HomeMy WebLinkAbout202201569 - 9600 W 36th Ave - Application_Page_1From: no-reolvCalci.wheatridae.co.us
To: CommDev Permits
Subject: Online Form Submittal: *SAME DAY PERMIT*
Date: Thursday, July 14, 2022 9:43:47 AM
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*SAME DAY PERMIT*
This application is exclusively for Same Day Permits submitted on Thursdays and
Fridays(except holidays) between 9am-11am.
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.
PROPERTY INFORMATION
Is the property Residential
Residential or
Commercial?
Property Address 9600 W 36th Ave
Property Owner Name Jack Leslie
Property Owner Phone 303-288-0039
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email Field not completed.
Address
Attach City of Wheat
Ridge Electronic
Payment Form - **DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
SKM C36822071215030 (1).Ddf
APPLICANT INFORMATION
Applicant Name Wendy Camarillo
What is your role in the General Contractor
project?
Contractor's,
Architect's, Others
Name
Contractor's License
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Stone and Concrete
6[[8181:1:
Contact Phone Number 303-288-0039
(enter WITH dashes,
eg 303-123-4567)
Contact Email Address info@godirectservices.com
Retype Contact Email
Address
Check the appropriate
boxes if the following
work is involved in the
project.
Are there any
ADDITIONAL Sub
Contractors associated
with this project?
DESCRIPTION OF WORK
info@godirectservices.com
Field not completed.
No
Choose the type of Minor exterior modifications (Generator)
permit you are applying
for. If it is not listed
then it is not eligible for
a Same Day Permit.
Detailed Scope of
Work - Provide a
detailed description of
work including
mechanical, electrical,
plumbing work
occurring,
adding/removing walls,
etc.
We will be replacing 5 concrete steps in the entry of the home.
The steps will be 7" tall each.
Location of work
Front Entrance
(backyard, on roof, etc)
Project Value (contract
3500
value or cost of ALL
materials and labor)
Upload Engineer letter
Field not completed.
Upload Asbestos
Field not completed.
Report if triggler level is
met per CDPHE
regulation.
Upload Documents
SKM C36822071409080.odf
Upload Additional
222 PNG
Drawings
Upload Additional
Field not completed.
Drawings
Upload Additional
Field not completed.
Drawings
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 Wendy Camarillo
Pe rm it
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