address
Retype Contractor
pacificairinc@aol.com
Email Address
DESCRIPTION OF WORK
What type of
Air Conditioner
replacement unit are
you installing?
How many tons is the
3
unit?
For AC - what is the
14
SEER?
For Evaporative
Coolers, what is the
CFMs?
Where is the unit
Backyard on ground
located (for example,
rooftop, backyard on
ground etc)?
Is electrical needed for
No
re -hook?
Project Value (contract
5000
value or cost of ALL
materials and labor)
SIGNATURE OF UNDERSTANDING AND AGREEMENT
I assume full
Yes
responsibility for
compliance with
applicable City of
From: no-reolv(alci.wheatridae.m. us
To: CommDev Pets
Subject: Online Form Submittal: Air Conditioner/Evaporative Cooler Permit Application
Date: Friday, October 29, 202110:48:15 AM
Air Conditioner/Evaporative Cooler Permit Application
This application is exclusively for AIR CONDITIONER OR EVAPORATIVE
COOLER.
YOU MUST ATTACH THE ELECTRONIC PAYMENT 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.
PROPERTY INFORMATION
Is this a new install or
Replacement of Existing Unit
replacement for an
existing AC unit?
Is this Residential or
Residential
Commercial?
Property Address
12540 W 29th Place, Wheat Ridge, CO 80215
Property Owner Name
Lauren Searcy
Property Owner Phone
415-706-8117
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
Field not completed.
Address
Attach City of Wheat
Electronic Payment Form - Revised 5-1-20
Ridge Electronic
Fillable 202005011620013849 202006081141368198 Ddf
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
CONTRACTOR INFORMATION
Contractor Business
Pacific Air Inc
Name
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 Larry Romero
Permit
Email not displaying correctly? View it in your browser.
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 Larry Romero
Permit
Email not displaying correctly? View it in your browser.
Name
Contractor's License 022097
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone
720-231-0346
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
pacificairinc@aol.com
Address
Retype Contractor
pacificairinc@aol.com
Email Address
DESCRIPTION OF WORK
What type of unit is
Furnace
being installed?
Number of BTUs
90,000
What is the efficiency
80
(%) of the unit?
Is the unit GAS or
GAS
ELECTRIC?
Where is the furnace or
BASEMENT
boiler located (for
example, basement,
crawlspace, etc)?
Project Value (contract
5000
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