HomeMy WebLinkAbout202201560 - 4300 Iris St - Revised APplication_Page_1From:
no-reolvCalci.wheatridae.co.us
To:
CommDev Permits
Subject:
Online Form Submittal: REVISION APPLICATION Revisions to Permit
Date:
Thursday, July 28, 2022 2:41:48 PM
CAUTION:This email originated from outside of the organization. Do not click links or open attachments unless you
recognize the sender and know the content is safe. Report any suspicious activities to the IT Division.
REVISION APPLICATION Revisions to Permit
Permit Number 202201560
assigned to project
PROPERTY INFORMATION
Permit Number
202201560
Property Address
4300 Iris St
Property Owner Name
David Taylor
Property Owner Phone
303-513-5037
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
daevud@gmail.com
Address
CONTRACTOR INFORMATION
Contact Name
Alexis Rodriguez
Contact Phone Number
7208794527
(enter WITH dashes,
eg 303-123-4567)
Contact Email Address
allelectricofficemanager@gmail.com
Retype Contact Email
allelectricofficemanager@gmail.com
Address
DESCRIPTION OF WORK
Detailed Revised panel change and storage shed outlets, outdoor light and one
Scope of Work - CFCI outlet
Provide a detailed
description of the
change in scope of
work including
mechanical, electrical,
plumbing work
occurring,
adding/removing walls,
etc
Engineer Letter (if Field not completed.
applicable)
Additional Documents Field not completed.
on Letter Size
Are plans or No plans needed
documents locked for
editing?
Construction Plans Field not completed.
scanned on 11'x17" or
larger
Additional Project 3300
Value Only add what
the revised scope of
work is valued at.
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
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 Submitting Alexis Rodriguez (All Electric LLC)
Revision
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From: no-reolvCalci.wheatridae.co.us
To: CommDev Permits
Subject: Online Form Submittal: PERMIT APPLICATION Electrical Service Change/Upgrade/Electrical Work
Date: Monday, July 11, 2022 11:53:22 AM
CAUTION:This email originated from outside of the organization. Do not click links or open attachments unless you
recognize the sender and know the content is safe. Report any suspicious activities to the IT Division.
PERMIT APPLICATION Electrical Service
Change/Upgrade/Electrical Work
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 Residential
Commercial?
Property Address 4300 Iris St
Property Owner Name David Taylor
Property Owner Phone 303-513-5037
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"
wheatridaeoavm ent. Ddf
CONTRACTOR INFORMATION
Contractor Business All Electric LLC
Name
Contractor's License 180316
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contractor Phone 7208794527
Number (enter WITH
dashes, eg 303-123-
4567)
Contractor Email
allelectricofficemanager@gmail.com
Address
Retype Contractor
allelectricofficemanager@gmail.com
Email Address
DESCRIPTION OF WORK
Is this an electrical
Upgrade
service upgrade or
change?
Number of Amps
120
Location of work
garage
(garage, house, etc)
Provide additional
panel upgrade or change 120 amp in garage
details, if needed.
Project Value (contract
3900
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 daniel vargas
Pe rm it
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