HomeMy WebLinkAbout202201595 - 6780 W 44th Pl - Application_Page_1From: no-reolvCalci.wheatridae.co.us
To: CommDev Permits
Subject: Online Form Submittal: PERMIT APPLICATION General
Date: Thursday, July 14, 2022 9:29:36 AM
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PERMIT APPLICATION General
This application is exclusively for Scopes of Work that do not already have a
specific form.
YOU MUST ATTACH AN ELECTRONIC PAYMENT FORM IN ORDER FOR THE
PERMIT TO BE 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 6780 W 44th PI, Wheat Ridge CO 80033
Property Owner Name Sarah Wickens
Property Owner Phone 913-485-7794
Number (enter WITH
dashes, eg 303-123-
4567)
Property Owner Email
Address
Attach City of Wheat
Ridge Electronic
Payment Form - "DO
NOT ATTACH A
PICTURE OF A
CREDIT CARD"
CONTACT INFORMATION
Submitting General
Contractor or Architect
Contractor's License
Field not completed.
Mac-Vik Plumbing and Heating
017656
Number (This is a 5 or
6 digit number for the
City of Wheat Ridge)
Contract Phone 303-279-7971
Number (enter WITH
dashes, eg 303-123-
4567)
Contact Email Address macvik16190@gmail.com
Retype Contact Email macvik16190@gmail.com
Address
Check the appropriate Mechanical
boxes if the following
work is involved in the
project.
Mechanical Contractor
Name
Mechanical Contractor
License Number (This
is a 5 or 6 digit number
for the City of Wheat
Ridge)
Mac Vik Plumbing and Heating
017656
Are there any
No
ADDITIONAL Sub
Contractors associated
with this project?
DESCRIPTION OF WORK
Detailed Scope of
Install outdoor LG LMU30CHV Install outdoor unit pad Install
Work - Provide a
indoor Console LQN120HV4 Mount unit on wall under window in
detailed description of
master bedroom Install Refrigerant lines to unit Install indoor wall
work including
unit LSN180HSV5 Install refrigerant lines to unit
mechanical, electrical,
plumbing work
occurring,
adding/removing walls,
etc.
Square footage of
862
scope of work
Location of work
Outdoor
(backyard, on roof, etc)
Project Value (contract
8000
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 Drawings
20220714100414569 1.odf
Upload Additional
Field not completed.
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 Cambrea Sprankle
Pe rm it
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